chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received 1st dose of vaccine elsewhere (not within our healthcare system). She received 1st dose of Pfizer.  Attended Hospital clinic for 2nd dose, where she was given Moderna vaccine.  Both vaccines were being given at the clinic on that date, with separate lines for each vaccine. Vaccinator said "send dose of Moderna today" to the patient, which the patient didn't confirm, deny, or question. Only after the Moderna dose was administered was it realized that the patient was there for a Pfizer vaccine.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site pain, Myalgia
Clinical narrative: I experienced fever, chills, headache, fatigue, muscle aches,  nausea, and pain at the injection site. Symptoms have lasted for 36 hours and are ongoing. Tylenol was used to treat symptoms.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: I experienced fever, chills, headache, fatigue, muscle aches,  nausea, and pain at the injection site. Symptoms have lasted for 36 hours and are ongoing. Tylenol was used to treat symptoms.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain
Clinical narrative: About 11 hours following injection experienced body aches, chills, and overall run down feeling. I took 400mg of Ibuprofen every 4 hours starting 4 hours after symptoms on set and was fine 6 hours after first dose.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Impaired healing, Paraesthesia, Visual impairment
Clinical narrative: Systemic: Hypotension-Medium, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: Stated she could not see clearly or hear well-
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Nausea, Oropharyngeal pain, Vomiting
Clinical narrative: Sore throat, nausea,, vomiting, chills, headache
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Eye movement disorder, Syncope, Tremor, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Systemic: Shakiness-Mild, Additional Details: pt immediately said she felt dizzy& eyes began to roll. Mom stated she has a fainting condition. Her Mom & I eased her to the ground. she briefly passed out, but immediately came to and asked what was happening. Her right leg was bent back but we lifted  her to straighten leg. I elevated her feet & got her some water. I also got her some gatorade & a cool wet paper towel for forehead. She leaned against her Mom for a little while, then she sat. Mom said not to call 911
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: swelling of axillary lymph nodes
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Endoscopy upper gastrointestinal tract abnormal, Haematemesis, Headache
Clinical narrative: 24 hours after the second Moderna dose, I began to feel very weak with a strong headache and a low grade fever. By Thursday (48 hours after vaccination) the headache was very strong and by that night it was debilitating. The fever had increased as well to between 101-102 degrees. Thursday night Friday I treated symptoms with alternating doses of Ibuprofen and Acetaminophen, which succeeded in reducing the fever but did not rid of the headache. Saturday the debilitating headache persisted with extreme light sensitivity and nausea. The pain became so great Saturday night that my wife took me to the Emergency Room. There they performed a brain scan with an MRI that came back normal and treated the pain with Morphine. I was sent home around 8am Sunday morning with a prescription for Toradol. The pain did not decrease with the Toradol and by 6pm Sunday I was vomiting blood and the pain was excruciating. At the advice of my primary care doctor, I went back to the Emergency Room. In the Emergency department they performed a Lumbar Puncture and collected spinal fluid for testing, as well as blood for lab work. The pain was managed with Fentanyl. Late that evening the Hospital admitted me. I was given two more MRI's of the brain - one with contrast. I also underwent an upper scope of my esophagus, stomach, and upper colon which found 3 small ulcers likely due to the high volume of NSAID pain relievers taken over the previous days. The lumbar puncture revealed that my white blood cell count was 51 and they officially diagnosed aseptic meningitis.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Lumbar puncture abnormal, Magnetic resonance imaging head normal, Meningitis aseptic, Nausea, Pain
Clinical narrative: 24 hours after the second Moderna dose, I began to feel very weak with a strong headache and a low grade fever. By Thursday (48 hours after vaccination) the headache was very strong and by that night it was debilitating. The fever had increased as well to between 101-102 degrees. Thursday night Friday I treated symptoms with alternating doses of Ibuprofen and Acetaminophen, which succeeded in reducing the fever but did not rid of the headache. Saturday the debilitating headache persisted with extreme light sensitivity and nausea. The pain became so great Saturday night that my wife took me to the Emergency Room. There they performed a brain scan with an MRI that came back normal and treated the pain with Morphine. I was sent home around 8am Sunday morning with a prescription for Toradol. The pain did not decrease with the Toradol and by 6pm Sunday I was vomiting blood and the pain was excruciating. At the advice of my primary care doctor, I went back to the Emergency Room. In the Emergency department they performed a Lumbar Puncture and collected spinal fluid for testing, as well as blood for lab work. The pain was managed with Fentanyl. Late that evening the Hospital admitted me. I was given two more MRI's of the brain - one with contrast. I also underwent an upper scope of my esophagus, stomach, and upper colon which found 3 small ulcers likely due to the high volume of NSAID pain relievers taken over the previous days. The lumbar puncture revealed that my white blood cell count was 51 and they officially diagnosed aseptic meningitis.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Photophobia, Pyrexia, Scan with contrast, Ulcer
Clinical narrative: 24 hours after the second Moderna dose, I began to feel very weak with a strong headache and a low grade fever. By Thursday (48 hours after vaccination) the headache was very strong and by that night it was debilitating. The fever had increased as well to between 101-102 degrees. Thursday night Friday I treated symptoms with alternating doses of Ibuprofen and Acetaminophen, which succeeded in reducing the fever but did not rid of the headache. Saturday the debilitating headache persisted with extreme light sensitivity and nausea. The pain became so great Saturday night that my wife took me to the Emergency Room. There they performed a brain scan with an MRI that came back normal and treated the pain with Morphine. I was sent home around 8am Sunday morning with a prescription for Toradol. The pain did not decrease with the Toradol and by 6pm Sunday I was vomiting blood and the pain was excruciating. At the advice of my primary care doctor, I went back to the Emergency Room. In the Emergency department they performed a Lumbar Puncture and collected spinal fluid for testing, as well as blood for lab work. The pain was managed with Fentanyl. Late that evening the Hospital admitted me. I was given two more MRI's of the brain - one with contrast. I also underwent an upper scope of my esophagus, stomach, and upper colon which found 3 small ulcers likely due to the high volume of NSAID pain relievers taken over the previous days. The lumbar puncture revealed that my white blood cell count was 51 and they officially diagnosed aseptic meningitis.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Chest pain, Dizziness, Electrocardiogram
Clinical narrative: chest pain, dizziness started next day
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Dry throat, Pallor, Pharyngeal swelling
Clinical narrative: Dry, itchy throat with some throat swelling. Clamminess, dizziness and paleness. Local emergency services requested for assistance
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Dry, itchy throat with some throat swelling. Clamminess, dizziness and paleness. Local emergency services requested for assistance
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Hypertension
Clinical narrative: My blood pressure is through the roof, and have had to double my medication.  I get very, very winded going up only one flight of stairs, and have to sit and rest for one to two minutes after I go up stairs.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site discolouration, Injection site papule, Injection site pruritus, Injection site warmth
Clinical narrative: 76 year old female received the 2nd dose of the Moderna COVID-19 vaccine at Church on 05/14/2021 @ 09:15. Same day 05/14/2021 pt started experiencing errythema and site of injection was warm to touch. On 05/20/2021 pt started experiencing pruritus at the site of injection. On 05/21/2021 pt noticed a pimple at the site of injection and discoloration of the injection site from red into a more blue color. Pt placed peroxide and neosporin on injection site on 05/22/2021. Pt denies any allergies. Pt takes Levothyroxine and multivitamins. Pt is diagnosed with hypothyroidism. Pt was advised to make an appointment with doctor to have the injection site physically examined.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: HIVES 2 HOURS POST VACCINE NEEDED PO BENADRYL AND IM BENADRYL
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient describe feeling dizzy
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blister, Herpes zoster, Rash
Clinical narrative: SHINGLES-SEVERE PAIN IN THE LOWER RIGHT SIDE OF THE BACK- RASH AND BLISTERS  ACROSS TE RIGHT SIDE OF THE LOWER BACK AND  DOWN THE LEG. PRESCRIBED VALACYCLOVIR & GABAPENTIN. THIS HAPPENED 30 DAYS AFTER THE 2ND MODERNA SHOT.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash maculo-papular, Rash pruritic
Clinical narrative: approximately 6 days after vaccine administration, this patient began experiencing recurrent rashes diffusely that she reported to me at an office visit May 14, 2021. The rashes are itchy but not overwhelmingly bothersome.  evaluating the rash present on her arms was difficult due to her tattoos, but it did appear erythematous, maculopapular and not consistent with Hives/urticaria (no Wheals). The rash lasts longer than 24 hours when it appears.  typically, rash lasts 4-5 days then resolves and can appear elsewhere on the body.  She states they can crop up and last a few days and then subside.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Menstruation delayed, Myalgia, Pain, Pyrexia
Clinical narrative: Mid-grade fever, headache, muscle soreness, body aches - all starting 18 hours after injection and lasting 24 hours Delayed/unusually heavy menstrual cycle
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia
Clinical narrative: - High and persistent fever of 103 degrees lasting far more than 24 hours - Severe body aches and shooting pains down both arms
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Myocardial infarction, Stent placement
Clinical narrative: heart attack; stent put in; awaiting further treatment
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Throat tightness
Clinical narrative: Patient received first dose of Pfizer COVID vaccine at outpatient pharmacy at 11:36 am. Following the vaccine, patient reports chest and throat tightness. Patient has 31 food allergies. Vitals stable. Patient was wheeled to the ED by RN.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site urticaria, Interchange of vaccine products
Clinical narrative: Had prior reaction after first dose of Pfizer mRNA vaccine but cleared by Allergist to get J&J.  Developed localized hives at injection site ~3 to 3.5 days after injection, improved with Benadryl.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Needle issue
Clinical narrative: Dose was wasted due to bent needle. Patient received vaccine
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Condition aggravated, Inflammation, Neuralgia
Clinical narrative: Period (Menstration) is 2 weeks late (this is very unusual for me). Did not receive 2nd dose yet due to ongoing inflamation and increased leg nerve pain.  Loss of taste and smell seems to have increased since vaccine (although started with Covid in Nov2020)
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Oligomenorrhoea
Clinical narrative: Period (Menstration) is 2 weeks late (this is very unusual for me). Did not receive 2nd dose yet due to ongoing inflamation and increased leg nerve pain.  Loss of taste and smell seems to have increased since vaccine (although started with Covid in Nov2020)
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Magnetic resonance imaging, Pneumonia, Pulmonary oedema, Scan
Clinical narrative: Pneumonia, Fluid on Lungs. Hospital stay of 4 days.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: Pneumonia, Fluid on Lungs. Hospital stay of 4 days.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products, No adverse event
Clinical narrative: Mixed series. Patient is a  deployed to an environment.  Patient received Moderna vaccine on 21 April, was not available to receive second dose within required timeline due to mission requirements. Soldier then received Janssen vaccine on 21 May 2020.  Patient has had no adverse health effects.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dysarthria, Eyelid irritation, Fatigue, Gait disturbance
Clinical narrative: dizziness, slurred speech, unstable gait, fatigue, burning sensation to eyelids
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush, Postmenopause
Clinical narrative: I am post menopausal.  I have not had hot flashes consist  for over a year  After the vaccine the hot flashes returned severe again
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Nausea, Pyrexia
Clinical narrative: High fever for 4 days 102.8, 103.4, 103.1,  103.4 Extreme fatigue and nausea.  No appetite
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: Patient suffered CVA on 3/10/2021 affecting the left side of his body, and subsequently  spent three days at Hospital as the result of this incident.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, Blood test, Electromyogram normal, Gait disturbance
Clinical narrative: To begin, I cannot sit or rise easily because I do not seem to have the use of my legs. I have to push myself up with my arm when I am trying to stand. When I am standing and walking, I cannot straighten up completely and I seem to loose my balance. This problem seems to only be below the waist. The tops of my legs attaching to my buttocks are a constant soreness. Below my knee on the left side of my left leg, there is constant soreness. My legs are continually throbbing down to the ankles. Just now as I writing this sitting at the computer, my legs are throbbing. When I am lying in bed, there is constant throbbing and soreness. This morning when I awoke, it seemed as if there were needles pushing into my left heel while lying in bed. I have been taking a 500mg Tylenol in the a.m. and before going to bed but it doesn't give relief. This doesn't appear to be a problem with my joints but rather a stinging sensation in both legs. When I am driving, my right leg will begin to have a severe cramp which is very painful until I can stretch. I can bend over but with great difficulty. I cannot step up on a curb without great difficulty. I have a general overall feeling of weakness and instability. I did cease using pravastatin. I have been feeling these issues for about 1 month and they seem to worsen. My first Covid vaccine was January 25th. My second Covid vaccine was last Thursday, February 18th.  Thank you for brainstorming this for me. I am a very active person so this is a puzzle for me.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Muscle spasms, Pain in extremity, Pain of skin, Paraesthesia
Clinical narrative: To begin, I cannot sit or rise easily because I do not seem to have the use of my legs. I have to push myself up with my arm when I am trying to stand. When I am standing and walking, I cannot straighten up completely and I seem to loose my balance. This problem seems to only be below the waist. The tops of my legs attaching to my buttocks are a constant soreness. Below my knee on the left side of my left leg, there is constant soreness. My legs are continually throbbing down to the ankles. Just now as I writing this sitting at the computer, my legs are throbbing. When I am lying in bed, there is constant throbbing and soreness. This morning when I awoke, it seemed as if there were needles pushing into my left heel while lying in bed. I have been taking a 500mg Tylenol in the a.m. and before going to bed but it doesn't give relief. This doesn't appear to be a problem with my joints but rather a stinging sensation in both legs. When I am driving, my right leg will begin to have a severe cramp which is very painful until I can stretch. I can bend over but with great difficulty. I cannot step up on a curb without great difficulty. I have a general overall feeling of weakness and instability. I did cease using pravastatin. I have been feeling these issues for about 1 month and they seem to worsen. My first Covid vaccine was January 25th. My second Covid vaccine was last Thursday, February 18th.  Thank you for brainstorming this for me. I am a very active person so this is a puzzle for me.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Injection site reaction, Rash erythematous, Rash papular
Clinical narrative: red rash at the injection site- raised, itchy, burning- started about a week after injection along with constant headache.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: red rash at the injection site- raised, itchy, burning- started about a week after injection along with constant headache.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, Fatigue, Full blood count, Metabolic function test
Clinical narrative: Persistent fatigue since vaccine.  Onset 24 hrs after vaccine
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging abnormal, Peripheral swelling, Thrombosis, Ultrasound Doppler abnormal, Vascular imaging
Clinical narrative: I went in for a scheduled MRI of my foot and the MRI found that I have a 7mm blood clot on my foot. It was found on my left foot plantar region (bottom of my foot). A few days after the vaccine I had swelling on the top and bottom of my left foot. I got two vascular images completed and the MRI was never sent to the vascular department. My podiatrist confirmed the blood clot on an ultrasound. I'm still experiencing swelling.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: Started menses 2 weeks early, I am normally on a 28 day cycle and very regular
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain
Clinical narrative: BODY ACHES, HEADACHE
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Pt reports that at 2030 hours he experienced itchiness, and then the following day he broke out in hives on both his arms, thighs, back and abdomen. The symptoms lasted for 2 days. Pt was advised by pharmacy that for his second dose to get it at the hospital due to his reaction to the first dose. Pt reported he took some medicine but cannot recall the name, he reported it helped with the symptoms.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Pain
Clinical narrative: Patient received 2nd dose of COVID-19 vaccination, Pfizer instead of Moderna.  1st dose of COVID-19 vaccine was Moderna @ a Publix .  Patient complained of body ache and body soreness the next day.  patient  stated "he woke up to body ache and body soreness the next day."
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: Mixed series. Patient is a deployed to an environment.  Patient received Moderna vaccine on 15 April, was not available to receive second dose within required timeline due to mission requirements.  Soldier then received Janssen vaccine on 21 May 2020.  Patient has had no adverse health effects.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate irregular, Ventricular extrasystoles
Clinical narrative: Heart issues including irregular heartbeat started March 4, 2021 and prompted an ER visit on March 6, 2021.  Followed up with doctor the next week  and was hooked up to a heart monitor to record irregular heartbeats .  Diagnosed with ventricular ectopy.  The episodes stopped on their own  March 22, 2021
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue, Throat tightness
Clinical narrative: Pt came to desk stating felt like throat was "closing up and tongue swelling". Pt able to speak clearly, no audible wheezing or stridor noted, denies difficulty breathing. Taken immediately to ED, placed into room, nurse with pt and report given, Dr. with pt. No overt signs of anaphylaxis, but discharged with steroids, epi-pen, and benadryl and consulted on returning if new, worsening, or concerning symptoms arise
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness unilateral, Ear, nose and throat examination abnormal, Fatigue, Tinnitus
Clinical narrative: Slight fatigue after first shot. A lot more fatigue after the second shot. Developed Tinnitus 5 days after the second dose.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Fatigue, Hypoaesthesia oral, Musculoskeletal stiffness, Myalgia
Clinical narrative: Sore arm and moderate body aches and fatigue for a couple days after 2nd dose.  About 4 to 5 weeks later I started to notice the same muscle aches in both legs and both arms and some fatigue. Tingling and numbness in lower lip. Muscle pain seems to be more apparent when going from stationary to moving position and also weak, that abates somewhat once moving. Pain and stiffness in both hands and fingers that I have never had before.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pain in extremity, Paraesthesia oral
Clinical narrative: Sore arm and moderate body aches and fatigue for a couple days after 2nd dose.  About 4 to 5 weeks later I started to notice the same muscle aches in both legs and both arms and some fatigue. Tingling and numbness in lower lip. Muscle pain seems to be more apparent when going from stationary to moving position and also weak, that abates somewhat once moving. Pain and stiffness in both hands and fingers that I have never had before.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Cardiac stress test, Chest pain, Dizziness, Dyspnoea
Clinical narrative: 4/15/2021: Body aches, mild fever, mild headache. 4/18/2021: Light-headed, chest pain, shortness of breath, rapid pulse, dizziness, higher than normal blood pressure. (Normal for me is 100/70. Pressure was 150/90)
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Headache, Heart rate increased, Pyrexia, Troponin normal
Clinical narrative: 4/15/2021: Body aches, mild fever, mild headache. 4/18/2021: Light-headed, chest pain, shortness of breath, rapid pulse, dizziness, higher than normal blood pressure. (Normal for me is 100/70. Pressure was 150/90)
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Albumin CSF normal, Angiogram, Angiogram normal, Anticoagulant therapy
Clinical narrative: ?Brainstem Encephalitis?  Patient admitted to inpatient on 05/16/2021. Presented to the ED with dizziness, nausea, general fatigue and diplopia.  Patient also voiced an intermittent mild headache.  Patient was evaluated at an Urgent Care on 5/14/2021 with a ?presumed viral type illness?. In the ED, the patient denied neck pain, photophobia, eye pain, one sided weakness/numbness, facial droop, cough, congestion, and SOB.  Temperature max at home was 100.8F.  The patient does have gaze deficit and nystagmus on exam.  Negative toxicology screen. Negative SARS-COV-2 Antigen. ALT 86. Medical history includes: hypertension, depression, Vitamin D deficiency. Neurology- This is a 56-year-old patient referred to Neurology secondary to diplopia.  The patient states that her symptoms started with generalized fatigue and "not feeling well".  After 2 to 3 days [last Thursday 5/13/2021] she began having difficulty with double vision.  She has double vision in multiple directions.  The double vision is fairly constant.  Along with the double vision she feels off balance to the point where she has difficulty with walking.  She does admit to internal vertigo.  Patient denies any recent viral infections.  She is about 4 weeks out from her last COVID-19 vaccination which was Moderna.   During the hospitalization the patient has developed urinary retention requiring a foley catheter.  Hospital medications include IV Solu-medrol and subcutaneous heparin.  Patient seen by internal medicine, neurology, infectious disease, and urology during hospital stay.  The patient was discharged on 22MAY2021 after demonstrating ability to ambulate. Will continue with physical therapy outpatient.   See Tests and Lab Results Below
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Atelectasis, Balance disorder, Bladder catheterisation, Blood albumin increased, Body temperature increased
Clinical narrative: ?Brainstem Encephalitis?  Patient admitted to inpatient on 05/16/2021. Presented to the ED with dizziness, nausea, general fatigue and diplopia.  Patient also voiced an intermittent mild headache.  Patient was evaluated at an Urgent Care on 5/14/2021 with a ?presumed viral type illness?. In the ED, the patient denied neck pain, photophobia, eye pain, one sided weakness/numbness, facial droop, cough, congestion, and SOB.  Temperature max at home was 100.8F.  The patient does have gaze deficit and nystagmus on exam.  Negative toxicology screen. Negative SARS-COV-2 Antigen. ALT 86. Medical history includes: hypertension, depression, Vitamin D deficiency. Neurology- This is a 56-year-old patient referred to Neurology secondary to diplopia.  The patient states that her symptoms started with generalized fatigue and "not feeling well".  After 2 to 3 days [last Thursday 5/13/2021] she began having difficulty with double vision.  She has double vision in multiple directions.  The double vision is fairly constant.  Along with the double vision she feels off balance to the point where she has difficulty with walking.  She does admit to internal vertigo.  Patient denies any recent viral infections.  She is about 4 weeks out from her last COVID-19 vaccination which was Moderna.   During the hospitalization the patient has developed urinary retention requiring a foley catheter.  Hospital medications include IV Solu-medrol and subcutaneous heparin.  Patient seen by internal medicine, neurology, infectious disease, and urology during hospital stay.  The patient was discharged on 22MAY2021 after demonstrating ability to ambulate. Will continue with physical therapy outpatient.   See Tests and Lab Results Below
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Borrelia test negative, Breast mass, CSF immunoglobulin increased, CSF oligoclonal band present, CSF white blood cell count increased
Clinical narrative: ?Brainstem Encephalitis?  Patient admitted to inpatient on 05/16/2021. Presented to the ED with dizziness, nausea, general fatigue and diplopia.  Patient also voiced an intermittent mild headache.  Patient was evaluated at an Urgent Care on 5/14/2021 with a ?presumed viral type illness?. In the ED, the patient denied neck pain, photophobia, eye pain, one sided weakness/numbness, facial droop, cough, congestion, and SOB.  Temperature max at home was 100.8F.  The patient does have gaze deficit and nystagmus on exam.  Negative toxicology screen. Negative SARS-COV-2 Antigen. ALT 86. Medical history includes: hypertension, depression, Vitamin D deficiency. Neurology- This is a 56-year-old patient referred to Neurology secondary to diplopia.  The patient states that her symptoms started with generalized fatigue and "not feeling well".  After 2 to 3 days [last Thursday 5/13/2021] she began having difficulty with double vision.  She has double vision in multiple directions.  The double vision is fairly constant.  Along with the double vision she feels off balance to the point where she has difficulty with walking.  She does admit to internal vertigo.  Patient denies any recent viral infections.  She is about 4 weeks out from her last COVID-19 vaccination which was Moderna.   During the hospitalization the patient has developed urinary retention requiring a foley catheter.  Hospital medications include IV Solu-medrol and subcutaneous heparin.  Patient seen by internal medicine, neurology, infectious disease, and urology during hospital stay.  The patient was discharged on 22MAY2021 after demonstrating ability to ambulate. Will continue with physical therapy outpatient.   See Tests and Lab Results Below
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Carotid arteriosclerosis, Cerebral small vessel ischaemic disease, Chest X-ray normal, Computerised tomogram abdomen, Computerised tomogram head abnormal
Clinical narrative: ?Brainstem Encephalitis?  Patient admitted to inpatient on 05/16/2021. Presented to the ED with dizziness, nausea, general fatigue and diplopia.  Patient also voiced an intermittent mild headache.  Patient was evaluated at an Urgent Care on 5/14/2021 with a ?presumed viral type illness?. In the ED, the patient denied neck pain, photophobia, eye pain, one sided weakness/numbness, facial droop, cough, congestion, and SOB.  Temperature max at home was 100.8F.  The patient does have gaze deficit and nystagmus on exam.  Negative toxicology screen. Negative SARS-COV-2 Antigen. ALT 86. Medical history includes: hypertension, depression, Vitamin D deficiency. Neurology- This is a 56-year-old patient referred to Neurology secondary to diplopia.  The patient states that her symptoms started with generalized fatigue and "not feeling well".  After 2 to 3 days [last Thursday 5/13/2021] she began having difficulty with double vision.  She has double vision in multiple directions.  The double vision is fairly constant.  Along with the double vision she feels off balance to the point where she has difficulty with walking.  She does admit to internal vertigo.  Patient denies any recent viral infections.  She is about 4 weeks out from her last COVID-19 vaccination which was Moderna.   During the hospitalization the patient has developed urinary retention requiring a foley catheter.  Hospital medications include IV Solu-medrol and subcutaneous heparin.  Patient seen by internal medicine, neurology, infectious disease, and urology during hospital stay.  The patient was discharged on 22MAY2021 after demonstrating ability to ambulate. Will continue with physical therapy outpatient.   See Tests and Lab Results Below
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Diplopia, Dizziness, Encephalitis brain stem, Fatigue, Gait disturbance
Clinical narrative: ?Brainstem Encephalitis?  Patient admitted to inpatient on 05/16/2021. Presented to the ED with dizziness, nausea, general fatigue and diplopia.  Patient also voiced an intermittent mild headache.  Patient was evaluated at an Urgent Care on 5/14/2021 with a ?presumed viral type illness?. In the ED, the patient denied neck pain, photophobia, eye pain, one sided weakness/numbness, facial droop, cough, congestion, and SOB.  Temperature max at home was 100.8F.  The patient does have gaze deficit and nystagmus on exam.  Negative toxicology screen. Negative SARS-COV-2 Antigen. ALT 86. Medical history includes: hypertension, depression, Vitamin D deficiency. Neurology- This is a 56-year-old patient referred to Neurology secondary to diplopia.  The patient states that her symptoms started with generalized fatigue and "not feeling well".  After 2 to 3 days [last Thursday 5/13/2021] she began having difficulty with double vision.  She has double vision in multiple directions.  The double vision is fairly constant.  Along with the double vision she feels off balance to the point where she has difficulty with walking.  She does admit to internal vertigo.  Patient denies any recent viral infections.  She is about 4 weeks out from her last COVID-19 vaccination which was Moderna.   During the hospitalization the patient has developed urinary retention requiring a foley catheter.  Hospital medications include IV Solu-medrol and subcutaneous heparin.  Patient seen by internal medicine, neurology, infectious disease, and urology during hospital stay.  The patient was discharged on 22MAY2021 after demonstrating ability to ambulate. Will continue with physical therapy outpatient.   See Tests and Lab Results Below
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lumbar puncture, Magnetic resonance imaging, Magnetic resonance imaging head abnormal, Malaise
Clinical narrative: ?Brainstem Encephalitis?  Patient admitted to inpatient on 05/16/2021. Presented to the ED with dizziness, nausea, general fatigue and diplopia.  Patient also voiced an intermittent mild headache.  Patient was evaluated at an Urgent Care on 5/14/2021 with a ?presumed viral type illness?. In the ED, the patient denied neck pain, photophobia, eye pain, one sided weakness/numbness, facial droop, cough, congestion, and SOB.  Temperature max at home was 100.8F.  The patient does have gaze deficit and nystagmus on exam.  Negative toxicology screen. Negative SARS-COV-2 Antigen. ALT 86. Medical history includes: hypertension, depression, Vitamin D deficiency. Neurology- This is a 56-year-old patient referred to Neurology secondary to diplopia.  The patient states that her symptoms started with generalized fatigue and "not feeling well".  After 2 to 3 days [last Thursday 5/13/2021] she began having difficulty with double vision.  She has double vision in multiple directions.  The double vision is fairly constant.  Along with the double vision she feels off balance to the point where she has difficulty with walking.  She does admit to internal vertigo.  Patient denies any recent viral infections.  She is about 4 weeks out from her last COVID-19 vaccination which was Moderna.   During the hospitalization the patient has developed urinary retention requiring a foley catheter.  Hospital medications include IV Solu-medrol and subcutaneous heparin.  Patient seen by internal medicine, neurology, infectious disease, and urology during hospital stay.  The patient was discharged on 22MAY2021 after demonstrating ability to ambulate. Will continue with physical therapy outpatient.   See Tests and Lab Results Below
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pleural effusion, SARS-CoV-2 test negative, Scan with contrast, Systemic immune activation
Clinical narrative: ?Brainstem Encephalitis?  Patient admitted to inpatient on 05/16/2021. Presented to the ED with dizziness, nausea, general fatigue and diplopia.  Patient also voiced an intermittent mild headache.  Patient was evaluated at an Urgent Care on 5/14/2021 with a ?presumed viral type illness?. In the ED, the patient denied neck pain, photophobia, eye pain, one sided weakness/numbness, facial droop, cough, congestion, and SOB.  Temperature max at home was 100.8F.  The patient does have gaze deficit and nystagmus on exam.  Negative toxicology screen. Negative SARS-COV-2 Antigen. ALT 86. Medical history includes: hypertension, depression, Vitamin D deficiency. Neurology- This is a 56-year-old patient referred to Neurology secondary to diplopia.  The patient states that her symptoms started with generalized fatigue and "not feeling well".  After 2 to 3 days [last Thursday 5/13/2021] she began having difficulty with double vision.  She has double vision in multiple directions.  The double vision is fairly constant.  Along with the double vision she feels off balance to the point where she has difficulty with walking.  She does admit to internal vertigo.  Patient denies any recent viral infections.  She is about 4 weeks out from her last COVID-19 vaccination which was Moderna.   During the hospitalization the patient has developed urinary retention requiring a foley catheter.  Hospital medications include IV Solu-medrol and subcutaneous heparin.  Patient seen by internal medicine, neurology, infectious disease, and urology during hospital stay.  The patient was discharged on 22MAY2021 after demonstrating ability to ambulate. Will continue with physical therapy outpatient.   See Tests and Lab Results Below
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Toxicologic test normal, Urinary retention, Vertigo, West Nile virus test negative, X-ray
Clinical narrative: ?Brainstem Encephalitis?  Patient admitted to inpatient on 05/16/2021. Presented to the ED with dizziness, nausea, general fatigue and diplopia.  Patient also voiced an intermittent mild headache.  Patient was evaluated at an Urgent Care on 5/14/2021 with a ?presumed viral type illness?. In the ED, the patient denied neck pain, photophobia, eye pain, one sided weakness/numbness, facial droop, cough, congestion, and SOB.  Temperature max at home was 100.8F.  The patient does have gaze deficit and nystagmus on exam.  Negative toxicology screen. Negative SARS-COV-2 Antigen. ALT 86. Medical history includes: hypertension, depression, Vitamin D deficiency. Neurology- This is a 56-year-old patient referred to Neurology secondary to diplopia.  The patient states that her symptoms started with generalized fatigue and "not feeling well".  After 2 to 3 days [last Thursday 5/13/2021] she began having difficulty with double vision.  She has double vision in multiple directions.  The double vision is fairly constant.  Along with the double vision she feels off balance to the point where she has difficulty with walking.  She does admit to internal vertigo.  Patient denies any recent viral infections.  She is about 4 weeks out from her last COVID-19 vaccination which was Moderna.   During the hospitalization the patient has developed urinary retention requiring a foley catheter.  Hospital medications include IV Solu-medrol and subcutaneous heparin.  Patient seen by internal medicine, neurology, infectious disease, and urology during hospital stay.  The patient was discharged on 22MAY2021 after demonstrating ability to ambulate. Will continue with physical therapy outpatient.   See Tests and Lab Results Below
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Condition aggravated, Conjunctivitis bacterial, Dry skin, Eye pain
Clinical narrative: She got her vaccine, she had no reaction that day at all, kind of laid around with no energy.   She went to the ER on 5/2/21 due to her eyes, and then she continued to have problems with her eyes and went to the ER again on 5/12/21 she was completely broke out with little raised bumps, all over her body, her neck, her chest, back, legs, stomach, arms.  Very itchy and her face and her eyes are staying real red and puffy.  She gave her the prednisone and Pepsin and Benadryl, which she took for the entire course which did not help.  Then I went this past Wednesday 5/19/21 to an UC and they gave her Cephalexin which she takes every 8 hours, and still trying to take Benadryl, but it's not helping her.  She still continues with all of the rashes, and went and boat oatmeal bar soap and oatmeal bath trying to get rid of the rash, but that is not really working either.  She even has sores in her head that are oozing, and was told to use baby shampoo which has not helped.  She still continues and cannot get relief from the itching.  She eyes are so bad and itching that she has to put cold compresses on them.  She says that her skin looks like she has been burnt real bad, especially her eyes and face.  She said that you can see the red bumps on her arms, and most of her body which is very noticeable.   The UC suggested that she needed to see a dermatologist.  She feels that she needs to be tested to see what she is allergic to.    She continues with the same symptoms, has soreness around her eyes, and has not had any improvement with the antibiotics either.  The skin of her eyes are so sore and says it looks like somebody  has hit her hard and the skin is dry to touch.   She bought some Vaseline to see if that would help the area as well, and would like something done as it is almost a month and nothing has helped.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pruritus, Headache, Ocular hyperaemia, Periorbital swelling, Rash
Clinical narrative: She got her vaccine, she had no reaction that day at all, kind of laid around with no energy.   She went to the ER on 5/2/21 due to her eyes, and then she continued to have problems with her eyes and went to the ER again on 5/12/21 she was completely broke out with little raised bumps, all over her body, her neck, her chest, back, legs, stomach, arms.  Very itchy and her face and her eyes are staying real red and puffy.  She gave her the prednisone and Pepsin and Benadryl, which she took for the entire course which did not help.  Then I went this past Wednesday 5/19/21 to an UC and they gave her Cephalexin which she takes every 8 hours, and still trying to take Benadryl, but it's not helping her.  She still continues with all of the rashes, and went and boat oatmeal bar soap and oatmeal bath trying to get rid of the rash, but that is not really working either.  She even has sores in her head that are oozing, and was told to use baby shampoo which has not helped.  She still continues and cannot get relief from the itching.  She eyes are so bad and itching that she has to put cold compresses on them.  She says that her skin looks like she has been burnt real bad, especially her eyes and face.  She said that you can see the red bumps on her arms, and most of her body which is very noticeable.   The UC suggested that she needed to see a dermatologist.  She feels that she needs to be tested to see what she is allergic to.    She continues with the same symptoms, has soreness around her eyes, and has not had any improvement with the antibiotics either.  The skin of her eyes are so sore and says it looks like somebody  has hit her hard and the skin is dry to touch.   She bought some Vaseline to see if that would help the area as well, and would like something done as it is almost a month and nothing has helped.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular, Rash pruritic, Vaccination complication
Clinical narrative: She got her vaccine, she had no reaction that day at all, kind of laid around with no energy.   She went to the ER on 5/2/21 due to her eyes, and then she continued to have problems with her eyes and went to the ER again on 5/12/21 she was completely broke out with little raised bumps, all over her body, her neck, her chest, back, legs, stomach, arms.  Very itchy and her face and her eyes are staying real red and puffy.  She gave her the prednisone and Pepsin and Benadryl, which she took for the entire course which did not help.  Then I went this past Wednesday 5/19/21 to an UC and they gave her Cephalexin which she takes every 8 hours, and still trying to take Benadryl, but it's not helping her.  She still continues with all of the rashes, and went and boat oatmeal bar soap and oatmeal bath trying to get rid of the rash, but that is not really working either.  She even has sores in her head that are oozing, and was told to use baby shampoo which has not helped.  She still continues and cannot get relief from the itching.  She eyes are so bad and itching that she has to put cold compresses on them.  She says that her skin looks like she has been burnt real bad, especially her eyes and face.  She said that you can see the red bumps on her arms, and most of her body which is very noticeable.   The UC suggested that she needed to see a dermatologist.  She feels that she needs to be tested to see what she is allergic to.    She continues with the same symptoms, has soreness around her eyes, and has not had any improvement with the antibiotics either.  The skin of her eyes are so sore and says it looks like somebody  has hit her hard and the skin is dry to touch.   She bought some Vaseline to see if that would help the area as well, and would like something done as it is almost a month and nothing has helped.
Age: 4.0
Sex: F
Vaccine: DTAP, IPV, MMR, VARCEL
Symptoms: Back pain, Headache, Lethargy, Pain in extremity, Pyrexia
Clinical narrative: Temperature for 4 straight days and continuing. Highest at 105.3 and currently at 102. Fever continues to spike and dip but never below 101. Body aches in back and legs. Headaches. Lethargic.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: severe nausea
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pallor, Vomiting
Clinical narrative: 1:28 108/57 - 90 - O2Sat 99%, Presented self with complaint of nausea, vomited digested food, color pale, no resp. distress. 1:40am  Stated felt better after vomiting.  Color pink.  1:57pm left obs. area.  Inc to call 911 if symptom reappear.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Cough, Dyspnoea, Feeling abnormal
Clinical narrative: About 30 minutes after the shot, I didn't feel right, my face, my arm and my chest was broken out in hives. The arm that I got the shot in felt numb. I called the medical people over and they wanted to check me right away. They observed me for 20 minutes and I started having a hard time breathing. I used my epi pen and the ambulance was called and I went to the ER. On Monday, I went to see my doctor and was prescribed medication. I had a hard to walking and still have a hard time breathing and have a cough.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Hypoaesthesia, Urticaria
Clinical narrative: About 30 minutes after the shot, I didn't feel right, my face, my arm and my chest was broken out in hives. The arm that I got the shot in felt numb. I called the medical people over and they wanted to check me right away. They observed me for 20 minutes and I started having a hard time breathing. I used my epi pen and the ambulance was called and I went to the ER. On Monday, I went to see my doctor and was prescribed medication. I had a hard to walking and still have a hard time breathing and have a cough.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Back pain, Dizziness, Headache, Musculoskeletal stiffness
Clinical narrative: A few hours after my vaccination I had small headaches and felt a little lightheaded and woozy, like many people.  The day after my vaccine injection my stomach felt like I had swallowed a rock.  It became hard internally.  I felt this feeling that can only be described as a rock or blockage for 2 weeks and 2 days.  The blockage or rock feeling moved through my digestive system like bad food and I felt it slowly travel down my body, manifesting in back pain that also moved down my back.  It sat lodged in my lower back/abdomen for a few days and then finally dissipated.  It was a terrible two weeks with little sleep and I felt crappy the entire time.  I am concerned about receiving my second dose.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose fluctuation, Seizure
Clinical narrative: High and low swings to my blood sugar levels. Low blood sugars to the point of seizure requiring emergency attention .
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site erythema, Nasopharyngitis, Respiratory tract congestion
Clinical narrative: Nearly immediate cold symptoms - congestion which has continued for 5 days now. Chills. Severe redness around injection site which persists after 5 days.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Joint pain, fever, chills