chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: The first dose of the vaccine resulted in a minor headache for 2 days.  Following this second dose, I have had a persistent, fairly intense headache for the last 6 days.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests normal, Balance disorder, Blood pressure normal, Dizziness, Ear discomfort
Clinical narrative: 3/10 ? Extreme dizziness and imbalance. Could not work. 3/11 ? Sinus drainage, ear fullness ? Seen at Clinic -Exam, UA, EKG, CBC, BP ? all within normal limits. DX -ear/sinus fluid/infection- 7 day antibiotic, decongestant, allegra, nose spray. 3/24 ?Extreme dizziness and imbalance, unable to walk un-aided. Seen at Urgent Clinic - DX- ear/sinus fluid/infection. 10 day antibiotic, prednisone, Continue allegra, nose spray, OTC antivert. 4/5 ?Continued dizziness with motion and imbalance. Seen at Primary care office , BP, CBC -? DX- dizziness. continue allegra, nose spray, OTC antivert 4/8- Rash ? raised, pink, back and chest 4/23 ? Continued dizziness, Ear fullness- Seen at ENT Depersio - hearing and ear pressure test ? within normal limits. DX- vestibular neuritis. RX antivert, continue allegra, nose spray, referral to Physical Therapy. Continued but improved dizziness and imbalance.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Full blood count normal, Impaired work ability, Rash, Sinus operation
Clinical narrative: 3/10 ? Extreme dizziness and imbalance. Could not work. 3/11 ? Sinus drainage, ear fullness ? Seen at Clinic -Exam, UA, EKG, CBC, BP ? all within normal limits. DX -ear/sinus fluid/infection- 7 day antibiotic, decongestant, allegra, nose spray. 3/24 ?Extreme dizziness and imbalance, unable to walk un-aided. Seen at Urgent Clinic - DX- ear/sinus fluid/infection. 10 day antibiotic, prednisone, Continue allegra, nose spray, OTC antivert. 4/5 ?Continued dizziness with motion and imbalance. Seen at Primary care office , BP, CBC -? DX- dizziness. continue allegra, nose spray, OTC antivert 4/8- Rash ? raised, pink, back and chest 4/23 ? Continued dizziness, Ear fullness- Seen at ENT Depersio - hearing and ear pressure test ? within normal limits. DX- vestibular neuritis. RX antivert, continue allegra, nose spray, referral to Physical Therapy. Continued but improved dizziness and imbalance.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Sinusitis, Tympanometry normal, Urine analysis, Vestibular neuronitis
Clinical narrative: 3/10 ? Extreme dizziness and imbalance. Could not work. 3/11 ? Sinus drainage, ear fullness ? Seen at Clinic -Exam, UA, EKG, CBC, BP ? all within normal limits. DX -ear/sinus fluid/infection- 7 day antibiotic, decongestant, allegra, nose spray. 3/24 ?Extreme dizziness and imbalance, unable to walk un-aided. Seen at Urgent Clinic - DX- ear/sinus fluid/infection. 10 day antibiotic, prednisone, Continue allegra, nose spray, OTC antivert. 4/5 ?Continued dizziness with motion and imbalance. Seen at Primary care office , BP, CBC -? DX- dizziness. continue allegra, nose spray, OTC antivert 4/8- Rash ? raised, pink, back and chest 4/23 ? Continued dizziness, Ear fullness- Seen at ENT Depersio - hearing and ear pressure test ? within normal limits. DX- vestibular neuritis. RX antivert, continue allegra, nose spray, referral to Physical Therapy. Continued but improved dizziness and imbalance.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Headache
Clinical narrative: Headache, diarrhea.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Pt felt like she was going to vomit 2 mins after administration, then fainted as being assisted to gurney to lie down.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Throat irritation, Wheezing
Clinical narrative: Patient received a 0.5ML dose of Moderna Vaccine around 10:39AM.  She was asked to sit in the designated waiting area for the observed time of 15 minutes.  After 10 minutes a staff member went to check on her and the patient was complaining of some mild itching in the throat.  This was then brought the attention of the physician (myself) who came out to evaluate the patient's complaints.  Patient again complained about itching in the throat and mild difficulty in breathing.  Patient was then moved to an exam room, placed on a pulse device, and oxygen was administered.  Her pulse ox read 97-98 % on 3 L of 02.  Patient then became horse and had audible wheezing.  She reported having worsening difficulty in breathing.  Epinephrine was immediately administered, 0.3mg (mL) x 1 dose  in the left thigh.  Patient's symptoms improved within minutes.  Benadryl 50mg IM was also administered.  Vitals were taken at this point, her BP was 120/76 with pulse rate of 93 , respiratory rate of 16, and pulse ox of 98%.  Patient was continued on low dose oxygen and monitored for any progression of symptoms for an additional 25 minutes.  Patient was asked if she would like to be taken to the ER but she refused.  Patient was discharged home in stable condition.  Patient was contacted later on that day to assess for any changes in status and she reported that she had been perfectly fine since the initial intervention.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiotensin converting enzyme, Antinuclear antibody negative, Bartonella test negative, Blood creatinine normal, Blood culture negative
Clinical narrative: Fever from day after vaccination, persisting  more than 10 weeks post vaccination (daily temp 100.5) to date, associated with fatigue.  Feb 28 Tmax 102.7 (day 2 of illness)  MarchT max 101.7  April Tmax 100.8  May Tmax 100.5
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood lactate dehydrogenase normal, Blood test normal, Blood thyroid stimulating hormone normal, Borrelia test negative, C-reactive protein normal
Clinical narrative: Fever from day after vaccination, persisting  more than 10 weeks post vaccination (daily temp 100.5) to date, associated with fatigue.  Feb 28 Tmax 102.7 (day 2 of illness)  MarchT max 101.7  April Tmax 100.8  May Tmax 100.5
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray normal, Complement factor C3, Complement factor C4 decreased, Computerised tomogram liver, Culture urine negative
Clinical narrative: Fever from day after vaccination, persisting  more than 10 weeks post vaccination (daily temp 100.5) to date, associated with fatigue.  Feb 28 Tmax 102.7 (day 2 of illness)  MarchT max 101.7  April Tmax 100.8  May Tmax 100.5
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Double stranded DNA antibody, Fatigue, Full blood count normal, Fungal test negative, HIV test negative
Clinical narrative: Fever from day after vaccination, persisting  more than 10 weeks post vaccination (daily temp 100.5) to date, associated with fatigue.  Feb 28 Tmax 102.7 (day 2 of illness)  MarchT max 101.7  April Tmax 100.8  May Tmax 100.5
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hepatitis A virus test, Hepatitis B test negative, Human chorionic gonadotropin negative, Liver function test, Mononucleosis heterophile test negative
Clinical narrative: Fever from day after vaccination, persisting  more than 10 weeks post vaccination (daily temp 100.5) to date, associated with fatigue.  Feb 28 Tmax 102.7 (day 2 of illness)  MarchT max 101.7  April Tmax 100.8  May Tmax 100.5
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mycobacterium tuberculosis complex test negative, Parasite blood test, Pyrexia, Red blood cell sedimentation rate normal, Rheumatoid factor negative
Clinical narrative: Fever from day after vaccination, persisting  more than 10 weeks post vaccination (daily temp 100.5) to date, associated with fatigue.  Feb 28 Tmax 102.7 (day 2 of illness)  MarchT max 101.7  April Tmax 100.8  May Tmax 100.5
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test negative, Serum ferritin normal, Treponema test negative, Typhus rickettsia test, Urine analysis
Clinical narrative: Fever from day after vaccination, persisting  more than 10 weeks post vaccination (daily temp 100.5) to date, associated with fatigue.  Feb 28 Tmax 102.7 (day 2 of illness)  MarchT max 101.7  April Tmax 100.8  May Tmax 100.5
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Chills, Erythema, Fatigue
Clinical narrative: Approx  6 pm  i experienced  chills and sever right shoulder pain ( shot was given in left arm) and Fatique. that lasted 1 1/2 days. A few day later i noticed small red spots on my lower left leg along with the original lesion and some on my back. Notified my PCP of severe right shoulder pain. Had  x ray done DX with  arthritis. 3/17 went to see a dermatologist and was DX with Plauque Psoriasis. was  prescribed Triamcinolone Acetonide ointment 0.1% and ref. to Rheumatology . Due to the Psoriasis and new DX of Arthritis. Saw Derm again on 4/28 due to sever spreading of Psoriasis all over body. Was given prescription of Betmethason Dipropionape 0.05% Started to have right knee pain and swelling. X ray done also increased in right shoulder pain Mri done Psoriasis is spreading more and right shoulder and knee pain continie.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling, Laboratory test, Magnetic resonance imaging, Psoriasis, X-ray limb
Clinical narrative: Approx  6 pm  i experienced  chills and sever right shoulder pain ( shot was given in left arm) and Fatique. that lasted 1 1/2 days. A few day later i noticed small red spots on my lower left leg along with the original lesion and some on my back. Notified my PCP of severe right shoulder pain. Had  x ray done DX with  arthritis. 3/17 went to see a dermatologist and was DX with Plauque Psoriasis. was  prescribed Triamcinolone Acetonide ointment 0.1% and ref. to Rheumatology . Due to the Psoriasis and new DX of Arthritis. Saw Derm again on 4/28 due to sever spreading of Psoriasis all over body. Was given prescription of Betmethason Dipropionape 0.05% Started to have right knee pain and swelling. X ray done also increased in right shoulder pain Mri done Psoriasis is spreading more and right shoulder and knee pain continie.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray limb abnormal
Clinical narrative: Approx  6 pm  i experienced  chills and sever right shoulder pain ( shot was given in left arm) and Fatique. that lasted 1 1/2 days. A few day later i noticed small red spots on my lower left leg along with the original lesion and some on my back. Notified my PCP of severe right shoulder pain. Had  x ray done DX with  arthritis. 3/17 went to see a dermatologist and was DX with Plauque Psoriasis. was  prescribed Triamcinolone Acetonide ointment 0.1% and ref. to Rheumatology . Due to the Psoriasis and new DX of Arthritis. Saw Derm again on 4/28 due to sever spreading of Psoriasis all over body. Was given prescription of Betmethason Dipropionape 0.05% Started to have right knee pain and swelling. X ray done also increased in right shoulder pain Mri done Psoriasis is spreading more and right shoulder and knee pain continie.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Peripheral swelling, Pyrexia
Clinical narrative: Moderna Covid-19 Vaccine EUA Received 2nd shot at 4:15 p.m.  Left arm was tender/swollen for about a week.  (With 1st shot I had swelling, redness and bruising.  Note that my 1st shot was 5 weeks prior). May have had a low grade fever during the night because I was very warm on and off while sleeping.  Woke up with chills and body aches.  Was very fatigued (had to take a nap that day).  The chills, aches and fatigued lasted about 24 hours.  Took two Aleve caplets that evening for the body aches.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: Moderna Covid-19 Vaccine EUA Received 2nd shot at 4:15 p.m.  Left arm was tender/swollen for about a week.  (With 1st shot I had swelling, redness and bruising.  Note that my 1st shot was 5 weeks prior). May have had a low grade fever during the night because I was very warm on and off while sleeping.  Woke up with chills and body aches.  Was very fatigued (had to take a nap that day).  The chills, aches and fatigued lasted about 24 hours.  Took two Aleve caplets that evening for the body aches.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pt states he has light headedness.  He was given water and wet paper towel was placed on his frontal.  Denies any known allergy.  BP 109/71, HR 60, RR 20. Patient stable and released from the vaccination site.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Woke up the day after the vaccine with a buzzing in my head. It?s been two weeks and buzzing hasn?t subsided.  Refuse to get the second dose. Afraid the buzzing will get worse and louder.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cooling therapy, Fall, Fatigue, Feeling hot
Clinical narrative: Initial Complaint:  Reported feeling hot and fell out of chair, no loss of consciousness  1600  BP 126/78  HR 68   Juice given and granola bar.  Ice pack placed on forehead 1613  BP 118/64  HR 72   Called sister to come pick her up.  Awake and alert.  Small abrasion on forehead, above left eyebrow and by left arm of her glasses.  No bleeding noted 1641  Left, ambulatory.  Discussed s/s concussion and when to seek medical attention She stated she was on a diet and hadn't eaten much that day.  5/10  Call placed/VM left.  At 11:27 AM she text messaged that she has had no further issues.  Did not need to seek medical attention.  Had experienced normal side effects (tired, chill, body aches) but they have resolved.  Stated she appreciated the follow up.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Skin abrasion
Clinical narrative: Initial Complaint:  Reported feeling hot and fell out of chair, no loss of consciousness  1600  BP 126/78  HR 68   Juice given and granola bar.  Ice pack placed on forehead 1613  BP 118/64  HR 72   Called sister to come pick her up.  Awake and alert.  Small abrasion on forehead, above left eyebrow and by left arm of her glasses.  No bleeding noted 1641  Left, ambulatory.  Discussed s/s concussion and when to seek medical attention She stated she was on a diet and hadn't eaten much that day.  5/10  Call placed/VM left.  At 11:27 AM she text messaged that she has had no further issues.  Did not need to seek medical attention.  Had experienced normal side effects (tired, chill, body aches) but they have resolved.  Stated she appreciated the follow up.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dysarthria, Hypoaesthesia oral, Pharyngeal hypoaesthesia
Clinical narrative: Patient received 2nd Moderna COVID-19 vaccine. Vaccine given at 11:53am. At 12:08pm patient stated she was experiencing chest pressure, numbness in her tongue. RN was called. Patient was alert and oriented with vitals at 12:11pm BP 156/76 HR 75 oxygen saturation 100% on RA. MD on clinic site was notified, patient was continued to be observed. Patient continued to express worsening chest pressure and numbness in tongue and throat. Call to 911 was made at 12:19pm. Patient complained of feeling like she was going to swallow her tongue, had slurred speech. Repeat vitals 12:22pm BP 164/98 HR 77 oxygen saturation 100% on RA and she continued to be alert. Fire department arrived at 12:25 pm, she was placed in ambulance at
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen lymph node in left armpit.
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Axillary pain, Groin pain, Lymphadenopathy
Clinical narrative: Periodic  pain underarms and in groin area.  Slight enlargement of lymph nodes.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Tremor
Clinical narrative: Strong full body shakes for several hours accompanied by a mild headache.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Fatigue, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Temperature 104°F x 36 hrs beginning on 4/27, severe fatigue x 7 days, mild fatigue after that until current time, swelling of 12cm/redness/pain/hot to touch at injection site starting on 4/30/21 and ending 5/2/21.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth
Clinical narrative: Temperature 104°F x 36 hrs beginning on 4/27, severe fatigue x 7 days, mild fatigue after that until current time, swelling of 12cm/redness/pain/hot to touch at injection site starting on 4/30/21 and ending 5/2/21.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Oropharyngeal pain
Clinical narrative: Two situations surfaced: 1) 12 hours after getting the shot, the area around the shot swelled up significantly.  This red swelling over 4 days went down in size but spread further. 2) Once swelling went down, I got a chronic sore throat. Still have it three weeks later.  I am not sick, but stuck with a sore throat.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles infection involving left eye 1 day after vaccine treatment - Prednisone x 5 days, Valacyclovir 1000 mg TID x 7 days
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Since April 17 I have a rash over both arms and itching. I thought this would pass by now. However it has not.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site nodule, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Second shot...by 6:30 PM, swelling at injection site the size of a jellybean, some itchy, warm to the touch, mildly sore...scale of 1 to 10, 1/2.....Saturday AM, injection site increased swelling to the size of a quarter, sore, warm to the touch....scale of 1 to 10 a full 1.....Sunday AM, still swollen and sore and warm to the touch but mildly reduced.  Monday AM,  knot reduced in size, no pain, but still warm to the touch, Monday PM, knot still there but not sore, however still warm to the touch.  In short, really no big deal.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Headache, Nausea
Clinical narrative: Delayed fatigue, lingering as of 8 days post vaccine. Headaches off and on, lack of appetite and nausea after eating
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Administered 0.5 mL of vaccine instead of 0.3 mL
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness unilateral, Tinnitus
Clinical narrative: tinnitus for 24 hours, loss of hearing for 48 hours, tinnitus for about 7 days. Received second dose on 2/3/21, Lot# EL3289, tinnitus restarted at about 24 hours post-vaccine. No improvement and tinnitus continues. All symptoms only in right ear.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Throat irritation
Clinical narrative: Pt recevied 2nd dose of vaccine at approximately 9:50 am.  At 10:05 am complained of "heaviness in throat- hard to take a deep breath".  Pt able to speak, denied any other symptoms.  Continued to monitor, and symptoms resolved at about 10:35 am.  Pt declined further triage in urgent care, and stated "I feel fine, my symptoms are gone".  Pt d/c to home.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Pharyngeal paraesthesia
Clinical narrative: Patient began to experience tingling in her throat, no swelling or shortness of breath.  At the same time she began to experience a hot sensation in her throat and ears.  Patient was given 25 mg of diphenhydramine along with water.  Patients blood pressure, pulse, and oxygen levels were normal.  Patient was also given ice pack to place on her throat and chest.  Patient rested for about 1 hour and then left on her own, accompanied by her mother.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Headache, Rash
Clinical narrative: Headache within 2 hrs Cough 7hrs after shot Rash 3 am  on Sat vaccine was given on Thursday. Sought treatment at convenient care.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: after patient waited alotted time in pharmacy under supervision, as patient was walking out of store she fainted
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Bacteraemia, Blood culture, Febrile neutropenia
Clinical narrative: neutropenic fever - polymicrobial bacteremia
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Diabetic ketoacidosis, Intensive care, Laboratory test abnormal
Clinical narrative: After receiving my second Covid vaccine Phizer, my blood sugar started rising into uncontrollable levels. I ultimately went to the emergency room and was admitted to the ICU with diabetic keto acidosis believed to be caused by the vaccine.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure measurement, Dizziness, Loss of consciousness
Clinical narrative: Patient was sitting down after receiving the injection. After about 5 minutes he felt dizzy and lost consciousness for about 10 seconds but then regained consciousness. 911 was called and paramedics came to take pulse and blood pressure which were both normal. Patient chose to not go to the ER and his mother came to pick him up.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Electrocardiogram normal, Laboratory test, Magnetic resonance imaging normal, Swelling face
Clinical narrative: Developed unexplained Bell?s palsy on the left side of my face with mild swelling on the right side of my face.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase increased, Catheterisation cardiac normal, Chest X-ray normal, Chest discomfort, Chest pain
Clinical narrative: 5/6  - 2nd dose of Pfizer COVID mRNA vaccine 5/7 - fatigue, malaise, muscle aches, fever 5/8 - near resolution of symptoms 5/8 - dinner with family and 6-7 beers; chest pressure sensation at bedtime with fatigue, malaise, some dyspnea 5/9 early AM - woke with acute L chest pain, stabbing, radiation through chest, worse with exertion, 7/10 in severity, pleuritic, also with dyspnea 5/9 - presented to ED. Afebrile, hemodynamically stable, CBC and CMP overall wnl other than mild hyperglycemia. CPK 500s. ESR 4, troponin 3.77, EKG with t wave inversion in III, chest xray normal, d-dimer negative. COVID/resp viral panel negative. Initially admitted to the ICU and treated as NSTEMI/ACS with heparin drip, aspirin,  beta blocker, and statin. left heart cath with normal coronaries and TTE was normal.  Troponin peaked at 7 and downtrended to 5. a1c is pending. 5/10 early AM - symptoms had resolved. Cardiology recommending cardiac MRI to further evaluate but working diagnosis is  myocarditis.   He has no precedent viral illness, and no history of tick bite but does live in a wooded area and goes for hikes, states he always checks for ticks after being outside.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram, Electrocardiogram, Electrocardiogram T wave inversion, Fatigue
Clinical narrative: 5/6  - 2nd dose of Pfizer COVID mRNA vaccine 5/7 - fatigue, malaise, muscle aches, fever 5/8 - near resolution of symptoms 5/8 - dinner with family and 6-7 beers; chest pressure sensation at bedtime with fatigue, malaise, some dyspnea 5/9 early AM - woke with acute L chest pain, stabbing, radiation through chest, worse with exertion, 7/10 in severity, pleuritic, also with dyspnea 5/9 - presented to ED. Afebrile, hemodynamically stable, CBC and CMP overall wnl other than mild hyperglycemia. CPK 500s. ESR 4, troponin 3.77, EKG with t wave inversion in III, chest xray normal, d-dimer negative. COVID/resp viral panel negative. Initially admitted to the ICU and treated as NSTEMI/ACS with heparin drip, aspirin,  beta blocker, and statin. left heart cath with normal coronaries and TTE was normal.  Troponin peaked at 7 and downtrended to 5. a1c is pending. 5/10 early AM - symptoms had resolved. Cardiology recommending cardiac MRI to further evaluate but working diagnosis is  myocarditis.   He has no precedent viral illness, and no history of tick bite but does live in a wooded area and goes for hikes, states he always checks for ticks after being outside.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer normal, Full blood count normal, Hyperglycaemia, Malaise, Metabolic function test
Clinical narrative: 5/6  - 2nd dose of Pfizer COVID mRNA vaccine 5/7 - fatigue, malaise, muscle aches, fever 5/8 - near resolution of symptoms 5/8 - dinner with family and 6-7 beers; chest pressure sensation at bedtime with fatigue, malaise, some dyspnea 5/9 early AM - woke with acute L chest pain, stabbing, radiation through chest, worse with exertion, 7/10 in severity, pleuritic, also with dyspnea 5/9 - presented to ED. Afebrile, hemodynamically stable, CBC and CMP overall wnl other than mild hyperglycemia. CPK 500s. ESR 4, troponin 3.77, EKG with t wave inversion in III, chest xray normal, d-dimer negative. COVID/resp viral panel negative. Initially admitted to the ICU and treated as NSTEMI/ACS with heparin drip, aspirin,  beta blocker, and statin. left heart cath with normal coronaries and TTE was normal.  Troponin peaked at 7 and downtrended to 5. a1c is pending. 5/10 early AM - symptoms had resolved. Cardiology recommending cardiac MRI to further evaluate but working diagnosis is  myocarditis.   He has no precedent viral illness, and no history of tick bite but does live in a wooded area and goes for hikes, states he always checks for ticks after being outside.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, Pain, Pyrexia, Red blood cell sedimentation rate normal, Troponin increased
Clinical narrative: 5/6  - 2nd dose of Pfizer COVID mRNA vaccine 5/7 - fatigue, malaise, muscle aches, fever 5/8 - near resolution of symptoms 5/8 - dinner with family and 6-7 beers; chest pressure sensation at bedtime with fatigue, malaise, some dyspnea 5/9 early AM - woke with acute L chest pain, stabbing, radiation through chest, worse with exertion, 7/10 in severity, pleuritic, also with dyspnea 5/9 - presented to ED. Afebrile, hemodynamically stable, CBC and CMP overall wnl other than mild hyperglycemia. CPK 500s. ESR 4, troponin 3.77, EKG with t wave inversion in III, chest xray normal, d-dimer negative. COVID/resp viral panel negative. Initially admitted to the ICU and treated as NSTEMI/ACS with heparin drip, aspirin,  beta blocker, and statin. left heart cath with normal coronaries and TTE was normal.  Troponin peaked at 7 and downtrended to 5. a1c is pending. 5/10 early AM - symptoms had resolved. Cardiology recommending cardiac MRI to further evaluate but working diagnosis is  myocarditis.   He has no precedent viral illness, and no history of tick bite but does live in a wooded area and goes for hikes, states he always checks for ticks after being outside.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hot flush, Hyperhidrosis
Clinical narrative: Pt c/o flushing/sweating, dizziness, hot flashes.  BP 96/51, HR 83, RR 16 -- > 116/80, 83.  Patient stable and released from vaccination site.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Areflexia, Guillain-Barre syndrome, Lumbar puncture normal, Magnetic resonance imaging head normal, Magnetic resonance imaging normal
Clinical narrative: guillian barre syndrome; symptoms of lower extremity weakness began about 12 hours after getting the second vaccine. lower extremity weakness progressed to bladder incontinence, which prompted her to come to the hospital. areflexic in the lower extremities upon arrrival.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscular weakness, Urinary incontinence
Clinical narrative: guillian barre syndrome; symptoms of lower extremity weakness began about 12 hours after getting the second vaccine. lower extremity weakness progressed to bladder incontinence, which prompted her to come to the hospital. areflexic in the lower extremities upon arrrival.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, Chills, Deafness, Ear disorder, Fall
Clinical narrative: guillian barre syndrome; symptoms of lower extremity weakness began about 12 hours after getting the second vaccine. lower extremity weakness progressed to bladder incontinence, which prompted her to come to the hospital. areflexic in the lower extremities upon arrrival.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Gait inability, Guillain-Barre syndrome, Headache, Hypoacusis, Hypoaesthesia
Clinical narrative: guillian barre syndrome; symptoms of lower extremity weakness began about 12 hours after getting the second vaccine. lower extremity weakness progressed to bladder incontinence, which prompted her to come to the hospital. areflexic in the lower extremities upon arrrival.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Limb discomfort, Movement disorder, Neck pain, Paraesthesia, Thirst
Clinical narrative: guillian barre syndrome; symptoms of lower extremity weakness began about 12 hours after getting the second vaccine. lower extremity weakness progressed to bladder incontinence, which prompted her to come to the hospital. areflexic in the lower extremities upon arrrival.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urinary incontinence, Williams syndrome
Clinical narrative: guillian barre syndrome; symptoms of lower extremity weakness began about 12 hours after getting the second vaccine. lower extremity weakness progressed to bladder incontinence, which prompted her to come to the hospital. areflexic in the lower extremities upon arrrival.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Confusional state, Dizziness, Loss of consciousness, Snoring
Clinical narrative: Administered vaccine in left arm at 11:46 AM . about 11:48 patient said he felt lightheaded. I got up to get patient a Gatorade and he began to snore. I realized he had passed out . I held his arm and said his name he immediately jerked awake and did not know where he was or what he was doing.  He drank some Gatorade and ate a couple of chocolate kisses.  He began to have cold sweats that lasted a few minutes.  I sat with him in counseling room for 15 minutes and then he sat in waiting room  until he felt better.  He did not feel that he needed further attention or medical assistance.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Right arm  & hand numb & tingly, pins & needles. 2 days later it moved to my left arm & hand & now also my calves.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Exophthalmos, Ultrasound thyroid abnormal
Clinical narrative: Within 12 hours of receiving my first covid 19 vaccine I had a bulging eye.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Endocrine ophthalmopathy
Clinical narrative: Within 12 hours of receiving my first covid 19 vaccine I had a bulging eye.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms
Clinical narrative: muscle spasms on the left side of the neck and upper part of the left shoulder
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Paraesthesia oral
Clinical narrative: Pt had tingling and numbness around lips and started to feel "strange in my throat"
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rash, Rash erythematous, Rash macular
Clinical narrative: I had a rash within 24-48 hours of both injections. I didn't report the first because I had done yard work following the first dose and assumed it was due to something like poison ivy. After the second dose, I stayed home for the next couple days, and I noticed that I got the same rash (both times mostly on my left hand and forearm). Rash seems harmless - no pain, etc, though it itched the first time. Went away after a week or so. The second dose rash, I didn't feel or notice until yesterday afternoon (48 hours post vaccination), and it does not itch this time. Rash is small pinpoint red spots. Some were raised the first time, but none appear to be so this time.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Catheterisation cardiac normal, Chest pain, Electrocardiogram normal, Troponin, Ultrasound scan normal
Clinical narrative: Patient started having chest pain on Friday night.  The pain increased throughout the night.  The next morning we took him to the emergency room.  He was admitted to the hospital and remained there until Monday afternoon.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood creatine phosphokinase increased, C-reactive protein increased, Catheterisation cardiac normal, Chest pain, Chills
Clinical narrative: Patient started having chest pain on Friday night.  The pain increased throughout the night.  The next morning we took him to the emergency room.  He was admitted to the hospital and remained there until Monday afternoon.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax, Echocardiogram normal, Electrocardiogram abnormal, Fibrin D dimer normal, Headache
Clinical narrative: Patient started having chest pain on Friday night.  The pain increased throughout the night.  The next morning we took him to the emergency room.  He was admitted to the hospital and remained there until Monday afternoon.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myocarditis, Nausea, Pyrexia, Troponin I increased, Vomiting
Clinical narrative: Patient started having chest pain on Friday night.  The pain increased throughout the night.  The next morning we took him to the emergency room.  He was admitted to the hospital and remained there until Monday afternoon.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune disorder, Back pain, Lyme disease, Neck pain, Pain in extremity
Clinical narrative: About 4-5 days after 1st shot started back of neck pain and gradually both inner thighs knees upper back mid back both and upper arms. They would not go away. And also have fever.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rocky mountain spotted fever, Systemic lupus erythematosus
Clinical narrative: About 4-5 days after 1st shot started back of neck pain and gradually both inner thighs knees upper back mid back both and upper arms. They would not go away. And also have fever.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Chest pain, Dizziness, Head discomfort, Headache
Clinical narrative: Began noticing rapid heart rate and dizziness approximately one hour after getting first dose of COVID vaccine.  Symptoms continued and worsened over next two weeks. Went to ER on April 11th, 2021, due to immense head pressure, BP over 200, and ringing in ears. My blood pressure and heart rate were checked at ER and were high, but came down after laying down for a while. I was given blood pressure medication, Amlodipine, 10 mg tablets. Medication had minor positive effects but symptoms continued to get worse. Returned to ER on April 14th, 2021. Same diagnostic testing was performed. I was given more BP medication and recommendations were made for how to lower blood pressure with diet and exercise.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Heart rate irregular, Monoplegia, Neck pain, Tinnitus
Clinical narrative: Began noticing rapid heart rate and dizziness approximately one hour after getting first dose of COVID vaccine.  Symptoms continued and worsened over next two weeks. Went to ER on April 11th, 2021, due to immense head pressure, BP over 200, and ringing in ears. My blood pressure and heart rate were checked at ER and were high, but came down after laying down for a while. I was given blood pressure medication, Amlodipine, 10 mg tablets. Medication had minor positive effects but symptoms continued to get worse. Returned to ER on April 14th, 2021. Same diagnostic testing was performed. I was given more BP medication and recommendations were made for how to lower blood pressure with diet and exercise.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Administered 0.5 mL of vaccine instead of 0.3 mL
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: A small fever that has persisted throughout the first day.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Injection site pain, Swelling
Clinical narrative: Extremely sore at injection site. General overall loss of energy after both doses, with the pain and swelling doubled in size and intensity following the second dose. Dose #1 date: 04/09/2021. Dose #2 date: 05/07/2021.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyskinesia, Eye movement disorder, Loss of consciousness, Pallor
Clinical narrative: about 15 minutes after receiving the vaccine, the person that accompanied the patient yelled for help. She states his eyes rolled back and then slumped over and arms flailed a few times. The patient didn't know it had happened. He stated he felt dizzy and looked pale. We gave him a water bottle and after a few minutes he felt better.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Electrocardiogram, Headache, Vomiting
Clinical narrative: headache, chest discomfort, dyspnea.  Symptoms started approximately 18 minutes after her vaccination. she has continued to have dyspnea on exertion since. Vomited the first day after.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Heart rate irregular, Immediate post-injection reaction
Clinical narrative: Patient c/o fast heart rate 4 min post vaccine. Assessed patient A&ox3 zero c/o sob, or chest pain. v/s at 10:43am BP 142/68 HR 112 RR 20 SPO2 96%. Provider recommending to monitor patient for 15 min.  v/s at 11:08 BP 140/60 HR 110 RR 18 SP02 97% No new complaints but patient states still feeling like her heart will beat really fast then slow down. Provider recommending to monitor again for another 15min patient refused to wait for another 15 min because she needed to use the restroom and did not want to stay for further observation. Provider advised patient that she needs to make an appointment with a provider today patient agreed, but left vaccine site against medical advise from the provider to stay for further observation. Left vaccine clinic at 11:20 am.
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus
Clinical narrative: I have very itchy hands, arms, feet, legs and face and scalp. I can?t get it to stop at all. I?ve taken allergy medicine but it only helps a little.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated
Clinical narrative: RA s/s IE inflammation seems worse
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Injection site pruritus, Injection site urticaria, Peripheral swelling, Urticaria
Clinical narrative: I noticed itching around the injection site. I noticed hives starting to break out on Monday night. I had hives pretty much everywhere - my left arm was worst around the site. I had angio-edema - legs, feet and hands were swollen. One of the doctors I work with wrote me a prescription - same day type clinic appt -  Prescription on Tuesday night (the 19th): Solumedrol - I took it and 24 hours later it still wasn't getting better so I took and Benadryl and Claritin after asking the doctor about it. I went on the 20th or 21st - to  URGENT CARE they gave me Prednisone to take on top of Solumedrol and then it started clearing up. Pretty much that whole week I was out of work.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abnormal uterine bleeding, Vaginal haemorrhage
Clinical narrative: This 25  year old white  female received the Covid shot on 1/26/21 and went to the ED on  2/26/21 with the following diagnoses listed below.  The patient was under the care of an OB/GYN.  It is unknown if this patient was pregnant and would need further investigation. N93.9 - Abnormal uterine and vaginal bleeding, unspecified.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Herpes zoster
Clinical narrative: Chills night of vaccine, contracted Shingles and had chills again when it got bad.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Pulmonary thrombosis
Clinical narrative: Bilateral blood clots in my lungs
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Laboratory test, Neurological examination, Tonic convulsion
Clinical narrative: Had 2 tonic clonic ( grand mal) seizures. Had to be rushed to emergency.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Urticaria, Urticaria chronic
Clinical narrative: I received the first dose of the vaccine on January 11th.  By January 21, I developed extreme itching on the scalp between my ears, which later developed into several bumps. Using a prescription shampoo for3 weeks did not seem to help. Then I received the 2nd dose of Moderna on February 8th.  A couple of days later, I began itching in some places of my body, such as the elbows, underarms, and buttocks.  Soon hives accompanied the itching.  The hives and itching spread over most of my body.  I was prescribed antihistamines and took those for a month before it even started to get a little better.  Then, after another month, I was still itching all over, but the hives were not as bad.  On April 20th, the itching was still not much better, so I went to an allergist.  He prescribed that I take one 24 hour Allegra in the morning, and one at night.  In a week, the itching improved quite a bit.  Now I'm on 1 Allegra a day, and it seems under control. The allergist said that my immune system response to the vaccine may have played a role in triggering the chronic urticaria.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: administered 0.5 mL of vaccine instead of 0.3 mL
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site erythema, Injection site induration
Clinical narrative: Erythema with induration  just below the injection site developed on Sunday evening, following Friday vaccination. Applied ice pack and took ibuprofen on advice of PCP.  Induration is very painful and size has only slightly decreased in 24 hours. Other side effects include fatigue, headache, muscle pain, fever, chills and nausea.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Myalgia, Nausea, Pyrexia
Clinical narrative: Erythema with induration  just below the injection site developed on Sunday evening, following Friday vaccination. Applied ice pack and took ibuprofen on advice of PCP.  Induration is very painful and size has only slightly decreased in 24 hours. Other side effects include fatigue, headache, muscle pain, fever, chills and nausea.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blister, Herpes zoster, Rash
Clinical narrative: Shingles. Rash, blisters, pain right shoulder, arm.  Prescribed Prednisone and Acylovir, taking Advil and Tylenol.  Today (5/10) 2nd dose of Covid-19 vaccine was refused by provider. Was told he'd have to reschedule.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope
Clinical narrative: vasovagal reaction
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Balance disorder, Dizziness, Dysphonia, Dyspnoea
Clinical narrative: 21yoM states that on 25 March 2021, he noted 25 minutes after his 1st dose of Pfizer vaccines, he noted a throat tightness, feels tight, scratchy, noted a hoarse throat with some voice changes. He felt throat tightness made it hard to breath, he had associated lightheadedness, felt anxious, almost like a wheezing sound when breathed in and out in his upper neck. When he stood up, he did feel like he needed to hold onto something to steady himself, had some tunnel vision, improved with sitting down and closing his yes and taking deep breaths. He felt warm at the time, not cold or clammy. His friend said he looked ghostly white, no flushing, no hives, no angioedema. No sense of impending doom. He did take Zyrtec the day that he received the vaccine.   He waited the 15 minutes after vaccine without symptoms, and had walked back to class by the time it started. Between the vaccine and symptoms onset, he denies eating anything, being stung by anything.   He told a friend about his symptoms, and he returned to the hospital via base taxi arrived at ER. Symptoms were still occurring about 60 minutes after vaccination when he arrived at the ER. In the ER, he underwent exam, was given oral Benadryl.  His symptoms of scratchy throat lasted for 2 days afterwards with some associated fatigue, post-nasal drip.  He denies other symptoms. No fevers or chills. Small amount of pain and a ?knot? at the injection site the next day, but minimal according to the paitent.   Denies hives, angioedema, SOB, wheezing, nausea/vomiting, no diarrhea, abdominal pain, nasal pruritus/congestion, ocuarl itching/redness, no syncope.   No h/o vaccine reactions before. No h/o passing out before at all, specifically not to needles, blood draws, or vaccines before.   No h/o venom or drug allergy. He does report a history of apple allergic reaction 1 year previous when eating a raw apple, felt his throat close within 15-30 minutes, no hives or other systemic symptoms. He took oral Benadryl and went to ER. He was given oral Benadryl, no Epipen. He followed up with his PCM regarding possible apple allergy and was told to avoid apples, but was never tested for apple allergy. Since then, when he drinks apple juice, his throat will start hurting, but otherwise, he has avoided raw and cooked allergies. He does report seasonal rhinitis symptoms that are worse in the fall. He takes allegra as needed to treat these symptoms. He is not carrying an Epipen currently
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site mass, Injection site pain, Pallor, Rhinorrhoea
Clinical narrative: 21yoM states that on 25 March 2021, he noted 25 minutes after his 1st dose of Pfizer vaccines, he noted a throat tightness, feels tight, scratchy, noted a hoarse throat with some voice changes. He felt throat tightness made it hard to breath, he had associated lightheadedness, felt anxious, almost like a wheezing sound when breathed in and out in his upper neck. When he stood up, he did feel like he needed to hold onto something to steady himself, had some tunnel vision, improved with sitting down and closing his yes and taking deep breaths. He felt warm at the time, not cold or clammy. His friend said he looked ghostly white, no flushing, no hives, no angioedema. No sense of impending doom. He did take Zyrtec the day that he received the vaccine.   He waited the 15 minutes after vaccine without symptoms, and had walked back to class by the time it started. Between the vaccine and symptoms onset, he denies eating anything, being stung by anything.   He told a friend about his symptoms, and he returned to the hospital via base taxi arrived at ER. Symptoms were still occurring about 60 minutes after vaccination when he arrived at the ER. In the ER, he underwent exam, was given oral Benadryl.  His symptoms of scratchy throat lasted for 2 days afterwards with some associated fatigue, post-nasal drip.  He denies other symptoms. No fevers or chills. Small amount of pain and a ?knot? at the injection site the next day, but minimal according to the paitent.   Denies hives, angioedema, SOB, wheezing, nausea/vomiting, no diarrhea, abdominal pain, nasal pruritus/congestion, ocuarl itching/redness, no syncope.   No h/o vaccine reactions before. No h/o passing out before at all, specifically not to needles, blood draws, or vaccines before.   No h/o venom or drug allergy. He does report a history of apple allergic reaction 1 year previous when eating a raw apple, felt his throat close within 15-30 minutes, no hives or other systemic symptoms. He took oral Benadryl and went to ER. He was given oral Benadryl, no Epipen. He followed up with his PCM regarding possible apple allergy and was told to avoid apples, but was never tested for apple allergy. Since then, when he drinks apple juice, his throat will start hurting, but otherwise, he has avoided raw and cooked allergies. He does report seasonal rhinitis symptoms that are worse in the fall. He takes allegra as needed to treat these symptoms. He is not carrying an Epipen currently