chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: 09/03/21  The patient presents with SOB xPTA. Pt who is fully vaccinated is believed to have COVID-19 is experiencing SOB. Pt has a hx of a paralyzed right diaphragm and is on a nasal canula. Pt is currently feeling better after receiving a breathing treatment and denies V/N/D.  The onset was just prior to arrival.  The course/duration of symptoms is constant.  Degree at onset moderate.  Degree at present mild.  The Exacerbating factors is none.  The Relieving factors is beta-agonist.  Risk factors consist of Paralyzed right diaphragm.  Prior episodes: none.  Therapy today: oxygen.  Associated symptoms: denies chest pain, denies fever, denies chills, denies cough, denies nausea, denies vomiting, denies abdominal pain, denies back pain, denies weight gain and denies hemoptysis.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray normal, Cough, Dehydration
Clinical narrative: 77 yo female with a PMH of diabetes mellitus and hypertension who present our facility with COVID-19.   The patient been experiencing increased fatigue, fever, weakness, and cough.  This started approximately 10 days prior to arrival.  The patient indicated that this was significantly worse over the 2 days prior to admission.  The patient had mild shortness of breath but denied any current nausea, vomiting, diarrhea.  Patient had no loss of taste and no loss of appetite.  The patient had received both COVID-19 vaccines in the beginning of 2021.  The patient primarily presented due to her general malaise and weakness.   The patient was followed symptomatically.  The patient had no significant cardiopulmonary disease on chest x-ray.  The patient was initially started on dexamethasone and Tessalon Perles as well as IV fluids as she was felt to be dehydrated on admission.  The patient had a minimally elevated transaminitis.  The patient otherwise is well-appearing.  The patient had done well during the hospitalization and required no oxygen support.  The patient was discharged home in stable improved condition with home health care on 8/19/2021
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Fatigue, Malaise, Pyrexia, Transaminases increased
Clinical narrative: 77 yo female with a PMH of diabetes mellitus and hypertension who present our facility with COVID-19.   The patient been experiencing increased fatigue, fever, weakness, and cough.  This started approximately 10 days prior to arrival.  The patient indicated that this was significantly worse over the 2 days prior to admission.  The patient had mild shortness of breath but denied any current nausea, vomiting, diarrhea.  Patient had no loss of taste and no loss of appetite.  The patient had received both COVID-19 vaccines in the beginning of 2021.  The patient primarily presented due to her general malaise and weakness.   The patient was followed symptomatically.  The patient had no significant cardiopulmonary disease on chest x-ray.  The patient was initially started on dexamethasone and Tessalon Perles as well as IV fluids as she was felt to be dehydrated on admission.  The patient had a minimally elevated transaminitis.  The patient otherwise is well-appearing.  The patient had done well during the hospitalization and required no oxygen support.  The patient was discharged home in stable improved condition with home health care on 8/19/2021
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Audiogram abnormal, Balance disorder, Cerumen removal, Deafness neurosensory
Clinical narrative: I am a healthy 41 year old male who was diagnosed with Labyrinthitis and sudden sensorineural hearing loss following the second dose of my covid vaccine.  I had no health problems and no prior hearing issues prior to this diagnosis.  I thought this could be relevant to the adverse event so I?m including it here - I  tested positive for Covid-19 in January 2021 but had a mild case and fully recovered in the normal timeframe (less than 2 weeks). On 6/25/21, 38 days following my second Covid vaccine (Moderna lot 009C21A), I experienced sporadic dizziness while working at my computer.   That evening, I woke up at approximately 2am with severe vertigo  - vomiting, extreme dizziness, fullness in my right ear, and tinnitus.  I saw a general practitioner on the morning of 6/26/21 who removed excess ear wax in my right ear and sent me home with no prescription or diagnosis.  There was no noticeable hearing loss at that time.  The evening of 6/26, dizziness continued, but not nearly as severe as the prior evening.   I also had mild throbbing and ringing in my ear for the next couple days.  On the evening of 6/29, I woke up in the middle of the night with another vertigo attack - severe dizziness and vomiting like the earlier episode.   When I woke up on 6/30, the hearing in my right ear was completely gone and I was unable to walk without assistance due to the loss of balance, vertigo, and vomiting.  I made an appointment at urgent care and had to be taken in a wheelchair.  Recognizing that I lost the hearing in my right ear, the Dr. provided an urgent referral to an Ear Nose and Throat (ENT) doctor.  I saw the ENT that day, who ordered a hearing test.  The audiogram showed profound hearing loss in my right ear across all frequencies and I was diagnosed with Labyrinthitis and sudden sensorineural hearing loss.  The ENT prescribed a high dose of oral prednisone and scheduled an intratympanic steroid injection.  After 2 months, I completed 2 rounds of oral steroids, 6 steroid injections, and over 15 hyperbaric oxygen therapy (HBOT) treatments.  My latest audiogram, 2 months after the onset, showed moderate to profound hearing loss in my right ear, but the profound loss is in the frequencies where most human conversation occurs and my word recognition score is less than 20%, even at high volumes.  While I have regained my balance and can perform most activities normally (including  sports), I still have some residual balance/vestibular issues that have not fully corrected since the incident.  I also have constant tinnitus.  The ENTs have indicated the hearing loss I sustained and the tinnitus are permanent.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness unilateral, Dizziness, Ear discomfort, Gait disturbance, Labyrinthitis
Clinical narrative: I am a healthy 41 year old male who was diagnosed with Labyrinthitis and sudden sensorineural hearing loss following the second dose of my covid vaccine.  I had no health problems and no prior hearing issues prior to this diagnosis.  I thought this could be relevant to the adverse event so I?m including it here - I  tested positive for Covid-19 in January 2021 but had a mild case and fully recovered in the normal timeframe (less than 2 weeks). On 6/25/21, 38 days following my second Covid vaccine (Moderna lot 009C21A), I experienced sporadic dizziness while working at my computer.   That evening, I woke up at approximately 2am with severe vertigo  - vomiting, extreme dizziness, fullness in my right ear, and tinnitus.  I saw a general practitioner on the morning of 6/26/21 who removed excess ear wax in my right ear and sent me home with no prescription or diagnosis.  There was no noticeable hearing loss at that time.  The evening of 6/26, dizziness continued, but not nearly as severe as the prior evening.   I also had mild throbbing and ringing in my ear for the next couple days.  On the evening of 6/29, I woke up in the middle of the night with another vertigo attack - severe dizziness and vomiting like the earlier episode.   When I woke up on 6/30, the hearing in my right ear was completely gone and I was unable to walk without assistance due to the loss of balance, vertigo, and vomiting.  I made an appointment at urgent care and had to be taken in a wheelchair.  Recognizing that I lost the hearing in my right ear, the Dr. provided an urgent referral to an Ear Nose and Throat (ENT) doctor.  I saw the ENT that day, who ordered a hearing test.  The audiogram showed profound hearing loss in my right ear across all frequencies and I was diagnosed with Labyrinthitis and sudden sensorineural hearing loss.  The ENT prescribed a high dose of oral prednisone and scheduled an intratympanic steroid injection.  After 2 months, I completed 2 rounds of oral steroids, 6 steroid injections, and over 15 hyperbaric oxygen therapy (HBOT) treatments.  My latest audiogram, 2 months after the onset, showed moderate to profound hearing loss in my right ear, but the profound loss is in the frequencies where most human conversation occurs and my word recognition score is less than 20%, even at high volumes.  While I have regained my balance and can perform most activities normally (including  sports), I still have some residual balance/vestibular issues that have not fully corrected since the incident.  I also have constant tinnitus.  The ENTs have indicated the hearing loss I sustained and the tinnitus are permanent.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder, Tinnitus, Vertigo, Vomiting
Clinical narrative: I am a healthy 41 year old male who was diagnosed with Labyrinthitis and sudden sensorineural hearing loss following the second dose of my covid vaccine.  I had no health problems and no prior hearing issues prior to this diagnosis.  I thought this could be relevant to the adverse event so I?m including it here - I  tested positive for Covid-19 in January 2021 but had a mild case and fully recovered in the normal timeframe (less than 2 weeks). On 6/25/21, 38 days following my second Covid vaccine (Moderna lot 009C21A), I experienced sporadic dizziness while working at my computer.   That evening, I woke up at approximately 2am with severe vertigo  - vomiting, extreme dizziness, fullness in my right ear, and tinnitus.  I saw a general practitioner on the morning of 6/26/21 who removed excess ear wax in my right ear and sent me home with no prescription or diagnosis.  There was no noticeable hearing loss at that time.  The evening of 6/26, dizziness continued, but not nearly as severe as the prior evening.   I also had mild throbbing and ringing in my ear for the next couple days.  On the evening of 6/29, I woke up in the middle of the night with another vertigo attack - severe dizziness and vomiting like the earlier episode.   When I woke up on 6/30, the hearing in my right ear was completely gone and I was unable to walk without assistance due to the loss of balance, vertigo, and vomiting.  I made an appointment at urgent care and had to be taken in a wheelchair.  Recognizing that I lost the hearing in my right ear, the Dr. provided an urgent referral to an Ear Nose and Throat (ENT) doctor.  I saw the ENT that day, who ordered a hearing test.  The audiogram showed profound hearing loss in my right ear across all frequencies and I was diagnosed with Labyrinthitis and sudden sensorineural hearing loss.  The ENT prescribed a high dose of oral prednisone and scheduled an intratympanic steroid injection.  After 2 months, I completed 2 rounds of oral steroids, 6 steroid injections, and over 15 hyperbaric oxygen therapy (HBOT) treatments.  My latest audiogram, 2 months after the onset, showed moderate to profound hearing loss in my right ear, but the profound loss is in the frequencies where most human conversation occurs and my word recognition score is less than 20%, even at high volumes.  While I have regained my balance and can perform most activities normally (including  sports), I still have some residual balance/vestibular issues that have not fully corrected since the incident.  I also have constant tinnitus.  The ENTs have indicated the hearing loss I sustained and the tinnitus are permanent.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fall, SARS-CoV-2 test positive
Clinical narrative: 09/06/2021 The patient presents with Fall, just prior to arrival. Per EMS report, pt experienced an unwitnessed fall reported by care taker. At ED bedside, pt has no complaints but further hx is limited due to dementia. Per report pt also had recent eye surgery. . COVID-19 positive (incidental finding)
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Fatigue, SARS-CoV-2 test positive
Clinical narrative: 08/29/21 The patient presents with 73 year old female with a medical Hx of pulmonary embolism, sleep apnea, Pulmonary fibrosis (on 6L of O2 at home) presents COVID positive onset of today to the ED. Per EMS patient was placed on 6.5L of O2 via nasal cannula prior to arrival. Patient reports of generalized weakness and fatigue. Patient has received both of her covid vaccinations. Denies any chest pain, shortness of breath, diarrhea, urinary complications, vomiting, fevers or chills..  The onset was just prior to arrival.  The course/duration of symptoms is constant.  The character of symptoms is generalized, lack of stamina and lack of strength.   Risk factors consist of obesity and age,
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Hypotension, SARS-CoV-2 test positive
Clinical narrative: 08/30/21 The patient presents with 7 day hx of general weakness. Pt reports general weakness with noted hypotension. Pt is currently COVID-19 positive, tested positive at onset. The patient presents with 7 day hx of general weakness. Pt reports general weakness with noted hypotension. Pt is currently COVID-19 positive, tested positive at onset.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Drainage, Pruritus, Rash, Wound
Clinical narrative: Two blisters that itched and drained.  One on each forearm, rash on abdomen, open sore in right nostril, open sore on L & R bottom lip, open sore on vulva.  Mucous membranes seem to be affected.  Patient has not had of these conditions previously, prior to receiving the COVID 19 vaccine.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Condition aggravated, Cough, Dyspnoea, Peripheral swelling
Clinical narrative: ry of Present Illness  The patient presents with worsening of chronic dyspnea over past 4 days which was said to have been ongoing for years. Has had to increase O2 from 2L baseline. Also reports some swelling of the LE BL and cough. Denies use of anticoagulants, denies fever, denies nausea, denies Hx DVT. Pt has a h/o lung cancer not currently on chemo.  The onset was chronic.  The course/duration of symptoms is worsening (over past 4 days).  Risk factors consist of hypertension and Lung cancer.  Therapy today: oxygen and emergency medical services.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: ry of Present Illness  The patient presents with worsening of chronic dyspnea over past 4 days which was said to have been ongoing for years. Has had to increase O2 from 2L baseline. Also reports some swelling of the LE BL and cough. Denies use of anticoagulants, denies fever, denies nausea, denies Hx DVT. Pt has a h/o lung cancer not currently on chemo.  The onset was chronic.  The course/duration of symptoms is worsening (over past 4 days).  Risk factors consist of hypertension and Lung cancer.  Therapy today: oxygen and emergency medical services.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Cough, Fatigue, Feeling cold
Clinical narrative: After the shot I did have a minor reaction and had a little soreness in shoulder. Approximately September 4 I started coming down with cough, cold, fever, ickiness, fatigue. September 8 I went and got tested and two days later I got the results and I was positive for Covid-19. I've been isolating since and feeling better now the last couple of days. It felt like a minor low grade flu. Monday, September 13 I started feeling better.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness, Malaise, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: After the shot I did have a minor reaction and had a little soreness in shoulder. Approximately September 4 I started coming down with cough, cold, fever, ickiness, fatigue. September 8 I went and got tested and two days later I got the results and I was positive for Covid-19. I've been isolating since and feeling better now the last couple of days. It felt like a minor low grade flu. Monday, September 13 I started feeling better.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Cough, Nausea, Pain, Pyrexia
Clinical narrative: The patient presents with fever, cough, chills x 1 week. Pt reports she started feeling symptoms last week on Thursday and tested positive the next day. She reports she has n/v from the coughing..  The onset was 1  weeks ago.  The course/duration of symptoms is constant.  Location: generalized. The character of symptoms is pain.  The degree at onset was moderate.  The degree at present is moderate.  Risk factors consist of none.  Therapy today: none.  Associated symptoms: nausea, vomiting, cough, fever and chills.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: The patient presents with fever, cough, chills x 1 week. Pt reports she started feeling symptoms last week on Thursday and tested positive the next day. She reports she has n/v from the coughing..  The onset was 1  weeks ago.  The course/duration of symptoms is constant.  Location: generalized. The character of symptoms is pain.  The degree at onset was moderate.  The degree at present is moderate.  Risk factors consist of none.  Therapy today: none.  Associated symptoms: nausea, vomiting, cough, fever and chills.
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Endotracheal intubation, Extubation, Intensive care, Pneumonia
Clinical narrative: EMS called to nursing home, pt. in resp. failure, immediately intubated in ER, admit to ICU. As of 9/15/2021 pt is extubated, improved, remains in hospital.
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory failure
Clinical narrative: EMS called to nursing home, pt. in resp. failure, immediately intubated in ER, admit to ICU. As of 9/15/2021 pt is extubated, improved, remains in hospital.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The adverse event was that an expired Janssen COVID-19 Vaccine has been administered to the patient. There were no adverse event, symptoms or any health related issues regarding the patient after the vaccine dose was given. Only that the vaccine has been given after the expiration date, nothing else.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Thrombosis
Clinical narrative: I have an IUD that has prevented me from menstruating for 6 months or more. More than 2 weeks after receiving my first shot, I started having a heavy period with cramps, clots, and bright red blood. I have read that this is a side effect and I want it reported that it definitely has been for me.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Cough, Headache, Malaise
Clinical narrative: 09/06/2021 The patient presents with COVID-19 symptoms x1 days. Pt states she tested positive for COVID-19 on 9/3 and c/o subjective fever, body aches, HA, cough, and chest tightness. Pt reports speaking to her PCP who advised her to come to the ED. Pt is vaccinated with J&J in March and denies any other symptoms or complaints.  The onset was 1  days ago.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 09/06/2021 The patient presents with COVID-19 symptoms x1 days. Pt states she tested positive for COVID-19 on 9/3 and c/o subjective fever, body aches, HA, cough, and chest tightness. Pt reports speaking to her PCP who advised her to come to the ED. Pt is vaccinated with J&J in March and denies any other symptoms or complaints.  The onset was 1  days ago.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Cardiac monitoring abnormal, Chest discomfort, Chest pain, Dyspnoea
Clinical narrative: 1-9days had headaches, 10th day heart palpitations , 11th and 12th day chest tightness and pains, 13th air felt thick, alittle hard to breath. Wore a heart monitor and blood drawn
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer normal, Headache, Heart rate irregular, Myocarditis, Palpitations
Clinical narrative: 1-9days had headaches, 10th day heart palpitations , 11th and 12th day chest tightness and pains, 13th air felt thick, alittle hard to breath. Wore a heart monitor and blood drawn
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Axillary pain, Chills, Dyspnoea, Fatigue
Clinical narrative: At 7:00 pm on 9/13 I began to have body aches. I took ibuprofen and went to bed. I woke up at midnight with severe chills and body aches. I took my temperature it was 100.2. I took 1,500 mg of Tylenol. The chill and aches kept waking me up. I got severely drenched in sweat about 4:00 am. I woke up and had extreme soreness on my left arm. I could hardly raise it. My armpit was also tender. I looked in the mirror and noticed a bulge in my arm pit. My armpit is still tender today (9/15). 9/14 I took Tylenol 1,500mg every 4-6 hrs. I had chills and body aches intermittently through out the day. In the morning I had sweats and shortness of breath just doing daily tasks around the house. The night of 9/14 I felt extremely fatigued and went to bed at 8:30 pm. Today 9/15 I feel back to my usual self.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Injected limb mobility decreased, Oedema peripheral, Pain, Pain in extremity
Clinical narrative: At 7:00 pm on 9/13 I began to have body aches. I took ibuprofen and went to bed. I woke up at midnight with severe chills and body aches. I took my temperature it was 100.2. I took 1,500 mg of Tylenol. The chill and aches kept waking me up. I got severely drenched in sweat about 4:00 am. I woke up and had extreme soreness on my left arm. I could hardly raise it. My armpit was also tender. I looked in the mirror and noticed a bulge in my arm pit. My armpit is still tender today (9/15). 9/14 I took Tylenol 1,500mg every 4-6 hrs. I had chills and body aches intermittently through out the day. In the morning I had sweats and shortness of breath just doing daily tasks around the house. The night of 9/14 I felt extremely fatigued and went to bed at 8:30 pm. Today 9/15 I feel back to my usual self.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: At 7:00 pm on 9/13 I began to have body aches. I took ibuprofen and went to bed. I woke up at midnight with severe chills and body aches. I took my temperature it was 100.2. I took 1,500 mg of Tylenol. The chill and aches kept waking me up. I got severely drenched in sweat about 4:00 am. I woke up and had extreme soreness on my left arm. I could hardly raise it. My armpit was also tender. I looked in the mirror and noticed a bulge in my arm pit. My armpit is still tender today (9/15). 9/14 I took Tylenol 1,500mg every 4-6 hrs. I had chills and body aches intermittently through out the day. In the morning I had sweats and shortness of breath just doing daily tasks around the house. The night of 9/14 I felt extremely fatigued and went to bed at 8:30 pm. Today 9/15 I feel back to my usual self.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Pain in extremity, Seizure
Clinical narrative: woke from sleep in middle of night with "seizure-like" activity, described as "convulsing", lasted 2.5 hours; once this ended left with sore arm and back; no skin rash or other visible signs of reaction(s)
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Discomfort, Injection site pain, Pyrexia, Vomiting
Clinical narrative: Received dose at 2pm, started with general discomfort, local pain in the left arm, feverish feeling at 7pm, proceeds to take oral ENANTYUM. At midnight with chest tightness without dyspnea and proceeds to use Salbutamol inhaler with another intake of oral ENANTYUM. Associated with #2 vomiting, consultation the next day (09/15) at 9 am with BP: 124/076 mmHg T: 38 c So2: 98% room air. Eupneic, cardiopulmonary without added noise, no foot edema. Sg Levine (neg) Tietze (neg) .
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, COVID-19, Constipation, Nausea, SARS-CoV-2 test positive
Clinical narrative: 09/02/21 The patient presents with 69 year old female with history of pancreatitis, hypothyroid presents from PCP with c/o abdominal pressure, nausea and constipation that started 2 days ago. Patient's physician would like for her a CT abdomen to be performed. Denies: chest pain, vomiting.  The onset was 2  days ago.  The course/duration of symptoms is constant.  The Location of pain at onset was abdominal.  The Location of pain at present is abdominal.  Radiating pain: none. The exacerbating factor is none.  Associated symptoms: nausea, constipation, denies chest pain, denies vomiting, denies diarrhea, denies back pain, denies shortness of breath, denies fever, denies chills, denies headache and denies dizziness.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Oxygen saturation decreased, Pyrexia
Clinical narrative: Pt acquired covid-19 several months after administration of vaccine that requires hospitalization.  Symptoms include sever, cough, decreased O2 saturation requiring supplemental oxygen administration.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Aggression, Confusional state, Mental status changes, SARS-CoV-2 test
Clinical narrative: The patient presents with Altered mental status xPTA. Per EMS, pt who comes form Lake Eustis was combative with EMS by biting and kicking. Pt also has a DNR in place and although confused pt knows their whereabouts. Pt voices no complaints or pain. Risk factors consist of nursing home resident. 86-year-old male presents to ED via EMS from Lake Eustis Health Care Center for evaluation altered mental status with associated combative behavior, onset prior to arrival. PMHx atrial fibrillation, paced rhythm, HTN, COPD, DM. Per EMS report, patient was kicking and biting. Unclear baseline mentation. Further history/ROS limited secondary to patient's current clinical condition
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, Anticoagulant therapy, Dysarthria, Echocardiogram, Embolic stroke
Clinical narrative: No symptoms until April 20, 2021, when I developed at work a thromboembolic stroke to the left internal capsule, resulting in right hemiparesis, facial droop, and slurred speech. Head CT angiogram obtained via the ER was negative for bleed. INR was 2.9. Thrombolytic therapy was not given because of INR. I was transferred to the stroke unit at the Hospital. I began to have improvement of symptoms within 6 hours. By the time of discharge 4-5 days later, I was able to ambulate with a walker. Much of my strength in my right side had improved. I required the use of a walker for about 2 weeks. I underwent aggressive PT, OT, and speech therapy in a day neuro program, and was discharged from rehab about 3 weeks later. I have since made a full recovery, and am back at work fulltime.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Facial paralysis, Hemiparesis, Internal capsule infarction, International normalised ratio increased, Magnetic resonance imaging head abnormal
Clinical narrative: No symptoms until April 20, 2021, when I developed at work a thromboembolic stroke to the left internal capsule, resulting in right hemiparesis, facial droop, and slurred speech. Head CT angiogram obtained via the ER was negative for bleed. INR was 2.9. Thrombolytic therapy was not given because of INR. I was transferred to the stroke unit at the Hospital. I began to have improvement of symptoms within 6 hours. By the time of discharge 4-5 days later, I was able to ambulate with a walker. Much of my strength in my right side had improved. I required the use of a walker for about 2 weeks. I underwent aggressive PT, OT, and speech therapy in a day neuro program, and was discharged from rehab about 3 weeks later. I have since made a full recovery, and am back at work fulltime.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Walking aid user
Clinical narrative: No symptoms until April 20, 2021, when I developed at work a thromboembolic stroke to the left internal capsule, resulting in right hemiparesis, facial droop, and slurred speech. Head CT angiogram obtained via the ER was negative for bleed. INR was 2.9. Thrombolytic therapy was not given because of INR. I was transferred to the stroke unit at the Hospital. I began to have improvement of symptoms within 6 hours. By the time of discharge 4-5 days later, I was able to ambulate with a walker. Much of my strength in my right side had improved. I required the use of a walker for about 2 weeks. I underwent aggressive PT, OT, and speech therapy in a day neuro program, and was discharged from rehab about 3 weeks later. I have since made a full recovery, and am back at work fulltime.
Age: 66.0
Sex: F
Vaccine: UNK
Symptoms: Asthenia, Chills, Dysstasia, Feeling abnormal, Hyperhidrosis
Clinical narrative: Very weak, couldn't stand up, sweats, chills felt worse than I ever have it was scary.  I've never had a reaction from a flu shot - I wonder if it was because of the COVID Vaccination.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray, Dyspnoea, Electrocardiogram, Full blood count, Metabolic function test
Clinical narrative: SOB, Wheezing, low O2 saturation
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Oxygen saturation decreased, SARS-CoV-2 test, Wheezing
Clinical narrative: SOB, Wheezing, low O2 saturation
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Chills, Cough, Dysarthria
Clinical narrative: The patient presents with hypoglycemia. 82 y/o male with a hx of HTN, CHF, A-fib, DM presents to the ED with hypoglycemia symptoms of generalized weakness and diaphoresis of a sudden onset of x2 hrs. Pt sts he was driving home and sts he started to have slurred speech, generalized weakness, and diaphoresis. Pt sts he was not feeling well and sts his BGL was 60. Pt sts he eat a chocolate protein bar and started to feel better immediatly. Pt sts he was exposed to COVID recently and is sts he has been experiencing chills and a cough. Denies fever, nausea, vomiting, CP SOB, or any other symptoms. Patinet also notices that he has been gaining weight and "fluid" on his stomach. . Pt has hx of CHF and significant cardiac hx.  The onset was 2  hours ago.  The course/duration of symptoms is constant.  Risk factors consist of HTN, CHF, A-fib, DM.  Prior episodes: none.  Therapy today: chocolate protein bar.  Associated symptoms: chills, cough, denies chest pain, denies abdominal pain, denies nausea, denies vomiting, denies shortness of breath, denies fever, denies headache, denies dizziness, denies fatigue, denies seizure and denies confusion.   (COVID 19 incidental finding)
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Exposure to SARS-CoV-2, Fluid retention, Hyperhidrosis, Hypoglycaemia, Malaise
Clinical narrative: The patient presents with hypoglycemia. 82 y/o male with a hx of HTN, CHF, A-fib, DM presents to the ED with hypoglycemia symptoms of generalized weakness and diaphoresis of a sudden onset of x2 hrs. Pt sts he was driving home and sts he started to have slurred speech, generalized weakness, and diaphoresis. Pt sts he was not feeling well and sts his BGL was 60. Pt sts he eat a chocolate protein bar and started to feel better immediatly. Pt sts he was exposed to COVID recently and is sts he has been experiencing chills and a cough. Denies fever, nausea, vomiting, CP SOB, or any other symptoms. Patinet also notices that he has been gaining weight and "fluid" on his stomach. . Pt has hx of CHF and significant cardiac hx.  The onset was 2  hours ago.  The course/duration of symptoms is constant.  Risk factors consist of HTN, CHF, A-fib, DM.  Prior episodes: none.  Therapy today: chocolate protein bar.  Associated symptoms: chills, cough, denies chest pain, denies abdominal pain, denies nausea, denies vomiting, denies shortness of breath, denies fever, denies headache, denies dizziness, denies fatigue, denies seizure and denies confusion.   (COVID 19 incidental finding)
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Weight increased
Clinical narrative: The patient presents with hypoglycemia. 82 y/o male with a hx of HTN, CHF, A-fib, DM presents to the ED with hypoglycemia symptoms of generalized weakness and diaphoresis of a sudden onset of x2 hrs. Pt sts he was driving home and sts he started to have slurred speech, generalized weakness, and diaphoresis. Pt sts he was not feeling well and sts his BGL was 60. Pt sts he eat a chocolate protein bar and started to feel better immediatly. Pt sts he was exposed to COVID recently and is sts he has been experiencing chills and a cough. Denies fever, nausea, vomiting, CP SOB, or any other symptoms. Patinet also notices that he has been gaining weight and "fluid" on his stomach. . Pt has hx of CHF and significant cardiac hx.  The onset was 2  hours ago.  The course/duration of symptoms is constant.  Risk factors consist of HTN, CHF, A-fib, DM.  Prior episodes: none.  Therapy today: chocolate protein bar.  Associated symptoms: chills, cough, denies chest pain, denies abdominal pain, denies nausea, denies vomiting, denies shortness of breath, denies fever, denies headache, denies dizziness, denies fatigue, denies seizure and denies confusion.   (COVID 19 incidental finding)
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Facial pain, Headache, Immediate post-injection reaction, Nausea
Clinical narrative: Immediately after: Significant symptoms. Headaches; body aches; tremors; nausea, those were the major symptoms for about three days. On the fourth day, I felt pretty close to normal. No treatment for those symptoms, let it run its course. In April, I started getting big welts on my face. They were pretty significant, on the front of my face and around my nose. I am continuing to have these symptoms. I contacted my dermatologist via telehealth, mupirocin was prescribed, and it didn't really help. We have started to wear masks again so that could be why it came back. I am going to a different dermatologist for the same issue later this week (in person on Friday) and kind of adding to why I am seeing the doctor. I am having the welts again on my face and also something very odd swelling and soreness. I had a COVID test on this past Monday to make sure the result was negative. A better word for it might be eruptions on my face/nose. My nose was so sore to the touch. My  nose swelled on each side and it was extremely sore to the touch. Which is why I had the COVID test. The swelling and soreness is new to the symptoms, it was last Friday that those symptoms started. And my eyes were somewhat affected. They were kind of bloodshot. It was very odd. (On Friday) I was congested when I was lying down but when I stood up, the congestion went away but the pain continued. I had some chills and some body aches but not loss of smell or taste or anything like that. Today, I'm feeling back to normal but still have some eruptions and swelling and soreness on my  nose/face. Those have improved a bit. I am feeling quite a bit recovered but not completely. I do feel better.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Ocular hyperaemia, Pain, Respiratory tract congestion, Swelling face, Tremor
Clinical narrative: Immediately after: Significant symptoms. Headaches; body aches; tremors; nausea, those were the major symptoms for about three days. On the fourth day, I felt pretty close to normal. No treatment for those symptoms, let it run its course. In April, I started getting big welts on my face. They were pretty significant, on the front of my face and around my nose. I am continuing to have these symptoms. I contacted my dermatologist via telehealth, mupirocin was prescribed, and it didn't really help. We have started to wear masks again so that could be why it came back. I am going to a different dermatologist for the same issue later this week (in person on Friday) and kind of adding to why I am seeing the doctor. I am having the welts again on my face and also something very odd swelling and soreness. I had a COVID test on this past Monday to make sure the result was negative. A better word for it might be eruptions on my face/nose. My nose was so sore to the touch. My  nose swelled on each side and it was extremely sore to the touch. Which is why I had the COVID test. The swelling and soreness is new to the symptoms, it was last Friday that those symptoms started. And my eyes were somewhat affected. They were kind of bloodshot. It was very odd. (On Friday) I was congested when I was lying down but when I stood up, the congestion went away but the pain continued. I had some chills and some body aches but not loss of smell or taste or anything like that. Today, I'm feeling back to normal but still have some eruptions and swelling and soreness on my  nose/face. Those have improved a bit. I am feeling quite a bit recovered but not completely. I do feel better.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Immediately after: Significant symptoms. Headaches; body aches; tremors; nausea, those were the major symptoms for about three days. On the fourth day, I felt pretty close to normal. No treatment for those symptoms, let it run its course. In April, I started getting big welts on my face. They were pretty significant, on the front of my face and around my nose. I am continuing to have these symptoms. I contacted my dermatologist via telehealth, mupirocin was prescribed, and it didn't really help. We have started to wear masks again so that could be why it came back. I am going to a different dermatologist for the same issue later this week (in person on Friday) and kind of adding to why I am seeing the doctor. I am having the welts again on my face and also something very odd swelling and soreness. I had a COVID test on this past Monday to make sure the result was negative. A better word for it might be eruptions on my face/nose. My nose was so sore to the touch. My  nose swelled on each side and it was extremely sore to the touch. Which is why I had the COVID test. The swelling and soreness is new to the symptoms, it was last Friday that those symptoms started. And my eyes were somewhat affected. They were kind of bloodshot. It was very odd. (On Friday) I was congested when I was lying down but when I stood up, the congestion went away but the pain continued. I had some chills and some body aches but not loss of smell or taste or anything like that. Today, I'm feeling back to normal but still have some eruptions and swelling and soreness on my  nose/face. Those have improved a bit. I am feeling quite a bit recovered but not completely. I do feel better.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Headache, SARS-CoV-2 test positive, Vision blurred
Clinical narrative: 08/29/21 The patient presents with 74 year old male with a medical HX of HTN, Sleep apnea, anemia, TIA, Prostate caner presents with a severe left sided headache onset of x1 week. Patient reports of associated blurred vision prior to arriving to the ED but no longer blurred and can see fine with no loss of vision. Patient denies any LOC, shortness of breath, chest pain, abdominal pain, traumatic injuries or vomiting. .  The onset was 1  weeks ago.  The course/duration of symptoms is constant.  Location: Left temporal generalized. Radiating pain: none. The character of symptoms is sharp.  The degree at onset was severe.  The degree at maximum was severe.  The degree at present is severe.  History mainly
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Dyspnoea, Rash erythematous, Swelling face
Clinical narrative: Facial swelling, red rash, shortness of breath, abdominal cramping
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: The adverse event was that an expired Janssen COVID-19 Vaccine has been administered to the patient. There were no adverse event, symptoms or any health related issues regarding the patient after the vaccine dose was given. Only that the vaccine has been given after the expiration date, nothing else.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, COVID-19 pneumonia, Respiratory failure, Shock
Clinical narrative: Acute Hypoxic Hypercapnic Respiratory Failure  Other causes leading to the above:   1. Covid 19 Pneumonia  2. Shock - multifactorial   3. Acute kidney injury
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: Patient observed sitting in waiting area sweating profusely. Patient alert and oriented x4, he states "I feel like I'm going to faint". Patient explains "since being a child I'll get this way after getting a vaccine". Vital signs assessed BP 86/52 HR 58, O2 97%, RR 16. Patient was instructed to lay supine and elevated legs onto chair. Ice packed applied, reassessed VS, BP 115/71, HR 59, O2 98%. Patient verbalized that he was beginning to feel better. Patient states he feels better, no sweating observed at this time. No emergency medication administered.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Psoriatic arthropathy, Urticaria
Clinical narrative: Arthritic flair up in hands, specifically both left and right ring fingers, and in toes on left foot. Treatment recommendation is a round of steroids (have not started). Outcome pending.  Additional symptoms included hives on hands and feel (all three doses). Not treatment sought.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Fatigue, Feeling abnormal, Gait disturbance, Loss of personal independence in daily activities
Clinical narrative: Tired on day 2, just felt off.  Couldn't take a walk as I normally would.  I felt like i just couldn't put one foot in front of the other without concentrating.   Noticed a balance issue when I was doing my normal day to day activities.  Noticed I had to balance myself in the house holding onto walls and furniture.  Still struggling with balance.  Never a problem before the COVID vaccine.
Age: 25.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Caught COVID-19 at a later date
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus started on 01/15/2021 in the AM and has not ceased since.  Constant ringing in my ears that never stops.  Other MCC of tinnitus have been ruled out by self.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring, Electrocardiogram, Extrasystoles, Heart rate irregular, Tinnitus
Clinical narrative: I wear earplugs at night, and I started hearing a whooshing sound of my heart in my ears. Then, I could actually feel my heart skipping beats. I started testing my heart rate via feeling my wrist. I could again, feel the beats skipping. My doctor did an EKG and confirmed my heart rate was irregular and skipping beats. An appointment with my cardiologist was made immediately. I wore a heart monitor for 2 weeks. I have not received the results yet. At first, the skipping occurred every day, it has since decreased but is still there. It has gotten a little better, but it is still pronounced when it happens. I have not had this problem before the vaccine. I am a vegetarian and have been for years, but my doctor suggested I might be low on magnesium. I took magnesium but it did not help.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Vision blurred
Clinical narrative: During monitoring period post Pfizer COVID-19 vaccine #2 , pt experienced lightheadedness, dizziness, sweating, blurry vision. Assessment: 94, 108/64, 98% oxygen saturation. Patient legs elevated. Patient given orange juice. Patient alert  X 3, no signs of allergic reaction noted. Patient states "feeling better, no more blurred vision. Patient was left ambulatory to home
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Autonomic nervous system imbalance, Blood test, Cardiac stress test, Electrocardiogram, Fatigue
Clinical narrative: Dysautonomia, fatigue, inability to recover from strenuous activity, accelerated heart beat, fainting , automatic functions disorder
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Malaise, Syncope
Clinical narrative: Dysautonomia, fatigue, inability to recover from strenuous activity, accelerated heart beat, fainting , automatic functions disorder
Age: 71.0
Sex: F
Vaccine: FLU4
Symptoms: Feeling abnormal, Somnolence
Clinical narrative: Shot 9/3 at 1:20 pm by  6 pm became very sleepy.  I  woke the following day  at 6 am ; then could not stay awake slept til 3 pm.  Was very  sleepy/groggy.  After taking a shower I went to take evening pills.   Had such brain fog I could not remember which were my evening pills so I skipped them.  I just stared at them  which is not normal.  Brain cleared 2 days later.  I am better now.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: The adverse event was that an expired Janssen COVID-19 Vaccine has been administered to the patient. There were no adverse event, symptoms or any health related issues regarding the patient after the vaccine dose was given. Only that the vaccine has been given after the expiration date, nothing else.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Blood gases, Computerised tomogram thorax, Diarrhoea, Electrocardiogram, Full blood count
Clinical narrative: Hypoxemia, diarrhea
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Metabolic function test, Respiratory viral panel
Clinical narrative: Hypoxemia, diarrhea
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea
Clinical narrative: Reports chest tightness and difficulty taking deep breaths, starting on 9/12/21.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: The adverse event was that an expired Janssen COVID-19 Vaccine has been administered to the patient. There were no adverse event, symptoms or any health related issues regarding the patient after the vaccine dose was given. Only that the vaccine has been given after the expiration date, nothing else.
Age: 1.5
Sex: F
Vaccine: DTAP, HEPA
Symptoms: Vaccination site induration, Vaccination site swelling
Clinical narrative: large swelling and induration at vaccination site
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Discomfort, Feeling hot, Lymph node pain, Lymphadenopathy
Clinical narrative: Within 3 minutes of the injection, I felt neck stiffness, then neck soreness. I felt a warm pressure sensation going up the base of my skull and over my head with pressure behind both eyeballs. After 48 hours of fever, chills, nausea, all body muscle aches, intense night sweating, a lymph node on the left side of base of  my skull became enlarged ,swollen, and painful. This lasted 48 hours. It took an entire week until side effects subsided.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Myalgia, Nausea, Neck pain, Night sweats
Clinical narrative: Within 3 minutes of the injection, I felt neck stiffness, then neck soreness. I felt a warm pressure sensation going up the base of my skull and over my head with pressure behind both eyeballs. After 48 hours of fever, chills, nausea, all body muscle aches, intense night sweating, a lymph node on the left side of base of  my skull became enlarged ,swollen, and painful. This lasted 48 hours. It took an entire week until side effects subsided.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Ocular discomfort, Pyrexia
Clinical narrative: Within 3 minutes of the injection, I felt neck stiffness, then neck soreness. I felt a warm pressure sensation going up the base of my skull and over my head with pressure behind both eyeballs. After 48 hours of fever, chills, nausea, all body muscle aches, intense night sweating, a lymph node on the left side of base of  my skull became enlarged ,swollen, and painful. This lasted 48 hours. It took an entire week until side effects subsided.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient was given Pfizer for the second dose, instead of Moderna.