chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Subarachnoid haemorrhage, Superior sagittal sinus thrombosis, Transverse sinus thrombosis
Clinical narrative: This is a 59 year old male that presented to the emergency department at approximately 1447 on 04/27/2021 with sudden onset of left upper and lower extremity weakness and left-sided numbness of his face. The patient stated he may have had some weakness the previous night (04/26/2021), but mostly noticed it when he woke up around 0900 on 04/27/2021. The patient stated he may have also had some transient speech changes which he felt were improved upon emergency department presentation. The patient stated he took an 81 mg aspirin prior to hospital arrival. The patient was overall hemodynamically stable in the emergency department. Past medical history is only significant for benign prostatic hyperplasia. This patient has no history of previous CVA or TIA, no smoking history, no history of clotting disorders, no recent trauma or other injury. CT head revealed a small right frontal subarachnoid hemorrhage with no midline shift and concern for clot. CTA head and neck perfusion study was significant for ?perfusion abnormality involving the right frontal lobe in the region of known subarachnoid hemorrhage, likely related to dural venous sinus thrombosis involving the posterior aspect of the superior sagittal sinus, left greater than right transverse sinus, and left sigmoid sinus.? This patient is noted to have recently received his Johnson and Johnson vaccine on 03/20/2021. The patient was admitted to the intensive care unit. Neurology and hematology were consulted.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Cerebral venous sinus thrombosis, Cerebrovascular accident, Computerised tomogram head, Computerised tomogram head abnormal
Clinical narrative: This is a 59 year old male that presented to the emergency department at approximately 1447 on 04/27/2021 with sudden onset of left upper and lower extremity weakness and left-sided numbness of his face. The patient stated he may have had some weakness the previous night (04/26/2021), but mostly noticed it when he woke up around 0900 on 04/27/2021. The patient stated he may have also had some transient speech changes which he felt were improved upon emergency department presentation. The patient stated he took an 81 mg aspirin prior to hospital arrival. The patient was overall hemodynamically stable in the emergency department. Past medical history is only significant for benign prostatic hyperplasia. This patient has no history of previous CVA or TIA, no smoking history, no history of clotting disorders, no recent trauma or other injury. CT head revealed a small right frontal subarachnoid hemorrhage with no midline shift and concern for clot. CTA head and neck perfusion study was significant for ?perfusion abnormality involving the right frontal lobe in the region of known subarachnoid hemorrhage, likely related to dural venous sinus thrombosis involving the posterior aspect of the superior sagittal sinus, left greater than right transverse sinus, and left sigmoid sinus.? This patient is noted to have recently received his Johnson and Johnson vaccine on 03/20/2021. The patient was admitted to the intensive care unit. Neurology and hematology were consulted.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Muscular weakness, NIH stroke scale score increased, Speech disorder, Subarachnoid haemorrhage
Clinical narrative: This is a 59 year old male that presented to the emergency department at approximately 1447 on 04/27/2021 with sudden onset of left upper and lower extremity weakness and left-sided numbness of his face. The patient stated he may have had some weakness the previous night (04/26/2021), but mostly noticed it when he woke up around 0900 on 04/27/2021. The patient stated he may have also had some transient speech changes which he felt were improved upon emergency department presentation. The patient stated he took an 81 mg aspirin prior to hospital arrival. The patient was overall hemodynamically stable in the emergency department. Past medical history is only significant for benign prostatic hyperplasia. This patient has no history of previous CVA or TIA, no smoking history, no history of clotting disorders, no recent trauma or other injury. CT head revealed a small right frontal subarachnoid hemorrhage with no midline shift and concern for clot. CTA head and neck perfusion study was significant for ?perfusion abnormality involving the right frontal lobe in the region of known subarachnoid hemorrhage, likely related to dural venous sinus thrombosis involving the posterior aspect of the superior sagittal sinus, left greater than right transverse sinus, and left sigmoid sinus.? This patient is noted to have recently received his Johnson and Johnson vaccine on 03/20/2021. The patient was admitted to the intensive care unit. Neurology and hematology were consulted.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Pain, Pyrexia
Clinical narrative: 100 degree fever for 24 hours, general body aches and lethargy.  36 hours later the fever is gone but lingering, less severe aches
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Asthma, Pruritus
Clinical narrative: 15 MIN AFTER INJECTION ITCHING OF RIGHT HAND , 30 MIN LATER ITCHING OF FULL RIGHT ARM, 1 HOUR AFTER INJECTION HAD MILD ASTHMA ATTACK AND ANGIOEDEMA OF ANTERIOR CHEST. EPI, BENADRYL AND PEPCID ADMINISTERED AND RESPONDED WELL. SENT TO ER.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dehydration, Hyperhidrosis, Menstrual disorder, Pyrexia
Clinical narrative: High fever (103) that did not respond to Tylenol for two days. Excessive vomiting that led to severe dehydration. Chills and sweating. Unusual menstrual bleeding right after vaccination.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: High fever (103) that did not respond to Tylenol for two days. Excessive vomiting that led to severe dehydration. Chills and sweating. Unusual menstrual bleeding right after vaccination.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Dyspnoea, Fatigue, Headache
Clinical narrative: Fatigue, headache, fever (100+ degrees F), body aches, shortness of breath/ heaviness in chest, elevated heart rate (20+ BPM above normal), anxiety.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Pain, Pyrexia
Clinical narrative: Fatigue, headache, fever (100+ degrees F), body aches, shortness of breath/ heaviness in chest, elevated heart rate (20+ BPM above normal), anxiety.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Computerised tomogram, Headache, Loss of personal independence in daily activities
Clinical narrative: I've had a headache and severe joint pain since getting my dose on 4/13. It has not relented and I have not been able to complete daily activities because of it.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles on left abdomen, left back and left buttocks
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Migraine, Sensitive skin
Clinical narrative: Complaint of a new onset migrane on the pt's left side which began on 4/17/21 - 3 days after the 2nd dose was administered. Pt never experienced lasting migranes prior and symptom is continuing thru today 4/28/21. Complaint that the migrane feels externally painful and sensitive to touch.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, No adverse event
Clinical narrative: This patient did not have any type of allergic reaction to the Moderna vaccine.  The patient was vaccinated on 4/22/2021 and the age at the time of vaccination was 17 years old.  Per advice from Health Department is completing a VAERS report.  Also per direction from DHHS, this patient will be vaccinated with the 2nd dose of Moderna.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Malaise, Pain, Pyrexia
Clinical narrative: Fever, malaise, aches, headache
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: I got my shot Friday afternoon at 1pm, around 8pm the following Sunday night my left foot started tingling out of no where. Then my right foot started tingling off and on all day. My right had also started to tingle some (but not as much). It is now Wednesday (5 days post shot) and the tingly has subsided, but is still there. My feet also seem like after they tingle a lot they get sweaty.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Full blood count normal, Lymphadenopathy, Metabolic function test, Pain in jaw
Clinical narrative: Submandibular lymphadenopathy, severe bilateral temporomandibular joint pain started 4/19/2021. Patient went to urgent care and received cephalexin without improvement.  Patient saw me 4/27/2021 and we are trying pain control with naproxen and hydrocodone?acetaminophen as needed for pain.  Labs below were drawn.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: I developed shingles
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID test 4/8/21
Age: 19.0
Sex: M
Vaccine: HPV9
Symptoms: Hypoaesthesia, Muscular weakness, Pain in extremity, Peripheral coldness, Skin discolouration
Clinical narrative: Pt presented 13 days after HPV vaccine with c/o severe pain in left arm; he said he also had color changes and the arm was cold but was seen within 2 hours of onset and color change was not seen per note; the pain resolved but now he has numbness in arm and weakness to hand (detectable on exam and not just reported)
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Condition aggravated, Tinnitus
Clinical narrative: Tinnitus / ear ringing Prior to vaccination, minor, mainly in left ear. After vaccination, ringing became stronger, still concentrated in left ear.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Hypertension
Clinical narrative: No reaction to 1st dose.  Since my 2nd dose, I started to have headaches every day since the 2nd vaccine shot,  the headaches continue as of today. I called my primary care and found out that my blood pressure was higher than normal.  Readings from a low of 146/97 to a high of 184/98.  Primary care has started me on 10mg of lisinopril, once per day.  Prior to vaccine my blood pressure never exceeded 150/100 to my knowldege.  Primary care suggested I report this back to pharmacy, however, pharmcy web site suggested filling out this form.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient under the age of 18 received the Moderna COVID Vaccine - No Adverse reactions - patient observed by Physician for 15 minutes,
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pruritus, Rash, Rash erythematous
Clinical narrative: Morning of the second day after vaccination: Red rash on chest between breasts, slightly itchy. Rash on two sides of the base of my neck Rash on the lateral side of my left breast.  Large swelling in area of left underarm and breast. Not just a swollen gland, but puffy swollen tissue that  when I lift my arm looks like there?s no armpit, it?s all swollen.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Loss of personal independence in daily activities, Pyrexia, Urticaria
Clinical narrative: Adverse event 4/17/2021: severe chills, high fever (max = 102.7 F) that persisted on and off until 4/22/2021. Worst fevers were at night. Required support from spouse to do every day tasks. Stayed in seated or prone positions the majority of the time from 4/17/2021 to 4/19/2021. Treated with Tylenol. I would take 500 mg every 4 hours or 1000 mg every 6 hours and as I got further into the week I tried not to take Tylenol to avoid masking symptoms, but I would take it if temperature spiked which would happen randomly. Adverse event 4/19/2021: Hives developed on scalp and forehead following approximately 30 minutes of exposure to sunlight. These hives began to spread through 4/20/2021 and into 4/21/2021 to eventually cover entire upper torso including stomach, back, chest, neck, face and head. Treated with Singulair and Zyzol starting 04/21/2021 and stopped treatment once hives were gone on 4/23/2021.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hypertension
Clinical narrative: Patient experienced an episode of lightheadedness and hypertension after receiving the vaccine.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Injection site warmth, Rash papular, Rash pruritic
Clinical narrative: Itchy, raised rash (oval in shape) on the left arm near the injection site - warm to the touch.  (exactly 1-week after the injection)
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Fatigue, Headache, Oropharyngeal pain, Pain
Clinical narrative: Moderna covid -19 vaccine eua  fever, aches, fatigue, congestion, cough, sore throat, head ache, sneezing
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, Sneezing
Clinical narrative: Moderna covid -19 vaccine eua  fever, aches, fatigue, congestion, cough, sore throat, head ache, sneezing
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Pain started in left shoulder approx 24-48 hours after vaccine was administered and continued to get worse for several weeks.  After more than 7 weeks pain has remained at approx same level or may be getting slowly worse but not improving.
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Migraine, Pain
Clinical narrative: Upon waking up, a severe migraine and full-body soreness set in. I am reporting this as I am currently experiencing these symptoms.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Discomfort, Lymphadenopathy
Clinical narrative: The caller reports that approximately one week after her second COVID19 Pfizer vaccine, she experienced swelling of her left axillary lymph node with related discomfort and pain. She reports the symptoms resolved in about 1-1.5 weeks without further complication.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Atrial fibrillation, Dyspnoea, Electrocardiogram, Electrocardiogram Q wave abnormal
Clinical narrative: patient woke up on 04/22/2021 with shortness of breath and weakness.  On exam, she was hypotensive, tachycardic and edematous
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Oedema, Tachycardia
Clinical narrative: patient woke up on 04/22/2021 with shortness of breath and weakness.  On exam, she was hypotensive, tachycardic and edematous
Age: 25.0
Sex: U
Vaccine: COVID19
Symptoms: Dizziness, Exposure during pregnancy, Feeling hot
Clinical narrative: Dizzy, Hot, pt 33 weeks pregnant bp  111/67 pulse 75 o2 sats 100% monitored by EMS pt advised see ob/gyn for next vaccine pt released by ems.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Decreased appetite, Discomfort, Endoscopy
Clinical narrative: Three days after the second dose, started experiencing severe upper G.I. issues which including severe burping, discomfort, loss of appetite, nausea, etc.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Eructation, Gastrointestinal disorder, Nausea, Ultrasound scan
Clinical narrative: Three days after the second dose, started experiencing severe upper G.I. issues which including severe burping, discomfort, loss of appetite, nausea, etc.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Muscle spasms
Clinical narrative: I started my period after 2 full yrs of menopause. Noticeable hormone flux 14 days after first shot, just as if I were having a normal cycle, started my period 31 days after first shot, 9 days after my second shot (March 26 1st shot, April 17th 2nd shot, period began April 25th). Strong cramping, heavy flow. An absolutely normal cycle for me, but at least 2 years, nearly 3 years to the day, since my last full period. 4 days in, blood flow and cramps lessening.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, COVID-19, Dyspnoea, Headache, Pyrexia
Clinical narrative: on 04/25/21 patient complained of cold like symptoms, mild fever, upset stomach, headache, and shortness of breath 04/26/21 tested positive for Covid
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: on 04/25/21 patient complained of cold like symptoms, mild fever, upset stomach, headache, and shortness of breath 04/26/21 tested positive for Covid
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Feeling hot, Immediate post-injection reaction
Clinical narrative: Pt reported as soon as she felt the jab of injection, she began to feel lightheaded and dizzy. Observation staff aided pt. to wheelchair and moved pt. to quiet room. Pt. started to complain of hot and clammy feeling on her forehead. Pt. drank a juice and began to feel better. 30 minutes from vaccine pt. stated she felt all the way better. Pt. exited with husband. Vital signs normal.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Fatigue, Headache, Thrombosis
Clinical narrative: Headache, Increasing fatigue and difficulty breathing over two weeks before 2nd dose -- exacerbated by 2nd dose.  Worsening condition led to visit to Primary Care   In office tests indicated presence of blood clots and need for emergency hospital treatment.  Emergency surgery to remove blood clots throughout her body and attempt to put her on ECMO were unsuccessful and patient succumbed at 12:06 AM 3/3/21.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Heart rate increased, Pain, Tremor
Clinical narrative: Extreme chills, shaking(shivering), elevated temperature, elevated heart rate, body aches
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Dyspnoea, Pyrexia
Clinical narrative: Breakthrough COVID-19 infection in fully vaccinated individual;  covid + approx 4/25 per pt  (no result avail, no vaccine info avail), worsening fever, cough, chills, SOB for past week;
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID-19 infection in fully vaccinated individual;  covid + approx 4/25 per pt  (no result avail, no vaccine info avail), worsening fever, cough, chills, SOB for past week;
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: constant ringing in left ear
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion
Clinical narrative: BRUISING ON RING FINGER AND BOTH INNER THIGHS APPROXIMATELY 24 HOURS AFTER VACCINATION AND LASTING FOR 3-4 DAYS
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Loss of consciousness
Clinical narrative: Patient sat in the observation area for 15 minutes following the administration. Once he started to get up to go home he passed out in his chair and fell to the floor
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Crazy itchiness yesterday on arm (left arm, where vaccine was given), and back. Red circular rash on left arm, still itchy on my back. Foregoing treatment today (I have a high-deductible health plan, so would end up paying full price to see my PCP),  am monitoring, itching.
Age: 44.0
Sex: U
Vaccine: COVID19
Symptoms: Anxiety, Chest discomfort, Dyspnoea
Clinical narrative: Patient received the vaccine and within thiry seconds described shortness of breath and chest tightness - took one puff of her Albuterol inhaler and stated she took one bendaryl before coming to facility then immediately had an anxiety attack.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram cerebral abnormal, Arteriogram carotid, Cerebral artery occlusion, Cerebral infarction, Cerebrovascular accident
Clinical narrative: Only slight swelling at injection site occurred following the administration of the second dose. Swelling only lasted approximately 2 days. 11 days later on 02/17/2021, my mother was found (at approx 11- 11:30am) to be having a stroke unbeknownst to us. Barely responsive when paramedics came, and going in and out of consciousness.  There were NO typical stroke symptoms not exhibited leading up to the time of stroke on 02/17/21 as she just received a clean bill of health the December prior.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Consciousness fluctuating, Hyporesponsive to stimuli, Injection site swelling, Scan with contrast
Clinical narrative: Only slight swelling at injection site occurred following the administration of the second dose. Swelling only lasted approximately 2 days. 11 days later on 02/17/2021, my mother was found (at approx 11- 11:30am) to be having a stroke unbeknownst to us. Barely responsive when paramedics came, and going in and out of consciousness.  There were NO typical stroke symptoms not exhibited leading up to the time of stroke on 02/17/21 as she just received a clean bill of health the December prior.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Demyelination, Magnetic resonance imaging abnormal, Muscular weakness, Myelitis transverse
Clinical narrative: This patient received the Moderna vaccine as an outpatient . Admitted with progrssively worsening leg weakness. Family history of MS.   Diagnosed with transverse myelitis . As per MRI " 2 tiny foci of abnormal intra substance signal  in the spinal cord consistent with demyelinating process .. Patient treated with methlyPrednisone, doing better and discharged . .  Discharged on prednisone . Being followed by Neurology .
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood test, Computerised tomogram, Magnetic resonance imaging head, Magnetic resonance imaging neck
Clinical narrative: This patient received the Moderna vaccine as an outpatient . Admitted with progrssively worsening leg weakness. Family history of MS.   Diagnosed with transverse myelitis . As per MRI " 2 tiny foci of abnormal intra substance signal  in the spinal cord consistent with demyelinating process .. Patient treated with methlyPrednisone, doing better and discharged . .  Discharged on prednisone . Being followed by Neurology .
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging spinal, Movement disorder, Muscular weakness, Myelitis, Pain
Clinical narrative: This patient received the Moderna vaccine as an outpatient . Admitted with progrssively worsening leg weakness. Family history of MS.   Diagnosed with transverse myelitis . As per MRI " 2 tiny foci of abnormal intra substance signal  in the spinal cord consistent with demyelinating process .. Patient treated with methlyPrednisone, doing better and discharged . .  Discharged on prednisone . Being followed by Neurology .
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity
Clinical narrative: This patient received the Moderna vaccine as an outpatient . Admitted with progrssively worsening leg weakness. Family history of MS.   Diagnosed with transverse myelitis . As per MRI " 2 tiny foci of abnormal intra substance signal  in the spinal cord consistent with demyelinating process .. Patient treated with methlyPrednisone, doing better and discharged . .  Discharged on prednisone . Being followed by Neurology .
Age: 39.0
Sex: M
Vaccine: UNK
Symptoms: Cough, Decreased appetite, Diarrhoea, Fatigue, Feeling cold
Clinical narrative: I?m sick with cold sweats, headaches, wheezing cough whenever I take a deep breath, extreme fatigue, little appetite, and diarrhea . But I can taste and smell. I?ve been this way for over week.
Age: 39.0
Sex: M
Vaccine: UNK
Symptoms: Headache, Hyperhidrosis, Malaise, Wheezing
Clinical narrative: I?m sick with cold sweats, headaches, wheezing cough whenever I take a deep breath, extreme fatigue, little appetite, and diarrhea . But I can taste and smell. I?ve been this way for over week.
Age: 5.0
Sex: F
Vaccine: DTAPIPV, MMR, VARCEL
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: urticarial rash on both legs that itches; prescribed hydrocortisone cream and came back for follow up the next day
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Hyperhidrosis, Pyrexia
Clinical narrative: Headache , tired (slept from 4pm to next morning),low grade fever, sweat it out through out night, diarrhea I the next morning.  Got up at 10am next day feeling better.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes simplex, Herpes virus test
Clinical narrative: First GHSV2 outbreak. Started one day after getting the vaccine. Was Prescribed acyclovir and having adverse reactions to the medication (bright red face and neck accompanied by itching)
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy
Clinical narrative: Visibly swollen lymph nodes in the left armpit, pain with swelling.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Syringe issue, Underdose
Clinical narrative: Inserted needle into pt's deltoid.  When pushed plunger to administer vaccine, an equipment malfunction caused vaccine to leak out from around the needle instead of going into the muscle.  Vaccine ran down pt's arm.  Because it was estimated that pt did not receive at least half the dose, a full dose was administered in the opposite arm per CDC guidelines.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hypertension
Clinical narrative: Patient came to vaccination site for the Janssen Covid-19 vaccine on April 09, 2021. After receiving the vaccine, given by a Medical Assistant, he stated that he was ?not feeling himself and was lightheaded?. Medical Assistant, told him to put his car seat back and that she was going to get the automatic BP cuff to take his BP. Medical assistant also let two RNs, know about the incident and they also observed the patient when he was getting his BP taken by Medical Assistant at 9:10am. The first BP was taken on the left arm and was 199/119 and pulse was 72. The second was taken immediately after on the right arm by a RN and was 191/116 and pulse was 78. At 9:22am, RN called our Pharmacist and explained the symptoms the patient was having. She advised the nurses to call EMS. The RNs then took BP again at 9:23 am on the left arm, this time it was 199/116 and pulse was 72. The RNs explained to the patient they were going to have to call EMS to take him to the hospital due to his hypertension. Patient refused EMS transport and stated he would go to his doctor, but that he wants a manual BP taken. The RNs stated he would need to call someone to pick him up to transport him to his doctor. Patient called wife to pick him up. RN stated at 9:27am that a staff member was going to get the manual BP cuff. At 9:35am second RN checked patient and he stated he ?felt fine?. At 9:45am, second RN checked patient again, and he stated he was ?feeling better?. At 9:55am, second RN checked BP with the manual BP cuff on the left arm and it was 215/118 and pulse 75. At 10:00 am second RN gave patient a bottle of water, because he stated he was thirsty. Second RN asked to check BP again at 10:01am on the left arm, manually and it was 194/115 and pulse was 81. Second RN took manual BP again at 10:06 am and it was 190/110 and pulse was 82. Crackers were also given to patient at this time. At 10:18am wife picked up patient and took him to his MD office at 10:18.  On April 10th, 2021, at 10:27am, RN reached out to patient via phone but patient did not pick up or call back.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Pain in extremity, Pyrexia
Clinical narrative: Splitting headaches, chills, fever, nausea, vomiting, soreness in left arm
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Splitting headaches, chills, fever, nausea, vomiting, soreness in left arm
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness, Dizziness, Headache, Vital signs measurement
Clinical narrative: patient started to have headaches and lost hearing  in both ears. Headaches was 6/10 with pressure located in the forehead, Blood pressure 136/98 ,16, 56,patient continue to become dizzy, at this time laid patient on the floor with lower extremities elevated in chair . Blood pressure at this time was 100/56 , 56,16 lying,sitting @916 100/71,73,18, standing b/p 123/100 ,81,18 denies sob, chest pain and headache at this time , hearing return at this time, continue to monitor patient @ 930  patient drinking water without any difficulties, )941 b/p 127/76 ,64, 16 denies any discomfort discharged home @0949
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: C/O TROUBLE BREATHING/CHEST DISCOMFORT, PROVIDED WATER AND SNACK, SYMPTOMS RESOLVED, REFUSED TRANSPORT, AMA SIGNED.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Sensitive skin, Skin discolouration
Clinical narrative: The day after my second shot toes on both of my feet turned purple and I developed blisters.  It largely went away within about 24 hours.  One week after the shot, these symptoms have returned, and they are worse.  I have blisters on both feet, and I feel like I have some nerve sensitivity.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio normal, Aspartate aminotransferase normal, Basophil count normal, Basophil percentage decreased
Clinical narrative: DVT of femoral vein of left lower extremity, shortness of breath during exertion, cough, diaphoresis, malaise/fatigue, chest pain, flu-like symptoms, POX 96%, woke up at 3am 4/14/21 short of breath and wheezing with POX 94%, headache, dizziness only when short of breath, left leg pain.  Pt treated with Eliquis.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride normal
Clinical narrative: DVT of femoral vein of left lower extremity, shortness of breath during exertion, cough, diaphoresis, malaise/fatigue, chest pain, flu-like symptoms, POX 96%, woke up at 3am 4/14/21 short of breath and wheezing with POX 94%, headache, dizziness only when short of breath, left leg pain.  Pt treated with Eliquis.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood glucose increased, Blood potassium normal, Blood sodium normal, Blood urea normal
Clinical narrative: DVT of femoral vein of left lower extremity, shortness of breath during exertion, cough, diaphoresis, malaise/fatigue, chest pain, flu-like symptoms, POX 96%, woke up at 3am 4/14/21 short of breath and wheezing with POX 94%, headache, dizziness only when short of breath, left leg pain.  Pt treated with Eliquis.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Carbon dioxide normal, Chest X-ray normal, Chest pain, Computerised tomogram thorax abnormal, Cough
Clinical narrative: DVT of femoral vein of left lower extremity, shortness of breath during exertion, cough, diaphoresis, malaise/fatigue, chest pain, flu-like symptoms, POX 96%, woke up at 3am 4/14/21 short of breath and wheezing with POX 94%, headache, dizziness only when short of breath, left leg pain.  Pt treated with Eliquis.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Dizziness, Dyspnoea, Dyspnoea exertional, Eosinophil count normal
Clinical narrative: DVT of femoral vein of left lower extremity, shortness of breath during exertion, cough, diaphoresis, malaise/fatigue, chest pain, flu-like symptoms, POX 96%, woke up at 3am 4/14/21 short of breath and wheezing with POX 94%, headache, dizziness only when short of breath, left leg pain.  Pt treated with Eliquis.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Eosinophil percentage increased, Fatigue, Fibrin D dimer increased, Globulin, Glomerular filtration rate normal
Clinical narrative: DVT of femoral vein of left lower extremity, shortness of breath during exertion, cough, diaphoresis, malaise/fatigue, chest pain, flu-like symptoms, POX 96%, woke up at 3am 4/14/21 short of breath and wheezing with POX 94%, headache, dizziness only when short of breath, left leg pain.  Pt treated with Eliquis.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Haematocrit normal, Haemoglobin normal, Headache, Hyperhidrosis, Influenza A virus test negative
Clinical narrative: DVT of femoral vein of left lower extremity, shortness of breath during exertion, cough, diaphoresis, malaise/fatigue, chest pain, flu-like symptoms, POX 96%, woke up at 3am 4/14/21 short of breath and wheezing with POX 94%, headache, dizziness only when short of breath, left leg pain.  Pt treated with Eliquis.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Influenza like illness, Lymphocyte count normal, Lymphocyte percentage decreased, Malaise
Clinical narrative: DVT of femoral vein of left lower extremity, shortness of breath during exertion, cough, diaphoresis, malaise/fatigue, chest pain, flu-like symptoms, POX 96%, woke up at 3am 4/14/21 short of breath and wheezing with POX 94%, headache, dizziness only when short of breath, left leg pain.  Pt treated with Eliquis.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Monocyte count normal, Monocyte percentage
Clinical narrative: DVT of femoral vein of left lower extremity, shortness of breath during exertion, cough, diaphoresis, malaise/fatigue, chest pain, flu-like symptoms, POX 96%, woke up at 3am 4/14/21 short of breath and wheezing with POX 94%, headache, dizziness only when short of breath, left leg pain.  Pt treated with Eliquis.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil count normal, Neutrophil percentage, Pain in extremity, Platelet count normal, Protein total normal
Clinical narrative: DVT of femoral vein of left lower extremity, shortness of breath during exertion, cough, diaphoresis, malaise/fatigue, chest pain, flu-like symptoms, POX 96%, woke up at 3am 4/14/21 short of breath and wheezing with POX 94%, headache, dizziness only when short of breath, left leg pain.  Pt treated with Eliquis.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell count normal, Red cell distribution width normal, SARS-CoV-2 test negative, Troponin I normal, Wheezing
Clinical narrative: DVT of femoral vein of left lower extremity, shortness of breath during exertion, cough, diaphoresis, malaise/fatigue, chest pain, flu-like symptoms, POX 96%, woke up at 3am 4/14/21 short of breath and wheezing with POX 94%, headache, dizziness only when short of breath, left leg pain.  Pt treated with Eliquis.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: DVT of femoral vein of left lower extremity, shortness of breath during exertion, cough, diaphoresis, malaise/fatigue, chest pain, flu-like symptoms, POX 96%, woke up at 3am 4/14/21 short of breath and wheezing with POX 94%, headache, dizziness only when short of breath, left leg pain.  Pt treated with Eliquis.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Inflammation, Injection site reaction, Pain in extremity, Pain of skin
Clinical narrative: Day 9: Itchy feet in evening Day 10: Woke up to rash over mostly around feet, ankles,  arms, and thighs.  Toes tender like after walking on hot asphalt. Day 11: Rash worsens to  full body and to itchy, inflamed hives.  Toes painful and difficult to walk with slight discoloring.  Different more bumpy rash develops on right arm about the size of a palm.  At this point I read up on side effects because of the correlation to injection site and seems like I have all three skin reactions: Covid toes, full body rash, and Moderna arm and begin Benadryl. Day 12 (today): Feet very tender to walk, rash has not worsened, but not improved.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Day 9: Itchy feet in evening Day 10: Woke up to rash over mostly around feet, ankles,  arms, and thighs.  Toes tender like after walking on hot asphalt. Day 11: Rash worsens to  full body and to itchy, inflamed hives.  Toes painful and difficult to walk with slight discoloring.  Different more bumpy rash develops on right arm about the size of a palm.  At this point I read up on side effects because of the correlation to injection site and seems like I have all three skin reactions: Covid toes, full body rash, and Moderna arm and begin Benadryl. Day 12 (today): Feet very tender to walk, rash has not worsened, but not improved.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Erythema, Pruritus, Rash pruritic
Clinical narrative: Woke up on  4/22 with red, itchy blisters on back of right hand , neck, face and left side of trunk. On 4/23, itchy bumps had spread to legs. Made appointment to see primary care doctor
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Headache, Injection site swelling, Myalgia, Pyrexia
Clinical narrative: Lowgrade fever, joint pain, muscle pain, headache, swelling at the injection site
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Loss of consciousness
Clinical narrative: Passed out for a few minutes. Chest pains 2 weeks later.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Vaccine positive rechallenge
Clinical narrative: PATIENT REPORTED SYSTEMIC RASH ON TRUNK, ARMS, NECK, AND BEHIND HER EARS AFTER RECEIVING BOTH DOSES OF MODERNA COVID-19 VACCINE.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Vasovagal syncope: provided cold pack and monitored him for 30 minutes before he was released
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Inappropriate schedule of product administration, Incorrect dose administered
Clinical narrative: The patient received multiple COVID-19 vaccinations. On ImmTrac2 it is evident that the patient received COVID-19, mRNA, LNP-S, PF, 30mcg/0.3mL manufactured by PFR-Pfizer-Wyeth (Lots: EN6199, and EP6955, respectively) on 3/8/21 and on 3/29/21. The patient also received the COVID-19, vector-nr, rS-Ad26, PF, 0.5mL by JSN-Janssen (Lot 1808609) on 3/24/21.  The concurrent vaccinations were not  known to the facility at the time and the patient has not reported any adverse signs or symptoms.
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: The patient received multiple COVID-19 vaccinations. On ImmTrac2 it is evident that the patient received COVID-19, mRNA, LNP-S, PF, 30mcg/0.3mL manufactured by PFR-Pfizer-Wyeth (Lots: EN6199, and EP6955, respectively) on 3/8/21 and on 3/29/21. The patient also received the COVID-19, vector-nr, rS-Ad26, PF, 0.5mL by JSN-Janssen (Lot 1808609) on 3/24/21.  The concurrent vaccinations were not  known to the facility at the time and the patient has not reported any adverse signs or symptoms.
Age: 37.0
Sex: U
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: Developed nausea that lasted 20 min and was improved with emesis and laying down. Patient was observed by EMS and patient made full recovery.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection, Vaccine positive rechallenge
Clinical narrative: CLIENT HAD A BREAKTHROUGH INFECTION AFTER RECEIVING BOTH DOSES OF PFIZER. FIRST VACCINATION 2/19/21, SECOND DOSE 3/12/2021.  CASE MANAGER WAS NOT ABLE TO LOCATE CLIENT.
Age: 52.0
Sex: M
Vaccine: UNK
Symptoms: Fatigue, Headache, Lymphadenopathy, Myalgia
Clinical narrative: Extreem headache, muscle pain, fatigue, Swolen Axillary lymph nodes on side shot was given
Age: 68.0
Sex: F
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pyrexia
Clinical narrative: arm redness, warmth, swelling. temp of 99.1
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Respiration abnormal
Clinical narrative: Patient experienced airway issues after leaving the clinic.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Heart rate decreased, Pyrexia
Clinical narrative: The morning after receiving the second COVID19 vaccine, I had the usual side effects of fever (spiking at 103), chills, muscle soreness, etc. However, when those symptoms subsided by the afternoon, I then developed intense chest pains and pressure that lasted multiple hours. At the direction of my primary care doctor, I went to an urgent care where my blood pressure was around 140/80 (I do not have a personal history of high blood pressure, and it was just checked at a normal rate at few weeks prior to receiving the vaccine) and my resting heartrate sat in the high 140s. The urgent care I went to at the time did not have a working EKG; however, they monitored my vitals and provided Motrin for the pain. After about an hour at urgent care, my resting heartrate lowered to 130s and the pain subsided. By the next morning, it still hovered around 110 and my blood pressure remained slightly elevated; however, the chest pains and pressure had completely subsided. The timeline for pain lasted roughly 5 hours, the timeline for heightened resting heart rate and blood pressure lingered for about 12 hours.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient got second vaccine dose at 10 days.  did not report any adverse even.  Pharmacist discovered vaccine given early while reviewing system.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Rash
Clinical narrative: Tiredness day 1-3 Rash on arms through neck progressive until benadryl usage day 1-5
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Heart rate irregular, Hypopnoea, Nausea
Clinical narrative: Start with nausea and headache The next day feel heart beat abnormal, measured  heart beat rate 80/min. Usual 60-65/min. Feel breath not fluently (need some deep breath), a little bit faint
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Cataract, Hypertension, Vision blurred
Clinical narrative: Blurred Vision, Acute Cataract, Higher Blood Pressure
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Arthralgia, Back pain, Breast pain, Burning sensation
Clinical narrative: She got her vaccine, that evening had chest pain, lot of back pain like her back was on fire, joint pain, headache, high blood pressure 119/97, fever (didn't measure), chills, feeling tired, dizziness, upset stomach, pain in her breast area.  She continues to have these symptoms and they seem to be worse when she lies down to go to sleep.  It's also affecting her ear, ringing in it.   She called her doctor and they are going to call her back regarding an appointment.   She has not taken anything for her symptoms.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Dizziness, Fatigue, Headache
Clinical narrative: She got her vaccine, that evening had chest pain, lot of back pain like her back was on fire, joint pain, headache, high blood pressure 119/97, fever (didn't measure), chills, feeling tired, dizziness, upset stomach, pain in her breast area.  She continues to have these symptoms and they seem to be worse when she lies down to go to sleep.  It's also affecting her ear, ringing in it.   She called her doctor and they are going to call her back regarding an appointment.   She has not taken anything for her symptoms.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Pyrexia, Tinnitus
Clinical narrative: She got her vaccine, that evening had chest pain, lot of back pain like her back was on fire, joint pain, headache, high blood pressure 119/97, fever (didn't measure), chills, feeling tired, dizziness, upset stomach, pain in her breast area.  She continues to have these symptoms and they seem to be worse when she lies down to go to sleep.  It's also affecting her ear, ringing in it.   She called her doctor and they are going to call her back regarding an appointment.   She has not taken anything for her symptoms.
Age: 60.0
Sex: U
Vaccine: COVID19
Symptoms: Dizziness, Hypertension
Clinical narrative: Pt felt light-headed b/p 223/120,followed by 195/114,206/121,181/113, rescue called and pt refused to go to the hospital, pt educated on the risk of high blood pressure and verbalized understanding
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Nephrolithiasis
Clinical narrative: Moderna COVID-19 Vaccine: Recurrent kidney stones, hospitalized observation
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Agitation, Amnesia, Angiogram cerebral normal, Aphasia, Blood culture negative
Clinical narrative: Patient hospitalized from 4/18/21-4/23/21  4/18 Hospital Day 1: Patient (pt) presented to the ER via EMS for aphasia/altered mental status that began that AM. Pt had received his 2nd COVID19 vaccine (Moderna) x3 days prior. Pt had generalized body aches/fever and was taking acetaminophen for his symptoms with mild relief per wife. Per ER notes, patient had clear speech but was not making sense and easily agitated.   4/19-4/21 Hospital Day 2-4: Patient with altered mental status. Was non-verbal and easily agitated. There was concern for encephalitis, infectious vs autoimmune. On 4/19, antibiotics were discontinued and patient was being treated with steroids for possible autoimmune encephalitis.  4/22 Hospital Day 5: Patient was doing better and more talkative. Patient was able to have a limited conversation, appeared alert and oriented with some slow speech. Per medical chart, family reported patient was at "50% back to baseline."   4/23 Hospital Day 6: Patient was back at baseline and completed 3 days of IV steroids. Patient reported not being able to recall anything from "Saturday 4/17 to Wednesday 4/21". Patient was discharged on 4/23 and recommended to follow up with neurology and was not discharged with any steroids.   Treatments:  Fever: APAP 1 IVPB x1 (4/18-4/19), APAP 650 mg PO x1 (4/20-4/21) Encephalitis: Methylprednisolone 125 mg IVPB x1 (4/18); Methylprednisolone 500 mg IVPB BID (4/19-4/23) ID: Acyclovir 700 mg IVPB q8h (HSV infection) [4/18-4/19]; Cefepime 2 g IVPB x1 (Sepsis) [4/18]; Ceftriaxone 2 g IVPB q12h (CNS infection) [4/18-4/19]; Vancomycin 2.25 g IVPB x1, 1.5 g IVPB q12h (CNS infection) [4/18-4/19]
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactic acid, Borrelia test negative, C-reactive protein normal, CSF cell count normal, CSF culture negative
Clinical narrative: Patient hospitalized from 4/18/21-4/23/21  4/18 Hospital Day 1: Patient (pt) presented to the ER via EMS for aphasia/altered mental status that began that AM. Pt had received his 2nd COVID19 vaccine (Moderna) x3 days prior. Pt had generalized body aches/fever and was taking acetaminophen for his symptoms with mild relief per wife. Per ER notes, patient had clear speech but was not making sense and easily agitated.   4/19-4/21 Hospital Day 2-4: Patient with altered mental status. Was non-verbal and easily agitated. There was concern for encephalitis, infectious vs autoimmune. On 4/19, antibiotics were discontinued and patient was being treated with steroids for possible autoimmune encephalitis.  4/22 Hospital Day 5: Patient was doing better and more talkative. Patient was able to have a limited conversation, appeared alert and oriented with some slow speech. Per medical chart, family reported patient was at "50% back to baseline."   4/23 Hospital Day 6: Patient was back at baseline and completed 3 days of IV steroids. Patient reported not being able to recall anything from "Saturday 4/17 to Wednesday 4/21". Patient was discharged on 4/23 and recommended to follow up with neurology and was not discharged with any steroids.   Treatments:  Fever: APAP 1 IVPB x1 (4/18-4/19), APAP 650 mg PO x1 (4/20-4/21) Encephalitis: Methylprednisolone 125 mg IVPB x1 (4/18); Methylprednisolone 500 mg IVPB BID (4/19-4/23) ID: Acyclovir 700 mg IVPB q8h (HSV infection) [4/18-4/19]; Cefepime 2 g IVPB x1 (Sepsis) [4/18]; Ceftriaxone 2 g IVPB q12h (CNS infection) [4/18-4/19]; Vancomycin 2.25 g IVPB x1, 1.5 g IVPB q12h (CNS infection) [4/18-4/19]