chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Systemic lupus erythematosus, Systemic lupus erythematosus rash, Vitamin D decreased, White blood cell count increased
Clinical narrative: After the second injection, I was experiencing what I thought was a lupus flare up. I needed to get into a new rheumatologist so that took some time getting into with my current insurance. I was experiencing a tremendous amount of joint and muscle pain. I have a Low grade fever off and on as well as my lupus butterfly rash on my face and a few sores in my nose. All symptoms I have had when dealing with a lupus flare. One thing that was different was muscles being pulled for doing very little. My back and neck muscles kept getting pulled often. Extreme dry eyes/nose- all which was similar autoimmune symptoms I have had in the past. Extreme periods of nausea, but I have been unable to take certain medications I use to be able to take. I can not take any nausea medications because it now will give me a horrible migraine that last for days. My primary doctor gave me a steroid dose pack to help me until I could get into my rheumatologist and I had a horrible reaction to them with extreme diarrhea, nausea, vomiting, and migraines. None of those symptoms to medications has happened in my past. My symptoms started was a gradual increase over the time period after getting my vaccine. Not all at once. But after about a week after getting the vaccine it started to happen slowly to the point where I am today. The doctors ran various test for my lupus and all of my inflammation lab markers came back extremely high. But none of my lupus/autoimmune markers came back as active. I also ended up going to the ER concerned with chest pain- but after many test nothing was conclusive or found. I have a follow up with a cardiologist  pending
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Gait disturbance, Heart rate increased, Pain in extremity, Peripheral swelling
Clinical narrative: I had the vaccine and at 2 o clock in the morning I woke with excruciating pain it felt like I broke both my legs and they swelled, more the right one than the left, I could barely walk, Tylenol did not help, the swelling got worse for over a week, the pain was the same for over a week, I still have some pain but the swelling is still there.  I did not go into Urgent care until a week because I was at work and my left leg was swollen and discolored and my heart rate.  They drew my blood checked my heart rate which was in the high 90s and jumped to 163. They did not know what was going on but did not think it was a blood clot so they sent me home. They did not prescribed any medications.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Skin discolouration
Clinical narrative: I had the vaccine and at 2 o clock in the morning I woke with excruciating pain it felt like I broke both my legs and they swelled, more the right one than the left, I could barely walk, Tylenol did not help, the swelling got worse for over a week, the pain was the same for over a week, I still have some pain but the swelling is still there.  I did not go into Urgent care until a week because I was at work and my left leg was swollen and discolored and my heart rate.  They drew my blood checked my heart rate which was in the high 90s and jumped to 163. They did not know what was going on but did not think it was a blood clot so they sent me home. They did not prescribed any medications.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Pallor, Presyncope
Clinical narrative: pt received vaccine while sitting in chair became lightheaded, pale, diaphoretic. no LOC, no SOB, no N/V. brought to cot to lie down elevated feet. placed ice pack to back and chest. Left arm vac site benign. NP assessed surmised vasovagal reaction. Water given for hydration. monitored for 30 min. reassessment paleness and diaphoresis subsided. pt stated I feel much better I feel great. OK'd to exit after 30 min.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Incontinence, Pollakiuria
Clinical narrative: Sudden frequent urination and incontinence post 4 hours after 2nd dose. Continuing through  next day post injection. Currently unresolved.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy heart, Cardiac failure acute, Catheterisation cardiac abnormal, Dyspnoea exertional, Echocardiogram
Clinical narrative: Myocarditis with histiocytic involvment on pathology. Presented with new onset acute heart failure with reduced ejection fraction of 15%. Had several days of dyspnea on exertion approximately 5 days prior to presentation.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Ejection fraction decreased, Histiocytosis, Myocarditis, Necrosis
Clinical narrative: Myocarditis with histiocytic involvment on pathology. Presented with new onset acute heart failure with reduced ejection fraction of 15%. Had several days of dyspnea on exertion approximately 5 days prior to presentation.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory viral panel
Clinical narrative: Myocarditis with histiocytic involvment on pathology. Presented with new onset acute heart failure with reduced ejection fraction of 15%. Had several days of dyspnea on exertion approximately 5 days prior to presentation.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal behaviour, Dizziness, Dyskinesia, Dysphonia, Headache
Clinical narrative: After administration, patient did not report any reaction and was asked to wait 15 minutes for monitoring. A few minutes later, he started feeling lightheaded and called his father. His father notified me that he was "spazzing out/seizing" with his head jerking backwards "for a couple seconds". When I saw the patient, he was sitting and unresponsive to verbal and physical stimuli with his father patting his cheek. After a minute or so, the patient was able to respond, but his voice was faint. He reported having a "severe headache" and feeling "sweaty". He had no fever or difficulty breathing. Father said there was no anaphylaxis, and asked for a bucket since the patient felt very nauseous. I then called 911 for emergency services. When I returned to the patient after the call, the father said he was feeling much better and that the "color had returned". Patient was unwilling to stand, and remaining symptom(s) was headache. Emergency services came and checked blood pressure, which was normotensive (SBP 111). Father insisted ER visit was not necessary.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea, Pallor, Seizure, Unresponsive to stimuli
Clinical narrative: After administration, patient did not report any reaction and was asked to wait 15 minutes for monitoring. A few minutes later, he started feeling lightheaded and called his father. His father notified me that he was "spazzing out/seizing" with his head jerking backwards "for a couple seconds". When I saw the patient, he was sitting and unresponsive to verbal and physical stimuli with his father patting his cheek. After a minute or so, the patient was able to respond, but his voice was faint. He reported having a "severe headache" and feeling "sweaty". He had no fever or difficulty breathing. Father said there was no anaphylaxis, and asked for a bucket since the patient felt very nauseous. I then called 911 for emergency services. When I returned to the patient after the call, the father said he was feeling much better and that the "color had returned". Patient was unwilling to stand, and remaining symptom(s) was headache. Emergency services came and checked blood pressure, which was normotensive (SBP 111). Father insisted ER visit was not necessary.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Pt reported signs of hives on left arm at crease of elbow and on inner thighs. Pt reported symptoms approximately 3 hours after vaccination administration.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Thrombosis
Clinical narrative: I started a very heavy period that lasted 25 days. I usually have a light 2 day period like clockwork. No birth control.. very normal my whole life until my shot.  I had heavy bleeding along with clots of blood.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy, Paraesthesia, Pruritus, Rash, Urticaria
Clinical narrative: Hives and unbearable itching on hands and forearms a day after first injection. Second injection - full body rash with hives and unbearable itching and prickly (Painful) needle sensations over entire body.. Primary car physician prescribed steroids and antihistamine tablets. recommended following up with dermatologist and allergy  doctor. Dermatologist prescribed 2 - types of ointment (steroid) and 2 - types of lotions , second visit dermatologist prescribe steroids and antihistamine. Allergist doctor prescribed antihistamines and creams and lotions for the itching. The inching was almost none stop since a day after first injection . The date is June 2, 2021 and itching is still very severe.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Taste disorder
Clinical narrative: I got two doses of the Pfizer vaccine. First dose on 4/5/21 second on 4/26/21 Over the last several weeks I have starting the to have problems with taste. The mint tums I take for heartburn started to taste nasty. Then chocolate started tasting bad. I used to love good dark chocolate, now any chocolate is disgusting. Yesterday I had a frozen Coca Cola at McDonald?s. It had that same nasty taste as the tums and chocolate but much worse. Lemon scented cleaners smell like the bad covid taste. Toothpaste has the nasty taste and some candies taste that way also. It seems more and more things are starting to have this nasty taste and the effects keep getting worse.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram normal, Anhidrosis, Aphasia, Asthenia, Ataxia
Clinical narrative: Admitted to hospital with difficulty speaking, full body tremors, weakness, sensitivity to light,  inability to walk, episodes of confusion, ataxia. Evolved into insomnia, digestive issues, tachycardia, high blood pressure, right side headache, difficulty with temperature moderation (shivers or fever), lack of sweating on right side of body, after the hospital visit.  Admitted to Hospital, observed and a full workup doneNo treatment. Blood work showed b12 on low end of normal (~320). Advised to take b-compex, b12, magnesium supplements. Scheduled PT for treatment. No other treatment. Symptoms are resolving over months.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature fluctuation, Chills, Computerised tomogram, Computerised tomogram head, Computerised tomogram head normal
Clinical narrative: Admitted to hospital with difficulty speaking, full body tremors, weakness, sensitivity to light,  inability to walk, episodes of confusion, ataxia. Evolved into insomnia, digestive issues, tachycardia, high blood pressure, right side headache, difficulty with temperature moderation (shivers or fever), lack of sweating on right side of body, after the hospital visit.  Admitted to Hospital, observed and a full workup doneNo treatment. Blood work showed b12 on low end of normal (~320). Advised to take b-compex, b12, magnesium supplements. Scheduled PT for treatment. No other treatment. Symptoms are resolving over months.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram neck, Confusional state, Echocardiogram, Electroencephalogram, Electromyogram
Clinical narrative: Admitted to hospital with difficulty speaking, full body tremors, weakness, sensitivity to light,  inability to walk, episodes of confusion, ataxia. Evolved into insomnia, digestive issues, tachycardia, high blood pressure, right side headache, difficulty with temperature moderation (shivers or fever), lack of sweating on right side of body, after the hospital visit.  Admitted to Hospital, observed and a full workup doneNo treatment. Blood work showed b12 on low end of normal (~320). Advised to take b-compex, b12, magnesium supplements. Scheduled PT for treatment. No other treatment. Symptoms are resolving over months.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Gait inability, Gastrointestinal disorder, Headache, Hypertension, Insomnia
Clinical narrative: Admitted to hospital with difficulty speaking, full body tremors, weakness, sensitivity to light,  inability to walk, episodes of confusion, ataxia. Evolved into insomnia, digestive issues, tachycardia, high blood pressure, right side headache, difficulty with temperature moderation (shivers or fever), lack of sweating on right side of body, after the hospital visit.  Admitted to Hospital, observed and a full workup doneNo treatment. Blood work showed b12 on low end of normal (~320). Advised to take b-compex, b12, magnesium supplements. Scheduled PT for treatment. No other treatment. Symptoms are resolving over months.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Magnetic resonance imaging head normal, Magnetic resonance imaging joint, Magnetic resonance imaging neck, Photophobia
Clinical narrative: Admitted to hospital with difficulty speaking, full body tremors, weakness, sensitivity to light,  inability to walk, episodes of confusion, ataxia. Evolved into insomnia, digestive issues, tachycardia, high blood pressure, right side headache, difficulty with temperature moderation (shivers or fever), lack of sweating on right side of body, after the hospital visit.  Admitted to Hospital, observed and a full workup doneNo treatment. Blood work showed b12 on low end of normal (~320). Advised to take b-compex, b12, magnesium supplements. Scheduled PT for treatment. No other treatment. Symptoms are resolving over months.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 antibody test negative, SARS-CoV-2 test negative, Tachycardia, Tremor
Clinical narrative: Admitted to hospital with difficulty speaking, full body tremors, weakness, sensitivity to light,  inability to walk, episodes of confusion, ataxia. Evolved into insomnia, digestive issues, tachycardia, high blood pressure, right side headache, difficulty with temperature moderation (shivers or fever), lack of sweating on right side of body, after the hospital visit.  Admitted to Hospital, observed and a full workup doneNo treatment. Blood work showed b12 on low end of normal (~320). Advised to take b-compex, b12, magnesium supplements. Scheduled PT for treatment. No other treatment. Symptoms are resolving over months.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound Doppler
Clinical narrative: Admitted to hospital with difficulty speaking, full body tremors, weakness, sensitivity to light,  inability to walk, episodes of confusion, ataxia. Evolved into insomnia, digestive issues, tachycardia, high blood pressure, right side headache, difficulty with temperature moderation (shivers or fever), lack of sweating on right side of body, after the hospital visit.  Admitted to Hospital, observed and a full workup doneNo treatment. Blood work showed b12 on low end of normal (~320). Advised to take b-compex, b12, magnesium supplements. Scheduled PT for treatment. No other treatment. Symptoms are resolving over months.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing in left ear.   I'm not worried about it.  I just thought someone would want to know.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Head injury, Syncope, Unresponsive to stimuli
Clinical narrative: PATIENT DID WELL UPON IMMEDIATE RECEIPT OF VACCINE.  MOVED PATIENT TO OBSERVATION AREA. WITHIN 10 MINUTES PATIENT FAINTED ONTO FLOOR,HIT HEAD AND BECAME NONRESPONSIVE.  WE CALLED 911.  WITHIN SECONDS HE BECAME RESPONSIVE AND DID NOT WANT EMS TO COME. WE GOT ICE PACKS FOR THE BACK OF HIS NECK AND FOREHEAD AND MADE HIM COMFORTABLE ON THE FLOOR. HE CONTINUED TO SAY HE WAS FEELING BETTER AND THAT IT JUST CAME ON VERY QUICKLY.  AFTER 20MINUTES HE WANTED TO SIT UP IN THE CHAIR. AFTER A FEW MINUTES WE MOVED HIM TO A MORE COMFORTABLE CHAIR.  PATIENT CONTINUED TO TALK AND RESPOND. AFTER 15 MORE MINUTES HE  DECIDED HE WAS GOOD ENOUGH TO LEAVE.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Rash papular
Clinical narrative: patient reported rash on arm and papules around the neck after first dose
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test negative, Streptococcus test, Urticaria
Clinical narrative: Really bad sore throat and hives.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling abnormal, Injection site erythema, Injection site pain
Clinical narrative: Severe pain and redness in arm, below injection site. Fever, chills, body pain, fatigue, brain fog
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Severe pain and redness in arm, below injection site. Fever, chills, body pain, fatigue, brain fog
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea
Clinical narrative: Missed period, on going.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient contracted COVID-19 after receiving two COVID-19 vaccine doses (Pfizer series completed on 4/4/21). Patient was admitted to the hospital on 4/9/21 for acute hypoxic respiratory failure and was ultimately diagnosed with PJP and HIV/AIDS. On 5/20 patient  had tested positive for SARS-CoV-2 and received treatment with monoclonal antibody.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular, Vaginal discharge
Clinical narrative: An early period with cramps and full on bleeding was induced. Today, a piece of dark matter fell out of my vagina while using the toilet.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Menstruation normal, Presyncope
Clinical narrative: Pt became lightheaded at recovery table near syncope . brought to cot to lie down, elevated feet. ice pack to back of neck. no LOC, No SOB, no N/V. Pt stated she is menstruating.  Rt arm vac site benign. VS 108/58, HR 80 Reg, strong, resps 12 reg, non labored, SPO2 98%.   Gave water for hydration, provided reassurance. After lying down flat for 15 min, pt stated "I feel better, I OK". Ok'd to exit with family.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Cardiac stress test, Musculoskeletal chest pain, Ultrasound scan
Clinical narrative: Since March 2021, I am experiencing discomfort in the upper abdomen area, just under the rib cage.  At times the pain is in the rib area.  On a scale of one to ten and ten the worst, it is about a one. I have undergone several tests, a stress test, and two ultrasounds, one with contrast.  Still, the discomfort persists.  The only change in my routine was the administration of the vacation.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Lymphadenopathy, Rash, Sensitive skin
Clinical narrative: Shingles developed on my right arm up to my shoulder and down my back. My left arm ached since the second covid shot. On May 20, 2021 the lymph nodes in  my left arm started to swell. Two days later my arm started to become sensitive to touch, & 2 days later the rash started.  Saw my doctor & am currently taking Valacyclovir & Methylprednisolone as of today (6/2/2021).
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Blood test, Dysmenorrhoea, Malaise
Clinical narrative: Having significant pain during menstrual cycles now. This is the third month in a row that I have had new and extreme pain in my back. To the point I was physically sick from the pain this last weekend. Doctor's office had me come in and immediately determined this was a side effect of the vaccine.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Needle issue
Clinical narrative: UPON INJECTION, THE NEEDLE PENETRATED THE SKIN SLIGHTLY THEN BOUNCED BACK OUT OF THE SKIN BEFORE THE DOSE WAS GIVEN. PT STABLE, NO BLEEDING. PT AGREED ANOTHER TRY. PT RECEIVED 2ND DOSE OF PFIZER IN HIS LEFT ARM.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Urticaria
Clinical narrative: 1732: Pt administered the vaccine. 1735: Pt had SOB, Dizziness, Chest tightness .1739: VS noted as BP 200/100, SPO@ 97% on RA, HR 92 1745: Pt developed hives on chest, shoulders. 1746: Epipen was administered 1749: Benadryl 50 mg IM was administered. 1751: VS noted as BP 200/130, SPO2 99% on RA, HR 89 1756: Solumedrol 125 mcg administered IM. 1758: 20G RAC IV inserted by RN. 1800: VS noted as BP 218/130, HR 72, SPO2 98% on RA. Pt complained of chest tightness again, 2 liters of oxygen via NC administered. 12 lead EKG performed, EMS arrived at the scene and Pt. transferred to Hospital
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, SARS-CoV-2 test negative
Clinical narrative: Loss of taste and decrease sense of smell
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: Chills, ache all over, headache, fatigue, injection site red n painful.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Chills, ache all over, headache, fatigue, injection site red n painful.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Exposure during pregnancy, Nausea, Vomiting
Clinical narrative: Woke up nauseas.  Ended up vomiting after an hour or so.  Vomited twice more that morning.  I was 26 weeks pregnant.  I am due Aug 21st 2021.  Dr. Prescribed anti nausea meds and I took those.  The next day I was feeling better no more symptoms.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Diverticulitis, Dizziness, Fatigue
Clinical narrative: initially shooting pain from to hand post 4 hr., 15 hour after extreme fatigue,  24 hr after fever 101, 30 hr after shooting pains in extremities all night. 44 hr after dizziness, nausea, vomiting. One week after diagnosed with diverticulitis.  Diagnosed with UTI 1 month after.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pain in extremity, Pyrexia, Urinary tract infection
Clinical narrative: initially shooting pain from to hand post 4 hr., 15 hour after extreme fatigue,  24 hr after fever 101, 30 hr after shooting pains in extremities all night. 44 hr after dizziness, nausea, vomiting. One week after diagnosed with diverticulitis.  Diagnosed with UTI 1 month after.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis, Vomiting
Clinical narrative: initially shooting pain from to hand post 4 hr., 15 hour after extreme fatigue,  24 hr after fever 101, 30 hr after shooting pains in extremities all night. 44 hr after dizziness, nausea, vomiting. One week after diagnosed with diverticulitis.  Diagnosed with UTI 1 month after.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Cold sweat, Dyspnoea, Fatigue
Clinical narrative: Day 2: Sore arm , fever, cold sweat, body aches , fatigue headaches  Day 3: sore arm, fever , cold sweats , body aches , fatigue, sore throat, headaches .  Day 4: sore arm , sore throat, pain in chest taking deep breath , chest tightness, heart racing ,  easily winded .  Bpm dropped to 40 at 5am then back up (not normal for me)  Day 5 & 6: slight pain in chest and throat area when taking deep breathes , easily winded, , heart racing, neck pain .unexplainable feeling in chest not painful but present. Bpm dropped to 40 again once during the night of 5th night.  Headache .  Day 7: feel mostly back to normal except woke up to neck pain , pain in neck and throat when taking deep breath , easily winded, slight headache on and off.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Neck pain, Oropharyngeal pain, Pain, Pain in extremity
Clinical narrative: Day 2: Sore arm , fever, cold sweat, body aches , fatigue headaches  Day 3: sore arm, fever , cold sweats , body aches , fatigue, sore throat, headaches .  Day 4: sore arm , sore throat, pain in chest taking deep breath , chest tightness, heart racing ,  easily winded .  Bpm dropped to 40 at 5am then back up (not normal for me)  Day 5 & 6: slight pain in chest and throat area when taking deep breathes , easily winded, , heart racing, neck pain .unexplainable feeling in chest not painful but present. Bpm dropped to 40 again once during the night of 5th night.  Headache .  Day 7: feel mostly back to normal except woke up to neck pain , pain in neck and throat when taking deep breath , easily winded, slight headache on and off.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pyrexia
Clinical narrative: Day 2: Sore arm , fever, cold sweat, body aches , fatigue headaches  Day 3: sore arm, fever , cold sweats , body aches , fatigue, sore throat, headaches .  Day 4: sore arm , sore throat, pain in chest taking deep breath , chest tightness, heart racing ,  easily winded .  Bpm dropped to 40 at 5am then back up (not normal for me)  Day 5 & 6: slight pain in chest and throat area when taking deep breathes , easily winded, , heart racing, neck pain .unexplainable feeling in chest not painful but present. Bpm dropped to 40 again once during the night of 5th night.  Headache .  Day 7: feel mostly back to normal except woke up to neck pain , pain in neck and throat when taking deep breath , easily winded, slight headache on and off.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abnormal uterine bleeding, Vaginal haemorrhage
Clinical narrative: N93.9 - Abnormal uterine and vaginal bleeding, unspecified
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Pt experienced numbness on the left arm and left side of face, started 10 mins after getting the vaccine and lasted for 2 hours
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Head discomfort, Syncope, Trismus
Clinical narrative: Client received 1st COVID vaccine of Pfizer (Lot #EW0187, expiration 06/28/21). Client reported pressure on left side of head near left ear at 1333. RN and EMT responded to this event. At 1334, vital signs are blood pressure 144/78, heart rate 87, oxygen saturation 95%. Client reported he was clenching his jaw during vaccine administration. At 1339, vital signs are blood pressure 136/79, heart rate 79, oxygen saturation 97%. RN and PHN responded to this event. Client reports a history of anxiety and fainting after needles. Client reports no medication usage. Client reports no chest pain, no dizziness, no shortness of breath, no blurred vision, no nausea. At 1349, vital signs are blood pressure 131/76, heart rate 88, oxygen saturation 91%. Client reports that the pressure on the left ear started at the time of administration. At 1351, Client reports that the pressure as subsided and no new symptoms. At 1354, vital signs are blood pressure 138/76, heart rate 88, oxygen saturation 90%. Client reports a history of fainting after vaccinations. Client was educated about ED precautions and common adverse effects of COVID vaccine. At 1358, Client stood up with no complaints and a steady gait. Client walked out of facility at 1358.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Insomnia, Pain in extremity, Product storage error
Clinical narrative: Best use date recorded by HD as 3 months from receiving. Received on 3-2-2021. Marked to discontinue use on 6-2-2021. Maintained in cold chain management 36 to 46 degrees F. Administered on 6-1-2021 Vial opened for the client. The other 4 doses were discarded at the end of the clinic.  On 6-2-2021 an e-mail from DH was noted with expiration of Lot 1802068 on 5-25-2021.  Johnson & Johnson was contacted and reported to Pharmacist. Reference ID EZR20210078918(VO) case # 02242111. Client has a Developmental Disability. His guardian (mother) was contacted expiration date reported. The mother states that client c/o sore arm 6-1 with difficulty sleeping. Today he is feeling back to normal. No problems or concerns.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Flank pain, Gastrointestinal infection
Clinical narrative: Three days after receiving vaccine, patient went to doctor's office with bad side pain. Patient was diagnosed with colon infection.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pruritus, Injection site rash, Injection site reaction, Injection site swelling
Clinical narrative: At 2nd dose Moderna appointment, patient reported a local reaction on her arm near injection site of 1st dose. Appeared on day 8 after immunization, with rash/hives, swollen, warm, hard, itchy. Lasted 48-72 hours and resolved without further intervention. Patient took claritin for the itching, and stayed for 30 min post-vax observation for 2nd dose
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Urticaria
Clinical narrative: At 2nd dose Moderna appointment, patient reported a local reaction on her arm near injection site of 1st dose. Appeared on day 8 after immunization, with rash/hives, swollen, warm, hard, itchy. Lasted 48-72 hours and resolved without further intervention. Patient took claritin for the itching, and stayed for 30 min post-vax observation for 2nd dose
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Aspartate aminotransferase increased, Blood bilirubin increased, C-reactive protein increased, Chest X-ray normal, Chest pain
Clinical narrative: Acute myocarditis presenting with chest pain and elevated troponin I. Admitted toi the PICU at Hospital on 6/2/21 (previously had been in the ER on 6/1/21 at the start of chest pain).
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Electrocardiogram repolarisation abnormality, Intensive care, Mitral valve incompetence, Myocarditis
Clinical narrative: Acute myocarditis presenting with chest pain and elevated troponin I. Admitted toi the PICU at Hospital on 6/2/21 (previously had been in the ER on 6/1/21 at the start of chest pain).
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin I increased
Clinical narrative: Acute myocarditis presenting with chest pain and elevated troponin I. Admitted toi the PICU at Hospital on 6/2/21 (previously had been in the ER on 6/1/21 at the start of chest pain).
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Pain in right arm at night when going to bed. It feels like I'm having a heart attach. So painful I have to lay on arm for it to stop.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint stiffness, Joint swelling, Joint warmth, Mobility decreased
Clinical narrative: On 6/1 pt returned to pharmacy complaining of stiff, inflexible left third (ring) finger and knuckle.  Pt stated that the finger and joint have been hurting, hot and slightly swollen and immovable since the day after the vaccine on 5/27.  An inspection of the finger and joint found that there was slight swelling and pain with slight heat.  Pt stated intolerance to NSAIDs and said she had used ice and Tylenol to little effect.  Pt was advised to go the hospital, as she didn't have insurance, as soon as possible.  Pt stated that she would when she could and decided on using triple antibiotic for at home remedy, despite RPh suggesting there would be little relief from it.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: On 6/1 pt returned to pharmacy complaining of stiff, inflexible left third (ring) finger and knuckle.  Pt stated that the finger and joint have been hurting, hot and slightly swollen and immovable since the day after the vaccine on 5/27.  An inspection of the finger and joint found that there was slight swelling and pain with slight heat.  Pt stated intolerance to NSAIDs and said she had used ice and Tylenol to little effect.  Pt was advised to go the hospital, as she didn't have insurance, as soon as possible.  Pt stated that she would when she could and decided on using triple antibiotic for at home remedy, despite RPh suggesting there would be little relief from it.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Confusional state, Hospitalisation, SARS-CoV-2 test positive
Clinical narrative: Patient contracted COVID-19 after receiving two COVID-19 vaccine doses (Moderna series completed on 2/27/21). Patient was admitted to the hospital on 5/16/21 for worsening confusion and was stable to discharge to Agency on 5/21/21. Patient had tested positive for SARS-CoV-2 on 5/21 while in agency
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Anion gap decreased, Aspartate aminotransferase normal, Basophil count normal, Basophil percentage
Clinical narrative: Was leaving clinic after 1st covid vaccine and noted the following symptoms, after having waited 15 minutes after vaccination.  HISTORY OF PRESENT ILLNESS: She came in today complaining of some chest pain in  her midsternal chest that developed after receiving a covert vaccine around 9 AM. Patient was noted to have a slight rash on her back but no active urticaria or  hives. Patient denied any shortness of breath. Patient denies any nausea vomiting  abdominal pain or diarrhea.CT PE study reviewed radiologist there is no evidence of  PE heart size was noted to be the upper limit of normal but likely due to pectus  excavatum  Chest x-ray was read as negative by the radiologist  EKG shows a normal sinus rhythm with a rate of 96 no acute ST-T wave changes  troponin is less than 2.5  MEDICAL DECISION MAKING: urine drug screen is positive for amphetamines, UA is  negative for obvious signs of infection, chemistry did not show any significant  abnormalities and troponin was negative at less than 2.5 white blood count is 8.3  hemoglobin 13.8--- patient's chest pain is now resolved. She is now comfortable  for outpatient management--this patient was taking DayQuil and this can turn the  urine drug screen positive for amphetamines--patient is adamant she does not take  any amphetamines and has not taken any in the past --- CT PE study showed no PE Patient is asymptomatic with no chest pain and comfortable for outpatient  management  DIAGNOSIS:    #1 chest pain resolved  rash maybe from vaccine, prednisone and Benadryl ordered
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride normal
Clinical narrative: Was leaving clinic after 1st covid vaccine and noted the following symptoms, after having waited 15 minutes after vaccination.  HISTORY OF PRESENT ILLNESS: She came in today complaining of some chest pain in  her midsternal chest that developed after receiving a covert vaccine around 9 AM. Patient was noted to have a slight rash on her back but no active urticaria or  hives. Patient denied any shortness of breath. Patient denies any nausea vomiting  abdominal pain or diarrhea.CT PE study reviewed radiologist there is no evidence of  PE heart size was noted to be the upper limit of normal but likely due to pectus  excavatum  Chest x-ray was read as negative by the radiologist  EKG shows a normal sinus rhythm with a rate of 96 no acute ST-T wave changes  troponin is less than 2.5  MEDICAL DECISION MAKING: urine drug screen is positive for amphetamines, UA is  negative for obvious signs of infection, chemistry did not show any significant  abnormalities and troponin was negative at less than 2.5 white blood count is 8.3  hemoglobin 13.8--- patient's chest pain is now resolved. She is now comfortable  for outpatient management--this patient was taking DayQuil and this can turn the  urine drug screen positive for amphetamines--patient is adamant she does not take  any amphetamines and has not taken any in the past --- CT PE study showed no PE Patient is asymptomatic with no chest pain and comfortable for outpatient  management  DIAGNOSIS:    #1 chest pain resolved  rash maybe from vaccine, prednisone and Benadryl ordered
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood urea normal
Clinical narrative: Was leaving clinic after 1st covid vaccine and noted the following symptoms, after having waited 15 minutes after vaccination.  HISTORY OF PRESENT ILLNESS: She came in today complaining of some chest pain in  her midsternal chest that developed after receiving a covert vaccine around 9 AM. Patient was noted to have a slight rash on her back but no active urticaria or  hives. Patient denied any shortness of breath. Patient denies any nausea vomiting  abdominal pain or diarrhea.CT PE study reviewed radiologist there is no evidence of  PE heart size was noted to be the upper limit of normal but likely due to pectus  excavatum  Chest x-ray was read as negative by the radiologist  EKG shows a normal sinus rhythm with a rate of 96 no acute ST-T wave changes  troponin is less than 2.5  MEDICAL DECISION MAKING: urine drug screen is positive for amphetamines, UA is  negative for obvious signs of infection, chemistry did not show any significant  abnormalities and troponin was negative at less than 2.5 white blood count is 8.3  hemoglobin 13.8--- patient's chest pain is now resolved. She is now comfortable  for outpatient management--this patient was taking DayQuil and this can turn the  urine drug screen positive for amphetamines--patient is adamant she does not take  any amphetamines and has not taken any in the past --- CT PE study showed no PE Patient is asymptomatic with no chest pain and comfortable for outpatient  management  DIAGNOSIS:    #1 chest pain resolved  rash maybe from vaccine, prednisone and Benadryl ordered
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Carbon dioxide normal, Chest X-ray normal, Chest pain, Computerised tomogram normal, Drug level
Clinical narrative: Was leaving clinic after 1st covid vaccine and noted the following symptoms, after having waited 15 minutes after vaccination.  HISTORY OF PRESENT ILLNESS: She came in today complaining of some chest pain in  her midsternal chest that developed after receiving a covert vaccine around 9 AM. Patient was noted to have a slight rash on her back but no active urticaria or  hives. Patient denied any shortness of breath. Patient denies any nausea vomiting  abdominal pain or diarrhea.CT PE study reviewed radiologist there is no evidence of  PE heart size was noted to be the upper limit of normal but likely due to pectus  excavatum  Chest x-ray was read as negative by the radiologist  EKG shows a normal sinus rhythm with a rate of 96 no acute ST-T wave changes  troponin is less than 2.5  MEDICAL DECISION MAKING: urine drug screen is positive for amphetamines, UA is  negative for obvious signs of infection, chemistry did not show any significant  abnormalities and troponin was negative at less than 2.5 white blood count is 8.3  hemoglobin 13.8--- patient's chest pain is now resolved. She is now comfortable  for outpatient management--this patient was taking DayQuil and this can turn the  urine drug screen positive for amphetamines--patient is adamant she does not take  any amphetamines and has not taken any in the past --- CT PE study showed no PE Patient is asymptomatic with no chest pain and comfortable for outpatient  management  DIAGNOSIS:    #1 chest pain resolved  rash maybe from vaccine, prednisone and Benadryl ordered
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Eosinophil count normal, Eosinophil percentage, Glomerular filtration rate normal, Haematocrit normal
Clinical narrative: Was leaving clinic after 1st covid vaccine and noted the following symptoms, after having waited 15 minutes after vaccination.  HISTORY OF PRESENT ILLNESS: She came in today complaining of some chest pain in  her midsternal chest that developed after receiving a covert vaccine around 9 AM. Patient was noted to have a slight rash on her back but no active urticaria or  hives. Patient denied any shortness of breath. Patient denies any nausea vomiting  abdominal pain or diarrhea.CT PE study reviewed radiologist there is no evidence of  PE heart size was noted to be the upper limit of normal but likely due to pectus  excavatum  Chest x-ray was read as negative by the radiologist  EKG shows a normal sinus rhythm with a rate of 96 no acute ST-T wave changes  troponin is less than 2.5  MEDICAL DECISION MAKING: urine drug screen is positive for amphetamines, UA is  negative for obvious signs of infection, chemistry did not show any significant  abnormalities and troponin was negative at less than 2.5 white blood count is 8.3  hemoglobin 13.8--- patient's chest pain is now resolved. She is now comfortable  for outpatient management--this patient was taking DayQuil and this can turn the  urine drug screen positive for amphetamines--patient is adamant she does not take  any amphetamines and has not taken any in the past --- CT PE study showed no PE Patient is asymptomatic with no chest pain and comfortable for outpatient  management  DIAGNOSIS:    #1 chest pain resolved  rash maybe from vaccine, prednisone and Benadryl ordered
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin normal, Human chorionic gonadotropin negative, Laboratory test, Laboratory test normal, Lymphocyte count normal
Clinical narrative: Was leaving clinic after 1st covid vaccine and noted the following symptoms, after having waited 15 minutes after vaccination.  HISTORY OF PRESENT ILLNESS: She came in today complaining of some chest pain in  her midsternal chest that developed after receiving a covert vaccine around 9 AM. Patient was noted to have a slight rash on her back but no active urticaria or  hives. Patient denied any shortness of breath. Patient denies any nausea vomiting  abdominal pain or diarrhea.CT PE study reviewed radiologist there is no evidence of  PE heart size was noted to be the upper limit of normal but likely due to pectus  excavatum  Chest x-ray was read as negative by the radiologist  EKG shows a normal sinus rhythm with a rate of 96 no acute ST-T wave changes  troponin is less than 2.5  MEDICAL DECISION MAKING: urine drug screen is positive for amphetamines, UA is  negative for obvious signs of infection, chemistry did not show any significant  abnormalities and troponin was negative at less than 2.5 white blood count is 8.3  hemoglobin 13.8--- patient's chest pain is now resolved. She is now comfortable  for outpatient management--this patient was taking DayQuil and this can turn the  urine drug screen positive for amphetamines--patient is adamant she does not take  any amphetamines and has not taken any in the past --- CT PE study showed no PE Patient is asymptomatic with no chest pain and comfortable for outpatient  management  DIAGNOSIS:    #1 chest pain resolved  rash maybe from vaccine, prednisone and Benadryl ordered
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte percentage, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume increased, Mean platelet volume increased
Clinical narrative: Was leaving clinic after 1st covid vaccine and noted the following symptoms, after having waited 15 minutes after vaccination.  HISTORY OF PRESENT ILLNESS: She came in today complaining of some chest pain in  her midsternal chest that developed after receiving a covert vaccine around 9 AM. Patient was noted to have a slight rash on her back but no active urticaria or  hives. Patient denied any shortness of breath. Patient denies any nausea vomiting  abdominal pain or diarrhea.CT PE study reviewed radiologist there is no evidence of  PE heart size was noted to be the upper limit of normal but likely due to pectus  excavatum  Chest x-ray was read as negative by the radiologist  EKG shows a normal sinus rhythm with a rate of 96 no acute ST-T wave changes  troponin is less than 2.5  MEDICAL DECISION MAKING: urine drug screen is positive for amphetamines, UA is  negative for obvious signs of infection, chemistry did not show any significant  abnormalities and troponin was negative at less than 2.5 white blood count is 8.3  hemoglobin 13.8--- patient's chest pain is now resolved. She is now comfortable  for outpatient management--this patient was taking DayQuil and this can turn the  urine drug screen positive for amphetamines--patient is adamant she does not take  any amphetamines and has not taken any in the past --- CT PE study showed no PE Patient is asymptomatic with no chest pain and comfortable for outpatient  management  DIAGNOSIS:    #1 chest pain resolved  rash maybe from vaccine, prednisone and Benadryl ordered
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Monocyte count normal, Monocyte percentage, Neutrophil count normal, Neutrophil percentage, Nucleated red cells
Clinical narrative: Was leaving clinic after 1st covid vaccine and noted the following symptoms, after having waited 15 minutes after vaccination.  HISTORY OF PRESENT ILLNESS: She came in today complaining of some chest pain in  her midsternal chest that developed after receiving a covert vaccine around 9 AM. Patient was noted to have a slight rash on her back but no active urticaria or  hives. Patient denied any shortness of breath. Patient denies any nausea vomiting  abdominal pain or diarrhea.CT PE study reviewed radiologist there is no evidence of  PE heart size was noted to be the upper limit of normal but likely due to pectus  excavatum  Chest x-ray was read as negative by the radiologist  EKG shows a normal sinus rhythm with a rate of 96 no acute ST-T wave changes  troponin is less than 2.5  MEDICAL DECISION MAKING: urine drug screen is positive for amphetamines, UA is  negative for obvious signs of infection, chemistry did not show any significant  abnormalities and troponin was negative at less than 2.5 white blood count is 8.3  hemoglobin 13.8--- patient's chest pain is now resolved. She is now comfortable  for outpatient management--this patient was taking DayQuil and this can turn the  urine drug screen positive for amphetamines--patient is adamant she does not take  any amphetamines and has not taken any in the past --- CT PE study showed no PE Patient is asymptomatic with no chest pain and comfortable for outpatient  management  DIAGNOSIS:    #1 chest pain resolved  rash maybe from vaccine, prednisone and Benadryl ordered
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pectus excavatum, Platelet count normal, Protein total normal, Rash, Red blood cell count normal
Clinical narrative: Was leaving clinic after 1st covid vaccine and noted the following symptoms, after having waited 15 minutes after vaccination.  HISTORY OF PRESENT ILLNESS: She came in today complaining of some chest pain in  her midsternal chest that developed after receiving a covert vaccine around 9 AM. Patient was noted to have a slight rash on her back but no active urticaria or  hives. Patient denied any shortness of breath. Patient denies any nausea vomiting  abdominal pain or diarrhea.CT PE study reviewed radiologist there is no evidence of  PE heart size was noted to be the upper limit of normal but likely due to pectus  excavatum  Chest x-ray was read as negative by the radiologist  EKG shows a normal sinus rhythm with a rate of 96 no acute ST-T wave changes  troponin is less than 2.5  MEDICAL DECISION MAKING: urine drug screen is positive for amphetamines, UA is  negative for obvious signs of infection, chemistry did not show any significant  abnormalities and troponin was negative at less than 2.5 white blood count is 8.3  hemoglobin 13.8--- patient's chest pain is now resolved. She is now comfortable  for outpatient management--this patient was taking DayQuil and this can turn the  urine drug screen positive for amphetamines--patient is adamant she does not take  any amphetamines and has not taken any in the past --- CT PE study showed no PE Patient is asymptomatic with no chest pain and comfortable for outpatient  management  DIAGNOSIS:    #1 chest pain resolved  rash maybe from vaccine, prednisone and Benadryl ordered