chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Continuous positive airway pressure, Death, Dialysis, Endotracheal intubation, Fraction of inspired oxygen
Clinical narrative: 65-year-old with history of TBI and end-stage renal disease subsequently initially admitted to the floor secondary to fever and chills. Found to have COVID-19 pneumonia. On June 13 a rapid response was called for worsening respiratory failure. Subsequently transferred to ICU. Initially on CPAP at 100% FiO2. CTA negative for PE but did show diffuse ground glass infiltrates. Completed 10 days of dexamethasone. Not a candidate for remdesivir given end-stage renal disease. Additionally on cefepime and Rocephin for 10 days subsequently restarted on meropenem.  Fortunately patient continued to have hypoxemia unresponsive to noninvasive ventilation. He was intubated on June 19. At the time of intubation he expresses desire not to be intubated for an extended period of time. Unfortunately they are unable to wean from ventilator. Remains on 100% FiO2 with PEEP of 18 and was on nitric oxide. In addition was on paralytics. Remained on prednisone taper off of dexamethasone.  In addition to above patient had complications A. fib with RVR further complicated by hypotension. Was on 3 pressors. Suspect multifactorial to sedation and patient with severe Covid who also has end-stage renal disease. SLED initiated while in-house.  On the afternoon of June 23 palliative team did meet with patient's siblings. That time determined to transition to comfort care. Compassionate extubation performed. Patient passed away shortly after extubation.  Patient died of COVID-19 despite being fully vaccinated against it.   Death Certificate Information:  Part I: Cause of Death A. Respiratory Failure B. Pneumonia C. COVID-19 Part II Other Significant Conditions: Hypertension, Diabetes Mellitus Type 2, End Stage Renal Disease
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypotension, Hypoxia, Intensive care, Lung opacity, Pyrexia
Clinical narrative: 65-year-old with history of TBI and end-stage renal disease subsequently initially admitted to the floor secondary to fever and chills. Found to have COVID-19 pneumonia. On June 13 a rapid response was called for worsening respiratory failure. Subsequently transferred to ICU. Initially on CPAP at 100% FiO2. CTA negative for PE but did show diffuse ground glass infiltrates. Completed 10 days of dexamethasone. Not a candidate for remdesivir given end-stage renal disease. Additionally on cefepime and Rocephin for 10 days subsequently restarted on meropenem.  Fortunately patient continued to have hypoxemia unresponsive to noninvasive ventilation. He was intubated on June 19. At the time of intubation he expresses desire not to be intubated for an extended period of time. Unfortunately they are unable to wean from ventilator. Remains on 100% FiO2 with PEEP of 18 and was on nitric oxide. In addition was on paralytics. Remained on prednisone taper off of dexamethasone.  In addition to above patient had complications A. fib with RVR further complicated by hypotension. Was on 3 pressors. Suspect multifactorial to sedation and patient with severe Covid who also has end-stage renal disease. SLED initiated while in-house.  On the afternoon of June 23 palliative team did meet with patient's siblings. That time determined to transition to comfort care. Compassionate extubation performed. Patient passed away shortly after extubation.  Patient died of COVID-19 despite being fully vaccinated against it.   Death Certificate Information:  Part I: Cause of Death A. Respiratory Failure B. Pneumonia C. COVID-19 Part II Other Significant Conditions: Hypertension, Diabetes Mellitus Type 2, End Stage Renal Disease
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: 65-year-old with history of TBI and end-stage renal disease subsequently initially admitted to the floor secondary to fever and chills. Found to have COVID-19 pneumonia. On June 13 a rapid response was called for worsening respiratory failure. Subsequently transferred to ICU. Initially on CPAP at 100% FiO2. CTA negative for PE but did show diffuse ground glass infiltrates. Completed 10 days of dexamethasone. Not a candidate for remdesivir given end-stage renal disease. Additionally on cefepime and Rocephin for 10 days subsequently restarted on meropenem.  Fortunately patient continued to have hypoxemia unresponsive to noninvasive ventilation. He was intubated on June 19. At the time of intubation he expresses desire not to be intubated for an extended period of time. Unfortunately they are unable to wean from ventilator. Remains on 100% FiO2 with PEEP of 18 and was on nitric oxide. In addition was on paralytics. Remained on prednisone taper off of dexamethasone.  In addition to above patient had complications A. fib with RVR further complicated by hypotension. Was on 3 pressors. Suspect multifactorial to sedation and patient with severe Covid who also has end-stage renal disease. SLED initiated while in-house.  On the afternoon of June 23 palliative team did meet with patient's siblings. That time determined to transition to comfort care. Compassionate extubation performed. Patient passed away shortly after extubation.  Patient died of COVID-19 despite being fully vaccinated against it.   Death Certificate Information:  Part I: Cause of Death A. Respiratory Failure B. Pneumonia C. COVID-19 Part II Other Significant Conditions: Hypertension, Diabetes Mellitus Type 2, End Stage Renal Disease
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Ear infection, Hypoacusis, Nasal congestion, Rhinorrhoea
Clinical narrative: inner ear (left) and sinus infection requiring 10-day course of antibiotics to clear infection. Symptoms included diminished ability to hear clearly and feeling of "fullness" in ear; increased ringing in ear, runny/stuffy nose. After course of antibiotics, all symptoms cleared up.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Sinusitis, Tinnitus
Clinical narrative: inner ear (left) and sinus infection requiring 10-day course of antibiotics to clear infection. Symptoms included diminished ability to hear clearly and feeling of "fullness" in ear; increased ringing in ear, runny/stuffy nose. After course of antibiotics, all symptoms cleared up.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Arteriogram coronary normal, Blood test abnormal, Chest pain, Echocardiogram normal, Myocarditis
Clinical narrative: Chest pain, elevated cardiac markers, diagnosed with perimyocarditis
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: Chest pain, elevated cardiac markers, diagnosed with perimyocarditis
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac dysfunction, Cardiac failure, Cardiomegaly, Catheterisation cardiac abnormal, Chest X-ray
Clinical narrative: I had been having shortness of breath since being sick in February, 2020. However, after receiving the Moderna vaccine, my shortness of breath became much worse. I visited my primary care physician who sent me to the hospital for testing. A Chest CT showed heart failure, an enlarged heart and a lot of fluid around my heart.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Condition aggravated, Dyspnoea, Echocardiogram, Ejection fraction decreased
Clinical narrative: I had been having shortness of breath since being sick in February, 2020. However, after receiving the Moderna vaccine, my shortness of breath became much worse. I visited my primary care physician who sent me to the hospital for testing. A Chest CT showed heart failure, an enlarged heart and a lot of fluid around my heart.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pericardial effusion
Clinical narrative: I had been having shortness of breath since being sick in February, 2020. However, after receiving the Moderna vaccine, my shortness of breath became much worse. I visited my primary care physician who sent me to the hospital for testing. A Chest CT showed heart failure, an enlarged heart and a lot of fluid around my heart.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cellulitis, Condition aggravated, Plantar fasciitis
Clinical narrative: Plancier fasciitis acted up followed 3 days later by cellulitis, saw put on antibiotics cellulitis appears to be taken care of working on PT to alleviate plancier fasciitis
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Decreased appetite, Dyspnoea, Gait inability, Incoherent
Clinical narrative: Heavy breathing, sick, can?t walk, loss of memory, incoherent, couldn?t sleep, no appetite
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Malaise
Clinical narrative: Heavy breathing, sick, can?t walk, loss of memory, incoherent, couldn?t sleep, no appetite
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Pt c/o itchiness in both hands,face and her chest.Stated got her 2nd dose covid vaccine Moderna @0842 this morning. Recommended pt to go to nearest Urgent care/ED for further evaluation of sx, Pt assure understanding. Pt denies redness or swelling, also denies emergency severe allergic reaction questionnaire at this time.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was not in the age range at the time of vaccination.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Dysgeusia, Feeling abnormal, Headache, Rash
Clinical narrative: Rash, Burning sensation, bumps, dull headache, metal taste under tongue, foggy brain.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Headache, Swelling, Tenderness
Clinical narrative: I experienced after my vaccine, I had little swelling, redness and a little tender. I also had a slight headache that came and went. My symptoms cleared pretty fast within a few days.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Abscess, Pain in extremity, Paranasal sinus discomfort, Swelling face, Toothache
Clinical narrative: The day of I had sore arm, next day arm was more sore and started having toothache and sinus pressure. Saturday arm relieved, sinus was worse, swelling in my face, went to urgent care and got antibiotics and painkillers, Sunday I developed an abscess. Went to dentist today and they had to cut it open and drain it, will need root canal.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: The day of I had sore arm, next day arm was more sore and started having toothache and sinus pressure. Saturday arm relieved, sinus was worse, swelling in my face, went to urgent care and got antibiotics and painkillers, Sunday I developed an abscess. Went to dentist today and they had to cut it open and drain it, will need root canal.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Electrocardiogram, Hypertension, Hypotension, Nausea
Clinical narrative: 6/23 pt started feeling tingling in her right arm. 6/24 at 3 AM pts heart started racing, nauseated, body aches, couldn't stand up. 6/25 pts symptoms were worsening and her family urged her to seek medical evaluation at the ED. At the ED on 6/25 at 10 AM pts BP was 269/169 and they gave her IV pain meds and anti nausea medication and fluids.  The ED discharged her at 4pm on 6/25. Pt couldn't keep food down at home, Pts BP readings ranged from very high to very low. Pt went back to the ED 6/28/21. Pt states ED didn't do anything at this visit. Then pt went back to ED 7/4/21. ED did EKG, ultrasound of legs and pt was discharged the same day.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Palpitations, Paraesthesia, Ultrasound scan, Vomiting
Clinical narrative: 6/23 pt started feeling tingling in her right arm. 6/24 at 3 AM pts heart started racing, nauseated, body aches, couldn't stand up. 6/25 pts symptoms were worsening and her family urged her to seek medical evaluation at the ED. At the ED on 6/25 at 10 AM pts BP was 269/169 and they gave her IV pain meds and anti nausea medication and fluids.  The ED discharged her at 4pm on 6/25. Pt couldn't keep food down at home, Pts BP readings ranged from very high to very low. Pt went back to the ED 6/28/21. Pt states ED didn't do anything at this visit. Then pt went back to ED 7/4/21. ED did EKG, ultrasound of legs and pt was discharged the same day.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Gait inability, Mobility decreased, Vertigo
Clinical narrative: Pt called health system call ceneter c/o covid vaccine side effects. . Pt stated pt got 1st covid vaccine Moderna 4/21/2021 at EVC and pt got vertigo after vaccination.  Pt said pt was not able to get up, walk on next day of covid vaccination. Noted no emergency s/sx at this time.Pt stated no treatment took for vertigo.Pt said pt missed covid 2nd vaccine schedule yesterday d/t pt concerned that pt experienced vertigo after 1st covid vaccination. Noted pt has asthma, chronic hepatitis C. Pt intended to speak with MD before 2nd covid vaccine. Pt scheduled UC 5/20/2021 for consultations. Pt made aware. Pt is educated covid vaccine side effects.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Influenza like illness, Nausea
Clinical narrative: Patient received vaccine on 6/22 then on 6/24 she experienced flu-like symptoms including chills, sweating, horrible aches and pains, fever, sneezing, runny nose, and nausea. These symptoms occurred for approximately 5-6 days but patient has still had aches on and off and chest congestion as of today. Patient has had a bad headache every day since 6/24 and has taken Tylenol, Dayquil, aspirin, and ibuprofen to help with some of these symptoms but all of the adverse effects keep reoccurring and have not gone away. Patient does not have a PCP so I recommended she go to an urgent care clinic to be evaluated, but if her headache gets any worse she should go to the hospital instead.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: Patient received vaccine on 6/22 then on 6/24 she experienced flu-like symptoms including chills, sweating, horrible aches and pains, fever, sneezing, runny nose, and nausea. These symptoms occurred for approximately 5-6 days but patient has still had aches on and off and chest congestion as of today. Patient has had a bad headache every day since 6/24 and has taken Tylenol, Dayquil, aspirin, and ibuprofen to help with some of these symptoms but all of the adverse effects keep reoccurring and have not gone away. Patient does not have a PCP so I recommended she go to an urgent care clinic to be evaluated, but if her headache gets any worse she should go to the hospital instead.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing
Clinical narrative: Patient received vaccine on 6/22 then on 6/24 she experienced flu-like symptoms including chills, sweating, horrible aches and pains, fever, sneezing, runny nose, and nausea. These symptoms occurred for approximately 5-6 days but patient has still had aches on and off and chest congestion as of today. Patient has had a bad headache every day since 6/24 and has taken Tylenol, Dayquil, aspirin, and ibuprofen to help with some of these symptoms but all of the adverse effects keep reoccurring and have not gone away. Patient does not have a PCP so I recommended she go to an urgent care clinic to be evaluated, but if her headache gets any worse she should go to the hospital instead.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dry skin, Dyspnoea, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: Directly after vaccination administration, patients states, "Should I feel dizzy and sweaty?" Upon observation, patient was pale and diaphoretic. Nurse asked patient if he needed to lie down. Patient states, "I have multiple panic attacks a day, and i think I will be ok." Patient then stated that he wanted to lie down. Patient was placed in a wheel chair at 12:23 and taken to a private area for observation. Assisted patient to lie down, feet elevated, cool rags applied to forehead and anterior neck. Patient then continued diaphoretic, blood pressure 172/92. HR 78/PO2 / 98%. During this time, patient was accompanied by Uncle. Patient was continued to be observed with frequent vital sign measurements. 12:29 - 155/95, HR 72, PO2 - 99%, diaphoretic, and complaints / shortness of breath. 12:32 - 158/108, HR 76, PO2 98%. 12:35 - 166/111, HR 83, skin-dry, continues SOB. 12:42 - 171/114, HR 105,  PO2 -98%. Patient consented to Ambulance for further evaluation in ER. (12:49) Fire-fighters arrived first  w/ evaluation of patient w/ manual blood pressure / 162/114, and HR - 99, PO2 - 98%. Ambulance arrived at 12:52, and care was transferred to the hospital.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor
Clinical narrative: Directly after vaccination administration, patients states, "Should I feel dizzy and sweaty?" Upon observation, patient was pale and diaphoretic. Nurse asked patient if he needed to lie down. Patient states, "I have multiple panic attacks a day, and i think I will be ok." Patient then stated that he wanted to lie down. Patient was placed in a wheel chair at 12:23 and taken to a private area for observation. Assisted patient to lie down, feet elevated, cool rags applied to forehead and anterior neck. Patient then continued diaphoretic, blood pressure 172/92. HR 78/PO2 / 98%. During this time, patient was accompanied by Uncle. Patient was continued to be observed with frequent vital sign measurements. 12:29 - 155/95, HR 72, PO2 - 99%, diaphoretic, and complaints / shortness of breath. 12:32 - 158/108, HR 76, PO2 98%. 12:35 - 166/111, HR 83, skin-dry, continues SOB. 12:42 - 171/114, HR 105,  PO2 -98%. Patient consented to Ambulance for further evaluation in ER. (12:49) Fire-fighters arrived first  w/ evaluation of patient w/ manual blood pressure / 162/114, and HR - 99, PO2 - 98%. Ambulance arrived at 12:52, and care was transferred to the hospital.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administration error
Clinical narrative: Vaccine administration errors, not associated with an adverse event  Manufacture was contacted Moderna is not provide any specific recommendations.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Blood iron normal, Headache, Magnetic resonance imaging normal, Platelet count normal, Red blood cell count normal
Clinical narrative: Prolonged constant pressure headache. Intensity varies between mild and severe but the headache is always present.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: Prolonged constant pressure headache. Intensity varies between mild and severe but the headache is always present.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pyrexia, Rash
Clinical narrative: pt started having redness, skin rash all over her body, mild fever at the night after vaccination was done. Reports no breathing problems. pt came to consultation window at Wed 7/7/2021 at 7 pm with rash symptoms and temp 98.7 'F. Was advised to take diphenhydramine 25 mg and follow up with PCP. Patient states there is no PCP. Was advised to go to emergency in case of worsening symptoms despite OTC recommendation.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: After 10 mins patient received Pfizer vaccine, he felt nauseated and got faint for about 5 seconds. After drinking water and apple juice he said  he felt better but still nauseous. When 911 arrived, they checked his vital and it was normal. Upon checking up he got better and chose not to go to hospital.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Hypotonia, Mobility decreased
Clinical narrative: Two days after shot, left arm lost about 90% muscle tone/use. Continued for the 30 days to next shot. Two days after second shot, right arm lost about 90% muscle tone/useage.  Both arms continued this condition for 30 days (60 days for left arm).  After 30 more days, (around April,) condition started to improve until June at which muscle tone and useage improved to 70%.  By July, most strength and tone have returned, except some minor weakness continues, mostly in hands and shoulder muscles.  Doctor felt I may have had COVID and didn't know it.  No other explanation seems to fit.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Throat tightness
Clinical narrative: My throat started to close. Difficulty breathing
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Deep vein thrombosis, Pulmonary embolism, Ultrasound Doppler abnormal
Clinical narrative: She developed a right DVT and bilateral pulmonary embolisms
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Oral pruritus, Paraesthesia, Paraesthesia oral, Pruritus
Clinical narrative: At 1249, patient reported tingling and itchiness in lips and left arm. Patient denied difficulty swallowing, breathing, itchiness, rashes, and hives. Patient given water. Patient able to swallow water. Patient reported allergies to olive trees. Patient reported history of hypertension and took her medication in the morning. Lead nurse offered 911. Patient refused 911. At 1254, EMT  assessed patient vitals: blood pressure 160/90 mmHg and pulse rate 67 beats/minute. At 1255, lead nurse administered intramuscular diphenhydramine 50 mg/1 ml in patient's right arm. Patient advised to wait for further observation. At 1305, EMT  reassessed patient vital signs: blood pressure 158/82 mmHg and pulse rate 66 beats/minute. At 1318, EMT reassessed patient vital signs: blood pressure 162/86 mmHg and pulse rate 69 beats/minute. At 1328, EMT reassessed patient vitals: blood pressure 168/86 mmHg and pulse rate 68 beats/minute. Lead nurse  assessed patient. Patient denied tingling and itchiness in lips and left arm. Patient denied drowsiness. Patient offered transportation. Patient refused transportation. Lead nurse educated patient on signs/symptoms of when to seek care, to sign up on v-safe, and to follow up with primary care provider. At 1333, patient left facility with unlabored respirations and steady gait.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site scab, Injection site vesicles
Clinical narrative: Lesion at the site of injection first notice Sunday 7/4/2021. Appeared initially as a small blister. Pt attempted to pop the blister. Now appears as a circular scab just beneath the skin.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administration error
Clinical narrative: Vaccine administration errors, not associated with an adverse event.  Manufacture was contacted Moderna is not provide any specific recommendations.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Musculoskeletal stiffness, Pain in extremity, Peripheral swelling, X-ray
Clinical narrative: Stiffness in both hands and sharp Pain in the right hand !!! Index & middle finger swollen !!!   Pain is still going on for 3 months till today so far continues !!!
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: nurse inadvertently administered Pfizer COVID-19 vaccine beyoind use date (past 6 hours after dilutiion) parent notified dose needed to be repeated after contacting Pfizer
Sex: U
Vaccine: COVID19
Symptoms: Abdominal pain, Fatigue, Headache, Heavy menstrual bleeding, Menopause
Clinical narrative: 1)  Severe Headaches 2)   On and Off Fevers 3)  Severe abdominal pain for a week (while experiencing what felt like a UTI) thick discharge daily for 7 days ..  4)   Have not had a cycle in over a year, severe bleeding for 9 days  5)  large clots in blood coming from the body 5 to 6 days 6)  felt like a 3-day miscarriage  7)   Today, 6/7/21 Still have bleeding and extreme fatigue
Sex: U
Vaccine: COVID19
Symptoms: Pyrexia, Thrombosis
Clinical narrative: 1)  Severe Headaches 2)   On and Off Fevers 3)  Severe abdominal pain for a week (while experiencing what felt like a UTI) thick discharge daily for 7 days ..  4)   Have not had a cycle in over a year, severe bleeding for 9 days  5)  large clots in blood coming from the body 5 to 6 days 6)  felt like a 3-day miscarriage  7)   Today, 6/7/21 Still have bleeding and extreme fatigue
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Dysarthria, Fatigue, Feeling abnormal, Hypersomnia
Clinical narrative: Extreme chronic fatigue:9 or more hours of sleep at night. on days off, after being aways for about 5hrs, I end up taking a 3-4hr nap, then go to bed at usual time of 11pm. Still extremely tired when waking up, and have no energy to do anything during the day. Seems to be increasing worse. My doctor prescribed me Adderall to help me get through work.  Intense Brain Fog: I used to have perfectly clear thought function. Now I struggle trying to remember what I was going to do, what I need to do, trying to get my thoughts out when speaking. At work, I have a hard time gathering my thoughts & what I'm trying to say when answering questions. Making obviously stupid mistakes, that I normally would never make beforehand.  Menstrual Cycles: I've been on the same birth control & take religiously for 10yrs now and my cycle ran like clockwork. Now, I begin spotting half way through my cycle for about 5 days. Then when I do have my period, it is basically nonexistent. No real bleeding, more like black in color discharge & what seems like chunks, instead of normal red blood.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypomenorrhoea, Impaired work ability, Intermenstrual bleeding, Memory impairment, Mental impairment
Clinical narrative: Extreme chronic fatigue:9 or more hours of sleep at night. on days off, after being aways for about 5hrs, I end up taking a 3-4hr nap, then go to bed at usual time of 11pm. Still extremely tired when waking up, and have no energy to do anything during the day. Seems to be increasing worse. My doctor prescribed me Adderall to help me get through work.  Intense Brain Fog: I used to have perfectly clear thought function. Now I struggle trying to remember what I was going to do, what I need to do, trying to get my thoughts out when speaking. At work, I have a hard time gathering my thoughts & what I'm trying to say when answering questions. Making obviously stupid mistakes, that I normally would never make beforehand.  Menstrual Cycles: I've been on the same birth control & take religiously for 10yrs now and my cycle ran like clockwork. Now, I begin spotting half way through my cycle for about 5 days. Then when I do have my period, it is basically nonexistent. No real bleeding, more like black in color discharge & what seems like chunks, instead of normal red blood.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction, Pallor, Skin warm, Syncope
Clinical narrative: Pt received first dose of Pfizer at 0856 to left deltoid and felt immediately lightheaded and had syncopal episode. Pt was able to regain consciousness 5-10 seconds after syncopal episodes but still complaint about feeling lightheaded. Pt felt warm to touch and had was pale. An ice pack was applied to back of neck, vital signs were checked immediately. Pt was asked if he has anything to eat prior to vaccine and he stated he did not have anything to eat. Ice water and granola bar was offered. Around 0858 pt stated he started to feel better, 0859 vital signs indicated the following BP 111/45, HR 47, SpO2 97% RA. Pt denied going to treatment room for further observation or laying down on gurney. Pt kept insisting he felt a lot better and "none of that was necessary". Pt's skin color came back to normal state and stopped feeling lightheaded after eating and drinking a cup of water. Vital Signs were taken again as the following: BP 104/57, HR 62, SpO2 98% RA. Pt felt safe to go home with significant other. Pt doing well, speaking in full sentences, laughing, alert and oriented x 4.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Bile duct cancer, Bile duct stent insertion, Biliary obstruction, Biopsy bile duct abnormal, Colonoscopy
Clinical narrative: Since he received the Pfizer vaccine, he's incurred fatigue, bleeding where he's had to receive several units of blood/hemoglobin four times. He was admitted into the hospital for these treatments. To beat it all, he developed jaundice and is now getting ready to undergo treatment for pancreatic cancer.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Endoscopy, Fatigue, Haemorrhage, Jaundice, Pancreatic carcinoma
Clinical narrative: Since he received the Pfizer vaccine, he's incurred fatigue, bleeding where he's had to receive several units of blood/hemoglobin four times. He was admitted into the hospital for these treatments. To beat it all, he developed jaundice and is now getting ready to undergo treatment for pancreatic cancer.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Transfusion
Clinical narrative: Since he received the Pfizer vaccine, he's incurred fatigue, bleeding where he's had to receive several units of blood/hemoglobin four times. He was admitted into the hospital for these treatments. To beat it all, he developed jaundice and is now getting ready to undergo treatment for pancreatic cancer.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Cough, Headache, Oropharyngeal pain
Clinical narrative: Pt called health system call center c/o vaccine side effects. Verified pt with 2 identifiers. Proceed the screening questions of covid vaccine side effects. Noted no emergency s/sx. Pt stated pt got covid vaccine J&J 5/13/2021 at VSC and then Headache, body aches, joint pain, sore throat, chills, cough, sore throat, fever started from Monday 5/17/2021. Pt is taking tylenol and ibuprofen for the symptoms.  Pt scheduled urgent care provider 5/21/2021 for consultations. Pt made aware. Pt is educated covid vaccine side effects. Pt agreed and verbalized understanding.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Pt called health system call center c/o vaccine side effects. Verified pt with 2 identifiers. Proceed the screening questions of covid vaccine side effects. Noted no emergency s/sx. Pt stated pt got covid vaccine J&J 5/13/2021 at VSC and then Headache, body aches, joint pain, sore throat, chills, cough, sore throat, fever started from Monday 5/17/2021. Pt is taking tylenol and ibuprofen for the symptoms.  Pt scheduled urgent care provider 5/21/2021 for consultations. Pt made aware. Pt is educated covid vaccine side effects. Pt agreed and verbalized understanding.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Magnetic resonance imaging, Syncope
Clinical narrative: Two days later I was at dinner and I fainted.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood potassium decreased, Chest pain, Dizziness, Electrocardiogram T wave abnormal
Clinical narrative: 4 days after the vaccine I started having chest pain while being on a call. I got lightheaded and dizzy. I went to the ER and had an EKG done. The doctor told me everything was normal and I was just having anxiety, even though I had nothing triggering any anxiety. I went to another ER the next day and did not have another EKG. The chest pain lasted 5 total days straight. My primary care doctor sent me to get a stress test a few weeks later. That doctor told me my EKG was abnormal from a few weeks ago. He said my T Wave was off. I have no known heart conditions that would have caused an abnormal EKG or the sharp chest pains I was having.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal
Clinical narrative: 4 days after the vaccine I started having chest pain while being on a call. I got lightheaded and dizzy. I went to the ER and had an EKG done. The doctor told me everything was normal and I was just having anxiety, even though I had nothing triggering any anxiety. I went to another ER the next day and did not have another EKG. The chest pain lasted 5 total days straight. My primary care doctor sent me to get a stress test a few weeks later. That doctor told me my EKG was abnormal from a few weeks ago. He said my T Wave was off. I have no known heart conditions that would have caused an abnormal EKG or the sharp chest pains I was having.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Deep vein thrombosis
Clinical narrative: acute DVT on right and noted to have chronic DVT on left on 5/25/21
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Deep vein thrombosis, Thrombosis
Clinical narrative: acute DVT on right and noted to have chronic DVT on left on 5/25/21
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Tremor
Clinical narrative: Patient received her 2nd Moderna vaccine, no previous issue with any vaccinations. Waited 15 minutes, felt fine, but when she stood up quickly to leave she felt faint. She kneeled/sat down on the ground, and briefly fainted without injury and immediately regained consciousness without intervention. I gave her ice packs for her neck and had her wait another 15 minutes. After 15 minutes she was feeling better but a little "shaky" still, she had an orange juice and waited a little longer until she felt well. I had her walk around a little before leaving, she was feeling well.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Eye infection, Herpes zoster, Oral herpes, Pain
Clinical narrative: Pain extream for 3 days Broke out with extream Pain & Shingles all over my side TORSO so I opted out of getting second Shot did not want a worse condition !!!!   And keep getting eye infections & break out with fever blisters & had not had any issues for years so it was a very painful experience & will not ever get another shot or vaccine !!!
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Woke up to rash & outbreak spots on both arms & both legs (have photos). About 4 more came out during the day. No more outvreak after that
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Cardiomegaly, Computerised tomogram thorax abnormal, Dyspnoea, Electrocardiogram
Clinical narrative: I  began to have problems breathing and  I noticed that at a dental appointment there was  a sharp pain in my back. whenever I was in the reclined  position It was very uncomfortable. I then noticed with I leaned forward or back the pain Intensified .  I kept complaining to my Healthcare providers that something was not right, They then took a CT eventually  and they noticed that my lungs had fluid and  my heart is Enlarged. I still have the symptoms and  they are scheduling me for a ECHO to look at my heart further
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pulmonary oedema
Clinical narrative: I  began to have problems breathing and  I noticed that at a dental appointment there was  a sharp pain in my back. whenever I was in the reclined  position It was very uncomfortable. I then noticed with I leaned forward or back the pain Intensified .  I kept complaining to my Healthcare providers that something was not right, They then took a CT eventually  and they noticed that my lungs had fluid and  my heart is Enlarged. I still have the symptoms and  they are scheduling me for a ECHO to look at my heart further
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Headache, Illness, Nausea, Oropharyngeal pain
Clinical narrative: Got taste in mouth after I left the place and went Home I got flash of red in neck and face . Headache. Nauseated. Arm hurt a lot next day. Headache wouldn?t go away. Day offer shot I got sick. Fever, sore throat.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Taste disorder
Clinical narrative: Got taste in mouth after I left the place and went Home I got flash of red in neck and face . Headache. Nauseated. Arm hurt a lot next day. Headache wouldn?t go away. Day offer shot I got sick. Fever, sore throat.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Electrocardiogram, Fatigue, Lymphadenopathy
Clinical narrative: 11:30PM - Chills late that night and up for an hour for them - went to go to bed with a lot of clothes and lots of blankets but I fell asleep. Morning they were gone. Slightly after that, I had some fatigue but nothing major. I was pretty normal. Then I noticed a few weeks later some swelling under my arms - lymph nodes swollen. I was very aware that they were touching. That seemed to last for a couple of months. I have just become aware the last few weeks that those symptoms with the swollen lymph nodes are gone. About 6 weeks to two months ago - I have been getting pounding heart and a bit of difficulty breathing. May be related stress. It comes and goes and then about a month ago I started a stress reduction supplement protocol and started doing meditation but they were still there and so I went to the doctor. She did an EKG  and general physical and she didn't find anything that showed up abnormal with heart. The  heart pounding and the breathing issues I'm still noticing.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Peripheral swelling
Clinical narrative: 11:30PM - Chills late that night and up for an hour for them - went to go to bed with a lot of clothes and lots of blankets but I fell asleep. Morning they were gone. Slightly after that, I had some fatigue but nothing major. I was pretty normal. Then I noticed a few weeks later some swelling under my arms - lymph nodes swollen. I was very aware that they were touching. That seemed to last for a couple of months. I have just become aware the last few weeks that those symptoms with the swollen lymph nodes are gone. About 6 weeks to two months ago - I have been getting pounding heart and a bit of difficulty breathing. May be related stress. It comes and goes and then about a month ago I started a stress reduction supplement protocol and started doing meditation but they were still there and so I went to the doctor. She did an EKG  and general physical and she didn't find anything that showed up abnormal with heart. The  heart pounding and the breathing issues I'm still noticing.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Heart rate increased, Joint stiffness, Malaise
Clinical narrative: On the day of the vaccine, that evening, I started was feverish but I didn't think too much of it, but my back hurt and all my joints hurt, I was not well at all over the weekend. I maintained a low fever all week. My heart rate was elevated even at rest, I wear a health monitor and it told me it was at 150 even when sitting and resting.   I used deep breathing to try and bring that down so I went to urgent care to see if I had covid. I had joint stiffness and could no longer maintain my prior level of physical activity. My knees were hurting terribly bad. I ended up going to a chiropractor of which I currently see for the same problems. My brother got his second Moderna shot and he called me on April 18th and he told me he had heart racing since and he had never had heart issues before. He ended up passing away on May 3rd and it has me concerned since I did not have any health issues before this.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pyrexia
Clinical narrative: On the day of the vaccine, that evening, I started was feverish but I didn't think too much of it, but my back hurt and all my joints hurt, I was not well at all over the weekend. I maintained a low fever all week. My heart rate was elevated even at rest, I wear a health monitor and it told me it was at 150 even when sitting and resting.   I used deep breathing to try and bring that down so I went to urgent care to see if I had covid. I had joint stiffness and could no longer maintain my prior level of physical activity. My knees were hurting terribly bad. I ended up going to a chiropractor of which I currently see for the same problems. My brother got his second Moderna shot and he called me on April 18th and he told me he had heart racing since and he had never had heart issues before. He ended up passing away on May 3rd and it has me concerned since I did not have any health issues before this.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Atrial enlargement, Atrioventricular block, Cardiac monitoring, Echocardiogram
Clinical narrative: Heart beat increased to 100+ over a two-day period following the 2nd Covid shot.  Fatigue, mild fever also experienced for a day and a half following the day of the vaccination.  Then the frequency of my heart arrythmias increased.    My pulse readings on  my recording blood pressure cuff showed arrythmias every time I took my blood pressure for the entire month of April.  I reported this to my primary care doctor on April 30th and she sent me to provider  for an EKG, an echocardiogram, and a heart monitor test.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Extrasystoles, Fatigue, Heart rate increased, Pyrexia
Clinical narrative: Heart beat increased to 100+ over a two-day period following the 2nd Covid shot.  Fatigue, mild fever also experienced for a day and a half following the day of the vaccination.  Then the frequency of my heart arrythmias increased.    My pulse readings on  my recording blood pressure cuff showed arrythmias every time I took my blood pressure for the entire month of April.  I reported this to my primary care doctor on April 30th and she sent me to provider  for an EKG, an echocardiogram, and a heart monitor test.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: 5 minutes after administration pt returned to clinic with a nose bleed. states he has had nose bleeds before but none in past 6 mos.  he did say he had been having some nasal congestion recently so unsure if related. no other medications he has been taking. no intervention wad needed. pts nose stopped bleeding by the time he returned to the clinic to be evaluated
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chills, Computerised tomogram, Dysuria, Pyrexia
Clinical narrative: Urinary Tract Infection - fever, chills, difficult urination Antibiotics for one week
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary tract infection
Clinical narrative: Urinary Tract Infection - fever, chills, difficult urination Antibiotics for one week
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness
Clinical narrative: On 7/06/21 patient received her first dose Pfizer COVID vaccine (LOT#: EW0191 EXP: 7/29/21) at 1758. Patient alerted EMT's at 1812. Patient stated that she felt dizzy and anxious. Patient stated that she had eaten lunch around 1500. Patient stated that she felt very nervous about getting the vaccine. EMT assessed and took patients vital signs. BP:136/60, HR: 106, O2: 95%. EMT reassessed and retook patient vital signs at 1818. BP: 120/56, HR: 96, O2: 99%. Patient stated at 1819 that she was feeling a lot calmer and that the dizziness was subsiding. EMT reassessed and retook patients vital signs at 1823. BP: 130/58, HR: 81, O2: 99%. Patient stated that she no longer had any dizziness. EMT reassessed and retook patient vital signs at 1832. BP: 130/60, HR: 78, O2: 99%. Patient completed observation time. Patient was educated by EMT on worsening signs and symptoms of covid vaccine and when to go to the emergency room/urgent care. Patient verbalized understanding of education. Patient left vaccination site at 1834 unassisted and with a steady gait.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Fatigue, Haemoptysis, Malaise, Migraine
Clinical narrative: Father received vaccine on May 13, 2021.  Complained of migraine headaches, feeling tired, and generally unwell. Migraines became more persistent.  Father died on June 16, 2021 at home.  Coughed up blood and vomited around time of death.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Father received vaccine on May 13, 2021.  Complained of migraine headaches, feeling tired, and generally unwell. Migraines became more persistent.  Father died on June 16, 2021 at home.  Coughed up blood and vomited around time of death.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angina pectoris, Back pain, Paraesthesia
Clinical narrative: Heart pain, needles in Heart type of pain.  Pain in back.  Went to er
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Chest discomfort, Chest pain, Costochondritis, Dyspnoea
Clinical narrative: Heart pain, needles in Heart type of pain.  Pain in back.  Went to er
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Musculoskeletal chest pain, Pain in extremity, SARS-CoV-2 test, Thrombosis
Clinical narrative: Heart pain, needles in Heart type of pain.  Pain in back.  Went to er
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vision blurred
Clinical narrative: Five minutes after dose my daughter began to feel dizzy, felt like fainting and blurry sight.  We were still at the pharmacy, I asked the pharmacist about her symptoms, about 15 minutes later, she told me she was feeling better, so we left.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Pruritus, Rash
Clinical narrative: On or about June 15th, patient first noticed minor eruption associated with itching sensation.  At annual physical on June 22nd, Nurse Practitioner observed that the eruption had multiple sites, non-bilateral, and diagnosed shingles, potentially associated with the patient's recent 2nd dose of the COVID-19 vaccine.  The patient was prescribed a 7-day course of Valtrex, completed on June 29th, during which period the symptoms abated, with no recurrence since the anti-viral course was completed.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Contusion, Erythema, Peripheral swelling
Clinical narrative: Bruses on both hands. Swelling on right hand. Red spots on both legs.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain upper, Diarrhoea, Fatigue, Nausea
Clinical narrative: Less than one week after injection I began having severe diarrhea, nausea.  My abdominal area began to swell.  Pain in the mid section. Lots of exhaustion bouts.  This has gone on since it began and we are now at July 7, 2021 and am still having diarrhea and dealing with bouts of fatigue.  I have been to gastroenterologist and my regular physician.  Nothing has been found as what is causing it.  I am scheduled for a colonoscopy in August.  I don't know what to do.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Cholecystectomy, Flatulence, Gastric disorder, Myalgia
Clinical narrative: Muscle pain for several days after then stomach problems(not diagnosed gas problem) since culminating in my trip to the ER and immediate surgery to remove my gallbladder on June 29. Stomach problems are not fully resolved as of yet.
Age: 35.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Injected limb mobility decreased, Injection site pain, Neuralgia, Pain
Clinical narrative: Below is the email sent to my PCP via messaging system.  Sent:6/28/2021 5:24 AM CDT To: MD Subject:Question About Non-Urgent Medical Matter  Good morning Dr.,  I wanted to inquire if it is still normal that I am experiencing pain at the injection site since receiving the pneumococcal vaccine on 6/17/2021. The pain can be described as a shooting pain that radiates to the rotator cuff. It's also painful to lie on my arm or to put my arm directly straight out. I am relatively active, especially being outside and since receiving the vaccine I feel that my range of motion is hindered. I have not felt this on my left arm where I received the tetanus, only the right one. Thank you Ma'am and I look forward to hearing from you.   Progress Notes from, FNP at 7/2/2021 11:01 AM: Arm pain 6/7/2021  received 2 vaccines. Tdap Lt arm  PCV on Rt . Rt arm is still painful.   Pain is positional- with movement up or backward. Pain radiates from injection site which  Is upper deltoid as per pt into mid upper arm. Initial redness and pain resolved after a few days but positional, shooting pain continues.  Taking Motrin 800mg about daily and using heat with sub optimal relief.  Musculoskeletal:     Comments: Rt upper arm. No visible site of injection. Pt can pinpoint site as source of pain in upper deltoid below humeral head.   No redness, swelling Exquisite tenderness to light touch. In area of about 6 cm around injection site.    FROM of RUE with pain on full abduction.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, Pericarditis
Clinical narrative: Myocarditis and pericarditis