chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy oesophagus abnormal, Blood erythropoietin normal, Blood pressure increased, Brachiocephalic vein thrombosis, Cerebral infarction
Clinical narrative: He had a Covid vaccine (not sure which one) on Thursday, the next week he had his wisdom teeth removed, it was a difficult procedure, one of his teeth broke in 5 pieces on the left side of his mouth, there was quite a bit of manipulation to remove the wisdom tooth and he noted right posterior neck pain during the procedure, shortly thereafter he was at home and eating bread and noted chest pain and neck pain and malaise and weakness and was unable to use his legs to remember how to dial 911 and his blood pressure rose to 197/121, he ultimately ended up driving to a friend's house who called 911 and he was taken to the hospital.  CT angio head and neck 18 March 2021 showed increased conspicuity of right inferior cerebellar PICA infarct, right vertebral artery occluded, right PICA occlusion consistent with occlusive dissection, no evidence of hemorrhagic conversion on 19 March 2021 MRI.  He was placed on aspirin 325 mg, his stay was complicated by anemia, acute kidney injury, hypertension, hyponatremia, and hemoglobin drop concerning for bleeding, EGD and colonoscopy was concerning for Candida esophagitis though follow-up EGD biopsy showed HSV which he was treated for with 2 weeks of Valtrex, he proceeded to rehab 27 March to 9 April 2021 and was treated with baclofen 10 mg 3 times daily for hiccups, was treated for aspiration pneumonia, and after the drop in hemoglobin his aspirin was decreased to 81 mg daily.  25 March 2021 right upper extremity ultrasound showed no DVT but a positive short segment occlusive thrombus of superficial cephalic vein antecubital fossa, small right upper arm bruising/hematoma  29 March 2021 bilateral lower extremity ultrasound negative for DVT  He has a strong family history of erythrocytosis, hemoglobin up to 17.8 in the past, and EPO level was normal and JAK2 with NexGen sequencing negative, and given blood about every 45 days in the past
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Colonoscopy abnormal, Contusion, Gene sequencing, Haematoma
Clinical narrative: He had a Covid vaccine (not sure which one) on Thursday, the next week he had his wisdom teeth removed, it was a difficult procedure, one of his teeth broke in 5 pieces on the left side of his mouth, there was quite a bit of manipulation to remove the wisdom tooth and he noted right posterior neck pain during the procedure, shortly thereafter he was at home and eating bread and noted chest pain and neck pain and malaise and weakness and was unable to use his legs to remember how to dial 911 and his blood pressure rose to 197/121, he ultimately ended up driving to a friend's house who called 911 and he was taken to the hospital.  CT angio head and neck 18 March 2021 showed increased conspicuity of right inferior cerebellar PICA infarct, right vertebral artery occluded, right PICA occlusion consistent with occlusive dissection, no evidence of hemorrhagic conversion on 19 March 2021 MRI.  He was placed on aspirin 325 mg, his stay was complicated by anemia, acute kidney injury, hypertension, hyponatremia, and hemoglobin drop concerning for bleeding, EGD and colonoscopy was concerning for Candida esophagitis though follow-up EGD biopsy showed HSV which he was treated for with 2 weeks of Valtrex, he proceeded to rehab 27 March to 9 April 2021 and was treated with baclofen 10 mg 3 times daily for hiccups, was treated for aspiration pneumonia, and after the drop in hemoglobin his aspirin was decreased to 81 mg daily.  25 March 2021 right upper extremity ultrasound showed no DVT but a positive short segment occlusive thrombus of superficial cephalic vein antecubital fossa, small right upper arm bruising/hematoma  29 March 2021 bilateral lower extremity ultrasound negative for DVT  He has a strong family history of erythrocytosis, hemoglobin up to 17.8 in the past, and EPO level was normal and JAK2 with NexGen sequencing negative, and given blood about every 45 days in the past
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Herpes simplex oesophagitis, Hiccups, Hypertension, Hyponatraemia
Clinical narrative: He had a Covid vaccine (not sure which one) on Thursday, the next week he had his wisdom teeth removed, it was a difficult procedure, one of his teeth broke in 5 pieces on the left side of his mouth, there was quite a bit of manipulation to remove the wisdom tooth and he noted right posterior neck pain during the procedure, shortly thereafter he was at home and eating bread and noted chest pain and neck pain and malaise and weakness and was unable to use his legs to remember how to dial 911 and his blood pressure rose to 197/121, he ultimately ended up driving to a friend's house who called 911 and he was taken to the hospital.  CT angio head and neck 18 March 2021 showed increased conspicuity of right inferior cerebellar PICA infarct, right vertebral artery occluded, right PICA occlusion consistent with occlusive dissection, no evidence of hemorrhagic conversion on 19 March 2021 MRI.  He was placed on aspirin 325 mg, his stay was complicated by anemia, acute kidney injury, hypertension, hyponatremia, and hemoglobin drop concerning for bleeding, EGD and colonoscopy was concerning for Candida esophagitis though follow-up EGD biopsy showed HSV which he was treated for with 2 weeks of Valtrex, he proceeded to rehab 27 March to 9 April 2021 and was treated with baclofen 10 mg 3 times daily for hiccups, was treated for aspiration pneumonia, and after the drop in hemoglobin his aspirin was decreased to 81 mg daily.  25 March 2021 right upper extremity ultrasound showed no DVT but a positive short segment occlusive thrombus of superficial cephalic vein antecubital fossa, small right upper arm bruising/hematoma  29 March 2021 bilateral lower extremity ultrasound negative for DVT  He has a strong family history of erythrocytosis, hemoglobin up to 17.8 in the past, and EPO level was normal and JAK2 with NexGen sequencing negative, and given blood about every 45 days in the past
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Lateral medullary syndrome, Magnetic resonance imaging head normal, Malaise, Mental impairment, Movement disorder
Clinical narrative: He had a Covid vaccine (not sure which one) on Thursday, the next week he had his wisdom teeth removed, it was a difficult procedure, one of his teeth broke in 5 pieces on the left side of his mouth, there was quite a bit of manipulation to remove the wisdom tooth and he noted right posterior neck pain during the procedure, shortly thereafter he was at home and eating bread and noted chest pain and neck pain and malaise and weakness and was unable to use his legs to remember how to dial 911 and his blood pressure rose to 197/121, he ultimately ended up driving to a friend's house who called 911 and he was taken to the hospital.  CT angio head and neck 18 March 2021 showed increased conspicuity of right inferior cerebellar PICA infarct, right vertebral artery occluded, right PICA occlusion consistent with occlusive dissection, no evidence of hemorrhagic conversion on 19 March 2021 MRI.  He was placed on aspirin 325 mg, his stay was complicated by anemia, acute kidney injury, hypertension, hyponatremia, and hemoglobin drop concerning for bleeding, EGD and colonoscopy was concerning for Candida esophagitis though follow-up EGD biopsy showed HSV which he was treated for with 2 weeks of Valtrex, he proceeded to rehab 27 March to 9 April 2021 and was treated with baclofen 10 mg 3 times daily for hiccups, was treated for aspiration pneumonia, and after the drop in hemoglobin his aspirin was decreased to 81 mg daily.  25 March 2021 right upper extremity ultrasound showed no DVT but a positive short segment occlusive thrombus of superficial cephalic vein antecubital fossa, small right upper arm bruising/hematoma  29 March 2021 bilateral lower extremity ultrasound negative for DVT  He has a strong family history of erythrocytosis, hemoglobin up to 17.8 in the past, and EPO level was normal and JAK2 with NexGen sequencing negative, and given blood about every 45 days in the past
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Neck pain, Oesophagogastroduodenoscopy abnormal, Pneumonia aspiration, Precerebral artery dissection, Superficial vein thrombosis
Clinical narrative: He had a Covid vaccine (not sure which one) on Thursday, the next week he had his wisdom teeth removed, it was a difficult procedure, one of his teeth broke in 5 pieces on the left side of his mouth, there was quite a bit of manipulation to remove the wisdom tooth and he noted right posterior neck pain during the procedure, shortly thereafter he was at home and eating bread and noted chest pain and neck pain and malaise and weakness and was unable to use his legs to remember how to dial 911 and his blood pressure rose to 197/121, he ultimately ended up driving to a friend's house who called 911 and he was taken to the hospital.  CT angio head and neck 18 March 2021 showed increased conspicuity of right inferior cerebellar PICA infarct, right vertebral artery occluded, right PICA occlusion consistent with occlusive dissection, no evidence of hemorrhagic conversion on 19 March 2021 MRI.  He was placed on aspirin 325 mg, his stay was complicated by anemia, acute kidney injury, hypertension, hyponatremia, and hemoglobin drop concerning for bleeding, EGD and colonoscopy was concerning for Candida esophagitis though follow-up EGD biopsy showed HSV which he was treated for with 2 weeks of Valtrex, he proceeded to rehab 27 March to 9 April 2021 and was treated with baclofen 10 mg 3 times daily for hiccups, was treated for aspiration pneumonia, and after the drop in hemoglobin his aspirin was decreased to 81 mg daily.  25 March 2021 right upper extremity ultrasound showed no DVT but a positive short segment occlusive thrombus of superficial cephalic vein antecubital fossa, small right upper arm bruising/hematoma  29 March 2021 bilateral lower extremity ultrasound negative for DVT  He has a strong family history of erythrocytosis, hemoglobin up to 17.8 in the past, and EPO level was normal and JAK2 with NexGen sequencing negative, and given blood about every 45 days in the past
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound Doppler normal, Wisdom teeth removal
Clinical narrative: He had a Covid vaccine (not sure which one) on Thursday, the next week he had his wisdom teeth removed, it was a difficult procedure, one of his teeth broke in 5 pieces on the left side of his mouth, there was quite a bit of manipulation to remove the wisdom tooth and he noted right posterior neck pain during the procedure, shortly thereafter he was at home and eating bread and noted chest pain and neck pain and malaise and weakness and was unable to use his legs to remember how to dial 911 and his blood pressure rose to 197/121, he ultimately ended up driving to a friend's house who called 911 and he was taken to the hospital.  CT angio head and neck 18 March 2021 showed increased conspicuity of right inferior cerebellar PICA infarct, right vertebral artery occluded, right PICA occlusion consistent with occlusive dissection, no evidence of hemorrhagic conversion on 19 March 2021 MRI.  He was placed on aspirin 325 mg, his stay was complicated by anemia, acute kidney injury, hypertension, hyponatremia, and hemoglobin drop concerning for bleeding, EGD and colonoscopy was concerning for Candida esophagitis though follow-up EGD biopsy showed HSV which he was treated for with 2 weeks of Valtrex, he proceeded to rehab 27 March to 9 April 2021 and was treated with baclofen 10 mg 3 times daily for hiccups, was treated for aspiration pneumonia, and after the drop in hemoglobin his aspirin was decreased to 81 mg daily.  25 March 2021 right upper extremity ultrasound showed no DVT but a positive short segment occlusive thrombus of superficial cephalic vein antecubital fossa, small right upper arm bruising/hematoma  29 March 2021 bilateral lower extremity ultrasound negative for DVT  He has a strong family history of erythrocytosis, hemoglobin up to 17.8 in the past, and EPO level was normal and JAK2 with NexGen sequencing negative, and given blood about every 45 days in the past
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Headache, Immediate post-injection reaction, Musculoskeletal pain, Nausea
Clinical narrative: Almost immediately felt a stabbing HA from the top of my head to my spine. It continues to this day and is intermittent.  On Day 3 I had left severe scapula pain lasting 14 hours. On day 2 i started having stomach issues mostly not feeling well but have not puked. Just feel like it almost all the time.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Blood culture, Body temperature decreased, C-reactive protein, Culture urine, Decreased activity
Clinical narrative: Day after vaccines, a little less active and a little more spitty.  Then the next day, poor feeding, lethargic, and pale.  Cool and had a low temp at home of 96.5.  Seen in our clinic with a temp of 96.5 and sent to the ED.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Feeling cold, Full blood count, Infantile spitting up, Lethargy, Pallor
Clinical narrative: Day after vaccines, a little less active and a little more spitty.  Then the next day, poor feeding, lethargic, and pale.  Cool and had a low temp at home of 96.5.  Seen in our clinic with a temp of 96.5 and sent to the ED.
Age: 0.17
Sex: F
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Poor feeding infant, Procalcitonin, Urine analysis
Clinical narrative: Day after vaccines, a little less active and a little more spitty.  Then the next day, poor feeding, lethargic, and pale.  Cool and had a low temp at home of 96.5.  Seen in our clinic with a temp of 96.5 and sent to the ED.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Epistaxis, Fatigue, Impaired work ability, Influenza like illness
Clinical narrative: Patient states to have flu like symptoms.  They did not start until 5 days after shot.  Sore throat, coughing, extreme fatigue, blooding recent bloody nose(but he's not sure if it's from constant blowing).  Patient went to an urgent care and was tested for COVID.  Results came back 9/20/2021 negative.  Patient states he is starting to feel improvement.  He's not going into work and just resting.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test negative
Clinical narrative: Patient states to have flu like symptoms.  They did not start until 5 days after shot.  Sore throat, coughing, extreme fatigue, blooding recent bloody nose(but he's not sure if it's from constant blowing).  Patient went to an urgent care and was tested for COVID.  Results came back 9/20/2021 negative.  Patient states he is starting to feel improvement.  He's not going into work and just resting.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: PATIENT RECIEVED A JANSSEN VACCINE AND WAS NOT OVER THE AGE OF 18.  PATIENT IS FINE AND AWARE. ALSO FAMILY GUARDIAN ARE AWARE.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Dyspnoea, Fibrin D dimer
Clinical narrative: Patient began feeling short of breath on 9/20/21 in the evening. Patient also reports cough. Patient has a new oxygen requirement of 2L. Patient is COVID-19 positive and will be receiving dexamethasone. Patient will be admitted to the hospital.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary vascular disorder, SARS-CoV-2 test positive
Clinical narrative: Patient began feeling short of breath on 9/20/21 in the evening. Patient also reports cough. Patient has a new oxygen requirement of 2L. Patient is COVID-19 positive and will be receiving dexamethasone. Patient will be admitted to the hospital.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: No symptoms or treatment, reporting due to patient being under the age of 12 years old at the time vaccine was administrated
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Dizziness, Fatigue, Hypersomnia, Lymph node pain
Clinical narrative: I got the second shot at 6:30 PM on Tuesday 9/14. Around 2:30 PM on Wednesday 9/15, severe muscle aches began. The severity of the muscle aches cannot be understated -- it was worse than when I had H1N1 and was the worst illness I have had in eight years. I also got a low-grade fever (I have not had a fever since 2014) and dizziness that evening. The muscle aches, fever, and dizziness were gone by the next day after sleeping for 11 hours. However, the lymph node in my armpit was swollen and painful for a few days after that. The lymph node symptom now appears to be gone. I also was very tired until Monday 9/20 and had trouble getting out of bed and was sleeping more than usual. My hair has also been falling out in clumps since around Thursday 9/16. Also, I have been having recurring problems with my muscles since Thursday 9/16. My muscles now keep getting injured. Since getting the vaccine I have gotten significant muscle strains in my right calf, right foot, left abdominal area, and left back area. I walk every day and today I had to get my husband to drive and pick me up in the middle of my walk due to severe pain in my right foot. Another walk that I did on Saturday 9/18 had to be cut short due to pain in my right calf. This has not happened before getting the vaccine, let alone twice in one week.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Muscle strain, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: I got the second shot at 6:30 PM on Tuesday 9/14. Around 2:30 PM on Wednesday 9/15, severe muscle aches began. The severity of the muscle aches cannot be understated -- it was worse than when I had H1N1 and was the worst illness I have had in eight years. I also got a low-grade fever (I have not had a fever since 2014) and dizziness that evening. The muscle aches, fever, and dizziness were gone by the next day after sleeping for 11 hours. However, the lymph node in my armpit was swollen and painful for a few days after that. The lymph node symptom now appears to be gone. I also was very tired until Monday 9/20 and had trouble getting out of bed and was sleeping more than usual. My hair has also been falling out in clumps since around Thursday 9/16. Also, I have been having recurring problems with my muscles since Thursday 9/16. My muscles now keep getting injured. Since getting the vaccine I have gotten significant muscle strains in my right calf, right foot, left abdominal area, and left back area. I walk every day and today I had to get my husband to drive and pick me up in the middle of my walk due to severe pain in my right foot. Another walk that I did on Saturday 9/18 had to be cut short due to pain in my right calf. This has not happened before getting the vaccine, let alone twice in one week.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Gingival discomfort, Mouth injury, Oral mucosal erythema, Petechiae
Clinical narrative: My mouth felt like it had many cuts in it and was reddened.  The inside of my cheeks were swollen and had petechiae on both sides.  My gums felt funny as well.   (I have noticed that my cheeks and tongue still burn from toothpaste and certain things.  I'm not for certain if this was caused by the vaccine.)
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Swelling face, Tongue discomfort
Clinical narrative: My mouth felt like it had many cuts in it and was reddened.  The inside of my cheeks were swollen and had petechiae on both sides.  My gums felt funny as well.   (I have noticed that my cheeks and tongue still burn from toothpaste and certain things.  I'm not for certain if this was caused by the vaccine.)
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Systemic lupus erythematosus
Clinical narrative: "COVID arm" reaction. Flare of Lupus symptoms.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Impaired work ability, Neck pain, Pain in extremity, Pyrexia
Clinical narrative: Extreme fatigue, arm pain, neck pain. Had to miss work for the 1st time in 6 years. Fever
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: PATIENT EXPIRED ON 09/06/2021
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy cervix, Biopsy endometrium, Postmenopausal haemorrhage, Uterine polyp
Clinical narrative: June 5th or 6th -Post menopausal bleeding  - that was for a week.  July 19th, Doctor's appt; and then same day, I  had biopsies: endometrial biopsy and an endocervical biopsy - benign polyp  No treatment - it's just  a wait and see to get a check up every year.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Focal dyscognitive seizures, Headache
Clinical narrative: Started having headaches about 2 weeks out from first shot, 18 days exactly seizures started and had not had a seizure in over 5-6 years. I have had 3 partial complex seizures since the 18th. I was advised to hold off on second dose until recieved new seizure meds and had them in my system for 4-5 days at least.. I have started taking topiramate now due to seizures. I do not think I will get second dose due to neuro risk.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Heart rate increased, Hyperhidrosis, Paraesthesia, Presyncope
Clinical narrative: I administered the 2nd dose of Moderna vaccine. 2-3 mins later the boyfriend of patient alerted me that patient felt like passing out. I gave a cold compress. Pt was semi-responsive, diaphoretic, felt dizzy, said her fingers were tingling. She was holding her chest and the boyfriend said her HR was elevated. I called 911 and EMS responded, 45 mins later, the patient was fine and left the store
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Disorientation
Clinical narrative: Shortly after receiving the vaccine he experienced disorientation - did not recognize where he was, who he was, who he was with.  This lasted 15-30 minutes and then he returned to normal.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Malaise, SARS-CoV-2 test
Clinical narrative: Spoke with patient he states he took a home test, he is going in employee health this afternoon for rapid test  Pt states symptoms began 09/08/21
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Decreased appetite, Loss of personal independence in daily activities, Thyroid function test
Clinical narrative: I have had a Stroke in the past and I had serious side effects from that. Since that time, I have not regained my strength after that time, and I have had problems with my appetite. Since I got my second dose of the vaccine I seemed to be doing Ok. Starting in July the heat has been very bad. Air quality is an issue in my area but recently I felt so weak and shaky that I was unable to do anything. My appetite has been very reduced. I am scheduled for more testing and an MRI showed a growth on my Thyroid. I have been prescribed Thyroid medication and I am seeing an Endocrinologist. I did not have a Thyroid problem before.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroid mass, Tremor
Clinical narrative: I have had a Stroke in the past and I had serious side effects from that. Since that time, I have not regained my strength after that time, and I have had problems with my appetite. Since I got my second dose of the vaccine I seemed to be doing Ok. Starting in July the heat has been very bad. Air quality is an issue in my area but recently I felt so weak and shaky that I was unable to do anything. My appetite has been very reduced. I am scheduled for more testing and an MRI showed a growth on my Thyroid. I have been prescribed Thyroid medication and I am seeing an Endocrinologist. I did not have a Thyroid problem before.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Hypoaesthesia, Paraesthesia
Clinical narrative: Patient reports experiencing pain in shoulder and armpit, numbness/tingling of arm and fingertips. Has been treated with a prednisone taper but symptoms returned when finished with taper. Has appointment and nerve test scheduled with physician for further evalution.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Back pain, Inflammation, Lymphadenopathy
Clinical narrative: Swollen lymph nodes, migraines, hip pain and inflammation, lower back pain and inflammation.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, X-ray
Clinical narrative: Swollen lymph nodes, migraines, hip pain and inflammation, lower back pain and inflammation.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Influenza like illness, Myalgia
Clinical narrative: Received Janssen vaccine on at 11:30 am on 9/20/2021 Patient began experiencing flu like symptoms at 5 pm (myalgia, chills, headache, fever). ?What really worried me was at 10:30 pm at night, I had severe nerve pain throughout my back, sciatica, and legs.? It minimally radiated through her arms. She couldn?t remain still, and considered going to the ER but did not. She reported pain 10/10 last night. The severity lasted 45 minutes and subsided after she took 400 mg of Advil. Patient reported that this morning, her nerve pain felt dull, and varied between 2/10 ? 6/10 on pain scale. She also experienced episodes where it ?has been pretty painful. 5-8/10.? Pt reports a loss of color in her skin, her face is ?starkly white?. She has also been experiencing diarrhea. Pt has no history of reaction to other vaccines. The only reaction she has had to medications is severe nausea when taking heavy pain meds. Pt has consulted with her PCP and they recommended she manage her symptoms by taking advil, which she reports taking every few hours. I explained to the patient that she should continue to monitor her symptoms, and that she should contact her PCP again if they worsen. I will be reporting this adverse reaction in VAERS. , RN
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Neuralgia, Pallor, Pyrexia, Restlessness, Sciatica
Clinical narrative: Received Janssen vaccine on at 11:30 am on 9/20/2021 Patient began experiencing flu like symptoms at 5 pm (myalgia, chills, headache, fever). ?What really worried me was at 10:30 pm at night, I had severe nerve pain throughout my back, sciatica, and legs.? It minimally radiated through her arms. She couldn?t remain still, and considered going to the ER but did not. She reported pain 10/10 last night. The severity lasted 45 minutes and subsided after she took 400 mg of Advil. Patient reported that this morning, her nerve pain felt dull, and varied between 2/10 ? 6/10 on pain scale. She also experienced episodes where it ?has been pretty painful. 5-8/10.? Pt reports a loss of color in her skin, her face is ?starkly white?. She has also been experiencing diarrhea. Pt has no history of reaction to other vaccines. The only reaction she has had to medications is severe nausea when taking heavy pain meds. Pt has consulted with her PCP and they recommended she manage her symptoms by taking advil, which she reports taking every few hours. I explained to the patient that she should continue to monitor her symptoms, and that she should contact her PCP again if they worsen. I will be reporting this adverse reaction in VAERS. , RN
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Fatigue
Clinical narrative: A few days after her second dose of COVID-19 vaccination, patient reported onset of dizziness. Has had dizziness before, however now having dizziness daily, at higher intensity level than she has had in the past.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Aortic bypass, Vascular stent thrombosis
Clinical narrative: moderna covid vax 3/3 and 3/31/21 art graft thrombus dx'd 5 Jul 2021 at aortobiiliac graft required surgery bypass w/ resection of occluded graft, then, eliqus and ASA and smoking cessation
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Bundle branch block right, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Emergency Department Course and Clinical Decision Making 53-year-old male presenting to the emergency room for cough for 1 week.  He has had some intermittent shortness of breath is associated with active coughing.  Denies any chest pain.  Patient's wife is known Covid positive.  He is fully vaccinated for Covid with Pfizer. Discussed with patient that he would be a candidate for potential antibody infusion.  He already has had a rapid test performed in triage.  In triage, noted to have an oxygen saturation around 90%. Given the patient's vague shortness of breath with coughing and duration of symptoms, will obtain blood work related to inflammatory process, CMP, and chest x-ray with EKG while waiting Covid swab results here in the ER and also reevaluated patient's oxygen saturation.  Patient emergency room at rest with oxygen saturation 88 to 90%.  Walking oxygen saturation as low as 83%. Patient was trialed on albuterol with some improvement subjectively and some improvement in the scant wheezing. He is placed on 2 L nasal cannula with immediate improvement in saturations. Covid test positive.  Review of labs reassuring  including D-dimer.  Slightly elevated inflammatory markers, consistent with Covid. Chest x-ray with very faint infiltrates noted bilaterally. EKG with a right bundle branch block.  No comparison available.  As the patient is not having any chest pain and has a D-dimer that is not elevated, I do not think that performing a CAT scan the chest is warranted today in the ER for evaluation of a pulmonary embolus. Patient given Decadron in the ER remdesivir for Covid pneumonia with hypoxia. Given hypoxia, requested admission to our hospital.   (patient is still hospitalized as of the date of submission of this report; has not recovered yet)
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Electrocardiogram abnormal, Exposure to SARS-CoV-2, Fibrin D dimer
Clinical narrative: Emergency Department Course and Clinical Decision Making 53-year-old male presenting to the emergency room for cough for 1 week.  He has had some intermittent shortness of breath is associated with active coughing.  Denies any chest pain.  Patient's wife is known Covid positive.  He is fully vaccinated for Covid with Pfizer. Discussed with patient that he would be a candidate for potential antibody infusion.  He already has had a rapid test performed in triage.  In triage, noted to have an oxygen saturation around 90%. Given the patient's vague shortness of breath with coughing and duration of symptoms, will obtain blood work related to inflammatory process, CMP, and chest x-ray with EKG while waiting Covid swab results here in the ER and also reevaluated patient's oxygen saturation.  Patient emergency room at rest with oxygen saturation 88 to 90%.  Walking oxygen saturation as low as 83%. Patient was trialed on albuterol with some improvement subjectively and some improvement in the scant wheezing. He is placed on 2 L nasal cannula with immediate improvement in saturations. Covid test positive.  Review of labs reassuring  including D-dimer.  Slightly elevated inflammatory markers, consistent with Covid. Chest x-ray with very faint infiltrates noted bilaterally. EKG with a right bundle branch block.  No comparison available.  As the patient is not having any chest pain and has a D-dimer that is not elevated, I do not think that performing a CAT scan the chest is warranted today in the ER for evaluation of a pulmonary embolus. Patient given Decadron in the ER remdesivir for Covid pneumonia with hypoxia. Given hypoxia, requested admission to our hospital.   (patient is still hospitalized as of the date of submission of this report; has not recovered yet)
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Inflammatory marker increased, Laboratory test, Lung infiltration, Metabolic function test
Clinical narrative: Emergency Department Course and Clinical Decision Making 53-year-old male presenting to the emergency room for cough for 1 week.  He has had some intermittent shortness of breath is associated with active coughing.  Denies any chest pain.  Patient's wife is known Covid positive.  He is fully vaccinated for Covid with Pfizer. Discussed with patient that he would be a candidate for potential antibody infusion.  He already has had a rapid test performed in triage.  In triage, noted to have an oxygen saturation around 90%. Given the patient's vague shortness of breath with coughing and duration of symptoms, will obtain blood work related to inflammatory process, CMP, and chest x-ray with EKG while waiting Covid swab results here in the ER and also reevaluated patient's oxygen saturation.  Patient emergency room at rest with oxygen saturation 88 to 90%.  Walking oxygen saturation as low as 83%. Patient was trialed on albuterol with some improvement subjectively and some improvement in the scant wheezing. He is placed on 2 L nasal cannula with immediate improvement in saturations. Covid test positive.  Review of labs reassuring  including D-dimer.  Slightly elevated inflammatory markers, consistent with Covid. Chest x-ray with very faint infiltrates noted bilaterally. EKG with a right bundle branch block.  No comparison available.  As the patient is not having any chest pain and has a D-dimer that is not elevated, I do not think that performing a CAT scan the chest is warranted today in the ER for evaluation of a pulmonary embolus. Patient given Decadron in the ER remdesivir for Covid pneumonia with hypoxia. Given hypoxia, requested admission to our hospital.   (patient is still hospitalized as of the date of submission of this report; has not recovered yet)
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, SARS-CoV-2 test positive, Wheezing
Clinical narrative: Emergency Department Course and Clinical Decision Making 53-year-old male presenting to the emergency room for cough for 1 week.  He has had some intermittent shortness of breath is associated with active coughing.  Denies any chest pain.  Patient's wife is known Covid positive.  He is fully vaccinated for Covid with Pfizer. Discussed with patient that he would be a candidate for potential antibody infusion.  He already has had a rapid test performed in triage.  In triage, noted to have an oxygen saturation around 90%. Given the patient's vague shortness of breath with coughing and duration of symptoms, will obtain blood work related to inflammatory process, CMP, and chest x-ray with EKG while waiting Covid swab results here in the ER and also reevaluated patient's oxygen saturation.  Patient emergency room at rest with oxygen saturation 88 to 90%.  Walking oxygen saturation as low as 83%. Patient was trialed on albuterol with some improvement subjectively and some improvement in the scant wheezing. He is placed on 2 L nasal cannula with immediate improvement in saturations. Covid test positive.  Review of labs reassuring  including D-dimer.  Slightly elevated inflammatory markers, consistent with Covid. Chest x-ray with very faint infiltrates noted bilaterally. EKG with a right bundle branch block.  No comparison available.  As the patient is not having any chest pain and has a D-dimer that is not elevated, I do not think that performing a CAT scan the chest is warranted today in the ER for evaluation of a pulmonary embolus. Patient given Decadron in the ER remdesivir for Covid pneumonia with hypoxia. Given hypoxia, requested admission to our hospital.   (patient is still hospitalized as of the date of submission of this report; has not recovered yet)
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Vomiting. EMS attended and cleared patient. Patient recovered.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Higher than authorized dose volume administered. No ADR
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Organ failure, Respiratory symptom
Clinical narrative: My brother was admitted to the hospital 2 weeks after his last vaccine. There was NOTHING wrong with him prior to the shot. He went in for respiratory problems. He's was having a hard time breathing. He recovered from that, and then died from organ failure, again, never having other problems before.  I know from visiting that other spinal cord patients were in the hospital at the same time with the same issues. I knew that two of them not including my brother also died. These vaccines are NOT safe for everyone!!
Age: 35.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site cellulitis, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Cellulitis at site- severe swelling, redness, pain.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Antiphospholipid antibodies negative, Antithrombin III, Beta-2 glycoprotein antibody negative, Blindness unilateral, C-reactive protein normal
Clinical narrative: Moderna Covid vaccine 18 March and 20 April 2021, with no prior history of Covid, mother with thyroid disease, no family history of clotting  18 April 2021 diagnosed with vasculitis due to R eye acute temporal side vision loss, has slowly improved with time, aspirin 81 mg daily and prednisone 20 mg daily with plans for taper have been added and the vision loss continues to improve, she has been evaluated by ophthalmology and a retina specialist and a rheumatologist with a history of a positive ANA greater than 1280 but no clear rheumatologic diagnosis at this time  April 2021 anticardiolipin antibody negative, DRVVT positive on 29 April 2021 at 1.3, CBC normal, she denies any history of exogenous hormones or recent travel or immobility or any drugs likely contributing to her symptoms, LDL has been 125 noted recently, and SPEP has been negative.  She is nulligravida with no prior history of arterial or venous thrombosis, a dye test done during her eye evaluation has shown Retina vasculitis OU + delayed arterial filling OD w/ Visual photopsias suspected to be migraine related and w/ the delayed arterial filling in the right eye, they recommend systemic work up to r/o possible source of emboli through her PCP. Migraine vasospasm is possible explanation of visual symptoms.  17 June 2021 echocardiogram with agitated saline was negative for PFO with normal ejection fraction 63%  Labs June 2021 showed normal protein C, S,  Antithrombin, negative factor V Leiden, negative anticardiolipin antibodies, negative beta-2 glycoprotein antibodies, and negative hexagonal lupus anticoagulant
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiolipin antibody negative, Echocardiogram normal, Electrophoresis protein normal, Eye disorder, Full blood count normal
Clinical narrative: Moderna Covid vaccine 18 March and 20 April 2021, with no prior history of Covid, mother with thyroid disease, no family history of clotting  18 April 2021 diagnosed with vasculitis due to R eye acute temporal side vision loss, has slowly improved with time, aspirin 81 mg daily and prednisone 20 mg daily with plans for taper have been added and the vision loss continues to improve, she has been evaluated by ophthalmology and a retina specialist and a rheumatologist with a history of a positive ANA greater than 1280 but no clear rheumatologic diagnosis at this time  April 2021 anticardiolipin antibody negative, DRVVT positive on 29 April 2021 at 1.3, CBC normal, she denies any history of exogenous hormones or recent travel or immobility or any drugs likely contributing to her symptoms, LDL has been 125 noted recently, and SPEP has been negative.  She is nulligravida with no prior history of arterial or venous thrombosis, a dye test done during her eye evaluation has shown Retina vasculitis OU + delayed arterial filling OD w/ Visual photopsias suspected to be migraine related and w/ the delayed arterial filling in the right eye, they recommend systemic work up to r/o possible source of emboli through her PCP. Migraine vasospasm is possible explanation of visual symptoms.  17 June 2021 echocardiogram with agitated saline was negative for PFO with normal ejection fraction 63%  Labs June 2021 showed normal protein C, S,  Antithrombin, negative factor V Leiden, negative anticardiolipin antibodies, negative beta-2 glycoprotein antibodies, and negative hexagonal lupus anticoagulant
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test normal, Low density lipoprotein increased, Migraine, Ophthalmological examination abnormal, Protein S normal
Clinical narrative: Moderna Covid vaccine 18 March and 20 April 2021, with no prior history of Covid, mother with thyroid disease, no family history of clotting  18 April 2021 diagnosed with vasculitis due to R eye acute temporal side vision loss, has slowly improved with time, aspirin 81 mg daily and prednisone 20 mg daily with plans for taper have been added and the vision loss continues to improve, she has been evaluated by ophthalmology and a retina specialist and a rheumatologist with a history of a positive ANA greater than 1280 but no clear rheumatologic diagnosis at this time  April 2021 anticardiolipin antibody negative, DRVVT positive on 29 April 2021 at 1.3, CBC normal, she denies any history of exogenous hormones or recent travel or immobility or any drugs likely contributing to her symptoms, LDL has been 125 noted recently, and SPEP has been negative.  She is nulligravida with no prior history of arterial or venous thrombosis, a dye test done during her eye evaluation has shown Retina vasculitis OU + delayed arterial filling OD w/ Visual photopsias suspected to be migraine related and w/ the delayed arterial filling in the right eye, they recommend systemic work up to r/o possible source of emboli through her PCP. Migraine vasospasm is possible explanation of visual symptoms.  17 June 2021 echocardiogram with agitated saline was negative for PFO with normal ejection fraction 63%  Labs June 2021 showed normal protein C, S,  Antithrombin, negative factor V Leiden, negative anticardiolipin antibodies, negative beta-2 glycoprotein antibodies, and negative hexagonal lupus anticoagulant
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Retinal vasculitis, Reversible cerebral vasoconstriction syndrome, Russell's viper venom time abnormal
Clinical narrative: Moderna Covid vaccine 18 March and 20 April 2021, with no prior history of Covid, mother with thyroid disease, no family history of clotting  18 April 2021 diagnosed with vasculitis due to R eye acute temporal side vision loss, has slowly improved with time, aspirin 81 mg daily and prednisone 20 mg daily with plans for taper have been added and the vision loss continues to improve, she has been evaluated by ophthalmology and a retina specialist and a rheumatologist with a history of a positive ANA greater than 1280 but no clear rheumatologic diagnosis at this time  April 2021 anticardiolipin antibody negative, DRVVT positive on 29 April 2021 at 1.3, CBC normal, she denies any history of exogenous hormones or recent travel or immobility or any drugs likely contributing to her symptoms, LDL has been 125 noted recently, and SPEP has been negative.  She is nulligravida with no prior history of arterial or venous thrombosis, a dye test done during her eye evaluation has shown Retina vasculitis OU + delayed arterial filling OD w/ Visual photopsias suspected to be migraine related and w/ the delayed arterial filling in the right eye, they recommend systemic work up to r/o possible source of emboli through her PCP. Migraine vasospasm is possible explanation of visual symptoms.  17 June 2021 echocardiogram with agitated saline was negative for PFO with normal ejection fraction 63%  Labs June 2021 showed normal protein C, S,  Antithrombin, negative factor V Leiden, negative anticardiolipin antibodies, negative beta-2 glycoprotein antibodies, and negative hexagonal lupus anticoagulant
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Antinuclear antibody positive, Biopsy skin abnormal, Hypersensitivity, Psoriasis, Rheumatoid factor positive
Clinical narrative: The next day I had a severe sore throat. I could barely speak or swallow. It cleared up in two days.  However, in the weeks after the second dose, I tested positive for the first time for rheumatoid factor and ANA. I also had a first-ever outbreak of psoriasis.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood immunoglobulin A, Blood immunoglobulin G, Blood test, C-reactive protein
Clinical narrative: RASH started next day. At first, was sick for 3 weeks, achey, cough, nose running. No fever. For 2 months, still has severe bilateral hand pain, arms hurt, finger joint pain, pain in all muscles, PRURITIC  RASH, rough patches on her chest, not on back, legs.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Full blood count, High density lipoprotein, Illness, Lipids
Clinical narrative: RASH started next day. At first, was sick for 3 weeks, achey, cough, nose running. No fever. For 2 months, still has severe bilateral hand pain, arms hurt, finger joint pain, pain in all muscles, PRURITIC  RASH, rough patches on her chest, not on back, legs.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Pain in extremity, Platelet count, Rash
Clinical narrative: RASH started next day. At first, was sick for 3 weeks, achey, cough, nose running. No fever. For 2 months, still has severe bilateral hand pain, arms hurt, finger joint pain, pain in all muscles, PRURITIC  RASH, rough patches on her chest, not on back, legs.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, Red blood cell sedimentation rate, Rheumatoid factor, Rhinorrhoea
Clinical narrative: RASH started next day. At first, was sick for 3 weeks, achey, cough, nose running. No fever. For 2 months, still has severe bilateral hand pain, arms hurt, finger joint pain, pain in all muscles, PRURITIC  RASH, rough patches on her chest, not on back, legs.
Age: 82.0
Sex: F
Vaccine: FLUA4
Symptoms: Pain in extremity
Clinical narrative: report of very painful arm  2 hours after vaccine
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Cough, Dyspnoea, Extra dose administered, Fatigue
Clinical narrative: I received the third dose of the Covid-19 vaccine in my doctor's office due to having allergic reactions to the previous two doses of the vaccine (Moderna and J&J).  She administered it in four doses in alternate arms, increasing the dose with the second two doses.  After the first dose, I started having chest pain, shortness of breath, and a barking cough.  We continued the full dosing under observation.  She treated me with  albuterol, budesonide, and ipratropium, which helped to some degree.  I continued to have the symptoms for the rest of the day along with fatigue.  A week out, I have still had some intermittent episodes of coughing and shortness of breath, but am otherwise feeling much better.  This way of administering the vaccine caused less intense symptoms than I experienced with the previous two doses.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Incorrect route of product administration, Interchange of vaccine products
Clinical narrative: I received the third dose of the Covid-19 vaccine in my doctor's office due to having allergic reactions to the previous two doses of the vaccine (Moderna and J&J).  She administered it in four doses in alternate arms, increasing the dose with the second two doses.  After the first dose, I started having chest pain, shortness of breath, and a barking cough.  We continued the full dosing under observation.  She treated me with  albuterol, budesonide, and ipratropium, which helped to some degree.  I continued to have the symptoms for the rest of the day along with fatigue.  A week out, I have still had some intermittent episodes of coughing and shortness of breath, but am otherwise feeling much better.  This way of administering the vaccine caused less intense symptoms than I experienced with the previous two doses.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Blood test normal, Chromaturia, Ultrasound scan normal, Urine analysis
Clinical narrative: I RECEIVED VACCINE BOOSTER 3RD  DOSE 8/31 (7 MONTHS AFTER 2ND)  I AM 67 IMMUNE COMPROMISE, QUALIFIED FOR THE SHOT.   MY URINE WAS COFFEE BROWN FOR A DAY 9/3/2021, NEXT DAY 9/4 ABDOMINAL PAIN ON RIGHT SIDE FOR ONE DAY.  SEPT 7TH, I HAD BLOOD TEST AND URINE NORMAL.    9/8TH SONOGRAM ABDOMINAL AREA NORMAL.   ANOTHER PERSON CLOSE TO ME THAT HAD THE BOOSTER 3RD W PFIZER HAD THE SAME EXACT EVENTS.