chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 101.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus congestion, Troponin normal
Clinical narrative: 101 Y year old female with PMH significant for hypertension, CKD, hyperlipidemia, COVID + on 7/8/21 (reportedly got 2 doses of vaccine, though only have 1 documented in EMR) who presents with COVID pneumonia. ý Pt went to out of town for July 4th weekend. COVID + on 7/8/21. Housemate noticed pt seemed sicker upon returning with more fatigue, sleeping more, sinus congestion, intermittent cough. Denies any fevers, chills, chest pain, sob, abd pain, n/v/d, dysuria, loss of smell/taste. States that she got both her vaccine shots outside of clinic (Pfizer), but can't remember the date. Pt admitted on 7/10/21. Pt was found to be hypoxic and was treated with decadron. She was not a candidate for remdesivir due to low GFR. She was given lasix to alleviate leg swelling which improved. On date of discharge patient is afebrile and no longer requiring supplemental O2. She is to remain isolated until 7/20/2021
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Bells Palsey
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient came in for second COVID-19 vaccination.  Asked for Pfizer at drop off window.  Pharmacist confirmed twice he needed Pfizer in the vaccination room.  He left the room.  I had an uneasy feeling about the conversation and checked MICR to confirm he had his first vaccination.  He had a Moderna COVID-19 vaccination in April as his first dose.  When I went to tell him, he had already left without waiting the requested 15 minute observation.
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test abnormal, Dizziness, Dyspnoea, Fatigue, Intensive care
Clinical narrative: Pronounced weight loss began within two weeks of the first dose. Patient lost 30 pounds in 3 months. She was diagnosed as a Type 1 diabetic July 12, 2021.  Her symptoms during those three months included weight loss, dizziness, fatigue, sensitivity to heat, racing heart, easily out of breath, nausea and vomiting.
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Palpitations, Temperature intolerance, Type 1 diabetes mellitus, Urine analysis abnormal
Clinical narrative: Pronounced weight loss began within two weeks of the first dose. Patient lost 30 pounds in 3 months. She was diagnosed as a Type 1 diabetic July 12, 2021.  Her symptoms during those three months included weight loss, dizziness, fatigue, sensitivity to heat, racing heart, easily out of breath, nausea and vomiting.
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting, Weight decreased
Clinical narrative: Pronounced weight loss began within two weeks of the first dose. Patient lost 30 pounds in 3 months. She was diagnosed as a Type 1 diabetic July 12, 2021.  Her symptoms during those three months included weight loss, dizziness, fatigue, sensitivity to heat, racing heart, easily out of breath, nausea and vomiting.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Full blood count normal, Muscular weakness, Thyroid function test normal, Vitamin B12 normal
Clinical narrative: dizziness, weak in knees  Still experiencing  dizziness throughout every day. Now 3 months later. Like I?m tipping back on my heels.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Fatigue, Headache, Paraesthesia
Clinical narrative: Starting 2 days after the vaccination, I had constant tingling in legs and feet and occasional tingling in head and face that would come and go. Three days after vaccination tingling in legs and feet became more intense and felt like pins and needles. Still had waves of tingling in head and face that came and went. Four days after vaccination had less intense tingling in legs and feet but more intense tingling in head. Again it came in waves that lasted a few seconds. Along with it I had trouble concentrating and a mild headache and fatigue. Five days past vaccination all symptoms were less intense and less frequent  but still came in waves  and included legs and feet, arms and upper body and head. Also had mild headache and fatigue. Six days past vaccination less often and less intense tingling sensation in all affected areas. Seven days past vaccination, again less intense and less frequent tingling sensation in all areas. Eight days past vaccination, tingling mainly in legs and feet and more noticeable when at rest. Nine days past vaccination, 6/28/21 tingling in legs and feet continued and I went to my doctor. The tingling sensation in legs and feet is still there as of today 7/14/21. It varies in intensity and happens mainly when at rest.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness unilateral, Cardiovascular evaluation, Chest discomfort, Diarrhoea, Dyspnoea
Clinical narrative: Three hours after receiving shot, complained of not feeling well, about 5 hours after shot, reported heart palpatations, chest heaviness and shortness of breath.  Called ambulance, was transported to hospital.  Admitted and was kept for three days, had new onset hypertension, headache, had complete cardiac work up which results were normal.  Was released to home, about 6 pm Thursday, by 10 pm she was writhing in pain in her head behind her right eye, right eye blindness, vomiting, diarrhea, severely hypertensive, unequal hand grips, was taken in again by ambulance to hospital.  facilitated transport to another hospital. Where they had to remove her right eye.  The nurses and er doctors did not record any information about the recent injection.  They just rolled their eyes.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Eye excision, Eye pain, Grip strength decreased, Headache, Hypertension
Clinical narrative: Three hours after receiving shot, complained of not feeling well, about 5 hours after shot, reported heart palpatations, chest heaviness and shortness of breath.  Called ambulance, was transported to hospital.  Admitted and was kept for three days, had new onset hypertension, headache, had complete cardiac work up which results were normal.  Was released to home, about 6 pm Thursday, by 10 pm she was writhing in pain in her head behind her right eye, right eye blindness, vomiting, diarrhea, severely hypertensive, unequal hand grips, was taken in again by ambulance to hospital.  facilitated transport to another hospital. Where they had to remove her right eye.  The nurses and er doctors did not record any information about the recent injection.  They just rolled their eyes.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Palpitations, Vomiting
Clinical narrative: Three hours after receiving shot, complained of not feeling well, about 5 hours after shot, reported heart palpatations, chest heaviness and shortness of breath.  Called ambulance, was transported to hospital.  Admitted and was kept for three days, had new onset hypertension, headache, had complete cardiac work up which results were normal.  Was released to home, about 6 pm Thursday, by 10 pm she was writhing in pain in her head behind her right eye, right eye blindness, vomiting, diarrhea, severely hypertensive, unequal hand grips, was taken in again by ambulance to hospital.  facilitated transport to another hospital. Where they had to remove her right eye.  The nurses and er doctors did not record any information about the recent injection.  They just rolled their eyes.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Injection site pruritus, Lip swelling, Pruritus, Swelling face
Clinical narrative: Oh I noticed around 11 that I had a very itchy spot on my arms near the injection site but also on my neck, shoulder, my left arm, knees, stomach, breasts, and  thighs.  I Then check out areas that are itching and is raised urticaria. They got worse over the next few days. I also had some lip swelling and swelling around my jaw as well as some elevated heart rate. I called my doctors office and they prescribed me prednisone for five days to resolve the overactive immune issue. I have this happen a lot.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Oh I noticed around 11 that I had a very itchy spot on my arms near the injection site but also on my neck, shoulder, my left arm, knees, stomach, breasts, and  thighs.  I Then check out areas that are itching and is raised urticaria. They got worse over the next few days. I also had some lip swelling and swelling around my jaw as well as some elevated heart rate. I called my doctors office and they prescribed me prednisone for five days to resolve the overactive immune issue. I have this happen a lot.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pain
Clinical narrative: Right arm shoulder pain ? started moderate ? became severe  I finally took a cortisone injection.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Pulsing tenitus. Non stop
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Muscle tightness, Pain
Clinical narrative: Patient said a couple hours after the injection she started noticing some numbness in her left hand. The next day she also noticed that she was having what she described as tightness, throbbing, pain and numbness in her left leg as well. Patient said she has tried taking some aspirin and it did not relieve the pain. Told her to try taking some Tylenol to help with the pain and to monitor her symptoms closely and to seek medical attention if her symptoms do not start to improve by next morning or if they start to worsen.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Computerised tomogram abdomen, Decreased appetite, Gastrointestinal inflammation, Injection site pain
Clinical narrative: Minor discomfort following Shot at first  Following with pain at injection point.   I took it more it was cause by person giving shot as it was central to the injection site.  Was given by a Pharmacist   On May 24th 2021  went for quarterly Dr visit and was put on Jardiance 10mg Tab  my weight was 388.   I started to get a loss of apatite and abdominal pain.  On June 8th it became severe  Contacted PCP.  PCP  ordered a ultra sound  ended up going to Went to ER on   June 19th.    had a cat scan run to look at intestinal and found swelling
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: Minor discomfort following Shot at first  Following with pain at injection point.   I took it more it was cause by person giving shot as it was central to the injection site.  Was given by a Pharmacist   On May 24th 2021  went for quarterly Dr visit and was put on Jardiance 10mg Tab  my weight was 388.   I started to get a loss of apatite and abdominal pain.  On June 8th it became severe  Contacted PCP.  PCP  ordered a ultra sound  ended up going to Went to ER on   June 19th.    had a cat scan run to look at intestinal and found swelling
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills
Clinical narrative: Patient reported chills that lasted continuously for two weeks, starting about two days after first dose.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: patient fainted-- gave water and monitored bp--
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram abnormal, Computerised tomogram head, Dural arteriovenous fistula, Magnetic resonance imaging head, Therapeutic embolisation
Clinical narrative: Pulsative Tinnitus with embolization of right dural  AV fistula by angiogram performed by neurosurgeon. Still have tinnitus but slight improvement after embolization. Quality of life is greatly affected
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Pulsative Tinnitus with embolization of right dural  AV fistula by angiogram performed by neurosurgeon. Still have tinnitus but slight improvement after embolization. Quality of life is greatly affected
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Disorientation, Dizziness, Loss of consciousness, Musculoskeletal stiffness, Nausea
Clinical narrative: Several minutes after vaccines patient became light headed, he then passed out for several minutes and became very stiff. When patient came to he was disoriented (didn't know where he was or who I was). Patient felt nauseous. Patients blood pressure was 81/50. Patient was taken to ED for further evaluation.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Axillary pain, Lymph node pain, Lymphadenopathy, Mobility decreased, Oedema peripheral
Clinical narrative: Two weeks to the date after each injection, the lymph nodes deep in my left armpit swelled. I considered this to be normal and did not seek medical care.   However, several weeks after my second injection, my left armpit started swelling again, this time much worse. It was so painful, tender and swollen, I could not normally hold my left arm by my side. Advil provided little relief. I wasn't otherwise ill, didn't have a fever and didn't have any open wounds. Thankfully, I had a doctors appointment already scheduled with Dr.  She was concerned and referred me to get an ultrasound of the area. The ultrasound came back abnormal, and I was told to follow-up with another ultrasound in 4-6 weeks. I will be getting that ultrasound this Friday, July 16. As of now, the node deep in my armpit is still swollen and tender. The radiologist has suggested a biopsy if this ultrasound comes back abnormal. I have no other symptoms.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ultrasound scan abnormal
Clinical narrative: Two weeks to the date after each injection, the lymph nodes deep in my left armpit swelled. I considered this to be normal and did not seek medical care.   However, several weeks after my second injection, my left armpit started swelling again, this time much worse. It was so painful, tender and swollen, I could not normally hold my left arm by my side. Advil provided little relief. I wasn't otherwise ill, didn't have a fever and didn't have any open wounds. Thankfully, I had a doctors appointment already scheduled with Dr.  She was concerned and referred me to get an ultrasound of the area. The ultrasound came back abnormal, and I was told to follow-up with another ultrasound in 4-6 weeks. I will be getting that ultrasound this Friday, July 16. As of now, the node deep in my armpit is still swollen and tender. The radiologist has suggested a biopsy if this ultrasound comes back abnormal. I have no other symptoms.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Patient stated that he had trouble catching his breath the next day after receiving the first dose of Moderna Covid-19 vaccine.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood test normal, Nausea, Ultrasound abdomen normal, Vomiting
Clinical narrative: Severe stomach pain,  nausea and vomiting that has persisted off and on since receiving the vaccine.
Age: 52.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Nausea, Pain
Clinical narrative: 12 hours after the  vaccine was administered I experienced chills, nausea , headache, and all over body ache.  The duration was about 6 hours until symptoms subsided. No medications were taken for symptoms, just bed rest.
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Angiogram, Headache, Tinnitus
Clinical narrative: Bilateral pulsatile tinnitus began at some point the day following Shingles vaccine. 5 days later went to urgent care and put on 9 day 40mg prednisone tapering course. 10 days after vaccine went to ER due to persistance of symptoms and regular headches. CTA and performed and normal. 40mg prednisone 16 day tapering course. A total of 70mg taken that day (20 in am, 50 at 11pm). Tinnitus volume reduced by 50% by the next morning. 20 days after vaccine, had 2 days of very quiet tinnitus, which then increased and varied daily. Pulsating became dominant in left ear, but at times sounds central and rarely stronger in the right ear. After completing 2nd course of prednisone, volume is still lower than before treatment
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Injection site pain, Injection site warmth, Nausea
Clinical narrative: General: Fatigue, chills, aches, nausea Site: heat and swelling at injection site, extremely sore upper arm lasting >24 hours
Age: 56.0
Sex: F
Vaccine: VARZOS
Symptoms: Pain
Clinical narrative: General: Fatigue, chills, aches, nausea Site: heat and swelling at injection site, extremely sore upper arm lasting >24 hours
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: No reported adverse event. Mixing different MRNA vaccines to complete vaccines series.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain, Pain in extremity
Clinical narrative: Inability to reach behind back with arm Inability to reach over head or across front of body Severe, sharp, shooting pain randomnly through upper arm Deep throb/ache in upper arm at night while trying to sleep
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Pyrexia, Tremor
Clinical narrative: Janssen COVID-19 Vaccine EUA.  chills and uncontrolled shaking x 2 1/2 hours fever 22  hours nausea 20 hours
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure decreased, Vertigo positional
Clinical narrative: Vertigo would happen when I moved my head, for example if I lifted my head to look up at a shelf, or if lying down it would happen if I picked up my head off the pillow.  Even moving my eyes up to look at someone would cause a feeling of vertigo.  But, it did not happen after repeatedly lifting heavy objects (I work as a stock person). And did not occur when standing up, only when I would move my eyes or lifted my head.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram head, Dizziness, Echocardiogram abnormal, Electrocardiogram
Clinical narrative: Immediate feeling of rush from head to toe with tingling and numbers of her extremities, nervy, and felt not right.  Also had dizziness, tachycardia,   Later blood pressure was taken but it was normal.  Since then she is not feeling normal.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory, Feeling abnormal, Hypoaesthesia, Immediate post-injection reaction, Magnetic resonance imaging head
Clinical narrative: Immediate feeling of rush from head to toe with tingling and numbers of her extremities, nervy, and felt not right.  Also had dizziness, tachycardia,   Later blood pressure was taken but it was normal.  Since then she is not feeling normal.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Sensory disturbance, Tachycardia
Clinical narrative: Immediate feeling of rush from head to toe with tingling and numbers of her extremities, nervy, and felt not right.  Also had dizziness, tachycardia,   Later blood pressure was taken but it was normal.  Since then she is not feeling normal.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Urticaria
Clinical narrative: Flu-like symptoms started about 8 hours after vaccination and trailed within 24 hours of starting. One week later hives began and continued on and off for 5 days. Advised to use antihistamines prn and was prescribed anti itch cream.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Alanine aminotransferase normal, Aspartate aminotransferase normal, Blood alkaline phosphatase normal, Blood bilirubin normal
Clinical narrative: 48 year-old man referred for admission from outpatient echo appointment after finding of large pericardial effusion.   Patient's history includes iron-deficiency anemia from hiatal hernia and season allergies. Was in usual state of health until received second Pfizer mRNA Covid-19 vaccine 5/18/21. A few days later developed cough, 'brain fog,' dyspnea. Had remote outpt visit and treated with abx for sinusitis. Covid test was negative 5/28/21. Symptoms worsened and developed swelling of legs and abdomen, worse exertional dyspnea and had to sleep sitting up due to orthopnea.    Began on lasix 20 PO BID as outpt with significant improvement in swelling and other symptoms over past week - thinks he lost 20 lbs. Still feels more bloated than usual.    Had outpt echo as part of eval and sent to ED.   Denies chest pain, palpitations, dizziness. Brain fog is improving. Mildly constipated. No black or bloody stools. No abd pain. PERICARDIAL EFFUSION (6/15/2021)   Assessment: echo Large pericardial effusion noted  mostly post and no echo evidence of tamponade. Smaller in size.   no need for pericardiocentesis  Discharge home on lasix 20 mg daily  Net neg 5.4 L  chest xray looks improved  unbale to get thoracentesis due to not enough fluid Vitals stable
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Blood chloride normal, Blood cholesterol normal, Blood creatine normal, Blood potassium normal, Blood sodium normal
Clinical narrative: 48 year-old man referred for admission from outpatient echo appointment after finding of large pericardial effusion.   Patient's history includes iron-deficiency anemia from hiatal hernia and season allergies. Was in usual state of health until received second Pfizer mRNA Covid-19 vaccine 5/18/21. A few days later developed cough, 'brain fog,' dyspnea. Had remote outpt visit and treated with abx for sinusitis. Covid test was negative 5/28/21. Symptoms worsened and developed swelling of legs and abdomen, worse exertional dyspnea and had to sleep sitting up due to orthopnea.    Began on lasix 20 PO BID as outpt with significant improvement in swelling and other symptoms over past week - thinks he lost 20 lbs. Still feels more bloated than usual.    Had outpt echo as part of eval and sent to ED.   Denies chest pain, palpitations, dizziness. Brain fog is improving. Mildly constipated. No black or bloody stools. No abd pain. PERICARDIAL EFFUSION (6/15/2021)   Assessment: echo Large pericardial effusion noted  mostly post and no echo evidence of tamponade. Smaller in size.   no need for pericardiocentesis  Discharge home on lasix 20 mg daily  Net neg 5.4 L  chest xray looks improved  unbale to get thoracentesis due to not enough fluid Vitals stable
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone normal, Blood triglycerides normal, Blood urea increased, Brain natriuretic peptide normal, Carbon dioxide normal
Clinical narrative: 48 year-old man referred for admission from outpatient echo appointment after finding of large pericardial effusion.   Patient's history includes iron-deficiency anemia from hiatal hernia and season allergies. Was in usual state of health until received second Pfizer mRNA Covid-19 vaccine 5/18/21. A few days later developed cough, 'brain fog,' dyspnea. Had remote outpt visit and treated with abx for sinusitis. Covid test was negative 5/28/21. Symptoms worsened and developed swelling of legs and abdomen, worse exertional dyspnea and had to sleep sitting up due to orthopnea.    Began on lasix 20 PO BID as outpt with significant improvement in swelling and other symptoms over past week - thinks he lost 20 lbs. Still feels more bloated than usual.    Had outpt echo as part of eval and sent to ED.   Denies chest pain, palpitations, dizziness. Brain fog is improving. Mildly constipated. No black or bloody stools. No abd pain. PERICARDIAL EFFUSION (6/15/2021)   Assessment: echo Large pericardial effusion noted  mostly post and no echo evidence of tamponade. Smaller in size.   no need for pericardiocentesis  Discharge home on lasix 20 mg daily  Net neg 5.4 L  chest xray looks improved  unbale to get thoracentesis due to not enough fluid Vitals stable
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Constipation, Cough, Dyspnoea, Dyspnoea exertional
Clinical narrative: 48 year-old man referred for admission from outpatient echo appointment after finding of large pericardial effusion.   Patient's history includes iron-deficiency anemia from hiatal hernia and season allergies. Was in usual state of health until received second Pfizer mRNA Covid-19 vaccine 5/18/21. A few days later developed cough, 'brain fog,' dyspnea. Had remote outpt visit and treated with abx for sinusitis. Covid test was negative 5/28/21. Symptoms worsened and developed swelling of legs and abdomen, worse exertional dyspnea and had to sleep sitting up due to orthopnea.    Began on lasix 20 PO BID as outpt with significant improvement in swelling and other symptoms over past week - thinks he lost 20 lbs. Still feels more bloated than usual.    Had outpt echo as part of eval and sent to ED.   Denies chest pain, palpitations, dizziness. Brain fog is improving. Mildly constipated. No black or bloody stools. No abd pain. PERICARDIAL EFFUSION (6/15/2021)   Assessment: echo Large pericardial effusion noted  mostly post and no echo evidence of tamponade. Smaller in size.   no need for pericardiocentesis  Discharge home on lasix 20 mg daily  Net neg 5.4 L  chest xray looks improved  unbale to get thoracentesis due to not enough fluid Vitals stable
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Eosinophil percentage increased, Feeling abnormal, Full blood count, Glycosylated haemoglobin normal
Clinical narrative: 48 year-old man referred for admission from outpatient echo appointment after finding of large pericardial effusion.   Patient's history includes iron-deficiency anemia from hiatal hernia and season allergies. Was in usual state of health until received second Pfizer mRNA Covid-19 vaccine 5/18/21. A few days later developed cough, 'brain fog,' dyspnea. Had remote outpt visit and treated with abx for sinusitis. Covid test was negative 5/28/21. Symptoms worsened and developed swelling of legs and abdomen, worse exertional dyspnea and had to sleep sitting up due to orthopnea.    Began on lasix 20 PO BID as outpt with significant improvement in swelling and other symptoms over past week - thinks he lost 20 lbs. Still feels more bloated than usual.    Had outpt echo as part of eval and sent to ED.   Denies chest pain, palpitations, dizziness. Brain fog is improving. Mildly constipated. No black or bloody stools. No abd pain. PERICARDIAL EFFUSION (6/15/2021)   Assessment: echo Large pericardial effusion noted  mostly post and no echo evidence of tamponade. Smaller in size.   no need for pericardiocentesis  Discharge home on lasix 20 mg daily  Net neg 5.4 L  chest xray looks improved  unbale to get thoracentesis due to not enough fluid Vitals stable
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, High density lipoprotein decreased, Lipase normal, Liver function test
Clinical narrative: 48 year-old man referred for admission from outpatient echo appointment after finding of large pericardial effusion.   Patient's history includes iron-deficiency anemia from hiatal hernia and season allergies. Was in usual state of health until received second Pfizer mRNA Covid-19 vaccine 5/18/21. A few days later developed cough, 'brain fog,' dyspnea. Had remote outpt visit and treated with abx for sinusitis. Covid test was negative 5/28/21. Symptoms worsened and developed swelling of legs and abdomen, worse exertional dyspnea and had to sleep sitting up due to orthopnea.    Began on lasix 20 PO BID as outpt with significant improvement in swelling and other symptoms over past week - thinks he lost 20 lbs. Still feels more bloated than usual.    Had outpt echo as part of eval and sent to ED.   Denies chest pain, palpitations, dizziness. Brain fog is improving. Mildly constipated. No black or bloody stools. No abd pain. PERICARDIAL EFFUSION (6/15/2021)   Assessment: echo Large pericardial effusion noted  mostly post and no echo evidence of tamponade. Smaller in size.   no need for pericardiocentesis  Discharge home on lasix 20 mg daily  Net neg 5.4 L  chest xray looks improved  unbale to get thoracentesis due to not enough fluid Vitals stable
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Low density lipoprotein, Lung opacity, Lymphocyte percentage decreased, Mean cell volume decreased, Monocyte percentage increased
Clinical narrative: 48 year-old man referred for admission from outpatient echo appointment after finding of large pericardial effusion.   Patient's history includes iron-deficiency anemia from hiatal hernia and season allergies. Was in usual state of health until received second Pfizer mRNA Covid-19 vaccine 5/18/21. A few days later developed cough, 'brain fog,' dyspnea. Had remote outpt visit and treated with abx for sinusitis. Covid test was negative 5/28/21. Symptoms worsened and developed swelling of legs and abdomen, worse exertional dyspnea and had to sleep sitting up due to orthopnea.    Began on lasix 20 PO BID as outpt with significant improvement in swelling and other symptoms over past week - thinks he lost 20 lbs. Still feels more bloated than usual.    Had outpt echo as part of eval and sent to ED.   Denies chest pain, palpitations, dizziness. Brain fog is improving. Mildly constipated. No black or bloody stools. No abd pain. PERICARDIAL EFFUSION (6/15/2021)   Assessment: echo Large pericardial effusion noted  mostly post and no echo evidence of tamponade. Smaller in size.   no need for pericardiocentesis  Discharge home on lasix 20 mg daily  Net neg 5.4 L  chest xray looks improved  unbale to get thoracentesis due to not enough fluid Vitals stable
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Neutrophil percentage, Orthopnoea, Pericardial effusion, Peripheral swelling, Platelet count decreased
Clinical narrative: 48 year-old man referred for admission from outpatient echo appointment after finding of large pericardial effusion.   Patient's history includes iron-deficiency anemia from hiatal hernia and season allergies. Was in usual state of health until received second Pfizer mRNA Covid-19 vaccine 5/18/21. A few days later developed cough, 'brain fog,' dyspnea. Had remote outpt visit and treated with abx for sinusitis. Covid test was negative 5/28/21. Symptoms worsened and developed swelling of legs and abdomen, worse exertional dyspnea and had to sleep sitting up due to orthopnea.    Began on lasix 20 PO BID as outpt with significant improvement in swelling and other symptoms over past week - thinks he lost 20 lbs. Still feels more bloated than usual.    Had outpt echo as part of eval and sent to ED.   Denies chest pain, palpitations, dizziness. Brain fog is improving. Mildly constipated. No black or bloody stools. No abd pain. PERICARDIAL EFFUSION (6/15/2021)   Assessment: echo Large pericardial effusion noted  mostly post and no echo evidence of tamponade. Smaller in size.   no need for pericardiocentesis  Discharge home on lasix 20 mg daily  Net neg 5.4 L  chest xray looks improved  unbale to get thoracentesis due to not enough fluid Vitals stable
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary congestion, SARS-CoV-2 test negative, Sinusitis, Sleep disorder, Troponin normal
Clinical narrative: 48 year-old man referred for admission from outpatient echo appointment after finding of large pericardial effusion.   Patient's history includes iron-deficiency anemia from hiatal hernia and season allergies. Was in usual state of health until received second Pfizer mRNA Covid-19 vaccine 5/18/21. A few days later developed cough, 'brain fog,' dyspnea. Had remote outpt visit and treated with abx for sinusitis. Covid test was negative 5/28/21. Symptoms worsened and developed swelling of legs and abdomen, worse exertional dyspnea and had to sleep sitting up due to orthopnea.    Began on lasix 20 PO BID as outpt with significant improvement in swelling and other symptoms over past week - thinks he lost 20 lbs. Still feels more bloated than usual.    Had outpt echo as part of eval and sent to ED.   Denies chest pain, palpitations, dizziness. Brain fog is improving. Mildly constipated. No black or bloody stools. No abd pain. PERICARDIAL EFFUSION (6/15/2021)   Assessment: echo Large pericardial effusion noted  mostly post and no echo evidence of tamponade. Smaller in size.   no need for pericardiocentesis  Discharge home on lasix 20 mg daily  Net neg 5.4 L  chest xray looks improved  unbale to get thoracentesis due to not enough fluid Vitals stable
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Weight decreased, White blood cell count normal
Clinical narrative: 48 year-old man referred for admission from outpatient echo appointment after finding of large pericardial effusion.   Patient's history includes iron-deficiency anemia from hiatal hernia and season allergies. Was in usual state of health until received second Pfizer mRNA Covid-19 vaccine 5/18/21. A few days later developed cough, 'brain fog,' dyspnea. Had remote outpt visit and treated with abx for sinusitis. Covid test was negative 5/28/21. Symptoms worsened and developed swelling of legs and abdomen, worse exertional dyspnea and had to sleep sitting up due to orthopnea.    Began on lasix 20 PO BID as outpt with significant improvement in swelling and other symptoms over past week - thinks he lost 20 lbs. Still feels more bloated than usual.    Had outpt echo as part of eval and sent to ED.   Denies chest pain, palpitations, dizziness. Brain fog is improving. Mildly constipated. No black or bloody stools. No abd pain. PERICARDIAL EFFUSION (6/15/2021)   Assessment: echo Large pericardial effusion noted  mostly post and no echo evidence of tamponade. Smaller in size.   no need for pericardiocentesis  Discharge home on lasix 20 mg daily  Net neg 5.4 L  chest xray looks improved  unbale to get thoracentesis due to not enough fluid Vitals stable
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site discolouration, Injection site induration, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Hardened bump on arm.  Pink area around injection site.  Low grade temperature.  Very sore arm.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature decreased, Feeling hot, Hyperhidrosis, Nausea
Clinical narrative: About 2 seconds after Moderna vaccine was given to patient, pt reported he was going to vomit. Pt was provided with a bucket to vomit if needed but did not end up doing so. Pt experienced physical sweating and was given some paper towels at his request. Pt denied ice pack at this time. About 3 minutes passed, symptoms subsided and patient was able to articulate what happened. Patient states he felt a major drop in temp. to freezing and then all of a sudden to boiling thus experiencing nausea. Pharmacist kept pt on observation for a 30 minute waiting time.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Arthritis, Headache, Injection site pain, Injection site swelling
Clinical narrative: Within 13 hours of the shot, I ran a fever of 100.6 which lasted 12 hours. I had a severe headache that night, and my joints (knuckles, elbows) were swollen and inflamed, very achy for 36 hours. My arm was swollen at the injection site and was VERY sore, but I expected that.
Age: 54.0
Sex: F
Vaccine: VARZOS
Symptoms: Joint swelling, Pyrexia
Clinical narrative: Within 13 hours of the shot, I ran a fever of 100.6 which lasted 12 hours. I had a severe headache that night, and my joints (knuckles, elbows) were swollen and inflamed, very achy for 36 hours. My arm was swollen at the injection site and was VERY sore, but I expected that.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed
Clinical narrative: have not received period since I got the shot
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus
Clinical narrative: Continuous itching at injection site. There has been no treatment.  The itching has continued since injection lasting a week at report time.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction, Nausea
Clinical narrative: Pt received 1st dose of moderna vaccine and immediately reported nausea. Patient reported feeling dizziness after previous vaccinations so pharmacist was planning for observation time of 30 minutes regardless. After current vaccination, pt immediately reported nausea and then shortly after dizziness, pt was sitting down for observation time of 30 minutes and reported feeling ok before going home with her partner.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test normal, Computerised tomogram normal, Endoscopy normal, Gastric emptying study, Gastrointestinal pain
Clinical narrative: Severe nausea, severe intestinal cramping.  Lasted 7 weeks.  Ultimately
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, X-ray gastrointestinal tract normal
Clinical narrative: Severe nausea, severe intestinal cramping.  Lasted 7 weeks.  Ultimately
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Eye pain, Fatigue, Feeling abnormal
Clinical narrative: Day after 2d COVID-19 vaccine (5/16/21) had approx 16 hours of feeling extremely weak, fatigued, brain feeling fuzzy, fever. Then fine.  On June 18, I was fine and then started to feel similar fuzzy brain; within 5 minutes identical feelings from day after 2d shot hit full force and worse; felt on verge of blacking out, couldn?t look left or right without spots, extremely weak, went to bed; completely better within approx 20 hours like nothing happened.  July 13, same experience; started feeling fuzzy, symptoms hit full force within 5 minutes: extremely weak, headache, dizziness, fuzzy brain, slight nausea, fever, light painful to eyes, went to bed - 16 hours later totally fine again.  Not sure if these episodes are related, but I?ve never before experienced this quick hit, run over by bus, then completely fine again 16-20 hours later except day after 2d dose. So it seems very strange that I would feel that way again one day each month since then.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pyrexia, Visual impairment
Clinical narrative: Day after 2d COVID-19 vaccine (5/16/21) had approx 16 hours of feeling extremely weak, fatigued, brain feeling fuzzy, fever. Then fine.  On June 18, I was fine and then started to feel similar fuzzy brain; within 5 minutes identical feelings from day after 2d shot hit full force and worse; felt on verge of blacking out, couldn?t look left or right without spots, extremely weak, went to bed; completely better within approx 20 hours like nothing happened.  July 13, same experience; started feeling fuzzy, symptoms hit full force within 5 minutes: extremely weak, headache, dizziness, fuzzy brain, slight nausea, fever, light painful to eyes, went to bed - 16 hours later totally fine again.  Not sure if these episodes are related, but I?ve never before experienced this quick hit, run over by bus, then completely fine again 16-20 hours later except day after 2d dose. So it seems very strange that I would feel that way again one day each month since then.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Fatigue, Injection site pain, Pyrexia
Clinical narrative: Constant fever,  fatigue, back pain, and pain at sight of injection since the vaccination
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac disorder, Dizziness, Irregular breathing, Loss of consciousness
Clinical narrative: Heart problems irregular breathing passout dizzy lightheaded
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: PATIENT NOTIFIED PHARMACY OF SORE ARM EVEN AFTER A MONTH OF VACCINATION. PATIENT STATED PAIN IN GETTING BETTER BUT NOT COMPLETELY GONE. NO REDNESS OR RASH IN THE INJECTION SITE.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal distension, Arthralgia, Chills, Pyrexia, Rash
Clinical narrative: patient initially devleoped joint pain, fever, chills, vomiting abd distention on 7/11/21 then on 7/14/21 awoke with diffuse maculopapular rash over entire body and came to ED.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rash macular, Rash papular, Vomiting
Clinical narrative: patient initially devleoped joint pain, fever, chills, vomiting abd distention on 7/11/21 then on 7/14/21 awoke with diffuse maculopapular rash over entire body and came to ED.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal distension, Arthralgia, Biopsy skin, Blood culture negative, Blood test normal
Clinical narrative: patient initially devleoped joint pain, fever, chills, vomiting abd distention on 7/11/21 then on 7/14/21 awoke with diffuse maculopapular rash over entire body and came to ED.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray normal, Chills, Computerised tomogram normal, Confusional state, Delirium
Clinical narrative: patient initially devleoped joint pain, fever, chills, vomiting abd distention on 7/11/21 then on 7/14/21 awoke with diffuse maculopapular rash over entire body and came to ED.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dry throat, Dysstasia, Erythema, Erythema of eyelid, Fatigue
Clinical narrative: patient initially devleoped joint pain, fever, chills, vomiting abd distention on 7/11/21 then on 7/14/21 awoke with diffuse maculopapular rash over entire body and came to ED.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Gait disturbance, Immediate post-injection reaction, Infection, Ocular hyperaemia, Pain
Clinical narrative: patient initially devleoped joint pain, fever, chills, vomiting abd distention on 7/11/21 then on 7/14/21 awoke with diffuse maculopapular rash over entire body and came to ED.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Peripheral swelling, Pyrexia, Rash, Rash macular
Clinical narrative: patient initially devleoped joint pain, fever, chills, vomiting abd distention on 7/11/21 then on 7/14/21 awoke with diffuse maculopapular rash over entire body and came to ED.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rash pruritic, Tremor, Ultrasound abdomen normal, Vaccination site reaction, Vomiting
Clinical narrative: patient initially devleoped joint pain, fever, chills, vomiting abd distention on 7/11/21 then on 7/14/21 awoke with diffuse maculopapular rash over entire body and came to ED.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Diarrhoea, Dizziness, Dyspnoea, Feeling hot
Clinical narrative: client alerted that she developed a headache and dizziness about 1 hour after she received the first dose of COVID vaccine Pfizer. The client stated the headache and dizziness lasted 1.5 days. The client did not seek formal medical care for the headache or dizziness. The client stated she did take Advil for symptomatic relief. The client stated she did eat prior to her first COVID vaccine and did eat today. The client noted approximately one week after receiving the COVID vaccine she developed chest pressure, mild shortness of breath, and felt "hot." The client stated these symptoms lasted for a few days. She also stated she developed diarrhea about 7 days after receiving the first COVID vaccine, which lasted about 2 weeks. The client stated she received negative COVID test results on 07/01/21. The client did not seek formal medical care for these symptoms. The client denies any chronic conditions. She takes oral birth control pills. The client has a history of dust allergies which cause her to "sneeze." The client was provided a water and Pringles snack, she started drinking the water. The client received 2nd COVID vaccine Pfizer Lot#EW0187 at 5:01PM. The client ambulated to the observation area and sat in the anti-gravity chair upon arrival. At 5:20 EMT Bustamante inquired how the client was feeling and the client reported feeling nausea. RN Withers responded. The client denied any s/s of anaphylaxis. Vitals obtained at 5:21 PM were as follows: BP 130/70 and HR 76. The client was provided an emesis bag. The client stated she last ate around 12:00PM. The client continued to drink water. Vitals obtained at 5:31 were as follows: BP 126/70 and HR 68. The client stated the "water is helping" with nausea. The client denied any dizziness, SOB, or headache. RN Withers reinforced education regarding s/s of anaphylaxis, when to seek EMS, V-safe, recommendation to follow up with PCP, common side effects following COVID vaccination, and to continue drinking water. The client voiced understanding of this. RN Withers escorted the client to the parking lot at 5:42. The client ambulated unassisted with a steady gait and was observed entering a personal vehicle at 5:42 PM.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea
Clinical narrative: client alerted that she developed a headache and dizziness about 1 hour after she received the first dose of COVID vaccine Pfizer. The client stated the headache and dizziness lasted 1.5 days. The client did not seek formal medical care for the headache or dizziness. The client stated she did take Advil for symptomatic relief. The client stated she did eat prior to her first COVID vaccine and did eat today. The client noted approximately one week after receiving the COVID vaccine she developed chest pressure, mild shortness of breath, and felt "hot." The client stated these symptoms lasted for a few days. She also stated she developed diarrhea about 7 days after receiving the first COVID vaccine, which lasted about 2 weeks. The client stated she received negative COVID test results on 07/01/21. The client did not seek formal medical care for these symptoms. The client denies any chronic conditions. She takes oral birth control pills. The client has a history of dust allergies which cause her to "sneeze." The client was provided a water and Pringles snack, she started drinking the water. The client received 2nd COVID vaccine Pfizer Lot#EW0187 at 5:01PM. The client ambulated to the observation area and sat in the anti-gravity chair upon arrival. At 5:20 EMT Bustamante inquired how the client was feeling and the client reported feeling nausea. RN Withers responded. The client denied any s/s of anaphylaxis. Vitals obtained at 5:21 PM were as follows: BP 130/70 and HR 76. The client was provided an emesis bag. The client stated she last ate around 12:00PM. The client continued to drink water. Vitals obtained at 5:31 were as follows: BP 126/70 and HR 68. The client stated the "water is helping" with nausea. The client denied any dizziness, SOB, or headache. RN Withers reinforced education regarding s/s of anaphylaxis, when to seek EMS, V-safe, recommendation to follow up with PCP, common side effects following COVID vaccination, and to continue drinking water. The client voiced understanding of this. RN Withers escorted the client to the parking lot at 5:42. The client ambulated unassisted with a steady gait and was observed entering a personal vehicle at 5:42 PM.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen abnormal, Diverticulitis
Clinical narrative: Diverticultitis right colon
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Feeling abnormal, Feeling hot, Flushing, Head injury
Clinical narrative: PT HAD RECEIVED MODERNA VACCINE AND WAS SITTING DOWN AND WAITING FOR 15 MINUTES BEFORE LEAVING. AFTER 11 MINUTES PT STOOD UP AND I THOUGHT SHE SAT BACK DOWN, BUT PATIENT HAD FAINTED .  PT  WAS UNAWARE OF WHAT HAPPENED, SHE HIT HER HEAD ON THE CONCRETE FLOOR,BIT HER LIP, AND WAS CONFUSED.  PT BECAME VERY HOT AND FLUSHED, WAS ABLE TO TALK TO HER BOYFRIEND AND TO ME. AFTER DRINKING A SMALL AMOUNT OF WATER AND STILL NOT FEELING AND BETTER AFTER A FEW MINUTES, BOYFRIEND ASKED FOR US TO CALL AMBULANCE. PT WAS TAKEN OUTSIDE OF STORE ON A STRETCHER FOR FURTHER EVALUATION
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Lip injury, Syncope
Clinical narrative: PT HAD RECEIVED MODERNA VACCINE AND WAS SITTING DOWN AND WAITING FOR 15 MINUTES BEFORE LEAVING. AFTER 11 MINUTES PT STOOD UP AND I THOUGHT SHE SAT BACK DOWN, BUT PATIENT HAD FAINTED .  PT  WAS UNAWARE OF WHAT HAPPENED, SHE HIT HER HEAD ON THE CONCRETE FLOOR,BIT HER LIP, AND WAS CONFUSED.  PT BECAME VERY HOT AND FLUSHED, WAS ABLE TO TALK TO HER BOYFRIEND AND TO ME. AFTER DRINKING A SMALL AMOUNT OF WATER AND STILL NOT FEELING AND BETTER AFTER A FEW MINUTES, BOYFRIEND ASKED FOR US TO CALL AMBULANCE. PT WAS TAKEN OUTSIDE OF STORE ON A STRETCHER FOR FURTHER EVALUATION
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Client came to our site received 1st dose of Pfizer.   Later found out that client had received Janssen Vaccine on April 7, 2021