chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Headache, Migraine
Clinical narrative: Fever, chills, body aches, extreme fatigue, migraine, nausea, and inappetance. Lasted about 1 day, used Tylenol at home to keep fever down. By the next morning, only had slight fatigue and minor headache.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: Fever, chills, body aches, extreme fatigue, migraine, nausea, and inappetance. Lasted about 1 day, used Tylenol at home to keep fever down. By the next morning, only had slight fatigue and minor headache.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Throat irritation, Throat tightness, Urticaria
Clinical narrative: about 5 minutes after receiving vaccine pt developed hives, scratchy throat,  felt like throat was closing, coughing
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain
Clinical narrative: Headache, body aches
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia, Pyrexia
Clinical narrative: Fever 103 3hrs, 101-102 18hrs, severe muscle and joint aches.  Symptoms decreasing at 48hrs.
Age: 62.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Asthenia, Diarrhoea, Headache, Nausea, Pain
Clinical narrative: Starting on Thurs. April 29th @ 4:50am I had aches all over body, headache, a slight fever 98.7 (normal is 97.3), diarrhea and nauseousness. I slept off and on throughout the day as my energy level was quite low. These symptoms continued throughout the day and into the evening. at 4:50am I began taking 2 Tylenol every 6 hours.   Fri. April 30th my temperature had returned to normal and my aches and pains had to diminished slightly however I still had some diarrhea and nauseousness and my headache was constant. I continued taking Tylenol every 6 hours. My energy level was a little better but not at 100% more like 65%.  Sat. May 1st my temperature is normal and I have very few aches and pains however I still have diarrhea, some nauseousness and a constant headache. I didn't take any Tylenol however my headache was too much so I took 2  Tylenol at 2pm EDT. My energy level is at 85% today.  I am not too sure if my continued  diarrhea, some nauseousness and a constant headache are side effects from my Wed. April 28th 2nd Pfizer vaccine shot. If my diarrhea, some nauseousness and a constant headache continue throughout the weekend I need to talk to a medical profession on what I should do.
Age: 62.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Pyrexia
Clinical narrative: Starting on Thurs. April 29th @ 4:50am I had aches all over body, headache, a slight fever 98.7 (normal is 97.3), diarrhea and nauseousness. I slept off and on throughout the day as my energy level was quite low. These symptoms continued throughout the day and into the evening. at 4:50am I began taking 2 Tylenol every 6 hours.   Fri. April 30th my temperature had returned to normal and my aches and pains had to diminished slightly however I still had some diarrhea and nauseousness and my headache was constant. I continued taking Tylenol every 6 hours. My energy level was a little better but not at 100% more like 65%.  Sat. May 1st my temperature is normal and I have very few aches and pains however I still have diarrhea, some nauseousness and a constant headache. I didn't take any Tylenol however my headache was too much so I took 2  Tylenol at 2pm EDT. My energy level is at 85% today.  I am not too sure if my continued  diarrhea, some nauseousness and a constant headache are side effects from my Wed. April 28th 2nd Pfizer vaccine shot. If my diarrhea, some nauseousness and a constant headache continue throughout the weekend I need to talk to a medical profession on what I should do.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pyrexia
Clinical narrative: Fever, fatigue
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Heavy menstrual bleeding, Menstrual disorder
Clinical narrative: Menstrual cycle very heavy bleeding and clotting.  light headed
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Syncope
Clinical narrative: fainted, sweating- hx: fainting at site of needles per mom
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient's family member called the pharmacy today regarding the patient having redness at the site of the vaccination, itchy and swollen.  No other associated symptoms.  Will follow up with the patient on Monday.  Patient took Zyrtec and will use hydrocortisone cream at the injection site area if still itchy.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Neck pain
Clinical narrative: Lump in my neck on the left site. One is small from the first injection. The second lump is larger from the second injection and a tad sensitive and painful.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: constant headeach for 9 days
Age: 38.0
Sex: M
Vaccine: TDAP
Symptoms: Urticaria
Clinical narrative: The patient got hives and went to clinic and got a steroid shot.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Peripheral swelling, Rash erythematous, Skin sensitisation
Clinical narrative: On 4/6/2021, one week after first vaccine with Moderna, extreme skin sensitivity developed (without a rash) on upper left leg, near groin. About a week later, 4/12/2021, a rash of raised, red bumps appeared at site of skin sensitivity. It was diagnosed as shingles by NP on 4/13/2021. A 7-day course of antiviral medication was prescribed. After a week of medication, the rash lessened and skin sensitivity stopped.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax, Fibrin D dimer increased, Nausea, Pneumonia aspiration, Vomiting
Clinical narrative: Patient developed severe nausea/vomiting the night of the vaccine administration, then was diagnosed with aspiration pneumonia four days later and is being treated with antibiotics.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: Pt is a 18 yo F. Came for 1st dose of Moderna vaccination. Pt had an episode of Vasovagal (syncoy) reaction at 10:55 about 10 minutes after being vaccinated. Episode lasted for about  4 seconds, this nurse lay her down for 5 minutes on the bed and elevated her leg, took vitals while lying down ( 107/68 72 99% RA 18), then have her sit for another 5 minutes (113/68 71 100% RA 16) water was given. Pt recovered without difficulties, ER precaution given, pt acknowledge understanding. Pt was observed for another 15 minutes, and showed no symptom, then was let go
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Exercise tolerance decreased, Fatigue, Headache, Hypersomnia
Clinical narrative: I have been extremely and unusually fatigued since the 2nd vaccine.  I was walking approx 10 -12 miles a week and now am lucky if I walk 4.  I need to rest/nap constantly and have a constant headache.  I have never had headaches like this prior to 2nd  vaccine.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Patient complained of shortness of breath shortly after receiving the vaccine. After 15 minutes patient complained increased shortness of breath and requested transportation to Hospital ER. Patient left the facility with consistent V/s's but feeling much worst per Dr.'s note. Patient sent to ER by ambulance stationed on site. EMS at this facility assisted the MD and transported the patient to the ER.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Patient was sitting in observation and after 5 mins patient began c/o itching of neck. Upon exam patient exhibited urtacaria of neck and chest. Patient denied any difficulty breathing or shortness of breath. LS:CTAx4, VS: 132/68, RR:16, HR:92, SPO2: 99% on room air. Patient was given Benadryl 50mg IM in Left Deltoid. Patient was reassesed at 5 mins post benadryl administration with relief of itching and urtacaria still present. Patient still denied difficulty breathing. @ 10 mins patient had complete relief of symptoms. Patient stayed additional 10 mins w/o incident. Patient instructed to follow up with physician or call 9-1-1 in case of emergency.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Erythema, Injection site rash
Clinical narrative: redness to skin, slight rash near injection site, dizziness, given zyrtec 10 mg PO  observed for additional 20 mins
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site discharge, Skin injury
Clinical narrative: The top layer of my skin came off in a quarter-sized chunk while removing the bandage from the vaccine (muscle NOT visible). Clear, yellow liquid has been leaking out of the area. I cleaned the area with an antiseptic wipe, applied a topical triple antibiotic ointment, and applied a bandage.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Extremely Soar upper arm where vaccine was injected.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: About 10 hours after 2nd dose of Pfizer COVID19 vaccine I developed a fever which spiked at about 102  couple hours later and went down to about 99-100 for about another 24 hours.  Today (2 days after 2nd dose) I am feeling fine.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Glossodynia, Headache, Tongue disorder
Clinical narrative: headache started about 45 min after shot, laid down on couch (at home) and fell asleep (30 min +/-)  when awoke tongue felt a little thick, drank water then tongue felt sore on top and "hairy", but a lot less thick. headache subsiding.  tongue top still sore 4 hours later
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Flushing, Hyperhidrosis, Pallor, Vital signs measurement
Clinical narrative: pale, diaphoretic, flushed
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Heart rate, Heart rate decreased, Loss of consciousness
Clinical narrative: pale, diaphoretic, flushed
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pruritus, Injection site warmth
Clinical narrative: Redness around vaccination site along with a lump at injection site started 4-23, but had gone away by 4-25, but redness and lump reappeared 4-29 along with slight itching and heat in the area of the injection site
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, Facial paralysis, Haemorrhagic stroke, Hemiplegia, Intensive care
Clinical narrative: On 4/9/2021 patient suffered from a Hemorragic Stroke on the left side of the brain making him unable to move his right leg and toes, right arm and hand, slight droop of right lip, and responding mostly in one word answers with delays at times.  He was hospitalized in the am hours, sent to ER and then to Neuro ICU for 3.5 days and then moved onto a neuro floor for 1.5 days.  On 4/13/2021 he was transported to an acute rehabilitation center to receive OT, PT and Speech Theraphy.   On 4/19/2021 patient suffered from Ischemic Stroke on the right side of the brain, he became unresponsive.  He was intubated on 4/19/2021, placed into ICU and was removed from intubation, due to poor life outcome from the 2 strokes having affected his body, on 4/21/2021.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Ischaemic stroke, Movement disorder, Slow response to stimuli, Unresponsive to stimuli
Clinical narrative: On 4/9/2021 patient suffered from a Hemorragic Stroke on the left side of the brain making him unable to move his right leg and toes, right arm and hand, slight droop of right lip, and responding mostly in one word answers with delays at times.  He was hospitalized in the am hours, sent to ER and then to Neuro ICU for 3.5 days and then moved onto a neuro floor for 1.5 days.  On 4/13/2021 he was transported to an acute rehabilitation center to receive OT, PT and Speech Theraphy.   On 4/19/2021 patient suffered from Ischemic Stroke on the right side of the brain, he became unresponsive.  He was intubated on 4/19/2021, placed into ICU and was removed from intubation, due to poor life outcome from the 2 strokes having affected his body, on 4/21/2021.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pyrexia
Clinical narrative: After 12 hours a headache started, which continued for the next 12 hours, plus tiredness. About 28 hours after the shot also started a slight fever. All symptoms gone the 2nd morning after the shot.
Age: 42.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Patient was sitting in observation and after 5 mins patient began c/o itching of neck. Upon exam patient exhibited urtacaria of neck and chest. Patient denied any difficulty breathing or shortness of breath. LS:CTAx4, VS: 132/68, RR:16, HR:92, SPO2: 99% on room air. Patient was given Benadryl 50mg IM in Left Deltoid. Patient was reassesed at 5 mins post benadryl administration with relief of itching and urtacaria still present. Patient still denied difficulty breathing. @ 10 mins patient had complete relief of symptoms. Patient stayed additional 10 mins w/o incident. Patient instructed to follow up with physician or call 9-1-1 in case of emergency. This is the correct report has wrong date of 4/3/21; i
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenopia, Blood glucose, Chest pain, Dizziness, Electrocardiogram
Clinical narrative: Received her first dose Pfizer vaccine (LOT#: EW0179 EXP: 8/2021) at 0949 on 4/28/21. Patient alerted, EMT that she was feeling lightheaded and felt like she had very heavy eyes. Patient also started feeling increasing chest pain deep in sternal region. EMT alerted, PHN and another PHN. PHN's arrived on scene. PHN asked EMT to take vital signs at 0955. BP: 68/40, pulse: 61, O2:98%. Patient stated that her chest was increasingly hurting and quickly became a 10/10. Patient became ANOX1 quickly. PHN activated EMS. EMS arrived on scene at 1010. Paramedics started treatment. Patient received IV, EKG, blood/glucose test). Patient was routinely assessed by paramedics. Paramedics took the patients BP. BP: 95/50 and then 88/53. Patient left vaccination site on gurney with paramedics at 1028.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test abnormal, Mobility decreased, Pain, Red blood cell sedimentation rate increased, Rheumatoid arthritis
Clinical narrative: Severe arthritis flare, severe soft tissue pain whole body, unable to get out of bed or chair by myself lasting 3 weeks untill able to get on Prednisone
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: Severe arthritis flare, severe soft tissue pain whole body, unable to get out of bed or chair by myself lasting 3 weeks untill able to get on Prednisone
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache
Clinical narrative: headache, body chills, tiredness  one day
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Erythema, Tenderness
Clinical narrative: Palm size redness that's hot, lightly tender to the touch, swollen,  and larger in size on the 2nd day.  Marked the outside of the redness to see if there is change.  Heat pack and Aleve.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Hyperhidrosis, Nausea, Pain, Pyrexia
Clinical narrative: Fever of 100 F, whole body aches, nausea, chills, sweats, inability to sleep
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: Fever of 100 F, whole body aches, nausea, chills, sweats, inability to sleep
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: C/O feeling "light headed" Pt. discharged at 14:25 on 5/1/2021 EMS-recorded by RN
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Myalgia, Pain in extremity
Clinical narrative: Arm soreness and mild nausea set in that evening. The next day, also had muscle aches, joint aches, mild headache, chills, and very low grade fever. Took 2 ibuprofen and slept for 2.5 hrs that evening. All symptoms but arm soreness were gone in 24 hrs. No effects from 1st vaccine.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Arm soreness and mild nausea set in that evening. The next day, also had muscle aches, joint aches, mild headache, chills, and very low grade fever. Took 2 ibuprofen and slept for 2.5 hrs that evening. All symptoms but arm soreness were gone in 24 hrs. No effects from 1st vaccine.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood creatine phosphokinase increased, Blood lactic acid, Blood pH increased
Clinical narrative: 27 year old male with Down's Syndrome and no other past medical history received second COVID-19 vaccine on 4/27/2021. On 4/30/2021 began "feeling poorly" with nausea/vomiting and possible chest discomfort. Originally presented to ED on morning of 4/30 - EKG completed demonstrated diffused ST elevation. Patient was transferred to Medical Center for heart catheterization. Left heart catheterization demonstrated normal coronary arteries and LVEDP of 25. Stat ECHO demonstrated pericardial effusion and concern raised for myopericarditis. Patient subsequently transferred to a different Medical Center for higher level of care. Upon arrival to Medical Center plan was to intubate and take to cath lab for heart biopsy and PA catheter placement. However, upon intubation patient began to decompensate and subsequently developed cardiac arrest. During ACLS, VA ECMO was placed and therapeutic hypothermia was initiated. Following VA ECMO placement patient received IVIG, high dose methylprednisolone (1000 mg), anakinra 100 mg, and broad spectrum antibiotics (vancomycin and Zosyn). Despite these efforts the patient continued to have hemodynamic instability and was on high dose vasopressors (epinephrine, norepinephrine, dopamine, angiotensin II, vasopressin). Patient subsequently suffered another cardiac arrest, briefly regained pulse with high dose vasopressors, but subsequently lost pulse despite best efforts and died on 5/1/2021 at approximately 13:00.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Blood parathyroid hormone increased, Cardiac arrest, Cardiac failure, Catheterisation cardiac normal, Death
Clinical narrative: 27 year old male with Down's Syndrome and no other past medical history received second COVID-19 vaccine on 4/27/2021. On 4/30/2021 began "feeling poorly" with nausea/vomiting and possible chest discomfort. Originally presented to ED on morning of 4/30 - EKG completed demonstrated diffused ST elevation. Patient was transferred to Medical Center for heart catheterization. Left heart catheterization demonstrated normal coronary arteries and LVEDP of 25. Stat ECHO demonstrated pericardial effusion and concern raised for myopericarditis. Patient subsequently transferred to a different Medical Center for higher level of care. Upon arrival to Medical Center plan was to intubate and take to cath lab for heart biopsy and PA catheter placement. However, upon intubation patient began to decompensate and subsequently developed cardiac arrest. During ACLS, VA ECMO was placed and therapeutic hypothermia was initiated. Following VA ECMO placement patient received IVIG, high dose methylprednisolone (1000 mg), anakinra 100 mg, and broad spectrum antibiotics (vancomycin and Zosyn). Despite these efforts the patient continued to have hemodynamic instability and was on high dose vasopressors (epinephrine, norepinephrine, dopamine, angiotensin II, vasopressin). Patient subsequently suffered another cardiac arrest, briefly regained pulse with high dose vasopressors, but subsequently lost pulse despite best efforts and died on 5/1/2021 at approximately 13:00.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Ejection fraction normal, Electrocardiogram ST segment elevation, Endotracheal intubation, Feeling abnormal
Clinical narrative: 27 year old male with Down's Syndrome and no other past medical history received second COVID-19 vaccine on 4/27/2021. On 4/30/2021 began "feeling poorly" with nausea/vomiting and possible chest discomfort. Originally presented to ED on morning of 4/30 - EKG completed demonstrated diffused ST elevation. Patient was transferred to Medical Center for heart catheterization. Left heart catheterization demonstrated normal coronary arteries and LVEDP of 25. Stat ECHO demonstrated pericardial effusion and concern raised for myopericarditis. Patient subsequently transferred to a different Medical Center for higher level of care. Upon arrival to Medical Center plan was to intubate and take to cath lab for heart biopsy and PA catheter placement. However, upon intubation patient began to decompensate and subsequently developed cardiac arrest. During ACLS, VA ECMO was placed and therapeutic hypothermia was initiated. Following VA ECMO placement patient received IVIG, high dose methylprednisolone (1000 mg), anakinra 100 mg, and broad spectrum antibiotics (vancomycin and Zosyn). Despite these efforts the patient continued to have hemodynamic instability and was on high dose vasopressors (epinephrine, norepinephrine, dopamine, angiotensin II, vasopressin). Patient subsequently suffered another cardiac arrest, briefly regained pulse with high dose vasopressors, but subsequently lost pulse despite best efforts and died on 5/1/2021 at approximately 13:00.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer normal, Haemodynamic instability, Immunoglobulin therapy, Life support, Lung assist device therapy
Clinical narrative: 27 year old male with Down's Syndrome and no other past medical history received second COVID-19 vaccine on 4/27/2021. On 4/30/2021 began "feeling poorly" with nausea/vomiting and possible chest discomfort. Originally presented to ED on morning of 4/30 - EKG completed demonstrated diffused ST elevation. Patient was transferred to Medical Center for heart catheterization. Left heart catheterization demonstrated normal coronary arteries and LVEDP of 25. Stat ECHO demonstrated pericardial effusion and concern raised for myopericarditis. Patient subsequently transferred to a different Medical Center for higher level of care. Upon arrival to Medical Center plan was to intubate and take to cath lab for heart biopsy and PA catheter placement. However, upon intubation patient began to decompensate and subsequently developed cardiac arrest. During ACLS, VA ECMO was placed and therapeutic hypothermia was initiated. Following VA ECMO placement patient received IVIG, high dose methylprednisolone (1000 mg), anakinra 100 mg, and broad spectrum antibiotics (vancomycin and Zosyn). Despite these efforts the patient continued to have hemodynamic instability and was on high dose vasopressors (epinephrine, norepinephrine, dopamine, angiotensin II, vasopressin). Patient subsequently suffered another cardiac arrest, briefly regained pulse with high dose vasopressors, but subsequently lost pulse despite best efforts and died on 5/1/2021 at approximately 13:00.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pericardial effusion, Pulse absent, SARS-CoV-2 test negative, Serum ferritin increased
Clinical narrative: 27 year old male with Down's Syndrome and no other past medical history received second COVID-19 vaccine on 4/27/2021. On 4/30/2021 began "feeling poorly" with nausea/vomiting and possible chest discomfort. Originally presented to ED on morning of 4/30 - EKG completed demonstrated diffused ST elevation. Patient was transferred to Medical Center for heart catheterization. Left heart catheterization demonstrated normal coronary arteries and LVEDP of 25. Stat ECHO demonstrated pericardial effusion and concern raised for myopericarditis. Patient subsequently transferred to a different Medical Center for higher level of care. Upon arrival to Medical Center plan was to intubate and take to cath lab for heart biopsy and PA catheter placement. However, upon intubation patient began to decompensate and subsequently developed cardiac arrest. During ACLS, VA ECMO was placed and therapeutic hypothermia was initiated. Following VA ECMO placement patient received IVIG, high dose methylprednisolone (1000 mg), anakinra 100 mg, and broad spectrum antibiotics (vancomycin and Zosyn). Despite these efforts the patient continued to have hemodynamic instability and was on high dose vasopressors (epinephrine, norepinephrine, dopamine, angiotensin II, vasopressin). Patient subsequently suffered another cardiac arrest, briefly regained pulse with high dose vasopressors, but subsequently lost pulse despite best efforts and died on 5/1/2021 at approximately 13:00.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Therapeutic hypothermia, Troponin, Vomiting
Clinical narrative: 27 year old male with Down's Syndrome and no other past medical history received second COVID-19 vaccine on 4/27/2021. On 4/30/2021 began "feeling poorly" with nausea/vomiting and possible chest discomfort. Originally presented to ED on morning of 4/30 - EKG completed demonstrated diffused ST elevation. Patient was transferred to Medical Center for heart catheterization. Left heart catheterization demonstrated normal coronary arteries and LVEDP of 25. Stat ECHO demonstrated pericardial effusion and concern raised for myopericarditis. Patient subsequently transferred to a different Medical Center for higher level of care. Upon arrival to Medical Center plan was to intubate and take to cath lab for heart biopsy and PA catheter placement. However, upon intubation patient began to decompensate and subsequently developed cardiac arrest. During ACLS, VA ECMO was placed and therapeutic hypothermia was initiated. Following VA ECMO placement patient received IVIG, high dose methylprednisolone (1000 mg), anakinra 100 mg, and broad spectrum antibiotics (vancomycin and Zosyn). Despite these efforts the patient continued to have hemodynamic instability and was on high dose vasopressors (epinephrine, norepinephrine, dopamine, angiotensin II, vasopressin). Patient subsequently suffered another cardiac arrest, briefly regained pulse with high dose vasopressors, but subsequently lost pulse despite best efforts and died on 5/1/2021 at approximately 13:00.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Eye movement disorder, Feeling abnormal, Haemorrhage, Muscle twitching, Syncope
Clinical narrative: A FEW MINUTES AFTER ADMIN, PATIENT STARTED FEELING BAD AND PASSED OUT  3 TIMES.  I GAVE HER WATER WHICH SEEMED TO HELP BETWEEEN EACH EPISODE.  HER EYES SEEMED TO ROLL BACK AND SHE  TWICHED  SLIGHTLY BUT CAME BACK.  HER ARM DID BLEED A LITTLE SO I CLEANED AND PLACED ANOTHER BANDAGE ON HER ARM.  PATIENT WAS FEELING BETTER AND SHE WENT HOME WITH HER SIGNIFICANT OTHER.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Dizziness, Fatigue, Headache
Clinical narrative: April-28-2021 around 9:21am woken up to nauseous headache right side joint pain left arm neck shoulder dizziness weakness heart was beating fast. Been very tired.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Nausea, Neck pain, Pain in extremity
Clinical narrative: April-28-2021 around 9:21am woken up to nauseous headache right side joint pain left arm neck shoulder dizziness weakness heart was beating fast. Been very tired.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: got lightheaded , patient laid down on the floor. We observed the patient .We took vitals at 2:38 pm heart rate 80, o2 98 and BP 128/80.  We asked how he was feeing and he states that he was feeling back to himself so we left him leave.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site nodule, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Painful, warm, red swollen knot at injection site.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Decreased appetite, Fatigue, Headache, Loss of personal independence in daily activities
Clinical narrative: extreme fatigue,  ringing in the ears,  mouth ulcers,  stomach pain,   chronic prolonged headaches,  vertigo, nausea, loss appetite, change in menstrual cycle, drop in blood placets, unable to resume normal life
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder, Platelet count decreased, Stomatitis, Tinnitus, Vertigo
Clinical narrative: extreme fatigue,  ringing in the ears,  mouth ulcers,  stomach pain,   chronic prolonged headaches,  vertigo, nausea, loss appetite, change in menstrual cycle, drop in blood placets, unable to resume normal life
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Oropharyngeal discomfort, Palpitations, Throat tightness
Clinical narrative: Patient received her first COVID-19 (Pfizer) dose at approximately 1100.  Because she reported a history of allergies to medications and raspberries, she was asked to stay in clinic for 30 minutes following her vaccination.  About 20 minutes after her vaccination, she told the RN her throat was feeling "spongy" and tight.  She also reported a racing heart and feeling faint.  Recommended she go down the hall to the ED and escorted her there. and got her checked into the ER.  She did report worsening throat tightening upon arrival to the ED.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Headache, Hyperhidrosis, Pallor, Vomiting
Clinical narrative: Patient reported feeling sweaty and clammy while being observed after vaccine administration. Then he reported a headache and appeared pale. Patient vomited x1 and then reported feeling better after vomiting. Continued to monitor patient until he stated he felt well enough to leave.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Pyrexia
Clinical narrative: Fever, headache, myalgia, chills
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia, Swollen tongue, Vaccine positive rechallenge
Clinical narrative: PT HAS HX TONGUE SWELLING AND FACIAL NUMBNESS/TINGLING WITH FIRST DOSE. HERE TODAY FOR SECOND DOSE. DR APPROVED. PT RECEIVED SECOND DOSE OF PFIZER, DEVELOPPED SAME SYMPTOMS BUT MILD THIS TIME, VSS, WAS PREMEDICATED WITIH BENADRYL AND PEPSID, REFUSED TRANSPORT, DRIVEN HOME BY FRIEND, WILL GO TO ER AS NEEDED.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Ultrasound Doppler
Clinical narrative: dvt- gastrocnemius vein right leg
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Two days after getting the shot, my existing tinnitus increased dramatically.  I thought the tinnitus blocker in my hearing aids had failed because they were so effective, prior to the shot.  They were checked out as okay, so I think the shot caused the increase.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Headache
Clinical narrative: Headache on top left of head at 1900; getting it everyday since. It comes and goes. Pain level around  a 4/10. No history of HA. Seems to be improving a small bit as of 5/01/2021.    Legs feel weak. Like I have done an extreme workout. That started  4/10/2021 at 2100 PM.  My legs still feel very weak. Some slight improvement  as of 5/01/2021.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Menstruation delayed
Clinical narrative: 1. Swollen lymph node near collar bone. Lasted for 3 months.  2. Currently my period is about 10 days delayed (not pregnant and it?s the first time it is delayed. The vaccine was taken 5 days after of the beginning of the last period.  Do t know if it?s related but thought that it might be
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient received  Pfizer vaccine after initially receiving first dose of  Moderna on March 27,2021 at different location
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Oral herpes
Clinical narrative: Multiple Cold Sores on my bottom lip.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue, Headache, Nausea
Clinical narrative: Dizziness, Nausea, Headache, Fatigue, Weakness,  Fever. Took Tylenol Cold and Flu Severe to try and manage symptoms.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Dizziness, Nausea, Headache, Fatigue, Weakness,  Fever. Took Tylenol Cold and Flu Severe to try and manage symptoms.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Affect lability, Decreased interest, Depression, Headache, Insomnia
Clinical narrative: Shot at 11:30am.  Soreness in arm developed within a few hours.  Difficulty staying asleep.  Extremely drowsy upon waking at 7:30am (20 hours post vaccination) with general malaise and headache.  Headache persisted throughout day.  Despite multiple temperature checks through day, no fever (97.6 average temp).  40 hours post vaccination (Monday morning) started displaying symptoms of depression including uncontrollable emotions, loss of interest, daytime drowsiness, irritability and insomnia.  Had a coincidentally scheduled counseling appointment the Monday following vaccination and discussed newly developed depressive symptoms but did not change medication levels.  Depressive symptoms persisted for the next three days and subsided 120 hours after vaccination (Thursday evening).   Felt "normal" by Sunday April 4, eight days after vaccination.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Irritability, Malaise, Pain in extremity, Sleep disorder, Somnolence
Clinical narrative: Shot at 11:30am.  Soreness in arm developed within a few hours.  Difficulty staying asleep.  Extremely drowsy upon waking at 7:30am (20 hours post vaccination) with general malaise and headache.  Headache persisted throughout day.  Despite multiple temperature checks through day, no fever (97.6 average temp).  40 hours post vaccination (Monday morning) started displaying symptoms of depression including uncontrollable emotions, loss of interest, daytime drowsiness, irritability and insomnia.  Had a coincidentally scheduled counseling appointment the Monday following vaccination and discussed newly developed depressive symptoms but did not change medication levels.  Depressive symptoms persisted for the next three days and subsided 120 hours after vaccination (Thursday evening).   Felt "normal" by Sunday April 4, eight days after vaccination.
Age: 49.0
Sex: F
Vaccine: UNK
Symptoms: Vertigo
Clinical narrative: Vertigo for the past 7 days
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: patient developed shingles
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Cold sweat, Dyskinesia, Fall, Feeling cold
Clinical narrative: After patient  got vaccine  a few minutes later he fainted while sitting in chair and fell to the floor. He came back quickly. He stated he started to fill hot before he fainted. He said he was now  cold. Pt also said he was nauseated and felt clammy. WE eventually moved him to vaccination area to take blood pressure. While taking Blood pressure , he fainted again and was having seizure like symptoms(flailing arms, fit kicking and his head falling back) 911 was called.He came back quickly.  He was monitored at scene  by EMT. His blood glucose was 115 and initially they were only able to get systolic of 75. They removed him from pharmacy on stretcher and monitored him outside. His blood pressure was fine and they released him. He came back to the pharmacy and was fine
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Nausea, Seizure like phenomena, Syncope
Clinical narrative: After patient  got vaccine  a few minutes later he fainted while sitting in chair and fell to the floor. He came back quickly. He stated he started to fill hot before he fainted. He said he was now  cold. Pt also said he was nauseated and felt clammy. WE eventually moved him to vaccination area to take blood pressure. While taking Blood pressure , he fainted again and was having seizure like symptoms(flailing arms, fit kicking and his head falling back) 911 was called.He came back quickly.  He was monitored at scene  by EMT. His blood glucose was 115 and initially they were only able to get systolic of 75. They removed him from pharmacy on stretcher and monitored him outside. His blood pressure was fine and they released him. He came back to the pharmacy and was fine
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Taste disorder
Clinical narrative: Bitter in my mouth all the time for 25 days.  Food and water tasted very bad.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Electrocardiogram
Clinical narrative: Patient complained of chest tightness and pain 6/10. Patients blood pressure and O2 saturation was WNL.  EKG was performed and checked by dr.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: Patient states that as soon as she got the vaccine she started to sweat and got lightheaded and put her down. Patient was given an ice pack to put on the back of her neck and that is helping. Patients vitals taken at 2:43 pm heart rate 93, o2 100 and BP 122/85. At the end of the 30 minutes we check to see how the patient was feeling and she stated that she was feeling better so we released her at 3:03 pm.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaesthesia oral, Asthenia, Dysgeusia, Fatigue, Paraesthesia
Clinical narrative: Almost immediately post injection, experienced tingling around lips, whole oral area, ears, quickly followed by generalized facial swelling to a moderate degree.  By approx 30 min post, throat started to tighten. Staff quickly administered Epi-Pen, with resolution of throat symptoms, no change in facial swelling with tongue swelling also evident. Developed a few abdominal small petechiae. Monitored at site for additional 30 min, while experiencing increased throat mucus and metallic taste. Sent home with instructions to report to ER for continued monitoring. Did so, admitted to ER for approx 1.5 hours of monitoring, given IV Benadryl , and discharged home in stable condition. Still no change in facial swelling and swollen tongue. Today, 20 hours later, I have weakness, fatigue and minor loss of sensation in tongue.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia oral, Petechiae, Swelling face, Swollen tongue, Throat irritation
Clinical narrative: Almost immediately post injection, experienced tingling around lips, whole oral area, ears, quickly followed by generalized facial swelling to a moderate degree.  By approx 30 min post, throat started to tighten. Staff quickly administered Epi-Pen, with resolution of throat symptoms, no change in facial swelling with tongue swelling also evident. Developed a few abdominal small petechiae. Monitored at site for additional 30 min, while experiencing increased throat mucus and metallic taste. Sent home with instructions to report to ER for continued monitoring. Did so, admitted to ER for approx 1.5 hours of monitoring, given IV Benadryl , and discharged home in stable condition. Still no change in facial swelling and swollen tongue. Today, 20 hours later, I have weakness, fatigue and minor loss of sensation in tongue.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Throat tightness
Clinical narrative: Almost immediately post injection, experienced tingling around lips, whole oral area, ears, quickly followed by generalized facial swelling to a moderate degree.  By approx 30 min post, throat started to tighten. Staff quickly administered Epi-Pen, with resolution of throat symptoms, no change in facial swelling with tongue swelling also evident. Developed a few abdominal small petechiae. Monitored at site for additional 30 min, while experiencing increased throat mucus and metallic taste. Sent home with instructions to report to ER for continued monitoring. Did so, admitted to ER for approx 1.5 hours of monitoring, given IV Benadryl , and discharged home in stable condition. Still no change in facial swelling and swollen tongue. Today, 20 hours later, I have weakness, fatigue and minor loss of sensation in tongue.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Feeling jittery, Productive cough, Rash macular, Swelling face
Clinical narrative: Almost immediately post injection, experienced tingling around lips, whole oral area, ears, quickly followed by generalized facial swelling to a moderate degree.  By approx 30 min post, throat started to tighten. Staff quickly administered Epi-Pen, with resolution of throat symptoms, no change in facial swelling with tongue swelling also evident. Developed a few abdominal small petechiae. Monitored at site for additional 30 min, while experiencing increased throat mucus and metallic taste. Sent home with instructions to report to ER for continued monitoring. Did so, admitted to ER for approx 1.5 hours of monitoring, given IV Benadryl , and discharged home in stable condition. Still no change in facial swelling and swollen tongue. Today, 20 hours later, I have weakness, fatigue and minor loss of sensation in tongue.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bone pain, Hypoaesthesia, Pain in extremity, Spinal pain
Clinical narrative: I took my shot around 11:00 am, I didn't feel no symptoms after that. At about 3:45- 4:15pm my arm started getting numb. By 4:30pm I started feeling a sharp pain on my spine bone. it felt like a pulsing pain. By 6:40pm I couldn't walk no more, if I put pressure on my spine it began hurting. The pain on my spine lasted about three days. No other symptoms, but arm ache and Spine bone ache.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Spinal pain
Clinical narrative: I took my shot around 11:00 am, I didn't feel no symptoms after that. At about 3:45- 4:15pm my arm started getting numb. By 4:30pm I started feeling a sharp pain on my spine bone. it felt like a pulsing pain. By 6:40pm I couldn't walk no more, if I put pressure on my spine it began hurting. The pain on my spine lasted about three days. No other symptoms, but arm ache and Spine bone ache.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: The dose for the Moderna vaccine is .5 mL. The patient inadvertently received an overage of 0.01 to 0.02 mL. The manufacturer instructed us to inform the patient that the increased dosage could potentially lead to side effects that could be local or systemic. No serious adverse effects were reported by the patient.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Headache, Pain
Clinical narrative: Chills. Body aches no energy  tired. Head ache
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Lymphadenopathy, Myalgia, Nausea
Clinical narrative: Nausea, muscle pain, headaches, fever, fatigue, and lymph nodes.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Nausea, muscle pain, headaches, fever, fatigue, and lymph nodes.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase increased, Rhabdomyolysis
Clinical narrative: Rhabdomyolysis after usual workout
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Back pain, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Full body tremor started around 10pm and stopped around 10:40pm 4 days after vaccine date. Anxiety and low grade fever lasted for a week and a half. Body ache on lower back and legs as well as itching, rash, and swelling on the vaccine site started 7 days after the vaccine. The symptoms lasted about 5 days.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Tremor
Clinical narrative: Full body tremor started around 10pm and stopped around 10:40pm 4 days after vaccine date. Anxiety and low grade fever lasted for a week and a half. Body ache on lower back and legs as well as itching, rash, and swelling on the vaccine site started 7 days after the vaccine. The symptoms lasted about 5 days.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Echocardiogram, Magnetic resonance imaging heart, Myocarditis
Clinical narrative: The patient presented with pleuritic chest pain and shortness of breath. Was diagnosed with Acute Myopericarditis with a Cardiac MRI and Echocardiography. Was started on Colchicine and Ibuprofen. The patient was readmitted within 2 weeks with a large pericardial effusion with early tamponade physiology
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Cyanosis, Dyspnoea, Nausea, Pain
Clinical narrative: Severe pain to arm within 4 hours Next symptoms were on 4/30/2021 Fever started at approximately 2am 103.7 Vomiting/Nausea 5am Bodywide pain noted at 5am Tylenol 1000mg taken at 5am Symptoms continued for the duration of the day. Fever reduced to 100 for most of the day. Shortness of breath started at 1pm with cyanosis during exertion. Positive cough as well.  Returned to bed after 3rd dose of Tylenol. Unable to take Motrin due to increased bleeding issues. 5/1/2021 symptoms Woke at approximately 1am to severe nausea and vomiting. Bodywide aching noted to have returned. Fever of 101.7 SOB continued however cyanosis abated Tylenol 4th dose taken. Fever remained at 101 at 5am. Motrin 600mg taken due to no reduction of fever or pain with Tylenol. Pain and SOB tolerable at this time. 10am
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Pyrexia, Vomiting
Clinical narrative: Severe pain to arm within 4 hours Next symptoms were on 4/30/2021 Fever started at approximately 2am 103.7 Vomiting/Nausea 5am Bodywide pain noted at 5am Tylenol 1000mg taken at 5am Symptoms continued for the duration of the day. Fever reduced to 100 for most of the day. Shortness of breath started at 1pm with cyanosis during exertion. Positive cough as well.  Returned to bed after 3rd dose of Tylenol. Unable to take Motrin due to increased bleeding issues. 5/1/2021 symptoms Woke at approximately 1am to severe nausea and vomiting. Bodywide aching noted to have returned. Fever of 101.7 SOB continued however cyanosis abated Tylenol 4th dose taken. Fever remained at 101 at 5am. Motrin 600mg taken due to no reduction of fever or pain with Tylenol. Pain and SOB tolerable at this time. 10am
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Arthralgia, C-reactive protein increased, Chills, Dizziness
Clinical narrative: fever, chills, joint and muscle aches, night sweats, fatigue, lightheadedness, foggy headedness, - 3 days in a row starting April 8 then subsided and started again a few days later
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Full blood count, Myalgia, Night sweats
Clinical narrative: fever, chills, joint and muscle aches, night sweats, fatigue, lightheadedness, foggy headedness, - 3 days in a row starting April 8 then subsided and started again a few days later
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count increased, Polymyalgia rheumatica, Pyrexia, Red blood cell sedimentation rate increased, SARS-CoV-2 test
Clinical narrative: fever, chills, joint and muscle aches, night sweats, fatigue, lightheadedness, foggy headedness, - 3 days in a row starting April 8 then subsided and started again a few days later
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis
Clinical narrative: fever, chills, joint and muscle aches, night sweats, fatigue, lightheadedness, foggy headedness, - 3 days in a row starting April 8 then subsided and started again a few days later
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Feeling hot, Malaise, Retching, Wheezing
Clinical narrative: Attendee received vaccination at about 04:30 and was sitting in observation area. At 4:43, attendee waved to observer that she was feeling like she was going to throw up.  Several staff members assisted attendee. EMT present on site and were summoned and were at attendees side within  1-2 minutes. Attendee having dry heaves, coughing, c/o of feeling hot. Vital signs at 4:45pm--temp 98.2F, pulse 112, resp 20, blood pressure 135/92, O2 sats 99-100% on RA with mild scattered wheezing. EMT continued with evaluation of attendee and moved attendee to ambulance, started at IV and administered 50mg Benadryl IV, and albuterol 2.5ml inhalation x2. Attendee then transported at approximately 5:00pm  to Hospital and presented to waiting room ED.  EMT reported attendee left in waiting room in good condition and waiting to see dr.  At 5/1/2021, 11:38am, this writer called attendee to check on her status, left message to please return call.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Fever, Chills, Joint pain, Headache, Fatigue, increased nerve pain, arm pain at injection site
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Neuralgia, Pyrexia
Clinical narrative: Fever, Chills, Joint pain, Headache, Fatigue, increased nerve pain, arm pain at injection site