chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: F
Vaccine: FLUA4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Gave her a high dose flu but she is only 64 1/2 years old. She has had NO reaction to this vaccine.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood blister, Cardiac disorder, Chest X-ray, Inflammation, Lung hyperinflation
Clinical narrative: Mouth sores, blood blisters, cardiac event lung swelling and hyperinflated lung due to inflammatory reaction, required emergency room care
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pneumonitis, Scan, Stomatitis
Clinical narrative: Mouth sores, blood blisters, cardiac event lung swelling and hyperinflated lung due to inflammatory reaction, required emergency room care
Age: 79.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Dyspnoea
Clinical narrative: Pneumonia due to COVID-19 virus; Shortness of breath; Acute respiratory failure with hypoxia
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid Vaccination Monitoring Documentation: PT admit 11/12/21 ? 11/23/21. POC SARS COV2 ANTIGEN POS 11/12/21. Pfizer 1/22/21 Lot# EL9261, Pfizer 2/12/21 Lot# EN9581.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory distress syndrome, COVID-19, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Covid Vaccination Monitoring Documentation: PT admit 11/12/21 ? 11/23/21. POC SARS COV2 ANTIGEN POS 11/12/21. Pfizer 1/22/21 Lot# EL9261, Pfizer 2/12/21 Lot# EN9581.
Age: 50.0
Sex: F
Vaccine: HPV9
Symptoms: Wrong product administered
Clinical narrative: None, patient rescheduled for correct vaccination
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Pyrexia
Clinical narrative: High grade fever, stomach pain, and chills
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: headache, fever,body aches
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Fever up to 103.6 - took Tylenol Significant arm pain
Age: 4.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Skin warm, Swelling, Tenderness, Urticaria
Clinical narrative: large hives on the entire upper left thigh from front to back , redness mild swelling and increased warmth, tender to touch. No treatment needed at this time , it was improving at the visit on 11-23-21
Age: 27.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Gallbladder disorder
Clinical narrative: No Covid symptoms, had gallbladder issues
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Symptoms were sever dizziness on Saturday after swimming and then again before bed. Since that time, dizziness and nausea comes in waves throughout the day, usually lasting for about 10 min, relieved by stepping into fresh air. It is most prevalent in the morning and evening.
Age: 50.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Pruritus
Clinical narrative: Due to h/o anaphylaxis was observed for 30 minutes post COVID vaccine.  Received both COVID and flu vaccines.  10 minutes into observation reported generalized itching (arms, legs, back).  Skin assessed.  NO visible rash/hives/edema noted.  Throat inspected.  No edema noted.  No complaints from pt.  Benadryl 25mg self-administered after 20 minutes.  VS obtained and stable.  released at 30 minutes post.
Age: 78.0
Sex: M
Vaccine: UNK
Symptoms: Acoustic stimulation tests abnormal, Milk allergy, Sudden hearing loss, Urticaria
Clinical narrative: SUDDEN HEARING LOSS ABOUT 10 DAYS FOLLOWING RECEIPT OF THE J&J VACCINE. ALLERGY TO MILK IN THE FORM OF HIVES A FEW DAYS LATER.
Age: 33.0
Sex: F
Vaccine: VARCEL
Symptoms: Asthenia, Dizziness, Dyspnoea, Heart rate increased
Clinical narrative: Difficulty breathing,  rapid heart rate, dizziness and weakness. Treated with oxygen and normal saline.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Bone pain, Breast pain, Dizziness, Headache
Clinical narrative: I had a pain going into my breast area at the bone underneath the left side, numb of left side of body, headache was pounding, blurry vision, dizzy, unstable balance.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Vision blurred
Clinical narrative: I had a pain going into my breast area at the bone underneath the left side, numb of left side of body, headache was pounding, blurry vision, dizzy, unstable balance.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site inflammation, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: Red inflammation/rash around the  injection site, itching at injunction site; tenderness at injection site. Pain has persisted. Lymph node (possible) under arm is painful.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Pain
Clinical narrative: Red inflammation/rash around the  injection site, itching at injunction site; tenderness at injection site. Pain has persisted. Lymph node (possible) under arm is painful.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Hypoaesthesia, Myalgia, Pain in extremity, Paraesthesia
Clinical narrative: Unrelenting L axillary pain, numbness/tingling/ache in  L posterior hand, forearm and triceps muscle. Symptoms do not respond do acetaminophen or Benadryl
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Blister, Chest pain, Erythema, Fatigue, Herpes zoster
Clinical narrative: Vaccine administered day 1 with no adverse effects. Day 5-minor muscle pain in chest, mild fatigue continued through day 10, wife noticed rash on back and chest on day 10, doctor's visit day 10 confirmed Shingles outbreak, prescribed 10 course of Valtrax.  Rash worsened through day 15 when blisters started to dry up and redness began to subside.  No itching and very minor skin pain (primarily chest, minor on back) through day 15.  Skin/nerve pain worsened past day 15 through day 26, reduced skin/nerve pain through day 28
Age: 50.0
Sex: M
Vaccine: VARZOS
Symptoms: Myalgia, Neuralgia, Pain of skin, Rash
Clinical narrative: Vaccine administered day 1 with no adverse effects. Day 5-minor muscle pain in chest, mild fatigue continued through day 10, wife noticed rash on back and chest on day 10, doctor's visit day 10 confirmed Shingles outbreak, prescribed 10 course of Valtrax.  Rash worsened through day 15 when blisters started to dry up and redness began to subside.  No itching and very minor skin pain (primarily chest, minor on back) through day 15.  Skin/nerve pain worsened past day 15 through day 26, reduced skin/nerve pain through day 28
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: chills, body aches, low grade fever
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Myalgia, Nausea
Clinical narrative: Chills, fever, muscle aches and joint aches, nausea and severe headache
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Chills, fever, muscle aches and joint aches, nausea and severe headache
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Blood test normal, Catheterisation cardiac normal, Electrocardiogram normal, Influenza like illness
Clinical narrative: At first, I got flu type symptoms and a couple days later, I started having muscle spasms all over my body. In my chest, my feet, my legs, my neck, everywhere. I went to doctor, they sent me to specialist. My heart was normal, they put me on Gabapentin which has helped some. I was having like 20 muscles spasms spells and now I'm 4 or 5 a day. My sugars are high now as well I use to be in 140 now my sugars are in 400s. They doubled my Metformin and added a medication Cyclobenzaprine for muscle spasms, I'm also on Atorvastatin.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms
Clinical narrative: At first, I got flu type symptoms and a couple days later, I started having muscle spasms all over my body. In my chest, my feet, my legs, my neck, everywhere. I went to doctor, they sent me to specialist. My heart was normal, they put me on Gabapentin which has helped some. I was having like 20 muscles spasms spells and now I'm 4 or 5 a day. My sugars are high now as well I use to be in 140 now my sugars are in 400s. They doubled my Metformin and added a medication Cyclobenzaprine for muscle spasms, I'm also on Atorvastatin.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue
Clinical narrative: Severe fatigue, admit for 4 days
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, Chills, Cold sweat, Contusion
Clinical narrative: Presented to ED on 11/23. reports that 4 hrs post-vaccine had LUE pain at injection site, fatigue and generalized weakness. That night had difficulty sleeping w/ abdominal pain, cold sweats/shivering. The day after vaccine felt dizzy, fatigued and had left leg pain. On 11/20, 2 days after vaccine, continued to have left leg pain which then later developed into multiple bruises. Pt reports no fall or injury. In ED pt continued to have left leg pain and occasional brain fog. LLE Doppler performed and was negative for deep vein thrombosis. Patient discharged home from ED.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling abnormal, Injection site pain, Insomnia
Clinical narrative: Presented to ED on 11/23. reports that 4 hrs post-vaccine had LUE pain at injection site, fatigue and generalized weakness. That night had difficulty sleeping w/ abdominal pain, cold sweats/shivering. The day after vaccine felt dizzy, fatigued and had left leg pain. On 11/20, 2 days after vaccine, continued to have left leg pain which then later developed into multiple bruises. Pt reports no fall or injury. In ED pt continued to have left leg pain and occasional brain fog. LLE Doppler performed and was negative for deep vein thrombosis. Patient discharged home from ED.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Ultrasound Doppler normal
Clinical narrative: Presented to ED on 11/23. reports that 4 hrs post-vaccine had LUE pain at injection site, fatigue and generalized weakness. That night had difficulty sleeping w/ abdominal pain, cold sweats/shivering. The day after vaccine felt dizzy, fatigued and had left leg pain. On 11/20, 2 days after vaccine, continued to have left leg pain which then later developed into multiple bruises. Pt reports no fall or injury. In ED pt continued to have left leg pain and occasional brain fog. LLE Doppler performed and was negative for deep vein thrombosis. Patient discharged home from ED.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Muscle spasms
Clinical narrative: PT STATES HER LEG WENT NUMB AND SHE HAD CRAMPING IN HER TOES
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: CLIENT STATED HE HAD NOT RECEIVED A COVID VACCINE & REQUESTED JANSSEN TODAY. AFTER ADMINISTERING VACCINE,  WHEN ENTERING VACCINE DOSE GIVEN INTO database IT WAS FOUND THAT CLIENT HAD RECEIVED A MODERNA VACCINE AT ANOTHER FACILITY ON 6/16/2021.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Formulation error:  administered 5-11y/o formulation to 12y/o+ patient
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Chills, Condition aggravated, Fatigue
Clinical narrative: My arm began to feel sore roughly 6 hours after injection. Around 10pm, I took Tylenol and went to bed but had a tough time sleeping; I recall waking just after midnight soaking wet from sweat (abnormal for me). In the morning, I woke with a bad headache and sore arm so I took ibuprofen which seemed to work well; had the day off from work so took it easy all day. Went to bed early that night and slept a little better, but woke the next morning to a very sore injection site and swollen lymph nodes in the left armpit. I went to work on the second day after receiving the booster and felt poorly hard to pinpoint any main complaint, but felt pain in my shoulders, stomach pains, headache, fever, off and on chills, fatigue, and nauseous; I went to bed around 9pm last night and again suffered from night sweats. At the point of writing this information, it is the start of the third day after receiving the booster and my main complaint is of swollen lymph nodes under the left arm; there is also some mild pain at the injection site and an occasional headache. I have not notified a doctor at all since my husband and I are both dealing with similar side effects. From everything I have heard from others who received this booster, or been able to find online, we have not experienced anything abnormal. I would just like to mention that Pfizer's 3rd dose has had the most negative effects on myself and my husband; we are both healthy, with no underlying health concerns, and have not had Covid-19 to our knowledge.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Hyperhidrosis, Injection site pain, Insomnia
Clinical narrative: My arm began to feel sore roughly 6 hours after injection. Around 10pm, I took Tylenol and went to bed but had a tough time sleeping; I recall waking just after midnight soaking wet from sweat (abnormal for me). In the morning, I woke with a bad headache and sore arm so I took ibuprofen which seemed to work well; had the day off from work so took it easy all day. Went to bed early that night and slept a little better, but woke the next morning to a very sore injection site and swollen lymph nodes in the left armpit. I went to work on the second day after receiving the booster and felt poorly hard to pinpoint any main complaint, but felt pain in my shoulders, stomach pains, headache, fever, off and on chills, fatigue, and nauseous; I went to bed around 9pm last night and again suffered from night sweats. At the point of writing this information, it is the start of the third day after receiving the booster and my main complaint is of swollen lymph nodes under the left arm; there is also some mild pain at the injection site and an occasional headache. I have not notified a doctor at all since my husband and I are both dealing with similar side effects. From everything I have heard from others who received this booster, or been able to find online, we have not experienced anything abnormal. I would just like to mention that Pfizer's 3rd dose has had the most negative effects on myself and my husband; we are both healthy, with no underlying health concerns, and have not had Covid-19 to our knowledge.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Nausea, Night sweats, Pain in extremity, Pyrexia
Clinical narrative: My arm began to feel sore roughly 6 hours after injection. Around 10pm, I took Tylenol and went to bed but had a tough time sleeping; I recall waking just after midnight soaking wet from sweat (abnormal for me). In the morning, I woke with a bad headache and sore arm so I took ibuprofen which seemed to work well; had the day off from work so took it easy all day. Went to bed early that night and slept a little better, but woke the next morning to a very sore injection site and swollen lymph nodes in the left armpit. I went to work on the second day after receiving the booster and felt poorly hard to pinpoint any main complaint, but felt pain in my shoulders, stomach pains, headache, fever, off and on chills, fatigue, and nauseous; I went to bed around 9pm last night and again suffered from night sweats. At the point of writing this information, it is the start of the third day after receiving the booster and my main complaint is of swollen lymph nodes under the left arm; there is also some mild pain at the injection site and an occasional headache. I have not notified a doctor at all since my husband and I are both dealing with similar side effects. From everything I have heard from others who received this booster, or been able to find online, we have not experienced anything abnormal. I would just like to mention that Pfizer's 3rd dose has had the most negative effects on myself and my husband; we are both healthy, with no underlying health concerns, and have not had Covid-19 to our knowledge.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema, Swelling face, Vomiting
Clinical narrative: 4 hours after the injection, her face turned red and swelled, she went to sleep and woke an hour later vomiting and with chills.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysarthria, Muscle spasms, Nausea
Clinical narrative: PATIENT STATED SHE HAD SLURRED SPEECH, DIZZINESS WITH SOME NAUSEA, MUSCLE SPASMS.
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Impaired work ability, Influenza, Myalgia
Clinical narrative: I started feeling muscle pain that afternoon. I struggle with pain the next day, I cam hm from work I had chills. High temp, I went strait to be. Lost a day of wor today.feel like I?m getting over the flu.taking it easy.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain, Pyrexia
Clinical narrative: 1) All over body aches    2) Headache.   3)Chills.  4) Fever ( 100.6.).   5) Nausea
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Lymphadenopathy, Rash, Rash maculo-papular, Rash pruritic
Clinical narrative: Patien reported development of an itchy rash over his entire body, including palm of hands, feet, genitalia, and scalp after receiving Pfizer COVID vaccine. In addition he reports swollen lymph nodes on the left side (same side as Oct. 5 vaccination). He said that since his second dose, he has developed sores, and has clear fluid "oozing" from the scalp lesions.   He received Pfizer COVID vaccine dose #1 on 14 Sep 2021. About two weeks later, he noticed the rash. It started on the back of his hands, forearms and palms and spread rapidly to the rest of his body. He received Pfizer COVID vaccine dose #2 on 5 Oct. 2021. He went to sick call on 12 Oct 2021 to report the rash. The documentation at the visit states patient reported development of an itchy rash over his entire body, including palm of hands, feet, genitalia, and scalp after receiving Pfizer COVID vaccine. In addition he reports swollen lymph nodes on the left side (same side as Oct. 5 vaccination). He said that since his second dose, he has developed sores, and has clear fluid "oozing" from the scalp lesions.   He received Pfizer COVID vaccine dose #1 on 14 Sep 2021. About two weeks later, he noticed the rash. It started on the back of his hands, forearms and palms and spread rapidly to the rest of his body. He received Pfizer COVID vaccine dose #2 on 5 Oct. 2021. He went to sick call on 12 Oct 2021 to report the rash. The documentation at the visit states patient had a maculopapular itchy rash on axilla, torso, hands, and scalp. Medrol dose pack, topical hydrocortisone cream prescribed, and Derm consult filed.   He reports biggest change since Oct. 12 is rash spread and persists despite Medrol and hydrocortisone.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Skin lesion, Skin weeping
Clinical narrative: Patien reported development of an itchy rash over his entire body, including palm of hands, feet, genitalia, and scalp after receiving Pfizer COVID vaccine. In addition he reports swollen lymph nodes on the left side (same side as Oct. 5 vaccination). He said that since his second dose, he has developed sores, and has clear fluid "oozing" from the scalp lesions.   He received Pfizer COVID vaccine dose #1 on 14 Sep 2021. About two weeks later, he noticed the rash. It started on the back of his hands, forearms and palms and spread rapidly to the rest of his body. He received Pfizer COVID vaccine dose #2 on 5 Oct. 2021. He went to sick call on 12 Oct 2021 to report the rash. The documentation at the visit states patient reported development of an itchy rash over his entire body, including palm of hands, feet, genitalia, and scalp after receiving Pfizer COVID vaccine. In addition he reports swollen lymph nodes on the left side (same side as Oct. 5 vaccination). He said that since his second dose, he has developed sores, and has clear fluid "oozing" from the scalp lesions.   He received Pfizer COVID vaccine dose #1 on 14 Sep 2021. About two weeks later, he noticed the rash. It started on the back of his hands, forearms and palms and spread rapidly to the rest of his body. He received Pfizer COVID vaccine dose #2 on 5 Oct. 2021. He went to sick call on 12 Oct 2021 to report the rash. The documentation at the visit states patient had a maculopapular itchy rash on axilla, torso, hands, and scalp. Medrol dose pack, topical hydrocortisone cream prescribed, and Derm consult filed.   He reports biggest change since Oct. 12 is rash spread and persists despite Medrol and hydrocortisone.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood glucose normal, Blood potassium increased, Blood sodium normal, Blood urea normal
Clinical narrative: Patient is a 32 y.o. male with no significant medical history who was admitted from the ED for chest pain.  Patient has minimal medical comorbidities.      Patient reported substernal chest pain that has awoke him from sleep. He reported that he had a viral type symptoms earlier this week including a sore throat, body aches, an intermittent headaches that lasted for a couple a days.  During this time he had a strep test on 10/28/2021 which was negative.  These symptom resolved.  Patient had his 1st COVID-19 vaccination (Pfiszer) on 10/19/2021.    In the ED, initial VS included:  Blood pressure 119/70, heart rate 68, respiratory rate 17, oxygen saturation 99% room air, and temperature 36.7° C.  The initial 12 lead ECG showed:  Sinus rhythm at 86 bpm with ST elevation consistent with early repolarization particularly predominant in his inferior and lateral leads.  Laboratory tests were notable for:  Hemoglobin 15.0, hematocrit 44.4, leukocytes 6.4, platelets 268, sodium 138, potassium 5.4, BUN 13, creatinine 0.81, glucose 91, and initial high sensitivity troponin markedly elevated at 574.  2 hour troponin increased to 707.  6 hour troponin was 841 and was trended daily.  Subsequent troponins were 661, 430. CRP was slightly elevated, down trended prior to discharge.  Sed rate was elevated at 27 at the time of admission. Daily EKG were obtained, ST elevation resolved.   Cardiac MRI was obtained on 11/01/2021.  MR findings are consistent with acute myocarditis with myocardial edema and corresponding scattered foci of sub pericardial delayed enhancement in the LV.  LV is of normal size with preserved systolic function, calculated LVEF 53%.  RV is normal size and systolic function, no delayed enhancement seen in the RV free or inferior walls.   Consultation to discuss vaccine recommendations in this setting.  At this time it is recommended that he not receive mRNA vaccinations.   His history, presentation, physical and diagnostic findings consistent with myocarditis were discussed with MD. He recommends no specific day-to-day restrictions.  Patient was advised to avoid competitive sports for 3 months and to follow up with a cardiac MRI in 3 months as well as a follow-up in a clinic. If symptoms of recurrent chest discomfort or dyspnea, he should be seen sooner.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, Chest pain, Ejection fraction, Electrocardiogram ST segment elevation, Exercise tolerance decreased
Clinical narrative: Patient is a 32 y.o. male with no significant medical history who was admitted from the ED for chest pain.  Patient has minimal medical comorbidities.      Patient reported substernal chest pain that has awoke him from sleep. He reported that he had a viral type symptoms earlier this week including a sore throat, body aches, an intermittent headaches that lasted for a couple a days.  During this time he had a strep test on 10/28/2021 which was negative.  These symptom resolved.  Patient had his 1st COVID-19 vaccination (Pfiszer) on 10/19/2021.    In the ED, initial VS included:  Blood pressure 119/70, heart rate 68, respiratory rate 17, oxygen saturation 99% room air, and temperature 36.7° C.  The initial 12 lead ECG showed:  Sinus rhythm at 86 bpm with ST elevation consistent with early repolarization particularly predominant in his inferior and lateral leads.  Laboratory tests were notable for:  Hemoglobin 15.0, hematocrit 44.4, leukocytes 6.4, platelets 268, sodium 138, potassium 5.4, BUN 13, creatinine 0.81, glucose 91, and initial high sensitivity troponin markedly elevated at 574.  2 hour troponin increased to 707.  6 hour troponin was 841 and was trended daily.  Subsequent troponins were 661, 430. CRP was slightly elevated, down trended prior to discharge.  Sed rate was elevated at 27 at the time of admission. Daily EKG were obtained, ST elevation resolved.   Cardiac MRI was obtained on 11/01/2021.  MR findings are consistent with acute myocarditis with myocardial edema and corresponding scattered foci of sub pericardial delayed enhancement in the LV.  LV is of normal size with preserved systolic function, calculated LVEF 53%.  RV is normal size and systolic function, no delayed enhancement seen in the RV free or inferior walls.   Consultation to discuss vaccine recommendations in this setting.  At this time it is recommended that he not receive mRNA vaccinations.   His history, presentation, physical and diagnostic findings consistent with myocarditis were discussed with MD. He recommends no specific day-to-day restrictions.  Patient was advised to avoid competitive sports for 3 months and to follow up with a cardiac MRI in 3 months as well as a follow-up in a clinic. If symptoms of recurrent chest discomfort or dyspnea, he should be seen sooner.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit normal, Haemoglobin normal, Headache, Magnetic resonance imaging heart, Multimorbidity
Clinical narrative: Patient is a 32 y.o. male with no significant medical history who was admitted from the ED for chest pain.  Patient has minimal medical comorbidities.      Patient reported substernal chest pain that has awoke him from sleep. He reported that he had a viral type symptoms earlier this week including a sore throat, body aches, an intermittent headaches that lasted for a couple a days.  During this time he had a strep test on 10/28/2021 which was negative.  These symptom resolved.  Patient had his 1st COVID-19 vaccination (Pfiszer) on 10/19/2021.    In the ED, initial VS included:  Blood pressure 119/70, heart rate 68, respiratory rate 17, oxygen saturation 99% room air, and temperature 36.7° C.  The initial 12 lead ECG showed:  Sinus rhythm at 86 bpm with ST elevation consistent with early repolarization particularly predominant in his inferior and lateral leads.  Laboratory tests were notable for:  Hemoglobin 15.0, hematocrit 44.4, leukocytes 6.4, platelets 268, sodium 138, potassium 5.4, BUN 13, creatinine 0.81, glucose 91, and initial high sensitivity troponin markedly elevated at 574.  2 hour troponin increased to 707.  6 hour troponin was 841 and was trended daily.  Subsequent troponins were 661, 430. CRP was slightly elevated, down trended prior to discharge.  Sed rate was elevated at 27 at the time of admission. Daily EKG were obtained, ST elevation resolved.   Cardiac MRI was obtained on 11/01/2021.  MR findings are consistent with acute myocarditis with myocardial edema and corresponding scattered foci of sub pericardial delayed enhancement in the LV.  LV is of normal size with preserved systolic function, calculated LVEF 53%.  RV is normal size and systolic function, no delayed enhancement seen in the RV free or inferior walls.   Consultation to discuss vaccine recommendations in this setting.  At this time it is recommended that he not receive mRNA vaccinations.   His history, presentation, physical and diagnostic findings consistent with myocarditis were discussed with MD. He recommends no specific day-to-day restrictions.  Patient was advised to avoid competitive sports for 3 months and to follow up with a cardiac MRI in 3 months as well as a follow-up in a clinic. If symptoms of recurrent chest discomfort or dyspnea, he should be seen sooner.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Myocardial oedema, Myocarditis, Oropharyngeal pain, Pain, Platelet count normal
Clinical narrative: Patient is a 32 y.o. male with no significant medical history who was admitted from the ED for chest pain.  Patient has minimal medical comorbidities.      Patient reported substernal chest pain that has awoke him from sleep. He reported that he had a viral type symptoms earlier this week including a sore throat, body aches, an intermittent headaches that lasted for a couple a days.  During this time he had a strep test on 10/28/2021 which was negative.  These symptom resolved.  Patient had his 1st COVID-19 vaccination (Pfiszer) on 10/19/2021.    In the ED, initial VS included:  Blood pressure 119/70, heart rate 68, respiratory rate 17, oxygen saturation 99% room air, and temperature 36.7° C.  The initial 12 lead ECG showed:  Sinus rhythm at 86 bpm with ST elevation consistent with early repolarization particularly predominant in his inferior and lateral leads.  Laboratory tests were notable for:  Hemoglobin 15.0, hematocrit 44.4, leukocytes 6.4, platelets 268, sodium 138, potassium 5.4, BUN 13, creatinine 0.81, glucose 91, and initial high sensitivity troponin markedly elevated at 574.  2 hour troponin increased to 707.  6 hour troponin was 841 and was trended daily.  Subsequent troponins were 661, 430. CRP was slightly elevated, down trended prior to discharge.  Sed rate was elevated at 27 at the time of admission. Daily EKG were obtained, ST elevation resolved.   Cardiac MRI was obtained on 11/01/2021.  MR findings are consistent with acute myocarditis with myocardial edema and corresponding scattered foci of sub pericardial delayed enhancement in the LV.  LV is of normal size with preserved systolic function, calculated LVEF 53%.  RV is normal size and systolic function, no delayed enhancement seen in the RV free or inferior walls.   Consultation to discuss vaccine recommendations in this setting.  At this time it is recommended that he not receive mRNA vaccinations.   His history, presentation, physical and diagnostic findings consistent with myocarditis were discussed with MD. He recommends no specific day-to-day restrictions.  Patient was advised to avoid competitive sports for 3 months and to follow up with a cardiac MRI in 3 months as well as a follow-up in a clinic. If symptoms of recurrent chest discomfort or dyspnea, he should be seen sooner.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate increased, Sleep disorder, Streptococcus test negative, Troponin increased, White blood cell count
Clinical narrative: Patient is a 32 y.o. male with no significant medical history who was admitted from the ED for chest pain.  Patient has minimal medical comorbidities.      Patient reported substernal chest pain that has awoke him from sleep. He reported that he had a viral type symptoms earlier this week including a sore throat, body aches, an intermittent headaches that lasted for a couple a days.  During this time he had a strep test on 10/28/2021 which was negative.  These symptom resolved.  Patient had his 1st COVID-19 vaccination (Pfiszer) on 10/19/2021.    In the ED, initial VS included:  Blood pressure 119/70, heart rate 68, respiratory rate 17, oxygen saturation 99% room air, and temperature 36.7° C.  The initial 12 lead ECG showed:  Sinus rhythm at 86 bpm with ST elevation consistent with early repolarization particularly predominant in his inferior and lateral leads.  Laboratory tests were notable for:  Hemoglobin 15.0, hematocrit 44.4, leukocytes 6.4, platelets 268, sodium 138, potassium 5.4, BUN 13, creatinine 0.81, glucose 91, and initial high sensitivity troponin markedly elevated at 574.  2 hour troponin increased to 707.  6 hour troponin was 841 and was trended daily.  Subsequent troponins were 661, 430. CRP was slightly elevated, down trended prior to discharge.  Sed rate was elevated at 27 at the time of admission. Daily EKG were obtained, ST elevation resolved.   Cardiac MRI was obtained on 11/01/2021.  MR findings are consistent with acute myocarditis with myocardial edema and corresponding scattered foci of sub pericardial delayed enhancement in the LV.  LV is of normal size with preserved systolic function, calculated LVEF 53%.  RV is normal size and systolic function, no delayed enhancement seen in the RV free or inferior walls.   Consultation to discuss vaccine recommendations in this setting.  At this time it is recommended that he not receive mRNA vaccinations.   His history, presentation, physical and diagnostic findings consistent with myocarditis were discussed with MD. He recommends no specific day-to-day restrictions.  Patient was advised to avoid competitive sports for 3 months and to follow up with a cardiac MRI in 3 months as well as a follow-up in a clinic. If symptoms of recurrent chest discomfort or dyspnea, he should be seen sooner.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Formulation error:  administered 5-11y/o formulation to 12y/o+ patient
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Patient developed hives on face  6 hours after vaccine.  Hives self-resolved in 20-30 minutes
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Formulation error:  administered 5-11y/o formulation to 12y/o+ patient
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: 2 weeks after the moderna booster I broke out in itchy hives all over my body big red itchy hives multiple  Still have them this week which is week 5 post shot tried to spot antihistamine but they returned
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Administration Error: Patient was given .2ml of Pfizer (purple cap vial that is used for 12 years of age and older) by one of our nurses in our facility.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received the Moderna booster dose11 days early . No distress noted while in clinic or during pt wait time.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient was fully vaccinated with Pfizer vaccine + booster (unsure of booster date but patient reports ~2 months ago). Initial series 2/25/21 and 3/18/21. Patient had fever and was admitted for COVID 11/21/21
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site swelling, Lymphadenopathy, Pain
Clinical narrative: Headache; fever up to 101.5; Body aches (could barely get out of bed; chills; lump under my right armpit; knot and swollen at injection site
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Headache; fever up to 101.5; Body aches (could barely get out of bed; chills; lump under my right armpit; knot and swollen at injection site
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site swelling, Pain
Clinical narrative: headache, body ache (primarily back) - started ~ 10 hours after injection; almost fully resolved by day 2 after injection sore injection site, swollen injection site, red injection site - slight improvement 2 days after injection site but not resolved yet
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, Rash morbilliform
Clinical narrative: When I took off my shirt last night my wife (who is an internal medicine physician) noticed I had morbiliform rash limited to my trunk both front and back. It did not itch or hurt and I hadn't noticed it. This occurred approximately 36 hours after my booster with Pfizer vaccine. My original two doses were modernal 2/12 and 3/12 of this year. The rash seems to be resolving itself as of the morning.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Diplopia, Dry eye, Eye disorder, Feeling abnormal, Pain
Clinical narrative: That night I started running fever of 105, I had terrible body aches, I was in absolute misery. That lasted about 48 hours. My eyes got very dry, and I had blurred vision. I went to my eye doctor because my vision was hazy, he said my vision did look like it was all over the place and changing, so he referred me to a specialist. I saw the specialist and he confirmed my vision was changing constantly and said I needed to see an ophthalmologist, so he referred me. I had all eye tests done that you can think of. The ophthalmologist confirmed my vision is constantly changing. He told me under no circumstance that I should get the booster shot. I am having photosensitivity, I am having double vision top and bottom, I am having floaters in my eyes constantly. The doctor started me on eye drops to see if that would help any (4x's a day, daily). The drops have helped with the dryness so far. I must drive with sunglasses at night and wear them all the time because my eyes are so sensitive to the light.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Photophobia, Photosensitivity reaction, Pyrexia, Vision blurred, Vitreous floaters
Clinical narrative: That night I started running fever of 105, I had terrible body aches, I was in absolute misery. That lasted about 48 hours. My eyes got very dry, and I had blurred vision. I went to my eye doctor because my vision was hazy, he said my vision did look like it was all over the place and changing, so he referred me to a specialist. I saw the specialist and he confirmed my vision was changing constantly and said I needed to see an ophthalmologist, so he referred me. I had all eye tests done that you can think of. The ophthalmologist confirmed my vision is constantly changing. He told me under no circumstance that I should get the booster shot. I am having photosensitivity, I am having double vision top and bottom, I am having floaters in my eyes constantly. The doctor started me on eye drops to see if that would help any (4x's a day, daily). The drops have helped with the dryness so far. I must drive with sunglasses at night and wear them all the time because my eyes are so sensitive to the light.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Blood follicle stimulating hormone increased, Blood luteinising hormone increased, Blood prolactin normal, Fatigue, Feeling abnormal
Clinical narrative: I had a heavy period 7 days that was from 8/29/2021 through 9/4/2021.  I did not have my period for months afterwards and bloodwork showed hormones fine.  During this time I was tired, foggy and on edge.  Had my period finally on 11/12/2021 and it stopped on 11/18/2021.  My period was heavy with blood clots and it made me really tired.  I am still tired.  On 11/21/2021 I lost some dark blood and have spotted some since then.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Human chorionic gonadotropin, Intermenstrual bleeding, Menstruation irregular
Clinical narrative: I had a heavy period 7 days that was from 8/29/2021 through 9/4/2021.  I did not have my period for months afterwards and bloodwork showed hormones fine.  During this time I was tired, foggy and on edge.  Had my period finally on 11/12/2021 and it stopped on 11/18/2021.  My period was heavy with blood clots and it made me really tired.  I am still tired.  On 11/21/2021 I lost some dark blood and have spotted some since then.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid Vaccination Monitoring Documentation: PT admit 10//5/21 ? 10/12/21. POC SARS COV2 ANTIGEN POS 10/5/21. Pfizer 2/17/21 Lot EN6200, Pfizer 3/10/21 Lot EN6204.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Headache, Pain
Clinical narrative: Body aches, chills, 100.8F body temperature, extreme headaches
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Palpitations, Syncope, Unresponsive to stimuli
Clinical narrative: 11/23/21 AT APROX 16:20 BEGAN FEELING LIGHT HEADED AND DIZZY. ALSO C/O PALPITATIONS AND CHEST PAIN. FAINTED AND UNRESPONSIVE FOR SHORT TIME. SENT BY EMS TO hospital. RECEIVED ANTI-ANXIETY, ANTI HYPERTENSIVE AND CLONIDINE.   SENT HOME APROX 22:30PM.
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Abdominal discomfort, Arthralgia, Back pain, Chest pain, Dizziness
Clinical narrative: Feeling of urgency that I was going to pass out...found a nearby seat.  Pressure around torso area, racing heart rate, hyperventilation,  flushing of face.  Pain radiating from chest area then moved down my back to hips.  Pain so severe unable to stand or think about walking to get help. After about 15 minutes or so (maybe longer?) able to walk back to pharmacy area. Asked pharmacist if I could be having a heart attack from vaccine...explained symptoms...advised "no" wait 5    minutes before leaving. After this muscle  muscle pain (fibromyalgia type) in all areas that had experienced reaction to vaccination.  Very frightening experience (compared to when I had been hit by a vehicle as a pedestrian).  Did not feel the pharmacy acted correctly...never asked if I had heart problems (I don't), took blood pressure or anything......just said I was extremely flushed.
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Dysstasia, Flushing, Gait disturbance, Hyperventilation, Myalgia
Clinical narrative: Feeling of urgency that I was going to pass out...found a nearby seat.  Pressure around torso area, racing heart rate, hyperventilation,  flushing of face.  Pain radiating from chest area then moved down my back to hips.  Pain so severe unable to stand or think about walking to get help. After about 15 minutes or so (maybe longer?) able to walk back to pharmacy area. Asked pharmacist if I could be having a heart attack from vaccine...explained symptoms...advised "no" wait 5    minutes before leaving. After this muscle  muscle pain (fibromyalgia type) in all areas that had experienced reaction to vaccination.  Very frightening experience (compared to when I had been hit by a vehicle as a pedestrian).  Did not feel the pharmacy acted correctly...never asked if I had heart problems (I don't), took blood pressure or anything......just said I was extremely flushed.
Age: 74.0
Sex: F
Vaccine: FLU4
Symptoms: Pain, Palpitations
Clinical narrative: Feeling of urgency that I was going to pass out...found a nearby seat.  Pressure around torso area, racing heart rate, hyperventilation,  flushing of face.  Pain radiating from chest area then moved down my back to hips.  Pain so severe unable to stand or think about walking to get help. After about 15 minutes or so (maybe longer?) able to walk back to pharmacy area. Asked pharmacist if I could be having a heart attack from vaccine...explained symptoms...advised "no" wait 5    minutes before leaving. After this muscle  muscle pain (fibromyalgia type) in all areas that had experienced reaction to vaccination.  Very frightening experience (compared to when I had been hit by a vehicle as a pedestrian).  Did not feel the pharmacy acted correctly...never asked if I had heart problems (I don't), took blood pressure or anything......just said I was extremely flushed.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: hospitalized following full immunization, vaccines given 2/12/2021, 3/13/2021 and 8/31/2021
Age: 62.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: Chest pain, Myocarditis, Pain in extremity
Clinical narrative: Patient reported waking up at approximately 2:30 am with symptoms of "myocarditis" had chest pain and arm pain, patient spoke to physician office this morning and was told to go to emergency room, patient declined at time, reports feeling better this morning when spoke to spouse, advised that they should go to emergency room if symptoms persisted or got worse
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Dyspnoea, Pyrexia
Clinical narrative: Patient was fully vaccinated with Moderna. Doses received 2/25/21 and 3/25/21. Symptoms of shortness of breath, cough, fever, diarrhea  onset 11/11/2021.  He is still admitted since 11/18/21
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient was fully vaccinated with Moderna. Doses received 2/25/21 and 3/25/21. Symptoms of shortness of breath, cough, fever, diarrhea  onset 11/11/2021.  He is still admitted since 11/18/21
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Antibody test positive, Antinuclear antibody, Antinuclear antibody positive, Autoimmune hepatitis, Dry mouth
Clinical narrative: Shortly after dose #2, pt. had increase liver enzymes (LFT, Alkaline) , positive ANA. developed transaminitis, auto immune hepatitis and shograns syndrome. Pt. also stated her mouth is chronically dry .
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Hepatic enzyme increased, Liver function test increased, Sjogren's syndrome, Smooth muscle antibody, Transaminases increased
Clinical narrative: Shortly after dose #2, pt. had increase liver enzymes (LFT, Alkaline) , positive ANA. developed transaminitis, auto immune hepatitis and shograns syndrome. Pt. also stated her mouth is chronically dry .
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Disturbance in attention, Memory impairment
Clinical narrative: Lapses in mental acuity and memory.  I did not recall an event that occurred less than one month prior associated with the purchase of a stock.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Gait disturbance, Sleep disorder
Clinical narrative: Painful joints with the pain centering in my right knee.  Constant, needing assistance to walk at times, wakes me up at night with pain
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity, Peripheral swelling
Clinical narrative: Bilateral Hand, Arm, Shoulder, Hip and leg joint pain and swelling
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Back pain, Chills, Condition aggravated, Dizziness
Clinical narrative: Vomiting, chills, pain in my head neck and back, loss of control of my bladder, fever, and night sweats. Patient has a history of MS and is receiving Ocrevus infusions Q6 months.  Patient reported similar side effects (significant) after most recent vaccine administration (booster) - in chart it also references that she experienced all of these same symptoms with all THREE COVID vaccines.  Following covid shot on Friday (10.29.21) became violently ill. Vomiting, chills, pain in my head neck and back, loss of control of my bladder, fever, and night sweats.  Diagnosed with UTI on 11.22.21.   Reported with 2nd dose (4.21.21);  swelling of face / throat; dizziness/weakness; uncontrollable shaking; loss of bladder function.   Note from patient to PCP in patient chart:  "received my 2nd dose and f the Covid vaccine last night at 6pm. By 9pm I was dizzy and feeling very lightheaded so I decided to go to bed. I woke up at midnight with uncontrollable body shaking and started vomiting. There was so much pressure in my head and my neck hurt so bad. I had a fever of 101.4 and the body shaking became so bad that I wet myself 3 times. My husband almost called 911.  I was able to drink some water and keep that down around 5am and haven't vomited since. I've had 1 shaking episode at 12pm and that lasted about 35 minutes. I have a terrible headache and body aches but all the scary stuff seems to have gone away."