chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Magnetic resonance imaging, Scan with contrast
Clinical narrative: I developed left side ear pain and headaches beginning 5 months after the 2nd vacinne shot. The ear pain developed to headache which then developed to Bells Palsey. I still have dizziness and headaches after about 45 days since being treated for Bells Palsey
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Glycosylated haemoglobin increased
Clinical narrative: A1C increased from 8.3 - 10.4
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pruritus, Mechanical urticaria, Skin test, Urticaria
Clinical narrative: Sudden dermatographism occurring mostly on upper body. This is a condition I have never had before. Wheals present after skin is stimulated - the site(s) then become itchy for approximately 10-30 minutes before subsiding.  Currently treating with 20mg Zyrtec per day.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Extra dose administered, Influenza like illness, Nasopharyngitis
Clinical narrative: Seven days after the COVID booster injection I developed a head cold followed by flu like symptoms including fever, and chills.  After second day I conducted an at home COVID test which was positive, my wife who was vaccinated the same day also came down with similar symptoms and tested COVID positive the same day using a different test manufacturer.  I am at day four and am still experiencIng  flu like symptoms, fever has subsided.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Seven days after the COVID booster injection I developed a head cold followed by flu like symptoms including fever, and chills.  After second day I conducted an at home COVID test which was positive, my wife who was vaccinated the same day also came down with similar symptoms and tested COVID positive the same day using a different test manufacturer.  I am at day four and am still experiencIng  flu like symptoms, fever has subsided.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Feeling cold, Headache
Clinical narrative: Headache all day and into night, 11pm rigors(?) - extreme cold, extreme cold, continued headache. Duration was 45 minutes. Treated with electric bed warmer on high and under 3 thick comforters.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Lymph node pain, Tenderness
Clinical narrative: About 7 hours post booster, I started having pain in my left bicep where I received the shot. By 24 hours the pain spread to the lymph nodes in my chest on the left side. By the third day, the pain in my bicep subsided but the pain in my pectoral/lymph nodes in the chest remain. It hurts to the touch and when I tried to go for a jog, the jostling hurt too much to complete my workout. It?s now over 79 hours after the shot and it is still hurting about a 6/10 with 10 being the max pain.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Lymphadenopathy
Clinical narrative: Pain and swelling of injection site followed by swollen lymph nodes on left-side (including side of neck, underarm, outside of breast area and collarbone area).
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Cardiac failure congestive, Dyspnoea, Echocardiogram abnormal, Ejection fraction decreased
Clinical narrative: Previous chronic condition of Dilated Cardiomyopathy declined into Congestive Heart Failure.  Ejection Fraction went from 40 to 45% in December 2020 (Regular Scheduled Echo) to 30% in July 2021 Echo.  Initial symptoms started as difficulty breathing and retaining fluid.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fluid retention
Clinical narrative: Previous chronic condition of Dilated Cardiomyopathy declined into Congestive Heart Failure.  Ejection Fraction went from 40 to 45% in December 2020 (Regular Scheduled Echo) to 30% in July 2021 Echo.  Initial symptoms started as difficulty breathing and retaining fluid.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Pt got her vaccination on Sunday evening, 11/7.  On Thursday evening, 11/11 she complained of an itchy arm as she was getting ready for bed.  We looked, and her left arm, and it was lumpy and red 1-2 inches away from her injection site. The lumps didn't exactly look like hives (which she sometimes gets), and it was not symmetrical around the injection site. I called a friend who is doctor and a infectious disease specialist, who asked if pt was having trouble breathing.  She was not.  My friend said she could have some Benadryl or Claritin or whatever we usually would offer her if she was itchy or having hives.  So we gave her 5 mL of Benadryl. Pt has complained of some itchiness since (and we have given Benadryl another evening one time), the redness has decreased but some of the lumps are still there, if reduced.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria, Urticaria chronic
Clinical narrative: Chronic spontaneous urticaria - hives all over my body in splotches that go away then reappear then disappear and reappear - hasn?t stopped
Age: 35.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Blood test, Chest pain, Computerised tomogram, Dyspnoea, Electrocardiogram
Clinical narrative: Beginning 24 hours after the vaccine, I had shortness of breath, chest pain and increased heart rate. I did not have these reactions with prior doses. I went to urgent care, and they transferred me to the emergency room. They discharged me 10 hours later, and told me it was mild myocarditis. I had symptoms for 6 days. I still have slight shortness of breath and rapid heart rate when exerting myself.
Age: 35.0
Sex: M
Vaccine: COVID19, FLUC4
Symptoms: Heart rate increased, Myocarditis
Clinical narrative: Beginning 24 hours after the vaccine, I had shortness of breath, chest pain and increased heart rate. I did not have these reactions with prior doses. I went to urgent care, and they transferred me to the emergency room. They discharged me 10 hours later, and told me it was mild myocarditis. I had symptoms for 6 days. I still have slight shortness of breath and rapid heart rate when exerting myself.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Hypoaesthesia, Pruritus, Urticaria
Clinical narrative: Left arm numb Left leg numb Hives all over neck, chest, left side of face Redness and itchiness all over body
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Conjunctival haemorrhage
Clinical narrative: Subconjuctival hemmorhage left eye. Onset of symptom 11/7/2021
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Chest pain, Computerised tomogram abdomen abnormal, Computerised tomogram head normal
Clinical narrative: Hospitalized (11.9.21);  COVID-19 positive (11.3.21);  Fully Vaccinated  Admission Date: 11/9/2021 Discharge Date: Nov 13, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Syncope and collapse [R55] Debility [R53.81] Chest pain in adult [R07.9] COVID-19 [U07.1] BRIEF HISTORY OF PRESENTING ILLNESS: 78-year-old female with a past medical history significant for fibromyalgia who presents after suffering a syncopal event while going to the restroom at home.  Upon awakening, the patient states she felt some sharp chest pain.  She decided to present to the emergency department.   In the emergency department the patient was found to be hemodynamically stable.  Labs are obtained and remarkable for a white blood cell count of 12000. Cardiac enzymes were checked and found remained relatively flat at 27 and 28. CT of the head unenhanced shows no acute process.  CT of the cervical spine showed no acute process.  CT PE study showed no evidence of PE but ground-glass opacities were noted with some reactive adenopathy.  CT of the abdomen pelvis with IV contrast was obtained and this showed no acute intra-abdominal process but the patient was found to have a 7 mm low attenuating anterior pancreatic lesion concerning for cyst versus neoplasm.  Patient was thought to warrant admission to the hospital.  The patient was found culture positive had no symptoms and did receive monoclonal antibody therapy and remained on room air throughout her hospital stay. Patient had no recurrent syncopal or presyncopal events while hospitalized.  She had negative orthostatic vital sign and to evaluate for study likely posterior stroke, she did go for MRI of the head with and without contrast and this did not show any acute pathology. The etiology behind the patient's symptomatology was uncertain.  She did undergo further imaging in the form of echocardiogram and this did not show any evidence of shunt or any significant valvular pathology or focal wall motion abnormalities.  After being seen by PT and OT, the patient did not seem to have any requirements that would steer her toward subacute rehab facility placement, therefore she was thought to be appropriate for discharge home with outpatient physical therapy as desired. Of note, the patient did have an incidental finding of a pancreatic mass and MRCP suggested an intraductal papillary mucinous neoplasm.  Recommendation based on imaging was for the patient have 1 year follow-up imaging in the form of MRCP for surveillance.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram spine, Computerised tomogram thorax abnormal, Constipation, Culture positive, Dyspnoea
Clinical narrative: Hospitalized (11.9.21);  COVID-19 positive (11.3.21);  Fully Vaccinated  Admission Date: 11/9/2021 Discharge Date: Nov 13, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Syncope and collapse [R55] Debility [R53.81] Chest pain in adult [R07.9] COVID-19 [U07.1] BRIEF HISTORY OF PRESENTING ILLNESS: 78-year-old female with a past medical history significant for fibromyalgia who presents after suffering a syncopal event while going to the restroom at home.  Upon awakening, the patient states she felt some sharp chest pain.  She decided to present to the emergency department.   In the emergency department the patient was found to be hemodynamically stable.  Labs are obtained and remarkable for a white blood cell count of 12000. Cardiac enzymes were checked and found remained relatively flat at 27 and 28. CT of the head unenhanced shows no acute process.  CT of the cervical spine showed no acute process.  CT PE study showed no evidence of PE but ground-glass opacities were noted with some reactive adenopathy.  CT of the abdomen pelvis with IV contrast was obtained and this showed no acute intra-abdominal process but the patient was found to have a 7 mm low attenuating anterior pancreatic lesion concerning for cyst versus neoplasm.  Patient was thought to warrant admission to the hospital.  The patient was found culture positive had no symptoms and did receive monoclonal antibody therapy and remained on room air throughout her hospital stay. Patient had no recurrent syncopal or presyncopal events while hospitalized.  She had negative orthostatic vital sign and to evaluate for study likely posterior stroke, she did go for MRI of the head with and without contrast and this did not show any acute pathology. The etiology behind the patient's symptomatology was uncertain.  She did undergo further imaging in the form of echocardiogram and this did not show any evidence of shunt or any significant valvular pathology or focal wall motion abnormalities.  After being seen by PT and OT, the patient did not seem to have any requirements that would steer her toward subacute rehab facility placement, therefore she was thought to be appropriate for discharge home with outpatient physical therapy as desired. Of note, the patient did have an incidental finding of a pancreatic mass and MRCP suggested an intraductal papillary mucinous neoplasm.  Recommendation based on imaging was for the patient have 1 year follow-up imaging in the form of MRCP for surveillance.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram normal, Intraductal papillary mucinous neoplasm, Lung opacity, Magnetic resonance cholangiopancreatography, Magnetic resonance imaging head normal
Clinical narrative: Hospitalized (11.9.21);  COVID-19 positive (11.3.21);  Fully Vaccinated  Admission Date: 11/9/2021 Discharge Date: Nov 13, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Syncope and collapse [R55] Debility [R53.81] Chest pain in adult [R07.9] COVID-19 [U07.1] BRIEF HISTORY OF PRESENTING ILLNESS: 78-year-old female with a past medical history significant for fibromyalgia who presents after suffering a syncopal event while going to the restroom at home.  Upon awakening, the patient states she felt some sharp chest pain.  She decided to present to the emergency department.   In the emergency department the patient was found to be hemodynamically stable.  Labs are obtained and remarkable for a white blood cell count of 12000. Cardiac enzymes were checked and found remained relatively flat at 27 and 28. CT of the head unenhanced shows no acute process.  CT of the cervical spine showed no acute process.  CT PE study showed no evidence of PE but ground-glass opacities were noted with some reactive adenopathy.  CT of the abdomen pelvis with IV contrast was obtained and this showed no acute intra-abdominal process but the patient was found to have a 7 mm low attenuating anterior pancreatic lesion concerning for cyst versus neoplasm.  Patient was thought to warrant admission to the hospital.  The patient was found culture positive had no symptoms and did receive monoclonal antibody therapy and remained on room air throughout her hospital stay. Patient had no recurrent syncopal or presyncopal events while hospitalized.  She had negative orthostatic vital sign and to evaluate for study likely posterior stroke, she did go for MRI of the head with and without contrast and this did not show any acute pathology. The etiology behind the patient's symptomatology was uncertain.  She did undergo further imaging in the form of echocardiogram and this did not show any evidence of shunt or any significant valvular pathology or focal wall motion abnormalities.  After being seen by PT and OT, the patient did not seem to have any requirements that would steer her toward subacute rehab facility placement, therefore she was thought to be appropriate for discharge home with outpatient physical therapy as desired. Of note, the patient did have an incidental finding of a pancreatic mass and MRCP suggested an intraductal papillary mucinous neoplasm.  Recommendation based on imaging was for the patient have 1 year follow-up imaging in the form of MRCP for surveillance.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myocardial necrosis marker normal, Neck pain, Oedema peripheral, Pancreatic cyst, Pancreatic mass
Clinical narrative: Hospitalized (11.9.21);  COVID-19 positive (11.3.21);  Fully Vaccinated  Admission Date: 11/9/2021 Discharge Date: Nov 13, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Syncope and collapse [R55] Debility [R53.81] Chest pain in adult [R07.9] COVID-19 [U07.1] BRIEF HISTORY OF PRESENTING ILLNESS: 78-year-old female with a past medical history significant for fibromyalgia who presents after suffering a syncopal event while going to the restroom at home.  Upon awakening, the patient states she felt some sharp chest pain.  She decided to present to the emergency department.   In the emergency department the patient was found to be hemodynamically stable.  Labs are obtained and remarkable for a white blood cell count of 12000. Cardiac enzymes were checked and found remained relatively flat at 27 and 28. CT of the head unenhanced shows no acute process.  CT of the cervical spine showed no acute process.  CT PE study showed no evidence of PE but ground-glass opacities were noted with some reactive adenopathy.  CT of the abdomen pelvis with IV contrast was obtained and this showed no acute intra-abdominal process but the patient was found to have a 7 mm low attenuating anterior pancreatic lesion concerning for cyst versus neoplasm.  Patient was thought to warrant admission to the hospital.  The patient was found culture positive had no symptoms and did receive monoclonal antibody therapy and remained on room air throughout her hospital stay. Patient had no recurrent syncopal or presyncopal events while hospitalized.  She had negative orthostatic vital sign and to evaluate for study likely posterior stroke, she did go for MRI of the head with and without contrast and this did not show any acute pathology. The etiology behind the patient's symptomatology was uncertain.  She did undergo further imaging in the form of echocardiogram and this did not show any evidence of shunt or any significant valvular pathology or focal wall motion abnormalities.  After being seen by PT and OT, the patient did not seem to have any requirements that would steer her toward subacute rehab facility placement, therefore she was thought to be appropriate for discharge home with outpatient physical therapy as desired. Of note, the patient did have an incidental finding of a pancreatic mass and MRCP suggested an intraductal papillary mucinous neoplasm.  Recommendation based on imaging was for the patient have 1 year follow-up imaging in the form of MRCP for surveillance.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pancreatic neoplasm, Peripheral swelling, SARS-CoV-2 test positive, Scan with contrast abnormal, Swelling
Clinical narrative: Hospitalized (11.9.21);  COVID-19 positive (11.3.21);  Fully Vaccinated  Admission Date: 11/9/2021 Discharge Date: Nov 13, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Syncope and collapse [R55] Debility [R53.81] Chest pain in adult [R07.9] COVID-19 [U07.1] BRIEF HISTORY OF PRESENTING ILLNESS: 78-year-old female with a past medical history significant for fibromyalgia who presents after suffering a syncopal event while going to the restroom at home.  Upon awakening, the patient states she felt some sharp chest pain.  She decided to present to the emergency department.   In the emergency department the patient was found to be hemodynamically stable.  Labs are obtained and remarkable for a white blood cell count of 12000. Cardiac enzymes were checked and found remained relatively flat at 27 and 28. CT of the head unenhanced shows no acute process.  CT of the cervical spine showed no acute process.  CT PE study showed no evidence of PE but ground-glass opacities were noted with some reactive adenopathy.  CT of the abdomen pelvis with IV contrast was obtained and this showed no acute intra-abdominal process but the patient was found to have a 7 mm low attenuating anterior pancreatic lesion concerning for cyst versus neoplasm.  Patient was thought to warrant admission to the hospital.  The patient was found culture positive had no symptoms and did receive monoclonal antibody therapy and remained on room air throughout her hospital stay. Patient had no recurrent syncopal or presyncopal events while hospitalized.  She had negative orthostatic vital sign and to evaluate for study likely posterior stroke, she did go for MRI of the head with and without contrast and this did not show any acute pathology. The etiology behind the patient's symptomatology was uncertain.  She did undergo further imaging in the form of echocardiogram and this did not show any evidence of shunt or any significant valvular pathology or focal wall motion abnormalities.  After being seen by PT and OT, the patient did not seem to have any requirements that would steer her toward subacute rehab facility placement, therefore she was thought to be appropriate for discharge home with outpatient physical therapy as desired. Of note, the patient did have an incidental finding of a pancreatic mass and MRCP suggested an intraductal papillary mucinous neoplasm.  Recommendation based on imaging was for the patient have 1 year follow-up imaging in the form of MRCP for surveillance.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Syncope, White blood cell count increased
Clinical narrative: Hospitalized (11.9.21);  COVID-19 positive (11.3.21);  Fully Vaccinated  Admission Date: 11/9/2021 Discharge Date: Nov 13, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Syncope and collapse [R55] Debility [R53.81] Chest pain in adult [R07.9] COVID-19 [U07.1] BRIEF HISTORY OF PRESENTING ILLNESS: 78-year-old female with a past medical history significant for fibromyalgia who presents after suffering a syncopal event while going to the restroom at home.  Upon awakening, the patient states she felt some sharp chest pain.  She decided to present to the emergency department.   In the emergency department the patient was found to be hemodynamically stable.  Labs are obtained and remarkable for a white blood cell count of 12000. Cardiac enzymes were checked and found remained relatively flat at 27 and 28. CT of the head unenhanced shows no acute process.  CT of the cervical spine showed no acute process.  CT PE study showed no evidence of PE but ground-glass opacities were noted with some reactive adenopathy.  CT of the abdomen pelvis with IV contrast was obtained and this showed no acute intra-abdominal process but the patient was found to have a 7 mm low attenuating anterior pancreatic lesion concerning for cyst versus neoplasm.  Patient was thought to warrant admission to the hospital.  The patient was found culture positive had no symptoms and did receive monoclonal antibody therapy and remained on room air throughout her hospital stay. Patient had no recurrent syncopal or presyncopal events while hospitalized.  She had negative orthostatic vital sign and to evaluate for study likely posterior stroke, she did go for MRI of the head with and without contrast and this did not show any acute pathology. The etiology behind the patient's symptomatology was uncertain.  She did undergo further imaging in the form of echocardiogram and this did not show any evidence of shunt or any significant valvular pathology or focal wall motion abnormalities.  After being seen by PT and OT, the patient did not seem to have any requirements that would steer her toward subacute rehab facility placement, therefore she was thought to be appropriate for discharge home with outpatient physical therapy as desired. Of note, the patient did have an incidental finding of a pancreatic mass and MRCP suggested an intraductal papillary mucinous neoplasm.  Recommendation based on imaging was for the patient have 1 year follow-up imaging in the form of MRCP for surveillance.
Age: 7.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Cough, Gait disturbance, Henoch-Schonlein purpura, Joint stiffness
Clinical narrative: The two nights following the vaccine resulted in low fever while sleeping and some whimpering. He attended school the next day (Wednesday) but stayed home Thursday and Friday due to a congested cough that 3 family members had. patient started limping on Thursday afternoon following a very restful day. He complained of L ankle pain.  Friday was fairly normal without complaints until the evening before bed. Then he woke with significant pain during the night. He slept until 10:00am the next morning and had a typical day helping with yard work and relaxing. He again complained of pain in the afternoon and upon examination had a circular, oblong ring shaped rash on posterior L ankle. He woke again that night in pain. Sunday was better in the morning but symptoms worsened earlier in the day, with another circular bruise like rash seen on medial aspect of R foot. He was in significant pain. Also noted swelling in knees and complaints of pain L>R .Stiffness, limping, point tenderness and sensitivity all present at rash sites. Symptoms worsen as the day goes on. Sunday night he slept through the night after having ibuprofen.  He attended school Monday and then saw doctor at 1:30. Rash had worsened. Again worse at 8pm. Applied aquaphor and gave ibuprofen. Limping and stiffness when going to bed with moderate pain.
Age: 7.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Joint swelling, Moaning, Pain, Protein urine present, Pyrexia
Clinical narrative: The two nights following the vaccine resulted in low fever while sleeping and some whimpering. He attended school the next day (Wednesday) but stayed home Thursday and Friday due to a congested cough that 3 family members had. patient started limping on Thursday afternoon following a very restful day. He complained of L ankle pain.  Friday was fairly normal without complaints until the evening before bed. Then he woke with significant pain during the night. He slept until 10:00am the next morning and had a typical day helping with yard work and relaxing. He again complained of pain in the afternoon and upon examination had a circular, oblong ring shaped rash on posterior L ankle. He woke again that night in pain. Sunday was better in the morning but symptoms worsened earlier in the day, with another circular bruise like rash seen on medial aspect of R foot. He was in significant pain. Also noted swelling in knees and complaints of pain L>R .Stiffness, limping, point tenderness and sensitivity all present at rash sites. Symptoms worsen as the day goes on. Sunday night he slept through the night after having ibuprofen.  He attended school Monday and then saw doctor at 1:30. Rash had worsened. Again worse at 8pm. Applied aquaphor and gave ibuprofen. Limping and stiffness when going to bed with moderate pain.
Age: 7.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rash, Respiratory tract congestion, Skin sensitisation, Sleep disorder, Tenderness
Clinical narrative: The two nights following the vaccine resulted in low fever while sleeping and some whimpering. He attended school the next day (Wednesday) but stayed home Thursday and Friday due to a congested cough that 3 family members had. patient started limping on Thursday afternoon following a very restful day. He complained of L ankle pain.  Friday was fairly normal without complaints until the evening before bed. Then he woke with significant pain during the night. He slept until 10:00am the next morning and had a typical day helping with yard work and relaxing. He again complained of pain in the afternoon and upon examination had a circular, oblong ring shaped rash on posterior L ankle. He woke again that night in pain. Sunday was better in the morning but symptoms worsened earlier in the day, with another circular bruise like rash seen on medial aspect of R foot. He was in significant pain. Also noted swelling in knees and complaints of pain L>R .Stiffness, limping, point tenderness and sensitivity all present at rash sites. Symptoms worsen as the day goes on. Sunday night he slept through the night after having ibuprofen.  He attended school Monday and then saw doctor at 1:30. Rash had worsened. Again worse at 8pm. Applied aquaphor and gave ibuprofen. Limping and stiffness when going to bed with moderate pain.
Age: 7.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Urine analysis abnormal
Clinical narrative: The two nights following the vaccine resulted in low fever while sleeping and some whimpering. He attended school the next day (Wednesday) but stayed home Thursday and Friday due to a congested cough that 3 family members had. patient started limping on Thursday afternoon following a very restful day. He complained of L ankle pain.  Friday was fairly normal without complaints until the evening before bed. Then he woke with significant pain during the night. He slept until 10:00am the next morning and had a typical day helping with yard work and relaxing. He again complained of pain in the afternoon and upon examination had a circular, oblong ring shaped rash on posterior L ankle. He woke again that night in pain. Sunday was better in the morning but symptoms worsened earlier in the day, with another circular bruise like rash seen on medial aspect of R foot. He was in significant pain. Also noted swelling in knees and complaints of pain L>R .Stiffness, limping, point tenderness and sensitivity all present at rash sites. Symptoms worsen as the day goes on. Sunday night he slept through the night after having ibuprofen.  He attended school Monday and then saw doctor at 1:30. Rash had worsened. Again worse at 8pm. Applied aquaphor and gave ibuprofen. Limping and stiffness when going to bed with moderate pain.
Age: 7.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chromaturia, Fatigue, Henoch-Schonlein purpura, Joint swelling
Clinical narrative: The two nights following the vaccine resulted in low fever while sleeping and some whimpering. He attended school the next day (Wednesday) but stayed home Thursday and Friday due to a congested cough that 3 family members had. patient started limping on Thursday afternoon following a very restful day. He complained of L ankle pain.  Friday was fairly normal without complaints until the evening before bed. Then he woke with significant pain during the night. He slept until 10:00am the next morning and had a typical day helping with yard work and relaxing. He again complained of pain in the afternoon and upon examination had a circular, oblong ring shaped rash on posterior L ankle. He woke again that night in pain. Sunday was better in the morning but symptoms worsened earlier in the day, with another circular bruise like rash seen on medial aspect of R foot. He was in significant pain. Also noted swelling in knees and complaints of pain L>R .Stiffness, limping, point tenderness and sensitivity all present at rash sites. Symptoms worsen as the day goes on. Sunday night he slept through the night after having ibuprofen.  He attended school Monday and then saw doctor at 1:30. Rash had worsened. Again worse at 8pm. Applied aquaphor and gave ibuprofen. Limping and stiffness when going to bed with moderate pain.
Age: 7.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Rash, Skin discolouration, Skin warm
Clinical narrative: The two nights following the vaccine resulted in low fever while sleeping and some whimpering. He attended school the next day (Wednesday) but stayed home Thursday and Friday due to a congested cough that 3 family members had. patient started limping on Thursday afternoon following a very restful day. He complained of L ankle pain.  Friday was fairly normal without complaints until the evening before bed. Then he woke with significant pain during the night. He slept until 10:00am the next morning and had a typical day helping with yard work and relaxing. He again complained of pain in the afternoon and upon examination had a circular, oblong ring shaped rash on posterior L ankle. He woke again that night in pain. Sunday was better in the morning but symptoms worsened earlier in the day, with another circular bruise like rash seen on medial aspect of R foot. He was in significant pain. Also noted swelling in knees and complaints of pain L>R .Stiffness, limping, point tenderness and sensitivity all present at rash sites. Symptoms worsen as the day goes on. Sunday night he slept through the night after having ibuprofen.  He attended school Monday and then saw doctor at 1:30. Rash had worsened. Again worse at 8pm. Applied aquaphor and gave ibuprofen. Limping and stiffness when going to bed with moderate pain.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood immunoglobulin G, Blood test, C-reactive protein, Complement factor C3, Complement factor C4
Clinical narrative: 2 weeks after the first shot I had a rash on my arm. Exactly 2weeks after second vaccine my feet swelled up and started hurting so bad I couldn?t walk or stand. Three days later my muscles hurt so bad I went to emergency room two different times because pain was so bad. I had to have help walking getting dressed I lost 25lbs in those two weeks. Several trips to different doctors to try and figure out what was happening . I?ve never been sick before in my life .
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Differential white blood cell count, Dysstasia, Full blood count, Gait inability, Metabolic function test
Clinical narrative: 2 weeks after the first shot I had a rash on my arm. Exactly 2weeks after second vaccine my feet swelled up and started hurting so bad I couldn?t walk or stand. Three days later my muscles hurt so bad I went to emergency room two different times because pain was so bad. I had to have help walking getting dressed I lost 25lbs in those two weeks. Several trips to different doctors to try and figure out what was happening . I?ve never been sick before in my life .
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Pain, Peripheral swelling, Rash, Red blood cell sedimentation rate
Clinical narrative: 2 weeks after the first shot I had a rash on my arm. Exactly 2weeks after second vaccine my feet swelled up and started hurting so bad I couldn?t walk or stand. Three days later my muscles hurt so bad I went to emergency room two different times because pain was so bad. I had to have help walking getting dressed I lost 25lbs in those two weeks. Several trips to different doctors to try and figure out what was happening . I?ve never been sick before in my life .
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Weight decreased
Clinical narrative: 2 weeks after the first shot I had a rash on my arm. Exactly 2weeks after second vaccine my feet swelled up and started hurting so bad I couldn?t walk or stand. Three days later my muscles hurt so bad I went to emergency room two different times because pain was so bad. I had to have help walking getting dressed I lost 25lbs in those two weeks. Several trips to different doctors to try and figure out what was happening . I?ve never been sick before in my life .
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Head injury, Seizure, Syncope
Clinical narrative: Patient fainted, hit her head was experience seizure like activity for about 10-15 seconds. She was taken to the ER for follow up and treatment
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dark circles under eyes, Eye haemorrhage, Nausea, Ocular icterus
Clinical narrative: I woke up at 1:30 AM with severe chills, body aches, and some nausea, which was not unexpected. I took 2 ibuprofen and tried to go back to sleep. At 2:30 AM, I woke up immediately needing to vomit, but not able to get out of bed in time. I ended up vomiting over the side of my bed so forcefully that I couldn't breathe and felt like I was asphyxiating. This went on for about 5 minutes. I couldn't move off the couch for 36 hours after the first onset of symptoms. I ate saltines and drank mint tea for 48 hours.   The worst part was that I vomited so forcefully that I burst blood vessels in my eyes and all over my face. I had dark skin under my mouth and eyes for 5 days and the whites of my eyes were extremely bloody. People at work thought I was unsafe at home because of my appearance. It is now 6 days later and I still have petechiae and yellow eyes.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Petechiae, Scleral haemorrhage, Skin discolouration, Vomiting
Clinical narrative: I woke up at 1:30 AM with severe chills, body aches, and some nausea, which was not unexpected. I took 2 ibuprofen and tried to go back to sleep. At 2:30 AM, I woke up immediately needing to vomit, but not able to get out of bed in time. I ended up vomiting over the side of my bed so forcefully that I couldn't breathe and felt like I was asphyxiating. This went on for about 5 minutes. I couldn't move off the couch for 36 hours after the first onset of symptoms. I ate saltines and drank mint tea for 48 hours.   The worst part was that I vomited so forcefully that I burst blood vessels in my eyes and all over my face. I had dark skin under my mouth and eyes for 5 days and the whites of my eyes were extremely bloody. People at work thought I was unsafe at home because of my appearance. It is now 6 days later and I still have petechiae and yellow eyes.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient walked into the grocery store where the clinic is located. He was shopping for produce and started to feel very dizzy and like he would pass out.  He came back to the clinic. Lay him down, put legs up. He started to feel better.  BP measured 100/64.  He sat up and drank some water. Ate a lollipop.  After another 15 minutes felt 90% better and wished to leave, son to drive him home.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Bell?s palsy.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Heart rate increased, Palpitations
Clinical narrative: Heart fluttering. Heart will seem to stop and then beat hard and rapid.
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, C-reactive protein increased, COVID-19, COVID-19 pneumonia, Chronic obstructive pulmonary disease
Clinical narrative: Hospitalized (11.4.21);  COVID-19 positive (11.4.21);  fully vaccinated PLUS booster Admission Date: 11/4/2021 Discharge Date: 11/10/2021  PRESENTING PROBLEM: Patient is a 91 y.o. female with past medical history significant for dementia, chronic obstructive pulmonary disease, who was sent in from assisted living facility for complaints of cough, shortness of breath and hypoxia.  Patient has baseline dementia unable to provide much history, patient was hypoxic with oxygen saturation 87% when presented was placed on 2 L nasal cannula, labs were mostly unremarkable apart from positive COVID-19 PCR, CRP 37. See received dose of dexamethasone in the emergency department, for further evaluation and management admitted to medical floor under hospitalist service. HOSPITAL COURSE: Acute hypoxic respiratory failure Chronic obstructive pulmonary disease exacerbation COVID-19 pneumonia present on admission Treated with 5 days of Remdesivir, and 6 days of Dexamethasone 6 mg daily, she will need 4 more days of Dexamethasone Should stay in isolation until she finish Dexamethasone, 4 more days  Currently on RA  SLP: thin liquids, regular solid (cracker/cookie), dental soft, liquids via cup and straw PT: Educated daughter that if she were to return to reside in assisted living facility, PT/OT recommend 24/7 assist of 2 persons for safety during all transfers and mobility, in addition to home PT/OT. Discharged on 11/10/2021
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Condition aggravated, Cough, Dyspnoea, Hypoxia, Laboratory test normal
Clinical narrative: Hospitalized (11.4.21);  COVID-19 positive (11.4.21);  fully vaccinated PLUS booster Admission Date: 11/4/2021 Discharge Date: 11/10/2021  PRESENTING PROBLEM: Patient is a 91 y.o. female with past medical history significant for dementia, chronic obstructive pulmonary disease, who was sent in from assisted living facility for complaints of cough, shortness of breath and hypoxia.  Patient has baseline dementia unable to provide much history, patient was hypoxic with oxygen saturation 87% when presented was placed on 2 L nasal cannula, labs were mostly unremarkable apart from positive COVID-19 PCR, CRP 37. See received dose of dexamethasone in the emergency department, for further evaluation and management admitted to medical floor under hospitalist service. HOSPITAL COURSE: Acute hypoxic respiratory failure Chronic obstructive pulmonary disease exacerbation COVID-19 pneumonia present on admission Treated with 5 days of Remdesivir, and 6 days of Dexamethasone 6 mg daily, she will need 4 more days of Dexamethasone Should stay in isolation until she finish Dexamethasone, 4 more days  Currently on RA  SLP: thin liquids, regular solid (cracker/cookie), dental soft, liquids via cup and straw PT: Educated daughter that if she were to return to reside in assisted living facility, PT/OT recommend 24/7 assist of 2 persons for safety during all transfers and mobility, in addition to home PT/OT. Discharged on 11/10/2021
Age: 91.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Mobility decreased, SARS-CoV-2 test positive
Clinical narrative: Hospitalized (11.4.21);  COVID-19 positive (11.4.21);  fully vaccinated PLUS booster Admission Date: 11/4/2021 Discharge Date: 11/10/2021  PRESENTING PROBLEM: Patient is a 91 y.o. female with past medical history significant for dementia, chronic obstructive pulmonary disease, who was sent in from assisted living facility for complaints of cough, shortness of breath and hypoxia.  Patient has baseline dementia unable to provide much history, patient was hypoxic with oxygen saturation 87% when presented was placed on 2 L nasal cannula, labs were mostly unremarkable apart from positive COVID-19 PCR, CRP 37. See received dose of dexamethasone in the emergency department, for further evaluation and management admitted to medical floor under hospitalist service. HOSPITAL COURSE: Acute hypoxic respiratory failure Chronic obstructive pulmonary disease exacerbation COVID-19 pneumonia present on admission Treated with 5 days of Remdesivir, and 6 days of Dexamethasone 6 mg daily, she will need 4 more days of Dexamethasone Should stay in isolation until she finish Dexamethasone, 4 more days  Currently on RA  SLP: thin liquids, regular solid (cracker/cookie), dental soft, liquids via cup and straw PT: Educated daughter that if she were to return to reside in assisted living facility, PT/OT recommend 24/7 assist of 2 persons for safety during all transfers and mobility, in addition to home PT/OT. Discharged on 11/10/2021
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis, Erythema, Induration, Miliaria, Peripheral swelling
Clinical narrative: I noticed what looked to be dermatitis on my chin Friday morning. Friday afternoon, my face was getting puffy and red up to my eyes and my neck had a rash, all very itchy. Friday evening, I noticed what looked like a heat rash on both of my arms from my biceps to my wrists. Saturday morning I had a temperature of 99, my face was puffy and a little hard to the touch, my arms were red and swollen and all itchy. My local urgent care opened at 9a.m. and I was first in line by 8:40a.m. The doctor said this was a common side effect and prescribed methylPREDNISolone (4mg tablet pack), Allegra 180mg, and Benedryl 25mg, and Calamine lotion to sooth the itching. The rash and swelling has calmed down but hasn't cleared up entirely. My temperature was back to normal Monday afternoon.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Swelling face
Clinical narrative: I noticed what looked to be dermatitis on my chin Friday morning. Friday afternoon, my face was getting puffy and red up to my eyes and my neck had a rash, all very itchy. Friday evening, I noticed what looked like a heat rash on both of my arms from my biceps to my wrists. Saturday morning I had a temperature of 99, my face was puffy and a little hard to the touch, my arms were red and swollen and all itchy. My local urgent care opened at 9a.m. and I was first in line by 8:40a.m. The doctor said this was a common side effect and prescribed methylPREDNISolone (4mg tablet pack), Allegra 180mg, and Benedryl 25mg, and Calamine lotion to sooth the itching. The rash and swelling has calmed down but hasn't cleared up entirely. My temperature was back to normal Monday afternoon.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, Urticaria
Clinical narrative: A little over an hour after vaccine, began having itchy rash with hives on shoulder above injection site on left arm, that quickly spread across to neck up to my chin and down to my cleavage. My husband is an icu nurse, and after consulting with the pharmacist who administered the shot, we got Benadryl (I took two) and Pepcid (I took one) to stop the reaction. Rash and hives went away after 45 minutes after taking those. Began again on my neck a few hours later, took the same dosage of Benadryl and Pepcid, has not been back.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Bedridden, Dizziness, Dyspnoea, Feeding disorder, Headache
Clinical narrative: Swelling of throat and unable to eat for 48 hrs, blurred vision, fever ~ 102°F, swelling of hands/arms and feet/legs, headache, bedridden, dizzy spells during the first 4 days. Ongoing for 9 weeks, shortness of breath and unable to return to daily activities.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Peripheral swelling, Pharyngeal swelling, Pyrexia, Vision blurred
Clinical narrative: Swelling of throat and unable to eat for 48 hrs, blurred vision, fever ~ 102°F, swelling of hands/arms and feet/legs, headache, bedridden, dizzy spells during the first 4 days. Ongoing for 9 weeks, shortness of breath and unable to return to daily activities.
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Eye swelling, Pain in extremity, Tenderness, Wheezing
Clinical narrative: Eye swelling and wheezing. Little arm soreness and little pain to touch.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test normal, Computerised tomogram normal, Confusional state, Dehydration, Electroencephalogram
Clinical narrative: Exactly 1 month after receiving the second shot, I woke up and got ready for work as I normally do.  As I was leaving for work, I felt very confused and just not myself.  I even told a lady that I work with that I didn't feel right and I felt out of it.  I am a teacher and we go out to get the children out of the car.  I got three children out of the car and my arms started shaking and I fell on the concrete sidewalk that I was standing on.  I was told that I was convulsing with my eyes rolled back in my head.  I had a mask on and they took the mask off so I could get some air and was foaming  at the mouth.  A week later, the same thing happened but a little later in the day.  I went to the hospital both times.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fall, Feeling abnormal, Foaming at mouth, Gaze palsy, Seizure
Clinical narrative: Exactly 1 month after receiving the second shot, I woke up and got ready for work as I normally do.  As I was leaving for work, I felt very confused and just not myself.  I even told a lady that I work with that I didn't feel right and I felt out of it.  I am a teacher and we go out to get the children out of the car.  I got three children out of the car and my arms started shaking and I fell on the concrete sidewalk that I was standing on.  I was told that I was convulsing with my eyes rolled back in my head.  I had a mask on and they took the mask off so I could get some air and was foaming  at the mouth.  A week later, the same thing happened but a little later in the day.  I went to the hospital both times.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tremor, Urinary tract infection, Urine analysis
Clinical narrative: Exactly 1 month after receiving the second shot, I woke up and got ready for work as I normally do.  As I was leaving for work, I felt very confused and just not myself.  I even told a lady that I work with that I didn't feel right and I felt out of it.  I am a teacher and we go out to get the children out of the car.  I got three children out of the car and my arms started shaking and I fell on the concrete sidewalk that I was standing on.  I was told that I was convulsing with my eyes rolled back in my head.  I had a mask on and they took the mask off so I could get some air and was foaming  at the mouth.  A week later, the same thing happened but a little later in the day.  I went to the hospital both times.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Heavy menstrual bleeding, Ovulation pain
Clinical narrative: During ovulation, pain is very intense. During menstruation, period is very heavy compared to normal as well as pain. I do not normally have much pain during this time but every month since, I?ve had excruciating abdominal cramps.  Over the counter medicine does not help with the pain.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous
Clinical narrative: Red rash on back of neck and upper back
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Extra dose administered, Headache, Pain, Vertigo
Clinical narrative: Extreme whole body aches,  joint pain,  vertigo,  headache.  24 -48 hours after 3rd vaccine.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Diarrhoea, Pyrexia, Vomiting
Clinical narrative: Diarrhea, fever, vomiting, lack of appetite
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram normal
Clinical narrative: Periodic minor chest pain.  Started approximately 10 days post vaccination.  Persisted for approximately 9 weeks.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: 11 year old received adult dose of vaccine ( for pts 12 and older) instead of vaccine approved for pts under age 12.   Pts father stated that he has not had any adverse effects.