chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Diastolic dysfunction, Echocardiogram abnormal, Ejection fraction normal, Electrocardiogram abnormal
Clinical narrative: 56 yo with hx of uncontrolled DM, HTN, hyperlipidemia who had COVID in  January. She then had COVID vaccines  on May 7 and then June 4 (Moderna) and  ended up having severe CP on June 8, sent to Abrazo hospital where she was  evaluated. Troponin's negative, EKG with new first degree AV block. Echo was done  during hospitalization which showed normal EF, mild diastolic dysfunction an mild  LAE. Lexcian nuclear stress test was done which showed apical reversible defect  suggesting ischemia so cardiac cath was done 6/10/21 which showed normal coronary  arteries. She has not been taking any of her meds, just restatred yesterday. She  was in ER Sept 13th with very high glucose, low sodium, low GFR.  Not doing much excercise. Says she gets lot of cramping. No SOB, orthpnea or PND.  No chest pain.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Glomerular filtration rate decreased, Left atrial enlargement, Muscle spasms, Troponin normal
Clinical narrative: 56 yo with hx of uncontrolled DM, HTN, hyperlipidemia who had COVID in  January. She then had COVID vaccines  on May 7 and then June 4 (Moderna) and  ended up having severe CP on June 8, sent to Abrazo hospital where she was  evaluated. Troponin's negative, EKG with new first degree AV block. Echo was done  during hospitalization which showed normal EF, mild diastolic dysfunction an mild  LAE. Lexcian nuclear stress test was done which showed apical reversible defect  suggesting ischemia so cardiac cath was done 6/10/21 which showed normal coronary  arteries. She has not been taking any of her meds, just restatred yesterday. She  was in ER Sept 13th with very high glucose, low sodium, low GFR.  Not doing much excercise. Says she gets lot of cramping. No SOB, orthpnea or PND.  No chest pain.
Age: 43.0
Sex: F
Vaccine: UNK
Symptoms: Blister, Blister rupture, Full blood count normal, Hypoaesthesia, Laboratory test normal
Clinical narrative: blistering to bilateral feet and hands. loss of sensation to left greater toe. sloughing off of skin. spreading of the blisters. discoloration of skin. blisters opening and wounds seeping
Age: 43.0
Sex: F
Vaccine: UNK
Symptoms: Metabolic function test, Metabolic function test normal, Sensory loss, Skin discolouration, Skin exfoliation
Clinical narrative: blistering to bilateral feet and hands. loss of sensation to left greater toe. sloughing off of skin. spreading of the blisters. discoloration of skin. blisters opening and wounds seeping
Age: 43.0
Sex: F
Vaccine: UNK
Symptoms: Wound secretion
Clinical narrative: blistering to bilateral feet and hands. loss of sensation to left greater toe. sloughing off of skin. spreading of the blisters. discoloration of skin. blisters opening and wounds seeping
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Chills, Fatigue, Myalgia, Tremor
Clinical narrative: After about 6 hours had chills, shaking, fatigue, joint and muscle pain.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Nausea, Pain, Vomiting
Clinical narrative: Patient received a 3rd shot of pfizer covid 19 due to autoimmune disease. She has experienced nausea, vomiting, aches and pains and diarrhea since her vaccine on 8/30/21. Time of reporting to pharmacy is now 9/22/21. I strongly advised the patient to be evaluated by a medical doctor and told her the side effects should have resolved within 72 hours.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Head discomfort, Nausea
Clinical narrative: Pt and daughter were in Clinic because patient had appointment with Dr. After her appointment patient opted to receive 1st dose of Moderna, after 10mins of administering Vaccine patient was c/o chest pain, nausea, pressure in the head, and tightness. EMS was called. @12:20pm administered Aspirin 243mg tablet; 12:25pm Nitro 0.1mg administered; @12:30pm patient was transferred to hospital via ambulance.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstrual disorder, Menstruation irregular
Clinical narrative: Heavy irregular menstrual bleeding.  I had been extremely regular prior to this. Injection was administered on cycle day 5, during my period. I continued my period for another day, which was normal. Heavy bleeding started again on cycle day 15, lasted for 6 days. Started again 3 days later, lasted for 6 more days. I have never had irregular bleeding like this before. My cycle has not returned to normal.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Abscess drainage, Abscess limb, Anal incontinence, Asthenia, Blood pressure decreased
Clinical narrative: Note: Surgery 3/27/2021 - left shoulder replacement  and biceps tendon reattachment - that had been schedule prior. April 1 - Diarrhea started on that day. Nothing stopped it - nothing stopped it - even Imodium. Finally on the 4/5/2021, I went to ER for the first time. They said I was dehydrated and I got IV fluids but they didn't do anything to help me with the diarrhea. They did lab work which showed I was dehydrated. I can't remember if they did x-rays or scans. The diarrhea continued though and it was 4/12 - as the day progressed, it got to the point that I couldn't walk - I was so weak and sick an d the diarrhea was so bad - stool would just run all the way from bedroom to the bathroom - it just wouldn't stop. It was awful. I went to ER after doctor told me to go back again. I found out I was septic. I had septic shock and was so sick. I was in the hospital for  4 to 5 weeks.  I didn't go to Rehab from the hospital until mid May and I was there for two or three weeks.  They said it takes 6 months to a year to fully recover  Note: I had the third vaccine today for Pfizer. Last week, I had my first Shingrix and my flu vaccine on the 15th.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Diarrhoea, Feeling abnormal, Gait inability, Infection
Clinical narrative: Note: Surgery 3/27/2021 - left shoulder replacement  and biceps tendon reattachment - that had been schedule prior. April 1 - Diarrhea started on that day. Nothing stopped it - nothing stopped it - even Imodium. Finally on the 4/5/2021, I went to ER for the first time. They said I was dehydrated and I got IV fluids but they didn't do anything to help me with the diarrhea. They did lab work which showed I was dehydrated. I can't remember if they did x-rays or scans. The diarrhea continued though and it was 4/12 - as the day progressed, it got to the point that I couldn't walk - I was so weak and sick an d the diarrhea was so bad - stool would just run all the way from bedroom to the bathroom - it just wouldn't stop. It was awful. I went to ER after doctor told me to go back again. I found out I was septic. I had septic shock and was so sick. I was in the hospital for  4 to 5 weeks.  I didn't go to Rehab from the hospital until mid May and I was there for two or three weeks.  They said it takes 6 months to a year to fully recover  Note: I had the third vaccine today for Pfizer. Last week, I had my first Shingrix and my flu vaccine on the 15th.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Laboratory test abnormal, Malaise, Muscle reattachment, Sepsis
Clinical narrative: Note: Surgery 3/27/2021 - left shoulder replacement  and biceps tendon reattachment - that had been schedule prior. April 1 - Diarrhea started on that day. Nothing stopped it - nothing stopped it - even Imodium. Finally on the 4/5/2021, I went to ER for the first time. They said I was dehydrated and I got IV fluids but they didn't do anything to help me with the diarrhea. They did lab work which showed I was dehydrated. I can't remember if they did x-rays or scans. The diarrhea continued though and it was 4/12 - as the day progressed, it got to the point that I couldn't walk - I was so weak and sick an d the diarrhea was so bad - stool would just run all the way from bedroom to the bathroom - it just wouldn't stop. It was awful. I went to ER after doctor told me to go back again. I found out I was septic. I had septic shock and was so sick. I was in the hospital for  4 to 5 weeks.  I didn't go to Rehab from the hospital until mid May and I was there for two or three weeks.  They said it takes 6 months to a year to fully recover  Note: I had the third vaccine today for Pfizer. Last week, I had my first Shingrix and my flu vaccine on the 15th.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Septic shock, Shoulder arthroplasty
Clinical narrative: Note: Surgery 3/27/2021 - left shoulder replacement  and biceps tendon reattachment - that had been schedule prior. April 1 - Diarrhea started on that day. Nothing stopped it - nothing stopped it - even Imodium. Finally on the 4/5/2021, I went to ER for the first time. They said I was dehydrated and I got IV fluids but they didn't do anything to help me with the diarrhea. They did lab work which showed I was dehydrated. I can't remember if they did x-rays or scans. The diarrhea continued though and it was 4/12 - as the day progressed, it got to the point that I couldn't walk - I was so weak and sick an d the diarrhea was so bad - stool would just run all the way from bedroom to the bathroom - it just wouldn't stop. It was awful. I went to ER after doctor told me to go back again. I found out I was septic. I had septic shock and was so sick. I was in the hospital for  4 to 5 weeks.  I didn't go to Rehab from the hospital until mid May and I was there for two or three weeks.  They said it takes 6 months to a year to fully recover  Note: I had the third vaccine today for Pfizer. Last week, I had my first Shingrix and my flu vaccine on the 15th.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Rash
Clinical narrative: I have abdominal pain that is yet unresolved. I have an appointment with my primary care to address that issue. I also have a rash that started in may. I have used an oral steroid pack to help. This was given to me from a walk in urgent care.  It helped temporarily. I also have cortisone cream i use everyday to try and help with the rash. The pain and rash started in may and have not resolved.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Impaired work ability, Joint swelling, Meniscus injury, Pain in extremity
Clinical narrative: I had swelling that started in my ankle and foot on the left side. I had an orthopedic appointment and mentioned the swelling to my doctor and they said it could be from the knee because I was going to have knee surgery because of two tears I have in my meniscus. On July 13th I was scheduled to have my knee surgery. So I went in for the surgery and my ankle and foot were swollen a lot more so the doctors didn't do the knee surgery. They sent me to vascular doctor and they found no blood clot. I went to another vascular doctor and they confirmed I had no blood clot. I had pain in both legs at the time. The vascular doctor though it could have been the cholesterol medication I had started, and told me to stop taking it so I did. After several weeks the swelling didn't go away so the doctor didn't think the medication started the swelling. I went back to taking the cholesterol medication, and I was put on prednisone. After that the swelling had went down but when I stopped the prednisone medication the swelling came back. I was out of work for one week because of the swelling. It didn't make a difference though because i was still experiencing the swelling. My left wrist is swollen now too, and the swelling is not going away in my wrist either. When the doctors did the x-ray and bloodwork they didn't find anything.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan normal, X-ray normal
Clinical narrative: I had swelling that started in my ankle and foot on the left side. I had an orthopedic appointment and mentioned the swelling to my doctor and they said it could be from the knee because I was going to have knee surgery because of two tears I have in my meniscus. On July 13th I was scheduled to have my knee surgery. So I went in for the surgery and my ankle and foot were swollen a lot more so the doctors didn't do the knee surgery. They sent me to vascular doctor and they found no blood clot. I went to another vascular doctor and they confirmed I had no blood clot. I had pain in both legs at the time. The vascular doctor though it could have been the cholesterol medication I had started, and told me to stop taking it so I did. After several weeks the swelling didn't go away so the doctor didn't think the medication started the swelling. I went back to taking the cholesterol medication, and I was put on prednisone. After that the swelling had went down but when I stopped the prednisone medication the swelling came back. I was out of work for one week because of the swelling. It didn't make a difference though because i was still experiencing the swelling. My left wrist is swollen now too, and the swelling is not going away in my wrist either. When the doctors did the x-ray and bloodwork they didn't find anything.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Joint range of motion decreased, Nausea, Paraesthesia, Sensory loss
Clinical narrative: Patient reported being dizzy, nauseous and couldn't feel his fingers a couple minutes after receiving the vaccine. He described his fingers as tingly and unable to bend them into a fist. We offered him Benadryl to help with the reaction. Patient declined. Brought him a cold cloth and ice pack, which he used on his head. His friend got him Gatorade and a snack, which he ate. Monitored patient for 30 minutes. During that time he improved and got feeling back in his hands. The nausea subsided. Offered to get further medical treatment. Patient declined. He stated he had a similar reaction after shot number one of this series but got better within 15 minutes.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Interchange of vaccine products, Sensory disturbance
Clinical narrative: Patient presented today for mRNA vaccine following previous Janssen dose in March 2021.  Her specialist recommended she complete mRNA series.  Vaccine administered, patient felt flush and stated she felt she was developing hives from her neck down.  She was brought back to exam room.  Vital signs obtained, stable.  No difficulty breathing or shortness of breath.  No swelling of face, neck, throat.  Alert and oriented x3.  Spoke in full sentences.  History of chronic urticaria, takes benadryl when needed.  Benadryl offered, patient said she could wait and take at home.  Discussed Pfizer dose #2 would still be recommended to complete the series.  Patient left the clinic feeling better, continued with flushed skin around neck area, mostly anterior neck.  No appreciated hives.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient was given the first dose of moderna without the knowledge that she had already received the Janssen vaccine 06/11/2021
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray, Chest discomfort, Cold sweat, Discomfort, Dizziness
Clinical narrative: Approximately 5 minutes after receiving the dose my heart started pounding hard and fast, I then began to start feeling clammy,  sweat at the hands and felt dizzy, and around my left side of mouth to chin felt numb. I advised the pharmacist and he told me to sit down and breath.  My heart continued to feel pounding and felt light headed. After monitored for 30 mins I was sent home. At approximately 7:05pm my breast and back began to feel extremely heavy and heart felt discomforting. About 30 minutes after my whole chest was in extreme discomfort, I was beginning to have trouble breathing and taking deep breaths, light headed, and my right leg started twitching and at the same time my face would twitch moving to the left. I was unable to sleep that night due to the chest and back discomfort, and my heart rate dropped to 41. Two weeks after the vaccine I still feel my heart differently, chest still feels discomfort here and there. Those areas do not feel the same. My heart beat is my main concern now cause it has not felt the same.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Heart rate increased, Hyperhidrosis, Musculoskeletal discomfort, Palpitations
Clinical narrative: Approximately 5 minutes after receiving the dose my heart started pounding hard and fast, I then began to start feeling clammy,  sweat at the hands and felt dizzy, and around my left side of mouth to chin felt numb. I advised the pharmacist and he told me to sit down and breath.  My heart continued to feel pounding and felt light headed. After monitored for 30 mins I was sent home. At approximately 7:05pm my breast and back began to feel extremely heavy and heart felt discomforting. About 30 minutes after my whole chest was in extreme discomfort, I was beginning to have trouble breathing and taking deep breaths, light headed, and my right leg started twitching and at the same time my face would twitch moving to the left. I was unable to sleep that night due to the chest and back discomfort, and my heart rate dropped to 41. Two weeks after the vaccine I still feel my heart differently, chest still feels discomfort here and there. Those areas do not feel the same. My heart beat is my main concern now cause it has not felt the same.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac discomfort, Chest discomfort, Cold sweat, Dizziness, Dyspnoea
Clinical narrative: Approximately 5 minutes after receiving the dose my heart started pounding hard and fast, I then began to start feeling clammy,  sweat at the hands and felt dizzy, and around my left side of mouth to chin felt numb. I advised the pharmacist and he told me to sit down and breath.  My heart continued to feel pounding and felt light headed. After monitored for 30 mins I was sent home. At approximately 7:05pm my breast and back began to feel extremely heavy and heart felt discomforting. About 30 minutes after my whole chest was in extreme discomfort, I was beginning to have trouble breathing and taking deep breaths, light headed, and my right leg started twitching and at the same time my face would twitch moving to the left. I was unable to sleep that night due to the chest and back discomfort, and my heart rate dropped to 41. Two weeks after the vaccine I still feel my heart differently, chest still feels discomfort here and there. Those areas do not feel the same. My heart beat is my main concern now cause it has not felt the same.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heart rate, Heart rate decreased, Hyperhidrosis, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Approximately 5 minutes after receiving the dose my heart started pounding hard and fast, I then began to start feeling clammy,  sweat at the hands and felt dizzy, and around my left side of mouth to chin felt numb. I advised the pharmacist and he told me to sit down and breath.  My heart continued to feel pounding and felt light headed. After monitored for 30 mins I was sent home. At approximately 7:05pm my breast and back began to feel extremely heavy and heart felt discomforting. About 30 minutes after my whole chest was in extreme discomfort, I was beginning to have trouble breathing and taking deep breaths, light headed, and my right leg started twitching and at the same time my face would twitch moving to the left. I was unable to sleep that night due to the chest and back discomfort, and my heart rate dropped to 41. Two weeks after the vaccine I still feel my heart differently, chest still feels discomfort here and there. Those areas do not feel the same. My heart beat is my main concern now cause it has not felt the same.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Insomnia, Muscle twitching, Musculoskeletal discomfort, Palpitations, SARS-CoV-2 test
Clinical narrative: Approximately 5 minutes after receiving the dose my heart started pounding hard and fast, I then began to start feeling clammy,  sweat at the hands and felt dizzy, and around my left side of mouth to chin felt numb. I advised the pharmacist and he told me to sit down and breath.  My heart continued to feel pounding and felt light headed. After monitored for 30 mins I was sent home. At approximately 7:05pm my breast and back began to feel extremely heavy and heart felt discomforting. About 30 minutes after my whole chest was in extreme discomfort, I was beginning to have trouble breathing and taking deep breaths, light headed, and my right leg started twitching and at the same time my face would twitch moving to the left. I was unable to sleep that night due to the chest and back discomfort, and my heart rate dropped to 41. Two weeks after the vaccine I still feel my heart differently, chest still feels discomfort here and there. Those areas do not feel the same. My heart beat is my main concern now cause it has not felt the same.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Fatigue, Feeling abnormal, SARS-CoV-2 test
Clinical narrative: July 29, 2021 tickle in throat progressed from their til  09/01/202 that is when you did rapid test at Pharmacy and they contacted local heath department who surveillance team reached out with instruction on Quarantine and taking care of the symptoms.  Still experiencing a coughing, tightness lung,  difficulty  breathing , and tiredness and brain fog
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: July 29, 2021 tickle in throat progressed from their til  09/01/202 that is when you did rapid test at Pharmacy and they contacted local heath department who surveillance team reached out with instruction on Quarantine and taking care of the symptoms.  Still experiencing a coughing, tightness lung,  difficulty  breathing , and tiredness and brain fog
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abortion spontaneous, Blood test, Menstruation irregular, Oedema peripheral, Ultrasound scan abnormal
Clinical narrative: I had my first Moderna vaccine on 12/23/20 and my second Moderna vaccine on 1/19/21.  On 5/10/21 I found out I had a miscarriage when the fetus was approximately 9 weeks gestation- no heart beat was detectable at 10.5 weeks during my ultrasound.  It should be noted that I have had two other healthy pregnancies and no miscarriages prior.  It took my body 4 weeks to remove all tissues naturally; however, bleeding continued so my physician scraped the inside of my uterus to remove more tissues.  My cycle is still not regular.   Also since June 2021, I have had pitting edema of my bilateral lower extremities with my left lower extremity being worse than my right lower extremity.  This is not normal for me.  I do get pitting edema when further along in pregnancies which is currently not the case due to the above stated miscarriage.  There has also been some incidences of abnormal resting, high heart rate.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Crying, Fall, Fear, Haematoma, Head injury
Clinical narrative: Patient came to pharmacy to get their second dose of Pfizer covid vaccine. They were asked how the first dose went and the patient stated "it was fine, just a sore arm, but I am nervous about the second dose." They were asked if they had any questions about the second dose and responded no. Patient tensed up when given the injection in their left deltoid muscle but was fine immediately after the injection. Patient was instructed to sit in covid vaccine recovery area for 15 minutes after the dose. A couple minutes later, technican said that patient was seizing, so pharmacist went to check on patient. Patient was on floor at the time, with legs straight out, but left arm and waterbottle curved underneath her torso. She was lying on her right ear and their was a noticeable "goose egg" on her forehead (Larger than a quarter). Patient was initially unresponsive the first couple of seconds, but quickly responded and could speak to us. She kept saying her head hurt, but she said her arm was okay (we asked since it was convoluted at a weird angle) and her neck or back didn't hurt (didn't seem like any spinal damage,etc, so she could move). Her mother, who was in wine& spirits I believe (right next to pharmacy), came over within 30 seconds and started stroking her back and thought she would be okay, that she just kept complaining of her head hurting. By this time, a member of management came and had called 911. She didn't want to move and was both scared and crying. We kept telling her to take deep breaths, that she is okay and not bothering anyone, we just want to make sure she is okay. She started to calm down but kept saying her head hurt, but not mentioning any other symptoms. The ambulance arrived to evaluate her head injury afterwards and she was able to stand and walk to her car with her mom with their assistance.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Seizure, Unresponsive to stimuli
Clinical narrative: Patient came to pharmacy to get their second dose of Pfizer covid vaccine. They were asked how the first dose went and the patient stated "it was fine, just a sore arm, but I am nervous about the second dose." They were asked if they had any questions about the second dose and responded no. Patient tensed up when given the injection in their left deltoid muscle but was fine immediately after the injection. Patient was instructed to sit in covid vaccine recovery area for 15 minutes after the dose. A couple minutes later, technican said that patient was seizing, so pharmacist went to check on patient. Patient was on floor at the time, with legs straight out, but left arm and waterbottle curved underneath her torso. She was lying on her right ear and their was a noticeable "goose egg" on her forehead (Larger than a quarter). Patient was initially unresponsive the first couple of seconds, but quickly responded and could speak to us. She kept saying her head hurt, but she said her arm was okay (we asked since it was convoluted at a weird angle) and her neck or back didn't hurt (didn't seem like any spinal damage,etc, so she could move). Her mother, who was in wine& spirits I believe (right next to pharmacy), came over within 30 seconds and started stroking her back and thought she would be okay, that she just kept complaining of her head hurting. By this time, a member of management came and had called 911. She didn't want to move and was both scared and crying. We kept telling her to take deep breaths, that she is okay and not bothering anyone, we just want to make sure she is okay. She started to calm down but kept saying her head hurt, but not mentioning any other symptoms. The ambulance arrived to evaluate her head injury afterwards and she was able to stand and walk to her car with her mom with their assistance.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Nausea
Clinical narrative: Patient at 1400 was administered pfizer vaccine, at 1405 patient reports chest pressure, nausea, , 86/46 pulse 88, then 76/40 puilse 82 , 1403 blood pressure 115/75, heart rate 88,  oxygen saturation 100%. Patient was administered benadryl 50IM and oxygen 2liters via NC , patient tolerated it well.  1415 Called 911 then 1425 firemen arrived. Patient denies tongue swelling, shortness of breath, wheezing , denies respiratory distress. Respirations even and unlabored.  Patient left via gurney with emergency.
Sex: F
Vaccine: FLUC4
Symptoms: Ear pain, Initial insomnia, Pain in jaw, Pharyngeal swelling, Swollen tongue
Clinical narrative: swelling of throat and tongue, jaw pain, and trouble breathing, ear ache
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests normal, Tinnitus
Clinical narrative: Ears started ringing 2 days after second dosage.
Age: 23.0
Sex: M
Vaccine: UNK
Symptoms: Interchange of vaccine products
Clinical narrative: Client received AstraZeneca COVID vaccine, no reaction. AstraZeneca vaccine unavailable in the Janssen given as an alternative on 09/15/21.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Full blood count, Metabolic function test
Clinical narrative: About five minutes after vaccination she began to feel very weak and dizzy.  No shortness of breath or wheezing.  No hypotension.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Facial pain, Influenza like illness, Pain, Pyrexia
Clinical narrative: Aches and pains in my body like a flu; fever up to 103.3; even facial pain; flu-like symptoms. Rested a lot. Could not do much more than to rest.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Accidentally administered 0.5 mL instead of 0.3mL. Reported to the patient and asked them to submit a VAERS report if they have any adverse effects.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Hemiplegia, Mobility decreased, Thrombosis, Thrombotic stroke
Clinical narrative: Received the first shot on 08/21/2021. Had a blood clot in my neck that caused a major stroke on 08/31/2021. The stroke left my right side paralyzed with limited movement. No prior medical history present that would warrant a blood clot or stroke.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction, Loss of consciousness, Nausea
Clinical narrative: Immediately following administration of vaccine the patient felt lightheaded, nausea, and lost consciousness (for 2 seconds).  She remained sitting and elevated her feet. He blood pressure was 98/60 and pulse 32 immediately following her return to consciousness. The patient remained in observation for about 45 minutes.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood chloride decreased, Blood creatinine increased, Blood potassium normal, Blood sodium decreased
Clinical narrative: 77 years old male with past medical history of A. fib on anticoagulation, glaucoma, prostate cancer on Lupron, arthritis, brought to the emergency room today for confusion and weakness.  The patient reported that his weakness started around 6 AM when he woke up trying to go to pee.  He reported that he was having trouble trying to keep his head up and he was confused as he does not know how to use his phone. However, he has no focal deficit. I believes he may have taken too much of his norco10mg as well. He cannot recall how often he took the med. He also claims to add tylenol 500mg  To the norco 10 to help with his pain.  I believe he call his neighbor and the neighbor called the ambulance and he was brought to the emergency room.     On presentation, his heart rate was 107 but his systolic blood pressure was 93.  Due to history of A. fib and on anticoagulation, the patient had a rectal exam and  guaiac stool   was strongly positive.  He got Kcentra infusion to reverse the Eliquis.   The work-up in the ER showed her the patient has INR 2.12, hemoglobin 11.8, platelet of 70, sodium 131, potassium 4.7, chloride 97, BUN 30 and creatinine 1.3.  There is no chest x-ray, UA or CT scan of the head done.  However, the patient denies any recent head injury.   On the medical floor, the patient continued to be confused but no focal deficit or facial droop.  He is quite confused and his answer is quite tangential.  I spent around 30 minutes trying to get the history and it looks like he has been on new medication for his prostate cancer.  It also sounds like he has been treated with a new medication for his A. fib.  However, it sounds like the patient stopped these medications.  However, he cannot provide me the exact name of the medication nor when he stopped taking them.   It seems like the patient has leg swelling and he has been going on for about 6-week, after he started on the new medication to treat his A. fib.  However, he reported that the medication was not helping his A. fib and he went back to his old medication.  Other than that, his history is quite confusing as he is  Talking mostly about his wife, who is being admitted to another hospital for possible CVA workup...       ROS: Limited but (-) HA, visual changes, f,c,n/v, diarrhea, sob, chestpain, neckpain,  lnew  focal weakness, dysuria, dysphagia, dyspnea.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea increased, Confusional state, Haemoglobin decreased, International normalised ratio increased, Memory impairment
Clinical narrative: 77 years old male with past medical history of A. fib on anticoagulation, glaucoma, prostate cancer on Lupron, arthritis, brought to the emergency room today for confusion and weakness.  The patient reported that his weakness started around 6 AM when he woke up trying to go to pee.  He reported that he was having trouble trying to keep his head up and he was confused as he does not know how to use his phone. However, he has no focal deficit. I believes he may have taken too much of his norco10mg as well. He cannot recall how often he took the med. He also claims to add tylenol 500mg  To the norco 10 to help with his pain.  I believe he call his neighbor and the neighbor called the ambulance and he was brought to the emergency room.     On presentation, his heart rate was 107 but his systolic blood pressure was 93.  Due to history of A. fib and on anticoagulation, the patient had a rectal exam and  guaiac stool   was strongly positive.  He got Kcentra infusion to reverse the Eliquis.   The work-up in the ER showed her the patient has INR 2.12, hemoglobin 11.8, platelet of 70, sodium 131, potassium 4.7, chloride 97, BUN 30 and creatinine 1.3.  There is no chest x-ray, UA or CT scan of the head done.  However, the patient denies any recent head injury.   On the medical floor, the patient continued to be confused but no focal deficit or facial droop.  He is quite confused and his answer is quite tangential.  I spent around 30 minutes trying to get the history and it looks like he has been on new medication for his prostate cancer.  It also sounds like he has been treated with a new medication for his A. fib.  However, it sounds like the patient stopped these medications.  However, he cannot provide me the exact name of the medication nor when he stopped taking them.   It seems like the patient has leg swelling and he has been going on for about 6-week, after he started on the new medication to treat his A. fib.  However, he reported that the medication was not helping his A. fib and he went back to his old medication.  Other than that, his history is quite confusing as he is  Talking mostly about his wife, who is being admitted to another hospital for possible CVA workup...       ROS: Limited but (-) HA, visual changes, f,c,n/v, diarrhea, sob, chestpain, neckpain,  lnew  focal weakness, dysuria, dysphagia, dyspnea.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Occult blood positive, Platelet count decreased, Posture abnormal
Clinical narrative: 77 years old male with past medical history of A. fib on anticoagulation, glaucoma, prostate cancer on Lupron, arthritis, brought to the emergency room today for confusion and weakness.  The patient reported that his weakness started around 6 AM when he woke up trying to go to pee.  He reported that he was having trouble trying to keep his head up and he was confused as he does not know how to use his phone. However, he has no focal deficit. I believes he may have taken too much of his norco10mg as well. He cannot recall how often he took the med. He also claims to add tylenol 500mg  To the norco 10 to help with his pain.  I believe he call his neighbor and the neighbor called the ambulance and he was brought to the emergency room.     On presentation, his heart rate was 107 but his systolic blood pressure was 93.  Due to history of A. fib and on anticoagulation, the patient had a rectal exam and  guaiac stool   was strongly positive.  He got Kcentra infusion to reverse the Eliquis.   The work-up in the ER showed her the patient has INR 2.12, hemoglobin 11.8, platelet of 70, sodium 131, potassium 4.7, chloride 97, BUN 30 and creatinine 1.3.  There is no chest x-ray, UA or CT scan of the head done.  However, the patient denies any recent head injury.   On the medical floor, the patient continued to be confused but no focal deficit or facial droop.  He is quite confused and his answer is quite tangential.  I spent around 30 minutes trying to get the history and it looks like he has been on new medication for his prostate cancer.  It also sounds like he has been treated with a new medication for his A. fib.  However, it sounds like the patient stopped these medications.  However, he cannot provide me the exact name of the medication nor when he stopped taking them.   It seems like the patient has leg swelling and he has been going on for about 6-week, after he started on the new medication to treat his A. fib.  However, he reported that the medication was not helping his A. fib and he went back to his old medication.  Other than that, his history is quite confusing as he is  Talking mostly about his wife, who is being admitted to another hospital for possible CVA workup...       ROS: Limited but (-) HA, visual changes, f,c,n/v, diarrhea, sob, chestpain, neckpain,  lnew  focal weakness, dysuria, dysphagia, dyspnea.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Following my second dose of Moderna, my menstrual cycle changed for 2-3 months. I got my period twice in the month after the second shot and more heavily. It continued to be longer and heavier and shorter times between cycles until it returned to normal after the third month.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Patient stated had tingling in arm and finger approximately 45 min to 1 hour after vaccine
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood test abnormal, Fatigue
Clinical narrative: I had stomach discomfort and fatigue for several days after 2nd vaccine. Beginning August 9 liver enzymes were higher than normal for me.  At one point were alt 64 and ast 131. Latest were 9/20 alt 54 and 92. Before vaccine they were in the teens and 20's.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Hepatic enzyme increased
Clinical narrative: I had stomach discomfort and fatigue for several days after 2nd vaccine. Beginning August 9 liver enzymes were higher than normal for me.  At one point were alt 64 and ast 131. Latest were 9/20 alt 54 and 92. Before vaccine they were in the teens and 20's.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Computerised tomogram head abnormal, Discomfort, Ear pain, Endodontic procedure
Clinical narrative: 9/3/2021 @ 2000:  I developed aches, pains (FLU like symptoms), and fever, these symptoms lasted for 2 days requiring alternation of Tylenol and ibuprofen.  In addition to these symptoms on 9/4/2021 I developed a large knot (abscess) in the armpit of my right arm (injection side).  It grew to a size between a golf ball and baseball, causing great discomfort and pain, using moist heat compresses to help relieve the pain.  On 9/11/2021 this knot in my armpit had fully dissipated.  On 9/15/2021 @ 1700 I developed a headache, earache, and toothache on my left side.  From 1700-2300 the pain gradually got so bad I was using Tylenol and ibuprofen as well as ice packs to tolerate the pain.  9/16/2021@ 0645 I called and left a VM at my dentist?s office requesting to be seen ASAP.  Dentist office called back and I was able to be seen at 0830 that morning.  X-rays done shown that I had abscesses on teeth #13 & #14.  The dentist began doing a root canal on #13 this process was going to take 3 visits due to the abscess.  After my appointment sedation wore off much faster than the dentist office had said and from that point until I was able to call the office again the next morning 9/17/2021, I returned back to the dentist office in excruciating pain. After 2 hours of trying to numb the area to try and treat unsuccessfully, my dentist called an oral surgeon in town to see if I could get into see them ASAP.  The receptionist at the dentist office had to drive me to the oral surgeon?s office because I was in such pain.  The oral surgeon did x-rays and a CT of my head and teeth and found multiple abscess.  At this point the only thing that could be done to get me out of pain was to surgically remove the two teeth that were exposed by the dentist.  I was put to sleep under general anesthesia and teeth #13 & #14 were surgically removed by an oral surgeon.  I was prescribed an antibiotic and pain medication.  9/21/2021 @ 1430 I had a follow up appointment with oral surgeon.  Wait 4 months for mouth to heal before I can do anything for missing teeth repair.  Oral surgeon has suggested implants to replace missing teeth, this process can take up to a year for work that will need to be completed. Antibiotic prescribed is hopefully clearing up other abscesses, today I have no additional pain.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: General anaesthesia, Headache, Influenza like illness, Pain, Pyrexia
Clinical narrative: 9/3/2021 @ 2000:  I developed aches, pains (FLU like symptoms), and fever, these symptoms lasted for 2 days requiring alternation of Tylenol and ibuprofen.  In addition to these symptoms on 9/4/2021 I developed a large knot (abscess) in the armpit of my right arm (injection side).  It grew to a size between a golf ball and baseball, causing great discomfort and pain, using moist heat compresses to help relieve the pain.  On 9/11/2021 this knot in my armpit had fully dissipated.  On 9/15/2021 @ 1700 I developed a headache, earache, and toothache on my left side.  From 1700-2300 the pain gradually got so bad I was using Tylenol and ibuprofen as well as ice packs to tolerate the pain.  9/16/2021@ 0645 I called and left a VM at my dentist?s office requesting to be seen ASAP.  Dentist office called back and I was able to be seen at 0830 that morning.  X-rays done shown that I had abscesses on teeth #13 & #14.  The dentist began doing a root canal on #13 this process was going to take 3 visits due to the abscess.  After my appointment sedation wore off much faster than the dentist office had said and from that point until I was able to call the office again the next morning 9/17/2021, I returned back to the dentist office in excruciating pain. After 2 hours of trying to numb the area to try and treat unsuccessfully, my dentist called an oral surgeon in town to see if I could get into see them ASAP.  The receptionist at the dentist office had to drive me to the oral surgeon?s office because I was in such pain.  The oral surgeon did x-rays and a CT of my head and teeth and found multiple abscess.  At this point the only thing that could be done to get me out of pain was to surgically remove the two teeth that were exposed by the dentist.  I was put to sleep under general anesthesia and teeth #13 & #14 were surgically removed by an oral surgeon.  I was prescribed an antibiotic and pain medication.  9/21/2021 @ 1430 I had a follow up appointment with oral surgeon.  Wait 4 months for mouth to heal before I can do anything for missing teeth repair.  Oral surgeon has suggested implants to replace missing teeth, this process can take up to a year for work that will need to be completed. Antibiotic prescribed is hopefully clearing up other abscesses, today I have no additional pain.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Skin mass, Skull X-ray abnormal, Subcutaneous abscess, Tooth abscess, Tooth extraction
Clinical narrative: 9/3/2021 @ 2000:  I developed aches, pains (FLU like symptoms), and fever, these symptoms lasted for 2 days requiring alternation of Tylenol and ibuprofen.  In addition to these symptoms on 9/4/2021 I developed a large knot (abscess) in the armpit of my right arm (injection side).  It grew to a size between a golf ball and baseball, causing great discomfort and pain, using moist heat compresses to help relieve the pain.  On 9/11/2021 this knot in my armpit had fully dissipated.  On 9/15/2021 @ 1700 I developed a headache, earache, and toothache on my left side.  From 1700-2300 the pain gradually got so bad I was using Tylenol and ibuprofen as well as ice packs to tolerate the pain.  9/16/2021@ 0645 I called and left a VM at my dentist?s office requesting to be seen ASAP.  Dentist office called back and I was able to be seen at 0830 that morning.  X-rays done shown that I had abscesses on teeth #13 & #14.  The dentist began doing a root canal on #13 this process was going to take 3 visits due to the abscess.  After my appointment sedation wore off much faster than the dentist office had said and from that point until I was able to call the office again the next morning 9/17/2021, I returned back to the dentist office in excruciating pain. After 2 hours of trying to numb the area to try and treat unsuccessfully, my dentist called an oral surgeon in town to see if I could get into see them ASAP.  The receptionist at the dentist office had to drive me to the oral surgeon?s office because I was in such pain.  The oral surgeon did x-rays and a CT of my head and teeth and found multiple abscess.  At this point the only thing that could be done to get me out of pain was to surgically remove the two teeth that were exposed by the dentist.  I was put to sleep under general anesthesia and teeth #13 & #14 were surgically removed by an oral surgeon.  I was prescribed an antibiotic and pain medication.  9/21/2021 @ 1430 I had a follow up appointment with oral surgeon.  Wait 4 months for mouth to heal before I can do anything for missing teeth repair.  Oral surgeon has suggested implants to replace missing teeth, this process can take up to a year for work that will need to be completed. Antibiotic prescribed is hopefully clearing up other abscesses, today I have no additional pain.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Toothache, X-ray dental abnormal
Clinical narrative: 9/3/2021 @ 2000:  I developed aches, pains (FLU like symptoms), and fever, these symptoms lasted for 2 days requiring alternation of Tylenol and ibuprofen.  In addition to these symptoms on 9/4/2021 I developed a large knot (abscess) in the armpit of my right arm (injection side).  It grew to a size between a golf ball and baseball, causing great discomfort and pain, using moist heat compresses to help relieve the pain.  On 9/11/2021 this knot in my armpit had fully dissipated.  On 9/15/2021 @ 1700 I developed a headache, earache, and toothache on my left side.  From 1700-2300 the pain gradually got so bad I was using Tylenol and ibuprofen as well as ice packs to tolerate the pain.  9/16/2021@ 0645 I called and left a VM at my dentist?s office requesting to be seen ASAP.  Dentist office called back and I was able to be seen at 0830 that morning.  X-rays done shown that I had abscesses on teeth #13 & #14.  The dentist began doing a root canal on #13 this process was going to take 3 visits due to the abscess.  After my appointment sedation wore off much faster than the dentist office had said and from that point until I was able to call the office again the next morning 9/17/2021, I returned back to the dentist office in excruciating pain. After 2 hours of trying to numb the area to try and treat unsuccessfully, my dentist called an oral surgeon in town to see if I could get into see them ASAP.  The receptionist at the dentist office had to drive me to the oral surgeon?s office because I was in such pain.  The oral surgeon did x-rays and a CT of my head and teeth and found multiple abscess.  At this point the only thing that could be done to get me out of pain was to surgically remove the two teeth that were exposed by the dentist.  I was put to sleep under general anesthesia and teeth #13 & #14 were surgically removed by an oral surgeon.  I was prescribed an antibiotic and pain medication.  9/21/2021 @ 1430 I had a follow up appointment with oral surgeon.  Wait 4 months for mouth to heal before I can do anything for missing teeth repair.  Oral surgeon has suggested implants to replace missing teeth, this process can take up to a year for work that will need to be completed. Antibiotic prescribed is hopefully clearing up other abscesses, today I have no additional pain.