chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscular weakness, Peripheral venous disease, Thrombosis, Transfusion
Clinical narrative: 02/25/2021: Patient received 1st dose of Moderna 03/17 ? 3/19: 20 days after 1st dose, c/o progressively worsening bilateral lower extremity weakness of several weeks? duration. Patient had also suffered from recurrent falls over the preceding several days prior to admission. subsequent CT scan of the abdomen and pelvis revealed severe hepatic steatosis and a CT angiogram of the chest revealed bilateral pulmonary emboli. She subsequently had a duplex ultrasound of the lower extremities that revealed a right lower extremity DVT. MRI of the lumbar spine was performed for further evaluation of her bilateral lower extremity weakness that revealed some moderate bilateral neuroforaminal narrowing with mild spinal stenosis at L3-L4 and moderate spinal stenosis at L4-L5 with some degenerative endplate changes at similar levels. Dx: Pulmonary embolism - discharged home on Xarelto for complete treatment of her DVT/PE. 3/25: 2nd dose of Moderna given at Primary care - referred to ER for complaints. 3/25: ER encounter - She has been experiencing heavy vaginal bleeding, passing large clots at times, for the past six days. She reports that she usually has regular menstrual cycles, regulated on oral contraceptive pills. Dx: Menorrhagia with regular cycle, Anticoagulated ? treated and discharged on TXA 3/28 ? 4/4: 3 days after 2nd dose. presents with ongoing vaginal bleeding complicated by lightheadedness with standing, generalized weakness and fatigue, and dyspnea on exertion. Patient states she has been bleeding for almost 2 weeks vaginally. Dx: severe symptomatic anemia due to dysfunctional uterine bleeding / Menorrhagia and need for anticoagulation, Folate deficiency anemia, Venous stasis. Rx: Transfused 3 units, Provera, Due to recent VTE in stable hemoglobin cautiously started heparin, Oral contraceptives stopped, resumed Xarelto, folic acid supplement.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan abnormal, Venous thrombosis
Clinical narrative: venous thrombosis
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Hypersensitivity, Lymph node pain
Clinical narrative: Full body hives the third morning after the vaccine-advice nurse said go to the ER within the hour, they gave me a steroid shot and said was an allergic reaction. I don?t have any known allergies and never had hives before. I also had diarrhea, chills, fever, right lymph node swollen and painful, and exhaustion the second day after the vaccine.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pyrexia, Urticaria
Clinical narrative: Full body hives the third morning after the vaccine-advice nurse said go to the ER within the hour, they gave me a steroid shot and said was an allergic reaction. I don?t have any known allergies and never had hives before. I also had diarrhea, chills, fever, right lymph node swollen and painful, and exhaustion the second day after the vaccine.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Neck pain, Pain in extremity
Clinical narrative: Patient called stating that starting 1 day following vaccine, she experienced arm, neck and shoulder blade pain sustaining to this day.  Patient followed up with doctor and was prescribed a course of steroids but wanted to notify the pharmacy.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Sensation of foreign body, Throat tightness
Clinical narrative: Patient stated that she felt a "lump and tightness" after 15 minutes of injection in her throat after receiving her first Pfizer covid vaccine. Vital signs taken o2 97%, HR 102, temp 98.4 orally, BP 126/88. Patient seen by PA who stated no swelling in mouth seen, vitals normal. Patient waited an additional 15 minutes. Patient felt better when she left clinic.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Heart palpitations. Frequency fluctuates and is much more noticeable after a heavy/fatty meal and more pronounced when lying down or in the reclining position.  I don't remember the exact time it started, but it was soon after my second dose. It became more pronounced after I had a meal with deep fried foods.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Throat irritation
Clinical narrative: Pt. presented to nurse with complaints of dizziness and scratchy throat. Nurse contacted on-site medics immediately. On-site medics assessed patient. Per patient's request, pt. was transferred to the ER via ambulance.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Pt reports feeling significant chest pain the night of his first vaccination. Pain has now been intermittently bothersome and he has had multiple workups since that point.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine had expired 18 hours previously
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: bicep swollen, hot to touch, red
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Disturbance in attention, Dizziness, Ear discomfort, Feeling abnormal
Clinical narrative: Extreme diziness, left arm numb and tingly, bad brain fog, dizziness has not stopped since 4 days after vaccine, every day. Cannot complete simple tasks at work as fast, hard to concentrate, pressure in ears, balance feels off. Hard to manage day to day routine with my kids, dizzy all the time, This is affecting my work, my lifestyle and every day concentration
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Hospitalisation, Hypoaesthesia, Impaired work ability, Loss of personal independence in daily activities, Paraesthesia
Clinical narrative: Extreme diziness, left arm numb and tingly, bad brain fog, dizziness has not stopped since 4 days after vaccine, every day. Cannot complete simple tasks at work as fast, hard to concentrate, pressure in ears, balance feels off. Hard to manage day to day routine with my kids, dizzy all the time, This is affecting my work, my lifestyle and every day concentration
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Vital signs measurement
Clinical narrative: Extreme diziness, left arm numb and tingly, bad brain fog, dizziness has not stopped since 4 days after vaccine, every day. Cannot complete simple tasks at work as fast, hard to concentrate, pressure in ears, balance feels off. Hard to manage day to day routine with my kids, dizzy all the time, This is affecting my work, my lifestyle and every day concentration
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Vertigo
Clinical narrative: Severe vertigo, nausea, light headedness at night. Lasts 30 mins. Room spins, etc
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine had expired 18 hours previously
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Dyspnoea, Muscle spasms, Myalgia
Clinical narrative: Within three hours after vaccination period type cramping outside of regular period. Twenty-four hours after the following symptoms began. Muscle pain. Chills. Fever. Shortness of breath. Fluid buildup in lungs. Cough. Hives all over body.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary oedema, Pyrexia, Urticaria
Clinical narrative: Within three hours after vaccination period type cramping outside of regular period. Twenty-four hours after the following symptoms began. Muscle pain. Chills. Fever. Shortness of breath. Fluid buildup in lungs. Cough. Hives all over body.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, No adverse event
Clinical narrative: Resident received 2 doses of Pfizer COVID vaccine 1/12/21 and 2/2/21 and then 2 doses of Moderna vaccine 4/1/21 and 4/29/21.No adverse events noted.
Age: 13.0
Sex: F
Vaccine: HPV9, HPV9
Symptoms: Amenorrhoea, Exposure during pregnancy
Clinical narrative: 6 months after receiving Gardasil 9 vaccine my daughter stopped having periods. Two years later the problem has not been resolved.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: vaccine expired 18 hours previously
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Pain
Clinical narrative: I was at my apartment and started aching all over and then I was cold sweating the whole night and woke up still aching everywhere.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Cardiomyopathy, Catheterisation cardiac abnormal, Dyspnoea, Echocardiogram abnormal
Clinical narrative: Moderna shots given at a vaccine facility on 2/6/21 and 3/10/21. She has had a gradual onset of shortness of breath. Seen by me on June 1. Dx cardiomyopathy, Class 3 CHF. Hospitalized at local Medical Center. Currently still being treated by cardiology team.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Ejection fraction decreased, Electrocardiogram abnormal
Clinical narrative: Moderna shots given at a vaccine facility on 2/6/21 and 3/10/21. She has had a gradual onset of shortness of breath. Seen by me on June 1. Dx cardiomyopathy, Class 3 CHF. Hospitalized at local Medical Center. Currently still being treated by cardiology team.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Syncope
Clinical narrative: H/A, Dizzy, Faint
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Burning sensation, Impaired work ability, Insomnia, Pain in extremity
Clinical narrative: About a week after the first dose, she went to sleep. She woke up to a burning sensation in her left arm in the forearm. It was more painful towards the wrist, but went up to the elbow. She could not go back to sleep. Woke up boyfriend to take her to urgent care. They drew blood, gave her pregnancy test. Gave her an inflammatory (Toradol). Gave her a prescription to take at home. Then sent her home. She had to miss 2 days of work. After 24 Hours pain dissolved and has not returned.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Pain in extremity, Tenderness
Clinical narrative: It started in my right thumb in the joint it started swelling and I could bend it. The pad part of my hand was very tender.  My doctor said that it may be trigger thumb caused by Tendonitis.  About two weeks ago I began to have the same pain in the left hand and the same symptoms. I was offer the same treatment but I didn't take it because the first shot hurt so bad. The doctor said that if it is unusual to have the same thing in both hands. He don't think it is related to the Pfizer vaccine but I do. (Participant) I am still having trouble with both hands hurting.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test abnormal, Inflammation, Joint swelling, Musculoskeletal stiffness
Clinical narrative: Shoulder was sore after shot. Hands were cold (freezing) within a day, Joints at hands are swollen and can barely use; joints at shoulders ache; Hips and knee joints ache;  oxycotin prescribed for pain but patient did not like side effects
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral coldness, Rheumatoid arthritis, X-ray
Clinical narrative: Shoulder was sore after shot. Hands were cold (freezing) within a day, Joints at hands are swollen and can barely use; joints at shoulders ache; Hips and knee joints ache;  oxycotin prescribed for pain but patient did not like side effects
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Babesiosis, Blood test abnormal, Condition aggravated, Confusional state, Encephalitis
Clinical narrative: THE Night of the injection a fever developed.  Severe fatugue and feeling sick. After two days this subsided but had impacted my immue system enough to cause a relapse of Babesia to the point where I had encephalitis.  The encephalitis caused confusion and reduced mental ablity to the point where I had to leave work and go on short term disablity which am on still.  The people administering the vacine asked me if I was immune compromized and I told them YES. They asked why and I told them Lyme Disease. They administered the Vaccine any way.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Impaired work ability, Inflammatory marker increased, Malaise, Mental impairment
Clinical narrative: THE Night of the injection a fever developed.  Severe fatugue and feeling sick. After two days this subsided but had impacted my immue system enough to cause a relapse of Babesia to the point where I had encephalitis.  The encephalitis caused confusion and reduced mental ablity to the point where I had to leave work and go on short term disablity which am on still.  The people administering the vacine asked me if I was immune compromized and I told them YES. They asked why and I told them Lyme Disease. They administered the Vaccine any way.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: THE Night of the injection a fever developed.  Severe fatugue and feeling sick. After two days this subsided but had impacted my immue system enough to cause a relapse of Babesia to the point where I had encephalitis.  The encephalitis caused confusion and reduced mental ablity to the point where I had to leave work and go on short term disablity which am on still.  The people administering the vacine asked me if I was immune compromized and I told them YES. They asked why and I told them Lyme Disease. They administered the Vaccine any way.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Injection site nodule, Injection site pain
Clinical narrative: Pain in left arm. Knot on left arm in place shot was given. No taste or smell.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Peripheral swelling, Pyrexia, Refusal of treatment by patient
Clinical narrative: Pain in left arm. Knot on left arm in place shot was given. No taste or smell.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Injection site nodule, Injection site pain
Clinical narrative: Patient reported that one month later she still had soreness/swelling in her arm and a fever.  Encouraged the patient to seek attention from her physician or urgent care, but patient refused despite numerous encouragements for follow-up.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Peripheral swelling, Pyrexia, Refusal of treatment by patient
Clinical narrative: Patient reported that one month later she still had soreness/swelling in her arm and a fever.  Encouraged the patient to seek attention from her physician or urgent care, but patient refused despite numerous encouragements for follow-up.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Hypoaesthesia, Impaired work ability, Induration, Pain in extremity
Clinical narrative: "on 4/30 i left to go get my 2nd covid shot at a clinic. afterwards my arm was pretty sore. then over the next few days it continued to be really sore and developed a hard round lump, red and then the numbness started to kick in and became tingly. On wednesday my arm was still numb and tingly and the lump was even bigger. I left work and went to the hospital. thats when they monitored me and advised me to rest and gave me benedryl and a lidocaine patch,. advised to ice and heat. I am back at work today 5/8 and my arm is still numb and tingly and still hurts."
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Peripheral swelling
Clinical narrative: "on 4/30 i left to go get my 2nd covid shot at a clinic. afterwards my arm was pretty sore. then over the next few days it continued to be really sore and developed a hard round lump, red and then the numbness started to kick in and became tingly. On wednesday my arm was still numb and tingly and the lump was even bigger. I left work and went to the hospital. thats when they monitored me and advised me to rest and gave me benedryl and a lidocaine patch,. advised to ice and heat. I am back at work today 5/8 and my arm is still numb and tingly and still hurts."
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Off label use, Product administered to patient of inappropriate age
Clinical narrative: 2nd Moderna vaccine given.  Aware of age <18 YO prior to administration.  CDC guidelines followed to give 2nd Moderna off label shot of series  for 16 YO.  PCP notified of off label use Moderna for 16 YO and OK for 2nd shot.  No adverse events reported from first Moderna vaccine. Well tolerated.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Hypertension, Myalgia, Nausea
Clinical narrative: Nausea, vomiting, strong headache, muscle pain, fever, chills, high blood pressure (154/87), no high blood pressure history
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: Nausea, vomiting, strong headache, muscle pain, fever, chills, high blood pressure (154/87), no high blood pressure history
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia
Clinical narrative: i lost my sense of taste for 5 days after the vaccine
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: The patient develop herpes zoster in the left V1 distribution.
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Echocardiogram abnormal, Ejection fraction abnormal, Electrocardiogram ST segment elevation, Laboratory test abnormal
Clinical narrative: Vaccinated on Friday AM.  Typical fever chills of vaccine about 10 hours later.  Pt was taking NSAIDS, and symptoms continued Sat and Sun getting worse Sunday Night.  Woke up Monday AM with severe CP 8/10. Came to ER.  Found to have Trop HS of 222, EKG changes with diffuse ST elevation, and preserved EF.    diagnosis of perimyocarditis and actively recovering.  Treated with anti inflammatory medications.
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myocarditis, Pyrexia, Troponin increased
Clinical narrative: Vaccinated on Friday AM.  Typical fever chills of vaccine about 10 hours later.  Pt was taking NSAIDS, and symptoms continued Sat and Sun getting worse Sunday Night.  Woke up Monday AM with severe CP 8/10. Came to ER.  Found to have Trop HS of 222, EKG changes with diffuse ST elevation, and preserved EF.    diagnosis of perimyocarditis and actively recovering.  Treated with anti inflammatory medications.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Left arm swelling, redness, warmth, and tenderness to the injection site. Generalized bodyaches, headache, nausea, & fatigue.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Nausea, Pain
Clinical narrative: Left arm swelling, redness, warmth, and tenderness to the injection site. Generalized bodyaches, headache, nausea, & fatigue.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Computerised tomogram, Dyspnoea, Echocardiogram, Electrocardiogram abnormal
Clinical narrative: Early the next morning after the vaccine I woke up feeling like my chest was caving in.  Felt as if I had 30 bricks on my chest causing SOB.   6/10 I was transported to the ER where an EKG was performed resulting in having a combination of Peri and Myocarditis.  Various test and CBC was perfomed resulting in  my troponin levels being very elevated and never went down so I was admitted and more test were performed.  My BP was low during the entire stay but there wasnt much treatment d/t me being pregnant so I was monitored to ensure the symptoms didnt worsen and was released after 2 days.  EDD-1/27/2022
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Full blood count abnormal, Hypotension, Myocarditis, Troponin increased
Clinical narrative: Early the next morning after the vaccine I woke up feeling like my chest was caving in.  Felt as if I had 30 bricks on my chest causing SOB.   6/10 I was transported to the ER where an EKG was performed resulting in having a combination of Peri and Myocarditis.  Various test and CBC was perfomed resulting in  my troponin levels being very elevated and never went down so I was admitted and more test were performed.  My BP was low during the entire stay but there wasnt much treatment d/t me being pregnant so I was monitored to ensure the symptoms didnt worsen and was released after 2 days.  EDD-1/27/2022
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: Early the next morning after the vaccine I woke up feeling like my chest was caving in.  Felt as if I had 30 bricks on my chest causing SOB.   6/10 I was transported to the ER where an EKG was performed resulting in having a combination of Peri and Myocarditis.  Various test and CBC was perfomed resulting in  my troponin levels being very elevated and never went down so I was admitted and more test were performed.  My BP was low during the entire stay but there wasnt much treatment d/t me being pregnant so I was monitored to ensure the symptoms didnt worsen and was released after 2 days.  EDD-1/27/2022
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site bruising, Pain, Rash, Skin warm
Clinical narrative: ACHES AND PAIN, BRUISING AT INJECTION SITE AND RASH (ERYTHEMA BELOW INJECTION SITE) ON LEFT ARM BIG AS A NORMAL SIZE HAND. WARM TO THE TOUCH
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Ectopic pregnancy, Exposure during pregnancy, Pain, Pyrexia
Clinical narrative: High fever >102.5 Extreme joint pain Body aches Blotchy skin rash on abdomen, neck, and  face Pregnancy confirmed 4 days after vaccine reaction, implantation would have possible occurred during the time of the vaccine reaction.  Pregnancy was determined to be ectopic - in right fallopian tube.  Concerned the severe vaccine reaction was the reason for improper embryo implantation.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular
Clinical narrative: High fever >102.5 Extreme joint pain Body aches Blotchy skin rash on abdomen, neck, and  face Pregnancy confirmed 4 days after vaccine reaction, implantation would have possible occurred during the time of the vaccine reaction.  Pregnancy was determined to be ectopic - in right fallopian tube.  Concerned the severe vaccine reaction was the reason for improper embryo implantation.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Dyspnoea, Heart rate increased, Hyperhidrosis, Palpitations
Clinical narrative: Shortness of breath, feelings of having a fast-beating, fluttering, and pounding heart (some sweating also).
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia
Clinical narrative: paresthesia up and down body about one and a half hours after vaccine administration
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Autoscopy, Dysstasia, Movement disorder, Muscular weakness, Paraesthesia
Clinical narrative: paresthesia up and down body about one and a half hours after vaccine administration
Age: 0.5
Sex: M
Vaccine: DTAPHEPBIP, FLU4, HIBV, PNC13
Symptoms: No adverse event, Product storage error
Clinical narrative: Storage unit did not record temperature of vaccine. Could not verify for a period of time, vaccine may have been ineffective; no treatment or adverse reaction.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Dyspnoea, Palpitations
Clinical narrative: After getting the second dose/vaccine shot, my heart started racing, I had shortness of breath, I thought I was going to pass out, I got the cold sweats and these symptoms have continued almost daily since. I have met with my PCP to rule out anything else it could be but it started happening after the second shot.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Resident received 1 dose of Pfizer COVID vaccine on 1/12/21 and 2 doses of Moderna COVID vaccine 4/1/21 and 4/29/21. No adverse events.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chest pain, Chills, Pain
Clinical narrative: Chills Extreme pain/aches throughout body for at least 10 hours even after taking Tylenol Sharp chest pains on both left and right side of chest near breasts Sharp pains went from chest to upper back
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Started as slight itching,   eventually, 2-Days, broke out in hives over arms, legs and torso.  Extreme itching.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymphadenopathy, Vision blurred, Visual impairment
Clinical narrative: A few after the vaccine dose 2 you couldn't see well prescription glasses, both eye were blurry, that latest for 2 weeks.  Swelling under the left arm that latest for 2/3 days
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vision blurred, Visual impairment
Clinical narrative: A few after the vaccine dose 2 you couldn't see well prescription glasses, both eye were blurry, that latest for 2 weeks.  Swelling under the left arm that latest for 2/3 days
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Blood test abnormal, Chills, Diarrhoea, Fibrin D dimer increased
Clinical narrative: fever, chills, nausea, severe diarrhea, blood work high dimer-d, vision blurs/lines, hearing ringing, loss of taste
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Tinnitus, Vision blurred
Clinical narrative: fever, chills, nausea, severe diarrhea, blood work high dimer-d, vision blurs/lines, hearing ringing, loss of taste
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Balance disorder, Dizziness
Clinical narrative: 56 year old male with no previous health problems and on no medications experienced dizziness and balance issues about 10-14 days after the first COVID dose. The dizziness went away after about a week.  At about 10-14 days after the 2nd shot , the dizziness and balance issues reappeared with more severity and coincided with a loss of taste. Taste cam back fairly quickly, however , he is still experiencing some dizziness and balance issues about a month after the 2nd vaccine.
Age: 13.0
Sex: M
Vaccine: FLU4
Symptoms: No adverse event, Product storage error
Clinical narrative: Storage unit did not record temperature of vaccine. Could not verify for a period of time, vaccine may have been ineffective; no treatment or adverse reaction.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis
Clinical narrative: Deep vein Thrombosis
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site erythema, Injection site pruritus, Lip swelling, Pruritus
Clinical narrative: She reported that she did well initially with vaccination and that 3 days later she noticed localized redness and itching at vaccination site. This cleared in a day or 2. On day 6 noticed itching of her palms, with redness and a few bumps. Initially thought it was her Lupus Flare. The following day had lesions on her hands, soles, arms, back, chest and upper legs. Lesions would come and go and not always in the same place. Did have lower lip swelling on the first day of rash. Denies any respiratory or GI symptoms. Since she initially thought this was her Lupus flare she took steroids, with slight relief. Lesions returned as she was tapering her dose. Did try Benadryl but was not taking consistently. Reports that lesions are itchy.  Symptoms: RASH&OTH NONSPEC SKIN ERUPTION(R21).
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Skin lesion
Clinical narrative: She reported that she did well initially with vaccination and that 3 days later she noticed localized redness and itching at vaccination site. This cleared in a day or 2. On day 6 noticed itching of her palms, with redness and a few bumps. Initially thought it was her Lupus Flare. The following day had lesions on her hands, soles, arms, back, chest and upper legs. Lesions would come and go and not always in the same place. Did have lower lip swelling on the first day of rash. Denies any respiratory or GI symptoms. Since she initially thought this was her Lupus flare she took steroids, with slight relief. Lesions returned as she was tapering her dose. Did try Benadryl but was not taking consistently. Reports that lesions are itchy.  Symptoms: RASH&OTH NONSPEC SKIN ERUPTION(R21).
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Myocarditis, Troponin I increased, Troponin increased
Clinical narrative: 12 y/o male who received second dose of Pfizer mRNA COVID-19 vaccine (lot number EW0187) on 06/07/2021. Developed chest pain the morning of 6/10 /21 at 0430 and was admitted on 6/10 to Intensive Care Unit for monitoring.  Lab and imaging studies were consistent with acute myocarditis. Troponin peaked at 3.32 on admission and was down to 1.33 by the time of discharge on the following day on 6/11/21. No interventions except NSAIDs (ibuprofen) were administered during the admission and he did well. He will follow up with Cardiology as an outpatient.
Age: 78.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Crying, Magnetic resonance imaging normal, Pain in extremity, X-ray normal
Clinical narrative: I had a mri and x-ray unregards to my excoriating pain from the vaccine in my arm and it was horrible. I was on the ground crying for a week rescue my arm was so sore.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Peripheral swelling, Pruritus, Rash, Rash erythematous
Clinical narrative: Patient developed painful red rash at injection site on 6/13/21.  Patient also said arm was swollen, hot and itchy.  Patient took ibuprofen and diphenhydramine and the pain, swelling, hot and itchiness has reduced.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: Patient developed painful red rash at injection site on 6/13/21.  Patient also said arm was swollen, hot and itchy.  Patient took ibuprofen and diphenhydramine and the pain, swelling, hot and itchiness has reduced.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Fatigue, Injection site rash, Pyrexia
Clinical narrative: High fever (highest was 104.1), cough, fatigue, chills, tiredness, large rash at injection site covering half of upper arm. For vaccine 1, I had a small rash, but this one is very large. The rash is painful, hot, and itchy. I?ve taken Tylenol and Advil. Today is 6/15 and I still don?t feel 100% back to normal and my vaccination was on 6/10.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Anti-cyclic citrullinated peptide antibody, Blood creatine phosphokinase, Blood thyroid stimulating hormone, Borrelia test, Electrophoresis protein
Clinical narrative: Swelling of joints, "9" pain out of 10, fatigue
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Joint swelling, Metabolic function test, Pain, Parvovirus B19 test
Clinical narrative: Swelling of joints, "9" pain out of 10, fatigue
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate, Urine analysis
Clinical narrative: Swelling of joints, "9" pain out of 10, fatigue
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tinnitus
Clinical narrative: severe tinnitus
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Ear pain, Tinnitus
Clinical narrative: severe tinnitus
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Presyncope
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine .  Pt sitting in post-vac area c/o feeling dizzy and near-syncopal after receiving vaccine.  Pt denied any SOB, pruritus, pain, or other discomfort.  Pt stated that he had not eaten anything prior to coming to clinic.  Pt was given a bottle of water, some juice, and a granola bar while being monitored by nurse.  After eating and drinking Pt stated that his symptoms had resolved.  Pt was advised to eat a meal once he left the clinic and he verbalized understanding.  Pt left clinic with family, walking with a steady gait, without complaint, and without further incident;  RN
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: itchy rash started 1 day after immunization on face, trunk, extremities
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood creatine phosphokinase normal, Blood thyroid stimulating hormone normal, Burning sensation, C-reactive protein normal, CSF glucose
Clinical narrative: Within 12 hours of her second dose of the Moderna COVID-19 vaccine, she developed a disseminated rash over her chest and face as well as paresthesias of her feet and hands that progressed up to her face over hours to days. The paresthesias became more painful (dysesthesias), associated with disabling burning, worse with bearing weight, leaving her unable to ambulate long distances. She has lost endurance but her power is good. Symptoms worsened slowly over 5 weeks, and stabilized with hospitalization and treatment using gabapentin as well as a Medrol course. Initially thought to be Guillain-Barre Syndrome, however she had preserved (even heightened) reflexes and normal CSF testing.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: CSF protein normal, CSF test normal, CSF white blood cell count, Dysaesthesia, Exercise tolerance decreased
Clinical narrative: Within 12 hours of her second dose of the Moderna COVID-19 vaccine, she developed a disseminated rash over her chest and face as well as paresthesias of her feet and hands that progressed up to her face over hours to days. The paresthesias became more painful (dysesthesias), associated with disabling burning, worse with bearing weight, leaving her unable to ambulate long distances. She has lost endurance but her power is good. Symptoms worsened slowly over 5 weeks, and stabilized with hospitalization and treatment using gabapentin as well as a Medrol course. Initially thought to be Guillain-Barre Syndrome, however she had preserved (even heightened) reflexes and normal CSF testing.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Gait disturbance, HIV test negative, Liver function test normal, Lumbar puncture, Mobility decreased
Clinical narrative: Within 12 hours of her second dose of the Moderna COVID-19 vaccine, she developed a disseminated rash over her chest and face as well as paresthesias of her feet and hands that progressed up to her face over hours to days. The paresthesias became more painful (dysesthesias), associated with disabling burning, worse with bearing weight, leaving her unable to ambulate long distances. She has lost endurance but her power is good. Symptoms worsened slowly over 5 weeks, and stabilized with hospitalization and treatment using gabapentin as well as a Medrol course. Initially thought to be Guillain-Barre Syndrome, however she had preserved (even heightened) reflexes and normal CSF testing.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia, Protein total, Rash, Red blood cell sedimentation rate decreased, Treponema test negative
Clinical narrative: Within 12 hours of her second dose of the Moderna COVID-19 vaccine, she developed a disseminated rash over her chest and face as well as paresthesias of her feet and hands that progressed up to her face over hours to days. The paresthesias became more painful (dysesthesias), associated with disabling burning, worse with bearing weight, leaving her unable to ambulate long distances. She has lost endurance but her power is good. Symptoms worsened slowly over 5 weeks, and stabilized with hospitalization and treatment using gabapentin as well as a Medrol course. Initially thought to be Guillain-Barre Syndrome, however she had preserved (even heightened) reflexes and normal CSF testing.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vitamin B12 normal, Vitamin D decreased, Weight bearing difficulty
Clinical narrative: Within 12 hours of her second dose of the Moderna COVID-19 vaccine, she developed a disseminated rash over her chest and face as well as paresthesias of her feet and hands that progressed up to her face over hours to days. The paresthesias became more painful (dysesthesias), associated with disabling burning, worse with bearing weight, leaving her unable to ambulate long distances. She has lost endurance but her power is good. Symptoms worsened slowly over 5 weeks, and stabilized with hospitalization and treatment using gabapentin as well as a Medrol course. Initially thought to be Guillain-Barre Syndrome, however she had preserved (even heightened) reflexes and normal CSF testing.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Burning sensation, Headache, Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Within 12 hours of her second dose of the Moderna COVID-19 vaccine, she developed a disseminated rash over her chest and face as well as paresthesias of her feet and hands that progressed up to her face over hours to days. The paresthesias became more painful (dysesthesias), associated with disabling burning, worse with bearing weight, leaving her unable to ambulate long distances. She has lost endurance but her power is good. Symptoms worsened slowly over 5 weeks, and stabilized with hospitalization and treatment using gabapentin as well as a Medrol course. Initially thought to be Guillain-Barre Syndrome, however she had preserved (even heightened) reflexes and normal CSF testing.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inflammation, Lumbar puncture, Magnetic resonance imaging, Pain, Paraesthesia
Clinical narrative: Within 12 hours of her second dose of the Moderna COVID-19 vaccine, she developed a disseminated rash over her chest and face as well as paresthesias of her feet and hands that progressed up to her face over hours to days. The paresthesias became more painful (dysesthesias), associated with disabling burning, worse with bearing weight, leaving her unable to ambulate long distances. She has lost endurance but her power is good. Symptoms worsened slowly over 5 weeks, and stabilized with hospitalization and treatment using gabapentin as well as a Medrol course. Initially thought to be Guillain-Barre Syndrome, however she had preserved (even heightened) reflexes and normal CSF testing.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: Within 12 hours of her second dose of the Moderna COVID-19 vaccine, she developed a disseminated rash over her chest and face as well as paresthesias of her feet and hands that progressed up to her face over hours to days. The paresthesias became more painful (dysesthesias), associated with disabling burning, worse with bearing weight, leaving her unable to ambulate long distances. She has lost endurance but her power is good. Symptoms worsened slowly over 5 weeks, and stabilized with hospitalization and treatment using gabapentin as well as a Medrol course. Initially thought to be Guillain-Barre Syndrome, however she had preserved (even heightened) reflexes and normal CSF testing.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Dysphagia, Dyspnoea, Heart rate increased, Paraesthesia oral
Clinical narrative: Anaphylaxis (difficulty swallowing, tingling tongue and throat, difficulty breathing, rash, increased heart rate) - transported to ER at  Medical Center, treated with IV steroids/antihistamines, sent home with scripts for continued steroids/antihistamines
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal paraesthesia, Rash
Clinical narrative: Anaphylaxis (difficulty swallowing, tingling tongue and throat, difficulty breathing, rash, increased heart rate) - transported to ER at  Medical Center, treated with IV steroids/antihistamines, sent home with scripts for continued steroids/antihistamines
Age: 17.0
Sex: M
Vaccine: MNQ
Symptoms: No adverse event, Product storage error
Clinical narrative: Storage unit did not record temperature of vaccine. Could not verify for a period of time, vaccine may have been ineffective; no treatment or adverse reaction.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio normal, Aspartate aminotransferase normal, Basophil count decreased, Basophil percentage
Clinical narrative: ER HPI: 70 y.o. male who presents with headache and dizziness starting this morning. Some confusion per wife. No head injury, no illness. IMPRESSION: 1. Acute hemorrhagic infarct in the left occipital lobe with possible  rupture into the left  occipital horn. 2. There may be some extension of nonhemorrhagic ischemia or infarct in  the left thalamus  versus edema in the left thalamus. 2. Mixed density likely acute subdural hematoma laterally over the left  frontotemporal parietal  convexity with 1.1 cm left right midline shift of mass effect on the left  lateral ventricle. 4. Acute subdural hematoma in the posterior falx and in the left tentorium  cerebelli with  minimal extension into the free edge of the right internal surgically. 5. Old infarct with cystic encephalomalacia and gliosis in the right  temporal occipital lobe  with ex vacuo dilatation of posterior right lateral ventricle and right  occipital horn. 6. Old lacunar infarct with cystic change in the right basal  ganglia/capsule. 7. Mild-to-moderate nonspecific chronic deep cerebral white matter  microvascular disease in  bilateral cerebral hemispheres. 8. Atherosclerotic calcifications in the carotid siphons.  DX: Acute hemorragic stroke, transferred to Hospital
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium increased, Blood chloride increased
Clinical narrative: ER HPI: 70 y.o. male who presents with headache and dizziness starting this morning. Some confusion per wife. No head injury, no illness. IMPRESSION: 1. Acute hemorrhagic infarct in the left occipital lobe with possible  rupture into the left  occipital horn. 2. There may be some extension of nonhemorrhagic ischemia or infarct in  the left thalamus  versus edema in the left thalamus. 2. Mixed density likely acute subdural hematoma laterally over the left  frontotemporal parietal  convexity with 1.1 cm left right midline shift of mass effect on the left  lateral ventricle. 4. Acute subdural hematoma in the posterior falx and in the left tentorium  cerebelli with  minimal extension into the free edge of the right internal surgically. 5. Old infarct with cystic encephalomalacia and gliosis in the right  temporal occipital lobe  with ex vacuo dilatation of posterior right lateral ventricle and right  occipital horn. 6. Old lacunar infarct with cystic change in the right basal  ganglia/capsule. 7. Mild-to-moderate nonspecific chronic deep cerebral white matter  microvascular disease in  bilateral cerebral hemispheres. 8. Atherosclerotic calcifications in the carotid siphons.  DX: Acute hemorragic stroke, transferred to Hospital
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase MB, Blood creatinine normal, Blood glucose increased, Blood potassium normal, Blood sodium normal
Clinical narrative: ER HPI: 70 y.o. male who presents with headache and dizziness starting this morning. Some confusion per wife. No head injury, no illness. IMPRESSION: 1. Acute hemorrhagic infarct in the left occipital lobe with possible  rupture into the left  occipital horn. 2. There may be some extension of nonhemorrhagic ischemia or infarct in  the left thalamus  versus edema in the left thalamus. 2. Mixed density likely acute subdural hematoma laterally over the left  frontotemporal parietal  convexity with 1.1 cm left right midline shift of mass effect on the left  lateral ventricle. 4. Acute subdural hematoma in the posterior falx and in the left tentorium  cerebelli with  minimal extension into the free edge of the right internal surgically. 5. Old infarct with cystic encephalomalacia and gliosis in the right  temporal occipital lobe  with ex vacuo dilatation of posterior right lateral ventricle and right  occipital horn. 6. Old lacunar infarct with cystic change in the right basal  ganglia/capsule. 7. Mild-to-moderate nonspecific chronic deep cerebral white matter  microvascular disease in  bilateral cerebral hemispheres. 8. Atherosclerotic calcifications in the carotid siphons.  DX: Acute hemorragic stroke, transferred to Hospital
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea normal, Brain oedema, Carbon dioxide normal, Cerebral arteriosclerosis, Cerebral ischaemia
Clinical narrative: ER HPI: 70 y.o. male who presents with headache and dizziness starting this morning. Some confusion per wife. No head injury, no illness. IMPRESSION: 1. Acute hemorrhagic infarct in the left occipital lobe with possible  rupture into the left  occipital horn. 2. There may be some extension of nonhemorrhagic ischemia or infarct in  the left thalamus  versus edema in the left thalamus. 2. Mixed density likely acute subdural hematoma laterally over the left  frontotemporal parietal  convexity with 1.1 cm left right midline shift of mass effect on the left  lateral ventricle. 4. Acute subdural hematoma in the posterior falx and in the left tentorium  cerebelli with  minimal extension into the free edge of the right internal surgically. 5. Old infarct with cystic encephalomalacia and gliosis in the right  temporal occipital lobe  with ex vacuo dilatation of posterior right lateral ventricle and right  occipital horn. 6. Old lacunar infarct with cystic change in the right basal  ganglia/capsule. 7. Mild-to-moderate nonspecific chronic deep cerebral white matter  microvascular disease in  bilateral cerebral hemispheres. 8. Atherosclerotic calcifications in the carotid siphons.  DX: Acute hemorragic stroke, transferred to Hospital
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral mass effect, Cerebral ventricle dilatation, Computerised tomogram head abnormal, Confusional state, Differential white blood cell count abnormal
Clinical narrative: ER HPI: 70 y.o. male who presents with headache and dizziness starting this morning. Some confusion per wife. No head injury, no illness. IMPRESSION: 1. Acute hemorrhagic infarct in the left occipital lobe with possible  rupture into the left  occipital horn. 2. There may be some extension of nonhemorrhagic ischemia or infarct in  the left thalamus  versus edema in the left thalamus. 2. Mixed density likely acute subdural hematoma laterally over the left  frontotemporal parietal  convexity with 1.1 cm left right midline shift of mass effect on the left  lateral ventricle. 4. Acute subdural hematoma in the posterior falx and in the left tentorium  cerebelli with  minimal extension into the free edge of the right internal surgically. 5. Old infarct with cystic encephalomalacia and gliosis in the right  temporal occipital lobe  with ex vacuo dilatation of posterior right lateral ventricle and right  occipital horn. 6. Old lacunar infarct with cystic change in the right basal  ganglia/capsule. 7. Mild-to-moderate nonspecific chronic deep cerebral white matter  microvascular disease in  bilateral cerebral hemispheres. 8. Atherosclerotic calcifications in the carotid siphons.  DX: Acute hemorragic stroke, transferred to Hospital
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Encephalomalacia, Eosinophil count decreased, Eosinophil percentage increased, Full blood count abnormal
Clinical narrative: ER HPI: 70 y.o. male who presents with headache and dizziness starting this morning. Some confusion per wife. No head injury, no illness. IMPRESSION: 1. Acute hemorrhagic infarct in the left occipital lobe with possible  rupture into the left  occipital horn. 2. There may be some extension of nonhemorrhagic ischemia or infarct in  the left thalamus  versus edema in the left thalamus. 2. Mixed density likely acute subdural hematoma laterally over the left  frontotemporal parietal  convexity with 1.1 cm left right midline shift of mass effect on the left  lateral ventricle. 4. Acute subdural hematoma in the posterior falx and in the left tentorium  cerebelli with  minimal extension into the free edge of the right internal surgically. 5. Old infarct with cystic encephalomalacia and gliosis in the right  temporal occipital lobe  with ex vacuo dilatation of posterior right lateral ventricle and right  occipital horn. 6. Old lacunar infarct with cystic change in the right basal  ganglia/capsule. 7. Mild-to-moderate nonspecific chronic deep cerebral white matter  microvascular disease in  bilateral cerebral hemispheres. 8. Atherosclerotic calcifications in the carotid siphons.  DX: Acute hemorragic stroke, transferred to Hospital