chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bone marrow disorder, Condition aggravated, Inappropriate schedule of product administration, Joint injection
Clinical narrative: 1st vaccine injection on 5/18/2021 was what I believe to be pretty usual to what I've experienced from others.  2nd Vaccine on 7/13/2021 was ok with just sore arm at first, but I realized by the 2nd or 3rd day that my arm, shoulder and hand were really sore. I had recently been on 1 week of Prednisone and then an Ultrasound guided injection for my right shoulder that has been really needing total replacement for about 2 years. Now this sudden Left shoulder pain is pretty scary to me as I did not 'do' anything to promote the pain (other than the vaccine). I know the pain Too well of my Rt shoulder to know that something was very wrong in my left. I called Dr. who told me that she definitely thought that it was related to the shot and that if it continued she would order an mri. Within 2 days, I recontacted her office about the overall pain exceeding my usual limits. She ordered the mri which was done on 7/30/2021. The results were not only surprising to me but really sent me into panic as well. The report said of a full thickness tear and things about the infraspinatus tendon and something about Bone Marrow. I do not fully understand the report and the only response that I have received from the Dr is that she is inquiring with another Dr, whom I am also a patient (for the Rt Shoulder). I have not heard anything this week yet as to any further testing, or what can be done to improve what is happening. This has put me to being Very Limited as I have depended upon my Left arm/shoulder to accommodate when my Rt cannot. I had previously had NO Pain at all in this arm so the report to me is mind blowing..and quite painful.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging joint, Pain in extremity, Panic reaction, Tendon rupture, Ultrasound joint
Clinical narrative: 1st vaccine injection on 5/18/2021 was what I believe to be pretty usual to what I've experienced from others.  2nd Vaccine on 7/13/2021 was ok with just sore arm at first, but I realized by the 2nd or 3rd day that my arm, shoulder and hand were really sore. I had recently been on 1 week of Prednisone and then an Ultrasound guided injection for my right shoulder that has been really needing total replacement for about 2 years. Now this sudden Left shoulder pain is pretty scary to me as I did not 'do' anything to promote the pain (other than the vaccine). I know the pain Too well of my Rt shoulder to know that something was very wrong in my left. I called Dr. who told me that she definitely thought that it was related to the shot and that if it continued she would order an mri. Within 2 days, I recontacted her office about the overall pain exceeding my usual limits. She ordered the mri which was done on 7/30/2021. The results were not only surprising to me but really sent me into panic as well. The report said of a full thickness tear and things about the infraspinatus tendon and something about Bone Marrow. I do not fully understand the report and the only response that I have received from the Dr is that she is inquiring with another Dr, whom I am also a patient (for the Rt Shoulder). I have not heard anything this week yet as to any further testing, or what can be done to improve what is happening. This has put me to being Very Limited as I have depended upon my Left arm/shoulder to accommodate when my Rt cannot. I had previously had NO Pain at all in this arm so the report to me is mind blowing..and quite painful.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Patient received vaccines on 2/12/2021 and 3/12/2021. He was admitted to the hospital on 7/4/2021 and passed away 7/20/2021.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Oropharyngeal pain
Clinical narrative: developed sore thraot, cough and loss of taste and smell
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: developed sore thraot, cough and loss of taste and smell
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lethargy, Pain in extremity
Clinical narrative: Following day after receiving Pfizer vaccine, my arm was so sore, I?m lethargic. I?m a breastfeeding mother and my 4 month old is lethargic as well. I?m tired.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Cardiac stress test, Chest discomfort, Electrocardiogram
Clinical narrative: Heaviness feeling in chest like having a heart attack
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: The patients primary care physician notified the pharmacy 8/4/21 the patient went to the emergency department  8/3/21 the evening he received his COVID vaccine with a severe nose bleed.    It happened with the first dose also, but at the time didn't think it may be related to the vaccine until after the nose bleed occurred with the 2nd dose.  Patient was treated in the ED and released.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Computerised tomogram normal, Fall, Feeling jittery, Hypertension
Clinical narrative: On 6/29/2021 I received the first dose of the Pfizer vaccine a few days after that i started feeling really  jittery this went on and on after about a week i started having shakes the i couldn't control my head would turn to the side and just shake then i would lose all my strength in my hand and legs and fall down on 7/15/2021 i was taken to the hospital by my wife and there my blood pressure shot up very high and i started too have these episodes again while there, they rushed me down to CAT scan to make sure there wasn't any blood clots which it wasn't so they referred my to a neurologist  because they couldn't figure out what was going on. I have never went through anything like this before taking the shot .
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: On 6/29/2021 I received the first dose of the Pfizer vaccine a few days after that i started feeling really  jittery this went on and on after about a week i started having shakes the i couldn't control my head would turn to the side and just shake then i would lose all my strength in my hand and legs and fall down on 7/15/2021 i was taken to the hospital by my wife and there my blood pressure shot up very high and i started too have these episodes again while there, they rushed me down to CAT scan to make sure there wasn't any blood clots which it wasn't so they referred my to a neurologist  because they couldn't figure out what was going on. I have never went through anything like this before taking the shot .
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Amnesia, Blood test normal, Condition aggravated
Clinical narrative: I can't remember most of the time lines
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: moderate localized shoulder pain at injection site after 2nd dose of moderna  covid vaccine
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Cervical cord compression, Mobility decreased, Neck pain, Quadriplegia, Spontaneous haemorrhage
Clinical narrative: The patient started experiencing pain in his neck 7 days after vaccination and within 48 hours he lost all mobility.  He was taken to the emergency room and found to have a spontaneous  hemorrhage with cord compression in the cervical cord.  patient was hospitalized at the Clinic for 10 days and then transferred to rehab facility for week.  He had a syncopal episode while in rehab and was readmitted into the clinic.  He was stabilized and then later discharged in to another rehab for 5-6 weeks.  Patient is still ongoing with physical therapy and occupational therapy.  He was initially quadriplegic, but has regained mobility in his upper extremities and is progressing with mobility in his lower extremities.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: The patient started experiencing pain in his neck 7 days after vaccination and within 48 hours he lost all mobility.  He was taken to the emergency room and found to have a spontaneous  hemorrhage with cord compression in the cervical cord.  patient was hospitalized at the Clinic for 10 days and then transferred to rehab facility for week.  He had a syncopal episode while in rehab and was readmitted into the clinic.  He was stabilized and then later discharged in to another rehab for 5-6 weeks.  Patient is still ongoing with physical therapy and occupational therapy.  He was initially quadriplegic, but has regained mobility in his upper extremities and is progressing with mobility in his lower extremities.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Loss of consciousness, Pallor
Clinical narrative: A few minutes after vaccine administration, patient was sitting in waiting area and lost consciousness. He fell out of his chair. He regained consciousness quickly but was lightheaded and pale. EMS was called and checked him, he was cleared to leave and drive home after approximately 20 minutes.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Syncope
Clinical narrative: Within 10-15 minutes patient fainted and woke up with no other issues. Breathing was normal throughout this time period. Some sweating.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy skin abnormal, Injection site rash, Squamous cell carcinoma
Clinical narrative: On 01/28/2021, the day of my vaccination I had smooth skin on my upper arm. By the late part of April I noticed a bump going on under my skin, and my first thought I remember that's where I had my injection. On 04/28/20 went to my dermatologist, and it was biopsied. The biopsy results: squamous cell carcinoma. On 06/14/2021, they removed the growth, about the size of quarter and deep to make sure they removed any cancer that was there.
Age: 34.0
Sex: F
Vaccine: UNK
Symptoms: Eye haemorrhage, Ocular hyperaemia, Pain
Clinical narrative: All over soreness, red bloody eye spot
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal
Clinical narrative: Severe brain fog for nearly 3 weeks.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: No Symptoms Unknown
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Haemorrhage, Immediate post-injection reaction
Clinical narrative: patient stated Excessive bleeding  right after injection
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Atrial fibrillation, Blood test, Cardioversion, Chest pain
Clinical narrative: After I received the first dose, I went into A-fib. I was hospitalized for one night. After receiving the second dose, I was hospitalized for 6 days, for A-fib as well. I do have a history of A-fib, but I have not had an episode in over a year. After the first dose, a week later I went into A-fib. I ended up going into rapid A-fib, while waiting for my doctor and the insurance company. It made me feel weak, dizzy and a little nauseous. He took me in and they admitted me into the hospital. The outcome after the first dose, they did a cardio aversion. They monitored me for the night and discharged me the next day. The aversion worked and I went back into sinus rhythm. After my second dose, I went into A-fib again. I called Dr. and he took me off of multaq and changed me to amiodarone 400mg twice daily for 1-2 weeks. The day I went into the hospital, I started to have chest pain. The pain wasn't severe, but it made me stop what I was doing and stand still. I was seen by the cardiologist and I was admitted. The cardiologist wanted to keep me for monitoring. They did a cardio aversion, but it didn't work. I was receiving IV diltiazem treatment plus my amiodarone. They did a cardio aversion following the medical treatment and it worked. I went back into sinus rhythm.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Echocardiogram, Electrocardiogram, Nausea
Clinical narrative: After I received the first dose, I went into A-fib. I was hospitalized for one night. After receiving the second dose, I was hospitalized for 6 days, for A-fib as well. I do have a history of A-fib, but I have not had an episode in over a year. After the first dose, a week later I went into A-fib. I ended up going into rapid A-fib, while waiting for my doctor and the insurance company. It made me feel weak, dizzy and a little nauseous. He took me in and they admitted me into the hospital. The outcome after the first dose, they did a cardio aversion. They monitored me for the night and discharged me the next day. The aversion worked and I went back into sinus rhythm. After my second dose, I went into A-fib again. I called Dr. and he took me off of multaq and changed me to amiodarone 400mg twice daily for 1-2 weeks. The day I went into the hospital, I started to have chest pain. The pain wasn't severe, but it made me stop what I was doing and stand still. I was seen by the cardiologist and I was admitted. The cardiologist wanted to keep me for monitoring. They did a cardio aversion, but it didn't work. I was receiving IV diltiazem treatment plus my amiodarone. They did a cardio aversion following the medical treatment and it worked. I went back into sinus rhythm.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient fainted about 10 minutes after dose was given
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: 20-40 minutes after injection; tightness in chest, similar feeling as asthma attack; however, no wheezing. Lasted about 5 hours.
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Asthenia, Back pain, Fatigue, Headache, Myalgia
Clinical narrative: Very tired, general muscle pain, fever, sensitive skin, back pain, headache, weakness
Age: 74.0
Sex: M
Vaccine: VARZOS
Symptoms: Pyrexia, Sensitive skin
Clinical narrative: Very tired, general muscle pain, fever, sensitive skin, back pain, headache, weakness
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Condition aggravated, Migraine, Vertigo
Clinical narrative: Increase in migraine intensity  and frequency almost immediately after the injection. Soon thereafter an increase in vertigo episodes that have yet to decrease. Balance has also been bad and not gotten much better.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Chest X-ray abnormal, Cough, Lung opacity
Clinical narrative: Acute hypoxic respiratory failure secondary to Covid pneumonia; Continue Decadron -total 10 days, completed 5 days of remdesivir, cxray showed -Patchy basilar reticular lung opacities consistent with atypical infection.Empiric antibiotic with IV Rocephin and Zithromax Antitussives /mucolytic's for cough BD,Supplemental oxygen-she has qualified for home oxygen, Supportive care including incentive spirometry prone positioning as tolerated
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Menstruation irregular
Clinical narrative: The morning after taking first injection I started my menstrual cycle which was 9 days early. I never start even a day early. I also had a heavy nose bleed on that day after my first vaccination.
Age: 62.0
Sex: F
Vaccine: RAB, YF
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Laboratory test normal
Clinical narrative: Pt. had redness, warmth and soreness at the injection site on 07/23/2021. Dr. prescribed her kepflex 500mg BID for 5 day course, pt. didnt started that medication and went to ED on 07/24/2021, the dr.'s at ED gave her Doxycycline 100mg BID and pt. started taking that and visited the clinic back on 07/27/2021, on examination the redness was lighter in color but it spreded a little bit more.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient self montored at home
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Patient complained of numbness down left arm to hand
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Headache, Neck pain
Clinical narrative: I have a past medical history, about 2 years ago, I had an auto accident and had whiplash in my neck. With treatment, the pain went away and had completed resolved. My neck pain started with the 1st dose of the Pfizer (lot # EK5730 IM LA). This pain continued and I went and got my 2nd dose. The pain continued to bother me. I did take meloxicam and tramadol, which helped to relieve the pain but the pain will still return. I went to a chiropractor in 2/2021, but the pain never went away. I tried getting a massage, taking other medications like my Celebrex which really did not help. I finally decided to take my Meloxicam 1 pill daily for 1 week and rested my neck by refraining from putting any strain or stretching on my neck. This definitely improved my pain and symptoms. I finally got to see my PCP, the pain had significantly improved and I was given a prescription for Meloxicam and Tramadol. I still have intermittent pain in the back of my head. I haven't fully recovered.
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Erythema nodosum
Clinical narrative: After my first dose, and two weeks after I experienced erythema nodosum in both lower extremities. I apply a steroid cream daily. To this day I still have the erythema nodosum in both lower extremities. I do not have lot# to provide.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Tonsillar hypertrophy
Clinical narrative: Patient received dose of Janssen at 4:37pm, apx 20 minutes later (he was on 15 min observation but was waiting on family member with 30 minute observation) pt states ?swelling in my left tonsil? pointing to left throat. RN Assessment does not note any swelling in airway or respiratory distress. Pt states this sometimes happens with seasonal allergies but this ?feels different.? Pt with continued observation, stable, talking with family, states feels ?the same? 10 minutes later, no visible distress, drinking water, speaking clearly/coherently. Pt asks to go outside to take mask off as pt states he rarely wears mask for extended period of time. RN accompanies pt outside where he states ?swelling is better? but now feels dizzy. RN takes vitals: 154/90 left arm, manual, 97%RA, RR18, clear lung sounds bilaterally, HR 70. Pt states dizziness resolved but now feels ?swelling? again, same as before, not worse, states ?just a little bit? swollen. RN does not note any visible airway compromise, pt denies CP, SOB, swallowing difficulty, appears comfortable but anxious. No hives on chest, back, pt ambulating freely around vaccination site. Patient offered EMS ride and safely of further medical evaluation. Education provided on delayed allergic reaction. Patient declines, stays on site until 5:31, signs AMA form and leaves with family. No distress on leaving, pt drinking water and speaking clearly, education provided on calling 911. Patient and family verbalize understanding.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Computerised tomogram neck, Musculoskeletal stiffness, Neck pain, Sleep disorder
Clinical narrative: 2 days after vaccine, Stiff neck left side, sevier pain from left  neck to shoulder down to arm. Unbearable pain that keeps me up at night.  Went to ER on Saturday.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Fall, Fear of injection, Haemorrhage, Head injury
Clinical narrative: As soon as I pulled the needle out of her arm, she began to fall forward as she had passed out.  I tried to catch her but she hit her head on a cabinet and I lowered her to the ground.  911 was called immediately.  She regained consciousness in about 10 seconds.  She had a small amount of blood coming out of her left nostril and was bleeding from her head.  EMT's evaluated her and found an abrasion on the top of her head.  After they evaluated her, they got her on her feet and then sitting down on a bench.  Her blood pressure was 158/85.  They deemed it unnecessary to go to the hospital.  She sat for at least another 15 minutes.  She had no dizziness or lightheadedness.  The only symptom she had was pain at the abrasion site.  She was released with her husband. Her husband had told me that she has an extreme anxiety of needles.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Skin abrasion
Clinical narrative: As soon as I pulled the needle out of her arm, she began to fall forward as she had passed out.  I tried to catch her but she hit her head on a cabinet and I lowered her to the ground.  911 was called immediately.  She regained consciousness in about 10 seconds.  She had a small amount of blood coming out of her left nostril and was bleeding from her head.  EMT's evaluated her and found an abrasion on the top of her head.  After they evaluated her, they got her on her feet and then sitting down on a bench.  Her blood pressure was 158/85.  They deemed it unnecessary to go to the hospital.  She sat for at least another 15 minutes.  She had no dizziness or lightheadedness.  The only symptom she had was pain at the abrasion site.  She was released with her husband. Her husband had told me that she has an extreme anxiety of needles.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough symptomatic COVID19 infection
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dizziness, Electrocardiogram, Heart rate increased
Clinical narrative: Heart rate went up to 120-130 while sitting down.  I got dizzy.  I went to  and was sent to the Emergency .  They did an EKG and some blood work.  After about an hour my heart rate went back down and I was fine.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Joint stiffness, Movement disorder
Clinical narrative: I woke up my joints was stiff, felt very tired, experienced a headache. I tried to bend my left leg couldn't felt like knee was locked in place. I have been experiencing intermittent knee pain in my left leg that has gotten worse over time.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID after being fully vaccinated.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Axillary pain, Ultrasound scan normal
Clinical narrative: painful lump in L armpit
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Pain in left arm
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: I GOT SHINGLES,
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death, Musculoskeletal chest pain, Pain, Pulmonary embolism
Clinical narrative: Pulmonary Embolism 7/20 presented to ED with right sided pain which he had for about 2 weeks. Denies any hx of trauma. Did admit to moving furniture but did not recall an injury.  D/C'd with chest wall pain and given Ultram 50mg 1 tab q 4hrs qty= 7.  on 7/26 he presented to ED with symptoms of PE and was dx'd with acute PE He was declared deceased on 7/29/21
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Myalgia, Neck pain, Pain, Paraesthesia
Clinical narrative: started out as rash then spread to all over the body,  looks like shingles, hives and reg. rash.  Body Aches and feels like pulled muscles in chest, tingling left arm and sore neck
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: started out as rash then spread to all over the body,  looks like shingles, hives and reg. rash.  Body Aches and feels like pulled muscles in chest, tingling left arm and sore neck
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal X-ray, Abdominal distension, Abdominal pain, Abdominal pain upper, Gastric dilatation
Clinical narrative: I have suffered with abdominal bloating, I had pain at the beginning but not much pain with it my stomach is just distended.  My stomach feels crampy on and off. I saw my PCP  and she ordered an abdominal X-Ray and results came back normal.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray normal
Clinical narrative: I have suffered with abdominal bloating, I had pain at the beginning but not much pain with it my stomach is just distended.  My stomach feels crampy on and off. I saw my PCP  and she ordered an abdominal X-Ray and results came back normal.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Skin discolouration
Clinical narrative: Patient stated that two weeks after vaccination she noticed these white splashes like someone had threw hot water on her. Patient stated that she has these patches all over her body and the spots are turning light and it seems that she is loosing color petition.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac monitoring, Cardiac stress test normal, Heart rate increased
Clinical narrative: Increase in resting heart rate from the 60?s per minute to 100+. First aware of this 2/1/2021. Persisted until May, 2021.  Extra heart beats began in January and persisted until new RX, Metoprolol, started  June 9, 2021
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: The patient complained of intense arm pain after receiving her second dose of the Pfizer COVID-19 vaccine lot #ER8735 in her left deltoid on April 10th, 2021. The patient returned to the pharmacy after the clinic to inform the pharmacist of said pain. a nurse from school, and a pharmacist from the Pharmacy, assessed the patient. It was confirmed the needle was inserted two finger lengths below the shoulder, and 90 degrees into the deltoid muscle. She was advised to ice her arm and take tylenol which she stated she did on 4/11/2021.    She visited her doctor on 7/27/2021 for the continuing arm pain. The patient has an ultrasound scheduled for 8/10/2021.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Bronchitis chronic, C-reactive protein increased, Cardiac imaging procedure abnormal, Cardiomyopathy
Clinical narrative: Myocarditis: The patient presented to the emergency department with pleuritic, positional, non-radiating, non-exertional, chest pain and an elevated blood pressure reading at home. Labs were notable for elevated ESR, CRP, as well as elevated troponins which increased and then trended back down (0.076 -- > 0.109 -- > 0.105 -- > 0.088). EKG was negative for acute ischemic changes. The patient was admitted to the hospital. TTE was notable for LVEF 61% with normal RV function without significant valvular disease and no pericardial effusion. Cardiac MRI was notable for myocardial edema and inflammation with findings overall consistent with acute myocarditis without pericarditis. Patient was initially treated with prednisone 40 mg daily. Cardiology was consulted who recommended stopping the increased prednisone. Etiology of myocarditis remained unclear; given onset after second Pfizer mRNA vaccine, it was considered whether it might be a reaction to the vaccine. The patient was recommended to avoid NSAIDS, extensive exercise, and alcohol, follow-up with outpatient Cardiology.   The patient has now been seen in follow up - his chest pain has resolved, blood pressure normalized, and repeat cardiac MRI shows stable to improved myocarditis (6/3/21 cardiac MRI read: "1.  Overall, compared to prior CMR from 4/12/21, the findings are similar. The pattern and extent of LGE is unchanged. 2.  Normal left ventricular size and function. Moderate concentric hypertrophy, with the thickest segment measuring 18mm at the mid inferoseptum. Diffuse midmyocardial LGE  with mildly elevated myocardial T2 suggestive of mild inflammation. The differential for these findings include 1) resolving myocarditis in the setting of a preexisting nonischemic cardiomyopathy, most likely underlying hypertrophic cardiomyopathy, 2) amyloidosis given the diffuse pattern of delayed enhancement and moderate hypertrophy (although the pattern of LGE and lack of atrial enlargement is unusual), and 3) resolving myocarditis in the context of underlying hypertensive cardiomyopathy.  3.  Normal right ventricular size and function.")
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Computerised tomogram thorax, Echocardiogram, Ejection fraction decreased, Influenza virus test negative
Clinical narrative: Myocarditis: The patient presented to the emergency department with pleuritic, positional, non-radiating, non-exertional, chest pain and an elevated blood pressure reading at home. Labs were notable for elevated ESR, CRP, as well as elevated troponins which increased and then trended back down (0.076 -- > 0.109 -- > 0.105 -- > 0.088). EKG was negative for acute ischemic changes. The patient was admitted to the hospital. TTE was notable for LVEF 61% with normal RV function without significant valvular disease and no pericardial effusion. Cardiac MRI was notable for myocardial edema and inflammation with findings overall consistent with acute myocarditis without pericarditis. Patient was initially treated with prednisone 40 mg daily. Cardiology was consulted who recommended stopping the increased prednisone. Etiology of myocarditis remained unclear; given onset after second Pfizer mRNA vaccine, it was considered whether it might be a reaction to the vaccine. The patient was recommended to avoid NSAIDS, extensive exercise, and alcohol, follow-up with outpatient Cardiology.   The patient has now been seen in follow up - his chest pain has resolved, blood pressure normalized, and repeat cardiac MRI shows stable to improved myocarditis (6/3/21 cardiac MRI read: "1.  Overall, compared to prior CMR from 4/12/21, the findings are similar. The pattern and extent of LGE is unchanged. 2.  Normal left ventricular size and function. Moderate concentric hypertrophy, with the thickest segment measuring 18mm at the mid inferoseptum. Diffuse midmyocardial LGE  with mildly elevated myocardial T2 suggestive of mild inflammation. The differential for these findings include 1) resolving myocarditis in the setting of a preexisting nonischemic cardiomyopathy, most likely underlying hypertrophic cardiomyopathy, 2) amyloidosis given the diffuse pattern of delayed enhancement and moderate hypertrophy (although the pattern of LGE and lack of atrial enlargement is unusual), and 3) resolving myocarditis in the context of underlying hypertensive cardiomyopathy.  3.  Normal right ventricular size and function.")
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Left ventricular hypertrophy, Myocarditis, Pleuritic pain, Red blood cell sedimentation rate increased, Respiratory syncytial virus test negative
Clinical narrative: Myocarditis: The patient presented to the emergency department with pleuritic, positional, non-radiating, non-exertional, chest pain and an elevated blood pressure reading at home. Labs were notable for elevated ESR, CRP, as well as elevated troponins which increased and then trended back down (0.076 -- > 0.109 -- > 0.105 -- > 0.088). EKG was negative for acute ischemic changes. The patient was admitted to the hospital. TTE was notable for LVEF 61% with normal RV function without significant valvular disease and no pericardial effusion. Cardiac MRI was notable for myocardial edema and inflammation with findings overall consistent with acute myocarditis without pericarditis. Patient was initially treated with prednisone 40 mg daily. Cardiology was consulted who recommended stopping the increased prednisone. Etiology of myocarditis remained unclear; given onset after second Pfizer mRNA vaccine, it was considered whether it might be a reaction to the vaccine. The patient was recommended to avoid NSAIDS, extensive exercise, and alcohol, follow-up with outpatient Cardiology.   The patient has now been seen in follow up - his chest pain has resolved, blood pressure normalized, and repeat cardiac MRI shows stable to improved myocarditis (6/3/21 cardiac MRI read: "1.  Overall, compared to prior CMR from 4/12/21, the findings are similar. The pattern and extent of LGE is unchanged. 2.  Normal left ventricular size and function. Moderate concentric hypertrophy, with the thickest segment measuring 18mm at the mid inferoseptum. Diffuse midmyocardial LGE  with mildly elevated myocardial T2 suggestive of mild inflammation. The differential for these findings include 1) resolving myocarditis in the setting of a preexisting nonischemic cardiomyopathy, most likely underlying hypertrophic cardiomyopathy, 2) amyloidosis given the diffuse pattern of delayed enhancement and moderate hypertrophy (although the pattern of LGE and lack of atrial enlargement is unusual), and 3) resolving myocarditis in the context of underlying hypertensive cardiomyopathy.  3.  Normal right ventricular size and function.")
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Right ventricular hypertrophy, SARS-CoV-2 test negative, Troponin T increased
Clinical narrative: Myocarditis: The patient presented to the emergency department with pleuritic, positional, non-radiating, non-exertional, chest pain and an elevated blood pressure reading at home. Labs were notable for elevated ESR, CRP, as well as elevated troponins which increased and then trended back down (0.076 -- > 0.109 -- > 0.105 -- > 0.088). EKG was negative for acute ischemic changes. The patient was admitted to the hospital. TTE was notable for LVEF 61% with normal RV function without significant valvular disease and no pericardial effusion. Cardiac MRI was notable for myocardial edema and inflammation with findings overall consistent with acute myocarditis without pericarditis. Patient was initially treated with prednisone 40 mg daily. Cardiology was consulted who recommended stopping the increased prednisone. Etiology of myocarditis remained unclear; given onset after second Pfizer mRNA vaccine, it was considered whether it might be a reaction to the vaccine. The patient was recommended to avoid NSAIDS, extensive exercise, and alcohol, follow-up with outpatient Cardiology.   The patient has now been seen in follow up - his chest pain has resolved, blood pressure normalized, and repeat cardiac MRI shows stable to improved myocarditis (6/3/21 cardiac MRI read: "1.  Overall, compared to prior CMR from 4/12/21, the findings are similar. The pattern and extent of LGE is unchanged. 2.  Normal left ventricular size and function. Moderate concentric hypertrophy, with the thickest segment measuring 18mm at the mid inferoseptum. Diffuse midmyocardial LGE  with mildly elevated myocardial T2 suggestive of mild inflammation. The differential for these findings include 1) resolving myocarditis in the setting of a preexisting nonischemic cardiomyopathy, most likely underlying hypertrophic cardiomyopathy, 2) amyloidosis given the diffuse pattern of delayed enhancement and moderate hypertrophy (although the pattern of LGE and lack of atrial enlargement is unusual), and 3) resolving myocarditis in the context of underlying hypertensive cardiomyopathy.  3.  Normal right ventricular size and function.")
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Cardiac stress test, Hiccups, Nausea, Tremor
Clinical narrative: Pt. states that after receiving the 1st dose of J&J 04/09/2021, started experiencing uncontrollable hiccups lasting 24/48hrs at a time 04/19/2021. Treated by Primary but no results of subsiding. Weakness, uncontrollable hand shaking, and nausea. Stress test recommended appt. not set. Still continuing to experience symptoms.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Hiccups, Tremor
Clinical narrative: Pt. states that after receiving the 1st dose of J&J 04/09/2021, started experiencing uncontrollable hiccups lasting 24/48hrs at a time 04/19/2021. Treated by Primary but no results of subsiding. Weakness, uncontrollable hand shaking, and nausea. Stress test recommended appt. not set. Still continuing to experience symptoms.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Myocardial infarction, Stent placement
Clinical narrative: Pt received Moderna shoot #2 2/11/21. Reports that on 2/12/21 Pt began experiencing chest pain and dyspnea. 911 was called, PT was transported to local Hospital and treated with DX of MI followed by stent placement.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal X-ray, Acute kidney injury, Chest X-ray, Computerised tomogram head, Computerised tomogram thorax
Clinical narrative: Presented to ED on 7/27/21 with shortness of breath and non-productive cough. POC PCR positive on 7/27/21. Previous recent hospitalization 7/7-7/11 for acute metabolic encephalopathy, acute kidney injury, theophylline toxicity. Palliative care in place. Died 8/3/21 Hospitalized 8 days at Health care
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Cough, Death, Dyspnoea, Metabolic encephalopathy
Clinical narrative: Presented to ED on 7/27/21 with shortness of breath and non-productive cough. POC PCR positive on 7/27/21. Previous recent hospitalization 7/7-7/11 for acute metabolic encephalopathy, acute kidney injury, theophylline toxicity. Palliative care in place. Died 8/3/21 Hospitalized 8 days at Health care
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Polymerase chain reaction positive, Toxicity to various agents, Viral infection
Clinical narrative: Presented to ED on 7/27/21 with shortness of breath and non-productive cough. POC PCR positive on 7/27/21. Previous recent hospitalization 7/7-7/11 for acute metabolic encephalopathy, acute kidney injury, theophylline toxicity. Palliative care in place. Died 8/3/21 Hospitalized 8 days at Health care
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Chills, Cough
Clinical narrative: SARS-COV 19 Infection.  Cough, congestion, runny nose, Diarrhea, Loss of taste, loss of smell, sore throat, fatigue, chills, muscle aches.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Myalgia, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: SARS-COV 19 Infection.  Cough, congestion, runny nose, Diarrhea, Loss of taste, loss of smell, sore throat, fatigue, chills, muscle aches.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: SARS-COV 19 Infection.  Cough, congestion, runny nose, Diarrhea, Loss of taste, loss of smell, sore throat, fatigue, chills, muscle aches.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Immediate post-injection reaction, Syncope
Clinical narrative: Within a minute of administering the vaccine. The patient fainted. She was conscious within a minute of fainting but was visibly confused. Her vital signs were normal and was able to speak and answer questions about her breathing and pain. EMT was on site within 5-10 mins of the incident and took her to the emergency room. She is currently home resting.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID after being fully vaccinated.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Joint lock, Joint stiffness
Clinical narrative: My joints was more stiff this time my left elbow almost locked up.The severe pain in my left elbow lasted around 2 days. I also exp headache and fatigue. I'm still exp intermittent pain in my left elbow.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Computerised tomogram normal, Injected limb mobility decreased, Injection site pain, Injection site swelling
Clinical narrative: The day after the injection, the injection site became swollen and painful and the right shoulder ached. This fully resolved the next day.  10 days later, the right shoulder suddenly became swollen and painful and I could not raise my arm above my shoulder. It was difficult to sleep because of the pain. Within 2 weeks, the pain subsided but I was still unable to raise my right arm. A picture of my back showed the right shoulder blade appeared detached from the back (picture available upon request.)  I visited the doctor on April 2 who ordered Xray? CT? of the shoulder but could find nothing specific to explain the incident.  covid vaccine? unrelated?  The movement of my right shoulder is improving slowly.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder, Swelling, X-ray limb normal
Clinical narrative: The day after the injection, the injection site became swollen and painful and the right shoulder ached. This fully resolved the next day.  10 days later, the right shoulder suddenly became swollen and painful and I could not raise my arm above my shoulder. It was difficult to sleep because of the pain. Within 2 weeks, the pain subsided but I was still unable to raise my right arm. A picture of my back showed the right shoulder blade appeared detached from the back (picture available upon request.)  I visited the doctor on April 2 who ordered Xray? CT? of the shoulder but could find nothing specific to explain the incident.  covid vaccine? unrelated?  The movement of my right shoulder is improving slowly.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Vaginal haemorrhage
Clinical narrative: Starting heavy vaginal bleeding approximately 1 hour post dose administration.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Peripheral swelling, Pruritus, Rash, Rash erythematous
Clinical narrative: forearm of injection site broke out in a large rash, very red, and very itchy. a few days later , my right hand started to welp up. my knee had a small rash and my shoulder where the vaccine was injected had a rash and whole left side was just itchy.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, Urticaria
Clinical narrative: forearm of injection site broke out in a large rash, very red, and very itchy. a few days later , my right hand started to welp up. my knee had a small rash and my shoulder where the vaccine was injected had a rash and whole left side was just itchy.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Confusional state, Diarrhoea, Feeling abnormal, Hallucination
Clinical narrative: In less that 24 hours I had 4 bouts of diarrhea, mild fever, and site soreness.  After 24 hours I started experiencing ?brain fog? or mental confusion, unable to pull common words while trying to speak.  Some visual hallucinations, and extreme leg muscle/joint pains, as I had experienced during my critical adverse reaction to antibiotics in 2015.  Almost 3 weeks out from dose 1 of vaccine, 2 days away from receiving 2nd dose and am still experiencing brain fog, hallucinations, and muscle/joint pains.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Myalgia, Pain in extremity, Pyrexia, Speech disorder
Clinical narrative: In less that 24 hours I had 4 bouts of diarrhea, mild fever, and site soreness.  After 24 hours I started experiencing ?brain fog? or mental confusion, unable to pull common words while trying to speak.  Some visual hallucinations, and extreme leg muscle/joint pains, as I had experienced during my critical adverse reaction to antibiotics in 2015.  Almost 3 weeks out from dose 1 of vaccine, 2 days away from receiving 2nd dose and am still experiencing brain fog, hallucinations, and muscle/joint pains.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: SARS COV-19 INFECTION.  CONGESTION, RUNNY NOSE, SORE THROAT.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Brain natriuretic peptide increased, Cardioversion, Electrocardiogram abnormal, Pneumonia
Clinical narrative: Patient developed pneumonia, elevated BNP and new onset a fib 30 days after second Pfizer vaccine, requiring cardioversion and hospitalization.
Age: 16.0
Sex: M
Vaccine: MNQ
Symptoms: Urticaria
Clinical narrative: Developed Hives all over body. Pt woke up with the hives day after receiving vaccine.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest, Death, Dyspepsia
Clinical narrative: My dad had a cardiac arrest one month after his second vaccine. He had complained of severe indigestion for 6-8 hours within 2 days of his second dose and  refused medical attention for it.  The day he passed he did not verbalize any complaints.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Deep vein thrombosis, Full blood count normal, Laboratory test normal, Pulmonary embolism
Clinical narrative: Pt diagnosed with saddle PE and DVT ~ 24 hours after administration.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound Doppler abnormal
Clinical narrative: Pt diagnosed with saddle PE and DVT ~ 24 hours after administration.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Colitis, Colonoscopy abnormal, Gastrointestinal disorder
Clinical narrative: Following shot #2 of Moderna Covid-19 vaccination, Pt experienced GI issues that lead to an ER visit followed by colonoscopy with DX of Severe pan-colitis c/w indeterminate colitis
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Eye pain, Headache, Iridocyclitis, Magnetic resonance imaging normal
Clinical narrative: I experienced photosensitivity, pain, and eye redness in my left eye on 4/7/21. I was diagnosed with anterior uveitis on 4/8/21, then a week following treatment (with steroid eye drops) was experiencing worsening symptoms including blind spots, greater photosensitivity, and headaches, this time in both eyes. I followed up with my eye doctor on 4/23/21, who directed me to go to Hospital . There, I had an X-Ray, MRI, and multiple blood tests. Nothing impressive resulted, so I was discharged from the hospital with instructions to see the retina specialist, steroid eye drops and atropine eye drops to keep my eyes dilated. The retina specialist saw me on 4/29/21 and diagnosed me with bilateral panuveitis, and instructions to follow up with a rheumatologist to rule out autoimmune disease. I was treated with 50mg of Prednisone for 4 weeks with a 4 week taper and steroid eye drops 6 times a day for 4 weeks with a 6 week taper. We agreed to discontinue the use of the atropine drops because it was difficult for me to work with dilated eyes. About 2 weeks into tapering the eye drops, I noticed that my left eye became dilated as well as a continuing scotoma in my left eye. I followed-up with the retina specialist, who directed me to the neuro-ophthalmologist. The neuro-ophthalmologist said that the dilated pupil was idiopathic and I did not exhibit anything that could have contributed to it. However, to be safe, I received a lumbar puncture on 6/16/21. Those results were also not impressive. Multiple follow-up appointments have shown that the inflammation in my eyes has subsided. I followed-up with a rheumatologist who has told me there is no autoimmune cause to this (I had bloodwork done to back this up).
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Ocular hyperaemia, Photosensitivity reaction, Uveitis, Visual field defect, Visual impairment
Clinical narrative: I experienced photosensitivity, pain, and eye redness in my left eye on 4/7/21. I was diagnosed with anterior uveitis on 4/8/21, then a week following treatment (with steroid eye drops) was experiencing worsening symptoms including blind spots, greater photosensitivity, and headaches, this time in both eyes. I followed up with my eye doctor on 4/23/21, who directed me to go to Hospital . There, I had an X-Ray, MRI, and multiple blood tests. Nothing impressive resulted, so I was discharged from the hospital with instructions to see the retina specialist, steroid eye drops and atropine eye drops to keep my eyes dilated. The retina specialist saw me on 4/29/21 and diagnosed me with bilateral panuveitis, and instructions to follow up with a rheumatologist to rule out autoimmune disease. I was treated with 50mg of Prednisone for 4 weeks with a 4 week taper and steroid eye drops 6 times a day for 4 weeks with a 6 week taper. We agreed to discontinue the use of the atropine drops because it was difficult for me to work with dilated eyes. About 2 weeks into tapering the eye drops, I noticed that my left eye became dilated as well as a continuing scotoma in my left eye. I followed-up with the retina specialist, who directed me to the neuro-ophthalmologist. The neuro-ophthalmologist said that the dilated pupil was idiopathic and I did not exhibit anything that could have contributed to it. However, to be safe, I received a lumbar puncture on 6/16/21. Those results were also not impressive. Multiple follow-up appointments have shown that the inflammation in my eyes has subsided. I followed-up with a rheumatologist who has told me there is no autoimmune cause to this (I had bloodwork done to back this up).