chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Adenovirus test, C-reactive protein increased, Chest discomfort, Chest pain, Chills
Clinical narrative: Patient is a 16 y.o. previously healthy male transferred from different Hospital for chest pain and elevated troponin. He had received his 2nd dose Covid vaccine (Pfizer) on Saturday 5/22, then had a fever to 103 on Sunday and then 101 on Monday measured by laser thermometer to forehead, associated with chills. Mother gave him Advil for fever. States he was awakened from sleep on Tuesday 5/25 at ~4am by a sharp chest pain. He describes a non-radiating, aching pain with some sense of pressure in the LUSB that initially lasted 2 hours. Once he arrived to Hospital it went away completely, but then returned several times after lasting about 30-60min each. Denies pleuritic pain, positional pain, dyspnea, or exertional pain. Tried Ibuprofen  which he feels helped, but then the pain returned 30min later. Also endorsed headache and fatigue.    At Hospital he had elevated troponin concerning for mild myocarditis.  EKG had diffuse ST elevation suggestive of possible pericarditis.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Drug screen negative, Echocardiogram normal, Electrocardiogram ST segment elevation, Fatigue, Headache
Clinical narrative: Patient is a 16 y.o. previously healthy male transferred from different Hospital for chest pain and elevated troponin. He had received his 2nd dose Covid vaccine (Pfizer) on Saturday 5/22, then had a fever to 103 on Sunday and then 101 on Monday measured by laser thermometer to forehead, associated with chills. Mother gave him Advil for fever. States he was awakened from sleep on Tuesday 5/25 at ~4am by a sharp chest pain. He describes a non-radiating, aching pain with some sense of pressure in the LUSB that initially lasted 2 hours. Once he arrived to Hospital it went away completely, but then returned several times after lasting about 30-60min each. Denies pleuritic pain, positional pain, dyspnea, or exertional pain. Tried Ibuprofen  which he feels helped, but then the pain returned 30min later. Also endorsed headache and fatigue.    At Hospital he had elevated troponin concerning for mild myocarditis.  EKG had diffuse ST elevation suggestive of possible pericarditis.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test normal, Pyrexia, Red blood cell sedimentation rate increased, Respiratory viral panel, SARS-CoV-2 test negative
Clinical narrative: Patient is a 16 y.o. previously healthy male transferred from different Hospital for chest pain and elevated troponin. He had received his 2nd dose Covid vaccine (Pfizer) on Saturday 5/22, then had a fever to 103 on Sunday and then 101 on Monday measured by laser thermometer to forehead, associated with chills. Mother gave him Advil for fever. States he was awakened from sleep on Tuesday 5/25 at ~4am by a sharp chest pain. He describes a non-radiating, aching pain with some sense of pressure in the LUSB that initially lasted 2 hours. Once he arrived to Hospital it went away completely, but then returned several times after lasting about 30-60min each. Denies pleuritic pain, positional pain, dyspnea, or exertional pain. Tried Ibuprofen  which he feels helped, but then the pain returned 30min later. Also endorsed headache and fatigue.    At Hospital he had elevated troponin concerning for mild myocarditis.  EKG had diffuse ST elevation suggestive of possible pericarditis.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder, Troponin increased
Clinical narrative: Patient is a 16 y.o. previously healthy male transferred from different Hospital for chest pain and elevated troponin. He had received his 2nd dose Covid vaccine (Pfizer) on Saturday 5/22, then had a fever to 103 on Sunday and then 101 on Monday measured by laser thermometer to forehead, associated with chills. Mother gave him Advil for fever. States he was awakened from sleep on Tuesday 5/25 at ~4am by a sharp chest pain. He describes a non-radiating, aching pain with some sense of pressure in the LUSB that initially lasted 2 hours. Once he arrived to Hospital it went away completely, but then returned several times after lasting about 30-60min each. Denies pleuritic pain, positional pain, dyspnea, or exertional pain. Tried Ibuprofen  which he feels helped, but then the pain returned 30min later. Also endorsed headache and fatigue.    At Hospital he had elevated troponin concerning for mild myocarditis.  EKG had diffuse ST elevation suggestive of possible pericarditis.
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID 19 INFECTION
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue
Clinical narrative: Tired and weakness. Sat on cot for 30 mins. All better
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram, Hypotension, Skin warm, Syncope
Clinical narrative: Prior to arrival, the patient received her first COVID vaccine at the clinic, after which she suddenly felt dizzy, described as lightheadedness, and felt warm. She was noted to be hypotensive with SBP at 67. She subsequently drank water with some improvement. No syncope, severe headache, numbness, tingling sensations, or focal weakness. Mother was concerned and brought the child to the ED for further evaluation. Currently the patient feels better. No similar symptoms in the past. The patient denies any chest pain or pressure, shortness of breath, or abdominal pain. No recent fever or cough.She is otherwise healthy and has a normal cardiopulmonary exam and reassuring EKG.  The description of her symptoms and the environment which happened is very consistent with vasovagal syncope and she does not have any stigmata, and acute neurologic or cardiac emergency.  I believe she is safe and stable for discharge home and she was discharged with return precautions and follow-up instructions.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Neck pain, Pain in extremity
Clinical narrative: Pt received first dose of Pfizer lot EW0182 on May 26, 2021 and was sent to the 15 minute observation lot. Pt alerted staff in the lot and c/o neck pain, left side arm pain, upper left chest pain and some dizziness. Vitals stable: 134/72, HR 77, RR 16, PWD and Pulse ox 99%. EMS was called in non-emergent to assess the pt. Pt was feeling better at this point. Pt was assessed and released. No further action needed.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Deafness, Dizziness, Lip discolouration
Clinical narrative: Loss of hearing and vision, everything dizzy for about 15 minutes Fainted Lips turned grey
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Alveolitis, Angiogram pulmonary abnormal, Blood glucose normal, Brain natriuretic peptide increased, COVID-19
Clinical narrative: Patient received Janssen COVID vaccination on April 6, 2021. Pt had no symptoms initially after vaccination. Pt started coughing up blood and having episodes of dyspnea on April 25, 2021. Pt went to Urgent Care earlier in the day on May 11, 2021 - no medications were given, told he was fine. Pt then went to Medical Center and was found to be pale, diaphoretic, and tachycardic in triage.  Pt vitals were temp: 36.6; pulse: 128; respirations: 22; BP: 161/129; SpO2: 97.     Hospital medications: carvedilol 6.25mg PO BID, enoxaparin sodium 40mg SQ Q24h, azithromycin 500mg/sodium chloride 250mLs @ 250 mLs/hr IV Q24h, ceftriaxone sodium 2gm/sodium chloride 50mLs @ 100mLs/hr IV Q24h, lisinopril 2.5mg tablet PO QD, metoprolol tartrate 5mg IV Q5MP prn tachycardia.   ER disposition: consult for admission Dx: hypertensive urgency, tachycardia, suspected COVID virus infection, bilateral pneumonia
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Dyspnoea, Electrocardiogram ST-T change, Electrocardiogram abnormal, Fibrin D dimer increased
Clinical narrative: Patient received Janssen COVID vaccination on April 6, 2021. Pt had no symptoms initially after vaccination. Pt started coughing up blood and having episodes of dyspnea on April 25, 2021. Pt went to Urgent Care earlier in the day on May 11, 2021 - no medications were given, told he was fine. Pt then went to Medical Center and was found to be pale, diaphoretic, and tachycardic in triage.  Pt vitals were temp: 36.6; pulse: 128; respirations: 22; BP: 161/129; SpO2: 97.     Hospital medications: carvedilol 6.25mg PO BID, enoxaparin sodium 40mg SQ Q24h, azithromycin 500mg/sodium chloride 250mLs @ 250 mLs/hr IV Q24h, ceftriaxone sodium 2gm/sodium chloride 50mLs @ 100mLs/hr IV Q24h, lisinopril 2.5mg tablet PO QD, metoprolol tartrate 5mg IV Q5MP prn tachycardia.   ER disposition: consult for admission Dx: hypertensive urgency, tachycardia, suspected COVID virus infection, bilateral pneumonia
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoptysis, Hepatic steatosis, Hilar lymphadenopathy, Hyperhidrosis, Hypertensive urgency
Clinical narrative: Patient received Janssen COVID vaccination on April 6, 2021. Pt had no symptoms initially after vaccination. Pt started coughing up blood and having episodes of dyspnea on April 25, 2021. Pt went to Urgent Care earlier in the day on May 11, 2021 - no medications were given, told he was fine. Pt then went to Medical Center and was found to be pale, diaphoretic, and tachycardic in triage.  Pt vitals were temp: 36.6; pulse: 128; respirations: 22; BP: 161/129; SpO2: 97.     Hospital medications: carvedilol 6.25mg PO BID, enoxaparin sodium 40mg SQ Q24h, azithromycin 500mg/sodium chloride 250mLs @ 250 mLs/hr IV Q24h, ceftriaxone sodium 2gm/sodium chloride 50mLs @ 100mLs/hr IV Q24h, lisinopril 2.5mg tablet PO QD, metoprolol tartrate 5mg IV Q5MP prn tachycardia.   ER disposition: consult for admission Dx: hypertensive urgency, tachycardia, suspected COVID virus infection, bilateral pneumonia
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Lung infiltration, Pallor, Pneumonia, SARS-CoV-2 test negative, Tachycardia
Clinical narrative: Patient received Janssen COVID vaccination on April 6, 2021. Pt had no symptoms initially after vaccination. Pt started coughing up blood and having episodes of dyspnea on April 25, 2021. Pt went to Urgent Care earlier in the day on May 11, 2021 - no medications were given, told he was fine. Pt then went to Medical Center and was found to be pale, diaphoretic, and tachycardic in triage.  Pt vitals were temp: 36.6; pulse: 128; respirations: 22; BP: 161/129; SpO2: 97.     Hospital medications: carvedilol 6.25mg PO BID, enoxaparin sodium 40mg SQ Q24h, azithromycin 500mg/sodium chloride 250mLs @ 250 mLs/hr IV Q24h, ceftriaxone sodium 2gm/sodium chloride 50mLs @ 100mLs/hr IV Q24h, lisinopril 2.5mg tablet PO QD, metoprolol tartrate 5mg IV Q5MP prn tachycardia.   ER disposition: consult for admission Dx: hypertensive urgency, tachycardia, suspected COVID virus infection, bilateral pneumonia
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased, White blood cell count increased
Clinical narrative: Patient received Janssen COVID vaccination on April 6, 2021. Pt had no symptoms initially after vaccination. Pt started coughing up blood and having episodes of dyspnea on April 25, 2021. Pt went to Urgent Care earlier in the day on May 11, 2021 - no medications were given, told he was fine. Pt then went to Medical Center and was found to be pale, diaphoretic, and tachycardic in triage.  Pt vitals were temp: 36.6; pulse: 128; respirations: 22; BP: 161/129; SpO2: 97.     Hospital medications: carvedilol 6.25mg PO BID, enoxaparin sodium 40mg SQ Q24h, azithromycin 500mg/sodium chloride 250mLs @ 250 mLs/hr IV Q24h, ceftriaxone sodium 2gm/sodium chloride 50mLs @ 100mLs/hr IV Q24h, lisinopril 2.5mg tablet PO QD, metoprolol tartrate 5mg IV Q5MP prn tachycardia.   ER disposition: consult for admission Dx: hypertensive urgency, tachycardia, suspected COVID virus infection, bilateral pneumonia
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Given the Pfizer vaccine after getting the Moderna Vaccine at another facility.  mixed series
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Syncope, Vomiting
Clinical narrative: Patient fainted within 10 minutes of receiving vaccine. Patient was woke up within 30 seconds of fainting. Upon awakening patient did experience nausea and vomiting. Medical intervention was not necessary. Patient was able to leave pharmacy on own power.
Age: 19.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness, Hypotension, Nausea
Clinical narrative: After about 5 minutes she got really nauseous and felt light headed.  Had her sit with her head down and try to relax. Took her blood pressure, it was low, she was still alert and oriented. She sat for another 10 and started feeling better, took blood pressure again it had come up.  She called her family to pick her up. After about 40 minutes her bp was  normal and she was feeling better she left with her mother.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Urticaria
Clinical narrative: Patient had immediate urticaria with a small rash that formed.  We gave the patient 25 mg of Diphenhydramine orally and the rash resolved and the urticaria improved
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness
Clinical narrative: Light headed. All vitals within normal limits/ Patient felt better within 5 mins.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure measurement, Dizziness, Feeling abnormal, Heart rate, Oxygen saturation
Clinical narrative: Light headed. All vitals within normal limits/ Patient felt better within 5 mins.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Per Dr.  patient has been complaining of arm pain since she has received the vaccine. He said he scheduled for patient to go get an MRI/scan done to see what is going on. Dr.  requested that the pharmacy complete a VAERS report for patient.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Confusional state, Hypotension, Pallor, Syncope
Clinical narrative: Approximately 15 seconds after patient received covid-19 vaccine pt had syncopal episode which lasted a few seconds, she was able to regain some consciousness for a few seconds but had syncopal episode again. Pt was unconscious for less than a minute. When pt awoke, she was pale, confused, and clammy. An ice pack was placed in the back on her back, ice water was given for patient to drink, legs were elevated, vital signs taken at 1203. Initially vital signs were 66/38, HR62, 99% O2 on room air. At 1210 second set of vitals were taken and recorded as the following, 87/40, HR88, 100% O2 on room air. Pt was placed on the gurney when patient was feeling better, pt was able to walk to gurney with no issues. Pt taken to treatment room for further observation at 1215. Report was given to RN who took patient down on gurney with Covid-19 RN, alongside pt's father. Both pt and father state pt has never had a syncopal episode in the past with vaccines or blood drawn.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chills, Headache, Hypoaesthesia oral
Clinical narrative: On April 4th, I woke up in the morning with a severe headache, nauseated, and chilly. Those symptoms lasted about 8-10 hours. I was having horrible neck and back pain that I couldn?t lift my head or neck the pain went down right shoulder into arm, hand, and fingers (pointer, ring, middle - tips of fingers were numb). Three days after that I started experiencing tongue, mouth, and lips numbness. They were numb and then the numbness just faded away. By Thursday of that week the NP in my office where I work ordered me a round of steroids and muscles relaxers, but it did nothing. I went and saw my PCP  around mid-April for right arm and shoulder aching and he ordered an X-ray and Physical Therapy. He ordered the x-ray to rule out presumed pinched nerve. I am currently doing the Physical Therapy. I still experience pain it?s getting better but still not 100%.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Nausea, Neck pain, Pain, X-ray limb
Clinical narrative: On April 4th, I woke up in the morning with a severe headache, nauseated, and chilly. Those symptoms lasted about 8-10 hours. I was having horrible neck and back pain that I couldn?t lift my head or neck the pain went down right shoulder into arm, hand, and fingers (pointer, ring, middle - tips of fingers were numb). Three days after that I started experiencing tongue, mouth, and lips numbness. They were numb and then the numbness just faded away. By Thursday of that week the NP in my office where I work ordered me a round of steroids and muscles relaxers, but it did nothing. I went and saw my PCP  around mid-April for right arm and shoulder aching and he ordered an X-ray and Physical Therapy. He ordered the x-ray to rule out presumed pinched nerve. I am currently doing the Physical Therapy. I still experience pain it?s getting better but still not 100%.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: subsequent tested covid + on 5/25/2021
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Computerised tomogram abdomen, Computerised tomogram abnormal, Hydronephrosis, Mass
Clinical narrative: Patient presented to ED with increased abdominal pain, vaginal drainage, fever to 39.2, pulse in 140's and SPB in the 90s, septic shock presumed pelvic abscess. abdominal pain worse than usual with sudden increase 5/17 -5/19. Clinical suspicion for vaccine-related AE is low.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Septic shock, Vaginal discharge
Clinical narrative: Patient presented to ED with increased abdominal pain, vaginal drainage, fever to 39.2, pulse in 140's and SPB in the 90s, septic shock presumed pelvic abscess. abdominal pain worse than usual with sudden increase 5/17 -5/19. Clinical suspicion for vaccine-related AE is low.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Dizziness, Heart rate decreased, Hyperhidrosis
Clinical narrative: Pt felt lightheaded and sweaty and heart rate dropped to 50 and blood pressure dropped to 70/30.  Paramedics were called 911 and arrived at 12:32 the episode happened at 12:30 by the time the paramedics arrived she was feeling better she had been put on the floor with her legs elevated on a chair and her blood pressure has come up since then she had refused to go to the hospital because she fell back to her normal.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Haemolytic anaemia, Laboratory test abnormal, Schistocytosis
Clinical narrative: Acute hemolytic anemia, picked up on lab testing, asymptomatic, no treatment, spontaneous resolution.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Came in a week early
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Electrocardiogram, Flushing, Full blood count normal, Metabolic function test normal
Clinical narrative: Per patient. This is a 48 year old female with no relevant PMH who presents to the ED for evaluation of chest pain and palpitations after COVID 19 vaccination.  The patient reports that approximately at 8:45 AM she received the first shot of the Pfizer coronavirus vaccine.  Within 15 minutes she began to develop palpitations a flushed feeling, tickling in the back of her throat.  There is no itching or rash.  There is no difficulty handling secretions.  The patient has never had an adverse reaction to vaccine in the past.  Her only allergy is of ibuprofen, which causes hives.  Patient reports ongoing palpitations since this started.  No difficulty handling secretions. No leg swelling. No hx of cardiac disease.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Palpitations, Throat irritation, Tryptase
Clinical narrative: Per patient. This is a 48 year old female with no relevant PMH who presents to the ED for evaluation of chest pain and palpitations after COVID 19 vaccination.  The patient reports that approximately at 8:45 AM she received the first shot of the Pfizer coronavirus vaccine.  Within 15 minutes she began to develop palpitations a flushed feeling, tickling in the back of her throat.  There is no itching or rash.  There is no difficulty handling secretions.  The patient has never had an adverse reaction to vaccine in the past.  Her only allergy is of ibuprofen, which causes hives.  Patient reports ongoing palpitations since this started.  No difficulty handling secretions. No leg swelling. No hx of cardiac disease.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure measurement, Chest discomfort, Chest pain, Dizziness, Heart rate
Clinical narrative: Per patient. This is a 48 year old female with no relevant PMH who presents to the ED for evaluation of chest pain and palpitations after COVID 19 vaccination.  The patient reports that approximately at 8:45 AM she received the first shot of the Pfizer coronavirus vaccine.  Within 15 minutes she began to develop palpitations a flushed feeling, tickling in the back of her throat.  There is no itching or rash.  There is no difficulty handling secretions.  The patient has never had an adverse reaction to vaccine in the past.  Her only allergy is of ibuprofen, which causes hives.  Patient reports ongoing palpitations since this started.  No difficulty handling secretions. No leg swelling. No hx of cardiac disease.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hot flush, Hypertension, Tachycardia, Throat irritation, Throat tightness
Clinical narrative: Per patient. This is a 48 year old female with no relevant PMH who presents to the ED for evaluation of chest pain and palpitations after COVID 19 vaccination.  The patient reports that approximately at 8:45 AM she received the first shot of the Pfizer coronavirus vaccine.  Within 15 minutes she began to develop palpitations a flushed feeling, tickling in the back of her throat.  There is no itching or rash.  There is no difficulty handling secretions.  The patient has never had an adverse reaction to vaccine in the past.  Her only allergy is of ibuprofen, which causes hives.  Patient reports ongoing palpitations since this started.  No difficulty handling secretions. No leg swelling. No hx of cardiac disease.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Bilevel positive airway pressure, COVID-19, Chest X-ray abnormal, Chills, Dyspnoea
Clinical narrative: 81-year-old female with past medical history of hypertension, chronic respiratory failure on 2 L oxygen at night, asthma, depression, anxiety, atrial fibrillation, coronary artery disease, who presented to the hospital complaining of a shortness of breath.  The patient reported that she was vaccinated for a COVID-19 couple months ago 2nd shot, again presented to the hospital for a shortness of breath getting worse for the last 2 days.  The patient has been in contact with and exposed to a positive COVID person, her husband, and he is in the ICU.  Vitals were T-max 98.6, heart rate tachycardic, tachypneic, and blood pressure 150/100.  The patient had a chest x-ray, which showed a congestion as well as right perihilar infiltrate.  Patient was in the ER on BiPAP.  She denied any headache.  No dizziness.  No blurry vision.  No difficulty swallowing or difficulty hearing.  No chest pain.  Reported shortness of breath with some chills.  No fever.  She denied abdominal pain.  No nausea or vomiting.  No change in bowel habits or urination habits. Diagnosed with COVID on 5/3/2021 prior to admission.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Lung infiltration, Pulmonary congestion, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: 81-year-old female with past medical history of hypertension, chronic respiratory failure on 2 L oxygen at night, asthma, depression, anxiety, atrial fibrillation, coronary artery disease, who presented to the hospital complaining of a shortness of breath.  The patient reported that she was vaccinated for a COVID-19 couple months ago 2nd shot, again presented to the hospital for a shortness of breath getting worse for the last 2 days.  The patient has been in contact with and exposed to a positive COVID person, her husband, and he is in the ICU.  Vitals were T-max 98.6, heart rate tachycardic, tachypneic, and blood pressure 150/100.  The patient had a chest x-ray, which showed a congestion as well as right perihilar infiltrate.  Patient was in the ER on BiPAP.  She denied any headache.  No dizziness.  No blurry vision.  No difficulty swallowing or difficulty hearing.  No chest pain.  Reported shortness of breath with some chills.  No fever.  She denied abdominal pain.  No nausea or vomiting.  No change in bowel habits or urination habits. Diagnosed with COVID on 5/3/2021 prior to admission.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Tachypnoea
Clinical narrative: 81-year-old female with past medical history of hypertension, chronic respiratory failure on 2 L oxygen at night, asthma, depression, anxiety, atrial fibrillation, coronary artery disease, who presented to the hospital complaining of a shortness of breath.  The patient reported that she was vaccinated for a COVID-19 couple months ago 2nd shot, again presented to the hospital for a shortness of breath getting worse for the last 2 days.  The patient has been in contact with and exposed to a positive COVID person, her husband, and he is in the ICU.  Vitals were T-max 98.6, heart rate tachycardic, tachypneic, and blood pressure 150/100.  The patient had a chest x-ray, which showed a congestion as well as right perihilar infiltrate.  Patient was in the ER on BiPAP.  She denied any headache.  No dizziness.  No blurry vision.  No difficulty swallowing or difficulty hearing.  No chest pain.  Reported shortness of breath with some chills.  No fever.  She denied abdominal pain.  No nausea or vomiting.  No change in bowel habits or urination habits. Diagnosed with COVID on 5/3/2021 prior to admission.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Polymerase chain reaction
Clinical narrative: COVID 19 INFECTION WITH SYMPTOMS
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Burning sensation, Chest pain, Electrocardiogram abnormal, Myocardial infarction
Clinical narrative: Heart Attack, burning from center of chest expanding to back like a dagger and outwards 1 stent placed to stop it 2 more stents the next day preventative Now attending cardiac rehab New meds prescribed
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Stent placement, Troponin
Clinical narrative: Heart Attack, burning from center of chest expanding to back like a dagger and outwards 1 stent placed to stop it 2 more stents the next day preventative Now attending cardiac rehab New meds prescribed
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Induced labour, Laboratory test, Pre-eclampsia
Clinical narrative: Pre-eclampsia leading to birth Induction
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Female orgasmic disorder, Magnetic resonance imaging, Migraine, Neck pain, Vision blurred
Clinical narrative: Severe migraine, pain at top of neck & blurred vision and "seeing stars" after orgasms. Occurrences on 04/21/2021 & 04/22/2021 Sexual activity has been avoided since.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: Severe migraine, pain at top of neck & blurred vision and "seeing stars" after orgasms. Occurrences on 04/21/2021 & 04/22/2021 Sexual activity has been avoided since.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial tachycardia
Clinical narrative: I experienced Atrial tachycardia and I was treated with Diltiazem and Felecainive.  An EKG, U/S cardiac, holter heart monitor and extensive lab work was performed.  I have no symptoms today.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Received second dose of Pfizer on 5/26/21. 7 weeks after first dose.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: PATIENT PREVIOUSLY RECIEVED 1 DOSE OF PFIZER VACCINE (1/11/2021-LOT EL1625)
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling abnormal, Lethargy, Pharyngeal swelling
Clinical narrative: Administered Moderna first dose of vaccine around 5:04 pm, at 5:12 patient started to "feel out of it", lethargic and having a difficult time breathing. An epipen was administered at 5:13 with patient consent and due to little relief I called 911 to have paramedics arrive. Paramedics arrived around 5:28 and began speaking with the patient. They took her to the hospital due to feeling of throat swelling and difficulty breathing after the vaccine that was not resolved by an epipen. We will be following up and calling the patient tomorrow.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: patient fainted right after vaccine administration
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Deafness neurosensory, Deafness unilateral, Ear congestion, Fatigue
Clinical narrative: (First dose of Moderna Covid 19 vaccine was 1/2/2021 and lot #025L20A)  Approx. 3 weeks following the second dose of the Covid 19 vaccine I noticed a sudden hearing loss in my left ear. I first tried to use wax softeners/bulb syringe flushes for a few days to see if hearing loss was due to wax. When there was no resolution, I contacted my primary care provider and obtained an appt for 3/16/2021. At that time, provider saw "negative pressure" w/L eardrum and fluid bubbles behind L eardrum and placed me on Zyrtec, Flonase and Mucinex for 6 weeks to see if hearing resolved. When it did not, I was referred to ENT. A hearing screen was performed on 4/27/2021 prior to scheduled ENT appointment which showed "Mild-Severe Sensorineural Sloping" and an urgent appointment was made with ENT the following morning. On 4/28/2021 the ENT felt the hearing loss was most likely permanent as too much time had passed since initial loss was noted. She put me on an oral course of Prednisone as a "salvage attempt". The doses were 60mg for 3 days, 40mgs for 3 days, 20mgs for 3 days and 10mgs for 3 days. A follow up hearing screen on 5/17/2021 showed "no signficant change in hearing status." Further treatment has been deemed unlikely to improve hearing and I have been advised to consider a hearing aid. (Of note, following first Covid vaccine I only had significant soreness at injection site (L arm for that injection). Following the 2nd Covid vaccine, I had a Tmax of 100.5 with significant injection site pain/soreness in R arm, generalized muscle aches and significant fatigue. Tmax and height of symptoms were 31hrs following injection. At 43.5 hrs past injection, temp was 98.2 and fatigue/muscle aches were improved with just mild headache developing at that time.By 56hrs following vaccine, felt 100% back to normal.) I kept a journal following the second dose of symptoms because I am a nurse and I wanted to keep an accurate record of my experience since I had heard such a wide range of responses reported which is how I have such accurate times following that dose.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Myalgia
Clinical narrative: (First dose of Moderna Covid 19 vaccine was 1/2/2021 and lot #025L20A)  Approx. 3 weeks following the second dose of the Covid 19 vaccine I noticed a sudden hearing loss in my left ear. I first tried to use wax softeners/bulb syringe flushes for a few days to see if hearing loss was due to wax. When there was no resolution, I contacted my primary care provider and obtained an appt for 3/16/2021. At that time, provider saw "negative pressure" w/L eardrum and fluid bubbles behind L eardrum and placed me on Zyrtec, Flonase and Mucinex for 6 weeks to see if hearing resolved. When it did not, I was referred to ENT. A hearing screen was performed on 4/27/2021 prior to scheduled ENT appointment which showed "Mild-Severe Sensorineural Sloping" and an urgent appointment was made with ENT the following morning. On 4/28/2021 the ENT felt the hearing loss was most likely permanent as too much time had passed since initial loss was noted. She put me on an oral course of Prednisone as a "salvage attempt". The doses were 60mg for 3 days, 40mgs for 3 days, 20mgs for 3 days and 10mgs for 3 days. A follow up hearing screen on 5/17/2021 showed "no signficant change in hearing status." Further treatment has been deemed unlikely to improve hearing and I have been advised to consider a hearing aid. (Of note, following first Covid vaccine I only had significant soreness at injection site (L arm for that injection). Following the 2nd Covid vaccine, I had a Tmax of 100.5 with significant injection site pain/soreness in R arm, generalized muscle aches and significant fatigue. Tmax and height of symptoms were 31hrs following injection. At 43.5 hrs past injection, temp was 98.2 and fatigue/muscle aches were improved with just mild headache developing at that time.By 56hrs following vaccine, felt 100% back to normal.) I kept a journal following the second dose of symptoms because I am a nurse and I wanted to keep an accurate record of my experience since I had heard such a wide range of responses reported which is how I have such accurate times following that dose.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: swollen lymph nod in left armpit
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Autoantibody test, C-reactive protein increased, Chills, Dizziness, Flavivirus test
Clinical narrative: Developed a red popular rash over the lower legs and cramping in the lower legs on 5/14 (22 days after first COVID vaccine and 6 days before her 2nd vaccine). Had dizziness on 5/13, one day before second vaccine. The day after the second vaccine, she had nausea, myalgias, dizziness, fevers to 102 F, chills, and headaches. She has had persistent dizziness since then.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Headache, Metabolic function test, Myalgia, Nausea
Clinical narrative: Developed a red popular rash over the lower legs and cramping in the lower legs on 5/14 (22 days after first COVID vaccine and 6 days before her 2nd vaccine). Had dizziness on 5/13, one day before second vaccine. The day after the second vaccine, she had nausea, myalgias, dizziness, fevers to 102 F, chills, and headaches. She has had persistent dizziness since then.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Developed a red popular rash over the lower legs and cramping in the lower legs on 5/14 (22 days after first COVID vaccine and 6 days before her 2nd vaccine). Had dizziness on 5/13, one day before second vaccine. The day after the second vaccine, she had nausea, myalgias, dizziness, fevers to 102 F, chills, and headaches. She has had persistent dizziness since then.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Myalgia, Neuralgia, Pain in extremity
Clinical narrative: Hip, knee, ankle and top of foot pain for over 1 month 3 to 4 weeks after receiving 2nd dose of Covid vaccine.  Muscular and nerve pain of right leg's joints as described above.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Electroencephalogram, Laboratory test, Magnetic resonance imaging, Seizure
Clinical narrative: Sudden onset of seizure activity while at a student volleyball game on 4/25- I have no seizure history with myself or anyone in my family.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Mixed series Moderna then Pfizer given as second dose
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Patient experienced mild erythema, swelling, and heat to the injection site.  Symptoms began several days after the injection.  Area appears to resemble a localized reaction.  Patient was started on antihistamine and antibiotic.  Patient monitored as an outpatient.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient received the 2nd dose of the Pfizer COVID19 vaccine on 1/28/21. Patient began COVID symptoms on 5/9/21 and tested COVID positive on 5/13/21 via saliva test
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Heart rate irregular, Nausea, Tinnitus, Vertigo
Clinical narrative: Vertigo, nausea, ear ringing, rapid heartbeat, lightheadedness
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Lacrimation increased, Pruritus, Rash
Clinical narrative: Itching right arm around 5:30 pm then spread to whole body by 7:00 pm with Rash on right side of chest near right breast.   Also felt dizzy/spacey.  Slight headache till early Friday, April 2  at 7:00 - I felt mostly norm at one second and the next I suddenly had a severe headache and the right eye started tearing like I was sobbing profusely and right nostril  started running like a faucet.  This lasted through Sunday evening.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea
Clinical narrative: Itching right arm around 5:30 pm then spread to whole body by 7:00 pm with Rash on right side of chest near right breast.   Also felt dizzy/spacey.  Slight headache till early Friday, April 2  at 7:00 - I felt mostly norm at one second and the next I suddenly had a severe headache and the right eye started tearing like I was sobbing profusely and right nostril  started running like a faucet.  This lasted through Sunday evening.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site erythema, Malaise, Nausea, Pruritus
Clinical narrative: 12 hours after shot: fever and chills with extreme shivering. Fever as high as 102.4, lasted 74 hours. Chills and nausea and generally felling sick lasted 5 more days after the fever broke.  Day 3 after shot: large red rash on arm at the site of the shot. Size about 3x4?. It was a little itchy on the first two days after it appeared. By day 8 it had faded.  Day 8 after the shot: new rash on each forearm. Size of each was about 3?x8?. Those rashes have faded, but still remain visible today. No pain or itching associated with the forearm rashes.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash
Clinical narrative: 12 hours after shot: fever and chills with extreme shivering. Fever as high as 102.4, lasted 74 hours. Chills and nausea and generally felling sick lasted 5 more days after the fever broke.  Day 3 after shot: large red rash on arm at the site of the shot. Size about 3x4?. It was a little itchy on the first two days after it appeared. By day 8 it had faded.  Day 8 after the shot: new rash on each forearm. Size of each was about 3?x8?. Those rashes have faded, but still remain visible today. No pain or itching associated with the forearm rashes.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Headache, Nausea, Vomiting
Clinical narrative: Dizziness, nausea, vomiting, excruciating headache, and shortness of breath at times.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Too early for 2nd dose
Age: 16.0
Sex: M
Vaccine: MENB, MNQ
Symptoms: Arthralgia, Swelling
Clinical narrative: Left shoulder pain and mild swelling.
Age: 55.0
Sex: F
Vaccine: TD, VARZOS
Symptoms: Fatigue, Injection site erythema, Injection site swelling, Myalgia, Nausea
Clinical narrative: Muscle pain, sore arm,  injection site is red and raised, fatigue, mild nausea
Age: 55.0
Sex: F
Vaccine: TD, VARZOS
Symptoms: Pain in extremity
Clinical narrative: Muscle pain, sore arm,  injection site is red and raised, fatigue, mild nausea
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Nodule, Pain, Pain in extremity, Paraesthesia
Clinical narrative: Patient woke up at 5:30 a.m. with a knot in his arm and throbbing pain at his finger tips as well as a tingling sensation from the elbow down to the fingers.  Patient was instructed to massage the injection site area as well as ice it on and off for several hours. He was also told to take Ibuprofen or Tylenol which he chose Ibuprofen. He felt improvement after 4 hours but still showed signs of tingling in the fingers and hand by 5:20 p.m. Patient will continue these measures to improve this.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Erythema, Hypoaesthesia, Pruritus
Clinical narrative: PATIENT HAD RED SPOTS, ITCHINESS, AND PIN-PRICK FEELING ON ARMS, AND CHEST TIGHTNESS ABOUT 15 MINUTES AFTER SHOT WAS GIVEN.  ONE DOSE OF EPINEPHRINE (GENERIC EPIPEN) WAS GIVEN TO PATIENT, AND PATIENT ALSO TOOK A PUFF FROM HER ALBUTEROL INHALER.  AFTER SEVERAL MINUTES, SHE FELT HER CHEST TIGHTNESS SUBSIDE.  PATIENT WENT TO URGENT CARE CLINIC NEXT DOOR.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Given Mixed series First Moderna then Pfizer
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Too early for 2nd dose
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: Patient starting  feeling dizzy after the administration and also complained of headache. Healthcare professional checked the patient's blood pressure which was normal. After about 20 minutes of observation, patient was not getting better and EMS was called .
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pruritus, Stridor, Wheezing
Clinical narrative: Pt reported SOB and generalized pruritis.  SOB continued to worsen. Wheezes were noted BLL. Pt also began to produce stridorous sounds. 50mg Benadryl given IM at 1351. Pt also took 2 puffs of albuterol inhaler. Admitted to hospital recently for intubation for her seizures. Felt better after medication administration. Pt requested to go home, advised to go to ED if symptoms returned.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Musculoskeletal stiffness, Myalgia, Nausea, Pyrexia
Clinical narrative: High fever, muscle aches and stiffness, nausea, headache l, blurred vision.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: High fever, muscle aches and stiffness, nausea, headache l, blurred vision.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cerebrovascular accident, SARS-CoV-2 test positive
Clinical narrative: 57-year-old female who lives in an assisted living/skilled nursing facility, from where she was transferred to the hospital because of suspected stroke.  Subsequently, the patient was undergoing workup and result for COVID-19 test came back positive. The patient denies cough, fever, chills. Denied any history of cough, fever, chills, or shortness of breath.  She is a known diabetic and kidney failure.  The patient suffers from morbid obesity also, and has gait and mobility disorder.  The patient has a history of acute onset dysphagia and mental status changes. Tested positive for COVID on 5/16/2021.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID 19 INFECTION
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient too young, family aware and will follow up with Peds for further guidance on second dose.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Pruritus, Rash
Clinical narrative: My arm had been slightly, mildly painful for a few days but that got better, then it started itching on day 7 after I had filled out that days vsafe. It itched pretty bad for all that evening and this morning and seemed to have a few tiny places that felt like tiny bubbles, and a slight pinkness. But now the itching it pretty much completely gone, and not pink anymore. So I guess the itching only lasted less than 24 hours.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus - began within the car ride home.  To date have not sought treatment as I had thought this would go away by now.    It has not.  Most extreme in morning and night when it?s quiet - however, it is present 24/7 - always there.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue
Clinical narrative: Dizziness and fatigue, lasting less than 5 min.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Headache, Injection site erythema, Injection site swelling
Clinical narrative: 1 - Fever, chills, headache, generalized body aches, fatigue lasting approximately 24 hours 2 - Approximately 48 hours after vaccine was administered, large red, hot, swollen area near injection site and red rash below elbow
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site warmth, Pain, Pyrexia, Rash, Rash erythematous
Clinical narrative: 1 - Fever, chills, headache, generalized body aches, fatigue lasting approximately 24 hours 2 - Approximately 48 hours after vaccine was administered, large red, hot, swollen area near injection site and red rash below elbow
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis, Mobility decreased, Paraesthesia
Clinical narrative: On 05/20/21 patient began experiencing tingling and limited mobility in her left leg. On 5/25/21 her face began to droop.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Cardiac monitoring normal, Contusion, Dizziness, Electrocardiogram normal
Clinical narrative: I woke up in the middle of night to use the bathroom and I don't remember what I was feeling, but I kept telling my self to just finish peeing and I woke up on the ground, I was pretty out of it, it took a couple minutes to get out of it I had a couple of buries, I felt stages of light headed for a few days it felt like I was giving blood.  The next day I felt off, I didn't think I was safe to drive, I did feel better but still off and on Tuesday I felt drained.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Fatigue, Feeling abnormal, Impaired driving ability, Syncope
Clinical narrative: I woke up in the middle of night to use the bathroom and I don't remember what I was feeling, but I kept telling my self to just finish peeing and I woke up on the ground, I was pretty out of it, it took a couple minutes to get out of it I had a couple of buries, I felt stages of light headed for a few days it felt like I was giving blood.  The next day I felt off, I didn't think I was safe to drive, I did feel better but still off and on Tuesday I felt drained.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest discomfort, Chest pain, Decreased appetite, Dyspnoea
Clinical narrative: High fever - normally 97.6^F, fever 103.3^F; severe headache; lethargic to the point of severe exhaustion - no energy to walk more than 5 steps; central, focal chest pain/pressure at base of the heart/lower sternum that lasted approximately 20hrs, associated mild wheezing/SOB for the last 10 hrs or so of that window.  No appetite for 3 days following vaccination.   Chest pain/pressure and shortness of breath resolved after ~20 hrs. Headache resolved within 5 days. Fever resolved within 3 days. Fatigue and lethargic resolved within approximately 1 week.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Lethargy, Pyrexia, Wheezing
Clinical narrative: High fever - normally 97.6^F, fever 103.3^F; severe headache; lethargic to the point of severe exhaustion - no energy to walk more than 5 steps; central, focal chest pain/pressure at base of the heart/lower sternum that lasted approximately 20hrs, associated mild wheezing/SOB for the last 10 hrs or so of that window.  No appetite for 3 days following vaccination.   Chest pain/pressure and shortness of breath resolved after ~20 hrs. Headache resolved within 5 days. Fever resolved within 3 days. Fatigue and lethargic resolved within approximately 1 week.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Electromyogram, Neuralgic amyotrophy
Clinical narrative: Moderate Left upper trunk brachial plexopathy
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain
Clinical narrative: Constant back pain. Middle back, Tylenol will only make it bearable, won't go away. 4 days straight now of back pain.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Headache, Heavy menstrual bleeding, Menstrual disorder, Vomiting
Clinical narrative: Unscheduled menstrual cycle started 10 days early.  Heavy bleeding and cramping.  Lasting up to 3 days.   Vomiting Headache