chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Swelling
Clinical narrative: I experienced minor throat swelling about an hour after my shot. I took a Benadryl. I hadn?t consumed anything before or after my shot, so I?m certain the swelling was related.   I also got a headache that started about an hour or two after receiving the vaccine. This headache persisted until around 10pm the following evening. I took ibuprofen as I was able.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Urticaria, Vision blurred
Clinical narrative: Arm started hurting after 10 minutes, area red around bandaid and in bilateral antecubital spaces. No swelling or heat. Also reported blurred vision.  Reports being in the sun on Sunday.  No shortness of breath, nor throat swelling or anyother symptoms.  b/p 130/78  pulse 64. 9:35 Hive type rednness in bilateral axillary.   9:40 reports no further blurred vision. Has appointment with Dermatology & Pulmonolgy.  Pictures taken to show dermatologist.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram abnormal, Electroencephalogram abnormal, Epilepsy, Magnetic resonance imaging abnormal
Clinical narrative: I've had my first seizure 3 weeks later after recieving the vaccine. Went to the ER and was diagnosed with Epilepsy. And was placed on KEPPRA medication. Where as I had my second seizure May 22
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: I've had my first seizure 3 weeks later after recieving the vaccine. Went to the ER and was diagnosed with Epilepsy. And was placed on KEPPRA medication. Where as I had my second seizure May 22
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Dyspnoea
Clinical narrative: Day four after second immunization: Cough Chest Pressure, difficulty catching breath and difficulty taking in full breathes.  Lasted 4-6 weeks
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Lethargy, Listless, Sinus congestion, Upper-airway cough syndrome
Clinical narrative: Lethargy & tiredness, post-nasal drip and sinus congestion, felt generally listless.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is under the age of 18.  Moderna should not have been administered.  Patient returned for Dose 2 Pfizer.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The vaccine was administered on the date of expiration. Clinic staff was initially told the vaccine could be used but found out later in the day that it should not have been used.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Hypersensitivity, Rhinorrhoea
Clinical narrative: Participant did not have any  side effects until 2 weeks after the 2nd dose of vaccine. Participant woke up and notice tightness in chest, allergies and runny nose.  Participant did not take any medication but went to the  doctor to seek care. Participant was prescribed an antibiotic (doesn't remember the name) and also receive a steroid shot.  She started to feel better after starting  the medications. After completing the course of antibiotics, she has fully recovered.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, COVID-19, Cerebral small vessel ischaemic disease, Chest X-ray abnormal, Computerised tomogram head abnormal
Clinical narrative: Patient is a 91 year old female who presented with a chief complaint of aphasia. Patient with increasing frequency in confusion episodes over the past few months. Patient presented in no acute distress, normal neurologic exam. Vitals stable, afebrile. Asymptomatic. CT Head without acute findings, but chronic microvascular disease consistent with age which may explain patient's symptoms. TIAs cannot be ruled out however at this time. Recommend patient be evaluated by neurology. Discussed with patient who is in agreement with plan.  Incidentally, patient with CXR findings consistent with pneumonia. Patient treated with antibiotics for CAP in case this is contributing to symptoms. COVID is positive but patient states that she tested positive in March and has received both vaccines. SpO2 94% on RA.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Neurological examination normal, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient is a 91 year old female who presented with a chief complaint of aphasia. Patient with increasing frequency in confusion episodes over the past few months. Patient presented in no acute distress, normal neurologic exam. Vitals stable, afebrile. Asymptomatic. CT Head without acute findings, but chronic microvascular disease consistent with age which may explain patient's symptoms. TIAs cannot be ruled out however at this time. Recommend patient be evaluated by neurology. Discussed with patient who is in agreement with plan.  Incidentally, patient with CXR findings consistent with pneumonia. Patient treated with antibiotics for CAP in case this is contributing to symptoms. COVID is positive but patient states that she tested positive in March and has received both vaccines. SpO2 94% on RA.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Taste disorder, Weight decreased
Clinical narrative: About 2-3 days following the vaccine I realized I was not very hungry and the foods I did eat did not have the same taste, as in just off flavor. Also had no desire to eat anything sweet. I was curious the changes so looked back on calendar and realized I had the 2nd vaccine shot on Apr 9 and wondered if that altered my appetite and flavor for food. I weighed 228 lbs at that time and started tracking the weight loss. So far (May 26 2021)  have lost 14 pounds. I do not eat snacks at all between or after meals any more - just eat my 3 meals a day, but the quantity is less. The flavor of food is coming back however, but have not had the desire for sweets.  No other adverse indications; I feel absolutely fine. Just thought it strange and coincidental that suddenly I stopped desiring sweets and appetite changed. I talked with my doctor at appointment with him on May 24 and he suggested I fill out this report.  As I look at question #20 if patient has recovered - I will check "Unknown" just because I'm not sure how much current eating lifestyle is due now to whatever caused it to begin with or now 42 days later this is just habit for me. Also question #21 - I did not seek dr appoint because of the appetite change, that May 24 appt was scheduled before I had the shot. Just figured I'd mention it to him as long as I was there.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Nasal congestion, Product preparation error
Clinical narrative: The patient was given 0.3 ml of undiluted Pfizer Covid vaccine, resulting in 6 times the authorized dose.  The error was discovered 1 hour after the vaccine was given and the patient was notified via phone 3 hours after administration.  Patient was advised by the pharmacist to take 2 extra strength Tylenol before bed and again in the morning to help with possible side effects.  The patient was followed-up by the pharmacy the following morning and only reports a stuffy nose.  No other adverse events have been reported to date.
Age: 13.0
Sex: F
Vaccine: UNK
Symptoms: Angina pectoris
Clinical narrative: After the vaccine she started having some pain around her heart.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Completed Pfizer COVID vaccine series with dose #1 1/12/21 and dose #2 2/2/21. Tested positive for COVID via rapid antigen and PCR 5/26/21 as part of required routine testing for working at a care facility. No signs/symptoms.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Immediate post-injection reaction, Menstruation irregular
Clinical narrative: Changes with monthly Menstrual . Dose 1 (04/30/2021) after pzifer vaccine, heavy period  came the same day after I was injected and it came 1 week early. And now dose 2 (05/21/2021) of Pzifer vaccine heavy cramping  period came immediately after vaccine as well 1 week early. menstrual is always on time never early nor painful. seeing immediate changes after these 2 doses.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Chest pain, Chronic obstructive pulmonary disease, Dyspnoea, Palpitations
Clinical narrative: Patient presents to the ED with shortness of breath, chest pains and palpitations.  Has noticed rapid heart rates for last 2 months, started immunotherapy. Started on diltiazem and symptoms resolved.  Diagnosed with Afib and COPD exacerbation.  Recently diagnosed with left lung squamous cell carcinoma.  patient will start on eliquis, digoxin and diltiazem. Discharged with symptoms resolved.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Head discomfort, Hyperhidrosis, Nausea
Clinical narrative: Extreme pressure in my head which made it nearly impossible to keep my eyes open. Severe sensitivity to light. Profuse sweating followed by chills (this happened for hours). Nausea. Dizziness.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Photophobia
Clinical narrative: Extreme pressure in my head which made it nearly impossible to keep my eyes open. Severe sensitivity to light. Profuse sweating followed by chills (this happened for hours). Nausea. Dizziness.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Joint stiffness, Lymphadenopathy, Oropharyngeal pain, Pain in extremity
Clinical narrative: Very serious aches and pains in my joints. Fever, sore throat, pain in arm. Swollen glands and stiff joints. All started around 9 Pm
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Very serious aches and pains in my joints. Fever, sore throat, pain in arm. Swollen glands and stiff joints. All started around 9 Pm
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: no adverse event. The vaccine was given on the expiration date. Clinic staff initially was told the vaccine could be used but found out later in the day that it should not have been used.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received dose 1 of Moderna covid vaccine under the age of 18
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Facial paralysis
Clinical narrative: Patient presents a week after the administration of the vaccine a left side facial paralysis and 2 days before the paralysis had a pressure on the left side posterior.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Chills, Decreased appetite, Hyperhidrosis
Clinical narrative: Severe body aches, chest pain, sweating, chills, slept all day, very uncomfortable, haven't felt this sick in over a decade, unlike any ?flu?, nauseated. Weak, no energy, no appetite. Husband had same shot as me, had same reactions, terrible feeling
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersomnia, Influenza, Malaise, Nausea, Pain
Clinical narrative: Severe body aches, chest pain, sweating, chills, slept all day, very uncomfortable, haven't felt this sick in over a decade, unlike any ?flu?, nauseated. Weak, no energy, no appetite. Husband had same shot as me, had same reactions, terrible feeling
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site pain, Oropharyngeal pain, Pharyngeal swelling
Clinical narrative: Pain at site, surrounding and upper shoulder. Sore throat and a bit swollen , coughing, congestion,  coughing up thick discharge, bad headache, extremely tired. This is in just less than 48 hrs. Have not seen a dr at this point, will treat sx and see if it gets worse, if its not better over next couple days will go to urgent care.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Productive cough, Respiratory tract congestion
Clinical narrative: Pain at site, surrounding and upper shoulder. Sore throat and a bit swollen , coughing, congestion,  coughing up thick discharge, bad headache, extremely tired. This is in just less than 48 hrs. Have not seen a dr at this point, will treat sx and see if it gets worse, if its not better over next couple days will go to urgent care.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Blood pressure decreased, Chest discomfort, Dizziness, Dyspnoea
Clinical narrative: APPROXIMATELY 22 MIN. AFTER RECEIVING VACCINE, CLIENT BECAME LIGHT HEADED, DIZZY, SHORT OF BREATH, THROAT SWELLING, EYES WATERING, BLOOD PRESSURE DROPPED, TIGHTNESS IN CHEST. 911 CALLED. PARAMEDICS GAVE IV EPI. AND TRANSPORTED CLIENT TO  HOSPITAL ER. MD DIAGNOSED ANAPHYLAXIS DUE TO COVID VACCINE. IN ER, CLIENT WAS GIVEN PREDNISOLONE  AND ALBUTEROL TREATMENT. CLIENT RESTED IN ER WHILE BEING MONITORED. CLIENT THEN RELEASED TO GO HOME.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Lacrimation increased, Pharyngeal swelling, Vaccination complication
Clinical narrative: APPROXIMATELY 22 MIN. AFTER RECEIVING VACCINE, CLIENT BECAME LIGHT HEADED, DIZZY, SHORT OF BREATH, THROAT SWELLING, EYES WATERING, BLOOD PRESSURE DROPPED, TIGHTNESS IN CHEST. 911 CALLED. PARAMEDICS GAVE IV EPI. AND TRANSPORTED CLIENT TO  HOSPITAL ER. MD DIAGNOSED ANAPHYLAXIS DUE TO COVID VACCINE. IN ER, CLIENT WAS GIVEN PREDNISOLONE  AND ALBUTEROL TREATMENT. CLIENT RESTED IN ER WHILE BEING MONITORED. CLIENT THEN RELEASED TO GO HOME.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Herpes virus infection
Clinical narrative: Genital lesions, consistent with herpes virus appeared. Treated with Metronidazole 500 mg and Valacyclovir HCL 1g. Outbreak went away.
Age: 18.0
Sex: M
Vaccine: MENB
Symptoms: Accidental exposure to product, Expired product administered, No adverse event
Clinical narrative: I was following the documentation steps when entering the information for vaccine administration. Once I reviewed the information on the vial which included the lot number and expiration date, I continued to enter the lot number and expiration date, manufacturer, injection site etc., after a warning pop-up message came up and for some reason it did not occur to me that the message mentioned that the vaccine I was entering to administer was expired and I click "ok" to override it. And at this point it still did realize with reviewing the information on the vial, box and documenting the vaccine information that the expiration year was 2020 and I probably read it as 2021, which is a big part of my error. The patient tolerated the injection well and waited in the waiting area which was in my view for 15 minutes after injection due to possible syncope as indicated by the CDC. It was not until I was reviewing the vaccine administration after the patient had left did I realize that I had administered an expired vaccine. I contacted my boss to let them know of the adverse event and we contacted the patient, and the patient was made aware of the adverse event that occurred due to my nursing error. The patient did not experience and adverse side effect or symptoms after the vaccine administration.   This adverse event occurred on 11/17/2020. Injection site: Left Deltoid Manufacturer: GlaxoSmithKline
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Feeling abnormal, Headache
Clinical narrative: Fever, chills, headache, fatigue, malaise, body ache felt like beaten up and could not get out of bead or walk, brain fog, unable to eat.  This lasted for about 2.5 - 3days.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Movement disorder, Pain, Pyrexia
Clinical narrative: Fever, chills, headache, fatigue, malaise, body ache felt like beaten up and could not get out of bead or walk, brain fog, unable to eat.  This lasted for about 2.5 - 3days.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Aphasia, Chest pain, Dyspnoea, Feeling abnormal
Clinical narrative: 2nd dose received. AFter a few minutes, patietn reporting "fuzzy lip" sensation. No swelling, angioedema, chest pain, shortness of breath, tongue swelling, airway obstruction or difficulty speaking or diaphoresis. No issues with 1st dose. Monitored for 30 minutes. Symptoms improved/resolved and patient was discharged from clinic.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Obstructive airways disorder, Swollen tongue
Clinical narrative: 2nd dose received. AFter a few minutes, patietn reporting "fuzzy lip" sensation. No swelling, angioedema, chest pain, shortness of breath, tongue swelling, airway obstruction or difficulty speaking or diaphoresis. No issues with 1st dose. Monitored for 30 minutes. Symptoms improved/resolved and patient was discharged from clinic.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Disseminated varicella zoster virus infection, Respiratory failure, Toxic encephalopathy, Varicella virus test positive
Clinical narrative: Patient admitted to hospital 5/15/2021 with acute toxic encephalopathy due to disseminated varicella zoster virus and acute hypercapneic respiratory failure.  Patient remains hospitalized as of date of this report.  Encephalopathy is resolving and patient has been extubated but remains on 4 liters of oxygen via nasal canula.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received Moderna at different location in Feb 2021. Patient was only able to get Pfizer due to military limitations.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: Patient called and described a itchy rash on leg(s).
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Insomnia, Pain, Pyrexia
Clinical narrative: patient called reporting  trouble sleeping due to fever and chills along with body aches
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia, Pain of skin
Clinical narrative: joints ache, muscle, skin tender
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Headache, Nausea, Pyrexia
Clinical narrative: Night of and next morning of vaccine: fever of 103.8 F recorded, and associated shivering  From 2nd day after shot: claims of: pounding headache, no appetite, nausea and eating caused more nausea  Claimed that marijuana usage alleviated some of the nausea and appetite issues
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Substance use
Clinical narrative: Night of and next morning of vaccine: fever of 103.8 F recorded, and associated shivering  From 2nd day after shot: claims of: pounding headache, no appetite, nausea and eating caused more nausea  Claimed that marijuana usage alleviated some of the nausea and appetite issues
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Injection site pain, Mobility decreased
Clinical narrative: Extremely painful injection followed by shoulder pain, weakness, lack of mobility. Been taking Advil or Tylenol everyday. Have tried ice and heat. Still in a lot of pain. I?m so frustrated I don?t know what kind of doc to go to. Please get back to me
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash, Rash, Varicella virus test positive, Varicella zoster virus infection
Clinical narrative: Rash on arm starting from injection site, progressing over the following days.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Nausea, Pain
Clinical narrative: started with chills and shaking with no fever soon followed by body aches from head to toe. several hours later the nausea and vomiting began. A month later I am more fatigued than I ever was before the vaccine. My energy level plummeted after the second vaccine and has not yet recovered.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Vomiting
Clinical narrative: started with chills and shaking with no fever soon followed by body aches from head to toe. several hours later the nausea and vomiting began. A month later I am more fatigued than I ever was before the vaccine. My energy level plummeted after the second vaccine and has not yet recovered.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: none, vaccine administration in unauthorized age
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dysgeusia
Clinical narrative: Patient complained that he tatste the medicine  and also dizziness after he received the first dose of  pfizer vaccine. Assessment done  and patient sent home in stable condition. Patient stated that he feels a lot better.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Electrocardiogram normal, Postictal state, Seizure
Clinical narrative: Seizure for 20 seconds and then post ictal for 10-15 minutes, by time got to the ED back at baseline
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Burning sensation, Hypoaesthesia, Hypoaesthesia oral, Lip swelling
Clinical narrative: 5 days after injection developed right sided face and lip numbness, tingling, burning, swelling. Diagnosis: Bells Palsy
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Oral discomfort, Paraesthesia, Paraesthesia oral, Swelling face
Clinical narrative: 5 days after injection developed right sided face and lip numbness, tingling, burning, swelling. Diagnosis: Bells Palsy
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Intermenstrual bleeding, Menstruation irregular, Oligomenorrhoea
Clinical narrative: I had a break through period 15 days into my cycle which is not normal, I saw my obgyn because I was concerned. My cycle was abnormally heavy and long.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: Excessive menstruation. Moderate to heavy for 38 days.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Unresponsive to stimuli, Visual impairment
Clinical narrative: Patient claimed she saw spots and was then unresponsive to the mother.  Blood pressure was taken prior to EMT arrival with blood pressure of 105/68 and pulse of 70. Patient barely ate that day prior to coming in for the vaccine. Mother later disclosed that the patient had a event similar to this prior (date unknown) with the patient after getting an IV injection.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation error
Clinical narrative: The patient was given 0.3 ml of undiluted Pfizer Covid vaccine, resulting in 6 times the authorized dose.  The error was discovered by myself about 1 hour after vaccine administration and the patient was contacted via phone about 3 hours after administration.  I advised the patient to take 2 extra strength Tylenol before bed and upon awakening the next morning to help with possible adverse effects from the vaccine.  The patient was called the following morning and reports no adverse effects.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: Random nose bleeds for 3 days straight starting 5/23/21
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Full blood count, Metabolic function test
Clinical narrative: Severe dizziness
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Patient said on injection the arm started the hurt. Pain did not resolve. Pain worsened. Patient went to ER around 3 weeks later due to increasing pain
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Unresponsive to stimuli
Clinical narrative: Per daughter, patient, after uneventful vaccine administration and 15 minute observation period, returned home, and father had lunch with wife and daughter. At 1:30, father remained home while daughter and wife went grocery shopping. Upon return from grocery store, approximately 1 hr. 45 minutes later, daughter found father unresponsive in bathtub with small amount of water, faucet off, and father partially clothed. Per daughter, the shower chair had been removed from the tub by her father. Per daughter, an autopsy was planned. Results are pending.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Blood iron normal, Blood thyroid stimulating hormone normal, Disorientation, Disturbance in attention, Full blood count normal
Clinical narrative: Patient was seen on 5/19/21 complaining of numbness and tingling in both of his hands, face, and mouth, and stated that it started three days prior. He was not having any fevers and there was no known injuries. Dr. ordered a CBC w/ diff, CMP, ferritin, Hemoglobin A1C, iron and TIBC, and TSH, all of which came back normal.  Patients' mom called hospital on 5/22/21 stating that he had an incident during a game on 5/21/21 where he became disoriented and felt like he became less alert. He went to the Emergency Department on 5/23/21 with numbness and tingling that was present for one week and a headache for one day. After evaluation it was decided that neurology would see him outpatient. Neurology saw him on 5/25/21 and he said he has had difficulty concentrating and maintaining attention. He has also had memory issues. They ordered an MRI and EEG which have not occurred yet.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Glycosylated haemoglobin normal, Headache, Hypoaesthesia, Hypoaesthesia oral, Iron binding capacity total normal
Clinical narrative: Patient was seen on 5/19/21 complaining of numbness and tingling in both of his hands, face, and mouth, and stated that it started three days prior. He was not having any fevers and there was no known injuries. Dr. ordered a CBC w/ diff, CMP, ferritin, Hemoglobin A1C, iron and TIBC, and TSH, all of which came back normal.  Patients' mom called hospital on 5/22/21 stating that he had an incident during a game on 5/21/21 where he became disoriented and felt like he became less alert. He went to the Emergency Department on 5/23/21 with numbness and tingling that was present for one week and a headache for one day. After evaluation it was decided that neurology would see him outpatient. Neurology saw him on 5/25/21 and he said he has had difficulty concentrating and maintaining attention. He has also had memory issues. They ordered an MRI and EEG which have not occurred yet.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Memory impairment, Metabolic function test, Paraesthesia, Serum ferritin normal
Clinical narrative: Patient was seen on 5/19/21 complaining of numbness and tingling in both of his hands, face, and mouth, and stated that it started three days prior. He was not having any fevers and there was no known injuries. Dr. ordered a CBC w/ diff, CMP, ferritin, Hemoglobin A1C, iron and TIBC, and TSH, all of which came back normal.  Patients' mom called hospital on 5/22/21 stating that he had an incident during a game on 5/21/21 where he became disoriented and felt like he became less alert. He went to the Emergency Department on 5/23/21 with numbness and tingling that was present for one week and a headache for one day. After evaluation it was decided that neurology would see him outpatient. Neurology saw him on 5/25/21 and he said he has had difficulty concentrating and maintaining attention. He has also had memory issues. They ordered an MRI and EEG which have not occurred yet.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Deep vein thrombosis, Dyspnoea, Pancreatic mass, Pulmonary embolism
Clinical narrative: She developed shortness of breath the day after receiving the vaccine. Three days later she presented to ED and was found to have extensive right DVT and bilateral PEs.  She has no prior history of DVT/PE. She had taken a flight 6 days before getting the vaccine. She has responed to treatment and was discharged the next day.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Right ventricular dysfunction
Clinical narrative: She developed shortness of breath the day after receiving the vaccine. Three days later she presented to ED and was found to have extensive right DVT and bilateral PEs.  She has no prior history of DVT/PE. She had taken a flight 6 days before getting the vaccine. She has responed to treatment and was discharged the next day.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Tremor, Vomiting
Clinical narrative: Patient sat about 2 minutes after getting vaccine and started to walk away  to  sit in our designated area.   She immediately turned  around to sit down again.  She then  proceeded to start falling to her right and passed out.  I was able to catch her and then she started  shaking as if having a seizure.  This lasted about 5 seconds .  She stopped  and then it happened again  for about 5 seconds.  When she came to, she tried to walk away again and had to return to sitting.  Then she vomited twice.  Upon checking her blood pressure after about 30 minutes, it was 97/66.  She sat for a total of about an hour before feeling  good enough to leave.  She was nauseous for the remainder of the day and the next day as well.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient had an ED visit and/or hospitalization within 6 weeks of receiving COVID vaccine.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, C-reactive protein increased, Chest pain, Chills, Cough
Clinical narrative: Previously healthy 16 year old male presenting to hospital as a transfer for chest pain and elevated Troponin levels concerning for myocarditis. Patient has otherwise been healthy. Two days ago he received his second dose of COVID vaccination. He initially felt fine, but later that day had some body aches. The next day he felt feverish off and on and had dull left upper sternal border chest pain intermittently. Today, he reports sharp 7/10 mid sternal chest pain, lightheadedness, sweating, chills, and intermittent non-productive cough. He presented to original hospital for evaluation. The patient admits to tactile warmth since Sunday with no documented temperatures. He recently received his second dose of Pfizer just before onset of these symptoms. He reports difficulty sleeping since Sunday, but no shortness of breath, rashes, syncope, nausea, or vomiting. He has not had any other recent illness, fevers, or known COVID-19 exposures. He denies any history of prior cardiac disease and there is no known family history of cardiac disease, arrhythmias, or sudden death in the child or adolescent period. He denies illicit or recreational drug use. In the ED, he was well appearing with pain now 1 out of 10. POC troponin was 16.8 ng/mL. He had labs pertinent for ESR 10, CRP 3.0, BNP 24. RP2 PCR was negative. UDS was negative except for opiates (s/p morphine). IV was placed and patient was started on IV fluids. EKG was obtained and showed questionable left atrial enlargement per ED read. Cardiology was consulted and performed Echocardiogram in the ED at bedside and was within normal limits. Cardiology resident team contacted for admission. Past Medical History: No major medical diagnoses Past Surgical History: Orchiopexy, T&A Family History: No cardiac family history Social History: Lives at home with mother. Has two healthy siblings not living at home Immunizations: Up to date Medications: None Allergies: NKDA Etiology of likely myocarditis remains unclear at this time. In his age group, this would most likely represent a viral myocarditis. He would likely benefit from cardiac MRI during this admission for further evaluation of myocarditis. His EKG findings with his age group are unlikely to be secondary to myocardial infarct. No arrhythmias or heart block noted on EKG at time of admission or telemetry in ED. There is no family history of autoimmune disease or cardiac disease to suggest an autoimmune component or genetic etiology.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Drug screen negative, Echocardiogram normal, Electrocardiogram ST segment elevation, Feeling hot
Clinical narrative: Previously healthy 16 year old male presenting to hospital as a transfer for chest pain and elevated Troponin levels concerning for myocarditis. Patient has otherwise been healthy. Two days ago he received his second dose of COVID vaccination. He initially felt fine, but later that day had some body aches. The next day he felt feverish off and on and had dull left upper sternal border chest pain intermittently. Today, he reports sharp 7/10 mid sternal chest pain, lightheadedness, sweating, chills, and intermittent non-productive cough. He presented to original hospital for evaluation. The patient admits to tactile warmth since Sunday with no documented temperatures. He recently received his second dose of Pfizer just before onset of these symptoms. He reports difficulty sleeping since Sunday, but no shortness of breath, rashes, syncope, nausea, or vomiting. He has not had any other recent illness, fevers, or known COVID-19 exposures. He denies any history of prior cardiac disease and there is no known family history of cardiac disease, arrhythmias, or sudden death in the child or adolescent period. He denies illicit or recreational drug use. In the ED, he was well appearing with pain now 1 out of 10. POC troponin was 16.8 ng/mL. He had labs pertinent for ESR 10, CRP 3.0, BNP 24. RP2 PCR was negative. UDS was negative except for opiates (s/p morphine). IV was placed and patient was started on IV fluids. EKG was obtained and showed questionable left atrial enlargement per ED read. Cardiology was consulted and performed Echocardiogram in the ED at bedside and was within normal limits. Cardiology resident team contacted for admission. Past Medical History: No major medical diagnoses Past Surgical History: Orchiopexy, T&A Family History: No cardiac family history Social History: Lives at home with mother. Has two healthy siblings not living at home Immunizations: Up to date Medications: None Allergies: NKDA Etiology of likely myocarditis remains unclear at this time. In his age group, this would most likely represent a viral myocarditis. He would likely benefit from cardiac MRI during this admission for further evaluation of myocarditis. His EKG findings with his age group are unlikely to be secondary to myocardial infarct. No arrhythmias or heart block noted on EKG at time of admission or telemetry in ED. There is no family history of autoimmune disease or cardiac disease to suggest an autoimmune component or genetic etiology.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Insomnia, Pain, Pyrexia, Red blood cell sedimentation rate normal
Clinical narrative: Previously healthy 16 year old male presenting to hospital as a transfer for chest pain and elevated Troponin levels concerning for myocarditis. Patient has otherwise been healthy. Two days ago he received his second dose of COVID vaccination. He initially felt fine, but later that day had some body aches. The next day he felt feverish off and on and had dull left upper sternal border chest pain intermittently. Today, he reports sharp 7/10 mid sternal chest pain, lightheadedness, sweating, chills, and intermittent non-productive cough. He presented to original hospital for evaluation. The patient admits to tactile warmth since Sunday with no documented temperatures. He recently received his second dose of Pfizer just before onset of these symptoms. He reports difficulty sleeping since Sunday, but no shortness of breath, rashes, syncope, nausea, or vomiting. He has not had any other recent illness, fevers, or known COVID-19 exposures. He denies any history of prior cardiac disease and there is no known family history of cardiac disease, arrhythmias, or sudden death in the child or adolescent period. He denies illicit or recreational drug use. In the ED, he was well appearing with pain now 1 out of 10. POC troponin was 16.8 ng/mL. He had labs pertinent for ESR 10, CRP 3.0, BNP 24. RP2 PCR was negative. UDS was negative except for opiates (s/p morphine). IV was placed and patient was started on IV fluids. EKG was obtained and showed questionable left atrial enlargement per ED read. Cardiology was consulted and performed Echocardiogram in the ED at bedside and was within normal limits. Cardiology resident team contacted for admission. Past Medical History: No major medical diagnoses Past Surgical History: Orchiopexy, T&A Family History: No cardiac family history Social History: Lives at home with mother. Has two healthy siblings not living at home Immunizations: Up to date Medications: None Allergies: NKDA Etiology of likely myocarditis remains unclear at this time. In his age group, this would most likely represent a viral myocarditis. He would likely benefit from cardiac MRI during this admission for further evaluation of myocarditis. His EKG findings with his age group are unlikely to be secondary to myocardial infarct. No arrhythmias or heart block noted on EKG at time of admission or telemetry in ED. There is no family history of autoimmune disease or cardiac disease to suggest an autoimmune component or genetic etiology.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory viral panel, Troponin increased, Viral myocarditis, Viral test negative
Clinical narrative: Previously healthy 16 year old male presenting to hospital as a transfer for chest pain and elevated Troponin levels concerning for myocarditis. Patient has otherwise been healthy. Two days ago he received his second dose of COVID vaccination. He initially felt fine, but later that day had some body aches. The next day he felt feverish off and on and had dull left upper sternal border chest pain intermittently. Today, he reports sharp 7/10 mid sternal chest pain, lightheadedness, sweating, chills, and intermittent non-productive cough. He presented to original hospital for evaluation. The patient admits to tactile warmth since Sunday with no documented temperatures. He recently received his second dose of Pfizer just before onset of these symptoms. He reports difficulty sleeping since Sunday, but no shortness of breath, rashes, syncope, nausea, or vomiting. He has not had any other recent illness, fevers, or known COVID-19 exposures. He denies any history of prior cardiac disease and there is no known family history of cardiac disease, arrhythmias, or sudden death in the child or adolescent period. He denies illicit or recreational drug use. In the ED, he was well appearing with pain now 1 out of 10. POC troponin was 16.8 ng/mL. He had labs pertinent for ESR 10, CRP 3.0, BNP 24. RP2 PCR was negative. UDS was negative except for opiates (s/p morphine). IV was placed and patient was started on IV fluids. EKG was obtained and showed questionable left atrial enlargement per ED read. Cardiology was consulted and performed Echocardiogram in the ED at bedside and was within normal limits. Cardiology resident team contacted for admission. Past Medical History: No major medical diagnoses Past Surgical History: Orchiopexy, T&A Family History: No cardiac family history Social History: Lives at home with mother. Has two healthy siblings not living at home Immunizations: Up to date Medications: None Allergies: NKDA Etiology of likely myocarditis remains unclear at this time. In his age group, this would most likely represent a viral myocarditis. He would likely benefit from cardiac MRI during this admission for further evaluation of myocarditis. His EKG findings with his age group are unlikely to be secondary to myocardial infarct. No arrhythmias or heart block noted on EKG at time of admission or telemetry in ED. There is no family history of autoimmune disease or cardiac disease to suggest an autoimmune component or genetic etiology.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Pain
Clinical narrative: Red/swelling at injection site for nearly 1 month,  intense full body pain
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dyskinesia, Electroencephalogram
Clinical narrative: Within five minutes of administering the vaccine, involuntary movements in the mouth began and then involuntary movements began throughout the body, such as seizures. Involuntary movements throughout the body were every 30 to 40 seconds. She was taken to the emergency room. They tested and administered medications for allergies and keeping the airways open. She was transferred to the emergency room of another hospital for neurological tests. In the hospital they performed EKG, CBS, CT and neurological physical examination. All the results came out fine, except for the low phosphorous. Involuntary movements continued throughout. They release her from the hospital. Involuntary movements continue, return in 24 hours to the emergency room. They performed an EKG because it indicated that he was having chest pain. Turning out well. They discharge her but she continues with the involuntary movements. Four days later she managed to get a doctor to see her, who is her neurologist. The doctor advises that it could be non-epileptic seizures or some conversion. Zoloft and klonopin recipe. Continue with the involuntary movements. All day sharpening at bedtime. Seven days later in conversation with the doctor he refers to an epileptologist and sleep specialist for tests. Nine days later, an EGG of 24 was performed to coordinate a hospitalization. Although the movements today are more sporadic, they continue without explaination.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Incomplete course of vaccination
Clinical narrative: Patient was given first Pfizer dose on 4/24/21 and asked at the time if he had received any other Covid vaccine doses reported that he had not.  When he returned for his second Pfizer dose on 5/25/21, documentation was found in his chart that he had received Janssen from a pharmacy on 3/10/21.  On 4/24/21, the Janssen dose was still not in his chart.  The second Pfizer dose was held and not given on 5/25/21.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Condition aggravated, Headache
Clinical narrative: Patient stated headache and stomach pains were present soon after getting the shot. Patient had had stomach pains for >1 year but are now worse. No reports of trouble breathing. Advised to follow up with PCP.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Feeling abnormal, Pain
Clinical narrative: Fatigue, brain fog, ache, chills
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Hallucination, Muscle spasms
Clinical narrative: Muscle spasm, muscle cramps, hallucinations, cold sweats. Happen at night between midnight and 5am.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pruritus, Skin test
Clinical narrative: A day after the second shot of the vaccine, I felt fatigued and had a headache for 3 days. Starting day 4, itchiness started and would not go away. Still itchy, when I am not on medication.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Cardiac failure, Catheterisation cardiac, Computerised tomogram, Dyspnoea
Clinical narrative: Jannsen covid-19 vaccine EUA Shortness of breath. Leg swelling. Myocarditis, fluid retention, fatigue, weakness. Heart failure symptoms
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Fluid retention, Magnetic resonance imaging, Myocarditis, Peripheral swelling
Clinical narrative: Jannsen covid-19 vaccine EUA Shortness of breath. Leg swelling. Myocarditis, fluid retention, fatigue, weakness. Heart failure symptoms
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Cardiac failure, Cardiovascular function test, Catheterisation cardiac, Computerised tomogram
Clinical narrative: Jannsen covid-19 vaccine EUA Shortness of breath. Leg swelling. Myocarditis, fluid retention, fatigue, weakness. Heart failure symptoms
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Fatigue, Fluid retention, Jaw operation, Magnetic resonance imaging
Clinical narrative: Jannsen covid-19 vaccine EUA Shortness of breath. Leg swelling. Myocarditis, fluid retention, fatigue, weakness. Heart failure symptoms
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myocarditis, Peripheral swelling, SARS-CoV-2 test, Scan with contrast
Clinical narrative: Jannsen covid-19 vaccine EUA Shortness of breath. Leg swelling. Myocarditis, fluid retention, fatigue, weakness. Heart failure symptoms
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Chills, fever, body aches, extreme exhaustion, bad headache
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Throat irritation
Clinical narrative: Patient waiting after second vaccine and stated slight scratchy throat and asked to watch HR due to first increase in side effect. Pt. Premedicated with Zyrtex prior to vaccine this am. 0903am BP 141/83, HR 57 and 02 sat 98%. 0932am BP 127/66,changed to larger cuff ,HR64 and sat 98%. Patient talking appropriately and stating that she is feeling better than her first dose experience, does have c/o HA. 0940am BP 153/65, HR 59 and sat 98%, patient having conversation during BP being obtained. 0950am BP 132/81, HR 62 and sat 96%. 0959am BP 129/80, HR 58 and sat 98%. Patient and husband state feel safe and comfortable going home and attribute increase in BP to some anxiety and HA.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Two weeks after receiving the covid vaccine (4/26/21), the patient presented to the dermatology clinic with a rash on legs, elbows, and hands. The patient has a hx of eczema and stated she was bit by a bug prior to the rash development. Determined by dermatology clinic rash was related to covid vaccine and was given the following treatment option: cerave OTC itch cream, cetirizine 10 mg BID, famotidine 20 mg daily, hydroxyzine 25-50 mg qHS for sleep.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: patient had knowingly gotten the janssen(j&j) vaccine a few weeks back but decided to get the 2 series moderna vaccine in addition to the j&j and failed to disclose that he had already been fully vaccinated and stc couldn;t be accessed since it was an offsite event, information on his prior covid immunization was not accertained. as a result he had an additional dose of 1 moderna vaccine plus his previous j& j vaccine he had gotten from a different facility.  patient described not having any adverse events from the 2 vaccines given.  he had no symptoms  to the additional moderna dose gotten. since pt had gotten 2 different doses of covid 19 from 2 different manufactures, its incumbent upon  us to report the incident although patient did not have any adverse events
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Chest pain, Condition aggravated, Dizziness, Fatigue
Clinical narrative: On the day of the vaccine, about 5 hours after, I started feeling fatigue. I felt like I had been awake for 24+ hours. That evening I was watching television, covered with a blanket, and my nose got very cold and tingly. I felt like I was breathing cold air. That did resolve later that evening. The next day I was really fatigued and felt dizzy. I felt this way all day. Later that day I started itching. My head, legs and arms were itching. At 11PM that night I called the Hospital and spoke with a nurse to see what I could take for the itching. I was told that since it was after 24 hours from the injection, I was able to take Benadryl. I had to take it every day for the week. I continued to have fatigue and dizziness for 2 days after receiving the vaccine. My psoriasis was healing and had almost gone away, but 2 days after the injection I had a flare. I stayed in psoriasis and psoriatic arthritis stayed in a flare until around 05/12/2021. I had to receive several steroid injections and B12 injections to calm everything down.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Peripheral coldness, Pruritus, Psoriasis
Clinical narrative: On the day of the vaccine, about 5 hours after, I started feeling fatigue. I felt like I had been awake for 24+ hours. That evening I was watching television, covered with a blanket, and my nose got very cold and tingly. I felt like I was breathing cold air. That did resolve later that evening. The next day I was really fatigued and felt dizzy. I felt this way all day. Later that day I started itching. My head, legs and arms were itching. At 11PM that night I called the Hospital and spoke with a nurse to see what I could take for the itching. I was told that since it was after 24 hours from the injection, I was able to take Benadryl. I had to take it every day for the week. I continued to have fatigue and dizziness for 2 days after receiving the vaccine. My psoriasis was healing and had almost gone away, but 2 days after the injection I had a flare. I stayed in psoriasis and psoriatic arthritis stayed in a flare until around 05/12/2021. I had to receive several steroid injections and B12 injections to calm everything down.