chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Extreme fatigue, brain fog, and muscle aches first two days. Mild rigors, fever, sweating, and nausea. Day 2 - 7  moderate fatigue and brain fog. Poor appetite. Overall achiness, much worse than usual fibromyalgia symptoms. Day 8 -  14 continued brain fog, fatigue, and overall body pain much worse than my usual chronic issues Day 15 - 55 depression, continued fatigue and debilitating pain in my legs (very stiff, sore, and achy) Day 56 - 63 continued fatigue, leg pain gradually subsiding but still present
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered, Product storage error
Clinical narrative: VACCINE RECEIVED ON 09/15/21 BY CLINIC STAFF AND WASN'T PUT IN THE FRIDGE UNTIL 5 DAYS LATER. THEN OPENED AND GIVEN TO STAFF & PATIENTS. VACCINE WASN'T PROPERLY STORED FOR 4-5 DAYS, LEFT OUT ROOM TEMP.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring, Electrocardiogram, Heart rate increased, Insomnia, Postural orthostatic tachycardia syndrome
Clinical narrative: 06/26/2021 I was unable to sleep through out the night and about a month later it progressed throughout the day. my heart rate was elevated. anytime I got up my heart rate would go up. I ended up being diagnosed with POTS
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Migraine, Pain
Clinical narrative: Starting March 27 I developed a migraine and didn't go away until around May 19. It was extremely painful so I had to contact a healthcare provider and was prescribed a muscle relaxant but it didn't do anything so I decided to go to the Emergency Room and they did an MRI and they weren't find anything unusual so I had to go to a neurologist to have it checked. I have recovered from the migraines since then, after 3 months of continuous migraine pain.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Blood immunoglobulin G normal, Computerised tomogram head normal, Computerised tomogram thorax normal, Dizziness, Dizziness postural
Clinical narrative: 9 days after vaccination, patient reports gradual onset of lightheadedness that started 2 days after vaccination and increased 2 days ago. His symptoms are not vertiginous and has not had syncope, and has not felt close to passing out. The symptoms are worse when he gets up and there is no lightheadedness when he is laying down. He reports that symptoms worsen throughout the day with associated symptoms including frontal headache with standing up but do not include nausea, fever, or palpitations. Patient later started experiencing SOB on exertion on 5/4/21. On 6/4/21, patient admitted to ED after noticing platelet count had decreased from 153,000 on 5/30/2021 to 14,000 on 6/3/2021. No abnormal bleeding was found and platelet factor 4 antibody was ordered to rule out vaccine-induced thrombocytopenia and thrombosis, although there have been no reports of this condition with mRNA vaccine. Incidentally on literature review, there are reports of platelet sequestration and microangiopathic hemolysis inside a vascular malformation associated with Klippel-Trenaunay syndrome.   Vitals: 4/29/21: 146/81, Pulse 66 -> 5/4/21: 145/82, Pulse 96, 14 -> 6/6/2021: 142/79, 54, 16  Labs 6/5/2021-6/6/2021:  WBC 4.50 - 11.00 K/uL 4.04 (L)  RBC 4.5 - 5.9 M/uL 4.37 (L)  Hgb 13.5 - 17.5 g/dL 12.7 (L)  Hematocrit 41 - 53 % 39.0 (L)  Platelet Count 150 - 450 K/uL 19 (LL)  Neutrophils 40.00 - 70.00 % 34.1 (L)  Immature Granulocytes 0.0 - 0.5 % 1.0 (H)  Lymphocytes 22 - 44 % 54.7 (H)  Absolute Neutrophils 1.80 - 7.70 K/uL 1.38 (L)  Absolute Immature Granulocytes 0.00 - 0.03 K/uL 0.04 (H) PF4 IgG: negative    Dizziness slowly improved and pt underwent EKG, BMP, CBC, thyroid screen, CT head, CT chest that did not reveal cause of symptoms. Other symptoms also starting to improve prior to hospitalization for thrombocytopenia. Subsequent provider visits focused on Klippel-Trenaunay syndrome and idiopathic thrombocytopenic purpura.  "
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Electrocardiogram normal, Full blood count normal, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: 9 days after vaccination, patient reports gradual onset of lightheadedness that started 2 days after vaccination and increased 2 days ago. His symptoms are not vertiginous and has not had syncope, and has not felt close to passing out. The symptoms are worse when he gets up and there is no lightheadedness when he is laying down. He reports that symptoms worsen throughout the day with associated symptoms including frontal headache with standing up but do not include nausea, fever, or palpitations. Patient later started experiencing SOB on exertion on 5/4/21. On 6/4/21, patient admitted to ED after noticing platelet count had decreased from 153,000 on 5/30/2021 to 14,000 on 6/3/2021. No abnormal bleeding was found and platelet factor 4 antibody was ordered to rule out vaccine-induced thrombocytopenia and thrombosis, although there have been no reports of this condition with mRNA vaccine. Incidentally on literature review, there are reports of platelet sequestration and microangiopathic hemolysis inside a vascular malformation associated with Klippel-Trenaunay syndrome.   Vitals: 4/29/21: 146/81, Pulse 66 -> 5/4/21: 145/82, Pulse 96, 14 -> 6/6/2021: 142/79, 54, 16  Labs 6/5/2021-6/6/2021:  WBC 4.50 - 11.00 K/uL 4.04 (L)  RBC 4.5 - 5.9 M/uL 4.37 (L)  Hgb 13.5 - 17.5 g/dL 12.7 (L)  Hematocrit 41 - 53 % 39.0 (L)  Platelet Count 150 - 450 K/uL 19 (LL)  Neutrophils 40.00 - 70.00 % 34.1 (L)  Immature Granulocytes 0.0 - 0.5 % 1.0 (H)  Lymphocytes 22 - 44 % 54.7 (H)  Absolute Neutrophils 1.80 - 7.70 K/uL 1.38 (L)  Absolute Immature Granulocytes 0.00 - 0.03 K/uL 0.04 (H) PF4 IgG: negative    Dizziness slowly improved and pt underwent EKG, BMP, CBC, thyroid screen, CT head, CT chest that did not reveal cause of symptoms. Other symptoms also starting to improve prior to hospitalization for thrombocytopenia. Subsequent provider visits focused on Klippel-Trenaunay syndrome and idiopathic thrombocytopenic purpura.  "
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Immature granulocyte count increased, Lymphocyte count increased, Metabolic function test normal, Neutrophil count decreased
Clinical narrative: 9 days after vaccination, patient reports gradual onset of lightheadedness that started 2 days after vaccination and increased 2 days ago. His symptoms are not vertiginous and has not had syncope, and has not felt close to passing out. The symptoms are worse when he gets up and there is no lightheadedness when he is laying down. He reports that symptoms worsen throughout the day with associated symptoms including frontal headache with standing up but do not include nausea, fever, or palpitations. Patient later started experiencing SOB on exertion on 5/4/21. On 6/4/21, patient admitted to ED after noticing platelet count had decreased from 153,000 on 5/30/2021 to 14,000 on 6/3/2021. No abnormal bleeding was found and platelet factor 4 antibody was ordered to rule out vaccine-induced thrombocytopenia and thrombosis, although there have been no reports of this condition with mRNA vaccine. Incidentally on literature review, there are reports of platelet sequestration and microangiopathic hemolysis inside a vascular malformation associated with Klippel-Trenaunay syndrome.   Vitals: 4/29/21: 146/81, Pulse 66 -> 5/4/21: 145/82, Pulse 96, 14 -> 6/6/2021: 142/79, 54, 16  Labs 6/5/2021-6/6/2021:  WBC 4.50 - 11.00 K/uL 4.04 (L)  RBC 4.5 - 5.9 M/uL 4.37 (L)  Hgb 13.5 - 17.5 g/dL 12.7 (L)  Hematocrit 41 - 53 % 39.0 (L)  Platelet Count 150 - 450 K/uL 19 (LL)  Neutrophils 40.00 - 70.00 % 34.1 (L)  Immature Granulocytes 0.0 - 0.5 % 1.0 (H)  Lymphocytes 22 - 44 % 54.7 (H)  Absolute Neutrophils 1.80 - 7.70 K/uL 1.38 (L)  Absolute Immature Granulocytes 0.00 - 0.03 K/uL 0.04 (H) PF4 IgG: negative    Dizziness slowly improved and pt underwent EKG, BMP, CBC, thyroid screen, CT head, CT chest that did not reveal cause of symptoms. Other symptoms also starting to improve prior to hospitalization for thrombocytopenia. Subsequent provider visits focused on Klippel-Trenaunay syndrome and idiopathic thrombocytopenic purpura.  "
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count decreased, Red blood cell count decreased, Thrombocytopenia, Thyroid function test normal, White blood cell count decreased
Clinical narrative: 9 days after vaccination, patient reports gradual onset of lightheadedness that started 2 days after vaccination and increased 2 days ago. His symptoms are not vertiginous and has not had syncope, and has not felt close to passing out. The symptoms are worse when he gets up and there is no lightheadedness when he is laying down. He reports that symptoms worsen throughout the day with associated symptoms including frontal headache with standing up but do not include nausea, fever, or palpitations. Patient later started experiencing SOB on exertion on 5/4/21. On 6/4/21, patient admitted to ED after noticing platelet count had decreased from 153,000 on 5/30/2021 to 14,000 on 6/3/2021. No abnormal bleeding was found and platelet factor 4 antibody was ordered to rule out vaccine-induced thrombocytopenia and thrombosis, although there have been no reports of this condition with mRNA vaccine. Incidentally on literature review, there are reports of platelet sequestration and microangiopathic hemolysis inside a vascular malformation associated with Klippel-Trenaunay syndrome.   Vitals: 4/29/21: 146/81, Pulse 66 -> 5/4/21: 145/82, Pulse 96, 14 -> 6/6/2021: 142/79, 54, 16  Labs 6/5/2021-6/6/2021:  WBC 4.50 - 11.00 K/uL 4.04 (L)  RBC 4.5 - 5.9 M/uL 4.37 (L)  Hgb 13.5 - 17.5 g/dL 12.7 (L)  Hematocrit 41 - 53 % 39.0 (L)  Platelet Count 150 - 450 K/uL 19 (LL)  Neutrophils 40.00 - 70.00 % 34.1 (L)  Immature Granulocytes 0.0 - 0.5 % 1.0 (H)  Lymphocytes 22 - 44 % 54.7 (H)  Absolute Neutrophils 1.80 - 7.70 K/uL 1.38 (L)  Absolute Immature Granulocytes 0.00 - 0.03 K/uL 0.04 (H) PF4 IgG: negative    Dizziness slowly improved and pt underwent EKG, BMP, CBC, thyroid screen, CT head, CT chest that did not reveal cause of symptoms. Other symptoms also starting to improve prior to hospitalization for thrombocytopenia. Subsequent provider visits focused on Klippel-Trenaunay syndrome and idiopathic thrombocytopenic purpura.  "
Age: 56.0
Sex: F
Vaccine: UNK
Symptoms: Body temperature increased, Dizziness, Dyspnoea, Headache, Heart rate increased
Clinical narrative: I had an extreme headache, dizziness. My heart rate went up to 132. Yes, I promise 132! I sat on my bed just looking at it. I thought my heart was going to pound out of my chest. I had an increase heart rate for over 2 days. There were times that I literally almost went to the emergency room, but knew if I did they would take my heart rate, say it was high and discharge me home with a $3000.00 bill and tell me to drink water and rest.  I had extreme nausea and vomiting's, memory lapses and AMS. This was new, J&J didn't give me AMS.  I found myself not remembering things, I had blurry vision and was  talking nonsense  My temperature went up to 101.9 F,  I couldn't catch my breath.  I also had a localized reaction in the injection site. I ended up with an extreme head cold. On 12/29/21 I took my own Molecular C:19 test and it was negative.
Age: 56.0
Sex: F
Vaccine: UNK
Symptoms: Injection site reaction, Memory impairment, Mental status changes, Nasopharyngitis, Nausea
Clinical narrative: I had an extreme headache, dizziness. My heart rate went up to 132. Yes, I promise 132! I sat on my bed just looking at it. I thought my heart was going to pound out of my chest. I had an increase heart rate for over 2 days. There were times that I literally almost went to the emergency room, but knew if I did they would take my heart rate, say it was high and discharge me home with a $3000.00 bill and tell me to drink water and rest.  I had extreme nausea and vomiting's, memory lapses and AMS. This was new, J&J didn't give me AMS.  I found myself not remembering things, I had blurry vision and was  talking nonsense  My temperature went up to 101.9 F,  I couldn't catch my breath.  I also had a localized reaction in the injection site. I ended up with an extreme head cold. On 12/29/21 I took my own Molecular C:19 test and it was negative.
Age: 56.0
Sex: F
Vaccine: UNK
Symptoms: Palpitations, SARS-CoV-2 test negative, Speech disorder, Vision blurred, Vomiting
Clinical narrative: I had an extreme headache, dizziness. My heart rate went up to 132. Yes, I promise 132! I sat on my bed just looking at it. I thought my heart was going to pound out of my chest. I had an increase heart rate for over 2 days. There were times that I literally almost went to the emergency room, but knew if I did they would take my heart rate, say it was high and discharge me home with a $3000.00 bill and tell me to drink water and rest.  I had extreme nausea and vomiting's, memory lapses and AMS. This was new, J&J didn't give me AMS.  I found myself not remembering things, I had blurry vision and was  talking nonsense  My temperature went up to 101.9 F,  I couldn't catch my breath.  I also had a localized reaction in the injection site. I ended up with an extreme head cold. On 12/29/21 I took my own Molecular C:19 test and it was negative.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: This patient received her booster dose too soon, no adverse symptoms reported.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Sneezing
Clinical narrative: nonproductive cough, sneezing.  starting 12/28/21
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Patient woke up with hives on 11/26/2021 on arms, leg, parents treated with antihistamines, hives resolved for 48 hours. Patient has continued to wake up with hives, treated with antihistamines for 2 weeks and saw no hives, stopped taking antihistamines, hives returned. He has no history of hives/rashes before this, nothing else has changed (laundry detergent, sleeping arrangements, etc.)  He did also receive a flu shot on 11/18/2021 and a second Covid shot on 12/1/2021. Hives are still continuing as of Jan 4, 2022.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose, Feeling of body temperature change, Vision blurred
Clinical narrative: patient felt flush then cold then experienced blurred vision
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Catheterisation cardiac, Chest pain, Dizziness, Echocardiogram
Clinical narrative: Lightheaded, nausea, chest, throat, jaw pain, sweating.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Hyperhidrosis, Magnetic resonance imaging heart, Nausea, Oropharyngeal pain
Clinical narrative: Lightheaded, nausea, chest, throat, jaw pain, sweating.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in jaw
Clinical narrative: Lightheaded, nausea, chest, throat, jaw pain, sweating.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient given moderna booster vaccine that was left in syringe at room temperature for 17 hours.  Patient tolerated vaccine without any reported adverse effects.  Provider notified.  Moderna notified to verify validity of dose.   Will continue to monitor patient for any adverse outcome/side effects.
Age: 17.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: patient was 17 years 6 months old and was given Moderna vaccine instead of Pfizer Vaccine
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Headache, Nasal congestion, SARS-CoV-2 test positive, Urticaria
Clinical narrative: When I woke on 12/24 I had hives on Legs, Torso, Stomach, Arms. Took a benadryl but by that evening could not function. 12/25 By Christmas day my hives was everywhere on my body and tried to stay home. 12/26 Went to see a doctor thru urgent care telehealth and was advised if got worse go to hospital but try to stay home and take benadryl with rest. By 12/31 I experienced headache and nasal congestion and I went to get a COVID test at home. It come back positive and started to quarantine at home. Went to urgent care 2 days later for an official check and have not heard back from them yet.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, COVID-19, Computerised tomogram, Echocardiogram, Heart rate increased
Clinical narrative: I had emulated heart rate.  I also had a low-grade fever.  I went to the ER (Pukka Hospital).  I was diagnosed with Tachycardia.  They did urine test, lab, CT scan, and a Echocardiogram.  They also did a Covid-19 test, positive result.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Pyrexia, SARS-CoV-2 test positive, Tachycardia, Urine analysis
Clinical narrative: I had emulated heart rate.  I also had a low-grade fever.  I went to the ER (Pukka Hospital).  I was diagnosed with Tachycardia.  They did urine test, lab, CT scan, and a Echocardiogram.  They also did a Covid-19 test, positive result.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: In the morning I had fever of 100.4 and was very cold, I also had a Headache so I took Tylenol. I made an appointment the following week because my doctor was booked, He verified that I didn't have any health issues. I was breathing good, my oxygen level was fine and he said to continue taking my medication. He advised to call him back if anything worsen. On December 20th  2021, I started having pain on my left arm, I cannot hold anything more then 5LBS so he said to go to the ER, at the ER I was given an anti inflammatory for 5 days but everything is the same, The pain is still consistent. I can't even open the jar and I keep requesting help from my family members. the pain starts from my wrist all the way up to my arm.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound Doppler
Clinical narrative: In the morning I had fever of 100.4 and was very cold, I also had a Headache so I took Tylenol. I made an appointment the following week because my doctor was booked, He verified that I didn't have any health issues. I was breathing good, my oxygen level was fine and he said to continue taking my medication. He advised to call him back if anything worsen. On December 20th  2021, I started having pain on my left arm, I cannot hold anything more then 5LBS so he said to go to the ER, at the ER I was given an anti inflammatory for 5 days but everything is the same, The pain is still consistent. I can't even open the jar and I keep requesting help from my family members. the pain starts from my wrist all the way up to my arm.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Lung disorder, Lung opacity, SARS-CoV-2 test positive
Clinical narrative: Presented to ER on 12/7/21. Patient was saturating at 61% on room air attending not non-rebreather mask then placed on a high-flow nasal cannula at 10 L saturating at 94 patient tested positive for COVID-19.Started on remdesivir, dexamethasone, ceftriaxone and doxy. Received tocilizumab on 12/9/21. Discharged with PO dexamethasone to finish steroid course. Walk test with patient requiring 0L NC at rest and 3L NC on exertion. Discharged on 12/15/21
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan normal
Clinical narrative: Presented to ER on 12/7/21. Patient was saturating at 61% on room air attending not non-rebreather mask then placed on a high-flow nasal cannula at 10 L saturating at 94 patient tested positive for COVID-19.Started on remdesivir, dexamethasone, ceftriaxone and doxy. Received tocilizumab on 12/9/21. Discharged with PO dexamethasone to finish steroid course. Walk test with patient requiring 0L NC at rest and 3L NC on exertion. Discharged on 12/15/21
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Chest discomfort, Chest pain, Disturbance in attention, Dyspnoea
Clinical narrative: Blurry vision, can?t focus. Tingling on my left cheek and left side of my nose. Chest tightness and pain. Can?t take a deep breath. Abdominal pain and bloating. Feel full after eating very little.  Small rash on both sides of my stomach.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Rash, Vision blurred
Clinical narrative: Blurry vision, can?t focus. Tingling on my left cheek and left side of my nose. Chest tightness and pain. Can?t take a deep breath. Abdominal pain and bloating. Feel full after eating very little.  Small rash on both sides of my stomach.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Nausea, Pain, Pain in extremity, Pyrexia
Clinical narrative: Extremely sore arm. Lump at shot site. Nausea. Headache. Low grade fever of 101. Body aches
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Oral herpes
Clinical narrative: I experienced a cold-sore flare up a few hours after receiving the vaccine. I went to the health clinic and they prescribed me a medication. I had the flare up for about a week or so, then it resolved on its own.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test, SARS-CoV-2 test positive
Clinical narrative: no symptoms
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Injection site erythema, Injection site swelling, Injection site warmth, Lymph node pain
Clinical narrative: After booster shot on 12/27/2021, patient reported "heart palpitations and increasing size in my lymph nodes in my armpit, elbow, and left breast. The injection site(left deltoid) is also warm, red, and swollen to the touch. The size in pain in my lymph nodes on the left side have gotten so bad I have limited mobility in that arm. The pain in my left breast wakes me up at night" that "seem to be increasingly worse with each vaccine [she] has received" and "had similar side effects after [her] second dose as well" which was on 2/4/2021
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Palpitations, Sleep disorder
Clinical narrative: After booster shot on 12/27/2021, patient reported "heart palpitations and increasing size in my lymph nodes in my armpit, elbow, and left breast. The injection site(left deltoid) is also warm, red, and swollen to the touch. The size in pain in my lymph nodes on the left side have gotten so bad I have limited mobility in that arm. The pain in my left breast wakes me up at night" that "seem to be increasingly worse with each vaccine [she] has received" and "had similar side effects after [her] second dose as well" which was on 2/4/2021
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cough, Dyspnoea, Malaise
Clinical narrative: Patient arrived to the ED on 12/27/2021 with shortness of breath and bilateral leg swelling  +COVID  Generalized malaise and weakness, shortness of breath , mild cough . O2sat 89% on room air
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Peripheral swelling, SARS-CoV-2 test positive
Clinical narrative: Patient arrived to the ED on 12/27/2021 with shortness of breath and bilateral leg swelling  +COVID  Generalized malaise and weakness, shortness of breath , mild cough . O2sat 89% on room air
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: breakthrough infection
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Pallor
Clinical narrative: 3:11 pm mother requested help "son passed out" c/o light headed pallor and sweating  pt lowered to floor  pulse ox 97 bp 94/70 3:12 pm  pt responded color returned  3:19  HR 92 pulse ox 98% sitting up drinking h2o 3:19 hr 92  pulse ox 98% pt states hx of fainting post blood draw drinking h2o and apple juice  3:20 EMS arrives  5pm mother arrives back to let clinic know pt will go home instead of transport to urgent care/ER
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Injected limb mobility decreased, Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: 2 days after vaccination, patient reports "heart palpitations and increasing size in my lymph nodes in my armpit, elbow, and left breast. The injection site(left deltoid) is also warm, red, and swollen to the touch. The size in pain in my lymph nodes on the left side have gotten so bad I have limited mobility in that arm. The pain in my left breast wakes me up at night. My heart rate can reach up to 160bpm 6-8 hours following the doses. My vital signs have been within normal limits today and seem to be improving overall". Pt also reported left eye lid swelling after injection and was recommended to go to ED if heart palpitations and swelling persisted. Also educated to use warm compress to help with arm mobility. Patient did not end up going to ED.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Palpitations, Sleep disorder, Swelling of eyelid
Clinical narrative: 2 days after vaccination, patient reports "heart palpitations and increasing size in my lymph nodes in my armpit, elbow, and left breast. The injection site(left deltoid) is also warm, red, and swollen to the touch. The size in pain in my lymph nodes on the left side have gotten so bad I have limited mobility in that arm. The pain in my left breast wakes me up at night. My heart rate can reach up to 160bpm 6-8 hours following the doses. My vital signs have been within normal limits today and seem to be improving overall". Pt also reported left eye lid swelling after injection and was recommended to go to ED if heart palpitations and swelling persisted. Also educated to use warm compress to help with arm mobility. Patient did not end up going to ED.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin warm, Urticaria
Clinical narrative: 10 days after my Moderna booster I became extremely itchy and my body started breaking out in hives.  The hives look like wide paint strokes, my skin turns a dark pink/red when the hives appear.  They appear in 2-3 areas at a time, last for about 30 minutes and move to a new area.  They are hot and itchy.   The hives comes in waves throughout the day, get worse at night.  This is now Day 9 and they have been consistent for the past 9 days.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: The pfizer adult vial was not mixed with 1.8ml of sterile diluent and patient was given 0.3ml. This was patient's first dose and we have been trying to get hold of patient but no answer. We will keep trying and inform patient of what happened and to not get the second dose. Also, we will tell patient about irritation and soreness at site of injection.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Blood follicle stimulating hormone, Dysmenorrhoea, Fatigue, Laboratory test
Clinical narrative: Pt reports menstrual cycle was very regular up until the second dose of the Pfizer COVID vaccine on 5/13/21. Cycles were every 4 weeks, lasting 4-5 days. Next period was due at the end of May.  Following the May vaccination she has had a total of 3 cycles in the last 7 months. One cycle at the end of June, one at the end of October and one at the end of December. All 3 have been longer in duration, more painful.  Each month when her period should be starting she experiences cramping in the legs and lower abdomen, fatigue.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular, Muscle spasms, Oligomenorrhoea, Physical examination, Smear cervix
Clinical narrative: Pt reports menstrual cycle was very regular up until the second dose of the Pfizer COVID vaccine on 5/13/21. Cycles were every 4 weeks, lasting 4-5 days. Next period was due at the end of May.  Following the May vaccination she has had a total of 3 cycles in the last 7 months. One cycle at the end of June, one at the end of October and one at the end of December. All 3 have been longer in duration, more painful.  Each month when her period should be starting she experiences cramping in the legs and lower abdomen, fatigue.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood sodium decreased, COVID-19, Chest X-ray abnormal, Cough, Dyspnoea
Clinical narrative: Sent to the emergency room for persistent cough on 12/13/21. Workup in the ER revealed a sodium of 123, normal white count, but a significantly decreased platelet count of 81. Patient was given infusion of  Regeneron and was supposed to be discharged home, but given the fact that the patient is 90 years old and still having some shortness of breath, patient was admitted on 12/13/21. The patient, due to high risk, probably needs to be put in the hospital at least for a few days to see how she responds, and depending upon her chest x-ray results and for her low sodium.  She does complain of a cough productive occasionally of yellowish-green sputum. No epistaxis or hemoptysis. No chest pain. No nausea, vomiting, diarrhea. No abdominal pain. Placed on doxycycline and dexamethasone for 7 days. Did require 2 L of NC eventually. Discharged on 12/15/21.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lung opacity, Platelet count decreased, Productive cough, SARS-CoV-2 test positive, Sputum discoloured
Clinical narrative: Sent to the emergency room for persistent cough on 12/13/21. Workup in the ER revealed a sodium of 123, normal white count, but a significantly decreased platelet count of 81. Patient was given infusion of  Regeneron and was supposed to be discharged home, but given the fact that the patient is 90 years old and still having some shortness of breath, patient was admitted on 12/13/21. The patient, due to high risk, probably needs to be put in the hospital at least for a few days to see how she responds, and depending upon her chest x-ray results and for her low sodium.  She does complain of a cough productive occasionally of yellowish-green sputum. No epistaxis or hemoptysis. No chest pain. No nausea, vomiting, diarrhea. No abdominal pain. Placed on doxycycline and dexamethasone for 7 days. Did require 2 L of NC eventually. Discharged on 12/15/21.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: White blood cell count normal
Clinical narrative: Sent to the emergency room for persistent cough on 12/13/21. Workup in the ER revealed a sodium of 123, normal white count, but a significantly decreased platelet count of 81. Patient was given infusion of  Regeneron and was supposed to be discharged home, but given the fact that the patient is 90 years old and still having some shortness of breath, patient was admitted on 12/13/21. The patient, due to high risk, probably needs to be put in the hospital at least for a few days to see how she responds, and depending upon her chest x-ray results and for her low sodium.  She does complain of a cough productive occasionally of yellowish-green sputum. No epistaxis or hemoptysis. No chest pain. No nausea, vomiting, diarrhea. No abdominal pain. Placed on doxycycline and dexamethasone for 7 days. Did require 2 L of NC eventually. Discharged on 12/15/21.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood sodium, Blood sodium decreased, COVID-19, Chest X-ray, Chest X-ray abnormal
Clinical narrative: Sent to the emergency room for persistent cough on 12/13/21. Workup in the ER revealed a sodium of 123, normal white count, but a significantly decreased platelet count of 81. Patient was given infusion of  Regeneron and was supposed to be discharged home, but given the fact that the patient is 90 years old and still having some shortness of breath, patient was admitted on 12/13/21. The patient, due to high risk, probably needs to be put in the hospital at least for a few days to see how she responds, and depending upon her chest x-ray results and for her low sodium.  She does complain of a cough productive occasionally of yellowish-green sputum. No epistaxis or hemoptysis. No chest pain. No nausea, vomiting, diarrhea. No abdominal pain. Placed on doxycycline and dexamethasone for 7 days. Did require 2 L of NC eventually. Discharged on 12/15/21.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea, Lung opacity, Platelet count, Platelet count decreased
Clinical narrative: Sent to the emergency room for persistent cough on 12/13/21. Workup in the ER revealed a sodium of 123, normal white count, but a significantly decreased platelet count of 81. Patient was given infusion of  Regeneron and was supposed to be discharged home, but given the fact that the patient is 90 years old and still having some shortness of breath, patient was admitted on 12/13/21. The patient, due to high risk, probably needs to be put in the hospital at least for a few days to see how she responds, and depending upon her chest x-ray results and for her low sodium.  She does complain of a cough productive occasionally of yellowish-green sputum. No epistaxis or hemoptysis. No chest pain. No nausea, vomiting, diarrhea. No abdominal pain. Placed on doxycycline and dexamethasone for 7 days. Did require 2 L of NC eventually. Discharged on 12/15/21.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Productive cough, SARS-CoV-2 test positive, Sputum discoloured, White blood cell count, White blood cell count normal
Clinical narrative: Sent to the emergency room for persistent cough on 12/13/21. Workup in the ER revealed a sodium of 123, normal white count, but a significantly decreased platelet count of 81. Patient was given infusion of  Regeneron and was supposed to be discharged home, but given the fact that the patient is 90 years old and still having some shortness of breath, patient was admitted on 12/13/21. The patient, due to high risk, probably needs to be put in the hospital at least for a few days to see how she responds, and depending upon her chest x-ray results and for her low sodium.  She does complain of a cough productive occasionally of yellowish-green sputum. No epistaxis or hemoptysis. No chest pain. No nausea, vomiting, diarrhea. No abdominal pain. Placed on doxycycline and dexamethasone for 7 days. Did require 2 L of NC eventually. Discharged on 12/15/21.
Age: 7.0
Sex: M
Vaccine: UNK
Symptoms: Cough, Exposure to SARS-CoV-2, Lip swelling, Penile swelling, SARS-CoV-2 test negative
Clinical narrative: Hives noted around 6pm the evening of dose #1. Small and only a few on wrist. Next day appeared on his neck. 11/8 top lip swelled in center. 11/8 older brother tested positive for COVID. Child began with a cough on 11/9 (child had 7 negative PCRs from 11-8 to 11-28). 11/10 hives on belly button and penis. Penis was swollen, sought medical care at Urgent Care.  Dr. told us to treat with Benadryl and start Claritin in the morning. She did not think this was an allergy to the vaccine and that child could get dose #2 when out of quarantine. Child continued to have hives appear sporadically. We would apply topical Benadryl gel, if the hives continued we would administer Claritin 24 hr. Hives continued. The hives are mild, appearing mainly on the torso and neck. Claritin keeps the hives away for 24-48 hours, occasionally longer. Some days we would give oral Benadryl at night (did not overlap with the Claritin) or apply topical Benadryl Gel.   Spoke with Pediatrician, Dr via telehealth consult on 11-30-21 to review hives since 1st dose. She agreed with urgent care that the reaction was not allergic in nature and that he should get dose #2. He received his #2 dose on 12-1-2021. No increase in hives were noted, they seemed to continue at the same rate and intensity.  Starting 12-13-21 I noticed that the hives were sometimes triggered when the skin was irritated. On 12-13-21 he wore his very heavy backpack from the kitchen to the car and once in the car he had hives from the back pack straps. Hives triggered by roughness to the skin continued, example: he wore a snow suit that was too small and had hives from the straps and on his penis, also hives on his wrist after swinging a bat and the bat rubbed his wrist. He has also had hives on his chest after active play.  Hives remain mild and sporadic.    Just before Christmas I reached out to Dr. as child had more hives on his lip and she is making a referral to a Dermatologist.   Hives continue to date.
Age: 7.0
Sex: M
Vaccine: UNK
Symptoms: Urticaria
Clinical narrative: Hives noted around 6pm the evening of dose #1. Small and only a few on wrist. Next day appeared on his neck. 11/8 top lip swelled in center. 11/8 older brother tested positive for COVID. Child began with a cough on 11/9 (child had 7 negative PCRs from 11-8 to 11-28). 11/10 hives on belly button and penis. Penis was swollen, sought medical care at Urgent Care.  Dr. told us to treat with Benadryl and start Claritin in the morning. She did not think this was an allergy to the vaccine and that child could get dose #2 when out of quarantine. Child continued to have hives appear sporadically. We would apply topical Benadryl gel, if the hives continued we would administer Claritin 24 hr. Hives continued. The hives are mild, appearing mainly on the torso and neck. Claritin keeps the hives away for 24-48 hours, occasionally longer. Some days we would give oral Benadryl at night (did not overlap with the Claritin) or apply topical Benadryl Gel.   Spoke with Pediatrician, Dr via telehealth consult on 11-30-21 to review hives since 1st dose. She agreed with urgent care that the reaction was not allergic in nature and that he should get dose #2. He received his #2 dose on 12-1-2021. No increase in hives were noted, they seemed to continue at the same rate and intensity.  Starting 12-13-21 I noticed that the hives were sometimes triggered when the skin was irritated. On 12-13-21 he wore his very heavy backpack from the kitchen to the car and once in the car he had hives from the back pack straps. Hives triggered by roughness to the skin continued, example: he wore a snow suit that was too small and had hives from the straps and on his penis, also hives on his wrist after swinging a bat and the bat rubbed his wrist. He has also had hives on his chest after active play.  Hives remain mild and sporadic.    Just before Christmas I reached out to Dr. as child had more hives on his lip and she is making a referral to a Dermatologist.   Hives continue to date.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dermatologic examination abnormal, Dizziness, Fatigue, Nausea
Clinical narrative: Day 2 (Dec 23) woke up at 5 a,m, feeling nauseous, fatigued, light headed; symptoms lasted approximately 10 hours.  By 3 pm I felt completely normal. Day 11 (January 1, 2022) woke up at 4 am with itchy scalp and hives covering the back of my head, back of neck and back of ears.  As the day wore on hives appeared on front of neck, chest, legs, and feet.  At 2 pm the hives continued to get worse.  By 10 pm hives were breaking out all over back  Day 12 (January 2, 2022) woke up at 4 am with hives on thighs, back, torso, front and back, shoulders and breasts. Hives were extremely itchy, red, raised.  At 7 a.m. began to feel tightness in throat which continued for several more hours. at 10 a.m. arrived at the urgent care clinic where I was seen at approximately 10:30 a.m. saw dermatologist the next day.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous, Rash papular, Rash pruritic, Sleep disorder
Clinical narrative: Day 2 (Dec 23) woke up at 5 a,m, feeling nauseous, fatigued, light headed; symptoms lasted approximately 10 hours.  By 3 pm I felt completely normal. Day 11 (January 1, 2022) woke up at 4 am with itchy scalp and hives covering the back of my head, back of neck and back of ears.  As the day wore on hives appeared on front of neck, chest, legs, and feet.  At 2 pm the hives continued to get worse.  By 10 pm hives were breaking out all over back  Day 12 (January 2, 2022) woke up at 4 am with hives on thighs, back, torso, front and back, shoulders and breasts. Hives were extremely itchy, red, raised.  At 7 a.m. began to feel tightness in throat which continued for several more hours. at 10 a.m. arrived at the urgent care clinic where I was seen at approximately 10:30 a.m. saw dermatologist the next day.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness, Urticaria
Clinical narrative: Day 2 (Dec 23) woke up at 5 a,m, feeling nauseous, fatigued, light headed; symptoms lasted approximately 10 hours.  By 3 pm I felt completely normal. Day 11 (January 1, 2022) woke up at 4 am with itchy scalp and hives covering the back of my head, back of neck and back of ears.  As the day wore on hives appeared on front of neck, chest, legs, and feet.  At 2 pm the hives continued to get worse.  By 10 pm hives were breaking out all over back  Day 12 (January 2, 2022) woke up at 4 am with hives on thighs, back, torso, front and back, shoulders and breasts. Hives were extremely itchy, red, raised.  At 7 a.m. began to feel tightness in throat which continued for several more hours. at 10 a.m. arrived at the urgent care clinic where I was seen at approximately 10:30 a.m. saw dermatologist the next day.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral, Cardiac telemetry, Echocardiogram, Embolic stroke, Laboratory test normal
Clinical narrative: pt. had an unprovoked embolic stroke on 12/22/21. no causative factor found despite extensive workup. Pt. also had influenza vaccine 11/2021.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Perfusion brain scan, Thromboembolectomy
Clinical narrative: pt. had an unprovoked embolic stroke on 12/22/21. no causative factor found despite extensive workup. Pt. also had influenza vaccine 11/2021.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Breast cyst, Breast pain, Breast tenderness, Mammogram
Clinical narrative: After receiving the pfizer booster on November 5, 2021 I started having pain in both breast and under my arms.  The pain lasted about 4 weeks in the left breast and still have tenderous in the right side near breast area as of 1/4/2022. I received the booster in my right arm.   I had a mammogram last week and another today and was told by the doctor I have a cyst in my right breast. I had no pain or symptoms until a couple of days after receiving the booster.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Early menstruation. My period usually comes on regular cycle of 29-30 days. I got my period at 24 days (6 days after receiving booster). I have never had an early period in my life. It was extremely painful and heavy flow.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: breakthrough infection
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Eye swelling, Hypersensitivity, Mechanical urticaria, Mobility decreased, Pruritus
Clinical narrative: STRONG/SEVERE ALLERGIC REACTION INCLUDING RASHES/ITCHING/DERMATOGRAPHIA COVERING VARIOUS BODY PARTS. ITHCING INDUCED EYE SWELLING.  SEVERITY CREATED INABILITY TO MAINTAIN NORMAL FUNCTIONALILITY.  AS OF TODAY, 01/04/22, ALLERGIC REACTION/SYMPTONS ARE ONGOING WITH ZERTEC TAKEN DAILY TO REDUCE SEVERITY.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: STRONG/SEVERE ALLERGIC REACTION INCLUDING RASHES/ITCHING/DERMATOGRAPHIA COVERING VARIOUS BODY PARTS. ITHCING INDUCED EYE SWELLING.  SEVERITY CREATED INABILITY TO MAINTAIN NORMAL FUNCTIONALILITY.  AS OF TODAY, 01/04/22, ALLERGIC REACTION/SYMPTONS ARE ONGOING WITH ZERTEC TAKEN DAILY TO REDUCE SEVERITY.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Lymph node pain, Lymphadenopathy
Clinical narrative: Enlarged lymph nodes in the left are of the neck - still present a month later. Area is tender to the touch with noticeable erythema
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Atrial fibrillation, COVID-19, Chest X-ray normal, Condition aggravated
Clinical narrative: This is an 89-year-old Caucasian gentleman who is fully vaccinated against  COVID-19 and has multiple medical problems, including hypertension,  hyperlipidemia, AFib on Xarelto, hard of hearing, who was sent in from home  because of generalized muscle aches and pains and generalized weakness.  Found  to have a UTI and also tested positive for COVID-19; he was sat 90% on RA, but he was  hypoxemic with his pO2 being 67.7 on room air.  The patient got Regeneron and  was supposed to be discharged home, but then he was complaining of weakness,  and the family said they could not take him home since he was too weak.  Also,  he was found to be in AFib with RVR. received ceftriaxone, dexamethasone, and vancomycin. Discharged on 12/24/21
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Myalgia, Pain, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: This is an 89-year-old Caucasian gentleman who is fully vaccinated against  COVID-19 and has multiple medical problems, including hypertension,  hyperlipidemia, AFib on Xarelto, hard of hearing, who was sent in from home  because of generalized muscle aches and pains and generalized weakness.  Found  to have a UTI and also tested positive for COVID-19; he was sat 90% on RA, but he was  hypoxemic with his pO2 being 67.7 on room air.  The patient got Regeneron and  was supposed to be discharged home, but then he was complaining of weakness,  and the family said they could not take him home since he was too weak.  Also,  he was found to be in AFib with RVR. received ceftriaxone, dexamethasone, and vancomycin. Discharged on 12/24/21
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site mass, Injection site pain, Limb injury, Lymphadenopathy
Clinical narrative: Site: Pain at Injection Site-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Lymph Node Swelling-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: pain radiating up to the neck region as well as painful lump near breast of injection site
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paraesthesia, Rash
Clinical narrative: Site: Pain at Injection Site-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Lymph Node Swelling-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: pain radiating up to the neck region as well as painful lump near breast of injection site
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Crying, Depression, Feeling abnormal, Insomnia
Clinical narrative: I felt drastically more depressed than usual after at least 24 hours received the vaccine. I am not sure whether it is due to the vaccine or any other factors. While I felt very bad these two days, I still consider the symptom to be very slight because no suicidal thoughts or full immobility has occurred.  I cried for almost one day and slept even less than usual (about 1 hour, usually sleep for about 4 hours for 3 months). I was not very mobile.  Two or three years ago, I had same symptoms with similar severity immediately after I took cough syrup from supermarket. Therefore, I suspect there might be some very rare medical interactions going on. To save myself, I tried to talk to people, walked and exercised a bit, and monitoring my thoughts to see if I need to go to the ER. On the second day, the mood was still very down but I feel I can make it to Wednesday for my regular counseling appointment.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Mood altered
Clinical narrative: I felt drastically more depressed than usual after at least 24 hours received the vaccine. I am not sure whether it is due to the vaccine or any other factors. While I felt very bad these two days, I still consider the symptom to be very slight because no suicidal thoughts or full immobility has occurred.  I cried for almost one day and slept even less than usual (about 1 hour, usually sleep for about 4 hours for 3 months). I was not very mobile.  Two or three years ago, I had same symptoms with similar severity immediately after I took cough syrup from supermarket. Therefore, I suspect there might be some very rare medical interactions going on. To save myself, I tried to talk to people, walked and exercised a bit, and monitoring my thoughts to see if I need to go to the ER. On the second day, the mood was still very down but I feel I can make it to Wednesday for my regular counseling appointment.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria
Clinical narrative: I developed dermatographia exactly 2 weeks after receiving my Moderna booster