chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Initially, had swelling and pain at injection site. The next day, the pain turned to an itch. On the third day arm was fine. 4 days after the vaccine, I started experiencing intense acidic reflux (but not sure if related to the vaccine). The reflux has lasted for a week now. Two days ago (Saturday, ie 8 days after the vaccine), the area around the injection site got very swollen, red and hot, with pain and itchiness. It was more itchy than during the first period of the vaccine. Also experiencing, on and off, exhaustion, headaches, light-headedness. According to my watch, my blood oxygen level is at 93%. Today (Monday, 13 days after the vaccine, the injection site is a little swollen, the pain and itchiness comes and goes, still a little hot; also still have acidic reflux, lightheadedness and metallic taste in my mouth.  Some of these symptoms may be related to my IBS.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Lymphadenopathy, Swelling
Clinical narrative: Swelling at base of neck, mild discomfort reported all on injection side. Also, arm red and swollen at injection site. Patient reported to primary care provider who examined and noted enlarged lymph nodes on injection side. Report back to primary care if does not resolve in 2 weeks time or becomes worse. Symptoms began 24-48 hours after vaccine administration.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Erythema, Fatigue, Lethargy
Clinical narrative: Symptoms started the morning after the vaccine. Temps up to 102 when not taking tylenol or ibuprofin. Joint pain and muscle fatigue started at same time. Extreme fatigue and lethargic. These 3 symptoms started 24 hours after injection and ended about 36 hours after they started. 48 hours after injection experienced arm swelling and redness similar to a wasp sting. This symptom is till present today.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle fatigue, Peripheral swelling
Clinical narrative: Symptoms started the morning after the vaccine. Temps up to 102 when not taking tylenol or ibuprofin. Joint pain and muscle fatigue started at same time. Extreme fatigue and lethargic. These 3 symptoms started 24 hours after injection and ended about 36 hours after they started. 48 hours after injection experienced arm swelling and redness similar to a wasp sting. This symptom is till present today.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Patient reports he started experiencing ringing in his ears within 4-5 hours after his first dose of the Moderna COVID19 vaccine. He was seen by Medical Center for evaluation but no significant findings were reported. Patient did experience mild tinnitus prior to receiving his first dose of the COVID19 vaccine.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral, Cerebral haemorrhage, Cerebral venous sinus thrombosis, Computerised tomogram head, Magnetic resonance imaging head
Clinical narrative: patient had massive intracerebral hemorrhage 3 days after vaccination.  family claims patient was doing well until vaccination.  there is a suspicion that patient might have had sinus venous thrombosis that lead to the the ICH.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Nursing student administering vaccine to patient. After with drawling syringe, nursing student reported that the needle had malfunctioned and she was not able to retract the safety needle and she does not believe she gave the full vaccine. Student reports unknown amount of vaccine splashed onto patients arm. Reported to  clinic manager and pharmacist placed call to Pfizer who instructed to administer dose in other arm.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was administered a Pfizer Covid-19 vaccine that was exposed to a temperature excursion. (Vaccine was between 8-14.5 degrees C for 7hrs and 48 minutes). Pfizer was contacted and advised the clinic to consider the dose as invalid and to revaccinate. Patient was revaccinated 03/19/21 and has since received their second dose as well on 04/09/21.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: tinnitus started 2 wks after first moderna vaccine.  Got second dose and symptoms dramatically worsened.  She reached out to me today.  I referred her to ENT.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Hypertension
Clinical narrative: HYPERTENSION, NO TREATMENT, PATIENT LEFT BEFORE RE-CHECK
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Left side of body became tingly 30 minutes after vaccine. Face, arm and leg eventually went numb.  The numbness went away after a few hours, although it still comes and goes two weeks later.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding
Clinical narrative: Spotting/bleeding consistently from 4/5/21. Still spotting as of 4/19/21. No full period/full flow (cycle day 1) as of yet. I wear an Ava watch that tracks my cycle, and based on the data from this month ovulation did not occur. I believe that the shot does affect cycles and fertility as I asked two of my friends that have experienced similar symptoms.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia, Injection site pain, Paraesthesia, Sinus headache
Clinical narrative: Client reports that on 3/19/2021, around 0900 received J & J COVID 19 vaccine at facility. On the day of receiving vaccine no concerns with symptoms and on 3/29/2021, day ten after receiving vaccine starting having pain in right shoulder and right arm injection site, on going. Client stated that two days ago slept on left side and now having numbness/tingling in right hand, no SOB, dizziness, coughing or alter mental status. Client does recall having maybe six times, since the vaccine, head pressure "like a sinus headache". Per Client, already reached out to PCP and was told to follow up if symptoms persisted. PHN recommended that Client follow-up today with PCP to be seen or go into Urgent Care, ER and to always call 911 with medical emergency. Client expressed understanding information provided by PHN during TC. Per Client plan to call and follow up with PCP today.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Confusional state, Dyspnoea, Electrocardiogram
Clinical narrative: pt developed a severe migraines and is still having them.  He vomits every time he eats.  He developed a rash on his chest, has shortness of breath, runny nose.  Some confusion and brain fog.  He went to  ER in  on 4/16/2021 for migraine headache and other symptoms.  He was given a CT and a shot of Demerol and sent home to FU w/ neurologist.  He continued having migraines so went back to  ER on 4/18/2021.  He had an EEG, ECG, and abnormal lab work.  He was given another shot of Demerol, Phenergan and IV fluids.  He was monitored for a few hours and released to FU w/ Neurologist.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Electroencephalogram, Feeling abnormal, Laboratory test abnormal, Migraine, Rash
Clinical narrative: pt developed a severe migraines and is still having them.  He vomits every time he eats.  He developed a rash on his chest, has shortness of breath, runny nose.  Some confusion and brain fog.  He went to  ER in  on 4/16/2021 for migraine headache and other symptoms.  He was given a CT and a shot of Demerol and sent home to FU w/ neurologist.  He continued having migraines so went back to  ER on 4/18/2021.  He had an EEG, ECG, and abnormal lab work.  He was given another shot of Demerol, Phenergan and IV fluids.  He was monitored for a few hours and released to FU w/ Neurologist.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, Vomiting
Clinical narrative: pt developed a severe migraines and is still having them.  He vomits every time he eats.  He developed a rash on his chest, has shortness of breath, runny nose.  Some confusion and brain fog.  He went to  ER in  on 4/16/2021 for migraine headache and other symptoms.  He was given a CT and a shot of Demerol and sent home to FU w/ neurologist.  He continued having migraines so went back to  ER on 4/18/2021.  He had an EEG, ECG, and abnormal lab work.  He was given another shot of Demerol, Phenergan and IV fluids.  He was monitored for a few hours and released to FU w/ Neurologist.
Age: 65.0
Sex: F
Vaccine: UNK
Symptoms: Tinnitus
Clinical narrative: Ringing in my ears
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Menstrual disorder, Menstruation irregular
Clinical narrative: The day after I was vaccinated I got my period three days early. I had cramps for 5 days ? I usually only have cramps on day one. My period blood was brown the whole time instead of red and it had tons of clots. SO MUCH CLOTTING. And then the blood was grainy like it had sand in it. I normally bleed for a reliable 4 days, but this period extended into 8. None of this is normal for me.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Pain in extremity
Clinical narrative: Red tenderness at injection site about 2inches wide 1inch vertically. At 10 am day after injection (3:30pm previous day)  Expected arm aches taken regular ibruprofen since  injection to combat discomfort
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Persistent postural-perceptual dizziness
Clinical narrative: Usual, but seemed a bit more than heard. I did not know that dizziness was a side effect until after this happened.  As we were walking home form the vaccination I felt a little dizzy.  The dizziness increased and lasted until this morning, the 2 morning after the vaccine.  The dizziness impacted my balance, especially as I changed positions.  I had to grab onto a wall or a person to steady myself each time I stood up.  Not looking forward to #2!
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Myalgia, Nausea, Pyrexia
Clinical narrative: Chills started 8 hours after vaccination. Lasted 1 day. Muscle aches started 8 hours after vaccination. Lasted 2 days. Weakness started 8 hours after vaccination. Lasted 2 days. Nausea started 14 hours after vaccination. Lasted 20 minutes. Fever started 10  hours after vaccination. Lasted several hours.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Breakthrough COVID-19 infection in fully vaccinated individual
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Hypertension, Oxygen saturation decreased, Wheezing
Clinical narrative: shortness of breath, wheezing, coughing, low oxygen levels, high blood pressure
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: shortness of breath, wheezing, coughing, low oxygen levels, high blood pressure
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Fatigue, Nausea
Clinical narrative: The day after receiving the 2nd dose of the Pfizer COVID-19 vaccine, I experienced heavy abdominal cramps, nausea, and fatigue. I was not on or nearing my period. These symptoms lasted for one day. I had no symptoms after the 1st dose.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Loss of personal independence in daily activities, Mobility decreased, Myalgia
Clinical narrative: Muscle in shoulder is still very painful. Hard to lift arm over my head. Hard to take off a shirt and make certain motions.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Goitre, Lymphadenopathy, Myalgia, Nausea
Clinical narrative: Musle pain is gone after 2days, Nausea :3~4th day after vaccination swelled lymps and thyroid: getting better slowly but still have swelled lymps Fever for first 6 days: 99.8F  after 6th day fever 99.2F~99.5F and start to have dizzyness
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Musle pain is gone after 2days, Nausea :3~4th day after vaccination swelled lymps and thyroid: getting better slowly but still have swelled lymps Fever for first 6 days: 99.8F  after 6th day fever 99.2F~99.5F and start to have dizzyness
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysstasia, Feeling abnormal, Feeling hot, Flushing
Clinical narrative: Patient was vaccinated at 04:25 PM and at 04:35 PM began to feel dizzy. She reported feeling warm, flushed, heart palpitations,  dizzy, itchy, and felt as if her legs were heavy. She reported symptoms to nursing staff at 05:00 PM. She stated she did not feel she could stand but was able to pivot herself to a wheel chair. She was taken to the triage area and was also able to stand and move herself to the cot to lay down. She did report dizziness increased with movement. Vitals at 5 PM were BP 140/72, HR 125, O2 96% on room air. She denied any breathing difficulty or swelling. She was lethargic in appearance and slow to answer questions. She felt "foggy". She was oriented to person place and time. She had bilateral pedal pulses and was able to feel light touch in her feet an calves and able to lift feet up. Stroke assessment done.  No facial droop. She was able to smile equally. She was able to lift both arms equally. Her speech was not slurred but it was slow. Her baseline is unknown.  BP was taken again at 05:30 PM and was 160/90 with pulse of 120. She continued to feel dizzy and did not report any improvement in her symptoms. She was given the option for paramedics to be called which she was agreeable to. Paramedics arrived and patient reported no improvement in her symptoms. She was able to walk slowly from cot to stretcher and was transported to hospital.  She initially did not report any adverse reactions to her first COVID vaccine but upon further questioning she did say she felt palpitations and dizziness after her first vaccine but it went away so she did not report it to anyone.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Limb discomfort, Palpitations, Pruritus, Slow speech
Clinical narrative: Patient was vaccinated at 04:25 PM and at 04:35 PM began to feel dizzy. She reported feeling warm, flushed, heart palpitations,  dizzy, itchy, and felt as if her legs were heavy. She reported symptoms to nursing staff at 05:00 PM. She stated she did not feel she could stand but was able to pivot herself to a wheel chair. She was taken to the triage area and was also able to stand and move herself to the cot to lay down. She did report dizziness increased with movement. Vitals at 5 PM were BP 140/72, HR 125, O2 96% on room air. She denied any breathing difficulty or swelling. She was lethargic in appearance and slow to answer questions. She felt "foggy". She was oriented to person place and time. She had bilateral pedal pulses and was able to feel light touch in her feet an calves and able to lift feet up. Stroke assessment done.  No facial droop. She was able to smile equally. She was able to lift both arms equally. Her speech was not slurred but it was slow. Her baseline is unknown.  BP was taken again at 05:30 PM and was 160/90 with pulse of 120. She continued to feel dizzy and did not report any improvement in her symptoms. She was given the option for paramedics to be called which she was agreeable to. Paramedics arrived and patient reported no improvement in her symptoms. She was able to walk slowly from cot to stretcher and was transported to hospital.  She initially did not report any adverse reactions to her first COVID vaccine but upon further questioning she did say she felt palpitations and dizziness after her first vaccine but it went away so she did not report it to anyone.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Dyspnoea, Feeling hot, Hot flush
Clinical narrative: Pain at site of shot.  Hot flashes, chills.  Before bed got real hot from waste up.  Muscle spasms. twitchs at shot site.  Light headed, dizzy, shortness of breath.  Shot should have been 2nd dose of pfizer. Pharmacist called the next day and told me to remove Janssen sticker from covid shot record card and said to write in pfizer info.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Muscle spasms, Muscle twitching
Clinical narrative: Pain at site of shot.  Hot flashes, chills.  Before bed got real hot from waste up.  Muscle spasms. twitchs at shot site.  Light headed, dizzy, shortness of breath.  Shot should have been 2nd dose of pfizer. Pharmacist called the next day and told me to remove Janssen sticker from covid shot record card and said to write in pfizer info.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Patient reports "hives" on bilateral hands,wrists,under right eye, head.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram head, Computerised tomogram normal, Echocardiogram normal, Electrocardiogram normal, Hypertensive crisis
Clinical narrative: TIA (diagnosed by neurology), hypertensive crisis, Acute hypokalemia. Hypertensive crisis/spikes were treated with anti-hypertensives and patient monitored for 6 days.  No TPA used as CVA not diagnosed and symptoms were transient - less than 24 hours. Patient does report some residual visual changes
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypokalaemia, Magnetic resonance imaging head normal, Magnetic resonance imaging normal, Transient ischaemic attack
Clinical narrative: TIA (diagnosed by neurology), hypertensive crisis, Acute hypokalemia. Hypertensive crisis/spikes were treated with anti-hypertensives and patient monitored for 6 days.  No TPA used as CVA not diagnosed and symptoms were transient - less than 24 hours. Patient does report some residual visual changes
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Bed rest, Dyspnoea, Fatigue, Influenza like illness
Clinical narrative: Within an hour of the shot extreme fatigue and flu like symptoms required bed rest for 2 days before symptoms improved. Experiencing long term shortness of breath a month after the shot.  I had no such symptoms before the shot and was able to work out hard and lift weights. There is no chest congestion or cough. I have an appointment to see my primary care doctor on April 30, 2021 on this issue.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Lacrimation increased, Photophobia
Clinical narrative: I was diagnosed with Bell's palsy on 04/13/2021 at a Urgent Care, and all my bloodwork came back negative.  I am currently taking Valtrex (1GM tab 3xs/day)  and Prednison (1 50mg/day), plus eye drops.  I woke that morning having trouble drinking and eating and when I looked at my face, could see that something was wrong.  My face (left) has not gone back to normal and my left eye is watery and seems sensitive to light.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Blood creatinine increased, Blood glucose increased, Carbon dioxide decreased, Full blood count
Clinical narrative: I was diagnosed with Bell's palsy on 04/13/2021 at a Urgent Care, and all my bloodwork came back negative.  I am currently taking Valtrex (1GM tab 3xs/day)  and Prednison (1 50mg/day), plus eye drops.  I woke that morning having trouble drinking and eating and when I looked at my face, could see that something was wrong.  My face (left) has not gone back to normal and my left eye is watery and seems sensitive to light.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Glycosylated haemoglobin increased, Immunology test, Magnetic resonance imaging head, Metabolic function test, Red blood cell count increased
Clinical narrative: I was diagnosed with Bell's palsy on 04/13/2021 at a Urgent Care, and all my bloodwork came back negative.  I am currently taking Valtrex (1GM tab 3xs/day)  and Prednison (1 50mg/day), plus eye drops.  I woke that morning having trouble drinking and eating and when I looked at my face, could see that something was wrong.  My face (left) has not gone back to normal and my left eye is watery and seems sensitive to light.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Herpes zoster
Clinical narrative: Blisters on back side of shot arm and chest on 4/10/21. MD treated client for Shingles.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Canalith repositioning procedure, Gait disturbance, Nausea, Vertigo
Clinical narrative: 4/11/21 - extreme vertigo with nausea; Epley maneuver helped but  took all day before I could walk. Continued to do Epley daily for both sides and only started to dissipate on late on 4/18/21.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Cough, Dysphagia, Nausea, Oropharyngeal discomfort
Clinical narrative: An hour after injection I tried eating some food and found that if I chewed and swallowed too quickly I began to have q tickle in my throat that led to coughing and vomiting, this symptom has begun to fade. I also started having pain in my right arm after a few hours, which I expected, but at roughly 2am the night of the injection, my right armpit also started feeling painful. It's now been 2 days and while most symptoms have abated, my right armpit is still incredibly sore.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: An hour after injection I tried eating some food and found that if I chewed and swallowed too quickly I began to have q tickle in my throat that led to coughing and vomiting, this symptom has begun to fade. I also started having pain in my right arm after a few hours, which I expected, but at roughly 2am the night of the injection, my right armpit also started feeling painful. It's now been 2 days and while most symptoms have abated, my right armpit is still incredibly sore.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram cerebral abnormal, Aphasia, Asthenia, Carotid artery occlusion, Computerised tomogram head abnormal
Clinical narrative: Presented to emergency department for evaluation of weakness and aphasia.  The patient has her eyes open on arrival.  She does follow commands with mild weakness to the right upper and lower extremities.  Mild right facial droop is noted on physical exam.  The patient does not speak otherwise. Initial CT concerning for ischemic stroke.  CTA with perfusion was then obtained that shows evidence of a small area of core infarct with a large area of penumbra.  Carotid occlusion from the bifurcation LP is noted on the left side with collateral circulation coming from the Act.   Patient transfered from this emergency department to tertiary care center for possible thrombectomy.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Facial paralysis, Haematocrit normal, Haemoglobin normal, Hemiparesis, Infarction
Clinical narrative: Presented to emergency department for evaluation of weakness and aphasia.  The patient has her eyes open on arrival.  She does follow commands with mild weakness to the right upper and lower extremities.  Mild right facial droop is noted on physical exam.  The patient does not speak otherwise. Initial CT concerning for ischemic stroke.  CTA with perfusion was then obtained that shows evidence of a small area of core infarct with a large area of penumbra.  Carotid occlusion from the bifurcation LP is noted on the left side with collateral circulation coming from the Act.   Patient transfered from this emergency department to tertiary care center for possible thrombectomy.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Platelet count normal, White blood cell count increased
Clinical narrative: Presented to emergency department for evaluation of weakness and aphasia.  The patient has her eyes open on arrival.  She does follow commands with mild weakness to the right upper and lower extremities.  Mild right facial droop is noted on physical exam.  The patient does not speak otherwise. Initial CT concerning for ischemic stroke.  CTA with perfusion was then obtained that shows evidence of a small area of core infarct with a large area of penumbra.  Carotid occlusion from the bifurcation LP is noted on the left side with collateral circulation coming from the Act.   Patient transfered from this emergency department to tertiary care center for possible thrombectomy.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Body temperature increased, Carotid artery thrombosis, Cerebrovascular accident, Computerised tomogram neck, Injection site pain
Clinical narrative: Presented to emergency department for evaluation of weakness and aphasia.  The patient has her eyes open on arrival.  She does follow commands with mild weakness to the right upper and lower extremities.  Mild right facial droop is noted on physical exam.  The patient does not speak otherwise. Initial CT concerning for ischemic stroke.  CTA with perfusion was then obtained that shows evidence of a small area of core infarct with a large area of penumbra.  Carotid occlusion from the bifurcation LP is noted on the left side with collateral circulation coming from the Act.   Patient transfered from this emergency department to tertiary care center for possible thrombectomy.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Joint stiffness, Magnetic resonance imaging neck, Nausea
Clinical narrative: Presented to emergency department for evaluation of weakness and aphasia.  The patient has her eyes open on arrival.  She does follow commands with mild weakness to the right upper and lower extremities.  Mild right facial droop is noted on physical exam.  The patient does not speak otherwise. Initial CT concerning for ischemic stroke.  CTA with perfusion was then obtained that shows evidence of a small area of core infarct with a large area of penumbra.  Carotid occlusion from the bifurcation LP is noted on the left side with collateral circulation coming from the Act.   Patient transfered from this emergency department to tertiary care center for possible thrombectomy.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, Chest pain, Coagulation test, Computerised tomogram abdomen
Clinical narrative: Patient developed chest pain and shortness of breath 4/15 Presented to hospital emergency department 4/17 found to have a pulmonary embolism without heart strain, however with pulmonary infarction of left lower lobe with associated right lower extremity DVT Patient admitted to the hospital, initiated on therapeutic anticoagulation with Lovenox, started on oxygen therapy for acute hypoxic respiratory failure Discharged home 4/20 on therapeutic anticoagulation with Xarelto and home oxygen as needed
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax, Deep vein thrombosis, Dyspnoea, Echocardiogram, Full blood count
Clinical narrative: Patient developed chest pain and shortness of breath 4/15 Presented to hospital emergency department 4/17 found to have a pulmonary embolism without heart strain, however with pulmonary infarction of left lower lobe with associated right lower extremity DVT Patient admitted to the hospital, initiated on therapeutic anticoagulation with Lovenox, started on oxygen therapy for acute hypoxic respiratory failure Discharged home 4/20 on therapeutic anticoagulation with Xarelto and home oxygen as needed
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Pulmonary embolism, Pulmonary infarction, Ultrasound Doppler
Clinical narrative: Patient developed chest pain and shortness of breath 4/15 Presented to hospital emergency department 4/17 found to have a pulmonary embolism without heart strain, however with pulmonary infarction of left lower lobe with associated right lower extremity DVT Patient admitted to the hospital, initiated on therapeutic anticoagulation with Lovenox, started on oxygen therapy for acute hypoxic respiratory failure Discharged home 4/20 on therapeutic anticoagulation with Xarelto and home oxygen as needed
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Sensory loss, Urinary tract disorder, Vascular pain
Clinical narrative: Veins pain, leg numbness, loss of sensation in the legs, urinary
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Vaccinator attempted to vaccinate pt. Vanish Point needle retracted inappropriately and discharged majority of vaccine around needle and onto patients arm. Less than 1/2 of vaccine went into patients arm. Pt received a full dose in the opposite arm.
Age: 43.0
Sex: F
Vaccine: UNK
Symptoms: Pelvic pain
Clinical narrative: About 2 weeks after receiving the vaccine I had extreme pain in my lower right pelvis area - it felt like it was in my right ovary.  The pain was sharp and intense and unrelenting. I went to urgent care but they didn?t do anything. The pain lasted about two or three evenings and was better during the day (more like a consistent dull ache). After about 5 days the pain went away and I have not had any pain since.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Hyperhidrosis, Pain, Pain in extremity, Sleep disorder
Clinical narrative: A little over 24hrs after my 2nd shot I just started to hurt all over. My left arm had been sore, but that is normal with most vaccines. This was the "my everything hurts" . It did not matter if I was moving or sitting still. Also, my normal body temp was up 1 degree. This started around 6pm the day after the shot. I went to bed around 11pm, and had a glass of chocolate milk, as that helps with sore muscles after a hard workout. I awoke around 4am in a sweat. My temp was down, and the all over hurt was gone.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation, Product temperature excursion issue
Clinical narrative: Patient was administered a Pfizer Covid-19 vaccine that was exposed to a temperature excursion. (Vaccine was between 8-14.5 degrees C for 7hrs and 48 minutes). Pfizer was contacted and advised the clinic to consider the dose as invalid and to revaccinate. Pateint was revaccinated 03/19/21 and has since received her second vaccine 04/09/21.
Age: 14.0
Sex: U
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Medication Error, dose given to 14 year old.  Parent & Patient stated pt was 16, review of paperwork post vaccination showed he was 14.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Induration, Pain, Pruritus, Rash erythematous
Clinical narrative: Localized induration, diffuse erythema (approx 4cm diameter), bordering erythematous ring approx 6cm in diameter, mild pain/pruritis.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site warmth
Clinical narrative: Injection site itchy, hard, red, warm to touch
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Eye pruritus, Headache, Insomnia, Pain in extremity
Clinical narrative: pain in legs, pain in back, itching in eyes, little headache, insomnia
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute kidney injury, Bladder catheterisation, Blood creatinine normal, Calculus bladder, Cholelithiasis
Clinical narrative: 68-year-old gentleman presented with dyspnea and found to have bilateral PE, right lower extremity DVT. He was started on IV heparin, Coumadin. Patient was found to have acute kidney injury and urinary retention, bilateral hydronephrosis. Foley catheter was placed, this resulted in improvement in renal function and resolution of hydronephrosis. First cath urine was bloody but subsequent urine has been clear. A CT urogram did not reveal any other abnormality of the urothelial system. Prostate is enlarged.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Deep vein thrombosis, Dyspnoea, Echocardiogram normal, Ejection fraction normal
Clinical narrative: 68-year-old gentleman presented with dyspnea and found to have bilateral PE, right lower extremity DVT. He was started on IV heparin, Coumadin. Patient was found to have acute kidney injury and urinary retention, bilateral hydronephrosis. Foley catheter was placed, this resulted in improvement in renal function and resolution of hydronephrosis. First cath urine was bloody but subsequent urine has been clear. A CT urogram did not reveal any other abnormality of the urothelial system. Prostate is enlarged.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Haemoglobin, Hydronephrosis, Prostatomegaly, Pulmonary embolism, Renal cyst
Clinical narrative: 68-year-old gentleman presented with dyspnea and found to have bilateral PE, right lower extremity DVT. He was started on IV heparin, Coumadin. Patient was found to have acute kidney injury and urinary retention, bilateral hydronephrosis. Foley catheter was placed, this resulted in improvement in renal function and resolution of hydronephrosis. First cath urine was bloody but subsequent urine has been clear. A CT urogram did not reveal any other abnormality of the urothelial system. Prostate is enlarged.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Scan with contrast, Ultrasound Doppler abnormal, Urinary retention, Urogram abnormal
Clinical narrative: 68-year-old gentleman presented with dyspnea and found to have bilateral PE, right lower extremity DVT. He was started on IV heparin, Coumadin. Patient was found to have acute kidney injury and urinary retention, bilateral hydronephrosis. Foley catheter was placed, this resulted in improvement in renal function and resolution of hydronephrosis. First cath urine was bloody but subsequent urine has been clear. A CT urogram did not reveal any other abnormality of the urothelial system. Prostate is enlarged.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pulmonary thrombosis, SARS-CoV-2 antibody test, Urinary tract infection
Clinical narrative: 68-year-old gentleman presented with dyspnea and found to have bilateral PE, right lower extremity DVT. He was started on IV heparin, Coumadin. Patient was found to have acute kidney injury and urinary retention, bilateral hydronephrosis. Foley catheter was placed, this resulted in improvement in renal function and resolution of hydronephrosis. First cath urine was bloody but subsequent urine has been clear. A CT urogram did not reveal any other abnormality of the urothelial system. Prostate is enlarged.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoacusis, Injection site pain, Tinnitus
Clinical narrative: Sore arm around injection site, Tinnitis and degraded hearing when waking the following day after shot (About 14 hours).
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Mobility decreased, Pyrexia
Clinical narrative: Fever over 100 after 7 hours on day 1, 104.1 on day 2 - in bed for 19 hours, chills. Day 3 much better, fever back to just over 100. Day 4 - mostly fine, with occasional chills that come and go, temperature of 99. Day 5 still some chills, especially in the few hours after waking. No fever.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness unilateral, Chills, Dizziness, Nausea, Pyrexia
Clinical narrative: Woke up at 3 AM with nausea so went to sit in the bathroom, alternated between feeling better and feeling just about to puke for about an hour. At about 4 AM I was going to the bathroom and then felt about to puke again. I then began to get tinnitus in both my ears and my left eye went black and I thought I was going to pass out. I laid on the bathroom floor for another 30 minutes before going back to sleep. Other symptoms that started on 4/18/21 included chills and fever which lasted until about 6 AM on 4/19/21.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Woke up at 3 AM with nausea so went to sit in the bathroom, alternated between feeling better and feeling just about to puke for about an hour. At about 4 AM I was going to the bathroom and then felt about to puke again. I then began to get tinnitus in both my ears and my left eye went black and I thought I was going to pass out. I laid on the bathroom floor for another 30 minutes before going back to sleep. Other symptoms that started on 4/18/21 included chills and fever which lasted until about 6 AM on 4/19/21.
Age: 39.0
Sex: F
Vaccine: UNK
Symptoms: Headache, Nausea
Clinical narrative: Bad headache, nausea
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Gait disturbance, Injection site pruritus, Pain in extremity
Clinical narrative: Every joint in my body hurt, I could hardly get up and walk.  My toes even hurt.  Today Monday 4/19/2021 I feel much better. I also itched  at the site where I had gotten my shot.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal distension, Adverse reaction, Anticoagulant therapy, Asthenia, Chest discomfort
Clinical narrative: Adverse reaction: Sudden severe shortness of breath when I exerted myself, severe constant headache that tylenol couldn't dull, fatigue and weakness, weak shoulders could keep them raised for more than a few seconds, swelling of abdomen, rapid fluid retention, lack of appetite, chest felt constricted, nose bleeds, black sticky stools Treatment: 2 units of blood, ferrouse sulfate IV, saline IV, protonix IV, endoscopy  Outcome:health back to normal, after blood transfusion, will continue to take pantoprazole for six weeks and Iron  Note: used to have ulcers years ago due to H. Pylori bacterium suspect Pfizer mRNA vaccine interacted with H. Pylori antibodies as has been found in other patients with H. Pylori.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Decreased appetite, Dyspnoea, Electrocardiogram, Endoscopy
Clinical narrative: Adverse reaction: Sudden severe shortness of breath when I exerted myself, severe constant headache that tylenol couldn't dull, fatigue and weakness, weak shoulders could keep them raised for more than a few seconds, swelling of abdomen, rapid fluid retention, lack of appetite, chest felt constricted, nose bleeds, black sticky stools Treatment: 2 units of blood, ferrouse sulfate IV, saline IV, protonix IV, endoscopy  Outcome:health back to normal, after blood transfusion, will continue to take pantoprazole for six weeks and Iron  Note: used to have ulcers years ago due to H. Pylori bacterium suspect Pfizer mRNA vaccine interacted with H. Pylori antibodies as has been found in other patients with H. Pylori.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Epistaxis, Faeces discoloured, Fatigue, Fluid retention, Haemoglobin decreased
Clinical narrative: Adverse reaction: Sudden severe shortness of breath when I exerted myself, severe constant headache that tylenol couldn't dull, fatigue and weakness, weak shoulders could keep them raised for more than a few seconds, swelling of abdomen, rapid fluid retention, lack of appetite, chest felt constricted, nose bleeds, black sticky stools Treatment: 2 units of blood, ferrouse sulfate IV, saline IV, protonix IV, endoscopy  Outcome:health back to normal, after blood transfusion, will continue to take pantoprazole for six weeks and Iron  Note: used to have ulcers years ago due to H. Pylori bacterium suspect Pfizer mRNA vaccine interacted with H. Pylori antibodies as has been found in other patients with H. Pylori.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache
Clinical narrative: Adverse reaction: Sudden severe shortness of breath when I exerted myself, severe constant headache that tylenol couldn't dull, fatigue and weakness, weak shoulders could keep them raised for more than a few seconds, swelling of abdomen, rapid fluid retention, lack of appetite, chest felt constricted, nose bleeds, black sticky stools Treatment: 2 units of blood, ferrouse sulfate IV, saline IV, protonix IV, endoscopy  Outcome:health back to normal, after blood transfusion, will continue to take pantoprazole for six weeks and Iron  Note: used to have ulcers years ago due to H. Pylori bacterium suspect Pfizer mRNA vaccine interacted with H. Pylori antibodies as has been found in other patients with H. Pylori.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Anion gap, Arthralgia, Aspartate aminotransferase normal, Asthenia
Clinical narrative: Hospital admission for weakness and double vision
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Blood albumin decreased, Blood alkaline phosphatase increased, Blood bilirubin normal, Blood calcium decreased, Blood chloride decreased
Clinical narrative: Hospital admission for weakness and double vision
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood glucose normal, Blood lactic acid normal, Blood magnesium increased, Blood phosphorus normal
Clinical narrative: Hospital admission for weakness and double vision
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium normal, Blood sodium decreased, Blood urea decreased, C-reactive protein increased, Carbon dioxide normal
Clinical narrative: Hospital admission for weakness and double vision
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Diplopia, Dysuria, Ecchymosis, Glomerular filtration rate decreased, Haematocrit decreased
Clinical narrative: Hospital admission for weakness and double vision
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Hypoaesthesia, Mean cell volume increased, Muscular weakness, N-terminal prohormone brain natriuretic peptide increased
Clinical narrative: Hospital admission for weakness and double vision
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Osteoarthritis, Platelet count normal, Red cell distribution width increased, Troponin I increased, Walking aid user
Clinical narrative: Hospital admission for weakness and double vision
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count decreased
Clinical narrative: Hospital admission for weakness and double vision
Age: 36.0
Sex: M
Vaccine: UNK
Symptoms: Dizziness
Clinical narrative: CLT FELT LIGHT HEADED.  BP 127/67.  CLT MOVED TO A COT AND LAYED FOR 15 MINUTES WHEN SHE FELT BETTER
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Fatigue, Hyperaesthesia, Mobility decreased, Peripheral swelling
Clinical narrative: 3/23 tired slept on way to KY. 3/24 drove half way back to CLE. 3/25 through 3/31 low grade fever and fatigue.  3/31 thumbs turning purple and looked bruised. Went to hospital emergency room. All fingers were turning purple and swelling. Could not bend fingers. Hurt to touch anything, couldn't open containers.  Spent 2 nights (3/31-4/1)at hospital.  Infectious disease doctors both agreed it was a reaction to the Pfizer Covid shot.  Also CT scan at hospital showed a small nodule in the right lung.  There was no nodule in the CT scan from Februrary 9,2021  .4/3 fingers less purple and moving some. Saw Doctor 4/5, she wanted pulmonary appointment asap.  4/3 through 4/12 afterbiib fatigue.  Saw pulmonary dr. 4/14,  she and her colleague also agree the nodule is from the vaccine and I need another CT scan early May to see if it is gone.  Hands normal in color but the skin is peeling  off and they  itch and are still sensitive.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Pulmonary mass, Pyrexia, Skin discolouration, Skin exfoliation
Clinical narrative: 3/23 tired slept on way to KY. 3/24 drove half way back to CLE. 3/25 through 3/31 low grade fever and fatigue.  3/31 thumbs turning purple and looked bruised. Went to hospital emergency room. All fingers were turning purple and swelling. Could not bend fingers. Hurt to touch anything, couldn't open containers.  Spent 2 nights (3/31-4/1)at hospital.  Infectious disease doctors both agreed it was a reaction to the Pfizer Covid shot.  Also CT scan at hospital showed a small nodule in the right lung.  There was no nodule in the CT scan from Februrary 9,2021  .4/3 fingers less purple and moving some. Saw Doctor 4/5, she wanted pulmonary appointment asap.  4/3 through 4/12 afterbiib fatigue.  Saw pulmonary dr. 4/14,  she and her colleague also agree the nodule is from the vaccine and I need another CT scan early May to see if it is gone.  Hands normal in color but the skin is peeling  off and they  itch and are still sensitive.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Contusion, Fatigue, Pain in extremity, Peripheral swelling
Clinical narrative: 3/23 tired slept on way to KY. 3/24 drove half way back to CLE. 3/25 through 3/31 low grade fever and fatigue.  3/31 thumbs turning purple and looked bruised. Went to hospital emergency room. All fingers were turning purple and swelling. Could not bend fingers. Hurt to touch anything, couldn't open containers.  Spent 2 nights (3/31-4/1)at hospital.  Infectious disease doctors both agreed it was a reaction to the Pfizer Covid shot.  Also CT scan at hospital showed a small nodule in the right lung.  There was no nodule in the CT scan from Februrary 9,2021  .4/3 fingers less purple and moving some. Saw Doctor 4/5, she wanted pulmonary appointment asap.  4/3 through 4/12 afterbiib fatigue.  Saw pulmonary dr. 4/14,  she and her colleague also agree the nodule is from the vaccine and I need another CT scan early May to see if it is gone.  Hands normal in color but the skin is peeling  off and they  itch and are still sensitive.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pulmonary mass, Pyrexia, SARS-CoV-2 test, Skin discolouration, Skin exfoliation
Clinical narrative: 3/23 tired slept on way to KY. 3/24 drove half way back to CLE. 3/25 through 3/31 low grade fever and fatigue.  3/31 thumbs turning purple and looked bruised. Went to hospital emergency room. All fingers were turning purple and swelling. Could not bend fingers. Hurt to touch anything, couldn't open containers.  Spent 2 nights (3/31-4/1)at hospital.  Infectious disease doctors both agreed it was a reaction to the Pfizer Covid shot.  Also CT scan at hospital showed a small nodule in the right lung.  There was no nodule in the CT scan from Februrary 9,2021  .4/3 fingers less purple and moving some. Saw Doctor 4/5, she wanted pulmonary appointment asap.  4/3 through 4/12 afterbiib fatigue.  Saw pulmonary dr. 4/14,  she and her colleague also agree the nodule is from the vaccine and I need another CT scan early May to see if it is gone.  Hands normal in color but the skin is peeling  off and they  itch and are still sensitive.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Paraesthesia, Throat tightness
Clinical narrative: TINGLING IN LEFT FOREARM DIZZINESS LASTING APPROXIMATELY 4 MINUTES TIGHTNESS IN THROAT LASTING APPROXIMATELY 2 MINUTES
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia
Clinical narrative: Stoke like symptoms-expressive aphasia x2 days
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Patient was diagnosed with COVID=19 on 4/18/2021 requiring hospitalization post 2 doses of the Moderna COVID-19 vaccines on 3/17/2021 and 4/15/2021
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Itchy skin. Broke out in rash like clusters on left back and back of left leg.  Over all itchy feeling  on the back of my body
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia, Injected limb mobility decreased, Injection site pain, Pain
Clinical narrative: numb skull where laying on on pillow (1 night), extreme pain in injection site (couldn't lift arm); pain at injection site still 1 month out, joint pain all over body that last about 4 weeks, radiating pain down arms and legs that lasted a couple of weeks
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: numb skull where laying on on pillow (1 night), extreme pain in injection site (couldn't lift arm); pain at injection site still 1 month out, joint pain all over body that last about 4 weeks, radiating pain down arms and legs that lasted a couple of weeks
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Infarction, Magnetic resonance imaging head abnormal
Clinical narrative: MRI showed multiple acute infarcts within left frontal, left parietal, left post central gyrus, left occipital lobe
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Condition aggravated, Tinnitus
Clinical narrative: Elevated level of ringing in the ears (Tinnitus).
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse events noted.  No treatment received.  Monitor only.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives. Started gradually and spread over entire body getting worse each day. Dermotologist put me on steroids and Benadryl today