chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, SARS-CoV-2 test negative, Seizure like phenomena, Specific gravity urine increased, Troponin I decreased
Clinical narrative: To er for eval of seizure activity at hospital . Nurse  reported that seizure activity lasted  1.5 min and took approx. 30 minutes for her to start " coming around" to her self. Patient was bradycardic en route to hospital. er hpi: "79 y.o. female who presents with seizure activity.  Patient is brought to the ER via EMS from nursing home with new onset seizure.  Nursing home staff reports patient had tonic-clonic seizure which lasted approximately 1 min.  Patient was apneic.  Patient is slightly postictal but no urinary incontinence.  Patient has no known history of seizure disorder.   Patient is resident of nursing home and is a DNR comfort care.  Patient with underlying dementia. In speaking with patient she denies any current headache, chest pain, shortness of breath, abdominal pain, nausea, vomiting, diarrhea, fevers, or chills.  She is alert only to name."  Inpatient admission to hospital 3/24/21 dx acute hepatic encephalopathy, new onset seizure without head trauma
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis, Urine ketone body absent, Urine leukocyte esterase, Urobilinogen urine decreased, White blood cell count decreased
Clinical narrative: To er for eval of seizure activity at hospital . Nurse  reported that seizure activity lasted  1.5 min and took approx. 30 minutes for her to start " coming around" to her self. Patient was bradycardic en route to hospital. er hpi: "79 y.o. female who presents with seizure activity.  Patient is brought to the ER via EMS from nursing home with new onset seizure.  Nursing home staff reports patient had tonic-clonic seizure which lasted approximately 1 min.  Patient was apneic.  Patient is slightly postictal but no urinary incontinence.  Patient has no known history of seizure disorder.   Patient is resident of nursing home and is a DNR comfort care.  Patient with underlying dementia. In speaking with patient she denies any current headache, chest pain, shortness of breath, abdominal pain, nausea, vomiting, diarrhea, fevers, or chills.  She is alert only to name."  Inpatient admission to hospital 3/24/21 dx acute hepatic encephalopathy, new onset seizure without head trauma
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cells urine negative, pH urine normal
Clinical narrative: To er for eval of seizure activity at hospital . Nurse  reported that seizure activity lasted  1.5 min and took approx. 30 minutes for her to start " coming around" to her self. Patient was bradycardic en route to hospital. er hpi: "79 y.o. female who presents with seizure activity.  Patient is brought to the ER via EMS from nursing home with new onset seizure.  Nursing home staff reports patient had tonic-clonic seizure which lasted approximately 1 min.  Patient was apneic.  Patient is slightly postictal but no urinary incontinence.  Patient has no known history of seizure disorder.   Patient is resident of nursing home and is a DNR comfort care.  Patient with underlying dementia. In speaking with patient she denies any current headache, chest pain, shortness of breath, abdominal pain, nausea, vomiting, diarrhea, fevers, or chills.  She is alert only to name."  Inpatient admission to hospital 3/24/21 dx acute hepatic encephalopathy, new onset seizure without head trauma
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Itching, Redness, swelling, hot on injection site. ?Moderna Arm?
Age: 61.0
Sex: U
Vaccine: COVID19
Symptoms: Asthenia, Body temperature increased, Chills, Dizziness, Dyspnoea
Clinical narrative: First/Second dose: Second dose No reaction to first dose. Constitutional: Fever, Chills, Fatigue The fever is: 39.0-40.0 C or 102.1-104.0 F The chills: Prevents daily activity and requires medical intervention Cutaneous: Axillary swelling/tenderness ipsilateral to the side of injection Neurologic: Headache, Weakness, Lightheadedness Respiratory: Shortness of Breath
Age: 61.0
Sex: U
Vaccine: COVID19
Symptoms: Fatigue, Headache, Loss of personal independence in daily activities, Pyrexia, Submaxillary gland enlargement
Clinical narrative: First/Second dose: Second dose No reaction to first dose. Constitutional: Fever, Chills, Fatigue The fever is: 39.0-40.0 C or 102.1-104.0 F The chills: Prevents daily activity and requires medical intervention Cutaneous: Axillary swelling/tenderness ipsilateral to the side of injection Neurologic: Headache, Weakness, Lightheadedness Respiratory: Shortness of Breath
Age: 61.0
Sex: U
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: First/Second dose: Second dose No reaction to first dose. Constitutional: Fever, Chills, Fatigue The fever is: 39.0-40.0 C or 102.1-104.0 F The chills: Prevents daily activity and requires medical intervention Cutaneous: Axillary swelling/tenderness ipsilateral to the side of injection Neurologic: Headache, Weakness, Lightheadedness Respiratory: Shortness of Breath
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccination site pain
Clinical narrative: Constant pain in vaccination area of my left arm
Age: 44.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Hypoaesthesia, Pain of skin
Clinical narrative: I have not regained all the feeling in my left arm. I can feel all sensations on the top of my arm only. If I touch the under part of my arm all the sensation is not their, and it is gradually getting worse. The numb sensation or lack of feeling has started to travel up my arm and to my left hand.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Asthenia, Electric shock sensation
Clinical narrative: He received his vaccine, and immediately he could taste it in his mouth.  About 5-6 days later his normal routine was to work outside and noticed that he had lost his energy issue, and had this issue in the past when his pacemaker was out of wack.  As the month went on it got worse and worse.  In March he was out cleaning up the yard and as he worked it got worse and worse.  He would have to work for 5 and sit down for a minute.  He has hyperventilation syndrome and diagnosed back in 1980 and has been under control, this is one thing that always happens, which seems to be an ongoing problem that he's having.  His settings on his pacemaker seem to be OK.  He was sitting on his couch and watching a race on 3/8/21 and got a shock coming up from the bottom part of his head, through his chest and out through his right eye, this was less than 2 seconds.  This was an event, but not a hard "mule" kick event.  He wasn't doing anything to get the shock.  The defibrillator is connected to the bottom part of his heart.  He has a logic system and had an episode of 190-200 BPM which was at the top part of his heart.  He had all of his equipment checked out yesterday, but they could not give him an answer why he got a shock.  He now has to set up an appointment with his cardiologist to see tomorrow.   He has had the pacemaker for 6-7 years now and the device goes into the device clinic and he gets reports regarding this information.   They device people said there was no registration that he had any event.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: the patient developed a rash on her legs a few days after recieving the COVID vaccine
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: I have had blurry vision since around 12pm on the 23rd. Today is slightly worse.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Body temperature increased
Clinical narrative: she feels weak. Patient states she thinks her temperature is elevated. Patient has temperature is 100.4.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Hyperhidrosis, Nausea, Vomiting
Clinical narrative: Dizzy, nauseous, vomiting, sweaty/clammy
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Employee became positive with COVID 19 >14 days after vaccine administration
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Cyanosis, Peripheral coldness
Clinical narrative: fingertips turned blue and cold about 6 hours after the vaccine.  Lasted for an hour.  Has had a couple of episodes since then.  There is a family h/o Raynauds  but the pt has never had symptoms before.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Nausea, Pyrexia, Vomiting
Clinical narrative: nausea, vomiting, chills and fever
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Nausea, Pain
Clinical narrative: Sore at injection site for 48 hours, slight headache for 12 hours, mild body aches for 12 hours, nausea for 12 hours, fatigue for 12 hours.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Device connection issue, Pain in extremity, Peripheral swelling, Underdose
Clinical narrative: Due to needle disconnecting from the syringe, nurse reports lower-than-authorized dose volume was administered to the patient in her right arm. Per current CDC guidelines, nurse then administered the authorized dose of Moderna vaccine immediately in the opposite arm (left arm) than the first injection was administered. The following day (3/25), the patient reports mild soreness and swelling in both arms with the left arm being more sore than the right arm.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Atelectasis, Bacterial test positive, Chest X-ray abnormal, Dizziness, Dizziness postural
Clinical narrative: Within 10-minutes of vaccination, the patient reported dizziness when standing up. EMS evaluated the patient on-site. The patient was hypertensive (159/88) with a FSBG of 89mg/dl. EKG demonstrated NSR, rate 61 bpm, no ST elevation. EMS transported the patient to Medical Center Emergency Department. In the ED, the patient denied vertigo symptoms. Labs were grossly unremarkable, but UA did have leukocyte esterase and bacteria. Physician considered 1g Rocephin for UTI, but did not administer due to hives reaction to amoxicillin. Prescribed the patient 5-days of Macrobid PO BID. Discharge diagnoses were lightheadedness and UTI.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram T wave inversion, Full blood count normal, Hypertension, Metabolic function test normal, Pulmonary fibrosis
Clinical narrative: Within 10-minutes of vaccination, the patient reported dizziness when standing up. EMS evaluated the patient on-site. The patient was hypertensive (159/88) with a FSBG of 89mg/dl. EKG demonstrated NSR, rate 61 bpm, no ST elevation. EMS transported the patient to Medical Center Emergency Department. In the ED, the patient denied vertigo symptoms. Labs were grossly unremarkable, but UA did have leukocyte esterase and bacteria. Physician considered 1g Rocephin for UTI, but did not administer due to hives reaction to amoxicillin. Prescribed the patient 5-days of Macrobid PO BID. Discharge diagnoses were lightheadedness and UTI.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: QRS axis abnormal, Sinus bradycardia, Troponin, Urinary tract infection, Urine analysis abnormal
Clinical narrative: Within 10-minutes of vaccination, the patient reported dizziness when standing up. EMS evaluated the patient on-site. The patient was hypertensive (159/88) with a FSBG of 89mg/dl. EKG demonstrated NSR, rate 61 bpm, no ST elevation. EMS transported the patient to Medical Center Emergency Department. In the ED, the patient denied vertigo symptoms. Labs were grossly unremarkable, but UA did have leukocyte esterase and bacteria. Physician considered 1g Rocephin for UTI, but did not administer due to hives reaction to amoxicillin. Prescribed the patient 5-days of Macrobid PO BID. Discharge diagnoses were lightheadedness and UTI.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Urine leukocyte esterase positive
Clinical narrative: Within 10-minutes of vaccination, the patient reported dizziness when standing up. EMS evaluated the patient on-site. The patient was hypertensive (159/88) with a FSBG of 89mg/dl. EKG demonstrated NSR, rate 61 bpm, no ST elevation. EMS transported the patient to Medical Center Emergency Department. In the ED, the patient denied vertigo symptoms. Labs were grossly unremarkable, but UA did have leukocyte esterase and bacteria. Physician considered 1g Rocephin for UTI, but did not administer due to hives reaction to amoxicillin. Prescribed the patient 5-days of Macrobid PO BID. Discharge diagnoses were lightheadedness and UTI.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Disturbance in attention, Dizziness, Injected limb mobility decreased, Injection site pain
Clinical narrative: Just over 24 hours of injection symptoms began. Nausea  Diarrhea  Dizziness  Difficulty focusing Forgetfulness  Arm pain at injection site, difficulty moving arm Lethargic  As of the date and time of this report symptoms are persisting, but arm pain has decreased and arm movements are almost normal
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Memory impairment, Nausea
Clinical narrative: Just over 24 hours of injection symptoms began. Nausea  Diarrhea  Dizziness  Difficulty focusing Forgetfulness  Arm pain at injection site, difficulty moving arm Lethargic  As of the date and time of this report symptoms are persisting, but arm pain has decreased and arm movements are almost normal
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Loss of personal independence in daily activities, Movement disorder, Oedema peripheral, Pain
Clinical narrative: Three days after my first Moderna Covid shot in my left arm, I felt a pain/tenderness in my left armpit in the middle of the night.  The pain, swelling and tenderness worsened for 2 days until I was so uncomfortable I could hardly sleep even using ice packs and advil.  My armpit and breast glands  down my left side were enlarged and hot and tender to the touch. On day 6, I woke up with a 5 inch diameter raised bullseye type rash on my left arm. The itching and rash subsided after 2 days. However, I could not exercise or raise/use my left arm for 10 days from the onset of the symptoms.. Days 5 through 10 were very uncomfortable and I had to limit all activity and stay home to ice and rest my left side. On day 17, I resumed all normal activity including exercise.  Honestly, I still feel a slight tenderness and swelling in the left breast. I plan to get the 2nd shot in my right arm on April 2nd to give my left side a rest.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Sleep disorder, Swelling, Tenderness
Clinical narrative: Three days after my first Moderna Covid shot in my left arm, I felt a pain/tenderness in my left armpit in the middle of the night.  The pain, swelling and tenderness worsened for 2 days until I was so uncomfortable I could hardly sleep even using ice packs and advil.  My armpit and breast glands  down my left side were enlarged and hot and tender to the touch. On day 6, I woke up with a 5 inch diameter raised bullseye type rash on my left arm. The itching and rash subsided after 2 days. However, I could not exercise or raise/use my left arm for 10 days from the onset of the symptoms.. Days 5 through 10 were very uncomfortable and I had to limit all activity and stay home to ice and rest my left side. On day 17, I resumed all normal activity including exercise.  Honestly, I still feel a slight tenderness and swelling in the left breast. I plan to get the 2nd shot in my right arm on April 2nd to give my left side a rest.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site swelling, Nausea
Clinical narrative: Chills, Slight Fever, Nausea, Exhaustion, headache and large swollen area at and surrounding the injection site.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Chills, Slight Fever, Nausea, Exhaustion, headache and large swollen area at and surrounding the injection site.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Headache, Pain
Clinical narrative: Headache,fatigue, mild body aches, loss of appetite from 0600  Wednesday 03/24/2021 till 0600 Thursday 03/25/2021.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Dizziness, Headache, Heart rate increased, Pruritus
Clinical narrative: Headache. Dizzy. Itching on right side. Rash on right cheek. Aching In upper back right side. Erratic racing pulse.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Headache. Dizzy. Itching on right side. Rash on right cheek. Aching In upper back right side. Erratic racing pulse.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin mass
Clinical narrative: 8 days after vaccination, a red, itchy bump, approximately 10x10 cm appeared.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Dizziness, Dyspnoea, Fatigue
Clinical narrative: Symptoms: High fever (~102 F), chills, loss of appetite, tiredness, body aches, head aches, dizziness, slight difficulty breathing. Time course: 11:30pm 03/24/2021 to present (9:27am 03/25/2021). Treatment: Advil, emergency inhaler
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia
Clinical narrative: Symptoms: High fever (~102 F), chills, loss of appetite, tiredness, body aches, head aches, dizziness, slight difficulty breathing. Time course: 11:30pm 03/24/2021 to present (9:27am 03/25/2021). Treatment: Advil, emergency inhaler
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Nausea, Pain
Clinical narrative: Over 101 fevers, headaches, nausea, vomiting, body aches, heart racing, exhaustion, diarrhea.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Pyrexia, Vomiting
Clinical narrative: Over 101 fevers, headaches, nausea, vomiting, body aches, heart racing, exhaustion, diarrhea.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Back of left arm tingled after injection.  No shortness of breath /dizziness/lightheadedness A&O  Client left at 4:45pm arm no longer tingling. No shortness of breath
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Tinnitus, Vertigo
Clinical narrative: Pfizer BioNTech Covid 19 vaccien  Ringing in left ear started 1/27/21 intermittently for a few days and then started ringing nonstop and continues nonstop as of current. Significant vertigo, nausea and occasional headache. ENT appointment scheduled 4/13/2021 with Dr.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Chills, vomiting , diarrhea, fever, headache, body aches. Started at 12:30 am, committing continued for 4 hours other symptoms lasted about 30 hours. This was first dose of vaccine.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Chills, vomiting , diarrhea, fever, headache, body aches. Started at 12:30 am, committing continued for 4 hours other symptoms lasted about 30 hours. This was first dose of vaccine.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Blood magnesium, Blood pressure increased, Cardiac disorder, Chest X-ray, Chills
Clinical narrative: After 18 minutes my face started to swell, was seen by medical personal, Blood Pressure was 225/110. I was monitored for some time, Blood Pressure started coming down so they let me leave. The Dr asked when I was seeing my Dr. And I told them the next day. I went to the Dr. The next day and my Bllod Pressure was still 225/100, was told to go to the emergency room. Went there and the Dr. At the hospital was convinced it was my heart, After all the test she gave me 2 Prednisone 20 mg. Discharge Diagnosis Allergic Reaction, Asymptomatic hypertension. I took Benadryl when I got home for about 5 days. It has been about a month and I'm almost feeling normal. Had Covid arm on day 8, swelling and pain. Have had chills, and body aches. Felt like I had had 10 cups of coffee.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Energy increased, Full blood count, Hypersensitivity, Hypertension
Clinical narrative: After 18 minutes my face started to swell, was seen by medical personal, Blood Pressure was 225/110. I was monitored for some time, Blood Pressure started coming down so they let me leave. The Dr asked when I was seeing my Dr. And I told them the next day. I went to the Dr. The next day and my Bllod Pressure was still 225/100, was told to go to the emergency room. Went there and the Dr. At the hospital was convinced it was my heart, After all the test she gave me 2 Prednisone 20 mg. Discharge Diagnosis Allergic Reaction, Asymptomatic hypertension. I took Benadryl when I got home for about 5 days. It has been about a month and I'm almost feeling normal. Had Covid arm on day 8, swelling and pain. Have had chills, and body aches. Felt like I had had 10 cups of coffee.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Pain, Pain in extremity, Peripheral swelling, Swelling face
Clinical narrative: After 18 minutes my face started to swell, was seen by medical personal, Blood Pressure was 225/110. I was monitored for some time, Blood Pressure started coming down so they let me leave. The Dr asked when I was seeing my Dr. And I told them the next day. I went to the Dr. The next day and my Bllod Pressure was still 225/100, was told to go to the emergency room. Went there and the Dr. At the hospital was convinced it was my heart, After all the test she gave me 2 Prednisone 20 mg. Discharge Diagnosis Allergic Reaction, Asymptomatic hypertension. I took Benadryl when I got home for about 5 days. It has been about a month and I'm almost feeling normal. Had Covid arm on day 8, swelling and pain. Have had chills, and body aches. Felt like I had had 10 cups of coffee.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin
Clinical narrative: After 18 minutes my face started to swell, was seen by medical personal, Blood Pressure was 225/110. I was monitored for some time, Blood Pressure started coming down so they let me leave. The Dr asked when I was seeing my Dr. And I told them the next day. I went to the Dr. The next day and my Bllod Pressure was still 225/100, was told to go to the emergency room. Went there and the Dr. At the hospital was convinced it was my heart, After all the test she gave me 2 Prednisone 20 mg. Discharge Diagnosis Allergic Reaction, Asymptomatic hypertension. I took Benadryl when I got home for about 5 days. It has been about a month and I'm almost feeling normal. Had Covid arm on day 8, swelling and pain. Have had chills, and body aches. Felt like I had had 10 cups of coffee.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Injection site pruritus
Clinical narrative: On day 8 (after vaccine), I noticed 3 red bumps near the injection site.  They are itchy.   I noticed these this morning.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary incontinence
Clinical narrative: urinary incontinence
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: Jansen COVID-19 vaccine EUA. Chills/fever until about 05:30 am today, headache yesterday and today
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: No really bad side effects, however, my period started a week earlier than it was supposed to and then lasted twice as long. I wasn't sure if I should report it, and called my doctor first. I was told that any and all potential side effects should be reported.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain in extremity
Clinical narrative: Tiredness (lasted until about 36 hours after vaccination)  Headache (lasted until about 36 hours after vaccination)  Sore arm (lasted 3-4 days after vaccination)
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Abdominal tenderness, Dizziness, Electrocardiogram normal, Immediate post-injection reaction
Clinical narrative: 27 year old male received his second shot today and immediately after the shot felt nausea lightheaded and dizzy. He says it feels like the room is spinning around him. He does not have any PMH nor does he state that he takes any medication. He denies any street or illegal drug use. Pt states that he had a couple drinks last night and did not eat anything today. After providing water and laying him down for 30 min he was still symptomatic so it was decided that the patient should be seen in the ED for further workup. Patient is in agreement and he will be sent.   148/101, P 92, O2% 99% 150/101, P 90  ED Note: Physical exam reveals an alert, normocephalic male he has a normal heart rate with normal heart sounds, normal pulmonary effort, lung sounds are clear abdomen is soft he does have some tenderness in the epigastric area no rigidity or distention is noted.  Patient is neurologically intact he is alert and oriented x3, able to ambulate unassisted with a normal gait, sensation is intact, strength is 5 out of 5 in both upper and lower extremities bilaterally, no pronator drift, cerebellar function intact with finger-to-nose and heel-to-shin test.  Posterior oropharyngeal area shows uvula is midline there is no swelling airway is patent.   This is an atypical presentation if the patient is actually having an reaction to the vaccination however I am also concerned for possible abdominal issue we will work him up for ACS as well.  We will give patient a dose of Benadryl to see if that helps with some of his symptoms Bentyl for the stomach cramping and spasming and some fluids.   Lab work was unremarkable patient had a negative troponin's EKG was negative for STEMI, ischemic changes T wave abnormalities, lactate was normal, lipase was normal.  Patient still complaining of abdominal spasms but states he is feeling better than when he first arrived and would like to go home.  Patient states that his abdominal spasms have happened intermittently over the last few years he has had multiple imaging of his stomach and that he feels comfortable being discharged with the intention that if anything worsens he would return here to the emergency department.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test normal, Nausea, Troponin normal
Clinical narrative: 27 year old male received his second shot today and immediately after the shot felt nausea lightheaded and dizzy. He says it feels like the room is spinning around him. He does not have any PMH nor does he state that he takes any medication. He denies any street or illegal drug use. Pt states that he had a couple drinks last night and did not eat anything today. After providing water and laying him down for 30 min he was still symptomatic so it was decided that the patient should be seen in the ED for further workup. Patient is in agreement and he will be sent.   148/101, P 92, O2% 99% 150/101, P 90  ED Note: Physical exam reveals an alert, normocephalic male he has a normal heart rate with normal heart sounds, normal pulmonary effort, lung sounds are clear abdomen is soft he does have some tenderness in the epigastric area no rigidity or distention is noted.  Patient is neurologically intact he is alert and oriented x3, able to ambulate unassisted with a normal gait, sensation is intact, strength is 5 out of 5 in both upper and lower extremities bilaterally, no pronator drift, cerebellar function intact with finger-to-nose and heel-to-shin test.  Posterior oropharyngeal area shows uvula is midline there is no swelling airway is patent.   This is an atypical presentation if the patient is actually having an reaction to the vaccination however I am also concerned for possible abdominal issue we will work him up for ACS as well.  We will give patient a dose of Benadryl to see if that helps with some of his symptoms Bentyl for the stomach cramping and spasming and some fluids.   Lab work was unremarkable patient had a negative troponin's EKG was negative for STEMI, ischemic changes T wave abnormalities, lactate was normal, lipase was normal.  Patient still complaining of abdominal spasms but states he is feeling better than when he first arrived and would like to go home.  Patient states that his abdominal spasms have happened intermittently over the last few years he has had multiple imaging of his stomach and that he feels comfortable being discharged with the intention that if anything worsens he would return here to the emergency department.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Condition aggravated, Diverticulum
Clinical narrative: Pt received first dose of COVID vaccine on 2/23/21. Returned to clinic on 3/16/21 for 2nd dose. Reported that he has chronic diverticulosis, but has experienced increased abdominal pain since first dose. Has appt with PCP in the next few days. Denies any other s/s.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Pruritus, Rash, Rash erythematous
Clinical narrative: Returned to site after being released post-vaccine, went to car then noted rash to chest area and face, +itchiness/warmth to upper extremities. On assessment well appearing, NAD airway intact/denied SOB throat irritation-visible rash (raised/reddened) to ant chest and upper back, warmth to arms bilaterally. Pt requested Benadryl, consultant with on duty Pharmacists who recommended Benadryl-Benadryl 50mg PO give, pt observed x 30 more minutes, all sx's resolved, well appearing. VSAFE hand-out given for self-reporting
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Syncope
Clinical narrative: Patient experienced perspiration, dizziness, and fainting with no loss  of consciousness. Patient was talking and  answering questions appropriately.  B/P 120/80, FSBS 131 @ 1:52PM.  EMS was notified and Patient was transported to local hospital.  I spoke with the patient today and he states he was discharged from hospital and everything was fine. He states he is doing good today.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase increased, Atelectasis, Blood creatinine normal, C-reactive protein normal
Clinical narrative: Patient received first dose of Pfizer COVID vaccine on 3/17/21.  Around 3/19 or 3/20, patient started to feel fatigued with nausea, vomiting and diarrhea. He also developed fever, cough, and shortness of breath. He presented to the ER on 3/22 and was admitted to the hospital for supportive care and monitoring. Agency service was conuslted, and patient was started on COVID treatment with remdesivir and dexamethasone, and well as enoxaparin for VTE prophylaxis on 3/24.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Cough, Diarrhoea, Dyspnoea, Fatigue
Clinical narrative: Patient received first dose of Pfizer COVID vaccine on 3/17/21.  Around 3/19 or 3/20, patient started to feel fatigued with nausea, vomiting and diarrhea. He also developed fever, cough, and shortness of breath. He presented to the ER on 3/22 and was admitted to the hospital for supportive care and monitoring. Agency service was conuslted, and patient was started on COVID treatment with remdesivir and dexamethasone, and well as enoxaparin for VTE prophylaxis on 3/24.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Lung infiltration, Nausea, Platelet count decreased, Procalcitonin increased
Clinical narrative: Patient received first dose of Pfizer COVID vaccine on 3/17/21.  Around 3/19 or 3/20, patient started to feel fatigued with nausea, vomiting and diarrhea. He also developed fever, cough, and shortness of breath. He presented to the ER on 3/22 and was admitted to the hospital for supportive care and monitoring. Agency service was conuslted, and patient was started on COVID treatment with remdesivir and dexamethasone, and well as enoxaparin for VTE prophylaxis on 3/24.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Serum ferritin increased, Vomiting, White blood cell count decreased
Clinical narrative: Patient received first dose of Pfizer COVID vaccine on 3/17/21.  Around 3/19 or 3/20, patient started to feel fatigued with nausea, vomiting and diarrhea. He also developed fever, cough, and shortness of breath. He presented to the ER on 3/22 and was admitted to the hospital for supportive care and monitoring. Agency service was conuslted, and patient was started on COVID treatment with remdesivir and dexamethasone, and well as enoxaparin for VTE prophylaxis on 3/24.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea, Immediate post-injection reaction, Nausea
Clinical narrative: Patient stated she felt some chest heaviness and some mild shortness of breath 5 minutes after receiving her vaccine. She also claimed she was light headed and had a wave of nausea right after her vaccine. She said she has never had a vaccine reaction like this before and claims she ate breakfast this morning. Upon our interview, her symptoms decreased. She denied any swelling, trouble speaking,  drooling.  We added 10 minutes on to her observation time and after that she was ready to go. When pt left, she did not have any chest tightness or SOB.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Cough, Dyspnoea
Clinical narrative: Chills, body aches, joint pain, loss of energy, head aches, Kidney pain, shortness of breath and coughing. Teeth hurt,  Point of injection sore ness
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Pain, Renal pain, Toothache
Clinical narrative: Chills, body aches, joint pain, loss of energy, head aches, Kidney pain, shortness of breath and coughing. Teeth hurt,  Point of injection sore ness
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Movement disorder, Pain in extremity, Sleep disorder
Clinical narrative: Severe shoulder and upper arm pain that has lasted over two weeks post vaccine.  Lost Range of motion in affected arm.  Pain so severe at times I am unable to sleep.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash papular
Clinical narrative: itchy, red, and raised area appeared 8.5 days after vaccination, will use topical and/or oral antihistamine treatment if itching gets worse.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Aphasia, Immediate post-injection reaction
Clinical narrative: #0 minutes following the vaccine dose, the patient was brought back to the clinic .  He was unable to speak intelligibly but was alert. His family reported that he had just been released from the hospital for "TIAs".
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: ADAMTS13 activity decreased, Arteriosclerosis, Cerebral ischaemia, Haemoglobin decreased, Magnetic resonance imaging head abnormal
Clinical narrative: #0 minutes following the vaccine dose, the patient was brought back to the clinic .  He was unable to speak intelligibly but was alert. His family reported that he had just been released from the hospital for "TIAs".
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Plasmapheresis, Platelet count decreased, Thrombocytopenia, Thrombotic thrombocytopenic purpura, Transient ischaemic attack
Clinical narrative: #0 minutes following the vaccine dose, the patient was brought back to the clinic .  He was unable to speak intelligibly but was alert. His family reported that he had just been released from the hospital for "TIAs".
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: White blood cell count normal
Clinical narrative: #0 minutes following the vaccine dose, the patient was brought back to the clinic .  He was unable to speak intelligibly but was alert. His family reported that he had just been released from the hospital for "TIAs".
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Neurological symptom, Plasmapheresis, Platelet count decreased, Thrombotic thrombocytopenic purpura, Transient ischaemic attack
Clinical narrative: #0 minutes following the vaccine dose, the patient was brought back to the clinic .  He was unable to speak intelligibly but was alert. His family reported that he had just been released from the hospital for "TIAs".
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: ADAMTS13 activity abnormal, Arteriosclerosis, Cerebral ischaemia, Computerised tomogram head abnormal, Hypoaesthesia
Clinical narrative: #0 minutes following the vaccine dose, the patient was brought back to the clinic .  He was unable to speak intelligibly but was alert. His family reported that he had just been released from the hospital for "TIAs".
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging head abnormal, Platelet count decreased, Speech disorder, Thrombocytopenia, Thrombotic thrombocytopenic purpura
Clinical narrative: #0 minutes following the vaccine dose, the patient was brought back to the clinic .  He was unable to speak intelligibly but was alert. His family reported that he had just been released from the hospital for "TIAs".
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Transient ischaemic attack
Clinical narrative: #0 minutes following the vaccine dose, the patient was brought back to the clinic .  He was unable to speak intelligibly but was alert. His family reported that he had just been released from the hospital for "TIAs".
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Injection site pain, Pain
Clinical narrative: 102 degree temperature; total body aches; extreme pain at injection site
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased nasolabial fold, Eye pain, Facial paralysis, Paraesthesia, Paraesthesia oral
Clinical narrative: Approx three weeks after vaccine developed eye droop , loss of nasal fold, mouth droop, tingling and pins and needles going into lip and across the top lip into r side of face.  All this on my left side, starting at the eye with pain and pain into nose.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinalgia
Clinical narrative: Approx three weeks after vaccine developed eye droop , loss of nasal fold, mouth droop, tingling and pins and needles going into lip and across the top lip into r side of face.  All this on my left side, starting at the eye with pain and pain into nose.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Cough, Decreased appetite, Fatigue
Clinical narrative: The first few days I just felt a little sore. Three days after the injections, I came down with flu-like symptoms (achy, brain fog, headache, fatique, chills) This lasted for three days. I started to feel better for a day and then came down with upper respiratory symptoms (sore throat, fatique , stuffy nose, slight cough, brain fog, no energy, loss of appetite)  As of today over two weeks from injection, I'm STILL feeling off.  Symptoms are like having a mild cold with no energy.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Influenza like illness, Malaise, Nasal congestion
Clinical narrative: The first few days I just felt a little sore. Three days after the injections, I came down with flu-like symptoms (achy, brain fog, headache, fatique, chills) This lasted for three days. I started to feel better for a day and then came down with upper respiratory symptoms (sore throat, fatique , stuffy nose, slight cough, brain fog, no energy, loss of appetite)  As of today over two weeks from injection, I'm STILL feeling off.  Symptoms are like having a mild cold with no energy.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, Oropharyngeal pain, Pain, Respiratory symptom
Clinical narrative: The first few days I just felt a little sore. Three days after the injections, I came down with flu-like symptoms (achy, brain fog, headache, fatique, chills) This lasted for three days. I started to feel better for a day and then came down with upper respiratory symptoms (sore throat, fatique , stuffy nose, slight cough, brain fog, no energy, loss of appetite)  As of today over two weeks from injection, I'm STILL feeling off.  Symptoms are like having a mild cold with no energy.
Age: 58.0
Sex: F
Vaccine: UNK
Symptoms: Mammogram, Oedema peripheral, Scan
Clinical narrative: I HAVE A POCKET OF FLUID IN MY ARM PIT OF THE ARM WITH INJECTION.  DID NOT GET 2ND SHOT.  HAVE VISITED MY HEALTHCARE PROVIDER AND HAVE HAD SEVERAL SCANS AND MAMMOGRAMS TO INDICATE ITS FLUID ONLY AND WAS NOT DRAINED.  WAS TOLD WOULD ONLY FILL UP AGAIN.  CONCERNED REGARDING COVID VACCINE INGREDIENTS.  ASSUME SOME INGREDIENTS MAY BE SIMILAR SO IM CHECKING INTO IT TO BE SURE.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia, Tremor
Clinical narrative: Day 1: aches, slight fever, slight headache. Day 2: severe shaking over entire body 1-2 hrs. mid-morning.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hypophagia
Clinical narrative: Had multiple hospitalizations for COPD prior to  COVID-19 infection in December 2020.  Had been admitted to Hospice for further decompensation after COVID diagnosis.  Limited oral intake and hospice began using morphine and Ativan.   Was on comfort medications only prior to 1/26/2021
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Headache, extreme exhaustion, chills, 102.7 fever, nausea, body aches for 2 days and sore arm for 6 days!
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Headache, extreme exhaustion, chills, 102.7 fever, nausea, body aches for 2 days and sore arm for 6 days!
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Influenza like illness, Pyrexia
Clinical narrative: FLU symptoms including fever , chills, headache
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash papular
Clinical narrative: raised red bumps on arm and lower back
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Myalgia
Clinical narrative: Chills, fatigue, muscle aches
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Mobility decreased, Skin warm
Clinical narrative: Chills, warm face. Bed rest.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Vaccine positive rechallenge
Clinical narrative: pt states he has been off balance ever since he took the 1st dose covid vax 1/8/21.  He waited a half hour after getting the vax to leave but as soon as he walks he feels off balance.  If he is sitting he is fine but as soon he gets on his feet he has a feeling of being unbalanced.  He got his 2nd dose on 2/2/2021 Lot # 012M20A with no changes.  Today 3/25/2021 he is still experiencing a balance issue.  Pt will contact his PCP regarding these symptoms.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Pain in extremity, Rash
Clinical narrative: My arm was sore and the rash started. It has been present since 01/07/2021 and it is not going away. The only thing different is the vaccine.  I've had IV antibiotics twice that seems to help so that it's not quiet as bad. It has never gone away.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chills, Computerised tomogram, Condition aggravated
Clinical narrative: Dry heaves, difficulty breathing. No output in ileostomy or fistula, chills, fever started Sat. Continued through tues went to ER MVH
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram, Gastrointestinal stoma complication, Lower respiratory tract congestion, Oxygen saturation decreased
Clinical narrative: Dry heaves, difficulty breathing. No output in ileostomy or fistula, chills, fever started Sat. Continued through tues went to ER MVH
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Retching, Troponin increased
Clinical narrative: Dry heaves, difficulty breathing. No output in ileostomy or fistula, chills, fever started Sat. Continued through tues went to ER MVH
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Mobility decreased, Neck pain, Pain in extremity
Clinical narrative: My left arm where the shot was administered felt as if I had been punched in the arm and had a severe bruise.  I was unable to lift my arm  for 36 hours without extreme pain.  The pain was also going up my neck.  I took tylenol to help.  On 3/25/21, the second day after the shot, the pain is not as bad but it is still there and I am able to lift my arm without as much pain.  I haven't ever had this kind of pain with any other vaccines that I have had in the past so I thought I would report just as an fyi
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Affective disorder, Asthenia, Blood glucose increased, Blood pH normal, Chest X-ray normal
Clinical narrative: Within 5-minutes of vaccination, the patient reported weakness and confusion. EMS evaluated the patient on-site. No signs of stroke. EKG demonstrated NSR, rate 77bpm, no ST elevation. FSBG was 290mg/dl. EMS transported the patient to Hospital Emergency Department. Enroute, the patient became increasingly confused, forgetting their birthday and location. Patient was hypertensive (178/104) and reported a "crushing headache". EMS crew became concerned for stroke. In ED, the patient remained hypertensive (178/93). ED Physician had high suspicion of TIA versus acute reaction to COVID-19 vaccine. Administerd 650mg acetaminophen and 1mg Lorazepam. Admitted patient to critical care unit where patient stated they had developed a sudden-onset diffuse banding-like headache with associated nausea, diaphoresis, blurry vision, and confusion. MRI was negative and patient was transferred from ICU to hospital. Hospital physician believed the symptoms were likely a vagal mediated response or reaction to his COVID vaccination. Patient was discharged on 3/20 with diagnoses of TIA, Acute encephalopathy, Insulin-dependent type 2 diabetes, Essential hypertension, CAD, Unspecified mood disorder, Dyslipidemia, Obesity, and Mild neuro cognitive disorder
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Cognitive disorder, Computerised tomogram head, Confusional state, Coronary artery disease, Dyslipidaemia
Clinical narrative: Within 5-minutes of vaccination, the patient reported weakness and confusion. EMS evaluated the patient on-site. No signs of stroke. EKG demonstrated NSR, rate 77bpm, no ST elevation. FSBG was 290mg/dl. EMS transported the patient to Hospital Emergency Department. Enroute, the patient became increasingly confused, forgetting their birthday and location. Patient was hypertensive (178/104) and reported a "crushing headache". EMS crew became concerned for stroke. In ED, the patient remained hypertensive (178/93). ED Physician had high suspicion of TIA versus acute reaction to COVID-19 vaccine. Administerd 650mg acetaminophen and 1mg Lorazepam. Admitted patient to critical care unit where patient stated they had developed a sudden-onset diffuse banding-like headache with associated nausea, diaphoresis, blurry vision, and confusion. MRI was negative and patient was transferred from ICU to hospital. Hospital physician believed the symptoms were likely a vagal mediated response or reaction to his COVID vaccination. Patient was discharged on 3/20 with diagnoses of TIA, Acute encephalopathy, Insulin-dependent type 2 diabetes, Essential hypertension, CAD, Unspecified mood disorder, Dyslipidemia, Obesity, and Mild neuro cognitive disorder
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Encephalopathy, Glucose urine present, Headache, Hyperhidrosis
Clinical narrative: Within 5-minutes of vaccination, the patient reported weakness and confusion. EMS evaluated the patient on-site. No signs of stroke. EKG demonstrated NSR, rate 77bpm, no ST elevation. FSBG was 290mg/dl. EMS transported the patient to Hospital Emergency Department. Enroute, the patient became increasingly confused, forgetting their birthday and location. Patient was hypertensive (178/104) and reported a "crushing headache". EMS crew became concerned for stroke. In ED, the patient remained hypertensive (178/93). ED Physician had high suspicion of TIA versus acute reaction to COVID-19 vaccine. Administerd 650mg acetaminophen and 1mg Lorazepam. Admitted patient to critical care unit where patient stated they had developed a sudden-onset diffuse banding-like headache with associated nausea, diaphoresis, blurry vision, and confusion. MRI was negative and patient was transferred from ICU to hospital. Hospital physician believed the symptoms were likely a vagal mediated response or reaction to his COVID vaccination. Patient was discharged on 3/20 with diagnoses of TIA, Acute encephalopathy, Insulin-dependent type 2 diabetes, Essential hypertension, CAD, Unspecified mood disorder, Dyslipidemia, Obesity, and Mild neuro cognitive disorder