chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site rash, Rash, Rash pruritic, Sleep disorder, Urticaria
Clinical narrative: On the day after vaccination I had a rash on my right arm below the injection site.  This subsided within 24 hours.  However, a few days later I started having patches of itchy rash on different areas of my upper torso, neck, arms.  This subsides after I apply hydrocortisone cream.  These occurrences were on an almost daily basis and usually at night when I would be woken up by the itchiness.  After i apply hydrocortisone cream and take a Clariten, the itchiness subsides.  On the night of April 18 the rashes and hives covered the abdomen and then extended to my chin, groin area and upper thigh near the groin area.  Again it subsided after a while with hydrocortisone cream and Clariten.  My primary care had me schedule an appointment with a dermatologists but I really think it is an immunologist I need to see.  I am concerned that the mRNA is still active in my system and still directing my body to produce spike protein which is binding to my vascular endothelial cells and causing the rashes and hives.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash pruritic, Urticaria
Clinical narrative: On the day after vaccination I had a rash on my right arm below the injection site.  This subsided within 24 hours.  However, a few days later I started having patches of itchy rash on different areas of my upper torso, neck, arms.  This subsides after I apply hydrocortisone cream.  These occurrences were on an almost daily basis and usually at night when I would be woken up by the itchiness.  After i apply hydrocortisone cream and take a Clariten, the itchiness subsides.  On the night of April 18 the rashes and hives covered the abdomen and then extended to my chin, groin area and upper thigh near the groin area.  Again it subsided after a while with hydrocortisone cream and Clariten.  My primary care had me schedule an appointment with a dermatologists but I really think it is an immunologist I need to see.  I am concerned that the mRNA is still active in my system and still directing my body to produce spike protein which is binding to my vascular endothelial cells and causing the rashes and hives.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site rash, Rash, Rash pruritic, Sleep disorder, Urticaria
Clinical narrative: Itchy rash developed 2/25 day after 2nd vaccine below same arm as injection, subsided but since has had almost daily rash past 2 months urticaria on upper torso, abdomen, groin, neck region at night. Subsides with Clariten and hydrocortisone but then recurs.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash pruritic, Urticaria
Clinical narrative: Itchy rash developed 2/25 day after 2nd vaccine below same arm as injection, subsided but since has had almost daily rash past 2 months urticaria on upper torso, abdomen, groin, neck region at night. Subsides with Clariten and hydrocortisone but then recurs.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Bilevel positive airway pressure, Blood bicarbonate decreased, Blood chloride decreased, Blood creatinine decreased, Blood gases normal
Clinical narrative: 3/28/21 Patient presented to ED w/SOB x 5 days, fever and cough for one day. RA pulse ox 42%. CXR showed bilateral infiltrates. Pt refused intubation and was started on BiPAP w/FiO2 of 100%. Given Remdesivir and Decadron. Was placed in ICU. Also covered with zithromax and rocephin which was stopped after procalcitonin found to be normal.  4/1 Pt was weaned off BiPAP to HFNC 4/3 Pt was weaned off HFNC to 4L per NC. From 4/3-4/5 he had significant improvement. On 4/5 did not require O2 at rest but still had desaturation to 88% with ambulation. The team wanted to keep him an additional night but he demanded D/C. He finished 5 day course of Remdesivir prior to D/C and was to finish 10 course of Decadron after discharge
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Blood lactic acid decreased, Blood potassium normal, Blood sodium decreased, Blood urea increased
Clinical narrative: 3/28/21 Patient presented to ED w/SOB x 5 days, fever and cough for one day. RA pulse ox 42%. CXR showed bilateral infiltrates. Pt refused intubation and was started on BiPAP w/FiO2 of 100%. Given Remdesivir and Decadron. Was placed in ICU. Also covered with zithromax and rocephin which was stopped after procalcitonin found to be normal.  4/1 Pt was weaned off BiPAP to HFNC 4/3 Pt was weaned off HFNC to 4L per NC. From 4/3-4/5 he had significant improvement. On 4/5 did not require O2 at rest but still had desaturation to 88% with ambulation. The team wanted to keep him an additional night but he demanded D/C. He finished 5 day course of Remdesivir prior to D/C and was to finish 10 course of Decadron after discharge
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Body mass index increased, COVID-19, Chest X-ray abnormal, Chest X-ray normal, Cough
Clinical narrative: 3/28/21 Patient presented to ED w/SOB x 5 days, fever and cough for one day. RA pulse ox 42%. CXR showed bilateral infiltrates. Pt refused intubation and was started on BiPAP w/FiO2 of 100%. Given Remdesivir and Decadron. Was placed in ICU. Also covered with zithromax and rocephin which was stopped after procalcitonin found to be normal.  4/1 Pt was weaned off BiPAP to HFNC 4/3 Pt was weaned off HFNC to 4L per NC. From 4/3-4/5 he had significant improvement. On 4/5 did not require O2 at rest but still had desaturation to 88% with ambulation. The team wanted to keep him an additional night but he demanded D/C. He finished 5 day course of Remdesivir prior to D/C and was to finish 10 course of Decadron after discharge
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Haematocrit decreased, Haemoglobin normal, Influenza virus test negative, Lung infiltration
Clinical narrative: 3/28/21 Patient presented to ED w/SOB x 5 days, fever and cough for one day. RA pulse ox 42%. CXR showed bilateral infiltrates. Pt refused intubation and was started on BiPAP w/FiO2 of 100%. Given Remdesivir and Decadron. Was placed in ICU. Also covered with zithromax and rocephin which was stopped after procalcitonin found to be normal.  4/1 Pt was weaned off BiPAP to HFNC 4/3 Pt was weaned off HFNC to 4L per NC. From 4/3-4/5 he had significant improvement. On 4/5 did not require O2 at rest but still had desaturation to 88% with ambulation. The team wanted to keep him an additional night but he demanded D/C. He finished 5 day course of Remdesivir prior to D/C and was to finish 10 course of Decadron after discharge
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Neutrophil count, Oxygen saturation decreased, Oxygen therapy, PCO2 decreased, PO2 decreased
Clinical narrative: 3/28/21 Patient presented to ED w/SOB x 5 days, fever and cough for one day. RA pulse ox 42%. CXR showed bilateral infiltrates. Pt refused intubation and was started on BiPAP w/FiO2 of 100%. Given Remdesivir and Decadron. Was placed in ICU. Also covered with zithromax and rocephin which was stopped after procalcitonin found to be normal.  4/1 Pt was weaned off BiPAP to HFNC 4/3 Pt was weaned off HFNC to 4L per NC. From 4/3-4/5 he had significant improvement. On 4/5 did not require O2 at rest but still had desaturation to 88% with ambulation. The team wanted to keep him an additional night but he demanded D/C. He finished 5 day course of Remdesivir prior to D/C and was to finish 10 course of Decadron after discharge
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count normal, Procalcitonin normal, Pyrexia, SARS-CoV-2 test positive, White blood cell count increased
Clinical narrative: 3/28/21 Patient presented to ED w/SOB x 5 days, fever and cough for one day. RA pulse ox 42%. CXR showed bilateral infiltrates. Pt refused intubation and was started on BiPAP w/FiO2 of 100%. Given Remdesivir and Decadron. Was placed in ICU. Also covered with zithromax and rocephin which was stopped after procalcitonin found to be normal.  4/1 Pt was weaned off BiPAP to HFNC 4/3 Pt was weaned off HFNC to 4L per NC. From 4/3-4/5 he had significant improvement. On 4/5 did not require O2 at rest but still had desaturation to 88% with ambulation. The team wanted to keep him an additional night but he demanded D/C. He finished 5 day course of Remdesivir prior to D/C and was to finish 10 course of Decadron after discharge
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test normal, Electrocardiogram normal, Pain in extremity, Peripheral swelling, Ultrasound scan normal
Clinical narrative: Both feet swelled up after 1st and 2nd shot. Doctor had blood tests done, electro cardio gram, ultrasound of legs and feet. All tests ok. Swelling starting to go down each week,but very slow. Feet are painful to walk on.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered at inappropriate site
Clinical narrative: I did not have any reaction - my issue is that I did not get either shot 1 or shot 2 correctly administered into my Deltoid Muscle - It was injected into the fat of my arm; hence, Subcutaneous - I am very concerned that the vaccine shots are useless and that I have no immunity to the Covid-19 virus. since either shot was not injected into my Deltoid Muscle
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Per PCP: "#Vaccine reaction received 1st Covid 19 Pfizer vaccination (ER8737) on for 4/2/21 (1:48pm)  4/3 developed injection site redness, swelling with warmth  Swelling redness resolved over the course of week  4/11/2021 recurrence of injection site redness, warmth and swelling  Redness and warmth have gradually improved over the last 2 days  Has an approximately 2 inch wide red area on left upper outer arm  Due for second vaccination 4/23, concerned whether she should receive vaccination  Denies itching, fever/chills, cough/shortness of breath, decreased range of motion to the upper arm, peripheral numbness or tingling, arm weakness. Denies additional adverse effects of vaccines such as nausea vomiting, body aches, fatigue."
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Chromaturia, Decreased appetite, Headache, Nausea
Clinical narrative: Chills, Nausea,  Entire Body Aches, Fever, No Appetite, No Sleep, Headache for36 hours, starting 15 Hours after 2nd vaccine, Home location throughout. Urine discoloration.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Sleep disorder, Urine analysis
Clinical narrative: Chills, Nausea,  Entire Body Aches, Fever, No Appetite, No Sleep, Headache for36 hours, starting 15 Hours after 2nd vaccine, Home location throughout. Urine discoloration.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood test, Chest X-ray, Dizziness, Ear pain
Clinical narrative: Dizziness, severe headache, heart palpitations, fever 102.5, blurred vision, severe earache, ringing in ears, pain behind eyes, vertigo, nausea, stomach pain on day of vaccine. Took ibuprofen 200mg. on  4/25 at 8:00 am. Fever and chills resolved and headache lessened with ibuprofen. Went to emergency room for dizziness and heart palpitations on 3/30. Heart palpitations resolved after hospital evaluation. Headache, vertigo, earache and ringing in ears persist to present
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Eye pain, Headache, Nausea, Palpitations
Clinical narrative: Dizziness, severe headache, heart palpitations, fever 102.5, blurred vision, severe earache, ringing in ears, pain behind eyes, vertigo, nausea, stomach pain on day of vaccine. Took ibuprofen 200mg. on  4/25 at 8:00 am. Fever and chills resolved and headache lessened with ibuprofen. Went to emergency room for dizziness and heart palpitations on 3/30. Heart palpitations resolved after hospital evaluation. Headache, vertigo, earache and ringing in ears persist to present
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tinnitus, Vertigo, Vision blurred
Clinical narrative: Dizziness, severe headache, heart palpitations, fever 102.5, blurred vision, severe earache, ringing in ears, pain behind eyes, vertigo, nausea, stomach pain on day of vaccine. Took ibuprofen 200mg. on  4/25 at 8:00 am. Fever and chills resolved and headache lessened with ibuprofen. Went to emergency room for dizziness and heart palpitations on 3/30. Heart palpitations resolved after hospital evaluation. Headache, vertigo, earache and ringing in ears persist to present
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Rash
Clinical narrative: Rash on arms, extreme fatigue, ongoing for about a month
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Cough, Dyspnoea, Fatigue, Headache
Clinical narrative: I have fever, throats scratch, cough, breath with dificulties, body pain, back pain, very very tire, thirsty, Head pain, congestion, dificulties to function
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Nasal congestion, Pain, Pyrexia, Thirst
Clinical narrative: I have fever, throats scratch, cough, breath with dificulties, body pain, back pain, very very tire, thirsty, Head pain, congestion, dificulties to function
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: I have fever, throats scratch, cough, breath with dificulties, body pain, back pain, very very tire, thirsty, Head pain, congestion, dificulties to function
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient hospitalized within 6 weeks of receiving covid vaccination.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenitis, Skin odour abnormal
Clinical narrative: I have developed a very pungent body odor, primarily in my armpits since receiving the first dose of the vaccine. The date I entered for symptom onset is an estimation. I do not recall when it began, but it was about 2 weeks after the first shot. I have been dealing with body odor and my armpits still feel swollen compared to before the vaccine.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Hypoaesthesia, Pain, Paraesthesia
Clinical narrative: Most Important: Left side of face became numb/had a tingly feeling for about two hours then returned to normal. No swelling, still could move face. Less Important: Diarrhea, chills, aches. Resolved within 12 hours.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Flushing, Hypoaesthesia oral, Paraesthesia oral, Pruritus
Clinical narrative: Client returned to the clinic with c/o flushing  and feeling very hot, numb, tingly lips, itching on the face.  Benadryl 50 mg PO given. Patient added some of the previous c/o after the initial communication. Improvement after 15 minutes. Client remained with the Facility HCP.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Severe headache for several hours after vaccination
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Hysteroscopy, Menstruation irregular, Ultrasound abdomen, Ultrasound scan
Clinical narrative: First dose was administered on 1/22/21 (lot#EL3302) after which I began with hormonal fluctuations consistent with pre-menstrual symptoms (would be normal for someone 2 Yrs POST-menopausal) On 2/15/21, following my second dose on 2/12/21, I experienced the onset of what could only be described as menses, which, although extremely light, continued for 3 days.  Coincidentally, on 2/19/21, I had an annual exam scheduled at which I mentioned this odd occurrence.  I was advised that post menopausal bleeding is not normal and I needed follow up tests.  I am relatively informed and explained that my experience was not random bleeding, it was truly a menstrual period with all symptoms relating to such, but decided to follow through with testing to be sure.  I had an ultrasound performed on 2/25/21 which noted an endometrial stripe of 5mm (1mm wider than ?normal?) and a hysteroscopy was scheduled and performed on 4/9/21.  Biopsies taken and visual inspection showed NO abnormalities whatsoever and my bleeding occurrence was considered idiopathic.  In speaking with the physician, she refused to acknowledge that the Covid vaccine could have had anything to do with the event, but several others I know in healthcare have stated that there is a possible link and there is documentation to support.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Asthenia, Blood pressure increased, Blood test normal, Chest discomfort
Clinical narrative: 4/4: Woke up Easter Sunday with the following symptoms: sweats, chills, uncontrollable shaking, fatigue, dizziness, nausea, and shortness of breath. Went to Urgent Care, but it was closed for the holiday, so instead went to ER. See Item 19 for details. I was discharged within an hour because there was nothing seriously wrong with me, doctor wrote it off as a stomach bug and ordered me to rest and hydrate.  4/4 - 4/10: Virtually every day for this week went the exact same. I would wake up between 6-7am, feel nauseous, weak, no appetite, and shaking. Walking around my apartment would leave me utterly exhausted. I would nap from 9am-12pm, then again from 2-4pm. Ate very little, drank water and sports drinks when awake. Breathing was still shaky. Occasional diarrhea.  4/10: Although slightly less ill than the previous 6 days, I still felt weak, shaky, and exhausted. I went back to Urgent Care this time, and the doctor examined me. She noted my left ear was very inflamed and suspected an ear infection. She prescribed me a week of amoxycilin and told me to rest and eat bland foods.  4/12: After 2 days on the antibiotics, some of my symptoms cleared. I was no longer shaking or having shortness of breath, and although still tired, I did not sleep for half the day as I had the previous week. My appetite was not fully there yet, and in the mornings of this week I would wake up feeling nauseous for about 2 hours. On this day 4/12 my period also started, which is unusual. It was not due to start until around April 17th. My period is very regular and light due to being on birth control, so I consider this abnormal. The flow was also very heavy.   4/17: Heavy flow of my period slows significantly and is now just a slight pink/brown color. I only need a liner to contain it. This is also my last day of antibiotics, so I buy a probiotic supplement in the hopes that it will help settle my gut.  4/17-present (4/20): The morning nausea and lack of appetite are still present despite being off the antibiotics. Occasional discomfort in abdomen/chest. Unexplained muscle soreness in hips, legs, back, and chest. My bowel movement schedule has also completely changed. Normally I do not experience a bowel movement until late morning, after 10am. But for the past 2 weeks I have been woken up around 5:30am with a sudden urge. At the beginning of my illness it was diarrhea but now it has transitioned to slightly more solid feces. It is not really diarrhea anymore.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram abdomen normal, Decreased appetite, Defaecation urgency, Diarrhoea
Clinical narrative: 4/4: Woke up Easter Sunday with the following symptoms: sweats, chills, uncontrollable shaking, fatigue, dizziness, nausea, and shortness of breath. Went to Urgent Care, but it was closed for the holiday, so instead went to ER. See Item 19 for details. I was discharged within an hour because there was nothing seriously wrong with me, doctor wrote it off as a stomach bug and ordered me to rest and hydrate.  4/4 - 4/10: Virtually every day for this week went the exact same. I would wake up between 6-7am, feel nauseous, weak, no appetite, and shaking. Walking around my apartment would leave me utterly exhausted. I would nap from 9am-12pm, then again from 2-4pm. Ate very little, drank water and sports drinks when awake. Breathing was still shaky. Occasional diarrhea.  4/10: Although slightly less ill than the previous 6 days, I still felt weak, shaky, and exhausted. I went back to Urgent Care this time, and the doctor examined me. She noted my left ear was very inflamed and suspected an ear infection. She prescribed me a week of amoxycilin and told me to rest and eat bland foods.  4/12: After 2 days on the antibiotics, some of my symptoms cleared. I was no longer shaking or having shortness of breath, and although still tired, I did not sleep for half the day as I had the previous week. My appetite was not fully there yet, and in the mornings of this week I would wake up feeling nauseous for about 2 hours. On this day 4/12 my period also started, which is unusual. It was not due to start until around April 17th. My period is very regular and light due to being on birth control, so I consider this abnormal. The flow was also very heavy.   4/17: Heavy flow of my period slows significantly and is now just a slight pink/brown color. I only need a liner to contain it. This is also my last day of antibiotics, so I buy a probiotic supplement in the hopes that it will help settle my gut.  4/17-present (4/20): The morning nausea and lack of appetite are still present despite being off the antibiotics. Occasional discomfort in abdomen/chest. Unexplained muscle soreness in hips, legs, back, and chest. My bowel movement schedule has also completely changed. Normally I do not experience a bowel movement until late morning, after 10am. But for the past 2 weeks I have been woken up around 5:30am with a sudden urge. At the beginning of my illness it was diarrhea but now it has transitioned to slightly more solid feces. It is not really diarrhea anymore.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Ear discomfort, Fatigue, Heart rate increased
Clinical narrative: 4/4: Woke up Easter Sunday with the following symptoms: sweats, chills, uncontrollable shaking, fatigue, dizziness, nausea, and shortness of breath. Went to Urgent Care, but it was closed for the holiday, so instead went to ER. See Item 19 for details. I was discharged within an hour because there was nothing seriously wrong with me, doctor wrote it off as a stomach bug and ordered me to rest and hydrate.  4/4 - 4/10: Virtually every day for this week went the exact same. I would wake up between 6-7am, feel nauseous, weak, no appetite, and shaking. Walking around my apartment would leave me utterly exhausted. I would nap from 9am-12pm, then again from 2-4pm. Ate very little, drank water and sports drinks when awake. Breathing was still shaky. Occasional diarrhea.  4/10: Although slightly less ill than the previous 6 days, I still felt weak, shaky, and exhausted. I went back to Urgent Care this time, and the doctor examined me. She noted my left ear was very inflamed and suspected an ear infection. She prescribed me a week of amoxycilin and told me to rest and eat bland foods.  4/12: After 2 days on the antibiotics, some of my symptoms cleared. I was no longer shaking or having shortness of breath, and although still tired, I did not sleep for half the day as I had the previous week. My appetite was not fully there yet, and in the mornings of this week I would wake up feeling nauseous for about 2 hours. On this day 4/12 my period also started, which is unusual. It was not due to start until around April 17th. My period is very regular and light due to being on birth control, so I consider this abnormal. The flow was also very heavy.   4/17: Heavy flow of my period slows significantly and is now just a slight pink/brown color. I only need a liner to contain it. This is also my last day of antibiotics, so I buy a probiotic supplement in the hopes that it will help settle my gut.  4/17-present (4/20): The morning nausea and lack of appetite are still present despite being off the antibiotics. Occasional discomfort in abdomen/chest. Unexplained muscle soreness in hips, legs, back, and chest. My bowel movement schedule has also completely changed. Normally I do not experience a bowel movement until late morning, after 10am. But for the past 2 weeks I have been woken up around 5:30am with a sudden urge. At the beginning of my illness it was diarrhea but now it has transitioned to slightly more solid feces. It is not really diarrhea anymore.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Hyperhidrosis, Menstruation irregular, Myalgia, Nausea
Clinical narrative: 4/4: Woke up Easter Sunday with the following symptoms: sweats, chills, uncontrollable shaking, fatigue, dizziness, nausea, and shortness of breath. Went to Urgent Care, but it was closed for the holiday, so instead went to ER. See Item 19 for details. I was discharged within an hour because there was nothing seriously wrong with me, doctor wrote it off as a stomach bug and ordered me to rest and hydrate.  4/4 - 4/10: Virtually every day for this week went the exact same. I would wake up between 6-7am, feel nauseous, weak, no appetite, and shaking. Walking around my apartment would leave me utterly exhausted. I would nap from 9am-12pm, then again from 2-4pm. Ate very little, drank water and sports drinks when awake. Breathing was still shaky. Occasional diarrhea.  4/10: Although slightly less ill than the previous 6 days, I still felt weak, shaky, and exhausted. I went back to Urgent Care this time, and the doctor examined me. She noted my left ear was very inflamed and suspected an ear infection. She prescribed me a week of amoxycilin and told me to rest and eat bland foods.  4/12: After 2 days on the antibiotics, some of my symptoms cleared. I was no longer shaking or having shortness of breath, and although still tired, I did not sleep for half the day as I had the previous week. My appetite was not fully there yet, and in the mornings of this week I would wake up feeling nauseous for about 2 hours. On this day 4/12 my period also started, which is unusual. It was not due to start until around April 17th. My period is very regular and light due to being on birth control, so I consider this abnormal. The flow was also very heavy.   4/17: Heavy flow of my period slows significantly and is now just a slight pink/brown color. I only need a liner to contain it. This is also my last day of antibiotics, so I buy a probiotic supplement in the hopes that it will help settle my gut.  4/17-present (4/20): The morning nausea and lack of appetite are still present despite being off the antibiotics. Occasional discomfort in abdomen/chest. Unexplained muscle soreness in hips, legs, back, and chest. My bowel movement schedule has also completely changed. Normally I do not experience a bowel movement until late morning, after 10am. But for the past 2 weeks I have been woken up around 5:30am with a sudden urge. At the beginning of my illness it was diarrhea but now it has transitioned to slightly more solid feces. It is not really diarrhea anymore.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Sleep disorder, Tremor, Urine analysis normal
Clinical narrative: 4/4: Woke up Easter Sunday with the following symptoms: sweats, chills, uncontrollable shaking, fatigue, dizziness, nausea, and shortness of breath. Went to Urgent Care, but it was closed for the holiday, so instead went to ER. See Item 19 for details. I was discharged within an hour because there was nothing seriously wrong with me, doctor wrote it off as a stomach bug and ordered me to rest and hydrate.  4/4 - 4/10: Virtually every day for this week went the exact same. I would wake up between 6-7am, feel nauseous, weak, no appetite, and shaking. Walking around my apartment would leave me utterly exhausted. I would nap from 9am-12pm, then again from 2-4pm. Ate very little, drank water and sports drinks when awake. Breathing was still shaky. Occasional diarrhea.  4/10: Although slightly less ill than the previous 6 days, I still felt weak, shaky, and exhausted. I went back to Urgent Care this time, and the doctor examined me. She noted my left ear was very inflamed and suspected an ear infection. She prescribed me a week of amoxycilin and told me to rest and eat bland foods.  4/12: After 2 days on the antibiotics, some of my symptoms cleared. I was no longer shaking or having shortness of breath, and although still tired, I did not sleep for half the day as I had the previous week. My appetite was not fully there yet, and in the mornings of this week I would wake up feeling nauseous for about 2 hours. On this day 4/12 my period also started, which is unusual. It was not due to start until around April 17th. My period is very regular and light due to being on birth control, so I consider this abnormal. The flow was also very heavy.   4/17: Heavy flow of my period slows significantly and is now just a slight pink/brown color. I only need a liner to contain it. This is also my last day of antibiotics, so I buy a probiotic supplement in the hopes that it will help settle my gut.  4/17-present (4/20): The morning nausea and lack of appetite are still present despite being off the antibiotics. Occasional discomfort in abdomen/chest. Unexplained muscle soreness in hips, legs, back, and chest. My bowel movement schedule has also completely changed. Normally I do not experience a bowel movement until late morning, after 10am. But for the past 2 weeks I have been woken up around 5:30am with a sudden urge. At the beginning of my illness it was diarrhea but now it has transitioned to slightly more solid feces. It is not really diarrhea anymore.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Neck pain, White blood cell count
Clinical narrative: The lymph nodes on my left side, by my collarbone and neck became swollen and sore. My entire collarbone and neck area on left side is very sore to touch.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Echocardiogram normal, Myocarditis, Troponin increased
Clinical narrative: Chest Pains that lead to hospitalization. Found an elevated troponin related to myocarditis. Ongoing evaluation
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chest pain, Cough, Erythema, Hyperhidrosis
Clinical narrative: Pt developed pruritis, erythema 8 min post vaccination. Symptoms initially started on neck then involved chest, face and arms. No uticaria, wheezing, cough, diaphoresis, chest or abd pain, no angioedema. Given 0.3mg IM of epinephrine in R lateral thigh. Erythema, itching improved after 2 min with residual itching on L forehead only.  VS remained stable bp 120-127/70-84; pulse 109-130; RR 19; pulse Ox 98%; Lungs-clear. EMS activated and pt transported to ER at 10:45am. She remained alert, oriented at all times.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Pruritus, Wheezing
Clinical narrative: Pt developed pruritis, erythema 8 min post vaccination. Symptoms initially started on neck then involved chest, face and arms. No uticaria, wheezing, cough, diaphoresis, chest or abd pain, no angioedema. Given 0.3mg IM of epinephrine in R lateral thigh. Erythema, itching improved after 2 min with residual itching on L forehead only.  VS remained stable bp 120-127/70-84; pulse 109-130; RR 19; pulse Ox 98%; Lungs-clear. EMS activated and pt transported to ER at 10:45am. She remained alert, oriented at all times.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site erythema, Injection site mass, Injection site pruritus, Pruritus
Clinical narrative: A week after I received my first dose of the Covid Moderna shot, I have a red splotch under where the injection site is. It feels a little itchy on the corners of the splotch mass. The itching is not unbearable, mostly mild.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling of body temperature change, Palpitations
Clinical narrative: Within minutes of receiving the vaccination she reported feeling lightheaded  and racing heart. She reported feeling "hot and cold".  She did not loose consciousness. VS were WNL. She was observed in a private observation area for approx. 30 minutes and felt fine to leave.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: RAISED SWOLLEN AREA AT SITE OF INJECTION THAT HAS PERSISTED FOR 10 DAYS
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness unilateral, Computerised tomogram, Eyelid ptosis, Facial pain, Hypoaesthesia
Clinical narrative: photo sensitivity to left eye odd numbnes/pain in cheek bone below left eye.  Now blind in left eye with drooping eyelid.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Lumbar puncture, Magnetic resonance imaging, Photophobia
Clinical narrative: photo sensitivity to left eye odd numbnes/pain in cheek bone below left eye.  Now blind in left eye with drooping eyelid.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Dyspnoea, Feeling hot, Hyperventilation
Clinical narrative: Pt. stated, she had been working all day to get herself ready for the shot. The shot was given at 2:30pm. She said, she did not even feel it. Then as she was getting her stuff together, she said, "Is it unusually for my arm to feel weird?" When asked what she meant by weird, she could not explain it. This writer asked if she was dizzy/light headed. She said, "no." PHN walked her to the monitoring room. She said, she did not need to lay on the cot and sat down on the chair. A minute later an usher came to get another PHN stating that pt. was feeling lightheaded. When PHN arrived pt. was hyperventilating and grabbing at her neck and chest. PHN asked pt. if she was okay,
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort
Clinical narrative: Pt. stated, she had been working all day to get herself ready for the shot. The shot was given at 2:30pm. She said, she did not even feel it. Then as she was getting her stuff together, she said, "Is it unusually for my arm to feel weird?" When asked what she meant by weird, she could not explain it. This writer asked if she was dizzy/light headed. She said, "no." PHN walked her to the monitoring room. She said, she did not need to lay on the cot and sat down on the chair. A minute later an usher came to get another PHN stating that pt. was feeling lightheaded. When PHN arrived pt. was hyperventilating and grabbing at her neck and chest. PHN asked pt. if she was okay,
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Injection site pain
Clinical narrative: 12 days after injection the left arm (injection area) is increasing in muscular pain and losing mobility.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Lip swelling, Paraesthesia oral, Rash
Clinical narrative: I had a severe rash break out all around my neck, throat face arms and legs. My lips swelled up and felt tingly, and I had a severe headache.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Paraesthesia oral, Rash, Rash erythematous, Rash pruritic
Clinical narrative: I had a severe rash break out all around my neck, throat face arms and legs. My lips swelled up and felt tingly, and I had a severe headache.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Lip swelling, Paraesthesia oral, Rash
Clinical narrative: This patient received her first Moderna vaccine in the right deltoid at approximately 6:45pm on 4/19/21, and left the pharmacy around 7pm. By 7:30pm, she had developed a red rash over her chest, neck, and arms. This rash eventually became very itchy and she developed a bad headache. The patient was advised to take Benadryl liquid, which she did. When her lips began to feel tingly, she was advised to go to an urgent care facility. At urgent care, she was also given Pepcid and told to continue the Benadryl. By the next morning, the itching and redness had lessened some, but she still has the bad headache.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Paraesthesia oral, Rash, Rash erythematous, Rash pruritic
Clinical narrative: This patient received her first Moderna vaccine in the right deltoid at approximately 6:45pm on 4/19/21, and left the pharmacy around 7pm. By 7:30pm, she had developed a red rash over her chest, neck, and arms. This rash eventually became very itchy and she developed a bad headache. The patient was advised to take Benadryl liquid, which she did. When her lips began to feel tingly, she was advised to go to an urgent care facility. At urgent care, she was also given Pepcid and told to continue the Benadryl. By the next morning, the itching and redness had lessened some, but she still has the bad headache.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Electrocardiogram, Hypertension, Hypoaesthesia, Ultrasound abdomen
Clinical narrative: 29 y/o female, past medical history of HTN (unmedicated) and Arrythmia (type unknown), who presents with left facial, neck and left upper extremity numbness onset set shortly after vaccination. Patient states that this is her 1st dose in the two-dose series, and she has never had a reaction to vaccinations in the past. NP and Paramedics at patient side. Water was provided to patient and legs elevated. Patient facial features symmetrical with no facial droop, equal strength and pulses to the upper extremities. Stroke scale negative. Patient also states a weird iron like taste to her mouth, a very strong taste but states that she can swallow without difficulty. Patient noted to be Hypertensive (155/103 R) on initial vitals, all other vitals within normal limits. Repeat vitals showed that patient remained Hypertensive (156/91, 145/103, 158/106, 160/84). Patient was then moved (ambulated to the gurney) and placed behind the partitions for privacy. At this time, EKG was performed with NSR. Patient stated that the numbness to her left arm and neck had resolved but remained with the iron taste to her mouth and slight numbness to her left cheek. Repeat EKG was performed and showed an Arrythmia (per Paramedics). At this time, due to elevated BP and facial numbness Fire Rescue was notified via Police Officer on detail. Hialeah Fire Rescue arrived at the site and assessed patient on the truck. Per Fire Rescue, it was noted on EKG that patient in AFib. Patient declined transport to the ER for further evaluation and signed Against Medical Advice with Fire Rescue and as well with Logistics team and Healthcare workers. Patient was ambulated to her car with the NP at her side. NP advise patient to seek further medical evaluation due to her risk of stroke, worsening arrythmia leading to cardiac event and/or possible death. NP also advise patient to obtain a primary care provider and cardiologist to address her Hypertension and Arrythmia. Patient verbalized understanding.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Vital signs measurement
Clinical narrative: 29 y/o female, past medical history of HTN (unmedicated) and Arrythmia (type unknown), who presents with left facial, neck and left upper extremity numbness onset set shortly after vaccination. Patient states that this is her 1st dose in the two-dose series, and she has never had a reaction to vaccinations in the past. NP and Paramedics at patient side. Water was provided to patient and legs elevated. Patient facial features symmetrical with no facial droop, equal strength and pulses to the upper extremities. Stroke scale negative. Patient also states a weird iron like taste to her mouth, a very strong taste but states that she can swallow without difficulty. Patient noted to be Hypertensive (155/103 R) on initial vitals, all other vitals within normal limits. Repeat vitals showed that patient remained Hypertensive (156/91, 145/103, 158/106, 160/84). Patient was then moved (ambulated to the gurney) and placed behind the partitions for privacy. At this time, EKG was performed with NSR. Patient stated that the numbness to her left arm and neck had resolved but remained with the iron taste to her mouth and slight numbness to her left cheek. Repeat EKG was performed and showed an Arrythmia (per Paramedics). At this time, due to elevated BP and facial numbness Fire Rescue was notified via Police Officer on detail. Hialeah Fire Rescue arrived at the site and assessed patient on the truck. Per Fire Rescue, it was noted on EKG that patient in AFib. Patient declined transport to the ER for further evaluation and signed Against Medical Advice with Fire Rescue and as well with Logistics team and Healthcare workers. Patient was ambulated to her car with the NP at her side. NP advise patient to seek further medical evaluation due to her risk of stroke, worsening arrythmia leading to cardiac event and/or possible death. NP also advise patient to obtain a primary care provider and cardiologist to address her Hypertension and Arrythmia. Patient verbalized understanding.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort, Throat irritation
Clinical narrative: Patient had first moderna dose. She had a itchy ,funny sensation in throat. I called the paramedics. They arrived and took patient to the hospital.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Nausea, Photophobia
Clinical narrative: PATIENT CALLED DESCRIBING HAVING A MIGRAINE HEADACHE WITH LIGHT SENSITIVITY, AND NAUSEA.  SHE ALSO STATES THAT NO OTC MEDICATIONS HELPED WITH ALLEVIATING THE PAIN AT ALL
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: redness at vaccination site within 24 hours & progressing to rash which continues  to enlarge in area (but not as reddened as initially).
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Malaise, On and off phenomenon, Pain
Clinical narrative: -Mild to Moderate headache, mild dizziness on and off, and increased body aches  for 4 days following vaccination.  -Generally felt 'under the weather'  not quite myself for a full week following vaccination.   Gradually starting to feel back to baseline second week post vaccine
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, Erythema, Headache, Hyperhidrosis
Clinical narrative: *Patient was being observed in the patient waiting area post injection given at 11:00am. Had to wait 30 minutes due to prior reaction to MMR in December of 2020. At 20-25 minutes post injection patient started itching with arms and chest becoming red. Nurse and NP observing came over to patient and assessed. They administered Benadryl 25mg due to itching and redness. Advised patient to go home and also take Pepcid to help the Benadryl. Patient drove home immediately and by 12:00pm after looking in mirror lips and lower arms minimally swollen. Patient took another 25mg of Benadryl. No change, skin continues to break out and itch. Right lower forearm begins to swell more. Patient takes a third Benadryl 25mg along with a Prednisone 20mg PO.  After the 75mf of Benadryl total and Prednisone 20mg the reaction gradually subsides, but does not go away 100%. It is manageable at this time.  *Overnight the patient develops dizziness and headache.  *By morning (07:00am on 04/16/2021) the patient is itching minimally, dizzy, has headache, nauseated, and now is experiencing vertigo with what feels like equilibrium imbalance. Patient stays home from work and rests all day. No fever, no SOB, and no other signs at this time.  *Patient continues to show the above signs through Monday, April 19, 2021 with now on Tuesday April 20, 2021 additional signs of night sweats, muscle cramps, and soreness in her legs.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Lip swelling, Muscle spasms, Nausea, Pain in extremity
Clinical narrative: *Patient was being observed in the patient waiting area post injection given at 11:00am. Had to wait 30 minutes due to prior reaction to MMR in December of 2020. At 20-25 minutes post injection patient started itching with arms and chest becoming red. Nurse and NP observing came over to patient and assessed. They administered Benadryl 25mg due to itching and redness. Advised patient to go home and also take Pepcid to help the Benadryl. Patient drove home immediately and by 12:00pm after looking in mirror lips and lower arms minimally swollen. Patient took another 25mg of Benadryl. No change, skin continues to break out and itch. Right lower forearm begins to swell more. Patient takes a third Benadryl 25mg along with a Prednisone 20mg PO.  After the 75mf of Benadryl total and Prednisone 20mg the reaction gradually subsides, but does not go away 100%. It is manageable at this time.  *Overnight the patient develops dizziness and headache.  *By morning (07:00am on 04/16/2021) the patient is itching minimally, dizzy, has headache, nauseated, and now is experiencing vertigo with what feels like equilibrium imbalance. Patient stays home from work and rests all day. No fever, no SOB, and no other signs at this time.  *Patient continues to show the above signs through Monday, April 19, 2021 with now on Tuesday April 20, 2021 additional signs of night sweats, muscle cramps, and soreness in her legs.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pruritus, Rash, Vertigo
Clinical narrative: *Patient was being observed in the patient waiting area post injection given at 11:00am. Had to wait 30 minutes due to prior reaction to MMR in December of 2020. At 20-25 minutes post injection patient started itching with arms and chest becoming red. Nurse and NP observing came over to patient and assessed. They administered Benadryl 25mg due to itching and redness. Advised patient to go home and also take Pepcid to help the Benadryl. Patient drove home immediately and by 12:00pm after looking in mirror lips and lower arms minimally swollen. Patient took another 25mg of Benadryl. No change, skin continues to break out and itch. Right lower forearm begins to swell more. Patient takes a third Benadryl 25mg along with a Prednisone 20mg PO.  After the 75mf of Benadryl total and Prednisone 20mg the reaction gradually subsides, but does not go away 100%. It is manageable at this time.  *Overnight the patient develops dizziness and headache.  *By morning (07:00am on 04/16/2021) the patient is itching minimally, dizzy, has headache, nauseated, and now is experiencing vertigo with what feels like equilibrium imbalance. Patient stays home from work and rests all day. No fever, no SOB, and no other signs at this time.  *Patient continues to show the above signs through Monday, April 19, 2021 with now on Tuesday April 20, 2021 additional signs of night sweats, muscle cramps, and soreness in her legs.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms
Clinical narrative: Severe spasm of the left side of the neck
Sex: M
Vaccine: COVID19
Symptoms: Dizziness postural, Electrocardiogram, Fall, Presyncope
Clinical narrative: HX OF VASOVAGAL RESPONSE.  VS :  67, O2 SAT 100%, 68/112.  FELT DIZZIE UPON STANDING AND FELL.  APPEARED TO BE RAPID SEIZURE.  RESOLVED WITHING SECONDS
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Erythema, Laboratory test, Pain in extremity, Peripheral swelling, Ultrasound Doppler
Clinical narrative: left calf pain , swelling and redness, patient reports stating one week prior to being seen in the clinic on 19April2021, Patient was diagnosed with acute Embolism and Thrombosis of left popliteal Vein and started on Eliquis
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: X-ray
Clinical narrative: left calf pain , swelling and redness, patient reports stating one week prior to being seen in the clinic on 19April2021, Patient was diagnosed with acute Embolism and Thrombosis of left popliteal Vein and started on Eliquis
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Deep vein thrombosis, Pain, Thrombosis, Ultrasound scan
Clinical narrative: left calf pain , swelling and redness, patient reports stating one week prior to being seen in the clinic on 19April2021, Patient was diagnosed with acute Embolism and Thrombosis of left popliteal Vein and started on Eliquis
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Urine analysis, X-ray
Clinical narrative: left calf pain , swelling and redness, patient reports stating one week prior to being seen in the clinic on 19April2021, Patient was diagnosed with acute Embolism and Thrombosis of left popliteal Vein and started on Eliquis
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient hospitalized within 6 weeks for receiving COVID vaccination.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Pyrexia, Tremor
Clinical narrative: Chills, shaking, low grade fever, headache, muscle soreness
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Diplopia, Headache, Vision blurred
Clinical narrative: I experienced double vision and difficulty in focusing.  This is not a symptom I've ever experienced before.  I was outside walking around when it began.  I also had a mild headache.  The vision problems ended after around two hours.