chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume increased
Clinical narrative: 49 yr/o female with a history of HTN, obesity, Graves' disease, asthma, T2DM, HLD, heroin abuse, hep C, MRSA, IVDU, COPD pancreatitis who presents to the emergency department complaining of abdominal pain with associated symptoms of nausea and vomiting.  She was very flat affect and not very forthcoming with information at this time.   She endorses a history of pancreatitis.  She endorses a history of IVDU, and states she last used heroin this morning. Patient stated " I just feel crappy". Limited HPI due to patients unwillingness to provide detail information.  She reported to the triage nurse that she recently tested positive for Covid 19. Pt denies headache, chest pain, shortness of breath. Review of Systems  Constitutional: Negative for chills, diaphoresis, fatigue and fever.  HENT: Negative for facial swelling.   Eyes: Negative for redness.  Respiratory: Positive for shortness of breath. Negative for cough.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Positive for abdominal pain, nausea and vomiting. Negative for constipation and diarrhea.  Genitourinary: Negative for dysuria and flank pain.  Musculoskeletal: Negative for back pain and arthralgias.  Skin: Negative for pallor and rash.  Neurological: Negative for speech difficulty.  Hematological: Negative for adenopathy.  Psychiatric/Behavioral: Negative for confusion. The patient is not nervous/anxious.   History of Present Illness:  49 year old F with history of tobacco/substance abuse, HTN, grave's disease with severe exopthalmos, NIDDM, hep C, chronic pancreatitis. She presented to Er with complaints of abdominal pain, n/v, with recent coid + test. ER evaluation revealed wbc 10.58, BNP 7.91, troponin <0.01, BP 210/86. - CTA chest: No obvious source for the acute abdominal discomfort. The preliminary report by the VRad radiologist described "significant gastritis." However, these findings are felt to be artifactual due to suboptimal distention of the stomach, and are grossly stable when compared to multiple prior exams over the past 3 years. 2. Groundglass nodular infiltrates involving the right middle and lower lobes, indicating an atypical pneumonia. - CXR; Rounded airspace opacity in the right lower lung likely representing pneumonia or residual pneumonitis as seen on prior chest CT dated 12/12/2021   Onset: several days Location: abd pain Duration: constant Characteristics: sharp Radiation: none Alleviating factors: none Aggravating factors: none Severity: moderate Associated symptoms: n/v, headache, chest pain, soa   Patient admitted for further evaluation and treatment.  1/31/22Discharge Diagnoses:  Covid 19 pneumonia, acute resp failure with hypoxia Abdominal pain with intractable nausea and vomiting Hypertensive urgency IVDU Diabetes melliuts Grave's disease
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Metabolic function test, Monocyte count, Monocyte percentage, Nausea, Neutrophil count
Clinical narrative: 49 yr/o female with a history of HTN, obesity, Graves' disease, asthma, T2DM, HLD, heroin abuse, hep C, MRSA, IVDU, COPD pancreatitis who presents to the emergency department complaining of abdominal pain with associated symptoms of nausea and vomiting.  She was very flat affect and not very forthcoming with information at this time.   She endorses a history of pancreatitis.  She endorses a history of IVDU, and states she last used heroin this morning. Patient stated " I just feel crappy". Limited HPI due to patients unwillingness to provide detail information.  She reported to the triage nurse that she recently tested positive for Covid 19. Pt denies headache, chest pain, shortness of breath. Review of Systems  Constitutional: Negative for chills, diaphoresis, fatigue and fever.  HENT: Negative for facial swelling.   Eyes: Negative for redness.  Respiratory: Positive for shortness of breath. Negative for cough.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Positive for abdominal pain, nausea and vomiting. Negative for constipation and diarrhea.  Genitourinary: Negative for dysuria and flank pain.  Musculoskeletal: Negative for back pain and arthralgias.  Skin: Negative for pallor and rash.  Neurological: Negative for speech difficulty.  Hematological: Negative for adenopathy.  Psychiatric/Behavioral: Negative for confusion. The patient is not nervous/anxious.   History of Present Illness:  49 year old F with history of tobacco/substance abuse, HTN, grave's disease with severe exopthalmos, NIDDM, hep C, chronic pancreatitis. She presented to Er with complaints of abdominal pain, n/v, with recent coid + test. ER evaluation revealed wbc 10.58, BNP 7.91, troponin <0.01, BP 210/86. - CTA chest: No obvious source for the acute abdominal discomfort. The preliminary report by the VRad radiologist described "significant gastritis." However, these findings are felt to be artifactual due to suboptimal distention of the stomach, and are grossly stable when compared to multiple prior exams over the past 3 years. 2. Groundglass nodular infiltrates involving the right middle and lower lobes, indicating an atypical pneumonia. - CXR; Rounded airspace opacity in the right lower lung likely representing pneumonia or residual pneumonitis as seen on prior chest CT dated 12/12/2021   Onset: several days Location: abd pain Duration: constant Characteristics: sharp Radiation: none Alleviating factors: none Aggravating factors: none Severity: moderate Associated symptoms: n/v, headache, chest pain, soa   Patient admitted for further evaluation and treatment.  1/31/22Discharge Diagnoses:  Covid 19 pneumonia, acute resp failure with hypoxia Abdominal pain with intractable nausea and vomiting Hypertensive urgency IVDU Diabetes melliuts Grave's disease
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Neutrophil percentage increased, Platelet count normal, Pneumonitis, Protein total normal, Pulmonary mass
Clinical narrative: 49 yr/o female with a history of HTN, obesity, Graves' disease, asthma, T2DM, HLD, heroin abuse, hep C, MRSA, IVDU, COPD pancreatitis who presents to the emergency department complaining of abdominal pain with associated symptoms of nausea and vomiting.  She was very flat affect and not very forthcoming with information at this time.   She endorses a history of pancreatitis.  She endorses a history of IVDU, and states she last used heroin this morning. Patient stated " I just feel crappy". Limited HPI due to patients unwillingness to provide detail information.  She reported to the triage nurse that she recently tested positive for Covid 19. Pt denies headache, chest pain, shortness of breath. Review of Systems  Constitutional: Negative for chills, diaphoresis, fatigue and fever.  HENT: Negative for facial swelling.   Eyes: Negative for redness.  Respiratory: Positive for shortness of breath. Negative for cough.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Positive for abdominal pain, nausea and vomiting. Negative for constipation and diarrhea.  Genitourinary: Negative for dysuria and flank pain.  Musculoskeletal: Negative for back pain and arthralgias.  Skin: Negative for pallor and rash.  Neurological: Negative for speech difficulty.  Hematological: Negative for adenopathy.  Psychiatric/Behavioral: Negative for confusion. The patient is not nervous/anxious.   History of Present Illness:  49 year old F with history of tobacco/substance abuse, HTN, grave's disease with severe exopthalmos, NIDDM, hep C, chronic pancreatitis. She presented to Er with complaints of abdominal pain, n/v, with recent coid + test. ER evaluation revealed wbc 10.58, BNP 7.91, troponin <0.01, BP 210/86. - CTA chest: No obvious source for the acute abdominal discomfort. The preliminary report by the VRad radiologist described "significant gastritis." However, these findings are felt to be artifactual due to suboptimal distention of the stomach, and are grossly stable when compared to multiple prior exams over the past 3 years. 2. Groundglass nodular infiltrates involving the right middle and lower lobes, indicating an atypical pneumonia. - CXR; Rounded airspace opacity in the right lower lung likely representing pneumonia or residual pneumonitis as seen on prior chest CT dated 12/12/2021   Onset: several days Location: abd pain Duration: constant Characteristics: sharp Radiation: none Alleviating factors: none Aggravating factors: none Severity: moderate Associated symptoms: n/v, headache, chest pain, soa   Patient admitted for further evaluation and treatment.  1/31/22Discharge Diagnoses:  Covid 19 pneumonia, acute resp failure with hypoxia Abdominal pain with intractable nausea and vomiting Hypertensive urgency IVDU Diabetes melliuts Grave's disease
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Red blood cell count normal, Red blood cell nucleated morphology, Red cell distribution width normal, SARS-CoV-2 test positive, Troponin
Clinical narrative: 49 yr/o female with a history of HTN, obesity, Graves' disease, asthma, T2DM, HLD, heroin abuse, hep C, MRSA, IVDU, COPD pancreatitis who presents to the emergency department complaining of abdominal pain with associated symptoms of nausea and vomiting.  She was very flat affect and not very forthcoming with information at this time.   She endorses a history of pancreatitis.  She endorses a history of IVDU, and states she last used heroin this morning. Patient stated " I just feel crappy". Limited HPI due to patients unwillingness to provide detail information.  She reported to the triage nurse that she recently tested positive for Covid 19. Pt denies headache, chest pain, shortness of breath. Review of Systems  Constitutional: Negative for chills, diaphoresis, fatigue and fever.  HENT: Negative for facial swelling.   Eyes: Negative for redness.  Respiratory: Positive for shortness of breath. Negative for cough.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Positive for abdominal pain, nausea and vomiting. Negative for constipation and diarrhea.  Genitourinary: Negative for dysuria and flank pain.  Musculoskeletal: Negative for back pain and arthralgias.  Skin: Negative for pallor and rash.  Neurological: Negative for speech difficulty.  Hematological: Negative for adenopathy.  Psychiatric/Behavioral: Negative for confusion. The patient is not nervous/anxious.   History of Present Illness:  49 year old F with history of tobacco/substance abuse, HTN, grave's disease with severe exopthalmos, NIDDM, hep C, chronic pancreatitis. She presented to Er with complaints of abdominal pain, n/v, with recent coid + test. ER evaluation revealed wbc 10.58, BNP 7.91, troponin <0.01, BP 210/86. - CTA chest: No obvious source for the acute abdominal discomfort. The preliminary report by the VRad radiologist described "significant gastritis." However, these findings are felt to be artifactual due to suboptimal distention of the stomach, and are grossly stable when compared to multiple prior exams over the past 3 years. 2. Groundglass nodular infiltrates involving the right middle and lower lobes, indicating an atypical pneumonia. - CXR; Rounded airspace opacity in the right lower lung likely representing pneumonia or residual pneumonitis as seen on prior chest CT dated 12/12/2021   Onset: several days Location: abd pain Duration: constant Characteristics: sharp Radiation: none Alleviating factors: none Aggravating factors: none Severity: moderate Associated symptoms: n/v, headache, chest pain, soa   Patient admitted for further evaluation and treatment.  1/31/22Discharge Diagnoses:  Covid 19 pneumonia, acute resp failure with hypoxia Abdominal pain with intractable nausea and vomiting Hypertensive urgency IVDU Diabetes melliuts Grave's disease
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: 49 yr/o female with a history of HTN, obesity, Graves' disease, asthma, T2DM, HLD, heroin abuse, hep C, MRSA, IVDU, COPD pancreatitis who presents to the emergency department complaining of abdominal pain with associated symptoms of nausea and vomiting.  She was very flat affect and not very forthcoming with information at this time.   She endorses a history of pancreatitis.  She endorses a history of IVDU, and states she last used heroin this morning. Patient stated " I just feel crappy". Limited HPI due to patients unwillingness to provide detail information.  She reported to the triage nurse that she recently tested positive for Covid 19. Pt denies headache, chest pain, shortness of breath. Review of Systems  Constitutional: Negative for chills, diaphoresis, fatigue and fever.  HENT: Negative for facial swelling.   Eyes: Negative for redness.  Respiratory: Positive for shortness of breath. Negative for cough.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Positive for abdominal pain, nausea and vomiting. Negative for constipation and diarrhea.  Genitourinary: Negative for dysuria and flank pain.  Musculoskeletal: Negative for back pain and arthralgias.  Skin: Negative for pallor and rash.  Neurological: Negative for speech difficulty.  Hematological: Negative for adenopathy.  Psychiatric/Behavioral: Negative for confusion. The patient is not nervous/anxious.   History of Present Illness:  49 year old F with history of tobacco/substance abuse, HTN, grave's disease with severe exopthalmos, NIDDM, hep C, chronic pancreatitis. She presented to Er with complaints of abdominal pain, n/v, with recent coid + test. ER evaluation revealed wbc 10.58, BNP 7.91, troponin <0.01, BP 210/86. - CTA chest: No obvious source for the acute abdominal discomfort. The preliminary report by the VRad radiologist described "significant gastritis." However, these findings are felt to be artifactual due to suboptimal distention of the stomach, and are grossly stable when compared to multiple prior exams over the past 3 years. 2. Groundglass nodular infiltrates involving the right middle and lower lobes, indicating an atypical pneumonia. - CXR; Rounded airspace opacity in the right lower lung likely representing pneumonia or residual pneumonitis as seen on prior chest CT dated 12/12/2021   Onset: several days Location: abd pain Duration: constant Characteristics: sharp Radiation: none Alleviating factors: none Aggravating factors: none Severity: moderate Associated symptoms: n/v, headache, chest pain, soa   Patient admitted for further evaluation and treatment.  1/31/22Discharge Diagnoses:  Covid 19 pneumonia, acute resp failure with hypoxia Abdominal pain with intractable nausea and vomiting Hypertensive urgency IVDU Diabetes melliuts Grave's disease
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Cheilitis, Chest discomfort, Gingival swelling, Glossodynia, Infection
Clinical narrative: Periodic tightening of chest (primarily on right side of body) Periodic odd sensations around lymph node area Week-long severe tongue swelling & pain (limited diet to soft foods like applesauce) preceded by inner lip bumps in November 2021 "Breakthrough" COVID case in December 2021 Weird ongoing multi-week gum swelling above upper teeth (right inside quadrant of mouth) from January 2022 into February 2022
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Swollen tongue
Clinical narrative: Periodic tightening of chest (primarily on right side of body) Periodic odd sensations around lymph node area Week-long severe tongue swelling & pain (limited diet to soft foods like applesauce) preceded by inner lip bumps in November 2021 "Breakthrough" COVID case in December 2021 Weird ongoing multi-week gum swelling above upper teeth (right inside quadrant of mouth) from January 2022 into February 2022
Age: 1.08
Sex: F
Vaccine: IPV
Symptoms: Asthenia, Body temperature increased, Pain in extremity, X-ray normal
Clinical narrative: child rec'd dose on 1/25/22. On 1/27 child temp went up to 101F and unable to weight bare. Child taken to ER xray done-negative results. Saw PCP on 1/31 as follow up, temp 99.  Child's temp did not exceed 101 and  other than sore leg, no other symptom, no redness at all
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Allergy test, Blister, Blood test, Burning sensation, Pain
Clinical narrative: Severe hives, itching, burning, stinging, and blistering moving to all areas of my body including the scalp
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Skin test, Urticaria
Clinical narrative: Severe hives, itching, burning, stinging, and blistering moving to all areas of my body including the scalp
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Impaired work ability, Lymph node pain, Lymphadenopathy
Clinical narrative: Client got her Pfizer booster around 3 pm on 1.17.22. Around 5 pm the same day, she started to feel tired and had body aches and went to bed early that night. She woke up 1.18.22 and felt usual and went to work. By 10:00 am she started to chill and went home. By 11:00 am, her temp was 102.2 and her hands, legs, and feet felt like they had frostbite and were tingling like hundreds of needles in those areas. This lasted several hours. Client states she "stayed on top of taking Tylenol, drank lost of fluids, and rested. Fever did not break until 4 pm" and she started to feel better around 6 pm on the 18th. On 1.19.22, client felt mostly recovered but noticed a large, swollen, painful lymph node under her left arm which was the side of her booster injection. Client continued to drink lots of water she states that day. She also got 2 lymph massages over the next few days which she feels were helpful. She feels the lymph node was back to being normal size and non-tender by 1.24.22.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paraesthesia, Peripheral coldness, Pyrexia
Clinical narrative: Client got her Pfizer booster around 3 pm on 1.17.22. Around 5 pm the same day, she started to feel tired and had body aches and went to bed early that night. She woke up 1.18.22 and felt usual and went to work. By 10:00 am she started to chill and went home. By 11:00 am, her temp was 102.2 and her hands, legs, and feet felt like they had frostbite and were tingling like hundreds of needles in those areas. This lasted several hours. Client states she "stayed on top of taking Tylenol, drank lost of fluids, and rested. Fever did not break until 4 pm" and she started to feel better around 6 pm on the 18th. On 1.19.22, client felt mostly recovered but noticed a large, swollen, painful lymph node under her left arm which was the side of her booster injection. Client continued to drink lots of water she states that day. She also got 2 lymph massages over the next few days which she feels were helpful. She feels the lymph node was back to being normal size and non-tender by 1.24.22.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: RESIDENT PASSED AWAY ON HOSPICE SERVICES ON 12/13/21 WITH COMFORT MEASURES IN PLACE
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injected limb mobility decreased, Muscle disorder, Myalgia, Pain in extremity
Clinical narrative: 11/02/2021 A day after my booster shot it was very sore from the shot and very warm to the touch. It got difficult to move it around as well. As the days progressed it became increasingly hard to move it to the side and above my head. Since then I have been able to get some more mobility back and it started to create additional muscle pain down the arm and through the wrist. It feels as if my muscles twist when moving in certain directions. I cannot get my arm above my shoulders or pull up my pants or shrug into a jacket. I am going to go to an ortho specialist in about a week from 02/03/2022. I am currently going to physical therapy and decided that more investigation is needed.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: 11/02/2021 A day after my booster shot it was very sore from the shot and very warm to the touch. It got difficult to move it around as well. As the days progressed it became increasingly hard to move it to the side and above my head. Since then I have been able to get some more mobility back and it started to create additional muscle pain down the arm and through the wrist. It feels as if my muscles twist when moving in certain directions. I cannot get my arm above my shoulders or pull up my pants or shrug into a jacket. I am going to go to an ortho specialist in about a week from 02/03/2022. I am currently going to physical therapy and decided that more investigation is needed.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Chest X-ray, Cough, Eye pruritus
Clinical narrative: I Woke Up and I Felt Achy All Over, My Eyes Were Watery & Itchy, I Had A Fever Of 101.2, I Felt Awful So I Stayed In Bed All Day. I Took Tylenol & I Noticed My Sinuses Were Feeling Really Stuffy & My Eyes Were Watery. I Kept A Low Grade Fever For The Next Few Days & Then I Started Feeling Sinusey I Was Getting Real Congested & I Had Started To Cough A Lot, I Went To Work Monday & I Was Coughing So Bad I Had To Go Home. I Called My Dr. & He Told Me To Go Home & Get Some Rest. By Monday Night I Was Really Feeling Sick. I Was Told I Should Be Feeling Better By Wednesday But I Was Actually Feeling Worse. I Had No Energy I'm Still Really Congested & I Still Cough Often. I Have An Inhaler Now That I Use When Needed.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Influenza virus test, Lacrimation increased, Malaise, Pain
Clinical narrative: I Woke Up and I Felt Achy All Over, My Eyes Were Watery & Itchy, I Had A Fever Of 101.2, I Felt Awful So I Stayed In Bed All Day. I Took Tylenol & I Noticed My Sinuses Were Feeling Really Stuffy & My Eyes Were Watery. I Kept A Low Grade Fever For The Next Few Days & Then I Started Feeling Sinusey I Was Getting Real Congested & I Had Started To Cough A Lot, I Went To Work Monday & I Was Coughing So Bad I Had To Go Home. I Called My Dr. & He Told Me To Go Home & Get Some Rest. By Monday Night I Was Really Feeling Sick. I Was Told I Should Be Feeling Better By Wednesday But I Was Actually Feeling Worse. I Had No Energy I'm Still Really Congested & I Still Cough Often. I Have An Inhaler Now That I Use When Needed.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test, Sinus congestion
Clinical narrative: I Woke Up and I Felt Achy All Over, My Eyes Were Watery & Itchy, I Had A Fever Of 101.2, I Felt Awful So I Stayed In Bed All Day. I Took Tylenol & I Noticed My Sinuses Were Feeling Really Stuffy & My Eyes Were Watery. I Kept A Low Grade Fever For The Next Few Days & Then I Started Feeling Sinusey I Was Getting Real Congested & I Had Started To Cough A Lot, I Went To Work Monday & I Was Coughing So Bad I Had To Go Home. I Called My Dr. & He Told Me To Go Home & Get Some Rest. By Monday Night I Was Really Feeling Sick. I Was Told I Should Be Feeling Better By Wednesday But I Was Actually Feeling Worse. I Had No Energy I'm Still Really Congested & I Still Cough Often. I Have An Inhaler Now That I Use When Needed.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Condition aggravated, Dizziness, Fatigue, Immunodeficiency
Clinical narrative: Had what acted like an MS flare after most recent full dose #3 (full dose because immunocompromised with B cell depleting agent Ocrevus for MS) with worse dizziness, worse balance, worse spasticity and profound fatigue beginning 1-2 days after vaccination and lasting 3-4 weeks.  This happened after dose #2 as well beginning on 4/24/21
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Multiple sclerosis, Muscle spasticity
Clinical narrative: Had what acted like an MS flare after most recent full dose #3 (full dose because immunocompromised with B cell depleting agent Ocrevus for MS) with worse dizziness, worse balance, worse spasticity and profound fatigue beginning 1-2 days after vaccination and lasting 3-4 weeks.  This happened after dose #2 as well beginning on 4/24/21
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: C-reactive protein normal, Chest discomfort, Chest pain, Imaging procedure artifact, Magnetic resonance imaging heart
Clinical narrative: Patient received 3 pfizer covid vaccines on 2/2/21, 2/23/21, and 10/25/21. Patient had cardiology visit on 11/4/21 due to recent episode of chest pain in the setting of an upcoming marathon participation. On 10/28/21, patient experienced a sudden-onset, left-sided, pressure like chest pain of 8/10 in severity and went to the ED.  Troponin on 10/28: 32-- >33-> 31 11/4: 32  CRP: 1.7  cardiac mri done on 11/5/21: Normal biventricular function. The pattern of late gadolinium enhancement is most likely secondary to myocarditis. Cardiac sarcoidosis is considered unlikely given the absence of arrhythmia or evidence of extracardiac sarcoidosis.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Myocarditis, Renal cyst, Troponin increased
Clinical narrative: Patient received 3 pfizer covid vaccines on 2/2/21, 2/23/21, and 10/25/21. Patient had cardiology visit on 11/4/21 due to recent episode of chest pain in the setting of an upcoming marathon participation. On 10/28/21, patient experienced a sudden-onset, left-sided, pressure like chest pain of 8/10 in severity and went to the ED.  Troponin on 10/28: 32-- >33-> 31 11/4: 32  CRP: 1.7  cardiac mri done on 11/5/21: Normal biventricular function. The pattern of late gadolinium enhancement is most likely secondary to myocarditis. Cardiac sarcoidosis is considered unlikely given the absence of arrhythmia or evidence of extracardiac sarcoidosis.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Headache, Pyrexia
Clinical narrative: I had cough, congestive, fever, chills, and headache. These lasted for about a week or so. On Jan 31, I tested positive for Covid-19.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I had cough, congestive, fever, chills, and headache. These lasted for about a week or so. On Jan 31, I tested positive for Covid-19.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Fatigue, Impaired work ability, Pain, Pain in extremity
Clinical narrative: Sunday morning he was very tired with his sore arm. Patient started to have pain on both sides of his chest around the lung area, he went to work and was sent home due to pain. Patient still has pain on his sides and it hurts when he turns to either side in bed.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Palpitations, Ultrasound scan
Clinical narrative: Couple of months later after my 2nd dose vaccination I experienced severe palpitation - I went to the ER and they did an EKG. Up to this date I am still experiencing on and off heart palpitations and this did not happen before I had my COVID 19 vaccine.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19, VARZOS, VARZOS
Symptoms: Basedow's disease, Blood thyroid stimulating hormone decreased, Condition aggravated, Hyperthyroidism, Supraventricular extrasystoles
Clinical narrative: Graves Disease exacerbation. Patient became severely hyperthyroid. Symptoms of being hyperthyroid first noticed shortly after second dose of shingles vaccine. Symptoms included tremor and frequent premature atrial contractions, approximate 5/minute. Lab results from 12/31/2021 showed undetectable TSH, FT4 not done at that time. Patient had been on a dose of 1.25mg  QD of methimazole for approximately 10 years, since initial onset of disease. Dosage changed to 5mg  QD 12/31/2021 and follow up lab on 1/22/2022 showed undetectable TSH and FT4 of 1.61 ng/dl.  Patient symptoms resolved a couple weeks after increased dosage. Patient had shingles vaccine, first dose late ~ October 21, 2021 and second dose ~ Dec 22, 2021
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19, VARZOS, VARZOS
Symptoms: Thyroxine free normal, Tremor
Clinical narrative: Graves Disease exacerbation. Patient became severely hyperthyroid. Symptoms of being hyperthyroid first noticed shortly after second dose of shingles vaccine. Symptoms included tremor and frequent premature atrial contractions, approximate 5/minute. Lab results from 12/31/2021 showed undetectable TSH, FT4 not done at that time. Patient had been on a dose of 1.25mg  QD of methimazole for approximately 10 years, since initial onset of disease. Dosage changed to 5mg  QD 12/31/2021 and follow up lab on 1/22/2022 showed undetectable TSH and FT4 of 1.61 ng/dl.  Patient symptoms resolved a couple weeks after increased dosage. Patient had shingles vaccine, first dose late ~ October 21, 2021 and second dose ~ Dec 22, 2021
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient presented for scheduled 2nd dose to vaccine clinic. RN verified that patient received 1st dose on 12/23/21 and was given Moderna. Having access to only Pfizer, RN explained to patient that mixing and matching was approved for 3rd dose (booster). She asked if it would be acceptable to get Pfizer for 2nd dose. This RN reached out to supervisor to inquire if this exception could be made and was given the ok to do so.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Cough, Decreased appetite, Haemoglobin decreased
Clinical narrative: Patient is fully vaccinated.  COVID + 1/15/2022 on admission to hospital.  The patient is a 73y.o. female with history of COPD, DM, CAD wh presents with a complaint of abdominal pain and rectal bleeding. Hg 7.7.  Also noticed nausea, vomiting, and loss of appetite. No fever. Patient also has had a cough in the past 4 weeks with mild sputum production and no shortness of breath. Treatment: albuterol. Stablized and discharged.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Productive cough, Rectal haemorrhage, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient is fully vaccinated.  COVID + 1/15/2022 on admission to hospital.  The patient is a 73y.o. female with history of COPD, DM, CAD wh presents with a complaint of abdominal pain and rectal bleeding. Hg 7.7.  Also noticed nausea, vomiting, and loss of appetite. No fever. Patient also has had a cough in the past 4 weeks with mild sputum production and no shortness of breath. Treatment: albuterol. Stablized and discharged.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Gait disturbance, Hypoaesthesia, Laboratory test, Neurological examination normal
Clinical narrative: Approximately a week after getting Janssen vaccine patient states he developed slowly progressive numbness/tingling in toes of left foot. This progressed up lower leg mainly on lateral aspect up to just below knee.  He also noticed that he was tripping more often with that extremity. He notes that this took many weeks to months.  He then was diagnosed with COVID in JAN2022 and he associates this occurrence to when the symptoms started to improve. They have continued to improve to the time he presented at my office on 02FEB2022 when he stated that just some slight tingling was present in toes now, but sensation is back to normal. A thorough neurologic exam confirms normal function at this time.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Approximately a week after getting Janssen vaccine patient states he developed slowly progressive numbness/tingling in toes of left foot. This progressed up lower leg mainly on lateral aspect up to just below knee.  He also noticed that he was tripping more often with that extremity. He notes that this took many weeks to months.  He then was diagnosed with COVID in JAN2022 and he associates this occurrence to when the symptoms started to improve. They have continued to improve to the time he presented at my office on 02FEB2022 when he stated that just some slight tingling was present in toes now, but sensation is back to normal. A thorough neurologic exam confirms normal function at this time.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Loss of consciousness, Presyncope, Syncope
Clinical narrative: While waiting post-vaccination, patient had a syncopal event and temporarily lost consciousness.  No injuries sustained during his fall.  Patient was taken to the ER for further evaluation (which the main basis for my VAERS submission), but was ultimately discharged without further issue.  Most likely a vasovagal episode.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Client reports left-sided facial swelling 24hrs post vaccination
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia
Clinical narrative: Extreme hair loss
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Pt was to receive Moderna-SARS-2-Covid 0.25ml booster dose instead, received 0.50ml dose. Denies any symptoms.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiotensin converting enzyme increased, Blood pressure increased, Blood thyroid stimulating hormone decreased, Chest pain, Palpitations
Clinical narrative: Blood pressure started to elevate and was having occasional palpitations.  I was placed on Norvasc 2.5 mg daily, 3 months after vaccination to control BP.  Had an episode of increased blood pressure, severe palpitations, chest pain and pulse 124 bpm on Dec 16th.  I had to go to the Emergency room via ambulance to be evaluated.  I received my Pfizer booster on 10/6/2021.  Blood pressure continued to be elevated.  Doctor increased Norvasc to 5 mg daily.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Swelling at Injection Site-Mild
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain
Clinical narrative: chills aches tired  No treatment. Just Rest
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pruritus, Rash, Urticaria
Clinical narrative: Progressive headache,  Urticaria and itchiness  in arms, palms, hands, thigs, abdomen, back with onset 30-60 minutes after vaccine. Symptoms Alleviated after 1 dose of Xyzal 5mg.  Symptoms progressively worsened after 24 hours +  xyzal dose.  Went to the hospital were vaccine  it was administered  and took Xyzal 5mg another dose after with symptoms improvement, although urticaria and rash persist.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature).
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Computerised tomogram head normal, Dizziness, Electrocardiogram normal
Clinical narrative: Patient is fully vaccinated.  COVID + 1/15/2022 at ED visit. 75-year-old female presents complaining of intermittent episodes of lightheadedness over the last 2 days.  The patient admits to some congestion, sinus pressure, postnasal drip.  She was exposed to COVID on Sunday.  She denies any fevers, chills, nausea or vomiting.  She denies any abdominal pain, chest pain or shortness of breath.  She denies any leg pain or leg swelling.  BP 116/66  | Pulse 76  | Temp 98.1 °F (36.7 °C) (Oral)  | Resp 19  | Ht 162.6 cm (5' 4")  | Wt 59 kg (130 lb)  | SpO2 97%  | BMI 22.31 kg/m² Chest x-ray shows no acute process.  Labs reviewed, no significant abnormalities.EKG shows normal sinus rhythm. IV fluids given.  Ct 1.17.CT head:  No acute intracranial hemorrhage, mass effect, midline shift or extra-axial fluid collection.  Sable/discharged.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Paranasal sinus discomfort, Respiratory tract congestion, SARS-CoV-2 test positive, Upper-airway cough syndrome
Clinical narrative: Patient is fully vaccinated.  COVID + 1/15/2022 at ED visit. 75-year-old female presents complaining of intermittent episodes of lightheadedness over the last 2 days.  The patient admits to some congestion, sinus pressure, postnasal drip.  She was exposed to COVID on Sunday.  She denies any fevers, chills, nausea or vomiting.  She denies any abdominal pain, chest pain or shortness of breath.  She denies any leg pain or leg swelling.  BP 116/66  | Pulse 76  | Temp 98.1 °F (36.7 °C) (Oral)  | Resp 19  | Ht 162.6 cm (5' 4")  | Wt 59 kg (130 lb)  | SpO2 97%  | BMI 22.31 kg/m² Chest x-ray shows no acute process.  Labs reviewed, no significant abnormalities.EKG shows normal sinus rhythm. IV fluids given.  Ct 1.17.CT head:  No acute intracranial hemorrhage, mass effect, midline shift or extra-axial fluid collection.  Sable/discharged.
Age: 42.0
Sex: M
Vaccine: TDAP
Symptoms: Aspiration joint, Injection site pain, Joint range of motion decreased, Pain in extremity, Periarthritis
Clinical narrative: Patient was seen in the office on 12/29/21 for Left Arm Pain, gradual onset.  1st Symptoms Began: 9/2021 after tetanus vaccine  Cause of Pain: pain in his L deltoid after the tetanus shot.  Over time the pain has increased and the ROM has been going down.  Cannot abduct much over 90 degrees on the L due to getting stuck and pain.  Has good use of the arm down low.  No weakness.  No numbness.  No swelling.  ROM down over the past month.   Progression: worsening Treatments:  Ibuprofen, tylenol.                                                      Effective: not at all effective Patient was diagnosed with adhesive capsulitis and given a handout regarding home care, prescribed meloxicam 15 mg, an xray of the left shoulder was ordered and patient was referred to orthopedics for evaluation and further treatment. Patient was seen by Orthopedics, Doctor on 2/2/22.  That physician ordered a left shoulder joint arthrocentisis.  Their visit notes were as follows: Patient is a very pleasant 43-year-old male here for evaluation of left shoulder pain.  He reports ongoing left shoulder pain after receiving his tetanus vaccine in September of 2021. He did not notice anything unusual about the injection other than the post injection soreness that he typically has.  Unfortunately that soreness continued to evolve and was eventually associated with decreased range of motion.  He was seen by his primary care suspected adhesive capsulitis and was referred to our office today for further evaluation.  On physical exam he does have restricted active and passive range of motion.  Abduction is approximately to 80°.  Flexion is approximately to 140° internal rotation is to L 3. He has good strength with rotator cuff testing.  I do not appreciate any discomfort or pain with any rotator cuff testing.  X-rays were obtained.  No acute osseous pathology noted.  Overall I do agree he is struggling with adhesive capsulitis.  I do question whether this is a adverse effect of his vaccination.  He was not having any pain or issues prior to the injection.  I did discuss with him the pathophysiology of adhesive capsulitis, the freezing frozen and thawing stages as well as the typical recovery.  Almost these cases to get better on their own we did discuss the typical recovery time can be anywhere from 6 months to a 18 months.  I discussed the treatment options moving forward and given his failure of adequate control with ibuprofen and meloxicam I did recommend a ultrasound-guided corticosteroid injection in the glenohumeral joint.  He tolerated this well.  I will follow up with him as needed.  If these injections are effective but his pain returns I can do these injections every 6 weeks until resolution of the adhesive capsulitis.  I will follow up with him as needed.
Age: 42.0
Sex: M
Vaccine: TDAP
Symptoms: X-ray normal
Clinical narrative: Patient was seen in the office on 12/29/21 for Left Arm Pain, gradual onset.  1st Symptoms Began: 9/2021 after tetanus vaccine  Cause of Pain: pain in his L deltoid after the tetanus shot.  Over time the pain has increased and the ROM has been going down.  Cannot abduct much over 90 degrees on the L due to getting stuck and pain.  Has good use of the arm down low.  No weakness.  No numbness.  No swelling.  ROM down over the past month.   Progression: worsening Treatments:  Ibuprofen, tylenol.                                                      Effective: not at all effective Patient was diagnosed with adhesive capsulitis and given a handout regarding home care, prescribed meloxicam 15 mg, an xray of the left shoulder was ordered and patient was referred to orthopedics for evaluation and further treatment. Patient was seen by Orthopedics, Doctor on 2/2/22.  That physician ordered a left shoulder joint arthrocentisis.  Their visit notes were as follows: Patient is a very pleasant 43-year-old male here for evaluation of left shoulder pain.  He reports ongoing left shoulder pain after receiving his tetanus vaccine in September of 2021. He did not notice anything unusual about the injection other than the post injection soreness that he typically has.  Unfortunately that soreness continued to evolve and was eventually associated with decreased range of motion.  He was seen by his primary care suspected adhesive capsulitis and was referred to our office today for further evaluation.  On physical exam he does have restricted active and passive range of motion.  Abduction is approximately to 80°.  Flexion is approximately to 140° internal rotation is to L 3. He has good strength with rotator cuff testing.  I do not appreciate any discomfort or pain with any rotator cuff testing.  X-rays were obtained.  No acute osseous pathology noted.  Overall I do agree he is struggling with adhesive capsulitis.  I do question whether this is a adverse effect of his vaccination.  He was not having any pain or issues prior to the injection.  I did discuss with him the pathophysiology of adhesive capsulitis, the freezing frozen and thawing stages as well as the typical recovery.  Almost these cases to get better on their own we did discuss the typical recovery time can be anywhere from 6 months to a 18 months.  I discussed the treatment options moving forward and given his failure of adequate control with ibuprofen and meloxicam I did recommend a ultrasound-guided corticosteroid injection in the glenohumeral joint.  He tolerated this well.  I will follow up with him as needed.  If these injections are effective but his pain returns I can do these injections every 6 weeks until resolution of the adhesive capsulitis.  I will follow up with him as needed.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Product preparation issue
Clinical narrative: It was discovered 2/2/2022 that when this injection was given on 1/26/22, that the pharmacist failed to add saline to reconstitute it before adminstering the dose. The patient was given the dose on 1/26/2022.  When it was discovered that the pharmacist failed to reconstitute the immuniazation, the pharmacist contacted the patient's father. The parent stated that the son got along OK after this was administered except he was a little dizzy and had a slight headache.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Fatigue, Myalgia
Clinical narrative: Diagnosed with COVID 12/20/2021, fever, chills, muscle aches, cough, and fatigue.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Diagnosed with COVID 12/20/2021, fever, chills, muscle aches, cough, and fatigue.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Resident expired
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Discomfort, Muscular weakness, Myalgia, Nausea
Clinical narrative: I really wanted to report that my symptoms were mild, but lasted for 3 weeks. My understanding was that I would possibly have side effects for 1-3 days. My muscle and joint pain started 24 hours after the first injection. Side effects of mild nausea began at midnight after my shot. The muscle pain was very sharp at times, and dull. It was constant. Everyday, 24 hours, for about 3 weeks. My shot was on the 7th. On the 15th I had the worst of the muscle pain. At times I felt that my arms and legs felt weak. Sometimes the pain would wake me. It wasn?t debilitating, but it was very uncomfortable.  I called my doctor and told them what was happening and they didn?t seem concerned. Just told me to keep taking ibuprofen.   I told him I was concerned that my symptoms haven?t improved after 3 weeks. I have a history of being very sensitive to meds. I did address this to my doctor. I have no issue with the vaccine, but am only concerned for myself. My body has a history of rejecting simple meds like antibiotics. I was apprehensive about taking this vaccine for myself.   By the 24th of January I finally started to feel better. The pains were not as frequent and I actually had good sleep. I was afraid to take the 2nd shot in fear that it would cause my pain to come back worse?. I just took my 2nd dose Tuesday the 1st. So far my symptoms seem normal according to CDC and I did have sharp muscle and joint pain 3 hours after 2nd dose but then it became mild.   Treatment was ibuprofen to control pain. Like I said. Maybe this isn?t life threatening but wanted to make sure to report it. 3 weeks is a long time to be in pain
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Sleep disorder
Clinical narrative: I really wanted to report that my symptoms were mild, but lasted for 3 weeks. My understanding was that I would possibly have side effects for 1-3 days. My muscle and joint pain started 24 hours after the first injection. Side effects of mild nausea began at midnight after my shot. The muscle pain was very sharp at times, and dull. It was constant. Everyday, 24 hours, for about 3 weeks. My shot was on the 7th. On the 15th I had the worst of the muscle pain. At times I felt that my arms and legs felt weak. Sometimes the pain would wake me. It wasn?t debilitating, but it was very uncomfortable.  I called my doctor and told them what was happening and they didn?t seem concerned. Just told me to keep taking ibuprofen.   I told him I was concerned that my symptoms haven?t improved after 3 weeks. I have a history of being very sensitive to meds. I did address this to my doctor. I have no issue with the vaccine, but am only concerned for myself. My body has a history of rejecting simple meds like antibiotics. I was apprehensive about taking this vaccine for myself.   By the 24th of January I finally started to feel better. The pains were not as frequent and I actually had good sleep. I was afraid to take the 2nd shot in fear that it would cause my pain to come back worse?. I just took my 2nd dose Tuesday the 1st. So far my symptoms seem normal according to CDC and I did have sharp muscle and joint pain 3 hours after 2nd dose but then it became mild.   Treatment was ibuprofen to control pain. Like I said. Maybe this isn?t life threatening but wanted to make sure to report it. 3 weeks is a long time to be in pain
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Biopsy skin, Granulomatous dermatitis, Injection site reaction, Laboratory test
Clinical narrative: Development of persistent granulomatous dermatitis at the injection site.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Supraventricular tachycardia
Clinical narrative: SVT occurred after shot
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: Broke out in an itchy rash on chest and arms
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Fatigue, Headache, Oropharyngeal pain
Clinical narrative: chills  headaches tired, sore throat, coughing  still periodic coughing 2/4/2022
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Influenza like illness
Clinical narrative: Pt was to receive Moderna SARS-2-COVID 0.25ml booster dose instead, received 0.50ml dose Pt states that she had flu-like symptoms for a week after vaccine.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Inappropriate schedule of product administration
Clinical narrative: Booster administered  earlier than 5 months.  Pt was asymptomatic during 15 minutes observation , vaccine was given at 1:08 p.m. Pt was contacted at 2:00 p.m and was notified, he reports feeling asymptomatic.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID