chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Pain in extremity
Clinical narrative: Patient was in office to receive his first dose of the Pfizer vaccine. When staff member drew and administered she mistakenly pulled the entire reconstitution value and administered into the left deltoid. I have contacted patient and he reports a sore arm. I have advised he follow current CDC guidelines and take Tylenol and/or use an ice pack for the tenderness in his arm.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: RECEIVED PFIZER AS FIRST DOSE COVID VACCINE 2/6/2021. RECEIVED MODERNA AS SECOND DOSE ON 4/2/2021.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Asthma, Pulmonary function test
Clinical narrative: Asthma flare up requiring multiple prescriptions of Prednisone & continual use of nebulizer over 4 months. Eventual referral to pulmonologist, allergy testing, lung function test - all proved normal, eventual change to trying a new preventative Advair, in July,. Helped some but never returned to condition, prior to start of flare in April
Age: 90.0
Sex: F
Vaccine: FLU4
Symptoms: Drug ineffective, Expired product administered, No adverse event
Clinical narrative: Patient was given an expired flu vaccine. The flu vaccine that was administered was from the 2020 - 2021 flu season. Patient was informed that she was given an ineffective and expired vaccine and that she will need to be re-vaccinated. Patient did not experience any adverse reactions.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dry skin, Feeling hot, Nodule, Pain
Clinical narrative: First night - fever, extreme chills, achy body, arm had large knot and was hot to touch.  Second night feverish, throwing up multiple times, dry heaves multiple times - face got extremely hot and woke up with large red splotches on my face that looked like sunburn spots (but they were dried and swollen)
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash macular, Retching, Skin warm, Swelling
Clinical narrative: First night - fever, extreme chills, achy body, arm had large knot and was hot to touch.  Second night feverish, throwing up multiple times, dry heaves multiple times - face got extremely hot and woke up with large red splotches on my face that looked like sunburn spots (but they were dried and swollen)
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: First night - fever, extreme chills, achy body, arm had large knot and was hot to touch.  Second night feverish, throwing up multiple times, dry heaves multiple times - face got extremely hot and woke up with large red splotches on my face that looked like sunburn spots (but they were dried and swollen)
Age: 64.0
Sex: M
Vaccine: TYP
Symptoms: Expired product administered
Clinical narrative: Patient was given Typhoid Vi vaccine on 10/18/21 that had expiration date listed of 09/18/2021. No immediate adverse reactions were observed after vaccination.
Age: 74.0
Sex: F
Vaccine: UNK, UNK
Symptoms: COVID-19
Clinical narrative: PATIENT ADMITTED TO HOSPITAL DUE TO COVID AFTER RECEIVING BOTH VACCINATIONS
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Heavy menstrual bleeding, Intermenstrual bleeding, Pyrexia, Ultrasound scan abnormal
Clinical narrative: I got COVID in December and my first period after was really heavy and long. My dad also passed away at the same time so it may be stress. Fast forward to April I get the shot and I get my period that day with spotting. I continue my period the next day being super heavy and lasted 7 days. I also had a bad fever and other symptoms from the vaccine.  Since then its been super heavy with big clots. I went to the doctor for it, and according to them they did an ultrasound. The existing fibroid had grown quite a bit and I also developed new one since my last ultrasound. They suggested that surgery would be a better solution to take care of the problem.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Uterine leiomyoma
Clinical narrative: I got COVID in December and my first period after was really heavy and long. My dad also passed away at the same time so it may be stress. Fast forward to April I get the shot and I get my period that day with spotting. I continue my period the next day being super heavy and lasted 7 days. I also had a bad fever and other symptoms from the vaccine.  Since then its been super heavy with big clots. I went to the doctor for it, and according to them they did an ultrasound. The existing fibroid had grown quite a bit and I also developed new one since my last ultrasound. They suggested that surgery would be a better solution to take care of the problem.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Pain, Pyrexia
Clinical narrative: Extreme fatigue,  bad headache,body aches, nause, low grade fever
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, C-reactive protein, Computerised tomogram head, Drug screen, Full blood count
Clinical narrative: I did not administer vaccine, patient did not provide information during brief hospital stay.  Our database does confirm he received vaccine from source on 08/16/2021.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Magnetic resonance imaging spinal, Metabolic function test, Red blood cell sedimentation rate, Urine analysis
Clinical narrative: I did not administer vaccine, patient did not provide information during brief hospital stay.  Our database does confirm he received vaccine from source on 08/16/2021.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Diarrhoea, Dyspnoea, Extra dose administered
Clinical narrative: I suffered from COVID Symptoms from 10/4-13.   Fever or chills Cough Fatigue Muscle or body aches Headache Sore throat Congestion  Nausea Diarrhea   I went to the Emergency Room on 10/7 due to the development of: Shortness of breath or difficulty breathing
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Influenza virus test negative, Myalgia, Nausea
Clinical narrative: I suffered from COVID Symptoms from 10/4-13.   Fever or chills Cough Fatigue Muscle or body aches Headache Sore throat Congestion  Nausea Diarrhea   I went to the Emergency Room on 10/7 due to the development of: Shortness of breath or difficulty breathing
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: I suffered from COVID Symptoms from 10/4-13.   Fever or chills Cough Fatigue Muscle or body aches Headache Sore throat Congestion  Nausea Diarrhea   I went to the Emergency Room on 10/7 due to the development of: Shortness of breath or difficulty breathing
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: DOB REPORTED ON CONSENT IS NOT ACCURATE ACCORDING TO DATABASE. CHILD IS UNDERAGED.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Bell's palsy, Blood test, Computerised tomogram, Electrocardiogram
Clinical narrative: On Friday 10/15/20201 I felt slight twitching on my right cheek. On Saturday 10/16/2021 my tongue started to feel numb. That night while sleeping I felt sharp pains behind my right ear. On Sunday 10/17/2021 I noticed blurry vision in my right eye which gradually progressed to drooping right eyebrow and difficulty closing right eye. The right side of my lips/mouth which caused difficulty drinking, eating, and pronouncing words. I check into the ER for fear of stoke and was diagnosed with Bell's Palsy. Bell's Palsy is a rare condition, and I am an otherwise perfectly healthy 38-year-old male.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Facial paralysis, Hypoaesthesia oral, Mastoid disorder, Muscle twitching, Sleep disorder
Clinical narrative: On Friday 10/15/20201 I felt slight twitching on my right cheek. On Saturday 10/16/2021 my tongue started to feel numb. That night while sleeping I felt sharp pains behind my right ear. On Sunday 10/17/2021 I noticed blurry vision in my right eye which gradually progressed to drooping right eyebrow and difficulty closing right eye. The right side of my lips/mouth which caused difficulty drinking, eating, and pronouncing words. I check into the ER for fear of stoke and was diagnosed with Bell's Palsy. Bell's Palsy is a rare condition, and I am an otherwise perfectly healthy 38-year-old male.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: On Friday 10/15/20201 I felt slight twitching on my right cheek. On Saturday 10/16/2021 my tongue started to feel numb. That night while sleeping I felt sharp pains behind my right ear. On Sunday 10/17/2021 I noticed blurry vision in my right eye which gradually progressed to drooping right eyebrow and difficulty closing right eye. The right side of my lips/mouth which caused difficulty drinking, eating, and pronouncing words. I check into the ER for fear of stoke and was diagnosed with Bell's Palsy. Bell's Palsy is a rare condition, and I am an otherwise perfectly healthy 38-year-old male.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter, Dizziness, Nausea
Clinical narrative: Lightheaded, Nausea, Heart Fluttering.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pruritus
Clinical narrative: Within 15 minutes of receiving the injection I began to feel itching in my chest and tingling in my legs. I had my husband purchase a Benadryl from the store and I took that. My chest itchiness resolved but the tingling in my legs has continued without ceasing for the last 6 weeks.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Dyspnoea, Fibromyalgia, Headache
Clinical narrative: The patient started having shortness of breath  (has asthma) , severe headaches, more pain than usual (has fibromyalgia), chills and a low grade fever for about 10 days after the shot. These symptoms lasted for about 3 weeks after the shot
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: The patient started having shortness of breath  (has asthma) , severe headaches, more pain than usual (has fibromyalgia), chills and a low grade fever for about 10 days after the shot. These symptoms lasted for about 3 weeks after the shot
Age: 78.0
Sex: F
Vaccine: FLU4
Symptoms: Injury associated with device, Multiple use of single-use product, No adverse event
Clinical narrative: The patient was accidentally stuck with a used needle from a previous patient. As of 1 week, the patient has not shown any injection site reactions or ailments. The patient that originally had the used needle is known and it appears they do not have any blood-borne pathogens.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Asthenia, Blood test, COVID-19, Chest X-ray
Clinical narrative: I went to an event on Saturday afternoon that I suspect that I got CVOID at: really drowsy; beginning to lose my sense of taste on Monday; fatigue really set in on Tuesday and Wednesday. I took tests on Monday - two of them -and they came back negative (Rapid test); Rapid test again on Thursday when I had completely lost sense of taste and that was positive.  I wasn't coughing or anything, I was just really tired and my sense of taste was completely gone at least 2 days and it slowly came back after a time of 2 weeks. I  was really weak. Hard to do workout with cardiovascular.  Residual - chest tightness - onset - mid September - a full month after I had COVID - chest x-ray shows tight. Steroids for the chest pain and the pain has pretty minimal since then. My lung and heart look fine according to x-rays. Recommending I go to cardiologist and I will be doing that soon.  No treatment for COVID symptoms before the chest tightness occurred except Ibuprofen and rest.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Fatigue, SARS-CoV-2 test positive, Somnolence, Vaccine breakthrough infection
Clinical narrative: I went to an event on Saturday afternoon that I suspect that I got CVOID at: really drowsy; beginning to lose my sense of taste on Monday; fatigue really set in on Tuesday and Wednesday. I took tests on Monday - two of them -and they came back negative (Rapid test); Rapid test again on Thursday when I had completely lost sense of taste and that was positive.  I wasn't coughing or anything, I was just really tired and my sense of taste was completely gone at least 2 days and it slowly came back after a time of 2 weeks. I  was really weak. Hard to do workout with cardiovascular.  Residual - chest tightness - onset - mid September - a full month after I had COVID - chest x-ray shows tight. Steroids for the chest pain and the pain has pretty minimal since then. My lung and heart look fine according to x-rays. Recommending I go to cardiologist and I will be doing that soon.  No treatment for COVID symptoms before the chest tightness occurred except Ibuprofen and rest.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Chills, Cough, Headache
Clinical narrative: Fever, chills, cough, headache, no smell or taste.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, chills, cough, headache, no smell or taste.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder, Menstruation delayed, Muscle spasms
Clinical narrative: Delayed menstrual cycle, by exactly two weeks from last dose, extreme cramping and blood clots
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Dizziness, Dyspnoea, Erythema, Extra dose administered
Clinical narrative: Presented to ED just following third vaccine admin.  States within 10 min she started feeling warm, lightheaded, and like her throat was closing up.  She was given 0.3 epi IM at the vaccination site.  On EMS evaluation she was still feeling short of breath with wheezing and was given an additional 0.5 IM epi, one DuoNeb, 50 mg IV Benadryl, and 8 mg Zofran with improvement in symptoms. discharged home with rx for prednisone 20mg - take 60mg daily x 5 days.   Went back to ED on 10/16/21 with arm pain (RUE mild swelling with overlying erythema). US found Superficial thrombophlebitis of the cephalic vein of the upper arm (right). CTA negative for PE. discharged home on Eliquis.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Pain in extremity, Peripheral swelling, Superficial vein thrombosis, Throat tightness
Clinical narrative: Presented to ED just following third vaccine admin.  States within 10 min she started feeling warm, lightheaded, and like her throat was closing up.  She was given 0.3 epi IM at the vaccination site.  On EMS evaluation she was still feeling short of breath with wheezing and was given an additional 0.5 IM epi, one DuoNeb, 50 mg IV Benadryl, and 8 mg Zofran with improvement in symptoms. discharged home with rx for prednisone 20mg - take 60mg daily x 5 days.   Went back to ED on 10/16/21 with arm pain (RUE mild swelling with overlying erythema). US found Superficial thrombophlebitis of the cephalic vein of the upper arm (right). CTA negative for PE. discharged home on Eliquis.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan abnormal, Wheezing
Clinical narrative: Presented to ED just following third vaccine admin.  States within 10 min she started feeling warm, lightheaded, and like her throat was closing up.  She was given 0.3 epi IM at the vaccination site.  On EMS evaluation she was still feeling short of breath with wheezing and was given an additional 0.5 IM epi, one DuoNeb, 50 mg IV Benadryl, and 8 mg Zofran with improvement in symptoms. discharged home with rx for prednisone 20mg - take 60mg daily x 5 days.   Went back to ED on 10/16/21 with arm pain (RUE mild swelling with overlying erythema). US found Superficial thrombophlebitis of the cephalic vein of the upper arm (right). CTA negative for PE. discharged home on Eliquis.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Vomiting
Clinical narrative: Severe dizziness, sweating, vomiting upon waking. Symptoms lasted 36 hours- treated w OTC meclizine.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Pt's arm has a red spot at injection site. She complained of it being itchy and painful to touch. She is allergic to antihistamines, so it was recommended that she use some Cortizone cream and follow up with her doctor if the area did not get better or worsened within a couple of days.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis, Urinary tract infection
Clinical narrative: Severe UTI leading to sepsis requiring hospitalization.  Most likely due to MS drug therapy administered 24 hours earlier.  Required 4 days in hospital with intravenous antibiotics.
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Condition aggravated, Cortisol decreased, Cough, Disturbance in attention
Clinical narrative: - My normal fatigue has grown worse - My ability to concentrate has decreased - Itchy throat and cough from August 2021 - Present - I have more brain fog than I did before getting the vaccine, and it's been getting progressively worse this year - My libido has decreased - I've also noticed more heart palpitations and anxiety. My Apple Watch trends show that my resting heart rate has increased by 4bpm since vaccination. I'm unsure of if any of this is related.
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Feeling abnormal, Libido decreased, Palpitations, Throat irritation
Clinical narrative: - My normal fatigue has grown worse - My ability to concentrate has decreased - Itchy throat and cough from August 2021 - Present - I have more brain fog than I did before getting the vaccine, and it's been getting progressively worse this year - My libido has decreased - I've also noticed more heart palpitations and anxiety. My Apple Watch trends show that my resting heart rate has increased by 4bpm since vaccination. I'm unsure of if any of this is related.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain
Clinical narrative: Sever period like cramping for weeks along with sporting weeks before period
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Rash on my stomach and left arm from under my shoulder to past my elbow. It?s red, bumpy and itchy.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Eye pain, Headache, Impaired work ability, Oropharyngeal pain
Clinical narrative: Patient stated that on Thursday night, October 14th, that she started having a headache and that the headache carried over into Friday the 15th. Pt stated that the headache got worse on Friday and that it was a shooting pain behind her eye and that the bright lights at work were making it worse like she needed to wear sunglasses or leave. She ended up leaving work early afternoon. Pt stated that night (Friday October 15th) that she was eating dinner (enchiladas) and she went to swallow her food and it got stuck. Pt stated that during the time the food got stuck she could still breath and wasn't choking. Pt stated it took 6-7 minutes to get the food to go down and she tried to remain calm. Didn't go to the ER because she didn't feel like it was an emergency. Pt stated that she didn't eat anymore and just drank hot water and that the next day her throat was sore like it was bruised but that the headache had  gone away. She stated that she has been able to swallow fine since and today (Monday October 18th) is feeling better. Instructed pt to talk with her doctor and let them know what happened, pt verbally understood and stated she was seeing him today.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pharyngeal contusion, Photophobia
Clinical narrative: Patient stated that on Thursday night, October 14th, that she started having a headache and that the headache carried over into Friday the 15th. Pt stated that the headache got worse on Friday and that it was a shooting pain behind her eye and that the bright lights at work were making it worse like she needed to wear sunglasses or leave. She ended up leaving work early afternoon. Pt stated that night (Friday October 15th) that she was eating dinner (enchiladas) and she went to swallow her food and it got stuck. Pt stated that during the time the food got stuck she could still breath and wasn't choking. Pt stated it took 6-7 minutes to get the food to go down and she tried to remain calm. Didn't go to the ER because she didn't feel like it was an emergency. Pt stated that she didn't eat anymore and just drank hot water and that the next day her throat was sore like it was bruised but that the headache had  gone away. She stated that she has been able to swallow fine since and today (Monday October 18th) is feeling better. Instructed pt to talk with her doctor and let them know what happened, pt verbally understood and stated she was seeing him today.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Paraesthesia oral
Clinical narrative: Patient started to have tingling on lips and numbness.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient had a positive COVID-19 PCR on 10/05/2021 after receiving two doses of Moderna vaccine
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hospitalization (non-ICU).
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Lethargy, Somnolence
Clinical narrative: started with mild headache and feeling tired after about 5 days, then it progressively got worse extremely tired and sleepy, headache over week, also develop diahrrea, today is almost 3 weeks, she still have mild headache and feel tired and headache, she sounds still lethargic, tired,  on phone call , so i asked her any shortness of breath, she said no. however, i advised her to go see her primary doctor dr. for complete check up . I called doctor office for her, they were closed, so advised patient to call them first thing in morning tomorrow.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Fatigue, Hypomenorrhoea, Nausea, Pain
Clinical narrative: fatigue, all-over body aches, nausea starting about 12 hours after x 24 hours, intermittent heart palpations x 3-4 days; light menstrual period beginning, continues
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: fatigue, all-over body aches, nausea starting about 12 hours after x 24 hours, intermittent heart palpations x 3-4 days; light menstrual period beginning, continues
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: hospitalization (non-ICU).
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Angina unstable, Anion gap, Basophil count normal, Blood calcium normal, Blood chloride normal
Clinical narrative: Patient visited  clinic on 01SEP2021 experiencing chest discomfort, shortness of breath and elevated blood pressure; 134/86.  No previous history of high blood pressure; previous annual examinations recorded blood pressure well below 120/80; average of last three readings was 112/68.  Patient began recording blood pressure readings with home monitor following initial visit to clinic.   Patient returned to clinic on 09SEP2021 with worsening symptoms of chest pain, shortness of breath and elevated blood pressure; 145/94.  Patient additionally reported difficulties sleeping and loss of control of bodily functions (urination) while sleeping.   clinic recommended emergency room admission at  hospital,  , for testing.  Differential diagnosis from emergency room: Myocardial infarction, unstable angina.  Sinus Bradycardia observed but patient has history of low pulse and high athletic activity.  Upon completion of tests and lab work, patient was released from emergency room same day with instructions to follow up with primary care doctor. Due to COVID protocols at  clinic, a follow-up appointment was not available until 04OCT2021 and conducted via telephone.  Primary care doctor was unable to access emergency room records and therefore unable to provide analysis or treatment plan.  Emergency room records must be hand carried and appointment rescheduled. Patient continues to self-monitor blood pressure; highest reading recorded at 139/100.  Chest pain and shortness of breath began improving on 17SEP2021.  Blood pressure readings have improved but still fluctuate; average systolic pressure is high 120's, average diastolic pressure is in mid-80's.  Patient is consistently pre-hypertension and sometimes Stage 1 hypertension.  Patient has still not returned to previous blood pressure levels prior to Covid-19 vaccination.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood glucose normal, Blood osmolarity decreased, Blood potassium decreased, Blood pressure fluctuation
Clinical narrative: Patient visited  clinic on 01SEP2021 experiencing chest discomfort, shortness of breath and elevated blood pressure; 134/86.  No previous history of high blood pressure; previous annual examinations recorded blood pressure well below 120/80; average of last three readings was 112/68.  Patient began recording blood pressure readings with home monitor following initial visit to clinic.   Patient returned to clinic on 09SEP2021 with worsening symptoms of chest pain, shortness of breath and elevated blood pressure; 145/94.  Patient additionally reported difficulties sleeping and loss of control of bodily functions (urination) while sleeping.   clinic recommended emergency room admission at  hospital,  , for testing.  Differential diagnosis from emergency room: Myocardial infarction, unstable angina.  Sinus Bradycardia observed but patient has history of low pulse and high athletic activity.  Upon completion of tests and lab work, patient was released from emergency room same day with instructions to follow up with primary care doctor. Due to COVID protocols at  clinic, a follow-up appointment was not available until 04OCT2021 and conducted via telephone.  Primary care doctor was unable to access emergency room records and therefore unable to provide analysis or treatment plan.  Emergency room records must be hand carried and appointment rescheduled. Patient continues to self-monitor blood pressure; highest reading recorded at 139/100.  Chest pain and shortness of breath began improving on 17SEP2021.  Blood pressure readings have improved but still fluctuate; average systolic pressure is high 120's, average diastolic pressure is in mid-80's.  Patient is consistently pre-hypertension and sometimes Stage 1 hypertension.  Patient has still not returned to previous blood pressure levels prior to Covid-19 vaccination.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium normal, Blood urea normal, Carbon dioxide normal, Chest discomfort, Creatinine renal clearance normal
Clinical narrative: Patient visited  clinic on 01SEP2021 experiencing chest discomfort, shortness of breath and elevated blood pressure; 134/86.  No previous history of high blood pressure; previous annual examinations recorded blood pressure well below 120/80; average of last three readings was 112/68.  Patient began recording blood pressure readings with home monitor following initial visit to clinic.   Patient returned to clinic on 09SEP2021 with worsening symptoms of chest pain, shortness of breath and elevated blood pressure; 145/94.  Patient additionally reported difficulties sleeping and loss of control of bodily functions (urination) while sleeping.   clinic recommended emergency room admission at  hospital,  , for testing.  Differential diagnosis from emergency room: Myocardial infarction, unstable angina.  Sinus Bradycardia observed but patient has history of low pulse and high athletic activity.  Upon completion of tests and lab work, patient was released from emergency room same day with instructions to follow up with primary care doctor. Due to COVID protocols at  clinic, a follow-up appointment was not available until 04OCT2021 and conducted via telephone.  Primary care doctor was unable to access emergency room records and therefore unable to provide analysis or treatment plan.  Emergency room records must be hand carried and appointment rescheduled. Patient continues to self-monitor blood pressure; highest reading recorded at 139/100.  Chest pain and shortness of breath began improving on 17SEP2021.  Blood pressure readings have improved but still fluctuate; average systolic pressure is high 120's, average diastolic pressure is in mid-80's.  Patient is consistently pre-hypertension and sometimes Stage 1 hypertension.  Patient has still not returned to previous blood pressure levels prior to Covid-19 vaccination.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Eosinophil count normal, Glomerular filtration rate normal, Haematocrit decreased, Haemoglobin normal
Clinical narrative: Patient visited  clinic on 01SEP2021 experiencing chest discomfort, shortness of breath and elevated blood pressure; 134/86.  No previous history of high blood pressure; previous annual examinations recorded blood pressure well below 120/80; average of last three readings was 112/68.  Patient began recording blood pressure readings with home monitor following initial visit to clinic.   Patient returned to clinic on 09SEP2021 with worsening symptoms of chest pain, shortness of breath and elevated blood pressure; 145/94.  Patient additionally reported difficulties sleeping and loss of control of bodily functions (urination) while sleeping.   clinic recommended emergency room admission at  hospital,  , for testing.  Differential diagnosis from emergency room: Myocardial infarction, unstable angina.  Sinus Bradycardia observed but patient has history of low pulse and high athletic activity.  Upon completion of tests and lab work, patient was released from emergency room same day with instructions to follow up with primary care doctor. Due to COVID protocols at  clinic, a follow-up appointment was not available until 04OCT2021 and conducted via telephone.  Primary care doctor was unable to access emergency room records and therefore unable to provide analysis or treatment plan.  Emergency room records must be hand carried and appointment rescheduled. Patient continues to self-monitor blood pressure; highest reading recorded at 139/100.  Chest pain and shortness of breath began improving on 17SEP2021.  Blood pressure readings have improved but still fluctuate; average systolic pressure is high 120's, average diastolic pressure is in mid-80's.  Patient is consistently pre-hypertension and sometimes Stage 1 hypertension.  Patient has still not returned to previous blood pressure levels prior to Covid-19 vaccination.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Lymphocyte count increased, Lymphocyte count normal, Mean cell haemoglobin concentration, Mean cell haemoglobin normal
Clinical narrative: Patient visited  clinic on 01SEP2021 experiencing chest discomfort, shortness of breath and elevated blood pressure; 134/86.  No previous history of high blood pressure; previous annual examinations recorded blood pressure well below 120/80; average of last three readings was 112/68.  Patient began recording blood pressure readings with home monitor following initial visit to clinic.   Patient returned to clinic on 09SEP2021 with worsening symptoms of chest pain, shortness of breath and elevated blood pressure; 145/94.  Patient additionally reported difficulties sleeping and loss of control of bodily functions (urination) while sleeping.   clinic recommended emergency room admission at  hospital,  , for testing.  Differential diagnosis from emergency room: Myocardial infarction, unstable angina.  Sinus Bradycardia observed but patient has history of low pulse and high athletic activity.  Upon completion of tests and lab work, patient was released from emergency room same day with instructions to follow up with primary care doctor. Due to COVID protocols at  clinic, a follow-up appointment was not available until 04OCT2021 and conducted via telephone.  Primary care doctor was unable to access emergency room records and therefore unable to provide analysis or treatment plan.  Emergency room records must be hand carried and appointment rescheduled. Patient continues to self-monitor blood pressure; highest reading recorded at 139/100.  Chest pain and shortness of breath began improving on 17SEP2021.  Blood pressure readings have improved but still fluctuate; average systolic pressure is high 120's, average diastolic pressure is in mid-80's.  Patient is consistently pre-hypertension and sometimes Stage 1 hypertension.  Patient has still not returned to previous blood pressure levels prior to Covid-19 vaccination.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Mean cell volume normal, Mean platelet volume normal, Monocyte count, Monocyte count normal, Myocardial infarction
Clinical narrative: Patient visited  clinic on 01SEP2021 experiencing chest discomfort, shortness of breath and elevated blood pressure; 134/86.  No previous history of high blood pressure; previous annual examinations recorded blood pressure well below 120/80; average of last three readings was 112/68.  Patient began recording blood pressure readings with home monitor following initial visit to clinic.   Patient returned to clinic on 09SEP2021 with worsening symptoms of chest pain, shortness of breath and elevated blood pressure; 145/94.  Patient additionally reported difficulties sleeping and loss of control of bodily functions (urination) while sleeping.   clinic recommended emergency room admission at  hospital,  , for testing.  Differential diagnosis from emergency room: Myocardial infarction, unstable angina.  Sinus Bradycardia observed but patient has history of low pulse and high athletic activity.  Upon completion of tests and lab work, patient was released from emergency room same day with instructions to follow up with primary care doctor. Due to COVID protocols at  clinic, a follow-up appointment was not available until 04OCT2021 and conducted via telephone.  Primary care doctor was unable to access emergency room records and therefore unable to provide analysis or treatment plan.  Emergency room records must be hand carried and appointment rescheduled. Patient continues to self-monitor blood pressure; highest reading recorded at 139/100.  Chest pain and shortness of breath began improving on 17SEP2021.  Blood pressure readings have improved but still fluctuate; average systolic pressure is high 120's, average diastolic pressure is in mid-80's.  Patient is consistently pre-hypertension and sometimes Stage 1 hypertension.  Patient has still not returned to previous blood pressure levels prior to Covid-19 vaccination.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Neutrophil count normal, Neutrophil percentage increased, Platelet count normal, Red blood cell count increased, Red cell distribution width normal
Clinical narrative: Patient visited  clinic on 01SEP2021 experiencing chest discomfort, shortness of breath and elevated blood pressure; 134/86.  No previous history of high blood pressure; previous annual examinations recorded blood pressure well below 120/80; average of last three readings was 112/68.  Patient began recording blood pressure readings with home monitor following initial visit to clinic.   Patient returned to clinic on 09SEP2021 with worsening symptoms of chest pain, shortness of breath and elevated blood pressure; 145/94.  Patient additionally reported difficulties sleeping and loss of control of bodily functions (urination) while sleeping.   clinic recommended emergency room admission at  hospital,  , for testing.  Differential diagnosis from emergency room: Myocardial infarction, unstable angina.  Sinus Bradycardia observed but patient has history of low pulse and high athletic activity.  Upon completion of tests and lab work, patient was released from emergency room same day with instructions to follow up with primary care doctor. Due to COVID protocols at  clinic, a follow-up appointment was not available until 04OCT2021 and conducted via telephone.  Primary care doctor was unable to access emergency room records and therefore unable to provide analysis or treatment plan.  Emergency room records must be hand carried and appointment rescheduled. Patient continues to self-monitor blood pressure; highest reading recorded at 139/100.  Chest pain and shortness of breath began improving on 17SEP2021.  Blood pressure readings have improved but still fluctuate; average systolic pressure is high 120's, average diastolic pressure is in mid-80's.  Patient is consistently pre-hypertension and sometimes Stage 1 hypertension.  Patient has still not returned to previous blood pressure levels prior to Covid-19 vaccination.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Sinus bradycardia, Sleep disorder, Troponin I normal, Urinary incontinence, White blood cell count normal
Clinical narrative: Patient visited  clinic on 01SEP2021 experiencing chest discomfort, shortness of breath and elevated blood pressure; 134/86.  No previous history of high blood pressure; previous annual examinations recorded blood pressure well below 120/80; average of last three readings was 112/68.  Patient began recording blood pressure readings with home monitor following initial visit to clinic.   Patient returned to clinic on 09SEP2021 with worsening symptoms of chest pain, shortness of breath and elevated blood pressure; 145/94.  Patient additionally reported difficulties sleeping and loss of control of bodily functions (urination) while sleeping.   clinic recommended emergency room admission at  hospital,  , for testing.  Differential diagnosis from emergency room: Myocardial infarction, unstable angina.  Sinus Bradycardia observed but patient has history of low pulse and high athletic activity.  Upon completion of tests and lab work, patient was released from emergency room same day with instructions to follow up with primary care doctor. Due to COVID protocols at  clinic, a follow-up appointment was not available until 04OCT2021 and conducted via telephone.  Primary care doctor was unable to access emergency room records and therefore unable to provide analysis or treatment plan.  Emergency room records must be hand carried and appointment rescheduled. Patient continues to self-monitor blood pressure; highest reading recorded at 139/100.  Chest pain and shortness of breath began improving on 17SEP2021.  Blood pressure readings have improved but still fluctuate; average systolic pressure is high 120's, average diastolic pressure is in mid-80's.  Patient is consistently pre-hypertension and sometimes Stage 1 hypertension.  Patient has still not returned to previous blood pressure levels prior to Covid-19 vaccination.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Condition aggravated, Dehydration, Dysstasia
Clinical narrative: May 10th, 103+ fever and signs of dehydration observed out of nowhere.  Watched into the evening, with worsening conditions, took to ER by 7am on May 11th.  Went from fully functioning adult to sudden and complete muscle loss within 24 hour period.  No control over motor functions, unable to walk, talk, stand on own.  Watched in ER for almost 10 hours, ran several tests but couldn't determine anything, diagnosed with dehydration and fatigue and sent home that evening, told to alternate Tylenol and IBprofen to reduce fever, rest and return if symptoms not better after 7 days.   Fever of 103 persisted, no muscle control persisted, could barely walk to restroom, sit to eat minimal food and by May 18th took back to hospital as 103+ fever was still persisting.   After more blood tests, chest x-rays, and monitoring, decided to admit to hospital as slight infection was observed in prostate.  Fluids given, more tests, and more aspirin/IBprofen but not much change in symptoms.  By May 20th, discharged from hospital with 21 day antibiotics (for prostate inflammation/ possible infection) and physical therapy prescribed at home.   Fever began to dissipate after an additional 10 days on antibiotics and muscle control returned slightly after the first 4 sessions of physical therapy (2 weeks).  Took an additional 2 weeks of physical therapy, daily exercise routine, and mostly sleeping all day to gain any motor control back and begin to feel even a little stronger.  By mid-June, able to walk half way around the block and by mid-August able to walk around the block 2x a day.  Prior to these events, walked routinely all day with no issues.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Gait inability, Hypersomnia, Hypophagia, Motor dysfunction
Clinical narrative: May 10th, 103+ fever and signs of dehydration observed out of nowhere.  Watched into the evening, with worsening conditions, took to ER by 7am on May 11th.  Went from fully functioning adult to sudden and complete muscle loss within 24 hour period.  No control over motor functions, unable to walk, talk, stand on own.  Watched in ER for almost 10 hours, ran several tests but couldn't determine anything, diagnosed with dehydration and fatigue and sent home that evening, told to alternate Tylenol and IBprofen to reduce fever, rest and return if symptoms not better after 7 days.   Fever of 103 persisted, no muscle control persisted, could barely walk to restroom, sit to eat minimal food and by May 18th took back to hospital as 103+ fever was still persisting.   After more blood tests, chest x-rays, and monitoring, decided to admit to hospital as slight infection was observed in prostate.  Fluids given, more tests, and more aspirin/IBprofen but not much change in symptoms.  By May 20th, discharged from hospital with 21 day antibiotics (for prostate inflammation/ possible infection) and physical therapy prescribed at home.   Fever began to dissipate after an additional 10 days on antibiotics and muscle control returned slightly after the first 4 sessions of physical therapy (2 weeks).  Took an additional 2 weeks of physical therapy, daily exercise routine, and mostly sleeping all day to gain any motor control back and begin to feel even a little stronger.  By mid-June, able to walk half way around the block and by mid-August able to walk around the block 2x a day.  Prior to these events, walked routinely all day with no issues.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle atrophy, Prostate infection, Prostatitis, Pyrexia, Speech disorder
Clinical narrative: May 10th, 103+ fever and signs of dehydration observed out of nowhere.  Watched into the evening, with worsening conditions, took to ER by 7am on May 11th.  Went from fully functioning adult to sudden and complete muscle loss within 24 hour period.  No control over motor functions, unable to walk, talk, stand on own.  Watched in ER for almost 10 hours, ran several tests but couldn't determine anything, diagnosed with dehydration and fatigue and sent home that evening, told to alternate Tylenol and IBprofen to reduce fever, rest and return if symptoms not better after 7 days.   Fever of 103 persisted, no muscle control persisted, could barely walk to restroom, sit to eat minimal food and by May 18th took back to hospital as 103+ fever was still persisting.   After more blood tests, chest x-rays, and monitoring, decided to admit to hospital as slight infection was observed in prostate.  Fluids given, more tests, and more aspirin/IBprofen but not much change in symptoms.  By May 20th, discharged from hospital with 21 day antibiotics (for prostate inflammation/ possible infection) and physical therapy prescribed at home.   Fever began to dissipate after an additional 10 days on antibiotics and muscle control returned slightly after the first 4 sessions of physical therapy (2 weeks).  Took an additional 2 weeks of physical therapy, daily exercise routine, and mostly sleeping all day to gain any motor control back and begin to feel even a little stronger.  By mid-June, able to walk half way around the block and by mid-August able to walk around the block 2x a day.  Prior to these events, walked routinely all day with no issues.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: May 10th, 103+ fever and signs of dehydration observed out of nowhere.  Watched into the evening, with worsening conditions, took to ER by 7am on May 11th.  Went from fully functioning adult to sudden and complete muscle loss within 24 hour period.  No control over motor functions, unable to walk, talk, stand on own.  Watched in ER for almost 10 hours, ran several tests but couldn't determine anything, diagnosed with dehydration and fatigue and sent home that evening, told to alternate Tylenol and IBprofen to reduce fever, rest and return if symptoms not better after 7 days.   Fever of 103 persisted, no muscle control persisted, could barely walk to restroom, sit to eat minimal food and by May 18th took back to hospital as 103+ fever was still persisting.   After more blood tests, chest x-rays, and monitoring, decided to admit to hospital as slight infection was observed in prostate.  Fluids given, more tests, and more aspirin/IBprofen but not much change in symptoms.  By May 20th, discharged from hospital with 21 day antibiotics (for prostate inflammation/ possible infection) and physical therapy prescribed at home.   Fever began to dissipate after an additional 10 days on antibiotics and muscle control returned slightly after the first 4 sessions of physical therapy (2 weeks).  Took an additional 2 weeks of physical therapy, daily exercise routine, and mostly sleeping all day to gain any motor control back and begin to feel even a little stronger.  By mid-June, able to walk half way around the block and by mid-August able to walk around the block 2x a day.  Prior to these events, walked routinely all day with no issues.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Gastrointestinal pain, Thrombosis
Clinical narrative: severe GI pain, diagnoses of clots around colon/intestines, hospitalization requiring heparin /blood thinners
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Vaccine administered to wrong patient or previously received moderna
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Dry skin, Fungal infection, Rash, Skin exfoliation
Clinical narrative: I started to get really dry and flaky skin. I went to the dermatologist and when they gave me medication but it got worse.  They gave me  triamcinolone, a topical cream but it got worse .  I went to my dermatologist and I was diagnosed with a fungal infection and given fungal cream to treat it. A lot of it has cleared out, but I still need to apply the cream. The rash has gone, and they told me to use it for 4 weeks.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vision blurred
Clinical narrative: Patient reported feeling blurred vision, lightheadedness.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Cough, Illness, Pollakiuria
Clinical narrative: 94 year old female brought into the clinic today by her son. He has concerns that she has been sick since last week. She lives by herself and usually ambulates with the use of a cane. She was in bed all day on Saturday and has been extremely weak.  He states that she has had chills and has been having trouble with getting out of a chair because of weakness.  She has a mild cough and runny nose. She has had some frequency of urination. She has a problem with constipation and does not remember when she had her last BM. The patient has dementia.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea
Clinical narrative: 94 year old female brought into the clinic today by her son. He has concerns that she has been sick since last week. She lives by herself and usually ambulates with the use of a cane. She was in bed all day on Saturday and has been extremely weak.  He states that she has had chills and has been having trouble with getting out of a chair because of weakness.  She has a mild cough and runny nose. She has had some frequency of urination. She has a problem with constipation and does not remember when she had her last BM. The patient has dementia.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Computerised tomogram
Clinical narrative: Bell's Palsy was diagnosed when I  went in  to the ER at CRMC. Drooping right eye and mouth. not able to close right eye.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Chills, Dizziness, Fatigue
Clinical narrative: Fever, chills, fatigue, joint pain, headache all within 24 hours. After 24 hours dizziness redness appeared at injection sight, chest pain.