chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Vaccine was administered in patient's left gluteus (per her request); patient did not report to us any adverse outcome.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Culture wound positive, Skin lesion
Clinical narrative: Pt developed a skin lesion on his upper abdomen/lower chest approximately 3 days after his second dose of COVID vaccine.  Lesion did not heal, pt presented to ER on 5/3/21.  Wound continues to heal as of 5/10/21.  Of note, patient experienced a similar lesion after his first dose of COVID vaccine.  The first lesion was treated with doxycycline and had resolved prior to receipt of second dose.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain
Clinical narrative: Chest pain and tightness for around 5 hours resolved without any intervention
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Tinnitus
Clinical narrative: 10 days after second Pfizer shot, tinnitus in right ear. Has not stopped in 35 days.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Pyrexia
Clinical narrative: He experienced extreme dizziness and a fever.  Tylenol brought the fever down and the dizziness is beginning to lessen on it's own.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Back pain, Fatigue, Feeling abnormal, Impaired work ability
Clinical narrative: I felt feverish and tired the day after which I expected.  But I never really felt "myself" after, always a bit tired.  Then 8 days later had stomach distress and aches and pains and have so much fatigue it is difficult to work.  I do not have covid, and have not been anywhere to be exposed to anything else.  I also have severe back pain that started after my first shot.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: I felt feverish and tired the day after which I expected.  But I never really felt "myself" after, always a bit tired.  Then 8 days later had stomach distress and aches and pains and have so much fatigue it is difficult to work.  I do not have covid, and have not been anywhere to be exposed to anything else.  I also have severe back pain that started after my first shot.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope, Syncope
Clinical narrative: Vasovagal syncope, has a history with needles/shots No injuries No treatment needed Vitals checked Monitored and left without problem after monitoring
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Pulmonary embolism
Clinical narrative: Admitted with moderate pulmonary embolism 9 days after vaccine, not sure it's related. He had a long travel prior as well and could be cause for thromboembolism too.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Decreased appetite, Diarrhoea
Clinical narrative: pt states she had lunch from her favorite restaurant at 12:00 pm on 5/8/2021 and about 20 minutes after eating she developed stomach cramps and then had diarhea.  She had feeling of emptiness and had to eat very lightly afterwards since she has had to decrease her portions sizes.  She will have to wait a while before she will be able to order from her favorite place to eat since her appetite is not the same.  Pt has an appt w/ her PCP on 5/13/21.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Nausea, Pyrexia, Vomiting
Clinical narrative: Fever that reached 100.4, nausea, vomiting, loss of appetite, and chills. Fever and chills started 24 hours after injection, lasted for one day. Nausea/vomiting lasted for one day.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Asthenia, Fatigue, Feeling abnormal, Flushing
Clinical narrative: The day after the vaccine I had a low-grade fever and felt bad. I was extremely fatigued and I felt weak. It almost felt like the flu. I had nausea at night and I felt flushed. I consulted with  Urgent Care and they asked me to come in and get a COVID-19 test which was negative. Those symptoms lasted a full week. My period is also out of sync and it lasted longer than usual for a total of two weeks. It kept coming and going. It normally only lasts five days and it is consistent. I was also having cramping on my left lower abdominal region.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder, Nausea, Oligomenorrhoea, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: The day after the vaccine I had a low-grade fever and felt bad. I was extremely fatigued and I felt weak. It almost felt like the flu. I had nausea at night and I felt flushed. I consulted with  Urgent Care and they asked me to come in and get a COVID-19 test which was negative. Those symptoms lasted a full week. My period is also out of sync and it lasted longer than usual for a total of two weeks. It kept coming and going. It normally only lasts five days and it is consistent. I was also having cramping on my left lower abdominal region.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: patient fainted twice
Age: 67.0
Sex: F
Vaccine: PPV
Symptoms: Pain in extremity, Swelling
Clinical narrative: Pt said she had severe pain in arm and swelling for about a week but finall subsided.  It happened the next day after the injection.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Dyspnoea, Pleural effusion, Pulmonary embolism
Clinical narrative: PATIENT HAD SHORTNESS OF BREATH FOR THE PAST 2-3 WEEKS DIAGNOSED WITH PULMONARY EMBOLISM AND PLEURAL EFFUSION
Sex: M
Vaccine: HEP
Symptoms: Generalised tonic-clonic seizure
Clinical narrative: 2 grand mal seizures 9 days later
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction, Anticoagulant therapy, Catheterisation cardiac, Chest pain, Contusion
Clinical narrative: Patient is a 48-year-old male with patient history significant for CAD, CHF, ICD, HTN, hyperlipidemia, and smoking who presented to the ED yesterday morning with 1 day history of chest pain. Patient described the CP as moderate aching in the substernal area that did not radiate. The pain was intermittent, with each episode lasting 1-2 minutes. The CP was associated with LUE numbness and SOB on exertion. The chest pain and LUE numbness have now resolved. Patient also reports a three week history of RUE swelling. The swelling gradually worsened and is now associated with pain and proximal RUE bruising. RUE pain is rated 5/10. In the ED, patient was found to have NSTEMI and small right lower lobe segmental pulmonary artery embolus. Venous Doppler was positive for occlusive thrombosis in the R subclavian, basilic, and cephalic veins. Patient was started on IV heparin. Patient is scheduled for cardiac cath today. Hematology is consulted regarding PE and RUE DVT. Patient denies personal or family history of blood clots or recent travel. Reports receiving COVID vaccine in LUE approximately three weeks ago. Also admits to being more sedentary recently due to being unemployed. Denies nausea, vomiting, bleeding, bowel changes, fever, or chills.  Significant PE findings: RUE edema, firm and tender to palpation, ecchymosis on proximal RUE, distal sensation and active ROM intact
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Deep vein thrombosis, Dyspnoea, Ecchymosis, Hypoaesthesia, Oedema peripheral
Clinical narrative: Patient is a 48-year-old male with patient history significant for CAD, CHF, ICD, HTN, hyperlipidemia, and smoking who presented to the ED yesterday morning with 1 day history of chest pain. Patient described the CP as moderate aching in the substernal area that did not radiate. The pain was intermittent, with each episode lasting 1-2 minutes. The CP was associated with LUE numbness and SOB on exertion. The chest pain and LUE numbness have now resolved. Patient also reports a three week history of RUE swelling. The swelling gradually worsened and is now associated with pain and proximal RUE bruising. RUE pain is rated 5/10. In the ED, patient was found to have NSTEMI and small right lower lobe segmental pulmonary artery embolus. Venous Doppler was positive for occlusive thrombosis in the R subclavian, basilic, and cephalic veins. Patient was started on IV heparin. Patient is scheduled for cardiac cath today. Hematology is consulted regarding PE and RUE DVT. Patient denies personal or family history of blood clots or recent travel. Reports receiving COVID vaccine in LUE approximately three weeks ago. Also admits to being more sedentary recently due to being unemployed. Denies nausea, vomiting, bleeding, bowel changes, fever, or chills.  Significant PE findings: RUE edema, firm and tender to palpation, ecchymosis on proximal RUE, distal sensation and active ROM intact
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Pulmonary embolism, Subclavian vein thrombosis, Tenderness, Thrombosis
Clinical narrative: Patient is a 48-year-old male with patient history significant for CAD, CHF, ICD, HTN, hyperlipidemia, and smoking who presented to the ED yesterday morning with 1 day history of chest pain. Patient described the CP as moderate aching in the substernal area that did not radiate. The pain was intermittent, with each episode lasting 1-2 minutes. The CP was associated with LUE numbness and SOB on exertion. The chest pain and LUE numbness have now resolved. Patient also reports a three week history of RUE swelling. The swelling gradually worsened and is now associated with pain and proximal RUE bruising. RUE pain is rated 5/10. In the ED, patient was found to have NSTEMI and small right lower lobe segmental pulmonary artery embolus. Venous Doppler was positive for occlusive thrombosis in the R subclavian, basilic, and cephalic veins. Patient was started on IV heparin. Patient is scheduled for cardiac cath today. Hematology is consulted regarding PE and RUE DVT. Patient denies personal or family history of blood clots or recent travel. Reports receiving COVID vaccine in LUE approximately three weeks ago. Also admits to being more sedentary recently due to being unemployed. Denies nausea, vomiting, bleeding, bowel changes, fever, or chills.  Significant PE findings: RUE edema, firm and tender to palpation, ecchymosis on proximal RUE, distal sensation and active ROM intact
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ultrasound Doppler abnormal
Clinical narrative: Patient is a 48-year-old male with patient history significant for CAD, CHF, ICD, HTN, hyperlipidemia, and smoking who presented to the ED yesterday morning with 1 day history of chest pain. Patient described the CP as moderate aching in the substernal area that did not radiate. The pain was intermittent, with each episode lasting 1-2 minutes. The CP was associated with LUE numbness and SOB on exertion. The chest pain and LUE numbness have now resolved. Patient also reports a three week history of RUE swelling. The swelling gradually worsened and is now associated with pain and proximal RUE bruising. RUE pain is rated 5/10. In the ED, patient was found to have NSTEMI and small right lower lobe segmental pulmonary artery embolus. Venous Doppler was positive for occlusive thrombosis in the R subclavian, basilic, and cephalic veins. Patient was started on IV heparin. Patient is scheduled for cardiac cath today. Hematology is consulted regarding PE and RUE DVT. Patient denies personal or family history of blood clots or recent travel. Reports receiving COVID vaccine in LUE approximately three weeks ago. Also admits to being more sedentary recently due to being unemployed. Denies nausea, vomiting, bleeding, bowel changes, fever, or chills.  Significant PE findings: RUE edema, firm and tender to palpation, ecchymosis on proximal RUE, distal sensation and active ROM intact
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Therapy change
Clinical narrative: vaccine was administered in right glutues (per patient request); we received no notice of any adverse outcome
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: 12/23/2020 1st Covid vaccine 025J20-2A left arm 6pm 1/20/2021 2nd Covid vaccine 030L20-A right arm 6pm 5/11 tested for covid for travel - asymptomatic, positive covid PCR test 5/22 potential to return to work
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Agonal respiration, Blood glucose normal, Drooling, Dyspnoea, Electrocardiogram
Clinical narrative: Three minutes after receiving a Janssen vaccine, patient was noted by this RN to be unresponsive in his chair located in the post vaccine observation area.  The following observations were noted.  His head was tilted back resting on the clinic trailer.  Body positioned, slumped in the chair.   His pupils were positioned back.  Unresponsive to verbal or tactile stimuli.  Respiration labored with an occasional agonal breath.  Infrequent twitching of body noted.  Patient was drooling, clear secretions.  Pallor was noted on this patient's face.  Time lapse for previous noted symptoms was one minute.  Vital signs were assessed.  Vital signs were normal.  BP 120/60, left arm, manual assessment cuff.  HR 56.  RR 18.  02 saturation 97 % on room air.   Blood glucose 97 mg./dl.  911 called for rescue.   Patient gradually regained conscious.  Patient vomited two times, small amount, clear secretions.  Rescue arrived.  Normal sinus rhythm.   Patient was alert and oriented x 3.  Refused transport to the hospital for evaluation.  Home with family driving him home.  Patient does not have a PCP.  Patient encouraged to call 911 if symptoms return.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Eye movement disorder, Loss of consciousness, Muscle twitching, Pallor, Posture abnormal
Clinical narrative: Three minutes after receiving a Janssen vaccine, patient was noted by this RN to be unresponsive in his chair located in the post vaccine observation area.  The following observations were noted.  His head was tilted back resting on the clinic trailer.  Body positioned, slumped in the chair.   His pupils were positioned back.  Unresponsive to verbal or tactile stimuli.  Respiration labored with an occasional agonal breath.  Infrequent twitching of body noted.  Patient was drooling, clear secretions.  Pallor was noted on this patient's face.  Time lapse for previous noted symptoms was one minute.  Vital signs were assessed.  Vital signs were normal.  BP 120/60, left arm, manual assessment cuff.  HR 56.  RR 18.  02 saturation 97 % on room air.   Blood glucose 97 mg./dl.  911 called for rescue.   Patient gradually regained conscious.  Patient vomited two times, small amount, clear secretions.  Rescue arrived.  Normal sinus rhythm.   Patient was alert and oriented x 3.  Refused transport to the hospital for evaluation.  Home with family driving him home.  Patient does not have a PCP.  Patient encouraged to call 911 if symptoms return.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli, Vomiting
Clinical narrative: Three minutes after receiving a Janssen vaccine, patient was noted by this RN to be unresponsive in his chair located in the post vaccine observation area.  The following observations were noted.  His head was tilted back resting on the clinic trailer.  Body positioned, slumped in the chair.   His pupils were positioned back.  Unresponsive to verbal or tactile stimuli.  Respiration labored with an occasional agonal breath.  Infrequent twitching of body noted.  Patient was drooling, clear secretions.  Pallor was noted on this patient's face.  Time lapse for previous noted symptoms was one minute.  Vital signs were assessed.  Vital signs were normal.  BP 120/60, left arm, manual assessment cuff.  HR 56.  RR 18.  02 saturation 97 % on room air.   Blood glucose 97 mg./dl.  911 called for rescue.   Patient gradually regained conscious.  Patient vomited two times, small amount, clear secretions.  Rescue arrived.  Normal sinus rhythm.   Patient was alert and oriented x 3.  Refused transport to the hospital for evaluation.  Home with family driving him home.  Patient does not have a PCP.  Patient encouraged to call 911 if symptoms return.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 1st Vaccine was given on 4/27/2021. 2nd dose was given on 5/11/2021. The vaccine was given too early.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Eye disorder, Facial spasm, Impaired work ability, Loss of personal independence in daily activities, Muscle contracture
Clinical narrative: Intermittent, severe, spasmodic neuro muscular facial contracture and eye closure, worse on right side began approximately 3 weeks after 2nd Covid-19 vaccination injection.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Visual impairment
Clinical narrative: Intermittent, severe, spasmodic neuro muscular facial contracture and eye closure, worse on right side began approximately 3 weeks after 2nd Covid-19 vaccination injection.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: fully covid vaccinated since 2/22/2021.  tested positive for covid 5/10/21.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Became dizzy.  Monitored vitals, no treatment needed, 30 minutes later patient improved.  Left without problems.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient hospitalized within 6 weeks of receiving COVID vaccination.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Catheterisation cardiac, Stent placement
Clinical narrative: 2nd dose of Moderna vaccine given on 4/23/2021. He presented with acute STEMI on 5/2/2021.  He has no family hx of premature CAD and no known cardiac RFs. Although doubt relationship between the vaccine and his acute MI our ID agreed that reporting this to VAERS is reasonable.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling hot, Headache, Muscle tightness, Nausea
Clinical narrative: Patient brought to attention of staff that he was feeling nauseaus and proceeded to bathroom. Patient reports that he vomited 2 times each a small amt. Patient came out of bathroom and reported that he was feeling short of breath and that the muscles in his neck were tight. He was also feeling itchy and warm throughout body. Brought patient to room for observation and immediately gave epipen to the L quad. This was approx 30 min after administration of Moderna Vaccine 2nd dose. Patient did not have any reactions to the first dose. Patient reported that he felt better almost instantly. Per NP on duty lung sounds were clear to auscultation and with good airflow. VS checked then after epipen admin they were as follows: BP 168/90, HR 80, )2 99% RA. Patient then began to c/o 10/10 headache. Ibuprofen 200mg 2 taps PO were administered with small glass of water. Patient tolerated well.  Vitals rechecked 5 min later and were as follows: BP 146/88, HR 77, O2 97% RA. Per facility protocol patient was transferred to ER for further evaluation.  EKG taken in ER and was found to be normal. Patient observed for 1.5 hours with no adverse events. Patient discharged home with cetirizine and epipen, education provided by ER staff.  Follow up with patients PCP within 1-2 days.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Vomiting
Clinical narrative: Patient brought to attention of staff that he was feeling nauseaus and proceeded to bathroom. Patient reports that he vomited 2 times each a small amt. Patient came out of bathroom and reported that he was feeling short of breath and that the muscles in his neck were tight. He was also feeling itchy and warm throughout body. Brought patient to room for observation and immediately gave epipen to the L quad. This was approx 30 min after administration of Moderna Vaccine 2nd dose. Patient did not have any reactions to the first dose. Patient reported that he felt better almost instantly. Per NP on duty lung sounds were clear to auscultation and with good airflow. VS checked then after epipen admin they were as follows: BP 168/90, HR 80, )2 99% RA. Patient then began to c/o 10/10 headache. Ibuprofen 200mg 2 taps PO were administered with small glass of water. Patient tolerated well.  Vitals rechecked 5 min later and were as follows: BP 146/88, HR 77, O2 97% RA. Per facility protocol patient was transferred to ER for further evaluation.  EKG taken in ER and was found to be normal. Patient observed for 1.5 hours with no adverse events. Patient discharged home with cetirizine and epipen, education provided by ER staff.  Follow up with patients PCP within 1-2 days.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Pain in extremity
Clinical narrative: Right arm is weak, aches from my wrist up to my shoulder
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: No adverse events at this time. Wrong vaccine was administered. Pt had received first dose of Pfizer vaccine on 02/27. She scheduled a first dose appointment vaccine through a store that provided only Moderna vaccine.  She received the Moderna vaccine without ever alerting the staff that she had received a previous dose of a different vaccine.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Dizziness, Extra dose administered, Immediate post-injection reaction
Clinical narrative: This is in regard to case #01911690 Interaction #01911683. Patient was given a second dose of Pneumovax 23 two weeks after receiving the first dose. On March 25th the patient came in to the clinic for a routine appointment and received his pneumovax 23 vaccination that day. The nurse told the patient that the doctor did not want him to receive both pneumovax and shingrix in the same day and ask that he come back for the other vaccine in two weeks. The Nurse did not chart giving a vaccine that day and when the patient came in on 04/19/2021 to receive the shingrix vaccine, he received another dose of pneumovax instead. Patient states that he immediately felt dizzy and just wanted to get home to lay down. Patient reports feeling better the next day.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Nausea developed after shot.  Vitals good.  Monitored for extended period and no problems.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received second Moderna vaccine at age 17, Moderna is approved for ages 18 and up.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Bell's Palsy treated with Prednisone 70mg daily for 5 days and tapered to 5 mg over 5 days; Acyclovir 4000mg daily for 5 days Physical Therapy, Accupuncture
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pyrexia
Clinical narrative: fever, chills, fatigue
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Chromaturia, Feeling abnormal, Headache
Clinical narrative: Horrible nausea and vomiting, high fever, chills with shaking, body aches all over my boy especially where I have had previous injury or surgeries. Really bad headache. I could not drink much even though I was thirsty. I could only do a small sip at a time or risk vomiting. My urine started to turn brown due to lack of hydration most likely. I was really sick for 3 days and mildly for 2. I still feel very weak and have brain fog.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Horrible nausea and vomiting, high fever, chills with shaking, body aches all over my boy especially where I have had previous injury or surgeries. Really bad headache. I could not drink much even though I was thirsty. I could only do a small sip at a time or risk vomiting. My urine started to turn brown due to lack of hydration most likely. I was really sick for 3 days and mildly for 2. I still feel very weak and have brain fog.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Muscular weakness, Pain, Paraesthesia
Clinical narrative: Pain and tingling immediately and thereafter.  Weakness in arm.  Doctor  thinks a nerve was hit with the vaccination needle.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Dyspnoea, Throat tightness
Clinical narrative: 7 minutes into my waiting period after vaccine administration I experienced my throat closing up I was gasping for breath I couldn?t swallow. The pharmacist gave me an epi pen and called 911. I went to the emergency room.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, C-reactive protein increased, Cardiac telemetry normal, Chest discomfort, Chest pain
Clinical narrative: 18M with no PMH s/p pfizer vaccination dose 2 on 5/4/21 who presented with chest pain. He initially had chest pain the day prior to admission with pain in his back and down his left arm. This improved with Tylenol and resolved prior to bed. On the morning of 5/6 the chest pain returned and was so severe it woke him from sleep. He was difficult for him to characterize, but he said it was all over his chest, sometimes sharp and pressure-like, most severe in mid substernal region and was so substantial that he had difficulty speaking properly. He feels that the pain is most severe when lying flat and is best managed when he is resting at a 45 degree angle. Patient was at ED he was found to have an initial ECG with ST depressions in aVR and elevations in II, aVF, and V2 through V6 raising suspicion for pericarditis/myocarditis. Initial troponin was elevated at 4.35 as well. Cardiology Dr. was contacted by ED physician, case discussed, and EKGs reviewed and felt this was more likely pericarditis, but not STEMI. Of note, he reports a family history significant for his mother having a?hole in her heart.?He was given Toradol with improvement in his pain and upon arrival to hospital his chest pain was markedly improved.  He was noted to have troponins peaking at 39.415 that down trended and an elevated CRP of 4.8 on admission. D-dimer was 0.26. Covid PCR was negative.  He was evaluated by cardiology again here who upon review of his ECG and cardiac enzymes as well as presentation was consistent with pericarditis. Echocardiogram showed normal LV systolic function with trace posterior pericardial effusion and telemetry was monitored without any arrhythmias. He was started on low-dose beta-blockers, aspirin 650 mg 3 times a day, and colchicine 0.6 mg every 12 hours for 2 doses followed by 0.6 mg daily. He is planned to continue this for approximately 3 months and will need to follow-up with cardiology in 1 to 2 weeks for repeat monitoring and management with plan to taper off aspirin once his CRP normalizes.  Later that night, he even had a similar episode of sudden onset chest pain for which she received IV Toradol with minimal relief and oral Tylenol with relief of symptoms after that. No telemetry abnormalities were recorded at that time.   ECG the following day showed improving ST changes and troponin of 26.328 with CRP 4.2. He had no further symptoms for over 24 hours and is responding well to treatment.   He is advised to take Tylenol as needed in addition to the above-mentioned medicines should he have any recurrent chest pain.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Electrocardiogram ST segment depression, Electrocardiogram abnormal, Fibrin D dimer normal, Myocarditis
Clinical narrative: 18M with no PMH s/p pfizer vaccination dose 2 on 5/4/21 who presented with chest pain. He initially had chest pain the day prior to admission with pain in his back and down his left arm. This improved with Tylenol and resolved prior to bed. On the morning of 5/6 the chest pain returned and was so severe it woke him from sleep. He was difficult for him to characterize, but he said it was all over his chest, sometimes sharp and pressure-like, most severe in mid substernal region and was so substantial that he had difficulty speaking properly. He feels that the pain is most severe when lying flat and is best managed when he is resting at a 45 degree angle. Patient was at ED he was found to have an initial ECG with ST depressions in aVR and elevations in II, aVF, and V2 through V6 raising suspicion for pericarditis/myocarditis. Initial troponin was elevated at 4.35 as well. Cardiology Dr. was contacted by ED physician, case discussed, and EKGs reviewed and felt this was more likely pericarditis, but not STEMI. Of note, he reports a family history significant for his mother having a?hole in her heart.?He was given Toradol with improvement in his pain and upon arrival to hospital his chest pain was markedly improved.  He was noted to have troponins peaking at 39.415 that down trended and an elevated CRP of 4.8 on admission. D-dimer was 0.26. Covid PCR was negative.  He was evaluated by cardiology again here who upon review of his ECG and cardiac enzymes as well as presentation was consistent with pericarditis. Echocardiogram showed normal LV systolic function with trace posterior pericardial effusion and telemetry was monitored without any arrhythmias. He was started on low-dose beta-blockers, aspirin 650 mg 3 times a day, and colchicine 0.6 mg every 12 hours for 2 doses followed by 0.6 mg daily. He is planned to continue this for approximately 3 months and will need to follow-up with cardiology in 1 to 2 weeks for repeat monitoring and management with plan to taper off aspirin once his CRP normalizes.  Later that night, he even had a similar episode of sudden onset chest pain for which she received IV Toradol with minimal relief and oral Tylenol with relief of symptoms after that. No telemetry abnormalities were recorded at that time.   ECG the following day showed improving ST changes and troponin of 26.328 with CRP 4.2. He had no further symptoms for over 24 hours and is responding well to treatment.   He is advised to take Tylenol as needed in addition to the above-mentioned medicines should he have any recurrent chest pain.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pericardial effusion, Pericarditis, SARS-CoV-2 test negative
Clinical narrative: 18M with no PMH s/p pfizer vaccination dose 2 on 5/4/21 who presented with chest pain. He initially had chest pain the day prior to admission with pain in his back and down his left arm. This improved with Tylenol and resolved prior to bed. On the morning of 5/6 the chest pain returned and was so severe it woke him from sleep. He was difficult for him to characterize, but he said it was all over his chest, sometimes sharp and pressure-like, most severe in mid substernal region and was so substantial that he had difficulty speaking properly. He feels that the pain is most severe when lying flat and is best managed when he is resting at a 45 degree angle. Patient was at ED he was found to have an initial ECG with ST depressions in aVR and elevations in II, aVF, and V2 through V6 raising suspicion for pericarditis/myocarditis. Initial troponin was elevated at 4.35 as well. Cardiology Dr. was contacted by ED physician, case discussed, and EKGs reviewed and felt this was more likely pericarditis, but not STEMI. Of note, he reports a family history significant for his mother having a?hole in her heart.?He was given Toradol with improvement in his pain and upon arrival to hospital his chest pain was markedly improved.  He was noted to have troponins peaking at 39.415 that down trended and an elevated CRP of 4.8 on admission. D-dimer was 0.26. Covid PCR was negative.  He was evaluated by cardiology again here who upon review of his ECG and cardiac enzymes as well as presentation was consistent with pericarditis. Echocardiogram showed normal LV systolic function with trace posterior pericardial effusion and telemetry was monitored without any arrhythmias. He was started on low-dose beta-blockers, aspirin 650 mg 3 times a day, and colchicine 0.6 mg every 12 hours for 2 doses followed by 0.6 mg daily. He is planned to continue this for approximately 3 months and will need to follow-up with cardiology in 1 to 2 weeks for repeat monitoring and management with plan to taper off aspirin once his CRP normalizes.  Later that night, he even had a similar episode of sudden onset chest pain for which she received IV Toradol with minimal relief and oral Tylenol with relief of symptoms after that. No telemetry abnormalities were recorded at that time.   ECG the following day showed improving ST changes and troponin of 26.328 with CRP 4.2. He had no further symptoms for over 24 hours and is responding well to treatment.   He is advised to take Tylenol as needed in addition to the above-mentioned medicines should he have any recurrent chest pain.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder, Speech disorder, Troponin increased
Clinical narrative: 18M with no PMH s/p pfizer vaccination dose 2 on 5/4/21 who presented with chest pain. He initially had chest pain the day prior to admission with pain in his back and down his left arm. This improved with Tylenol and resolved prior to bed. On the morning of 5/6 the chest pain returned and was so severe it woke him from sleep. He was difficult for him to characterize, but he said it was all over his chest, sometimes sharp and pressure-like, most severe in mid substernal region and was so substantial that he had difficulty speaking properly. He feels that the pain is most severe when lying flat and is best managed when he is resting at a 45 degree angle. Patient was at ED he was found to have an initial ECG with ST depressions in aVR and elevations in II, aVF, and V2 through V6 raising suspicion for pericarditis/myocarditis. Initial troponin was elevated at 4.35 as well. Cardiology Dr. was contacted by ED physician, case discussed, and EKGs reviewed and felt this was more likely pericarditis, but not STEMI. Of note, he reports a family history significant for his mother having a?hole in her heart.?He was given Toradol with improvement in his pain and upon arrival to hospital his chest pain was markedly improved.  He was noted to have troponins peaking at 39.415 that down trended and an elevated CRP of 4.8 on admission. D-dimer was 0.26. Covid PCR was negative.  He was evaluated by cardiology again here who upon review of his ECG and cardiac enzymes as well as presentation was consistent with pericarditis. Echocardiogram showed normal LV systolic function with trace posterior pericardial effusion and telemetry was monitored without any arrhythmias. He was started on low-dose beta-blockers, aspirin 650 mg 3 times a day, and colchicine 0.6 mg every 12 hours for 2 doses followed by 0.6 mg daily. He is planned to continue this for approximately 3 months and will need to follow-up with cardiology in 1 to 2 weeks for repeat monitoring and management with plan to taper off aspirin once his CRP normalizes.  Later that night, he even had a similar episode of sudden onset chest pain for which she received IV Toradol with minimal relief and oral Tylenol with relief of symptoms after that. No telemetry abnormalities were recorded at that time.   ECG the following day showed improving ST changes and troponin of 26.328 with CRP 4.2. He had no further symptoms for over 24 hours and is responding well to treatment.   He is advised to take Tylenol as needed in addition to the above-mentioned medicines should he have any recurrent chest pain.
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Laboratory test normal, Loss of personal independence in daily activities, Mobility decreased
Clinical narrative: Received first vaccine on 3/17/2021 - had mild shoulder pain. Received 2nd dose on 4/6/2021. After second dose I have had severe shoulder pain - both shoulder and mild hip pain on both sides. The shoulder pain is severe enough that I can't put on my own shirt, coat and trouble with putting on socks due to shoulders leaning forward. Shoulder pain is in the area where shoulder and upper arm connect. I saw a internal medicine physician on 5/7 and he is sending me to sports medicine physicians 5/14 - my pain is not due to an injury, it was mild after first vaccine but has been severe after 2nd vaccine. I am taking no medication besides Aleve before bed but in pain while sleeping and when I get up. Pain is constant when moving shoulder or hips. If I drive for more then 1 hour, my hips are in pain and I need to get out of car and walk around.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Flushing
Clinical narrative: 1:30 PM- PATIENT  STATED SHE FELT LIKE SHE HAD SOME ANXIETY RELATED TO GETTING VACCINATION AND THINKS SHE GOT TOO WARM IN CAR.  NOTED FACE IS WARM/FLUSHED. PATIENT IS ALERT AND TALKATIVE.  CUFF IS TOO SMALL FOR B/P. HR- 91, PULSE OX- 97%.  1:45 PM- 25 MG BENADRYL GIVEN ORALLY. 1:55 PM CLIENT CHOSE TO LEAVE, STATES SHE IS FEELING BETTER. LIVES NEARBY,  FLUSHING DECREASED.  DROVE SELF HOME.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Convalescent plasma transfusion, Cough, Fatigue, Pyrexia
Clinical narrative: rhinorrhea, cough, congestion, fatigue and body, Covid pneumonia Push fluids.  Continue to alternate Tylenol ibuprofen to get better control of the fever.  May use any over-the-counter product to help alleviate cold symptoms.  Hot tea with honey may also help.  Discussed strict return precautions and when it would be necessary to present to the ER for evaluation  IV remdesivir total course treated with IV Decadron and received convalescent plasma
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea
Clinical narrative: rhinorrhea, cough, congestion, fatigue and body, Covid pneumonia Push fluids.  Continue to alternate Tylenol ibuprofen to get better control of the fever.  May use any over-the-counter product to help alleviate cold symptoms.  Hot tea with honey may also help.  Discussed strict return precautions and when it would be necessary to present to the ER for evaluation  IV remdesivir total course treated with IV Decadron and received convalescent plasma
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient diagnosed with COVID-19 and hospitalized
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: A red, firm., swollen patch at vaccine site which began to itch two days after.  I also had fever at 102 degrees, severe body aches, and headache which  continued more than 48 hours after injection
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: A red, firm., swollen patch at vaccine site which began to itch two days after.  I also had fever at 102 degrees, severe body aches, and headache which  continued more than 48 hours after injection
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: RN stated that needle disengaged from syringe while administering the vaccine to patient's right deltoid. States that at least half of the vaccine was administered. No additional doses were given.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site pruritus, Injection site urticaria, Migraine
Clinical narrative: Migraine-type headache beginning 8 hours after injection, lasted 6 days. Still experiencing tiredness (20 days since injection). Itchiness began within 18 hours. Hives on upper arm at injection site, began 6 days following injection. The hives and itch subsided until this past Saturday, 10 days since injection. Itch subsided on Monday (May10). Hives remain present.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Oropharyngeal pain
Clinical narrative: COVID+ 5/10, developed sore throat 5/9. Other family members also symptomatic including minor children and mother in law (husband vaccinated, symptomatic since 5/2), unknown COVID test results at this time for rest of household.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna was given to under 18
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: I21.4 - Non-ST elevation (NSTEMI) myocardial infarction
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Joint noise, Migraine, Muscle spasms, Night sweats, Oral discomfort
Clinical narrative: Continued  issues - Burning in left hip, clicking in left pointer finger, night sweats, migraines, light sensitivity in right eye. Recovered - muscle spasm and cramp in right thigh
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Photophobia
Clinical narrative: Continued  issues - Burning in left hip, clicking in left pointer finger, night sweats, migraines, light sensitivity in right eye. Recovered - muscle spasm and cramp in right thigh
Age: 94.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Death, SARS-CoV-2 test positive
Clinical narrative: Hospitalized and died due to COVID-19 after being fully vaccinated.  From vital records:  ACUTE RESPIRATORY FAILURE WITH HYPOXIA, PNEUMONIA DUE TO COVID-19
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypoaesthesia, Paraesthesia, Pyrexia, Vision blurred
Clinical narrative: Loss of feeling in right foot and blurred vision on evening of second day after vaccination.  Symptoms developed at same time as fever started.  Fever lasted the evening with bed soaked in sweat then broke by the morning.  Lose of feeling in foot improved by next day and feeling returned entirely after 5 days.  Blurred vision improved by next day but has been lasting one and off for two weeks.  After feeling returned in right foot there was one evening of right ankle cramping.  Finally fasciculations and "pins and needles" feeling happened in the face, right wrist, and right leg happened during the 2nd week after the shot but improved by the third week.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging normal, Parosmia, Tinnitus
Clinical narrative: Constant ringing in ears since 8 Apr 21.  Phantom smell (green onions) for two weeks 10 - 24 Apr 21 (approximate dates)
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Nausea, Vomiting
Clinical narrative: Nausea started around 6am the morning after the 2nd dose. Vomited around 7am. I was also very dizzy and felt very drained, slept most of the day. I could only sip on  Pedialyte and around 8pm was able to eat some saltine crackers. I only vomited once but was very nauseous and felt drained for about 48 hours.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in the ears ... like a hiss or a shhhh sound (crickets in the background)
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Patient complained of throat closure. Patient was given one shot of EpiPen on right thigh. Paramedics were called on-site. Patient was able to speak and vocalize her symptoms. Patient was taken to a nearby hospital for further evaluation.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: 17 Y.O. female inadvertently administered first dose of Moderna Covid 19 Vaccine on 04/13/21.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash morbilliform
Clinical narrative: Full body measle like rash. Symptoms are small red bumps or patches covering skin. Severe itching. Have been taking Benadryl and using hydrocortisone topical creme. There is no relief from the itching. It has been one week since the vaccine was recieved. The rash is on going.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chest X-ray normal, Cough, Fatigue, Nasal congestion
Clinical narrative: rhinorrhea, cough, congestion, fatigue and body aches, upset stomach, sore throat
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: rhinorrhea, cough, congestion, fatigue and body aches, upset stomach, sore throat
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: I feel nauseous daily ever since I received the Johnson and Johnson vaccine
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Computerised tomogram abnormal, Deep vein thrombosis, Groin pain, Laboratory test
Clinical narrative: Kidney transplant on 4/11. Immediately after surgery severe R groin pain. Within 7 days, leg continued to swell, pain continued, and clots (DVT?s) were found via ultrasound in the R groin, R calf, L calf. Readmitted to the hospital where anticoagulant therapy found unsuccessful. Clots continued to grow. Pt was put on heparin. Pt has no history of blood clotting disorders.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Renal transplant, Ultrasound Doppler abnormal, X-ray limb abnormal
Clinical narrative: Kidney transplant on 4/11. Immediately after surgery severe R groin pain. Within 7 days, leg continued to swell, pain continued, and clots (DVT?s) were found via ultrasound in the R groin, R calf, L calf. Readmitted to the hospital where anticoagulant therapy found unsuccessful. Clots continued to grow. Pt was put on heparin. Pt has no history of blood clotting disorders.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: After injection felt dizzy and diaphoretic.  Hx of needle phobia.  Monitored vitals and extended monitoring.  Recovered without intervention.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fibrin D dimer increased, Pain in extremity, Peripheral swelling, Ultrasound scan normal
Clinical narrative: Right leg swelling, redness and pain.  patient was evaluate for deep vein thrombosis and was negative for this.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Nodule, Pain, Pruritus
Clinical narrative: Redness size of golf ball and knot size of nickel and pain and itching
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: R29.90 - Stroke-like symptom CEREBROVASCULAR ACCIDENT
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Persistent fever over 103.5 f, with associated body aches
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Pyrexia, Urticaria
Clinical narrative: 3" diameter hives on left side of body. Fever.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysgeusia, Muscle tightness
Clinical narrative: Received her second dose COVID vaccine (Pfizer LOT#: EW0171 EXP: 8/2021) at 1047. Patient alerted PHN. Patient stated that she was experiencing posterior neck tension located on the right side. Patient stated that this happened to her the first time she received the vaccine but did not think anything of it. Patient stated that she wanted to let PHN know since this symptom happened again. PHN assessed patient more. Patient stated that she also has a metallic taste in her mouth. PHN offered patient water. Patient agreed. EMT assessed patient a couple minutes later and patient stated that she felt light headed and dizzy. EMT alerted PHN. PHN asked EMT to take patients vital signs 1113. BP: 110/80, pulse: 80, O2: 98% and pain in neck was a 3/10 on pain scale. PHN asked patient to stay 30 more minutes for further observation. EMT assessed patient at 1123. Patient stated that she was feeling a lot better and that her symptoms had improved. Patient finished her 30 minute observation and patient stated that she was doing well and all symptoms had gone away. PHN educated patient on worsening signs of symptoms of side effects of vaccine and when to seek help from EMS. Patient verbalized understanding of education. Patient left vaccination site on her own with a steady gait at 1131.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Disorientation, Posture abnormal, Seizure
Clinical narrative: Right after administering the immunization the patients head rolled back and his body started to convulse.  Put him onto the floor he stopped convulsing and went limp. As I was checking for a pulse he woke back up very disoriented. EMS was called they came and took him to the hospital
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash
Clinical narrative: broke out in whole body rash 3 days after first shot. went to a clinic had to get injection of decadron and script for hydroxyzine pamoate and methylprednisolone. same reaction after second shot, same drugs prescribed. went yet again to same clinic on 5/10/2021 as I broke out again in a whole body rash again, dr prescribed same drug protocol.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Lymph node pain, Pain, Pyrexia
Clinical narrative: Low grade fever (100.8) Pain in lymph node regions (armpits, groin) Body aches Restlessness Loss of appetite Fatique