chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Lethargy, Menstruation irregular, Nasal congestion, Nasopharyngitis
Clinical narrative: Severe headache for two days. Extreme chills, nausea, cold sweats, fatigue for three days. On the third day previous symptoms went away and I got an extreme head cold, congestion, tiredness, lethargic. My varicose veins have been midly painful but it might be from laying all day for a week. On day five I started my menstrual cycle two weeks early, it was completely black and clumpy (not normal). It is now day 10 and I still have a slight cold, very tired, and am still on my period.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vaginal haemorrhage, Vascular pain
Clinical narrative: Severe headache for two days. Extreme chills, nausea, cold sweats, fatigue for three days. On the third day previous symptoms went away and I got an extreme head cold, congestion, tiredness, lethargic. My varicose veins have been midly painful but it might be from laying all day for a week. On day five I started my menstrual cycle two weeks early, it was completely black and clumpy (not normal). It is now day 10 and I still have a slight cold, very tired, and am still on my period.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram cerebral abnormal, Cerebral haemorrhage, Cerebral venous thrombosis, Computerised tomogram, Intensive care
Clinical narrative: Cortical sinus thrombosis with intracerebral hemorrhage, seizures. Admitted to ICU.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Dyspnoea, Electrocardiogram, Pain in extremity, Pulmonary embolism
Clinical narrative: Pain started on the upper thigh in left leg, caused staying in bed for three days. Tried to stretch out the legs, but had pain every time. ON 4/11/21 had difficulty breathing, so called 911 and was taken to the ER. Diagnosed with pulmonary embolism/
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Employee tested positive for Covid-19 on 4/20/21 after being vaccinated with the Pfizer 2-dose Covid-19 vaccine. She received the second dose of her series on 01/08/2021.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Periarthritis, Shoulder injury related to vaccine administration
Clinical narrative: Patient arrived for second dose of COVID vaccine and told me he had a "frozen shoulder" off and on starting 3 days post vaccine. He had reached out to doctor and had a video visit where they believed he may have (SIRVA) and will make a follow up live visit shortly.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Headache, Nausea
Clinical narrative: Temp 101.F headache for 2 days achy joints nausea
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: The following morning after the injection I woke up with blurry vision. I could see but everything was like if I was not wearing my glasses or contacts when I was. I checked to make sure if it was my contacts but my vision was still blurry with my glasses. I had planned to seek medical help if it was still blurry by the following morning but my vision had returned to normal by evening time (did not note the exact time but around 7).
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received first COVID-19 Moderna vaccine on 1/30/21 at Hospital. Three weeks later he received a COVID-19 Pfizer vaccine at another Hospital. Today (4/16/21) patient presented to receive his second  COVID-19 Moderna vaccine. Per CDC recommendation, no additional doses are recommended. This was explained to the patient and he was sent home.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chest pain, Fatigue, Feeling hot, Headache
Clinical narrative: Got my second Pfizer shot on 4/10/21 at 1PM, went to bed that evening started to feel hot. Woke up at 4:30AM next morning in extreme pain in my head, chest, and stomach. Went to bathroom because I felt I needed to throw up. Called for my partner to be with me, at which point I blacked out. My partner states I was sitting in front of the toilet, my body went stiff, muscled all tensed up. He says I sat with my eyes open but was completely unresponsive for almost a full minute, at which point I threw up which brought me out of it.  After I threw up I felt great relief, and was just exhausted and sore afterward.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Musculoskeletal stiffness, Nausea, Pain
Clinical narrative: Got my second Pfizer shot on 4/10/21 at 1PM, went to bed that evening started to feel hot. Woke up at 4:30AM next morning in extreme pain in my head, chest, and stomach. Went to bathroom because I felt I needed to throw up. Called for my partner to be with me, at which point I blacked out. My partner states I was sitting in front of the toilet, my body went stiff, muscled all tensed up. He says I sat with my eyes open but was completely unresponsive for almost a full minute, at which point I threw up which brought me out of it.  After I threw up I felt great relief, and was just exhausted and sore afterward.
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness
Clinical narrative: pt reported lightheadedness and dizziness after receiving 1st dose of pfizer vaccine. pt helped to floor and reported feeling better, pt placed in Trendelenburg position on litter, VSS, pt rested and was released with no further symptoms after 30 minutes
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness
Clinical narrative: Pt reports lightheadedness, dizziness. Pt helped to floor and reported feeling better. Pt transferred to Med. Obs. 1and placed in Trendelenburg on litter. Pt given water and allowed to rest. Vital signs as follows:  Laying Down: 12:44 pm: BP-121/80, HR- 90, SPO2- 96% 12:50 pm: BP-121/79, HR-87, SPO2- 96% 12:57 pm: BP-114/77, HR-80, SPO2- 96%  Sitting: 1:07 pm: BP- 121/85
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient wrote year of birth as 2005, patient stated he was 16, and parents stated he was 16. We found he was 15 only after submitting vaccine information to the state.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Influenza like illness, Nausea, Pain in extremity
Clinical narrative: Severe fatigue. Arm soreness. Light nausea. Flu-like symptoms
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Joint range of motion decreased, Pain in extremity, Tenderness
Clinical narrative: Soreness and tenderness around lymph nodes at underarm and side of breast. Difficulty to move left arm and pain when lifting.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Shortness of breath
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac ventricular thrombosis, Intensive care
Clinical narrative: Left Ventricle thrombus-current ICU admission
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: I AM HAVING FROM THE DATE OF 4/16 AND THE FIRST EPISODE OF VERTIGO CONTINUAL VERTIGO 24 HOURS ADAY
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Blood electrolytes, Computerised tomogram abdomen, Enema administration, Herpes zoster, Intestinal pseudo-obstruction
Clinical narrative: Herpes zoster L1 distribution  with  both sensory and motor findings. Abdominal pseudohernia and Ogilvie's Syndrome
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Pseudohernia
Clinical narrative: Herpes zoster L1 distribution  with  both sensory and motor findings. Abdominal pseudohernia and Ogilvie's Syndrome
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pruritus, Vital signs measurement
Clinical narrative: 10mins into his observation Client reported  feeling itchiness on collarbone  and numbness on his right side arm where he had received his vaccine. Client then proceeded to taking his own allergy med that he carries in his bag. Claritin 1 tab 10-15mg. Vitals signs at 3:15pm BP 109/60 HR 60 Respirations 18. He states he is allergic to sulfa, cucumber, avocado, banana which causes him to have an anaphylaxis response. Pt stated he hadn't had anything to eat and a granola bar was provided for him, as well as water. Vital signs BP 130/70 HR 70 RR 18, 3:27pm BP 125/75 HR 71 RR 18.  After third set of vitals were taken client reported feeling much better. 3:34pm BP 130/70 HR 70 RR 18 02 97%. Client reported itchiness had gone away. Client was in no respiratory distress and denied having any closing of throat. Client was informed to follow up with his Primary care provider, and emergency precautions were given. He left site in no apparent distress.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Erythema, Eye swelling, Periorbital swelling, Pruritus
Clinical narrative: ENTIRE FACE ON FIRE, RED RASH , FACE SWOLLEN, EYE EYELIDS FULL OF FLUID RED , UNDEREYE BAGS FILLED WITH FLUID AND RED   AND ITCHY, CHEST RED AND ITCHY
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Swelling face
Clinical narrative: ENTIRE FACE ON FIRE, RED RASH , FACE SWOLLEN, EYE EYELIDS FULL OF FLUID RED , UNDEREYE BAGS FILLED WITH FLUID AND RED   AND ITCHY, CHEST RED AND ITCHY
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site scab, Injection site swelling
Clinical narrative: there was a red dot at the vaccination site, it then turned into a scab that is still there.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Fatigue, Neck pain, Pain
Clinical narrative: fatigue and sudden throbbing pain radiating from left side of neck to shoulder, down to arm and back area that progressed to opposite side of vaccination site.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: fatigue and sudden throbbing pain radiating from left side of neck to shoulder, down to arm and back area that progressed to opposite side of vaccination site.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered at inappropriate site, Radiculitis brachial
Clinical narrative: VACCINE WAS GIVEN TOO HIGH ON DELTOID, CAUSING BRACHIAL PAIN
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein normal, Dizziness, Full blood count normal, Headache, Magnetic resonance imaging
Clinical narrative: Patient stated headache started day after she received 2nd Moderna injection and has been reoccurring everyday since with increasing intensity.  C/o nausea, photophobia, dizziness if moving too fast.  MRI ordered, WNL referred to Neuro.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Photophobia, Red blood cell sedimentation rate normal
Clinical narrative: Patient stated headache started day after she received 2nd Moderna injection and has been reoccurring everyday since with increasing intensity.  C/o nausea, photophobia, dizziness if moving too fast.  MRI ordered, WNL referred to Neuro.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Hypoaesthesia, Limb discomfort, Neuropathy peripheral, Sensitive skin
Clinical narrative: Perceived numbness at beginning on left leg and now occasional and neuropathy type pain in feet. Heaviness in legs. Sensitivity to hot and cold in feet.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis
Clinical narrative: Perceived numbness at beginning on left leg and now occasional and neuropathy type pain in feet. Heaviness in legs. Sensitivity to hot and cold in feet.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chest pain, Chills, Disturbance in attention, Electrocardiogram
Clinical narrative: fatigue, chills, body aches, brain fog, difficulty concentrating, chest pains, earlier menstruation, pain at injection site into arm, back and chest. Sought treatment due to chest pains.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Injection site pain, Menstruation irregular, Pain
Clinical narrative: fatigue, chills, body aches, brain fog, difficulty concentrating, chest pains, earlier menstruation, pain at injection site into arm, back and chest. Sought treatment due to chest pains.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Injection site pain, Pain
Clinical narrative: Note: the injection was given near the top of my shoulder. At the time of the injection, I felt a strange nerve pain that I hadn't felt before with a vaccine or an injection.  About 2hrs post vaccine, my arm had a rubbery/dull pain sensation. About 4hrs post vaccine, my shoulder felt very weak and there was significant pain. The pain and weakness increased by the next day. Day 1-4 post vaccine, 8-9 out of 10 pain when moving or attempting to move my arm.  It's been 2 wks post vaccine, and my shoulder, although less weak, still hurts (~3-6 out of 10 depending on time of day and activity) and is still weak (perhaps 50-70% of normal).
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in jaw, Sialoadenitis, Swelling face
Clinical narrative: I started having jaw pain during the day. By evening, while I was eating it got so bad and my jar started to swell severely each time I chewed. Was pushing on my neck and made my head feel like it was going to pop. Went to urgent care and was prescribed antibiotics. Followed up with ENT. Unsure of cause and has never happened before. Was told it is a blocked salivary gland aka sialadenitis. I have never experienced this before and am convinced there is a correlation with the second dose of the vaccine.  CT scan will be scheduled to rule out a stone.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Nausea, Pain, Pain in extremity
Clinical narrative: First only sore arm, then head and body aches, slight nausea and lightheadedness
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Lymphadenopathy
Clinical narrative: Extreme joint pain, back, legs, neck... Headaches Very large swollen lymph nodes under are where shot was given.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoacusis, Middle ear effusion, Paraesthesia, Tinnitus
Clinical narrative: Problems with hearing, ears filled with fluid morning after shot and continued after that.  Took antihistamines to help.  Some tingling or buzzing sounds in ears.  Hearing seems diminished.
Age: 25.0
Sex: U
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Nausea
Clinical narrative: Nausea, vomiting, diarrhea, extreme chills with teeth chattering, fever at 101 degree Fahrenheit, fatigue, headache
Age: 25.0
Sex: U
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Nausea, vomiting, diarrhea, extreme chills with teeth chattering, fever at 101 degree Fahrenheit, fatigue, headache
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dry mouth, Feeling cold, Taste disorder
Clinical narrative: Patient complained about coldness to her upper body and behind her neck as well as a funny taste in her mouth. She was released about 45 minutes later after she reported feeling much better but did have a dry mouth and funny taste still.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Site is very sore, red, warm to touch, and swollen to size of baseball.  Also itches. Headache and fever of 100.  Hurts to move or lift left arm.
Age: 49.0
Sex: F
Vaccine: TD
Symptoms: Injection site warmth, Pain, Pyrexia
Clinical narrative: Site is very sore, red, warm to touch, and swollen to size of baseball.  Also itches. Headache and fever of 100.  Hurts to move or lift left arm.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: Fever, arm soreness, headache, body aches
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: Bloody nose
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Full body itch began about forty minutes after vaccination, spread from head to toe (including eyeballs, lips, and tongue), subsided two later after anti-histamines
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Exposure during pregnancy
Clinical narrative: I had severe pain in my abdomen on right hand side. I wasn't sure if it was muscle or indigestion. It went away just over 24 hours. I took  acetaminophen for it.  Call center  was contacted - advice line. This is my fourth pregnancy. Have not yet successfully given birth.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Lymphadenopathy
Clinical narrative: Severe joint pain-elbows, shoulders, knees, hips, and wrist.  24 hours  Swollen lymph nodes in neck and left armpit-over 48 hours--still persisting 2 days later
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Fibrin D dimer, Peripheral swelling
Clinical narrative: Got vaccine 4/10/2021 4 days later started having left lower extremity swelling, on 4/22/2021 was diagnosed with DVT
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain, Pain in extremity
Clinical narrative: Patient presented to the emergency department with chief complaint of all over body pains with worse pain in her left arm and posterior head and swollen lymph nodes on the left clavicular area and armpit.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Loss of consciousness, Pallor
Clinical narrative: Pt in observation,  resting in chair with husband.  Pt had 1-2 minute LOC while sitting in chair and responded with touch and talk.  W/C to med eval. station and placed in supine position on cot.  VS 106/67 75P 18R.  Pale and diaphoretic.  Husband present with medical Hx. Fluids offered and ortho static BP done, stable with Gatorade and 16oz water.  VS  130/86 60P 20  100% sat, sitting & 136/93 70P 18R 100%sat  standing and discharged ambulatory with husband at 1215.  Educate pt for return visit for 2nd dose to be placed in med eval cot and recovery, verbalized understanding RS, NP.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Pain in extremity, Swelling
Clinical narrative: Swollen, red, hot to the touch, and aching down to fingers
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Injection site pain, Pain, Pyrexia
Clinical narrative: Arm pain at injection site, slight fever of 100.4, body pain, chills, loss of energy.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram abnormal, Nausea, Paraesthesia oral, Tachycardia
Clinical narrative: tachycardia, tingling tongue, abnormal ECG, nausea
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase normal, Blood potassium decreased, Blood thyroid stimulating hormone normal, Body temperature increased
Clinical narrative: tachycardia, tingling tongue, abnormal ECG, nausea
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray normal, Computerised tomogram abdomen abnormal, Dizziness, Electrocardiogram QT prolonged, Electrocardiogram T wave normal
Clinical narrative: tachycardia, tingling tongue, abnormal ECG, nausea
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram normal, Haemoglobin normal, Human chorionic gonadotropin negative, Hypokalaemia, Palpitations
Clinical narrative: tachycardia, tingling tongue, abnormal ECG, nausea
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Platelet count normal, Tachycardia, Troponin normal, Ultrasound pelvis normal, Urine analysis normal
Clinical narrative: tachycardia, tingling tongue, abnormal ECG, nausea
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: White blood cell count normal
Clinical narrative: tachycardia, tingling tongue, abnormal ECG, nausea
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram abnormal, Nausea, Paraesthesia oral, Tachycardia
Clinical narrative: Pt. is a 27-year-old female who presents to the emergency department for evaluation of palpitations.  Patient states that she got the 1st dose of her COVID-19 vaccine (Moderna) yesterday.  Shortly after her vaccination, she began to experience palpitations.  She associates her symptoms with intermittent lightheadedness.  Lightheadedness worsens with movement.  She also states that she is getting over a recent bout of gastroenteritis and has not been eating and drinking much at home.  Given her persistent palpitations, she went to a local urgent care where she was found to be tachycardic in the 160s.  She is concerned that she may be having a reaction to the vaccine.   Denies fever, chills, nausea, vomiting, diarrhea, chest pain, shortness of breath, headache, neck pain, sore throat, abdominal pain, dysuria, hematuria, polyuria, dizziness or weakness. The patient has no other symptom complaints at this time.  Timeline: 1049 Initiated care, patient seen and evaluated at bedside by me. Discussed treatment and evaluation options with patient who verbalized understanding.   1318 Diagnostic labs were notable for mild hypokalemia to 3.3.  Diagnostic imaging revealed ?suggestion of fluid-filled structure in the region of the right adnexa? concerning for hydrosalpinx versus nondistended small-bowel.  Will obtain pelvic ultrasound as recommended by radiology.   1530 Pelvic ultrasound grossly unremarkable.  Re-evaluated the patient and her heart rate continued to fluctuate between the 120s to 150s.  Will place consult for hospitalist for admission for unexplained tachycardia.   1600 Discussed patient's case with hospitalist, who accepts patient for observation on telemetry.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase normal, Blood potassium decreased, Blood thyroid stimulating hormone normal, Body temperature increased
Clinical narrative: Pt. is a 27-year-old female who presents to the emergency department for evaluation of palpitations.  Patient states that she got the 1st dose of her COVID-19 vaccine (Moderna) yesterday.  Shortly after her vaccination, she began to experience palpitations.  She associates her symptoms with intermittent lightheadedness.  Lightheadedness worsens with movement.  She also states that she is getting over a recent bout of gastroenteritis and has not been eating and drinking much at home.  Given her persistent palpitations, she went to a local urgent care where she was found to be tachycardic in the 160s.  She is concerned that she may be having a reaction to the vaccine.   Denies fever, chills, nausea, vomiting, diarrhea, chest pain, shortness of breath, headache, neck pain, sore throat, abdominal pain, dysuria, hematuria, polyuria, dizziness or weakness. The patient has no other symptom complaints at this time.  Timeline: 1049 Initiated care, patient seen and evaluated at bedside by me. Discussed treatment and evaluation options with patient who verbalized understanding.   1318 Diagnostic labs were notable for mild hypokalemia to 3.3.  Diagnostic imaging revealed ?suggestion of fluid-filled structure in the region of the right adnexa? concerning for hydrosalpinx versus nondistended small-bowel.  Will obtain pelvic ultrasound as recommended by radiology.   1530 Pelvic ultrasound grossly unremarkable.  Re-evaluated the patient and her heart rate continued to fluctuate between the 120s to 150s.  Will place consult for hospitalist for admission for unexplained tachycardia.   1600 Discussed patient's case with hospitalist, who accepts patient for observation on telemetry.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray normal, Computerised tomogram abdomen abnormal, Dizziness, Electrocardiogram QT prolonged, Electrocardiogram T wave normal
Clinical narrative: Pt. is a 27-year-old female who presents to the emergency department for evaluation of palpitations.  Patient states that she got the 1st dose of her COVID-19 vaccine (Moderna) yesterday.  Shortly after her vaccination, she began to experience palpitations.  She associates her symptoms with intermittent lightheadedness.  Lightheadedness worsens with movement.  She also states that she is getting over a recent bout of gastroenteritis and has not been eating and drinking much at home.  Given her persistent palpitations, she went to a local urgent care where she was found to be tachycardic in the 160s.  She is concerned that she may be having a reaction to the vaccine.   Denies fever, chills, nausea, vomiting, diarrhea, chest pain, shortness of breath, headache, neck pain, sore throat, abdominal pain, dysuria, hematuria, polyuria, dizziness or weakness. The patient has no other symptom complaints at this time.  Timeline: 1049 Initiated care, patient seen and evaluated at bedside by me. Discussed treatment and evaluation options with patient who verbalized understanding.   1318 Diagnostic labs were notable for mild hypokalemia to 3.3.  Diagnostic imaging revealed ?suggestion of fluid-filled structure in the region of the right adnexa? concerning for hydrosalpinx versus nondistended small-bowel.  Will obtain pelvic ultrasound as recommended by radiology.   1530 Pelvic ultrasound grossly unremarkable.  Re-evaluated the patient and her heart rate continued to fluctuate between the 120s to 150s.  Will place consult for hospitalist for admission for unexplained tachycardia.   1600 Discussed patient's case with hospitalist, who accepts patient for observation on telemetry.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram normal, Haemoglobin normal, Human chorionic gonadotropin negative, Hypokalaemia, Palpitations
Clinical narrative: Pt. is a 27-year-old female who presents to the emergency department for evaluation of palpitations.  Patient states that she got the 1st dose of her COVID-19 vaccine (Moderna) yesterday.  Shortly after her vaccination, she began to experience palpitations.  She associates her symptoms with intermittent lightheadedness.  Lightheadedness worsens with movement.  She also states that she is getting over a recent bout of gastroenteritis and has not been eating and drinking much at home.  Given her persistent palpitations, she went to a local urgent care where she was found to be tachycardic in the 160s.  She is concerned that she may be having a reaction to the vaccine.   Denies fever, chills, nausea, vomiting, diarrhea, chest pain, shortness of breath, headache, neck pain, sore throat, abdominal pain, dysuria, hematuria, polyuria, dizziness or weakness. The patient has no other symptom complaints at this time.  Timeline: 1049 Initiated care, patient seen and evaluated at bedside by me. Discussed treatment and evaluation options with patient who verbalized understanding.   1318 Diagnostic labs were notable for mild hypokalemia to 3.3.  Diagnostic imaging revealed ?suggestion of fluid-filled structure in the region of the right adnexa? concerning for hydrosalpinx versus nondistended small-bowel.  Will obtain pelvic ultrasound as recommended by radiology.   1530 Pelvic ultrasound grossly unremarkable.  Re-evaluated the patient and her heart rate continued to fluctuate between the 120s to 150s.  Will place consult for hospitalist for admission for unexplained tachycardia.   1600 Discussed patient's case with hospitalist, who accepts patient for observation on telemetry.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Platelet count normal, Tachycardia, Troponin normal, Ultrasound pelvis normal, Urine analysis normal
Clinical narrative: Pt. is a 27-year-old female who presents to the emergency department for evaluation of palpitations.  Patient states that she got the 1st dose of her COVID-19 vaccine (Moderna) yesterday.  Shortly after her vaccination, she began to experience palpitations.  She associates her symptoms with intermittent lightheadedness.  Lightheadedness worsens with movement.  She also states that she is getting over a recent bout of gastroenteritis and has not been eating and drinking much at home.  Given her persistent palpitations, she went to a local urgent care where she was found to be tachycardic in the 160s.  She is concerned that she may be having a reaction to the vaccine.   Denies fever, chills, nausea, vomiting, diarrhea, chest pain, shortness of breath, headache, neck pain, sore throat, abdominal pain, dysuria, hematuria, polyuria, dizziness or weakness. The patient has no other symptom complaints at this time.  Timeline: 1049 Initiated care, patient seen and evaluated at bedside by me. Discussed treatment and evaluation options with patient who verbalized understanding.   1318 Diagnostic labs were notable for mild hypokalemia to 3.3.  Diagnostic imaging revealed ?suggestion of fluid-filled structure in the region of the right adnexa? concerning for hydrosalpinx versus nondistended small-bowel.  Will obtain pelvic ultrasound as recommended by radiology.   1530 Pelvic ultrasound grossly unremarkable.  Re-evaluated the patient and her heart rate continued to fluctuate between the 120s to 150s.  Will place consult for hospitalist for admission for unexplained tachycardia.   1600 Discussed patient's case with hospitalist, who accepts patient for observation on telemetry.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: White blood cell count normal
Clinical narrative: Pt. is a 27-year-old female who presents to the emergency department for evaluation of palpitations.  Patient states that she got the 1st dose of her COVID-19 vaccine (Moderna) yesterday.  Shortly after her vaccination, she began to experience palpitations.  She associates her symptoms with intermittent lightheadedness.  Lightheadedness worsens with movement.  She also states that she is getting over a recent bout of gastroenteritis and has not been eating and drinking much at home.  Given her persistent palpitations, she went to a local urgent care where she was found to be tachycardic in the 160s.  She is concerned that she may be having a reaction to the vaccine.   Denies fever, chills, nausea, vomiting, diarrhea, chest pain, shortness of breath, headache, neck pain, sore throat, abdominal pain, dysuria, hematuria, polyuria, dizziness or weakness. The patient has no other symptom complaints at this time.  Timeline: 1049 Initiated care, patient seen and evaluated at bedside by me. Discussed treatment and evaluation options with patient who verbalized understanding.   1318 Diagnostic labs were notable for mild hypokalemia to 3.3.  Diagnostic imaging revealed ?suggestion of fluid-filled structure in the region of the right adnexa? concerning for hydrosalpinx versus nondistended small-bowel.  Will obtain pelvic ultrasound as recommended by radiology.   1530 Pelvic ultrasound grossly unremarkable.  Re-evaluated the patient and her heart rate continued to fluctuate between the 120s to 150s.  Will place consult for hospitalist for admission for unexplained tachycardia.   1600 Discussed patient's case with hospitalist, who accepts patient for observation on telemetry.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Decreased appetite, Fatigue, Headache, Nausea
Clinical narrative: temp 101.8 F nausea loss of appetite fatigue headache
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Contusion, Dizziness, Myalgia
Clinical narrative: Day of shot (4/9), experienced a potential vasovagal reaction and bleeding in the arm. 10 days after shot, on 4/19,  began to feel very weak and faint, and movement became effortful, along with chills and muscle aches and soreness. This continued into 4/20. Vitals were checked and found to be normal, and by 4/21 symptoms mostly subsided, except for remaining occasional chills and muscle-aches.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to the ED and was subsequently admitted within 6 weeks of receiving COVID vaccination.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Delusion, Dizziness, Gait disturbance
Clinical narrative: He got the vaccine, he had no issues at all.  Then on Friday evening 4/16/21 around 6:00 PM he started having no appetite, he's having delusions/awareness of what's going on, headaches, light headedness.  He still having soreness of the arm.  He is having difficulty walking due to the dizziness.  He is also having some coughing and congestion issues.  He has a history of alcoholism and smoking.   Has not taken anything for these symptoms, no insurance and trying to deal with it on his own to see if it would go away.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Nasal congestion, Pain in extremity
Clinical narrative: He got the vaccine, he had no issues at all.  Then on Friday evening 4/16/21 around 6:00 PM he started having no appetite, he's having delusions/awareness of what's going on, headaches, light headedness.  He still having soreness of the arm.  He is having difficulty walking due to the dizziness.  He is also having some coughing and congestion issues.  He has a history of alcoholism and smoking.   Has not taken anything for these symptoms, no insurance and trying to deal with it on his own to see if it would go away.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pallor, Throat tightness
Clinical narrative: Became SOB, gasping respirations, reported feeling like throat was tight when asked. Epi given. Pulse thready. B/P 92/40. Pale, diaphoretic. 911 called. Symptoms improved briefly after first dose of Epi. Then patients respirations became labored and patient began holding neck. Shook head yes when asked if throat was getting tight again. 2nd dose of Epi given. Transported to ED via EMS. Patient observed for over 2 hours. Reported feeling okay. V/s stable. Discharged home.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: ED/hosp within 6 weeks of COVID vaccine
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Arrhythmia, Blood test, Breast pain, Chills
Clinical narrative: Brain fog, dizziness, headaches, pain and numbness to left side of head, chills, body aches, trouble breathing, heart arrhythmia, anxiety, left breast pain, upper left arm pain, confusion, trouble concentrating and focusing eyes.  All these symptoms began 5-10min after shot was administered and have continued for 2 weeks off and on.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Confusional state, Disturbance in attention, Dizziness, Dyspnoea
Clinical narrative: Brain fog, dizziness, headaches, pain and numbness to left side of head, chills, body aches, trouble breathing, heart arrhythmia, anxiety, left breast pain, upper left arm pain, confusion, trouble concentrating and focusing eyes.  All these symptoms began 5-10min after shot was administered and have continued for 2 weeks off and on.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Hypoaesthesia, Pain, Pain in extremity
Clinical narrative: Brain fog, dizziness, headaches, pain and numbness to left side of head, chills, body aches, trouble breathing, heart arrhythmia, anxiety, left breast pain, upper left arm pain, confusion, trouble concentrating and focusing eyes.  All these symptoms began 5-10min after shot was administered and have continued for 2 weeks off and on.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Brain fog, dizziness, headaches, pain and numbness to left side of head, chills, body aches, trouble breathing, heart arrhythmia, anxiety, left breast pain, upper left arm pain, confusion, trouble concentrating and focusing eyes.  All these symptoms began 5-10min after shot was administered and have continued for 2 weeks off and on.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Rash pruritic, Urticaria
Clinical narrative: Patient reported the start of a itching hive-like rash on Tuesday night after receiving his Covid vaccine on 4/17/2021. He reports the rash continued to get worse, which prompted him to be seen by me in urgent care on 4/22/2021.  He received his first dose of the Pfizer vaccine on 4/17/2021.  No obvious anaphylaxis.  He had a uticarial rash on bilateral arms and knees.  He was tachycardic.  He refused ED visit, so I treated with 50 mg of prednisone for 5 days, oral Benadryl 50 mg every 6 hours, Pepcid 10 mg over-the-counter.  He reported he would refuse to fill out an adverse event via Vsafe app, which prompted me to file this report.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Pneumonia, Troponin increased
Clinical narrative: This patient received the Covid shot and has a primary coded discharge of U07.1 Covid-19.  Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation. Other diagnoses include: J18.9 - Pneumonia R77.8 - Elevated troponin
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Hypoaesthesia
Clinical narrative: The patient went to urgent care on 4/7 complaining of back pain that was "sharp" and would sometimes numb her foot. She was told to take ibuprofen/Tylenol. The patient went to the emergency room on 4/10 complaining of the same pain. Was given an injection that helped. Went to the emergency room again on 4/22 complaining of the same back/leg pain.   The patient states this all started after receiving her first covid vaccine on 3/20. She returned on 4/17 (one week late) for her 2nd dose.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain, Pyrexia, Syncope
Clinical narrative: Fatigue, body aches, fever, fainting
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Facial pain, Nausea, Pain, Skin burning sensation
Clinical narrative: complained of pain in the left cheek. BP 150/90 HR90 smile equal, normal speech, normal hand grasp strength. Waited for 15 minutes HR 86 BP 142/84. Describes pain as decreasing. Encouraged to call 911 with any changes or increasing pain in face, legs, arms or abdomen, dizziness, shortness of breath. Called patient 4/20 described "pain as gone but when I touch my cheek it burns" speech normal some body aches, nausea early in the morning. encouraged to follow up with PCP. 4/22 called "All better. I feel like I have a cold" did not go to MD. speech normal
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Fatigue
Clinical narrative: severe back pain and tired all the time will not take second shot
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling hot, Induration, Pruritus
Clinical narrative: Red, itchy, warm, firm
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Fatigue, Feeling abnormal, Injection site mass, Injection site pruritus
Clinical narrative: Pain occurred at the time of the injection (this did not happen with first vaccination). A knot at injection site about the size of a sweet pea. The site is warm to the touch and very itchy. I feel out-of-sorts. Kind of tired and listless. I did not sleep at all last night (4/21pm-4/22am). My stomach is slightly upset. No vomiting at this point. My temp is 99.0 f. I am suddenly forgetting words. The word I heard or thought about a few minutes or seconds ago is just gone. Completely. This is unusual for me and is VERY concerning.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Listless, Memory impairment, Sleep disorder
Clinical narrative: Pain occurred at the time of the injection (this did not happen with first vaccination). A knot at injection site about the size of a sweet pea. The site is warm to the touch and very itchy. I feel out-of-sorts. Kind of tired and listless. I did not sleep at all last night (4/21pm-4/22am). My stomach is slightly upset. No vomiting at this point. My temp is 99.0 f. I am suddenly forgetting words. The word I heard or thought about a few minutes or seconds ago is just gone. Completely. This is unusual for me and is VERY concerning.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Generalised tonic-clonic seizure, Preictal state
Clinical narrative: Approx. 30 minutes after receiving second dose of Moderna vaccine pt. reported feeling pre-ictal. Reports hx of seizure disorder with recent increase in frequency. Last seizure one week ago. Patient was asked to sit down as she was trying to leave the vaccine clinic. Once seated, she began to have a grand mal seizure and was assisted to floor by two medical staff. HR 107 O2 sat. 93% BP 150/100. Within three minutes O2 sat. increased to 100% HR 120. VS monitored and supported by medical team as she started to become alert and could state where she was. At 2:20pm had a second grand mal seizure. EMS arrived to transport pt. and appeared to have a third seizure just prior to be moved to the cot for transport. HR 110 O
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: pt received vaccine and then became hospitalized with COVID
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash macular, Rash pruritic, Skin swelling
Clinical narrative: Swollen and itchy rash in back of head above hairline.  Migrated down arms and hands became extremely swollen, painful, and had a maddening itch.  Also appeared in blotches on torso.  Urgent care doctor was not sure what it was and prescribed Clobetasol Propionate Cream and said to see my dermatologist.  In the meantime it got worse and I saw the dermatologist the next day, 20April.  He prescribed a short course of Prednisone.  The symptoms have now greatly diminished.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Cough, Dysgeusia, Headache
Clinical narrative: 103 - 104 degree F fever, severe chills, skin pain, joint pain, metallic / blood taste in mouth, severe headache, blurred vision, trouble sleeping, dry cough, slightly raised rash on back and sides
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pain of skin, Pyrexia, Rash papular, Sleep disorder, Vision blurred
Clinical narrative: 103 - 104 degree F fever, severe chills, skin pain, joint pain, metallic / blood taste in mouth, severe headache, blurred vision, trouble sleeping, dry cough, slightly raised rash on back and sides
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Moderna COVID-19 Vaccine EUA  Noticed small hives/mild rash on torso after a workout, ~56 hours after receiving 1st dose. Affected skin is slightly itchy but have not noticed any other side effects at this time. Outcome unknown as symptoms are ongoing at time of writing.
Age: 75.0
Sex: F
Vaccine: UNK
Symptoms: Acute myocardial infarction, Bronchospasm, Computerised tomogram normal, Dyspnoea, Hypoxia
Clinical narrative: Patient developed dyspnea/wheezing/shortness of breath while working in her yard. On examination, she was noted to have Bronchospasm, wheezing, hypoxia  requiring supplemental o2, steroids, duonebs. Troponin peaked to 3.Could be demand ischemia vs true NSTEMI. Going for LHC at Hospital on 4/22. Incidentally we also found Tick on her.  Not sure if her respiratory symptoms triggered by allergy or related to recent vaccine dose. Clinically improved. CT chest negative for PE/Pneumonia,COVID 19PCR neg, antibody positive.
Age: 75.0
Sex: F
Vaccine: UNK
Symptoms: Myocardial ischaemia, SARS-CoV-2 antibody test positive, SARS-CoV-2 test negative, Troponin increased, Wheezing
Clinical narrative: Patient developed dyspnea/wheezing/shortness of breath while working in her yard. On examination, she was noted to have Bronchospasm, wheezing, hypoxia  requiring supplemental o2, steroids, duonebs. Troponin peaked to 3.Could be demand ischemia vs true NSTEMI. Going for LHC at Hospital on 4/22. Incidentally we also found Tick on her.  Not sure if her respiratory symptoms triggered by allergy or related to recent vaccine dose. Clinically improved. CT chest negative for PE/Pneumonia,COVID 19PCR neg, antibody positive.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Ear discomfort, Head discomfort, Headache, Injection site pain
Clinical narrative: My previous mild tinnitus increased the following day, became louder and more noticeable but still mild. Headaches, pressure around skull and behind ears, feeling of fullness and stuffiness in both ears. Symptoms would increase and lessen throughout the day, daily, over the following week. Seven days after injection an itchy rash and soreness presented at injection site on arm. For tinnitus I increased vitamin C and fluids, symptoms remain and vary during the day.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Tinnitus
Clinical narrative: My previous mild tinnitus increased the following day, became louder and more noticeable but still mild. Headaches, pressure around skull and behind ears, feeling of fullness and stuffiness in both ears. Symptoms would increase and lessen throughout the day, daily, over the following week. Seven days after injection an itchy rash and soreness presented at injection site on arm. For tinnitus I increased vitamin C and fluids, symptoms remain and vary during the day.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Decreased appetite, Disturbance in attention, Feeling abnormal
Clinical narrative: Adverse events: Severe migraine that was sensitive to sound and light, Body ache and pain from head to heels of feet. Primary soreness was in low back/hips. Brain fog - hard to concentrate at a single tasks. Lack of appetite. Treatment: Water intake, hot bath, cold compress, sleep in dark room, around 9pm took acetaminophen (waited due to mixed directions on whether or not to take pain reliever with covid shot). Outcome: migraine finally went away and next morning all adverse symptoms were gone.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Pain
Clinical narrative: Adverse events: Severe migraine that was sensitive to sound and light, Body ache and pain from head to heels of feet. Primary soreness was in low back/hips. Brain fog - hard to concentrate at a single tasks. Lack of appetite. Treatment: Water intake, hot bath, cold compress, sleep in dark room, around 9pm took acetaminophen (waited due to mixed directions on whether or not to take pain reliever with covid shot). Outcome: migraine finally went away and next morning all adverse symptoms were gone.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Head injury, Syncope
Clinical narrative: Patient had a syncopal episode after receiving his vaccine. Fell and abraded his forehead. Symptoms resolved. Evaluated by myself and paramedics. Declined further evaluation or transport to a hospital. Appeared competent to decline. Wife to take home. Instructed to call ED if worsening symptoms. Interactions were assisted by a fluent staff member. Patient relays a history of multiple syncopal events after receiving injections. Normal vitals at time of exit from facility. Ambulated under own power without signs of distress. Up to date on tetanus vaccination
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site induration, Injection site swelling
Clinical narrative: Patient arrived for dose 2.  Noted dose 1 given in L arm just under and to the right of deltoid muscle and appears SQ.  Initial bruising and swelling noted by patient for 2 weeks- now present with a left hard area and quarter size redness.  PCP for follow-up as needed.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy
Clinical narrative: Swelling and pain in right armpit (the injection was in my left arm)
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hosp within 6 weeks of COVID vaccine
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to ED and was subsequently hospitalized within 6  weeks of COVID vaccination.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: 2 MINUTES AFTER RECEIVING HER VACCINE, SHE FELT LIKE HER THROAT WAS CLOSING. ON SITE EMS RESPONDED. SHE HAD NO PROBLEMS TALKING OR BREATHING.  AND NO COMPLAINTS WITH THE FIRST DOSE EITHER. VITALS ARE BELOW. 25MG DIPHENHYDRAMINE WAS GIVEN ORALLY.  SHE FELT BETTER AND WAS RELEASED HOME
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Dizziness, Fatigue, Headache, Pain
Clinical narrative: Approx. 19 hours after Vaccine was administered, I was feeling tired and then I began to experience a mild headache then that was accompanied with dizziness.  Temperature taken after dizziness started and temp. was 100.5F.   Also has some mild body aches mostly in the lower back area. Took Tylenol and then took it easy the rest of the day and even took an hour nap.  Felt better by the next morning(Thursday)  No fever or other symptoms to report.