chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Had noises in my ears like a clock ticking.  I have titinus but this was not a ringing noise.  A couple of weeks later I woke up with my right eyelid all swollen and bruised and went to the ER where there they did a CT scan to make sure I didn't have a blood clot and I did not.  Also my platelets were in the normal range.  It took a good week for the swelling and bruising to go down and the bruising even went down my face somewhat.  I had an appointment with my eye doctor and he didn't know why it happened, but may have had something to do with my taking low dose aspirin.  I did not have any contusion to the eye and it was not hit by anything.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Dyspnoea
Clinical narrative: FELT FAINT, DIFFICULTY BREATHING, CHEST TIGHTNESS. PARAMEDICS CAME, VSS, HX OF FAINTING WITH BLOOD DRAWN. DID NOT EAT OR DRINK PRIOR TO VACCINATION. PROVIDED HYDRATION, SX RESOLVED. NO TRANSPORT.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Computerised tomogram, Condition aggravated, Dizziness
Clinical narrative: I was still having chest pain and breathing problems prior to getting it, so they wanted me to get the vaccine because if I got COVID, it would kill me. Over the weeks, my breathing worsened and I had terrible chest pains. They did another CT Scan to make sure I didn't have another embolism. The symptoms of my other conditions flared as well. I got the vaccine 3 or 4 days before the news was released about the blood clots. I'm still experiencing breathing issues, chest pains and dizziness. I'm now on additional meds for my lupus: Cymbalta and Lyrica. They're trying to help with the chest pain and polymyalgia. I was also given a Lidoderm patch to help with my chest pain. It just seems like everything got worse afterwards. I'm not sure if my lungs will ever function at 100% due to everything going on.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fibrin D dimer, Pulmonary function test, X-ray
Clinical narrative: I was still having chest pain and breathing problems prior to getting it, so they wanted me to get the vaccine because if I got COVID, it would kill me. Over the weeks, my breathing worsened and I had terrible chest pains. They did another CT Scan to make sure I didn't have another embolism. The symptoms of my other conditions flared as well. I got the vaccine 3 or 4 days before the news was released about the blood clots. I'm still experiencing breathing issues, chest pains and dizziness. I'm now on additional meds for my lupus: Cymbalta and Lyrica. They're trying to help with the chest pain and polymyalgia. I was also given a Lidoderm patch to help with my chest pain. It just seems like everything got worse afterwards. I'm not sure if my lungs will ever function at 100% due to everything going on.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute myocardial infarction, Angiocardiogram, Arteriogram coronary abnormal, Chest pain, Coronary artery disease
Clinical narrative: Acute Myocarditis
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram, Magnetic resonance imaging heart, Myocarditis, Troponin increased
Clinical narrative: Acute Myocarditis
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Heart rate increased
Clinical narrative: I first noticed an increase in my Heart-Rate about 15 seconds after the injection. I also felt an unusual pain in my lower back area, down to the end of my spine. During my 30-minute waiting period after the injection the symptoms did not subside.  Since I am allergic to Insect Stings, I had 25 mg Diphenhydramine Tablets and my Epinephrine Injector with me at the clinic. I took one 25 mg Diphenhydramine Tablet orally with water.  My symptoms subsided after about 30 minutes. I waited an  additional 30 minutes at the clinic.  My  wife and I left after that time period. I presently feel normal at this time.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Musculoskeletal stiffness
Clinical narrative: I started to feel a stiff neck  and pain on the upper right part of my back about 4 hours after receiving the Pfizer vaccine on my right arm. I have continued to feel the problem with my neck for several days. When I called the doctor's office  I was told to take Tylenol for the pain.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site pain, Pain, Pyrexia
Clinical narrative: Chills, low grade fever, severe body aches, fatigue, severe pain at shot site
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Influenza like illness, Migraine
Clinical narrative: Starting with headache that turned into a 4 day SEVERE MIGRAINE with 2 hours of shot.  Had some Flu like symptoms but it was the migraine that poor me down for almost 2 weeks. Need to ask people if they have history of these. Haven't had migraine this severe on several years.  Scheduling second shot but so scared after what happened first time.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: fatigue/ tiredness
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Received second dose one week early.  Received at 21 days rather than 28.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Vaccine administered to child under the age of 12.  No adverse event.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Vaccination complication, Vision blurred, Visual impairment
Clinical narrative: Patient had cataract surgery on 5/17/2021 on her left eye. She received her second COVID shot (Moderna) on 5/21/2021. Saturday night she started feeling under the weather. Sunday morning she had cloudy vision in her left eye. Monday her vision was almost completely gone. She was seen by the doctor that did her cataract surgery and he said that the vision loss was due to constricted vessels in her eye and that was caused by the COVID shot. The patient's vision has since fully recovered.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypersensitivity, Immediate post-injection reaction, Multiple sclerosis relapse, Rash
Clinical narrative: This is a 45-year-old female with past medical history of multiple sclerosis, hypothyroidism, pseudoseizures, conversion disorder, who presents to the emergency department from COVID-19 vaccination clinic after having a reported allergic reaction and seizure-like activity.  She presents by EMS who reports that she was given intramuscular epinephrine as well as IV Benadryl for her symptoms.  EMS reports that they saw generalized convulsive activity while the patient was alert and oriented, he reports this as "pseudoseizure-like activity".  She was receiving her second dose of the COVID-19 vaccination today, she reports that she immediately thereafter got a rash to her torso and became short of breath.  She was feeling well prior to the vaccination.  She denies any other recent acute illnesses including fevers, chills, nausea, vomiting, diarrhea, chest pain.  She says that she is currently undergoing a relapse of her multiple sclerosis and has been wheelchair-bound for 1 month.  This is a 45-year-old female with past medical history of multiple sclerosis, hypothyroidism, pseudoseizures, conversion disorder, who presents to the emergency department from COVID-19 vaccination clinic after having a reported allergic reaction and seizure-like activity.  She presents by EMS who reports that she was given intramuscular epinephrine as well as IV Benadryl for her symptoms.  EMS reports that they saw generalized convulsive activity while the patient was alert and oriented, he reports this as "pseudoseizure-like activity".  She was receiving her second dose of the COVID-19 vaccination today, she reports that she immediately thereafter got a rash to her torso and became short of breath.  She was feeling well prior to the vaccination.  She denies any other recent acute illnesses including fevers, chills, nausea, vomiting, diarrhea, chest pain.  She says that she is currently undergoing a relapse of her multiple sclerosis and has been wheelchair-bound for 1 month.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure, Tuberculin test positive, Wheelchair user
Clinical narrative: This is a 45-year-old female with past medical history of multiple sclerosis, hypothyroidism, pseudoseizures, conversion disorder, who presents to the emergency department from COVID-19 vaccination clinic after having a reported allergic reaction and seizure-like activity.  She presents by EMS who reports that she was given intramuscular epinephrine as well as IV Benadryl for her symptoms.  EMS reports that they saw generalized convulsive activity while the patient was alert and oriented, he reports this as "pseudoseizure-like activity".  She was receiving her second dose of the COVID-19 vaccination today, she reports that she immediately thereafter got a rash to her torso and became short of breath.  She was feeling well prior to the vaccination.  She denies any other recent acute illnesses including fevers, chills, nausea, vomiting, diarrhea, chest pain.  She says that she is currently undergoing a relapse of her multiple sclerosis and has been wheelchair-bound for 1 month.  This is a 45-year-old female with past medical history of multiple sclerosis, hypothyroidism, pseudoseizures, conversion disorder, who presents to the emergency department from COVID-19 vaccination clinic after having a reported allergic reaction and seizure-like activity.  She presents by EMS who reports that she was given intramuscular epinephrine as well as IV Benadryl for her symptoms.  EMS reports that they saw generalized convulsive activity while the patient was alert and oriented, he reports this as "pseudoseizure-like activity".  She was receiving her second dose of the COVID-19 vaccination today, she reports that she immediately thereafter got a rash to her torso and became short of breath.  She was feeling well prior to the vaccination.  She denies any other recent acute illnesses including fevers, chills, nausea, vomiting, diarrhea, chest pain.  She says that she is currently undergoing a relapse of her multiple sclerosis and has been wheelchair-bound for 1 month.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, Fatigue, Ischaemic hepatitis, Pneumonia
Clinical narrative: Fatigue, weakness, Acute kidney injury, shock liver, thrombocytopenia, pneumonia, syncope, wide complex tachycardia over last 2 weeks
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Tachycardia, Thrombocytopenia
Clinical narrative: Fatigue, weakness, Acute kidney injury, shock liver, thrombocytopenia, pneumonia, syncope, wide complex tachycardia over last 2 weeks
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Eye irritation, Herpes zoster, Migraine, Paraesthesia oral
Clinical narrative: Her tongue felt funny and was swollen. Only lasted a couple hours. Her right eye started irritating her. Went to see an opthamologist who said she was having ocular migraines. Then she developed shingles. Dr. told her not to take the second vaccine and put her on medicine for a year.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: Her tongue felt funny and was swollen. Only lasted a couple hours. Her right eye started irritating her. Went to see an opthamologist who said she was having ocular migraines. Then she developed shingles. Dr. told her not to take the second vaccine and put her on medicine for a year.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction
Clinical narrative: Patient felt slightly dizzy immediately after administration
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Herpes zoster, Pruritus
Clinical narrative: Shingles rash on and around upper right arm and nearby torso with extreme itching.  Rash is in small half dollar size circles
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Lethargy
Clinical narrative: Lethargic; Lightheadedness; Other.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: The second dose of this vaccine was given earlier than recommended. The patient's first dose was 05/07/21 and therefore was due for the second dose 05/28/21. No adverse events were reported by the patient.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombosis, Ultrasound scan
Clinical narrative: Sustained blood clots in left calf area approximately 6 days after receiving 1st dose.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Janssen COVID-19 Vaccine EUA  Pt lost consciousness after vaccine while waiting the 15 minutes before leaving.  Father notified us at that time that he loses consciousness after all his vaccines. Pt is now okay and has left with father.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chills, Fatigue, Injection site pain, Pyrexia
Clinical narrative: At 12:45, AM, my son got chilled and began shaking uncontrollably. He began running a 103 fever,. The fever, would drop to 101 with Tylenol, but would spike as soon as it would wear off.   He was very tired and  slept most of today. Today, the fever is gone, but his back hurts and so does the injection site.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: At 12:45, AM, my son got chilled and began shaking uncontrollably. He began running a 103 fever,. The fever, would drop to 101 with Tylenol, but would spike as soon as it would wear off.   He was very tired and  slept most of today. Today, the fever is gone, but his back hurts and so does the injection site.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Pain in extremity, Pyrexia
Clinical narrative: Fevers on 5/18 (1 day after) up to 103 F and resolved on 5/19.  Severe chest and affected arm pain on 5/19 resolved on 5/20.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: pt got dizzy; took bp 102/64 gave apple juice and cold pack
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Dry skin, Eczema, Skin exfoliation
Clinical narrative: Eczema outbreak on right middle finger. Has lasted for several weeks, changing from dry flaky skin to weeping blisters. I normally get very mild eczema, this is worse than I?ve had in years.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysmenorrhoea, Hypomenorrhoea, Laboratory test normal, Menopause, Menstruation irregular
Clinical narrative: I have gone through menopause and hadn't had a period in two full years. I got my period about a month after the first Pfizer COVID injection complete with cramps. The period was similar to periods I used to get which is is a light period that lasts a couple days. (I wouldn't have related this event to these shots but then saw a BBC article about this affect on women.)
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: The patient was given the Moderna vaccine at the age of 17. No adverse signs or symptoms have been reported.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: An attendee fainted after receiving vaccine Pfizer 1st dose. She didn?t lose her airway. The business called 911 they assessed the situation and said she was ok. Patient up walking around.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient entered birthdate of 2002 at first vaccination, which would have made him 18 years old. When presenting for the 2nd vaccination, he told us his birth year was 2003, which makes him 17 years, and not eligible for Moderna. We completed the series since we started it.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Induration, Pain of skin, Skin warm
Clinical narrative: Red spot, hard, warm, sore, extreme fatigue
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 2nd Vaccine administered on day 11.   No adverse reaction
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Hyperhidrosis, Pyrexia
Clinical narrative: Patient says he spike a high fever then the next day his arm pits are red and he is sweating alot
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: I DONT HAVE ANY SYMPTOMS I WANT TO REPORT THAT IAM TRYING GET  MY EXCELSIOR PASS WALLET AND IT KEEP STATING MY INFORMATION CAN BE FIND , I NEED TO KNOW WHERE THIS INFORMATION IS BEEN REPORT , NOW IAM NOT ABLE TO START WORKING . MY WORK  NEED MY INFORMATION TO BE UPLOAD INTO THIS APPLICATION .
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Oxygen therapy
Clinical narrative: woozy, weak,used oxygen,
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination complication
Clinical narrative: Have "COVID arm" side effect that is usually associated with the Moderna vaccine
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Hot flush
Clinical narrative: The night of the vaccine, I began having hot flashes through the night. I didn't worry about it because I assumed it was normal. What does not seem normal is the fact that the hot flashes have continued. I'm now more than 3 weeks post vaccination, and each night I have multiple hot flashes all night long. I did not have any hot flashes before this vaccine.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-transglutaminase antibody, Blood creatine phosphokinase normal, Blood follicle stimulating hormone normal, Blood iron, Blood lactate dehydrogenase normal
Clinical narrative: Beginning on 1/24, I had left thigh paresthesias. The next day on 1/25 I had entire left side of my body paresthesias of left leg, arm, trunk and face/head. I also had associated left lower lip asymmetry/droop - it resolved with smiling but was noted at rest. I went to the ED on 1/25/21 evening to be evaluated due to facial asymmetry and paresthesias and had a brain MRI and C spine MRI which did not show any abnormalities (no signs of multiple sclerosis, brain tumor, stroke, etc) on 1/26/21. Vitamin B12 levels were sent and Lyme titers were sent. Lyme was negative and vitamin B12 was ultimately seen to be in low normal range at 223 on 1/26/21. I continued to have paresthesias on both right and left sides of my body but no other development of weakness anywhere with exception of slight facial asymmetry. I had iron studies and tissue transglutaminase as well to screen for malabsorption, which was normal, except for mildly low ferritin 12 on 2/1. I started IM vitamin B12 injections for 4 weeks. I also had TSH, free T4,  hepatitis C antibody on 2/1 to evaluate for other causes of paresthesias, which was negative, and lead testing on 3/17 which was normal. Due to symptoms persisting, I also had an EMG/NCS on 3/15 since symptoms were still present given concern for mild guillan-barre syndrome. This did not show results consistent with large fiber sensorimotor polyneuropathy such as guillan-barre syndrome. During this same time period, I began to have night sweats soaking through my pajamas and even the sheets of my bed on 2/10, 2/11, 2/24, 2/26, 3/9, 3/11 and 3/12. For these night sweats, I underwent a work-up as well with echocardiogram on 2/16 which was negative for endocarditis (showed incidental atrial septal aneurysm) and with LDH, uric acid, CRP, ESR, CBC and HIV testing that was all normal on 3/1. I had a chest x-ray on 3/12 and CPK, HFP, and FSH on 3/17 to evaluate for other causes of night sweats, which was all negative/normal. I had a CT abd/pelvis on 3/25 which was also reassuring against oncologic process. I had a bubble echo on 5/20 to ensure no PFO with atrial septal aneurysm, which was negative for PFO. Night sweats have improved, but I continue to have paresthesias that come and go.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lead, Blood test normal, Blood thyroid stimulating hormone, Blood uric acid normal, C-reactive protein normal
Clinical narrative: Beginning on 1/24, I had left thigh paresthesias. The next day on 1/25 I had entire left side of my body paresthesias of left leg, arm, trunk and face/head. I also had associated left lower lip asymmetry/droop - it resolved with smiling but was noted at rest. I went to the ED on 1/25/21 evening to be evaluated due to facial asymmetry and paresthesias and had a brain MRI and C spine MRI which did not show any abnormalities (no signs of multiple sclerosis, brain tumor, stroke, etc) on 1/26/21. Vitamin B12 levels were sent and Lyme titers were sent. Lyme was negative and vitamin B12 was ultimately seen to be in low normal range at 223 on 1/26/21. I continued to have paresthesias on both right and left sides of my body but no other development of weakness anywhere with exception of slight facial asymmetry. I had iron studies and tissue transglutaminase as well to screen for malabsorption, which was normal, except for mildly low ferritin 12 on 2/1. I started IM vitamin B12 injections for 4 weeks. I also had TSH, free T4,  hepatitis C antibody on 2/1 to evaluate for other causes of paresthesias, which was negative, and lead testing on 3/17 which was normal. Due to symptoms persisting, I also had an EMG/NCS on 3/15 since symptoms were still present given concern for mild guillan-barre syndrome. This did not show results consistent with large fiber sensorimotor polyneuropathy such as guillan-barre syndrome. During this same time period, I began to have night sweats soaking through my pajamas and even the sheets of my bed on 2/10, 2/11, 2/24, 2/26, 3/9, 3/11 and 3/12. For these night sweats, I underwent a work-up as well with echocardiogram on 2/16 which was negative for endocarditis (showed incidental atrial septal aneurysm) and with LDH, uric acid, CRP, ESR, CBC and HIV testing that was all normal on 3/1. I had a chest x-ray on 3/12 and CPK, HFP, and FSH on 3/17 to evaluate for other causes of night sweats, which was all negative/normal. I had a CT abd/pelvis on 3/25 which was also reassuring against oncologic process. I had a bubble echo on 5/20 to ensure no PFO with atrial septal aneurysm, which was negative for PFO. Night sweats have improved, but I continue to have paresthesias that come and go.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Computerised tomogram abdomen, Computerised tomogram pelvis, Echocardiogram normal, Electrocardiogram normal
Clinical narrative: Beginning on 1/24, I had left thigh paresthesias. The next day on 1/25 I had entire left side of my body paresthesias of left leg, arm, trunk and face/head. I also had associated left lower lip asymmetry/droop - it resolved with smiling but was noted at rest. I went to the ED on 1/25/21 evening to be evaluated due to facial asymmetry and paresthesias and had a brain MRI and C spine MRI which did not show any abnormalities (no signs of multiple sclerosis, brain tumor, stroke, etc) on 1/26/21. Vitamin B12 levels were sent and Lyme titers were sent. Lyme was negative and vitamin B12 was ultimately seen to be in low normal range at 223 on 1/26/21. I continued to have paresthesias on both right and left sides of my body but no other development of weakness anywhere with exception of slight facial asymmetry. I had iron studies and tissue transglutaminase as well to screen for malabsorption, which was normal, except for mildly low ferritin 12 on 2/1. I started IM vitamin B12 injections for 4 weeks. I also had TSH, free T4,  hepatitis C antibody on 2/1 to evaluate for other causes of paresthesias, which was negative, and lead testing on 3/17 which was normal. Due to symptoms persisting, I also had an EMG/NCS on 3/15 since symptoms were still present given concern for mild guillan-barre syndrome. This did not show results consistent with large fiber sensorimotor polyneuropathy such as guillan-barre syndrome. During this same time period, I began to have night sweats soaking through my pajamas and even the sheets of my bed on 2/10, 2/11, 2/24, 2/26, 3/9, 3/11 and 3/12. For these night sweats, I underwent a work-up as well with echocardiogram on 2/16 which was negative for endocarditis (showed incidental atrial septal aneurysm) and with LDH, uric acid, CRP, ESR, CBC and HIV testing that was all normal on 3/1. I had a chest x-ray on 3/12 and CPK, HFP, and FSH on 3/17 to evaluate for other causes of night sweats, which was all negative/normal. I had a CT abd/pelvis on 3/25 which was also reassuring against oncologic process. I had a bubble echo on 5/20 to ensure no PFO with atrial septal aneurysm, which was negative for PFO. Night sweats have improved, but I continue to have paresthesias that come and go.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Electromyogram, Facial asymmetry, Full blood count normal, HIV test negative, Hepatitis C antibody
Clinical narrative: Beginning on 1/24, I had left thigh paresthesias. The next day on 1/25 I had entire left side of my body paresthesias of left leg, arm, trunk and face/head. I also had associated left lower lip asymmetry/droop - it resolved with smiling but was noted at rest. I went to the ED on 1/25/21 evening to be evaluated due to facial asymmetry and paresthesias and had a brain MRI and C spine MRI which did not show any abnormalities (no signs of multiple sclerosis, brain tumor, stroke, etc) on 1/26/21. Vitamin B12 levels were sent and Lyme titers were sent. Lyme was negative and vitamin B12 was ultimately seen to be in low normal range at 223 on 1/26/21. I continued to have paresthesias on both right and left sides of my body but no other development of weakness anywhere with exception of slight facial asymmetry. I had iron studies and tissue transglutaminase as well to screen for malabsorption, which was normal, except for mildly low ferritin 12 on 2/1. I started IM vitamin B12 injections for 4 weeks. I also had TSH, free T4,  hepatitis C antibody on 2/1 to evaluate for other causes of paresthesias, which was negative, and lead testing on 3/17 which was normal. Due to symptoms persisting, I also had an EMG/NCS on 3/15 since symptoms were still present given concern for mild guillan-barre syndrome. This did not show results consistent with large fiber sensorimotor polyneuropathy such as guillan-barre syndrome. During this same time period, I began to have night sweats soaking through my pajamas and even the sheets of my bed on 2/10, 2/11, 2/24, 2/26, 3/9, 3/11 and 3/12. For these night sweats, I underwent a work-up as well with echocardiogram on 2/16 which was negative for endocarditis (showed incidental atrial septal aneurysm) and with LDH, uric acid, CRP, ESR, CBC and HIV testing that was all normal on 3/1. I had a chest x-ray on 3/12 and CPK, HFP, and FSH on 3/17 to evaluate for other causes of night sweats, which was all negative/normal. I had a CT abd/pelvis on 3/25 which was also reassuring against oncologic process. I had a bubble echo on 5/20 to ensure no PFO with atrial septal aneurysm, which was negative for PFO. Night sweats have improved, but I continue to have paresthesias that come and go.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Lip disorder, Liver function test normal, Magnetic resonance imaging head normal, Magnetic resonance imaging neck, Nerve conduction studies
Clinical narrative: Beginning on 1/24, I had left thigh paresthesias. The next day on 1/25 I had entire left side of my body paresthesias of left leg, arm, trunk and face/head. I also had associated left lower lip asymmetry/droop - it resolved with smiling but was noted at rest. I went to the ED on 1/25/21 evening to be evaluated due to facial asymmetry and paresthesias and had a brain MRI and C spine MRI which did not show any abnormalities (no signs of multiple sclerosis, brain tumor, stroke, etc) on 1/26/21. Vitamin B12 levels were sent and Lyme titers were sent. Lyme was negative and vitamin B12 was ultimately seen to be in low normal range at 223 on 1/26/21. I continued to have paresthesias on both right and left sides of my body but no other development of weakness anywhere with exception of slight facial asymmetry. I had iron studies and tissue transglutaminase as well to screen for malabsorption, which was normal, except for mildly low ferritin 12 on 2/1. I started IM vitamin B12 injections for 4 weeks. I also had TSH, free T4,  hepatitis C antibody on 2/1 to evaluate for other causes of paresthesias, which was negative, and lead testing on 3/17 which was normal. Due to symptoms persisting, I also had an EMG/NCS on 3/15 since symptoms were still present given concern for mild guillan-barre syndrome. This did not show results consistent with large fiber sensorimotor polyneuropathy such as guillan-barre syndrome. During this same time period, I began to have night sweats soaking through my pajamas and even the sheets of my bed on 2/10, 2/11, 2/24, 2/26, 3/9, 3/11 and 3/12. For these night sweats, I underwent a work-up as well with echocardiogram on 2/16 which was negative for endocarditis (showed incidental atrial septal aneurysm) and with LDH, uric acid, CRP, ESR, CBC and HIV testing that was all normal on 3/1. I had a chest x-ray on 3/12 and CPK, HFP, and FSH on 3/17 to evaluate for other causes of night sweats, which was all negative/normal. I had a CT abd/pelvis on 3/25 which was also reassuring against oncologic process. I had a bubble echo on 5/20 to ensure no PFO with atrial septal aneurysm, which was negative for PFO. Night sweats have improved, but I continue to have paresthesias that come and go.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Night sweats, Paraesthesia, Red blood cell sedimentation rate normal, Serum ferritin decreased, Thyroxine free
Clinical narrative: Beginning on 1/24, I had left thigh paresthesias. The next day on 1/25 I had entire left side of my body paresthesias of left leg, arm, trunk and face/head. I also had associated left lower lip asymmetry/droop - it resolved with smiling but was noted at rest. I went to the ED on 1/25/21 evening to be evaluated due to facial asymmetry and paresthesias and had a brain MRI and C spine MRI which did not show any abnormalities (no signs of multiple sclerosis, brain tumor, stroke, etc) on 1/26/21. Vitamin B12 levels were sent and Lyme titers were sent. Lyme was negative and vitamin B12 was ultimately seen to be in low normal range at 223 on 1/26/21. I continued to have paresthesias on both right and left sides of my body but no other development of weakness anywhere with exception of slight facial asymmetry. I had iron studies and tissue transglutaminase as well to screen for malabsorption, which was normal, except for mildly low ferritin 12 on 2/1. I started IM vitamin B12 injections for 4 weeks. I also had TSH, free T4,  hepatitis C antibody on 2/1 to evaluate for other causes of paresthesias, which was negative, and lead testing on 3/17 which was normal. Due to symptoms persisting, I also had an EMG/NCS on 3/15 since symptoms were still present given concern for mild guillan-barre syndrome. This did not show results consistent with large fiber sensorimotor polyneuropathy such as guillan-barre syndrome. During this same time period, I began to have night sweats soaking through my pajamas and even the sheets of my bed on 2/10, 2/11, 2/24, 2/26, 3/9, 3/11 and 3/12. For these night sweats, I underwent a work-up as well with echocardiogram on 2/16 which was negative for endocarditis (showed incidental atrial septal aneurysm) and with LDH, uric acid, CRP, ESR, CBC and HIV testing that was all normal on 3/1. I had a chest x-ray on 3/12 and CPK, HFP, and FSH on 3/17 to evaluate for other causes of night sweats, which was all negative/normal. I had a CT abd/pelvis on 3/25 which was also reassuring against oncologic process. I had a bubble echo on 5/20 to ensure no PFO with atrial septal aneurysm, which was negative for PFO. Night sweats have improved, but I continue to have paresthesias that come and go.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Vitamin B12 abnormal
Clinical narrative: Beginning on 1/24, I had left thigh paresthesias. The next day on 1/25 I had entire left side of my body paresthesias of left leg, arm, trunk and face/head. I also had associated left lower lip asymmetry/droop - it resolved with smiling but was noted at rest. I went to the ED on 1/25/21 evening to be evaluated due to facial asymmetry and paresthesias and had a brain MRI and C spine MRI which did not show any abnormalities (no signs of multiple sclerosis, brain tumor, stroke, etc) on 1/26/21. Vitamin B12 levels were sent and Lyme titers were sent. Lyme was negative and vitamin B12 was ultimately seen to be in low normal range at 223 on 1/26/21. I continued to have paresthesias on both right and left sides of my body but no other development of weakness anywhere with exception of slight facial asymmetry. I had iron studies and tissue transglutaminase as well to screen for malabsorption, which was normal, except for mildly low ferritin 12 on 2/1. I started IM vitamin B12 injections for 4 weeks. I also had TSH, free T4,  hepatitis C antibody on 2/1 to evaluate for other causes of paresthesias, which was negative, and lead testing on 3/17 which was normal. Due to symptoms persisting, I also had an EMG/NCS on 3/15 since symptoms were still present given concern for mild guillan-barre syndrome. This did not show results consistent with large fiber sensorimotor polyneuropathy such as guillan-barre syndrome. During this same time period, I began to have night sweats soaking through my pajamas and even the sheets of my bed on 2/10, 2/11, 2/24, 2/26, 3/9, 3/11 and 3/12. For these night sweats, I underwent a work-up as well with echocardiogram on 2/16 which was negative for endocarditis (showed incidental atrial septal aneurysm) and with LDH, uric acid, CRP, ESR, CBC and HIV testing that was all normal on 3/1. I had a chest x-ray on 3/12 and CPK, HFP, and FSH on 3/17 to evaluate for other causes of night sweats, which was all negative/normal. I had a CT abd/pelvis on 3/25 which was also reassuring against oncologic process. I had a bubble echo on 5/20 to ensure no PFO with atrial septal aneurysm, which was negative for PFO. Night sweats have improved, but I continue to have paresthesias that come and go.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Appendicectomy, Appendicitis, Blood immunoglobulin A increased, Blood immunoglobulin G increased
Clinical narrative: My wife presented with severe stomach pain, which was believed to be a sign of pancreatitis (a known adverse effect due to her ALK+ lung cancer tyrosine kinase inhibitor treatment) so we went to the ER on Apr 23.  Following a CT scan, she was diagnosed with acute appendicitis.  She had elevated IGA and IGG.  Additionally, she was discovered to have a pulmonary embolism.    Through the ER treatment, her blood pressure dropped below 60/40 - which was later discovered to be an unknown allergy to beta lactam antibiotics (piperacillin).  This required her to be admitted to the ICU.  Surgery was scheduled to remove her appendix Apr 24.  Post surgical complications ensued resulting in an additional 9 day hospital stay to correct a herniated surgical site and eventually remove a hematoma.  The NSCLC treatment had started 3 days prior to the vaccine , and was dose escalated on Apr 19th.  The tyrosine kinase inhibitor (TKI) is particularly susceptible to CYP3A4 inhibitors and inducers, which she was also taking (e.g. Dexamethasone, omeprazole, and THC).  Her blood pressure was well above baseline at the ER on Apr 23 before the blood pressure crash following administration of piperacillin, which was mostly reversed through administration of norepinephrine.   Whether the appendicitis was triggered by an unsafe pooling of her TKI due to the concomitant use of other CYP3A4 inducers and inhibitors, or whether the vaccine played a role is unknown.  At the time, we were unaware of the need to avoid CYP3A4 inhibitors.   However the higher IGA levels has been previously shown to tie more to a vaccine response which led us to believe the appendix played a role in IGA levels rather than adverse effects from the TKI and concomitant use of CYP3A4 inhibitors.  For this reason, it was suggested that we fill out a VEARS report.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure decreased, Computerised tomogram abdomen abnormal, Drug hypersensitivity, Haematoma, Incisional hernia
Clinical narrative: My wife presented with severe stomach pain, which was believed to be a sign of pancreatitis (a known adverse effect due to her ALK+ lung cancer tyrosine kinase inhibitor treatment) so we went to the ER on Apr 23.  Following a CT scan, she was diagnosed with acute appendicitis.  She had elevated IGA and IGG.  Additionally, she was discovered to have a pulmonary embolism.    Through the ER treatment, her blood pressure dropped below 60/40 - which was later discovered to be an unknown allergy to beta lactam antibiotics (piperacillin).  This required her to be admitted to the ICU.  Surgery was scheduled to remove her appendix Apr 24.  Post surgical complications ensued resulting in an additional 9 day hospital stay to correct a herniated surgical site and eventually remove a hematoma.  The NSCLC treatment had started 3 days prior to the vaccine , and was dose escalated on Apr 19th.  The tyrosine kinase inhibitor (TKI) is particularly susceptible to CYP3A4 inhibitors and inducers, which she was also taking (e.g. Dexamethasone, omeprazole, and THC).  Her blood pressure was well above baseline at the ER on Apr 23 before the blood pressure crash following administration of piperacillin, which was mostly reversed through administration of norepinephrine.   Whether the appendicitis was triggered by an unsafe pooling of her TKI due to the concomitant use of other CYP3A4 inducers and inhibitors, or whether the vaccine played a role is unknown.  At the time, we were unaware of the need to avoid CYP3A4 inhibitors.   However the higher IGA levels has been previously shown to tie more to a vaccine response which led us to believe the appendix played a role in IGA levels rather than adverse effects from the TKI and concomitant use of CYP3A4 inhibitors.  For this reason, it was suggested that we fill out a VEARS report.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Post procedural complication, Pulmonary embolism
Clinical narrative: My wife presented with severe stomach pain, which was believed to be a sign of pancreatitis (a known adverse effect due to her ALK+ lung cancer tyrosine kinase inhibitor treatment) so we went to the ER on Apr 23.  Following a CT scan, she was diagnosed with acute appendicitis.  She had elevated IGA and IGG.  Additionally, she was discovered to have a pulmonary embolism.    Through the ER treatment, her blood pressure dropped below 60/40 - which was later discovered to be an unknown allergy to beta lactam antibiotics (piperacillin).  This required her to be admitted to the ICU.  Surgery was scheduled to remove her appendix Apr 24.  Post surgical complications ensued resulting in an additional 9 day hospital stay to correct a herniated surgical site and eventually remove a hematoma.  The NSCLC treatment had started 3 days prior to the vaccine , and was dose escalated on Apr 19th.  The tyrosine kinase inhibitor (TKI) is particularly susceptible to CYP3A4 inhibitors and inducers, which she was also taking (e.g. Dexamethasone, omeprazole, and THC).  Her blood pressure was well above baseline at the ER on Apr 23 before the blood pressure crash following administration of piperacillin, which was mostly reversed through administration of norepinephrine.   Whether the appendicitis was triggered by an unsafe pooling of her TKI due to the concomitant use of other CYP3A4 inducers and inhibitors, or whether the vaccine played a role is unknown.  At the time, we were unaware of the need to avoid CYP3A4 inhibitors.   However the higher IGA levels has been previously shown to tie more to a vaccine response which led us to believe the appendix played a role in IGA levels rather than adverse effects from the TKI and concomitant use of CYP3A4 inhibitors.  For this reason, it was suggested that we fill out a VEARS report.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Cardiac stress test, Cerebrovascular accident, Computerised tomogram head abnormal, Dysarthria
Clinical narrative: 10 days after receiving the Janssen vaccination I was driving and experienced blurred vision. Pulled over, waited a while then continued driving when vision improved.  Arrived home and family member noticed facial drooping on right side as well as slurred speech.  Immediately called 911 and was transported to hospital within 30-45 minutes.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Electroencephalogram, Facial paralysis, Magnetic resonance imaging head abnormal, Troponin increased, Vision blurred
Clinical narrative: 10 days after receiving the Janssen vaccination I was driving and experienced blurred vision. Pulled over, waited a while then continued driving when vision improved.  Arrived home and family member noticed facial drooping on right side as well as slurred speech.  Immediately called 911 and was transported to hospital within 30-45 minutes.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dysphagia, Dyspnoea, Heart rate increased, Pharyngeal swelling
Clinical narrative: Within 7 minutes my throat was swollen to the point I couldn?t swallow, and could barely breathe, I was shaking, lightheaded,  and my heart beating rapidly.  The Walgreens pharmacist shot me with an epi pen.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tremor
Clinical narrative: Within 7 minutes my throat was swollen to the point I couldn?t swallow, and could barely breathe, I was shaking, lightheaded,  and my heart beating rapidly.  The Walgreens pharmacist shot me with an epi pen.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Throat tightness
Clinical narrative: Within 7 minutes my throat was swollen to the point I couldn?t swallow, and could barely breathe, I was shaking, lightheaded,  and my heart beating rapidly.  The Walgreens pharmacist shot me with an epi pen.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dysphagia, Dyspnoea, Heart rate increased, Pharyngeal swelling
Clinical narrative: Patient said she was dizzy, her throat was  tightening and she was having hard time Breathing. Pharmasist gave EPI and checked pulse, O2 and Blood pressure. First BP was 148/100 HR 128
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tremor
Clinical narrative: Patient said she was dizzy, her throat was  tightening and she was having hard time Breathing. Pharmasist gave EPI and checked pulse, O2 and Blood pressure. First BP was 148/100 HR 128
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Throat tightness
Clinical narrative: Patient said she was dizzy, her throat was  tightening and she was having hard time Breathing. Pharmasist gave EPI and checked pulse, O2 and Blood pressure. First BP was 148/100 HR 128
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Nausea
Clinical narrative: Headache and mild nausea after 2nd dose, starting at about 21hrs post and lasting about 12hrs.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Jugular vein occlusion, Nausea, Oesophageal stenosis, Pulmonary embolism, Thrombosis
Clinical narrative: As reported by NP that called with event:  Pt has had 3 hospital stays after receiving vaccine.  Pt initially went in on 3/31/2021.  Stays include: 3/31/21-4/5/21 4/12/21-4/16/21 4/29/21-5/5/21  Symptoms/diagnoses include: IJ thrombosis, PE, esophageal strictures d/t nausea/vomiting
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: As reported by NP that called with event:  Pt has had 3 hospital stays after receiving vaccine.  Pt initially went in on 3/31/2021.  Stays include: 3/31/21-4/5/21 4/12/21-4/16/21 4/29/21-5/5/21  Symptoms/diagnoses include: IJ thrombosis, PE, esophageal strictures d/t nausea/vomiting
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site erythema, Nausea, Pyrexia, Urticaria
Clinical narrative: Starting at 10:30pm 5/24 experienced chills, fever, nausea, broke fever (drenched in sweat) then repeated continuously for 36 hours.  Also have softball size red welt at injection point.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pallor, Tachycardia, Vision blurred
Clinical narrative: Patient began to sweat, complained of blurred vision, and turned very pale in the face. We called 911 and I stayed with the patient monitoring heart rate and symptoms. Patient was slightly tachycardic upon initial assessment. Once EMS arrived, patient had had resolution of blurred vision and the sweating. Her vitals were normal. Her mom refused further treatment to the hospital. I recommended to follow up with pediatrician.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: C-reactive protein increased, Chest pain, Echocardiogram abnormal, Malaise, Pericardial effusion
Clinical narrative: Pericarditis: presented to the ED on 5.26.2021 with chest pain x2 days. Has generally felt unwell since his 2nd COVID vaccination on 5.13.2021.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pericarditis, Troponin normal
Clinical narrative: Pericarditis: presented to the ED on 5.26.2021 with chest pain x2 days. Has generally felt unwell since his 2nd COVID vaccination on 5.13.2021.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Pericarditis
Clinical narrative: Pericarditis: presented to the ED on 5.26.2021 with chest pain x2 days. Has generally felt unwell since his 2nd COVID vaccination on 5.13.2021.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Heavy menstrual bleeding, Menstrual disorder, Smear cervix normal
Clinical narrative: I have not stopped menstrual bleeding. It started roughly one week (give or take) after my second dose. However, I did notice a change in my menstrual cycle after the first dose, however, the nonstop bleeding only occurred after the second dose.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: The event is strictly related to administering COVID-19 vaccine to a patient that was not 12 year of age at the time of the vaccination. There have not been any adverse events reported.   We have introduced countermeasures to prevent future events.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash
Clinical narrative: 5/20 /21 started to feel rash on both her forearms and wrists. It was itchy and red, and has little circles.   It lasted 2 days and went away. Then today the rash showed up again. The circles are slightly different. It is more itchy today. She has been taking Zyrtec for 4 days because of seasonal allergies. She was not taking Zyrtec when rash first started.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Arteriogram coronary normal, Cardiac imaging procedure abnormal, Chest pain, Condition aggravated, Echocardiogram normal
Clinical narrative: "Summary: Patient is a 35 y.o. year old female with below past cardiovascular history who was evaluated today, face-to-face, via interactive videoconferencing (secure 256-bit AES encrypted bidirectional video session).   Cardiovascular Problem List: #Suspected idiopathic myocarditis  o CTA chest 1/21/21: Normal CT angiogram of the chest.  o TTE 1/21/21: LVEF 55%. Normal RV size and function. No significant valvular disease.  o Coronary angiogram 1/21/21: Normal coronary arteries. LVEDP moderately elevated.  o cMRI 2/16/21: No evidence of acute myocarditis. There was a small focus of delayed enhancement in the mid inferior wall of the LV in a nonischemic distribution.  This is compatible with a focus of myocardial fibrosis, possibly from prior episode of myocarditis. Trace TR.  #Type 1 diabetes  #Hx of gestational diabetes      Assessment/Plan: #Myocarditis - COVID infection in 9/2020 and intense chest pain with positive troponin in 1/2021. CORS, Echo, CTA were negative for an etiology. CMR revealed a focal area of mid to subepicardial enhancement without evidence of active disease, suggestive of an old episode of myocarditis. Will treat supportively with colchicine BID. Will have RN call in 4 weeks to assess symptoms. If there is no improvement would get limited echo to make sure there is no decrement to LV function.  - Colchicine BID - total of 6 mos   Follow-up: I have scheduled a follow up appointment in 4 months to be with me. "Doctor"