chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Skin burning sensation, Skin warm
Clinical narrative: Two days after the 1st injection I observed thousands of tiny red itchy spots on my mostly inner thighs.  They went away after about one week.  Three days after my second injection the dots returned all over the thighs again. Over the coming days the red spots started moving though out my body, moving upward to my lower belly and chest.  On May 3 the redness and tiny spots moved up towards my neck.  Very red and painful itchy  burning spots throughout my thighs, stomach and chest, and the lower third of my neck.  My neck was best red and hot and painful to the touch, nearly purple in color.  I went to an Urgent Care on May 3.   I was given a steroid shot in the butt.  The next day on May 4th about 24 hours after the steroid shot, the rash continued to spread.  It now was visible on my arms as well and covered my entire neck up to my jawline.  My neck burned severely and was a purple shade of red.  I went to the emergency hospital on May 4 about 10pm est.  I was given a second steroid shot via iv, and told to take Benadryl 50mg, three times per day.  It is now May 5 at 637pm est,  some of the redness subsided in the neck area, but still very visible.  The rash has now spread to cover my arms and hands fully, along with spreading to below my knees to my lower legs and feet.  The rash continues to spread and is now present throughout my entire body.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Rash
Clinical narrative: Headache, rash (redness) on chest, shoulders, face, sense of high fever but temperature was normal
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Patient nearing the end of his 30-min observation after Pfizer #2 today. Reports that he had severe pruritis after the first dose which began 4 hrs after injection.  LMD prescribed premed of diphenhydramine 25 mg PO today which pt took on schedule. Very mild pruritis today, no SOB or rash. Rx Pt handed a single pill diphenhydramine 50 mg to be taken later today, timed to be taken at 6 hrs after the first dose. Pt understands and knows not to be driving today.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chills, Fatigue, Headache
Clinical narrative: Vomit, head ache, chills, joint pain, fatigue, back pain, muscle pain, nausea,
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Vomiting
Clinical narrative: Vomit, head ache, chills, joint pain, fatigue, back pain, muscle pain, nausea,
Age: 46.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Cough, Fatigue, Myalgia, Nasal congestion
Clinical narrative: 103 fever; Chills; Body aces; Stuffy nose; Cough; Fatigue ; Muscle aces; Severe arm pain for 2 days; For treatment- I took Tylenol and Advil as needed for 4 days.
Age: 46.0
Sex: F
Vaccine: UNK
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: 103 fever; Chills; Body aces; Stuffy nose; Cough; Fatigue ; Muscle aces; Severe arm pain for 2 days; For treatment- I took Tylenol and Advil as needed for 4 days.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: Rapid Heart Beat that lasted several hours.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Myalgia, Pain in extremity
Clinical narrative: Pt reported the day after receiving the first dose of the Moderna vaccine, she awoke with a very sore arm that was also accompanied by extremely swollen lymph nodes on the same side she received her vaccine in her neck, underarm area, and into her breast that were all very sensitive. She also said her posterior shoulder muscles were extremely sore. Even after 8 days, lymph nodes are still palpably swollen. She went to urgent care on 5/4/21 and was given some prednisone to try and relieve some of the swelling and discomfort.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Balance disorder, Headache, Mental impairment, Pruritus
Clinical narrative: Within 3-5 minutes I experienced minimal itchiness on the opposite arm, and neck. Two hours after injection I began experiencing altered equilibrium, impaired speech and function, similar effects to those after alcohol consumption. At two and half hours itchiness returned ?this time all-over, along with a mild fever and headache. A Benadryl has been prescribed but symptoms persist. I will continue to monitor.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Within 3-5 minutes I experienced minimal itchiness on the opposite arm, and neck. Two hours after injection I began experiencing altered equilibrium, impaired speech and function, similar effects to those after alcohol consumption. At two and half hours itchiness returned ?this time all-over, along with a mild fever and headache. A Benadryl has been prescribed but symptoms persist. I will continue to monitor.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: The dose for the Moderna vaccine is 0.5 mL. The patient inadvertently received an overage of 0.01 to 0.02 mL. The manufacturer instructed us to inform the patient that this could potentially lead to side effects that could be local or systemic. The patient did not report any adverse reactions.
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Chest X-ray, Full blood count, Metabolic function test
Clinical narrative: Breakthrough case: Patient was hospitalized on 4/2021 after developing acute hypoxemic respiratory failure. Per limited notes, he first tested positive for Covid on 4/13/21 and was transferred to a dedicated Covid facility. His status worsened and he was admitted to the hospital on 4/20/21.
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Breakthrough case: Patient was hospitalized on 4/2021 after developing acute hypoxemic respiratory failure. Per limited notes, he first tested positive for Covid on 4/13/21 and was transferred to a dedicated Covid facility. His status worsened and he was admitted to the hospital on 4/20/21.
Age: 1.58
Sex: M
Vaccine: VARCEL
Symptoms: Febrile convulsion, Pyrexia
Clinical narrative: Child presented to ED following 2 febrile seizures starting at 4 am 5/5/2021. His second seizure was at 1 pm 5/5/2021. He had a 3rd seizure while in the E.D. He ran fever throughout the day and had a fever with his first seizure as well. He received an oral dose of diazepam after his 3rd seizure. He is being monitored in the hospital overnight and will follow-up with a Peds Neurologist after discharge.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Death, Diarrhoea, Hyperhidrosis
Clinical narrative: Fever, Diarrhea, chills, sweating, weakness beginning 7 hours after injection. Hospitalized due to these symptoms on March 10, and died on March 13.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, Diarrhea, chills, sweating, weakness beginning 7 hours after injection. Hospitalized due to these symptoms on March 10, and died on March 13.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Axillary pain, Chills, Headache, Lymphadenopathy, Mammogram
Clinical narrative: Body aches, chills, headache, armpit swelling. Armpit swelling has only gone down a little, still aching in armpit and random aching in right armpit.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Ultrasound scan
Clinical narrative: Body aches, chills, headache, armpit swelling. Armpit swelling has only gone down a little, still aching in armpit and random aching in right armpit.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Pt experienced a syncopal episode with approximately 5 sec passed out.  EMTs responded and checked BS = 79.  Laid supine for approximately 10 minutes prior to moving back to his car. Monitored for 30 minutes and released Given phone number to schedule the second dose there as a supine injection. NO medical history, on no medications but prior history of passing out with injections
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Swollen tongue
Clinical narrative: the patient complained of face tingling and sensation of tongue swelling a few minutes after receiving vaccine.  Her tongue did not appear swollen, she had  no shortness of breath.  Her symptoms resolved after an additional 30 minutes of observation and she was discharged to home.  She did not require medical intervention.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Hyperhidrosis, Pallor, Vomiting
Clinical narrative: after about 5-6 minutes, he started feeling weird, then started to get pale and sweating, didn't pass out but did vomit. took a ride to er with the ambulance, came back to let me know he was ok and thank me.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Activated partial thromboplastin time, Angiogram cerebral abnormal, Anticoagulant therapy, Arteriogram carotid abnormal, Blood fibrinogen
Clinical narrative: 17-year-old male who presents with 8 days of headache.  He received his first dose of the Pfizer vaccine on 4/21.  He felt like he had the flu after getting the vaccine and developed right-sided neck pain and a temperature to 100.  The patient did endorse being elbowed in the neck playing basketball during this time as well, as he played in a basketball tournament in right after this.  He got his Covid vaccine in his right deltoid.  He saw his pediatrician on 4/26 and a CT scan of his neck with IV contrast was done and this showed significant diffuse right-sided deep spatial neck edema and right-sided adenopathy.  The pediatrician discussed the findings with ENT who recommended augmentin and a medrol dosepak.  The patient developed a headache several days after this and went to urgent care for evaluation.  There was concern that the augmentin and steroids had caused the headache, so the steroids were stopped and he was switched to keflex on 4/30.  He was given phenergan and toradol at Urgent Care and discharged home.  His mom notes that several days ago he had fevers of 101-104.  He has not had a fever for several days now.  His headache continued and he felt unwell at basketball practice so he returned to urgent care on 5/4.  A CT scan of his head was done which showed right sigmoid and transverse sinus thrombosis as well as thrombophlebitis of the right IJ. He was sent to ED for further management at that time.  In the ED, the patient was hemodynamically stable and well-appearing.  The CTs were overread by our radiologists here.  The patient had some labs done at the outside urgent care but PT/PTT/INR and a CRP were drawn here, which were unremarkable.  A Covid PCR is negative.  Neurosurgery, neurology, and hematology were consulted.  Neurology recommended heparin and a hypercoagulable workup and hematology agreed with this plan.  The patient was admitted to the ICU for neuro checks and monitoring during initiation of heparin.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Body temperature increased, C-reactive protein normal, Computerised tomogram abnormal, Computerised tomogram head abnormal, Computerised tomogram neck
Clinical narrative: 17-year-old male who presents with 8 days of headache.  He received his first dose of the Pfizer vaccine on 4/21.  He felt like he had the flu after getting the vaccine and developed right-sided neck pain and a temperature to 100.  The patient did endorse being elbowed in the neck playing basketball during this time as well, as he played in a basketball tournament in right after this.  He got his Covid vaccine in his right deltoid.  He saw his pediatrician on 4/26 and a CT scan of his neck with IV contrast was done and this showed significant diffuse right-sided deep spatial neck edema and right-sided adenopathy.  The pediatrician discussed the findings with ENT who recommended augmentin and a medrol dosepak.  The patient developed a headache several days after this and went to urgent care for evaluation.  There was concern that the augmentin and steroids had caused the headache, so the steroids were stopped and he was switched to keflex on 4/30.  He was given phenergan and toradol at Urgent Care and discharged home.  His mom notes that several days ago he had fevers of 101-104.  He has not had a fever for several days now.  His headache continued and he felt unwell at basketball practice so he returned to urgent care on 5/4.  A CT scan of his head was done which showed right sigmoid and transverse sinus thrombosis as well as thrombophlebitis of the right IJ. He was sent to ED for further management at that time.  In the ED, the patient was hemodynamically stable and well-appearing.  The CTs were overread by our radiologists here.  The patient had some labs done at the outside urgent care but PT/PTT/INR and a CRP were drawn here, which were unremarkable.  A Covid PCR is negative.  Neurosurgery, neurology, and hematology were consulted.  Neurology recommended heparin and a hypercoagulable workup and hematology agreed with this plan.  The patient was admitted to the ICU for neuro checks and monitoring during initiation of heparin.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Deep vein thrombosis, Epstein-Barr virus antibody, Full blood count, Gene mutation identification test, Headache
Clinical narrative: 17-year-old male who presents with 8 days of headache.  He received his first dose of the Pfizer vaccine on 4/21.  He felt like he had the flu after getting the vaccine and developed right-sided neck pain and a temperature to 100.  The patient did endorse being elbowed in the neck playing basketball during this time as well, as he played in a basketball tournament in right after this.  He got his Covid vaccine in his right deltoid.  He saw his pediatrician on 4/26 and a CT scan of his neck with IV contrast was done and this showed significant diffuse right-sided deep spatial neck edema and right-sided adenopathy.  The pediatrician discussed the findings with ENT who recommended augmentin and a medrol dosepak.  The patient developed a headache several days after this and went to urgent care for evaluation.  There was concern that the augmentin and steroids had caused the headache, so the steroids were stopped and he was switched to keflex on 4/30.  He was given phenergan and toradol at Urgent Care and discharged home.  His mom notes that several days ago he had fevers of 101-104.  He has not had a fever for several days now.  His headache continued and he felt unwell at basketball practice so he returned to urgent care on 5/4.  A CT scan of his head was done which showed right sigmoid and transverse sinus thrombosis as well as thrombophlebitis of the right IJ. He was sent to ED for further management at that time.  In the ED, the patient was hemodynamically stable and well-appearing.  The CTs were overread by our radiologists here.  The patient had some labs done at the outside urgent care but PT/PTT/INR and a CRP were drawn here, which were unremarkable.  A Covid PCR is negative.  Neurosurgery, neurology, and hematology were consulted.  Neurology recommended heparin and a hypercoagulable workup and hematology agreed with this plan.  The patient was admitted to the ICU for neuro checks and monitoring during initiation of heparin.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Influenza A virus test, Influenza virus test, Intensive care, International normalised ratio normal, Localised oedema
Clinical narrative: 17-year-old male who presents with 8 days of headache.  He received his first dose of the Pfizer vaccine on 4/21.  He felt like he had the flu after getting the vaccine and developed right-sided neck pain and a temperature to 100.  The patient did endorse being elbowed in the neck playing basketball during this time as well, as he played in a basketball tournament in right after this.  He got his Covid vaccine in his right deltoid.  He saw his pediatrician on 4/26 and a CT scan of his neck with IV contrast was done and this showed significant diffuse right-sided deep spatial neck edema and right-sided adenopathy.  The pediatrician discussed the findings with ENT who recommended augmentin and a medrol dosepak.  The patient developed a headache several days after this and went to urgent care for evaluation.  There was concern that the augmentin and steroids had caused the headache, so the steroids were stopped and he was switched to keflex on 4/30.  He was given phenergan and toradol at Urgent Care and discharged home.  His mom notes that several days ago he had fevers of 101-104.  He has not had a fever for several days now.  His headache continued and he felt unwell at basketball practice so he returned to urgent care on 5/4.  A CT scan of his head was done which showed right sigmoid and transverse sinus thrombosis as well as thrombophlebitis of the right IJ. He was sent to ED for further management at that time.  In the ED, the patient was hemodynamically stable and well-appearing.  The CTs were overread by our radiologists here.  The patient had some labs done at the outside urgent care but PT/PTT/INR and a CRP were drawn here, which were unremarkable.  A Covid PCR is negative.  Neurosurgery, neurology, and hematology were consulted.  Neurology recommended heparin and a hypercoagulable workup and hematology agreed with this plan.  The patient was admitted to the ICU for neuro checks and monitoring during initiation of heparin.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lymphadenitis bacterial, Malaise, Metabolic function test, Neck pain, Prothrombin time normal
Clinical narrative: 17-year-old male who presents with 8 days of headache.  He received his first dose of the Pfizer vaccine on 4/21.  He felt like he had the flu after getting the vaccine and developed right-sided neck pain and a temperature to 100.  The patient did endorse being elbowed in the neck playing basketball during this time as well, as he played in a basketball tournament in right after this.  He got his Covid vaccine in his right deltoid.  He saw his pediatrician on 4/26 and a CT scan of his neck with IV contrast was done and this showed significant diffuse right-sided deep spatial neck edema and right-sided adenopathy.  The pediatrician discussed the findings with ENT who recommended augmentin and a medrol dosepak.  The patient developed a headache several days after this and went to urgent care for evaluation.  There was concern that the augmentin and steroids had caused the headache, so the steroids were stopped and he was switched to keflex on 4/30.  He was given phenergan and toradol at Urgent Care and discharged home.  His mom notes that several days ago he had fevers of 101-104.  He has not had a fever for several days now.  His headache continued and he felt unwell at basketball practice so he returned to urgent care on 5/4.  A CT scan of his head was done which showed right sigmoid and transverse sinus thrombosis as well as thrombophlebitis of the right IJ. He was sent to ED for further management at that time.  In the ED, the patient was hemodynamically stable and well-appearing.  The CTs were overread by our radiologists here.  The patient had some labs done at the outside urgent care but PT/PTT/INR and a CRP were drawn here, which were unremarkable.  A Covid PCR is negative.  Neurosurgery, neurology, and hematology were consulted.  Neurology recommended heparin and a hypercoagulable workup and hematology agreed with this plan.  The patient was admitted to the ICU for neuro checks and monitoring during initiation of heparin.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test negative, Scan with contrast, Thrombophlebitis, Transverse sinus thrombosis
Clinical narrative: 17-year-old male who presents with 8 days of headache.  He received his first dose of the Pfizer vaccine on 4/21.  He felt like he had the flu after getting the vaccine and developed right-sided neck pain and a temperature to 100.  The patient did endorse being elbowed in the neck playing basketball during this time as well, as he played in a basketball tournament in right after this.  He got his Covid vaccine in his right deltoid.  He saw his pediatrician on 4/26 and a CT scan of his neck with IV contrast was done and this showed significant diffuse right-sided deep spatial neck edema and right-sided adenopathy.  The pediatrician discussed the findings with ENT who recommended augmentin and a medrol dosepak.  The patient developed a headache several days after this and went to urgent care for evaluation.  There was concern that the augmentin and steroids had caused the headache, so the steroids were stopped and he was switched to keflex on 4/30.  He was given phenergan and toradol at Urgent Care and discharged home.  His mom notes that several days ago he had fevers of 101-104.  He has not had a fever for several days now.  His headache continued and he felt unwell at basketball practice so he returned to urgent care on 5/4.  A CT scan of his head was done which showed right sigmoid and transverse sinus thrombosis as well as thrombophlebitis of the right IJ. He was sent to ED for further management at that time.  In the ED, the patient was hemodynamically stable and well-appearing.  The CTs were overread by our radiologists here.  The patient had some labs done at the outside urgent care but PT/PTT/INR and a CRP were drawn here, which were unremarkable.  A Covid PCR is negative.  Neurosurgery, neurology, and hematology were consulted.  Neurology recommended heparin and a hypercoagulable workup and hematology agreed with this plan.  The patient was admitted to the ICU for neuro checks and monitoring during initiation of heparin.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Cerebral venous sinus thrombosis, Coagulation test, Computerised tomogram abnormal, Computerised tomogram head abnormal
Clinical narrative: 17-year-old male who presents with 8 days of headache.  He received his first dose of the Pfizer vaccine on 4/21.  He felt like he had the flu after getting the vaccine and developed right-sided neck pain and a temperature to 100.  The patient did endorse being elbowed in the neck playing basketball during this time as well, as he played in a basketball tournament in right after this.  He got his Covid vaccine in his right deltoid.  He saw his pediatrician on 4/26 and a CT scan of his neck with IV contrast was done and this showed significant diffuse right-sided deep spatial neck edema and right-sided adenopathy.  The pediatrician discussed the findings with ENT who recommended augmentin and a medrol dosepak.  The patient developed a headache several days after this and went to urgent care for evaluation.  There was concern that the augmentin and steroids had caused the headache, so the steroids were stopped and he was switched to keflex on 4/30.  He was given phenergan and toradol at Urgent Care and discharged home.  His mom notes that several days ago he had fevers of 101-104.  He has not had a fever for several days now.  His headache continued and he felt unwell at basketball practice so he returned to urgent care on 5/4.  A CT scan of his head was done which showed right sigmoid and transverse sinus thrombosis as well as thrombophlebitis of the right IJ. He was sent to ED for further management at that time.  In the ED, the patient was hemodynamically stable and well-appearing.  The CTs were overread by our radiologists here.  The patient had some labs done at the outside urgent care but PT/PTT/INR and a CRP were drawn here, which were unremarkable.  A Covid PCR is negative.  Neurosurgery, neurology, and hematology were consulted.  Neurology recommended heparin and a hypercoagulable workup and hematology agreed with this plan.  The patient was admitted to the ICU for neuro checks and monitoring during initiation of heparin.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Gene mutation identification test, Inflammation, Intensive care, Laboratory test, Lymphadenopathy
Clinical narrative: 17-year-old male who presents with 8 days of headache.  He received his first dose of the Pfizer vaccine on 4/21.  He felt like he had the flu after getting the vaccine and developed right-sided neck pain and a temperature to 100.  The patient did endorse being elbowed in the neck playing basketball during this time as well, as he played in a basketball tournament in right after this.  He got his Covid vaccine in his right deltoid.  He saw his pediatrician on 4/26 and a CT scan of his neck with IV contrast was done and this showed significant diffuse right-sided deep spatial neck edema and right-sided adenopathy.  The pediatrician discussed the findings with ENT who recommended augmentin and a medrol dosepak.  The patient developed a headache several days after this and went to urgent care for evaluation.  There was concern that the augmentin and steroids had caused the headache, so the steroids were stopped and he was switched to keflex on 4/30.  He was given phenergan and toradol at Urgent Care and discharged home.  His mom notes that several days ago he had fevers of 101-104.  He has not had a fever for several days now.  His headache continued and he felt unwell at basketball practice so he returned to urgent care on 5/4.  A CT scan of his head was done which showed right sigmoid and transverse sinus thrombosis as well as thrombophlebitis of the right IJ. He was sent to ED for further management at that time.  In the ED, the patient was hemodynamically stable and well-appearing.  The CTs were overread by our radiologists here.  The patient had some labs done at the outside urgent care but PT/PTT/INR and a CRP were drawn here, which were unremarkable.  A Covid PCR is negative.  Neurosurgery, neurology, and hematology were consulted.  Neurology recommended heparin and a hypercoagulable workup and hematology agreed with this plan.  The patient was admitted to the ICU for neuro checks and monitoring during initiation of heparin.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Migraine, SARS-CoV-2 antibody test positive, Sexually transmitted disease test, Swelling, Thrombosis
Clinical narrative: 17-year-old male who presents with 8 days of headache.  He received his first dose of the Pfizer vaccine on 4/21.  He felt like he had the flu after getting the vaccine and developed right-sided neck pain and a temperature to 100.  The patient did endorse being elbowed in the neck playing basketball during this time as well, as he played in a basketball tournament in right after this.  He got his Covid vaccine in his right deltoid.  He saw his pediatrician on 4/26 and a CT scan of his neck with IV contrast was done and this showed significant diffuse right-sided deep spatial neck edema and right-sided adenopathy.  The pediatrician discussed the findings with ENT who recommended augmentin and a medrol dosepak.  The patient developed a headache several days after this and went to urgent care for evaluation.  There was concern that the augmentin and steroids had caused the headache, so the steroids were stopped and he was switched to keflex on 4/30.  He was given phenergan and toradol at Urgent Care and discharged home.  His mom notes that several days ago he had fevers of 101-104.  He has not had a fever for several days now.  His headache continued and he felt unwell at basketball practice so he returned to urgent care on 5/4.  A CT scan of his head was done which showed right sigmoid and transverse sinus thrombosis as well as thrombophlebitis of the right IJ. He was sent to ED for further management at that time.  In the ED, the patient was hemodynamically stable and well-appearing.  The CTs were overread by our radiologists here.  The patient had some labs done at the outside urgent care but PT/PTT/INR and a CRP were drawn here, which were unremarkable.  A Covid PCR is negative.  Neurosurgery, neurology, and hematology were consulted.  Neurology recommended heparin and a hypercoagulable workup and hematology agreed with this plan.  The patient was admitted to the ICU for neuro checks and monitoring during initiation of heparin.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Muscular weakness, Palpitations, Tachycardia
Clinical narrative: pt c/o of weakness in legs and heart palpitations. v/s initiated pt appeared to be tachycardic and hypertensive, monitoring continued , remained hypertensive and tachycardic. pt denied chest pain, blurry vision and headache. No improvement EMS activated. Pt handed off at 18:38 to EMS
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: The dose for the Moderna vaccine is 0.5 mL. The patient inadvertently received an overage of 0.01 to 0.02 mL. The manufacturer instructed us to inform the patient that this could potentially lead to side effects that could be local or systemic. The patient did not report any adverse reactions.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Syncope
Clinical narrative: Patient was light headed after shot. Sat for 30 minutes and walked around with supervision for another 10 minutes. When leaving Patient fainted and was having shortness of breath.  Epi pen administered and Patient was taken to the hospital.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Deafness
Clinical narrative: hearing loss right ear chills
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hot flush, Loss of consciousness, Nausea, Vertigo
Clinical narrative: Roughly 10 minutes after the injection, I experienced a sudden hot flash, followed by cold and felt like I was going to lose consciousness. I immediately found a chair and put my head down. I maintained consciousness, but continued to feel dizzy and nauseous for about 20 minutes. I seemed to return to normal until the following day when I began experiencing vertigo.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Symptom onset of 5/1/2021 with loss of taste, loss of smell & runny nose. Tested positive via PCR on 5/3/2021.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Immediate post-injection reaction
Clinical narrative: I had mild anaphylaxis immediately after receiving the second dose. I did not make too much of it as I have a lot of allergies and carry an epi-pin that I have never had to use. Approximately an hour later I suspect I had a seizure at home.   I got my allergy shots yesterday 3/5/2021 and approximately an hour later I started having the same sort of "spells" for a lack of a better word that persisted through the night. The same exact feeling as the second vaccine injection without the anaphylaxis.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hypoaesthesia, Throat tightness
Clinical narrative: Pt with history of anaphylaxis to lisinopril but also reports that she is on this med for HTN.  Reported sense of throat tightness, numbness in feet and hands Cheeks appeared flushed Given zytec 10mg  Monitored for 30 minutes and felt much better
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Full blood count normal, Metabolic function test, Oedema, Oedema peripheral
Clinical narrative: pt developed b/l LE edema 1+ pitting edema roughly 2-3 weeks after getting covid vaccine cbc, cmp, trop, bnp were normal during ER visit 4/30 pt complained of "red dots" like rash at first but no petichial rash noted on exam
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Troponin normal
Clinical narrative: pt developed b/l LE edema 1+ pitting edema roughly 2-3 weeks after getting covid vaccine cbc, cmp, trop, bnp were normal during ER visit 4/30 pt complained of "red dots" like rash at first but no petichial rash noted on exam
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Heart rate increased, Muscle spasms, Nausea, Paraesthesia oral
Clinical narrative: PT started to have tingling in her mouth, felt like her tongue was swelling, nausea and dry hiving, hands cramping, elevated heart rete and  blood pressure. PT had taken 50 mg Benadryl 30 minute before vaccination per her PCP. Provider evaluated PT, PT was observed on site for approximately an hour before her symptoms stated to subside. PT was driving home by spouse.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Retching, Swollen tongue
Clinical narrative: PT started to have tingling in her mouth, felt like her tongue was swelling, nausea and dry hiving, hands cramping, elevated heart rete and  blood pressure. PT had taken 50 mg Benadryl 30 minute before vaccination per her PCP. Provider evaluated PT, PT was observed on site for approximately an hour before her symptoms stated to subside. PT was driving home by spouse.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: PT. STOPPED BY THE PHARMACY TO INFORM US THAT THE VACCINE WAS NOT GIVEN CORRECTLY. IT WAS ADMINISTERED MORE TO THE LOWER ARM SIDE. PT. WAS IN PAIN AND PRESCRIBED TREATMENT.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Paraesthesia oral
Clinical narrative: Tingling and swollen lips an hour after vaccination. Went away after 30 minutes or so. Did not think much of it until she came for her booster dose today. Cancelled her booster dose of the Pfizer COVID-19 vaccine.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase MB increased, Blood creatine phosphokinase increased, Burning sensation, Catheterisation cardiac, Chest pain
Clinical narrative: Post vaccine, a few hours later he had symptoms of an upper respiratory infection.  It evolved into a fairly intense headache for which he took some ibuprofen.  He had chills and fevers and felt very poorly.  At 7 AM on Saturday, April 24 he suffered excruciating substernal chest pain.  It was a burning sensation and it was so severe he wanted to die to relieve the pain. The pain was only minimally positional and it was nonpleuritic. He drove himself to the nearest hospital and even drove through some red lights to get there more quickly.  When he arrived he had ST elevation in the same leads with his early repolarization which was perhaps a millimeter or so higher than the EKG we did in February.  He had both an elevation of his troponin levels which were 5.07, 6.06, 5.72 and 5.73.  A CK was 195 with an MB of 41.2.  He was taken to the cath lab emergently.  no coronary disease.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Feeling abnormal, Headache
Clinical narrative: Post vaccine, a few hours later he had symptoms of an upper respiratory infection.  It evolved into a fairly intense headache for which he took some ibuprofen.  He had chills and fevers and felt very poorly.  At 7 AM on Saturday, April 24 he suffered excruciating substernal chest pain.  It was a burning sensation and it was so severe he wanted to die to relieve the pain. The pain was only minimally positional and it was nonpleuritic. He drove himself to the nearest hospital and even drove through some red lights to get there more quickly.  When he arrived he had ST elevation in the same leads with his early repolarization which was perhaps a millimeter or so higher than the EKG we did in February.  He had both an elevation of his troponin levels which were 5.07, 6.06, 5.72 and 5.73.  A CK was 195 with an MB of 41.2.  He was taken to the cath lab emergently.  no coronary disease.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Troponin increased, Upper respiratory tract infection
Clinical narrative: Post vaccine, a few hours later he had symptoms of an upper respiratory infection.  It evolved into a fairly intense headache for which he took some ibuprofen.  He had chills and fevers and felt very poorly.  At 7 AM on Saturday, April 24 he suffered excruciating substernal chest pain.  It was a burning sensation and it was so severe he wanted to die to relieve the pain. The pain was only minimally positional and it was nonpleuritic. He drove himself to the nearest hospital and even drove through some red lights to get there more quickly.  When he arrived he had ST elevation in the same leads with his early repolarization which was perhaps a millimeter or so higher than the EKG we did in February.  He had both an elevation of his troponin levels which were 5.07, 6.06, 5.72 and 5.73.  A CK was 195 with an MB of 41.2.  He was taken to the cath lab emergently.  no coronary disease.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: I had my first Moderna shot on April 18. Several hours after the shot, I had pain and swelling at the injection site and joint pain and I developed a fever that evening.  On May 2, I had joint pain and noticed a yellow, bruise-like spot at the injection site and a large red, painful, swollen area on my arm, just below the injection spot--these symptoms have continued through today (now the red area is bigger and itches).
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Pyrexia
Clinical narrative: I had my first Moderna shot on April 18. Several hours after the shot, I had pain and swelling at the injection site and joint pain and I developed a fever that evening.  On May 2, I had joint pain and noticed a yellow, bruise-like spot at the injection site and a large red, painful, swollen area on my arm, just below the injection spot--these symptoms have continued through today (now the red area is bigger and itches).
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dysgeusia, Dysmenorrhoea, Heavy menstrual bleeding, Pain in extremity
Clinical narrative: Sore arm at the time of shot and for 8 days after. Within 10 min of receiving the shot, I had a slight metallic taste in my mouth. I had my second dose on 3/31/2021. My first menstrual cycle after the second dose began on 4/27/2021. I experienced painful cramping in my lower back about 1 week prior to my cycle starting and heavy bleeding and more painful than normal cramping on the day that I started my menstrual cycle.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Ear discomfort, Nausea
Clinical narrative: In about a minute, ears "closed off", quickly became dizzy,  feeling like going to "pass out". Some nausea. Indicated he had never experienced this with any other injections.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hypokinesia, Paraesthesia, Paraesthesia oral
Clinical narrative: patient started having bells-palsy like symptoms- lips and right side of the face tingled and loss motor control
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea
Clinical narrative: the patient complained of feeling a quick twinge and shortness of breath that lasted seconds.  He was observed for 30 minutes and evaluated by the doctor.  No medical intervention was required and the patient was discharged to home.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted three minutes after receiving vaccine
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: The dose for the Moderna vaccine is 0.5 mL. The patient inadvertently received an overage of 0.01 to 0.02 mL. The manufacturer instructed us to inform the patient that this could potentially lead to side effects that could be local or systemic. The patient did not report any adverse reactions.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Catheter site erythema, Catheter site swelling, Catheter site warmth, Central venous catheter removal, Central venous catheterisation
Clinical narrative: 5/4 : Resident with PICC line following course of IV ABX for osteomylitis. Resident was administered Jassen vaccine at 1100am. Resident had PICC line and PIV removed at aprox 1700. He was followed up by nursing staff at 2000 at which time he complained of swelling, redness, and heat to the PICC site.  On-call provider was notified and ordered transportation to Emergency Department for evaluation.  Facility was notified of passing at 0200 on 5/5
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: 5/4 : Resident with PICC line following course of IV ABX for osteomylitis. Resident was administered Jassen vaccine at 1100am. Resident had PICC line and PIV removed at aprox 1700. He was followed up by nursing staff at 2000 at which time he complained of swelling, redness, and heat to the PICC site.  On-call provider was notified and ordered transportation to Emergency Department for evaluation.  Facility was notified of passing at 0200 on 5/5
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Facility reported patient needed 1st dose and scheduled with Mobile Team 4/15/2021. Mobile Team vaccinated on 4/15/2021 patient with Pfizer. However when scheduling the 2nd dose clinic in a different system than the first appointment, the records showed that the patient received 1st dose 1/29/2021 Pfizer and 2nd dose 2/19/2021 Pfizer. Conservator and facilty reported no injury or issues post vaccination.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: 1 week after vaccine redness, swelling, itching, pain, and heat in left arm where injection was done. Redness spread outside of borders drawn and then proceeded to spread down the left arm each day up to day 12 after injection.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Cold sweat, Head discomfort, Hyperhidrosis, Peripheral coldness
Clinical narrative: Once patient moved to observation area, she stated she was not feeling well. Had pressure on back of neck/head. Had trouble breathing with mask, so we advised her to take it off for the moment. Her breathing improved. Patient stated that she had diabetes and had eaten about 2 hours before: checked blood glucose and was 130.  Her hands were icy cold, she was clammy and sweaty. Provided damp towels and ice pack on back of neck. Took blood pressure: 146/102. Stayed with patient until EMS arrived.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: the patient complained of feeling lightheaded a few minutes after receiving her vaccine.  She was observed for an additional 30 minutes.  Vital signs were recorded.  She was discharged to home in stable condition
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Administered 0.5 mL of vaccine, not 0.3 mL
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Eye swelling, Skin warm
Clinical narrative: On Sunday afternoon 5/2/21 patient had black looking, bruised looking puffiness below eyes.  Hot to touch at cheek bones.  Eye issue mostly gone, but still somewhat there.  Cheek bone issue resolved by Monday morning.
Age: 55.0
Sex: F
Vaccine: UNK
Symptoms: Breast pain, Breast tenderness, Impaired driving ability, Lymph node pain, Mastitis
Clinical narrative: About 16 days following first COVID vaccine, the lymph nodes in my left armpit (same arm as shot) began to feel tender and painful. This painand tenderness then also spread into my breast tissue in my left breast and is similar to mastitis. This has persisted for 17 days with no improvement at all. I would describe it as a cross between mastitis and plurisy, as it is painful to drive, lift my arm, or really use the left arm much but also painful internally when I laugh or cough. I can recall no event where I would have pulled a muscle or bumping that side of my body and there has been no improvement over the two week"s time that it began and got worse over three days time and then has remained at same pain level.
Age: 55.0
Sex: F
Vaccine: UNK
Symptoms: Mobility decreased, Pain, Pleurisy
Clinical narrative: About 16 days following first COVID vaccine, the lymph nodes in my left armpit (same arm as shot) began to feel tender and painful. This painand tenderness then also spread into my breast tissue in my left breast and is similar to mastitis. This has persisted for 17 days with no improvement at all. I would describe it as a cross between mastitis and plurisy, as it is painful to drive, lift my arm, or really use the left arm much but also painful internally when I laugh or cough. I can recall no event where I would have pulled a muscle or bumping that side of my body and there has been no improvement over the two week"s time that it began and got worse over three days time and then has remained at same pain level.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vertigo, Vomiting
Clinical narrative: Intense vertigo with vomiting 2 days after second dose. Vertigo with nausea occurred 6 days after first Moderna dose. Incapacitating vertigo with nause occurred a third time after second dose on day 5.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus
Clinical narrative: Patient said her arm started itching around the vaccine site shortly after the injection. However, felt it was just due to the adhesive from bandaid
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Facial pain, Palpitations
Clinical narrative: Chest pain, palpitations, facial pain
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered
Clinical narrative: Given a 3rd dose of MODERNA vaccine
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Head ache for 17 days constant after.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Dyskinesia, Fall, Head injury, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Patient fell from seated position in waiting area onto head approximately 5 minutes post injection possibly due to brief loss of consciousness.  Patient had brief episode of spastic movement after hitting head on floor of pharmacy waiting area.  Patient awoke and was alert and oriented, but unsure what had happened.  Patient had normal breathing and no apparent distress upon regaining consciousness from fall. Patient was comfortable and left pharmacy awake alert and oriented with no known issues and denied need for emergency services.  Patient stated would follow up with medical care due to hitting head.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Paraesthesia, Tinnitus
Clinical narrative: Severe pulsatile tinnitus, tingling and electric feelings in feet, unusual headaches
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site rash, Lymph node pain, Lymphadenopathy
Clinical narrative: approximately 6 days after receiving the 1st shot, I woke up that morning and the the lymph nodes in my left arm pit were swollen.  Also occurring 6 days later I had a rash near the injection site and the area around the injection site was hard.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Eyelid oedema, Herpes virus test, Herpes zoster, Ocular hyperaemia
Clinical narrative: One week post vaccine, little blisters lower eyelid, itchy and swollen. Prescribed Erythromycin and Cephalexin. Next day, red eye, blisters worse, swollen and itchy. Second opinion,  prescribed valtrex and doxycycline. Following day starting to improve. Day 4 just blisters now.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Staphylococcus test negative
Clinical narrative: One week post vaccine, little blisters lower eyelid, itchy and swollen. Prescribed Erythromycin and Cephalexin. Next day, red eye, blisters worse, swollen and itchy. Second opinion,  prescribed valtrex and doxycycline. Following day starting to improve. Day 4 just blisters now.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Blood test, Catheterisation cardiac normal, Chest pain, Computerised tomogram
Clinical narrative: STARTING AROUND 4/3 she started to experience dizziness, nausea and memory loss.  On 04/06 She passed out while sitting in her chair, woke up and began throwing up. Had extreme short term memory loss and low blood pressure. On 04/08 while at her primary care Dr, he suggested a hospital visit with suspicion of possible stroke.  Was admitted  and released the following day. Dr advised possible mini strokes but could also be dehydration.  CBC with differential showed other results than dehydration.   Starting around 04/20 she started having chest pains and thought it was heart burn, after medication and another visit to her pcp she was admitted to the hospital again on 04/23.  Her troponin levels indicated a possible heart attack.  She had a heart catherization and was found to have a healthy heart.  Again, her blood pressure has been decreased since, her hgb and hct has also been low with a history of it being high.  A high WBC since all of this has started among other unexplained blood results.