chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, C-reactive protein increased, Carbon dioxide normal, Diarrhoea, Echocardiogram abnormal
Clinical narrative: Patient is a 9yo adopted male without significant past medical history. His two adoptive mother's are now separated and he spends time between both homes. Patient had suspected COVID 19 infection in November 2020 (not lab confirmed but symptomatic). He has not had clinically apparent COVID 19 infection in 2021 to mother's knowledge, but did have exposure to neighbor with symptoms consistent with COVID 19 (though their testing was reportedly negative) around the end of November 2021.   Patient was vaccinated with his first dose of Pfizer-BioNTech COVID-19 vaccine on 12/17/21. Starting 12/20/21 he began to experience lethargy, abdominal pain, some emesis, diarrhea, subjective fever (no temp taken), malaise, decreased oral intake. He was under care at one parent's home. He was seen by PCP who recommended supportive care measure for suspected viral illness. On 12/24 he returned to the care of his other parent's home. He was then taken to the hospital for evaluation and found to have work up consistent with MIS-C.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Hypophagia, Left ventricular dysfunction, Lethargy, Lymphocyte percentage decreased
Clinical narrative: Patient is a 9yo adopted male without significant past medical history. His two adoptive mother's are now separated and he spends time between both homes. Patient had suspected COVID 19 infection in November 2020 (not lab confirmed but symptomatic). He has not had clinically apparent COVID 19 infection in 2021 to mother's knowledge, but did have exposure to neighbor with symptoms consistent with COVID 19 (though their testing was reportedly negative) around the end of November 2021.   Patient was vaccinated with his first dose of Pfizer-BioNTech COVID-19 vaccine on 12/17/21. Starting 12/20/21 he began to experience lethargy, abdominal pain, some emesis, diarrhea, subjective fever (no temp taken), malaise, decreased oral intake. He was under care at one parent's home. He was seen by PCP who recommended supportive care measure for suspected viral illness. On 12/24 he returned to the care of his other parent's home. He was then taken to the hospital for evaluation and found to have work up consistent with MIS-C.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Multisystem inflammatory syndrome in children, Neutrophil percentage increased, Platelet count normal, Procalcitonin increased
Clinical narrative: Patient is a 9yo adopted male without significant past medical history. His two adoptive mother's are now separated and he spends time between both homes. Patient had suspected COVID 19 infection in November 2020 (not lab confirmed but symptomatic). He has not had clinically apparent COVID 19 infection in 2021 to mother's knowledge, but did have exposure to neighbor with symptoms consistent with COVID 19 (though their testing was reportedly negative) around the end of November 2021.   Patient was vaccinated with his first dose of Pfizer-BioNTech COVID-19 vaccine on 12/17/21. Starting 12/20/21 he began to experience lethargy, abdominal pain, some emesis, diarrhea, subjective fever (no temp taken), malaise, decreased oral intake. He was under care at one parent's home. He was seen by PCP who recommended supportive care measure for suspected viral illness. On 12/24 he returned to the care of his other parent's home. He was then taken to the hospital for evaluation and found to have work up consistent with MIS-C.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Protein total decreased, Pyrexia, Serum ferritin increased, Troponin increased, Viral infection
Clinical narrative: Patient is a 9yo adopted male without significant past medical history. His two adoptive mother's are now separated and he spends time between both homes. Patient had suspected COVID 19 infection in November 2020 (not lab confirmed but symptomatic). He has not had clinically apparent COVID 19 infection in 2021 to mother's knowledge, but did have exposure to neighbor with symptoms consistent with COVID 19 (though their testing was reportedly negative) around the end of November 2021.   Patient was vaccinated with his first dose of Pfizer-BioNTech COVID-19 vaccine on 12/17/21. Starting 12/20/21 he began to experience lethargy, abdominal pain, some emesis, diarrhea, subjective fever (no temp taken), malaise, decreased oral intake. He was under care at one parent's home. He was seen by PCP who recommended supportive care measure for suspected viral illness. On 12/24 he returned to the care of his other parent's home. He was then taken to the hospital for evaluation and found to have work up consistent with MIS-C.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: Patient is a 9yo adopted male without significant past medical history. His two adoptive mother's are now separated and he spends time between both homes. Patient had suspected COVID 19 infection in November 2020 (not lab confirmed but symptomatic). He has not had clinically apparent COVID 19 infection in 2021 to mother's knowledge, but did have exposure to neighbor with symptoms consistent with COVID 19 (though their testing was reportedly negative) around the end of November 2021.   Patient was vaccinated with his first dose of Pfizer-BioNTech COVID-19 vaccine on 12/17/21. Starting 12/20/21 he began to experience lethargy, abdominal pain, some emesis, diarrhea, subjective fever (no temp taken), malaise, decreased oral intake. He was under care at one parent's home. He was seen by PCP who recommended supportive care measure for suspected viral illness. On 12/24 he returned to the care of his other parent's home. He was then taken to the hospital for evaluation and found to have work up consistent with MIS-C.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood thyroid stimulating hormone, Chest X-ray, Chest discomfort, Chills
Clinical narrative: The morning after I received the booster (23 Dec) At around 0900 in the morning my heart rate started to spike while I was laying down. I would be around 110-115 while sitting, 130-140 while walking around, and over 150 when going up and down stairs. I also started developing more normal systems, such as a fever, chills, body aches, headache, sore throat, and fatigue. Those symptoms when away by 24 Dec, but I was still having a rapid heart rate when I was not laying down, and I had also developed some abdominal pain. I called my insurance provider who referred me to an Urgent Care which diagnosed me with a bladder infection but could run tests for my heart rate. So I was referred to an ER since I had been having some chest discomfort as well. The ER ran and EKG, some blood tests and took chest X-rays but was not able to determine the cause of the rapid heart rate.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Cystitis, Differential white blood cell count, Electrocardiogram, Fatigue, Full blood count
Clinical narrative: The morning after I received the booster (23 Dec) At around 0900 in the morning my heart rate started to spike while I was laying down. I would be around 110-115 while sitting, 130-140 while walking around, and over 150 when going up and down stairs. I also started developing more normal systems, such as a fever, chills, body aches, headache, sore throat, and fatigue. Those symptoms when away by 24 Dec, but I was still having a rapid heart rate when I was not laying down, and I had also developed some abdominal pain. I called my insurance provider who referred me to an Urgent Care which diagnosed me with a bladder infection but could run tests for my heart rate. So I was referred to an ER since I had been having some chest discomfort as well. The ER ran and EKG, some blood tests and took chest X-rays but was not able to determine the cause of the rapid heart rate.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Oropharyngeal pain, Pain, Pregnancy test urine
Clinical narrative: The morning after I received the booster (23 Dec) At around 0900 in the morning my heart rate started to spike while I was laying down. I would be around 110-115 while sitting, 130-140 while walking around, and over 150 when going up and down stairs. I also started developing more normal systems, such as a fever, chills, body aches, headache, sore throat, and fatigue. Those symptoms when away by 24 Dec, but I was still having a rapid heart rate when I was not laying down, and I had also developed some abdominal pain. I called my insurance provider who referred me to an Urgent Care which diagnosed me with a bladder infection but could run tests for my heart rate. So I was referred to an ER since I had been having some chest discomfort as well. The ER ran and EKG, some blood tests and took chest X-rays but was not able to determine the cause of the rapid heart rate.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test, Urine analysis
Clinical narrative: The morning after I received the booster (23 Dec) At around 0900 in the morning my heart rate started to spike while I was laying down. I would be around 110-115 while sitting, 130-140 while walking around, and over 150 when going up and down stairs. I also started developing more normal systems, such as a fever, chills, body aches, headache, sore throat, and fatigue. Those symptoms when away by 24 Dec, but I was still having a rapid heart rate when I was not laying down, and I had also developed some abdominal pain. I called my insurance provider who referred me to an Urgent Care which diagnosed me with a bladder infection but could run tests for my heart rate. So I was referred to an ER since I had been having some chest discomfort as well. The ER ran and EKG, some blood tests and took chest X-rays but was not able to determine the cause of the rapid heart rate.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Ankle fracture, Blood test, Dizziness, Medical device implantation, SARS-CoV-2 test
Clinical narrative: I experienced sudden extreme dizziness and fainting which resulted in a "shattered" ankle (doctor's word).  I now have 15 pins in my ankle.  I required 3 days in hospital, 3 weeks in rehab and 6 weeks in assisted living before I could return home.  I was in a wheel chair for8 weeks and received 6 months of physical therapy
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Wheelchair user, X-ray
Clinical narrative: I experienced sudden extreme dizziness and fainting which resulted in a "shattered" ankle (doctor's word).  I now have 15 pins in my ankle.  I required 3 days in hospital, 3 weeks in rehab and 6 weeks in assisted living before I could return home.  I was in a wheel chair for8 weeks and received 6 months of physical therapy
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest pain, Dyspnoea
Clinical narrative: After having a rather uneventful first two doses (very minimal side effects), I decided to get my booster shot ~8 months after my two dose series.  Being about two days now from that 3rd dose, I have been experiencing chest pain and shortness of breath. At the time of me writing this it is Christmas so I am unable to go to any sort of doctor or medical facility to get examined. However, I will be getting examined in the following week so long as my symptoms continue to persist.  The Chest pain is quite persistent and I feel it almost directly in the middle of my chest and I wanted to get ahead of the curve and report it to the system. If the symptoms do persist, I will write a follow up report contingent upon my diagnosis.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Paraesthesia, Paraesthesia oral, Peripheral swelling, Pruritus
Clinical narrative: Rash, heat, swelling, prickly itching on arm. Tingling tongue and face
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash, heat, swelling, prickly itching on arm. Tingling tongue and face
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: I woke up itching on my stomach  n had hives , ghis also happened with my 2nd dose
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Fatigue, Peripheral swelling, Rash erythematous
Clinical narrative: Fatigue began 18 hours after injection.   Acute asthma attack starting 36 hours after injection. Symptoms managed with nebulizer and Xopenex inhalation.   Red swollen rash on inside of both forearms. Symptom started 33 hours after injection and has not resolved.   Autoimmune response.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Numbness of the forearm and hand of both parts. It does not have a specific time, it occurs at any time but it happens more frequently when I'm sleeping.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Headache, Influenza A virus test negative, Influenza B virus test, Influenza like illness
Clinical narrative: Flu-like symptoms: runny nose, sore throat, nasal congestion, cough, headache, chest congestion
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Nasal congestion, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: Flu-like symptoms: runny nose, sore throat, nasal congestion, cough, headache, chest congestion
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash erythematous, Rash pruritic, Urticaria
Clinical narrative: On day 11 post vaccine, palms of hands and scalp became extremely itchy.  No lesions or rash on hands, found none on my scalp. The next morning I woke up with my back extremely itchy and discovered red itchy rash/hives. Since then I have had hives break out all over my body including hands and soles of feet, elbows, groin, thighs tops of feet, stomah and wrists.  Some disappear relatively quickly but new hives continue to pop up in various places. Still have intermittent very itchy scalp and palms.
Age: 9.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Rash developed at injection site. Swelling, redness, and warmth at site persisting 3 days after injection.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Burning sensation, Condition aggravated, Insomnia, Pain
Clinical narrative: TINGLING, PAIN, BURNING OF BOTH ARMS INCLUDING THE HANDS (IN THE EARLY HOURS THEY BECAME WORSE, CAUSING INSOMNIA) AND EXCESSIVE HAIR LOSS.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: TINGLING, PAIN, BURNING OF BOTH ARMS INCLUDING THE HANDS (IN THE EARLY HOURS THEY BECAME WORSE, CAUSING INSOMNIA) AND EXCESSIVE HAIR LOSS.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Muscular weakness, Myalgia, Rash
Clinical narrative: Developed redness at injection site. Rash started on left arm and spread to both arms, both legs, chest and face.  Leg weakness, muscle aches. Treated with Zyrtec, Ibprofen and Benadryl. As of today 12/25/21 the rash is still present.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Ventricular extrasystoles
Clinical narrative: Racing heart on 12/24/2021, PVCs continuing into 12/25/2021
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Computerised tomogram abnormal, Electrocardiogram ST-T segment abnormal, International normalised ratio abnormal, Pulmonary embolism
Clinical narrative: Bilateral Saddle Pulmonary Emboli, treated with heparin, hospitalized
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Heart rate increased, Palpitations
Clinical narrative: Elevated and pounding heartrate. Normal resting heart rate of patient is 40-45. Approximately 12 hours after administration of booster, heart rate began increasing (rate tracked via fitness tracker). Resting heart rate averaged 60-70 for the next 8 hours and patient was unable to sleep. Heart rate remained higher than normal for next 36 hours and patient was fatigued.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Asphyxia, Chest pain, Hypopnoea, Panic attack, Panic reaction
Clinical narrative: Panic attack approximately 6-7 hours after shot. Quick pain in chest, shallow breathing, asphyxia, panic.
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Fatigue, Injection site erythema, Injection site swelling, Pain
Clinical narrative: Redness and swelling at injection site; Body aches; Fatigue; Chills.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: My tinnitus has increased and it is constant ringing 24/7.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Fatigue, Headache, Hypoaesthesia
Clinical narrative: Had moderna  booster at 10:00am on 12/17/2021.  Approximately 30 minutes later left arm went numb, and had severe headache.  Took 2 Tylenol for headache which helped some.  Next day felt tired and started having left side chest pain and left arm numbness.  Still having chest pain especially when lying down on left side.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Chills, Headache, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Fever, chills, headaches, stomach problems
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Flank pain, Loss of consciousness, Nausea, Paraesthesia
Clinical narrative: Received vaccine around 5:00 pm. That night I had chills, a lot of soreness in my left arm (vaccination site) and tingling in my left hand. Slept terribly, very thirsty, woke up around 8:45 am, and went to restroom. While refilling water bottle, I got nauseous and started having tunnel vision. I thought this is probably what it feels like before people faint. The next thing I knew, I passed-out. I woke up probably a minute later in the bathtub with no recollection of how I got there but with major soreness on my side. I was very nauseous for the next few hours (and also terrified). Never fainted before and no fear of needles currently.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Thirst, Tunnel vision, Vaccination site pain
Clinical narrative: Received vaccine around 5:00 pm. That night I had chills, a lot of soreness in my left arm (vaccination site) and tingling in my left hand. Slept terribly, very thirsty, woke up around 8:45 am, and went to restroom. While refilling water bottle, I got nauseous and started having tunnel vision. I thought this is probably what it feels like before people faint. The next thing I knew, I passed-out. I woke up probably a minute later in the bathtub with no recollection of how I got there but with major soreness on my side. I was very nauseous for the next few hours (and also terrified). Never fainted before and no fear of needles currently.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Magnetic resonance imaging normal
Clinical narrative: Gradual onset of feeling like I was going to fall while walking.  No dizziness, headache, or vomiting.  No vision problems either.  Went to PMD and had MRI done with no abnormal findings. Sent to special testing location. Found to possibly have an issue with inflammation or delays in pathways of the nerves from the inner ear to the brain. Not vertigo.  Currently doing PT to hopefully remedy this.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Asthenia, COVID-19, Chest X-ray abnormal
Clinical narrative: COVID-19 case resulting in hospitalization    The individual was hospitalized for 2 days at Hospital due to having COVID-19. Symptoms / Hospitalization: Fatigue, loss of taste/smell. Hospital admitted on 11/25/21 and discharged 11/26/21. Patient was feeling weakness, cough and nausea. Chest x-ray shows pneumonia.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Fatigue, Nausea, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: COVID-19 case resulting in hospitalization    The individual was hospitalized for 2 days at Hospital due to having COVID-19. Symptoms / Hospitalization: Fatigue, loss of taste/smell. Hospital admitted on 11/25/21 and discharged 11/26/21. Patient was feeling weakness, cough and nausea. Chest x-ray shows pneumonia.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic, Urticaria
Clinical narrative: I started getting burning, itchy, rashes and hives throughout my body 18 days after I got my 3rd Moderna shot. It?s been a week now and I still get these every hour of everyday. They last around 10-20 minutes, then pop up on another part of my body. This did not happened when taking the first two vaccine doses (except for a small rash in the arm where the shot was administered for a few days). I?ve taken Allegra but I still get them while taking it the medication.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia
Clinical narrative: I have lost all smell and taste. The taste is slowly coming back but it is very slowly. As far as the smell goes, I cannot smell the scents from the candles, food, or anything else.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal behaviour, Anticoagulant therapy, Cardiac arrest, Cardiogenic shock, Cardioversion
Clinical narrative: 31-year-old male with no reported past medical history was brought in by EMS actively receiving CPR.  EMS states patient's family noted patient's was running in the house for an unknown reason and then managed to wall, was noted not to have a pulse at that time, and family began CPR.  EMS also states upon arrival patient was noted to be in VFib received for shocks, epinephrine x4, bicarb x2, and Narcan 0.4 prior to arrival.  No other history obtained due to patient's medical condition at this time.  31-year-old male with no significant past medical history who received his booster dose of Pfizer COVID vaccination on Tuesday (12/21/21).  As per his wife, he continue to work out for his job during the week.  In the early hours of the morning, he suddenly woke up from sleep and was very restless and confused.  He was knocking things off the side of the bed and eventually stood up and walked into the wall and injured his nose.  Subsequently, he collapsed and had a witnessed cardiac arrest.  EMS arrived in approximately 5 minutes and he was noted to be in VFib cardiac arrest.  He had a very prolonged VFib arrest and required a total of 15 electric shocks combined between EMS and ER services.  He also had multiple rounds of epi.  He was eventually cardioverted to sinus rhythm.  On my arrival to bedside, he was tachypneic to mid 20s and currently on Versed and fentanyl infusions for sedation and dopamine at 10 mcg/k.  Chest x-ray shows diffuse bilateral lung infiltrates.   Status post cardiac arrest and ensuing cardiogenic shock: ROSC achieved after prolonged CPR.  Cardiology and EP consults were requested and Dr. agreed to perform an EP study to rule out a primary malignant cardiac arrhythmia as a potential etiology for his sudden cardiac arrest.  Primary cardiac etiologies such as myocarditis and congenital malignant arrhythmias should also be considered in the differential diagnosis.  Bedside echocardiogram showed a depressed EF of 15-20% with no significant RV dilatation.  Pulmonary embolism cannot be ruled out at this point.  Will start heparin and perform a CT angiogram of his lungs once he is hemodynamically stable.  Meanwhile, recommend starting therapeutic heparin infusion.  Continue cycle cardiac enzymes.  CT head and CT spine showed no acute pathologies. Urine tox screen pending.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram head normal, Computerised tomogram spine, Confusional state, Echocardiogram abnormal
Clinical narrative: 31-year-old male with no reported past medical history was brought in by EMS actively receiving CPR.  EMS states patient's family noted patient's was running in the house for an unknown reason and then managed to wall, was noted not to have a pulse at that time, and family began CPR.  EMS also states upon arrival patient was noted to be in VFib received for shocks, epinephrine x4, bicarb x2, and Narcan 0.4 prior to arrival.  No other history obtained due to patient's medical condition at this time.  31-year-old male with no significant past medical history who received his booster dose of Pfizer COVID vaccination on Tuesday (12/21/21).  As per his wife, he continue to work out for his job during the week.  In the early hours of the morning, he suddenly woke up from sleep and was very restless and confused.  He was knocking things off the side of the bed and eventually stood up and walked into the wall and injured his nose.  Subsequently, he collapsed and had a witnessed cardiac arrest.  EMS arrived in approximately 5 minutes and he was noted to be in VFib cardiac arrest.  He had a very prolonged VFib arrest and required a total of 15 electric shocks combined between EMS and ER services.  He also had multiple rounds of epi.  He was eventually cardioverted to sinus rhythm.  On my arrival to bedside, he was tachypneic to mid 20s and currently on Versed and fentanyl infusions for sedation and dopamine at 10 mcg/k.  Chest x-ray shows diffuse bilateral lung infiltrates.   Status post cardiac arrest and ensuing cardiogenic shock: ROSC achieved after prolonged CPR.  Cardiology and EP consults were requested and Dr. agreed to perform an EP study to rule out a primary malignant cardiac arrhythmia as a potential etiology for his sudden cardiac arrest.  Primary cardiac etiologies such as myocarditis and congenital malignant arrhythmias should also be considered in the differential diagnosis.  Bedside echocardiogram showed a depressed EF of 15-20% with no significant RV dilatation.  Pulmonary embolism cannot be ruled out at this point.  Will start heparin and perform a CT angiogram of his lungs once he is hemodynamically stable.  Meanwhile, recommend starting therapeutic heparin infusion.  Continue cycle cardiac enzymes.  CT head and CT spine showed no acute pathologies. Urine tox screen pending.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Ejection fraction decreased, Lung infiltration, Myocardial necrosis marker, Nasal injury, Pulse absent
Clinical narrative: 31-year-old male with no reported past medical history was brought in by EMS actively receiving CPR.  EMS states patient's family noted patient's was running in the house for an unknown reason and then managed to wall, was noted not to have a pulse at that time, and family began CPR.  EMS also states upon arrival patient was noted to be in VFib received for shocks, epinephrine x4, bicarb x2, and Narcan 0.4 prior to arrival.  No other history obtained due to patient's medical condition at this time.  31-year-old male with no significant past medical history who received his booster dose of Pfizer COVID vaccination on Tuesday (12/21/21).  As per his wife, he continue to work out for his job during the week.  In the early hours of the morning, he suddenly woke up from sleep and was very restless and confused.  He was knocking things off the side of the bed and eventually stood up and walked into the wall and injured his nose.  Subsequently, he collapsed and had a witnessed cardiac arrest.  EMS arrived in approximately 5 minutes and he was noted to be in VFib cardiac arrest.  He had a very prolonged VFib arrest and required a total of 15 electric shocks combined between EMS and ER services.  He also had multiple rounds of epi.  He was eventually cardioverted to sinus rhythm.  On my arrival to bedside, he was tachypneic to mid 20s and currently on Versed and fentanyl infusions for sedation and dopamine at 10 mcg/k.  Chest x-ray shows diffuse bilateral lung infiltrates.   Status post cardiac arrest and ensuing cardiogenic shock: ROSC achieved after prolonged CPR.  Cardiology and EP consults were requested and Dr. agreed to perform an EP study to rule out a primary malignant cardiac arrhythmia as a potential etiology for his sudden cardiac arrest.  Primary cardiac etiologies such as myocarditis and congenital malignant arrhythmias should also be considered in the differential diagnosis.  Bedside echocardiogram showed a depressed EF of 15-20% with no significant RV dilatation.  Pulmonary embolism cannot be ruled out at this point.  Will start heparin and perform a CT angiogram of his lungs once he is hemodynamically stable.  Meanwhile, recommend starting therapeutic heparin infusion.  Continue cycle cardiac enzymes.  CT head and CT spine showed no acute pathologies. Urine tox screen pending.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Restlessness, Resuscitation, Sedative therapy, Sleep disorder, Syncope
Clinical narrative: 31-year-old male with no reported past medical history was brought in by EMS actively receiving CPR.  EMS states patient's family noted patient's was running in the house for an unknown reason and then managed to wall, was noted not to have a pulse at that time, and family began CPR.  EMS also states upon arrival patient was noted to be in VFib received for shocks, epinephrine x4, bicarb x2, and Narcan 0.4 prior to arrival.  No other history obtained due to patient's medical condition at this time.  31-year-old male with no significant past medical history who received his booster dose of Pfizer COVID vaccination on Tuesday (12/21/21).  As per his wife, he continue to work out for his job during the week.  In the early hours of the morning, he suddenly woke up from sleep and was very restless and confused.  He was knocking things off the side of the bed and eventually stood up and walked into the wall and injured his nose.  Subsequently, he collapsed and had a witnessed cardiac arrest.  EMS arrived in approximately 5 minutes and he was noted to be in VFib cardiac arrest.  He had a very prolonged VFib arrest and required a total of 15 electric shocks combined between EMS and ER services.  He also had multiple rounds of epi.  He was eventually cardioverted to sinus rhythm.  On my arrival to bedside, he was tachypneic to mid 20s and currently on Versed and fentanyl infusions for sedation and dopamine at 10 mcg/k.  Chest x-ray shows diffuse bilateral lung infiltrates.   Status post cardiac arrest and ensuing cardiogenic shock: ROSC achieved after prolonged CPR.  Cardiology and EP consults were requested and Dr. agreed to perform an EP study to rule out a primary malignant cardiac arrhythmia as a potential etiology for his sudden cardiac arrest.  Primary cardiac etiologies such as myocarditis and congenital malignant arrhythmias should also be considered in the differential diagnosis.  Bedside echocardiogram showed a depressed EF of 15-20% with no significant RV dilatation.  Pulmonary embolism cannot be ruled out at this point.  Will start heparin and perform a CT angiogram of his lungs once he is hemodynamically stable.  Meanwhile, recommend starting therapeutic heparin infusion.  Continue cycle cardiac enzymes.  CT head and CT spine showed no acute pathologies. Urine tox screen pending.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Tachypnoea, Toxicologic test, Ventricular fibrillation
Clinical narrative: 31-year-old male with no reported past medical history was brought in by EMS actively receiving CPR.  EMS states patient's family noted patient's was running in the house for an unknown reason and then managed to wall, was noted not to have a pulse at that time, and family began CPR.  EMS also states upon arrival patient was noted to be in VFib received for shocks, epinephrine x4, bicarb x2, and Narcan 0.4 prior to arrival.  No other history obtained due to patient's medical condition at this time.  31-year-old male with no significant past medical history who received his booster dose of Pfizer COVID vaccination on Tuesday (12/21/21).  As per his wife, he continue to work out for his job during the week.  In the early hours of the morning, he suddenly woke up from sleep and was very restless and confused.  He was knocking things off the side of the bed and eventually stood up and walked into the wall and injured his nose.  Subsequently, he collapsed and had a witnessed cardiac arrest.  EMS arrived in approximately 5 minutes and he was noted to be in VFib cardiac arrest.  He had a very prolonged VFib arrest and required a total of 15 electric shocks combined between EMS and ER services.  He also had multiple rounds of epi.  He was eventually cardioverted to sinus rhythm.  On my arrival to bedside, he was tachypneic to mid 20s and currently on Versed and fentanyl infusions for sedation and dopamine at 10 mcg/k.  Chest x-ray shows diffuse bilateral lung infiltrates.   Status post cardiac arrest and ensuing cardiogenic shock: ROSC achieved after prolonged CPR.  Cardiology and EP consults were requested and Dr. agreed to perform an EP study to rule out a primary malignant cardiac arrhythmia as a potential etiology for his sudden cardiac arrest.  Primary cardiac etiologies such as myocarditis and congenital malignant arrhythmias should also be considered in the differential diagnosis.  Bedside echocardiogram showed a depressed EF of 15-20% with no significant RV dilatation.  Pulmonary embolism cannot be ruled out at this point.  Will start heparin and perform a CT angiogram of his lungs once he is hemodynamically stable.  Meanwhile, recommend starting therapeutic heparin infusion.  Continue cycle cardiac enzymes.  CT head and CT spine showed no acute pathologies. Urine tox screen pending.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Fatigue, Oropharyngeal pain
Clinical narrative: Sore throat, fatigue, cough.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Heart rate irregular, Myocarditis, Pericarditis
Clinical narrative: Myocarditis and Pericarditis.  Heart Beating very fast and irregularly.  I have a hard time laying down to rest because it feels like my heart is going to skip beats.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Bronchitis, COVID-19, Condition aggravated
Clinical narrative: The case had an adverse reaction after receiving his first dose of Pfizer. He says he had a 5-week flare-up of his Epstein-Barr infection and experienced vertigo. He spoke with his PCP about it. He also tested positive for COVID-19 and experienced a prolonged symptoms for at least 2 weeks. Symptoms included nasal congestion, loss of smell/taste, cough, wheezing, and bronchitis.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Epstein-Barr virus infection, Nasal congestion, SARS-CoV-2 test positive, Vertigo
Clinical narrative: The case had an adverse reaction after receiving his first dose of Pfizer. He says he had a 5-week flare-up of his Epstein-Barr infection and experienced vertigo. He spoke with his PCP about it. He also tested positive for COVID-19 and experienced a prolonged symptoms for at least 2 weeks. Symptoms included nasal congestion, loss of smell/taste, cough, wheezing, and bronchitis.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: The case had an adverse reaction after receiving his first dose of Pfizer. He says he had a 5-week flare-up of his Epstein-Barr infection and experienced vertigo. He spoke with his PCP about it. He also tested positive for COVID-19 and experienced a prolonged symptoms for at least 2 weeks. Symptoms included nasal congestion, loss of smell/taste, cough, wheezing, and bronchitis.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis, Facial paresis, Hypoaesthesia, Neurological examination
Clinical narrative: Right facial numbness weakness paralysis
Age: 57.0
Sex: F
Vaccine: COVID19, PNC13
Symptoms: Chills, Decreased appetite, Dehydration, Fatigue, Gait disturbance
Clinical narrative: Swelling at injection site after 3 days(could not lay on left side)-Fever of 102-Chills-No appetite(did not eat for 2 days)-Dehydration-Fatigue-Extreme Pain thru out body-could barely walk to toilet
Age: 57.0
Sex: F
Vaccine: COVID19, PNC13
Symptoms: Injection site swelling, Pain, Pyrexia
Clinical narrative: Swelling at injection site after 3 days(could not lay on left side)-Fever of 102-Chills-No appetite(did not eat for 2 days)-Dehydration-Fatigue-Extreme Pain thru out body-could barely walk to toilet
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia
Clinical narrative: The daughter has lost all smell and taste for her the taste is back. Her smell is slowly coming back but it is not back to normal yet.
Age: 30.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Pain, redness, swelling, itching, calor at injection site of Moderna COVID-19 vaccine booster dose.  (First two doses were Pfizer) Affected area is about 2 to 2.5 inches around the injection site. Pain was worst at one day after vaccination and all symptoms are still ongoing at day 5 post-vaccination
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Tinnitus
Clinical narrative: Consistent tinnitus Shoulder joint pain as if I have been doing heavy lifting all day.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Decreased appetite, Dizziness, Eye pain, Feeling abnormal
Clinical narrative: 12/21/2021, 5:00PM generalized muscle aches started; swelling, redness, and increased pain at injection site; approximately 9:00PM increased heart rate, headache, and increased joint pain and tightness noticed.  12/22/2021 3:00AM lymph nodes in left clavicle, left armpit, and left groin area painful with/without touch; visual check of said lymph nodes at approximately 5:00AM, all are visibly swollen, pain intensified; 11:00AM, headache, dizziness, "fogginess," eye pain, gum pain, intensified body aches, loss of appetite, fever of 100.1 degrees F, pulse 100+BPM (baseline is 80-86); required assistance ambulating; 6:00PM blood pressure 136/88 (baseline is 114-120/74-80, no medication was missed).  12/25/2021 9:00AM:  signs and symptoms noticeably decreased; lymph nodes still swollen, but have decreased approximately 50% in size, not visible, but palpable and painful with/without touch; headache; body aches (minimized, but present); fatigue and joint tightness remain, especially in right total knee replacement; occasional nausea secondary to headache; temperature 98.8 degrees F; heart rate 80; blood pressure 120/84.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Gingival pain, Headache, Heart rate increased, Injection site erythema, Injection site pain
Clinical narrative: 12/21/2021, 5:00PM generalized muscle aches started; swelling, redness, and increased pain at injection site; approximately 9:00PM increased heart rate, headache, and increased joint pain and tightness noticed.  12/22/2021 3:00AM lymph nodes in left clavicle, left armpit, and left groin area painful with/without touch; visual check of said lymph nodes at approximately 5:00AM, all are visibly swollen, pain intensified; 11:00AM, headache, dizziness, "fogginess," eye pain, gum pain, intensified body aches, loss of appetite, fever of 100.1 degrees F, pulse 100+BPM (baseline is 80-86); required assistance ambulating; 6:00PM blood pressure 136/88 (baseline is 114-120/74-80, no medication was missed).  12/25/2021 9:00AM:  signs and symptoms noticeably decreased; lymph nodes still swollen, but have decreased approximately 50% in size, not visible, but palpable and painful with/without touch; headache; body aches (minimized, but present); fatigue and joint tightness remain, especially in right total knee replacement; occasional nausea secondary to headache; temperature 98.8 degrees F; heart rate 80; blood pressure 120/84.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Joint stiffness, Lymph node pain, Lymphadenopathy, Myalgia
Clinical narrative: 12/21/2021, 5:00PM generalized muscle aches started; swelling, redness, and increased pain at injection site; approximately 9:00PM increased heart rate, headache, and increased joint pain and tightness noticed.  12/22/2021 3:00AM lymph nodes in left clavicle, left armpit, and left groin area painful with/without touch; visual check of said lymph nodes at approximately 5:00AM, all are visibly swollen, pain intensified; 11:00AM, headache, dizziness, "fogginess," eye pain, gum pain, intensified body aches, loss of appetite, fever of 100.1 degrees F, pulse 100+BPM (baseline is 80-86); required assistance ambulating; 6:00PM blood pressure 136/88 (baseline is 114-120/74-80, no medication was missed).  12/25/2021 9:00AM:  signs and symptoms noticeably decreased; lymph nodes still swollen, but have decreased approximately 50% in size, not visible, but palpable and painful with/without touch; headache; body aches (minimized, but present); fatigue and joint tightness remain, especially in right total knee replacement; occasional nausea secondary to headache; temperature 98.8 degrees F; heart rate 80; blood pressure 120/84.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: 12/21/2021, 5:00PM generalized muscle aches started; swelling, redness, and increased pain at injection site; approximately 9:00PM increased heart rate, headache, and increased joint pain and tightness noticed.  12/22/2021 3:00AM lymph nodes in left clavicle, left armpit, and left groin area painful with/without touch; visual check of said lymph nodes at approximately 5:00AM, all are visibly swollen, pain intensified; 11:00AM, headache, dizziness, "fogginess," eye pain, gum pain, intensified body aches, loss of appetite, fever of 100.1 degrees F, pulse 100+BPM (baseline is 80-86); required assistance ambulating; 6:00PM blood pressure 136/88 (baseline is 114-120/74-80, no medication was missed).  12/25/2021 9:00AM:  signs and symptoms noticeably decreased; lymph nodes still swollen, but have decreased approximately 50% in size, not visible, but palpable and painful with/without touch; headache; body aches (minimized, but present); fatigue and joint tightness remain, especially in right total knee replacement; occasional nausea secondary to headache; temperature 98.8 degrees F; heart rate 80; blood pressure 120/84.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Dyspnoea, Pain in extremity, Palpitations
Clinical narrative: Within 5 minutes of receiving shot and seated in waiting area patient said his heart began to race and pain was in his upper arm and shoulders. He felt weak. He started trying to catch his breath.
Age: 59.0
Sex: M
Vaccine: UNK
Symptoms: Cardiac flutter, Dyspnoea
Clinical narrative: Fluttering heartbeat and trouble breathing
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute myocardial infarction, Arterial disorder, Catheterisation cardiac abnormal, Chest discomfort, Coronary angioplasty
Clinical narrative: 70-year-old man with no significant cardiac history. He was visiting relatives for the holidays today when he developed acute onset chest discomfort.  He presented to the local ER and was found to have inferior STEMI.  He was emergently transferred directly to the Hospital.  There was noted to be a subtotal lesion in the distal right coronary artery.  The right coronary artery is a moderate caliber dominant vessel which supplies a moderate area of myocardium and is 99% stenosed in the distal segment.  The lesion was predilated with a 2.5 mm balloon, stented with a 2.5 mm drug-eluting stent, and postdilated with a 2.75 mm noncompliant balloon with multiple inflations to burst rated atmospheres.  There was excellent angiographic result with reduction in stenosis from 99% to 0% residual and continued TIMI-3 flow down the vessel. Admitted to ICU for recovery.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Coronary arterial stent insertion, Coronary artery dilatation, Coronary artery stenosis, Intensive care
Clinical narrative: 70-year-old man with no significant cardiac history. He was visiting relatives for the holidays today when he developed acute onset chest discomfort.  He presented to the local ER and was found to have inferior STEMI.  He was emergently transferred directly to the Hospital.  There was noted to be a subtotal lesion in the distal right coronary artery.  The right coronary artery is a moderate caliber dominant vessel which supplies a moderate area of myocardium and is 99% stenosed in the distal segment.  The lesion was predilated with a 2.5 mm balloon, stented with a 2.5 mm drug-eluting stent, and postdilated with a 2.75 mm noncompliant balloon with multiple inflations to burst rated atmospheres.  There was excellent angiographic result with reduction in stenosis from 99% to 0% residual and continued TIMI-3 flow down the vessel. Admitted to ICU for recovery.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema multiforme
Clinical narrative: Erythema Multiforme without mucosal involvement
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Limb mass, Pain in extremity, Pruritus
Clinical narrative: Arm has a large bright red, painful but itchy lump that appeared when I got up the next day. The pain is much better but the redness and itchiness haven't changed. This didn't happen with the first two shots.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site mass
Clinical narrative: Large hard lump in arm at vaccination site. Size of racquetball. No pain, rash, or itching. Appeared 7 days after vaccination, still present 16 days after vaccination.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Lymphadenopathy, Pyrexia, Rash
Clinical narrative: Chills, several nights Fever: 100.4 3 days Rash on arm (left)  Swollen glands on left side if body since vaccine Headache
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Appendicectomy, Appendicitis, Blood test abnormal, Computerised tomogram abdomen abnormal
Clinical narrative: Appendicitis symptoms started on 12/3/2021.  We went to the ER on Saturday, Dec. 4th.  It was confirmed that I had appendicitis and the next morning, Dec. 5th I had surgery to remove my appendix.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chills, Cough, Dyspnoea, Ear pain
Clinical narrative: COVID-19 breakthrough case requiring hospitalization   The individual was hospitalized due to an Irregular Heart Beat. Other COVID-19 symptoms included Fever (100.4) Chills, Rigors, Rhinorrhea/Sinus Congestion, Sore Throat, Headache, Fatigue, Cough, shortness of breath, Ear Pain, Irregular Heart Beat.   The case was admitted 12/6/21 and discharged 12/7/21.  The individual is also a health care worker at Medical Facility
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Heart rate irregular, Oropharyngeal pain, Pyrexia
Clinical narrative: COVID-19 breakthrough case requiring hospitalization   The individual was hospitalized due to an Irregular Heart Beat. Other COVID-19 symptoms included Fever (100.4) Chills, Rigors, Rhinorrhea/Sinus Congestion, Sore Throat, Headache, Fatigue, Cough, shortness of breath, Ear Pain, Irregular Heart Beat.   The case was admitted 12/6/21 and discharged 12/7/21.  The individual is also a health care worker at Medical Facility
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Sinus congestion, Vaccine breakthrough infection
Clinical narrative: COVID-19 breakthrough case requiring hospitalization   The individual was hospitalized due to an Irregular Heart Beat. Other COVID-19 symptoms included Fever (100.4) Chills, Rigors, Rhinorrhea/Sinus Congestion, Sore Throat, Headache, Fatigue, Cough, shortness of breath, Ear Pain, Irregular Heart Beat.   The case was admitted 12/6/21 and discharged 12/7/21.  The individual is also a health care worker at Medical Facility
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Myalgia, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Chills, high fever, sore throat and muscle aches
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Injection site pain, Mobility decreased
Clinical narrative: Headache which had started a few hours after shot became pounding headache overnight. Soreness in arm about 3 inches in diameter around injection site. These were same symptoms as in first shot. Second shot side effects were only soreness in arm. Difference is chills this third shot, in middle of night, around 1:00 AM ET. Could not stop shaking for about 5 minutes and body locked in fetal position. Spent all of the day in bed until headache cleared around 4:45 PM ET on 12/25. Drank about 30 oz water within 15 minutes of getting shot; kept drinking water and earl grey caffeinated tea during 12/24 and got up sporadically to drink water when not dizzy with headache. Ate one small banana morning of 12/25 and took reported vitamins.