chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: AFTER VACCINATION, PATIENT SAT AT THE WAITING ROOM. WITHIN A FEW MINUTES HE BECAME PALE WITH COLD CLAMMY SKIN, THROAT SWELLING, SLOW THREADY PULSE, SEIZURE LIKE SYMPTOM, BARELY RESPONDING WHEN WE TRIED TALK TO HIM.   911 WAS CALLED IMMEDIATELY AND EPIPEN WAS GIVEN WITH DADS PERMISSION. AFTER A FEW SECONDS, PT BECAME ALERT AND CAN RESPOND WITH US. I MONITORED HIS RESPIRATION AND PULSE RATE WHILE WAITING FOR EMS.  EMS TOOK  OVER APPROX.  WITHIN 10 MINUTES AND TOOK THE PATIENT TO THE EMERGENCY ROOM.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Anion gap normal, Aspartate aminotransferase increased, Basophil percentage, Blood albumin decreased
Clinical narrative: 13 year old previously healthy female presenting with chest pain.  Per patient, chest pain started this AM on 6/18/21, described as substernal, pleuritic, unable to describe what it feels like. Was constant, sometimes radiating superiorly. Also reports light-headedness when standing quickly that preceded the chest pain. associated with shortness of breath. Had isolated low grade fever to 100.2 the night before, otherwise afebrile without cough, congestion, abdominal pain, N/V/D, rash, or leg swelling. Of note, patient received 2nd COVID vaccine 2 days prior to symptom onset (6/16/21).  Patient seen at Hospital, got EKG which was normal. Troponin elevated at 0.83, elevated CK 701. Was transferred for concern for myocarditis, in the setting of recent 2nd dose COVID vaccine 2 days ago. Hospital (on 6/18/21): CBC WNL. Electrolytes WNL. AST, Bili mildly elevated. ESR, CRP elevated. Troponin 19. EKG normal. COVID neg. Received Tylenol and Motrin x1.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Blood bilirubin increased, Blood bilirubin normal, Blood calcium normal, Blood chloride normal, Blood creatine phosphokinase increased
Clinical narrative: 13 year old previously healthy female presenting with chest pain.  Per patient, chest pain started this AM on 6/18/21, described as substernal, pleuritic, unable to describe what it feels like. Was constant, sometimes radiating superiorly. Also reports light-headedness when standing quickly that preceded the chest pain. associated with shortness of breath. Had isolated low grade fever to 100.2 the night before, otherwise afebrile without cough, congestion, abdominal pain, N/V/D, rash, or leg swelling. Of note, patient received 2nd COVID vaccine 2 days prior to symptom onset (6/16/21).  Patient seen at Hospital, got EKG which was normal. Troponin elevated at 0.83, elevated CK 701. Was transferred for concern for myocarditis, in the setting of recent 2nd dose COVID vaccine 2 days ago. Hospital (on 6/18/21): CBC WNL. Electrolytes WNL. AST, Bili mildly elevated. ESR, CRP elevated. Troponin 19. EKG normal. COVID neg. Received Tylenol and Motrin x1.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood electrolytes normal, Blood glucose normal, Blood potassium normal, Blood sodium normal
Clinical narrative: 13 year old previously healthy female presenting with chest pain.  Per patient, chest pain started this AM on 6/18/21, described as substernal, pleuritic, unable to describe what it feels like. Was constant, sometimes radiating superiorly. Also reports light-headedness when standing quickly that preceded the chest pain. associated with shortness of breath. Had isolated low grade fever to 100.2 the night before, otherwise afebrile without cough, congestion, abdominal pain, N/V/D, rash, or leg swelling. Of note, patient received 2nd COVID vaccine 2 days prior to symptom onset (6/16/21).  Patient seen at Hospital, got EKG which was normal. Troponin elevated at 0.83, elevated CK 701. Was transferred for concern for myocarditis, in the setting of recent 2nd dose COVID vaccine 2 days ago. Hospital (on 6/18/21): CBC WNL. Electrolytes WNL. AST, Bili mildly elevated. ESR, CRP elevated. Troponin 19. EKG normal. COVID neg. Received Tylenol and Motrin x1.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urea normal, C-reactive protein increased, Carbon dioxide normal, Chest pain, Dizziness
Clinical narrative: 13 year old previously healthy female presenting with chest pain.  Per patient, chest pain started this AM on 6/18/21, described as substernal, pleuritic, unable to describe what it feels like. Was constant, sometimes radiating superiorly. Also reports light-headedness when standing quickly that preceded the chest pain. associated with shortness of breath. Had isolated low grade fever to 100.2 the night before, otherwise afebrile without cough, congestion, abdominal pain, N/V/D, rash, or leg swelling. Of note, patient received 2nd COVID vaccine 2 days prior to symptom onset (6/16/21).  Patient seen at Hospital, got EKG which was normal. Troponin elevated at 0.83, elevated CK 701. Was transferred for concern for myocarditis, in the setting of recent 2nd dose COVID vaccine 2 days ago. Hospital (on 6/18/21): CBC WNL. Electrolytes WNL. AST, Bili mildly elevated. ESR, CRP elevated. Troponin 19. EKG normal. COVID neg. Received Tylenol and Motrin x1.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness postural, Dyspnoea, Electrocardiogram normal, Eosinophil percentage, Full blood count normal
Clinical narrative: 13 year old previously healthy female presenting with chest pain.  Per patient, chest pain started this AM on 6/18/21, described as substernal, pleuritic, unable to describe what it feels like. Was constant, sometimes radiating superiorly. Also reports light-headedness when standing quickly that preceded the chest pain. associated with shortness of breath. Had isolated low grade fever to 100.2 the night before, otherwise afebrile without cough, congestion, abdominal pain, N/V/D, rash, or leg swelling. Of note, patient received 2nd COVID vaccine 2 days prior to symptom onset (6/16/21).  Patient seen at Hospital, got EKG which was normal. Troponin elevated at 0.83, elevated CK 701. Was transferred for concern for myocarditis, in the setting of recent 2nd dose COVID vaccine 2 days ago. Hospital (on 6/18/21): CBC WNL. Electrolytes WNL. AST, Bili mildly elevated. ESR, CRP elevated. Troponin 19. EKG normal. COVID neg. Received Tylenol and Motrin x1.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Granulocyte percentage, Haematocrit normal, Haemoglobin normal, Immature granulocyte count, Lymphocyte percentage
Clinical narrative: 13 year old previously healthy female presenting with chest pain.  Per patient, chest pain started this AM on 6/18/21, described as substernal, pleuritic, unable to describe what it feels like. Was constant, sometimes radiating superiorly. Also reports light-headedness when standing quickly that preceded the chest pain. associated with shortness of breath. Had isolated low grade fever to 100.2 the night before, otherwise afebrile without cough, congestion, abdominal pain, N/V/D, rash, or leg swelling. Of note, patient received 2nd COVID vaccine 2 days prior to symptom onset (6/16/21).  Patient seen at Hospital, got EKG which was normal. Troponin elevated at 0.83, elevated CK 701. Was transferred for concern for myocarditis, in the setting of recent 2nd dose COVID vaccine 2 days ago. Hospital (on 6/18/21): CBC WNL. Electrolytes WNL. AST, Bili mildly elevated. ESR, CRP elevated. Troponin 19. EKG normal. COVID neg. Received Tylenol and Motrin x1.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell volume normal, Monocyte percentage increased, Pain, Platelet count normal, Pleuritic pain
Clinical narrative: 13 year old previously healthy female presenting with chest pain.  Per patient, chest pain started this AM on 6/18/21, described as substernal, pleuritic, unable to describe what it feels like. Was constant, sometimes radiating superiorly. Also reports light-headedness when standing quickly that preceded the chest pain. associated with shortness of breath. Had isolated low grade fever to 100.2 the night before, otherwise afebrile without cough, congestion, abdominal pain, N/V/D, rash, or leg swelling. Of note, patient received 2nd COVID vaccine 2 days prior to symptom onset (6/16/21).  Patient seen at Hospital, got EKG which was normal. Troponin elevated at 0.83, elevated CK 701. Was transferred for concern for myocarditis, in the setting of recent 2nd dose COVID vaccine 2 days ago. Hospital (on 6/18/21): CBC WNL. Electrolytes WNL. AST, Bili mildly elevated. ESR, CRP elevated. Troponin 19. EKG normal. COVID neg. Received Tylenol and Motrin x1.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Protein total normal, Pyrexia, Red blood cell sedimentation rate increased, Red cell distribution width, SARS-CoV-2 test negative
Clinical narrative: 13 year old previously healthy female presenting with chest pain.  Per patient, chest pain started this AM on 6/18/21, described as substernal, pleuritic, unable to describe what it feels like. Was constant, sometimes radiating superiorly. Also reports light-headedness when standing quickly that preceded the chest pain. associated with shortness of breath. Had isolated low grade fever to 100.2 the night before, otherwise afebrile without cough, congestion, abdominal pain, N/V/D, rash, or leg swelling. Of note, patient received 2nd COVID vaccine 2 days prior to symptom onset (6/16/21).  Patient seen at Hospital, got EKG which was normal. Troponin elevated at 0.83, elevated CK 701. Was transferred for concern for myocarditis, in the setting of recent 2nd dose COVID vaccine 2 days ago. Hospital (on 6/18/21): CBC WNL. Electrolytes WNL. AST, Bili mildly elevated. ESR, CRP elevated. Troponin 19. EKG normal. COVID neg. Received Tylenol and Motrin x1.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin I increased, White blood cell count normal
Clinical narrative: 13 year old previously healthy female presenting with chest pain.  Per patient, chest pain started this AM on 6/18/21, described as substernal, pleuritic, unable to describe what it feels like. Was constant, sometimes radiating superiorly. Also reports light-headedness when standing quickly that preceded the chest pain. associated with shortness of breath. Had isolated low grade fever to 100.2 the night before, otherwise afebrile without cough, congestion, abdominal pain, N/V/D, rash, or leg swelling. Of note, patient received 2nd COVID vaccine 2 days prior to symptom onset (6/16/21).  Patient seen at Hospital, got EKG which was normal. Troponin elevated at 0.83, elevated CK 701. Was transferred for concern for myocarditis, in the setting of recent 2nd dose COVID vaccine 2 days ago. Hospital (on 6/18/21): CBC WNL. Electrolytes WNL. AST, Bili mildly elevated. ESR, CRP elevated. Troponin 19. EKG normal. COVID neg. Received Tylenol and Motrin x1.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Dysstasia, Gait inability, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Numbness of extremities and mouth. Inability to control limbs. Inability to stand/walk. Started 5/31 and got progressively worse leading up to admittance to hospital on 6/9. Inconclusive diagnosis from hospital so admitted to a physical therapy rehab facility on 6/16
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Lumbar puncture, Magnetic resonance imaging, Mobility decreased
Clinical narrative: Numbness of extremities and mouth. Inability to control limbs. Inability to stand/walk. Started 5/31 and got progressively worse leading up to admittance to hospital on 6/9. Inconclusive diagnosis from hospital so admitted to a physical therapy rehab facility on 6/16
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Alopecia, Condition aggravated
Clinical narrative: sudden loss of all body hair
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: High fever that peaked above 104 degrees the morning after
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Neck pain, Pain, Pain in extremity
Clinical narrative: Pain in left arm radiating to neck area
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Periarthritis, X-ray
Clinical narrative: Frozen shoulder - left shoulder. Pain, stiffness, diminished range of motion in shoulder joint
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Fatigue, Lymphadenopathy, Mammogram, Pain in extremity
Clinical narrative: Tiredness, Sore arm, large armpit swelling, extreme tenderness, swollen lymph nodes in armpit on the same side as vaccine injection. Tiredness and sore arm started within 24 hours following injection.  Swelling under armpit of lymph nodes and associated pain occurred around 05/28/2021 and is still present.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse reaction thus far patient notified pharmacy after the fact
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Administration error, patient under 18
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Herpes zoster, Skin discomfort
Clinical narrative: Shingles presented on the morning of June 1. Skin lesion eruptions occurred on my right underarm and in a circular ring around my right chest. I have never had shingles before in my entire life. It's now June 20 and the lesions are starting to recede, however I am experiencing extreme "jabbing" and "searing" discomfort under the skin around my right rib cage and right underarm consistent with the locations of the shingles lesions.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: PT HAD HIVES DAY AFTER THE 1 ST DOSE . THEY DID NOT MENTION ANYTHING TILL WHEN THEY CAME IN FOR SECOND DOSE . RECOMMNDED TO CHECK WITH PRIMARY CARE PHYSICIAN BEFORE GETTING SECOND DOSE AND TO GET IT AT THE DR'S OFFICE IF DR STILL DEEMS NECESSARY
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Hyperhidrosis, Nausea, Syncope
Clinical narrative: Fainting Nausea Sweating Chills
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Malaise, Pallor, Syncope, Unresponsive to stimuli
Clinical narrative: Fainting Nausea Sweating Chills
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Vomiting
Clinical narrative: After the vaccination, within 5 minute the patient felt faint and started to lightly vomit. The stayed seated and over the next 25 minutes, periodically vomited small amounts and eventually started to feel better and in better spirits.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arrhythmia, Blood creatinine increased, Brain natriuretic peptide increased, C-reactive protein increased, Cardiac telemetry abnormal
Clinical narrative: 15 yo male with myocarditis following 2nd dose of pfizer COVID-19 vaccine.  He reports that he received the Pfizer COVID-19 vaccine on 6/16/21. In the 1-2 days following the vaccine he experienced fatigue, body aches, and fever to Tmax 101F. Family treated this with anti-pyretics. On 6/18 he started having a pain in his left chest. He was again febrile at that time. On the day of admission his chest pain was worse and he was experiencing pain all over his body.   He was noted to be tachycardic in the ED. His initial labs showed a modestly elevated BNP to 593 with a markedly elevated troponin to 1233. CRP was mildly elevated at 3.8. Electrolytes were unremarkable as were LFTs. CBC w/ diff showed an absolute lymphopenia with ALC of 1000 but was otherwise unremarkable. D-Dimer was normal. He was admitted initially to hospital medicine and then was transferred to the ICU due to concern for risk of developing a cardiac arrhythmia. An echocardiogram done showed trace mitral regurgitation but was otherwise normal with normal LV function. CXR was fairly unremarkable. Coags are normal. Repeat electrolytes showed a slight bump in his creatinine. LFTs largely unchaged and procalcitonin of 0.16.    He does have a past medical history of PCR proven COVID-19 disease in December 2020.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray normal, Chest pain, Coagulation test normal, Differential white blood cell count abnormal, Echocardiogram abnormal
Clinical narrative: 15 yo male with myocarditis following 2nd dose of pfizer COVID-19 vaccine.  He reports that he received the Pfizer COVID-19 vaccine on 6/16/21. In the 1-2 days following the vaccine he experienced fatigue, body aches, and fever to Tmax 101F. Family treated this with anti-pyretics. On 6/18 he started having a pain in his left chest. He was again febrile at that time. On the day of admission his chest pain was worse and he was experiencing pain all over his body.   He was noted to be tachycardic in the ED. His initial labs showed a modestly elevated BNP to 593 with a markedly elevated troponin to 1233. CRP was mildly elevated at 3.8. Electrolytes were unremarkable as were LFTs. CBC w/ diff showed an absolute lymphopenia with ALC of 1000 but was otherwise unremarkable. D-Dimer was normal. He was admitted initially to hospital medicine and then was transferred to the ICU due to concern for risk of developing a cardiac arrhythmia. An echocardiogram done showed trace mitral regurgitation but was otherwise normal with normal LV function. CXR was fairly unremarkable. Coags are normal. Repeat electrolytes showed a slight bump in his creatinine. LFTs largely unchaged and procalcitonin of 0.16.    He does have a past medical history of PCR proven COVID-19 disease in December 2020.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Fibrin D dimer normal, Full blood count abnormal, Intensive care, Liver function test normal
Clinical narrative: 15 yo male with myocarditis following 2nd dose of pfizer COVID-19 vaccine.  He reports that he received the Pfizer COVID-19 vaccine on 6/16/21. In the 1-2 days following the vaccine he experienced fatigue, body aches, and fever to Tmax 101F. Family treated this with anti-pyretics. On 6/18 he started having a pain in his left chest. He was again febrile at that time. On the day of admission his chest pain was worse and he was experiencing pain all over his body.   He was noted to be tachycardic in the ED. His initial labs showed a modestly elevated BNP to 593 with a markedly elevated troponin to 1233. CRP was mildly elevated at 3.8. Electrolytes were unremarkable as were LFTs. CBC w/ diff showed an absolute lymphopenia with ALC of 1000 but was otherwise unremarkable. D-Dimer was normal. He was admitted initially to hospital medicine and then was transferred to the ICU due to concern for risk of developing a cardiac arrhythmia. An echocardiogram done showed trace mitral regurgitation but was otherwise normal with normal LV function. CXR was fairly unremarkable. Coags are normal. Repeat electrolytes showed a slight bump in his creatinine. LFTs largely unchaged and procalcitonin of 0.16.    He does have a past medical history of PCR proven COVID-19 disease in December 2020.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lymphocyte count, Lymphopenia, Mitral valve incompetence, Myocarditis, Pain
Clinical narrative: 15 yo male with myocarditis following 2nd dose of pfizer COVID-19 vaccine.  He reports that he received the Pfizer COVID-19 vaccine on 6/16/21. In the 1-2 days following the vaccine he experienced fatigue, body aches, and fever to Tmax 101F. Family treated this with anti-pyretics. On 6/18 he started having a pain in his left chest. He was again febrile at that time. On the day of admission his chest pain was worse and he was experiencing pain all over his body.   He was noted to be tachycardic in the ED. His initial labs showed a modestly elevated BNP to 593 with a markedly elevated troponin to 1233. CRP was mildly elevated at 3.8. Electrolytes were unremarkable as were LFTs. CBC w/ diff showed an absolute lymphopenia with ALC of 1000 but was otherwise unremarkable. D-Dimer was normal. He was admitted initially to hospital medicine and then was transferred to the ICU due to concern for risk of developing a cardiac arrhythmia. An echocardiogram done showed trace mitral regurgitation but was otherwise normal with normal LV function. CXR was fairly unremarkable. Coags are normal. Repeat electrolytes showed a slight bump in his creatinine. LFTs largely unchaged and procalcitonin of 0.16.    He does have a past medical history of PCR proven COVID-19 disease in December 2020.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Procalcitonin, Pyrexia, Tachycardia, Troponin increased, Ventricular tachycardia
Clinical narrative: 15 yo male with myocarditis following 2nd dose of pfizer COVID-19 vaccine.  He reports that he received the Pfizer COVID-19 vaccine on 6/16/21. In the 1-2 days following the vaccine he experienced fatigue, body aches, and fever to Tmax 101F. Family treated this with anti-pyretics. On 6/18 he started having a pain in his left chest. He was again febrile at that time. On the day of admission his chest pain was worse and he was experiencing pain all over his body.   He was noted to be tachycardic in the ED. His initial labs showed a modestly elevated BNP to 593 with a markedly elevated troponin to 1233. CRP was mildly elevated at 3.8. Electrolytes were unremarkable as were LFTs. CBC w/ diff showed an absolute lymphopenia with ALC of 1000 but was otherwise unremarkable. D-Dimer was normal. He was admitted initially to hospital medicine and then was transferred to the ICU due to concern for risk of developing a cardiac arrhythmia. An echocardiogram done showed trace mitral regurgitation but was otherwise normal with normal LV function. CXR was fairly unremarkable. Coags are normal. Repeat electrolytes showed a slight bump in his creatinine. LFTs largely unchaged and procalcitonin of 0.16.    He does have a past medical history of PCR proven COVID-19 disease in December 2020.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Brain natriuretic peptide increased, C-reactive protein increased, Chest pain, Electrocardiogram abnormal, Myocarditis
Clinical narrative: 15 yo male with myocarditis following 2nd dose of pfizer COVID-19 vaccine.  He reports that he received the Pfizer COVID-19 vaccine on 6/16/21. In the 1-2 days following the vaccine he experienced fatigue, body aches, and fever to Tmax 101F. Family treated this with anti-pyretics. On 6/18 he started having a pain in his left chest. He was again febrile at that time. On the day of admission his chest pain was worse and he was experiencing pain all over his body.   He was noted to be tachycardic in the ED. His initial labs showed a modestly elevated BNP to 593 with a markedly elevated troponin to 1233. CRP was mildly elevated at 3.8. Electrolytes were unremarkable as were LFTs. CBC w/ diff showed an absolute lymphopenia with ALC of 1000 but was otherwise unremarkable. D-Dimer was normal. He was admitted initially to hospital medicine and then was transferred to the ICU due to concern for risk of developing a cardiac arrhythmia. An echocardiogram done showed trace mitral regurgitation but was otherwise normal with normal LV function. CXR was fairly unremarkable. Coags are normal. Repeat electrolytes showed a slight bump in his creatinine. LFTs largely unchaged and procalcitonin of 0.16.    He does have a past medical history of PCR proven COVID-19 disease in December 2020.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Troponin increased, Viral test
Clinical narrative: 15 yo male with myocarditis following 2nd dose of pfizer COVID-19 vaccine.  He reports that he received the Pfizer COVID-19 vaccine on 6/16/21. In the 1-2 days following the vaccine he experienced fatigue, body aches, and fever to Tmax 101F. Family treated this with anti-pyretics. On 6/18 he started having a pain in his left chest. He was again febrile at that time. On the day of admission his chest pain was worse and he was experiencing pain all over his body.   He was noted to be tachycardic in the ED. His initial labs showed a modestly elevated BNP to 593 with a markedly elevated troponin to 1233. CRP was mildly elevated at 3.8. Electrolytes were unremarkable as were LFTs. CBC w/ diff showed an absolute lymphopenia with ALC of 1000 but was otherwise unremarkable. D-Dimer was normal. He was admitted initially to hospital medicine and then was transferred to the ICU due to concern for risk of developing a cardiac arrhythmia. An echocardiogram done showed trace mitral regurgitation but was otherwise normal with normal LV function. CXR was fairly unremarkable. Coags are normal. Repeat electrolytes showed a slight bump in his creatinine. LFTs largely unchaged and procalcitonin of 0.16.    He does have a past medical history of PCR proven COVID-19 disease in December 2020.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms
Clinical narrative: Cramping in legs the day following shot. Now, 2 months later, I have joint cramping in legs, feet, wrists/ hands, and shoulders
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Dysstasia, Gait inability
Clinical narrative: Unable to stand up and walk.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal
Clinical narrative: Patient said felt lightheaded and dizzy. Said that she had a migraine earlier in the day. She said she just felt a little off, nothing major.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Pain
Clinical narrative: Outside of my heart started hurting after 38 hours of getting the vaccine. I wake up from the pain it was very sharp pain where my heart it. But my heartbeat was normal and not pounding. I don't think it was my heart that was hurting. It was kind of outside of my heart. It was hurting a lot for 10 minutes. I tried to deep breath and it made it hurting more. Whenever i tried to move it hurted a lot. After 10 mins it was getting better enough for me to go back to sleep. But for the 10 minutes I thought i was going to die.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Blood test, Injection site bruising, Injection site pain
Clinical narrative: Experienced extreme joint pain in my knees, hips, lower back, elbows and shoulders for about a week or so. Pain was intense and super painful, extremely at night. Since then my right shoulder would get a tight tenses feeling while working (I landscape). After working and lifting I now have inflamed tendons in my right shoulder that I'm trying to get back under control before tearing happens. Occasionally my left shoulder will get a tight and uncomfortable feeling as well. Tendons occasionally inflaming in the left shoulder with normal small things that shouldn't cause any problems. Carrying one grocery bag, lifting arm above head to grab a glass of shelf, etc. Both shoulders where vaccine shots were given still have a bruise like feeling to them and are very tender to the touch.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal discomfort, Tendonitis
Clinical narrative: Experienced extreme joint pain in my knees, hips, lower back, elbows and shoulders for about a week or so. Pain was intense and super painful, extremely at night. Since then my right shoulder would get a tight tenses feeling while working (I landscape). After working and lifting I now have inflamed tendons in my right shoulder that I'm trying to get back under control before tearing happens. Occasionally my left shoulder will get a tight and uncomfortable feeling as well. Tendons occasionally inflaming in the left shoulder with normal small things that shouldn't cause any problems. Carrying one grocery bag, lifting arm above head to grab a glass of shelf, etc. Both shoulders where vaccine shots were given still have a bruise like feeling to them and are very tender to the touch.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pain
Clinical narrative: Few mins after receiving the shot, the pt  started having shooting pain down his hands and numbness that was also extending to his head . Offered to call EMS . But they did not want me to . Asked to go to ER/UC if it does not go away or gets worse . Double checked inj site and it was on the correct spot on his deltoid muscle . He said his mom was also very sensitive this way to certain vaccines
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Headache, Pyrexia, Syncope
Clinical narrative: Chest pain, headache, shortness of breath, fever, faint
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Back pain, Cardiac stress test, Dyspnoea, Echocardiogram
Clinical narrative: Approximately one month after receiving COVID vaccine I started having pain in my back and across my buttocks area. After seeing doctor I have had X-ray and MRI of back to find arthritis. I never had pain in my back before this. Also feeling shortness of breath at times. Am still suffering with back pain.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging abnormal, Musculoskeletal pain, X-ray abnormal
Clinical narrative: Approximately one month after receiving COVID vaccine I started having pain in my back and across my buttocks area. After seeing doctor I have had X-ray and MRI of back to find arthritis. I never had pain in my back before this. Also feeling shortness of breath at times. Am still suffering with back pain.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Pallor
Clinical narrative: Patient was experiencing paleness and trouble swallowing saliva shortly after administration of the vaccine. She was fine a couple minutes later.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Skin warm, Vision blurred
Clinical narrative: DIZZINESS, HOT, BURRY VISION. PATIENT WAS GIVEN COLD WATER AND A SMALL PIECE CANDY
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune disorder, Blood iron, Condition aggravated, Haemoglobin, Heavy menstrual bleeding
Clinical narrative: 4/19/21 patient states she began menstruating (which was a week past due from her normal expected start date of 4/12/21).  On 4/26/21 patient contacted her physician with concerns because the bleeding had not stopped.  Autoimmune flare-up started 4/27/21 and patient began medicine for her flare-up on 4/29/21.  The following week, 5/3/21, patient wen to family doctor regarding the autoimmune flare-up and concerns about the continued bleeding.  MD advised patient to contact OB/GYN about the continued bleeding and to continue on her Dapsone until flare-up had resolved. Also MD advised patient to cancel her second appt for the vaccine and to postpone until a week or two after the completion of Dapsone.  5/7/21 patient spoke to GYN office and nurse advised patient to watch the bleeding until another cycle was supposed to start and finish and to see if the bleeding would resolve on its own given another cycle was supposed to start and finish (expected cycle start date 5/19/21).  Patient kept bleeding and called md back and notified that not only did the bleeding NOT stop, the flow had increased to an alarming rate and amount.  6/1/21 spoke to office again and nurse advised patient to pick up an rx for progesterone to assist in stopping the bleeding.  Patient started the rx on 6/7/21. The patient had increased blood flow and started passing clots and went in for an exam.  MD changed drug and increased dosing.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder, Oligomenorrhoea, Thrombosis
Clinical narrative: 4/19/21 patient states she began menstruating (which was a week past due from her normal expected start date of 4/12/21).  On 4/26/21 patient contacted her physician with concerns because the bleeding had not stopped.  Autoimmune flare-up started 4/27/21 and patient began medicine for her flare-up on 4/29/21.  The following week, 5/3/21, patient wen to family doctor regarding the autoimmune flare-up and concerns about the continued bleeding.  MD advised patient to contact OB/GYN about the continued bleeding and to continue on her Dapsone until flare-up had resolved. Also MD advised patient to cancel her second appt for the vaccine and to postpone until a week or two after the completion of Dapsone.  5/7/21 patient spoke to GYN office and nurse advised patient to watch the bleeding until another cycle was supposed to start and finish and to see if the bleeding would resolve on its own given another cycle was supposed to start and finish (expected cycle start date 5/19/21).  Patient kept bleeding and called md back and notified that not only did the bleeding NOT stop, the flow had increased to an alarming rate and amount.  6/1/21 spoke to office again and nurse advised patient to pick up an rx for progesterone to assist in stopping the bleeding.  Patient started the rx on 6/7/21. The patient had increased blood flow and started passing clots and went in for an exam.  MD changed drug and increased dosing.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Immediate post-injection reaction, Nausea, Pain in extremity
Clinical narrative: Heartbeat 120 on April 27 and May 18 at night after both shots went away the next day. Dizziness and Nausea right after 1st shot. Sore arm 1st shot.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Computerised tomogram head abnormal, Ischaemic stroke, Magnetic resonance imaging head abnormal
Clinical narrative: On the evening of the 27th day (02/11/21) after the first Moderna shot, I had an ischemic stroke on my Right Middle Cerebral Artery and was hospitalized
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia, Peripheral coldness, Pyrexia
Clinical narrative: I received the first dose of the Covid Pfizer vaccine on Wednesday, June 16 at around 6:45pm.  By 9:30 pm I started to notice my feet felt very cold and numbing sensation that felt as though my feet were in a puddle of water.  I then had a low-grade fever and the numbing tingling sensation started to travel up my legs.  By 2am my tongue and mouth started to tingle.  by morning my feet still felt cold/numb, my tongue/mouth tingled and then my hands started to feel the same.  As the day progressed I noticed the same sensation on my forearms and occasional sharp pokes across my face.   It has been 4 days since the vaccine and I continue to feel the tingling sensation throughout my body.  The cold numbing feeling I had in my feet has subsided some but I still feel in other parts of my body like legs, chest, mouth, face and hands.  I have made my primary care dr, rheumatologist and pharmacy where I received the vaccine aware.  I had not experienced this prior to the vaccine.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Pericarditis, Pyrexia
Clinical narrative: Pericarditis with chest pain, fever.  Treated with colchicine and improved after 2 days
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site mass, Lymphadenopathy
Clinical narrative: The patient received the vaccine on 06/1/21 and claimed that a bump formed later which remained for 4 days at which point he claims that it had moved from his injection site to the left side of his neck under the surface of the skin where it still remains.  He said that it wasn't painful at all, there was no visible redness or swelling upon visual inspection but he claimed that he could feel it.  He was instructed to go get the lump checked at the local hospital on 6/20/21, the day the event was reported to the pharmacy.  The patient has no primary provider that he sees.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest pain, Electrocardiogram, Ultrasound scan
Clinical narrative: Mother of adolescent PT came back to the pharmacy with her daughter to receive daughters 2nd dose and reported her son had chest pain the day after receiving the pfizer vaccine. PT received the Pfizer vaccine on 5/30/21. The mom reported taking PT to ER on 5/31/21 where he was then referred to the PCP who then referred them to a cardiologist. At the ER PT was reported to have elevated blood pressure. Mom reported the physicians told her the chest pain was most likely due to administration of the Pfizer vaccine. Mom was advised to monitor PT's BP. Since seeing the cardiologist he no longer has chest pain. They have also been monitoring his BP since ER visit at home and reported today 6/20/21 he no longer has elevated BP.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Hyperhidrosis, Loss of consciousness, Pallor
Clinical narrative: Approximately 20 minutes after vaccine patient passed out, became pale and sweaty. She lost consciousness briefly. I put her in a supine position on some chairs in waiting area. A technician called 911 while cool towels were applied and water was administered. She regained consciousness before EMTs arrived. She relayed while her that she disliked needles and did not eat breakfast that day.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Balance disorder, Blood test, Disturbance in attention, Fatigue
Clinical narrative: Severe joint pain in wrist, hand, feet, hips and shoulders Severe exhaustion requiring sleep constantly Headaches Foggy brain unable to concentrate Balance issues with a vertigo type feeling
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Hypersomnia, Pain in extremity, Vertigo
Clinical narrative: Severe joint pain in wrist, hand, feet, hips and shoulders Severe exhaustion requiring sleep constantly Headaches Foggy brain unable to concentrate Balance issues with a vertigo type feeling
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray limb
Clinical narrative: Severe joint pain in wrist, hand, feet, hips and shoulders Severe exhaustion requiring sleep constantly Headaches Foggy brain unable to concentrate Balance issues with a vertigo type feeling
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: patient came in today presenting with a rash on her left arm (not at the injection site), it was a medium circular patch, along with 2 smaller ones. Patient stated rash was never at the injection site. she stated the rash started to appear 2 days after receiving her first covid dose (moderna). Patient stated since the rash started she has taken 4 benadryl, patient stated rash has also improved.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Next day around lunch time arm started swelling at injection site, hurting, red, hard to touch and warm to touch about bigger than the size of fist
Age: 62.0
Sex: M
Vaccine: VARZOS
Symptoms: Infection, Injection site erythema, Injection site warmth, Vaccine positive rechallenge
Clinical narrative: This previously happened to patient when he got the first dose of Shingrix, including the same symptoms. He reported redness and heat on day 2 after receiving the vaccine. This occurred below the injection site. He went to urgent care and they reported that he had an infection and gave him keflex 500 mg.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Mobility decreased, Pain in extremity
Clinical narrative: Patient states that arm/shoulder is still significantly painful following injection over 2 weeks ago. Patient states she cannot comfortably lift her arm
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bursitis, Injected limb mobility decreased, Joint range of motion decreased, Pain, Pain in extremity
Clinical narrative: Patient states that arm/shoulder is still significantly painful following injection over 2 weeks ago. Patient states she cannot comfortably lift her arm
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product administered at inappropriate site, Shoulder injury related to vaccine administration, X-ray limb abnormal
Clinical narrative: Patient states that arm/shoulder is still significantly painful following injection over 2 weeks ago. Patient states she cannot comfortably lift her arm
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Nausea
Clinical narrative: Headache, fatigue,  nausea,  muscle soreness  Lasted about 20 hours   Took Tylenol and rested
Age: 75.0
Sex: M
Vaccine: ADEN_4_7
Symptoms: Dyspnoea, Seizure
Clinical narrative: Hard breathing and seizures lasting up to 6-8 min
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Dyspnoea, Feeling hot, Presyncope
Clinical narrative: Client received her 1st dose of Moderna COVID vaccine lot # 021C21A at 1852 by agency.  At 1901, ancillary stayed with client as Medic came to Lead office to alert Co-Lead RN that the client was complaining of dizziness and shortness of breath. 15 seconds later, Co-lead arrived in vaccination room #10 and visualized the client sitting in a chair, drinking a bottle of water.  Client stated "I feel a little warm" and asked "can I lay down?" Zero-gravity chair was retrieved as well as an EMT at 1904.  We then assisted client to the zero-gravity chair and placed her in trandelenberg position with her feet elevated. Client denied headache, nausea, and chest pain.  She stated that the dizziness had passed, she was no longer short of breath and she was feeling better.  She stated she had eaten and drank fluids within the past couple of hours before her vaccination. Client explained that "this happens sometimes with medical stuff", "I'm sometimes anxious" and "just last week I almost passed out when I donated blood".  Client denied any medical hx, current conditions, medications, or allergies.  Preliminary vital signs were taken at 1906 and were: BP 110/86, HR 58 (her normal, she stated she is a runner), O2 Sat 100%, and RR 18.  Client was then asked if she felt well enough to walk, and when she responded yes and was then escorted to the Observation Room which she ambulated to with a normal, steady gait.  Client denied needing a ride home, and stated she lived 7 minutes away and would have no problem driving as she felt fine.  Co-lead RN consulted Clinical Care Coordinator who advised IR but no VERP as this was a near syncopal episode with client's history of anxiety with medical procedures. Client was educated by Co-lead RN to stay for 30 minutes and to call 911 or go to the ED if she experienced any signs or symptoms of a vaccine reaction after she left the vaccination site with examples provided such as SOB, hives, tachycardia, and chest pain.  Co-lead also advised client to f/up with her PCP for further evaluation if needed.   EMT took a final set of vitals at 1930: BP 116/82, HR 68, O2 Sat 99%, and RR 16.  Co-lead observed client with an improved color and no complaints as she departed the Observation Room independently with a normal, steady gait at 1933.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test abnormal, Fatigue, Headache, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Beginning the day after second dose of Moderna covid vaccine was administered, I felt extremely fatigued, had a bad headache and a low grade fever. As time went on the symptoms continued, fluctuating in severity throughout the day and worsening with activity.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: White blood cell count increased
Clinical narrative: Beginning the day after second dose of Moderna covid vaccine was administered, I felt extremely fatigued, had a bad headache and a low grade fever. As time went on the symptoms continued, fluctuating in severity throughout the day and worsening with activity.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash, Injection site swelling
Clinical narrative: Swelling, red rash approximately 3 inch radius around injection site
Age: 12.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Computerised tomogram, Electroencephalogram, Seizure, Urine analysis
Clinical narrative: Multiple seizures lasting longer than 30 minutes. This happened after the second dose on 6/18/2021. Happened approximately 7 hours post vaccination. Required ambulance transport to emergency room and overnight hospitalization at a hospital.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Oropharyngeal pain
Clinical narrative: fatigue, diarrhea, headache, sore throat for 24 hours
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Renal pain
Clinical narrative: fever,nausea,aches and pains, kidney pain
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Heavy menstrual bleeding
Clinical narrative: Heavy periods, prolonged periods, more than one period within one month Extreme dizziness
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pyrexia, Vomiting
Clinical narrative: Felt nauseated, vomited, headache, low grade fever until 6/16/21 in the evening
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Altered state of consciousness, Dizziness, Fall, Feeling hot, Syncope
Clinical narrative: Patient received vaccine and 10 minutes into waiting period, he began to slouch in chair and he dropped his belongings.  We got to him quickly and held him up while it appeared he was fainting.  We lowered him to the ground and called 911 and his father that was in store .  He complained of being very hot and dizzy.  He began to recover fairly quickly,  he drank some water and stayed on floor.  His dad arrived and the 911 call was cancelled due to his improving awareness.  He stayed in the lobby  for 20-30 minutes.  He felt much better and left with his dad in good physical condition.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Anal incontinence, Angiogram pulmonary abnormal, Aortic aneurysm, Asthenia, Chest X-ray abnormal
Clinical narrative: Pt. received first dose of Moderna without incident. Received second dose on 6/8 and experienced extensive weakness. Son describes significant decline in cognitive function over the next ten days, as pt. became increasingly altered. She also switched from using a mix of language to communicate to only being able to use one. Pt. also became incontinent of stool and urine during this period. Pt. proceeded to have significant fall on 6/10. She was ultimately BIBA to the ED on 6/19 with concerns for altered mental status and failure to thrive. She was found to have a significant saccular aneurysm  of the descending thoracic aorta. Ultimate outcome of aneurysm is still pending, as this is a life-threatening disorder.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Cognitive disorder, Computerised tomogram abdomen, Computerised tomogram abnormal, Computerised tomogram head normal, Condition aggravated
Clinical narrative: Pt. received first dose of Moderna without incident. Received second dose on 6/8 and experienced extensive weakness. Son describes significant decline in cognitive function over the next ten days, as pt. became increasingly altered. She also switched from using a mix of language to communicate to only being able to use one. Pt. also became incontinent of stool and urine during this period. Pt. proceeded to have significant fall on 6/10. She was ultimately BIBA to the ED on 6/19 with concerns for altered mental status and failure to thrive. She was found to have a significant saccular aneurysm  of the descending thoracic aorta. Ultimate outcome of aneurysm is still pending, as this is a life-threatening disorder.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Hiatus hernia, Urinary incontinence, X-ray limb normal
Clinical narrative: Pt. received first dose of Moderna without incident. Received second dose on 6/8 and experienced extensive weakness. Son describes significant decline in cognitive function over the next ten days, as pt. became increasingly altered. She also switched from using a mix of language to communicate to only being able to use one. Pt. also became incontinent of stool and urine during this period. Pt. proceeded to have significant fall on 6/10. She was ultimately BIBA to the ED on 6/19 with concerns for altered mental status and failure to thrive. She was found to have a significant saccular aneurysm  of the descending thoracic aorta. Ultimate outcome of aneurysm is still pending, as this is a life-threatening disorder.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling cold, Hyperhidrosis, Hypoaesthesia, Pyrexia
Clinical narrative: My fingertips went numb for 3 hours and then cold sweats fever hot sweats continuing all the way through the next day.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Parosmia, Taste disorder
Clinical narrative: Symptoms my taste and smell have been off I can?t eat certain things including chocolate, potato?s, chips, coke, sprite, marinara sauce,  basically any soda besides with my smell even my perfume stinks now laundry soaps