chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: F
Vaccine: UNK
Symptoms: Abdominal pain lower, Appendicectomy, Back pain, Blood test, Computerised tomogram abnormal
Clinical narrative: Pain in Lower back right side and lower abdomen. Went to er Thursday morning because pain was so bad and that afternoon they performed Appendectomy April 15, 2021
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: Patient (08/22/1991) received the [1st] COVID vaccine (Pfizer lot #EW0179 and expiration date 04/24/2021) at 5:40pm. Client reported to EMT.  EMT alerted RN. EMT and another EMT provided client with recliner chair and transported client into semi-fowler position. Client reported to RN "I am feeling sweaty and dizzy". VS at 12:03pm HR 50, BP 116/80, Spo2 98%RA, RR 24. Client denies shortness of breath, itchiness, chest pain, itchiness, swelling in throat or tongue, or pain. Client reports similar incidents in the past at the sight of needles or when his blood is drawn. Client states symptoms resolved within 2 minutes of onset and states he no longer feels dizzy. Client denies medical history or taking medications. No allergies reported. Client is alert and oriented to time, date, place, and event. Client provided with water. VS at 12:12pm HR 61, BP 120/78, Spo2 987%RA, RR 16. Client placed in sitting position and monitored. VS at 12:31 pm HR 77, BP 128/82, Spo2 97%RA, RR 16. Client provided with education on signs and symptoms of mild to sever allergic reactions. ER precautions given. RN provided instructiosn to f/u with PCP for discussion of reaction. Client verbalized understanding. Symptoms resolved at 12:05pm. Client reported his fiance would be driving client home. RN escorted client to fiancé's car. Client walking with a steady gait.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Constant slight headache since the day after the vaccination.  Tylenol or Aleve takes the headache away but comes right back when medicine wares off.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Ear discomfort, Pyrexia
Clinical narrative: I spiked a fever, had chills, and then started feeling pressure in my ears.  The change in my ears and my hearing has not gone away.  It's kinda of like when you get off a plane after flying
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperventilation, Posture abnormal, Presyncope
Clinical narrative: Patient had a vasovagal episode.  She stayed sitting in chair, but her head was flexed forward and wasn't taking obvious breaths.  After lifting her head, she took some deep breaths and opened her eyes.  She had similar episodes with fainting.  EMS was called.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Syncope, Vital signs measurement
Clinical narrative: Patient did not stay and refused observation at time of vaccine. Came back 10 minutes later with reported syncopal episode after pulling off the road nearby for lightheadness.  Patient taken to medical tent for observation and medical director called.  VS Stable Kept until 210pm.  No adverse reaction symptoms noted.  Will observe for 30 minutes during second dose.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Cardio-respiratory arrest, Eye movement disorder, Hyperhidrosis, Syncope
Clinical narrative: Syncopal episode, eyes rolled back, extremely diaphoretic and not completely out. CODE EMERGENCY CALLED. 911 also called due to hx of lung ca with mets.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Discomfort, Limb discomfort, Mobility decreased
Clinical narrative: Exactly ONE WEEK after I had the 2nd dose of Pfizer, both my arms began to tingle and hurt by 2 pm on a Monday.  Within a few hours, this spread to my entire body; every joint and muscle was in severe pain and discomfort.  I went to bed around 5 pm and had the chills, but no fever.  I continued with this pain for Monday night and could barely sleep.  It continued but not as severe on Tuesday and Wednesday.  By Thursday, I forced myself to take a shower.  By Thursday, the pain in the upper body was gone, but I still had severe pain in both lower legs from the knees down.  It was unbearable if I stood for more than 20 seconds, however, if I lifted each leg and then alternated legs, the pain would go away.  This felt like enormous pressure in my legs and at one point, I thought maybe I had blood clots, but my legs were not red or swollen.  The lower leg pressure finally went away on its own by Sunday, April 25th, 2021.  At no point did I have a fever and I could get some relief by taking Ibuprofen, but not a lot of relief.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain in extremity, Paraesthesia, Sleep disorder
Clinical narrative: Exactly ONE WEEK after I had the 2nd dose of Pfizer, both my arms began to tingle and hurt by 2 pm on a Monday.  Within a few hours, this spread to my entire body; every joint and muscle was in severe pain and discomfort.  I went to bed around 5 pm and had the chills, but no fever.  I continued with this pain for Monday night and could barely sleep.  It continued but not as severe on Tuesday and Wednesday.  By Thursday, I forced myself to take a shower.  By Thursday, the pain in the upper body was gone, but I still had severe pain in both lower legs from the knees down.  It was unbearable if I stood for more than 20 seconds, however, if I lifted each leg and then alternated legs, the pain would go away.  This felt like enormous pressure in my legs and at one point, I thought maybe I had blood clots, but my legs were not red or swollen.  The lower leg pressure finally went away on its own by Sunday, April 25th, 2021.  At no point did I have a fever and I could get some relief by taking Ibuprofen, but not a lot of relief.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Impaired work ability, Influenza like illness, Pain, Pyrexia
Clinical narrative: Extreme flu-like symptoms; Fever, body aches, exhaustion, vertigo lasting almost 2 weeks. I was unable to work.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Extreme flu-like symptoms; Fever, body aches, exhaustion, vertigo lasting almost 2 weeks. I was unable to work.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Headache, Injection site pain
Clinical narrative: soreness in arm of injection headache back pain
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Headache, Pain in extremity
Clinical narrative: soreness in arm of injection headache back pain
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Body temperature increased, Diarrhoea, Fatigue, Feeling abnormal
Clinical narrative: On day 2 I work up with redness and warmth from approximately an inch above the injection site to the elbow on the lateral side of my left arm.  I also had a temp of 101.5 with moderate flu type symptoms which lasted for 2 days.  The following two days I had GI type issues with nausea and diarrhea which also lasted for 2 days.  On the fourth day the redness and warmth on the arm had moved more toward the inside of the arm and is still continuing , now on day 10.  However, the warmth is almost gone and the redness is lighter. Still am very tired and just don't feel quite back to normal.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Injection site erythema, Injection site warmth, Nausea
Clinical narrative: On day 2 I work up with redness and warmth from approximately an inch above the injection site to the elbow on the lateral side of my left arm.  I also had a temp of 101.5 with moderate flu type symptoms which lasted for 2 days.  The following two days I had GI type issues with nausea and diarrhea which also lasted for 2 days.  On the fourth day the redness and warmth on the arm had moved more toward the inside of the arm and is still continuing , now on day 10.  However, the warmth is almost gone and the redness is lighter. Still am very tired and just don't feel quite back to normal.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Flu-like symptoms began at 10 PM the same day as the vaccine. Symptoms started as chills, then moved into feverishness and headache, some body aches. Treatment was high doses of pain reliever. There was no nausea or digestive issue detected. 24 hours later all symptoms had subsided and I resumed a normal workday the Thursday after the Tuesday vaccination.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus for 5 weeks
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, Feeling abnormal, Headache, Nausea
Clinical narrative: Headache, severe brain fog, dizziness, vertigo, loss of balance, nausea. It started 8 days after the shot, and still feel that way 4 days since. Took ibuprofen once which might have helped a bit for a little while.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Headache, severe brain fog, dizziness, vertigo, loss of balance, nausea. It started 8 days after the shot, and still feel that way 4 days since. Took ibuprofen once which might have helped a bit for a little while.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Headache, Injection site erythema, Injection site pain
Clinical narrative: Day 2-4 sore arm, redness at injection site, arm hot to touch, swelling in upper part of the arm Day 10: redness at injection site reappears, arm hot to touch, swelling in upper part of the arm, headaches, upper back pain, chills
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth
Clinical narrative: Day 2-4 sore arm, redness at injection site, arm hot to touch, swelling in upper part of the arm Day 10: redness at injection site reappears, arm hot to touch, swelling in upper part of the arm, headaches, upper back pain, chills
Age: 66.0
Sex: F
Vaccine: UNK
Symptoms: Diarrhoea, Dizziness, Fatigue, Headache, Hypersomnia
Clinical narrative: On the day of the injection: severe arm pain from the minute the needle enter my arm and lasted 3-4 days; immediate swelling that lasted 5 days; severe fatigue, severe diarrhea within 4 hours after the shot; headache; I slept for 3 days but the fatigue has never left;  later on, I became dizzy, headaches continue to this day;  fatigue is debilitating.  One episode, I nearly fell on the floor.  Most episodes now last about 3-5 seconds.  However, beginning 24 Apr, I woke with dizziness and so far it has lasted 2 days now. I'm scheduled to see my PCP today (26 Apr) to discuss - I did not put 2+2 together until I started looking at my notes seeing that these symptoms co-insided with my Moderna injection.  I thought something other might be happening. I reviewed the side effects on line this AM and realized my issues are most likely related to the injection.
Age: 66.0
Sex: F
Vaccine: UNK
Symptoms: Pain in extremity, Swelling
Clinical narrative: On the day of the injection: severe arm pain from the minute the needle enter my arm and lasted 3-4 days; immediate swelling that lasted 5 days; severe fatigue, severe diarrhea within 4 hours after the shot; headache; I slept for 3 days but the fatigue has never left;  later on, I became dizzy, headaches continue to this day;  fatigue is debilitating.  One episode, I nearly fell on the floor.  Most episodes now last about 3-5 seconds.  However, beginning 24 Apr, I woke with dizziness and so far it has lasted 2 days now. I'm scheduled to see my PCP today (26 Apr) to discuss - I did not put 2+2 together until I started looking at my notes seeing that these symptoms co-insided with my Moderna injection.  I thought something other might be happening. I reviewed the side effects on line this AM and realized my issues are most likely related to the injection.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Pyrexia
Clinical narrative: Horrible head ache the same night as vaccine and the next day. Achy muscles from 4/17 until it peaked (where I felt like I got hit by a bus) on 21st and 22nd.  Let up a little but sick and sleeping most of the day on 4/24 and part of day 4/25. today (4/26) slight headache and a little muscle aches but not as bad as in the past.  Temperature was normal but felt feverish.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Disorientation, Fatigue, Headache
Clinical narrative: 48 hours off fever, fatigue, nausea, shivers, disorientation, severe headache, painful injection site, aching joints
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Nausea, Pyrexia
Clinical narrative: 48 hours off fever, fatigue, nausea, shivers, disorientation, severe headache, painful injection site, aching joints
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal dreams, Blood magnesium, Blood test, Chest X-ray, Computerised tomogram
Clinical narrative: The 2nd and 3rd night after shot had very intense dreams and tossing and turning all  night. Headache on/off from date of shot 4/9 until 4/17, or 8 days after. BIGGEST event:  4th, 5th, 6th nights after shot (4/13, 4/14, 4/15), woke up 2 or 3am with elevated heart rate for myself (90bpm vs. 55-60 typical).  Also very hot.  Took an hour to calm down each night.  Ended up in ER after 3 nights of elevated heart rate (4/15) to get checked out, but there was nothing found, and they said maybe it was a vaccine reaction, but may never know. Second dose is 5/3, so will see if have similar reactions....
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Feeling hot, Headache, Heart rate increased, Restlessness
Clinical narrative: The 2nd and 3rd night after shot had very intense dreams and tossing and turning all  night. Headache on/off from date of shot 4/9 until 4/17, or 8 days after. BIGGEST event:  4th, 5th, 6th nights after shot (4/13, 4/14, 4/15), woke up 2 or 3am with elevated heart rate for myself (90bpm vs. 55-60 typical).  Also very hot.  Took an hour to calm down each night.  Ended up in ER after 3 nights of elevated heart rate (4/15) to get checked out, but there was nothing found, and they said maybe it was a vaccine reaction, but may never know. Second dose is 5/3, so will see if have similar reactions....
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Discomfort, Muscular weakness, Respiratory rate decreased
Clinical narrative: They gave me the shot and handed me the card and was told to move forward and hang out for 30 minutes since I am allergic to penicillin. Once I was sitting in the car I felt a cold stream of fluid rushing through my body and then cold sweats and my through where my lymph nodes are feel heavy and like someone was choking me and then my breathing was low then high from 45 to 75 had my apple watch on it kept saying to breath. Then I started freaking out and we called for the EMT he took Vitals And asked me about any issues I did mention I do have anxiety he asked if i take anything I said I do cardio. He said to roll down the windows step out of the car and when I Did I felt week in my legs, The EMT told me to wait for another 15 minutes if I could go home monitor myself and if anything occurs call 911 so I left  and when I got Home MY throat still felt like someone was choking me and I was Sweaty and my throat was very read and I kept Freaking out . I then drank water and tried to breath but was very hard  drinking the water was a struggle the same night I could not sleep I used a heating pad on my throat to help and messaged my doctor .
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vertigo
Clinical narrative: day or so after vaccination developed dizziness and vertigo.  Now 6 days later better but not gone.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Hypoaesthesia
Clinical narrative: Bell's Palsy. Feel numbness on the right side of face for about 10 days.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Fatigue, Headache, Pain, Pain in extremity
Clinical narrative: Severe fatigue x 1 week. Couldn't stay awake. Headaches x 1 week. Lump under both arms.  Achey.  Severe leg pain. Mostly in thighs. Especially right side. Severe fatigue and legs to the point of tears. Vomited twice. One x 3 days after shot. Then after that a few times randoms.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Severe fatigue x 1 week. Couldn't stay awake. Headaches x 1 week. Lump under both arms.  Achey.  Severe leg pain. Mostly in thighs. Especially right side. Severe fatigue and legs to the point of tears. Vomited twice. One x 3 days after shot. Then after that a few times randoms.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Light headedness
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Shortness of breath not urgent.  recommended patient call physician or get examined by medical facility today.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Malaise, Pyrexia
Clinical narrative: Swelling and redness and itching at injection site Fever and malaise
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Pyrexia, Somnolence
Clinical narrative: 1: Mild soreness at injection site, lasted about a day or so.  Reported for statistical reasons. 2: Mild Fever (101.2), mild headache, drowsiness, went away within 24 hours.  Reported for statistical reasons. 3: Reddish brown splotches on the tips of a few fingers (right thumb and forefinger, left index and big finger, a bit on left thumb); these are fading but are still visible 60 hours after injection.  Reported because it's odd.  Note: This is the second shot.  After my first shot I had no reactions at all.  (I didn't even feel it go in).
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Appendicectomy, Appendicitis, Blood test, Computerised tomogram
Clinical narrative: Appendicitis
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood pressure decreased, Dizziness, Hyperhidrosis
Clinical narrative: Patient sweating profusely, diaphoretic, dizziness, states had nothing to eat after midnight, BP 65/58 P98 R22 O2 sat@99% on room air, no respiratory distress noted, was monitored by staff for 20 minutes, Given food -  Blood sugar 111 mg/dl. BP readings 90/60 P88 R20, patient states feeling better, Patient stated feeling well to go home
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Aphthous ulcer, Arthralgia, Chills, Gingival swelling, Injection site pruritus
Clinical narrative: lathargy began about 5 hrs after shot, muscle/joint soreness at 15-20 after shot, followed by low-grade fever & chills, severe headache. 48 after shot, lymph node swelling/soreness on left side of body.  Itchy/sore spot at injection site, nasal congestion.  * Also experiencing a symptom that I have not seen a lot about...swollen gums and canker sores on left side of mouth.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Lymphadenopathy, Myalgia, Nasal congestion, Pruritus
Clinical narrative: lathargy began about 5 hrs after shot, muscle/joint soreness at 15-20 after shot, followed by low-grade fever & chills, severe headache. 48 after shot, lymph node swelling/soreness on left side of body.  Itchy/sore spot at injection site, nasal congestion.  * Also experiencing a symptom that I have not seen a lot about...swollen gums and canker sores on left side of mouth.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: lathargy began about 5 hrs after shot, muscle/joint soreness at 15-20 after shot, followed by low-grade fever & chills, severe headache. 48 after shot, lymph node swelling/soreness on left side of body.  Itchy/sore spot at injection site, nasal congestion.  * Also experiencing a symptom that I have not seen a lot about...swollen gums and canker sores on left side of mouth.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Death
Clinical narrative: Stroke, hospitalized 5 days, sent to skilled care (nursing home), death 2 weeks after stroke
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: Adverse event: Pt received first dose Pfizer COVID-19 vaccine on 4/13  at approximately noon. She states later that evening, approximately 6pm, she noticed her right eyebrow and corner of mouth "looked funny", as they did not raise in symmetry with the left side of her face. She denied any other noticeable deficits in the head/neck, upper and lower extremities.    Treatment: none  Outcome: patient reached out to our facility and asked whether or not she should get the second dose. I described the risk / benefit ratio of not receiving the second dose. Pt states she would research the topic further on her own before making a decision. I advised the patient may report the incident to V-safe as well.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Pain in extremity, Peripheral swelling
Clinical narrative: Started having left leg pain and swelling 2wks after 1st covid vaccine (3/12/2021) at outside facility. Seen on 4/6/2021  (same day as 2nd vaccine). Dx with acute DVT of Left popliteal vein with extension into left peroneal veins of calf. Denies HRT, smoking, prolonged travel, surgery
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Influenza like illness, Pain, Pyrexia
Clinical narrative: Chills, fever of 102.7, body aches, flu like symptoms
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Patient was waiting his 15 minutes in Observation. He passed out and the nurse noticed and walked over to help hold him up. When paramedics walked over he was awake and talking. Patient stated he felt fine and walked out to private area with the paramedics. Upon sitting in the chair he was unconscious again and paramedics transferred him onto stretcher and transported him to nearby hospital. He states this happens when he gets injections.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Feeling of body temperature change, Loss of consciousness, Pyrexia
Clinical narrative: Shortly after midnight, started  in bed with chills for about 2 hours then felt warm then cold and back and forth.  Woke up around 7:30am with a fever.  At 8:45am, walked upstairs to use the bathroom.  While in the bathroom, felt dizzy and passed out.  My wife and son heard a thud sound.  My wife opened the door and I tumbled out still unconscious. I regained consciousness moments later. I was examined by paramedics who arrived at my home.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Vital signs measurement
Clinical narrative: Shortly after midnight, started  in bed with chills for about 2 hours then felt warm then cold and back and forth.  Woke up around 7:30am with a fever.  At 8:45am, walked upstairs to use the bathroom.  While in the bathroom, felt dizzy and passed out.  My wife and son heard a thud sound.  My wife opened the door and I tumbled out still unconscious. I regained consciousness moments later. I was examined by paramedics who arrived at my home.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Skin warm, Swelling
Clinical narrative: Large red rash with swelling,  at least 3 inches in diameter. Appeared approx. 8 days after injection, several days after initial soreness had passed. Flat rash, warm to the touch, slightly itchy.  Mid-upper arm, below injection site.  (Anecdotal research suggests it is what is being called ?covid arm? or ?moderna arm?. One sibling  experienced the same reaction.)
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Injection site bruising, Injection site pain, Rash pruritic, Somnolence
Clinical narrative: Headache, sleepy, pain and bruising at injection site, itchy rash on hand and calf 5 days after shot.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Hot flush, Immediate post-injection reaction
Clinical narrative: THE PATIENT HAD HOT FLASHES IMMEDIATELY AFTER THE IMMUNIZATION AND WENT INTO A ANXIETY ATTACK AFTER RECIEVING THE VACINE. SHE THOUGHT IT WAS ANAPHYLAXIS BECAUSE SHE IS ALLERGIC TO MANY THINGS, BUT IT WAS AN ANXIETY ATTACK. I GAVE HER WATER AND WE WORKED ON DEEP BREATHING EXERCISES. AFTER ABOUT AN HOUR SHE WAS COMPLETELY BACK TO HERSELF.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Chest discomfort, Dyspnoea, Fatigue
Clinical narrative: Began to feel chest tightness, breathing a little harder than normal. Started to feel very tired the next day, extreme exhaustion. Had to go to bed. He continued to worsen with the exhaustion daily and now can barely get out of bed, or sit up. Before the vaccine he was not spending time in bed during the day. He now has trouble breathing sitting up.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Pain
Clinical narrative: Patient had severe soreness and pain for almost a month. Couldn't move his arm for the first 3 days.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Very painful right knee joint.  Started Friday afternoon after getting the vaccine and continued through the weekend and still have some pain in my knee today (Monday).
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood glucose normal, Clumsiness, Coordination abnormal, Dysstasia
Clinical narrative: Summary of Call: Patient received 2nd dose vaccine,  return to work daycare (accross from street) 30 min after and fell to the floor.  Call our clinic for futher evaluation by provider.    VS  140/85 right arm SPO2 100%  temp 97.1 oral second reading 160/96. BG 145 HR 95.  Pt was found sitting on a chair at parking lot of daycare across clinic 20-25vminutes after second dose of moderna  She said she was feeling like drunk, VS as above  her gait was weak and uncoordinated  and was barely able to stand up, she was brought to hospital via car. Speech:    Speech is normal; fluent and spontaneous with normal comprehension Cognition:    The patient is oriented to person, place, and time; memory intact; language fluent; normal attention, concentration, and fund of knowledge Cranial Nerves:     Trigeminal sensation is intact. The face is symmetric. The palate elevates in the midline. Voice is normal. Shoulder shrug is weak.  Coordination:    clumsy  Gait:    uncoordinated gate, wheelchair bound. EMS was called  and transported to another hospital  for  Stroke work up
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Feeling drunk, Gait disturbance, Wheelchair user
Clinical narrative: Summary of Call: Patient received 2nd dose vaccine,  return to work daycare (accross from street) 30 min after and fell to the floor.  Call our clinic for futher evaluation by provider.    VS  140/85 right arm SPO2 100%  temp 97.1 oral second reading 160/96. BG 145 HR 95.  Pt was found sitting on a chair at parking lot of daycare across clinic 20-25vminutes after second dose of moderna  She said she was feeling like drunk, VS as above  her gait was weak and uncoordinated  and was barely able to stand up, she was brought to hospital via car. Speech:    Speech is normal; fluent and spontaneous with normal comprehension Cognition:    The patient is oriented to person, place, and time; memory intact; language fluent; normal attention, concentration, and fund of knowledge Cranial Nerves:     Trigeminal sensation is intact. The face is symmetric. The palate elevates in the midline. Voice is normal. Shoulder shrug is weak.  Coordination:    clumsy  Gait:    uncoordinated gate, wheelchair bound. EMS was called  and transported to another hospital  for  Stroke work up
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: While patient receiving boosters and assessment questions being done, noted that first immunization done 73 days after COVID antibody infusion.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Dehydration, Fatigue, Headache
Clinical narrative: First dose 3/25/2021:  Symptoms began 22 hours after vaccine and lasted one day.  Fever 103, vomitting, headache, no appetite, dehydration, severe body aches, deep cough, fatigue and sore underarms,    Second dose 4/23/2021: Symptoms began 9 hours after vaccine  First day- Fever 105, vomitting, Severe headache, sensitive to light and sounds, severe baody aches, no appetite, deep cough, fatigue and sore unders.  Second day -  Fever 102, vomitting, Severe headache, sensitive to light and sounds, severe baody aches, no appetite, deep cough, fatigue and sore unders.  Third day- Fever gone. Left with fatigue and headache
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Vomiting
Clinical narrative: First dose 3/25/2021:  Symptoms began 22 hours after vaccine and lasted one day.  Fever 103, vomitting, headache, no appetite, dehydration, severe body aches, deep cough, fatigue and sore underarms,    Second dose 4/23/2021: Symptoms began 9 hours after vaccine  First day- Fever 105, vomitting, Severe headache, sensitive to light and sounds, severe baody aches, no appetite, deep cough, fatigue and sore unders.  Second day -  Fever 102, vomitting, Severe headache, sensitive to light and sounds, severe baody aches, no appetite, deep cough, fatigue and sore unders.  Third day- Fever gone. Left with fatigue and headache
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Paraesthesia oral, Swollen tongue, Throat tightness
Clinical narrative: At 2:25 pm on 04/23/2021, patient said she felt like her tongue was swelling up, throat closing, tingling lips.  Blood pressure was elevated for patient:  180/113.  This nurse gave 0.5 ccc dose of epinephrine and called 911.  Patient was transported to hospital ER.  Patient reported on 4/24/2021 that she felt fine and had fully recovered.  She said she thought her reaction was due to her severe anxiety about receiving a vaccine and not an allergic reaction.
Age: 35.0
Sex: F
Vaccine: UNK
Symptoms: Asthenia, Dizziness, Nausea, Tremor
Clinical narrative: patient was dizzy and shaken and nauseated about 15 minutes after receiving the vaccine. She progressed to feel more week after 5 more minutes. 911 was called and patient was taken to the hospital
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: Patient presented to the ED and was subsequently hospitalized with NSTEMI within 6 weeks of receiving COVID vaccination.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Agitation, Antineutrophil cytoplasmic antibody negative, Antinuclear antibody negative, Aphasia, Basophil count
Clinical narrative: On 4/3 patient developed neck pain and headache.  She had reportedly received her second dose of Moderna COVID vaccine within 1 week prior, but exact date unknown. She became acutely confused and reported tingling in her left fingers on 4/9 prompting presentation to Medical Center.  MRI was performed 4/10 reportedly showing an acute focal right corona radiata lacunar infarct. On 4/11 patient became more agitated and 4/12 developed worsening headache and global aphasia. Non-contrast head CT showed multiple areas of subarachnoid hemorrhage bilaterally. MRI brain felt to also have small areas of bilateral diffusion restriction throughout right more than left cerebral hemispheres with concern for leptomeningeal involvement.  She was transferred to another facility for higher level of care on 4/14.  LP on 4/16 with TNC 33 (95% lymphs, 3% monos, 2% macrophages), RBC 1425,  Protein 521, glucose 68. CSF gram stain/culture negative fungal culture and cryptococcal antigen negative, VZV PCR negative, HSV PCR negative, PCR meningitis/encephalitis panel negative, enterovirus culture negative. Serum VZV IgG positive but PCR negative, Lyme and treponemal antibodies negative, HIV Ab negative, ANA/ANCA/Sjogren's antibodies negative. Repeat LP 4/21 with TNC 43 (52% PMN, 35% lymphs, 11% monos, 1% baso, 1% myelos), protein 745, glucose 76). However, given high suspicion for viral encephalitis patient was recommended to complete a 10-14 day course of IV acyclovir by inpatient ID consult service (start date 4/16). She was also treated with empiric steroids. The neurology team is concerned for a possible vasculitis vs reversible cerebral vasoconstriction syndrome as potential etiologies.   Brain biopsy performed 4/23 to help clarify diagnosis, results pending.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy brain, Blood immunoglobulin G increased, Borrelia test negative, CSF culture negative, CSF glucose normal
Clinical narrative: On 4/3 patient developed neck pain and headache.  She had reportedly received her second dose of Moderna COVID vaccine within 1 week prior, but exact date unknown. She became acutely confused and reported tingling in her left fingers on 4/9 prompting presentation to Medical Center.  MRI was performed 4/10 reportedly showing an acute focal right corona radiata lacunar infarct. On 4/11 patient became more agitated and 4/12 developed worsening headache and global aphasia. Non-contrast head CT showed multiple areas of subarachnoid hemorrhage bilaterally. MRI brain felt to also have small areas of bilateral diffusion restriction throughout right more than left cerebral hemispheres with concern for leptomeningeal involvement.  She was transferred to another facility for higher level of care on 4/14.  LP on 4/16 with TNC 33 (95% lymphs, 3% monos, 2% macrophages), RBC 1425,  Protein 521, glucose 68. CSF gram stain/culture negative fungal culture and cryptococcal antigen negative, VZV PCR negative, HSV PCR negative, PCR meningitis/encephalitis panel negative, enterovirus culture negative. Serum VZV IgG positive but PCR negative, Lyme and treponemal antibodies negative, HIV Ab negative, ANA/ANCA/Sjogren's antibodies negative. Repeat LP 4/21 with TNC 43 (52% PMN, 35% lymphs, 11% monos, 1% baso, 1% myelos), protein 745, glucose 76). However, given high suspicion for viral encephalitis patient was recommended to complete a 10-14 day course of IV acyclovir by inpatient ID consult service (start date 4/16). She was also treated with empiric steroids. The neurology team is concerned for a possible vasculitis vs reversible cerebral vasoconstriction syndrome as potential etiologies.   Brain biopsy performed 4/23 to help clarify diagnosis, results pending.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: CSF lymphocyte count abnormal, CSF monocyte count decreased, CSF protein increased, CSF red blood cell count positive, Cerebral infarction
Clinical narrative: On 4/3 patient developed neck pain and headache.  She had reportedly received her second dose of Moderna COVID vaccine within 1 week prior, but exact date unknown. She became acutely confused and reported tingling in her left fingers on 4/9 prompting presentation to Medical Center.  MRI was performed 4/10 reportedly showing an acute focal right corona radiata lacunar infarct. On 4/11 patient became more agitated and 4/12 developed worsening headache and global aphasia. Non-contrast head CT showed multiple areas of subarachnoid hemorrhage bilaterally. MRI brain felt to also have small areas of bilateral diffusion restriction throughout right more than left cerebral hemispheres with concern for leptomeningeal involvement.  She was transferred to another facility for higher level of care on 4/14.  LP on 4/16 with TNC 33 (95% lymphs, 3% monos, 2% macrophages), RBC 1425,  Protein 521, glucose 68. CSF gram stain/culture negative fungal culture and cryptococcal antigen negative, VZV PCR negative, HSV PCR negative, PCR meningitis/encephalitis panel negative, enterovirus culture negative. Serum VZV IgG positive but PCR negative, Lyme and treponemal antibodies negative, HIV Ab negative, ANA/ANCA/Sjogren's antibodies negative. Repeat LP 4/21 with TNC 43 (52% PMN, 35% lymphs, 11% monos, 1% baso, 1% myelos), protein 745, glucose 76). However, given high suspicion for viral encephalitis patient was recommended to complete a 10-14 day course of IV acyclovir by inpatient ID consult service (start date 4/16). She was also treated with empiric steroids. The neurology team is concerned for a possible vasculitis vs reversible cerebral vasoconstriction syndrome as potential etiologies.   Brain biopsy performed 4/23 to help clarify diagnosis, results pending.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head abnormal, Condition aggravated, Confusional state, Cryptococcus test, Encephalitis viral
Clinical narrative: On 4/3 patient developed neck pain and headache.  She had reportedly received her second dose of Moderna COVID vaccine within 1 week prior, but exact date unknown. She became acutely confused and reported tingling in her left fingers on 4/9 prompting presentation to Medical Center.  MRI was performed 4/10 reportedly showing an acute focal right corona radiata lacunar infarct. On 4/11 patient became more agitated and 4/12 developed worsening headache and global aphasia. Non-contrast head CT showed multiple areas of subarachnoid hemorrhage bilaterally. MRI brain felt to also have small areas of bilateral diffusion restriction throughout right more than left cerebral hemispheres with concern for leptomeningeal involvement.  She was transferred to another facility for higher level of care on 4/14.  LP on 4/16 with TNC 33 (95% lymphs, 3% monos, 2% macrophages), RBC 1425,  Protein 521, glucose 68. CSF gram stain/culture negative fungal culture and cryptococcal antigen negative, VZV PCR negative, HSV PCR negative, PCR meningitis/encephalitis panel negative, enterovirus culture negative. Serum VZV IgG positive but PCR negative, Lyme and treponemal antibodies negative, HIV Ab negative, ANA/ANCA/Sjogren's antibodies negative. Repeat LP 4/21 with TNC 43 (52% PMN, 35% lymphs, 11% monos, 1% baso, 1% myelos), protein 745, glucose 76). However, given high suspicion for viral encephalitis patient was recommended to complete a 10-14 day course of IV acyclovir by inpatient ID consult service (start date 4/16). She was also treated with empiric steroids. The neurology team is concerned for a possible vasculitis vs reversible cerebral vasoconstriction syndrome as potential etiologies.   Brain biopsy performed 4/23 to help clarify diagnosis, results pending.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Enterovirus test negative, Fungal test negative, Gram stain, HIV antibody negative, Headache
Clinical narrative: On 4/3 patient developed neck pain and headache.  She had reportedly received her second dose of Moderna COVID vaccine within 1 week prior, but exact date unknown. She became acutely confused and reported tingling in her left fingers on 4/9 prompting presentation to Medical Center.  MRI was performed 4/10 reportedly showing an acute focal right corona radiata lacunar infarct. On 4/11 patient became more agitated and 4/12 developed worsening headache and global aphasia. Non-contrast head CT showed multiple areas of subarachnoid hemorrhage bilaterally. MRI brain felt to also have small areas of bilateral diffusion restriction throughout right more than left cerebral hemispheres with concern for leptomeningeal involvement.  She was transferred to another facility for higher level of care on 4/14.  LP on 4/16 with TNC 33 (95% lymphs, 3% monos, 2% macrophages), RBC 1425,  Protein 521, glucose 68. CSF gram stain/culture negative fungal culture and cryptococcal antigen negative, VZV PCR negative, HSV PCR negative, PCR meningitis/encephalitis panel negative, enterovirus culture negative. Serum VZV IgG positive but PCR negative, Lyme and treponemal antibodies negative, HIV Ab negative, ANA/ANCA/Sjogren's antibodies negative. Repeat LP 4/21 with TNC 43 (52% PMN, 35% lymphs, 11% monos, 1% baso, 1% myelos), protein 745, glucose 76). However, given high suspicion for viral encephalitis patient was recommended to complete a 10-14 day course of IV acyclovir by inpatient ID consult service (start date 4/16). She was also treated with empiric steroids. The neurology team is concerned for a possible vasculitis vs reversible cerebral vasoconstriction syndrome as potential etiologies.   Brain biopsy performed 4/23 to help clarify diagnosis, results pending.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes simplex test negative, Lacunar infarction, Lumbar puncture, Macrophage count, Magnetic resonance imaging head abnormal
Clinical narrative: On 4/3 patient developed neck pain and headache.  She had reportedly received her second dose of Moderna COVID vaccine within 1 week prior, but exact date unknown. She became acutely confused and reported tingling in her left fingers on 4/9 prompting presentation to Medical Center.  MRI was performed 4/10 reportedly showing an acute focal right corona radiata lacunar infarct. On 4/11 patient became more agitated and 4/12 developed worsening headache and global aphasia. Non-contrast head CT showed multiple areas of subarachnoid hemorrhage bilaterally. MRI brain felt to also have small areas of bilateral diffusion restriction throughout right more than left cerebral hemispheres with concern for leptomeningeal involvement.  She was transferred to another facility for higher level of care on 4/14.  LP on 4/16 with TNC 33 (95% lymphs, 3% monos, 2% macrophages), RBC 1425,  Protein 521, glucose 68. CSF gram stain/culture negative fungal culture and cryptococcal antigen negative, VZV PCR negative, HSV PCR negative, PCR meningitis/encephalitis panel negative, enterovirus culture negative. Serum VZV IgG positive but PCR negative, Lyme and treponemal antibodies negative, HIV Ab negative, ANA/ANCA/Sjogren's antibodies negative. Repeat LP 4/21 with TNC 43 (52% PMN, 35% lymphs, 11% monos, 1% baso, 1% myelos), protein 745, glucose 76). However, given high suspicion for viral encephalitis patient was recommended to complete a 10-14 day course of IV acyclovir by inpatient ID consult service (start date 4/16). She was also treated with empiric steroids. The neurology team is concerned for a possible vasculitis vs reversible cerebral vasoconstriction syndrome as potential etiologies.   Brain biopsy performed 4/23 to help clarify diagnosis, results pending.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Paraesthesia, Subarachnoid haemorrhage, Treponema test negative, Varicella virus test negative
Clinical narrative: On 4/3 patient developed neck pain and headache.  She had reportedly received her second dose of Moderna COVID vaccine within 1 week prior, but exact date unknown. She became acutely confused and reported tingling in her left fingers on 4/9 prompting presentation to Medical Center.  MRI was performed 4/10 reportedly showing an acute focal right corona radiata lacunar infarct. On 4/11 patient became more agitated and 4/12 developed worsening headache and global aphasia. Non-contrast head CT showed multiple areas of subarachnoid hemorrhage bilaterally. MRI brain felt to also have small areas of bilateral diffusion restriction throughout right more than left cerebral hemispheres with concern for leptomeningeal involvement.  She was transferred to another facility for higher level of care on 4/14.  LP on 4/16 with TNC 33 (95% lymphs, 3% monos, 2% macrophages), RBC 1425,  Protein 521, glucose 68. CSF gram stain/culture negative fungal culture and cryptococcal antigen negative, VZV PCR negative, HSV PCR negative, PCR meningitis/encephalitis panel negative, enterovirus culture negative. Serum VZV IgG positive but PCR negative, Lyme and treponemal antibodies negative, HIV Ab negative, ANA/ANCA/Sjogren's antibodies negative. Repeat LP 4/21 with TNC 43 (52% PMN, 35% lymphs, 11% monos, 1% baso, 1% myelos), protein 745, glucose 76). However, given high suspicion for viral encephalitis patient was recommended to complete a 10-14 day course of IV acyclovir by inpatient ID consult service (start date 4/16). She was also treated with empiric steroids. The neurology team is concerned for a possible vasculitis vs reversible cerebral vasoconstriction syndrome as potential etiologies.   Brain biopsy performed 4/23 to help clarify diagnosis, results pending.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count
Clinical narrative: On 4/3 patient developed neck pain and headache.  She had reportedly received her second dose of Moderna COVID vaccine within 1 week prior, but exact date unknown. She became acutely confused and reported tingling in her left fingers on 4/9 prompting presentation to Medical Center.  MRI was performed 4/10 reportedly showing an acute focal right corona radiata lacunar infarct. On 4/11 patient became more agitated and 4/12 developed worsening headache and global aphasia. Non-contrast head CT showed multiple areas of subarachnoid hemorrhage bilaterally. MRI brain felt to also have small areas of bilateral diffusion restriction throughout right more than left cerebral hemispheres with concern for leptomeningeal involvement.  She was transferred to another facility for higher level of care on 4/14.  LP on 4/16 with TNC 33 (95% lymphs, 3% monos, 2% macrophages), RBC 1425,  Protein 521, glucose 68. CSF gram stain/culture negative fungal culture and cryptococcal antigen negative, VZV PCR negative, HSV PCR negative, PCR meningitis/encephalitis panel negative, enterovirus culture negative. Serum VZV IgG positive but PCR negative, Lyme and treponemal antibodies negative, HIV Ab negative, ANA/ANCA/Sjogren's antibodies negative. Repeat LP 4/21 with TNC 43 (52% PMN, 35% lymphs, 11% monos, 1% baso, 1% myelos), protein 745, glucose 76). However, given high suspicion for viral encephalitis patient was recommended to complete a 10-14 day course of IV acyclovir by inpatient ID consult service (start date 4/16). She was also treated with empiric steroids. The neurology team is concerned for a possible vasculitis vs reversible cerebral vasoconstriction syndrome as potential etiologies.   Brain biopsy performed 4/23 to help clarify diagnosis, results pending.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Starting around 10 minutes after the vaccine and ending about three hours later, tingling & numbness on the left side of my face and my left arm and nausea. Shooting pains down my left arm 24 hours after the vaccine and continuing presently.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: Severe worsening of tinnitus. It is much louder than it has ever been.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lymphadenopathy, Nausea, Pyrexia, Vomiting
Clinical narrative: Fever 101.5 8 hours after second dose subsided at 24 hours post dose. Headache 8-48 hours post dose. Nausea and vomiting 12-24 hours post dose. Severely Swollen lymph nodes on left neck and armpit.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Fall
Clinical narrative: Member fell to floor after covid vaccine. Member alert and oriented to time and plce. member denies distress and brought to holding room. Member states had similar reaction when getting tattoo. Member observed x1hr and d/c'd by Dr.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Headache, Nausea
Clinical narrative: Although I drank more than a liter of water before and after the injection, by late afternoon, I began to experience extreme fatigue and mild nausea along with a start of a headache. Despite the exhaustion, I was unable to sleep throughout the night and was so I exhausted I could barely be out of bed until Sunday mid-morning (more than 48 hours after receiving the injection). The headache grew severe and not relieved by regular dosing of Tylenol.  I had little appetite and did not eat much but continued to try to stay hydrated. By evening, I was vomiting and still had the extreme headache. By Sunday, I was still very tired but able to resume some activity and ate a small amount more. I also experienced pain at the injection site.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Confusional state, Headache, Muscle tightness, Nausea
Clinical narrative: Muscle tension and extreme pain in joints  Headache  Nausea  Vomiting  Confussion
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Muscle tension and extreme pain in joints  Headache  Nausea  Vomiting  Confussion
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pain
Clinical narrative: Severe eye pain requiring prednisolone eye drops, per patient could have resulted in vision loss. One eye only.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Dizziness, Fatigue, Headache
Clinical narrative: Within an hour, dizziness.  That night, fatigue, pain in arm, bad,bad headache, neck ache. Fever around 100 degrees. Morning after, bad headache, fever over 100 but less than 101. Within 24 hours, headache, shoulder, back, neck ache. Fever with Tylenol 101.6. Sore throat. Possible swollen glands. Waiting to see if better at 48 hrs.