chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine positive rechallenge
Clinical narrative: Heart palpitations  for both the first and second shots right after the shot was given and felt up to 8 hours after the shot " Covid Arm"  large red area at injection site started 8 hours after injection was hard knot and the knot lessened but the red blotchy area also became itchy and continues. Have had it now 3 days
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)-
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired in fridge
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired in fridge
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Fever of 103-104, body aches, chills from about 4am-4pm 8/31/2021
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Autoimmune hepatitis, Biopsy liver abnormal, Blood test abnormal, Computerised tomogram
Clinical narrative: On 2/28/2021, I got the 1st dose  and about  10 days after the 1st vaccine, I had severe headache, exhaustion and large swollen gland on my right arm pit.  The vaccine was in my left arm.   The swollen gland was painful to the touch.  I did go to Urgent Care and was tested for Covid and Lyme disease and everything came back normal.  I was instructed to go ahead and get the 2nd vaccine even though I was having symptoms.  I got the 2nd vaccine on 3/28/2021 and started feeling even worse.  I did see my doctor, who ran blood work and ultrasound and the blood work showed very low platelets and increased liver enzymes.  I was instructed to go to the ER.  I had a full work up and CAT scan.  I was diagnosed with ITP which is an automimmune disease. I was to follow up with a hematologist. A few days later, I woke up with a large bruise on my neck so I went to the ER again. I was turned away and sent home.  My PCP did blood work again and based on the results from the blood work I was told to go to the ER where they finally admitted me with ITP and I stayed in the hospital for 5 days.  I was given IV medications  to bring my platelets levels back up.  I was discharged with directions to follow with hematologist.   I had to do blood work every week and on my weekly blood work, my liver enzymes were elevated and I was referred to a specialty hospital. On 5/3/2021 I was admitted to be monitored and they did a liver biopsy.  The biopsy showed that I had autoimmune hepatitis.  The doctor said it was a reaction to the vaccine.  I was given high doses of steroids and antirejection medication called Cellcept that I have to take every day.  I did see an rheumatologist who said that my conditions were an adverse reaction from the vaccine.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Feeling abnormal, Hepatic enzyme increased, Immune thrombocytopenia, Magnetic resonance imaging
Clinical narrative: On 2/28/2021, I got the 1st dose  and about  10 days after the 1st vaccine, I had severe headache, exhaustion and large swollen gland on my right arm pit.  The vaccine was in my left arm.   The swollen gland was painful to the touch.  I did go to Urgent Care and was tested for Covid and Lyme disease and everything came back normal.  I was instructed to go ahead and get the 2nd vaccine even though I was having symptoms.  I got the 2nd vaccine on 3/28/2021 and started feeling even worse.  I did see my doctor, who ran blood work and ultrasound and the blood work showed very low platelets and increased liver enzymes.  I was instructed to go to the ER.  I had a full work up and CAT scan.  I was diagnosed with ITP which is an automimmune disease. I was to follow up with a hematologist. A few days later, I woke up with a large bruise on my neck so I went to the ER again. I was turned away and sent home.  My PCP did blood work again and based on the results from the blood work I was told to go to the ER where they finally admitted me with ITP and I stayed in the hospital for 5 days.  I was given IV medications  to bring my platelets levels back up.  I was discharged with directions to follow with hematologist.   I had to do blood work every week and on my weekly blood work, my liver enzymes were elevated and I was referred to a specialty hospital. On 5/3/2021 I was admitted to be monitored and they did a liver biopsy.  The biopsy showed that I had autoimmune hepatitis.  The doctor said it was a reaction to the vaccine.  I was given high doses of steroids and antirejection medication called Cellcept that I have to take every day.  I did see an rheumatologist who said that my conditions were an adverse reaction from the vaccine.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count decreased, Ultrasound scan
Clinical narrative: On 2/28/2021, I got the 1st dose  and about  10 days after the 1st vaccine, I had severe headache, exhaustion and large swollen gland on my right arm pit.  The vaccine was in my left arm.   The swollen gland was painful to the touch.  I did go to Urgent Care and was tested for Covid and Lyme disease and everything came back normal.  I was instructed to go ahead and get the 2nd vaccine even though I was having symptoms.  I got the 2nd vaccine on 3/28/2021 and started feeling even worse.  I did see my doctor, who ran blood work and ultrasound and the blood work showed very low platelets and increased liver enzymes.  I was instructed to go to the ER.  I had a full work up and CAT scan.  I was diagnosed with ITP which is an automimmune disease. I was to follow up with a hematologist. A few days later, I woke up with a large bruise on my neck so I went to the ER again. I was turned away and sent home.  My PCP did blood work again and based on the results from the blood work I was told to go to the ER where they finally admitted me with ITP and I stayed in the hospital for 5 days.  I was given IV medications  to bring my platelets levels back up.  I was discharged with directions to follow with hematologist.   I had to do blood work every week and on my weekly blood work, my liver enzymes were elevated and I was referred to a specialty hospital. On 5/3/2021 I was admitted to be monitored and they did a liver biopsy.  The biopsy showed that I had autoimmune hepatitis.  The doctor said it was a reaction to the vaccine.  I was given high doses of steroids and antirejection medication called Cellcept that I have to take every day.  I did see an rheumatologist who said that my conditions were an adverse reaction from the vaccine.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray, Chest pain, Diarrhoea, Dyspnoea
Clinical narrative: Pt came to ER c/o chest pain, SOB, nausea, vomiting, syncope, and diarrhea.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, SARS-CoV-2 test positive, Syncope, Vomiting
Clinical narrative: Pt came to ER c/o chest pain, SOB, nausea, vomiting, syncope, and diarrhea.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)-
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Rhinorrhoea
Clinical narrative: I started to have a sore throat and runny nose on the 1st of September around 4:00pm.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: The vanishpoint syringe jammed halfway through vaccination so I had to draw up the remainder to give to the patient.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Error: Booster Given Too Early-
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Mouth swelling, Rash, Rash macular, Throat irritation
Clinical narrative: 8/17/21: 49yoF presenting with allergic reaction s/p 2nd dose of Moderna COVID-19 vaccination. Ptn reports receiving having similar symptoms after the first dose so she took Benadryl prior to receiving her second dose today. Ptn received the vaccination at 1400 today when she began to develop symptoms 10 minutes after vaccination administration reporting scratchy, irritated sensation in her throat causing her to feel like she needs to repeatedly clear it, splotchy rash on her chest, and feeling SOA. Clinic called EMS and she was brought to the ED. Ptn reports she feels the same as she did during initial symptom presentation. Ptn has not taken any medication for symptoms prior to presentation. Reports she feels she needs to keep her neck distended to prevent feeling short of air. She also reports her BP usually runs softer with systolics in the 110s.  Denies lightheadedness, presyncope, N/V/D, abdominal pain.   Clinical Impressions as of Aug 18 2000 Allergic reaction to COVID-19 vaccine     MDM Number of Diagnoses or Management Options Allergic reaction to COVID-19 vaccine Diagnosis management comments:  MS4 MD Candidate 2022   Patient is a 49-year-old woman with history of multiple drug allergies who presents to the emergency department with concerns for an reaction to the COVID-19 vaccine.  Patient is hemodynamically stable and afebrile on presentation.  Patient demonstrates mild facial swelling with no other concerning signs on physical exam.  Patient already has taken 50 mg of by mouth Benadryl at home prior to the onset of her symptoms.  I will provide the patient with IM epinephrine and IV Benadryl and IV Decadron for control of her allergic reaction.  On re-evaluation of the patient she notes that her swelling has significantly improved after her by mouth Benadryl and is not requiring any IM or IV medications.  Patient was re-evaluated and continues to be in the morning.  Patient is comfortable with discharge.  Patient was counseled on likely allergic reaction the COVID-19 vaccination.  Patient was discharged in stable condition with strict return precautions.  Pt is well appearing on exam. Arrives after 2nd Moderna vaccine; she had similar allergic response after 1st dose. Asymptomatic on my exam. No respiratory issues, no n/v or s/s significant allergic event. She refused meds. Pt discharged home.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray, Cough, Pain, Pyrexia
Clinical narrative: Pt came to ER c/o nonproductive cough, fever, and body aches for the past few days.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Pt came to ER c/o nonproductive cough, fever, and body aches for the past few days.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Systemic: Allergic: Itch Generalized-Severe, Systemic: Allergic: Rash Generalized-Medium
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Patient has a case of breakthrough COVID
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time shortened, Blood fibrinogen normal, COVID-19, Fibrin D dimer increased, Immune thrombocytopenia
Clinical narrative: ITP per heme/onc provider.  Received dexamethasone 40 mg po daily x4 doses from 8/26 to 8/29
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count decreased, SARS-CoV-2 test positive
Clinical narrative: ITP per heme/onc provider.  Received dexamethasone 40 mg po daily x4 doses from 8/26 to 8/29
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Systemic: pt after recived the covid pfizer first vaccine walked to designated areas to sit down for 15 minutes as i direct him to the seat and i did sea him seating comftably and i went back to pharmacy another patient yelled out taht patient is falling off chair-Mild
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Dizziness, Electrocardiogram, Extrasystoles
Clinical narrative: The next morning I was sitting in my chair watching tv and my fit bit buzzed and my heart rate was 120. I was tired and fatigued and my heart rate stayed elevated for a week and I became dizzy and my heart rate kept spiking and I had a lot of skipped beats and palpitations. I went to doctor.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Heart rate increased, Palpitations
Clinical narrative: The next morning I was sitting in my chair watching tv and my fit bit buzzed and my heart rate was 120. I was tired and fatigued and my heart rate stayed elevated for a week and I became dizzy and my heart rate kept spiking and I had a lot of skipped beats and palpitations. I went to doctor.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: I had a shingles outbreak that began 6 days after my 2nd vaccine.  Online reports show that there is an increased amount of people who are experiencing shingles within 14 days of the vaccine.  I experienced the onset of shingles 6 days after the injection.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: COVID sx started 8/21/23 + test recorded 8/23/21
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain upper, Axillary pain, Decreased appetite, Diarrhoea
Clinical narrative: Moderna COVID-19 Vaccine EUA  In the morning after the first injection of the moderna vaccine I started feeling very tired, my arm (where I got the injection) was hurting and I had a headache. I took an ibuprofen in the evening and the symptoms went away. On the 13-Jul-2021, in the morning, I was feeling irritated in my stomach. During the day, this got worse. I had stomach pains and did not feel like eating. This symptom resolved on the 14-Jul-2021 in the evening. I also experienced diarrhea during the 14-Jul-2021. Also around 2-3 days after the vaccination, my arm pit was hurting very much and I suspect swollen lymph nodes to have caused this. This symptom resolved after a few days. One week after the injection (18-Jul-2021) the side of injection was swollen, red and warm. This symptom resolved after a few days.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Moderna COVID-19 Vaccine EUA  In the morning after the first injection of the moderna vaccine I started feeling very tired, my arm (where I got the injection) was hurting and I had a headache. I took an ibuprofen in the evening and the symptoms went away. On the 13-Jul-2021, in the morning, I was feeling irritated in my stomach. During the day, this got worse. I had stomach pains and did not feel like eating. This symptom resolved on the 14-Jul-2021 in the evening. I also experienced diarrhea during the 14-Jul-2021. Also around 2-3 days after the vaccination, my arm pit was hurting very much and I suspect swollen lymph nodes to have caused this. This symptom resolved after a few days. One week after the injection (18-Jul-2021) the side of injection was swollen, red and warm. This symptom resolved after a few days.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Lymphadenopathy
Clinical narrative: Moderna COVID-19 Vaccine EUA  In the morning after the first injection of the moderna vaccine I started feeling very tired, my arm (where I got the injection) was hurting and I had a headache. I took an ibuprofen in the evening and the symptoms went away. On the 13-Jul-2021, in the morning, I was feeling irritated in my stomach. During the day, this got worse. I had stomach pains and did not feel like eating. This symptom resolved on the 14-Jul-2021 in the evening. I also experienced diarrhea during the 14-Jul-2021. Also around 2-3 days after the vaccination, my arm pit was hurting very much and I suspect swollen lymph nodes to have caused this. This symptom resolved after a few days. One week after the injection (18-Jul-2021) the side of injection was swollen, red and warm. This symptom resolved after a few days.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Heart rate increased, Palpitations
Clinical narrative: OVER A PERIOD OF 1 HOUR: ELEVATED HEART RATE WHILE RESTING, 88-111 BMP; POUNDING HEART; SHORTNESS OF BREATH
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Peripheral swelling, Skin discolouration, Tenderness
Clinical narrative: Moderate pain in the back of right leg/calf area beginning the night of Aug 25 2021, around 8 pm. Increasinly more painful with a feeling of tightness, especially upon walking. I elevated and iced area and after 2 hrs called nurse hotline on back of insurance card. Took a Tylenol and Flexeril. No improvement by Thurs morning. Went to an Urgent Care clinic by 2 pm Thurs. FNP said blood flow was good but noticed swelling and discoloration. Pain upon touch but no warmness, fever, or severe pain upon flexing, only moderate. Was prescribed 10 mg of prednisone for 4 days. Was told likely inflammation. Improvement after 3 days of the steroids.
Age: 50.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Anticoagulant therapy, Balance disorder, Blood test normal, Deafness, Dysphonia
Clinical narrative: Aug 23- received Flu and Shingles vaccines from Pharmacy, 2PM Aug 24- Symptoms experienced: Body aches, Feverish but not over 100.4 degrees, general malaise, flu symptoms but NO respiratory issues. Aug 25- Symptoms: Continued body ache and general flu symptoms that resolved in the afternoon. Aug 26- Symptoms: I woke up with severe vertigo (room was spinning while in bed), nausea, vomiting and unable to walk straight. Hearing loss and loud ringing in left ear. Went to Urgent Care. Given and prescribed anti nausea medication. Ears were clear. Symptoms resolved within 2-3 hours of symptoms onset. Final diagnosis: tinnitus. Aug 30- Went to ENT doctor. Ears were also clear. Diagnosis: Miniere's. Prescribed Prednisone, 17 day course to resolve hearing loss. Aug 31- Symptoms: 6AM in shower stall. Generalized weakness on the right side. Body was leaning towards the right side with my right leg unable to hold my weight.  Had to finally sit on shower floor. Unable to clench my right hand, left hand was OK. Unable to call out loudly for help, felt my mouth wasnt functioning. Visions blurred, foggy. Unable to stand up. Symptoms resolved within 10 minutes.  Went to Urgent Care again but staff suggested I contact ENT doctor as Urgent Care was limited in what they can do for me. ENT doctor strongly suggested I go to ER. I was admitted to Hospital for observations. Tests taken included MRI with or without contrast, MRI, Echocardiogram, Ultrasound to examine carotid arteries, blood tests including tests to rule out genetic blood clotting issues, neurology consult. Discharged from hospital on Sept 1. Final diagnosis: TIA. Prescribed aspirin and statins.
Age: 50.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Dysstasia, Echocardiogram normal, Facial paresis, Gait disturbance, Hemiparesis
Clinical narrative: Aug 23- received Flu and Shingles vaccines from Pharmacy, 2PM Aug 24- Symptoms experienced: Body aches, Feverish but not over 100.4 degrees, general malaise, flu symptoms but NO respiratory issues. Aug 25- Symptoms: Continued body ache and general flu symptoms that resolved in the afternoon. Aug 26- Symptoms: I woke up with severe vertigo (room was spinning while in bed), nausea, vomiting and unable to walk straight. Hearing loss and loud ringing in left ear. Went to Urgent Care. Given and prescribed anti nausea medication. Ears were clear. Symptoms resolved within 2-3 hours of symptoms onset. Final diagnosis: tinnitus. Aug 30- Went to ENT doctor. Ears were also clear. Diagnosis: Miniere's. Prescribed Prednisone, 17 day course to resolve hearing loss. Aug 31- Symptoms: 6AM in shower stall. Generalized weakness on the right side. Body was leaning towards the right side with my right leg unable to hold my weight.  Had to finally sit on shower floor. Unable to clench my right hand, left hand was OK. Unable to call out loudly for help, felt my mouth wasnt functioning. Visions blurred, foggy. Unable to stand up. Symptoms resolved within 10 minutes.  Went to Urgent Care again but staff suggested I contact ENT doctor as Urgent Care was limited in what they can do for me. ENT doctor strongly suggested I go to ER. I was admitted to Hospital for observations. Tests taken included MRI with or without contrast, MRI, Echocardiogram, Ultrasound to examine carotid arteries, blood tests including tests to rule out genetic blood clotting issues, neurology consult. Discharged from hospital on Sept 1. Final diagnosis: TIA. Prescribed aspirin and statins.
Age: 50.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Influenza, Magnetic resonance imaging normal, Malaise, Meniere's disease, Movement disorder
Clinical narrative: Aug 23- received Flu and Shingles vaccines from Pharmacy, 2PM Aug 24- Symptoms experienced: Body aches, Feverish but not over 100.4 degrees, general malaise, flu symptoms but NO respiratory issues. Aug 25- Symptoms: Continued body ache and general flu symptoms that resolved in the afternoon. Aug 26- Symptoms: I woke up with severe vertigo (room was spinning while in bed), nausea, vomiting and unable to walk straight. Hearing loss and loud ringing in left ear. Went to Urgent Care. Given and prescribed anti nausea medication. Ears were clear. Symptoms resolved within 2-3 hours of symptoms onset. Final diagnosis: tinnitus. Aug 30- Went to ENT doctor. Ears were also clear. Diagnosis: Miniere's. Prescribed Prednisone, 17 day course to resolve hearing loss. Aug 31- Symptoms: 6AM in shower stall. Generalized weakness on the right side. Body was leaning towards the right side with my right leg unable to hold my weight.  Had to finally sit on shower floor. Unable to clench my right hand, left hand was OK. Unable to call out loudly for help, felt my mouth wasnt functioning. Visions blurred, foggy. Unable to stand up. Symptoms resolved within 10 minutes.  Went to Urgent Care again but staff suggested I contact ENT doctor as Urgent Care was limited in what they can do for me. ENT doctor strongly suggested I go to ER. I was admitted to Hospital for observations. Tests taken included MRI with or without contrast, MRI, Echocardiogram, Ultrasound to examine carotid arteries, blood tests including tests to rule out genetic blood clotting issues, neurology consult. Discharged from hospital on Sept 1. Final diagnosis: TIA. Prescribed aspirin and statins.
Age: 50.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Muscular weakness, Nausea, Neurological examination abnormal, Pain, Pyrexia
Clinical narrative: Aug 23- received Flu and Shingles vaccines from Pharmacy, 2PM Aug 24- Symptoms experienced: Body aches, Feverish but not over 100.4 degrees, general malaise, flu symptoms but NO respiratory issues. Aug 25- Symptoms: Continued body ache and general flu symptoms that resolved in the afternoon. Aug 26- Symptoms: I woke up with severe vertigo (room was spinning while in bed), nausea, vomiting and unable to walk straight. Hearing loss and loud ringing in left ear. Went to Urgent Care. Given and prescribed anti nausea medication. Ears were clear. Symptoms resolved within 2-3 hours of symptoms onset. Final diagnosis: tinnitus. Aug 30- Went to ENT doctor. Ears were also clear. Diagnosis: Miniere's. Prescribed Prednisone, 17 day course to resolve hearing loss. Aug 31- Symptoms: 6AM in shower stall. Generalized weakness on the right side. Body was leaning towards the right side with my right leg unable to hold my weight.  Had to finally sit on shower floor. Unable to clench my right hand, left hand was OK. Unable to call out loudly for help, felt my mouth wasnt functioning. Visions blurred, foggy. Unable to stand up. Symptoms resolved within 10 minutes.  Went to Urgent Care again but staff suggested I contact ENT doctor as Urgent Care was limited in what they can do for me. ENT doctor strongly suggested I go to ER. I was admitted to Hospital for observations. Tests taken included MRI with or without contrast, MRI, Echocardiogram, Ultrasound to examine carotid arteries, blood tests including tests to rule out genetic blood clotting issues, neurology consult. Discharged from hospital on Sept 1. Final diagnosis: TIA. Prescribed aspirin and statins.
Age: 50.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Scan with contrast normal, Tinnitus, Transient ischaemic attack, Ultrasound Doppler, Vertigo
Clinical narrative: Aug 23- received Flu and Shingles vaccines from Pharmacy, 2PM Aug 24- Symptoms experienced: Body aches, Feverish but not over 100.4 degrees, general malaise, flu symptoms but NO respiratory issues. Aug 25- Symptoms: Continued body ache and general flu symptoms that resolved in the afternoon. Aug 26- Symptoms: I woke up with severe vertigo (room was spinning while in bed), nausea, vomiting and unable to walk straight. Hearing loss and loud ringing in left ear. Went to Urgent Care. Given and prescribed anti nausea medication. Ears were clear. Symptoms resolved within 2-3 hours of symptoms onset. Final diagnosis: tinnitus. Aug 30- Went to ENT doctor. Ears were also clear. Diagnosis: Miniere's. Prescribed Prednisone, 17 day course to resolve hearing loss. Aug 31- Symptoms: 6AM in shower stall. Generalized weakness on the right side. Body was leaning towards the right side with my right leg unable to hold my weight.  Had to finally sit on shower floor. Unable to clench my right hand, left hand was OK. Unable to call out loudly for help, felt my mouth wasnt functioning. Visions blurred, foggy. Unable to stand up. Symptoms resolved within 10 minutes.  Went to Urgent Care again but staff suggested I contact ENT doctor as Urgent Care was limited in what they can do for me. ENT doctor strongly suggested I go to ER. I was admitted to Hospital for observations. Tests taken included MRI with or without contrast, MRI, Echocardiogram, Ultrasound to examine carotid arteries, blood tests including tests to rule out genetic blood clotting issues, neurology consult. Discharged from hospital on Sept 1. Final diagnosis: TIA. Prescribed aspirin and statins.
Age: 50.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Vision blurred, Visual impairment, Vomiting, Weight bearing difficulty
Clinical narrative: Aug 23- received Flu and Shingles vaccines from Pharmacy, 2PM Aug 24- Symptoms experienced: Body aches, Feverish but not over 100.4 degrees, general malaise, flu symptoms but NO respiratory issues. Aug 25- Symptoms: Continued body ache and general flu symptoms that resolved in the afternoon. Aug 26- Symptoms: I woke up with severe vertigo (room was spinning while in bed), nausea, vomiting and unable to walk straight. Hearing loss and loud ringing in left ear. Went to Urgent Care. Given and prescribed anti nausea medication. Ears were clear. Symptoms resolved within 2-3 hours of symptoms onset. Final diagnosis: tinnitus. Aug 30- Went to ENT doctor. Ears were also clear. Diagnosis: Miniere's. Prescribed Prednisone, 17 day course to resolve hearing loss. Aug 31- Symptoms: 6AM in shower stall. Generalized weakness on the right side. Body was leaning towards the right side with my right leg unable to hold my weight.  Had to finally sit on shower floor. Unable to clench my right hand, left hand was OK. Unable to call out loudly for help, felt my mouth wasnt functioning. Visions blurred, foggy. Unable to stand up. Symptoms resolved within 10 minutes.  Went to Urgent Care again but staff suggested I contact ENT doctor as Urgent Care was limited in what they can do for me. ENT doctor strongly suggested I go to ER. I was admitted to Hospital for observations. Tests taken included MRI with or without contrast, MRI, Echocardiogram, Ultrasound to examine carotid arteries, blood tests including tests to rule out genetic blood clotting issues, neurology consult. Discharged from hospital on Sept 1. Final diagnosis: TIA. Prescribed aspirin and statins.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Malaise, Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: pt reports he has been sick since 8/20 and tested postive for covid a couple days ago, sob and o2 level was low
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain lower, Chest X-ray, Pyrexia, SARS-CoV-2 test
Clinical narrative: Pt came to ER c/o right lower quadrant pain and fever, symptoms started a few days prior.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Vaccine breakthrough infection
Clinical narrative: PT IS A BREAKTHROUGH CASE OF COVID-19 AND EXPIRED ON 9/1/2021.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature)-
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Computerised tomogram thorax normal, Laboratory test normal, Lymphadenopathy
Clinical narrative: Variable Lymphadenopathy in the axillary, clavicular, and inguinal areas.   Joint pain in shoulders, back,  pelvis and hips.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Pelvic pain
Clinical narrative: Variable Lymphadenopathy in the axillary, clavicular, and inguinal areas.   Joint pain in shoulders, back,  pelvis and hips.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Injected limb mobility decreased, Loss of consciousness, Pain in extremity, Syncope
Clinical narrative: Extreme soreness in left arms, unable to move left arm, fainting spells , dizziness and passing out
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Pain, Pain in extremity
Clinical narrative: Dose was administered from vial that was initially punctured 2 days prior, therefor expired.  Patient did not experience any reaction aside from expected side effects of vaccine.  Patient did report sore arm the night of injection, and body aches the day following.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax normal, Dyspnoea, Fibrin D dimer increased
Clinical narrative: Sever shortness of breath - resulted in trip to urgent care for blood test and then ER for CT following blood test results
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Crying, Movement disorder, Muscle spasms, Muscle tightness
Clinical narrative: Started having full body muscle spasms, pulling me into a fetal position for approx 2 hours, then the spasms intensified and the muscles in my legs, feet, and toes tensed up so bad, pulling my feet and toes into different directions to the point I thought it was going to either break or dislocate my toes and ankles. The muscles were so tight my circulation was cut off, and my feet/toes were purple. I started convulsing all over my body. Head to my legs. All I could do was scream, cry, and beg God to make it stop. This lasted 9 hours. The following morning my neck muscle, to the left side of my spine started hurting, it got worse throughout the day. I took prescription strength ibuprofen, used muscle rub, neck massage, and a tens unit. But it continued to worsen. By the afternoon I could no longer move my head at all. My pcp told me to go to the ER.  I was given 2 doses of roboxin, morphine & a bag of IV fluids. After about 4 hours it finally started to ease up and I could move my head a little. By the next day I could move my neck normally. My PCP has advised me not to get the 2nd dose. To this day I am still having muscle spasms, however they are tolerable.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Neck pain, Poor peripheral circulation, Screaming, Seizure
Clinical narrative: Started having full body muscle spasms, pulling me into a fetal position for approx 2 hours, then the spasms intensified and the muscles in my legs, feet, and toes tensed up so bad, pulling my feet and toes into different directions to the point I thought it was going to either break or dislocate my toes and ankles. The muscles were so tight my circulation was cut off, and my feet/toes were purple. I started convulsing all over my body. Head to my legs. All I could do was scream, cry, and beg God to make it stop. This lasted 9 hours. The following morning my neck muscle, to the left side of my spine started hurting, it got worse throughout the day. I took prescription strength ibuprofen, used muscle rub, neck massage, and a tens unit. But it continued to worsen. By the afternoon I could no longer move my head at all. My pcp told me to go to the ER.  I was given 2 doses of roboxin, morphine & a bag of IV fluids. After about 4 hours it finally started to ease up and I could move my head a little. By the next day I could move my neck normally. My PCP has advised me not to get the 2nd dose. To this day I am still having muscle spasms, however they are tolerable.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Skin discolouration
Clinical narrative: Started having full body muscle spasms, pulling me into a fetal position for approx 2 hours, then the spasms intensified and the muscles in my legs, feet, and toes tensed up so bad, pulling my feet and toes into different directions to the point I thought it was going to either break or dislocate my toes and ankles. The muscles were so tight my circulation was cut off, and my feet/toes were purple. I started convulsing all over my body. Head to my legs. All I could do was scream, cry, and beg God to make it stop. This lasted 9 hours. The following morning my neck muscle, to the left side of my spine started hurting, it got worse throughout the day. I took prescription strength ibuprofen, used muscle rub, neck massage, and a tens unit. But it continued to worsen. By the afternoon I could no longer move my head at all. My pcp told me to go to the ER.  I was given 2 doses of roboxin, morphine & a bag of IV fluids. After about 4 hours it finally started to ease up and I could move my head a little. By the next day I could move my neck normally. My PCP has advised me not to get the 2nd dose. To this day I am still having muscle spasms, however they are tolerable.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Eye haemorrhage
Clinical narrative: Burst blood vessel in the right eye.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Hypoaesthesia, Impaired work ability, Muscular weakness, Pain in extremity
Clinical narrative: Numbing, burning, pain, and weakness in both hands and arms. Started on 8/17, progressed on 8/19, numbing and pain was so bad, I went to the ER on 8/22. Left hand was wrapped. Taken off work.  Referred to Orthopedic specialist.  Recommended therapy. Taken off work.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Movement disorder, Peripheral vascular disorder, Wheelchair user
Clinical narrative: Pt was given the J&J shot and within 24 hours experienced weakness to the point that he was unable to move his legs. He had decreased circulation in the lower extremities and was hospitalized. Since that time he has been confined to a wheelchair.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, COVID-19, Dyspnoea, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: arrived via EMS from home, c/o SOB, Fever, loss of taste, Was COVID NEG on Monday, not getting any better, When EMS arrive pt  O2sat @ 60's in RA
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Poor quality product administered, Product storage error
Clinical narrative: Error: Improper Storage (temperature)-
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray, Pain in extremity, Pyrexia
Clinical narrative: Pt came to ER c/o fever, generalized weakness, bilateral leg pain onset 1 day prior.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Pt came to ER c/o fever, generalized weakness, bilateral leg pain onset 1 day prior.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Appendicitis
Clinical narrative: Appendicitis.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Chromaturia, Diarrhoea, Gait inability, Pyrexia
Clinical narrative: high fever  to 102.8    extreme diarrhea and urine of yellow color not seen before    no balance, couldn't walk  symptons started going away 9-3 evening except diarrhea
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, Fatigue, Headache, Impaired work ability
Clinical narrative: headache, balance is off, tired, no energy - drink electrolyte water and stayed home from work
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient is completely vaccinated against COVID 19 and has developed positive COVID test result
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired in fridge
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: vaccine expired in fridge
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Dermatitis allergic, Rash, Urticaria
Clinical narrative: Delayed Cutaneous Hypersensitivity: Rash developed on all parts of the body.  Rash started on the upper arms and upper sides.  Rash always appeared symmetrically on my body.  Rash did not cover the whole body at once.  It covered about 10% of my body for hours and then move to other spots, always symmetrically.  At times there appeared hives also on parts of my body I'd scratch.  Only parts of my body not affected were the soles of my feet, palms of my hands, and from mouth above on my face.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired in fridge
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Exercise tolerance decreased, Fatigue
Clinical narrative: CAN'T WALK WITH OUT GETTING EXHAUSTED, CAN'T DO MY 20 MIN YOGA WORKOUT,
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine expired in fridge
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: The patient has not identified any adverse effects, but the patient did not inform us that she had already been vaccinated with 1 dose of Pfizer before receiving the Johnson & Johnson vaccine.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Appendicitis, Ultrasound abdomen abnormal
Clinical narrative: Inflamed appendix.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Night sweats, Pyrexia
Clinical narrative: 8/26/21: At 23 hours, general tiredness; fever of 101.3; fever dissipated in 8 hours 8/28/21: At 60 hours; severe night sweats
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Lymphadenopathy
Clinical narrative: Site: Swelling at Injection Site-Medium, Systemic: Lymph Node Swelling-Medium
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acoustic stimulation tests abnormal, Tinnitus
Clinical narrative: August 12, 2021 tinnitus - ringing in ears.  Constant ringing in my ears still to this date.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia
Clinical narrative: numb feeling left side of face following by pain towards the back of my head
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Fatigue, Flushing
Clinical narrative: Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Severe, Systemic: Shakiness-Medium, Systemic: Vomiting-Severe, Systemic: Weakness-Severe
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Lethargy, Nausea, Syncope, Tremor
Clinical narrative: Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Severe, Systemic: Shakiness-Medium, Systemic: Vomiting-Severe, Systemic: Weakness-Severe
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli, Vomiting
Clinical narrative: Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Severe, Systemic: Shakiness-Medium, Systemic: Vomiting-Severe, Systemic: Weakness-Severe
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Cough, Death, Dyspnoea, Hypoxia
Clinical narrative: cough, SOB, hypoxia, confusion
Age: 97.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Fall, SARS-CoV-2 test positive
Clinical narrative: arrivied via ems from home, fell, per pt missed the chair, no head injury, no LOC, denies any blood thinners, pt did C/O weakness x3 days. Covid exposure 3 days ago
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Asthenia, Chest X-ray, Chills, Dizziness
Clinical narrative: Pt came to ER c/o SOB, weakness, dizziness, fever, chills, abdominal pain.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Pyrexia, SARS-CoV-2 test
Clinical narrative: Pt came to ER c/o SOB, weakness, dizziness, fever, chills, abdominal pain.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive covid 19 by PCR, symptomatic
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination complication
Clinical narrative: Covid arm
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cold sweat, Dizziness, Headache, Myalgia
Clinical narrative: The night of the vaccination- dizzy, cold sweat, uncontrollable shivering, muscle pain, headache
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood creatinine increased, Blood fibrinogen increased, Brain natriuretic peptide increased
Clinical narrative: 17y / male presents  8/29/2021 with 4 days of symptoms: fever, tachycardia, vomiting, congestion, and red eyes diagnosed with MIS-C
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, Echocardiogram abnormal, Electrocardiogram abnormal, Fibrin D dimer increased, Multisystem inflammatory syndrome in children
Clinical narrative: 17y / male presents  8/29/2021 with 4 days of symptoms: fever, tachycardia, vomiting, congestion, and red eyes diagnosed with MIS-C
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Ocular hyperaemia, Pyrexia, Red blood cell sedimentation rate increased, Respiratory tract congestion, Serum ferritin increased
Clinical narrative: 17y / male presents  8/29/2021 with 4 days of symptoms: fever, tachycardia, vomiting, congestion, and red eyes diagnosed with MIS-C
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia, Troponin increased, Vomiting
Clinical narrative: 17y / male presents  8/29/2021 with 4 days of symptoms: fever, tachycardia, vomiting, congestion, and red eyes diagnosed with MIS-C
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Atelectasis, Blood gases normal, Blood lactate dehydrogenase, C-reactive protein normal
Clinical narrative: History of present illness (8/25/21): This is a 55 year old female with known COVID-19 infection (symptom onset 08/21/21 and positive test 08/23/21) and PMHx including DMII, OSA, HTN, and obesity who presents to ED for progressively worsening shortness of air. Pt. reports initial symptoms included headache, body aches, and nausea/vomiting/diarrhea. She notes a productive cough with green sputum, and has developed left-sided rib pain with coughing. Pt. completed 2 series Pfizer covid vaccination on 03/12/2021.  Review of Systems (8/25/21): Constitutional: Positive for activity change, appetite change, chills, fatigue and fever.   Respiratory: Positive for cough, chest tightness and shortness of breath. Negative for wheezing.   Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal distention, abdominal pain and constipation.  Musculoskeletal: Positive for myalgias. Negative for back pain, gait problem and joint swelling.   #Acute hypoxic respiratory failure 2/2 SARS CoV2 bilateral pneumonia (8/25/21) - Pt. O2 sat 91% on RA at rest. VBG 7.35/55/23/31.  - CXR showing mild basilar opacities (L>R) representing atelectasis vs early infection  - Afebrile with WBC (8), procal minimally elevated. CRP (127) LDH () d-dimer (0.43) -  08/25 ? starting Remdesivir and dexamethasone 6 mg PO daily with GI ppx   #Acute hypoxic respiratory failure 2/2 COVID-19 PNA (8/28/21) - Initially required O2 via NC - CXR showing mild basilar opacities (L>R)  - Continue remdesivir for 5 day course-- > end date 8/29 - Continue dexamethasone for 10 day course-- > end date 9/3 - Trend CRP and CMP while on remdesivir - Mucinex, dextromethorphan, albuterol MDI PRN - Supplemental O2 for sats >92%  Discharged home 8/29/21
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chest discomfort, Chills
Clinical narrative: History of present illness (8/25/21): This is a 55 year old female with known COVID-19 infection (symptom onset 08/21/21 and positive test 08/23/21) and PMHx including DMII, OSA, HTN, and obesity who presents to ED for progressively worsening shortness of air. Pt. reports initial symptoms included headache, body aches, and nausea/vomiting/diarrhea. She notes a productive cough with green sputum, and has developed left-sided rib pain with coughing. Pt. completed 2 series Pfizer covid vaccination on 03/12/2021.  Review of Systems (8/25/21): Constitutional: Positive for activity change, appetite change, chills, fatigue and fever.   Respiratory: Positive for cough, chest tightness and shortness of breath. Negative for wheezing.   Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal distention, abdominal pain and constipation.  Musculoskeletal: Positive for myalgias. Negative for back pain, gait problem and joint swelling.   #Acute hypoxic respiratory failure 2/2 SARS CoV2 bilateral pneumonia (8/25/21) - Pt. O2 sat 91% on RA at rest. VBG 7.35/55/23/31.  - CXR showing mild basilar opacities (L>R) representing atelectasis vs early infection  - Afebrile with WBC (8), procal minimally elevated. CRP (127) LDH () d-dimer (0.43) -  08/25 ? starting Remdesivir and dexamethasone 6 mg PO daily with GI ppx   #Acute hypoxic respiratory failure 2/2 COVID-19 PNA (8/28/21) - Initially required O2 via NC - CXR showing mild basilar opacities (L>R)  - Continue remdesivir for 5 day course-- > end date 8/29 - Continue dexamethasone for 10 day course-- > end date 9/3 - Trend CRP and CMP while on remdesivir - Mucinex, dextromethorphan, albuterol MDI PRN - Supplemental O2 for sats >92%  Discharged home 8/29/21