chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Central nervous system lesion, Computerised tomogram abdomen, Computerised tomogram head, Computerised tomogram thorax abnormal, Confusional state
Clinical narrative: 4/14/21 Patient is a 58 y.o. male who presented for confusion, fatigue and dizziness since the past couple of days. Patient was getting lost on the train and forgetting his work duties.  4/14/21Neurologic exam: MS - awake, alert, oriented to name, -age, hospital, -time, speech fluent and without dysarthria, naming & repetition intact, follows commands, attention and concentration are impaired, clock drawing is impaired and shows L sided neglect, line bisection test is impaired, remote and recent memory and fund of knowledge are impaired CN - PERRL, EOMI and without nystagmus, visual fields are intact to confrontation but there is extinction on the L to double simultaneous stimulation, facial sensation is intact to PP V1V2V3, no facial droop, hearing is intact to finger rub B, palate is not well visualized due to his palate/tongue anatomy, head turn is 5/5 B, tongue protrudes symmetrically.  Fundoscopy is deferred due to the COVID-19 pandemic and need for PPE which precludes exam. Motor - Normal bulk/tone, 5/5 B UE and LE, curling of the L fingers on pronator drift testing Sens - Pinprick is intact B UE and LE.  There is extinction to double simultaneous stimulation on the L DTR's - 1/4 B bi/tri/BR and patellar/ankles.  No clonus.  No Hoffman's.  Babinski is down B. Coord - finger-to-nose is without dysmetria B, there is dysmetria of the L leg on heel-to-shin
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Disturbance in attention, Dizziness, Fatigue, Intracranial mass, Magnetic resonance imaging head abnormal
Clinical narrative: 4/14/21 Patient is a 58 y.o. male who presented for confusion, fatigue and dizziness since the past couple of days. Patient was getting lost on the train and forgetting his work duties.  4/14/21Neurologic exam: MS - awake, alert, oriented to name, -age, hospital, -time, speech fluent and without dysarthria, naming & repetition intact, follows commands, attention and concentration are impaired, clock drawing is impaired and shows L sided neglect, line bisection test is impaired, remote and recent memory and fund of knowledge are impaired CN - PERRL, EOMI and without nystagmus, visual fields are intact to confrontation but there is extinction on the L to double simultaneous stimulation, facial sensation is intact to PP V1V2V3, no facial droop, hearing is intact to finger rub B, palate is not well visualized due to his palate/tongue anatomy, head turn is 5/5 B, tongue protrudes symmetrically.  Fundoscopy is deferred due to the COVID-19 pandemic and need for PPE which precludes exam. Motor - Normal bulk/tone, 5/5 B UE and LE, curling of the L fingers on pronator drift testing Sens - Pinprick is intact B UE and LE.  There is extinction to double simultaneous stimulation on the L DTR's - 1/4 B bi/tri/BR and patellar/ankles.  No clonus.  No Hoffman's.  Babinski is down B. Coord - finger-to-nose is without dysmetria B, there is dysmetria of the L leg on heel-to-shin
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Memory impairment, Scan with contrast, Vasogenic cerebral oedema
Clinical narrative: 4/14/21 Patient is a 58 y.o. male who presented for confusion, fatigue and dizziness since the past couple of days. Patient was getting lost on the train and forgetting his work duties.  4/14/21Neurologic exam: MS - awake, alert, oriented to name, -age, hospital, -time, speech fluent and without dysarthria, naming & repetition intact, follows commands, attention and concentration are impaired, clock drawing is impaired and shows L sided neglect, line bisection test is impaired, remote and recent memory and fund of knowledge are impaired CN - PERRL, EOMI and without nystagmus, visual fields are intact to confrontation but there is extinction on the L to double simultaneous stimulation, facial sensation is intact to PP V1V2V3, no facial droop, hearing is intact to finger rub B, palate is not well visualized due to his palate/tongue anatomy, head turn is 5/5 B, tongue protrudes symmetrically.  Fundoscopy is deferred due to the COVID-19 pandemic and need for PPE which precludes exam. Motor - Normal bulk/tone, 5/5 B UE and LE, curling of the L fingers on pronator drift testing Sens - Pinprick is intact B UE and LE.  There is extinction to double simultaneous stimulation on the L DTR's - 1/4 B bi/tri/BR and patellar/ankles.  No clonus.  No Hoffman's.  Babinski is down B. Coord - finger-to-nose is without dysmetria B, there is dysmetria of the L leg on heel-to-shin
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus
Clinical narrative: Pt received the first Covid Pfizer vaccine.  20 mins later developed itching and redness on her back and legs.  Pt was monitored by RN,  Pt was seen by Dr.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, C-reactive protein increased, COVID-19, Chest X-ray abnormal, Computerised tomogram thorax
Clinical narrative: Pfizer-BioNTech COVID-10 Vaccine - case of COVID-19 resulting in hospitalization. Pt presented to ED of facility on 4/20/21 with dry cough, malaise, altered sense of taste/smell and worsening dyspnea.  Afebrile (T=98.6 F). Symptoms began approximately 4/13/21.  Reportedly was hypoxic at PCP's office prior to presentation to ED.  S/P 2 doses of the Pfizer-BioNTech COVID-19 vaccine - 1/29/21 and 2/19/21 (dates obtained from database).  Admitted to inpatient unit 4/20/21. Treated with dexamethasone 6mg po daily, remdesivir (x2 doses prior to discharge). Transiently required increase in oxygen by nasal cannula but remained on baseline of 3L oxygen majority of admission.  Discharged home 4/22/21.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Fibrin D dimer increased, Haemoglobin decreased, Hypoxia
Clinical narrative: Pfizer-BioNTech COVID-10 Vaccine - case of COVID-19 resulting in hospitalization. Pt presented to ED of facility on 4/20/21 with dry cough, malaise, altered sense of taste/smell and worsening dyspnea.  Afebrile (T=98.6 F). Symptoms began approximately 4/13/21.  Reportedly was hypoxic at PCP's office prior to presentation to ED.  S/P 2 doses of the Pfizer-BioNTech COVID-19 vaccine - 1/29/21 and 2/19/21 (dates obtained from database).  Admitted to inpatient unit 4/20/21. Treated with dexamethasone 6mg po daily, remdesivir (x2 doses prior to discharge). Transiently required increase in oxygen by nasal cannula but remained on baseline of 3L oxygen majority of admission.  Discharged home 4/22/21.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Legionella test, Malaise, Parosmia, Pleural effusion, Respiratory viral panel
Clinical narrative: Pfizer-BioNTech COVID-10 Vaccine - case of COVID-19 resulting in hospitalization. Pt presented to ED of facility on 4/20/21 with dry cough, malaise, altered sense of taste/smell and worsening dyspnea.  Afebrile (T=98.6 F). Symptoms began approximately 4/13/21.  Reportedly was hypoxic at PCP's office prior to presentation to ED.  S/P 2 doses of the Pfizer-BioNTech COVID-19 vaccine - 1/29/21 and 2/19/21 (dates obtained from database).  Admitted to inpatient unit 4/20/21. Treated with dexamethasone 6mg po daily, remdesivir (x2 doses prior to discharge). Transiently required increase in oxygen by nasal cannula but remained on baseline of 3L oxygen majority of admission.  Discharged home 4/22/21.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Serum ferritin increased, Taste disorder, White blood cell count normal
Clinical narrative: Pfizer-BioNTech COVID-10 Vaccine - case of COVID-19 resulting in hospitalization. Pt presented to ED of facility on 4/20/21 with dry cough, malaise, altered sense of taste/smell and worsening dyspnea.  Afebrile (T=98.6 F). Symptoms began approximately 4/13/21.  Reportedly was hypoxic at PCP's office prior to presentation to ED.  S/P 2 doses of the Pfizer-BioNTech COVID-19 vaccine - 1/29/21 and 2/19/21 (dates obtained from database).  Admitted to inpatient unit 4/20/21. Treated with dexamethasone 6mg po daily, remdesivir (x2 doses prior to discharge). Transiently required increase in oxygen by nasal cannula but remained on baseline of 3L oxygen majority of admission.  Discharged home 4/22/21.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia
Clinical narrative: immediate persisting Metal Taste from the throat and front lower teeth leg cramps later 6 hrs later
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Arthralgia, Burning sensation, Chest X-ray, Chills, Dyspnoea
Clinical narrative: Two days after shot, HA, Nausea, Fever, strong muscle/joint pain & burning.  Third day unable to go to work due to symptoms. Fourth  day went to work but came home feeling very sick with  SOB (pretty bad) chills or shaking, HA continued, One week after, still unable to go work due to symptoms.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Headache, Impaired work ability, Laboratory test, Malaise, Myalgia
Clinical narrative: Two days after shot, HA, Nausea, Fever, strong muscle/joint pain & burning.  Third day unable to go to work due to symptoms. Fourth  day went to work but came home feeling very sick with  SOB (pretty bad) chills or shaking, HA continued, One week after, still unable to go work due to symptoms.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Nausea, Pyrexia, Tremor
Clinical narrative: Two days after shot, HA, Nausea, Fever, strong muscle/joint pain & burning.  Third day unable to go to work due to symptoms. Fourth  day went to work but came home feeling very sick with  SOB (pretty bad) chills or shaking, HA continued, One week after, still unable to go work due to symptoms.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Fatigue, Headache, Injection site erythema
Clinical narrative: Site was itchy almost immediately and continued to itch over the next 2 days till now. 24 hrs after shot I realized the injection site was warm, had a red ring around it, and had a knot. Was the size of a nickel when I first noticed it. The knot is almost the size of a tennis ball shy of 48 hours later.   I am tired, slight headache. Also had horrible hip/lower back pain 24-36 hours later. Took ibuprofen so I could sleep and settle the pain.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site nodule, Injection site pruritus, Injection site warmth
Clinical narrative: Site was itchy almost immediately and continued to itch over the next 2 days till now. 24 hrs after shot I realized the injection site was warm, had a red ring around it, and had a knot. Was the size of a nickel when I first noticed it. The knot is almost the size of a tennis ball shy of 48 hours later.   I am tired, slight headache. Also had horrible hip/lower back pain 24-36 hours later. Took ibuprofen so I could sleep and settle the pain.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain
Clinical narrative: Sharp chest pains after both shots.  Pains lasted about 4 days after first dose.  Currently still experiencing minor chest pin
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: VERY, VERY, VERY unusually heavy period bleeding.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site rash
Clinical narrative: Extreme fatigue, rash on arm at injection site and severe headache.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dry throat, Fatigue, Rash erythematous, Throat tightness, Urticaria
Clinical narrative: On 4/21 at approximately 1505, received her 2nd covid 19 vaccine (Pfizer, BioNTech lot ER2613) at her desk, vaccine was given in right arm. She was going to be monitored by other MA's and Dr in area who was working with her at time of injection. At approximately 1513, calls clinic to report she has hives on her face and throat feels tight. Two RN  responded to . RN reports had red rash on right side of face and itchy throat. Administered diphenhydramine 25mg IM right deltoid at 1525 and depo Medrol 80 mg IM right deltoid at 1528. After 15 mins of administration,  reassessed and reports throat symptoms decreased.      Check with patient at 1615. Patient reports throat symptoms have significantly improved and only dry throat. No difficulties breathing or swallowing noted. Assessed right cheek,  no redness or hive noted. Patient reports her right cheek doesn't feel as tight as it did before. Patient sts Dr who she's working with will  looked over her and helped direct her medication given as needed.   She left work at 1740, prior to leaving denies any facial swelling, SOB, hives. On symptoms is fatigue. She has anaphalytic kit as home for home infusion for Crohn's therapy and for bee allergy.   On 4/22-Called and spoke with patient and she denies any symptoms. She reports when she got home she ate dinner and went to bed. Woke up in the morning feeling great.     Patient received her 1st covid vaccine (Pfizer, BioNTech lot EM9810) on 3/18/21 in right arm with no reactions. She did test positive for covid-19 on 3/26/21. She has recovered from covid-19 and returned to work on 4/4.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Genital herpes, Headache, Laboratory test
Clinical narrative: Genital HSV-1 outbreak within a week of getting the first covid vaccine. I have never had a flare up after the initial outbreak 7 years ago until I got this vaccine. Also headaches, neck pain, shoulder pain for 3 weeks straight after vaccine
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain
Clinical narrative: Genital HSV-1 outbreak within a week of getting the first covid vaccine. I have never had a flare up after the initial outbreak 7 years ago until I got this vaccine. Also headaches, neck pain, shoulder pain for 3 weeks straight after vaccine
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Hypersensitivity, Pain in extremity, Rash, Rash erythematous
Clinical narrative: Sensitivity and soreness in left arm. Bruising lasted over 3 weeks. After second vaccine, a rash developed under left armpit. Initially the rash was red, bumpy and sensitive. Then rash developed scabs that fell off within a week. 3 weeks later on 4/17/2021, I went to a public place where many people were not masked or not wearing mask correctly. I removed my mask to drink and eat but then put it back on during the rest of my time at the venue. Two days later, the rash came back and now the scabs are back. The rash covers more surface area now and is quite uncomfortable.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Scab, Sensitive skin
Clinical narrative: Sensitivity and soreness in left arm. Bruising lasted over 3 weeks. After second vaccine, a rash developed under left armpit. Initially the rash was red, bumpy and sensitive. Then rash developed scabs that fell off within a week. 3 weeks later on 4/17/2021, I went to a public place where many people were not masked or not wearing mask correctly. I removed my mask to drink and eat but then put it back on during the rest of my time at the venue. Two days later, the rash came back and now the scabs are back. The rash covers more surface area now and is quite uncomfortable.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Autopsy, Cardiomegaly, Death, Nausea, Pain in extremity
Clinical narrative: Patient felt initially well, but later in that afternoon her arm started hurting and she felt increasingly nauseous and started vomiting at 10:49pm, two hours later she was pronounced dead at approximately 12:30am.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Renal disorder, Vomiting
Clinical narrative: Patient felt initially well, but later in that afternoon her arm started hurting and she felt increasingly nauseous and started vomiting at 10:49pm, two hours later she was pronounced dead at approximately 12:30am.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Deafness unilateral, Hypoacusis, Sudden hearing loss
Clinical narrative: One hour after my 2nd vax on April 22, I experienced hearing loss in my right ear. I could only hear muffled sounds. This loss of hearing lasted nearly  24 hours and has appeared to have returned to normal.  After the subsequent loss with my 2nd vax, I realized that I exhibited the identical symptoms, hearing loss in the right ear after my 1st vax on March 25th. On March 28, nearly 3 days later, I exhibited an identical loss of hearing in my right ear. Both events seemed to be triggered by a sudden loud noise. One moment hearing was fine and the next, like a switch was turned on,  the hearing loss came on abruptly.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Dizziness, Fatigue, Headache, Hypoaesthesia
Clinical narrative: Jaw, lips, mouth area - numb for 45 hours.  Pain under right rib for 18 hours.  Severe pain in left arm & hand with a band across my lower back that came on with the arm/hand pain - hand/arm pain lasted 18 hours with the lower back taking 5 days to subside.  Severe head to toe itching - no rash  found anywhere- took Benadryl evening of the shot and itching was alleviated.  Severe headache just at the forehead and up with extreme dizziness - lasted 33 hours.  Fatigue lasted 5 days - severe the first 33 hours.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Musculoskeletal chest pain, Pain in extremity, Pruritus
Clinical narrative: Jaw, lips, mouth area - numb for 45 hours.  Pain under right rib for 18 hours.  Severe pain in left arm & hand with a band across my lower back that came on with the arm/hand pain - hand/arm pain lasted 18 hours with the lower back taking 5 days to subside.  Severe head to toe itching - no rash  found anywhere- took Benadryl evening of the shot and itching was alleviated.  Severe headache just at the forehead and up with extreme dizziness - lasted 33 hours.  Fatigue lasted 5 days - severe the first 33 hours.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram normal
Clinical narrative: Sharp pain in the left chest. Pt. given 12 Lead EKG (-) result Pt. refused any further treatment. Language line utilized. Pt. monitored for 30 minutes post vaccination. HR-75    SPO2: 99      RESP: 18      BP: 141/80 Seen by EMT on site. D/C'd at 10:10 am
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing
Clinical narrative: . Patient received her first dose of Moderna COVID-19 on 4/10/21 at  Park. Vaccine given 0938. In the observation lot, the patient developed facial flushing. No dyspnea, hives, or itching. She was assessed by  PA-C. Vital signs were stable. She was given one dose of diphenhydamine 25 mg po. She was observed for a full 30 min without other events and was discharged.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dry mouth, Dry skin, Dyspnoea, Erythema, Feeling hot
Clinical narrative: That evening, I began to have difficulty breathing as I did after out of quarantine from COVID. I used my inhaler prescribed to me from having covid in November of 2020. That helped. Then about a week later I started to have leg pain. Not sharp pain, but achey pain in both legs that can not be controlled by Tylenol or Ibuprofen. It has been occurring every few days and some nights like last night are bothersome and I can not sleep well. Also after about a week, I had dryness and redness on the bottom part of my mouth and chin.  In the last week I have had flush on my neck and chest.  It is hot, sometimes causes dryness and pealing and is sometimes itchy.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Pain, Pain in extremity, Pruritus, Skin exfoliation
Clinical narrative: That evening, I began to have difficulty breathing as I did after out of quarantine from COVID. I used my inhaler prescribed to me from having covid in November of 2020. That helped. Then about a week later I started to have leg pain. Not sharp pain, but achey pain in both legs that can not be controlled by Tylenol or Ibuprofen. It has been occurring every few days and some nights like last night are bothersome and I can not sleep well. Also after about a week, I had dryness and redness on the bottom part of my mouth and chin.  In the last week I have had flush on my neck and chest.  It is hot, sometimes causes dryness and pealing and is sometimes itchy.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: That evening, I began to have difficulty breathing as I did after out of quarantine from COVID. I used my inhaler prescribed to me from having covid in November of 2020. That helped. Then about a week later I started to have leg pain. Not sharp pain, but achey pain in both legs that can not be controlled by Tylenol or Ibuprofen. It has been occurring every few days and some nights like last night are bothersome and I can not sleep well. Also after about a week, I had dryness and redness on the bottom part of my mouth and chin.  In the last week I have had flush on my neck and chest.  It is hot, sometimes causes dryness and pealing and is sometimes itchy.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis, Erythema, Impaired healing, Scab, Skin disorder
Clinical narrative: About one week after the shot I noticed a red spot on my ankle. I suffer from eczema which is usually not bad. The spot on my right ankle is about 6 cm by 3cm large. The wound site does not itch. The wound site started to flair up in a bright red and the skin broke in several areas after a couple of days. The wound has scabs which I have been moisturizing and keeping clean. The scabs are slowly falling off.  The scabs are thick beige/brown in color and the area is still inflamed. Very slow healing.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Skin wound
Clinical narrative: About one week after the shot I noticed a red spot on my ankle. I suffer from eczema which is usually not bad. The spot on my right ankle is about 6 cm by 3cm large. The wound site does not itch. The wound site started to flair up in a bright red and the skin broke in several areas after a couple of days. The wound has scabs which I have been moisturizing and keeping clean. The scabs are slowly falling off.  The scabs are thick beige/brown in color and the area is still inflamed. Very slow healing.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Herpes zoster
Clinical narrative: herpes zoster/shingles- treated with valtrex 1 gm po tid x 7 days and medrol dose pak 4/1/21
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Patient received Moderna COVID-19 vaccine #1 on 4/1/2021 at  Park. Vaccine given 1140. Patient developed throat tightness. She was seen by Dr.  and  RN. She was given Benadryl 50 mg po (25 mg dose x2) and Pepcid 20 mg (10 mg dose x2). EMS was called and patient was taken to ED.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Nausea, Tinnitus
Clinical narrative: Extreme Tinnitus, Severe Vertigo, Headaches, Nausea, Chills, Sweating
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Extreme Tinnitus, Severe Vertigo, Headaches, Nausea, Chills, Sweating
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Heart rate increased, Hypoaesthesia, Throat tightness
Clinical narrative: After 20 mins (I had already arrived to my car) my throat started to feel tight, I could breathe normally but the sensation of tightening was happening accompanied by very warm rushing sensation in my neck and ears. I also experienced numbness near my neck. My heart rate also elevated significantly range between 88-106. (After the tightening sensation began I started to panic a little which certainly contributed to the heart rate elevation), The provider monitored me to make sure that no breathing issues were present and I took two chewable Benadryl.  I stayed at the clinic until one hour had passed and returned home. The provider called me later to check on my status. I want to emphasize that i was not at all nervous or anxious about receiving the shot but I very stupidly had alcohol in my system.
Age: 61.0
Sex: F
Vaccine: UNK
Symptoms: Rash, Rash macular, Skin warm, Swelling
Clinical narrative: Moderna Covid-19 Vaccine EUA I noticed a rash on the front of my body .  It gradually spread to my back, neck and now is on my face.  The rash is dark pink and splotchy, warm and slightly raised .
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Diplopia
Clinical narrative: diplopia- started 2 and 1/2 weeks after vaccine
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Generalised tonic-clonic seizure, Muscle twitching, Tremor
Clinical narrative: 52 yo male received first dose of Pfizer vaccine on 3/20 at outside institution. The next morning, pt experienced uncontrollable tremors and twitching and presented to the ED. In the ED, patient had generalized tonic-clonic seizure that lasted for about 1-3 minutes. CT head scan was unremarkable. Neurology started pt on Keppra 500 mg BID and plan for MRI and routine EEG. The next morning, pt felt back to baseline and was alert and oriented.  Patient has a history of HIV and stroke with residual right-sided weakness. He has no history of seizure nor reactions to vaccines. Physician advised patient that he should not receive second dose of vaccine.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthma, Blood electrolytes normal, Brain natriuretic peptide normal, Chest X-ray, Dyspnoea
Clinical narrative: Shortness of breath, which we thought was my asthma saw my Allergist  treated for Sinus infection, Biaxin and Prednisone, changed inhlaer to stronger did not help 25 March. Added more Predisone 60 50 40 30 20 10  x2 for each, really short of breath, Chest xray 8 April , Pulmonary Vascular congestion, and mild interstitial edema treated with Lasix 40 mg for 3 days then down to 20 mg, and off of it. Off now since Sunday and continue to have shortness of breath. I also have a rash on my chest.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pulmonary congestion, Pulmonary oedema, Rash, Sinusitis
Clinical narrative: Shortness of breath, which we thought was my asthma saw my Allergist  treated for Sinus infection, Biaxin and Prednisone, changed inhlaer to stronger did not help 25 March. Added more Predisone 60 50 40 30 20 10  x2 for each, really short of breath, Chest xray 8 April , Pulmonary Vascular congestion, and mild interstitial edema treated with Lasix 40 mg for 3 days then down to 20 mg, and off of it. Off now since Sunday and continue to have shortness of breath. I also have a rash on my chest.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Hives all over body, itching
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Strong Headache A day after taking the vaccine.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling hot, Headache, Injection site pain, Nausea
Clinical narrative: Twelve (12) hours post-injection, patient experienced pain at the injection site, low grade fever (98.9), chills, body aches, mild nausea, and mild headache. Symptoms were relieved with Tylenol. On April 22nd (2 days post-injection), patient experienced no side effects during the day.  However, the evening of  April 22nd at 6:30 pm, patient's face felt very hot and then experienced soreness in the sides of the mouth. Patient again had a low-grade fever (98.8) and discovered that painful lesions had suddenly formed in the corner of both sides of the mouth.  At the time this is being reported, patient is still experiencing swollen and painful lesions in the side of the mouth. Patient is disinfecting the wounds with hydrogen peroxide and rubbing  an oral analgesic (Ora gel) on the wounds for pain management.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Oral pain, Pyrexia, Stomatitis
Clinical narrative: Twelve (12) hours post-injection, patient experienced pain at the injection site, low grade fever (98.9), chills, body aches, mild nausea, and mild headache. Symptoms were relieved with Tylenol. On April 22nd (2 days post-injection), patient experienced no side effects during the day.  However, the evening of  April 22nd at 6:30 pm, patient's face felt very hot and then experienced soreness in the sides of the mouth. Patient again had a low-grade fever (98.8) and discovered that painful lesions had suddenly formed in the corner of both sides of the mouth.  At the time this is being reported, patient is still experiencing swollen and painful lesions in the side of the mouth. Patient is disinfecting the wounds with hydrogen peroxide and rubbing  an oral analgesic (Ora gel) on the wounds for pain management.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Fatigue, Headache, Injection site rash, Nausea
Clinical narrative: Headache, fatigue, nausea on 04/22/2021. A red itchy rash broke out on 04/23/2021 on right arm near injection site, and on neck and upper torso.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Headache, fatigue, nausea on 04/22/2021. A red itchy rash broke out on 04/23/2021 on right arm near injection site, and on neck and upper torso.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Mental status changes
Clinical narrative: Altered mental status. Found in car unaware of how long she had been sitting in car. A&0 x 2
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Anaphylactic reaction, Chest discomfort, Dyspnoea, Nausea
Clinical narrative: Patient received first dose of Pfizer COVID-19 vaccine on 1/21 at 1011. She presented to the ED that evening around 2100 due to concerns for allergic reaction. Pt reports the reaction started around 1930 after eating and consisted of nausea, throat tingling, facial swelling and chest tightness/SOB. Oral diphenhydramine was self-administered. In the ED, she was given IM epinephrine and IV methylprednisolone with good response. Was discharged home about 2 hours later with prescription for epinephrine autoinjectors. Pt reports no new foods were consumed that day therefore, reaction likely vaccine related. Pt advised NOT to receive second dose.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal paraesthesia, Swelling face
Clinical narrative: Patient received first dose of Pfizer COVID-19 vaccine on 1/21 at 1011. She presented to the ED that evening around 2100 due to concerns for allergic reaction. Pt reports the reaction started around 1930 after eating and consisted of nausea, throat tingling, facial swelling and chest tightness/SOB. Oral diphenhydramine was self-administered. In the ED, she was given IM epinephrine and IV methylprednisolone with good response. Was discharged home about 2 hours later with prescription for epinephrine autoinjectors. Pt reports no new foods were consumed that day therefore, reaction likely vaccine related. Pt advised NOT to receive second dose.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Decreased appetite, Dizziness, Electrocardiogram, Fatigue
Clinical narrative: I woke with a migraine headache on the 2nd day after my vaccine and the migraine lasted 28 days in a row, 24 hrs each day. I lost my appetite  which led to a 30 lb weight loss, I was dizzy,  and fatigued. Furthermore, I was given tramadol, but it did not help and contributed to the dizziness so discontinued that after 1 week.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Magnetic resonance imaging head normal, Malaise, Weight decreased
Clinical narrative: I woke with a migraine headache on the 2nd day after my vaccine and the migraine lasted 28 days in a row, 24 hrs each day. I lost my appetite  which led to a 30 lb weight loss, I was dizzy,  and fatigued. Furthermore, I was given tramadol, but it did not help and contributed to the dizziness so discontinued that after 1 week.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Deep vein thrombosis
Clinical narrative: Pt. came in for her 2nd shot on 4/22. She informed staff she received the 1st vaccine on 3/26 and developed a DVT on her right leg. She is now on Xarelto as a blood thinner.  Her physician stated she could still receive the second dose.  Her MRN number is 3934866.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Deep vein thrombosis, SARS-CoV-2 test
Clinical narrative: Pt. came in for her 2nd shot on 4/22. She informed staff she received the 1st vaccine on 3/26 and developed a DVT on her right leg. She is now on Xarelto as a blood thinner.  Her physician stated she could still receive the second dose.  Her MRN number is 3934866.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, Visual impairment
Clinical narrative: Generally did not feel good for several days afterward.  Dizziness and balance problem lasted  about a week.  Worst for me was a serious deterioration of my eyesight (estimated 50% reduction) for 7 days and slight improvement to  about 25% eyesight reduction in the second week, gradually improving to near normal in the third week after the first dose. At this point I'll mention that after the second dose, I had almost no adverse reactions, except for, again, an eyesight difficulty, a lesser reduction (about 25%) in my eyesight for four days, improving to normal after about a week.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Contusion, Mobility decreased, Pain in extremity
Clinical narrative: Client has had a very achy arm since his second injection on April 8th. It was bruised but is healing. Client had a flare up yesterday 04/22/21 of not being able to move left arm well. Client states the injection site is 3 to 3.5 inches below shoulder. Client advised to place heat on arm for 20 mins and complete range of motion exercises.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Fatigue, Injection site pain, Lymphadenopathy
Clinical narrative: Fatigue, for 3 days. Swollen glands under left armpit and in left side of neck 5 days after vaccine administration. Glands started to burn for about 36 hours. Burning went away and remained swollen.  15 days after left arm became sore around injection.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Fatigue, Heart rate increased, Pain, Pyrexia
Clinical narrative: Patient received first dose of Moderna COVID-19 vaccine on 1/4 and second dose on 2/1. Pt called the vaccine line the day after his second dose and reported symptoms of fatigue, body aches, low grade fever, dizziness, and elevated heart rate. He was subsequently advised to visit the ED due to his dizziness and tachycardia. Patient had treated himself with acetaminophen 2 hours prior to arrival to the ED and was given ibuprofen 600 mg in the ED. HR and temperature improved in the ED and was advised to use ibuprofen and acetaminophen for further treatment.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tachycardia
Clinical narrative: Patient received first dose of Moderna COVID-19 vaccine on 1/4 and second dose on 2/1. Pt called the vaccine line the day after his second dose and reported symptoms of fatigue, body aches, low grade fever, dizziness, and elevated heart rate. He was subsequently advised to visit the ED due to his dizziness and tachycardia. Patient had treated himself with acetaminophen 2 hours prior to arrival to the ED and was given ibuprofen 600 mg in the ED. HR and temperature improved in the ED and was advised to use ibuprofen and acetaminophen for further treatment.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Noninfective gingivitis, Pyrexia
Clinical narrative: Roughly 6 hours after administration of this second dose, I contracted a slight fever of 99 along with a minor headache. At some point after midnight (approx 13 hours after admin), fever worsened, had chills and headache was more severe. I took 2 tylenols and drank a glass of water. Upon waking in the morning, the fever had broken, but headache was quite severe. Again I took 2 tylenols, drank water and rested until about 1p on 4/20 at which point I felt better. Another potential side effect was inflammation of gums and soft pallet.  This is a condition I am predisposed to where gums become sensitive and inflamed when I am experiencing stress or sometimes when I am getting sick. This was the first symptom I experienced on 4/19 in the afternoon (maybe around 4p). This dissipated, but returned the evening of 4/22 and continued on 4/23.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site warmth
Clinical narrative: Redness and warmth around injection site, starting 9 days after shot was administered.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Migraine, Pyrexia
Clinical narrative: INCREDIBLY SEVERE, WORSE-THAN-NORMAL MIGRAINE, SEVERE CHILLS, 104 DEGREE FEVER FOR APPROX. FIVE DAYS
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Rash macular
Clinical narrative: In the afternoon on 4/22/2021, I began to experience mild itchiness around the injection site on my left arm.  That evening, I began to also have some warmth in the area and noticed some swelling as well.  Upon looking at the site in the mirror, I could see a large, round area on my upper left arm that was raised, red.  No tenderness/pain.  Symptoms today continue to be mild swelling and minor itchiness.  I also have been dealing with 3, small spots in my right armpit, that appear to be ringworm.   I noticed these appear shortly after the shot on 4/22, but i didnt attribute it to the shot at the time.  I've had ringworm in the past, but it's only ever been one spot at a time, not 3.  And it's an unusual place on my body & I cannot think how I would have contracted it.  So I am not sure if it's truly.ringworm or some type of ezcema. I'm planning to also report all of this to my primary MD.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Pain
Clinical narrative: Felt achy: muscle aches, headache, fatigue ? lasted about a day
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Hyperhidrosis, Pyrexia
Clinical narrative: Fever, headache, joint pain, chills , sweating
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: itchy rash
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Pulmonary embolism, Pulmonary thrombosis, Thrombosis, Ultrasound scan abnormal
Clinical narrative: I had a pulmonary embolism on 3/17/2021.  Prior to that a blood clot in my left calf.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Fever Chills Prolonged headache
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Fever between 100-101 for 24 hours, headache, fatigue, itchy skin (widespread), injection site redness/swelling/pain for 72 hours.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Pyrexia
Clinical narrative: Fever between 100-101 for 24 hours, headache, fatigue, itchy skin (widespread), injection site redness/swelling/pain for 72 hours.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Discomfort, Dizziness, Heart rate decreased, Hyperhidrosis, Nausea
Clinical narrative: Patient received his first Moderna COVID vaccine. While he was waiting the 15 minutes he started to feel pressure behind his eyes, started sweating profusely, felt dizzy, and nauseous.  I had the patient go into the IMZ room where I had him sit down.  I took his blood pressure. His heart rate was 55 bpm and his blood pressure was around 110/70.  He was not having any trouble breathing or had any signs of anaphylaxis (swelling of throat, tongue, lipps, etc). I had him remain seated and talked to him for 5 minutes. He felt like he was starting to come out of it and we took his blood pressure again.  His heart rate and gone back up to 65 and his blood pressure was around 135/75.  I had the patient remain seated for another 5-10 minutes.  Took his bp again and the numbers were similar to the second one that was previously mentioned.  He wanted to stand up and see how he was feeling.  He stood up right outside the pharmacy for another 15 minutes and said that he felt back to normal.  I explained that in the previous case where this happened to a woman they recommended she have someone drive her home and I recommended he do the same.  He seemed to think he was fine and I believe he was planning to drive himself home.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: 7 day coarse of steroids
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Pt. administered unknown amount of vaccine secondary to faulty needle. administered authorized dose in opposite arm (right). pt with no adverse effects and went home after 15 minute observation.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysuria, Nausea
Clinical narrative: Nausea and light headed that is still happening as of today, on 4/21 around 5:30pm I had pee in my urine which caused sever pain for about 4 hours, I drank plenty of water to flush my system and then I was fine
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time shortened, Blood calcium normal, Blood creatinine normal, Blood fibrinogen increased, Blood potassium normal
Clinical narrative: Patient presented on 4/17 to urgent care afer significant vaginal bleeding (soaking through a pad every 1 hour to 1.5 hours) and petechia on multiple extremeties. She also had a nose bleed and bleeding in mouth earlier in the day that resolved spontaneously. After obtaining CBC, platelets were <1000.  She was on oral contraceptives. She is a non smoker. She received work up for thrombosis, not indication of thrombosis.  She did have some muscle aches and fever and fatigue the day after vaccine. Histroy notable for mild diffuse petechiae on all 4 extremeties. As inpatient received solumedrol 125 mg (then switched to prednisone 80 mg daily),  IVIG 1 g/kg x 2 doses. she was discharged on 4/19 d/t rising platelets, Vaginal bleeding slowing and Petechia much fainter.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium normal, Epistaxis, Fatigue, Fibrin D dimer, HIV test negative
Clinical narrative: Patient presented on 4/17 to urgent care afer significant vaginal bleeding (soaking through a pad every 1 hour to 1.5 hours) and petechia on multiple extremeties. She also had a nose bleed and bleeding in mouth earlier in the day that resolved spontaneously. After obtaining CBC, platelets were <1000.  She was on oral contraceptives. She is a non smoker. She received work up for thrombosis, not indication of thrombosis.  She did have some muscle aches and fever and fatigue the day after vaccine. Histroy notable for mild diffuse petechiae on all 4 extremeties. As inpatient received solumedrol 125 mg (then switched to prednisone 80 mg daily),  IVIG 1 g/kg x 2 doses. she was discharged on 4/19 d/t rising platelets, Vaginal bleeding slowing and Petechia much fainter.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Haematocrit normal, Haemoglobin normal, Hepatitis C test negative, Immunoglobulin therapy, International normalised ratio normal
Clinical narrative: Patient presented on 4/17 to urgent care afer significant vaginal bleeding (soaking through a pad every 1 hour to 1.5 hours) and petechia on multiple extremeties. She also had a nose bleed and bleeding in mouth earlier in the day that resolved spontaneously. After obtaining CBC, platelets were <1000.  She was on oral contraceptives. She is a non smoker. She received work up for thrombosis, not indication of thrombosis.  She did have some muscle aches and fever and fatigue the day after vaccine. Histroy notable for mild diffuse petechiae on all 4 extremeties. As inpatient received solumedrol 125 mg (then switched to prednisone 80 mg daily),  IVIG 1 g/kg x 2 doses. she was discharged on 4/19 d/t rising platelets, Vaginal bleeding slowing and Petechia much fainter.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell volume normal, Mouth haemorrhage, Myalgia, Petechiae, Platelet count decreased
Clinical narrative: Patient presented on 4/17 to urgent care afer significant vaginal bleeding (soaking through a pad every 1 hour to 1.5 hours) and petechia on multiple extremeties. She also had a nose bleed and bleeding in mouth earlier in the day that resolved spontaneously. After obtaining CBC, platelets were <1000.  She was on oral contraceptives. She is a non smoker. She received work up for thrombosis, not indication of thrombosis.  She did have some muscle aches and fever and fatigue the day after vaccine. Histroy notable for mild diffuse petechiae on all 4 extremeties. As inpatient received solumedrol 125 mg (then switched to prednisone 80 mg daily),  IVIG 1 g/kg x 2 doses. she was discharged on 4/19 d/t rising platelets, Vaginal bleeding slowing and Petechia much fainter.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vaginal haemorrhage, White blood cell count increased, White blood cell count normal
Clinical narrative: Patient presented on 4/17 to urgent care afer significant vaginal bleeding (soaking through a pad every 1 hour to 1.5 hours) and petechia on multiple extremeties. She also had a nose bleed and bleeding in mouth earlier in the day that resolved spontaneously. After obtaining CBC, platelets were <1000.  She was on oral contraceptives. She is a non smoker. She received work up for thrombosis, not indication of thrombosis.  She did have some muscle aches and fever and fatigue the day after vaccine. Histroy notable for mild diffuse petechiae on all 4 extremeties. As inpatient received solumedrol 125 mg (then switched to prednisone 80 mg daily),  IVIG 1 g/kg x 2 doses. she was discharged on 4/19 d/t rising platelets, Vaginal bleeding slowing and Petechia much fainter.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Bone pain, Breast pain, Fatigue
Clinical narrative: Flu-like symptoms began Thursday, April 15, 2021 around 12 noon.  Symptoms included very aching joints/bones, fatigue and fever of 100 degrees Fahrenheit.  Right Arm was sore at injection site but I thought nothing of it.   Very sore arm continued overnight Thursday into Friday morning and was so sore it kept me awake.  Woke Friday AM to extreme soreness in upper arm, armpit and shoulder blade on right side.  Area between armpit and right breast was tender to the touch.   Friday evening, right upper arm was extremely sore, and hard to the touch.  Redness on arm looked more it had been slapped...it was not just near injection site.  Took ibuprofen to help with soreness.  Sore armpit area continued through Sunday but get better Monday.  However, lymph nodes near collar bone became hard and swollen and continue to be hard swollen today, Friday April 23rd.  In addition I have been much more tired than usual for the past week despite getting normal, if not more,  sleep than usual.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Injection site erythema, Injection site pain, Lymphadenopathy, Pyrexia
Clinical narrative: Flu-like symptoms began Thursday, April 15, 2021 around 12 noon.  Symptoms included very aching joints/bones, fatigue and fever of 100 degrees Fahrenheit.  Right Arm was sore at injection site but I thought nothing of it.   Very sore arm continued overnight Thursday into Friday morning and was so sore it kept me awake.  Woke Friday AM to extreme soreness in upper arm, armpit and shoulder blade on right side.  Area between armpit and right breast was tender to the touch.   Friday evening, right upper arm was extremely sore, and hard to the touch.  Redness on arm looked more it had been slapped...it was not just near injection site.  Took ibuprofen to help with soreness.  Sore armpit area continued through Sunday but get better Monday.  However, lymph nodes near collar bone became hard and swollen and continue to be hard swollen today, Friday April 23rd.  In addition I have been much more tired than usual for the past week despite getting normal, if not more,  sleep than usual.