chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Costochondritis, Heart rate increased, Hypertension, Urine analysis normal
Clinical narrative: first dose of pfizer vaccine, 24 hours latter developed high blood pressure and heart beat over 140, went to the urgent care and they send me straight to the Emergency room at the hospital where I spend 12 hours- they had to rule out cardiac and other conditions- they conclyded it was a side effect of the vaccine. They lower my heart rate with morphine and hidration. I have never been a hipertense person.  They send me hoe with pain meds and a follow up visit to a doctor who cant still figure our why the vaccine made my heart rate so high and my blood pressure super high.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination complication
Clinical narrative: "COVID ARM" delayed-type hypersensitivity reaction left deltoid region
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chest discomfort, Chest pain
Clinical narrative: My chest started hurting with a burning sensation & alot of pressure & chest pains
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Tachycardia
Clinical narrative: Elevated heart rate (tachycardia) most of the day. Heart rate while reclined and resting was approximately 105-110 bpm for a few hours. This was accompanied by mild fever (100.4-100.7) and patient took Acetaminophen at approximately 7:45pm. Fever and Tachycardia improved over the course of the next 3-4 hours. With a temperature of 99.6 and heart rate while resting approximately 95 bpm last measures before sleep. Heart rate still slightly elevated the next day with mid-80s bpm while resting. No chest pains or shortness of breath throughout. Heart rate was measured nearly constantly via a Fitbit smart watch.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Dyspepsia
Clinical narrative: Sharp, shooting intestinal pain followed by subsequent cramping and pressure the next week. I was unable to digest anything.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pharyngeal swelling, Pruritus
Clinical narrative: Prior allergy to varicella vaccine; Swelling of the back of the throat, Nausea, Itching, BP 167/88 HR 78 RR 16; Administered Epi 0.3mg to Right Thigh and provided EMS transport to hospital
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiovascular evaluation, Cerebrovascular accident, Headache, Magnetic resonance imaging, Muscular weakness
Clinical narrative: Patient apparently suffered a minor stroke early morning of 4/11/2021. Patient had headache, leg pain, and left leg weakness (described 'left leg giving out').
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Patient apparently suffered a minor stroke early morning of 4/11/2021. Patient had headache, leg pain, and left leg weakness (described 'left leg giving out').
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hot flush, Hypoaesthesia, Nausea, Pallor
Clinical narrative: A few minutes after patient received dose this morning around 9:20am, he became pale, developed hot flashes, shaking, nausea, dizziness, and hands feeling numb/tingling. Provided the patient with a cold pack for the back of his neck and water to drink, and encouraged him to sit with his head lowered. The patient's father pointed out that he had not had anything to eat that morning, which could have contributed to his response. After a few minutes, most of the symptoms abated, and patient was feeling much better. His father left the store with him at that time. Called the father later that day, and he said patient was feeling better. Had taken nap and was only feeling a little tired. I explained possible side effects from vaccine and father thanked me for our time and concern.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Tremor
Clinical narrative: A few minutes after patient received dose this morning around 9:20am, he became pale, developed hot flashes, shaking, nausea, dizziness, and hands feeling numb/tingling. Provided the patient with a cold pack for the back of his neck and water to drink, and encouraged him to sit with his head lowered. The patient's father pointed out that he had not had anything to eat that morning, which could have contributed to his response. After a few minutes, most of the symptoms abated, and patient was feeling much better. His father left the store with him at that time. Called the father later that day, and he said patient was feeling better. Had taken nap and was only feeling a little tired. I explained possible side effects from vaccine and father thanked me for our time and concern.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Veteran reported Nausea for one day starting 3 hours after the first dose of vaccine.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Hyperhidrosis, Tremor
Clinical narrative: Not sure if related to vaccine or not  but on 4/14 at 3pm patient experienced extreme shaking in legs that subsided after sitting down for 5 to 10 minutes. That same evening she encountered sweating and an upset stomach. All was fine the next am.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Myalgia, Nausea
Clinical narrative: Nausea, muscle soreness, injection site swollen, bright red, and hot to the touch, and redness/swelling growing in size daily.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Computerised tomogram, Magnetic resonance imaging normal, Transient ischaemic attack
Clinical narrative: Experienced a TIA (Transient Ischemic Attack - mini stroke) approximately 40 hours after receiving vaccination.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Anticoagulant therapy, Diabetic ketoacidosis, Dyspnoea, Electrocardiogram abnormal, Intensive care
Clinical narrative: Short Summary: DVT followed by Multiple Bilateral Pulmonary Embolisms (significant blood clots in both lungs). Context: After the first vaccine (about a week before my second vaccine), I self diagnosed myself with a calf injury due to extreme pain in my calf that felt like a continuous cramp. The extreme pain lasted until my second shot (about a week). When going for my second shot, I reported a rash with hives on my lower abdomen that had appeared within five hours of my first shot, so they requested I stay a little longer for observation. That night I began having some breathing difficulties, but assumed they were to be expected. The breathing difficulties continued to get worse until my nurse practitioner told me to go directly to the nearest ER (2/16/21), where I was officially diagnosed with multiple bilateral pulmonary embolisms. I was admitted to healthcare facility for 24-48 hours, until an EKG revealed heart abnormalities that caused them to use a physician's transport to move me to another unit. I was discharged from the hospital on 2/2/21 after I stabilized from heparin shots, avoiding more invasive procedures. I have been in ongoing recovery since then, receiving ongoing care from a hematologist and pulmonologist. A little extra context for you - I arrived to the hospital with diabetic ketoacidosis and have an endocrinologist since hospitalization that has diagnosed me with Type 1 Diabetes (previously misdiagnosed as type 2 - I'm now on insulin which is controlling my blood glucose well).
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Laboratory test, Muscle spasms, Pain in extremity, Pulmonary embolism, Rash
Clinical narrative: Short Summary: DVT followed by Multiple Bilateral Pulmonary Embolisms (significant blood clots in both lungs). Context: After the first vaccine (about a week before my second vaccine), I self diagnosed myself with a calf injury due to extreme pain in my calf that felt like a continuous cramp. The extreme pain lasted until my second shot (about a week). When going for my second shot, I reported a rash with hives on my lower abdomen that had appeared within five hours of my first shot, so they requested I stay a little longer for observation. That night I began having some breathing difficulties, but assumed they were to be expected. The breathing difficulties continued to get worse until my nurse practitioner told me to go directly to the nearest ER (2/16/21), where I was officially diagnosed with multiple bilateral pulmonary embolisms. I was admitted to healthcare facility for 24-48 hours, until an EKG revealed heart abnormalities that caused them to use a physician's transport to move me to another unit. I was discharged from the hospital on 2/2/21 after I stabilized from heparin shots, avoiding more invasive procedures. I have been in ongoing recovery since then, receiving ongoing care from a hematologist and pulmonologist. A little extra context for you - I arrived to the hospital with diabetic ketoacidosis and have an endocrinologist since hospitalization that has diagnosed me with Type 1 Diabetes (previously misdiagnosed as type 2 - I'm now on insulin which is controlling my blood glucose well).
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Type 1 diabetes mellitus, Urticaria
Clinical narrative: Short Summary: DVT followed by Multiple Bilateral Pulmonary Embolisms (significant blood clots in both lungs). Context: After the first vaccine (about a week before my second vaccine), I self diagnosed myself with a calf injury due to extreme pain in my calf that felt like a continuous cramp. The extreme pain lasted until my second shot (about a week). When going for my second shot, I reported a rash with hives on my lower abdomen that had appeared within five hours of my first shot, so they requested I stay a little longer for observation. That night I began having some breathing difficulties, but assumed they were to be expected. The breathing difficulties continued to get worse until my nurse practitioner told me to go directly to the nearest ER (2/16/21), where I was officially diagnosed with multiple bilateral pulmonary embolisms. I was admitted to healthcare facility for 24-48 hours, until an EKG revealed heart abnormalities that caused them to use a physician's transport to move me to another unit. I was discharged from the hospital on 2/2/21 after I stabilized from heparin shots, avoiding more invasive procedures. I have been in ongoing recovery since then, receiving ongoing care from a hematologist and pulmonologist. A little extra context for you - I arrived to the hospital with diabetic ketoacidosis and have an endocrinologist since hospitalization that has diagnosed me with Type 1 Diabetes (previously misdiagnosed as type 2 - I'm now on insulin which is controlling my blood glucose well).
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Antiphospholipid antibodies, Deep vein thrombosis, Pain in extremity, Pulmonary embolism, Rash
Clinical narrative: Short Summary: DVT followed by Multiple Bilateral Pulmonary Embolisms (significant blood clots in both lungs). Context: After the first vaccine (about a week before my second vaccine), I self diagnosed myself with a calf injury due to extreme pain in my calf that felt like a continuous cramp. The extreme pain lasted until my second shot (about a week). When going for my second shot, I reported a rash with hives on my lower abdomen that had appeared within five hours of my first shot, so they requested I stay a little longer for observation. That night I began having some breathing difficulties, but assumed they were to be expected. The breathing difficulties continued to get worse until my nurse practitioner told me to go directly to the nearest ER (2/16/21), where I was officially diagnosed with multiple bilateral pulmonary embolisms. I was admitted to healthcare facility for 24-48 hours, until an EKG revealed heart abnormalities that caused them to use a physician's transport to move me to another unit. I was discharged from the hospital on 2/2/21 after I stabilized from heparin shots, avoiding more invasive procedures. I have been in ongoing recovery since then, receiving ongoing care from a hematologist and pulmonologist. A little extra context for you - I arrived to the hospital with diabetic ketoacidosis and have an endocrinologist since hospitalization that has diagnosed me with Type 1 Diabetes (previously misdiagnosed as type 2 - I'm now on insulin which is controlling my blood glucose well).
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test, Urticaria
Clinical narrative: Short Summary: DVT followed by Multiple Bilateral Pulmonary Embolisms (significant blood clots in both lungs). Context: After the first vaccine (about a week before my second vaccine), I self diagnosed myself with a calf injury due to extreme pain in my calf that felt like a continuous cramp. The extreme pain lasted until my second shot (about a week). When going for my second shot, I reported a rash with hives on my lower abdomen that had appeared within five hours of my first shot, so they requested I stay a little longer for observation. That night I began having some breathing difficulties, but assumed they were to be expected. The breathing difficulties continued to get worse until my nurse practitioner told me to go directly to the nearest ER (2/16/21), where I was officially diagnosed with multiple bilateral pulmonary embolisms. I was admitted to healthcare facility for 24-48 hours, until an EKG revealed heart abnormalities that caused them to use a physician's transport to move me to another unit. I was discharged from the hospital on 2/2/21 after I stabilized from heparin shots, avoiding more invasive procedures. I have been in ongoing recovery since then, receiving ongoing care from a hematologist and pulmonologist. A little extra context for you - I arrived to the hospital with diabetic ketoacidosis and have an endocrinologist since hospitalization that has diagnosed me with Type 1 Diabetes (previously misdiagnosed as type 2 - I'm now on insulin which is controlling my blood glucose well).
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Antiphospholipid antibodies, Deep vein thrombosis, Pulmonary embolism, SARS-CoV-2 test, Thrombosis
Clinical narrative: Short Summary: DVT followed by Multiple Bilateral Pulmonary Embolisms (significant blood clots in both lungs). Context: After the first vaccine (about a week before my second vaccine), I self diagnosed myself with a calf injury due to extreme pain in my calf that felt like a continuous cramp. The extreme pain lasted until my second shot (about a week). When going for my second shot, I reported a rash with hives on my lower abdomen that had appeared within five hours of my first shot, so they requested I stay a little longer for observation. That night I began having some breathing difficulties, but assumed they were to be expected. The breathing difficulties continued to get worse until my nurse practitioner told me to go directly to the nearest ER (2/16/21), where I was officially diagnosed with multiple bilateral pulmonary embolisms. I was admitted to healthcare facility for 24-48 hours, until an EKG revealed heart abnormalities that caused them to use a physician's transport to move me to another unit. I was discharged from the hospital on 2/2/21 after I stabilized from heparin shots, avoiding more invasive procedures. I have been in ongoing recovery since then, receiving ongoing care from a hematologist and pulmonologist. A little extra context for you - I arrived to the hospital with diabetic ketoacidosis and have an endocrinologist since hospitalization that has diagnosed me with Type 1 Diabetes (previously misdiagnosed as type 2 - I'm now on insulin which is controlling my blood glucose well).
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site pain
Clinical narrative: Arm was very very sore and tender about one day after injection, and approximately one week after injection, a bruise appeared around the injection site and remained for approximately one week. I did not need to treat the bruise or seek professional medical aid. It eventually went away on its own and I have not noticed anything else around the site or had any related symptoms since.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Continued pain at site of injection several weeks later. Pain will come and go.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Day 3 after shot: intense itching on both arms, chest and lower back. No visible rash. Day 14: itching still present. AND a large, red welt has appeared at the injection site. It is warm, a bit swollen and very tender to the touch.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Day 3 after shot: intense itching on both arms, chest and lower back. No visible rash. Day 14: itching still present. AND a large, red welt has appeared at the injection site. It is warm, a bit swollen and very tender to the touch.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph node in left side of throat. Formed swollen lump that lingered for two weeks. No pain, just concern and made doctors appointment for examination.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, Hyperhidrosis, Hypotension, Oxygen saturation decreased, Presyncope
Clinical narrative: Vagal reaction.  Patient was diaphoretic, altered, hypotensive, bradycardic and oxygen sats were in the low 90's.  Patient was responsive but not answering questions appropriately.  911 was activated by myself and Ambulance responded.  They evaluated the patient who's vital signs improved and patient signed a refusal to be transported to the emergency room.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Achy body, slight fever.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Feeling of body temperature change
Clinical narrative: At 0910 patient is post second dose Pfizer injection.  She reports feeling warm.  She reports she had symptoms of Covid after 1st vaccine - fever, chills, slight nausea for a couple of days and self treated with Tylenol.   Vital signs:  BP 128/80, SPO2 98, Respirations 20, Pulse 64.     Patient was given water, waited 30 minutes, felt warm on way out - temp is 98.7.  Discharged home with no further concerns.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Bed rest, Fatigue, Feeling cold, Pyrexia
Clinical narrative: Felt cold, tired, fever starting at 99.1 F at 8 AM 4/14/2021, rose to 100.1 F at 4 PM 4/14/2021.   No treatment,  rested, felt fine the next day (4/15/2021).
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood pressure decreased, Dizziness, Slow response to stimuli
Clinical narrative: 51 year old female with chief complaint of dizziness.  Approximately 10 minutes post vaccine administration, patient stood up in and approached the observation staff.  The patient was asked if she was okay and did not respond but grabbed the table to stop herself from falling.  The patient was immediately assisted to the gurney in and placed in a supine position.  Vital signs obtained and initial vitals signs stable.  Patients legs elevated.  Patient was A&O x 4 but was slow to respond to questions.  The patient complained of dizziness and denied any other complaint.  The patient never lost consciousness and there was no traumatic event.   Patients second set of vitals signs demonstrated a decrease in blood pressure and paramedics were contacted.  Patient had a molar extraction by her dentist x1 week ago and denied any other medical history.  Allergies to PCN and only medication is Advil/Ibuprofen for tooth extraction.  Patients husband confirmed medical history and information.  Patient had equal grips/pushes with no facial droop, arm drift or slurred speech.  Paramedics arrived, received report and took over patient care.  Paramedics placed patient on cardiac monitor showing a normal sinus rhythm.  Blood glucose normal with pupils equal and reactive to light.  3rd set of vitals signs returned to normal and patient stated that she had a significant decrease in symptoms.  EMS explained risks and consequences patient but denied further evaluation, treatment or transport with EMS.  The patient was wheeled to private vehicle and was transported by husband home.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Joint swelling, Oedema peripheral, Pruritus, Rash
Clinical narrative: Developed rash over all limbs and entire torso. Extremely itchy and red. Second vaccination 3/23/21: rash erupted into open sores, still extremely itchy. March 27th, left ankle and left foot swelled and skin ulcers appeared. April 7th, saw PCP; referred to Dermatology. Saw dermatology April 8th.  Currently on Prednisone, Keflex (staff infection at ulcer sites) and Hydroxyzine.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Skin ulcer, Staphylococcal infection
Clinical narrative: Developed rash over all limbs and entire torso. Extremely itchy and red. Second vaccination 3/23/21: rash erupted into open sores, still extremely itchy. March 27th, left ankle and left foot swelled and skin ulcers appeared. April 7th, saw PCP; referred to Dermatology. Saw dermatology April 8th.  Currently on Prednisone, Keflex (staff infection at ulcer sites) and Hydroxyzine.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chest pain, Decreased appetite, Dizziness
Clinical narrative: Fever of 103.8F, shortness of breadth, chest pain, joint pain from jaw to toes including every joint in the body in between jaw and toes, body aches, nausea, vomiting, loss of appetite, weakness, and dizziness.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Fever of 103.8F, shortness of breadth, chest pain, joint pain from jaw to toes including every joint in the body in between jaw and toes, body aches, nausea, vomiting, loss of appetite, weakness, and dizziness.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Antiphospholipid antibodies, C-reactive protein increased, Contusion, Gingival bleeding, Immune thrombocytopenia
Clinical narrative: Patient a 46 yo female with a history of Bechet's presenting to the ED yesterday due to a history of progressive bruising with later appearance of petechiae and gum bleeding.   CBC yesterday revealed an isolated thrombocytopenia with platelets of 19k (>340k all previous checks), suspected ITP.  She was given 1 unit of platelets, solumedrol x 1 and IVIG.  Platelets this morning have responded but more likely related to the platelet transfusion.    Today I discussed continuation of IVIG and transitioning over to pulse dexamethasone 40 mg x 4 days q 14 days for 4 cycles in order to put the ITP in remission.   Considerations for precipitating event leading to the ITP include autoimmune condition recently undergoing dose adjustment, history of recent infection (viral gastroenteritis), and post Covid 19 vaccination induced ITP-currently described incidence between 1 in 100,000 to 1 in 1,000,000 and seen between 1-3 wks after vaccination.     This is unlikely to be related to vaccine induced thrombotic thrombocytopenia (VITT) as there is no sign of clotting.  In addition she received an mRNA vaccine (Moderna) which has not been reported to cause VITT. A HIT antibody was sent.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Immunoglobulin therapy, Petechiae, Platelet count decreased, Platelet transfusion, Thrombocytopenia
Clinical narrative: Patient a 46 yo female with a history of Bechet's presenting to the ED yesterday due to a history of progressive bruising with later appearance of petechiae and gum bleeding.   CBC yesterday revealed an isolated thrombocytopenia with platelets of 19k (>340k all previous checks), suspected ITP.  She was given 1 unit of platelets, solumedrol x 1 and IVIG.  Platelets this morning have responded but more likely related to the platelet transfusion.    Today I discussed continuation of IVIG and transitioning over to pulse dexamethasone 40 mg x 4 days q 14 days for 4 cycles in order to put the ITP in remission.   Considerations for precipitating event leading to the ITP include autoimmune condition recently undergoing dose adjustment, history of recent infection (viral gastroenteritis), and post Covid 19 vaccination induced ITP-currently described incidence between 1 in 100,000 to 1 in 1,000,000 and seen between 1-3 wks after vaccination.     This is unlikely to be related to vaccine induced thrombotic thrombocytopenia (VITT) as there is no sign of clotting.  In addition she received an mRNA vaccine (Moderna) which has not been reported to cause VITT. A HIT antibody was sent.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Antibody test negative, Confusional state, Contusion, Full blood count abnormal, Gingival bleeding
Clinical narrative: Patient a 46 yo female with a history of Bechet's presenting to the ED yesterday due to a history of progressive bruising with later appearance of petechiae and gum bleeding.   CBC yesterday revealed an isolated thrombocytopenia with platelets of 19k (>340k all previous checks), suspected ITP.  She was given 1 unit of platelets, solumedrol x 1 and IVIG.  Platelets this morning have responded but more likely related to the platelet transfusion.    Today I discussed continuation of IVIG and transitioning over to pulse dexamethasone 40 mg x 4 days q 14 days for 4 cycles in order to put the ITP in remission.   Considerations for precipitating event leading to the ITP include autoimmune condition recently undergoing dose adjustment, history of recent infection (viral gastroenteritis), and post Covid 19 vaccination induced ITP-currently described incidence between 1 in 100,000 to 1 in 1,000,000 and seen between 1-3 wks after vaccination.     This is unlikely to be related to vaccine induced thrombotic thrombocytopenia (VITT) as there is no sign of clotting.  In addition she received an mRNA vaccine (Moderna) which has not been reported to cause VITT. A HIT antibody was sent.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Headache, Immune thrombocytopenia, Immunoglobulin therapy, Petechiae, Platelet count decreased
Clinical narrative: Patient a 46 yo female with a history of Bechet's presenting to the ED yesterday due to a history of progressive bruising with later appearance of petechiae and gum bleeding.   CBC yesterday revealed an isolated thrombocytopenia with platelets of 19k (>340k all previous checks), suspected ITP.  She was given 1 unit of platelets, solumedrol x 1 and IVIG.  Platelets this morning have responded but more likely related to the platelet transfusion.    Today I discussed continuation of IVIG and transitioning over to pulse dexamethasone 40 mg x 4 days q 14 days for 4 cycles in order to put the ITP in remission.   Considerations for precipitating event leading to the ITP include autoimmune condition recently undergoing dose adjustment, history of recent infection (viral gastroenteritis), and post Covid 19 vaccination induced ITP-currently described incidence between 1 in 100,000 to 1 in 1,000,000 and seen between 1-3 wks after vaccination.     This is unlikely to be related to vaccine induced thrombotic thrombocytopenia (VITT) as there is no sign of clotting.  In addition she received an mRNA vaccine (Moderna) which has not been reported to cause VITT. A HIT antibody was sent.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Platelet transfusion, Thrombocytopenia
Clinical narrative: Patient a 46 yo female with a history of Bechet's presenting to the ED yesterday due to a history of progressive bruising with later appearance of petechiae and gum bleeding.   CBC yesterday revealed an isolated thrombocytopenia with platelets of 19k (>340k all previous checks), suspected ITP.  She was given 1 unit of platelets, solumedrol x 1 and IVIG.  Platelets this morning have responded but more likely related to the platelet transfusion.    Today I discussed continuation of IVIG and transitioning over to pulse dexamethasone 40 mg x 4 days q 14 days for 4 cycles in order to put the ITP in remission.   Considerations for precipitating event leading to the ITP include autoimmune condition recently undergoing dose adjustment, history of recent infection (viral gastroenteritis), and post Covid 19 vaccination induced ITP-currently described incidence between 1 in 100,000 to 1 in 1,000,000 and seen between 1-3 wks after vaccination.     This is unlikely to be related to vaccine induced thrombotic thrombocytopenia (VITT) as there is no sign of clotting.  In addition she received an mRNA vaccine (Moderna) which has not been reported to cause VITT. A HIT antibody was sent.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site paraesthesia, Injection site pruritus, Injection site swelling
Clinical narrative: Red puffed swelling at shot site. Tender to touch, and also warm to the touch. Starting to get itchy, also tingles when getting goosebumps.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Piloerection
Clinical narrative: Red puffed swelling at shot site. Tender to touch, and also warm to the touch. Starting to get itchy, also tingles when getting goosebumps.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: A ringing in both ears that sounds like white noise (Tinnitus).  I have not sought treatment but the ringing has not subsided.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Pain in extremity, Rash
Clinical narrative: Dose 1 - extremely sore arm for 1 week, nausea, fatigue Dose 2 - extremely sore arm and COVID arm rash appearing 2 days later, headache, fatigue
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: Friday afternoon ok I went to sleep about 11.00  p.m.. Next day did not wake up, my sister took me to the hospital, I was like that fot 3 days. I woke up I was 2 days more and then I was discgharge.  I am ok. now.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Dry throat, Dysphagia, Dysphonia, Dyspnoea
Clinical narrative: Dry throat, hoarseness, tiredness, difficulty breathing, throat spasm, difficulty swallowing, throat inflammation.  First she used 2 puff of Proventil, next day went to ER where she was given Solumedrol and Benadryl IV
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Inflammation, Laboratory test, Throat tightness
Clinical narrative: Dry throat, hoarseness, tiredness, difficulty breathing, throat spasm, difficulty swallowing, throat inflammation.  First she used 2 puff of Proventil, next day went to ER where she was given Solumedrol and Benadryl IV
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Pallor, Vomiting
Clinical narrative: Patient recieved 1st dose of Moderna- EUA covid-19 vaccine. Directly following her vaccine, she started vomitting, was pale, diaphoretic ,and reported having a headache. Vitals assessed: 11:38 am- 55/32, HR 47, Resp 14, o2 96% 11:42 am - 63/38, HR 52, Resp 18, o2 97% 11:45 am - 124/66, HR 71, Resp 18, o2 97 % 11: 48 am - 118/71 , HR 69, Resp 18, o2 96 % 11:52 am - 120/73, HR 64, Resp 18, o2 96 % 11:56 am - 144/82, HR 76, Resp 18, o2 97%  12:01 pm - 117/76, HR 76, o2 97 %  12:06 pm - 60/28, HR 76, o2 97 %.  EMS called at 11:42 am ; arrived on site at 11:54 am. Patient transported via ambulance to hospital at approximately 12:07 pm.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient was mistakenly given a shot of air instead of the vaccine. Patient had no issues after the shot and the correct vaccine was administered afterwards. Patient was monitored for 15 minutes afterwards without any issues.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure increased, Blood test, Dizziness, Electrocardiogram normal
Clinical narrative: 1st Pfizer shot on march 26. Started feeling dizziness, weakness and Vertigo on march 31 all day at work. Went to ER on April 2. Blood work, EKG, are ok. Blood pressure was elevated so I was kept on monitor for several hours. Had a Brain MRI done which I have to see a Neurologist for due to white spots found. Was given 25mg Meclizine prescription and released. Saw Primary Doctor on April 15. He said to have 2nd shot as scheduled for April 18th. Will be seeing Neurologist on April 22. Never existed from Vertigo before.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head abnormal, Vertigo
Clinical narrative: 1st Pfizer shot on march 26. Started feeling dizziness, weakness and Vertigo on march 31 all day at work. Went to ER on April 2. Blood work, EKG, are ok. Blood pressure was elevated so I was kept on monitor for several hours. Had a Brain MRI done which I have to see a Neurologist for due to white spots found. Was given 25mg Meclizine prescription and released. Saw Primary Doctor on April 15. He said to have 2nd shot as scheduled for April 18th. Will be seeing Neurologist on April 22. Never existed from Vertigo before.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Amylase, Blood thyroid stimulating hormone, Blood triglycerides, Computerised tomogram, Full blood count
Clinical narrative: I was pregnant at the time of the first vaccine, but was not pregnant at the time of second vaccine. This is not related to my concern. I developed acute pancreatitis after the second vaccine and spent 3 nights inpatient. My hospital doctors and primary care doctor has not been able to find the cause of the pancreatitis. They have ruled out all options such as alcoholism, diabetes, gallstones, negative Covid-19 antibody test.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Glycosylated haemoglobin, Lipase, Magnetic resonance imaging, Metabolic function test, Pancreatitis acute
Clinical narrative: I was pregnant at the time of the first vaccine, but was not pregnant at the time of second vaccine. This is not related to my concern. I developed acute pancreatitis after the second vaccine and spent 3 nights inpatient. My hospital doctors and primary care doctor has not been able to find the cause of the pancreatitis. They have ruled out all options such as alcoholism, diabetes, gallstones, negative Covid-19 antibody test.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 antibody test, SARS-CoV-2 test negative, Thyroxine, Urine analysis
Clinical narrative: I was pregnant at the time of the first vaccine, but was not pregnant at the time of second vaccine. This is not related to my concern. I developed acute pancreatitis after the second vaccine and spent 3 nights inpatient. My hospital doctors and primary care doctor has not been able to find the cause of the pancreatitis. They have ruled out all options such as alcoholism, diabetes, gallstones, negative Covid-19 antibody test.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Headache
Clinical narrative: Mild headache, 101 fever
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Fatigue, pain at injection site, headache, chills 7:00 4-16 through 4-17;
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Paraesthesia oral, Pyrexia, Vomiting
Clinical narrative: TINGLING SENSATION IN LIPS AND TOUNGE THE NEXT DAY AFTER THE VACCINE WAS RECEIVED. LOW GRADE FEVER AS WELL. EMESIS TOO.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Computerised tomogram, Dyspnoea, Ear congestion, Headache
Clinical narrative: Left sided numbness in neck face and arms 2 weeks after injection. General malaise and weakness. Headache and clogged sinuses. 3 emergency room visits, prednisone and motrin ordered. Symptoms began 4/2/21 and to date 4/17 they are still present. unusual headache and neck pain and weakness and occasional shortness of breath are occurring and my left ear is blocked.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Magnetic resonance imaging, Magnetic resonance imaging head, Malaise, Neck pain
Clinical narrative: Left sided numbness in neck face and arms 2 weeks after injection. General malaise and weakness. Headache and clogged sinuses. 3 emergency room visits, prednisone and motrin ordered. Symptoms began 4/2/21 and to date 4/17 they are still present. unusual headache and neck pain and weakness and occasional shortness of breath are occurring and my left ear is blocked.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus congestion
Clinical narrative: Left sided numbness in neck face and arms 2 weeks after injection. General malaise and weakness. Headache and clogged sinuses. 3 emergency room visits, prednisone and motrin ordered. Symptoms began 4/2/21 and to date 4/17 they are still present. unusual headache and neck pain and weakness and occasional shortness of breath are occurring and my left ear is blocked.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is under age 18 and received the vaccine. No other issues.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis acneiform, Erythema, Rash, Rash vesicular
Clinical narrative: 4" red patch showed up on arm eleven days after first vaccine shot. Got some fluid filled bumps on my chin, kind of like cystic acne, but not painful.  The bumps seemed to be filled with pus or water. Both the patch and the bumps subsided after four days. I have never had dermal fillers. I have had acne cysts injected with cortisone over the years, but not recently and one of the bumps seemed to be where I had had a cyst in the past.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizziness, Lightheaded (mild) BP 150/86, HR78 -- > 128/54, 74; Patient stable and released from vaccination site
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Intermenstrual bleeding, Pain in jaw, Toothache
Clinical narrative: Began menstrual spotting 6 days before expected period. Cycle is usually regular, and this is the first time spotting. Period started 2 days early.   Left side jaw and teeth pain began one week after shot and has not subsided after 3 weeks. Also, left side headaches. Pain is moving around and dentist felt it was related to the nerve and not a dental issue. This is still ongoing.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Taste disorder
Clinical narrative: Complete change of taste 2 hours after the shot administration: 1. No taste for glucose (e.g. doesn't feel sugar in candies or cookies), but feels fructose in fruits 2. Sour taste after milk products 3. Sour products became less sour (e.g. can eat lemons and does feel sugary taste there) 4. Almost no taste for vegetables
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever keeps going up and down between 101-106
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in my ears
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Individual received first dose of  COVID19  vaccine on January 8, 2021 and second dose of January 29, 2021 and tested positive for COVID19 on April 16, 2021.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort, Rash
Clinical narrative: RASH ON HANDS, ARMS AND FEET THAT SLOWLY IS GOING AWAY
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: SWOLLEN RIGHT ARM, NO TREATMENT HAS BEEN ADMINISTER.  NO OTHER SYMPTOMS.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache
Clinical narrative: The day after the shot, when I woke up I could not get out of bed, I was achy and extremely exhausted, with a severe headache, these symptoms lasted for about 7 hours.  Then my arm started to have tingles go up and down my arm as if it was still asleep, this occurs several times in a given day. This symptom still has not gone away, it has been two months since the injection.  Is it possible the shot hit a nerve?
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Headache, Injection site pain, Injection site rash
Clinical narrative: Approximately 48 hours after injection, a 2-inch red, warm rash started on my left arm at the injection site. It was warm, slighly itchy, and very painful and swollen. It hurt enough that I couldn't sleep on my left side for several days. By the third day after injection, the rash had grown considerably, but the pain was less. Now 17 days later, I still have a dark pink and almost grey, oval shaped patch of skin on my arm that's approximately 2.25 inches wide and 1 inch high. It's no longer in pain, though the area is still slightly warm to the touch, and tender like a healing bruise. I also experienced two days of extreme fatigue three days after the injection. I had the injection on the afternoon on Thursday, April 1, and by Saturday, April 3 I had terrible headaches and felt complete wiped of energy. This lasted until mid-day Monday when I started to feel better. My husband, who also received the same Pfizer vaccine (same lot number and time/date of injection), did not get a rash, and only experienced the 'punched in the arm' pain on the arm for a couple of days. He also reported some fatigue.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Rash, Rash erythematous, Rash pruritic
Clinical narrative: Approximately 48 hours after injection, a 2-inch red, warm rash started on my left arm at the injection site. It was warm, slighly itchy, and very painful and swollen. It hurt enough that I couldn't sleep on my left side for several days. By the third day after injection, the rash had grown considerably, but the pain was less. Now 17 days later, I still have a dark pink and almost grey, oval shaped patch of skin on my arm that's approximately 2.25 inches wide and 1 inch high. It's no longer in pain, though the area is still slightly warm to the touch, and tender like a healing bruise. I also experienced two days of extreme fatigue three days after the injection. I had the injection on the afternoon on Thursday, April 1, and by Saturday, April 3 I had terrible headaches and felt complete wiped of energy. This lasted until mid-day Monday when I started to feel better. My husband, who also received the same Pfizer vaccine (same lot number and time/date of injection), did not get a rash, and only experienced the 'punched in the arm' pain on the arm for a couple of days. He also reported some fatigue.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: Approximately 48 hours after injection, a 2-inch red, warm rash started on my left arm at the injection site. It was warm, slighly itchy, and very painful and swollen. It hurt enough that I couldn't sleep on my left side for several days. By the third day after injection, the rash had grown considerably, but the pain was less. Now 17 days later, I still have a dark pink and almost grey, oval shaped patch of skin on my arm that's approximately 2.25 inches wide and 1 inch high. It's no longer in pain, though the area is still slightly warm to the touch, and tender like a healing bruise. I also experienced two days of extreme fatigue three days after the injection. I had the injection on the afternoon on Thursday, April 1, and by Saturday, April 3 I had terrible headaches and felt complete wiped of energy. This lasted until mid-day Monday when I started to feel better. My husband, who also received the same Pfizer vaccine (same lot number and time/date of injection), did not get a rash, and only experienced the 'punched in the arm' pain on the arm for a couple of days. He also reported some fatigue.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Pain
Clinical narrative: Body Aches, Headache, soreness at injection site.  Took some 500mg Acetaminophen, plenty of water and rest
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Hypoaesthesia
Clinical narrative: According to the dr, my nerves are likely inflamed. Symptoms are feeling of numbness but no loss of circulation. Most often feelings of cold in random parts of my body but especially my left leg (same side as injection). Both sensations appear to only be that because to the touch nothing is colder and to the eye nothing appears cold (blue). This started Friday 04/09 and was initially tingling in my left leg and quickly changed to feeling cold. (Interestingly the day I was vaccinated a few hours later I felt what I thought was the vaccine go through this same leg) Since Friday the cold feelings have randomly been in both both legs, both arms and both hands, less often in my face (left side mainly) and the top of my head. It?s not everywhere simultaneously but sometimes different places at one. Sometimes it can actually associated with being a little cold, but other times with no cause. Regardless it?s an exaggerated cold feeling. First it was like ice cold water being poured into whatever spot it was. It?s now less icy but still cold. Very strange
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Burning sensation, Chills, Dizziness, Fatigue
Clinical narrative: Three hours after injection, I began to feel flu symptom (weak, fatigue, achy, chills, sweats, all-around unwell.)  Six hours post injection, flu symptoms  worsened along with explosive headache.  Nine hours post injection, severe sensitivity and pain with any contact along with burning sensation of entire body.  Pain felt in extremities.  Twenty-four hours post injection, symptoms continued along with excruciating, sharp stabbing pain of shoulder, shoulder blade, wrist, hand of injection arm.  The pain has almost caused me to pass out.  NSAIDs nor acetaminophen  has decreased discomfort or excruciating pain.  Heat nor ice pack has made any improvement.  My skin has felt extremely hot to the touch but I have not had a fever.  It is now over seventy-two hours since receiving the injection.  The pain continues to be unbearable.  The pain I am experiencing in my arm/shoulder/wrist/hand/shoulder blade is unbearable.  I would rather risk contracting COVID-19, then experiencing these side effects again.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperaesthesia, Hyperhidrosis, Influenza like illness, Injection site pain
Clinical narrative: Three hours after injection, I began to feel flu symptom (weak, fatigue, achy, chills, sweats, all-around unwell.)  Six hours post injection, flu symptoms  worsened along with explosive headache.  Nine hours post injection, severe sensitivity and pain with any contact along with burning sensation of entire body.  Pain felt in extremities.  Twenty-four hours post injection, symptoms continued along with excruciating, sharp stabbing pain of shoulder, shoulder blade, wrist, hand of injection arm.  The pain has almost caused me to pass out.  NSAIDs nor acetaminophen  has decreased discomfort or excruciating pain.  Heat nor ice pack has made any improvement.  My skin has felt extremely hot to the touch but I have not had a fever.  It is now over seventy-two hours since receiving the injection.  The pain continues to be unbearable.  The pain I am experiencing in my arm/shoulder/wrist/hand/shoulder blade is unbearable.  I would rather risk contracting COVID-19, then experiencing these side effects again.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pain, Skin warm
Clinical narrative: Three hours after injection, I began to feel flu symptom (weak, fatigue, achy, chills, sweats, all-around unwell.)  Six hours post injection, flu symptoms  worsened along with explosive headache.  Nine hours post injection, severe sensitivity and pain with any contact along with burning sensation of entire body.  Pain felt in extremities.  Twenty-four hours post injection, symptoms continued along with excruciating, sharp stabbing pain of shoulder, shoulder blade, wrist, hand of injection arm.  The pain has almost caused me to pass out.  NSAIDs nor acetaminophen  has decreased discomfort or excruciating pain.  Heat nor ice pack has made any improvement.  My skin has felt extremely hot to the touch but I have not had a fever.  It is now over seventy-two hours since receiving the injection.  The pain continues to be unbearable.  The pain I am experiencing in my arm/shoulder/wrist/hand/shoulder blade is unbearable.  I would rather risk contracting COVID-19, then experiencing these side effects again.