chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Palpitations
Clinical narrative: POST VACCINE, C/O HEART RACING, LIGHTHEADED. BROUGHT TO OBS VIA WC, ASSISTED TO STRETCHER TO LAY DOWN, VSS, FOR PATIENT BASELINE BP IS USUALLY LOW PER PATIENT REPORT. SAT UP AND SNACK/WATER PROVIDED. S/S RESOLVED SPONTANEOUSLY. ASSISTED TO EXIT WITH NO ISSUES ONCE S/S RESOLVED, TO MEET SPOUSE WHO WAS GOING TO DRIVE AT 1428. 1330 LYING BP 97/58 HR 83 RR 20 SATS 97/58 (PATIENT REPORTS SHE IS ATHLETE; BP/HR USUALLY EVEN LOWER AT BASELINE) 1336 SITTING BP 107/47 HR 76 RR 20 SATS 100% RA 1415 STANDING BP 105/64 HR 82 RR 18 SATS 100% RA
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain, Pyrexia
Clinical narrative: Fatigue, soreness, fever
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeding disorder, Insomnia, Myalgia, Nausea
Clinical narrative: Janssen COVID-19 Vaccine EUA 24 hours of SEVERE pain in every muscle and especially neck, eyes, head, face, jaw. Also fever, nausea, vomiting, inability to sleep, intense tiredness. After 24 hours, all symptoms continued but were milder for 2 more days. Couldn't eat at all for 3-4 days.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: Janssen COVID-19 Vaccine EUA 24 hours of SEVERE pain in every muscle and especially neck, eyes, head, face, jaw. Also fever, nausea, vomiting, inability to sleep, intense tiredness. After 24 hours, all symptoms continued but were milder for 2 more days. Couldn't eat at all for 3-4 days.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Nausea, Tinnitus
Clinical narrative: Tinnitus  Nausea Fatigue
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The patient inadvertently received a dose of 0.51 to 0.52 ml as opposed to 0.5 ml. The manufacturer instructed us to reach out to the patient to let them know they have received a higher dose which may have the potential for increased local and or systemic side effects. No serious adverse reactions were experienced or reported by the patient.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Electrocardiogram normal, Fatigue, Hypoaesthesia, Magnetic resonance imaging normal
Clinical narrative: Two weeks after shot, I began to go numb in my left arm and leg. Numbness spread to right side. Cramping in right leg. I went to doctor and then ER.  MRI normal. Still feeling numb and tingling in all limbs. Also weak and fatigued.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Paraesthesia
Clinical narrative: Two weeks after shot, I began to go numb in my left arm and leg. Numbness spread to right side. Cramping in right leg. I went to doctor and then ER.  MRI normal. Still feeling numb and tingling in all limbs. Also weak and fatigued.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pain, Paraesthesia, Swelling
Clinical narrative: Pt reports acute swelling, mild pain, and episodic numbness and tingling into her 4th and 5th fingers.
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Nausea, Pyrexia
Clinical narrative: Fever 101, extreme nausea (no food for 24hours without vomitting), chills, fatigue
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Fever 101, extreme nausea (no food for 24hours without vomitting), chills, fatigue
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: patient mistakenly gave consent and received a dose of pfizer for a second dose after receiving moderna as her first dose manufacturer. no adverse outcomes observed. Patient was counseled regarding CDC adverse event guidelines for receiving a mixed manufacturer dose.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Decreased appetite, Headache, Pain in extremity, Tremor
Clinical narrative: Uncontrolled shaking, extreme leg aches, headache, decreased PO intake, temp 100.1
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Noticed some soreness at the injection site 8 days after receiving the vaccine.  While showering I saw the shoulder area was red and itchy.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Headache, Laboratory test
Clinical narrative: Headache, Diarrhea.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Clostridium test, Diarrhoea, Faecal calprotectin, Fatigue
Clinical narrative: Headache, Diarrhea.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Polymerase chain reaction
Clinical narrative: Headache, Diarrhea.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Back pain, Chills, Injection site reaction, Injection site warmth
Clinical narrative: 12 hours after injection had fever chills and severe back pain. 48 hours after injection large red rash at injection site and tenderness in armpit area. Rash is warm to the touch.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Rash erythematous
Clinical narrative: 12 hours after injection had fever chills and severe back pain. 48 hours after injection large red rash at injection site and tenderness in armpit area. Rash is warm to the touch.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling drunk
Clinical narrative: Feeling dizzy almost as if drunk.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hypoaesthesia, Nasopharyngitis
Clinical narrative: Started with headache then top of my head went numb. All around the crown. Then had freezing chills
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Hypomenorrhoea, Pain in extremity
Clinical narrative: Symptoms: Very sore arm that went away in a day. Light period that has continued over a week after the shot was given. Period is still present but getting lighter and lighter.
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Chest pain, Immediate post-injection reaction, Influenza, Muscle spasms, Musculoskeletal chest pain
Clinical narrative: Hello Dr., I just wanted to log my information regarding my Johnson & Johnson COVID vaccine. I was fine no sickness or pain before injection. On April 7th 2021 I got the injection. Immediately my vision went a little dim. After getting home for about 3 hour felt pain lump in center of chest. The next day April 8th ,2021 woke up to center chest and complete rib case painful and swollen this went on for two days with flu symptoms, On fourth night April 10th, 2021 I had spasms down lower back of left leg all through the night hurt very bad by toke the prescribed Advil to help with pain. I also started taking Vapor Nyquil for flu and Cold, Therrraflu and Therflu sinus and pain hot tea med's, used Vicks Vapor Rub
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Nodule, Pain in extremity, Sleep disorder, Swelling, Visual impairment
Clinical narrative: Hello Dr., I just wanted to log my information regarding my Johnson & Johnson COVID vaccine. I was fine no sickness or pain before injection. On April 7th 2021 I got the injection. Immediately my vision went a little dim. After getting home for about 3 hour felt pain lump in center of chest. The next day April 8th ,2021 woke up to center chest and complete rib case painful and swollen this went on for two days with flu symptoms, On fourth night April 10th, 2021 I had spasms down lower back of left leg all through the night hurt very bad by toke the prescribed Advil to help with pain. I also started taking Vapor Nyquil for flu and Cold, Therrraflu and Therflu sinus and pain hot tea med's, used Vicks Vapor Rub
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Ear pain, Fatigue, Herpes zoster, Irritability
Clinical narrative: Two weeks after first Covid Pfizer shot, I started with fatique, then painful left ear ache, which was pulse like in nature. Painful and kept coming and going. Dr. appt and said ear was good, might be a lymphnode but no infection. Thought maybe a tooth issue. Dentist said no. Fatigue progressed, with irritability and a dull pain started in left chest muscle but I thought it was from lifting weights. Then extreme itching in center of back, thought a spider bite? Couldn't see it. 24 hrs before my 2nd shot appt, asked son to look at my back. Small rash size of a quarter. Changing my shirt, I noticed two more quarter size rashes on side of left breast. Never any fever.  Uploaded photos and telemed dr confirmed shingles. Prescribed Valacyclovir for 7 days.  Was told it looked like a mild case.   First symptoms started 4/10/21, rash discovered 4/16/21 but probably started 4/13/21. No blisters developed. Back only itched but left breast pain grew worse to under arm and entire breast. But rash did not spread. Rash just starting to fade April 28, but pain still persists.  Dr. advised not to get 2nd shot until after antiviral med finished, but I am still waiting 2 more weeks and hope to get 2nd shot May 7th, before the 42 day window closes even if I still have pain.  I flew to get first shot as I was eligible there. I needed vaccine asap due to childcare and my Medicare business seeing over 65 population. I will probably try to get the 2nd shot now only because it is slowly but finally opening up with some vaccine availability.  Hope this helps.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Two weeks after first Covid Pfizer shot, I started with fatique, then painful left ear ache, which was pulse like in nature. Painful and kept coming and going. Dr. appt and said ear was good, might be a lymphnode but no infection. Thought maybe a tooth issue. Dentist said no. Fatigue progressed, with irritability and a dull pain started in left chest muscle but I thought it was from lifting weights. Then extreme itching in center of back, thought a spider bite? Couldn't see it. 24 hrs before my 2nd shot appt, asked son to look at my back. Small rash size of a quarter. Changing my shirt, I noticed two more quarter size rashes on side of left breast. Never any fever.  Uploaded photos and telemed dr confirmed shingles. Prescribed Valacyclovir for 7 days.  Was told it looked like a mild case.   First symptoms started 4/10/21, rash discovered 4/16/21 but probably started 4/13/21. No blisters developed. Back only itched but left breast pain grew worse to under arm and entire breast. But rash did not spread. Rash just starting to fade April 28, but pain still persists.  Dr. advised not to get 2nd shot until after antiviral med finished, but I am still waiting 2 more weeks and hope to get 2nd shot May 7th, before the 42 day window closes even if I still have pain.  I flew to get first shot as I was eligible there. I needed vaccine asap due to childcare and my Medicare business seeing over 65 population. I will probably try to get the 2nd shot now only because it is slowly but finally opening up with some vaccine availability.  Hope this helps.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on left side, starting with left arm and moving to left torso and face.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Lethargy, Loss of consciousness
Clinical narrative: Day 1- Fever, Body Chills, Headache, Lethargic, Joint  Aches Day 2- Body Chills, Headache, Lethargic. Joint Ache, Loss of Conciousness
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Day 1- Fever, Body Chills, Headache, Lethargic, Joint  Aches Day 2- Body Chills, Headache, Lethargic. Joint Ache, Loss of Conciousness
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction, Tremor, Vital signs measurement
Clinical narrative: Pt became shaky, lightheaded immediately following vaccine Pt was given water, laid down=resolved sx Vitals @1250 HR 87, Resp 18, BP 148/97 O2 97% 1305 HR 89 BO 137/92, O2 100% 1318 HR 85 BP 143/101 O2 100%  Pt sent home at 1315-self
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain, Activated partial thromboplastin time shortened, Acute kidney injury, Alanine aminotransferase increased
Clinical narrative: 46 year old  male with history of depression, polio, HTN/HLD, chronic lung disease 2/2 remote PNA, and cirrhosis suspected 2/2 schistosomiasis, who presents with 1wk of dyspnea, w/ waxing waning subjective fevers.     Per ED Note: Endorses chronic fatigue until 4/16 when he received first dose of Covid vaccine (Pfizer). Since then, pt reports persistent dyspnea, worsening fatigue. Reports 2 days of left-sided chest pain w/ periumbilical abd pain and enlarging abdomen. Pt believes these are 2/2 covid vaccination. Chest pain is described as constant generalized discomfort under left breast that worsens with pressure. Also worse with deep inspiration. No radiation or migration since onset. Pt describes abdominal pain as periumbilical tightness, "pain". Describes subjective, unmeasured fevers that "come and go" over last week.    When asked to repeat the story of what happened on arrival to the unit, wife speaks for the patient since he is slightly dyspnic. States this morning, went to small clinic, husband had a headache and slight fever. Clinic said to come in to the big hospital. Fever and pain in legs and head, started a few days after he got the covid vaccine. The fever came and went. Didn't measure the fever.  Also has some problems with Abdominal pain - doesn't know how to describe it. Feels like stomach ache. Stomach pain is getting better. Has since gone away since arriving to the hospital.  He denies any cough, denies chills, denies nausea or vomiting.   States he took some medications at home for constipation because he felt like he couldn't go. From the conversation it appears he does not take lactulose for HE, more for constipation.    ED workup included an Xray, CT C/A/P with multifocal lung lesions suspicious for multifocal pneumonia. Lactate of 16. Na of 124. Noted to be anemic and thrombocytopenic. UA cloudy, pyuric, w/protien >100.   Chest and abdominal pain resolved by the time pt was examined on the floor. Still tachypnic and tachycardic. Stated most bothersome was feeling anxious. Has anxiety at a baseline. Not complaining of any pain at the moment. Cannot describe chest pain in more detail, put his hand over the right side of his chest and presses on it but does not say if it hurt more when he would press on it, does not say it was reproducible. Not painful when he touches or presses on it now.    Per chart, patient recently re-established care after long-time from follow up during pandemic. At visits last month c/o gingival bleeding, fatiguem & found to have Hgb drop from 13 in 2018-> 9.7 on 3/2/21. Referred for EGD but cancelled due to anxiety.   I am the Infectious Diseases attending asked to see him for septic shock. He developed septic shock and respiratory failure requiring mechanical ventilation and 3 vasopressors. He has evidence of DAH, DIC, acute renal failure, progressive liver failure and he has Klebsiella pneumoniae bacteremia.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Anxiety, Aspartate aminotransferase increased, Blood albumin decreased, Blood alkaline phosphatase increased
Clinical narrative: 46 year old  male with history of depression, polio, HTN/HLD, chronic lung disease 2/2 remote PNA, and cirrhosis suspected 2/2 schistosomiasis, who presents with 1wk of dyspnea, w/ waxing waning subjective fevers.     Per ED Note: Endorses chronic fatigue until 4/16 when he received first dose of Covid vaccine (Pfizer). Since then, pt reports persistent dyspnea, worsening fatigue. Reports 2 days of left-sided chest pain w/ periumbilical abd pain and enlarging abdomen. Pt believes these are 2/2 covid vaccination. Chest pain is described as constant generalized discomfort under left breast that worsens with pressure. Also worse with deep inspiration. No radiation or migration since onset. Pt describes abdominal pain as periumbilical tightness, "pain". Describes subjective, unmeasured fevers that "come and go" over last week.    When asked to repeat the story of what happened on arrival to the unit, wife speaks for the patient since he is slightly dyspnic. States this morning, went to small clinic, husband had a headache and slight fever. Clinic said to come in to the big hospital. Fever and pain in legs and head, started a few days after he got the covid vaccine. The fever came and went. Didn't measure the fever.  Also has some problems with Abdominal pain - doesn't know how to describe it. Feels like stomach ache. Stomach pain is getting better. Has since gone away since arriving to the hospital.  He denies any cough, denies chills, denies nausea or vomiting.   States he took some medications at home for constipation because he felt like he couldn't go. From the conversation it appears he does not take lactulose for HE, more for constipation.    ED workup included an Xray, CT C/A/P with multifocal lung lesions suspicious for multifocal pneumonia. Lactate of 16. Na of 124. Noted to be anemic and thrombocytopenic. UA cloudy, pyuric, w/protien >100.   Chest and abdominal pain resolved by the time pt was examined on the floor. Still tachypnic and tachycardic. Stated most bothersome was feeling anxious. Has anxiety at a baseline. Not complaining of any pain at the moment. Cannot describe chest pain in more detail, put his hand over the right side of his chest and presses on it but does not say if it hurt more when he would press on it, does not say it was reproducible. Not painful when he touches or presses on it now.    Per chart, patient recently re-established care after long-time from follow up during pandemic. At visits last month c/o gingival bleeding, fatiguem & found to have Hgb drop from 13 in 2018-> 9.7 on 3/2/21. Referred for EGD but cancelled due to anxiety.   I am the Infectious Diseases attending asked to see him for septic shock. He developed septic shock and respiratory failure requiring mechanical ventilation and 3 vasopressors. He has evidence of DAH, DIC, acute renal failure, progressive liver failure and he has Klebsiella pneumoniae bacteremia.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Blood bilirubin increased, Blood creatinine increased, Blood culture, Blood fibrinogen decreased, Chest pain
Clinical narrative: 46 year old  male with history of depression, polio, HTN/HLD, chronic lung disease 2/2 remote PNA, and cirrhosis suspected 2/2 schistosomiasis, who presents with 1wk of dyspnea, w/ waxing waning subjective fevers.     Per ED Note: Endorses chronic fatigue until 4/16 when he received first dose of Covid vaccine (Pfizer). Since then, pt reports persistent dyspnea, worsening fatigue. Reports 2 days of left-sided chest pain w/ periumbilical abd pain and enlarging abdomen. Pt believes these are 2/2 covid vaccination. Chest pain is described as constant generalized discomfort under left breast that worsens with pressure. Also worse with deep inspiration. No radiation or migration since onset. Pt describes abdominal pain as periumbilical tightness, "pain". Describes subjective, unmeasured fevers that "come and go" over last week.    When asked to repeat the story of what happened on arrival to the unit, wife speaks for the patient since he is slightly dyspnic. States this morning, went to small clinic, husband had a headache and slight fever. Clinic said to come in to the big hospital. Fever and pain in legs and head, started a few days after he got the covid vaccine. The fever came and went. Didn't measure the fever.  Also has some problems with Abdominal pain - doesn't know how to describe it. Feels like stomach ache. Stomach pain is getting better. Has since gone away since arriving to the hospital.  He denies any cough, denies chills, denies nausea or vomiting.   States he took some medications at home for constipation because he felt like he couldn't go. From the conversation it appears he does not take lactulose for HE, more for constipation.    ED workup included an Xray, CT C/A/P with multifocal lung lesions suspicious for multifocal pneumonia. Lactate of 16. Na of 124. Noted to be anemic and thrombocytopenic. UA cloudy, pyuric, w/protien >100.   Chest and abdominal pain resolved by the time pt was examined on the floor. Still tachypnic and tachycardic. Stated most bothersome was feeling anxious. Has anxiety at a baseline. Not complaining of any pain at the moment. Cannot describe chest pain in more detail, put his hand over the right side of his chest and presses on it but does not say if it hurt more when he would press on it, does not say it was reproducible. Not painful when he touches or presses on it now.    Per chart, patient recently re-established care after long-time from follow up during pandemic. At visits last month c/o gingival bleeding, fatiguem & found to have Hgb drop from 13 in 2018-> 9.7 on 3/2/21. Referred for EGD but cancelled due to anxiety.   I am the Infectious Diseases attending asked to see him for septic shock. He developed septic shock and respiratory failure requiring mechanical ventilation and 3 vasopressors. He has evidence of DAH, DIC, acute renal failure, progressive liver failure and he has Klebsiella pneumoniae bacteremia.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Discomfort, Disseminated intravascular coagulation, Dyspnoea, Fatigue, Fibrin D dimer decreased
Clinical narrative: 46 year old  male with history of depression, polio, HTN/HLD, chronic lung disease 2/2 remote PNA, and cirrhosis suspected 2/2 schistosomiasis, who presents with 1wk of dyspnea, w/ waxing waning subjective fevers.     Per ED Note: Endorses chronic fatigue until 4/16 when he received first dose of Covid vaccine (Pfizer). Since then, pt reports persistent dyspnea, worsening fatigue. Reports 2 days of left-sided chest pain w/ periumbilical abd pain and enlarging abdomen. Pt believes these are 2/2 covid vaccination. Chest pain is described as constant generalized discomfort under left breast that worsens with pressure. Also worse with deep inspiration. No radiation or migration since onset. Pt describes abdominal pain as periumbilical tightness, "pain". Describes subjective, unmeasured fevers that "come and go" over last week.    When asked to repeat the story of what happened on arrival to the unit, wife speaks for the patient since he is slightly dyspnic. States this morning, went to small clinic, husband had a headache and slight fever. Clinic said to come in to the big hospital. Fever and pain in legs and head, started a few days after he got the covid vaccine. The fever came and went. Didn't measure the fever.  Also has some problems with Abdominal pain - doesn't know how to describe it. Feels like stomach ache. Stomach pain is getting better. Has since gone away since arriving to the hospital.  He denies any cough, denies chills, denies nausea or vomiting.   States he took some medications at home for constipation because he felt like he couldn't go. From the conversation it appears he does not take lactulose for HE, more for constipation.    ED workup included an Xray, CT C/A/P with multifocal lung lesions suspicious for multifocal pneumonia. Lactate of 16. Na of 124. Noted to be anemic and thrombocytopenic. UA cloudy, pyuric, w/protien >100.   Chest and abdominal pain resolved by the time pt was examined on the floor. Still tachypnic and tachycardic. Stated most bothersome was feeling anxious. Has anxiety at a baseline. Not complaining of any pain at the moment. Cannot describe chest pain in more detail, put his hand over the right side of his chest and presses on it but does not say if it hurt more when he would press on it, does not say it was reproducible. Not painful when he touches or presses on it now.    Per chart, patient recently re-established care after long-time from follow up during pandemic. At visits last month c/o gingival bleeding, fatiguem & found to have Hgb drop from 13 in 2018-> 9.7 on 3/2/21. Referred for EGD but cancelled due to anxiety.   I am the Infectious Diseases attending asked to see him for septic shock. He developed septic shock and respiratory failure requiring mechanical ventilation and 3 vasopressors. He has evidence of DAH, DIC, acute renal failure, progressive liver failure and he has Klebsiella pneumoniae bacteremia.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Gingival bleeding, Haemoglobin decreased, Headache, Hepatic failure, International normalised ratio increased
Clinical narrative: 46 year old  male with history of depression, polio, HTN/HLD, chronic lung disease 2/2 remote PNA, and cirrhosis suspected 2/2 schistosomiasis, who presents with 1wk of dyspnea, w/ waxing waning subjective fevers.     Per ED Note: Endorses chronic fatigue until 4/16 when he received first dose of Covid vaccine (Pfizer). Since then, pt reports persistent dyspnea, worsening fatigue. Reports 2 days of left-sided chest pain w/ periumbilical abd pain and enlarging abdomen. Pt believes these are 2/2 covid vaccination. Chest pain is described as constant generalized discomfort under left breast that worsens with pressure. Also worse with deep inspiration. No radiation or migration since onset. Pt describes abdominal pain as periumbilical tightness, "pain". Describes subjective, unmeasured fevers that "come and go" over last week.    When asked to repeat the story of what happened on arrival to the unit, wife speaks for the patient since he is slightly dyspnic. States this morning, went to small clinic, husband had a headache and slight fever. Clinic said to come in to the big hospital. Fever and pain in legs and head, started a few days after he got the covid vaccine. The fever came and went. Didn't measure the fever.  Also has some problems with Abdominal pain - doesn't know how to describe it. Feels like stomach ache. Stomach pain is getting better. Has since gone away since arriving to the hospital.  He denies any cough, denies chills, denies nausea or vomiting.   States he took some medications at home for constipation because he felt like he couldn't go. From the conversation it appears he does not take lactulose for HE, more for constipation.    ED workup included an Xray, CT C/A/P with multifocal lung lesions suspicious for multifocal pneumonia. Lactate of 16. Na of 124. Noted to be anemic and thrombocytopenic. UA cloudy, pyuric, w/protien >100.   Chest and abdominal pain resolved by the time pt was examined on the floor. Still tachypnic and tachycardic. Stated most bothersome was feeling anxious. Has anxiety at a baseline. Not complaining of any pain at the moment. Cannot describe chest pain in more detail, put his hand over the right side of his chest and presses on it but does not say if it hurt more when he would press on it, does not say it was reproducible. Not painful when he touches or presses on it now.    Per chart, patient recently re-established care after long-time from follow up during pandemic. At visits last month c/o gingival bleeding, fatiguem & found to have Hgb drop from 13 in 2018-> 9.7 on 3/2/21. Referred for EGD but cancelled due to anxiety.   I am the Infectious Diseases attending asked to see him for septic shock. He developed septic shock and respiratory failure requiring mechanical ventilation and 3 vasopressors. He has evidence of DAH, DIC, acute renal failure, progressive liver failure and he has Klebsiella pneumoniae bacteremia.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Klebsiella infection, Mechanical ventilation, Pain in extremity, Platelet count decreased, Pneumococcal infection
Clinical narrative: 46 year old  male with history of depression, polio, HTN/HLD, chronic lung disease 2/2 remote PNA, and cirrhosis suspected 2/2 schistosomiasis, who presents with 1wk of dyspnea, w/ waxing waning subjective fevers.     Per ED Note: Endorses chronic fatigue until 4/16 when he received first dose of Covid vaccine (Pfizer). Since then, pt reports persistent dyspnea, worsening fatigue. Reports 2 days of left-sided chest pain w/ periumbilical abd pain and enlarging abdomen. Pt believes these are 2/2 covid vaccination. Chest pain is described as constant generalized discomfort under left breast that worsens with pressure. Also worse with deep inspiration. No radiation or migration since onset. Pt describes abdominal pain as periumbilical tightness, "pain". Describes subjective, unmeasured fevers that "come and go" over last week.    When asked to repeat the story of what happened on arrival to the unit, wife speaks for the patient since he is slightly dyspnic. States this morning, went to small clinic, husband had a headache and slight fever. Clinic said to come in to the big hospital. Fever and pain in legs and head, started a few days after he got the covid vaccine. The fever came and went. Didn't measure the fever.  Also has some problems with Abdominal pain - doesn't know how to describe it. Feels like stomach ache. Stomach pain is getting better. Has since gone away since arriving to the hospital.  He denies any cough, denies chills, denies nausea or vomiting.   States he took some medications at home for constipation because he felt like he couldn't go. From the conversation it appears he does not take lactulose for HE, more for constipation.    ED workup included an Xray, CT C/A/P with multifocal lung lesions suspicious for multifocal pneumonia. Lactate of 16. Na of 124. Noted to be anemic and thrombocytopenic. UA cloudy, pyuric, w/protien >100.   Chest and abdominal pain resolved by the time pt was examined on the floor. Still tachypnic and tachycardic. Stated most bothersome was feeling anxious. Has anxiety at a baseline. Not complaining of any pain at the moment. Cannot describe chest pain in more detail, put his hand over the right side of his chest and presses on it but does not say if it hurt more when he would press on it, does not say it was reproducible. Not painful when he touches or presses on it now.    Per chart, patient recently re-established care after long-time from follow up during pandemic. At visits last month c/o gingival bleeding, fatiguem & found to have Hgb drop from 13 in 2018-> 9.7 on 3/2/21. Referred for EGD but cancelled due to anxiety.   I am the Infectious Diseases attending asked to see him for septic shock. He developed septic shock and respiratory failure requiring mechanical ventilation and 3 vasopressors. He has evidence of DAH, DIC, acute renal failure, progressive liver failure and he has Klebsiella pneumoniae bacteremia.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Protein total increased, Prothrombin time prolonged, Pyrexia, Respiratory failure, Septic shock
Clinical narrative: 46 year old  male with history of depression, polio, HTN/HLD, chronic lung disease 2/2 remote PNA, and cirrhosis suspected 2/2 schistosomiasis, who presents with 1wk of dyspnea, w/ waxing waning subjective fevers.     Per ED Note: Endorses chronic fatigue until 4/16 when he received first dose of Covid vaccine (Pfizer). Since then, pt reports persistent dyspnea, worsening fatigue. Reports 2 days of left-sided chest pain w/ periumbilical abd pain and enlarging abdomen. Pt believes these are 2/2 covid vaccination. Chest pain is described as constant generalized discomfort under left breast that worsens with pressure. Also worse with deep inspiration. No radiation or migration since onset. Pt describes abdominal pain as periumbilical tightness, "pain". Describes subjective, unmeasured fevers that "come and go" over last week.    When asked to repeat the story of what happened on arrival to the unit, wife speaks for the patient since he is slightly dyspnic. States this morning, went to small clinic, husband had a headache and slight fever. Clinic said to come in to the big hospital. Fever and pain in legs and head, started a few days after he got the covid vaccine. The fever came and went. Didn't measure the fever.  Also has some problems with Abdominal pain - doesn't know how to describe it. Feels like stomach ache. Stomach pain is getting better. Has since gone away since arriving to the hospital.  He denies any cough, denies chills, denies nausea or vomiting.   States he took some medications at home for constipation because he felt like he couldn't go. From the conversation it appears he does not take lactulose for HE, more for constipation.    ED workup included an Xray, CT C/A/P with multifocal lung lesions suspicious for multifocal pneumonia. Lactate of 16. Na of 124. Noted to be anemic and thrombocytopenic. UA cloudy, pyuric, w/protien >100.   Chest and abdominal pain resolved by the time pt was examined on the floor. Still tachypnic and tachycardic. Stated most bothersome was feeling anxious. Has anxiety at a baseline. Not complaining of any pain at the moment. Cannot describe chest pain in more detail, put his hand over the right side of his chest and presses on it but does not say if it hurt more when he would press on it, does not say it was reproducible. Not painful when he touches or presses on it now.    Per chart, patient recently re-established care after long-time from follow up during pandemic. At visits last month c/o gingival bleeding, fatiguem & found to have Hgb drop from 13 in 2018-> 9.7 on 3/2/21. Referred for EGD but cancelled due to anxiety.   I am the Infectious Diseases attending asked to see him for septic shock. He developed septic shock and respiratory failure requiring mechanical ventilation and 3 vasopressors. He has evidence of DAH, DIC, acute renal failure, progressive liver failure and he has Klebsiella pneumoniae bacteremia.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Urine abnormality, White blood cell count decreased
Clinical narrative: 46 year old  male with history of depression, polio, HTN/HLD, chronic lung disease 2/2 remote PNA, and cirrhosis suspected 2/2 schistosomiasis, who presents with 1wk of dyspnea, w/ waxing waning subjective fevers.     Per ED Note: Endorses chronic fatigue until 4/16 when he received first dose of Covid vaccine (Pfizer). Since then, pt reports persistent dyspnea, worsening fatigue. Reports 2 days of left-sided chest pain w/ periumbilical abd pain and enlarging abdomen. Pt believes these are 2/2 covid vaccination. Chest pain is described as constant generalized discomfort under left breast that worsens with pressure. Also worse with deep inspiration. No radiation or migration since onset. Pt describes abdominal pain as periumbilical tightness, "pain". Describes subjective, unmeasured fevers that "come and go" over last week.    When asked to repeat the story of what happened on arrival to the unit, wife speaks for the patient since he is slightly dyspnic. States this morning, went to small clinic, husband had a headache and slight fever. Clinic said to come in to the big hospital. Fever and pain in legs and head, started a few days after he got the covid vaccine. The fever came and went. Didn't measure the fever.  Also has some problems with Abdominal pain - doesn't know how to describe it. Feels like stomach ache. Stomach pain is getting better. Has since gone away since arriving to the hospital.  He denies any cough, denies chills, denies nausea or vomiting.   States he took some medications at home for constipation because he felt like he couldn't go. From the conversation it appears he does not take lactulose for HE, more for constipation.    ED workup included an Xray, CT C/A/P with multifocal lung lesions suspicious for multifocal pneumonia. Lactate of 16. Na of 124. Noted to be anemic and thrombocytopenic. UA cloudy, pyuric, w/protien >100.   Chest and abdominal pain resolved by the time pt was examined on the floor. Still tachypnic and tachycardic. Stated most bothersome was feeling anxious. Has anxiety at a baseline. Not complaining of any pain at the moment. Cannot describe chest pain in more detail, put his hand over the right side of his chest and presses on it but does not say if it hurt more when he would press on it, does not say it was reproducible. Not painful when he touches or presses on it now.    Per chart, patient recently re-established care after long-time from follow up during pandemic. At visits last month c/o gingival bleeding, fatiguem & found to have Hgb drop from 13 in 2018-> 9.7 on 3/2/21. Referred for EGD but cancelled due to anxiety.   I am the Infectious Diseases attending asked to see him for septic shock. He developed septic shock and respiratory failure requiring mechanical ventilation and 3 vasopressors. He has evidence of DAH, DIC, acute renal failure, progressive liver failure and he has Klebsiella pneumoniae bacteremia.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Patient experienced swollen lymph nodes about a week after receiving her vaccine and it's still partially swollen.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Depressed mood, Depression, Dizziness, Formication
Clinical narrative: Depression, sadness, severe anxiety, skin crawling, dizziness, dark thoughts.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Mood altered
Clinical narrative: Depression, sadness, severe anxiety, skin crawling, dizziness, dark thoughts.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Eustachian tube dysfunction, Tinnitus
Clinical narrative: Bilateral Tinnitus Eustachian Tube Dysfunction  Gradually onset.  Noticed around 48 hours after 1st Moderna dose.  I've been to urgent care and an ENT specialist.  Hearing hasn't been lost, but it has changed.  Harsher sounding and with Tinnitus.  Only slight recovery after taking nasal and pill pack steroids, prescribed by the Urgent Care Dr.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Shortness of breath, not eating or drinking
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: The patient inadvertently received a dose of 0.51 to 0.52 ml as opposed to 0.5 ml. The manufacturer instructed us to reach out to the patient to let them know they have received a higher dose which may have the potential for increased local and or systemic side effects. No serious adverse reactions were experienced or reported by the patient.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Peripheral swelling
Clinical narrative: Severe and acute swelling of right hand. Hand was swelled to an extent that only the top first joints of the fingers were discernible and this prevented use or any movement of fingers. Swelling began on April 19th, late afternoon. Swelling peaked on the 20th very severe, and gradually subsided over following days. Now 10 days later, hand is again usable, with very little residual swelling, though still visible different from left hand.  Took Advil for 4 nights beginning on the 20th, and everything seems fine now. Despite 30 years of rheumatoid arthritis, no such swelling event or attack had ever occurred for any reason, so we believe it was related to the vaccine, and felt we should report it. But everything seems fine now. No other reactions or side effects were noted.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site warmth, Peripheral swelling
Clinical narrative: Swelling of the arm where the vaccine was injected.  4/25/2021 - 4/28/2021; Area very hot to the touch. 4/25/2021 - 4/28/2021; Area very itchy. 4/25/2021 - 4/29/2021; Rash 4/26/2021 - 4/29/2021.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: pruritic rash
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Heavy menstrual bleeding, Muscle spasms, Pregnancy test negative, Vaginal haemorrhage
Clinical narrative: My menstrual cycle began on April 11 as projected. My cycle lasted for 13 days and was only able to be stopped by taking birth control pills. I am using Paraguard non- hormonal IUD and have NEVER had a period lasting more than 7 days.  Symptoms were full bleeding enough to wear a tampon, back aches and cramps.  My OBGYN verified I had a negative pregnancy test.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Patient started to have tingling on feet for few days and it spreaded through her body and also had tingling and numbness for
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash over chest, under arms, and under breasts, not symptomatic in any way.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Heart rate increased, Hypertension, Immediate post-injection reaction
Clinical narrative: Immediate ( within 1-2 minutes) spike in heart rate and blood pressure, tightness in chest, nausea, light headed,  shakes.  Continued high blood pressure, migraines, ringing in ears continuing on day 6
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Nausea, Tinnitus, Tremor
Clinical narrative: Immediate ( within 1-2 minutes) spike in heart rate and blood pressure, tightness in chest, nausea, light headed,  shakes.  Continued high blood pressure, migraines, ringing in ears continuing on day 6
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Nausea, Vertical infection transmission
Clinical narrative: Gradually over time after 2nd dose I am experiencing severe waves of vertigo, nausea and brain fog.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain upper, Abdominal tenderness, Lymphadenopathy
Clinical narrative: Severe, debilitating upper abdominal pain immediately under the rib cage that spanned fully across the abdomen. Abdominal swelling, tenderness upon touch.  Onset around midnight the same day of the vaccination.  Continued for 8 - 12 hours. Pain then abated but upper abdomen remained tender and distended for roughly 24 more hours.  Also significant lymph node swelling under arm pits. Lasted approximately 1 week under right arm, 2 + weeks under left arm (arm where vaccinated).
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Heart rate increased
Clinical narrative: After immunization patient reported feeling dizzy and increased heart rate. We gave patient cold water, ice packs on face, neck, and wrist. Patient waited an additional 15 minutes at the pharmacy until she felt better to leave.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: CSF culture negative, CSF glucose normal, CSF lymphocyte count normal, CSF protein increased, CSF white blood cell count increased
Clinical narrative: patient s/p J&J COVID vaccine on 4/9 at pharmacy. admitted on 4/26 with acute onset paralysis to BUE and BLE. MRI c/w transverse myelitis
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Diplegia, Electromyogram abnormal, Lumbar puncture abnormal, Magnetic resonance imaging spinal abnormal, Myelitis transverse
Clinical narrative: patient s/p J&J COVID vaccine on 4/9 at pharmacy. admitted on 4/26 with acute onset paralysis to BUE and BLE. MRI c/w transverse myelitis
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Polyneuropathy
Clinical narrative: patient s/p J&J COVID vaccine on 4/9 at pharmacy. admitted on 4/26 with acute onset paralysis to BUE and BLE. MRI c/w transverse myelitis
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Pain, Pain in extremity, Vomiting
Clinical narrative: Extremely sore arm, fatigue, headache, nausea, vomiting, body aches. I was doagnosed with Covid on February 3, 2021. Yesterday when I received vaccine, it was my 84 day post Covid.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Apnoea, Intensive care, Ventricular tachycardia
Clinical narrative: Apnea Admitted to ICU with V-tach, hospital stated it was vaccine related
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pityriasis rosea, Rash
Clinical narrative: 7 days after second dose, I was found with a rash on the upper half of my body (chest, back, arms, underarms). Doctor diagnosed me with Pityriasis Rosea
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given Moderna Vaccine. Patient was discovered to be age 17 and 10 months after the fact. No adverse reaction. Patient was monitored and notified of Modern Vaccine given off label use. Patient denies any complications s/p injections
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The patient inadvertently received a dose of 0.51 to 0.52 ml as opposed to 0.5 ml. The manufacturer instructed us to reach out to the patient to let them know they have received a higher dose which may have the potential for increased local and or systemic side effects. No serious adverse reactions were experienced or reported by the patient.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received Pfizer for her 1st dose. Her second dose (administered 04/28/21) was given as Moderna.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Running Fever
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Arm pain intensified throughout the evening elevating to total body aches (including  toes and shins) by 1:15am to the point of calling EMS to house.  She was treated with diphenhydramine 50mg.  This was able to reduce pain and allow her to sleep.  After this point, the outcome remains unknown.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pneumonia, Pulmonary thrombosis
Clinical narrative: BLOOD CLOT IN THE LUNGS AND PNEUMONIA (AS REPORTED PER PATIENT)
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Migraine, Nausea
Clinical narrative: Note: First Vax 4 weeks earlier (Moderna) made me weak with migraine for four days. This is a report of Second Vax (Moderna); Pain started at top of my head and wrapped it's way down the outside of my body. Then, the same pain event repeated itself  inside my body. Followed by fever, chills, migraine, dizzy, nausea, weakness? Which all continued for the next 24 hrs. I felt like I was being beaten with a baseball bat. That initial 24 hr event was followed by receding symptoms and lingering migraine over the next 3 days.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Note: First Vax 4 weeks earlier (Moderna) made me weak with migraine for four days. This is a report of Second Vax (Moderna); Pain started at top of my head and wrapped it's way down the outside of my body. Then, the same pain event repeated itself  inside my body. Followed by fever, chills, migraine, dizzy, nausea, weakness? Which all continued for the next 24 hrs. I felt like I was being beaten with a baseball bat. That initial 24 hr event was followed by receding symptoms and lingering migraine over the next 3 days.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Client come for 2nd dose 2 weeks early.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Abdominal pain, Blood test normal, Chest X-ray normal, Chest discomfort
Clinical narrative: initially began as what felt like jolts to my chest area from inside my chest over five days beginning on March 31, 21 @ 1:20am; next on April 01, 2021 @ 12:02am; then April 02, 2021 @1:02am; then April 03, 2021 @ 1:36am; and on April 04, 2021 @ 2:46am. I ended up in the emergency room the afternoon of Sunday March 04, 2021 with severe chest, abdominal, and intestinal pain. I followed up with doctors on April 05, 2021; April 09, 2021; and April 28, 2021 with continued painful symptoms described below. All they has done so far is 1) took a chest X-ray, 2) taken blood, and 3) referred me to a sleep laboratory.  The X-ray and blood work came back negative per ER.  Symptoms: 1. Inability to sleep. most nights feels as if I just drank five cups of coffee before bed. When I am able to fall asleep, pain and/or jolts coming from inside my trunk/core area wake me up within about an hour.  2. Constant pain coming from my chest, abdomen, and intestines. Intestinal and abdominal pain (gut wrenching, pain/burning sensation, cramps). At times feels like radiation or waves/currents are passing through my intestines/trunk. I wake up with intestines feeling sore. I also have discomfort when I eat or drink something the following morning. Also, my trunk/core area feels tight all day and night. I constantly feel a burning sensation in my chest and gut areas. The discomfort in my chest area (tightness, burning sensation) with occasional burst of pain the size of a nickel that comes from the left side of my chest and underneath my rib cage.  3. Limbs twitch/jerk on their own (both hands, both feet, neck, both shoulders, both legs, fingers) during the day and during the night. tingling sensations in legs.  4. ringing in the ears with headaches. 5. Woke up from sleep due to both nostrils getting clogged while I slept; woke up gasping for air.  6. Penis no longer has the same sensation and difficulty with erection.