chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood pressure measurement, Blood urea, Blood urea increased, Breath sounds, Breath sounds abnormal
Clinical narrative: Pt is a 52 y.o. male  with a PMHx of pancreatitis, alcohol abuse, DM2, and OSA who presented to the ED on 9/19 for AMS. Patient's family says he has been increasingly unresponsive over last 3 days.  Today, he was largely unresponsive, they were unable to wake him up, so they called EMS.  On arrival, EMS initial blood pressure 77/46 and he was hypoxic, so they needed to ventilate with bag-valve mask.  They gave 2 mg Narcan, to which he was minimally responsive, then brought to ED for further evaluation.   Upon arrival patient was found to acidotic with a VBG: 7.17/62/55/23, Creatinine 5.52, Anion Gap 24, Lactate 3.2, WBC 15.52. He was intubated in the ER upon arrival and given cefepime, flagyl and vancomycin. BP was 64/40 requiring initiation of a levophed drip. He was also found to be COVID-19 positive on this admit.   Acute hypoxic respiratory failure requiring mechanical ventilation (POA) COVID-19 (POA) Recent MRSA Pneumonia (POA) -  Currently on mechanical ventilation secondary to altered mental status and hypoxia PLAN: - The ventilator was adjusted to provide optimal PEEP, minimize FiO2, and lowest tidal volume to avoid lung injury, and to maintain adequate minute ventilation - Continue Albuterol nebs as needed - Cefepime, Flagyl and Vancomycin - Propofol and Dilaudid for ventilator tolerance - Spontaneous breathing trial daily when appropriate per ventilator separation protocol  RESP:  Symmetrical chest expansion; no retractions. Breath sounds diminished bilaterally.  On discharge:  COVID-19 pneumonia On dexamethasone x10 days from 9/20-9/29 No respiratory symptoms at present, except slight cough Satting 90-96% on 2L O2, which is his baseline  Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Culture, Culture positive
Clinical narrative: Pt is a 52 y.o. male  with a PMHx of pancreatitis, alcohol abuse, DM2, and OSA who presented to the ED on 9/19 for AMS. Patient's family says he has been increasingly unresponsive over last 3 days.  Today, he was largely unresponsive, they were unable to wake him up, so they called EMS.  On arrival, EMS initial blood pressure 77/46 and he was hypoxic, so they needed to ventilate with bag-valve mask.  They gave 2 mg Narcan, to which he was minimally responsive, then brought to ED for further evaluation.   Upon arrival patient was found to acidotic with a VBG: 7.17/62/55/23, Creatinine 5.52, Anion Gap 24, Lactate 3.2, WBC 15.52. He was intubated in the ER upon arrival and given cefepime, flagyl and vancomycin. BP was 64/40 requiring initiation of a levophed drip. He was also found to be COVID-19 positive on this admit.   Acute hypoxic respiratory failure requiring mechanical ventilation (POA) COVID-19 (POA) Recent MRSA Pneumonia (POA) -  Currently on mechanical ventilation secondary to altered mental status and hypoxia PLAN: - The ventilator was adjusted to provide optimal PEEP, minimize FiO2, and lowest tidal volume to avoid lung injury, and to maintain adequate minute ventilation - Continue Albuterol nebs as needed - Cefepime, Flagyl and Vancomycin - Propofol and Dilaudid for ventilator tolerance - Spontaneous breathing trial daily when appropriate per ventilator separation protocol  RESP:  Symmetrical chest expansion; no retractions. Breath sounds diminished bilaterally.  On discharge:  COVID-19 pneumonia On dexamethasone x10 days from 9/20-9/29 No respiratory symptoms at present, except slight cough Satting 90-96% on 2L O2, which is his baseline  Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Endotracheal intubation, Hypoxia, Intensive care, Mechanical ventilation, Mental status changes
Clinical narrative: Pt is a 52 y.o. male  with a PMHx of pancreatitis, alcohol abuse, DM2, and OSA who presented to the ED on 9/19 for AMS. Patient's family says he has been increasingly unresponsive over last 3 days.  Today, he was largely unresponsive, they were unable to wake him up, so they called EMS.  On arrival, EMS initial blood pressure 77/46 and he was hypoxic, so they needed to ventilate with bag-valve mask.  They gave 2 mg Narcan, to which he was minimally responsive, then brought to ED for further evaluation.   Upon arrival patient was found to acidotic with a VBG: 7.17/62/55/23, Creatinine 5.52, Anion Gap 24, Lactate 3.2, WBC 15.52. He was intubated in the ER upon arrival and given cefepime, flagyl and vancomycin. BP was 64/40 requiring initiation of a levophed drip. He was also found to be COVID-19 positive on this admit.   Acute hypoxic respiratory failure requiring mechanical ventilation (POA) COVID-19 (POA) Recent MRSA Pneumonia (POA) -  Currently on mechanical ventilation secondary to altered mental status and hypoxia PLAN: - The ventilator was adjusted to provide optimal PEEP, minimize FiO2, and lowest tidal volume to avoid lung injury, and to maintain adequate minute ventilation - Continue Albuterol nebs as needed - Cefepime, Flagyl and Vancomycin - Propofol and Dilaudid for ventilator tolerance - Spontaneous breathing trial daily when appropriate per ventilator separation protocol  RESP:  Symmetrical chest expansion; no retractions. Breath sounds diminished bilaterally.  On discharge:  COVID-19 pneumonia On dexamethasone x10 days from 9/20-9/29 No respiratory symptoms at present, except slight cough Satting 90-96% on 2L O2, which is his baseline  Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pneumonia staphylococcal, Positive end-expiratory pressure, SARS-CoV-2 test, SARS-CoV-2 test positive, Unresponsive to stimuli
Clinical narrative: Pt is a 52 y.o. male  with a PMHx of pancreatitis, alcohol abuse, DM2, and OSA who presented to the ED on 9/19 for AMS. Patient's family says he has been increasingly unresponsive over last 3 days.  Today, he was largely unresponsive, they were unable to wake him up, so they called EMS.  On arrival, EMS initial blood pressure 77/46 and he was hypoxic, so they needed to ventilate with bag-valve mask.  They gave 2 mg Narcan, to which he was minimally responsive, then brought to ED for further evaluation.   Upon arrival patient was found to acidotic with a VBG: 7.17/62/55/23, Creatinine 5.52, Anion Gap 24, Lactate 3.2, WBC 15.52. He was intubated in the ER upon arrival and given cefepime, flagyl and vancomycin. BP was 64/40 requiring initiation of a levophed drip. He was also found to be COVID-19 positive on this admit.   Acute hypoxic respiratory failure requiring mechanical ventilation (POA) COVID-19 (POA) Recent MRSA Pneumonia (POA) -  Currently on mechanical ventilation secondary to altered mental status and hypoxia PLAN: - The ventilator was adjusted to provide optimal PEEP, minimize FiO2, and lowest tidal volume to avoid lung injury, and to maintain adequate minute ventilation - Continue Albuterol nebs as needed - Cefepime, Flagyl and Vancomycin - Propofol and Dilaudid for ventilator tolerance - Spontaneous breathing trial daily when appropriate per ventilator separation protocol  RESP:  Symmetrical chest expansion; no retractions. Breath sounds diminished bilaterally.  On discharge:  COVID-19 pneumonia On dexamethasone x10 days from 9/20-9/29 No respiratory symptoms at present, except slight cough Satting 90-96% on 2L O2, which is his baseline  Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vaccination failure, Vasopressive therapy, White blood cell count, White blood cell count increased
Clinical narrative: Pt is a 52 y.o. male  with a PMHx of pancreatitis, alcohol abuse, DM2, and OSA who presented to the ED on 9/19 for AMS. Patient's family says he has been increasingly unresponsive over last 3 days.  Today, he was largely unresponsive, they were unable to wake him up, so they called EMS.  On arrival, EMS initial blood pressure 77/46 and he was hypoxic, so they needed to ventilate with bag-valve mask.  They gave 2 mg Narcan, to which he was minimally responsive, then brought to ED for further evaluation.   Upon arrival patient was found to acidotic with a VBG: 7.17/62/55/23, Creatinine 5.52, Anion Gap 24, Lactate 3.2, WBC 15.52. He was intubated in the ER upon arrival and given cefepime, flagyl and vancomycin. BP was 64/40 requiring initiation of a levophed drip. He was also found to be COVID-19 positive on this admit.   Acute hypoxic respiratory failure requiring mechanical ventilation (POA) COVID-19 (POA) Recent MRSA Pneumonia (POA) -  Currently on mechanical ventilation secondary to altered mental status and hypoxia PLAN: - The ventilator was adjusted to provide optimal PEEP, minimize FiO2, and lowest tidal volume to avoid lung injury, and to maintain adequate minute ventilation - Continue Albuterol nebs as needed - Cefepime, Flagyl and Vancomycin - Propofol and Dilaudid for ventilator tolerance - Spontaneous breathing trial daily when appropriate per ventilator separation protocol  RESP:  Symmetrical chest expansion; no retractions. Breath sounds diminished bilaterally.  On discharge:  COVID-19 pneumonia On dexamethasone x10 days from 9/20-9/29 No respiratory symptoms at present, except slight cough Satting 90-96% on 2L O2, which is his baseline  Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Headache, Pruritus, Pyrexia, Urticaria
Clinical narrative: On 10.11.21 had a Fever of 101 and headache.  On 10.12 woke with hive looking all over body except face..hands and feet.  The hive have mild itch.  Mouth takes like metal.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID positive
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Loss of use of upper body Severe Menstrual clots and changes Pain in Jaw and ear (these sysmptoms occurred in 2002 when I took a flue shot... lasted approx 7 months and the terms guillain barr was thrown around by my doctor but I was not diagnosed I was only told to never get a flu shot again) aslo when I went to pharmacy to get the J&J shot they denied for this reason so i wauted until the Pfizer was approved for ages 12 and up and went to medical center and explained to them this extact info... they  proceeded to give me shot with no concerns at all.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Blood test normal, Computerised tomogram normal, Eyelid disorder, Facial paralysis
Clinical narrative: I tolerated the vaccine well overall. I woke up on 03/05/2021 and went to the bathroom. I looked in the mirror and noticed that I could not shut my eye. I also, noticed that my face was drooping on the right side. There was not any pain. I just noticed that half of my face wouldn't cooperate. I went to a walk in clinic and they prescribed me antibiotics and steroids. The next day, my face was drooping even worse. I was worried that I had a stroke. I decided to go to the ER. They performed a CT scan and diagnosed me with Bells Palsy. It took a about a month to get motion back in my face. As of today, I have full function.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus- still an issue.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Urticaria appeared roughly ~35 minutes after vaccine administration. Started on right arm, then many on back of neck / trunk. A few on lower extremities. Approximately 12 lesions in total
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Chills, Feeling hot, Insomnia, Nausea
Clinical narrative: Nausea, restless, unable to sleep, possible fever, warm, chills, and back pains
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Pyrexia, Restlessness
Clinical narrative: Nausea, restless, unable to sleep, possible fever, warm, chills, and back pains
Age: 48.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus, Urticaria
Clinical narrative: Head to toe Hives and itching.  She was treated in the ED on 10/8/2021 at 1600.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Echocardiogram normal, Electrocardiogram normal
Clinical narrative: Patient complained of some chest tightness and intermittent SOB starting two days after vaccination.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Lymphadenopathy, Menstruation irregular, Ultrasound scan
Clinical narrative: It started with swollen lymph nodes all over my body and also since them I have not had menstrual cycle since vaccine. I also have been experiencing rapid weight gain.  I'm seeing a gynecologist, Rheumatologist, and endocrinologist.  I have taken progesterone to see if it would kick start my periods again but it has not.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer 2/18 and 3/11. Positive on 9/28
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Exposure to SARS-CoV-2
Clinical narrative: exposed to COVID by spouse, asymptomatic.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test
Clinical narrative: Patient Contracted COVID-19  Patient Died from COVID-19 on 10/09/2021
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Maternal exposure during breast feeding, Muscle spasms, Pain, Suppressed lactation
Clinical narrative: I have experienced severe muscle spasms on left side of body, both legs spasm like shooting pain ascending downward, severe cramping in pelvic area, headache, reduction in lactation- milk production, low-grade fever 99 degress Fahrenheit.  I am a lactating mother and after the vaccine- my breast milk production was adversely impacted and my breast are not filling up as normal.  My nursing baby has started vomiting.  There have not been any dietary changes or exposure to anything new aside from the vaccine.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer on 3/17 and 4/7. Positive on 9/15
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Janssen on 3/16. Positive on 10/3
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Limb discomfort, Musculoskeletal stiffness, Neck pain
Clinical narrative: Fingers on right hand numb, numbness moved to palm and arm and continued for 90 minutes. Numbness then moved to right side of face and throat. Both arms felt heavy. Numbness moved to shoulder, neck, ear, face, then headache on back left side. Through 10/11/21 both arms still feel heavy and neck is sore and stiff.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal hypoaesthesia
Clinical narrative: Fingers on right hand numb, numbness moved to palm and arm and continued for 90 minutes. Numbness then moved to right side of face and throat. Both arms felt heavy. Numbness moved to shoulder, neck, ear, face, then headache on back left side. Through 10/11/21 both arms still feel heavy and neck is sore and stiff.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pharyngeal swelling, Swollen tongue
Clinical narrative: Diffuse body tingling, mild tongue and throat swelling.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Asthenia, Blood thyroid stimulating hormone normal, COVID-19, Cardiac stress test normal
Clinical narrative: Pt is a 79 y.o. female with past medical history coronary artery disease (status post CABG 15 years ago, stress test unremarkable in 6/2021) , hypertension and hyperlipidemia who presented to ER complaining of general weakness and fatigue.  The patient reported having the following symptoms for the last couple weeks including fever up to 102 (improved with Tylenol), chills, loss of taste, dry cough, shortness of breath, chest tightness and weakness.  She reported that all his symptoms resolved except for the loss of taste and weakness.    She went to her doctor couple weeks ago and was given amoxicillin for 5 days for possible sinus infection which she completed 3 days of it and stopped it due to gastric upset.  Five days ago, she went again to have doctor due to recurrent symptoms.  This time she was tested for COVID and that this came back positive.  She was prescribed prednisone for 5 days and Z-Pak for 5 days (completed 4 days ordered).  # COVID-19 Patient with symptoms for the last 2 weeks All symptoms resolved except loss of taste and fatigue She is currently nonhypoxic  She completed 4 days of Z-Pak and prednisone as OP TSH 2.57 and free T4 1.5 Impression:  Debility is likely in postviral settings (COVID-19 infection)  Plan:  - Improved with hydration and nausea meds.  - admitted with observation status - no need for remdesivir or dexamethasone  - contact, eye and N-95 isolation - PT/OT  Patient was discharged Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Chills, Cough, Dyspnoea, Fatigue
Clinical narrative: Pt is a 79 y.o. female with past medical history coronary artery disease (status post CABG 15 years ago, stress test unremarkable in 6/2021) , hypertension and hyperlipidemia who presented to ER complaining of general weakness and fatigue.  The patient reported having the following symptoms for the last couple weeks including fever up to 102 (improved with Tylenol), chills, loss of taste, dry cough, shortness of breath, chest tightness and weakness.  She reported that all his symptoms resolved except for the loss of taste and weakness.    She went to her doctor couple weeks ago and was given amoxicillin for 5 days for possible sinus infection which she completed 3 days of it and stopped it due to gastric upset.  Five days ago, she went again to have doctor due to recurrent symptoms.  This time she was tested for COVID and that this came back positive.  She was prescribed prednisone for 5 days and Z-Pak for 5 days (completed 4 days ordered).  # COVID-19 Patient with symptoms for the last 2 weeks All symptoms resolved except loss of taste and fatigue She is currently nonhypoxic  She completed 4 days of Z-Pak and prednisone as OP TSH 2.57 and free T4 1.5 Impression:  Debility is likely in postviral settings (COVID-19 infection)  Plan:  - Improved with hydration and nausea meds.  - admitted with observation status - no need for remdesivir or dexamethasone  - contact, eye and N-95 isolation - PT/OT  Patient was discharged Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test, Sinusitis, Symptom recurrence, Thyroxine free normal
Clinical narrative: Pt is a 79 y.o. female with past medical history coronary artery disease (status post CABG 15 years ago, stress test unremarkable in 6/2021) , hypertension and hyperlipidemia who presented to ER complaining of general weakness and fatigue.  The patient reported having the following symptoms for the last couple weeks including fever up to 102 (improved with Tylenol), chills, loss of taste, dry cough, shortness of breath, chest tightness and weakness.  She reported that all his symptoms resolved except for the loss of taste and weakness.    She went to her doctor couple weeks ago and was given amoxicillin for 5 days for possible sinus infection which she completed 3 days of it and stopped it due to gastric upset.  Five days ago, she went again to have doctor due to recurrent symptoms.  This time she was tested for COVID and that this came back positive.  She was prescribed prednisone for 5 days and Z-Pak for 5 days (completed 4 days ordered).  # COVID-19 Patient with symptoms for the last 2 weeks All symptoms resolved except loss of taste and fatigue She is currently nonhypoxic  She completed 4 days of Z-Pak and prednisone as OP TSH 2.57 and free T4 1.5 Impression:  Debility is likely in postviral settings (COVID-19 infection)  Plan:  - Improved with hydration and nausea meds.  - admitted with observation status - no need for remdesivir or dexamethasone  - contact, eye and N-95 isolation - PT/OT  Patient was discharged Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Breast pain, Chest pain, Hypoaesthesia, Muscle spasms
Clinical narrative: She got her vaccine, she felt numbness going down her arm and into her hand, but is used to numbness.  She then got a mild sharp pain in her chest that went away.  After that she felt OK, but then hours later she started feeling pain in her kidneys and she laid in bed and when it got crampier.  Then her legs started cramping like circulation in them was not going good, and she went ahead and waited to see if it was going to go away and moved around, but it did not go away.  She took 2 more baby aspirin for the circulation, and was drinking cranberry juice for the kidney pain.  She went to bed and was in pain throughout the night with kidney and leg pain.  Right now the leg pain is not bad, but her kidneys are aching.  Her blood sugar is mildly elevated at 202 right now.   She also had  little sharp pain in her left breast but went away.  Her kidney on the left side is her main concern as it is aching and won't stop.    She is going to call her doctor later once the office opens, and she took the vaccine at her doctors recommendation and her job.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Poor peripheral circulation, Renal pain
Clinical narrative: She got her vaccine, she felt numbness going down her arm and into her hand, but is used to numbness.  She then got a mild sharp pain in her chest that went away.  After that she felt OK, but then hours later she started feeling pain in her kidneys and she laid in bed and when it got crampier.  Then her legs started cramping like circulation in them was not going good, and she went ahead and waited to see if it was going to go away and moved around, but it did not go away.  She took 2 more baby aspirin for the circulation, and was drinking cranberry juice for the kidney pain.  She went to bed and was in pain throughout the night with kidney and leg pain.  Right now the leg pain is not bad, but her kidneys are aching.  Her blood sugar is mildly elevated at 202 right now.   She also had  little sharp pain in her left breast but went away.  Her kidney on the left side is her main concern as it is aching and won't stop.    She is going to call her doctor later once the office opens, and she took the vaccine at her doctors recommendation and her job.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Facial paralysis, Hypoaesthesia, Paraesthesia
Clinical narrative: Presents to emergency department today (10/11/21) with left facial droop and left facial numbness and tingling.  Patient states around noon this afternoon friend of his at work told him that his left face was drooping.  He states that he had not noticed it prior to this point.  He reports around 3:00 this afternoon he noticed some numbness and tingling to the left side of his face.  He reports then he decided come into the emergency department today.  He states that he was essentially last known well last night around 10 PM last night when he went to bed however when he woke up this morning he did not notice any left facial droop this morning when he was getting dressed.  On arrival stroke alert was called.  Patient was emergently taken to CAT scan.  Patient was evaluated by the stroke neurologist.  He denies any previous history of TIA or stroke in the past.  He denies any focal weakness.  He denies any speech difficulty, slurred speech, dysarthria or aphasia.  He denies any double vision or blurry vision.  Denies any headache.  He denies having any chest pain or shortness of breath.  He does report a remote history of hypertension however does not take any blood pressure medications.  He denies any chest pain or shortness of breath.  He denies any other complaints today.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No reaction, however patient was only 17 years and 7 months old at administration time.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Asthenia, Differential white blood cell count, Dissociation, Eosinophil count decreased
Clinical narrative: Pfizer COVID-19 Vaccine 2nd dose 9/29.  On 9/30 Rash appeared on abdomen that continued to spread R mid abdomen, then to R back and small rash on L anterior abdomen.  Also developed rash at site of injection.  On 10/2 4 days post vaccination had 4 hour episode of loss of motor skills, difficulty finding words and felt like he did not have control of arms and legs and sensation of dissociation, weakness.  Next day woke up fine.  Pt was not seen until 10/5 for rash.  Given triamcinolone cream with no effect per phone f/u on 10/12.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Fine motor skill dysfunction, Full blood count abnormal, Haemoglobin normal, Injection site rash, Metabolic function test normal
Clinical narrative: Pfizer COVID-19 Vaccine 2nd dose 9/29.  On 9/30 Rash appeared on abdomen that continued to spread R mid abdomen, then to R back and small rash on L anterior abdomen.  Also developed rash at site of injection.  On 10/2 4 days post vaccination had 4 hour episode of loss of motor skills, difficulty finding words and felt like he did not have control of arms and legs and sensation of dissociation, weakness.  Next day woke up fine.  Pt was not seen until 10/5 for rash.  Given triamcinolone cream with no effect per phone f/u on 10/12.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness, Platelet count normal, Rash, White blood cell count normal
Clinical narrative: Pfizer COVID-19 Vaccine 2nd dose 9/29.  On 9/30 Rash appeared on abdomen that continued to spread R mid abdomen, then to R back and small rash on L anterior abdomen.  Also developed rash at site of injection.  On 10/2 4 days post vaccination had 4 hour episode of loss of motor skills, difficulty finding words and felt like he did not have control of arms and legs and sensation of dissociation, weakness.  Next day woke up fine.  Pt was not seen until 10/5 for rash.  Given triamcinolone cream with no effect per phone f/u on 10/12.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain, Pain in extremity
Clinical narrative: Body Aches. Headache, Soar Arm and Nausea
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Chest pain, difficulty breathing
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fluid retention, Lymph node pain, Pruritus, Rash
Clinical narrative: Small rough bumps on right arm, raised whelps that itched and spread through the body,  joint aches in legs and arms, sensitivity in lymph nodes in neck, fluid retention underneath both eyes
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Small rough bumps on right arm, raised whelps that itched and spread through the body,  joint aches in legs and arms, sensitivity in lymph nodes in neck, fluid retention underneath both eyes
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Pyrexia
Clinical narrative: fever and cough
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Headache, Injection site pain, Lymphadenopathy, Oedema peripheral
Clinical narrative: received my flu shot on Tuesday 10/5 at the POD.  Received my 3rd Covid booster on 10/8 @11:30.  Typical arm pain at injection site (received both vaccines in the right arm).  Headache on Saturday and Sunday. Sunday morning woke up (actually so painful it woke me up) with underarm pain and a lot of swelling.  Swelling can fit into the palm of my hand (baseball sized).  Very sore today (under arm) when moving my arm.  I know that it can swell but didn?t have this before and never had Lymph swelling under my arm from a vaccine.  Headache now gone. No fever or anything.  I am sure this will go away with time.  Just wasn?t sure if I needed to report it or not.  Haven?t had it before.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Sleep disorder
Clinical narrative: received my flu shot on Tuesday 10/5 at the POD.  Received my 3rd Covid booster on 10/8 @11:30.  Typical arm pain at injection site (received both vaccines in the right arm).  Headache on Saturday and Sunday. Sunday morning woke up (actually so painful it woke me up) with underarm pain and a lot of swelling.  Swelling can fit into the palm of my hand (baseball sized).  Very sore today (under arm) when moving my arm.  I know that it can swell but didn?t have this before and never had Lymph swelling under my arm from a vaccine.  Headache now gone. No fever or anything.  I am sure this will go away with time.  Just wasn?t sure if I needed to report it or not.  Haven?t had it before.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Bradycardia, COVID-19, Cough, Dyspnoea
Clinical narrative: 81 y.o. male presenting with hypoxia and increased work of breathing for 2 days.  He has a 6 day history of myalgia, SOA, and increased weakness. He reports testing positive at a clinic for COVID 6 days ago. He was seen there for rhinorrhea, nasal congestion, he thought to be regular seasonal allergies, and was tested for COVID which resulted as positive, as did his wife.  His symptoms progressed and on Friday he called his PCP who gave him a Z-pack and Prednisone 20mg to take daily.  He says his respiratory status declined over the weekend and today felt as though he needed additional treatment.    Constitutional: Positive for activity change (due to SOA/hypoxia) and fatigue. Negative for appetite change, chills and fever.  HENT: Positive for sore throat (raw mouth/throat hurts to brush teeth). Negative for congestion and voice change.        Reports redness with burning noted in mouth/tongue with brushing teeth and some foods x2-3 days.  Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for wheezing.    an 81 y.o. male previously vaccinated for COVID who is admitted (on 9/21) for hypoxic resp failure 2/2 COVID, diagnosed 6 days PTA. He was started on dexamethasone and remdesivir for COVID on admission. He suffered from rapidly increasing oxygen requirements and after being placed on HFNC was started on baricitinib on 9/22. His O2 requirements stabilized and he was slowly weaned off oxygen and on RA on 9/27. While acutely ill he developed frequent PVCs and was started on coreg 3.125, but was unable to be titrated up to due to bradycardia.    Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Hypoxia, Loss of personal independence in daily activities, Malaise, Myalgia
Clinical narrative: 81 y.o. male presenting with hypoxia and increased work of breathing for 2 days.  He has a 6 day history of myalgia, SOA, and increased weakness. He reports testing positive at a clinic for COVID 6 days ago. He was seen there for rhinorrhea, nasal congestion, he thought to be regular seasonal allergies, and was tested for COVID which resulted as positive, as did his wife.  His symptoms progressed and on Friday he called his PCP who gave him a Z-pack and Prednisone 20mg to take daily.  He says his respiratory status declined over the weekend and today felt as though he needed additional treatment.    Constitutional: Positive for activity change (due to SOA/hypoxia) and fatigue. Negative for appetite change, chills and fever.  HENT: Positive for sore throat (raw mouth/throat hurts to brush teeth). Negative for congestion and voice change.        Reports redness with burning noted in mouth/tongue with brushing teeth and some foods x2-3 days.  Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for wheezing.    an 81 y.o. male previously vaccinated for COVID who is admitted (on 9/21) for hypoxic resp failure 2/2 COVID, diagnosed 6 days PTA. He was started on dexamethasone and remdesivir for COVID on admission. He suffered from rapidly increasing oxygen requirements and after being placed on HFNC was started on baricitinib on 9/22. His O2 requirements stabilized and he was slowly weaned off oxygen and on RA on 9/27. While acutely ill he developed frequent PVCs and was started on coreg 3.125, but was unable to be titrated up to due to bradycardia.    Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nasal congestion, Oral discomfort, Oral mucosal erythema, Oropharyngeal pain, Respiratory failure
Clinical narrative: 81 y.o. male presenting with hypoxia and increased work of breathing for 2 days.  He has a 6 day history of myalgia, SOA, and increased weakness. He reports testing positive at a clinic for COVID 6 days ago. He was seen there for rhinorrhea, nasal congestion, he thought to be regular seasonal allergies, and was tested for COVID which resulted as positive, as did his wife.  His symptoms progressed and on Friday he called his PCP who gave him a Z-pack and Prednisone 20mg to take daily.  He says his respiratory status declined over the weekend and today felt as though he needed additional treatment.    Constitutional: Positive for activity change (due to SOA/hypoxia) and fatigue. Negative for appetite change, chills and fever.  HENT: Positive for sore throat (raw mouth/throat hurts to brush teeth). Negative for congestion and voice change.        Reports redness with burning noted in mouth/tongue with brushing teeth and some foods x2-3 days.  Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for wheezing.    an 81 y.o. male previously vaccinated for COVID who is admitted (on 9/21) for hypoxic resp failure 2/2 COVID, diagnosed 6 days PTA. He was started on dexamethasone and remdesivir for COVID on admission. He suffered from rapidly increasing oxygen requirements and after being placed on HFNC was started on baricitinib on 9/22. His O2 requirements stabilized and he was slowly weaned off oxygen and on RA on 9/27. While acutely ill he developed frequent PVCs and was started on coreg 3.125, but was unable to be titrated up to due to bradycardia.    Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Stomatitis, Tongue discomfort, Tongue erythema
Clinical narrative: 81 y.o. male presenting with hypoxia and increased work of breathing for 2 days.  He has a 6 day history of myalgia, SOA, and increased weakness. He reports testing positive at a clinic for COVID 6 days ago. He was seen there for rhinorrhea, nasal congestion, he thought to be regular seasonal allergies, and was tested for COVID which resulted as positive, as did his wife.  His symptoms progressed and on Friday he called his PCP who gave him a Z-pack and Prednisone 20mg to take daily.  He says his respiratory status declined over the weekend and today felt as though he needed additional treatment.    Constitutional: Positive for activity change (due to SOA/hypoxia) and fatigue. Negative for appetite change, chills and fever.  HENT: Positive for sore throat (raw mouth/throat hurts to brush teeth). Negative for congestion and voice change.        Reports redness with burning noted in mouth/tongue with brushing teeth and some foods x2-3 days.  Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for wheezing.    an 81 y.o. male previously vaccinated for COVID who is admitted (on 9/21) for hypoxic resp failure 2/2 COVID, diagnosed 6 days PTA. He was started on dexamethasone and remdesivir for COVID on admission. He suffered from rapidly increasing oxygen requirements and after being placed on HFNC was started on baricitinib on 9/22. His O2 requirements stabilized and he was slowly weaned off oxygen and on RA on 9/27. While acutely ill he developed frequent PVCs and was started on coreg 3.125, but was unable to be titrated up to due to bradycardia.    Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ventricular extrasystoles
Clinical narrative: 81 y.o. male presenting with hypoxia and increased work of breathing for 2 days.  He has a 6 day history of myalgia, SOA, and increased weakness. He reports testing positive at a clinic for COVID 6 days ago. He was seen there for rhinorrhea, nasal congestion, he thought to be regular seasonal allergies, and was tested for COVID which resulted as positive, as did his wife.  His symptoms progressed and on Friday he called his PCP who gave him a Z-pack and Prednisone 20mg to take daily.  He says his respiratory status declined over the weekend and today felt as though he needed additional treatment.    Constitutional: Positive for activity change (due to SOA/hypoxia) and fatigue. Negative for appetite change, chills and fever.  HENT: Positive for sore throat (raw mouth/throat hurts to brush teeth). Negative for congestion and voice change.        Reports redness with burning noted in mouth/tongue with brushing teeth and some foods x2-3 days.  Eyes: Negative.   Respiratory: Positive for cough and shortness of breath. Negative for wheezing.    an 81 y.o. male previously vaccinated for COVID who is admitted (on 9/21) for hypoxic resp failure 2/2 COVID, diagnosed 6 days PTA. He was started on dexamethasone and remdesivir for COVID on admission. He suffered from rapidly increasing oxygen requirements and after being placed on HFNC was started on baricitinib on 9/22. His O2 requirements stabilized and he was slowly weaned off oxygen and on RA on 9/27. While acutely ill he developed frequent PVCs and was started on coreg 3.125, but was unable to be titrated up to due to bradycardia.    Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Chest pain, Culture throat, Dyspnoea, Headache
Clinical narrative: Pneumonia, headache, breathlessness, chest pain, restless
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza virus test, Pneumonia, Restlessness
Clinical narrative: Pneumonia, headache, breathlessness, chest pain, restless
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Client received a Moderna vaccine as a booster.  Moderna was not approved for booster at the time of the vaccine administration.  No adverse reaction was observed.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Flatulence, Muscle spasms
Clinical narrative: Diarrhea  Severe cramping gas loose stool
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood calcium increased, Blood test, Cardiac stress test, Cardioversion
Clinical narrative: I had no problems and no symptoms, I could tell I was short of breath at times. I saw a cardiologist my calcium levels were high so I had a stress test and I was diagnosed with Afib. I'm going to have an ablation in about 3 weeks.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram, Electrocardiogram
Clinical narrative: I had no problems and no symptoms, I could tell I was short of breath at times. I saw a cardiologist my calcium levels were high so I had a stress test and I was diagnosed with Afib. I'm going to have an ablation in about 3 weeks.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysarthria, Magnetic resonance imaging head normal, Oropharyngeal pain, Pyrexia, Swallow study
Clinical narrative: Began w/ low grade temp X 1 week after 2nd inj.  Then sore throat.... By mid May voice change (Dysarthria) Saw Neurologist 8/31
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: pain in hands since vaccine; unresolved
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Back pain, Blood test, Computerised tomogram, Echocardiogram
Clinical narrative: Upset stomach, back pain, fever with quick onset.  Went to ER 8/10 - was Septic. Admitted to hospital.  Fluids. Course of Antibiotic.  Discharged on 8/12. Diagnosed as kidney infection.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Kidney infection, Pyrexia, Sepsis, Ultrasound kidney
Clinical narrative: Upset stomach, back pain, fever with quick onset.  Went to ER 8/10 - was Septic. Admitted to hospital.  Fluids. Course of Antibiotic.  Discharged on 8/12. Diagnosed as kidney infection.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Arthralgia, Asthenia, Back pain, Body temperature increased
Clinical narrative: I was fine for the first 4 days after the vaccine aside from a sore shoulder. On the 4th day, I started having chills. I had a temperature of 102.3. My skin got very blotchy and white, which they called mottling. It would last 3-4 hours. As quickly as it started, it went away, and I felt like I was on fire. My temperature dropped to 94 and I was shaking. Then 3-4 hours after that I was halfway back to normal. I had an upset stomach and couldn't eat. Over the 15 days this lasted, I lost 15 lbs. I went to the doctor and a COVID test which was negative. The doctor advised to continue with the Tylenol and Advil because he was unsure what to do. Every 3-4 hours, this cycle would start all over again. During the fever, my hands would turn white as if they got frostbite all the way up my arms. All of this went away miraculously about 3 days before my 2nd dose. I was feeling good for those few days. Since then, I have had difficulty breathing, pain in my back and center of my chest. I also have lack of energy, and headaches. I went to the doctor where a chest x-ray was done. The x-ray came back as possible pneumonia. I was sent for a CT which showed thickening in the lungs. I was then sent for a stress test, echocardiogram which both came back normal.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac stress test, Chest X-ray, Chest pain, Chills, Computerised tomogram abnormal
Clinical narrative: I was fine for the first 4 days after the vaccine aside from a sore shoulder. On the 4th day, I started having chills. I had a temperature of 102.3. My skin got very blotchy and white, which they called mottling. It would last 3-4 hours. As quickly as it started, it went away, and I felt like I was on fire. My temperature dropped to 94 and I was shaking. Then 3-4 hours after that I was halfway back to normal. I had an upset stomach and couldn't eat. Over the 15 days this lasted, I lost 15 lbs. I went to the doctor and a COVID test which was negative. The doctor advised to continue with the Tylenol and Advil because he was unsure what to do. Every 3-4 hours, this cycle would start all over again. During the fever, my hands would turn white as if they got frostbite all the way up my arms. All of this went away miraculously about 3 days before my 2nd dose. I was feeling good for those few days. Since then, I have had difficulty breathing, pain in my back and center of my chest. I also have lack of energy, and headaches. I went to the doctor where a chest x-ray was done. The x-ray came back as possible pneumonia. I was sent for a CT which showed thickening in the lungs. I was then sent for a stress test, echocardiogram which both came back normal.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram normal, Feeding disorder, Headache, Livedo reticularis
Clinical narrative: I was fine for the first 4 days after the vaccine aside from a sore shoulder. On the 4th day, I started having chills. I had a temperature of 102.3. My skin got very blotchy and white, which they called mottling. It would last 3-4 hours. As quickly as it started, it went away, and I felt like I was on fire. My temperature dropped to 94 and I was shaking. Then 3-4 hours after that I was halfway back to normal. I had an upset stomach and couldn't eat. Over the 15 days this lasted, I lost 15 lbs. I went to the doctor and a COVID test which was negative. The doctor advised to continue with the Tylenol and Advil because he was unsure what to do. Every 3-4 hours, this cycle would start all over again. During the fever, my hands would turn white as if they got frostbite all the way up my arms. All of this went away miraculously about 3 days before my 2nd dose. I was feeling good for those few days. Since then, I have had difficulty breathing, pain in my back and center of my chest. I also have lack of energy, and headaches. I went to the doctor where a chest x-ray was done. The x-ray came back as possible pneumonia. I was sent for a CT which showed thickening in the lungs. I was then sent for a stress test, echocardiogram which both came back normal.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Pleural thickening, Pyrexia, Rash macular, SARS-CoV-2 test negative, Skin burning sensation
Clinical narrative: I was fine for the first 4 days after the vaccine aside from a sore shoulder. On the 4th day, I started having chills. I had a temperature of 102.3. My skin got very blotchy and white, which they called mottling. It would last 3-4 hours. As quickly as it started, it went away, and I felt like I was on fire. My temperature dropped to 94 and I was shaking. Then 3-4 hours after that I was halfway back to normal. I had an upset stomach and couldn't eat. Over the 15 days this lasted, I lost 15 lbs. I went to the doctor and a COVID test which was negative. The doctor advised to continue with the Tylenol and Advil because he was unsure what to do. Every 3-4 hours, this cycle would start all over again. During the fever, my hands would turn white as if they got frostbite all the way up my arms. All of this went away miraculously about 3 days before my 2nd dose. I was feeling good for those few days. Since then, I have had difficulty breathing, pain in my back and center of my chest. I also have lack of energy, and headaches. I went to the doctor where a chest x-ray was done. The x-ray came back as possible pneumonia. I was sent for a CT which showed thickening in the lungs. I was then sent for a stress test, echocardiogram which both came back normal.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Skin discolouration, Tremor, Weight decreased
Clinical narrative: I was fine for the first 4 days after the vaccine aside from a sore shoulder. On the 4th day, I started having chills. I had a temperature of 102.3. My skin got very blotchy and white, which they called mottling. It would last 3-4 hours. As quickly as it started, it went away, and I felt like I was on fire. My temperature dropped to 94 and I was shaking. Then 3-4 hours after that I was halfway back to normal. I had an upset stomach and couldn't eat. Over the 15 days this lasted, I lost 15 lbs. I went to the doctor and a COVID test which was negative. The doctor advised to continue with the Tylenol and Advil because he was unsure what to do. Every 3-4 hours, this cycle would start all over again. During the fever, my hands would turn white as if they got frostbite all the way up my arms. All of this went away miraculously about 3 days before my 2nd dose. I was feeling good for those few days. Since then, I have had difficulty breathing, pain in my back and center of my chest. I also have lack of energy, and headaches. I went to the doctor where a chest x-ray was done. The x-ray came back as possible pneumonia. I was sent for a CT which showed thickening in the lungs. I was then sent for a stress test, echocardiogram which both came back normal.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling hot, Injection site pain, Pain
Clinical narrative: -fever persisting at roughly 100 degrees for multiple days -chills and overheating -fatigue -soreness -injection site sore