chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Feeling hot, Full blood count normal, Gastrooesophageal reflux disease, Pain
Clinical narrative: 7 minutes after the injection of my Janssen injection for COVID-19, a heat enveloped my body from deep in my chest and I went pale (according to the objective findings of my nurse) and I began to feel lightheaded and almost became syncopal. I was asked to remain there for 30-minutes, and began to feel better shortly thereafter. The next several days, the lightheadedness came and went in waves, which became stronger and stronger. Two days post-injection, I developed severe joint pain where I'd otherwise previously had none - for instance, my low back ached with 7/10 pain which only went away after the first week. I had thoracic spinal pain which radiated to my chest, and by day 3 I was having serial panic attacks (which I don't have), such that I visited the local emergency department to rule out sinister cardiorespiratory sequelae. I was discharged with a ddx of GERD, though I do not believe this to be true. Since then, I have largely recovered, however the lightheaded spells have dissipated only a little but are largely still plaguing me. Thankfully, the panic attacks have decreased to the point of almost being gone altogether.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor, Panic attack, Presyncope, Spinal pain, Troponin normal
Clinical narrative: 7 minutes after the injection of my Janssen injection for COVID-19, a heat enveloped my body from deep in my chest and I went pale (according to the objective findings of my nurse) and I began to feel lightheaded and almost became syncopal. I was asked to remain there for 30-minutes, and began to feel better shortly thereafter. The next several days, the lightheadedness came and went in waves, which became stronger and stronger. Two days post-injection, I developed severe joint pain where I'd otherwise previously had none - for instance, my low back ached with 7/10 pain which only went away after the first week. I had thoracic spinal pain which radiated to my chest, and by day 3 I was having serial panic attacks (which I don't have), such that I visited the local emergency department to rule out sinister cardiorespiratory sequelae. I was discharged with a ddx of GERD, though I do not believe this to be true. Since then, I have largely recovered, however the lightheaded spells have dissipated only a little but are largely still plaguing me. Thankfully, the panic attacks have decreased to the point of almost being gone altogether.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Pain in extremity
Clinical narrative: Sore arm and usual extreme menstrual cramps during first day of cycle so far.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Lymphadenopathy, Mastitis
Clinical narrative: Site: Bruising at Injection Site-Mild, Systemic: Patient developed Left side mastitis after recieving vaccine-Severe, Systemic: Lymph Node Swelling-Severe, Additional Details: Pt developed left side mastitis according to her doctor and pt had gotten the COVID vaccine in the left arm just 2 days prior. Pt is only 15 and there is no other origin possible according to her dr.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Arthropathy, Fatigue, Headache, Pain
Clinical narrative: - severe aching - headaches - fatigue - joints popping out of sockets
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Influenza A virus test negative, Influenza virus test negative, SARS-CoV-2 test positive
Clinical narrative: Patient had a negative COVID-10/Influenza A,B Molecular nasal swab  on 05/19. Needed a repeat test for SNF admission: 05.24 COVID-19 Molecular nasal swab positive x 2
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Pruritus, Rash, Rash vesicular
Clinical narrative: She got her vaccine, she had no problems.  On 5/12/21 she developed a rash that started on her stomach.  The day before she did ran.  The rash traveled up her torso toward her neck, developed blisters everywhere and within 3 days her body was covered with the rash and still has residual marks on her skin from this.  She also has residual marks on her leg where she was running ointments for the itch, and developed a bruise and now the blood vessels are showing through her skin.  She also had purple legs where she had to get her blood moving and had to exercise immediately to get blood flow back to her legs.  She went to the UC on 5/14/21, and they gave her steroids, and sent her home with Methyl  Prednisolone, Cetirizine HCL 10 mg tablets #7, Famotidine 40 mg #7.   He wanted to send her to the ER for IV steroids as the rash was so severe, but she did not go there.  They gave her a shot of Benadryl as well.  The rash and itching have subsided but it did not subside until about 2 days ago and now has the residual markings from the rashes themselves.   She does have pictures to send if necessary.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Computerised tomogram head, Computerised tomogram spine, Disturbance in attention
Clinical narrative: migraine , blurry vision,drop foot,leg pain, Concentration problems, numbness, weakness, all still effecting me
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Migraine, Pain in extremity, Peroneal nerve palsy, Vision blurred
Clinical narrative: migraine , blurry vision,drop foot,leg pain, Concentration problems, numbness, weakness, all still effecting me
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Headache, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: Fever headache body aches and sore throat
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Fever headache body aches and sore throat
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain, Pyrexia, Tremor
Clinical narrative: Approximately 5.5 hrs after vaccination - High fever with severe full body shakes lasting about 3 hours followed by a slight fever of 99.7 for about 16 hours, severe headache lasting about 24 hours, Full body aches lasting about 16 hours, tiredness lasting about 36 hours, moderate headache lasting about 3 days.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pallor, Syncope
Clinical narrative: AE: light headed, dizzy, pale, fainted  Tx: n/a, just food and drink Outcome: juice, crackers helped resolve AE.                                 pt was discharged home.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: This person is in Jail did not inform me that she had another dose of COVID-10 on 4/19/2021 Pfizer ER8731 lot number.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arrhythmia, Blood magnesium normal, Blood thyroid stimulating hormone, Chest X-ray normal, Echocardiogram normal
Clinical narrative: I went in to urgent care(3/24) after my first dose of the COVID vaccine (3/23) when I was experiencing Arrhythmia symptoms. But when I went in, the symptoms had calmed down so they were not able to catch anything on the ECG. But it has been decreasing a week later. It was on and off for the whole entire day again about an hour after the second dose(4/20), and then did not have any of the PVCs the next day, but it resumed 2 days after the second dose. I received the second dose on April 20. So except for April 21, I have had PVCs for the entire day on and off until May 1. Since May 2, the number of PVCs throughout the day has been decreasing. It lasted longer than it did after the first dose, which lasted for about 7 days before it began to decrease and go away.    Since I had my shoulder surgery on April 6, I have been sleeping at an angle with a wedge on my back because I am unable to lie down flat on my back. Since around 4/24, 4 days later of 2nd shot, I noticed that when I am trying to sleep at night on the wedge, right under my left breast, somewhere maybe inside the ribcage there, it feels like a tight pulling muscle ache just as if I did a lot of ab workout. It doesn't hurt when I press on that area, but I feel the tightness inside. It hurts when I am trying to sleep and while sleeping and it hurts in the morning when I wake up, but after a while after waking up, it gets better throughout the day and repeats at night. I am still having this pain, but little bit less. Thank you,
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram ambulatory abnormal, Electrocardiogram normal, Fibrin D dimer, Metabolic function test normal, Myalgia
Clinical narrative: I went in to urgent care(3/24) after my first dose of the COVID vaccine (3/23) when I was experiencing Arrhythmia symptoms. But when I went in, the symptoms had calmed down so they were not able to catch anything on the ECG. But it has been decreasing a week later. It was on and off for the whole entire day again about an hour after the second dose(4/20), and then did not have any of the PVCs the next day, but it resumed 2 days after the second dose. I received the second dose on April 20. So except for April 21, I have had PVCs for the entire day on and off until May 1. Since May 2, the number of PVCs throughout the day has been decreasing. It lasted longer than it did after the first dose, which lasted for about 7 days before it began to decrease and go away.    Since I had my shoulder surgery on April 6, I have been sleeping at an angle with a wedge on my back because I am unable to lie down flat on my back. Since around 4/24, 4 days later of 2nd shot, I noticed that when I am trying to sleep at night on the wedge, right under my left breast, somewhere maybe inside the ribcage there, it feels like a tight pulling muscle ache just as if I did a lot of ab workout. It doesn't hurt when I press on that area, but I feel the tightness inside. It hurts when I am trying to sleep and while sleeping and it hurts in the morning when I wake up, but after a while after waking up, it gets better throughout the day and repeats at night. I am still having this pain, but little bit less. Thank you,
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Troponin T, Ventricular extrasystoles
Clinical narrative: I went in to urgent care(3/24) after my first dose of the COVID vaccine (3/23) when I was experiencing Arrhythmia symptoms. But when I went in, the symptoms had calmed down so they were not able to catch anything on the ECG. But it has been decreasing a week later. It was on and off for the whole entire day again about an hour after the second dose(4/20), and then did not have any of the PVCs the next day, but it resumed 2 days after the second dose. I received the second dose on April 20. So except for April 21, I have had PVCs for the entire day on and off until May 1. Since May 2, the number of PVCs throughout the day has been decreasing. It lasted longer than it did after the first dose, which lasted for about 7 days before it began to decrease and go away.    Since I had my shoulder surgery on April 6, I have been sleeping at an angle with a wedge on my back because I am unable to lie down flat on my back. Since around 4/24, 4 days later of 2nd shot, I noticed that when I am trying to sleep at night on the wedge, right under my left breast, somewhere maybe inside the ribcage there, it feels like a tight pulling muscle ache just as if I did a lot of ab workout. It doesn't hurt when I press on that area, but I feel the tightness inside. It hurts when I am trying to sleep and while sleeping and it hurts in the morning when I wake up, but after a while after waking up, it gets better throughout the day and repeats at night. I am still having this pain, but little bit less. Thank you,
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Syncope
Clinical narrative: Two days after receiving the vaccine, the patient fainted at the home.  Has had intermittent shortness of breath, and dizziness
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blindness, Dizziness, Hyperhidrosis, Nausea
Clinical narrative: Developed symptoms shortly after injection; Vasovagal response, dizziness, abdominal cramps, nausea; 21 y.o. female with no pertinent medical history other than ADHD is presenting with dizziness and "blacking out" after receiving her second dose of the Moderna COVID-19 vaccine at 12:20 pm today. Patient had no symptoms when she received her first dose of the vaccine. Patient reports that she became dizzy, diaphoretic, and lost vision after receiving the vaccine.  Per triage note staff at Walgreens reported no loss of consciousness, however.  Patient otherwise currently reports she is feeling fine.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: Developed symptoms shortly after injection; Vasovagal response, dizziness, abdominal cramps, nausea; 21 y.o. female with no pertinent medical history other than ADHD is presenting with dizziness and "blacking out" after receiving her second dose of the Moderna COVID-19 vaccine at 12:20 pm today. Patient had no symptoms when she received her first dose of the vaccine. Patient reports that she became dizzy, diaphoretic, and lost vision after receiving the vaccine.  Per triage note staff at Walgreens reported no loss of consciousness, however.  Patient otherwise currently reports she is feeling fine.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram head normal, Diarrhoea, Fall, Head injury
Clinical narrative: This is a 76y.o. male significant past medical history of HTN, MI, dyslipidemia, and ESRD on hemodialysis that presented to the hospital with chief complaint of fall. He states he fell out of his recliner chair yesterday and landed on his left side. He admits to striking his head but denies any LOC. He reports he did miss hemodialysis on Monday secondary to episodic diarrhea. He is seen today resting in no acute distress. Endorsing overall he is feeling well. Denies any fever, chills, chest pain, shortness of breath, abdominal pain, nausea, vomiting, diarrhea, or changes in motor strength.    In the ED, patient hypertensive, afebrile, stable SPO2 on room air. CT head, C Spine and radiographs negative for acute process. CXR concerning for pneumonia. He was started on antibiotic therapy and admitted to observation for further evaluation and management with nephrology consultation.     ROS:   Constitutional:  Deniesfatigue, fever or chills.  Eyes:  Denies change in visual acuity, diplopia or pain. HENT:  Denies nasal congestion, sore throat or tinnitus. Respiratory:  Denies cough,difficulty in breathing or shortness of breath.  Cardiovascular:  Denies chest pain, palpitations or edema.  GI:  Denies abdominal pain, nausea, vomiting, constipation or diarrhea.  GU:  Denies dysuria, urinary frequency or hematuria. Musculoskeletal:  Denies back pain, atrophy, spasticity or joint pain.  Hematologic:  Denies anemia, bleeding or bruising. Integument:  Denies rash, lesions, or history of cancer. Neurologic:  Denies headache, focal weakness, seizure or stroke. Endocrine:  Denies temperature intolerance,polyuria or polydipsia.   Lymphatic:  Denies tender, abnormal, swollen glands  Psychiatric:  Denies irritability, depression or anxiety.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, SARS-CoV-2 test negative, Spinal X-ray normal
Clinical narrative: This is a 76y.o. male significant past medical history of HTN, MI, dyslipidemia, and ESRD on hemodialysis that presented to the hospital with chief complaint of fall. He states he fell out of his recliner chair yesterday and landed on his left side. He admits to striking his head but denies any LOC. He reports he did miss hemodialysis on Monday secondary to episodic diarrhea. He is seen today resting in no acute distress. Endorsing overall he is feeling well. Denies any fever, chills, chest pain, shortness of breath, abdominal pain, nausea, vomiting, diarrhea, or changes in motor strength.    In the ED, patient hypertensive, afebrile, stable SPO2 on room air. CT head, C Spine and radiographs negative for acute process. CXR concerning for pneumonia. He was started on antibiotic therapy and admitted to observation for further evaluation and management with nephrology consultation.     ROS:   Constitutional:  Deniesfatigue, fever or chills.  Eyes:  Denies change in visual acuity, diplopia or pain. HENT:  Denies nasal congestion, sore throat or tinnitus. Respiratory:  Denies cough,difficulty in breathing or shortness of breath.  Cardiovascular:  Denies chest pain, palpitations or edema.  GI:  Denies abdominal pain, nausea, vomiting, constipation or diarrhea.  GU:  Denies dysuria, urinary frequency or hematuria. Musculoskeletal:  Denies back pain, atrophy, spasticity or joint pain.  Hematologic:  Denies anemia, bleeding or bruising. Integument:  Denies rash, lesions, or history of cancer. Neurologic:  Denies headache, focal weakness, seizure or stroke. Endocrine:  Denies temperature intolerance,polyuria or polydipsia.   Lymphatic:  Denies tender, abnormal, swollen glands  Psychiatric:  Denies irritability, depression or anxiety.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Catheterisation cardiac abnormal, Chest X-ray normal, Chest discomfort, Chest pain
Clinical narrative: 27-year-old gentleman with history of mild intermittent asthma, anxiety, presented with complaints of fever of 99.8 °F on  5/22/2021 associated to fatigue and body aches and then chest pain, generalized with radiation to left arm since afternoon of 5/23/2021, which got worse on 5/24/2021 and he was admitted for further evaluation with initial troponin of 472. Had an NSTEMI; chest tightness, pain in left arm, lightheadedness, dizziness, presyncope. Discharge diagnosis - probable myocarditis; clinical picture most consistent with viral myocarditis.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Echocardiogram normal, Ejection fraction, Fatigue, Left ventricular end-diastolic pressure
Clinical narrative: 27-year-old gentleman with history of mild intermittent asthma, anxiety, presented with complaints of fever of 99.8 °F on  5/22/2021 associated to fatigue and body aches and then chest pain, generalized with radiation to left arm since afternoon of 5/23/2021, which got worse on 5/24/2021 and he was admitted for further evaluation with initial troponin of 472. Had an NSTEMI; chest tightness, pain in left arm, lightheadedness, dizziness, presyncope. Discharge diagnosis - probable myocarditis; clinical picture most consistent with viral myocarditis.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Presyncope, Pyrexia, Respiratory viral panel
Clinical narrative: 27-year-old gentleman with history of mild intermittent asthma, anxiety, presented with complaints of fever of 99.8 °F on  5/22/2021 associated to fatigue and body aches and then chest pain, generalized with radiation to left arm since afternoon of 5/23/2021, which got worse on 5/24/2021 and he was admitted for further evaluation with initial troponin of 472. Had an NSTEMI; chest tightness, pain in left arm, lightheadedness, dizziness, presyncope. Discharge diagnosis - probable myocarditis; clinical picture most consistent with viral myocarditis.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Troponin increased, Ventricular extrasystoles, Viral myocarditis
Clinical narrative: 27-year-old gentleman with history of mild intermittent asthma, anxiety, presented with complaints of fever of 99.8 °F on  5/22/2021 associated to fatigue and body aches and then chest pain, generalized with radiation to left arm since afternoon of 5/23/2021, which got worse on 5/24/2021 and he was admitted for further evaluation with initial troponin of 472. Had an NSTEMI; chest tightness, pain in left arm, lightheadedness, dizziness, presyncope. Discharge diagnosis - probable myocarditis; clinical picture most consistent with viral myocarditis.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Bell's palsy, Computerised tomogram, Facial paralysis, Lacrimation increased
Clinical narrative: Bells Palsy. Symptoms began on 4/21/2021 with alteration of taste.  On 4/22/21, tingling on right side of the face began in the morning. At 2pm unable to talk, face drooping and eye tearing.  Went to ER and testing ruled out stroke. Admitted for further observation and testing. Discharged on 4/23 with Prednisone 60mg x 6 days and Valtrex x 6 days
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Paraesthesia, Taste disorder
Clinical narrative: Bells Palsy. Symptoms began on 4/21/2021 with alteration of taste.  On 4/22/21, tingling on right side of the face began in the morning. At 2pm unable to talk, face drooping and eye tearing.  Went to ER and testing ruled out stroke. Admitted for further observation and testing. Discharged on 4/23 with Prednisone 60mg x 6 days and Valtrex x 6 days
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Medium
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray, Chest discomfort, Cough, Fatigue
Clinical narrative: fever , cough, tiredness , body aches  Office Visit 4/30/2021 Urgent Care  CRNP Family Medicine COVID-19 Dx Cough  Reason for Visit Progress Notes (Nurse Practitioner) ? ? Family Medicine ? ? Encounter Date: 4/30/2021 ? ? Signed Expand AllCollapse All    History  Chief Complaint Patient presents with ? Cough     Lingering fatigue, fever   Positive Covid test 4-26-21     Patient is a 51 y.o. male    HPI   Patient is a 51-year-old male who presents with continued Covid symptoms.  Patient was diagnosed on April 26.  He is currently on day 9 of symptoms.  Patient continues to have low-grade fevers.  Wife and patient would like the cough is worse.  He has been taking over-the-counter medications with minimal relief.  He denies history of pneumonia or asthma. Symptoms started suddenly and have been persistent.    Tmax at home = 100.4 F  Admits to nasal congestion,  rhinorrhea, sinus pressure,  nonproductive cough  Denies  ear pain,  sore throat The cough is worse at nighttime.  Admits to occasional mild chest tightness.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Nasal congestion, Pain, Paranasal sinus discomfort, Pneumonia, Pyrexia
Clinical narrative: fever , cough, tiredness , body aches  Office Visit 4/30/2021 Urgent Care  CRNP Family Medicine COVID-19 Dx Cough  Reason for Visit Progress Notes (Nurse Practitioner) ? ? Family Medicine ? ? Encounter Date: 4/30/2021 ? ? Signed Expand AllCollapse All    History  Chief Complaint Patient presents with ? Cough     Lingering fatigue, fever   Positive Covid test 4-26-21     Patient is a 51 y.o. male    HPI   Patient is a 51-year-old male who presents with continued Covid symptoms.  Patient was diagnosed on April 26.  He is currently on day 9 of symptoms.  Patient continues to have low-grade fevers.  Wife and patient would like the cough is worse.  He has been taking over-the-counter medications with minimal relief.  He denies history of pneumonia or asthma. Symptoms started suddenly and have been persistent.    Tmax at home = 100.4 F  Admits to nasal congestion,  rhinorrhea, sinus pressure,  nonproductive cough  Denies  ear pain,  sore throat The cough is worse at nighttime.  Admits to occasional mild chest tightness.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: fever , cough, tiredness , body aches  Office Visit 4/30/2021 Urgent Care  CRNP Family Medicine COVID-19 Dx Cough  Reason for Visit Progress Notes (Nurse Practitioner) ? ? Family Medicine ? ? Encounter Date: 4/30/2021 ? ? Signed Expand AllCollapse All    History  Chief Complaint Patient presents with ? Cough     Lingering fatigue, fever   Positive Covid test 4-26-21     Patient is a 51 y.o. male    HPI   Patient is a 51-year-old male who presents with continued Covid symptoms.  Patient was diagnosed on April 26.  He is currently on day 9 of symptoms.  Patient continues to have low-grade fevers.  Wife and patient would like the cough is worse.  He has been taking over-the-counter medications with minimal relief.  He denies history of pneumonia or asthma. Symptoms started suddenly and have been persistent.    Tmax at home = 100.4 F  Admits to nasal congestion,  rhinorrhea, sinus pressure,  nonproductive cough  Denies  ear pain,  sore throat The cough is worse at nighttime.  Admits to occasional mild chest tightness.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Erythema, Limb mass, Mammogram normal, Pain
Clinical narrative: Egg size lump in arm day after injection, lasting 3 days. Sore and red site. Then one left armpit lump 1+ months after second injection (March 10, 2021), 4-6 weeks later.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan normal
Clinical narrative: Egg size lump in arm day after injection, lasting 3 days. Sore and red site. Then one left armpit lump 1+ months after second injection (March 10, 2021), 4-6 weeks later.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Thrombosis
Clinical narrative: Patient received first dose Moderna vaccine on  3/31/2021. Approximately two weeks after receiving the first Moderna vaccine patient states he started to have pain in the lower leg which was not normal. Pain increased to a point that patient seeked care and was evaluated for a blood clot which he was told was "negative" as no clot was initially found. On 4/28/2021 Patient presented to pharmacy to receive second dose. Pharmacist asked how patient tolerated first dose to which he replied he had no issues, so the second dose was administered. AFTER the second dose, patient did state he was seen by a CNP for leg pain but a clot was ruled out. Approximately 3 weeks after the second dose of Moderna vaccine the patients leg pain increased to a point that he presented to the local ER and it was determined at that visit that he did indeed have a large blood clot in the leg and a second smaller clot in the upper thigh. He was sent home on Eliquis. He subsequently presented to another ER approximately one week later for uncontrolled leg pain due to massive size of blood clot in leg. At this point, patient is at home recovering.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Pain, Pyrexia
Clinical narrative: fever of 100.3 chills body aches back pain
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: swelling of knot in arm around injection site, 8 days after injection. Also radiating heat, area very warm.-Severe, Additional Details: Patient has full mobility in arm
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth
Clinical narrative: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: swelling of knot in arm around injection site, 8 days after injection. Also radiating heat, area very warm.-Severe, Additional Details: Patient has full mobility in arm
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: received this as a second dose received first dose 4/30/21 Moderna lot #043B21A
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Atelectasis, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Fatigue, unspecified type  Dizziness  Fever, unspecified fever cause  Weakness  COVID-19 virus infection  Office Visit 5/12/20Family Practice PA Family Medicine COVID-19 virus infection +4 more Dx Cough  Reason for Visit Progress Notes (Physician Assistant) ? ? Family Medicine ? ? Encounter Date: 5/12/2021 Cosign Needed Expand AllCollapse All      Assessment/Plan      TENT.    1. covid positive - symptoms and diagnosis occurred x15 days ago. He was improving but starting yesterday he has developed R sided chest pain and has been slightly SOB. Cough has worsened as well. He has not been taking ASA, will rule out PE at this time. STAT chest CTA ordered, CBC, and CMP. Possibility of secondary pneumonia but will hold off on abx for now, review after chest CTA results. Continue Acetominaphen and hydrating. If any symptoms worsen or the following occurs go directly to ED; fever/chills, chest pain, SOB. Patient understands and agrees.    If chest CTA rules out PE and shows pneumonia would cover w/ azithromycin/ceftin/prednisone.    Diagnoses and all orders for this visit:   COVID-19 virus infection -     CBC; Future -     Comprehensive metabolic panel; Future -     CT angiogram chest pulmonary embolism with and without contrast; Future   Fatigue, unspecified type -     CT angiogram chest pulmonary embolism with and without contrast; Future   Other chest pain -     CT angiogram chest pulmonary embolism with and without contrast; Future   Tachycardia -     CT angiogram chest pulmonary embolism with and without contrast; Future
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Computerised tomogram thorax, Cough, Dizziness
Clinical narrative: Fatigue, unspecified type  Dizziness  Fever, unspecified fever cause  Weakness  COVID-19 virus infection  Office Visit 5/12/20Family Practice PA Family Medicine COVID-19 virus infection +4 more Dx Cough  Reason for Visit Progress Notes (Physician Assistant) ? ? Family Medicine ? ? Encounter Date: 5/12/2021 Cosign Needed Expand AllCollapse All      Assessment/Plan      TENT.    1. covid positive - symptoms and diagnosis occurred x15 days ago. He was improving but starting yesterday he has developed R sided chest pain and has been slightly SOB. Cough has worsened as well. He has not been taking ASA, will rule out PE at this time. STAT chest CTA ordered, CBC, and CMP. Possibility of secondary pneumonia but will hold off on abx for now, review after chest CTA results. Continue Acetominaphen and hydrating. If any symptoms worsen or the following occurs go directly to ED; fever/chills, chest pain, SOB. Patient understands and agrees.    If chest CTA rules out PE and shows pneumonia would cover w/ azithromycin/ceftin/prednisone.    Diagnoses and all orders for this visit:   COVID-19 virus infection -     CBC; Future -     Comprehensive metabolic panel; Future -     CT angiogram chest pulmonary embolism with and without contrast; Future   Fatigue, unspecified type -     CT angiogram chest pulmonary embolism with and without contrast; Future   Other chest pain -     CT angiogram chest pulmonary embolism with and without contrast; Future   Tachycardia -     CT angiogram chest pulmonary embolism with and without contrast; Future
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Pleural fibrosis, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Fatigue, unspecified type  Dizziness  Fever, unspecified fever cause  Weakness  COVID-19 virus infection  Office Visit 5/12/20Family Practice PA Family Medicine COVID-19 virus infection +4 more Dx Cough  Reason for Visit Progress Notes (Physician Assistant) ? ? Family Medicine ? ? Encounter Date: 5/12/2021 Cosign Needed Expand AllCollapse All      Assessment/Plan      TENT.    1. covid positive - symptoms and diagnosis occurred x15 days ago. He was improving but starting yesterday he has developed R sided chest pain and has been slightly SOB. Cough has worsened as well. He has not been taking ASA, will rule out PE at this time. STAT chest CTA ordered, CBC, and CMP. Possibility of secondary pneumonia but will hold off on abx for now, review after chest CTA results. Continue Acetominaphen and hydrating. If any symptoms worsen or the following occurs go directly to ED; fever/chills, chest pain, SOB. Patient understands and agrees.    If chest CTA rules out PE and shows pneumonia would cover w/ azithromycin/ceftin/prednisone.    Diagnoses and all orders for this visit:   COVID-19 virus infection -     CBC; Future -     Comprehensive metabolic panel; Future -     CT angiogram chest pulmonary embolism with and without contrast; Future   Fatigue, unspecified type -     CT angiogram chest pulmonary embolism with and without contrast; Future   Other chest pain -     CT angiogram chest pulmonary embolism with and without contrast; Future   Tachycardia -     CT angiogram chest pulmonary embolism with and without contrast; Future
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Scan with contrast abnormal, Scan with contrast normal, Tachycardia, Wheezing
Clinical narrative: Fatigue, unspecified type  Dizziness  Fever, unspecified fever cause  Weakness  COVID-19 virus infection  Office Visit 5/12/20Family Practice PA Family Medicine COVID-19 virus infection +4 more Dx Cough  Reason for Visit Progress Notes (Physician Assistant) ? ? Family Medicine ? ? Encounter Date: 5/12/2021 Cosign Needed Expand AllCollapse All      Assessment/Plan      TENT.    1. covid positive - symptoms and diagnosis occurred x15 days ago. He was improving but starting yesterday he has developed R sided chest pain and has been slightly SOB. Cough has worsened as well. He has not been taking ASA, will rule out PE at this time. STAT chest CTA ordered, CBC, and CMP. Possibility of secondary pneumonia but will hold off on abx for now, review after chest CTA results. Continue Acetominaphen and hydrating. If any symptoms worsen or the following occurs go directly to ED; fever/chills, chest pain, SOB. Patient understands and agrees.    If chest CTA rules out PE and shows pneumonia would cover w/ azithromycin/ceftin/prednisone.    Diagnoses and all orders for this visit:   COVID-19 virus infection -     CBC; Future -     Comprehensive metabolic panel; Future -     CT angiogram chest pulmonary embolism with and without contrast; Future   Fatigue, unspecified type -     CT angiogram chest pulmonary embolism with and without contrast; Future   Other chest pain -     CT angiogram chest pulmonary embolism with and without contrast; Future   Tachycardia -     CT angiogram chest pulmonary embolism with and without contrast; Future
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Depressed level of consciousness
Clinical narrative: Systemic: Anxiety -Severe, Additional Details: pt got anxious and was getting unconscious after 5 minutes of the shot. she was sitting on bench and her mother was right next to her and she was leaning on her mother who also received shot and mother mentioned that she had very bad reaction from blood drawn when she was 8 years old and every since she is not good with needles and shot per. She stated it's more anxiety compared to adverse reaction called 911 and paramedic came and evaluated she was breathing entire time, monitor.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus, Rash
Clinical narrative: AE: Patient started feeling itchy on the arms, redness and swelling in the right forearm  seen 28 minutes after vaccination. Tx: n/a, water improved rash outcome: patient rash improved spontaneously without medication.                        patient  was discharged home.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pyrexia
Clinical narrative: Serum-sickness like reaction: low grade fever, fluid in knees, severe swelling of feet
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Atrioventricular block second degree, Bradycardia, Cardiac pacemaker replacement, Dyspnoea
Clinical narrative: Patient presented to the ED for bradycardia and dyspnea present for one week prior to admission, he was found to have a second degree AV block.  He underwent a procedure to correct atrial lead dislodging/placement of pacemaker.  Patient was also started on anticoagulation therapy for a clot in lung. Discharged after 5 days inpatient.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pulmonary thrombosis
Clinical narrative: Patient presented to the ED for bradycardia and dyspnea present for one week prior to admission, he was found to have a second degree AV block.  He underwent a procedure to correct atrial lead dislodging/placement of pacemaker.  Patient was also started on anticoagulation therapy for a clot in lung. Discharged after 5 days inpatient.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, C-reactive protein increased, COVID-19, Chest X-ray abnormal, Fibrin D dimer increased
Clinical narrative: Pt had second dose on 4/1/2021 and tested positive for COVID on 5/18/2021. Received antibody infusion on 5/20. Was admitted to the hospital on 5/21/2021 for pneumonia secondary to COVID-19 infection.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Infusion, Pneumonia, SARS-CoV-2 test positive, White blood cell count decreased
Clinical narrative: Pt had second dose on 4/1/2021 and tested positive for COVID on 5/18/2021. Received antibody infusion on 5/20. Was admitted to the hospital on 5/21/2021 for pneumonia secondary to COVID-19 infection.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac stress test, Echocardiogram, Electrocardiogram ambulatory abnormal, Palpitations, Paraesthesia
Clinical narrative: First Vaccine was 3/26 and second dose was 4/9. Tinnitus started post first vaccine around 3/27.  As of 5/26, it hasn't completely diminished and occurs intermittently racing heart after first vaccine and as of 5/26 hasn't diminished paresthesia, tingling in left hand and left arm numbness started 5/8
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: First Vaccine was 3/26 and second dose was 4/9. Tinnitus started post first vaccine around 3/27.  As of 5/26, it hasn't completely diminished and occurs intermittently racing heart after first vaccine and as of 5/26 hasn't diminished paresthesia, tingling in left hand and left arm numbness started 5/8
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: Extremely long period.  3 menstrual cycles since vaccine, and each one has been 8+ days (usually 4-5 days prior to vaccine.)  This current round is 12 days so far and has not stopped yet.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea
Clinical narrative: Menstrual cramping day or vaccine and menstrual cramping for a full week before cycle started
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Allergy test, Fatigue, Headache, Pain in extremity
Clinical narrative: After the 1st shot, I had 2.5 weeks of severe fatigue, my femurs deeply ached, and crushing headache. after the 2nd shot, I had fatigue but on 1/30/2021 I was woken up by hives. I took Benadryl and they went away. On 1/31/2021 I was woken up by hives again and 4 hours later, my throat began to close up and my stomach was crampy. I went to the ER and rec'd epi, Decadron, & Pepcid to great relief. However 2/1/2021 my throat began to close up again and I went back to the ER and they just gave me Decadron. I now have to see an allergist and take Xyzal 20 mg/day, Pepcid 80 mg/day, and Singulair 10 mg/HS to keep the hives and throat closing from coming back.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tryptase, Urticaria
Clinical narrative: After the 1st shot, I had 2.5 weeks of severe fatigue, my femurs deeply ached, and crushing headache. after the 2nd shot, I had fatigue but on 1/30/2021 I was woken up by hives. I took Benadryl and they went away. On 1/31/2021 I was woken up by hives again and 4 hours later, my throat began to close up and my stomach was crampy. I went to the ER and rec'd epi, Decadron, & Pepcid to great relief. However 2/1/2021 my throat began to close up again and I went back to the ER and they just gave me Decadron. I now have to see an allergist and take Xyzal 20 mg/day, Pepcid 80 mg/day, and Singulair 10 mg/HS to keep the hives and throat closing from coming back.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Dry skin, Hypoaesthesia oral, Paraesthesia
Clinical narrative: Released 15 minutes after shot. As I left, got into the car, I felt my face start to tingle. The car was hot, so I thought i was overthinking it. Hours later the tingling in my face was still there a stronger. My face around my mouth felt numb. Not sure if lips were a little swollen or just numb. My face also felt dried out. The next morning i woke up and numbness and tingling have gone away. My face still feels dried out.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Client was given Moderna 2nd dose 3 days early
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash maculo-papular, Rash papular, Rash pruritic
Clinical narrative: raised reddened maculopapular itchy rash on arms chest, torso
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chest pain, Pain
Clinical narrative: Approximately 1 hour after receiving first dose of Pfizer COVID vaccine patient experienced persistent chest pain 3/10. Pain radiated from chest to back. She denied nausea/vomiting, shortness of breath, no dizziness, no rash, no itching, no swelling, no sensation of throat closing, Blood pressure at 2:30PM: 105/74, pulse 56.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Seizure, Syncope, Vomiting
Clinical narrative: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Seizure-Severe, Systemic: Vomiting-Severe, Additional Details: AFTER SHOT ADMINISTERED,PATIENT WAS WALKING TO WAITING AREA FOR OBSERVATION, WE FAINTED AND HAD 2 SEIZURES ABOUR 40 SECONDS LONG. NO PULS OR BREATHING. GAVE 10 CHEST COMPRESSIONS AND 2 BREATHS. EMERGENCY WORKER SHOPPING IN STORE HELPED ROLL TO RESCUE POSITION AFER FEEELING PULSE IN THE WRIST. HE SPIT UP A SMALL AMOUNT OF SPIT. HE SHORTLY CAME AORUND IN ABOUT ANOTHER MINUTE. NO EPINEPHRINE WAS ADMINISTERED.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient hospitalized due to COVID-19 after being fully vaccinated. Tested positive on 5/23/2021
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Computerised tomogram thorax abnormal, Cough, Dyspnoea, Fatigue
Clinical narrative: Patient hospitalized due to COVID-19 after being fully vaccinated. Tested positive on 5/23/2021
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Lung opacity, Pulmonary mass, SARS-CoV-2 antibody test negative, SARS-CoV-2 test positive
Clinical narrative: Patient hospitalized due to COVID-19 after being fully vaccinated. Tested positive on 5/23/2021
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID-19 positive 5/23/21 requiring 4-day hospitalization after vaccination in February. COVID antibody test returned negative. Presented to ED with SOB for 3-4 days prior, headache, fatigue, and cough. CTA positive for bilateral pulmonary groundglass opacities and small lung nodules. COVID PCR positive. Was maintained on 1L of NC. Received PO decadron 6 mg daily and lasixs in hospital.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Computerised tomogram thorax abnormal, Cough, Dyspnoea, Fatigue
Clinical narrative: COVID-19 positive 5/23/21 requiring 4-day hospitalization after vaccination in February. COVID antibody test returned negative. Presented to ED with SOB for 3-4 days prior, headache, fatigue, and cough. CTA positive for bilateral pulmonary groundglass opacities and small lung nodules. COVID PCR positive. Was maintained on 1L of NC. Received PO decadron 6 mg daily and lasixs in hospital.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Lung opacity, Pulmonary mass, SARS-CoV-2 antibody test negative, SARS-CoV-2 test positive
Clinical narrative: COVID-19 positive 5/23/21 requiring 4-day hospitalization after vaccination in February. COVID antibody test returned negative. Presented to ED with SOB for 3-4 days prior, headache, fatigue, and cough. CTA positive for bilateral pulmonary groundglass opacities and small lung nodules. COVID PCR positive. Was maintained on 1L of NC. Received PO decadron 6 mg daily and lasixs in hospital.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site nodule, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Delayed Localized Hypersensitivity Reaction in the left arm, at site of the vaccination. In under 48 hours a lump appeared under the skin at vaccination site on left arm. The area was swollen, hot to the touch, and there was a red rash on the skin above the lump. The swollen lump under the skin was treated with Zyrtec  10 mg- once per day; and Aleve 220 mg- twice per day. An ice pack was applied as needed. Cortizone cream was applied topically to the rash as needed. Within four days these symptoms had lessened significantly. Within seven days the lump under the skin, as well as the rash, were gone and treatments  were terminated.   Unexpected, unusual menstrual bleeding began 14 days after receiving first Moderna COVID-19 Vaccination. This unusual menstrual bleeding lasted a full 2 weeks before it ended.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: Delayed Localized Hypersensitivity Reaction in the left arm, at site of the vaccination. In under 48 hours a lump appeared under the skin at vaccination site on left arm. The area was swollen, hot to the touch, and there was a red rash on the skin above the lump. The swollen lump under the skin was treated with Zyrtec  10 mg- once per day; and Aleve 220 mg- twice per day. An ice pack was applied as needed. Cortizone cream was applied topically to the rash as needed. Within four days these symptoms had lessened significantly. Within seven days the lump under the skin, as well as the rash, were gone and treatments  were terminated.   Unexpected, unusual menstrual bleeding began 14 days after receiving first Moderna COVID-19 Vaccination. This unusual menstrual bleeding lasted a full 2 weeks before it ended.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness
Clinical narrative: AE: Patient had not eaten prior to vaccine, started getting dizzy and clammy after receiving vaccine. Tx: no medications, Symptoms improved with crackers and water. outcome: patient improved spontaneously without medication.                        patient  was discharged home.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pt received second dose Pfizer COVID vaccine two weeks after first dose. Unknown reaction at this time.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Patient developed a red, itchy rash on the upper torso which then spread to her arms and her upper thighs.  At the time of her second shot she still had the rash and decided not to be vaccinated at this time with the second shot.  When she reported the issue to me she had not yet followed up with her provider or a dermatologist.  She admits to having sensitivities to many things.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Immediate post-injection reaction, Injection site discolouration, Injection site rash, Injection site swelling
Clinical narrative: Immediately following the vaccine my arm was sore, hot and swelling started to occur. Throughout the day it got worse. The next day it was extremely painful, and hard for me to lift my arm. A rash was forming on the site of injection and injection point is yellow in color also extreme swelling. As of today May 26, 2021 I have a red rash patch approx. 4inches x3 inch on my right arm and a yellow dot where needle was injected. I feel fine, I can lift arm w/out pain,  swelling has gone down completely. Rash remains.