chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Joint swelling, Mobility decreased, Movement disorder, Muscle contractions involuntary, Musculoskeletal stiffness
Clinical narrative: muscle contractions pulling both shoulders together as in fetal position, lost 17 pounds,Extremely painful could not use arms in helping to get out of bed. Autoimmune swelling in major areas ( shoulders, elbows, wrists, hands, fingers, hips, knees, ankles, neck, upper back) Doctors have been treating me for arthritis with testing and drugs. The reaction to the first injection was the slowest to come on but the most severe in pain and loss of movement.  The second injection increase in symptoms happened by the second day.  The third injection had the most immediate reaction of chills for 2 days.  Pain and stiffness followed.  It has been 51 days and pain and stiffness of my shoulders continues.  I have been having  heart irregularities and have started metoprolol. I have been prescribed prednisone and hydroxychloroquine to minimize the pain and swelling throughout my body.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain, Pain in extremity, Swelling, Weight decreased
Clinical narrative: muscle contractions pulling both shoulders together as in fetal position, lost 17 pounds,Extremely painful could not use arms in helping to get out of bed. Autoimmune swelling in major areas ( shoulders, elbows, wrists, hands, fingers, hips, knees, ankles, neck, upper back) Doctors have been treating me for arthritis with testing and drugs. The reaction to the first injection was the slowest to come on but the most severe in pain and loss of movement.  The second injection increase in symptoms happened by the second day.  The third injection had the most immediate reaction of chills for 2 days.  Pain and stiffness followed.  It has been 51 days and pain and stiffness of my shoulders continues.  I have been having  heart irregularities and have started metoprolol. I have been prescribed prednisone and hydroxychloroquine to minimize the pain and swelling throughout my body.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: patient describes worsening of her chronic low level tinnitus immediately after receiving Pfizer Covid19 2nd dose.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dry mouth, Infusion, Pruritus, Urticaria
Clinical narrative: Patient received her Moderna vaccine and within 30 minutes developed hives, itching, and a dry mouth. Diphenhydramine 25 mg PO administered; patient was brought to ED for treatment.  No airway compromise.  In ED, patient received famotidine 20 mg IV one-time, methylprednisolone 125 mg IV one-time., and NS infusion.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Rash, Urticaria
Clinical narrative: Patient received the covid vaccine at 2:30 pm on Wednesday , Thursday evening began with hives, which were diffuse and covered 80% of his back (based on picture) parents showed. He was given Benadryl and had no shortness of breath/chest pain, and dad reports "bumps" were improved 1 hour later, dad then gave Benadryl at 2am and the hives remained improved and by morning they were gone. No respiratory distress, shortness of breath, or throat swelling.   This morning at 11am had small start of hives and was immediately given Benadryl. No chest pain/short of breath, + tired and no fever/cough/ST No new foods/soap/lotion/detergent or items per parents.    pmhx- mom reports that when he was very young- maybe 1 year or under he had multiple vaccines given and within 2 hours had severe rage/anger and then was ok 2 hours after the vaccine. Since then receives vaccines only one at a time.   No /v/d/resp distress/abd pain/headache/st, appetite is ok, drinking well, urine output normal
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Asthenia, Cardiac disorder, Confusional state, Feeling of body temperature change
Clinical narrative: Continuous headache a week. Fever-hot then cold week constantly for a week, Injection pain-stiff arm unable to use several days.  Extreme weakness up only to use BR. 3 weeks .Lymph nodes ached, but painful to touch weeks.  Confusion was the scariest side effect!
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injected limb mobility decreased, Injection site pain, Lung disorder, Lymph node pain
Clinical narrative: Continuous headache a week. Fever-hot then cold week constantly for a week, Injection pain-stiff arm unable to use several days.  Extreme weakness up only to use BR. 3 weeks .Lymph nodes ached, but painful to touch weeks.  Confusion was the scariest side effect!
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Pyrexia
Clinical narrative: Continuous headache a week. Fever-hot then cold week constantly for a week, Injection pain-stiff arm unable to use several days.  Extreme weakness up only to use BR. 3 weeks .Lymph nodes ached, but painful to touch weeks.  Confusion was the scariest side effect!
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chills, Headache, Nausea, Pain
Clinical narrative: Dose 3/Booster?..side effects were severe chills, aches, nausea, headaches?.much like a severe, common flu.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Eye disorder, Fatigue, Feeling abnormal
Clinical narrative: High Blood Pressure (140+/90) and High Rapid Heart Rate (120 beats per minute) Chills, Fever (reached 101 degrees at high point), Body Aches, Lack of Appetite, Fatigue, Brain Fog, Eye Problems  As of today, 11/19/21, Blood Pressure had returned to normal but still have a Rapid Heart Rate at 91 beats per minute. Body Temperature: 98.8 No chills, lack of appetite, fatigue, brain fog or eye problems
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Hypertension, Pain, Pyrexia
Clinical narrative: High Blood Pressure (140+/90) and High Rapid Heart Rate (120 beats per minute) Chills, Fever (reached 101 degrees at high point), Body Aches, Lack of Appetite, Fatigue, Brain Fog, Eye Problems  As of today, 11/19/21, Blood Pressure had returned to normal but still have a Rapid Heart Rate at 91 beats per minute. Body Temperature: 98.8 No chills, lack of appetite, fatigue, brain fog or eye problems
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Headache
Clinical narrative: Weakness, dizziness, headache
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Burning sensation, Chest X-ray normal, Electrocardiogram normal, Paraesthesia
Clinical narrative: Sharp heart stabbing pains were felt for 1 hour on Friday the  12th of November from 3-4PM PST.  The pain lessened over the night but felt like burning/pins feeling every few minutes around the heart area. Saturday: Woke up fine but after 12:00PM, the pain came back and intensified where I couldn't handle it anymore so I went to an urgent clinic on Saturday the 13th. Ran EKG, Troponin test, and Chest X ray. EKG was fine, troponin was fine. Chest x ray was fine. I felt the pain every few minutes. Went to my primary doctor on Monday the 15th of November. After his examination, he recommended  that I take Buspirone. I do take it and it has helped but I still feel the hear area pain a few times a day.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin normal
Clinical narrative: Sharp heart stabbing pains were felt for 1 hour on Friday the  12th of November from 3-4PM PST.  The pain lessened over the night but felt like burning/pins feeling every few minutes around the heart area. Saturday: Woke up fine but after 12:00PM, the pain came back and intensified where I couldn't handle it anymore so I went to an urgent clinic on Saturday the 13th. Ran EKG, Troponin test, and Chest X ray. EKG was fine, troponin was fine. Chest x ray was fine. I felt the pain every few minutes. Went to my primary doctor on Monday the 15th of November. After his examination, he recommended  that I take Buspirone. I do take it and it has helped but I still feel the hear area pain a few times a day.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, Full blood count normal, Hypomenorrhoea, Hypothyroidism, Menstruation irregular
Clinical narrative: Experienced irregular, shortened, and lighter periods beginning 8/4. Pattern occured in Aug, Sept, and Oct. 3rd booster and ovulation experienced nausea. Reported symptoms to doctor. Was diagnosed with subclinical hypothyroidism after 5-8 years of taking no medication from Graves Disease hyperthyroidism once disease went into remission. My numbers have fluctuated toward hypothyroid without medication and stress events also more likely to make me hyperthyroid. For this reason, hypothyroidism feels rare and could possibly be linked to vaccine.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Ovulation disorder, Stress, Thyroxine free normal, Tri-iodothyronine increased
Clinical narrative: Experienced irregular, shortened, and lighter periods beginning 8/4. Pattern occured in Aug, Sept, and Oct. 3rd booster and ovulation experienced nausea. Reported symptoms to doctor. Was diagnosed with subclinical hypothyroidism after 5-8 years of taking no medication from Graves Disease hyperthyroidism once disease went into remission. My numbers have fluctuated toward hypothyroid without medication and stress events also more likely to make me hyperthyroid. For this reason, hypothyroidism feels rare and could possibly be linked to vaccine.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Local reaction, Pain in extremity, Skin reaction
Clinical narrative: Assessment and Plan:   1. Local reaction to COVID-19 vaccine Active T88.1XXA 999.9     Plan: Patient has been reassured that his arm pain and localized erythema is consistent with known local reaction to the Covid vaccine.  Patient has been counseled to use over-the-counter ibuprofen or Tylenol as needed for pain, moderate the activities with the left upper extremity and to avoid itching or scratching the area.  Patient has been counseled the reaction will resolve on its own in the next few days. Follow-up: No follow-up provider specified. Subjective: Patient ID:  Patient is a 62 y.o. male who presents today with a chief complaint of: No chief complaint on file. 62-year-old male patient presents to express care with left arm deltoid pain with activities and erythema following his Covid booster vaccination.  Patient had his vaccine on Friday.  On Saturday morning he noted that his left arm was very sore with any activities.  He then noted that it turned red yesterday.  Patient is concerned about localized infection. HPI ROS Patient Reported Taking
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Blood test, Cardiac stress test normal, Chest X-ray abnormal, Chest discomfort
Clinical narrative: Developed a small blood clot in my right lung. Initial symptoms started on Mon. 6/7/21. Felt like indigestion. Started early afternoon. Did not take anything that day (may have had some tea). Next day slight increase in symptoms. Took acid-indigestion medicine early afternoon followed by muscle relaxant followed by one (1) Aleve Muscle and Back pain tablet (these were all taken hours apart). Note: I work from home; shift ends at 2am. Symptoms did not subside but increased by that evening. By end of shift, was experiencing intense pain in chest area that hurt whether sitting, standing, bending over, laying down or moving. included shortness of breath. Tried to sleep and eventually got up around 7am on 6/9/21 and decided to go to nearest ER. Managed to get dressed and took Uber to ER. Was admitted to ER as soon as I arrived. Received ECG, blood pressure test, chest x-ray, covid test, chest MRI scan (w/ and w/o contrast), ultra sound of the legs, TTC w/ doppler and color, and various blood tests. The testing revealed the small blood clot in my right lung. Was admitted into the hospital and given Eliquis (oral, tablets) for that day and next and prescribed prescription for initially one month. I informed my cardiologist, my primary doctor and  neurologist of what was happening. Was eventually given a prescription by primary doctor for three (3) month supply of Eliquis and referral to hematologist by attending physician at ER and cardiologist to find out if I was susceptible to blood clots as there is not a known history of this in my family. Returned to the ER two times afterwards (6/18 - not admitted and 6/23 - admitted) for additional pain and shortness of breath. Was given an ECG, blood tests, blood pressure test, chest x-rays for both. Was given a chest CAT scan on the 6/23 visit. It was discovered during this visit that the blood clot had dissolved. On 6/24, was given a stress test by my cardiologist (he is affiliated with this hospital). Passed. Saw Hematologist in 8/2021; returned for results on 9/13/21. No propensity was found for blood clots. Conclusion - clot resulted from vaccine. Informed that I could stop taking Eliquis at end of month.  I did return to the ER just recently (11/10/21) due to the same/similar symptoms that I experienced back in June 2021 (heaviness in chest area). Similar test given (ECG, blood pressure, blood tests, chest x-ray, and chest MRI (w/ and w/o contrast). Also received pain meds and muscle relaxant (given before MRI in case this was muscle related). Results indicated no new blood clots, some small cysts in right lung.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Computerised tomogram, Dyspnoea, Electrocardiogram, Insomnia
Clinical narrative: Developed a small blood clot in my right lung. Initial symptoms started on Mon. 6/7/21. Felt like indigestion. Started early afternoon. Did not take anything that day (may have had some tea). Next day slight increase in symptoms. Took acid-indigestion medicine early afternoon followed by muscle relaxant followed by one (1) Aleve Muscle and Back pain tablet (these were all taken hours apart). Note: I work from home; shift ends at 2am. Symptoms did not subside but increased by that evening. By end of shift, was experiencing intense pain in chest area that hurt whether sitting, standing, bending over, laying down or moving. included shortness of breath. Tried to sleep and eventually got up around 7am on 6/9/21 and decided to go to nearest ER. Managed to get dressed and took Uber to ER. Was admitted to ER as soon as I arrived. Received ECG, blood pressure test, chest x-ray, covid test, chest MRI scan (w/ and w/o contrast), ultra sound of the legs, TTC w/ doppler and color, and various blood tests. The testing revealed the small blood clot in my right lung. Was admitted into the hospital and given Eliquis (oral, tablets) for that day and next and prescribed prescription for initially one month. I informed my cardiologist, my primary doctor and  neurologist of what was happening. Was eventually given a prescription by primary doctor for three (3) month supply of Eliquis and referral to hematologist by attending physician at ER and cardiologist to find out if I was susceptible to blood clots as there is not a known history of this in my family. Returned to the ER two times afterwards (6/18 - not admitted and 6/23 - admitted) for additional pain and shortness of breath. Was given an ECG, blood tests, blood pressure test, chest x-rays for both. Was given a chest CAT scan on the 6/23 visit. It was discovered during this visit that the blood clot had dissolved. On 6/24, was given a stress test by my cardiologist (he is affiliated with this hospital). Passed. Saw Hematologist in 8/2021; returned for results on 9/13/21. No propensity was found for blood clots. Conclusion - clot resulted from vaccine. Informed that I could stop taking Eliquis at end of month.  I did return to the ER just recently (11/10/21) due to the same/similar symptoms that I experienced back in June 2021 (heaviness in chest area). Similar test given (ECG, blood pressure, blood tests, chest x-ray, and chest MRI (w/ and w/o contrast). Also received pain meds and muscle relaxant (given before MRI in case this was muscle related). Results indicated no new blood clots, some small cysts in right lung.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lung cyst, Magnetic resonance imaging abnormal, Pain, Pulmonary thrombosis, SARS-CoV-2 test
Clinical narrative: Developed a small blood clot in my right lung. Initial symptoms started on Mon. 6/7/21. Felt like indigestion. Started early afternoon. Did not take anything that day (may have had some tea). Next day slight increase in symptoms. Took acid-indigestion medicine early afternoon followed by muscle relaxant followed by one (1) Aleve Muscle and Back pain tablet (these were all taken hours apart). Note: I work from home; shift ends at 2am. Symptoms did not subside but increased by that evening. By end of shift, was experiencing intense pain in chest area that hurt whether sitting, standing, bending over, laying down or moving. included shortness of breath. Tried to sleep and eventually got up around 7am on 6/9/21 and decided to go to nearest ER. Managed to get dressed and took Uber to ER. Was admitted to ER as soon as I arrived. Received ECG, blood pressure test, chest x-ray, covid test, chest MRI scan (w/ and w/o contrast), ultra sound of the legs, TTC w/ doppler and color, and various blood tests. The testing revealed the small blood clot in my right lung. Was admitted into the hospital and given Eliquis (oral, tablets) for that day and next and prescribed prescription for initially one month. I informed my cardiologist, my primary doctor and  neurologist of what was happening. Was eventually given a prescription by primary doctor for three (3) month supply of Eliquis and referral to hematologist by attending physician at ER and cardiologist to find out if I was susceptible to blood clots as there is not a known history of this in my family. Returned to the ER two times afterwards (6/18 - not admitted and 6/23 - admitted) for additional pain and shortness of breath. Was given an ECG, blood tests, blood pressure test, chest x-rays for both. Was given a chest CAT scan on the 6/23 visit. It was discovered during this visit that the blood clot had dissolved. On 6/24, was given a stress test by my cardiologist (he is affiliated with this hospital). Passed. Saw Hematologist in 8/2021; returned for results on 9/13/21. No propensity was found for blood clots. Conclusion - clot resulted from vaccine. Informed that I could stop taking Eliquis at end of month.  I did return to the ER just recently (11/10/21) due to the same/similar symptoms that I experienced back in June 2021 (heaviness in chest area). Similar test given (ECG, blood pressure, blood tests, chest x-ray, and chest MRI (w/ and w/o contrast). Also received pain meds and muscle relaxant (given before MRI in case this was muscle related). Results indicated no new blood clots, some small cysts in right lung.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Scan with contrast abnormal, Ultrasound Doppler
Clinical narrative: Developed a small blood clot in my right lung. Initial symptoms started on Mon. 6/7/21. Felt like indigestion. Started early afternoon. Did not take anything that day (may have had some tea). Next day slight increase in symptoms. Took acid-indigestion medicine early afternoon followed by muscle relaxant followed by one (1) Aleve Muscle and Back pain tablet (these were all taken hours apart). Note: I work from home; shift ends at 2am. Symptoms did not subside but increased by that evening. By end of shift, was experiencing intense pain in chest area that hurt whether sitting, standing, bending over, laying down or moving. included shortness of breath. Tried to sleep and eventually got up around 7am on 6/9/21 and decided to go to nearest ER. Managed to get dressed and took Uber to ER. Was admitted to ER as soon as I arrived. Received ECG, blood pressure test, chest x-ray, covid test, chest MRI scan (w/ and w/o contrast), ultra sound of the legs, TTC w/ doppler and color, and various blood tests. The testing revealed the small blood clot in my right lung. Was admitted into the hospital and given Eliquis (oral, tablets) for that day and next and prescribed prescription for initially one month. I informed my cardiologist, my primary doctor and  neurologist of what was happening. Was eventually given a prescription by primary doctor for three (3) month supply of Eliquis and referral to hematologist by attending physician at ER and cardiologist to find out if I was susceptible to blood clots as there is not a known history of this in my family. Returned to the ER two times afterwards (6/18 - not admitted and 6/23 - admitted) for additional pain and shortness of breath. Was given an ECG, blood tests, blood pressure test, chest x-rays for both. Was given a chest CAT scan on the 6/23 visit. It was discovered during this visit that the blood clot had dissolved. On 6/24, was given a stress test by my cardiologist (he is affiliated with this hospital). Passed. Saw Hematologist in 8/2021; returned for results on 9/13/21. No propensity was found for blood clots. Conclusion - clot resulted from vaccine. Informed that I could stop taking Eliquis at end of month.  I did return to the ER just recently (11/10/21) due to the same/similar symptoms that I experienced back in June 2021 (heaviness in chest area). Similar test given (ECG, blood pressure, blood tests, chest x-ray, and chest MRI (w/ and w/o contrast). Also received pain meds and muscle relaxant (given before MRI in case this was muscle related). Results indicated no new blood clots, some small cysts in right lung.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Fatigue, Injection site bruising, Injection site rash, Injection site reaction
Clinical narrative: Rash developed on arm around injection site. Rash spread to approximately 6 inches by 4 inches. It was red and swollen. It faded after about a week. Now it just looks like a faint bruise.   I also had severe fatigue which began the day after the shot and resolved about 48 hours after the shot.  This was my third Covid vaccination but my first Moderna. The first two doses I had Pfizer, and did not have any skin reaction with Pfizer. I did have fatigue with the previous Pfizer doses.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Rash erythematous, Rash papular, Skin reaction
Clinical narrative: Rash developed on arm around injection site. Rash spread to approximately 6 inches by 4 inches. It was red and swollen. It faded after about a week. Now it just looks like a faint bruise.   I also had severe fatigue which began the day after the shot and resolved about 48 hours after the shot.  This was my third Covid vaccination but my first Moderna. The first two doses I had Pfizer, and did not have any skin reaction with Pfizer. I did have fatigue with the previous Pfizer doses.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Affect lability, Dyskinesia, Inappropriate affect
Clinical narrative: Patient's mother called and told us that the patient started showing symptoms of and had been diagnosed by a physician with Pseudobulbar Affect. His symptoms started on 5-20-21 and include jerky motions and uncontrollable laughter. She said he can't control his laughter and laughs non-stop at night.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient presented with his father for COVID-19 vaccine. Father completed the admin/consent form and listed patient's age in 2 locations as 12 years old. Our clinic administered the adult/adolescent dose of the Pfizer COVID-19 vaccine. Upon entering the patient's shot into our system, we noted  the child is actually 11 years old. The father put the wrong age on the form. Patient should have received the pediatric dose of the vaccine. Spoke to patient's father to inform him of the error. He stated his son is doing fine, and not having any adverse symptoms or reactions.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Nausea, Pain
Clinical narrative: 18 hours after booster injection had bad headaches, body aches, fever & chills, diarrhea, nausea
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: 18 hours after booster injection had bad headaches, body aches, fever & chills, diarrhea, nausea
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise
Clinical narrative: 5mins post vacciantion, pt began to feel unwell. Vitals: 14:55 104/53, 79, 18, O2 Sat 100% -- > 15:00 109/59, 77, 18, 100%. Pt recovered quickly and was sitting upright.  Pt stable and released from the vaccination site.  Pt refused wheelchair transport to exit.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain, Pain in extremity, X-ray limb, X-ray normal
Clinical narrative: Ever since this shot there has been something wrong with my right arm. It throbs like a tooth ache. I cant move my arm correctly. There is something wrong. I had an xray of my shoulder and it was negative so it mist be in the muscle
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Computerised tomogram thorax, Dyspnoea, Fibrin D dimer increased, Headache
Clinical narrative: 69-year-old female, status post Covid vaccine booster with subsequent arthralgias, headache and fever.  She developed dyspnea and was evaluated in the emergency department for this.  She had extensive evaluation including D-dimer which was elevated and subsequent CT chest for pulmonary embolus.  Care transferred to me at change of shift awaiting CT results.   On reevaluation she is resting comfortably.  She had spontaneous return of dyspnea with no subsequent difficulty breathing.  She still has a residual headache.  Labs reviewed with the significant abnormality.  Vital signs are stable.  She is well-appearing and resting comfortably.   CT chest negative for pulmonary embolus.  There is an incidental finding of a 4 mm nodule in the right apex which is thought to have benign appearance and recommendation per radiology is either no follow-up or 1 year follow-up depending on risk factors.  This is discussed with her and she will be following up with her primary care physician to discuss the need for repeat imaging and plan accordingly.   Further treatment and indications for return are reviewed.  Good understanding.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Nodule, Pyrexia
Clinical narrative: 69-year-old female, status post Covid vaccine booster with subsequent arthralgias, headache and fever.  She developed dyspnea and was evaluated in the emergency department for this.  She had extensive evaluation including D-dimer which was elevated and subsequent CT chest for pulmonary embolus.  Care transferred to me at change of shift awaiting CT results.   On reevaluation she is resting comfortably.  She had spontaneous return of dyspnea with no subsequent difficulty breathing.  She still has a residual headache.  Labs reviewed with the significant abnormality.  Vital signs are stable.  She is well-appearing and resting comfortably.   CT chest negative for pulmonary embolus.  There is an incidental finding of a 4 mm nodule in the right apex which is thought to have benign appearance and recommendation per radiology is either no follow-up or 1 year follow-up depending on risk factors.  This is discussed with her and she will be following up with her primary care physician to discuss the need for repeat imaging and plan accordingly.   Further treatment and indications for return are reviewed.  Good understanding.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alopecia, Alopecia areata, Arthralgia, Arthritis, Blood test abnormal
Clinical narrative: 5 days following the second dose, I began to notice two bald patches in my hair and a strange rash on my face and hands. I was diagnosed with alopecia areata and eczema, which I did not have prior.. Shortly after that, I started having intense pain and inflammation in my joints, mainly in my fingers, developed more pain and inflammation in my other joints, along with fatigue and muscle aches. I went to my PCP who diagnosed me with Raynaud?s Phenomenon and they are now referring me to a rheumatologist because my blood work indicates that I have lupus, which I also did not have prior.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dermatologic examination abnormal, Eczema, Fatigue, Full blood count, Myalgia
Clinical narrative: 5 days following the second dose, I began to notice two bald patches in my hair and a strange rash on my face and hands. I was diagnosed with alopecia areata and eczema, which I did not have prior.. Shortly after that, I started having intense pain and inflammation in my joints, mainly in my fingers, developed more pain and inflammation in my other joints, along with fatigue and muscle aches. I went to my PCP who diagnosed me with Raynaud?s Phenomenon and they are now referring me to a rheumatologist because my blood work indicates that I have lupus, which I also did not have prior.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Raynaud's phenomenon, Rheumatoid factor, Systemic lupus erythematosus, Systemic lupus erythematosus disease activity index abnormal
Clinical narrative: 5 days following the second dose, I began to notice two bald patches in my hair and a strange rash on my face and hands. I was diagnosed with alopecia areata and eczema, which I did not have prior.. Shortly after that, I started having intense pain and inflammation in my joints, mainly in my fingers, developed more pain and inflammation in my other joints, along with fatigue and muscle aches. I went to my PCP who diagnosed me with Raynaud?s Phenomenon and they are now referring me to a rheumatologist because my blood work indicates that I have lupus, which I also did not have prior.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Thyroid function test
Clinical narrative: 5 days following the second dose, I began to notice two bald patches in my hair and a strange rash on my face and hands. I was diagnosed with alopecia areata and eczema, which I did not have prior.. Shortly after that, I started having intense pain and inflammation in my joints, mainly in my fingers, developed more pain and inflammation in my other joints, along with fatigue and muscle aches. I went to my PCP who diagnosed me with Raynaud?s Phenomenon and they are now referring me to a rheumatologist because my blood work indicates that I have lupus, which I also did not have prior.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Malaise, Pyrexia
Clinical narrative: 11/17/21 Tested (+) 2 days ago at bluewater. Wants to be tested again.  - Started with sx 3 days ago.  - Notes malaise, fever, congestion, mild cough. Temp 102.1 1 hour ago, took ibuprofen, normal now, in office. He has had some mild wheezing.  - Has been vaccinated with pfizer, due now for booster.  - Has friend he plays cards with that has COVID, girlfriend sx but rapid test was negative.  - Denies SOA, chest tightness, chest pain.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Wheezing
Clinical narrative: 11/17/21 Tested (+) 2 days ago at bluewater. Wants to be tested again.  - Started with sx 3 days ago.  - Notes malaise, fever, congestion, mild cough. Temp 102.1 1 hour ago, took ibuprofen, normal now, in office. He has had some mild wheezing.  - Has been vaccinated with pfizer, due now for booster.  - Has friend he plays cards with that has COVID, girlfriend sx but rapid test was negative.  - Denies SOA, chest tightness, chest pain.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Vasovagal syncope episode
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone normal, Condition aggravated, Extra dose administered, Full blood count normal, Hypomenorrhoea
Clinical narrative: Experienced irregular, shortened, and lighter periods beginning 8/4. Pattern occured in Aug, Sept, and Oct. 3rd booster and ovulation experienced nausea. Reported symptoms to doctor. Was diagnosed with subclinical hypothyroidism after 5-8 years of taking no medication from Graves Disease hyperthyroidism once disease went into remission. My numbers have fluctuated toward hypothyroid without medication and stress events also more likely to make me hyperthyroid. For this reason, hypothyroidism feels rare and could possibly be linked to vaccine.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hypothyroidism, Menstruation irregular, Nausea, Stress, Thyroxine free normal
Clinical narrative: Experienced irregular, shortened, and lighter periods beginning 8/4. Pattern occured in Aug, Sept, and Oct. 3rd booster and ovulation experienced nausea. Reported symptoms to doctor. Was diagnosed with subclinical hypothyroidism after 5-8 years of taking no medication from Graves Disease hyperthyroidism once disease went into remission. My numbers have fluctuated toward hypothyroid without medication and stress events also more likely to make me hyperthyroid. For this reason, hypothyroidism feels rare and could possibly be linked to vaccine.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Tri-iodothyronine decreased
Clinical narrative: Experienced irregular, shortened, and lighter periods beginning 8/4. Pattern occured in Aug, Sept, and Oct. 3rd booster and ovulation experienced nausea. Reported symptoms to doctor. Was diagnosed with subclinical hypothyroidism after 5-8 years of taking no medication from Graves Disease hyperthyroidism once disease went into remission. My numbers have fluctuated toward hypothyroid without medication and stress events also more likely to make me hyperthyroid. For this reason, hypothyroidism feels rare and could possibly be linked to vaccine.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: Patient complained of low grade fever, aches, and fatigue.  Symptoms lasted around 48 hours.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Fatigue, Headache
Clinical narrative: WED 11-3-2021, 0700 AM:  Went to work.  Overall weakness, soreness in all major joints, including two longest fingers in both hands.  No fever.  Slight soreness at injection site.   WED 11-3-2021, 11:00 AM:  Headache started  WED 11-3-2021, 12:30 PM:  Took four Pain Zapper brand OTC pills WED 11-3-2021, 02:00 PM: Headache gone, fatigue improved, but joint pain remains.   WED 11-3-2021,  05:00 PM: Fatigue returns, joint pain remains.  Left work early.   WED 11-3-2021, 06:00 PM: Chills and bodily shaking begins.  No fever.  Took 1 gram of Advil.   WED 11-3-2021, 07:00 PM: Chills and bodily shaking improved, slept thru the  night.   THURS 11-4-2021, 07:00 AM:  Still somewhat fatigued, joint pain somewhat improved.  Went to work.   FRI 11-5-2021, 07:00 AM:  Most fatigue and joint pain gone.  Went to work.   SAT 11-6-2021, 08:00 AM:  Adverse events gone.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Tremor
Clinical narrative: WED 11-3-2021, 0700 AM:  Went to work.  Overall weakness, soreness in all major joints, including two longest fingers in both hands.  No fever.  Slight soreness at injection site.   WED 11-3-2021, 11:00 AM:  Headache started  WED 11-3-2021, 12:30 PM:  Took four Pain Zapper brand OTC pills WED 11-3-2021, 02:00 PM: Headache gone, fatigue improved, but joint pain remains.   WED 11-3-2021,  05:00 PM: Fatigue returns, joint pain remains.  Left work early.   WED 11-3-2021, 06:00 PM: Chills and bodily shaking begins.  No fever.  Took 1 gram of Advil.   WED 11-3-2021, 07:00 PM: Chills and bodily shaking improved, slept thru the  night.   THURS 11-4-2021, 07:00 AM:  Still somewhat fatigued, joint pain somewhat improved.  Went to work.   FRI 11-5-2021, 07:00 AM:  Most fatigue and joint pain gone.  Went to work.   SAT 11-6-2021, 08:00 AM:  Adverse events gone.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: None just given to months early
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Developed shingles around eye
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure decreased, Dizziness
Clinical narrative: 10mins post vaccination, pt reports "I feel my blood pressure go down".  Pt also reports dizziness. Vitals: 19:40 138/81, 88, 18, 100%-- > 19:45 129/89, 84, 18, 100%. An ammonia inhalation was used and the pt was provided water and juice.  Pt recovered quickly indicating that he was feeling better/asymptomatic.  Pt stable and released from the vaccination site.  Pt walked out of vax site, refused wheelchair.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Headache, Pain, Pain in extremity
Clinical narrative: Pain in left arm, and headache. Pain in back on 11/13/21 and then 11/14, dull and sharp pain shooting from left hip to left knee and back to hip.  Pulsing and constant regardless of position.  Morning of 11/15, Monday, continuing and for the entire day.  With activity, more intense pain.  Pain still in the LEFT. She started texting me to let me know the pain was intense.  Notified clinic via email about the adverse reaction.  Spoke with Nurse about the situation on 11/15 but no clinic visit.  Pain subsided on the 16th and 17th of November it was gone.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abnormal behaviour, Computerised tomogram, Confusional state, Interchange of vaccine products, Laboratory test
Clinical narrative: pt started having confusion 2 days after 1st dose Moderna ,  by June pt started having seizures (status epilepticus) He has had full neuro workups and the doctors cannot determine why he is now having seizures. Pt had his 3rd shot (booster) Pfizer yesterday and is back in the ED with another sz and confusion.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Memory impairment, Seizure, Status epilepticus
Clinical narrative: pt started having confusion 2 days after 1st dose Moderna ,  by June pt started having seizures (status epilepticus) He has had full neuro workups and the doctors cannot determine why he is now having seizures. Pt had his 3rd shot (booster) Pfizer yesterday and is back in the ED with another sz and confusion.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: Syncope
Age: 2.0
Sex: M
Vaccine: HEPA
Symptoms: Regressive behaviour
Clinical narrative: Child regressed in language skills and other skills. no language or words spoken after few hours of vaccine.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Asthenia, Headache, Hypersomnia, Influenza like illness
Clinical narrative: Headache, fever,  weakness, flu like symptoms so severe that I did not eat for 30 hours and slept the entire time.  Heart pain for a couple hours 24 hours after the shot.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Headache, fever,  weakness, flu like symptoms so severe that I did not eat for 30 hours and slept the entire time.  Heart pain for a couple hours 24 hours after the shot.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium increased, Blood test normal, Pollakiuria, Thirst, Ultrasound kidney normal
Clinical narrative: The morning of the 25th, I was peeing more. I was very thirsty. On Tuesday, I called the doctor. On Thursday, I went to the doctor. They did a blood work, normal result. They did a urine sample, that showed high osmolality and increased output. They did a kidney ultrasound, normal result. They order another urine sample; the osmolality had come down.  I was referred to a specialist. They did another 24-hour urine sample, that has a high sodium level. They had not diagnosis me with anything. Somedays the symptoms are okay and others day they are not fine.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Urine osmolarity increased
Clinical narrative: The morning of the 25th, I was peeing more. I was very thirsty. On Tuesday, I called the doctor. On Thursday, I went to the doctor. They did a blood work, normal result. They did a urine sample, that showed high osmolality and increased output. They did a kidney ultrasound, normal result. They order another urine sample; the osmolality had come down.  I was referred to a specialist. They did another 24-hour urine sample, that has a high sodium level. They had not diagnosis me with anything. Somedays the symptoms are okay and others day they are not fine.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: intern checked patient in for vaccine and did not realize it was 3 weeks since last dose not the 4 weeks it should be. nurse did not catch early vaccine AND VACCINE WAS ADMINISTERED
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received Moderna but not 18 years of age at time of vaccine
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Borrelia test, Chest X-ray normal, Chills, Cough
Clinical narrative: I had a cough, headache, fever of 100.5, joint pain, muscle pain in particularly my neck, chills, nausea, and fatigue. The fever lasted 1 day. I had a sore arm too. The chills, muscles aches, and joint pains lasted about 2 weeks. The fatigue and nausea are still ongoing. I have lost 5-10 pounds in the last few weeks because I have been having difficulty eating anything. In the last couple of days, I have had a metallic taste when drinking or eating. Now nothing tastes right anymore. I can taste the metallic taste more so when drinking water. I have been to the doctor, but I haven't been diagnosed with anything yet.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Fatigue, Feeding disorder, Headache, Hepatic enzyme increased
Clinical narrative: I had a cough, headache, fever of 100.5, joint pain, muscle pain in particularly my neck, chills, nausea, and fatigue. The fever lasted 1 day. I had a sore arm too. The chills, muscles aches, and joint pains lasted about 2 weeks. The fatigue and nausea are still ongoing. I have lost 5-10 pounds in the last few weeks because I have been having difficulty eating anything. In the last couple of days, I have had a metallic taste when drinking or eating. Now nothing tastes right anymore. I can taste the metallic taste more so when drinking water. I have been to the doctor, but I haven't been diagnosed with anything yet.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pain in extremity, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: I had a cough, headache, fever of 100.5, joint pain, muscle pain in particularly my neck, chills, nausea, and fatigue. The fever lasted 1 day. I had a sore arm too. The chills, muscles aches, and joint pains lasted about 2 weeks. The fatigue and nausea are still ongoing. I have lost 5-10 pounds in the last few weeks because I have been having difficulty eating anything. In the last couple of days, I have had a metallic taste when drinking or eating. Now nothing tastes right anymore. I can taste the metallic taste more so when drinking water. I have been to the doctor, but I haven't been diagnosed with anything yet.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound abdomen, Weight decreased
Clinical narrative: I had a cough, headache, fever of 100.5, joint pain, muscle pain in particularly my neck, chills, nausea, and fatigue. The fever lasted 1 day. I had a sore arm too. The chills, muscles aches, and joint pains lasted about 2 weeks. The fatigue and nausea are still ongoing. I have lost 5-10 pounds in the last few weeks because I have been having difficulty eating anything. In the last couple of days, I have had a metallic taste when drinking or eating. Now nothing tastes right anymore. I can taste the metallic taste more so when drinking water. I have been to the doctor, but I haven't been diagnosed with anything yet.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: 15 YEARS OLD MALE PATIENT RECEIVED 0.2 ML OF KIDS PFIZER AGE 5 TO <12 Y
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Basedow's disease, Blood thyroid stimulating hormone decreased, Goitre, Thyroid stimulating immunoglobulin, Thyroxine free increased
Clinical narrative: Three weeks later diagnosed with Graves disease. Underwork up for IBD as well.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound thyroid abnormal
Clinical narrative: Three weeks later diagnosed with Graves disease. Underwork up for IBD as well.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting projectile
Clinical narrative: Got 3 dose of the Pfizer vaccine. With each vaccine, had violet episodes of projectile vomiting of bile (bout a pint each). Without warning. No nausea.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Conjunctival haemorrhage
Clinical narrative: subconjunctival hemorrhage started later that day and worsened the next morning
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone increased, Full blood count normal, Hypomenorrhoea, Hypothyroidism, Nausea
Clinical narrative: Experienced irregular, shortened, and lighter periods beginning 8/4. Pattern occured in Aug, Sept, and Oct. 3rd booster and ovulation experienced nausea. Reported symptoms to doctor. Was diagnosed with subclinical hypothyroidism after 5-8 years of taking no medication from Graves Disease hyperthyroidism once disease went into remission. My numbers have fluctuated toward hypothyroid without medication and stress events also more likely to make me hyperthyroid. For this reason, hypothyroidism feels rare and could possibly be linked to vaccine.  Note: Flu vaccine taken below on 7/12 is listed, but I have no idea which type and brand administered despite needing to choose an answer.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroxine free decreased, Tri-iodothyronine
Clinical narrative: Experienced irregular, shortened, and lighter periods beginning 8/4. Pattern occured in Aug, Sept, and Oct. 3rd booster and ovulation experienced nausea. Reported symptoms to doctor. Was diagnosed with subclinical hypothyroidism after 5-8 years of taking no medication from Graves Disease hyperthyroidism once disease went into remission. My numbers have fluctuated toward hypothyroid without medication and stress events also more likely to make me hyperthyroid. For this reason, hypothyroidism feels rare and could possibly be linked to vaccine.  Note: Flu vaccine taken below on 7/12 is listed, but I have no idea which type and brand administered despite needing to choose an answer.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Extra dose administered, No adverse event
Clinical narrative: Vaccine booster administered on 11/12/2021, expiration date was 11/7/202.  Mistook expiration date to be 11/17/2021.  No adverse event or outcome to recipient.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Electrocardiogram, Hypopnoea, Muscle contracture, Palpitations
Clinical narrative: within 30 minutes of injection, felt twinge in left chest, shallow breathing and racing heart.  This twinge became a tightness in my left chest and radiating under my right armpit by next day.  It felt like a tight muscle contraction.  This tightness came and went for 5 days.  I sought medical treatment on the 5th day. This was the last day of reaction.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Echocardiogram, Electrocardiogram, Electrocardiogram ambulatory
Clinical narrative: Chest pain starting on second day after vaccination that progressively worsened over a week. Blood test, ekg, and future echo cardiogram is scheduled. Currently being prescribed  ibuprofen 400mg every 8 hours and colchicine once a day