chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chest discomfort, Headache, Pulmonary pain
Clinical narrative: Patient received her 2nd dose of Pfizer on Monday, 8/30/21 and said she started feeling some tightness in her chest the following day (8/31/21) but was monitoring this. On the third day (9/1/21) patient notified me about her concerns for what she was experiencing. She said her "lungs hurt", rating her pain a 2/10 pain scale. She said her lungs also "burned a little" and she can't seem to take in a full deep breath without pain. She stated she also had a severe headache which wasn't abnormal for her and that she knew headaches were also a side effect of the COVID-19 vaccine. She did not have heart palpitations at this time. Her health history was positive for sports-induced asthma, but the patient stated she had not participated in any activities to induce her asthma nor had she taken any medication related to that diagnosis within the last 3 days. The patient does not have a primary care physician so I advised her to reach out to the local urgent care and see if she could be seen to rule out any significant health changes. She acknowledged she would. As of submission, I do not know if the patient has done that yet or not, or the outcome.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Loss of consciousness
Clinical narrative: Patient passed out, sweating
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: there were no adverse events, although patient tested + for COVID on 8/26/21 after 2 doses.  This event is being reported b/c the patient received a third COVID vaccination in error on 8/31/21, after receiving Regen-COV on 8/28/21.  Third vaccine dose given was Pfizer lot #FC3180 given in left deltoid.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chest pain, Dyspnoea, Pain, Painful respiration
Clinical narrative: 20-year-old female presents to the emergency room complaining of right-sided chest pain, primarily located midclavicular approximately rib 2.  Patient states pain started this evening, feels sharp.  Patient states previously she has felt the same discomfort when she had COVID.  She states previous workup did not find anything significant at that time in March 2021.  She endorses shortness of breath, states taking deep breaths in makes it worse.  She also notes pain radiating through into the back.  Patient denies any fevers, chills, nausea, vomiting.  Patient got her Pfizer vaccine today in the AM.  Patient was seen in the emergency room recently, and diagnosed with mild pyelonephritis, treated with 1 g ceftriaxone and sent home with 5 days of ciprofloxacin.  Patient just completed this course.  Previous urine culture positive for staph saprophyticus ciprofloxacin susceptible."
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Pyelonephritis, Staphylococcus test positive
Clinical narrative: 20-year-old female presents to the emergency room complaining of right-sided chest pain, primarily located midclavicular approximately rib 2.  Patient states pain started this evening, feels sharp.  Patient states previously she has felt the same discomfort when she had COVID.  She states previous workup did not find anything significant at that time in March 2021.  She endorses shortness of breath, states taking deep breaths in makes it worse.  She also notes pain radiating through into the back.  Patient denies any fevers, chills, nausea, vomiting.  Patient got her Pfizer vaccine today in the AM.  Patient was seen in the emergency room recently, and diagnosed with mild pyelonephritis, treated with 1 g ceftriaxone and sent home with 5 days of ciprofloxacin.  Patient just completed this course.  Previous urine culture positive for staph saprophyticus ciprofloxacin susceptible."
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: tested positive for COVID 19 8/28/2021
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Fatigue, Hypotension, Infection, SARS-CoV-2 test positive
Clinical narrative: COVID breadthrough first vax 1/12/2021 .  87-year-old female admitted from  rehab seen by MD at the Health Center for hypotension and generalized fatigue and tiredness.  Initially the plan was to have her go to the emergency room and be placed in outpatient observation for IV regeneron infusion however, she started having hypoxia in the emergency room and therefore she was placed in inpatient unit.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Pruritus, Pyrexia, Rash
Clinical narrative: Patient called around 10:00AM 9/1/2021 to report  that she has fever around 100.8F starting on Monday night 8/30/21 and has had rash over the body with large areas of rash. The rashes have come and gone in areas including legs, back, thighs, face and this morning  rash and swelling appears on lips. Patient only took tylenol for fever  relief. Besides rash, fever, and itchiness, no other symptoms of difficult breathing, fast heart rate, tongue swelling, dizziness, confusion, etc. Spoke to patient and recommended her to seek for Emergency or Urgent care . Also spoke to her mother. She has also monitored and is aware of that recommendation. I have been following up with patient . At 10:58 am 09/01/2021 I called back to ensure patient is under emergency or urgent care but spoke to her and she was still at home. She reported that she only had rash at this moment and no more lip swelling. She denied to go to urgent/emergency care at this time. I still recommended her to go and monitor other symptoms of severe allergies (SOB, tongue/lip swelling, etc.). Call 911 when needed.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood thyroid stimulating hormone decreased, Cognitive disorder, Communication disorder, Confusional state
Clinical narrative: ***Moderna COVID-19 Vaccine EUA*** Experienced symptoms of stroke - SUDDEN weakness, confusion, cognitive and physical difficulty in speaking, slight weakness and drooping on right side of face (uneven smile/facial expression), sharp painful headache on right back side of head. Very difficult to physically sit or stand up, unable to drive, unable to hold a conversation, unable to communicate verbally what was happening to me. Symptoms subsided on their own after a few hours. Lingering symptoms of drooping facial muscles on right side, increased difficulty in word recall, and periodic headache in the same place. INCORRECTLY diagnosed with hyperthyroidism. I believe I had a TIA. Will be seeing a neurologist to confirm.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Facial paralysis, Haematology test normal, Headache, Impaired driving ability
Clinical narrative: ***Moderna COVID-19 Vaccine EUA*** Experienced symptoms of stroke - SUDDEN weakness, confusion, cognitive and physical difficulty in speaking, slight weakness and drooping on right side of face (uneven smile/facial expression), sharp painful headache on right back side of head. Very difficult to physically sit or stand up, unable to drive, unable to hold a conversation, unable to communicate verbally what was happening to me. Symptoms subsided on their own after a few hours. Lingering symptoms of drooping facial muscles on right side, increased difficulty in word recall, and periodic headache in the same place. INCORRECTLY diagnosed with hyperthyroidism. I believe I had a TIA. Will be seeing a neurologist to confirm.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Neurological symptom, Physical disability, Pregnancy test negative, Sitting disability
Clinical narrative: ***Moderna COVID-19 Vaccine EUA*** Experienced symptoms of stroke - SUDDEN weakness, confusion, cognitive and physical difficulty in speaking, slight weakness and drooping on right side of face (uneven smile/facial expression), sharp painful headache on right back side of head. Very difficult to physically sit or stand up, unable to drive, unable to hold a conversation, unable to communicate verbally what was happening to me. Symptoms subsided on their own after a few hours. Lingering symptoms of drooping facial muscles on right side, increased difficulty in word recall, and periodic headache in the same place. INCORRECTLY diagnosed with hyperthyroidism. I believe I had a TIA. Will be seeing a neurologist to confirm.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Speech disorder, Thyroid function test normal, Toxicologic test normal, Urine analysis normal
Clinical narrative: ***Moderna COVID-19 Vaccine EUA*** Experienced symptoms of stroke - SUDDEN weakness, confusion, cognitive and physical difficulty in speaking, slight weakness and drooping on right side of face (uneven smile/facial expression), sharp painful headache on right back side of head. Very difficult to physically sit or stand up, unable to drive, unable to hold a conversation, unable to communicate verbally what was happening to me. Symptoms subsided on their own after a few hours. Lingering symptoms of drooping facial muscles on right side, increased difficulty in word recall, and periodic headache in the same place. INCORRECTLY diagnosed with hyperthyroidism. I believe I had a TIA. Will be seeing a neurologist to confirm.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory distress syndrome, COVID-19, Diarrhoea, Endotracheal intubation, Exposure to SARS-CoV-2
Clinical narrative: 7/27/2021: 76 year old male with PMH of CAD, CKD stage 3, HLD, PVD, hypothyroidism, bipolar, parkinson's disease, and HTN who presented to the ED due to worsening COVID symptoms. Patient states that he was at a family party on the 18th which he feels is his possible exposure to Covid as his sister, brother-in-law, and niece were all diagnosed with Covid afterward. Patient states that his symptoms started on the 21st, which consisted of nausea, diarrhea, productive cough, wheezing, and fever.  He presented to the ED on the 23rd and at that time was diagnosed with Covid.  Patient was discharged home at that time with an inhaled steroid and decongestant and advised to hydrate and quarantine for 2 weeks.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nausea, Pneumonia bacterial, Productive cough, Pyrexia, Wheezing
Clinical narrative: 7/27/2021: 76 year old male with PMH of CAD, CKD stage 3, HLD, PVD, hypothyroidism, bipolar, parkinson's disease, and HTN who presented to the ED due to worsening COVID symptoms. Patient states that he was at a family party on the 18th which he feels is his possible exposure to Covid as his sister, brother-in-law, and niece were all diagnosed with Covid afterward. Patient states that his symptoms started on the 21st, which consisted of nausea, diarrhea, productive cough, wheezing, and fever.  He presented to the ED on the 23rd and at that time was diagnosed with Covid.  Patient was discharged home at that time with an inhaled steroid and decongestant and advised to hydrate and quarantine for 2 weeks.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Second shot being administered and 1 ml was given but it should have been 0.5 ml.  She denies any symptoms at this time.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Lymph node palpable, Lymphadenopathy, Rash, Rash erythematous
Clinical narrative: Marked generalized lymphadenopathy - started with marked local lymphadenopathy in left, supraclavicular lymph node cluster 10 days post vaccination - went to ER and had CT scan which showed marked enlargement. Saw ENT 12 days post vaccination - prescribed 4 day course of prednisolone, which did NOT result in decrease in size of lymph nodes. Generalized lymphadenopathy followed around 5 days later with several lymphnodes palapable all over my body, included by not limited to occipital, inguinal, superficial cervical and submandibular. Pattern of enlargement was asymmetrical. Lymphnodes returned to normal after approximately 4-5 weeks.  On April 1st I experienced a full body rash from my neck to my toes. Small, stipulated, erythematous spots appeared all over my body. It was painful and felt like a sunburn. This rash lasted for 3 days and dissipated eventually.  I took Benadryl twice per day to treat rash.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein, COVID-19, Chest X-ray normal, Cough, Decubitus ulcer
Clinical narrative: Patient hospitalized with COVID-19; fully vaccinated. HISTORY OF PRESENT ILLNESS: Patient is a 65 y.o. female with a history of oral cancer and type 2 diabetes who presents today with cough.  She has been residing in Home for rehabilitation after hemiglossectomy last month.  Her caregiver expresses concerns about neglect at the facility and does not wish her to go back there.  She was diagnosed with COVID-19 earlier in the day at the facility.  She has been having cough and body aches.  She denies fever.  She is fully vaccinated with the Pfizer vaccine.  On arrival, she is on her baseline supplemental oxygen use of 2 L. She does have leukocytosis.  There is no radiographic evidence of pneumonia.  On exam, she says she is nauseated and hungry.  She otherwise complains of a mild headache.  Plans are discussed for admission and she is agreeable.  She wishes to be listed as full code status. 8/26 DR Chest: No acute cardiopulmonary disease is present. Assessment/Plan; COVID-19 with multiple comorbidities; Fully Vaccinated with Pfizer. CXR negative for any acute findings. Repeat CXR on 8/26 no acute cardiopulmonary disease; Trach in place. Positive date 8/23/21; daily CMP/CRP/D-dimer; Tylenol PRN; Robitussin PRN; Tessalon PRN; PT/OT recommends placement back to skilled nursing facility; Continue Decadron 6 mg Day 7; Remdesivir completed; H/o tongue cancer; S/p hemiglossectomy 7/20/21; Feeds through PEG tube; Trach care per ENT, can do radiation outpatient after placement to SAR; cap trach today, if respiratory status stable for 24 hours, can decannulate per the patient's ENT; Rib pain; Improving. Secondary to cough. Patient unable to take Tylenol and wary of NSAIDs given CKD3. Lidocaine patch without relief. Flexeril does offer some relief added tessalon perles to better control cough no topical NSAID available; Flexeril 5mg TID PRN; if more relief needed, 1x toradol would be appropriate as kidney function stable. Pressure sore; Present under tracheostomy site. No signs of infection on exam. Foam pad, antibiotic ointment may benefit from barrier ointment ie Aquafor or similar if continues to be irritated; GERD; Protonix; Asthma  Albuterol PRN; OAB Oxybutynin; Schizophrenia Prozac; Latuda 40 mg; Hypertension; Currently poorly controlled.  25 mg of Hydralazine daily; Increase lisinopril to 20mg BID; DM2 Poorly controlled and on Dexamethasone Currently on 36 units glargine nightly and high dose corrective q4 hours. On tube feeds 1600-1000. Continue CSI very high dose; increase glargine to 40 units nightly; CKD 3; Baseline around 1.3; CMP daily; Suspected Maltreatment Patient and care give giver report mistreatment from Mission Point; DISPO: COVID treatment with decadron and remdesivir. Placement difficult. Code Status: Full code; Diet: PEG; DVT ppx: Lovenox 40 mg BID.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Feeding tube user, Fibrin D dimer, Glossectomy, Headache, Hunger
Clinical narrative: Patient hospitalized with COVID-19; fully vaccinated. HISTORY OF PRESENT ILLNESS: Patient is a 65 y.o. female with a history of oral cancer and type 2 diabetes who presents today with cough.  She has been residing in Home for rehabilitation after hemiglossectomy last month.  Her caregiver expresses concerns about neglect at the facility and does not wish her to go back there.  She was diagnosed with COVID-19 earlier in the day at the facility.  She has been having cough and body aches.  She denies fever.  She is fully vaccinated with the Pfizer vaccine.  On arrival, she is on her baseline supplemental oxygen use of 2 L. She does have leukocytosis.  There is no radiographic evidence of pneumonia.  On exam, she says she is nauseated and hungry.  She otherwise complains of a mild headache.  Plans are discussed for admission and she is agreeable.  She wishes to be listed as full code status. 8/26 DR Chest: No acute cardiopulmonary disease is present. Assessment/Plan; COVID-19 with multiple comorbidities; Fully Vaccinated with Pfizer. CXR negative for any acute findings. Repeat CXR on 8/26 no acute cardiopulmonary disease; Trach in place. Positive date 8/23/21; daily CMP/CRP/D-dimer; Tylenol PRN; Robitussin PRN; Tessalon PRN; PT/OT recommends placement back to skilled nursing facility; Continue Decadron 6 mg Day 7; Remdesivir completed; H/o tongue cancer; S/p hemiglossectomy 7/20/21; Feeds through PEG tube; Trach care per ENT, can do radiation outpatient after placement to SAR; cap trach today, if respiratory status stable for 24 hours, can decannulate per the patient's ENT; Rib pain; Improving. Secondary to cough. Patient unable to take Tylenol and wary of NSAIDs given CKD3. Lidocaine patch without relief. Flexeril does offer some relief added tessalon perles to better control cough no topical NSAID available; Flexeril 5mg TID PRN; if more relief needed, 1x toradol would be appropriate as kidney function stable. Pressure sore; Present under tracheostomy site. No signs of infection on exam. Foam pad, antibiotic ointment may benefit from barrier ointment ie Aquafor or similar if continues to be irritated; GERD; Protonix; Asthma  Albuterol PRN; OAB Oxybutynin; Schizophrenia Prozac; Latuda 40 mg; Hypertension; Currently poorly controlled.  25 mg of Hydralazine daily; Increase lisinopril to 20mg BID; DM2 Poorly controlled and on Dexamethasone Currently on 36 units glargine nightly and high dose corrective q4 hours. On tube feeds 1600-1000. Continue CSI very high dose; increase glargine to 40 units nightly; CKD 3; Baseline around 1.3; CMP daily; Suspected Maltreatment Patient and care give giver report mistreatment from Mission Point; DISPO: COVID treatment with decadron and remdesivir. Placement difficult. Code Status: Full code; Diet: PEG; DVT ppx: Lovenox 40 mg BID.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Leukocytosis, Metabolic function test, Multimorbidity, Musculoskeletal chest pain, Nausea
Clinical narrative: Patient hospitalized with COVID-19; fully vaccinated. HISTORY OF PRESENT ILLNESS: Patient is a 65 y.o. female with a history of oral cancer and type 2 diabetes who presents today with cough.  She has been residing in Home for rehabilitation after hemiglossectomy last month.  Her caregiver expresses concerns about neglect at the facility and does not wish her to go back there.  She was diagnosed with COVID-19 earlier in the day at the facility.  She has been having cough and body aches.  She denies fever.  She is fully vaccinated with the Pfizer vaccine.  On arrival, she is on her baseline supplemental oxygen use of 2 L. She does have leukocytosis.  There is no radiographic evidence of pneumonia.  On exam, she says she is nauseated and hungry.  She otherwise complains of a mild headache.  Plans are discussed for admission and she is agreeable.  She wishes to be listed as full code status. 8/26 DR Chest: No acute cardiopulmonary disease is present. Assessment/Plan; COVID-19 with multiple comorbidities; Fully Vaccinated with Pfizer. CXR negative for any acute findings. Repeat CXR on 8/26 no acute cardiopulmonary disease; Trach in place. Positive date 8/23/21; daily CMP/CRP/D-dimer; Tylenol PRN; Robitussin PRN; Tessalon PRN; PT/OT recommends placement back to skilled nursing facility; Continue Decadron 6 mg Day 7; Remdesivir completed; H/o tongue cancer; S/p hemiglossectomy 7/20/21; Feeds through PEG tube; Trach care per ENT, can do radiation outpatient after placement to SAR; cap trach today, if respiratory status stable for 24 hours, can decannulate per the patient's ENT; Rib pain; Improving. Secondary to cough. Patient unable to take Tylenol and wary of NSAIDs given CKD3. Lidocaine patch without relief. Flexeril does offer some relief added tessalon perles to better control cough no topical NSAID available; Flexeril 5mg TID PRN; if more relief needed, 1x toradol would be appropriate as kidney function stable. Pressure sore; Present under tracheostomy site. No signs of infection on exam. Foam pad, antibiotic ointment may benefit from barrier ointment ie Aquafor or similar if continues to be irritated; GERD; Protonix; Asthma  Albuterol PRN; OAB Oxybutynin; Schizophrenia Prozac; Latuda 40 mg; Hypertension; Currently poorly controlled.  25 mg of Hydralazine daily; Increase lisinopril to 20mg BID; DM2 Poorly controlled and on Dexamethasone Currently on 36 units glargine nightly and high dose corrective q4 hours. On tube feeds 1600-1000. Continue CSI very high dose; increase glargine to 40 units nightly; CKD 3; Baseline around 1.3; CMP daily; Suspected Maltreatment Patient and care give giver report mistreatment from Mission Point; DISPO: COVID treatment with decadron and remdesivir. Placement difficult. Code Status: Full code; Diet: PEG; DVT ppx: Lovenox 40 mg BID.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test positive
Clinical narrative: Patient hospitalized with COVID-19; fully vaccinated. HISTORY OF PRESENT ILLNESS: Patient is a 65 y.o. female with a history of oral cancer and type 2 diabetes who presents today with cough.  She has been residing in Home for rehabilitation after hemiglossectomy last month.  Her caregiver expresses concerns about neglect at the facility and does not wish her to go back there.  She was diagnosed with COVID-19 earlier in the day at the facility.  She has been having cough and body aches.  She denies fever.  She is fully vaccinated with the Pfizer vaccine.  On arrival, she is on her baseline supplemental oxygen use of 2 L. She does have leukocytosis.  There is no radiographic evidence of pneumonia.  On exam, she says she is nauseated and hungry.  She otherwise complains of a mild headache.  Plans are discussed for admission and she is agreeable.  She wishes to be listed as full code status. 8/26 DR Chest: No acute cardiopulmonary disease is present. Assessment/Plan; COVID-19 with multiple comorbidities; Fully Vaccinated with Pfizer. CXR negative for any acute findings. Repeat CXR on 8/26 no acute cardiopulmonary disease; Trach in place. Positive date 8/23/21; daily CMP/CRP/D-dimer; Tylenol PRN; Robitussin PRN; Tessalon PRN; PT/OT recommends placement back to skilled nursing facility; Continue Decadron 6 mg Day 7; Remdesivir completed; H/o tongue cancer; S/p hemiglossectomy 7/20/21; Feeds through PEG tube; Trach care per ENT, can do radiation outpatient after placement to SAR; cap trach today, if respiratory status stable for 24 hours, can decannulate per the patient's ENT; Rib pain; Improving. Secondary to cough. Patient unable to take Tylenol and wary of NSAIDs given CKD3. Lidocaine patch without relief. Flexeril does offer some relief added tessalon perles to better control cough no topical NSAID available; Flexeril 5mg TID PRN; if more relief needed, 1x toradol would be appropriate as kidney function stable. Pressure sore; Present under tracheostomy site. No signs of infection on exam. Foam pad, antibiotic ointment may benefit from barrier ointment ie Aquafor or similar if continues to be irritated; GERD; Protonix; Asthma  Albuterol PRN; OAB Oxybutynin; Schizophrenia Prozac; Latuda 40 mg; Hypertension; Currently poorly controlled.  25 mg of Hydralazine daily; Increase lisinopril to 20mg BID; DM2 Poorly controlled and on Dexamethasone Currently on 36 units glargine nightly and high dose corrective q4 hours. On tube feeds 1600-1000. Continue CSI very high dose; increase glargine to 40 units nightly; CKD 3; Baseline around 1.3; CMP daily; Suspected Maltreatment Patient and care give giver report mistreatment from Mission Point; DISPO: COVID treatment with decadron and remdesivir. Placement difficult. Code Status: Full code; Diet: PEG; DVT ppx: Lovenox 40 mg BID.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Pain, Vomiting
Clinical narrative: Within 6 hours headache, body ache   By 8 hours chills  Severe persistent headache for about 48 hrs  Vomiting next day   Diarrhea 1.5 days later  Headache was constant
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Nasal congestion, Nausea
Clinical narrative: Pt came to ED with nasal congestion, cough, nausea, vomiting, diarrhea.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: Pt came to ED with nasal congestion, cough, nausea, vomiting, diarrhea.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotonia, Musculoskeletal stiffness, Unresponsive to stimuli
Clinical narrative: Patient was highly anxious and sweating profusely prior to vaccine, voicing anxiety about vaccination. Patient received injection, sat down in observation, 1 minute later was becoming unresponsive and went limp. Proceeded to lay patient on ground where he stiffened for less than 10 seconds and became responsive (alert and oriented x3), smiled and said "I passed out didn't I?" Patient was given a juice box and a bottle of Gatorade as he was sat up. Vitals were taken as follows: BP 125/90, HR 90, O2 93. Patient reported a history of syncope after injections once he was sitting up again. Patient was offered EMS services and declined. Kept patient in observation for 45 minutes. Has been alert and oriented and walking around ever since.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Device connection issue, Underdose
Clinical narrative: During administration, the syringe and needle separated and the patient did not get the full dose. Upon the first puncture it was estimated that the patient received 0.1 mL. In an effort to ensure the patient received full benefit of vaccination, she was given a second injection of 0.4 mL to make up a full dose.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Pain of skin, Pruritus
Clinical narrative: Patient received first dose of Moderna COVID-19 vaccine on 6/15/21. Approximately one week later, he began experiencing an itching sensation throughout his back. He received his 2nd dose on 7/20/21 as scheduled. As of a phone check-in on 7/28/21, the itching had not resolved. The patient had COVID-19 in December 2020 reported on 7/28/21: "I had it when I had COVID, and then about a week after I got the first shot, it came back.". The patient reports that the sensation is similar to what he experienced when he had the COVID-19 infection. He reports that he has seen one doctor at the Health Center regarding this side effect. Following are quotes from the patient during a phone call check-in on 7/28/21: "I feel like my skin is like really dried because when I touch it, it's painful." "It started like maybe 2 weeks after I started to get COVID, and then it started to go away and was gone by March or April [2021]." As of 7/28/21, he reports that it "has not gotten worse and it has not gotten better."
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Pallor
Clinical narrative: Complaint of dizziness and appeared pale.  Pt was in observation area outdoors. Mask removed; ammonia inhalant waved under nose. BP taken while reading 97/58. Pt was laid down on cot with legs elevated. Pt reported feeling better and dizziness resolved. Pt stated that the only thing he consumed was a milkshake. Pt was given water, juice and crackers. Pt also reported history of fainting after a blood draw.  Second BP was 112/78.  Nursing staff counselled pt. to eat breakfast and drink plenty of fluids prior to 2nd COVID vaccine. Pt remained in observation area for 30 minutes. Pt?s color returned and reported feeling well and was observed to ambulate with steady gait to his car.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dizziness, Dyspnoea, Fatigue
Clinical narrative: Patient vaccinated in Jan/Feb and in August 2021, patient started to develop episodes of dizziness possibly being othostatic hypotension. This was accompanied by tachycardia, with HR noted to be 120 during urgent care visit and an appt was scheduled with her PCP. Toward the end of the month, around 8/27/21, patient developed upper respiratory symptoms manifesting as cough, tiredness, and shortness of breath. Arrived to walk in clinic for COVID screening and found Positive PCR result from test 8/30/21. Patient was referred for monoclonal antibody therapy leading to infusion on 9/1/21 of REGEN-COV. This is reported on 9/1/21 and no future information is known at this time.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Tachycardia, Upper respiratory tract infection
Clinical narrative: Patient vaccinated in Jan/Feb and in August 2021, patient started to develop episodes of dizziness possibly being othostatic hypotension. This was accompanied by tachycardia, with HR noted to be 120 during urgent care visit and an appt was scheduled with her PCP. Toward the end of the month, around 8/27/21, patient developed upper respiratory symptoms manifesting as cough, tiredness, and shortness of breath. Arrived to walk in clinic for COVID screening and found Positive PCR result from test 8/30/21. Patient was referred for monoclonal antibody therapy leading to infusion on 9/1/21 of REGEN-COV. This is reported on 9/1/21 and no future information is known at this time.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Facial pain, Hypoacusis, Lacrimation increased, Pain in extremity, Paraesthesia
Clinical narrative: 3:40pm: Patient reported tingling throughout the left side of her body, including her face and arm. Patient teary. No visible swelling in face or arm. Assisted patient to supine position w/ elevated feet. 3:45pm: VS taken. BP 110/58. Pulse 76 bpm. RR 12 breaths/min. (no temp or Sp02 taken). No visible changes or swelling in face or arm. Patient still teary. 3:50pm: Patient reported mild pain in left side of face w/ continued tingling in left arm and left face. 3:56pm: Assisted patient to sitting position. Repeated BP: 115/56. Still no visible changes or swelling to face or arm. Offered apple juice, patient drank a little.  4:15pm: Patient reported diminished hearing in left ear and some vision changes.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: 3:40pm: Patient reported tingling throughout the left side of her body, including her face and arm. Patient teary. No visible swelling in face or arm. Assisted patient to supine position w/ elevated feet. 3:45pm: VS taken. BP 110/58. Pulse 76 bpm. RR 12 breaths/min. (no temp or Sp02 taken). No visible changes or swelling in face or arm. Patient still teary. 3:50pm: Patient reported mild pain in left side of face w/ continued tingling in left arm and left face. 3:56pm: Assisted patient to sitting position. Repeated BP: 115/56. Still no visible changes or swelling to face or arm. Offered apple juice, patient drank a little.  4:15pm: Patient reported diminished hearing in left ear and some vision changes.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Bladder spasm, Blood test, Computerised tomogram thorax, Electrocardiogram
Clinical narrative: 102.8 fever, blurry vision, trouble walking, bladder and vaginal spasms night of shot     , severe back pain started day 3 to current  day 7 very high blood pressure day 1-day 5.  still experiencing side effects a week later
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Genito-pelvic pain/penetration disorder, Hypertension, Magnetic resonance imaging spinal, Pyrexia
Clinical narrative: 102.8 fever, blurry vision, trouble walking, bladder and vaginal spasms night of shot     , severe back pain started day 3 to current  day 7 very high blood pressure day 1-day 5.  still experiencing side effects a week later
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: 102.8 fever, blurry vision, trouble walking, bladder and vaginal spasms night of shot     , severe back pain started day 3 to current  day 7 very high blood pressure day 1-day 5.  still experiencing side effects a week later
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Breast enlargement, Dyspnoea, Eye pain, Headache
Clinical narrative: Injection site swollen, headache, left eye pain, bad migraine, arm pain, can't straighten arm, enlarged left breast, cold elbow and shortness of breath.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Migraine, Pain in extremity, Peripheral coldness
Clinical narrative: Injection site swollen, headache, left eye pain, bad migraine, arm pain, can't straighten arm, enlarged left breast, cold elbow and shortness of breath.
Age: 2.0
Sex: M
Vaccine: DTAP, HEPA
Symptoms: Erythema, Peripheral swelling, Skin warm
Clinical narrative: REDNESS AND SWELLING TO LEFT UPPER ARM ,WARM TO TOUCH MOM APPLIED COOL COMPRESS
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Headache, Nausea, Pain
Clinical narrative: Crazy headaches a lot of body aches and pain all over the body and fatigue nausea a lil bit of diarrhea and it lasted a day and half. Around the vaccination site was very swollen and super achy and it went away after couple of weeks.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site pain, Vaccination site swelling
Clinical narrative: Crazy headaches a lot of body aches and pain all over the body and fatigue nausea a lil bit of diarrhea and it lasted a day and half. Around the vaccination site was very swollen and super achy and it went away after couple of weeks.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Joint range of motion decreased, Pain, Product administered at inappropriate site
Clinical narrative: Great pain and over weeks loss of range of motion in left shoulder.  Both the first shot and the second were given at the tip of my shoulder.  I had to take my shirt off to give the persons giving the shots the access they wanted. When I asked why so high up the arm both ladies told me this was "per CDC guidelines" like it was a rehearsed response.  My doctor and everyone I talked to said the shots should have been in the muscle lower down the arm from the shoulder. Savon has bad information as to how to correctly give the shot.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Joint range of motion decreased
Clinical narrative: Great pain and over weeks loss of range of motion in left shoulder.  Both the first shot and the second were given at the tip of my shoulder.  I had to take my shirt off to give the persons giving the shots the access they wanted. When I asked why so high up the arm both ladies told me this was "per CDC guidelines" like it was a rehearsed response.  My doctor and everyone I talked to said the shots should have been in the muscle lower down the arm from the shoulder. Savon has bad information as to how to correctly give the shot.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal faeces, Headache, Paraesthesia, Salivary hypersecretion
Clinical narrative: pt received 1st dose of Pfizer vaccine on 8/2/2021 in his left arm. 2 days  after his injection  he began having tingling in the contralateral arm (right):  from inside his elbow into his fingertips, intense headache and GI issues  (pebble like stools to formed to loose).  these symptoms have persisted with new  symptom of increased salivation, headache is lessening.  was supposed to get 2nd  vaccine on 8/23/2021 but has not gotten it yet fearing if these symptoms were  from the 1st things would get worse. no prior issues with any prior vaccine.
Age: 14.0
Sex: F
Vaccine: HPV9, HPV9, MNQ
Symptoms: Rash
Clinical narrative: Ongoing rash since a couple weeks post vaccination
Age: 14.0
Sex: F
Vaccine: HPV9, HPV9, MNQ
Symptoms: Arthralgia, Blood test, Borrelia test negative, Inflammatory marker test, Pityriasis rosea
Clinical narrative: Ongoing rash since a couple weeks post vaccination
Age: 14.0
Sex: F
Vaccine: HPV9, HPV9, MNQ
Symptoms: Rash, Thyroid function test normal
Clinical narrative: Ongoing rash since a couple weeks post vaccination
Age: 14.0
Sex: F
Vaccine: HPV9, HPV9, MNQ
Symptoms: Rash
Clinical narrative: RASH -Pityriasis Rosea  aching joints, arthritis type symptoms
Age: 14.0
Sex: F
Vaccine: HPV9, HPV9, MNQ
Symptoms: Arthralgia, Blood test, Borrelia test negative, Inflammatory marker test, Pityriasis rosea
Clinical narrative: RASH -Pityriasis Rosea  aching joints, arthritis type symptoms
Age: 14.0
Sex: F
Vaccine: HPV9, HPV9, MNQ
Symptoms: Rash, Thyroid function test normal
Clinical narrative: RASH -Pityriasis Rosea  aching joints, arthritis type symptoms
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Fatigue, Pain in extremity
Clinical narrative: Sore arm, fatigue, chest pain, shortness of breath, took Tylenol.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, Rash, Red blood cell sedimentation rate increased
Clinical narrative: RASH ALL OVER BODY,  BACK, LEGS,  ARMS ETC. LOT # 1st 029A21A   Lot #2  dose 045A21A
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Bronchitis, Cough
Clinical narrative: ?Moderna COVID?19 Vaccine    ?I have have a dry cough with  clear phlegm. It started shortly after I received the vaccine. I have never had this problem in the past.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anaemia, Anaemia of chronic disease, Anxiety, Asymptomatic COVID-19, End stage renal disease
Clinical narrative: Admission Date: 8/26/2021   Pending issues/labs/tests: CBC, BMP and INR in 2 days.   Admission Diagnoses: Anemia [D64.9] Anemia of chronic disease [D63.8] Renal dysfunction [N28.9]   Discharge Diagnoses/Hospital course: Patient is a 72-year-old male who was hospitalized for anemia the anemia is progressive decline I will continue to follo On 8/26/2021  4:53 PM.  The patient hemoglobin did trend down on 2 days prior to discharge however the patient's hemoglobin has remained stable on the day of discharge compared to yesterday.  The patient is very anxious to be discharged home.   Patient will have to quarantine 11 days from 8/26-  (September 7 is the day that quarantine ends.)  ASSESSMENT/PLAN: Acute issues: Acute on chronic anemia most likely anemia of chronic disease/end-stage renal disease POA -status post 1 packed red blood cell unit.  Hemoglobin is trending down today did discuss possibility of being discharged tomorrow.   Chronic kidney disease stage V POA -nephrology consulted I do not see any urgent need for dialysis at this time but appreciate assistance.   Asymptomatic Covid positive -patient is not on oxygen he was satting 100% on 2 L and was subsequently weaned off.   DVT prophylaxis - none      Other medical issues: Chronic systolic heart failure, permanent atrial fibrillation, hypertension, COPD, hyperlipidemia and protein calorie malnutrition
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Haemoglobin decreased, Renal impairment, SARS-CoV-2 test positive
Clinical narrative: Admission Date: 8/26/2021   Pending issues/labs/tests: CBC, BMP and INR in 2 days.   Admission Diagnoses: Anemia [D64.9] Anemia of chronic disease [D63.8] Renal dysfunction [N28.9]   Discharge Diagnoses/Hospital course: Patient is a 72-year-old male who was hospitalized for anemia the anemia is progressive decline I will continue to follo On 8/26/2021  4:53 PM.  The patient hemoglobin did trend down on 2 days prior to discharge however the patient's hemoglobin has remained stable on the day of discharge compared to yesterday.  The patient is very anxious to be discharged home.   Patient will have to quarantine 11 days from 8/26-  (September 7 is the day that quarantine ends.)  ASSESSMENT/PLAN: Acute issues: Acute on chronic anemia most likely anemia of chronic disease/end-stage renal disease POA -status post 1 packed red blood cell unit.  Hemoglobin is trending down today did discuss possibility of being discharged tomorrow.   Chronic kidney disease stage V POA -nephrology consulted I do not see any urgent need for dialysis at this time but appreciate assistance.   Asymptomatic Covid positive -patient is not on oxygen he was satting 100% on 2 L and was subsequently weaned off.   DVT prophylaxis - none      Other medical issues: Chronic systolic heart failure, permanent atrial fibrillation, hypertension, COPD, hyperlipidemia and protein calorie malnutrition
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Bilevel positive airway pressure, COVID-19, COVID-19 pneumonia, Cardiomegaly, Chest X-ray abnormal
Clinical narrative: Ongoing hospitalization for hypoxic respiratory failure, pneumonia due to COVI-19 virus,  blood sugars controlled in setting of steroids,  VAPOtherm/BiPap, baricitinib, HTN on nitro drip,
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Hypertension, Pleural effusion, Respiratory failure
Clinical narrative: Ongoing hospitalization for hypoxic respiratory failure, pneumonia due to COVI-19 virus,  blood sugars controlled in setting of steroids,  VAPOtherm/BiPap, baricitinib, HTN on nitro drip,
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Aphasia, Arthralgia, Chest X-ray abnormal, Computerised tomogram head normal, Mobility decreased
Clinical narrative: 83-year-old obese male with a past medical history of CKD 3, CAD s/p CABG, diabetes, hypothyroidism, GERD, hypertension with chronic shoulder pain who was on the floor and was not able to get up.  He yelled at a neighbor who came and EMS was called.  He adamantly denies that he fell. He initially said that he lays on the floor because it is more comfortable but then later retracted this.  He says it is part of his routine.  He had difficulty expressing himself of the reason why he lays on the floor.  He said he "could not find the words". In the ED, CT of the head showed no acute intracranial abnormality. Chest x-ray showed blunting including left costophrenic angle possible pleural effusion. Patient had increased
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Obesity
Clinical narrative: 83-year-old obese male with a past medical history of CKD 3, CAD s/p CABG, diabetes, hypothyroidism, GERD, hypertension with chronic shoulder pain who was on the floor and was not able to get up.  He yelled at a neighbor who came and EMS was called.  He adamantly denies that he fell. He initially said that he lays on the floor because it is more comfortable but then later retracted this.  He says it is part of his routine.  He had difficulty expressing himself of the reason why he lays on the floor.  He said he "could not find the words". In the ED, CT of the head showed no acute intracranial abnormality. Chest x-ray showed blunting including left costophrenic angle possible pleural effusion. Patient had increased
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dysgeusia, Lymphadenopathy, Pain, Taste disorder
Clinical narrative: I have had a sour taste in my mouth since receiving vaccine and I lost some sense of taste.  Everything I eat leaves a sour taste in my mouth that doesn't go away.  Its horrible.  ALSO my fingernails stopped growing (or very ver slowly)  and my systemic lymphedema is inflamed and more painful.  This happened since the first vaccine.  I also get sharp random pains in my body.    its been months since my vaccine and none of these  horrible side effects/symptoms have improved.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bilevel positive airway pressure, COVID-19, Cardiovascular symptom, Intensive care, Malaise
Clinical narrative: Admitted for COVID symptoms and CHF symptoms, placed on Bipap.  Required ICU level care.  Discharged with oxygen and recommendation for long term care assistance.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Admitted for COVID symptoms and CHF symptoms, placed on Bipap.  Required ICU level care.  Discharged with oxygen and recommendation for long term care assistance.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Blood magnesium decreased, Blood potassium decreased, Dizziness, Extra dose administered, Hypertension
Clinical narrative: Patient received the third dose of Moderna (as well as Flucelvax Quadrivalent/flu vaccine). Patient stated next day when he went to work he had a slight fever. Later in the day, he felt lightheaded and experienced vertigo. Co-workers called paramedic: BP was high. Patient kept overnight for having low potassium and magnesium levels.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Vertigo
Clinical narrative: Patient received the third dose of Moderna (as well as Flucelvax Quadrivalent/flu vaccine). Patient stated next day when he went to work he had a slight fever. Later in the day, he felt lightheaded and experienced vertigo. Co-workers called paramedic: BP was high. Patient kept overnight for having low potassium and magnesium levels.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Heart rate increased, Musculoskeletal stiffness, Myalgia, Paraesthesia
Clinical narrative: Tingling in arms, legs, lips and neck.  Skin is very irritable.  Difficulty breathing at full capacity Elevated heart rate, (+/-10 BPM) Overall muscle soreness and stiffness
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia oral, Skin irritation
Clinical narrative: Tingling in arms, legs, lips and neck.  Skin is very irritable.  Difficulty breathing at full capacity Elevated heart rate, (+/-10 BPM) Overall muscle soreness and stiffness
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Pruritus
Clinical narrative: Large basketball-size red, hot area near injection site. Shape was not perfectly round but with odd shifting edges and the area moved over several days to the underside of arm closer to armpit. Not really painful but very hot and slightly raised like a welt/hive. Skin was slightly stretched and then began to itch.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Dyspnoea, Electrocardiogram
Clinical narrative: Chest pains, shortness of breath, lightheaded.
Age: 98.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient given COVID vaccine in 2/2021 now hospitalized with + Covid test 8/2021
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Gait disturbance, Musculoskeletal pain, X-ray normal
Clinical narrative: Several weeks after second dose, experienced joint pain that kept increasing. Hip and back of left buttocks were center of joint pain, pain with left elbow. All on the left side of the body. Given melaxothan for inflammation, but did not help much. Did 2 months of PT, 11-12 sessions of PT, only experienced very short term relief. Saw an orthopedic surgeon, did a steroid shot to left hip. Icing and using heat, stretching, exercises from PT.  Pain is still lingering, nothing has seemed to make a difference. Was previously a very active person, exercised with pilates, aerobic walk, line dancing. (3 hours of exercise, 3 times a week). Now have trouble walking one half a mile.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Supraventricular extrasystoles
Clinical narrative: Patient said she developed PAC (premature atrial contractions) a day after the shot and discovered this after an EKG.
Age: 35.0
Sex: F
Vaccine: UNK
Symptoms: Rash, Urticaria
Clinical narrative: Began having hives covering my face. On monday 8/29 they started at around 3pm on my eyebrows and jawline and by 5pm my face was fully covered in Hives. On tuesday 8/30 I had small areas of hives come and go throughout the day, then at 3pm hives began developing as they did on monday until my face was fully covered. On Wed 9/1, I hadn't experienced any hive until 3pm. Then they began developing like the two days prior, all at around 3pm. I did not develop hives anywhere else then on my face.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Monoplegia, Muscular weakness, Neuralgia
Clinical narrative: Chronic nerve pain in entire left arm resulting in pain, numbness, muscle weakness
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Second shot was administered at 1ml and should have been 0.5 ml.  No symptoms noted at this time.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Chest pain, Cough, Heart rate irregular
Clinical narrative: I experienced cough, irregular heartbeat and chest pains.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Dysarthria, Fatigue, Headache, Respiratory tract congestion
Clinical narrative: hospitalized on 8/20 with slurring of speech. also developed congestion, headache, fatigue, chills. NO ICU stay. Home on  room air