chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Hypomenorrhoea, Menstruation irregular, Thrombosis
Clinical narrative: I have severe breast soreness throughout the month. I cannot even lay face down it hurts so much. I am not pregnant. I also don?t bleed much anymore during my period. Everything was normal until I got the vaccine.this is not due to stress. My period was always normal until the vaccine. After the second dose my period was dark and clotted and very light. I continue to have the same symptoms 5 months later.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: PATIENT ONSET OF COVID SYMTOMS WAS 8/2/21, AND TESTED POSITIVE TO COVID ON 8/11/21
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Sleep disorder
Clinical narrative: About 2 weeks after 2 nd shot i started having skin itching and bumps on my skin no pain just itching. I have not seen my doctor because it doesn?t hurt just itching left shoulder right arm a few spots in my left side of face and head and back of my left leg. And general all over itching at times it kept me up at night. It?s getting better
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood iron decreased, Blood test, Chest injury, Chest pain, Condition aggravated
Clinical narrative: EW0167 might be the number of the lot it's difficult to read. I had the vaccine about 12:00 noon. On the date noted, I had real severe chest pains. It was on the left. It was shocking it made me fall down to the floor to get down on the ground. The pain lasted for a while and then it eased up but was still painful. I went to the doctor because it got better after a bit. The next day, I called the doctor and they told me go to ER. I went to urgent care, and they did an EKG, and it was still kind of hurting. It was like a muscle thing on the outside; costochondritis that she thought it might be. She thought also I might be low on Iron or dehydrated. They gave me a shot of Toradol. I felt better later that day, and I felt fine with it for a while. A month later, I was having the pains again. It was on the right side that time, and it was very difficult to breathe because it was painful to breathe. I went back to the doctor. After three days of not working. I saw doctor. I had fallen before and so thought it was an injury to my ribs that was causing it. They said if it happens a third time, we'll have to talk. They gave me another dose of Toradol. It took a while, but it was getting better by the next day and kept getting better. It took a few days before I was all the way better after that one, but I could breathe more easily after this one and so I could work.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Costochondritis, Dehydration, Dyspnoea, Electrocardiogram, Fall
Clinical narrative: EW0167 might be the number of the lot it's difficult to read. I had the vaccine about 12:00 noon. On the date noted, I had real severe chest pains. It was on the left. It was shocking it made me fall down to the floor to get down on the ground. The pain lasted for a while and then it eased up but was still painful. I went to the doctor because it got better after a bit. The next day, I called the doctor and they told me go to ER. I went to urgent care, and they did an EKG, and it was still kind of hurting. It was like a muscle thing on the outside; costochondritis that she thought it might be. She thought also I might be low on Iron or dehydrated. They gave me a shot of Toradol. I felt better later that day, and I felt fine with it for a while. A month later, I was having the pains again. It was on the right side that time, and it was very difficult to breathe because it was painful to breathe. I went back to the doctor. After three days of not working. I saw doctor. I had fallen before and so thought it was an injury to my ribs that was causing it. They said if it happens a third time, we'll have to talk. They gave me another dose of Toradol. It took a while, but it was getting better by the next day and kept getting better. It took a few days before I was all the way better after that one, but I could breathe more easily after this one and so I could work.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Painful respiration
Clinical narrative: EW0167 might be the number of the lot it's difficult to read. I had the vaccine about 12:00 noon. On the date noted, I had real severe chest pains. It was on the left. It was shocking it made me fall down to the floor to get down on the ground. The pain lasted for a while and then it eased up but was still painful. I went to the doctor because it got better after a bit. The next day, I called the doctor and they told me go to ER. I went to urgent care, and they did an EKG, and it was still kind of hurting. It was like a muscle thing on the outside; costochondritis that she thought it might be. She thought also I might be low on Iron or dehydrated. They gave me a shot of Toradol. I felt better later that day, and I felt fine with it for a while. A month later, I was having the pains again. It was on the right side that time, and it was very difficult to breathe because it was painful to breathe. I went back to the doctor. After three days of not working. I saw doctor. I had fallen before and so thought it was an injury to my ribs that was causing it. They said if it happens a third time, we'll have to talk. They gave me another dose of Toradol. It took a while, but it was getting better by the next day and kept getting better. It took a few days before I was all the way better after that one, but I could breathe more easily after this one and so I could work.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Hyperhidrosis, Vomiting
Clinical narrative: About 3-4 minutes after getting vaccine, patient started feeling light headed and that he was going to vomit. He laid on his back for a couple minutes then felt well enough to sit in a chair. He then proceeded to vomit. He said that he felt very hot and was sweating. He stayed seated for 15-20 minutes then felt well enough to go home.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Electrocardiogram, Immediate post-injection reaction
Clinical narrative: Patient received Second dose Moderna Covid 19 Vaccine at 1537. Patient requested to be vaccinated while laying down due to him having an adverse reaction last time ( abd pain and near syncope).  Immediately after vaccine patient reported experiencing Dizziness.  Patient provided with water and continued position of comfort.   VS checked after 15 minutes and are as follow   BP 151/79 HR 79 RR 16 O2 Sat 99%.   Patient followed to report intermittent left sided chest discomfort.  MD STAT called per protocol and team responded.  Dr and Nurse  responded to patient.  Recommended patient be taken to Clinic to perform EKG. Patient refused wheel chair and walked out of Vaccine clinic towards family medicine clinic.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Polymenorrhoea
Clinical narrative: The following morning after receiving my first dose of the Pfizer COVID-19 vaccine I began my cycle early. It came about a week earlier than my normal cycle. I have a regular cycle towards the end of the month and have never been irregular. I also had painful cramping which is not normal during my cycle.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Eye movement disorder, Insomnia, Restlessness
Clinical narrative: Suspicion I had COVID in Feb of 2020.  With second dose of vaccine has exactly the same sysmptoms Uncontrollably shivering and shaking, very strong cough similar to dry heaves, unable to keep eyes open or shut for any length of time, couldn?t sleep or lie still.  Lasted from 5 am to about 3 pm then was over.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Retching, Tremor
Clinical narrative: Suspicion I had COVID in Feb of 2020.  With second dose of vaccine has exactly the same sysmptoms Uncontrollably shivering and shaking, very strong cough similar to dry heaves, unable to keep eyes open or shut for any length of time, couldn?t sleep or lie still.  Lasted from 5 am to about 3 pm then was over.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Deep vein thrombosis, Dyspnoea, Factor II mutation, Gene mutation identification test negative
Clinical narrative: Leg swelling and shortness of breath.  Developed DVT in left leg. Nearly occlusive thrombus from proximal SFV to calf veins.  Also Bilateral emboli extending to both lung bases, lingular segment and RML.  Hospitalization for 2 nights for IV Heprin, then oral Xarelto for outpatient treatment
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Gene mutation identification test positive, Peripheral swelling, Pulmonary embolism, Ultrasound Doppler
Clinical narrative: Leg swelling and shortness of breath.  Developed DVT in left leg. Nearly occlusive thrombus from proximal SFV to calf veins.  Also Bilateral emboli extending to both lung bases, lingular segment and RML.  Hospitalization for 2 nights for IV Heprin, then oral Xarelto for outpatient treatment
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea, Pallor
Clinical narrative: Patient became nauseas, pale, diaphoretic after recieving vaccine.  Vitals were low normal, BP: 90/50 , pulse  of 53 bmp and pusle ox of 98% on room air. Patient remained alert and oriented at all times, did not become consiousness at any time. EMS called, patients vitals improved, refused transport. Driver with patient.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Patient came in for first dose of Pfizer vaccine, accompanied by her father, who drove her there. After vaccine, during her observation period, her father alerted staff that she had passed out. As soon as I got there She was able to talk, A&Ox4. I checked her vitals. HR 44, O2 100% on RA, BP 60/33. She reported that she hadn't eaten breakfast or drank much for fluids and had worked out this morning. Her blood pressure and HR came up with subsequent checks and she was 105/66, HR 57 and felt better. We encouraged her to seek medical care if she felt that way again. Patient seemed to have fainted, witnessed by her father and he felt comfortable taking her home and monitoring her.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling abnormal, Headache, Nausea
Clinical narrative: Client reports 2 days after receiving first dose of vaccine c/o fatigue, nausea, headache, mild dizziness, and "cloudy head."  reports lasts off and on x19 days. Denies SOB, Chest pain, numbness or tingling, denies reduced mobility, denies rash. Client reports did not see a physician. Reports drinking water and eating helped symptoms. Client at  site today for second dose, reports all symptoms resolved, no symptoms today. Sent information to team., give 2nd dose today, observe for 30 min. Educated client to f/u with is symptoms last longer than 1 week.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Bifascicular block, Blood immunoglobulin M increased, Blood thyroid stimulating hormone, Cardiac stress test, Chest X-ray
Clinical narrative: VACCINE GIVEN. 2 WEEKS LATER I WAS EXPERIENCING EXTREME FATIGUE. I AM A PHARMACIST AND PERFORMED AN ANTIBODY TEST AT WORK. IT WAS POSITVE FOR IgM antibodies to Covid19. NO IgG present. ANTIBODY TEST PERFORMED ON 01/12/2021 WAS NEGATIVE FOR IgM AND IgG AT THAT TIME. FATIGUE CONTINUED. HEART PALPITATIONS BEGAN SHORTLY THEREAFTER. I FINALLY WENT TO GET THESE PALPITATIONS EXAMINED AT MY DOCTOR'S OFFICE ON 06/16/2021. 12 LEAD ECG SHOWED SINUS BRADYCARDIA AND BIFASCICULAR BLOCK.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Differential white blood cell count, Electrocardiogram abnormal, Electrocardiogram ambulatory, Fatigue, Full blood count
Clinical narrative: VACCINE GIVEN. 2 WEEKS LATER I WAS EXPERIENCING EXTREME FATIGUE. I AM A PHARMACIST AND PERFORMED AN ANTIBODY TEST AT WORK. IT WAS POSITVE FOR IgM antibodies to Covid19. NO IgG present. ANTIBODY TEST PERFORMED ON 01/12/2021 WAS NEGATIVE FOR IgM AND IgG AT THAT TIME. FATIGUE CONTINUED. HEART PALPITATIONS BEGAN SHORTLY THEREAFTER. I FINALLY WENT TO GET THESE PALPITATIONS EXAMINED AT MY DOCTOR'S OFFICE ON 06/16/2021. 12 LEAD ECG SHOWED SINUS BRADYCARDIA AND BIFASCICULAR BLOCK.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Palpitations, Pulse waveform, SARS-CoV-2 antibody test positive, Sinus bradycardia
Clinical narrative: VACCINE GIVEN. 2 WEEKS LATER I WAS EXPERIENCING EXTREME FATIGUE. I AM A PHARMACIST AND PERFORMED AN ANTIBODY TEST AT WORK. IT WAS POSITVE FOR IgM antibodies to Covid19. NO IgG present. ANTIBODY TEST PERFORMED ON 01/12/2021 WAS NEGATIVE FOR IgM AND IgG AT THAT TIME. FATIGUE CONTINUED. HEART PALPITATIONS BEGAN SHORTLY THEREAFTER. I FINALLY WENT TO GET THESE PALPITATIONS EXAMINED AT MY DOCTOR'S OFFICE ON 06/16/2021. 12 LEAD ECG SHOWED SINUS BRADYCARDIA AND BIFASCICULAR BLOCK.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin T
Clinical narrative: VACCINE GIVEN. 2 WEEKS LATER I WAS EXPERIENCING EXTREME FATIGUE. I AM A PHARMACIST AND PERFORMED AN ANTIBODY TEST AT WORK. IT WAS POSITVE FOR IgM antibodies to Covid19. NO IgG present. ANTIBODY TEST PERFORMED ON 01/12/2021 WAS NEGATIVE FOR IgM AND IgG AT THAT TIME. FATIGUE CONTINUED. HEART PALPITATIONS BEGAN SHORTLY THEREAFTER. I FINALLY WENT TO GET THESE PALPITATIONS EXAMINED AT MY DOCTOR'S OFFICE ON 06/16/2021. 12 LEAD ECG SHOWED SINUS BRADYCARDIA AND BIFASCICULAR BLOCK.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Pruritus, Rash
Clinical narrative: PATIENT CAME TO PHARMACY ON 08/17/21 FOR SECOND DOSE OF PFIZER.  PATIENT REPORTS BODY RASH ALL OVER HER BODY. TOOK BENADRYL TO HELP WITH SYMPTOMS (ITCHING). HAD DIFFICULT SLEEPING THAT NIGHT. DUE TO REPORTED SIDE EFFECTS, SECOND DOSE WAS NOT GIVEN.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Migraine, Muscular weakness, Musculoskeletal discomfort
Clinical narrative: Muscle weakness around my neck, right arm went numb, migraine.
Age: 30.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Fatigue, Headache, Malaise, Nasal congestion, Rash erythematous
Clinical narrative: Patient did respond to me just now. He is doing better. He had gotten the vaccine on the 5th of August (this is his 2nd dose) on the left deltoid (and received typhoid on the right). The next day, he began to develop nasal congestion, headache, malaise and fatigue, as well as a red, flat rash that eventually grew to the size of the palm of his hand on the left deltoid.  It was pruritic.  He then noted 5 days later that he had a localized urticarial rash under the left axilla.  He did not have any systemic symptoms then and denied palpating any lymph nodes that were enlarged or tender; he denied weakness or paresthesia of the affected arm.  He presented to the ER and was prescribed Benadryl and Prednisone, about 2 days later, his rashes were gone (by the time I talked to him on 8/13/21) and he was back to his baseline health.
Age: 30.0
Sex: M
Vaccine: ANTH, TYP
Symptoms: Rash pruritic, Urticaria
Clinical narrative: Patient did respond to me just now. He is doing better. He had gotten the vaccine on the 5th of August (this is his 2nd dose) on the left deltoid (and received typhoid on the right). The next day, he began to develop nasal congestion, headache, malaise and fatigue, as well as a red, flat rash that eventually grew to the size of the palm of his hand on the left deltoid.  It was pruritic.  He then noted 5 days later that he had a localized urticarial rash under the left axilla.  He did not have any systemic symptoms then and denied palpating any lymph nodes that were enlarged or tender; he denied weakness or paresthesia of the affected arm.  He presented to the ER and was prescribed Benadryl and Prednisone, about 2 days later, his rashes were gone (by the time I talked to him on 8/13/21) and he was back to his baseline health.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Body temperature increased, Chest X-ray, Electrocardiogram, Full blood count, Pain
Clinical narrative: sore leg, body aches, temp of 102,
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity
Clinical narrative: sore leg, body aches, temp of 102,
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood lactic acid, Body temperature, Chest X-ray, Electrocardiogram, Full blood count
Clinical narrative: sore leg, body aches, temp of 102,
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Gait disturbance, Headache, Heart rate increased, Impaired driving ability, Investigation
Clinical narrative: sore leg, body aches, temp of 102,
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Limb injury, Loss of personal independence in daily activities, Metabolic function test, Myalgia
Clinical narrative: sore leg, body aches, temp of 102,
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neck pain, Oropharyngeal pain, Pain, Pain in extremity, Product administered at inappropriate site
Clinical narrative: sore leg, body aches, temp of 102,
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test, Urine analysis, Vaccination site pain, Viral infection
Clinical narrative: sore leg, body aches, temp of 102,
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, No adverse event
Clinical narrative: Patient verbalized that it's her 1st dose and received Moderna covid-19 vaccine during visit. After vaccination. patient verbalized speaking with an oncologist and receive confirmation to receive Moderna covid-19 vaccine as the 3rd dose despite completing the Pfizer covid-19 vaccine series last January 2021. Patient stayed for the duration of the observation period and declined experiencing any allergic or adverse effects before leaving.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: SARS COV2 BY - POSITIVE
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial tachycardia, Blood creatinine increased, Condition aggravated, Dizziness, Electrocardiogram abnormal
Clinical narrative: Patient's significant other was present throughout encounter. Patient began experiencing muffled hearing and darkened vision approximately 30 seconds after receiving vaccine. He stated he does have a history of needle phobia and fainting from previous (non-COVID) vaccinations. He did become lightheaded and dizzy but did not lose consciousness. Patient also experienced some palpitations. Requested first response to be called so he could be brought to the emergency department (ED). He stated that these symptoms are in line with anxiety attacks he has had in the past, except the muffled hearing which is a new symptom. First response arrived, spoke with the patient, and the patient agreed to go the the ED.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoacusis, Immediate post-injection reaction, Palpitations, Sinus bradycardia, Visual impairment
Clinical narrative: Patient's significant other was present throughout encounter. Patient began experiencing muffled hearing and darkened vision approximately 30 seconds after receiving vaccine. He stated he does have a history of needle phobia and fainting from previous (non-COVID) vaccinations. He did become lightheaded and dizzy but did not lose consciousness. Patient also experienced some palpitations. Requested first response to be called so he could be brought to the emergency department (ED). He stated that these symptoms are in line with anxiety attacks he has had in the past, except the muffled hearing which is a new symptom. First response arrived, spoke with the patient, and the patient agreed to go the the ED.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Pain, Pain in extremity
Clinical narrative: 2 months after receiving vaccine, pain in vaccine arm has progressed to aching and weakness.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Central nervous system lesion, Computerised tomogram, Headache, Magnetic resonance imaging head abnormal
Clinical narrative: exactly 2 weeks after 1st dose started getting what i call "brain Zaps" . Weird sharp pain in the right side of my  head. On july 26 ,2021 major headaches started.(its been almost a month, and I still have daily-but 2 days-of  headaches). July 27th i went to eye dr thinking it may be something with eyes. dr said my eyes were perfect , no inflamation at all..July 29th i had second dose of vaccine. July 30 I saw my primay dr for headaches. prescribed Excedrine 1 per day. Had CT scan on Aug 4th.Aug 9th was diagnosed with brain lesions.  tomorrow Aug 18 going for MRI of brain.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: PATIENT HAS RECEIVED BOTH PFIZER COVID-19 VACCINE, TESTED POSITIVE TO COVID-19 8/11/21, AND ONSET OF SYMPOMS ON 8/2/21
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Facial pain, Gait disturbance, Nausea, Pain in jaw
Clinical narrative: Sudden onset severe, unrelenting vertigo and nausea, vomiting with any movement. Staggering while ambulatory. Facial Pain left side from temple down to jaw (not headache pain). Symptoms began Fri June 4th, continued through June 8th. Unable to move without triggering vomiting, symptoms progressively worsened. Taken to ER on June 8th at suggestion of patient's Neurologist. Patient given CT scan (negative), had previous MRIs in early May (stable for MS lesions), and given IV reglan and benadryl without relief. Diagnosed with "vertigo" and stayed overnight in observation unit . Given Valium and Meclizine in Observation Unit with minimal improvement. Finally solumedrol 250mg was given with resolution of vertigo and sent home.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Vertigo, Vomiting
Clinical narrative: Sudden onset severe, unrelenting vertigo and nausea, vomiting with any movement. Staggering while ambulatory. Facial Pain left side from temple down to jaw (not headache pain). Symptoms began Fri June 4th, continued through June 8th. Unable to move without triggering vomiting, symptoms progressively worsened. Taken to ER on June 8th at suggestion of patient's Neurologist. Patient given CT scan (negative), had previous MRIs in early May (stable for MS lesions), and given IV reglan and benadryl without relief. Diagnosed with "vertigo" and stayed overnight in observation unit . Given Valium and Meclizine in Observation Unit with minimal improvement. Finally solumedrol 250mg was given with resolution of vertigo and sent home.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: None stated.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Cold sweat, Eye movement disorder, Hyperhidrosis, Pallor
Clinical narrative: Patient received vaccine with no issue. Within a minute or two, he felt as if his eyes were closing and began to faint.  HIs significant other was able to guide him to the bench.  I immediately went out and lifted his feet and began rubbing his chest and calling his name.  He responded and I proceeded to continue to talk to him and provide comfort until firemen arrived.  He was very "clamy", sweating, pale and complaining of stomach pain.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient received vaccine with no issue. Within a minute or two, he felt as if his eyes were closing and began to faint.  HIs significant other was able to guide him to the bench.  I immediately went out and lifted his feet and began rubbing his chest and calling his name.  He responded and I proceeded to continue to talk to him and provide comfort until firemen arrived.  He was very "clamy", sweating, pale and complaining of stomach pain.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Abscess, Appendicitis, Appendicitis perforated, Asthenia
Clinical narrative: Initial dull abdominal pain with chills 2 days later followed by tinnitus, body aches, nasal drip, dizziness, and weakness. There wasn't a fever or sharp abdominal pain in the exact location of the appendix, so a doctor's visit was delayed but adverse conditions continued. Went to the ER on 7/6/2021 and was admitted to hospital. 2 days of antibiotic treatments did not stop white blood cell count elevation, so surgery was performed on 7/9/2021. The final pathologic diagnosis is as follows and the recovery has been nominal.  Terminal iluem, cecum, and ascending colon, extended ileocecectomy:  1) Severe acute appendicitis with perforation containing marked transmural acute and chronic inflammation with abscess formation, necrosis and acute serositis extending into the surrounding pericolonic soft tissues 2) Viable shaved proximal and distal shaved mucosal margins 3) Six reactive pericolonic lymph nodes, negative for malignancy (0/6) 4) No evidence of dysplasia or malignancy
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy lymph gland normal, Chills, Diagnostic procedure, Dizziness, Ileocaecal resection
Clinical narrative: Initial dull abdominal pain with chills 2 days later followed by tinnitus, body aches, nasal drip, dizziness, and weakness. There wasn't a fever or sharp abdominal pain in the exact location of the appendix, so a doctor's visit was delayed but adverse conditions continued. Went to the ER on 7/6/2021 and was admitted to hospital. 2 days of antibiotic treatments did not stop white blood cell count elevation, so surgery was performed on 7/9/2021. The final pathologic diagnosis is as follows and the recovery has been nominal.  Terminal iluem, cecum, and ascending colon, extended ileocecectomy:  1) Severe acute appendicitis with perforation containing marked transmural acute and chronic inflammation with abscess formation, necrosis and acute serositis extending into the surrounding pericolonic soft tissues 2) Viable shaved proximal and distal shaved mucosal margins 3) Six reactive pericolonic lymph nodes, negative for malignancy (0/6) 4) No evidence of dysplasia or malignancy
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Inflammation, Necrosis, Pain, Rhinorrhoea, Serositis
Clinical narrative: Initial dull abdominal pain with chills 2 days later followed by tinnitus, body aches, nasal drip, dizziness, and weakness. There wasn't a fever or sharp abdominal pain in the exact location of the appendix, so a doctor's visit was delayed but adverse conditions continued. Went to the ER on 7/6/2021 and was admitted to hospital. 2 days of antibiotic treatments did not stop white blood cell count elevation, so surgery was performed on 7/9/2021. The final pathologic diagnosis is as follows and the recovery has been nominal.  Terminal iluem, cecum, and ascending colon, extended ileocecectomy:  1) Severe acute appendicitis with perforation containing marked transmural acute and chronic inflammation with abscess formation, necrosis and acute serositis extending into the surrounding pericolonic soft tissues 2) Viable shaved proximal and distal shaved mucosal margins 3) Six reactive pericolonic lymph nodes, negative for malignancy (0/6) 4) No evidence of dysplasia or malignancy
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus, White blood cell count increased
Clinical narrative: Initial dull abdominal pain with chills 2 days later followed by tinnitus, body aches, nasal drip, dizziness, and weakness. There wasn't a fever or sharp abdominal pain in the exact location of the appendix, so a doctor's visit was delayed but adverse conditions continued. Went to the ER on 7/6/2021 and was admitted to hospital. 2 days of antibiotic treatments did not stop white blood cell count elevation, so surgery was performed on 7/9/2021. The final pathologic diagnosis is as follows and the recovery has been nominal.  Terminal iluem, cecum, and ascending colon, extended ileocecectomy:  1) Severe acute appendicitis with perforation containing marked transmural acute and chronic inflammation with abscess formation, necrosis and acute serositis extending into the surrounding pericolonic soft tissues 2) Viable shaved proximal and distal shaved mucosal margins 3) Six reactive pericolonic lymph nodes, negative for malignancy (0/6) 4) No evidence of dysplasia or malignancy
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Blood test, Headache, Inflammation, Pyrexia
Clinical narrative: after the first injection fever headache and inflammation very painful in both shoulder impossible to sleep on them lasting 4 days .THEN after the second dose same symptoms. Then a week after the second dose i got again the same symptoms for at least 4 days.I was listening to NPR one day and a woman complained about the same symptoms an inflammation in her all body with knee pain.I felt some inflammation also in all my body .
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Sleep disorder
Clinical narrative: after the first injection fever headache and inflammation very painful in both shoulder impossible to sleep on them lasting 4 days .THEN after the second dose same symptoms. Then a week after the second dose i got again the same symptoms for at least 4 days.I was listening to NPR one day and a woman complained about the same symptoms an inflammation in her all body with knee pain.I felt some inflammation also in all my body .
Age: 36.0
Sex: F
Vaccine: FLU4
Symptoms: Swollen tongue
Clinical narrative: MINIMAL TONGUE SWELLING, PT RECEIVED BENADRYL AND MONITORED FOR 60+MINUTES IN PHARMACY AND THEN LEFT W/HUSBAND TO DRIVE HER HOME B/C PRECAUTION W/BENADRYL DROWSINESS.  PT HAS FOLLOW UP WITH THEIR PRIMARY.  TONGUE SWELLING HAS RESOLVED
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Axillary pain, Rash, Rash erythematous, Rash papular
Clinical narrative: Lymph node under arm involvement, strawberry rash about 3 inches circumference, bumpy under skin, painful
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Axillary pain, Erythema, Rash
Clinical narrative: Lymph node under arm involvement, strawberry rash about 3 inches circumference, bumpy under skin, painful
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immediate post-injection reaction, Injected limb mobility decreased, Injection site pain
Clinical narrative: Pain and limited motion near the top of right shoulder, at the site of second injection.  Pain is sharp, and location of pain seems to coincide with location of shoulder tendon.  No longer able to do a full arm circle or reach far back with the right arm.  Pain occurred immediately after the second injection.  Patient could not move the arm for 24 hours after the injection, and pain has not significantly dissipated since the second injection. (First injection occurred in same arm but was not nearly as noticeable after 24 hours after first injection.)
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Feeling abnormal, Heart rate increased, Immediate post-injection reaction, Injection site pain
Clinical narrative: Immediate burning at injection site spreading down arm Floaty feeling Elevated heart rate Elevated blood pressure  Heart rate and blood pressure remained elevated for 30-40 minutes. Asked to remain on site for monitoring until vitals returned to normal.  Floaty odd feeling continued but subsided in a couple of hours No reaction to first dose and  was not anxiety related
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Unexplained death.   Patient was found dead near his front door with car keys still in his hand.  Pacemaker had recently been checked and was working fine, so it was not a heart attack.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Decreased appetite, Dysarthria, Gait disturbance, Impaired work ability
Clinical narrative: Patient reported that she went to ER on 8/11/2021 with stroke like symptoms and ER informed her she did not have stroke.  She reported feeling confused, slurry speech, not able to walk straight and appetite. Denied fever, hallucinations and chills. Patient reported that she went to her primary care doctor yesterday and she received hydration IV and she reported feeling better today and that she went back to work.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Neurological symptom
Clinical narrative: Patient reported that she went to ER on 8/11/2021 with stroke like symptoms and ER informed her she did not have stroke.  She reported feeling confused, slurry speech, not able to walk straight and appetite. Denied fever, hallucinations and chills. Patient reported that she went to her primary care doctor yesterday and she received hydration IV and she reported feeling better today and that she went back to work.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Adrenal insufficiency, Adrenocortical insufficiency acute, Blood creatinine increased, Blood urea increased
Clinical narrative: 74YM  who presented to the ER  with complaints of dizziness, recurrent falls, and syncope.  EMS found him to be hypotensive and brought him to the emergency room.  Symptoms reportedly started 1 day after his Covid vaccine on 5/7/21 approximately 2 weeks prior to admission.  Patient had COVID-19 infection in 2020.  Patient also endorsed some loose stools over the past several days.  Patient was given IV fluids however his blood pressures remained low in the emergency room.  Infectious and cardiac work-up including bedside echocardiogram were negative and patient had a central line placed in the emergency room and was started on pressors support with norepinephrine drip.  Spot serum cortisol was 6.8 despite shock state.  Patient was transferred to medical facility and started on stress dose steroids with rapid improvement in his symptoms.  Patient was felt to have adrenal crisis with underlying adrenal insufficiency although given his symptoms cortisol stimulation testing was not performed.  Patient was transferred to the hospitalist service out of the ICU on 6/28/2021 and stress dose steroids have been weaned rapidly.  Patient has been started on oral steroids on day of discharge (7/1)  with 20 mg in the a.m. and 10 mg in the p.m. which can be further weaned.  Patient did have MRI brain without contrast which showed normal pituitary size and morphology but unfortunately was without without contrast nothing more can be determined.  Adrenal glands appeared morphologically normal upon CAT scan of the abdomen.  Patient did have acute kidney injury with creatinine upon admission of 6.47 mg/dL.  His baseline creatinine was thought to be 1.6.  By time of discharge creatinine had significantly improved with BUN of 71 and creatinine of 2.  Patient reports improvement in his strength and resolution of dizziness at time of discharge.  Given his low blood pressures his home lisinopril, hydrochlorothiazide, metoprolol have been held.  Would recommend holding hydrochlorothiazide, metoprolol, and enalapril until seen by his PCP or endocrinologist.  We will restart his lisinopril upon discharge as systolic blood pressures have been ranging from 130-160. Discharge home on 7/1/21.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Computerised tomogram abdomen, Computerised tomogram head normal, Computerised tomogram normal, Diarrhoea
Clinical narrative: 74YM  who presented to the ER  with complaints of dizziness, recurrent falls, and syncope.  EMS found him to be hypotensive and brought him to the emergency room.  Symptoms reportedly started 1 day after his Covid vaccine on 5/7/21 approximately 2 weeks prior to admission.  Patient had COVID-19 infection in 2020.  Patient also endorsed some loose stools over the past several days.  Patient was given IV fluids however his blood pressures remained low in the emergency room.  Infectious and cardiac work-up including bedside echocardiogram were negative and patient had a central line placed in the emergency room and was started on pressors support with norepinephrine drip.  Spot serum cortisol was 6.8 despite shock state.  Patient was transferred to medical facility and started on stress dose steroids with rapid improvement in his symptoms.  Patient was felt to have adrenal crisis with underlying adrenal insufficiency although given his symptoms cortisol stimulation testing was not performed.  Patient was transferred to the hospitalist service out of the ICU on 6/28/2021 and stress dose steroids have been weaned rapidly.  Patient has been started on oral steroids on day of discharge (7/1)  with 20 mg in the a.m. and 10 mg in the p.m. which can be further weaned.  Patient did have MRI brain without contrast which showed normal pituitary size and morphology but unfortunately was without without contrast nothing more can be determined.  Adrenal glands appeared morphologically normal upon CAT scan of the abdomen.  Patient did have acute kidney injury with creatinine upon admission of 6.47 mg/dL.  His baseline creatinine was thought to be 1.6.  By time of discharge creatinine had significantly improved with BUN of 71 and creatinine of 2.  Patient reports improvement in his strength and resolution of dizziness at time of discharge.  Given his low blood pressures his home lisinopril, hydrochlorothiazide, metoprolol have been held.  Would recommend holding hydrochlorothiazide, metoprolol, and enalapril until seen by his PCP or endocrinologist.  We will restart his lisinopril upon discharge as systolic blood pressures have been ranging from 130-160. Discharge home on 7/1/21.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Echocardiogram normal, Fall, Hypotension, Magnetic resonance imaging head normal
Clinical narrative: 74YM  who presented to the ER  with complaints of dizziness, recurrent falls, and syncope.  EMS found him to be hypotensive and brought him to the emergency room.  Symptoms reportedly started 1 day after his Covid vaccine on 5/7/21 approximately 2 weeks prior to admission.  Patient had COVID-19 infection in 2020.  Patient also endorsed some loose stools over the past several days.  Patient was given IV fluids however his blood pressures remained low in the emergency room.  Infectious and cardiac work-up including bedside echocardiogram were negative and patient had a central line placed in the emergency room and was started on pressors support with norepinephrine drip.  Spot serum cortisol was 6.8 despite shock state.  Patient was transferred to medical facility and started on stress dose steroids with rapid improvement in his symptoms.  Patient was felt to have adrenal crisis with underlying adrenal insufficiency although given his symptoms cortisol stimulation testing was not performed.  Patient was transferred to the hospitalist service out of the ICU on 6/28/2021 and stress dose steroids have been weaned rapidly.  Patient has been started on oral steroids on day of discharge (7/1)  with 20 mg in the a.m. and 10 mg in the p.m. which can be further weaned.  Patient did have MRI brain without contrast which showed normal pituitary size and morphology but unfortunately was without without contrast nothing more can be determined.  Adrenal glands appeared morphologically normal upon CAT scan of the abdomen.  Patient did have acute kidney injury with creatinine upon admission of 6.47 mg/dL.  His baseline creatinine was thought to be 1.6.  By time of discharge creatinine had significantly improved with BUN of 71 and creatinine of 2.  Patient reports improvement in his strength and resolution of dizziness at time of discharge.  Given his low blood pressures his home lisinopril, hydrochlorothiazide, metoprolol have been held.  Would recommend holding hydrochlorothiazide, metoprolol, and enalapril until seen by his PCP or endocrinologist.  We will restart his lisinopril upon discharge as systolic blood pressures have been ranging from 130-160. Discharge home on 7/1/21.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Microangiopathy, Syncope
Clinical narrative: 74YM  who presented to the ER  with complaints of dizziness, recurrent falls, and syncope.  EMS found him to be hypotensive and brought him to the emergency room.  Symptoms reportedly started 1 day after his Covid vaccine on 5/7/21 approximately 2 weeks prior to admission.  Patient had COVID-19 infection in 2020.  Patient also endorsed some loose stools over the past several days.  Patient was given IV fluids however his blood pressures remained low in the emergency room.  Infectious and cardiac work-up including bedside echocardiogram were negative and patient had a central line placed in the emergency room and was started on pressors support with norepinephrine drip.  Spot serum cortisol was 6.8 despite shock state.  Patient was transferred to medical facility and started on stress dose steroids with rapid improvement in his symptoms.  Patient was felt to have adrenal crisis with underlying adrenal insufficiency although given his symptoms cortisol stimulation testing was not performed.  Patient was transferred to the hospitalist service out of the ICU on 6/28/2021 and stress dose steroids have been weaned rapidly.  Patient has been started on oral steroids on day of discharge (7/1)  with 20 mg in the a.m. and 10 mg in the p.m. which can be further weaned.  Patient did have MRI brain without contrast which showed normal pituitary size and morphology but unfortunately was without without contrast nothing more can be determined.  Adrenal glands appeared morphologically normal upon CAT scan of the abdomen.  Patient did have acute kidney injury with creatinine upon admission of 6.47 mg/dL.  His baseline creatinine was thought to be 1.6.  By time of discharge creatinine had significantly improved with BUN of 71 and creatinine of 2.  Patient reports improvement in his strength and resolution of dizziness at time of discharge.  Given his low blood pressures his home lisinopril, hydrochlorothiazide, metoprolol have been held.  Would recommend holding hydrochlorothiazide, metoprolol, and enalapril until seen by his PCP or endocrinologist.  We will restart his lisinopril upon discharge as systolic blood pressures have been ranging from 130-160. Discharge home on 7/1/21.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Antiphospholipid antibodies, Arthralgia, Asthenia, Back pain, Blood test
Clinical narrative: Started having pain in upper arms, across back and some in neck and back one week after vaccination.  Had second dose on April 29th.  One week after pain increased to a dibilitating state and also settled in the hip joints.  After several tests for Lupus and Rheumatoid arthritis, I was diagnosed with Poly Myalgia Rheumatica (PMR),   No pain killers have any effect.  Have been prescribed Prednisone which helps some.  To date, I still have pain and stiffness in areas noted above and pain is now extended into my forearms, writs and fingers
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Musculoskeletal stiffness, Neck pain, Pain in extremity, Polymyalgia rheumatica
Clinical narrative: Started having pain in upper arms, across back and some in neck and back one week after vaccination.  Had second dose on April 29th.  One week after pain increased to a dibilitating state and also settled in the hip joints.  After several tests for Lupus and Rheumatoid arthritis, I was diagnosed with Poly Myalgia Rheumatica (PMR),   No pain killers have any effect.  Have been prescribed Prednisone which helps some.  To date, I still have pain and stiffness in areas noted above and pain is now extended into my forearms, writs and fingers
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Rheumatoid factor
Clinical narrative: Started having pain in upper arms, across back and some in neck and back one week after vaccination.  Had second dose on April 29th.  One week after pain increased to a dibilitating state and also settled in the hip joints.  After several tests for Lupus and Rheumatoid arthritis, I was diagnosed with Poly Myalgia Rheumatica (PMR),   No pain killers have any effect.  Have been prescribed Prednisone which helps some.  To date, I still have pain and stiffness in areas noted above and pain is now extended into my forearms, writs and fingers
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Dizziness, Fatigue, Headache, Lethargy
Clinical narrative: 101-degree fever that went down and came back up as the day progressed Body aches Headache Dizziness Fatigue Chills Muscle ache Lethargy
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Myalgia, Pain, Pyrexia
Clinical narrative: 101-degree fever that went down and came back up as the day progressed Body aches Headache Dizziness Fatigue Chills Muscle ache Lethargy
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Somnolence
Clinical narrative: headache, sleepy, tiredness
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Electrocardiogram, Fatigue, Heart rate irregular, Inflammation
Clinical narrative: Rash, fatigue, diarrhea, nausea, inflammation on my face, irregular heart beat.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Rash
Clinical narrative: Rash, fatigue, diarrhea, nausea, inflammation on my face, irregular heart beat.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: received 3rd dose; patient confirmed verbally it was his first dose, but upon review of records, patient already had 2 doses
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Worker received the Janssen vaccine on 8/17/21. While entering data into  program, it was noted that the worker had previously received the 2-dose Moderna vaccine on 4/16/21 and 5/18/21 after the Janssen dose was administered.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: patient said that this was the first dose. We did not check Immpact and when it came to billing, it was determine that the patient had in fact gotten the Janssen on 3/4/21.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Breast cancer female, Breast mass, Diagnostic aspiration, Magnetic resonance imaging breast, Mammogram
Clinical narrative: Left Breast Lump found June 2021? Left Breast Cancer diagnosis given on 7/30/21, Mastectomy upcoming August/September 2021
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ultrasound breast
Clinical narrative: Left Breast Lump found June 2021? Left Breast Cancer diagnosis given on 7/30/21, Mastectomy upcoming August/September 2021
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Apathy, Arthralgia, Choking, Disturbance in attention, Fatigue
Clinical narrative: It is muddied right now. I'm a little foggy right now at present. I have had general body aches. My body hurts. I feel like I've worked out or have had a bad flu and I get tired much more easily. I am always having a little bit of soreness that I was attributing to age because I just turned 60, but when I do normal activities go for a walk, if I actually do 8000-10000 steps a day, I use to feel nothing. Now I feel really sore the next day. If I exert myself and am more physically active than that it lays me flat the next day. I am so fatigue and so sore, I have to lay on the couch all day. I have a low-grade migraine most of the time. I used to not have headaches at all. I am fatigued all the time. I do have the sleeping disorder but now I'm fatigued even when I get enough sleep. My right ankle, the three middle toes on my left foot and both of my thumbs are sore in the joints. It wasn't like that six months ago and I don't have history of arthritis. I am exceptionally fatigued. I did 10-12,000 steps over the weekend which is not excessive, and I have been sleeping well but I am knocked flat, and I have a mild sore throat. I have had congestion that has been going on awhile. It's more than my normal allergies. People are noticing that I am sneezing and choking a lot coughing a lot. Very phlegmy mouthfuls I have to spit out. Base of skull have headaches. Diminished smell and taste. If I eat a lemon, I can feel the acidity, but I can't taste the lemon. I lit a match, and I could smell the sulfur right when I blew it up, but when I set it down, I was no longer to smell it in the room. Fatigue is super extreme. My doctor is writing me a note to not work she has suggested I take it early this week. She wants me to not work. She told me if I work to not do a lot of house chores instead. I am having more problems tracking. More problems focusing and motivation problems with focusing. General tacking of sentences. Treatment: I've taken Ibuprofen and Acetaminophen generally combined. I have taken Soma a muscle relaxer when it's really bad and I've called that doctor for a refill. I take them and go to bed, so I think it helps somewhat. Foot and leg cramps also Soma helps with that. Doctor virtual visit today.