chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nausea, Pallor, Peripheral coldness, Seizure
Clinical narrative: Pt c/o "not feeling well" about 5 minutes after receiving Janssen Covid-19 vaccine on 03/24/2021 at 10:17am. I immediately ran to her car. She was responsive but very pale. She c/o nausea, laid back in care seat and looked to have seizure activity, pulling her left arm up her chest and biting her lip. This lasted several seconds then pt was A&O and in NAD. I yelled to nurse to call 911 and get other provider. HE arrived in 2 minutes. He checked pt's pulse and reported it to be weak and thready. He reported her O2 sat was 83%, but her hands were ice cold. Pt was still answering out questions at this point with no breathing difficulties. PA reported O2 sat back up to 93%. Pt's BP 122/62, HR 100 and RR 20.  EMS paramedics arrived in 5 mins. Pt A&O x3 with paramedics and refused transport to local hospital ER for further evaluation and treatment. Paramedics confirmed pt was AMA. Our nurse dialed pt's husband on her cell phone. Pt talked to husband and told him to come get her.  Pt was able to move from driver's seat to passenger seat. Her husband picked her up 30 mins later. I continued to check on pt until her husband arrived. Pt remained A&O x3 with NAD.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Incorrect route of product administration, No adverse event, Pain in extremity
Clinical narrative: No adverse event.  But injection was administered posterior to the center of the deltoid.  It is not clear that it entered the muscle. Patient had some arm pain (now resolved) and had 2 days of typical post-COVID-vaccine symptoms (fatigue -- now resolved)
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Hypoaesthesia, Hypoaesthesia oral, Peripheral coldness
Clinical narrative: Dizziness, numbness in face, tongue, and throat feeling tight.  4:00 PM  Vital Signs: BP 116/78 HR 40 O2Sat 97%  Skin Signs: Diaphoretic, Other - Cool fingers  Circulation: Cap Refill <2sec  Respiratory: Breath sound clear bilaterally  Initial Treatment:  Approx 10 min after vaccine, tongue and lips began to feel slightly numb. Briefly a little dizzy, but that soon passed. Taken to triage at 4:05 PM when numbness increased.  4:15 PM Vital Signs: BP 124/76 HR 66 O2Sat 98%  Skin Signs: Cool and dry  Circulation: Cap refill <2sec  Respiratory: Breath sound clear bilaterally  4:30 PM Vital Signs: HR 69 O2Sat 96%  Skin Signs: Cool and dry  4:40 PM  Vital Signs: BP 130/78 HR 67 O2Sat 99%  Notes:  Decision made to call husband to transport to hospital. Face and tongue feeling worse. 5:00 PM Vital Signs: BP 132/80 HR 62 O2Sat 99%  Sent to ER with husband 5:10 PM 04/14/2021: 11:45 AM: Follow up phone call to patient. Doing very well today. Stated she was observed in ER for 1 hour last night. Symptoms gradually subsided over 4 hours. No treatment needed.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Dizziness, numbness in face, tongue, and throat feeling tight.  4:00 PM  Vital Signs: BP 116/78 HR 40 O2Sat 97%  Skin Signs: Diaphoretic, Other - Cool fingers  Circulation: Cap Refill <2sec  Respiratory: Breath sound clear bilaterally  Initial Treatment:  Approx 10 min after vaccine, tongue and lips began to feel slightly numb. Briefly a little dizzy, but that soon passed. Taken to triage at 4:05 PM when numbness increased.  4:15 PM Vital Signs: BP 124/76 HR 66 O2Sat 98%  Skin Signs: Cool and dry  Circulation: Cap refill <2sec  Respiratory: Breath sound clear bilaterally  4:30 PM Vital Signs: HR 69 O2Sat 96%  Skin Signs: Cool and dry  4:40 PM  Vital Signs: BP 130/78 HR 67 O2Sat 99%  Notes:  Decision made to call husband to transport to hospital. Face and tongue feeling worse. 5:00 PM Vital Signs: BP 132/80 HR 62 O2Sat 99%  Sent to ER with husband 5:10 PM 04/14/2021: 11:45 AM: Follow up phone call to patient. Doing very well today. Stated she was observed in ER for 1 hour last night. Symptoms gradually subsided over 4 hours. No treatment needed.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Thrombosis
Clinical narrative: On April 11, 2021, patient passed a sizeable blood clot and has experienced labored breathing.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrointestinal haemorrhage, Gastrointestinal vascular malformation haemorrhagic, Haemorrhagic disorder, Mental status changes, Muscular weakness
Clinical narrative: GI Bleed Anticoagulant adverse reaction, initial encounter ALTERED MENTAL STATUS EXTREMITY WEAKNESS Angiodysplasia of colon with hemorrhage
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient may have received a vaccine dose that was not viable. The dose may have been at ambient  room temperature beyond the manufactures recomended time period. Currently monitoring all patients, as to possible outcomes. Plan to offer quantitative antibody titer testing, to attempt to verify if there is a need to offer another vaccine dose.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Myalgia, Rash macular, SARS-CoV-2 test negative
Clinical narrative: Got chills, muscle aches, headache, hives on day shot administered. 12 days later started seeing defined red and purple splotches, started on hands and palms, spread over my entire body over the next 2 days.  Splotches were dark purple.  Went to clinic, they were unsure of the cause.  Waited a day and then went to another clinic where they thought it might be Coxsackievirus, except there were no sores in the mouth and the splotches were on the palms and pads of the feet.  The splotches faded over the next 2 weeks, the last place they were visible were on the upper arm,  torso and thighs.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Streptococcus test, Urticaria
Clinical narrative: Got chills, muscle aches, headache, hives on day shot administered. 12 days later started seeing defined red and purple splotches, started on hands and palms, spread over my entire body over the next 2 days.  Splotches were dark purple.  Went to clinic, they were unsure of the cause.  Waited a day and then went to another clinic where they thought it might be Coxsackievirus, except there were no sores in the mouth and the splotches were on the palms and pads of the feet.  The splotches faded over the next 2 weeks, the last place they were visible were on the upper arm,  torso and thighs.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Headache that lasted until 4/14/21, was seen by her provider as a virtual visit and told to treat with flonase and ibuprofen and to go to ED if headache doesn't go away after that treatment.  Headache got better night of 4/14/21, but returned again 4/15/21 in AM.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Dizziness, Feeling hot, Hypoaesthesia, Immediate post-injection reaction
Clinical narrative: Patient reports tingling within a minute of administration and spreading sensation and numbness  down her arm to her fingers.  Patient stayed in store for 15 minutes, then an additional 15 minutes due to the development of the adverse event.   When patient left in her car, she started feeling a little warm.  After 5 or 10 minutes she felt a discomfort and eventual "lump in her throat".  Throat tightness ensued similar to an asthma attack, producing a deep ruby red in back of throat with tonsils swollen.  Patient pulled over, experiencing lightheadedness.  Patient describes this as an anaphylactic response.  Her reaction did not worsen but did not immediately improve.  Patient was on phone with husband until arriving home.  She then took a diphenhydramine (about an hour and 15 minutes after the administration of the vaccine).  Her throat discomfort started getting better but arm pain worsened, numbness turning to pain.  Patient went to doctor on 4/15 at about 11:30am.  Patient main issue was arm pain with restricted range of motion at time of dr's visit.  Throat was improved but less severe.  Dr instructed her to not take second dose.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired driving ability, Mobility decreased, Pain in extremity, Paraesthesia, Pharyngeal erythema
Clinical narrative: Patient reports tingling within a minute of administration and spreading sensation and numbness  down her arm to her fingers.  Patient stayed in store for 15 minutes, then an additional 15 minutes due to the development of the adverse event.   When patient left in her car, she started feeling a little warm.  After 5 or 10 minutes she felt a discomfort and eventual "lump in her throat".  Throat tightness ensued similar to an asthma attack, producing a deep ruby red in back of throat with tonsils swollen.  Patient pulled over, experiencing lightheadedness.  Patient describes this as an anaphylactic response.  Her reaction did not worsen but did not immediately improve.  Patient was on phone with husband until arriving home.  She then took a diphenhydramine (about an hour and 15 minutes after the administration of the vaccine).  Her throat discomfort started getting better but arm pain worsened, numbness turning to pain.  Patient went to doctor on 4/15 at about 11:30am.  Patient main issue was arm pain with restricted range of motion at time of dr's visit.  Throat was improved but less severe.  Dr instructed her to not take second dose.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Sensation of foreign body, Throat tightness, Tonsillar hypertrophy
Clinical narrative: Patient reports tingling within a minute of administration and spreading sensation and numbness  down her arm to her fingers.  Patient stayed in store for 15 minutes, then an additional 15 minutes due to the development of the adverse event.   When patient left in her car, she started feeling a little warm.  After 5 or 10 minutes she felt a discomfort and eventual "lump in her throat".  Throat tightness ensued similar to an asthma attack, producing a deep ruby red in back of throat with tonsils swollen.  Patient pulled over, experiencing lightheadedness.  Patient describes this as an anaphylactic response.  Her reaction did not worsen but did not immediately improve.  Patient was on phone with husband until arriving home.  She then took a diphenhydramine (about an hour and 15 minutes after the administration of the vaccine).  Her throat discomfort started getting better but arm pain worsened, numbness turning to pain.  Patient went to doctor on 4/15 at about 11:30am.  Patient main issue was arm pain with restricted range of motion at time of dr's visit.  Throat was improved but less severe.  Dr instructed her to not take second dose.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dyspnoea, Fatigue, Headache
Clinical narrative: I?m addition to the flu like symptoms (severe cold chills, severe headache, weak/fatigue, fever, body aches and soreness at the injection site). The flu like symptoms were so severe I had to take an ibuprofen to nurse my baby. I, then, experienced tingly, numb legs followed by pain. I got up to try to walk it off and had shortness of breath. Put on compression socks but the restless leg and shortness of breath continued for 3/4 hours.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Influenza like illness, Injection site pain, Pain, Pain in extremity
Clinical narrative: I?m addition to the flu like symptoms (severe cold chills, severe headache, weak/fatigue, fever, body aches and soreness at the injection site). The flu like symptoms were so severe I had to take an ibuprofen to nurse my baby. I, then, experienced tingly, numb legs followed by pain. I got up to try to walk it off and had shortness of breath. Put on compression socks but the restless leg and shortness of breath continued for 3/4 hours.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pyrexia, Restless legs syndrome
Clinical narrative: I?m addition to the flu like symptoms (severe cold chills, severe headache, weak/fatigue, fever, body aches and soreness at the injection site). The flu like symptoms were so severe I had to take an ibuprofen to nurse my baby. I, then, experienced tingly, numb legs followed by pain. I got up to try to walk it off and had shortness of breath. Put on compression socks but the restless leg and shortness of breath continued for 3/4 hours.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Facial pain, Hypoaesthesia, Pain of skin, X-ray
Clinical narrative: 4/5/21 vaccinated  4/7/21 numbed face.,right side from nose to ear and from upper lip to top of scalp. painful face and scalp like a severe burn.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Eye pain, Pain, Pyrexia, Tremor
Clinical narrative: AROUND 11PM STARTED GETING THE CHILLS, LEGS SHAKING AND HAD FEVER OF 104. AT 1:30AM, EYES HURT TO THE TOUCH. MOM ENDED TAKING TO ER AROUND 3AM. THEY GAVE HER TYLENOL AND IBUPROFEN. SHE GOT HOME AT 6AM AND SLEPT AND TOOK TYLENOL AND IBUPROFEN ON AND OFF. FEVER FLUCTUATED FROM 101 TO 104 AND BACK, TYLENOL TOOK FEVER DOWN TO 99.7. BUT UPTO TODAY, SHE STILL HAS BODY ACHES.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: diffuse itchy red rash covering legs, and back  I took  one dose of OTC anti-histamine (diphenhydramine) which reduced the itching for some time, but it has returned.  I have now taken cetirizine (one dose) with no effect as yet.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspepsia, Pain, Pyrexia, Vomiting
Clinical narrative: Unremitting pain, burning sensation in stomach started at  6, pm  followed by chills and fever, and vomiting from 9 to 10 pm
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Burning sensation, Joint stiffness, Loss of personal independence in daily activities, Musculoskeletal stiffness
Clinical narrative: Nearly 25 days after receiving my 1st Moderna vaccine I woke up on Easter morning with a very stiff Right wrist.  By 1pm that day I was experiencing a lot of swelling and found it difficult to prepare food for a picnic we were going to. By 4pm that day I had to wrap my hand in ice, thinking it would provide some relief and took 2 Tylenol. By about 6:30 my husband and son were taking me to ER and on the way my Left hand began to swell and experience similar pain. By the time we arrived at the ER I was in excruciating pain in my entire hand up to my elbow and it felt like fire was burning through a vein up my arm. I had no use of my fingers which had stiffened and appeared maimed.  After blood work, assessment, pain medication and steroid injection I was released with no real answers. other than to see my physician for follow-up.  I was given a 12 RX for steroids which helped after the 4th day.  I saw Dr. today, as she had been on vacation all last week.  We discussed the possibility of an adverse reaction to the Moderna vaccine, and she recommended that I submit my information to you.  4/15/2021
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Swelling
Clinical narrative: Nearly 25 days after receiving my 1st Moderna vaccine I woke up on Easter morning with a very stiff Right wrist.  By 1pm that day I was experiencing a lot of swelling and found it difficult to prepare food for a picnic we were going to. By 4pm that day I had to wrap my hand in ice, thinking it would provide some relief and took 2 Tylenol. By about 6:30 my husband and son were taking me to ER and on the way my Left hand began to swell and experience similar pain. By the time we arrived at the ER I was in excruciating pain in my entire hand up to my elbow and it felt like fire was burning through a vein up my arm. I had no use of my fingers which had stiffened and appeared maimed.  After blood work, assessment, pain medication and steroid injection I was released with no real answers. other than to see my physician for follow-up.  I was given a 12 RX for steroids which helped after the 4th day.  I saw Dr. today, as she had been on vacation all last week.  We discussed the possibility of an adverse reaction to the Moderna vaccine, and she recommended that I submit my information to you.  4/15/2021
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Chest X-ray, Deep vein thrombosis, Dyspnoea, Electrocardiogram
Clinical narrative: The day after having been vaccinated with Johnson & Johnson/Janssen COVID19 vaccine (04/11/2021),  my mother started to feel intense pain, swelling, tenderness and cramping  in her legs, especially her right leg, to the point that she couldn't walk. By the fourth day after the vaccine her right leg was completely swollen, twice as big as its normal size, the pain was unbearable and she experienced fatigue and shortness of breath. I took her to the ER  on 04/14/2021
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Full blood count, Gait inability, Metabolic function test, Muscle spasms
Clinical narrative: The day after having been vaccinated with Johnson & Johnson/Janssen COVID19 vaccine (04/11/2021),  my mother started to feel intense pain, swelling, tenderness and cramping  in her legs, especially her right leg, to the point that she couldn't walk. By the fourth day after the vaccine her right leg was completely swollen, twice as big as its normal size, the pain was unbearable and she experienced fatigue and shortness of breath. I took her to the ER  on 04/14/2021
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Tenderness, Ultrasound Doppler abnormal
Clinical narrative: The day after having been vaccinated with Johnson & Johnson/Janssen COVID19 vaccine (04/11/2021),  my mother started to feel intense pain, swelling, tenderness and cramping  in her legs, especially her right leg, to the point that she couldn't walk. By the fourth day after the vaccine her right leg was completely swollen, twice as big as its normal size, the pain was unbearable and she experienced fatigue and shortness of breath. I took her to the ER  on 04/14/2021
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea
Clinical narrative: Patient described chills and nausea one day after vaccine administration. No treatment reported.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Diarrhoea, Migraine, Nausea
Clinical narrative: migraine nausea diarrhea lose of taste loss of smell body aches
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: migraine nausea diarrhea lose of taste loss of smell body aches
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Uterine contractions during pregnancy
Clinical narrative: I was 33 weeks pregnant and had extreme contractions
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral artery thrombosis, Cerebrovascular accident, Computerised tomogram, Haemorrhagic transformation stroke, Hemiparesis
Clinical narrative: 56 year old gentleman with only medical history being COVID-19 infection in October. Admitted on 4/13/2021 for a cerebral vascular accident due to thrombosis of right posterior cerebral artery hemorrhagic conversion (I63.331). Has left-sided weakness.  Patient also tested positive by PCR (Panther Aptima) on 4/14/2021.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Polymerase chain reaction positive
Clinical narrative: 56 year old gentleman with only medical history being COVID-19 infection in October. Admitted on 4/13/2021 for a cerebral vascular accident due to thrombosis of right posterior cerebral artery hemorrhagic conversion (I63.331). Has left-sided weakness.  Patient also tested positive by PCR (Panther Aptima) on 4/14/2021.
Age: 97.0
Sex: M
Vaccine: COVID19
Symptoms: Choreoathetosis, Dyskinesia, Imaging procedure
Clinical narrative: march 13th -first covid vaccine (moderna)  march 3/25:  abdnormal movements noted Right arm followed by right leg...hospitalized from 3/25 to 3/29.  Neuroimaging negative for acute changes (records requested for review but not received by me yet)  Seen by me in telemedicine 4/1; he exhibited choreatheoid movements of right upper extremity and to a lesser extent, his right leg.  These seemed lower in amplitude than typical hemibalismus movements.  He was unable to control these movements (they were involuntary in my assessment) and followed commands with left side without problem.  Neurology consult was requested at the 4/1 visit but has not been completed as of today (4/15).  On follow up (4/15) patient and daughter inform me that these abnormal movments gradually decreased  and had grossly resolved as of april 9th 2021
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Muscular weakness
Clinical narrative: Muscle weakness in both arms and shoulders, this has continued for over 2 months. I had the first shot in left arm on 1/06/2021, and the second shot in right arm on 1/26/2021.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Diarrhoea, Fatigue, Headache, Injection site pain
Clinical narrative: Moderna COVID-19 Vaccine EUA slight tightening of throat (resolved within 12 hrs without treatment), pain/soreness of arm around injection site (lasted 2-3 days), body aches, headache, fatigue (started evening  shot was received, lasting 2 days), diarrhea/nausea/stomach cramping (started 3 days after shot, lasting 2 days)
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal pain, Pain, Throat tightness
Clinical narrative: Moderna COVID-19 Vaccine EUA slight tightening of throat (resolved within 12 hrs without treatment), pain/soreness of arm around injection site (lasted 2-3 days), body aches, headache, fatigue (started evening  shot was received, lasting 2 days), diarrhea/nausea/stomach cramping (started 3 days after shot, lasting 2 days)
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received Moderna vaccine and patient was underage to receive Moderna vaccine. Minimum age to receive Moderna vaccine is 18 and patient is 16 years of age. Patient will not receive second dose at this location.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Syncope
Clinical narrative: Patient complained of dizziness and nausea following second covid moderna vaccination. We supplied water and chair and monitored him. While interviewing patient it was announced that he had consumed several beers during lunch 1-2 hours previously. He later told another front end associate following up with him that he actually had consumed whiskey. It is strongly believed that this played a large roll in his adverse reaction. It is believed that he experienced a mild syncopal reaction that was potentiated by the alcohol consumption.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Decreased appetite, Diarrhoea
Clinical narrative: Client received the vaccine on 3/30. She started having symptoms on 4/2. (Vomiting, diarrhea, bad cough). She believed that she was getting better, then on 4/12, she went to the hospital due to cough, shortness of breath with exertion, diarrhea, fever decreased appetite, headaches, intermittent wheezing and chills. She was admitted for oxygen therapy and further assessment. She had a positive Covid test on 4/4.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Headache, Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Client received the vaccine on 3/30. She started having symptoms on 4/2. (Vomiting, diarrhea, bad cough). She believed that she was getting better, then on 4/12, she went to the hospital due to cough, shortness of breath with exertion, diarrhea, fever decreased appetite, headaches, intermittent wheezing and chills. She was admitted for oxygen therapy and further assessment. She had a positive Covid test on 4/4.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: Client received the vaccine on 3/30. She started having symptoms on 4/2. (Vomiting, diarrhea, bad cough). She believed that she was getting better, then on 4/12, she went to the hospital due to cough, shortness of breath with exertion, diarrhea, fever decreased appetite, headaches, intermittent wheezing and chills. She was admitted for oxygen therapy and further assessment. She had a positive Covid test on 4/4.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: Extreme fatigue for over a week now.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Heart rate increased, Lethargy, Pain
Clinical narrative: Headache, Body pain all over, increased heart rate, vomiting, chills, lethargy.  Experienced for 1 month and still only feels 90%
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Headache, Body pain all over, increased heart rate, vomiting, chills, lethargy.  Experienced for 1 month and still only feels 90%
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dyspnoea, Hallucination, Hypersensitivity, Loss of consciousness
Clinical narrative: Patient was scheduled for 2nd dose of covid vaccine. Patient had a severe resp reaction to 1st vaccine shot. Patient was ok to recevie seoncd dose per PCP documentation. Upon receving 2nd dose patient had severe allergic reaction to dose. Patient couldnt breathe, throat was swelling. EPI was administstered. EMS was called. Vitals were stable blood pressure148/85, heart rate 81 2liters 02 100%. Patient passed out for 10seconds at 2:08pm. Pt just had a flat affect. Patient abruptly woke up and started to hallucinate. 2:10pm ViItals at this time were blood pressure 168/98, heart rate 79, 2 liters 100%. At  2:15 patients throat was closing and pt was gasping for air. Patient was super anxious and a 2nd dose of EPI was given. EMS arrived at 2:24 BLood pressure 157/77 heart rate 87 2 liters 02 100%. EMs took patient to hospital to be further evaulated. Patients husband was at bedside with patient the whole time. Went to ER and was discharged 5 hours later to home.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Reduced facial expression
Clinical narrative: Patient was scheduled for 2nd dose of covid vaccine. Patient had a severe resp reaction to 1st vaccine shot. Patient was ok to recevie seoncd dose per PCP documentation. Upon receving 2nd dose patient had severe allergic reaction to dose. Patient couldnt breathe, throat was swelling. EPI was administstered. EMS was called. Vitals were stable blood pressure148/85, heart rate 81 2liters 02 100%. Patient passed out for 10seconds at 2:08pm. Pt just had a flat affect. Patient abruptly woke up and started to hallucinate. 2:10pm ViItals at this time were blood pressure 168/98, heart rate 79, 2 liters 100%. At  2:15 patients throat was closing and pt was gasping for air. Patient was super anxious and a 2nd dose of EPI was given. EMS arrived at 2:24 BLood pressure 157/77 heart rate 87 2 liters 02 100%. EMs took patient to hospital to be further evaulated. Patients husband was at bedside with patient the whole time. Went to ER and was discharged 5 hours later to home.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Racing heart/ heart palpitations
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Blood chloride normal, Blood glucose increased, Blood potassium normal, Blood sodium normal, Carbon dioxide normal
Clinical narrative: DIAGNOSIS: 1. Superficial thrombophlebitis MEDICAL DECISION MAKING/DIFFERENTIAL DX: Differential diagnosis includes DVT, superficial thrombophlebitis, muscle strain, tendinitis. The patient presented to the emergency department with atraumatic left leg pain. An ultrasound reveals a fairly large blood clot in the greater saphenous vein. Although this is a superficial clot, given its extent, I think it warrants anticoagulation. Per the trial, the patient would benefit from 45 days of 10 mg Xarelto treatment. The patient was given good precautions regarding bleeding risk while on a blood thinner. He will schedule follow-up appoint with his primary care doctor. He will also use Tylenol and warm packs to help with the discomfort from the superficial thrombophlebitis. He was discharged in satisfactory condition.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Haematocrit normal, Haemoglobin normal, Mean cell haemoglobin normal, Muscle strain
Clinical narrative: DIAGNOSIS: 1. Superficial thrombophlebitis MEDICAL DECISION MAKING/DIFFERENTIAL DX: Differential diagnosis includes DVT, superficial thrombophlebitis, muscle strain, tendinitis. The patient presented to the emergency department with atraumatic left leg pain. An ultrasound reveals a fairly large blood clot in the greater saphenous vein. Although this is a superficial clot, given its extent, I think it warrants anticoagulation. Per the trial, the patient would benefit from 45 days of 10 mg Xarelto treatment. The patient was given good precautions regarding bleeding risk while on a blood thinner. He will schedule follow-up appoint with his primary care doctor. He will also use Tylenol and warm packs to help with the discomfort from the superficial thrombophlebitis. He was discharged in satisfactory condition.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Red blood cell count normal, Red cell distribution width normal, Tendonitis, Thrombophlebitis superficial
Clinical narrative: DIAGNOSIS: 1. Superficial thrombophlebitis MEDICAL DECISION MAKING/DIFFERENTIAL DX: Differential diagnosis includes DVT, superficial thrombophlebitis, muscle strain, tendinitis. The patient presented to the emergency department with atraumatic left leg pain. An ultrasound reveals a fairly large blood clot in the greater saphenous vein. Although this is a superficial clot, given its extent, I think it warrants anticoagulation. Per the trial, the patient would benefit from 45 days of 10 mg Xarelto treatment. The patient was given good precautions regarding bleeding risk while on a blood thinner. He will schedule follow-up appoint with his primary care doctor. He will also use Tylenol and warm packs to help with the discomfort from the superficial thrombophlebitis. He was discharged in satisfactory condition.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: DIAGNOSIS: 1. Superficial thrombophlebitis MEDICAL DECISION MAKING/DIFFERENTIAL DX: Differential diagnosis includes DVT, superficial thrombophlebitis, muscle strain, tendinitis. The patient presented to the emergency department with atraumatic left leg pain. An ultrasound reveals a fairly large blood clot in the greater saphenous vein. Although this is a superficial clot, given its extent, I think it warrants anticoagulation. Per the trial, the patient would benefit from 45 days of 10 mg Xarelto treatment. The patient was given good precautions regarding bleeding risk while on a blood thinner. He will schedule follow-up appoint with his primary care doctor. He will also use Tylenol and warm packs to help with the discomfort from the superficial thrombophlebitis. He was discharged in satisfactory condition.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Infection, Platelet count decreased, Portal vein thrombosis
Clinical narrative: Patient admitted with massive portal vein thrombosis and low plt in setting of infection. Symptoms started one week prior
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Portal vein thrombosis, Thrombocytopenia
Clinical narrative: Patient admitted with massive portal vein thrombosis and low plt in setting of infection. Symptoms started one week prior
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Vaccination complication
Clinical narrative: Patient said she experienced mid-back pain that felt like the kidneys. She went to the emergency room where they determined it was a side effect of the vaccine and she was told to take Tylenol. She was instructed to have the pharmacy report the adverse event.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient may have received a vaccine dose that was not viable. The dose may have been at ambient  room temperature beyond the manufactures recomended time period. Currently monitoring all patients, as to possible outcomes. Plan to offer quantitative antibody titer testing, to attempt to verify if there is a need to offer another vaccine dose.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash
Clinical narrative: Itchy rash on the Injection site
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Asthenia, Balance disorder, Chest discomfort, Computerised tomogram normal
Clinical narrative: Noticed headache bottom left back of head before bed.  Woke up at 2:30am with right leg fully asleep.  Attempted to wake leg up, lost equilibrium, stumbled, lost hearing, couldn't put words together to tell wife what was going on and ended up on the floor to regain composure.  Had difficulty putting on clothes to go to hospital.  Went to ER, had severe diarrhea there, they did blood work and EKG, sent me home saying maybe I feinted.  Had high blood pressure at ER, 150/86.  Felt weak and 'off' sense the event, felt tightness in chest and odd limb pain past 72 hours.  Woke up at 3:30am on 4/15 with left arm asleep, went back to bed fine.  Never had these symptoms before.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness, Diarrhoea, Feeling abnormal, Headache, Hypertension
Clinical narrative: Noticed headache bottom left back of head before bed.  Woke up at 2:30am with right leg fully asleep.  Attempted to wake leg up, lost equilibrium, stumbled, lost hearing, couldn't put words together to tell wife what was going on and ended up on the floor to regain composure.  Had difficulty putting on clothes to go to hospital.  Went to ER, had severe diarrhea there, they did blood work and EKG, sent me home saying maybe I feinted.  Had high blood pressure at ER, 150/86.  Felt weak and 'off' sense the event, felt tightness in chest and odd limb pain past 72 hours.  Woke up at 3:30am on 4/15 with left arm asleep, went back to bed fine.  Never had these symptoms before.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Loss of personal independence in daily activities, Pain in extremity, Ultrasound scan
Clinical narrative: Noticed headache bottom left back of head before bed.  Woke up at 2:30am with right leg fully asleep.  Attempted to wake leg up, lost equilibrium, stumbled, lost hearing, couldn't put words together to tell wife what was going on and ended up on the floor to regain composure.  Had difficulty putting on clothes to go to hospital.  Went to ER, had severe diarrhea there, they did blood work and EKG, sent me home saying maybe I feinted.  Had high blood pressure at ER, 150/86.  Felt weak and 'off' sense the event, felt tightness in chest and odd limb pain past 72 hours.  Woke up at 3:30am on 4/15 with left arm asleep, went back to bed fine.  Never had these symptoms before.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Exercise tolerance decreased, Injection site pain, Musculoskeletal pain
Clinical narrative: 4/2 ~4/3: No daily exercised (30 pushups in the morning) during these two days. 4/4/2021: Resumed daily exercise, and walked a few miles (usually 2-3 times weekly)? leg and butt pain April 5-7: stiff neck symptoms: back, right arm, shoulder, and neck pain,  April 8-11: stiff neck kind of symptoms: back, left shoulder, and neck pain April 10-11: stiff neck kind of symptoms (back, left shoulder, and neck pain) + injection site pain (left arm) April 11-13: continued left arm injection site pain. April 14: waked up with less left arm injection site pain. After daily pushups, continued left arm injection site pain. April 15:  waked up with less left arm injection site pain,
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Neck pain, Pain in extremity
Clinical narrative: 4/2 ~4/3: No daily exercised (30 pushups in the morning) during these two days. 4/4/2021: Resumed daily exercise, and walked a few miles (usually 2-3 times weekly)? leg and butt pain April 5-7: stiff neck symptoms: back, right arm, shoulder, and neck pain,  April 8-11: stiff neck kind of symptoms: back, left shoulder, and neck pain April 10-11: stiff neck kind of symptoms (back, left shoulder, and neck pain) + injection site pain (left arm) April 11-13: continued left arm injection site pain. April 14: waked up with less left arm injection site pain. After daily pushups, continued left arm injection site pain. April 15:  waked up with less left arm injection site pain,
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Obstructive airways disorder, Stridor, Wheezing
Clinical narrative: 74 year old receiving her second dose, reported she had wheezing within 15 minutes of first dose, and took her albuterol and the wheezing cleared.  Stated she was told here she had wheezing, but transported to ER, and lungs were clear, told in ER no wheezing, noted, no albuterol given, no meds or treatment given, work up negative, and was discharged with diagnosis of possible anxiety or possible asthma.  I debated whether to hold vaccine based on the Interim clinical considerations, but since I had no documentation of wheezing and ER visit reported as no wheezing or respiratory problems, I made decision to proceed with pretreatment.  At 25 minutes she developed stridor, wheezing and trouble breathing, no facial tongue swelling and no urticaria.  No hypotension.   Prior to immunization BP was 189/105, Pulse 89, 02 sat 96% ra,  25 minutes after vaccination, Audible stridor, coughing, diffuse tight wheezes with decreased air movement.  Epi 0.3 given.  157/92, 105, O2 sat 98%.     Almost immediately after epi stridor improved, although her wheezes persisted, her air movement improved significantly.  She did not developed hypotension, and she did not lose consciousness.   She was transferred to the hospital.   We pretreated her with benadryl and her albuterol
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt fully vaccinated as of 1/8/2021 then was diagnosed with PCR positive (UK variant) COVID 3/18/2021.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Panic reaction, Paraesthesia
Clinical narrative: Patient complained of lightheadedness, seizing of limbs ( as if panic attach although not restricted)- more like tingling, nausea and breathing ( panic). BP taken 120/77. Patient  sat for 50 minutes and fully recovered. Left on her own
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Blood test abnormal, Burning sensation, Chills, Computerised tomogram thorax normal
Clinical narrative: Friday evening I had what I thought was normal reaction: chills, aches, headache, nausea. Saturday it was mostly aches. Sunday was dizziness, aches, nausea and cramping in left leg. Monday was nausea, aches, tingling in hands and feet, headache, brain fog. Tuesday I woke up with major imbalance and needed to use walls to walk without falling over. Dizziness subsided after some time to only rapid movements. I had a warm burning sensation in left leg with tingling hands and feet. Moderate headache. Reports came out of stopping the Janssen vaccine so I contacted my doctor with my symptoms and they ordered blood tests for clots.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Fibrin D dimer increased, Headache, International normalised ratio normal
Clinical narrative: Friday evening I had what I thought was normal reaction: chills, aches, headache, nausea. Saturday it was mostly aches. Sunday was dizziness, aches, nausea and cramping in left leg. Monday was nausea, aches, tingling in hands and feet, headache, brain fog. Tuesday I woke up with major imbalance and needed to use walls to walk without falling over. Dizziness subsided after some time to only rapid movements. I had a warm burning sensation in left leg with tingling hands and feet. Moderate headache. Reports came out of stopping the Janssen vaccine so I contacted my doctor with my symptoms and they ordered blood tests for clots.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging normal, Metabolic function test, Muscle spasms, Nausea, Pain
Clinical narrative: Friday evening I had what I thought was normal reaction: chills, aches, headache, nausea. Saturday it was mostly aches. Sunday was dizziness, aches, nausea and cramping in left leg. Monday was nausea, aches, tingling in hands and feet, headache, brain fog. Tuesday I woke up with major imbalance and needed to use walls to walk without falling over. Dizziness subsided after some time to only rapid movements. I had a warm burning sensation in left leg with tingling hands and feet. Moderate headache. Reports came out of stopping the Janssen vaccine so I contacted my doctor with my symptoms and they ordered blood tests for clots.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Prothrombin time, Ultrasound Doppler normal
Clinical narrative: Friday evening I had what I thought was normal reaction: chills, aches, headache, nausea. Saturday it was mostly aches. Sunday was dizziness, aches, nausea and cramping in left leg. Monday was nausea, aches, tingling in hands and feet, headache, brain fog. Tuesday I woke up with major imbalance and needed to use walls to walk without falling over. Dizziness subsided after some time to only rapid movements. I had a warm burning sensation in left leg with tingling hands and feet. Moderate headache. Reports came out of stopping the Janssen vaccine so I contacted my doctor with my symptoms and they ordered blood tests for clots.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Malaise, Pyrexia
Clinical narrative: I woke at 3am freezing had to put winter clothes and 5 blankets. I had a fever of 101. It's 140pm and I do feel alot better but I definitely got something from the first shot 2 days ago.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Influenza like illness, Injection site erythema, Injection site pruritus, Lymphadenopathy, Neck pain
Clinical narrative: First shot had Covid arm. 7 days after shot started with itching around site. Next had a dark red circular area around injection site. Arm more sore than right after shot. Went away gradually over 4 day period. Just used cortisone cream.  Second shot was sick with flu like symptoms 12 hours after shot. Got shot in my right arm since I had experienced Covid arm in my left arm with first shot. Symptoms lasted exactly 24 hours ( fever broke). Also noticed swollen lymph nodes in my neck on the sane side as shot. This occurred about 5 days after and went away after few days. Also started to have pain up the back of my neck on both sides. Also tingling sensation around right shoulder area.  Slight occurance of Covid arm but not significant
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, Paraesthesia, Pyrexia, Vaccination complication
Clinical narrative: First shot had Covid arm. 7 days after shot started with itching around site. Next had a dark red circular area around injection site. Arm more sore than right after shot. Went away gradually over 4 day period. Just used cortisone cream.  Second shot was sick with flu like symptoms 12 hours after shot. Got shot in my right arm since I had experienced Covid arm in my left arm with first shot. Symptoms lasted exactly 24 hours ( fever broke). Also noticed swollen lymph nodes in my neck on the sane side as shot. This occurred about 5 days after and went away after few days. Also started to have pain up the back of my neck on both sides. Also tingling sensation around right shoulder area.  Slight occurance of Covid arm but not significant
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Hypoaesthesia, Myalgia, Neck pain, Pain in extremity
Clinical narrative: Severe upper back and neck pain, numbness, muscle pain, soreness in left arm where the injection was placed.  Pain lasted for 5 days.  Currently experiencing muscle pain in upper left back.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Bloody discharge, Epistaxis, Mouth haemorrhage, Myalgia
Clinical narrative: intense muscle soreness throughout entire body the night of April 13, kept having sinus drainage with blood starting night of April 13 through the day April 14.  Around 8:30 p.m. blood gushed from my nose and my mouth.  It stopped within a few minutes and did not start up again.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Guillain-Barre syndrome, Protein total abnormal
Clinical narrative: presumed Acute inflammatory demyelinating polyneuropathy (AIDP)
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Feeling hot, Hyperhidrosis
Clinical narrative: chills dry heeve sweats diahrea  tiredness (extreme) hot/ no fever
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Retching
Clinical narrative: chills dry heeve sweats diahrea  tiredness (extreme) hot/ no fever
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chondropathy, Electrocardiogram, Inflammation
Clinical narrative: Triggered inflammation in my upper left rib cartilage mimicking a heart attack
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Incorrect dose administered, Underdose
Clinical narrative: Patient was given Pfizer 0.3ml dose IM instead of Moderna 0.5ml IM.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient was given Pfizer 0.3ml dose IM instead of Moderna 0.5ml IM.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Hyperhidrosis
Clinical narrative: Patient reported sweating and anxious. Observation done. Water offered. Symptoms improved. Patient discharged to home.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Head injury, Syncope, Vomiting
Clinical narrative: Around 2am, I woke up and went to the bathroom.  I fainted and hit my head on the floor.   I have never fainted before.  After my husband woke me up, I threw up multiple times.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Feeling hot, Impaired work ability, Swelling
Clinical narrative: Started experiencing some dizziness on March 8th that lasted for approximately 3 weeks. Did get the second dose of the Pfizer vaccine and a week later felt a sort of hot feeling in my head similar to that ballon sensation when first coming down with the flu but nowhere near as intense. The dizziness was worst on March 10th then slowly resolved itself over the next few weeks. It was mild to moderate in intensity, I could feel a continuation of movement after turning my head sideways, it felt like the head was still going. Strange. I was still able to go to work but the effect was noticable. The only variables in my life recently were beginning Humira on Feb 2nd 2021 and getting the series of Pfizer Covid vaccines on Feb 19 and March 12. I did notify my gasteroenterologist because at first I assumed it was the Humira. He said that is not a side effect. On further research I have seen a lot of people reporting vertigo several weeks out after the Covid shots as if the antibody formation produces and inflammatory response in the ear in some patients. Unknown the symptoms are related to the shot or not. I had one outbreak of Meniere's Disease in 2006 and has not recurred. Perhaps the vaccine can cause a recurrance?
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoptysis
Clinical narrative: coughing up blood
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Male inadvertently administered first dose of moderna covid vaccine to person under the age of 18.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthropod sting, Injection site erythema, Injection site induration
Clinical narrative: On 3/22 I was stung by a wasp on my right foot. On 3/23 it itched, so I scratched it. It swelled up a little and turned pink.  Not long after, my shot site turned hard and reddish. It began to itch slightly. It took a few days for the itching and the swelling to go away. It was not too bad, so I didn't bother spending the $50 to go to the doctor.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Pain in extremity
Clinical narrative: Soreness in arm that started several hours (the following morning) later.  Fatigue Nausea from 7:00 pm to 11:00 pm the following day (within 48 hours)
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Palpitations, Pharyngeal swelling
Clinical narrative: Patient reported dizziness, throat swelling, and heart palpitations shortly after receiving vaccine. Clinic staff member administered diphenhydramine HCl liquid 75mg/30cc PO at 11:40am. Vitals WNL during this time. Patient reported throat swelling resolved at 11:50am, kept for additional monitoring and released at 12:00pm. Recommend patient follow-up with provider and head to ER if symptoms recur.