chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Electromyogram abnormal, Guillain-Barre syndrome, Immunoglobulin therapy, Magnetic resonance imaging brain normal, Mental status changes
Clinical narrative: 92 year-old male with PMHx of vascular dementia, BPH, MDD, sleep disturbance , basal cell carcinoma of neck, osteoarthritis, BLE edema, Guillain-Barre syndrome 30 years prior, s/p COVID positive on 1/11/21 and received IV Bamlanivimab.  Sent to hospital on 2/2/21 for altered mental status, generalized weakness with inability to lift bilateral UE and difficulty moving his BLE.  He was treated for UTI with 7 days of Cefepime for Morganella Morganii.  He was followed by neurology with MRI of the brain and CT of the spine without acute findings.  Lumbar puncture unable to be obtained.  He received 5 day course of  IVIG for presumed Guillain-Barre .  EMG showed generalized sensory motor polyneuropathy both axon loss and demyelinating type severe in degree.  However, he did not recover from his GBS symptoms, was transferred back to the nursing home and died on 2/15/2021.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Movement disorder, Polyneuropathy, Spinal myelogram normal, Urinary tract infection
Clinical narrative: 92 year-old male with PMHx of vascular dementia, BPH, MDD, sleep disturbance , basal cell carcinoma of neck, osteoarthritis, BLE edema, Guillain-Barre syndrome 30 years prior, s/p COVID positive on 1/11/21 and received IV Bamlanivimab.  Sent to hospital on 2/2/21 for altered mental status, generalized weakness with inability to lift bilateral UE and difficulty moving his BLE.  He was treated for UTI with 7 days of Cefepime for Morganella Morganii.  He was followed by neurology with MRI of the brain and CT of the spine without acute findings.  Lumbar puncture unable to be obtained.  He received 5 day course of  IVIG for presumed Guillain-Barre .  EMG showed generalized sensory motor polyneuropathy both axon loss and demyelinating type severe in degree.  However, he did not recover from his GBS symptoms, was transferred back to the nursing home and died on 2/15/2021.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Swelling, Urticaria
Clinical narrative: HIVES ON LEFT SIDE OF NECK, TREATED AT EMERGENCY ROOM WITH PREDNISONE, SWELLING AND PAIN RESOLVED, RASH HAS NOT YET HEALED
Age: 17.0
Sex: F
Vaccine: HEPA, HPV9
Symptoms: Wrong product administered
Clinical narrative: A pediatric dose was ordered (for the pediatric patient) but an adult product (Hep A)  was chosen and administered without lot numbers being verified. This particular patient was an adolescent, so the higher dose won't necessarily result in harm. No adverse symptoms occurred.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hyperhidrosis, Night sweats, Pyrexia
Clinical narrative: Awoke during the night with sweats, chills, feverish (did not have access to thermometer).  In morning very weak, fatiqued, sweaty and occasional rash.  Resolved around 4:00 PM
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Awoke during the night with sweats, chills, feverish (did not have access to thermometer).  In morning very weak, fatiqued, sweaty and occasional rash.  Resolved around 4:00 PM
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient given a stronger constituted dose of the vaccine
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site pain, Rales
Clinical narrative: right deltoid injection site pain, slight headache. refused Tylenol, warm pack & ice pack, chills, low o2 sats, crackles in lower lobes
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Fatigue, Pain in extremity
Clinical narrative: Dizziness started approximately 30 minutes after injection, weakness approximately within two hours along with extremely tiredness.  Muscle pain in left leg started approximately 24 hours after injection.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site rash
Clinical narrative: Knot/rash/mild soreness at injection site-Patient monitoring site at present. She will take non drowsy allergy medication as she will go to work today. She will return to clinic/ER as needed for worsening symptoms.
Age: 4.0
Sex: M
Vaccine: DTAPIPV, FLU4, MMR, VARCEL
Symptoms: Anaphylactic reaction, Cough, Dyspnoea, Throat tightness, Urticaria
Clinical narrative: Patient had anaphylatic reaction consisting of tightness to throat, urticarial rash, SOB, cough
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia
Clinical narrative: Muscle aches, dull headache, fatigue
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Erythema, Impaired work ability, Pain in extremity, Pyrexia
Clinical narrative: I had a little bit of sore arm, redness not same as Dose 1. The next morning I woke up felt sick around 2pm started exp low grade fever and loss of taste.I missed one day of work.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cellulitis, Erythema, Fatigue, Headache, Myalgia
Clinical narrative: 8:30 pm started with HA, then body aches and muscle aches, by 11:30 I had a temperature of 104.6 this lasted until Sunday morning, temp went down to 102.  I was alternating ibuprofen and Tylenol every four hours.  My skin hurt to the touch along with the cold sweats.  By Sunday my arm started to welt up. It started by my shoulder and went to the middle of my arm.  I called doctor. and they wanted me to start taking Benadryl. 2 pills twice that day.  She said I should a difference in the swelling.  After the second dose, my welt started to spread, down past my elbow and around my inner arm very hot to the touch and red red red in color. HA was getting worse and body and muscle aches continued.  Talked to my doctor and facility doctor again and was put on 2 asteroids and an antibiotic. They they think that I have some kind of infection in my arm.  Cellulitis  - my fever went to 99.9 by Monday, very fatigued
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Swelling
Clinical narrative: 8:30 pm started with HA, then body aches and muscle aches, by 11:30 I had a temperature of 104.6 this lasted until Sunday morning, temp went down to 102.  I was alternating ibuprofen and Tylenol every four hours.  My skin hurt to the touch along with the cold sweats.  By Sunday my arm started to welt up. It started by my shoulder and went to the middle of my arm.  I called doctor. and they wanted me to start taking Benadryl. 2 pills twice that day.  She said I should a difference in the swelling.  After the second dose, my welt started to spread, down past my elbow and around my inner arm very hot to the touch and red red red in color. HA was getting worse and body and muscle aches continued.  Talked to my doctor and facility doctor again and was put on 2 asteroids and an antibiotic. They they think that I have some kind of infection in my arm.  Cellulitis  - my fever went to 99.9 by Monday, very fatigued
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: PALPITATIONS. Waited an extra 15 mins- Evaluated by EMS-Cleared
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site rash
Clinical narrative: Covid-arm - large red rash on arm at injection site that appeared a little over a week after the vaccine was administered; rash worsened (got larger and more red) over a day or two, stayed consistent at about the size of an orange, then vanished suddenly within a few hours
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia, Rash
Clinical narrative: 13 hours post shot I had fever, chills, body aches, headache-lasted about 14 hours.  2 days later I developed a rash all over my chest, belly and up the sides of my neck.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Joint swelling
Clinical narrative: Joint swelling in right knee
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Aura, Eye movement disorder, Hyperhidrosis, Pallor, Seizure
Clinical narrative: Patient experienced seizure aura, lost color, began to sweat, eyes rolled back, and was mildly unresponsive within 5 minutes of vaccine administration. Called 911. Placed patient on left side per direction of EMS dispatch. Patient stated the aura had decreased within a few moments of lying down on his left side. EMS assessed the patient's vitals which were normal on arrival. Patient declined transport to hospital and left in care of mother.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: Patient experienced seizure aura, lost color, began to sweat, eyes rolled back, and was mildly unresponsive within 5 minutes of vaccine administration. Called 911. Placed patient on left side per direction of EMS dispatch. Patient stated the aura had decreased within a few moments of lying down on his left side. EMS assessed the patient's vitals which were normal on arrival. Patient declined transport to hospital and left in care of mother.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Blood albumin increased, Blood glucose decreased, Blood immunoglobulin G decreased, Borrelia test negative, CSF myelin basic protein increased
Clinical narrative: Neurology consult 2/13/21:  This is a 78-year-old female we were consulted by Dr. for possible guillian barre s/p COVID vaccine.  The patient tells me that she was in her normal state of health, and she received her 1st dose of the COVID-19 vaccineseen 7 days ago.  Subsequent to that, the next day she developed chills, fatigue that continued for approximately 2 days.  She states that 3 days ago, she woke up and was unable to lift her legs or get herself out of bed on her own.  She felt weak in her proximal lower extremities and her trunk.  She denied any bandlike sensations or paresthesias.  She cannot tell me that she developed any distal lower extremity weakness initially but felt that it was the acute onset.  She needed some help her out of bed when she was upright, she was able to use her walker to slowly get to the factor.  She may have had some urinary incontinence, she does complain of diarrhea now.   Denies any tingling sensation, no bulbar symptoms.  This is a 78-year-old female who we were asked to evaluate for possible Guillain-Barre syndrome.  She had acute onset of lower much greater than upper extremity weakness without any definite ascending features, of relevance, is that she received the COVID-19 vaccine 3 days prior to the onset of her symptoms.  She did exhibit flu-like symptoms prior to this.  Given that she does not have any specific area of intrathecal enhancement to suggest Guillain-Barre or other areas of radiculitis, I think it is reasonable to proceed with lumbar puncture to look for any other source.   --Given the findings on the MRI cervical and lumbar spine including enhancement of the bilateral sacral S1 region, I would like Neurosurgery to further evaluate. -- would likely benefit from CT chest abdomen pelvis to rule out any underlying occult malignancy particularly if workup remains unremarkable. -- continue supportive care, monitor for shortness of breath, new vital capacities  Patient remains admitted to the hospital with continued weakness at the time of this report
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral ischaemia, Chills, Computerised tomogram abdomen, Computerised tomogram pelvis abnormal, Computerised tomogram thorax abnormal
Clinical narrative: Neurology consult 2/13/21:  This is a 78-year-old female we were consulted by Dr. for possible guillian barre s/p COVID vaccine.  The patient tells me that she was in her normal state of health, and she received her 1st dose of the COVID-19 vaccineseen 7 days ago.  Subsequent to that, the next day she developed chills, fatigue that continued for approximately 2 days.  She states that 3 days ago, she woke up and was unable to lift her legs or get herself out of bed on her own.  She felt weak in her proximal lower extremities and her trunk.  She denied any bandlike sensations or paresthesias.  She cannot tell me that she developed any distal lower extremity weakness initially but felt that it was the acute onset.  She needed some help her out of bed when she was upright, she was able to use her walker to slowly get to the factor.  She may have had some urinary incontinence, she does complain of diarrhea now.   Denies any tingling sensation, no bulbar symptoms.  This is a 78-year-old female who we were asked to evaluate for possible Guillain-Barre syndrome.  She had acute onset of lower much greater than upper extremity weakness without any definite ascending features, of relevance, is that she received the COVID-19 vaccine 3 days prior to the onset of her symptoms.  She did exhibit flu-like symptoms prior to this.  Given that she does not have any specific area of intrathecal enhancement to suggest Guillain-Barre or other areas of radiculitis, I think it is reasonable to proceed with lumbar puncture to look for any other source.   --Given the findings on the MRI cervical and lumbar spine including enhancement of the bilateral sacral S1 region, I would like Neurosurgery to further evaluate. -- would likely benefit from CT chest abdomen pelvis to rule out any underlying occult malignancy particularly if workup remains unremarkable. -- continue supportive care, monitor for shortness of breath, new vital capacities  Patient remains admitted to the hospital with continued weakness at the time of this report
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Electromyogram normal, Electrophoresis normal, Fatigue, Influenza like illness
Clinical narrative: Neurology consult 2/13/21:  This is a 78-year-old female we were consulted by Dr. for possible guillian barre s/p COVID vaccine.  The patient tells me that she was in her normal state of health, and she received her 1st dose of the COVID-19 vaccineseen 7 days ago.  Subsequent to that, the next day she developed chills, fatigue that continued for approximately 2 days.  She states that 3 days ago, she woke up and was unable to lift her legs or get herself out of bed on her own.  She felt weak in her proximal lower extremities and her trunk.  She denied any bandlike sensations or paresthesias.  She cannot tell me that she developed any distal lower extremity weakness initially but felt that it was the acute onset.  She needed some help her out of bed when she was upright, she was able to use her walker to slowly get to the factor.  She may have had some urinary incontinence, she does complain of diarrhea now.   Denies any tingling sensation, no bulbar symptoms.  This is a 78-year-old female who we were asked to evaluate for possible Guillain-Barre syndrome.  She had acute onset of lower much greater than upper extremity weakness without any definite ascending features, of relevance, is that she received the COVID-19 vaccine 3 days prior to the onset of her symptoms.  She did exhibit flu-like symptoms prior to this.  Given that she does not have any specific area of intrathecal enhancement to suggest Guillain-Barre or other areas of radiculitis, I think it is reasonable to proceed with lumbar puncture to look for any other source.   --Given the findings on the MRI cervical and lumbar spine including enhancement of the bilateral sacral S1 region, I would like Neurosurgery to further evaluate. -- would likely benefit from CT chest abdomen pelvis to rule out any underlying occult malignancy particularly if workup remains unremarkable. -- continue supportive care, monitor for shortness of breath, new vital capacities  Patient remains admitted to the hospital with continued weakness at the time of this report
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Intervertebral disc space narrowing, Lumbar puncture normal, Lymphocyte count increased, Lymphocyte percentage increased, Magnetic resonance imaging head abnormal
Clinical narrative: Neurology consult 2/13/21:  This is a 78-year-old female we were consulted by Dr. for possible guillian barre s/p COVID vaccine.  The patient tells me that she was in her normal state of health, and she received her 1st dose of the COVID-19 vaccineseen 7 days ago.  Subsequent to that, the next day she developed chills, fatigue that continued for approximately 2 days.  She states that 3 days ago, she woke up and was unable to lift her legs or get herself out of bed on her own.  She felt weak in her proximal lower extremities and her trunk.  She denied any bandlike sensations or paresthesias.  She cannot tell me that she developed any distal lower extremity weakness initially but felt that it was the acute onset.  She needed some help her out of bed when she was upright, she was able to use her walker to slowly get to the factor.  She may have had some urinary incontinence, she does complain of diarrhea now.   Denies any tingling sensation, no bulbar symptoms.  This is a 78-year-old female who we were asked to evaluate for possible Guillain-Barre syndrome.  She had acute onset of lower much greater than upper extremity weakness without any definite ascending features, of relevance, is that she received the COVID-19 vaccine 3 days prior to the onset of her symptoms.  She did exhibit flu-like symptoms prior to this.  Given that she does not have any specific area of intrathecal enhancement to suggest Guillain-Barre or other areas of radiculitis, I think it is reasonable to proceed with lumbar puncture to look for any other source.   --Given the findings on the MRI cervical and lumbar spine including enhancement of the bilateral sacral S1 region, I would like Neurosurgery to further evaluate. -- would likely benefit from CT chest abdomen pelvis to rule out any underlying occult malignancy particularly if workup remains unremarkable. -- continue supportive care, monitor for shortness of breath, new vital capacities  Patient remains admitted to the hospital with continued weakness at the time of this report
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging spinal abnormal, Magnetic resonance imaging thoracic abnormal, Meningitis bacterial, Mobility decreased, Monocyte count increased
Clinical narrative: Neurology consult 2/13/21:  This is a 78-year-old female we were consulted by Dr. for possible guillian barre s/p COVID vaccine.  The patient tells me that she was in her normal state of health, and she received her 1st dose of the COVID-19 vaccineseen 7 days ago.  Subsequent to that, the next day she developed chills, fatigue that continued for approximately 2 days.  She states that 3 days ago, she woke up and was unable to lift her legs or get herself out of bed on her own.  She felt weak in her proximal lower extremities and her trunk.  She denied any bandlike sensations or paresthesias.  She cannot tell me that she developed any distal lower extremity weakness initially but felt that it was the acute onset.  She needed some help her out of bed when she was upright, she was able to use her walker to slowly get to the factor.  She may have had some urinary incontinence, she does complain of diarrhea now.   Denies any tingling sensation, no bulbar symptoms.  This is a 78-year-old female who we were asked to evaluate for possible Guillain-Barre syndrome.  She had acute onset of lower much greater than upper extremity weakness without any definite ascending features, of relevance, is that she received the COVID-19 vaccine 3 days prior to the onset of her symptoms.  She did exhibit flu-like symptoms prior to this.  Given that she does not have any specific area of intrathecal enhancement to suggest Guillain-Barre or other areas of radiculitis, I think it is reasonable to proceed with lumbar puncture to look for any other source.   --Given the findings on the MRI cervical and lumbar spine including enhancement of the bilateral sacral S1 region, I would like Neurosurgery to further evaluate. -- would likely benefit from CT chest abdomen pelvis to rule out any underlying occult malignancy particularly if workup remains unremarkable. -- continue supportive care, monitor for shortness of breath, new vital capacities  Patient remains admitted to the hospital with continued weakness at the time of this report
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Nucleated red cells, Peripheral sensorimotor neuropathy, Physical examination abnormal, Protein total increased
Clinical narrative: Neurology consult 2/13/21:  This is a 78-year-old female we were consulted by Dr. for possible guillian barre s/p COVID vaccine.  The patient tells me that she was in her normal state of health, and she received her 1st dose of the COVID-19 vaccineseen 7 days ago.  Subsequent to that, the next day she developed chills, fatigue that continued for approximately 2 days.  She states that 3 days ago, she woke up and was unable to lift her legs or get herself out of bed on her own.  She felt weak in her proximal lower extremities and her trunk.  She denied any bandlike sensations or paresthesias.  She cannot tell me that she developed any distal lower extremity weakness initially but felt that it was the acute onset.  She needed some help her out of bed when she was upright, she was able to use her walker to slowly get to the factor.  She may have had some urinary incontinence, she does complain of diarrhea now.   Denies any tingling sensation, no bulbar symptoms.  This is a 78-year-old female who we were asked to evaluate for possible Guillain-Barre syndrome.  She had acute onset of lower much greater than upper extremity weakness without any definite ascending features, of relevance, is that she received the COVID-19 vaccine 3 days prior to the onset of her symptoms.  She did exhibit flu-like symptoms prior to this.  Given that she does not have any specific area of intrathecal enhancement to suggest Guillain-Barre or other areas of radiculitis, I think it is reasonable to proceed with lumbar puncture to look for any other source.   --Given the findings on the MRI cervical and lumbar spine including enhancement of the bilateral sacral S1 region, I would like Neurosurgery to further evaluate. -- would likely benefit from CT chest abdomen pelvis to rule out any underlying occult malignancy particularly if workup remains unremarkable. -- continue supportive care, monitor for shortness of breath, new vital capacities  Patient remains admitted to the hospital with continued weakness at the time of this report
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell count increased, Scan with contrast, Spinal compression fracture, Spinal cord compression, Viral test negative
Clinical narrative: Neurology consult 2/13/21:  This is a 78-year-old female we were consulted by Dr. for possible guillian barre s/p COVID vaccine.  The patient tells me that she was in her normal state of health, and she received her 1st dose of the COVID-19 vaccineseen 7 days ago.  Subsequent to that, the next day she developed chills, fatigue that continued for approximately 2 days.  She states that 3 days ago, she woke up and was unable to lift her legs or get herself out of bed on her own.  She felt weak in her proximal lower extremities and her trunk.  She denied any bandlike sensations or paresthesias.  She cannot tell me that she developed any distal lower extremity weakness initially but felt that it was the acute onset.  She needed some help her out of bed when she was upright, she was able to use her walker to slowly get to the factor.  She may have had some urinary incontinence, she does complain of diarrhea now.   Denies any tingling sensation, no bulbar symptoms.  This is a 78-year-old female who we were asked to evaluate for possible Guillain-Barre syndrome.  She had acute onset of lower much greater than upper extremity weakness without any definite ascending features, of relevance, is that she received the COVID-19 vaccine 3 days prior to the onset of her symptoms.  She did exhibit flu-like symptoms prior to this.  Given that she does not have any specific area of intrathecal enhancement to suggest Guillain-Barre or other areas of radiculitis, I think it is reasonable to proceed with lumbar puncture to look for any other source.   --Given the findings on the MRI cervical and lumbar spine including enhancement of the bilateral sacral S1 region, I would like Neurosurgery to further evaluate. -- would likely benefit from CT chest abdomen pelvis to rule out any underlying occult malignancy particularly if workup remains unremarkable. -- continue supportive care, monitor for shortness of breath, new vital capacities  Patient remains admitted to the hospital with continued weakness at the time of this report
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Walking aid user, White matter lesion
Clinical narrative: Neurology consult 2/13/21:  This is a 78-year-old female we were consulted by Dr. for possible guillian barre s/p COVID vaccine.  The patient tells me that she was in her normal state of health, and she received her 1st dose of the COVID-19 vaccineseen 7 days ago.  Subsequent to that, the next day she developed chills, fatigue that continued for approximately 2 days.  She states that 3 days ago, she woke up and was unable to lift her legs or get herself out of bed on her own.  She felt weak in her proximal lower extremities and her trunk.  She denied any bandlike sensations or paresthesias.  She cannot tell me that she developed any distal lower extremity weakness initially but felt that it was the acute onset.  She needed some help her out of bed when she was upright, she was able to use her walker to slowly get to the factor.  She may have had some urinary incontinence, she does complain of diarrhea now.   Denies any tingling sensation, no bulbar symptoms.  This is a 78-year-old female who we were asked to evaluate for possible Guillain-Barre syndrome.  She had acute onset of lower much greater than upper extremity weakness without any definite ascending features, of relevance, is that she received the COVID-19 vaccine 3 days prior to the onset of her symptoms.  She did exhibit flu-like symptoms prior to this.  Given that she does not have any specific area of intrathecal enhancement to suggest Guillain-Barre or other areas of radiculitis, I think it is reasonable to proceed with lumbar puncture to look for any other source.   --Given the findings on the MRI cervical and lumbar spine including enhancement of the bilateral sacral S1 region, I would like Neurosurgery to further evaluate. -- would likely benefit from CT chest abdomen pelvis to rule out any underlying occult malignancy particularly if workup remains unremarkable. -- continue supportive care, monitor for shortness of breath, new vital capacities  Patient remains admitted to the hospital with continued weakness at the time of this report
Age: 44.0
Sex: U
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Pfizer vaccine lot EL9262 administered  at 1:57. At 2:23 pm patient complained of shortness of breath. No wheezing or swelling noted. Benadryl 50 mg PO given. Patient declined all other interventions.  No further decompensation noted. Patient was discharged at 4 pm per her request in stable condition.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site swelling, Vaccine positive rechallenge
Clinical narrative: Slight fatigue & swelling to the injection site
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Fall, Loss of consciousness
Clinical narrative: After awakening at 11p.m.,  1a.m. , and 3:00a.m.   , I was off balance and found myself on the bathroom floor.  I must have passed out but don't remember how.  I had no injuries that I could see.  I lay there for a while.  I carefully got up and crawled back into my bed.   I lay there until about 6:00 a.m.  I again carefully arose, and I felt OK.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Diarrhoea, Dizziness, Fatigue
Clinical narrative: Headache, low grade fever, chills, exhaustion, weakness, dizzy, nausea, diarrhea, moderate to severe pain throughout right arm.  Symptoms lasted from Saturday, February 27th at 6pm until Monday, March 1 at 11am.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Pain in extremity, Pyrexia
Clinical narrative: Headache, low grade fever, chills, exhaustion, weakness, dizzy, nausea, diarrhea, moderate to severe pain throughout right arm.  Symptoms lasted from Saturday, February 27th at 6pm until Monday, March 1 at 11am.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Rash most of body, severe itching
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Pain, Swelling face
Clinical narrative: After covid vaccine 2/23/21 started blurred vision and lightheadedness.  No itching rash.  Provided juice crackers and monitored x 1 hour.  Next day,  hives and swollen at home.  Face swollen   Took Benadryl and that relieved those symptoms Called in sick..  Also had body aches and chills lasted x a few hours .  2/25 and 2/26  went to work  and was fatigued but okay.    Daughter got sick on  2/26  she is asthmatic PND, seasonal allergies and is testing  later today.  Employee is getting evaluated today at Urgent care.    Today 3/2 ee has sore throat and runny nose now is going for testing today.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria, Vision blurred
Clinical narrative: After covid vaccine 2/23/21 started blurred vision and lightheadedness.  No itching rash.  Provided juice crackers and monitored x 1 hour.  Next day,  hives and swollen at home.  Face swollen   Took Benadryl and that relieved those symptoms Called in sick..  Also had body aches and chills lasted x a few hours .  2/25 and 2/26  went to work  and was fatigued but okay.    Daughter got sick on  2/26  she is asthmatic PND, seasonal allergies and is testing  later today.  Employee is getting evaluated today at Urgent care.    Today 3/2 ee has sore throat and runny nose now is going for testing today.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: upon  injection,  arm become numb.  After a few minutes,  left side of face was numb and still continues to be  a week later.  Went to doctor yesterday and she said all the vitals are good.
Age: 99.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Raised erythema itching area 4.5" by 4.5" on upper right arm, slight itching noted on back, but no rash noted on back.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Decreased appetite, Dizziness, Headache
Clinical narrative: chills, nausea, fever, dizziness, headache, sweating, weakness, no appetite Referred to primary provider if symptoms worsen, advised to drink fluids and to take pain reliever to tolerate headache.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea, Pyrexia
Clinical narrative: chills, nausea, fever, dizziness, headache, sweating, weakness, no appetite Referred to primary provider if symptoms worsen, advised to drink fluids and to take pain reliever to tolerate headache.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site mass, Injection site swelling
Clinical narrative: Swelling/large  hard lump, icing at injection site about 5 inch area.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Diplopia, Myalgia, Pain in extremity, Ultrasound scan
Clinical narrative: Awoke with horizonal diplopia on post-vaccine day #2 after 2nd COVID vaccine. Had mild arm pain, diffuse myalgias on post-vaccine day #1, but resolved on post-vaccine day #2. No headaches or other fever, chills. No other focal neurologic issues. No prior history of eye issues. Diplopia completely resolved on post-vaccine day #3.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site warmth, No reaction on previous exposure to drug
Clinical narrative: No reaction with first shot-2nd shot arm bruised and had a large red/warm area-noticed day of injection has progressively gotten biger
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: The night of the shot, I developed body aches, fever, and chills. These persisted into the following day and were mostly gone by the day after that.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Pain in extremity, Pyrexia
Clinical narrative: Headache first symptom, sore right arm, high fever 102 for 24 hours, chills, dizzy , achy all over , very tired. after 24 hours symptoms dissipated. Then just tired and sore arm next day.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Pt developed substernal chest discomfort 20 minutes after vaccination.  Transportation to ED and ED evaluation advised but patient refused.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Bells Palsy
Age: 31.0
Sex: M
Vaccine: YF
Symptoms: Unevaluable event
Clinical narrative: No adverse events at this time.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase decreased, Angiogram, Aspartate aminotransferase normal, Asthenia, Blood alkaline phosphatase normal
Clinical narrative: 2/22/21 positive for covid and flu b  2/23/21 requested bamlanivimab infusion d/t not eating and weakness 2/24/21 emergency room after infusion: HPI  59 y.o. male who presents with left-sided posterolateral chest pain.  Pain has been present 4-5 days time.  It is worsened by deep inspiration or coughing.  The patient has also had nausea and vomiting.  Fever has been as high as 101.6°.  He was tested and found to be positive for both influenza and COVID-19.  He denies anterior or central chest pain dyspnea or orthopnea palpitations sputum production.  3/1/21 emergency room for worsening condition: 59 y.o. male presented to the emergency room with a several day history of intractable nausea vomiting and severe weakness.  The patient does have a known history of recent coronavirus (COVID-19) infection.  He was diagnosed on February 22nd and did receive Bamlanivimab.  He started feeling a little bit better after this, but a few days ago started having increasing weakness and nausea/vomiting.  He called me this morning and stated he had been unable will keep anything down for several days and was extremely weak and I asked that he go to the emergency room.  In the emergency room is lactic acid was found to be elevated.  His CT scan of his chest with contrast showed severe coronavirus (COVID-19) pneumonia.  This was run after he was found to have an elevated D-dimer.  He was found to be extremely weak and deconditioned.  His oxygen saturations at times or found to be in the low 90s.  Because of all of this he will be admitted and treated for sepsis from coronavirus (COVID-19)..    3/2/21 currently remains hospitalized
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Blood calcium decreased, Blood chloride normal, Blood creatinine normal, Blood glucose increased, Blood lactic acid normal
Clinical narrative: 2/22/21 positive for covid and flu b  2/23/21 requested bamlanivimab infusion d/t not eating and weakness 2/24/21 emergency room after infusion: HPI  59 y.o. male who presents with left-sided posterolateral chest pain.  Pain has been present 4-5 days time.  It is worsened by deep inspiration or coughing.  The patient has also had nausea and vomiting.  Fever has been as high as 101.6°.  He was tested and found to be positive for both influenza and COVID-19.  He denies anterior or central chest pain dyspnea or orthopnea palpitations sputum production.  3/1/21 emergency room for worsening condition: 59 y.o. male presented to the emergency room with a several day history of intractable nausea vomiting and severe weakness.  The patient does have a known history of recent coronavirus (COVID-19) infection.  He was diagnosed on February 22nd and did receive Bamlanivimab.  He started feeling a little bit better after this, but a few days ago started having increasing weakness and nausea/vomiting.  He called me this morning and stated he had been unable will keep anything down for several days and was extremely weak and I asked that he go to the emergency room.  In the emergency room is lactic acid was found to be elevated.  His CT scan of his chest with contrast showed severe coronavirus (COVID-19) pneumonia.  This was run after he was found to have an elevated D-dimer.  He was found to be extremely weak and deconditioned.  His oxygen saturations at times or found to be in the low 90s.  Because of all of this he will be admitted and treated for sepsis from coronavirus (COVID-19)..    3/2/21 currently remains hospitalized
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Blood magnesium normal, Blood potassium normal, Blood sodium decreased, Blood urea normal, COVID-19
Clinical narrative: 2/22/21 positive for covid and flu b  2/23/21 requested bamlanivimab infusion d/t not eating and weakness 2/24/21 emergency room after infusion: HPI  59 y.o. male who presents with left-sided posterolateral chest pain.  Pain has been present 4-5 days time.  It is worsened by deep inspiration or coughing.  The patient has also had nausea and vomiting.  Fever has been as high as 101.6°.  He was tested and found to be positive for both influenza and COVID-19.  He denies anterior or central chest pain dyspnea or orthopnea palpitations sputum production.  3/1/21 emergency room for worsening condition: 59 y.o. male presented to the emergency room with a several day history of intractable nausea vomiting and severe weakness.  The patient does have a known history of recent coronavirus (COVID-19) infection.  He was diagnosed on February 22nd and did receive Bamlanivimab.  He started feeling a little bit better after this, but a few days ago started having increasing weakness and nausea/vomiting.  He called me this morning and stated he had been unable will keep anything down for several days and was extremely weak and I asked that he go to the emergency room.  In the emergency room is lactic acid was found to be elevated.  His CT scan of his chest with contrast showed severe coronavirus (COVID-19) pneumonia.  This was run after he was found to have an elevated D-dimer.  He was found to be extremely weak and deconditioned.  His oxygen saturations at times or found to be in the low 90s.  Because of all of this he will be admitted and treated for sepsis from coronavirus (COVID-19)..    3/2/21 currently remains hospitalized
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Carbon dioxide decreased, Chest X-ray normal, Chest pain, Computerised tomogram abnormal
Clinical narrative: 2/22/21 positive for covid and flu b  2/23/21 requested bamlanivimab infusion d/t not eating and weakness 2/24/21 emergency room after infusion: HPI  59 y.o. male who presents with left-sided posterolateral chest pain.  Pain has been present 4-5 days time.  It is worsened by deep inspiration or coughing.  The patient has also had nausea and vomiting.  Fever has been as high as 101.6°.  He was tested and found to be positive for both influenza and COVID-19.  He denies anterior or central chest pain dyspnea or orthopnea palpitations sputum production.  3/1/21 emergency room for worsening condition: 59 y.o. male presented to the emergency room with a several day history of intractable nausea vomiting and severe weakness.  The patient does have a known history of recent coronavirus (COVID-19) infection.  He was diagnosed on February 22nd and did receive Bamlanivimab.  He started feeling a little bit better after this, but a few days ago started having increasing weakness and nausea/vomiting.  He called me this morning and stated he had been unable will keep anything down for several days and was extremely weak and I asked that he go to the emergency room.  In the emergency room is lactic acid was found to be elevated.  His CT scan of his chest with contrast showed severe coronavirus (COVID-19) pneumonia.  This was run after he was found to have an elevated D-dimer.  He was found to be extremely weak and deconditioned.  His oxygen saturations at times or found to be in the low 90s.  Because of all of this he will be admitted and treated for sepsis from coronavirus (COVID-19)..    3/2/21 currently remains hospitalized
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Differential white blood cell count normal, Fibrin D dimer increased, Haematocrit normal
Clinical narrative: 2/22/21 positive for covid and flu b  2/23/21 requested bamlanivimab infusion d/t not eating and weakness 2/24/21 emergency room after infusion: HPI  59 y.o. male who presents with left-sided posterolateral chest pain.  Pain has been present 4-5 days time.  It is worsened by deep inspiration or coughing.  The patient has also had nausea and vomiting.  Fever has been as high as 101.6°.  He was tested and found to be positive for both influenza and COVID-19.  He denies anterior or central chest pain dyspnea or orthopnea palpitations sputum production.  3/1/21 emergency room for worsening condition: 59 y.o. male presented to the emergency room with a several day history of intractable nausea vomiting and severe weakness.  The patient does have a known history of recent coronavirus (COVID-19) infection.  He was diagnosed on February 22nd and did receive Bamlanivimab.  He started feeling a little bit better after this, but a few days ago started having increasing weakness and nausea/vomiting.  He called me this morning and stated he had been unable will keep anything down for several days and was extremely weak and I asked that he go to the emergency room.  In the emergency room is lactic acid was found to be elevated.  His CT scan of his chest with contrast showed severe coronavirus (COVID-19) pneumonia.  This was run after he was found to have an elevated D-dimer.  He was found to be extremely weak and deconditioned.  His oxygen saturations at times or found to be in the low 90s.  Because of all of this he will be admitted and treated for sepsis from coronavirus (COVID-19)..    3/2/21 currently remains hospitalized
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin normal, Influenza, Influenza virus test positive, International normalised ratio normal, Lipase normal
Clinical narrative: 2/22/21 positive for covid and flu b  2/23/21 requested bamlanivimab infusion d/t not eating and weakness 2/24/21 emergency room after infusion: HPI  59 y.o. male who presents with left-sided posterolateral chest pain.  Pain has been present 4-5 days time.  It is worsened by deep inspiration or coughing.  The patient has also had nausea and vomiting.  Fever has been as high as 101.6°.  He was tested and found to be positive for both influenza and COVID-19.  He denies anterior or central chest pain dyspnea or orthopnea palpitations sputum production.  3/1/21 emergency room for worsening condition: 59 y.o. male presented to the emergency room with a several day history of intractable nausea vomiting and severe weakness.  The patient does have a known history of recent coronavirus (COVID-19) infection.  He was diagnosed on February 22nd and did receive Bamlanivimab.  He started feeling a little bit better after this, but a few days ago started having increasing weakness and nausea/vomiting.  He called me this morning and stated he had been unable will keep anything down for several days and was extremely weak and I asked that he go to the emergency room.  In the emergency room is lactic acid was found to be elevated.  His CT scan of his chest with contrast showed severe coronavirus (COVID-19) pneumonia.  This was run after he was found to have an elevated D-dimer.  He was found to be extremely weak and deconditioned.  His oxygen saturations at times or found to be in the low 90s.  Because of all of this he will be admitted and treated for sepsis from coronavirus (COVID-19)..    3/2/21 currently remains hospitalized
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Mean cell volume decreased, Nausea, Oxygen saturation decreased, Painful respiration
Clinical narrative: 2/22/21 positive for covid and flu b  2/23/21 requested bamlanivimab infusion d/t not eating and weakness 2/24/21 emergency room after infusion: HPI  59 y.o. male who presents with left-sided posterolateral chest pain.  Pain has been present 4-5 days time.  It is worsened by deep inspiration or coughing.  The patient has also had nausea and vomiting.  Fever has been as high as 101.6°.  He was tested and found to be positive for both influenza and COVID-19.  He denies anterior or central chest pain dyspnea or orthopnea palpitations sputum production.  3/1/21 emergency room for worsening condition: 59 y.o. male presented to the emergency room with a several day history of intractable nausea vomiting and severe weakness.  The patient does have a known history of recent coronavirus (COVID-19) infection.  He was diagnosed on February 22nd and did receive Bamlanivimab.  He started feeling a little bit better after this, but a few days ago started having increasing weakness and nausea/vomiting.  He called me this morning and stated he had been unable will keep anything down for several days and was extremely weak and I asked that he go to the emergency room.  In the emergency room is lactic acid was found to be elevated.  His CT scan of his chest with contrast showed severe coronavirus (COVID-19) pneumonia.  This was run after he was found to have an elevated D-dimer.  He was found to be extremely weak and deconditioned.  His oxygen saturations at times or found to be in the low 90s.  Because of all of this he will be admitted and treated for sepsis from coronavirus (COVID-19)..    3/2/21 currently remains hospitalized
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count increased, Prothrombin time prolonged, Pyrexia, Red blood cell count normal, SARS-CoV-2 test positive
Clinical narrative: 2/22/21 positive for covid and flu b  2/23/21 requested bamlanivimab infusion d/t not eating and weakness 2/24/21 emergency room after infusion: HPI  59 y.o. male who presents with left-sided posterolateral chest pain.  Pain has been present 4-5 days time.  It is worsened by deep inspiration or coughing.  The patient has also had nausea and vomiting.  Fever has been as high as 101.6°.  He was tested and found to be positive for both influenza and COVID-19.  He denies anterior or central chest pain dyspnea or orthopnea palpitations sputum production.  3/1/21 emergency room for worsening condition: 59 y.o. male presented to the emergency room with a several day history of intractable nausea vomiting and severe weakness.  The patient does have a known history of recent coronavirus (COVID-19) infection.  He was diagnosed on February 22nd and did receive Bamlanivimab.  He started feeling a little bit better after this, but a few days ago started having increasing weakness and nausea/vomiting.  He called me this morning and stated he had been unable will keep anything down for several days and was extremely weak and I asked that he go to the emergency room.  In the emergency room is lactic acid was found to be elevated.  His CT scan of his chest with contrast showed severe coronavirus (COVID-19) pneumonia.  This was run after he was found to have an elevated D-dimer.  He was found to be extremely weak and deconditioned.  His oxygen saturations at times or found to be in the low 90s.  Because of all of this he will be admitted and treated for sepsis from coronavirus (COVID-19)..    3/2/21 currently remains hospitalized