chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Upper-airway cough syndrome
Clinical narrative: On 5/28 I came down with head and chest cold like symptoms. No fever, just coughing and trouble breathing. No sore throat or anything like that. Some post nasal drip but not much. By 6/1, I went to my doctors office where I was put on an antibiotic. On 6/4, my breathing had deteriorated significantly. I went back to the Dr who thought I had pneumonia. A chest X-ray showed it was not pneumonia. My breathing was so bad on 6/8 I went to the emergency room. They did a CAT scan that showed inflammation of my left lung. I also had pain radiating from the left side of my chest. It was not determined what caused the inflammation. I was increased to 60mg of prednisone then to 40 and then 20. I just finished my prednisone. I was also put on a nebulizer. I followed up with a pulmonologist who put me on and inhaled steroid. I now take the inhaler and albuterol in order to breathe.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: The second day after my injection I began to have a rash. It started on my face effecting my eyes and spread to my neck, both forearms, both hands, the right side of my stomach down to my right thigh, my right shin and my left foot. The rash has cleared up about 2 weeks after the vaccination but I still feel an itching sensation in the areas that I had a rash from time to time throughout the day.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pyrexia, Tremor, Urinary tract infection
Clinical narrative: chills and uncontrollable shakes, no fever initially; within a few hours temp was 101.6; cultures and labs showed urinary tract infection; sensitivities showed resistant to rocephin and ceftin; bactrim didn't prove strong enough; improvement finally began with levaquin; fever persisted 8 days; ibuprofen was required around the clock
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received a 3rd dose of Moderna. 1st dose on 1/25/21, 2nd dose on 4/12/21, and 3rd dose on 6/17/21.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pneumonia
Clinical narrative: - Multifocal pneumonia
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Contusion, Ear pain, Eye pain, Face oedema
Clinical narrative: by the 9th day  I developed excruciating headaches, shooting pain through  the left temple to the left eye,  painful to open and close left eye, a bruise under the left eye and edema under the left eye, arthritic type pains and shooting pains through the body and arms,  pains in hands and fingers; pains in the small vessels and big inner and  bruises on the right elbow. Toughing veins on the arms and legs is painful. bursting pain behind ears, a mild feeling of  angio-edema in my throat, pains lymphatic knots under arms,
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymph node pain, Lymphadenopathy, Pain, Pain in extremity
Clinical narrative: by the 9th day  I developed excruciating headaches, shooting pain through  the left temple to the left eye,  painful to open and close left eye, a bruise under the left eye and edema under the left eye, arthritic type pains and shooting pains through the body and arms,  pains in hands and fingers; pains in the small vessels and big inner and  bruises on the right elbow. Toughing veins on the arms and legs is painful. bursting pain behind ears, a mild feeling of  angio-edema in my throat, pains lymphatic knots under arms,
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal oedema, Vascular pain
Clinical narrative: by the 9th day  I developed excruciating headaches, shooting pain through  the left temple to the left eye,  painful to open and close left eye, a bruise under the left eye and edema under the left eye, arthritic type pains and shooting pains through the body and arms,  pains in hands and fingers; pains in the small vessels and big inner and  bruises on the right elbow. Toughing veins on the arms and legs is painful. bursting pain behind ears, a mild feeling of  angio-edema in my throat, pains lymphatic knots under arms,
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: Patient received a 3rd dose of Moderna. 1st dose on 1/25/21, 2nd dose on 4/12/21, 3rd dose on 6/17/21.
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: I21.4 - Non-ST elevation (NSTEMI) myocardial infarction
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Agitation, Burning sensation, Feeling abnormal, Intentional self-injury, Skin injury
Clinical narrative: Pt.'s mother states 06/17/2021 4:00pm, really agitated hitting herself, pulling skin off of arm. ER visit (stitches). communicated everything burns, she felt dirty. 06/29/2021 regular Physician appt. Still experiencing symptoms.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain in extremity
Clinical narrative: Excruciating pain throughout arm, collarbone and shoulder.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received a 3rd dose of Moderna. 1st dose on 1/25/21, 2nd dose on 4/12/21, and 3rd dose on 6/17/21.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Arthritis, Condition aggravated, Injection site pain
Clinical narrative: my immunologist, stated it caused a "flare" of my arthritis. Pharmacy where I received shot did not tell me to pause my meds before or after shot. Caused extreme pain at site and in my entire L. shoulder area. Pain persists to present day. Doctor gave me prednisone im and p.o. as well as gabapentin and flexaril.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: Rash on arm and chest. It was itching. Started 1-2 days after vaccine. Lasted 1 week after vaccine. Tried cortisone 10 and took plenty of showers to help with itching
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest discomfort, Dyspnoea, Electrocardiogram
Clinical narrative: immediate heart palpitations and sweating. 2 days later tighteness of the chest and trouble breathing. trouble breathing for 7 days after vaccine along with fatigue and inability to tolerate exercise. up every single night trying to catch breath along with acid reflux. needed IV treatment, nebulizer, and supplements.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Exercise tolerance decreased, Fatigue, Gastrooesophageal reflux disease, Hyperhidrosis, Palpitations
Clinical narrative: immediate heart palpitations and sweating. 2 days later tighteness of the chest and trouble breathing. trouble breathing for 7 days after vaccine along with fatigue and inability to tolerate exercise. up every single night trying to catch breath along with acid reflux. needed IV treatment, nebulizer, and supplements.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination complication
Clinical narrative: immediate heart palpitations and sweating. 2 days later tighteness of the chest and trouble breathing. trouble breathing for 7 days after vaccine along with fatigue and inability to tolerate exercise. up every single night trying to catch breath along with acid reflux. needed IV treatment, nebulizer, and supplements.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle twitching
Clinical narrative: Muscle twitching in different muscles. Started at the left arm
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Heart rate increased, Migraine
Clinical narrative: Tired, increased HR, migraine
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Incorrect dose administered, Overdose
Clinical narrative: Patient received a 3rd dose of Moderna. 1st dose on 1/4/21, 2nd dose on 4/12/21, and 3rd dose on 6/17/21.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Dehydration, Headache, Malaise, Pain
Clinical narrative: 4/13/21 33yo male presents to the ED for evaluation of general malaise after receiving COVID vaccine yesterday. Pt reports body aches, photophobia, headache and abdominal pain that started today. Assessment:  33yo male presents to the ED for evaluation of general malaise after the COVID vaccine. No chest pain or SOB.   Differential diagnosis:  Vaccine reaction, dehydration   Plan:  Offered labs and IV fluids vs PO hydration  Pt prefers to go home and rest and take ibuprofen and tylenol for pain.  Reassured that symptoms are normal after COVID vaccine.    ED Course and Disposition:  Discharge.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Photophobia
Clinical narrative: 4/13/21 33yo male presents to the ED for evaluation of general malaise after receiving COVID vaccine yesterday. Pt reports body aches, photophobia, headache and abdominal pain that started today. Assessment:  33yo male presents to the ED for evaluation of general malaise after the COVID vaccine. No chest pain or SOB.   Differential diagnosis:  Vaccine reaction, dehydration   Plan:  Offered labs and IV fluids vs PO hydration  Pt prefers to go home and rest and take ibuprofen and tylenol for pain.  Reassured that symptoms are normal after COVID vaccine.    ED Course and Disposition:  Discharge.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Bone scan, Neurological examination, Polymyalgia rheumatica, X-ray
Clinical narrative: Systems of Poly-myalgia Rheumatica. Not yet diagnosed.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Heavy menstrual bleeding, Pain, Pyrexia
Clinical narrative: Prolonged menses.  Patient stated that she was on the last day  of her menses, was having  scanty flow.  The  next day her period was very heavy saturating 3 pads per day from then to now (6days later).   Started with headaches, and achy, felt feverish inside and then also had chills. Took Tylenol for other symptoms, but still has heavy menses.  Referred her to her GYN physician.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: PATIENT IS 16 YEARS OLD RECEIVING MODERNA WHICH IS ONLY APPROVED FOR 18 YEARS AND UP.  AFTER 20 MINUTES OF VACCINATION, PATIENT REPORTED NO SIDE EFFECTS.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Incorrect dose administered, Overdose
Clinical narrative: Patient received a 3rd dose of Moderna. 1st dose on 1/4/21, 2nd dose on 4/12/21, and 3rd dose on 6/17/21.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood urea normal, Brain natriuretic peptide, Chest X-ray normal, Chest discomfort
Clinical narrative: Chest tightness, chest squeezing, right-sided chest pain.  ER visit testing all negative.  FU cardiologist diagnosed vaccine-related myocarditis.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Full blood count normal, Metabolic function test, Myocarditis, Troponin T normal
Clinical narrative: Chest tightness, chest squeezing, right-sided chest pain.  ER visit testing all negative.  FU cardiologist diagnosed vaccine-related myocarditis.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: NONE, THE WRONG VACCINE WAS GIVEN
Age: 31.0
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Bundle branch block right, COVID-19, Chest X-ray abnormal, Defect conduction intraventricular
Clinical narrative: 81 yo male patient with a history of leukemia, diabetes, renal failure, htn, hyperlipidemia, and nephrolithiasis presents with increasing weakness over the last several days.  The patient states that he received his second pfizer covid vaccination on Monday.  Since then has felt weak and tired.  Has been short of breath with any exertion.  No fever or chills.  No chest pain.  Has had a cough when he breathes through his mouth.  He states he is only short of breath when he breathes through his mouth.  No nausea or vomiting.  Had one episode of diarrhea.  No blood in the stool or black stool.  No abdominal pain.  No urinary symptoms.  Has been eating.  Has been exposed to a known covid positive contact at home between
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspnoea exertional, Electrocardiogram, Exposure to SARS-CoV-2, Fatigue
Clinical narrative: 81 yo male patient with a history of leukemia, diabetes, renal failure, htn, hyperlipidemia, and nephrolithiasis presents with increasing weakness over the last several days.  The patient states that he received his second pfizer covid vaccination on Monday.  Since then has felt weak and tired.  Has been short of breath with any exertion.  No fever or chills.  No chest pain.  Has had a cough when he breathes through his mouth.  He states he is only short of breath when he breathes through his mouth.  No nausea or vomiting.  Had one episode of diarrhea.  No blood in the stool or black stool.  No abdominal pain.  No urinary symptoms.  Has been eating.  Has been exposed to a known covid positive contact at home between
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Laboratory test, Mouth breathing, Oxygen saturation decreased, Pneumonia viral
Clinical narrative: 81 yo male patient with a history of leukemia, diabetes, renal failure, htn, hyperlipidemia, and nephrolithiasis presents with increasing weakness over the last several days.  The patient states that he received his second pfizer covid vaccination on Monday.  Since then has felt weak and tired.  Has been short of breath with any exertion.  No fever or chills.  No chest pain.  Has had a cough when he breathes through his mouth.  He states he is only short of breath when he breathes through his mouth.  No nausea or vomiting.  Had one episode of diarrhea.  No blood in the stool or black stool.  No abdominal pain.  No urinary symptoms.  Has been eating.  Has been exposed to a known covid positive contact at home between
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary oedema, SARS-CoV-2 test positive, Sinus tachycardia
Clinical narrative: 81 yo male patient with a history of leukemia, diabetes, renal failure, htn, hyperlipidemia, and nephrolithiasis presents with increasing weakness over the last several days.  The patient states that he received his second pfizer covid vaccination on Monday.  Since then has felt weak and tired.  Has been short of breath with any exertion.  No fever or chills.  No chest pain.  Has had a cough when he breathes through his mouth.  He states he is only short of breath when he breathes through his mouth.  No nausea or vomiting.  Had one episode of diarrhea.  No blood in the stool or black stool.  No abdominal pain.  No urinary symptoms.  Has been eating.  Has been exposed to a known covid positive contact at home between
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: A few hours after the vaccination I had fever and aches all over my body and fatigue.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Pericarditis
Clinical narrative: Pericarditis
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Unknown - Unable to reach patient's guardian or patient himself to inquire. Unable to confirm whether or not patient has experienced an adverse event at this time. Patient or his guardian have not been in contact to report an adverse event.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Metamorphopsia, Ophthalmological examination, Retinal migraine
Clinical narrative: On April 4, 8 days following receiving second dose I experienced an ocular migraine lasting approximately 30 minutes.  10 weeks later on June 13 I experienced another ocular migraine lasting approximately 30 minutes.  Prior to Apr 4 I had experienced ocular migraines only 3 times in my lifetime in 1997, 2016 and 2018. My symptoms included seeing a jagged wavy line of prism-like color in my peripheral vision that progressed to the loss of the right half of objects in my vision.
Age: 50.0
Sex: M
Vaccine: UNK, UNK
Symptoms: Unevaluable event
Clinical narrative: Positive test post vaccination
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient reported developing a rash 2 weeks post vaccination. She said the rash was "moving around" and she tried to wait for it to improve without trying anything.  She was prescribed a z-pak and said the rash resolved, then returned. She is currently waiting to see a dermatologist regarding the rash.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Malaise
Clinical narrative: The history is notable for 92F well known to dept p/w generalized malaise, fatigue, weakness--received 2nd COVID vaccine day prior. Has been trying to eat/drink normally, but admits to me probably less than normal.  No focal weakness, pain, rash..  Exam is notable for On my eval after initial interventions by PA, pt is ambulatory, tolerating PO, well appearing, normal complexion, normal/stable VS..  Patient at risk for Vaccine reaction, dehydration, ACS, AKI.  Our plan is Workup unrevealing of acute pathology. Pt feeling well after tylenol and IVF, ambulating well. Discussed by phone with her son, agreeable to bringing her back home if she's up and moving about okay.  Understanding about her symptoms mos
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Reactive lymph node on right side by collar bone. Monitoring. Slowly decreasing in size.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received a dose of Moderna and is only 17 years old. Moderna is not currently approved for patients less than 18 years old.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombotic stroke
Clinical narrative: Blood clot/stroke
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Painful severe swelling right calf/lower leg.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Shortly after administration of injection, patient complained of tingling of left arm.  Has had previous history of carpal tunnel surgery.  VSS at 3:40 pm:  164/90-74-97% oximeter reading.  After 30 minutes, resolution of complaint and was able to leave on own.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Urticaria
Clinical narrative: Headache aspirin still have.  Hives: steroids, prescription anti itch creams; will fade in one place and pop up in another can not make them go away completely.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Electrocardiogram normal, Nausea, Pallor, Presyncope
Clinical narrative: Pallor- vagal event with subsequent possible loss of consciousness and brief generalized seizure possibly per family versus vagal event only. Return to normal function by the time of arrival from PCP office to the emergency department. Transported by No report of anaphylactic reaction clearly, though did have nausea and possible emesis once with event.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Dyspnoea, Insomnia
Clinical narrative: Chief Complaint Patient presents with o Shortness of Breath HPI   79 year old female patient with a history of hypertension and diabetes presents to the emergency department with complaint of dyspnea since March 3. Patient states that she received her first COVID vaccine last week and felt like she initially had mild chills. No fever, denies chest pain or leg swelling. Patient notes her symptoms have become progressively worse over the past couple days, she has been uncomfortable at night sleeping. She states she feels short of breath all the time, even at rest.   Assessment:  79 year old female patient presents to the emergency department with complaint of worsening shortness of breath for over one week.  Differential diagnosis:  Pneumonia, hypoxia, acute respiratory failure, CHF, flash pulmonary edema  ED Course and Disposition:  Patient received about 1 min of therapy from a duo neb treatment and became increasingly anxious and hypoxic. Patient became progressively more anxious and was unable to keep non re breather mask on. SpO2 in the low 80s patient anxious stating "help me, give me a tranquilizer", unable to speak in full sentences and acutely confused. Patient was intubated by Dr. for acute respiratory failure, tolerated well. BP and HR improved after labetalol. Chest xray showed patchy opacities suspicious for viral or atypical bacterial pneumonia. Clinical presentation and acuity of condition concerning for flash pulmonary edema. COVID negative. Treated with Rocephin and doxycyline to cover pneumonia. IV lasix given for diuresis. Patient will be admitted to the ICU.    I had a detailed discussion with the patient's daughter regarding the historical points, exam findings, and any diagnostic results supporting ICU admission. Based on the patient's history, exam, and diagnositic evaluation, there is indication for further emergent intervention and inpatient treatment.   Discussed case & plan with Dr. who also independently evaluated the patient and agrees with the course of care and plan.  Critical Care   There is a high probability of imminent or life threatening deterioration due to respiratory failure.   Acute interventions include develop tx plan w/pt or surrogate, eval pt's response to tx, documenting the case, initial hx & physical exam, order & review of radiology studies, order & perform tx & interventions, re-eval of pt's condition and vent management.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Asthenia, Balance disorder, Blindness, Blood test
Clinical narrative: Minutes right after the vaccination, I had burning in my left eye, like a nerve in my head burning.  I was offered Tylenol by the pharmacist, which I denied.  When I stood up, I got really light headed.  I went back to work anyways and the symptoms lasted for 2 hours.  I came home and noticed my left butt cheek started to ache and feel sore.  I  did not take any medications.  I went to bed and woke up with full blown flu like symptoms- extremely weak, fatigued, body aches and soreness, muscle stiffness, headache,  intermitten light headedness, and left eye could not focus properly. These symptoms lasted for about 24 hours and most went away, however I was still unable to focus with my left eye. On 6/5/2021  I had a very bad explosive severe headache,  I had loss of balance, loss of vision in left eye and could not speak coherently and decided to go to the ER.  In the car en route to ER, I felt like I was paralyzed and could not move.   I was diagnosed with migraines, given a RX for Compazine, and to follow up with the PCP.  I went to the doctor on 6/7/2021 with extreme fatigue, difficulty walking and balance, light headed and left eye focusing issues.  I was referred to an opthamologist.  On 6/8/2021 I went to the opthamologist and had an eye exam and retinal screening and was referred to a better hospital.  On 6/9/2021 I went to a hospital to be seen by an opthamologist and neurologist and I did lots of blood work,  an MRI of my head, neck and brain  which showed my optic nerve was swelling and causing my brain to swell as well.  I was diagnosed with inflammation of the optic nerve.   I am being followed up by the neurologist.  I have been having intermitten  episodes of severe headaches and would have body paralysis for about 30 minutes and it  would go away.  I am having these episodes about once a week.  Every time I have an episode, I would go see my doctor who would run more tests.  I have been tested for epilepsy which is negative.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Brain oedema, Chest X-ray, Dizziness, Electroencephalogram, Encephalopathy
Clinical narrative: Minutes right after the vaccination, I had burning in my left eye, like a nerve in my head burning.  I was offered Tylenol by the pharmacist, which I denied.  When I stood up, I got really light headed.  I went back to work anyways and the symptoms lasted for 2 hours.  I came home and noticed my left butt cheek started to ache and feel sore.  I  did not take any medications.  I went to bed and woke up with full blown flu like symptoms- extremely weak, fatigued, body aches and soreness, muscle stiffness, headache,  intermitten light headedness, and left eye could not focus properly. These symptoms lasted for about 24 hours and most went away, however I was still unable to focus with my left eye. On 6/5/2021  I had a very bad explosive severe headache,  I had loss of balance, loss of vision in left eye and could not speak coherently and decided to go to the ER.  In the car en route to ER, I felt like I was paralyzed and could not move.   I was diagnosed with migraines, given a RX for Compazine, and to follow up with the PCP.  I went to the doctor on 6/7/2021 with extreme fatigue, difficulty walking and balance, light headed and left eye focusing issues.  I was referred to an opthamologist.  On 6/8/2021 I went to the opthamologist and had an eye exam and retinal screening and was referred to a better hospital.  On 6/9/2021 I went to a hospital to be seen by an opthamologist and neurologist and I did lots of blood work,  an MRI of my head, neck and brain  which showed my optic nerve was swelling and causing my brain to swell as well.  I was diagnosed with inflammation of the optic nerve.   I am being followed up by the neurologist.  I have been having intermitten  episodes of severe headaches and would have body paralysis for about 30 minutes and it  would go away.  I am having these episodes about once a week.  Every time I have an episode, I would go see my doctor who would run more tests.  I have been tested for epilepsy which is negative.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Eye irritation, Eye swelling, Fatigue, Gait disturbance, Headache
Clinical narrative: Minutes right after the vaccination, I had burning in my left eye, like a nerve in my head burning.  I was offered Tylenol by the pharmacist, which I denied.  When I stood up, I got really light headed.  I went back to work anyways and the symptoms lasted for 2 hours.  I came home and noticed my left butt cheek started to ache and feel sore.  I  did not take any medications.  I went to bed and woke up with full blown flu like symptoms- extremely weak, fatigued, body aches and soreness, muscle stiffness, headache,  intermitten light headedness, and left eye could not focus properly. These symptoms lasted for about 24 hours and most went away, however I was still unable to focus with my left eye. On 6/5/2021  I had a very bad explosive severe headache,  I had loss of balance, loss of vision in left eye and could not speak coherently and decided to go to the ER.  In the car en route to ER, I felt like I was paralyzed and could not move.   I was diagnosed with migraines, given a RX for Compazine, and to follow up with the PCP.  I went to the doctor on 6/7/2021 with extreme fatigue, difficulty walking and balance, light headed and left eye focusing issues.  I was referred to an opthamologist.  On 6/8/2021 I went to the opthamologist and had an eye exam and retinal screening and was referred to a better hospital.  On 6/9/2021 I went to a hospital to be seen by an opthamologist and neurologist and I did lots of blood work,  an MRI of my head, neck and brain  which showed my optic nerve was swelling and causing my brain to swell as well.  I was diagnosed with inflammation of the optic nerve.   I am being followed up by the neurologist.  I have been having intermitten  episodes of severe headaches and would have body paralysis for about 30 minutes and it  would go away.  I am having these episodes about once a week.  Every time I have an episode, I would go see my doctor who would run more tests.  I have been tested for epilepsy which is negative.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Magnetic resonance imaging, Migraine, Mobility decreased, Musculoskeletal pain
Clinical narrative: Minutes right after the vaccination, I had burning in my left eye, like a nerve in my head burning.  I was offered Tylenol by the pharmacist, which I denied.  When I stood up, I got really light headed.  I went back to work anyways and the symptoms lasted for 2 hours.  I came home and noticed my left butt cheek started to ache and feel sore.  I  did not take any medications.  I went to bed and woke up with full blown flu like symptoms- extremely weak, fatigued, body aches and soreness, muscle stiffness, headache,  intermitten light headedness, and left eye could not focus properly. These symptoms lasted for about 24 hours and most went away, however I was still unable to focus with my left eye. On 6/5/2021  I had a very bad explosive severe headache,  I had loss of balance, loss of vision in left eye and could not speak coherently and decided to go to the ER.  In the car en route to ER, I felt like I was paralyzed and could not move.   I was diagnosed with migraines, given a RX for Compazine, and to follow up with the PCP.  I went to the doctor on 6/7/2021 with extreme fatigue, difficulty walking and balance, light headed and left eye focusing issues.  I was referred to an opthamologist.  On 6/8/2021 I went to the opthamologist and had an eye exam and retinal screening and was referred to a better hospital.  On 6/9/2021 I went to a hospital to be seen by an opthamologist and neurologist and I did lots of blood work,  an MRI of my head, neck and brain  which showed my optic nerve was swelling and causing my brain to swell as well.  I was diagnosed with inflammation of the optic nerve.   I am being followed up by the neurologist.  I have been having intermitten  episodes of severe headaches and would have body paralysis for about 30 minutes and it  would go away.  I am having these episodes about once a week.  Every time I have an episode, I would go see my doctor who would run more tests.  I have been tested for epilepsy which is negative.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Optic nerve disorder, Pain, Paralysis, Urinary tract infection
Clinical narrative: Minutes right after the vaccination, I had burning in my left eye, like a nerve in my head burning.  I was offered Tylenol by the pharmacist, which I denied.  When I stood up, I got really light headed.  I went back to work anyways and the symptoms lasted for 2 hours.  I came home and noticed my left butt cheek started to ache and feel sore.  I  did not take any medications.  I went to bed and woke up with full blown flu like symptoms- extremely weak, fatigued, body aches and soreness, muscle stiffness, headache,  intermitten light headedness, and left eye could not focus properly. These symptoms lasted for about 24 hours and most went away, however I was still unable to focus with my left eye. On 6/5/2021  I had a very bad explosive severe headache,  I had loss of balance, loss of vision in left eye and could not speak coherently and decided to go to the ER.  In the car en route to ER, I felt like I was paralyzed and could not move.   I was diagnosed with migraines, given a RX for Compazine, and to follow up with the PCP.  I went to the doctor on 6/7/2021 with extreme fatigue, difficulty walking and balance, light headed and left eye focusing issues.  I was referred to an opthamologist.  On 6/8/2021 I went to the opthamologist and had an eye exam and retinal screening and was referred to a better hospital.  On 6/9/2021 I went to a hospital to be seen by an opthamologist and neurologist and I did lots of blood work,  an MRI of my head, neck and brain  which showed my optic nerve was swelling and causing my brain to swell as well.  I was diagnosed with inflammation of the optic nerve.   I am being followed up by the neurologist.  I have been having intermitten  episodes of severe headaches and would have body paralysis for about 30 minutes and it  would go away.  I am having these episodes about once a week.  Every time I have an episode, I would go see my doctor who would run more tests.  I have been tested for epilepsy which is negative.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis, Vision blurred
Clinical narrative: Minutes right after the vaccination, I had burning in my left eye, like a nerve in my head burning.  I was offered Tylenol by the pharmacist, which I denied.  When I stood up, I got really light headed.  I went back to work anyways and the symptoms lasted for 2 hours.  I came home and noticed my left butt cheek started to ache and feel sore.  I  did not take any medications.  I went to bed and woke up with full blown flu like symptoms- extremely weak, fatigued, body aches and soreness, muscle stiffness, headache,  intermitten light headedness, and left eye could not focus properly. These symptoms lasted for about 24 hours and most went away, however I was still unable to focus with my left eye. On 6/5/2021  I had a very bad explosive severe headache,  I had loss of balance, loss of vision in left eye and could not speak coherently and decided to go to the ER.  In the car en route to ER, I felt like I was paralyzed and could not move.   I was diagnosed with migraines, given a RX for Compazine, and to follow up with the PCP.  I went to the doctor on 6/7/2021 with extreme fatigue, difficulty walking and balance, light headed and left eye focusing issues.  I was referred to an opthamologist.  On 6/8/2021 I went to the opthamologist and had an eye exam and retinal screening and was referred to a better hospital.  On 6/9/2021 I went to a hospital to be seen by an opthamologist and neurologist and I did lots of blood work,  an MRI of my head, neck and brain  which showed my optic nerve was swelling and causing my brain to swell as well.  I was diagnosed with inflammation of the optic nerve.   I am being followed up by the neurologist.  I have been having intermitten  episodes of severe headaches and would have body paralysis for about 30 minutes and it  would go away.  I am having these episodes about once a week.  Every time I have an episode, I would go see my doctor who would run more tests.  I have been tested for epilepsy which is negative.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pain in jaw, Paraesthesia oral
Clinical narrative: About 10 minutes after getting the Pfizer vaccine my Jaw started hurting and lips tingling,  then my face starting getting numb. After I woke up this morning my face is still numb.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Diplopia, Magnetic resonance imaging, Muscle spasms
Clinical narrative: About three to four weeks after vaccine I started experiencing blurred vision and double vision. Went to doctor where after numerous of test that came back normal the only diagnosis the doctor could give is a muscle spasm.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: About three to four weeks after vaccine I started experiencing blurred vision and double vision. Went to doctor where after numerous of test that came back normal the only diagnosis the doctor could give is a muscle spasm.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy, Peripheral swelling, Rash erythematous, Skin warm
Clinical narrative: Swollen arm (started on 06/26/2021) with a warm red rash that has started on 06/28/2021. Swelling and soreness in armpit area that started on 06/26/2021 and has continued
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Patient received a dose of Janssen after completing a series of Moderna. 1st dose of Moderna on 2/6/21, 2nd dose of Moderna on 3/6/21, and 1st and only dose of Janssen on 5/21/21.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Haematoma, Oedema peripheral, Pain
Clinical narrative: sever hematoma, pain, under arm swelling
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Deep vein thrombosis, Fibrin D dimer, Pulmonary embolism
Clinical narrative: R leg DVT with extensive bilateral pulmonary emboli and saddle PE
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dizziness, Electrocardiogram, Feeling hot
Clinical narrative: History 39-year-old male patient with a past medical history significant for obstructive sleep apnea and anxiety presents with chief complaint of feeling dizzy, chest burning, and lightheaded shortly after receiving his first Covid vaccine here in the hospital.  He states he waited for the designated amount of time to be observed and then walked out of the hospital and got into his vehicle.  As he was leaving the parking lot he felt like he was going to pass out.  He states things were spinning and he felt lightheaded.  He developed a warm feeling from the lower abdomen up into his chest.  He states he felt like he had some chest pressure.  States he continues to feel lightheaded and has burning in his chest. Pati
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Presyncope, Vertigo
Clinical narrative: History 39-year-old male patient with a past medical history significant for obstructive sleep apnea and anxiety presents with chief complaint of feeling dizzy, chest burning, and lightheaded shortly after receiving his first Covid vaccine here in the hospital.  He states he waited for the designated amount of time to be observed and then walked out of the hospital and got into his vehicle.  As he was leaving the parking lot he felt like he was going to pass out.  He states things were spinning and he felt lightheaded.  He developed a warm feeling from the lower abdomen up into his chest.  He states he felt like he had some chest pressure.  States he continues to feel lightheaded and has burning in his chest. Pati
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Device use issue, Immunisation, Pain in extremity, Product dispensing issue, Vaccination error
Clinical narrative: I accidently used a syringe that I thought was loaded with vaccine(we preload them) and injected it into the patient's arm. It turned out that the plunger had been pulled back but no vaccine was in it. I apologized and did administer a section shot with the vaccine so the patient was injected with a needle twice. I called the patient's home this morning and her arms is a little sore as expected but no other symptoms were present.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pancytopenia
Clinical narrative: pancytopenia
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Incorrect route of product administration
Clinical narrative: Administered via subcutaneous route instead of intramuscular route.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Incorrect dose administered, Overdose
Clinical narrative: Patient received a 3rd dose of Moderna. 1st dose on 2/3/21, 2nd dose on 3/4/21, and 3rd dose on 5/13/21.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dizziness, Echocardiogram, Electrocardiogram, Electrocardiogram ambulatory
Clinical narrative: Racing heart, dizziness, excessive sweating, extreme fatigue, headaches. Have seen 2 doctors now to figure out what is going on. One doctor thinks it may be POTS but have not had a test to confirm this. They also think it may be myocarditis but need to seek a second opinion.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hyperhidrosis, Palpitations
Clinical narrative: Racing heart, dizziness, excessive sweating, extreme fatigue, headaches. Have seen 2 doctors now to figure out what is going on. One doctor thinks it may be POTS but have not had a test to confirm this. They also think it may be myocarditis but need to seek a second opinion.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Ear infection, Mobility decreased
Clinical narrative: Temperature 1 week of ear infection type symptoms 2 days unable to sit and walk
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Coagulopathy, Mechanical ventilation, Multiple organ dysfunction syndrome, Syncope
Clinical narrative: patient collapse with subsequent EMS transport to ED, multi organ system failure, coagulation issues, required mechanical ventilation
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Feeling abnormal, Hypoaesthesia, Impaired work ability
Clinical narrative: muscle ache, simple jobs were impossible, joint pain,  leg pain,  arm feels numb and weird. walking  causes chest pains. dr says do not take 2nd vax.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain in extremity, X-ray
Clinical narrative: muscle ache, simple jobs were impossible, joint pain,  leg pain,  arm feels numb and weird. walking  causes chest pains. dr says do not take 2nd vax.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pruritus
Clinical narrative: So a day later, I had hives and my scalp was very itchy and lots of fatigue.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received a 3rd dose of Moderna. 1st dose on 1/20/21, 2nd dose on 2/17/21, and 3rd dose on 5/13/21.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute left ventricular failure, Acute respiratory failure, Anaemia, Chronic left ventricular failure
Clinical narrative: Phone visito Visit History for 3/12/2021  Problem List* Health Maintenance* Results/Data* Review Flowsheets*  History of Present Illness HPI: 84 yo female pmh: DJD right hip, CAD and chronic anticoagulation was contacted via telephone: states she received her covid 19 vaccine 3 days ago: now having dry (non productive cough)-denied any fever/chills or loss of smell/taste.  o Visit History for 3/12/2021  Problem List* Health Maintenance* Results/Data* Review Flowsheets*  History of Present Illness HPI: 84 yo female pmh: DJD right hip, CAD and chronic anticoagulation was contacted via telephone: states she received her covid 19 vaccine 3 days ago: now having dry (non productive cough)-denied any fever/chills or loss Issues Addressed/ Plan   Diagnosis Plan  1. Viral upper respiratory tract infection (s/p covid 19 vaccine) predniSONE 20 MG Oral tablet  albuterol (PROVENTIL HFA) 90 mcg/actuation Inhl inhaler (afebrile) Counseled on supportive measures Has declined covid 19 test Informed: if conditions worsens: present to ED (immediatetly)  3/25 pt's son in the room, updated and answered all questions at this time.  4/2 Pt's husband also inpatient and covid+. Spoke with daughter today and updated r/t quarantine.  2. Nursing Education/Concerns: Care team met with family (husband, son and daughter) on 3/18/21 to discuss care goals/plan of care moving forward. Pt's code status officially updated to DNR only with trial intubation. 3/18/2021 spoke updated pts daughter on phone at 1031.  Report given to SNF- they were made aware that she needs the second pfizer vaccine  3. Interdisciplinary involvement  Social Work/Case Management: From home with spouse. STR- Referral out. STR reviewing. Will not take patient before her 10 day exposure quarantine is over. 4/9.  STR- Bed offer for tomorrow pending insurance auth and negative COVID. sent for auth. Patient aware. Son updated.   COVID exposure - exposure to covid positive visitor on 3/26 and 3/29  - discussed with infection control. Will test on 3/31 and if negative will test again on 4/7 (day 9 of quarantine) unless symptoms develop in interm. Acute hypoxic respiratory failure secondary to acute on chronic systolic LV failure requiring prolonged ventilation and SNF placement after discharge. Encephalopathy, dysphagia, anemia, tachy, AKI
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dysphagia, Encephalopathy, Exposure to SARS-CoV-2, Mechanical ventilation
Clinical narrative: Phone visito Visit History for 3/12/2021  Problem List* Health Maintenance* Results/Data* Review Flowsheets*  History of Present Illness HPI: 84 yo female pmh: DJD right hip, CAD and chronic anticoagulation was contacted via telephone: states she received her covid 19 vaccine 3 days ago: now having dry (non productive cough)-denied any fever/chills or loss of smell/taste.  o Visit History for 3/12/2021  Problem List* Health Maintenance* Results/Data* Review Flowsheets*  History of Present Illness HPI: 84 yo female pmh: DJD right hip, CAD and chronic anticoagulation was contacted via telephone: states she received her covid 19 vaccine 3 days ago: now having dry (non productive cough)-denied any fever/chills or loss Issues Addressed/ Plan   Diagnosis Plan  1. Viral upper respiratory tract infection (s/p covid 19 vaccine) predniSONE 20 MG Oral tablet  albuterol (PROVENTIL HFA) 90 mcg/actuation Inhl inhaler (afebrile) Counseled on supportive measures Has declined covid 19 test Informed: if conditions worsens: present to ED (immediatetly)  3/25 pt's son in the room, updated and answered all questions at this time.  4/2 Pt's husband also inpatient and covid+. Spoke with daughter today and updated r/t quarantine.  2. Nursing Education/Concerns: Care team met with family (husband, son and daughter) on 3/18/21 to discuss care goals/plan of care moving forward. Pt's code status officially updated to DNR only with trial intubation. 3/18/2021 spoke updated pts daughter on phone at 1031.  Report given to SNF- they were made aware that she needs the second pfizer vaccine  3. Interdisciplinary involvement  Social Work/Case Management: From home with spouse. STR- Referral out. STR reviewing. Will not take patient before her 10 day exposure quarantine is over. 4/9.  STR- Bed offer for tomorrow pending insurance auth and negative COVID. sent for auth. Patient aware. Son updated.   COVID exposure - exposure to covid positive visitor on 3/26 and 3/29  - discussed with infection control. Will test on 3/31 and if negative will test again on 4/7 (day 9 of quarantine) unless symptoms develop in interm. Acute hypoxic respiratory failure secondary to acute on chronic systolic LV failure requiring prolonged ventilation and SNF placement after discharge. Encephalopathy, dysphagia, anemia, tachy, AKI
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Quarantine, SARS-CoV-2 test, Upper respiratory tract infection, Viral infection
Clinical narrative: Phone visito Visit History for 3/12/2021  Problem List* Health Maintenance* Results/Data* Review Flowsheets*  History of Present Illness HPI: 84 yo female pmh: DJD right hip, CAD and chronic anticoagulation was contacted via telephone: states she received her covid 19 vaccine 3 days ago: now having dry (non productive cough)-denied any fever/chills or loss of smell/taste.  o Visit History for 3/12/2021  Problem List* Health Maintenance* Results/Data* Review Flowsheets*  History of Present Illness HPI: 84 yo female pmh: DJD right hip, CAD and chronic anticoagulation was contacted via telephone: states she received her covid 19 vaccine 3 days ago: now having dry (non productive cough)-denied any fever/chills or loss Issues Addressed/ Plan   Diagnosis Plan  1. Viral upper respiratory tract infection (s/p covid 19 vaccine) predniSONE 20 MG Oral tablet  albuterol (PROVENTIL HFA) 90 mcg/actuation Inhl inhaler (afebrile) Counseled on supportive measures Has declined covid 19 test Informed: if conditions worsens: present to ED (immediatetly)  3/25 pt's son in the room, updated and answered all questions at this time.  4/2 Pt's husband also inpatient and covid+. Spoke with daughter today and updated r/t quarantine.  2. Nursing Education/Concerns: Care team met with family (husband, son and daughter) on 3/18/21 to discuss care goals/plan of care moving forward. Pt's code status officially updated to DNR only with trial intubation. 3/18/2021 spoke updated pts daughter on phone at 1031.  Report given to SNF- they were made aware that she needs the second pfizer vaccine  3. Interdisciplinary involvement  Social Work/Case Management: From home with spouse. STR- Referral out. STR reviewing. Will not take patient before her 10 day exposure quarantine is over. 4/9.  STR- Bed offer for tomorrow pending insurance auth and negative COVID. sent for auth. Patient aware. Son updated.   COVID exposure - exposure to covid positive visitor on 3/26 and 3/29  - discussed with infection control. Will test on 3/31 and if negative will test again on 4/7 (day 9 of quarantine) unless symptoms develop in interm. Acute hypoxic respiratory failure secondary to acute on chronic systolic LV failure requiring prolonged ventilation and SNF placement after discharge. Encephalopathy, dysphagia, anemia, tachy, AKI
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgraphia, Mobility decreased, Musculoskeletal disorder, Pain, Pain in extremity
Clinical narrative: Had normal sore arm after a few days but a month later couldn't get up out the bed without help. Have no use of her hands she can barely write. Both shoulders are not working so her grandkids have to come pull her up.  Hurt all over.