chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Post-acute COVID-19 syndrome, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Pfizer Dose 1 3/19/21 (ER8730) Pfizer Dose 2 4/9/21 (EW0153) COVID Positive 8/15/21  8/15/21: The patient presents with difficulty breathing and cough.  The onset was just prior to arrival.  The course/duration of symptoms is constant.  Degree at onset moderate.  Degree at present none.  The Exacerbating factors is none.  The Relieving factors is none.  Risk factors consist of none.  Prior episodes: none.  Therapy today: beta-agonist albuterol.  Associated symptoms: cough. Patient was tested positive for COVID on Thursday August 12th, 2021 and was given the news the next day.  Patient states that he has had problems with cough, congestion trouble breathing body aches and pains due to the COVID. Patient has had both shots and is diabetic and is currently on doxycycline.  Patient states his main concern is that he is having trouble breathing.  Patient takes an albuterol inhaler and states that did not help much.  8/17/21:Patient was admitted from the ER on August 15th, 2021 with bilateral pneumonia due to post COVID syndrome. Patient states that when he would walker try to do anything exertion he would cough become short of breath very easy. The chest x-ray showed a bilateral pneumonia patient states he feels much better with IV antibiotics and breathing treatments.  Patient did not require oxygen during his hospital stay and states that he was able to walking cooperate with his treatment feels comfortable going home at this time.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Dysstasia, Headache, Impaired work ability, Injection site swelling
Clinical narrative: Severe headache, temp 102.8, diarrhea, severe body aches unable to stay up or upright for any amount of time.   Extreme pain all over the body and a five-inch swell reaction on arm at sit of injection.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Severe headache, temp 102.8, diarrhea, severe body aches unable to stay up or upright for any amount of time.   Extreme pain all over the body and a five-inch swell reaction on arm at sit of injection.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site inflammation, Injection site nodule, Injection site pruritus
Clinical narrative: Symptoms- large knot at injection site that has a red, inflamed circle (has grown from 1 inch diameter (Saturday, 11/6/21) to 3 in diameter (Sunday, 11/7/21)), that is warm to the touch and itches. Have taken ibuprofen for pain in arm (normal soreness following vaccine injections) and warm compress to reduce swelling. Headache and muscle soreness experienced on Saturday, 11/6/21, but went away with ibuprofen and rest. No fever.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Myalgia, Pain in extremity
Clinical narrative: Symptoms- large knot at injection site that has a red, inflamed circle (has grown from 1 inch diameter (Saturday, 11/6/21) to 3 in diameter (Sunday, 11/7/21)), that is warm to the touch and itches. Have taken ibuprofen for pain in arm (normal soreness following vaccine injections) and warm compress to reduce swelling. Headache and muscle soreness experienced on Saturday, 11/6/21, but went away with ibuprofen and rest. No fever.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Sore arm one hour after vaccine given.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient inadvertently received vaccine after published expiration date. Moderna analyzed batch/lot# 007B21 and advised vaccine maintained activity needed to protect against COVID-19 on date of administration. Also patient did not call in to complain of adverse event. This is administrative error without adverse event.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Hypersomnia, Injection site reaction
Clinical narrative: Headache, body, muscle and joint pain. Severe rash on stomach.  Arm where injection site was, quivering .  Fatique for 26 hours straight sleep
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Rash
Clinical narrative: Headache, body, muscle and joint pain. Severe rash on stomach.  Arm where injection site was, quivering .  Fatique for 26 hours straight sleep
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Lymphadenopathy, Pain
Clinical narrative: Body aches, chills, swollen lymph nodes injection side axillary area
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Additional Details: advised patient to try benadryl
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Feeling abnormal, Muscle spasms, Palpitations
Clinical narrative: Brain fog, dizziness, heart palpitations, increased blood pressure, Muscle spasms, ear ringing. The symptoms have not left, and continues to bother me everyday.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Brain fog, dizziness, heart palpitations, increased blood pressure, Muscle spasms, ear ringing. The symptoms have not left, and continues to bother me everyday.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Oropharyngeal pain, Rhinorrhoea, Sinus pain
Clinical narrative: Headache, Fatigue, Sinus pain, Runny nose, Sore throat.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Dizziness, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient passed out for just a few seconds   he was confused briefly   he waited here with both parents  911 was called but mom decided that they did not need to come     he was given water and they left after his parents were confident that he was fine
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain, Skin reaction, Swelling, Urticaria
Clinical narrative: About 24 hours laterI had a red welt about the size is a half dollar mild swelling. That evening, Friday, I felt achy, very tired. This continues through it the whole day on Saturday. The red area grew to about 3 times the size of what it was on Friday. I was still very tired. I was on the couch resting for about 1.5 days. Felt a little better on Sunday, arm looks the same.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph node in arm pit
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Disorientation, Headache, Injection site pain, Pain
Clinical narrative: Received vaccine at 9:30 am, began exhibiting symptoms around 7 pm. Symptoms included fever (101+ for over 12 hours), chills, full body aches and pains, sharp headache, pain at injection site, disorientation. It has now been over 28 hours since receiving the vaccine and the fever, aches, and chills are persisting.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Received vaccine at 9:30 am, began exhibiting symptoms around 7 pm. Symptoms included fever (101+ for over 12 hours), chills, full body aches and pains, sharp headache, pain at injection site, disorientation. It has now been over 28 hours since receiving the vaccine and the fever, aches, and chills are persisting.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hemiparesis, Muscular weakness, Palpitations
Clinical narrative: Patient reports 2 hours after getting her first pfizer vax in her right deltoid she began having constant right sided head and upper  extremity weakness. Reports intermittent dizziness, palpitations
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient inadvertently received vaccine after published expiration date. Moderna Company analyzed lot 007B21A and advised vaccine maintained activity necessary to protect against covid 19 on date of administration. Also patient did not call in to complain of adverse event.  This is administrative error without adverse event.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Amblyopia, Condition aggravated, Diplopia, Keratoconus, Lacrimation increased
Clinical narrative: 3 months later my right Keratoconic eye unchanged in 30 years began to tear up and became lazy leading to double vision
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Pyrexia
Clinical narrative: Chills, high fever,  fatigue
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient inadvertently received vaccine after published expiration date. Moderna Company analyzed lot 007B21A and advised vaccine maintained activity necessary to protect against covid 19 on date vaccine was administrated. Also patient did not call in to advise of adverse event.  This is administrative error without adverse event.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient inadvertently received vaccine after published expiration date of vaccine. Moderna Company analyzed lot 007B21A and advised vaccine maintained activity needed to protect against covid 19 at date vaccine was administered. Also patient did not call in to advise of adverse event.
Age: 62.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Atrial fibrillation, Blood test, Culture stool, Laboratory test, Migraine
Clinical narrative: Received 2nd dose 10/22,  On 10/27 (5 days post shot) experienced sever sciatica left leg to foot (never had before) followed by high fever 102.5 and sever migraine headaches.    These symptoms worsened for several days.  On 10/31 responded to Urgent care.  Among other thing they uncovered that I was in A-Fib (never had that before).  Urgent care sent me to Emerg. room for eval.   Emerg Room doctors admitted me for testing and observation.  On my 2nd day in isolation developed full body rashes (head to toe.  Spent 5 days in isolation room and received every test possible.  Blood, Urine, Stool, Sputum.  Blood and urine tests repeated many many times.  Blood tested for every possible cause but nothing detected. Rashes and sciatica has subsided. Sever Migraine Headaches continue as to the date of this report !!!!!!
Age: 62.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Productive cough, Pyrexia, Rash, Sciatica, Sputum test
Clinical narrative: Received 2nd dose 10/22,  On 10/27 (5 days post shot) experienced sever sciatica left leg to foot (never had before) followed by high fever 102.5 and sever migraine headaches.    These symptoms worsened for several days.  On 10/31 responded to Urgent care.  Among other thing they uncovered that I was in A-Fib (never had that before).  Urgent care sent me to Emerg. room for eval.   Emerg Room doctors admitted me for testing and observation.  On my 2nd day in isolation developed full body rashes (head to toe.  Spent 5 days in isolation room and received every test possible.  Blood, Urine, Stool, Sputum.  Blood and urine tests repeated many many times.  Blood tested for every possible cause but nothing detected. Rashes and sciatica has subsided. Sever Migraine Headaches continue as to the date of this report !!!!!!
Age: 62.0
Sex: M
Vaccine: COVID19, FLUA4
Symptoms: Urine analysis
Clinical narrative: Received 2nd dose 10/22,  On 10/27 (5 days post shot) experienced sever sciatica left leg to foot (never had before) followed by high fever 102.5 and sever migraine headaches.    These symptoms worsened for several days.  On 10/31 responded to Urgent care.  Among other thing they uncovered that I was in A-Fib (never had that before).  Urgent care sent me to Emerg. room for eval.   Emerg Room doctors admitted me for testing and observation.  On my 2nd day in isolation developed full body rashes (head to toe.  Spent 5 days in isolation room and received every test possible.  Blood, Urine, Stool, Sputum.  Blood and urine tests repeated many many times.  Blood tested for every possible cause but nothing detected. Rashes and sciatica has subsided. Sever Migraine Headaches continue as to the date of this report !!!!!!
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Mydriasis, Pallor, Respiratory arrest, Syncope
Clinical narrative: Patient received her immunization and within 5 minutes collapsed and stopped breathing. When she began breathing again she was very pale and complained of abdominal pain and had dilated pupils. After a few more minutes of observation and drinking orange juice she began feeling fine again and had no abnormal chest or heart sounds.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood test, Cardiac monitoring, Chest discomfort, Dizziness
Clinical narrative: My heart beats so hard it feels like it is going to beat out of my chest. I can hear my heart beat all the time. I also experience pulsatile tinnitus along with whooshing sounds in my ear. Had many moments that when my heart is beating hard and I have difficulty breathing, I also experience numbness in my arms and tingling in my hands, feet, and sometimes elsewhere. Chest always feels tight, along with a lot of pressure and a feeling like food is stuck in my esophagus and need to have a big burp to give me relief, which doesn?t happen. Breathing always feels restricted; it feels like I do not get enough air. My calves hurt here and there no matter the position or what am I doing. I feel drained of energy all the time and my sleep is no longer refreshing. I cannot do any basic physical activity anymore, such as walking my dog, or going grocery shopping, because my heart starts beating very hard along with feeling like I?m going to faint. All of these also interfere with sleep, making everything much worse.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Electrocardiogram, Eructation, Exercise tolerance decreased, Hypoaesthesia
Clinical narrative: My heart beats so hard it feels like it is going to beat out of my chest. I can hear my heart beat all the time. I also experience pulsatile tinnitus along with whooshing sounds in my ear. Had many moments that when my heart is beating hard and I have difficulty breathing, I also experience numbness in my arms and tingling in my hands, feet, and sometimes elsewhere. Chest always feels tight, along with a lot of pressure and a feeling like food is stuck in my esophagus and need to have a big burp to give me relief, which doesn?t happen. Breathing always feels restricted; it feels like I do not get enough air. My calves hurt here and there no matter the position or what am I doing. I feel drained of energy all the time and my sleep is no longer refreshing. I cannot do any basic physical activity anymore, such as walking my dog, or going grocery shopping, because my heart starts beating very hard along with feeling like I?m going to faint. All of these also interfere with sleep, making everything much worse.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Loss of personal independence in daily activities, Pain in extremity, Palpitations, Paraesthesia, Poor quality sleep
Clinical narrative: My heart beats so hard it feels like it is going to beat out of my chest. I can hear my heart beat all the time. I also experience pulsatile tinnitus along with whooshing sounds in my ear. Had many moments that when my heart is beating hard and I have difficulty breathing, I also experience numbness in my arms and tingling in my hands, feet, and sometimes elsewhere. Chest always feels tight, along with a lot of pressure and a feeling like food is stuck in my esophagus and need to have a big burp to give me relief, which doesn?t happen. Breathing always feels restricted; it feels like I do not get enough air. My calves hurt here and there no matter the position or what am I doing. I feel drained of energy all the time and my sleep is no longer refreshing. I cannot do any basic physical activity anymore, such as walking my dog, or going grocery shopping, because my heart starts beating very hard along with feeling like I?m going to faint. All of these also interfere with sleep, making everything much worse.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sensation of foreign body, Tinnitus
Clinical narrative: My heart beats so hard it feels like it is going to beat out of my chest. I can hear my heart beat all the time. I also experience pulsatile tinnitus along with whooshing sounds in my ear. Had many moments that when my heart is beating hard and I have difficulty breathing, I also experience numbness in my arms and tingling in my hands, feet, and sometimes elsewhere. Chest always feels tight, along with a lot of pressure and a feeling like food is stuck in my esophagus and need to have a big burp to give me relief, which doesn?t happen. Breathing always feels restricted; it feels like I do not get enough air. My calves hurt here and there no matter the position or what am I doing. I feel drained of energy all the time and my sleep is no longer refreshing. I cannot do any basic physical activity anymore, such as walking my dog, or going grocery shopping, because my heart starts beating very hard along with feeling like I?m going to faint. All of these also interfere with sleep, making everything much worse.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time normal, Angiogram cerebral normal, Angiogram normal, Angiogram pulmonary normal, Anion gap normal
Clinical narrative: Numbness starting in right arm progressing to severe pain causing unconsciousness similar stroke/heart attack.  911 was called.  Full body tremors (not chills) developed shorty after making it difficult to walk and talk that progresses to severe pain in both arms.   Transported to ER.  Eventually tremors subsided and pain progressed to numbness and was discharged from ER.  "Bilateral arm pain Diagnosis management comments: 44yo F presenting with b/l forearm/hand tingling.  Patient's neurological exam had no focal deficits.  Patient is well-appearing.  His recent admission.  Patient had a cardiac echo which was unremarkable, EF was normal, 55-60% with no WMA. CTA head and neck was negative. CTA chest tonight was normal and CT head was normal. At this time, paitent is ok for dc home. I do not suspect a stroke as the cause of his bilateral upper extremity paresthesia - this could be due to peripheral neuropathy vs vaccine side effect. His syncope could be vasovagal given his hx. Vitals are normal. Plan is for dc home. Return precautions/fu instructions reviewed."
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Basophil count decreased, Basophil percentage, Blood calcium normal, Blood chloride normal
Clinical narrative: Numbness starting in right arm progressing to severe pain causing unconsciousness similar stroke/heart attack.  911 was called.  Full body tremors (not chills) developed shorty after making it difficult to walk and talk that progresses to severe pain in both arms.   Transported to ER.  Eventually tremors subsided and pain progressed to numbness and was discharged from ER.  "Bilateral arm pain Diagnosis management comments: 44yo F presenting with b/l forearm/hand tingling.  Patient's neurological exam had no focal deficits.  Patient is well-appearing.  His recent admission.  Patient had a cardiac echo which was unremarkable, EF was normal, 55-60% with no WMA. CTA head and neck was negative. CTA chest tonight was normal and CT head was normal. At this time, paitent is ok for dc home. I do not suspect a stroke as the cause of his bilateral upper extremity paresthesia - this could be due to peripheral neuropathy vs vaccine side effect. His syncope could be vasovagal given his hx. Vitals are normal. Plan is for dc home. Return precautions/fu instructions reviewed."
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood glucose normal, Blood magnesium normal, Blood potassium normal, Blood sodium normal
Clinical narrative: Numbness starting in right arm progressing to severe pain causing unconsciousness similar stroke/heart attack.  911 was called.  Full body tremors (not chills) developed shorty after making it difficult to walk and talk that progresses to severe pain in both arms.   Transported to ER.  Eventually tremors subsided and pain progressed to numbness and was discharged from ER.  "Bilateral arm pain Diagnosis management comments: 44yo F presenting with b/l forearm/hand tingling.  Patient's neurological exam had no focal deficits.  Patient is well-appearing.  His recent admission.  Patient had a cardiac echo which was unremarkable, EF was normal, 55-60% with no WMA. CTA head and neck was negative. CTA chest tonight was normal and CT head was normal. At this time, paitent is ok for dc home. I do not suspect a stroke as the cause of his bilateral upper extremity paresthesia - this could be due to peripheral neuropathy vs vaccine side effect. His syncope could be vasovagal given his hx. Vitals are normal. Plan is for dc home. Return precautions/fu instructions reviewed."
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea normal, Carbon dioxide normal, Computerised tomogram head normal, Differential white blood cell count abnormal, Echocardiogram normal
Clinical narrative: Numbness starting in right arm progressing to severe pain causing unconsciousness similar stroke/heart attack.  911 was called.  Full body tremors (not chills) developed shorty after making it difficult to walk and talk that progresses to severe pain in both arms.   Transported to ER.  Eventually tremors subsided and pain progressed to numbness and was discharged from ER.  "Bilateral arm pain Diagnosis management comments: 44yo F presenting with b/l forearm/hand tingling.  Patient's neurological exam had no focal deficits.  Patient is well-appearing.  His recent admission.  Patient had a cardiac echo which was unremarkable, EF was normal, 55-60% with no WMA. CTA head and neck was negative. CTA chest tonight was normal and CT head was normal. At this time, paitent is ok for dc home. I do not suspect a stroke as the cause of his bilateral upper extremity paresthesia - this could be due to peripheral neuropathy vs vaccine side effect. His syncope could be vasovagal given his hx. Vitals are normal. Plan is for dc home. Return precautions/fu instructions reviewed."
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Ejection fraction normal, Eosinophil count decreased, Eosinophil percentage, Full blood count abnormal, Gait disturbance
Clinical narrative: Numbness starting in right arm progressing to severe pain causing unconsciousness similar stroke/heart attack.  911 was called.  Full body tremors (not chills) developed shorty after making it difficult to walk and talk that progresses to severe pain in both arms.   Transported to ER.  Eventually tremors subsided and pain progressed to numbness and was discharged from ER.  "Bilateral arm pain Diagnosis management comments: 44yo F presenting with b/l forearm/hand tingling.  Patient's neurological exam had no focal deficits.  Patient is well-appearing.  His recent admission.  Patient had a cardiac echo which was unremarkable, EF was normal, 55-60% with no WMA. CTA head and neck was negative. CTA chest tonight was normal and CT head was normal. At this time, paitent is ok for dc home. I do not suspect a stroke as the cause of his bilateral upper extremity paresthesia - this could be due to peripheral neuropathy vs vaccine side effect. His syncope could be vasovagal given his hx. Vitals are normal. Plan is for dc home. Return precautions/fu instructions reviewed."
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Glomerular filtration rate normal, Haematocrit normal, Haemoglobin normal, Hypoaesthesia, International normalised ratio normal
Clinical narrative: Numbness starting in right arm progressing to severe pain causing unconsciousness similar stroke/heart attack.  911 was called.  Full body tremors (not chills) developed shorty after making it difficult to walk and talk that progresses to severe pain in both arms.   Transported to ER.  Eventually tremors subsided and pain progressed to numbness and was discharged from ER.  "Bilateral arm pain Diagnosis management comments: 44yo F presenting with b/l forearm/hand tingling.  Patient's neurological exam had no focal deficits.  Patient is well-appearing.  His recent admission.  Patient had a cardiac echo which was unremarkable, EF was normal, 55-60% with no WMA. CTA head and neck was negative. CTA chest tonight was normal and CT head was normal. At this time, paitent is ok for dc home. I do not suspect a stroke as the cause of his bilateral upper extremity paresthesia - this could be due to peripheral neuropathy vs vaccine side effect. His syncope could be vasovagal given his hx. Vitals are normal. Plan is for dc home. Return precautions/fu instructions reviewed."
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Loss of consciousness, Lymphocyte count, Lymphocyte percentage, Mean cell haemoglobin concentration normal
Clinical narrative: Numbness starting in right arm progressing to severe pain causing unconsciousness similar stroke/heart attack.  911 was called.  Full body tremors (not chills) developed shorty after making it difficult to walk and talk that progresses to severe pain in both arms.   Transported to ER.  Eventually tremors subsided and pain progressed to numbness and was discharged from ER.  "Bilateral arm pain Diagnosis management comments: 44yo F presenting with b/l forearm/hand tingling.  Patient's neurological exam had no focal deficits.  Patient is well-appearing.  His recent admission.  Patient had a cardiac echo which was unremarkable, EF was normal, 55-60% with no WMA. CTA head and neck was negative. CTA chest tonight was normal and CT head was normal. At this time, paitent is ok for dc home. I do not suspect a stroke as the cause of his bilateral upper extremity paresthesia - this could be due to peripheral neuropathy vs vaccine side effect. His syncope could be vasovagal given his hx. Vitals are normal. Plan is for dc home. Return precautions/fu instructions reviewed."
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume normal, Metabolic function test, Monocyte count
Clinical narrative: Numbness starting in right arm progressing to severe pain causing unconsciousness similar stroke/heart attack.  911 was called.  Full body tremors (not chills) developed shorty after making it difficult to walk and talk that progresses to severe pain in both arms.   Transported to ER.  Eventually tremors subsided and pain progressed to numbness and was discharged from ER.  "Bilateral arm pain Diagnosis management comments: 44yo F presenting with b/l forearm/hand tingling.  Patient's neurological exam had no focal deficits.  Patient is well-appearing.  His recent admission.  Patient had a cardiac echo which was unremarkable, EF was normal, 55-60% with no WMA. CTA head and neck was negative. CTA chest tonight was normal and CT head was normal. At this time, paitent is ok for dc home. I do not suspect a stroke as the cause of his bilateral upper extremity paresthesia - this could be due to peripheral neuropathy vs vaccine side effect. His syncope could be vasovagal given his hx. Vitals are normal. Plan is for dc home. Return precautions/fu instructions reviewed."
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Monocyte percentage, Neurological examination normal, Neutrophil count, Neutrophil percentage, Pain in extremity
Clinical narrative: Numbness starting in right arm progressing to severe pain causing unconsciousness similar stroke/heart attack.  911 was called.  Full body tremors (not chills) developed shorty after making it difficult to walk and talk that progresses to severe pain in both arms.   Transported to ER.  Eventually tremors subsided and pain progressed to numbness and was discharged from ER.  "Bilateral arm pain Diagnosis management comments: 44yo F presenting with b/l forearm/hand tingling.  Patient's neurological exam had no focal deficits.  Patient is well-appearing.  His recent admission.  Patient had a cardiac echo which was unremarkable, EF was normal, 55-60% with no WMA. CTA head and neck was negative. CTA chest tonight was normal and CT head was normal. At this time, paitent is ok for dc home. I do not suspect a stroke as the cause of his bilateral upper extremity paresthesia - this could be due to peripheral neuropathy vs vaccine side effect. His syncope could be vasovagal given his hx. Vitals are normal. Plan is for dc home. Return precautions/fu instructions reviewed."
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Platelet count normal, Prothrombin time normal, Red blood cell count decreased, Red cell distribution width normal
Clinical narrative: Numbness starting in right arm progressing to severe pain causing unconsciousness similar stroke/heart attack.  911 was called.  Full body tremors (not chills) developed shorty after making it difficult to walk and talk that progresses to severe pain in both arms.   Transported to ER.  Eventually tremors subsided and pain progressed to numbness and was discharged from ER.  "Bilateral arm pain Diagnosis management comments: 44yo F presenting with b/l forearm/hand tingling.  Patient's neurological exam had no focal deficits.  Patient is well-appearing.  His recent admission.  Patient had a cardiac echo which was unremarkable, EF was normal, 55-60% with no WMA. CTA head and neck was negative. CTA chest tonight was normal and CT head was normal. At this time, paitent is ok for dc home. I do not suspect a stroke as the cause of his bilateral upper extremity paresthesia - this could be due to peripheral neuropathy vs vaccine side effect. His syncope could be vasovagal given his hx. Vitals are normal. Plan is for dc home. Return precautions/fu instructions reviewed."
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Speech disorder, Syncope, Tremor, Troponin T normal, White blood cell count normal
Clinical narrative: Numbness starting in right arm progressing to severe pain causing unconsciousness similar stroke/heart attack.  911 was called.  Full body tremors (not chills) developed shorty after making it difficult to walk and talk that progresses to severe pain in both arms.   Transported to ER.  Eventually tremors subsided and pain progressed to numbness and was discharged from ER.  "Bilateral arm pain Diagnosis management comments: 44yo F presenting with b/l forearm/hand tingling.  Patient's neurological exam had no focal deficits.  Patient is well-appearing.  His recent admission.  Patient had a cardiac echo which was unremarkable, EF was normal, 55-60% with no WMA. CTA head and neck was negative. CTA chest tonight was normal and CT head was normal. At this time, paitent is ok for dc home. I do not suspect a stroke as the cause of his bilateral upper extremity paresthesia - this could be due to peripheral neuropathy vs vaccine side effect. His syncope could be vasovagal given his hx. Vitals are normal. Plan is for dc home. Return precautions/fu instructions reviewed."
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pain, Migraine
Clinical narrative: Piercing pain in right eye and migraine pain
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood test normal, Chest X-ray normal, Chills, Electrocardiogram normal
Clinical narrative: I originally received the J&J vaccine in March 2021 and had no side effects. My family is traveling to  in December so my husband and I went to receive our booster shots.  Moderna was available and we went to a local pharmacy  to get that booster The following day I experienced the usual reported side effects - headache, nausea, vomiting/dry heaves, fever (101.4) and chills. Then I started to experience extremely high blood pressure (while I had fainted twice in the previous week because my BP was too low - around 70/50 it was then presenting at 200+/100+),extreme anxiety, uncontrollable shaking (my doctor told me it was called psychogenic movement disorder as a result of extremely high anxiety. If these had been reported side effects, I may not have gone to the emergency room, as at the time I was unemployed.At the time I was admitted my BP was 208/108.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypertension, Hypotension, Nausea, Psychogenic movement disorder
Clinical narrative: I originally received the J&J vaccine in March 2021 and had no side effects. My family is traveling to  in December so my husband and I went to receive our booster shots.  Moderna was available and we went to a local pharmacy  to get that booster The following day I experienced the usual reported side effects - headache, nausea, vomiting/dry heaves, fever (101.4) and chills. Then I started to experience extremely high blood pressure (while I had fainted twice in the previous week because my BP was too low - around 70/50 it was then presenting at 200+/100+),extreme anxiety, uncontrollable shaking (my doctor told me it was called psychogenic movement disorder as a result of extremely high anxiety. If these had been reported side effects, I may not have gone to the emergency room, as at the time I was unemployed.At the time I was admitted my BP was 208/108.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Retching, Syncope, Tremor, Vomiting
Clinical narrative: I originally received the J&J vaccine in March 2021 and had no side effects. My family is traveling to  in December so my husband and I went to receive our booster shots.  Moderna was available and we went to a local pharmacy  to get that booster The following day I experienced the usual reported side effects - headache, nausea, vomiting/dry heaves, fever (101.4) and chills. Then I started to experience extremely high blood pressure (while I had fainted twice in the previous week because my BP was too low - around 70/50 it was then presenting at 200+/100+),extreme anxiety, uncontrollable shaking (my doctor told me it was called psychogenic movement disorder as a result of extremely high anxiety. If these had been reported side effects, I may not have gone to the emergency room, as at the time I was unemployed.At the time I was admitted my BP was 208/108.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient inadvertently received vaccine after published expiration date of vaccine. Moderna Company analyzed lot 007B21A and advised vaccine maintained activity necessary to protect against covid 19 on date of administration of vaccine. Also patient did not call in to complain of adverse event.  This is administrative error without adverse event.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Intense rash on neck and chest a few hours after receiving the dose. Later on throughout the week, smaller less intense rashes appeared all over my body, causing my body to be itchy.
Age: 22.0
Sex: M
Vaccine: FLU4, TDAP
Symptoms: Immune thrombocytopenia, Immunoglobulin therapy, Platelet count decreased, Thrombocytopenia
Clinical narrative: Severe thrombocytopenia PLT 4K requiring hospitalization for several days.   Dx'd with ITP requiring steroids and IV IG
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph nodes on the back of the head.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Fatigue, Malaise, Pain in extremity, Pyrexia
Clinical narrative: I received the vaccine while 28 weeks pregnant with twins. This is my second pregnancy, I had one prior pregnancy that resulted in a first trimester miscarriage. I received the shot in my left arm and after a few hours experienced arm soreness. That evening I developed a fever which I treated with Tylenol. The fever persisted through the following day, accompanied with fatigue, but was managed with Tylenol. I believe the max fever reached a little over 102 degrees. I spent the day in bed. By the morning of the 3rd, 2 days after the vaccine I felt basically back to normal, with a very low grade fever in the morning only. Arm remained tender to the touch through Nov 6th. I have felt the babies both moving consistently since vaccination, though maybe decreased while I was feeling ill. Note: I previously tested positive for COVID at the end of July 2021. COVID illness resulted in two trips to the ER for nausea and dehydration. Initial positive test was 7/22/21 and I tested negative on 8/4/21 (though I still had some respiratory issues with breathing during light activity.)
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: I received the vaccine while 28 weeks pregnant with twins. This is my second pregnancy, I had one prior pregnancy that resulted in a first trimester miscarriage. I received the shot in my left arm and after a few hours experienced arm soreness. That evening I developed a fever which I treated with Tylenol. The fever persisted through the following day, accompanied with fatigue, but was managed with Tylenol. I believe the max fever reached a little over 102 degrees. I spent the day in bed. By the morning of the 3rd, 2 days after the vaccine I felt basically back to normal, with a very low grade fever in the morning only. Arm remained tender to the touch through Nov 6th. I have felt the babies both moving consistently since vaccination, though maybe decreased while I was feeling ill. Note: I previously tested positive for COVID at the end of July 2021. COVID illness resulted in two trips to the ER for nausea and dehydration. Initial positive test was 7/22/21 and I tested negative on 8/4/21 (though I still had some respiratory issues with breathing during light activity.)
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Lymphadenopathy
Clinical narrative: Significantly swollen lymph nodes in arm pit of right arm. Started 24 hours after receiving booster shot.
Age: 67.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Chills, Mental status changes, Pyrexia
Clinical narrative: Reports of high fever and chills as well as mental status changes within 24 hours of vaccine. Patient was administered ibuprofen at home and seemed to reduce symptoms. Today patient states she is still chilling but has improved
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient inadvertently received vaccine after published expiration date. Moderna Company analyzed lot 007B21A and advised vaccine maintained activity necessary to protect against covid 19 on date vaccine was administered. Also patient did not call in to complain  of adverse event.This is administrative error  without adverse event.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urine present, Feeling cold, Pain, Pyrexia
Clinical narrative: Fever of 100-ish, body aches, chills, blood in urine-all same day onset around 6-7:00 pm
Age: 53.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Abdominal pain, Bandaemia, Blood bilirubin increased, Blood creatinine increased, Blood lactic acid increased
Clinical narrative: nausea and vomiting starting 2 days later with abdominal pain.   Presented 4 days later to the ER, for nausea, vomiting, dehydration.  He was found to be hypotensive, tachycardic.
Age: 53.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Computerised tomogram abdomen abnormal, Condition aggravated, Dehydration, Diverticulitis, Hypotension
Clinical narrative: nausea and vomiting starting 2 days later with abdominal pain.   Presented 4 days later to the ER, for nausea, vomiting, dehydration.  He was found to be hypotensive, tachycardic.
Age: 53.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Nausea, Tachycardia, Vomiting, White blood cell count increased
Clinical narrative: nausea and vomiting starting 2 days later with abdominal pain.   Presented 4 days later to the ER, for nausea, vomiting, dehydration.  He was found to be hypotensive, tachycardic.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Fatigue, Nausea, Pyrexia
Clinical narrative: Nausea- 2-3 days Fever above 100° for 2 and 1/2 days (note: highest 103° Chills Tight chest General blahs Tired Sleeping
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: Nausea- 2-3 days Fever above 100° for 2 and 1/2 days (note: highest 103° Chills Tight chest General blahs Tired Sleeping
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient inadvertently received vaccine after published expiration date. Moderna Company analyzed vaccine and advised lot 007B21A maintained activity necessary to protect against covid 19. on date of administration of Vaccine. Also patient  did not call in to  complain of adverse event.  This is administrative error without adverse event.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient inadvertently received vaccine after published expiration date. Moderna Company analyzed lot 007B21A and advied vaccine maintained activity necessary to protect against covid 19 on the day the vaccine was administered. Also patient did not call in to complain of adverse event.  This is administrative error without adverse event.
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Fever, shivers, headache. Lasted about 36 hours
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient inadvertently received vaccine after published expiration date. Moderna Company analyzed lot 007B21A and advised vaccine maintained activity needed to protect against covid 19  date vaccine administered. Patient also did not call in with complaint of adverse event.  This is administrative error without adverse event.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Aortic valve repair, Bacteraemia, C-reactive protein increased, Cardioversion, Chest tube insertion
Clinical narrative: She started getting symptoms she thought were side effects the day after her injection.  She ended up being admitted to the hospital a week later on 7/9/21 febrile with bacteremia (MSSA positive) septic emboli and thrombocytopenia. She has since had complications of pulmonary embolism and right empyema s/p mechanical thrombectomy and chest tube placement. Now s/p pacing lead and generator removal due to infection (7/30), cardioversion 08/12, pulmonary thrombectomy 8/24, removal of infected teeth 9/9,  with initial improvement of fever and again became febrile with increasing WBC and CRP.  On  9/13/21, she underwent redo sternotomy with removal of vegetations from TV, PV, and pulmonary arteies, as well as replacement of TV, RVOT, and PV with bioprosthetic valve replacements and patch material, along with repair (RA, left brachiocephalic vein and ascending aorta) with bovine pericardial patches. She was discharged 9/23
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Empyema, Infection, Medical device removal, Pericardial repair, Post procedural complication
Clinical narrative: She started getting symptoms she thought were side effects the day after her injection.  She ended up being admitted to the hospital a week later on 7/9/21 febrile with bacteremia (MSSA positive) septic emboli and thrombocytopenia. She has since had complications of pulmonary embolism and right empyema s/p mechanical thrombectomy and chest tube placement. Now s/p pacing lead and generator removal due to infection (7/30), cardioversion 08/12, pulmonary thrombectomy 8/24, removal of infected teeth 9/9,  with initial improvement of fever and again became febrile with increasing WBC and CRP.  On  9/13/21, she underwent redo sternotomy with removal of vegetations from TV, PV, and pulmonary arteies, as well as replacement of TV, RVOT, and PV with bioprosthetic valve replacements and patch material, along with repair (RA, left brachiocephalic vein and ascending aorta) with bovine pericardial patches. She was discharged 9/23
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Prosthetic vessel implantation, Pulmonary embolism, Pyrexia, Septic embolus, Staphylococcus test positive
Clinical narrative: She started getting symptoms she thought were side effects the day after her injection.  She ended up being admitted to the hospital a week later on 7/9/21 febrile with bacteremia (MSSA positive) septic emboli and thrombocytopenia. She has since had complications of pulmonary embolism and right empyema s/p mechanical thrombectomy and chest tube placement. Now s/p pacing lead and generator removal due to infection (7/30), cardioversion 08/12, pulmonary thrombectomy 8/24, removal of infected teeth 9/9,  with initial improvement of fever and again became febrile with increasing WBC and CRP.  On  9/13/21, she underwent redo sternotomy with removal of vegetations from TV, PV, and pulmonary arteies, as well as replacement of TV, RVOT, and PV with bioprosthetic valve replacements and patch material, along with repair (RA, left brachiocephalic vein and ascending aorta) with bovine pericardial patches. She was discharged 9/23
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Sternotomy, Thrombectomy, Thrombocytopenia, Tooth extraction, Tooth infection
Clinical narrative: She started getting symptoms she thought were side effects the day after her injection.  She ended up being admitted to the hospital a week later on 7/9/21 febrile with bacteremia (MSSA positive) septic emboli and thrombocytopenia. She has since had complications of pulmonary embolism and right empyema s/p mechanical thrombectomy and chest tube placement. Now s/p pacing lead and generator removal due to infection (7/30), cardioversion 08/12, pulmonary thrombectomy 8/24, removal of infected teeth 9/9,  with initial improvement of fever and again became febrile with increasing WBC and CRP.  On  9/13/21, she underwent redo sternotomy with removal of vegetations from TV, PV, and pulmonary arteies, as well as replacement of TV, RVOT, and PV with bioprosthetic valve replacements and patch material, along with repair (RA, left brachiocephalic vein and ascending aorta) with bovine pericardial patches. She was discharged 9/23
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Tricuspid valve replacement, Venous repair, Ventricular tachycardia, White blood cell count increased
Clinical narrative: She started getting symptoms she thought were side effects the day after her injection.  She ended up being admitted to the hospital a week later on 7/9/21 febrile with bacteremia (MSSA positive) septic emboli and thrombocytopenia. She has since had complications of pulmonary embolism and right empyema s/p mechanical thrombectomy and chest tube placement. Now s/p pacing lead and generator removal due to infection (7/30), cardioversion 08/12, pulmonary thrombectomy 8/24, removal of infected teeth 9/9,  with initial improvement of fever and again became febrile with increasing WBC and CRP.  On  9/13/21, she underwent redo sternotomy with removal of vegetations from TV, PV, and pulmonary arteies, as well as replacement of TV, RVOT, and PV with bioprosthetic valve replacements and patch material, along with repair (RA, left brachiocephalic vein and ascending aorta) with bovine pericardial patches. She was discharged 9/23
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Neck pain, Pain in extremity
Clinical narrative: LASTING PAIN IN ARM,SHOULDER AND NECK
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site cellulitis
Clinical narrative: cellulitis at injection site
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Blood test, Chest X-ray, Condition aggravated, Cough
Clinical narrative: I ended up in the emergency room on 11/5 with a severe asthma attack and cough which hasn't happened to me in over 5 years. I have been in remission from any attacks.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Headache, Hyperhidrosis
Clinical narrative: Uncontrollable shivering, sweating, dizziness upon standing 10:30pm - 4:30am. 24 hours after injection - exhaustion, headache, body ache, left arm and left breast itching; Day 3 - still tired, arm itches a little, but much better. NOTE: I reacted the same way but worse and longer with my second dose of Moderna.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pruritus
Clinical narrative: Uncontrollable shivering, sweating, dizziness upon standing 10:30pm - 4:30am. 24 hours after injection - exhaustion, headache, body ache, left arm and left breast itching; Day 3 - still tired, arm itches a little, but much better. NOTE: I reacted the same way but worse and longer with my second dose of Moderna.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: Dizziness, faint