chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Diarrhoea, Dyspnoea, Nausea
Clinical narrative: 51-year-old female who presents today with complaint of Covid, apparently diagnosed with Covid about 1 day prior to presentation and has been having symptoms for about 3 days now.  Sent in by PCP after being found to have heart rate of 140 and pulse ox of 79% from home pulse ox.  On exam at this time, vitals stable, patient making complete sentences, does have some decreased breath sounds however likely consistent with her smoking history and possible COPD.  Patient would prefer to return home at this time which I think is reasonable given her presentation, will provide patient with symptomatic relief, as long as she is able to demonstrate appropriate ambulation anticipate that she can likely be discharged home.     History of Present Illness     51 y.o. yo female presenting to the ED with shortness of breath.  Diagnosed with Covid yesterday, has been having symptoms for about 3 to 4 days now, primarily consisting of cough, decreased appetite, nausea, and diarrhea as well as sinus pressure.  Yesterday she has she developed some chest pain and shortness of breath with exertion, scheduled a PCP televisit today during which she used a home pulse oximeter and was found to have a pulse ox of 79% and a heart rate of over 140 after ambulation at that time was instructed to present to the emergency department for evaluation.  Currently she states that while at rest she does not feel so symptomatic however she feels significantly symptomatic with walking.  She states that she has been able to eat some food however significantly decreased appetite.  She does endorse a smoking history, denies a productive cough.  Has not noticed any increased swelling in her lower extremities, not experiencing any chest pain today, this is primarily after having prolonged coughing fits.  Has no other complaints at this time.  She has a history of lupus for which she takes Plaquenil, does not take steroids.  She has been taking some Tylenol on and off, and did not notice that she had a fever of 103.5 yesterday.  Clinical Support RN (Registered Nurse) ? ? Encounter Date: 5/21/2021 ? ? Signed    Patient is here for MAB Infusion Consent for infusion prior to this visit reviewed and verified. O2 sats > or = 90% Signs of potential reaction reviewed with patient. Tolerated IV start and MAB infusion without complication. Pt has access to pulse oximeter and thermometer for home monitoring Provided fact sheet for patients, parents and caregivers- Emergency Use Authorization of BAM for Coronovirus Disease 2019 for pt to review. Discharge instructions reviewed. Patient denies any questions
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Paranasal sinus discomfort, Pneumonia, Pyrexia, SARS-CoV-2 test
Clinical narrative: 51-year-old female who presents today with complaint of Covid, apparently diagnosed with Covid about 1 day prior to presentation and has been having symptoms for about 3 days now.  Sent in by PCP after being found to have heart rate of 140 and pulse ox of 79% from home pulse ox.  On exam at this time, vitals stable, patient making complete sentences, does have some decreased breath sounds however likely consistent with her smoking history and possible COPD.  Patient would prefer to return home at this time which I think is reasonable given her presentation, will provide patient with symptomatic relief, as long as she is able to demonstrate appropriate ambulation anticipate that she can likely be discharged home.     History of Present Illness     51 y.o. yo female presenting to the ED with shortness of breath.  Diagnosed with Covid yesterday, has been having symptoms for about 3 to 4 days now, primarily consisting of cough, decreased appetite, nausea, and diarrhea as well as sinus pressure.  Yesterday she has she developed some chest pain and shortness of breath with exertion, scheduled a PCP televisit today during which she used a home pulse oximeter and was found to have a pulse ox of 79% and a heart rate of over 140 after ambulation at that time was instructed to present to the emergency department for evaluation.  Currently she states that while at rest she does not feel so symptomatic however she feels significantly symptomatic with walking.  She states that she has been able to eat some food however significantly decreased appetite.  She does endorse a smoking history, denies a productive cough.  Has not noticed any increased swelling in her lower extremities, not experiencing any chest pain today, this is primarily after having prolonged coughing fits.  Has no other complaints at this time.  She has a history of lupus for which she takes Plaquenil, does not take steroids.  She has been taking some Tylenol on and off, and did not notice that she had a fever of 103.5 yesterday.  Clinical Support RN (Registered Nurse) ? ? Encounter Date: 5/21/2021 ? ? Signed    Patient is here for MAB Infusion Consent for infusion prior to this visit reviewed and verified. O2 sats > or = 90% Signs of potential reaction reviewed with patient. Tolerated IV start and MAB infusion without complication. Pt has access to pulse oximeter and thermometer for home monitoring Provided fact sheet for patients, parents and caregivers- Emergency Use Authorization of BAM for Coronovirus Disease 2019 for pt to review. Discharge instructions reviewed. Patient denies any questions
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Hyperhidrosis
Clinical narrative: AE: hot and sweaty( at 10am) Treatment: no medication was given. Water improved symptoms Outcome: symptoms resolved and patient was sent to POV/Home.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Nausea, Pain
Clinical narrative: fever between 99.6-100.1, body aches, chills, nausea, dizziness, extreme fatigue, all lasting 24 hrs
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: fever between 99.6-100.1, body aches, chills, nausea, dizziness, extreme fatigue, all lasting 24 hrs
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Parosmia, Taste disorder
Clinical narrative: Before the vaccine and due that I contracted COVID, I was not able to smell anything. After the first dose, everything smells like protein powder, my house, my car, my food. After the second dose, everything taste the same as the smell, and make me nauseous. Any food taste like protein powder.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: Patient had a near syncopal episode
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea
Clinical narrative: Patient complained of dizziness about 5 minutes after shot. Also stated felt shortness of breath described as chest tightness but no wheezing. Offered water, Gatorade, and Benadryl. Patient took water and Gatorade. Stated was feeling better. Checked on patient minutes later and had another wave of the feeling. Spacing was further and less severe. At 9:53 am patient got another wave of dizziness/tightness and 911 was called at 9:57am. Patient reported no side effects to first dose but when EMS arrived they claimed experiencing this with the first dose but less severe. EMS took to ambulance to further evaluate.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site inflammation, Injection site pain
Clinical narrative: Area became red and inflamed on 5-24 1 week after the injection.  Is is sensitive to touch. Hydrocortisone and lidocaine applied topically do not relieve symptoms and are painful when applied. The patient had initial tenderness at the injection site form 5-17 to 5-19 that had resolved and was fine until 5-24 when new inflammation and redness presented.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Injection site hypersensitivity, Injection site inflammation, Injection site pruritus, Injection site reaction
Clinical narrative: Area became red and inflamed on 5-24 1 week after the injection.  Is is sensitive to touch. Hydrocortisone and lidocaine applied topically do not relieve symptoms and are painful when applied. The patient had initial tenderness at the injection site form 5-17 to 5-19 that had resolved and was fine until 5-24 when new inflammation and redness presented.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site swelling
Clinical narrative: Area became red and inflamed on 5-24 1 week after the injection.  Is is sensitive to touch. Hydrocortisone and lidocaine applied topically do not relieve symptoms and are painful when applied. The patient had initial tenderness at the injection site form 5-17 to 5-19 that had resolved and was fine until 5-24 when new inflammation and redness presented.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site erythema, Injection site hypersensitivity, Injection site inflammation, Injection site pain
Clinical narrative: 1 week after receiving dose 1, I woke up with what I thought was a bug bite right at the site of injection.  I thought it was coincidence. As my day progressed and into today, 3/26/21, my injection spit has become inflamed and swollen. I have aches in my shoulder when my arm is not in use and pain in my shoulder if any pressure is applied to it. My skin is hypersensitive at the injection site and I have extreme itching.  I have tried benadryl orally as well as topically to no avail.  I've also taken advil/alive, applied ice/cold compressions and nothing had changed with my symptoms.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Injection site hypersensitivity, Injection site inflammation, Injection site pruritus, Injection site reaction
Clinical narrative: 1 week after receiving dose 1, I woke up with what I thought was a bug bite right at the site of injection.  I thought it was coincidence. As my day progressed and into today, 3/26/21, my injection spit has become inflamed and swollen. I have aches in my shoulder when my arm is not in use and pain in my shoulder if any pressure is applied to it. My skin is hypersensitive at the injection site and I have extreme itching.  I have tried benadryl orally as well as topically to no avail.  I've also taken advil/alive, applied ice/cold compressions and nothing had changed with my symptoms.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site swelling
Clinical narrative: 1 week after receiving dose 1, I woke up with what I thought was a bug bite right at the site of injection.  I thought it was coincidence. As my day progressed and into today, 3/26/21, my injection spit has become inflamed and swollen. I have aches in my shoulder when my arm is not in use and pain in my shoulder if any pressure is applied to it. My skin is hypersensitive at the injection site and I have extreme itching.  I have tried benadryl orally as well as topically to no avail.  I've also taken advil/alive, applied ice/cold compressions and nothing had changed with my symptoms.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling abnormal, Pain, Pyrexia
Clinical narrative: Fever, chills, body aches, fatigue. I felt like my mind was out of it like I was extremely tired. Took Tylenol and ibuprofen alternating throughout the day. Did not feel better until around 10pm the following day after vaccine.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrophy, Electromyogram, Lumbosacral plexopathy, Magnetic resonance imaging, Muscular weakness
Clinical narrative: Right acute lumbosacralplexopathy dx on EMG. Severe pain and weakness right thigh, leg began approximately 3 days post second vaccine. Progressive pain, weakness, atrophy.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity
Clinical narrative: Right acute lumbosacralplexopathy dx on EMG. Severe pain and weakness right thigh, leg began approximately 3 days post second vaccine. Progressive pain, weakness, atrophy.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Computerised tomogram head normal, Decreased activity, Electromyogram abnormal, Impaired work ability
Clinical narrative: Right acute lumbosacralplexopathy dx on EMG. Severe pain and weakness right thigh, leg began approximately 3 days post second vaccine. Progressive pain, weakness, atrophy.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lumbosacral plexopathy, Magnetic resonance imaging joint, Magnetic resonance imaging spinal normal, Movement disorder, Muscle atrophy
Clinical narrative: Right acute lumbosacralplexopathy dx on EMG. Severe pain and weakness right thigh, leg began approximately 3 days post second vaccine. Progressive pain, weakness, atrophy.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nerve conduction studies abnormal, Neuropathy peripheral, Pain in extremity, Spinal X-ray normal, X-ray of pelvis and hip normal
Clinical narrative: Right acute lumbosacralplexopathy dx on EMG. Severe pain and weakness right thigh, leg began approximately 3 days post second vaccine. Progressive pain, weakness, atrophy.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Chills, Dizziness, Facial pain
Clinical narrative: I developed a headache, dizziness, chills, and general unwell feeling a few hours after the shot.  The headaches continue to occur everyday since the shot (5/14-5/26).  Two days after the vaccine, I developed night sweats, which have occurred every night since then.  Approximately a week after the vaccine, I woke up with swelling and pain in my shoulder and armpit area on the left side where I received the vaccine.  The swelling and pain in the area has improved, but is not yet better as of today (5/26/2021).  The swelling and pain moved into my neck area and is now in my face causing tightness and pain.  I believe my lymph nodes are swollen due to the vaccine.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Malaise, Neck pain, Night sweats
Clinical narrative: I developed a headache, dizziness, chills, and general unwell feeling a few hours after the shot.  The headaches continue to occur everyday since the shot (5/14-5/26).  Two days after the vaccine, I developed night sweats, which have occurred every night since then.  Approximately a week after the vaccine, I woke up with swelling and pain in my shoulder and armpit area on the left side where I received the vaccine.  The swelling and pain in the area has improved, but is not yet better as of today (5/26/2021).  The swelling and pain moved into my neck area and is now in my face causing tightness and pain.  I believe my lymph nodes are swollen due to the vaccine.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Swelling face
Clinical narrative: I developed a headache, dizziness, chills, and general unwell feeling a few hours after the shot.  The headaches continue to occur everyday since the shot (5/14-5/26).  Two days after the vaccine, I developed night sweats, which have occurred every night since then.  Approximately a week after the vaccine, I woke up with swelling and pain in my shoulder and armpit area on the left side where I received the vaccine.  The swelling and pain in the area has improved, but is not yet better as of today (5/26/2021).  The swelling and pain moved into my neck area and is now in my face causing tightness and pain.  I believe my lymph nodes are swollen due to the vaccine.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Patient states approximately 15 minutes following first dose of Pfizer, she experienced hives on her inner forearms bilaterally. Patient denies itching, shortness of breath, and dizziness. Hives resolved on their own after 50 minutes. Patient did not seek medical care.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Syncope
Clinical narrative: She had a syncopal episode 10 minutes into vaccine administration. Reported history of syncopal episodes with injections. Vital signs checked and stable. She was passed out for approximately 2 minutes, woke up and was not post-ictal. 911 was called and medics came in to check on patient. She was stable. Refused and signed AMA form for hospital transport. We observed her for approximately 30 minutes and made full recovery. Left in stable condition, asymptomatic.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, COVID-19, Chills, Computerised tomogram head, Diarrhoea
Clinical narrative: COVID-19  Chills  Body aches  Fatigue, unspecified type  Lyme disease  Nausea and vomiting, intractability of vomiting not specified, unspecified vomiting type  Acute nonintractable headache, unspecified headache type  Dyspnea on exertion  Acute midline low back pain without sciatica   Diarrhea, unspecified type  BMI 28.0-28.9,adult  Close exposure to COVID-19 virus  Fever, unspecified fever cause  Care Coordination Progress Note RN (Registered Nurse)    COVID 19 MAB Infusion Navigator Post Infusion Outreach #1   Infusion Date: 05/19/21   ED Course as of May 23 1036 Sun May 23, 2021 1025 EKG shows normal sinus rhythm rate 84 axis of 61.  There is no acute ST or T wave changes noted.  No signs of ST elevation.   [RS] 1032 Patient was given meclizine and Zofran and saline.  I reevaluated her.  She says she is feeling much better.  She is able to stand and walk without any difficulty.  I discussed keeping her for MRI as we cannot completely rule out stroke.  She verbalizes understanding of this.  She still wishes to go home.  She will get outpatient follow-up with her family doctor and return for worsening symptoms.  We will give her a prescription for meclizine.    Medication ? bamlanivimab/etesevimab ? casirivimab ? bamlanivimab
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Electrocardiogram normal, Headache, Lyme disease, Nausea
Clinical narrative: COVID-19  Chills  Body aches  Fatigue, unspecified type  Lyme disease  Nausea and vomiting, intractability of vomiting not specified, unspecified vomiting type  Acute nonintractable headache, unspecified headache type  Dyspnea on exertion  Acute midline low back pain without sciatica   Diarrhea, unspecified type  BMI 28.0-28.9,adult  Close exposure to COVID-19 virus  Fever, unspecified fever cause  Care Coordination Progress Note RN (Registered Nurse)    COVID 19 MAB Infusion Navigator Post Infusion Outreach #1   Infusion Date: 05/19/21   ED Course as of May 23 1036 Sun May 23, 2021 1025 EKG shows normal sinus rhythm rate 84 axis of 61.  There is no acute ST or T wave changes noted.  No signs of ST elevation.   [RS] 1032 Patient was given meclizine and Zofran and saline.  I reevaluated her.  She says she is feeling much better.  She is able to stand and walk without any difficulty.  I discussed keeping her for MRI as we cannot completely rule out stroke.  She verbalizes understanding of this.  She still wishes to go home.  She will get outpatient follow-up with her family doctor and return for worsening symptoms.  We will give her a prescription for meclizine.    Medication ? bamlanivimab/etesevimab ? casirivimab ? bamlanivimab
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: COVID-19  Chills  Body aches  Fatigue, unspecified type  Lyme disease  Nausea and vomiting, intractability of vomiting not specified, unspecified vomiting type  Acute nonintractable headache, unspecified headache type  Dyspnea on exertion  Acute midline low back pain without sciatica   Diarrhea, unspecified type  BMI 28.0-28.9,adult  Close exposure to COVID-19 virus  Fever, unspecified fever cause  Care Coordination Progress Note RN (Registered Nurse)    COVID 19 MAB Infusion Navigator Post Infusion Outreach #1   Infusion Date: 05/19/21   ED Course as of May 23 1036 Sun May 23, 2021 1025 EKG shows normal sinus rhythm rate 84 axis of 61.  There is no acute ST or T wave changes noted.  No signs of ST elevation.   [RS] 1032 Patient was given meclizine and Zofran and saline.  I reevaluated her.  She says she is feeling much better.  She is able to stand and walk without any difficulty.  I discussed keeping her for MRI as we cannot completely rule out stroke.  She verbalizes understanding of this.  She still wishes to go home.  She will get outpatient follow-up with her family doctor and return for worsening symptoms.  We will give her a prescription for meclizine.    Medication ? bamlanivimab/etesevimab ? casirivimab ? bamlanivimab
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred, Visual acuity tests, Vitreous floaters
Clinical narrative: Sudden onset of multiple eye floaters and film in and over right eye. Dr. appt. within 4 days, performed tests and examination. Gave instructions come back in 3 weeks. Had second vaccine in between. Dr. retested and examined again. Only one floater remained. Received instructions to follow up in one year.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Diarrhoea, Electrocardiogram, Feeling hot
Clinical narrative: I received my 2nd vaccine on Thursday, May 20th. Within hours after receiving my 2nd vaccine, my hands began to shake, I was very hot with persistent sweating.  I never ran a fever.  I felt heart palpitations. I experienced extreme nausea, but did not vomit.  I had 2 episodes of diarrhea.  My head felt very "heavy".  When I stood up to walk my gait was very unsteady and I could not walk straight.  I was unable to sleep.  I followed the advice of the nurse who administered the vaccine - she informed me that I may experience symptoms for 24-48 hours after the shot.  For that length of time, I did nothing about the symptoms, assuming they would go away.  However, the symptoms persisted (except for the diarrhea) without subsiding until Monday, May 24th.  I contacted my primary healthcare provider via patient portal.  She was concerned about the length of time I was experiencing such extreme nausea .  She felt that I may have been dehydrated and told me to go to the ER.  I was admitted to the ER.  A chest x-ray was taken. Blood work was taken, urinalysis was conducted, IV fluids with anti-nausea medications and Benadryl were administered. I was discharged from the ER after several hours with minimal symptom relief
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Head discomfort, Hyperhidrosis, Nausea, Palpitations
Clinical narrative: I received my 2nd vaccine on Thursday, May 20th. Within hours after receiving my 2nd vaccine, my hands began to shake, I was very hot with persistent sweating.  I never ran a fever.  I felt heart palpitations. I experienced extreme nausea, but did not vomit.  I had 2 episodes of diarrhea.  My head felt very "heavy".  When I stood up to walk my gait was very unsteady and I could not walk straight.  I was unable to sleep.  I followed the advice of the nurse who administered the vaccine - she informed me that I may experience symptoms for 24-48 hours after the shot.  For that length of time, I did nothing about the symptoms, assuming they would go away.  However, the symptoms persisted (except for the diarrhea) without subsiding until Monday, May 24th.  I contacted my primary healthcare provider via patient portal.  She was concerned about the length of time I was experiencing such extreme nausea .  She felt that I may have been dehydrated and told me to go to the ER.  I was admitted to the ER.  A chest x-ray was taken. Blood work was taken, urinalysis was conducted, IV fluids with anti-nausea medications and Benadryl were administered. I was discharged from the ER after several hours with minimal symptom relief
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Tremor, Urine analysis, Vaccine positive rechallenge
Clinical narrative: I received my 2nd vaccine on Thursday, May 20th. Within hours after receiving my 2nd vaccine, my hands began to shake, I was very hot with persistent sweating.  I never ran a fever.  I felt heart palpitations. I experienced extreme nausea, but did not vomit.  I had 2 episodes of diarrhea.  My head felt very "heavy".  When I stood up to walk my gait was very unsteady and I could not walk straight.  I was unable to sleep.  I followed the advice of the nurse who administered the vaccine - she informed me that I may experience symptoms for 24-48 hours after the shot.  For that length of time, I did nothing about the symptoms, assuming they would go away.  However, the symptoms persisted (except for the diarrhea) without subsiding until Monday, May 24th.  I contacted my primary healthcare provider via patient portal.  She was concerned about the length of time I was experiencing such extreme nausea .  She felt that I may have been dehydrated and told me to go to the ER.  I was admitted to the ER.  A chest x-ray was taken. Blood work was taken, urinalysis was conducted, IV fluids with anti-nausea medications and Benadryl were administered. I was discharged from the ER after several hours with minimal symptom relief
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Pruritus, Urticaria, Wheezing
Clinical narrative: Within 12 hours of the second dose my legs were covered in hives, full body itching, infrequent hives scattered around my other body parts, wheezing, and facial angioedema. I continued on my daily antihistamine regimen, and in about four days the symptoms slowly faded.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Muscle tightness, Neck pain
Clinical narrative: pain in right shoulder and neck, feeling tightness in right neck
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling abnormal
Clinical narrative: Dizziness, brain fog, lightheadedness, and fatigue.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Dysaesthesia, Fatigue, Hyperaesthesia, Hyperhidrosis, Night sweats
Clinical narrative: Within 24 hrs, onset of truncal itch, hyperesthesia, dysesthesias, bilat trunk, non-dermatomal pattern. Also significant fatigue and hyperhydrosis.  This has persisted to this day.  Night sweats and itch are worsening.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Within 24 hrs, onset of truncal itch, hyperesthesia, dysesthesias, bilat trunk, non-dermatomal pattern. Also significant fatigue and hyperhydrosis.  This has persisted to this day.  Night sweats and itch are worsening.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Eye movement disorder, Vomiting
Clinical narrative: Mom reported that she has had syncopal events with shots before and the student and mom thought that she had grown out of it.  Student was holding her breath while given the shot.  Eyes started to roll back.  RN giving the shot told her to cough and RN was tapping her her back to try to get her to cough.  Ice, juice, water were given to the student.  Student vomited x 1,  Student rested on the cot until she felt better in about 10 minutes.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 immunisation, Fatigue, Feeling abnormal, Pain in extremity
Clinical narrative: Received vaccine and the following day she had severe left arm pain (vaccine site) lasting 1 week, Extreme exhaustion lasting 1 week, and brain fogginess lasting 2 days.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Injection site reaction, Injection site swelling, Lymphadenopathy, Oropharyngeal pain
Clinical narrative: Red, swollen hard lump at injection site, sore throat, swollen glands in throat area
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, C-reactive protein increased, Cardiac imaging procedure abnormal, Chest pain
Clinical narrative: A 26-year-old male with no past medical history presents to the emergency department (ED) with an acute episode of chest pain. He reports initially mild dull substernal chest pain for a day prior to an episode of acute sharp chest pain that radiates to his left neck and left shoulder accompanied by diaphoresis leading him to present to the ED. He had received the second dose of the Pfizer-BioNTech mRNA COVID-19 vaccine three days prior to presentation and reported myalgia and weakness beginning within 24 hours of vaccination. His blood pressure on arrival was 126/83 mmHg and pulse was 61 bpm. Electrocardiogram (ECG) on admission showed diffuse upsloping 2mm STE, no reciprocal changes, and PR elevation in aVR. Troponin-I on admission was 6.03 ng/ml prior to peaking at 21 ng/ml while initial CRP was 56.8 mg/L. Transthoracic echo (TTE) showed left ventricular ejection fraction (LVEF) of 55-60% with hypokinesis of the basal lateral wall. Cardiac magnetic resonance imaging (CMR) was consistent with myocarditis showing subepicardial late gadolinium enhancement (LGE) in the basal inferior wall, no edema on T2 sequences, and a mildly reduced left ventricular systolic function with an LVEF of 51%. He was started on colchicine, low dose beta blocker and losartan and improved symptomatically along with resolution of the EKG findings prior to being discharged with plan for close outpatient follow-up and repeat imaging.  In addition, a respiratory viral PCR panel was obtained which was positive for Rhinovirus/Enterovirus on nasal swab. Although it is possible that his presentation was secondary to enteroviral myocarditis, the temporal relationship to the second dose of Pfizer-BioNTech mRNA COVID-19 vaccine suggests the possibility of myocarditis secondary to immunologic response to COVID-19 vaccine itself.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Ejection fraction normal, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Enterovirus infection
Clinical narrative: A 26-year-old male with no past medical history presents to the emergency department (ED) with an acute episode of chest pain. He reports initially mild dull substernal chest pain for a day prior to an episode of acute sharp chest pain that radiates to his left neck and left shoulder accompanied by diaphoresis leading him to present to the ED. He had received the second dose of the Pfizer-BioNTech mRNA COVID-19 vaccine three days prior to presentation and reported myalgia and weakness beginning within 24 hours of vaccination. His blood pressure on arrival was 126/83 mmHg and pulse was 61 bpm. Electrocardiogram (ECG) on admission showed diffuse upsloping 2mm STE, no reciprocal changes, and PR elevation in aVR. Troponin-I on admission was 6.03 ng/ml prior to peaking at 21 ng/ml while initial CRP was 56.8 mg/L. Transthoracic echo (TTE) showed left ventricular ejection fraction (LVEF) of 55-60% with hypokinesis of the basal lateral wall. Cardiac magnetic resonance imaging (CMR) was consistent with myocarditis showing subepicardial late gadolinium enhancement (LGE) in the basal inferior wall, no edema on T2 sequences, and a mildly reduced left ventricular systolic function with an LVEF of 51%. He was started on colchicine, low dose beta blocker and losartan and improved symptomatically along with resolution of the EKG findings prior to being discharged with plan for close outpatient follow-up and repeat imaging.  In addition, a respiratory viral PCR panel was obtained which was positive for Rhinovirus/Enterovirus on nasal swab. Although it is possible that his presentation was secondary to enteroviral myocarditis, the temporal relationship to the second dose of Pfizer-BioNTech mRNA COVID-19 vaccine suggests the possibility of myocarditis secondary to immunologic response to COVID-19 vaccine itself.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Enterovirus test positive, Human rhinovirus test positive, Hyperhidrosis, Left ventricular dysfunction, Magnetic resonance imaging heart
Clinical narrative: A 26-year-old male with no past medical history presents to the emergency department (ED) with an acute episode of chest pain. He reports initially mild dull substernal chest pain for a day prior to an episode of acute sharp chest pain that radiates to his left neck and left shoulder accompanied by diaphoresis leading him to present to the ED. He had received the second dose of the Pfizer-BioNTech mRNA COVID-19 vaccine three days prior to presentation and reported myalgia and weakness beginning within 24 hours of vaccination. His blood pressure on arrival was 126/83 mmHg and pulse was 61 bpm. Electrocardiogram (ECG) on admission showed diffuse upsloping 2mm STE, no reciprocal changes, and PR elevation in aVR. Troponin-I on admission was 6.03 ng/ml prior to peaking at 21 ng/ml while initial CRP was 56.8 mg/L. Transthoracic echo (TTE) showed left ventricular ejection fraction (LVEF) of 55-60% with hypokinesis of the basal lateral wall. Cardiac magnetic resonance imaging (CMR) was consistent with myocarditis showing subepicardial late gadolinium enhancement (LGE) in the basal inferior wall, no edema on T2 sequences, and a mildly reduced left ventricular systolic function with an LVEF of 51%. He was started on colchicine, low dose beta blocker and losartan and improved symptomatically along with resolution of the EKG findings prior to being discharged with plan for close outpatient follow-up and repeat imaging.  In addition, a respiratory viral PCR panel was obtained which was positive for Rhinovirus/Enterovirus on nasal swab. Although it is possible that his presentation was secondary to enteroviral myocarditis, the temporal relationship to the second dose of Pfizer-BioNTech mRNA COVID-19 vaccine suggests the possibility of myocarditis secondary to immunologic response to COVID-19 vaccine itself.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Myocarditis, Neck pain, Pain, Respiratory viral panel
Clinical narrative: A 26-year-old male with no past medical history presents to the emergency department (ED) with an acute episode of chest pain. He reports initially mild dull substernal chest pain for a day prior to an episode of acute sharp chest pain that radiates to his left neck and left shoulder accompanied by diaphoresis leading him to present to the ED. He had received the second dose of the Pfizer-BioNTech mRNA COVID-19 vaccine three days prior to presentation and reported myalgia and weakness beginning within 24 hours of vaccination. His blood pressure on arrival was 126/83 mmHg and pulse was 61 bpm. Electrocardiogram (ECG) on admission showed diffuse upsloping 2mm STE, no reciprocal changes, and PR elevation in aVR. Troponin-I on admission was 6.03 ng/ml prior to peaking at 21 ng/ml while initial CRP was 56.8 mg/L. Transthoracic echo (TTE) showed left ventricular ejection fraction (LVEF) of 55-60% with hypokinesis of the basal lateral wall. Cardiac magnetic resonance imaging (CMR) was consistent with myocarditis showing subepicardial late gadolinium enhancement (LGE) in the basal inferior wall, no edema on T2 sequences, and a mildly reduced left ventricular systolic function with an LVEF of 51%. He was started on colchicine, low dose beta blocker and losartan and improved symptomatically along with resolution of the EKG findings prior to being discharged with plan for close outpatient follow-up and repeat imaging.  In addition, a respiratory viral PCR panel was obtained which was positive for Rhinovirus/Enterovirus on nasal swab. Although it is possible that his presentation was secondary to enteroviral myocarditis, the temporal relationship to the second dose of Pfizer-BioNTech mRNA COVID-19 vaccine suggests the possibility of myocarditis secondary to immunologic response to COVID-19 vaccine itself.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinovirus infection, Troponin I increased, Ventricular hypokinesia
Clinical narrative: A 26-year-old male with no past medical history presents to the emergency department (ED) with an acute episode of chest pain. He reports initially mild dull substernal chest pain for a day prior to an episode of acute sharp chest pain that radiates to his left neck and left shoulder accompanied by diaphoresis leading him to present to the ED. He had received the second dose of the Pfizer-BioNTech mRNA COVID-19 vaccine three days prior to presentation and reported myalgia and weakness beginning within 24 hours of vaccination. His blood pressure on arrival was 126/83 mmHg and pulse was 61 bpm. Electrocardiogram (ECG) on admission showed diffuse upsloping 2mm STE, no reciprocal changes, and PR elevation in aVR. Troponin-I on admission was 6.03 ng/ml prior to peaking at 21 ng/ml while initial CRP was 56.8 mg/L. Transthoracic echo (TTE) showed left ventricular ejection fraction (LVEF) of 55-60% with hypokinesis of the basal lateral wall. Cardiac magnetic resonance imaging (CMR) was consistent with myocarditis showing subepicardial late gadolinium enhancement (LGE) in the basal inferior wall, no edema on T2 sequences, and a mildly reduced left ventricular systolic function with an LVEF of 51%. He was started on colchicine, low dose beta blocker and losartan and improved symptomatically along with resolution of the EKG findings prior to being discharged with plan for close outpatient follow-up and repeat imaging.  In addition, a respiratory viral PCR panel was obtained which was positive for Rhinovirus/Enterovirus on nasal swab. Although it is possible that his presentation was secondary to enteroviral myocarditis, the temporal relationship to the second dose of Pfizer-BioNTech mRNA COVID-19 vaccine suggests the possibility of myocarditis secondary to immunologic response to COVID-19 vaccine itself.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Blood pressure increased, Feeling abnormal, Palpitations
Clinical narrative: Right after the injection I went out to the waiting room, and I felt very funny. I asked if I could lay down. By the time they let me lay down, my heart was racing very fast and my blood pressure went way up. They checked my blood pressure at the location, it was like 170/100 something. I went in an ambulance to the hospital, I was coherent the whole time. By the time I got to the hospital I felt better, the DR watched me. They gave me some ibuprofen and that was  pretty much it. I left the hospital around 8pm. DR said I just had some sort of adverse reaction and you seem ok now and that was it. I had no reactions after the first one it was so weird.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Chapped lips, Dysgeusia, Lip dry, Tongue discomfort
Clinical narrative: Lips have felt chronically dry/chapped since receiving vaccine, but in reality they are not chapped.  For the past 3+ weeks foods  with salt now taste insanely salty and the tip of tongue feels as though it was burned (it was not burned).
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Dry skin, Eye pruritus, Eyelid irritation, Induration
Clinical narrative: 7 days after vaccine, "face episodes" erupt; "face episodes" = 7-10 days of eyelids swelling; upper and lower lids; entire face is burning; tiny red bumps / burning rash on face; THIS ONLY OCCURS ON MY FACE AND EYELIDS.  "episode" each episode follows same phases = begins with itching of eyes, skin and eyelids weep or seem to be shiny and oily; then affected areas start to harden and dry over, face feels like alligator skin on top of it; then, affected area chaffs or peels off and reveals somewhat new skin; looks like had a chemical face peel.  I have had FOUR major episodes since first Pfizer shot on 04/08/21; affected a total of 30 days on and off, so far. Latest episode ended 05/25/21. *Have pictures!
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash erythematous, Seborrhoea, Skin abrasion, Skin exfoliation, Swelling of eyelid
Clinical narrative: 7 days after vaccine, "face episodes" erupt; "face episodes" = 7-10 days of eyelids swelling; upper and lower lids; entire face is burning; tiny red bumps / burning rash on face; THIS ONLY OCCURS ON MY FACE AND EYELIDS.  "episode" each episode follows same phases = begins with itching of eyes, skin and eyelids weep or seem to be shiny and oily; then affected areas start to harden and dry over, face feels like alligator skin on top of it; then, affected area chaffs or peels off and reveals somewhat new skin; looks like had a chemical face peel.  I have had FOUR major episodes since first Pfizer shot on 04/08/21; affected a total of 30 days on and off, so far. Latest episode ended 05/25/21. *Have pictures!
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pain
Clinical narrative: Tired and bodyaches
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Chills, Constipation, Dehydration
Clinical narrative: She got her vaccine, she came home, little soreness in the arm, was otherwise OK.  She cooks all the time, and at about 6:30 she felt really sleepy, weak.  She sat on the couch and told him that she felt weird, and started having chills.  It was 90 that day and she was freezing, put an electric blanket on her and was feeling worse and worse.  She called her husband at 9:30 as she was weak, dehydrated, severe banging headache not able to lift her head, weakness and she took 2 Tylenol.  She kept freezing throughout the night and then going into sweats.  She was out of it.  She was hallucinating and seeing people that had already died in her life, her mother, father, sister and woke up not knowing where she was.  She felt like she had to go to the bathroom, but her bottom was sore too.  About 24 hours later when she tried to  move from the couch to go to the bathroom which is 8 steps, she had shooting sharp pains in her lower back.  She felt it was inflammation and she slowly got to the bathroom, and she is now in agony as she cannot sit to use the restroom.  She is now having problems with her stomach and is constipated, and it got worse and worse.  Her husband has a cane and he went to get it, and she is having a hard time to sit up to even move as the pain is unbearable.  The pain got worse and worse, and she laid down all Saturday and they brought her food and drink as she cannot make any food, cannot bed, stretch or get into the shower as it is upstairs and she is not able to go up stairs.  She feels terrible due to the pain that is in the lower back and shoots down to her legs, and having problems stretching her arm to reach, lift or bend.  She feels crippled at this point.  She went to her rheumatologist on Monday and got her Orencia shot for her RA.  She is a walker, walks everywhere and is used to moving around, cooking and very mobile and now she cannot do anything of that.  She is scared, wanting to know if she is going to get better or is she going to get worse.  She lives on $1000.00 a month and cannot afford the copays to get her medicines and visits to her doctor and does not have the money to be able to take care of herself.  Her regular PCP died in a car accident 3 weeks ago and is not able to see a doctor as she owes everybody due to the copays.  She is now wondering where to go from there.    She went to the ER yesterday and they were honest with her and told her that they did not know what to call it.  They took x-rays of her spine and they saw inflammation and they told her that if she continues to have the symptoms that she needed to return to the ER.  She said she would not go back as she has such severe pain and it is a struggle to get in and out of the car and the potholes cause severe pain.  They gave her steroids and to get Lidocaine patches.  She did not have this problem before the vaccine.  She was very active and could dance, paint, etc., and has been doing the same thing for years ago and had to use a cane 8 years ago when she had minor knee surgery and now cannot walk without one.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence, X-ray
Clinical narrative: She got her vaccine, she came home, little soreness in the arm, was otherwise OK.  She cooks all the time, and at about 6:30 she felt really sleepy, weak.  She sat on the couch and told him that she felt weird, and started having chills.  It was 90 that day and she was freezing, put an electric blanket on her and was feeling worse and worse.  She called her husband at 9:30 as she was weak, dehydrated, severe banging headache not able to lift her head, weakness and she took 2 Tylenol.  She kept freezing throughout the night and then going into sweats.  She was out of it.  She was hallucinating and seeing people that had already died in her life, her mother, father, sister and woke up not knowing where she was.  She felt like she had to go to the bathroom, but her bottom was sore too.  About 24 hours later when she tried to  move from the couch to go to the bathroom which is 8 steps, she had shooting sharp pains in her lower back.  She felt it was inflammation and she slowly got to the bathroom, and she is now in agony as she cannot sit to use the restroom.  She is now having problems with her stomach and is constipated, and it got worse and worse.  Her husband has a cane and he went to get it, and she is having a hard time to sit up to even move as the pain is unbearable.  The pain got worse and worse, and she laid down all Saturday and they brought her food and drink as she cannot make any food, cannot bed, stretch or get into the shower as it is upstairs and she is not able to go up stairs.  She feels terrible due to the pain that is in the lower back and shoots down to her legs, and having problems stretching her arm to reach, lift or bend.  She feels crippled at this point.  She went to her rheumatologist on Monday and got her Orencia shot for her RA.  She is a walker, walks everywhere and is used to moving around, cooking and very mobile and now she cannot do anything of that.  She is scared, wanting to know if she is going to get better or is she going to get worse.  She lives on $1000.00 a month and cannot afford the copays to get her medicines and visits to her doctor and does not have the money to be able to take care of herself.  Her regular PCP died in a car accident 3 weeks ago and is not able to see a doctor as she owes everybody due to the copays.  She is now wondering where to go from there.    She went to the ER yesterday and they were honest with her and told her that they did not know what to call it.  They took x-rays of her spine and they saw inflammation and they told her that if she continues to have the symptoms that she needed to return to the ER.  She said she would not go back as she has such severe pain and it is a struggle to get in and out of the car and the potholes cause severe pain.  They gave her steroids and to get Lidocaine patches.  She did not have this problem before the vaccine.  She was very active and could dance, paint, etc., and has been doing the same thing for years ago and had to use a cane 8 years ago when she had minor knee surgery and now cannot walk without one.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, SARS-CoV-2 test negative
Clinical narrative: During vital sign inspection, patient presented low saturation, and was taken to the Hospital.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Vomiting
Clinical narrative: Patient felt nauseous and lightheaded within 2 minutes of vaccination administration. He threw up once and felt better. VSS. Observed him for approximately 30 minutes. Patient reported he felt back to normal. Left in stable condition, without any symptoms. He did report he thinks that he had a reaction because he had not eaten all day. He is not a diabetic.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Joint injury, Syncope
Clinical narrative: Syncope.  Pt fainted and fell on Left side.  Had small elbow abrasion. No Bleeding.  Pt denies hitting head.  No swelling noted.  HR stead 80-100, RR 18.  BP 128/82 -- > 110/65 -- > 112/74.  Pt symptoms resolved.  Pt stable and released from the vaccination site.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood creatine phosphokinase increased, Blood sodium decreased, C-reactive protein increased
Clinical narrative: Multisystem Inflammatory Response to the vaccine with fever for 5 days, elevated LFT's, low Na, low platelets, elevated CPK. Patient hospitalized for 2 days.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, Interleukin level, Platelet count increased, Procalcitonin, Pyrexia
Clinical narrative: Multisystem Inflammatory Response to the vaccine with fever for 5 days, elevated LFT's, low Na, low platelets, elevated CPK. Patient hospitalized for 2 days.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Serum ferritin increased, Systemic inflammatory response syndrome
Clinical narrative: Multisystem Inflammatory Response to the vaccine with fever for 5 days, elevated LFT's, low Na, low platelets, elevated CPK. Patient hospitalized for 2 days.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Palpitations
Clinical narrative: Heart palpitations, resting heart rate is elevated, these symptoms have not subsided