chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea increased, Blood urine present, Brain natriuretic peptide increased, Bundle branch block right, COVID-19
Clinical narrative: 71-year-old male with history of lymphoma on chemotherapy and heart transplant in 2011 on immune suppressants presenting with fever, fatigue, cough, shortness of breath x4 days.  Patient is afebrile upon arrival with otherwise normal vital signs.  He did desaturate to 88% while at rest and was placed on 2 L nasal cannula.  He has clear breath sounds bilaterally without any focal findings.  Work of breathing is not increased and very stable in my opinion.  He appears clinically euvolemic and denies history of heart failure.  No wheezing warranting treatment beta agonist.  Patient will require admission given his acute respiratory insufficiency, will need to discuss appropriate Campus placement with the Heart Transplant Service and anticipate he will require transfer to Grand Rapids.  Given his reported dyspnea, EKG ordered.  Will obtain routine screening labs, COVID-19 swab.  With his reported fever, although not objectively present during this visit, and current immunocompromised state, will treat via the emergency department sepsis protocol and collect blood cultures.  Fri May 21, 2021 1059 EKG with a normal sinus rhythm, rate of 88 beats per minute, no acute ischemic changes are noted.  Patient has a right bundle-branch block.  EKG is unchanged from that of January 21, 2021. BNP is 404, no chest pain to warrant cardiac biomarkers.   [SR] 1113 COVID-19 is detected.   [SR] 1125 CMP was sodium of 128, chloride 95, glucose 303, creatinine 0.87.  Magnesium is 1.9.  Phosphorus 2.1.  Urinalysis with trace blood, no urinary tract infection.  Urinalysis without urinary tract infection.   [SR] 1147 INR subtherapeutic at 1.2.   [SR] 1149 Received a critical result from lab, white blood cell count is 0.04, patient is by definition therefore neutropenic.  Platelets are 21 K without reported active bleeding.  Hemoglobin is 9.3.  Have a call out to Oncology to discuss need for IV cefepime given the reported fevers at home although etiologies presumably viral with COVID-19 test.  Further, I do not know if IV Decadron is appropriate given his profound neutropenia, especially having recently finished a high-dose course of 100 mg prednisone orally x5 days.   [SR] 1150 CXR: Airspace opacities are seen involving both the lungs, more prominent in the right lung, as described above. These are likely due to consolidation/pneumonia. Viral pneumonia can also have similar appearance. Correlate clinically.    [SR] 1218 Discussed case with Dr. from transplant team who agreed with admission to his service .  He did recommend that I broaden his antibiotic regimen to include both IV vancomycin and IV cefepime.  He recommended that I do provided dose of IV Decadron despite the neutropenia to treat his acute respiratory failure secondary to COVID-19.  Still awaiting call back from Oncology.   [SR] 1454 After multiple pages, I have not been connected to Oncology.  Patient was transported by EMS.  He will need a formal oncology consult upon arrival to admitting facility.   [SR]
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Cough, Dyspnoea, Electrocardiogram abnormal, Fatigue
Clinical narrative: 71-year-old male with history of lymphoma on chemotherapy and heart transplant in 2011 on immune suppressants presenting with fever, fatigue, cough, shortness of breath x4 days.  Patient is afebrile upon arrival with otherwise normal vital signs.  He did desaturate to 88% while at rest and was placed on 2 L nasal cannula.  He has clear breath sounds bilaterally without any focal findings.  Work of breathing is not increased and very stable in my opinion.  He appears clinically euvolemic and denies history of heart failure.  No wheezing warranting treatment beta agonist.  Patient will require admission given his acute respiratory insufficiency, will need to discuss appropriate Campus placement with the Heart Transplant Service and anticipate he will require transfer to Grand Rapids.  Given his reported dyspnea, EKG ordered.  Will obtain routine screening labs, COVID-19 swab.  With his reported fever, although not objectively present during this visit, and current immunocompromised state, will treat via the emergency department sepsis protocol and collect blood cultures.  Fri May 21, 2021 1059 EKG with a normal sinus rhythm, rate of 88 beats per minute, no acute ischemic changes are noted.  Patient has a right bundle-branch block.  EKG is unchanged from that of January 21, 2021. BNP is 404, no chest pain to warrant cardiac biomarkers.   [SR] 1113 COVID-19 is detected.   [SR] 1125 CMP was sodium of 128, chloride 95, glucose 303, creatinine 0.87.  Magnesium is 1.9.  Phosphorus 2.1.  Urinalysis with trace blood, no urinary tract infection.  Urinalysis without urinary tract infection.   [SR] 1147 INR subtherapeutic at 1.2.   [SR] 1149 Received a critical result from lab, white blood cell count is 0.04, patient is by definition therefore neutropenic.  Platelets are 21 K without reported active bleeding.  Hemoglobin is 9.3.  Have a call out to Oncology to discuss need for IV cefepime given the reported fevers at home although etiologies presumably viral with COVID-19 test.  Further, I do not know if IV Decadron is appropriate given his profound neutropenia, especially having recently finished a high-dose course of 100 mg prednisone orally x5 days.   [SR] 1150 CXR: Airspace opacities are seen involving both the lungs, more prominent in the right lung, as described above. These are likely due to consolidation/pneumonia. Viral pneumonia can also have similar appearance. Correlate clinically.    [SR] 1218 Discussed case with Dr. from transplant team who agreed with admission to his service .  He did recommend that I broaden his antibiotic regimen to include both IV vancomycin and IV cefepime.  He recommended that I do provided dose of IV Decadron despite the neutropenia to treat his acute respiratory failure secondary to COVID-19.  Still awaiting call back from Oncology.   [SR] 1454 After multiple pages, I have not been connected to Oncology.  Patient was transported by EMS.  He will need a formal oncology consult upon arrival to admitting facility.   [SR]
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count abnormal, Glucose urine absent, Haematocrit decreased, Haemoglobin decreased, International normalised ratio increased
Clinical narrative: 71-year-old male with history of lymphoma on chemotherapy and heart transplant in 2011 on immune suppressants presenting with fever, fatigue, cough, shortness of breath x4 days.  Patient is afebrile upon arrival with otherwise normal vital signs.  He did desaturate to 88% while at rest and was placed on 2 L nasal cannula.  He has clear breath sounds bilaterally without any focal findings.  Work of breathing is not increased and very stable in my opinion.  He appears clinically euvolemic and denies history of heart failure.  No wheezing warranting treatment beta agonist.  Patient will require admission given his acute respiratory insufficiency, will need to discuss appropriate Campus placement with the Heart Transplant Service and anticipate he will require transfer to Grand Rapids.  Given his reported dyspnea, EKG ordered.  Will obtain routine screening labs, COVID-19 swab.  With his reported fever, although not objectively present during this visit, and current immunocompromised state, will treat via the emergency department sepsis protocol and collect blood cultures.  Fri May 21, 2021 1059 EKG with a normal sinus rhythm, rate of 88 beats per minute, no acute ischemic changes are noted.  Patient has a right bundle-branch block.  EKG is unchanged from that of January 21, 2021. BNP is 404, no chest pain to warrant cardiac biomarkers.   [SR] 1113 COVID-19 is detected.   [SR] 1125 CMP was sodium of 128, chloride 95, glucose 303, creatinine 0.87.  Magnesium is 1.9.  Phosphorus 2.1.  Urinalysis with trace blood, no urinary tract infection.  Urinalysis without urinary tract infection.   [SR] 1147 INR subtherapeutic at 1.2.   [SR] 1149 Received a critical result from lab, white blood cell count is 0.04, patient is by definition therefore neutropenic.  Platelets are 21 K without reported active bleeding.  Hemoglobin is 9.3.  Have a call out to Oncology to discuss need for IV cefepime given the reported fevers at home although etiologies presumably viral with COVID-19 test.  Further, I do not know if IV Decadron is appropriate given his profound neutropenia, especially having recently finished a high-dose course of 100 mg prednisone orally x5 days.   [SR] 1150 CXR: Airspace opacities are seen involving both the lungs, more prominent in the right lung, as described above. These are likely due to consolidation/pneumonia. Viral pneumonia can also have similar appearance. Correlate clinically.    [SR] 1218 Discussed case with Dr. from transplant team who agreed with admission to his service .  He did recommend that I broaden his antibiotic regimen to include both IV vancomycin and IV cefepime.  He recommended that I do provided dose of IV Decadron despite the neutropenia to treat his acute respiratory failure secondary to COVID-19.  Still awaiting call back from Oncology.   [SR] 1454 After multiple pages, I have not been connected to Oncology.  Patient was transported by EMS.  He will need a formal oncology consult upon arrival to admitting facility.   [SR]
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Lung consolidation, Lung opacity, Metabolic function test abnormal, Neutropenia, Oxygen saturation decreased
Clinical narrative: 71-year-old male with history of lymphoma on chemotherapy and heart transplant in 2011 on immune suppressants presenting with fever, fatigue, cough, shortness of breath x4 days.  Patient is afebrile upon arrival with otherwise normal vital signs.  He did desaturate to 88% while at rest and was placed on 2 L nasal cannula.  He has clear breath sounds bilaterally without any focal findings.  Work of breathing is not increased and very stable in my opinion.  He appears clinically euvolemic and denies history of heart failure.  No wheezing warranting treatment beta agonist.  Patient will require admission given his acute respiratory insufficiency, will need to discuss appropriate Campus placement with the Heart Transplant Service and anticipate he will require transfer to Grand Rapids.  Given his reported dyspnea, EKG ordered.  Will obtain routine screening labs, COVID-19 swab.  With his reported fever, although not objectively present during this visit, and current immunocompromised state, will treat via the emergency department sepsis protocol and collect blood cultures.  Fri May 21, 2021 1059 EKG with a normal sinus rhythm, rate of 88 beats per minute, no acute ischemic changes are noted.  Patient has a right bundle-branch block.  EKG is unchanged from that of January 21, 2021. BNP is 404, no chest pain to warrant cardiac biomarkers.   [SR] 1113 COVID-19 is detected.   [SR] 1125 CMP was sodium of 128, chloride 95, glucose 303, creatinine 0.87.  Magnesium is 1.9.  Phosphorus 2.1.  Urinalysis with trace blood, no urinary tract infection.  Urinalysis without urinary tract infection.   [SR] 1147 INR subtherapeutic at 1.2.   [SR] 1149 Received a critical result from lab, white blood cell count is 0.04, patient is by definition therefore neutropenic.  Platelets are 21 K without reported active bleeding.  Hemoglobin is 9.3.  Have a call out to Oncology to discuss need for IV cefepime given the reported fevers at home although etiologies presumably viral with COVID-19 test.  Further, I do not know if IV Decadron is appropriate given his profound neutropenia, especially having recently finished a high-dose course of 100 mg prednisone orally x5 days.   [SR] 1150 CXR: Airspace opacities are seen involving both the lungs, more prominent in the right lung, as described above. These are likely due to consolidation/pneumonia. Viral pneumonia can also have similar appearance. Correlate clinically.    [SR] 1218 Discussed case with Dr. from transplant team who agreed with admission to his service .  He did recommend that I broaden his antibiotic regimen to include both IV vancomycin and IV cefepime.  He recommended that I do provided dose of IV Decadron despite the neutropenia to treat his acute respiratory failure secondary to COVID-19.  Still awaiting call back from Oncology.   [SR] 1454 After multiple pages, I have not been connected to Oncology.  Patient was transported by EMS.  He will need a formal oncology consult upon arrival to admitting facility.   [SR]
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count decreased, Pneumonia, Protein urine absent, Prothrombin time normal, Pyrexia
Clinical narrative: 71-year-old male with history of lymphoma on chemotherapy and heart transplant in 2011 on immune suppressants presenting with fever, fatigue, cough, shortness of breath x4 days.  Patient is afebrile upon arrival with otherwise normal vital signs.  He did desaturate to 88% while at rest and was placed on 2 L nasal cannula.  He has clear breath sounds bilaterally without any focal findings.  Work of breathing is not increased and very stable in my opinion.  He appears clinically euvolemic and denies history of heart failure.  No wheezing warranting treatment beta agonist.  Patient will require admission given his acute respiratory insufficiency, will need to discuss appropriate Campus placement with the Heart Transplant Service and anticipate he will require transfer to Grand Rapids.  Given his reported dyspnea, EKG ordered.  Will obtain routine screening labs, COVID-19 swab.  With his reported fever, although not objectively present during this visit, and current immunocompromised state, will treat via the emergency department sepsis protocol and collect blood cultures.  Fri May 21, 2021 1059 EKG with a normal sinus rhythm, rate of 88 beats per minute, no acute ischemic changes are noted.  Patient has a right bundle-branch block.  EKG is unchanged from that of January 21, 2021. BNP is 404, no chest pain to warrant cardiac biomarkers.   [SR] 1113 COVID-19 is detected.   [SR] 1125 CMP was sodium of 128, chloride 95, glucose 303, creatinine 0.87.  Magnesium is 1.9.  Phosphorus 2.1.  Urinalysis with trace blood, no urinary tract infection.  Urinalysis without urinary tract infection.   [SR] 1147 INR subtherapeutic at 1.2.   [SR] 1149 Received a critical result from lab, white blood cell count is 0.04, patient is by definition therefore neutropenic.  Platelets are 21 K without reported active bleeding.  Hemoglobin is 9.3.  Have a call out to Oncology to discuss need for IV cefepime given the reported fevers at home although etiologies presumably viral with COVID-19 test.  Further, I do not know if IV Decadron is appropriate given his profound neutropenia, especially having recently finished a high-dose course of 100 mg prednisone orally x5 days.   [SR] 1150 CXR: Airspace opacities are seen involving both the lungs, more prominent in the right lung, as described above. These are likely due to consolidation/pneumonia. Viral pneumonia can also have similar appearance. Correlate clinically.    [SR] 1218 Discussed case with Dr. from transplant team who agreed with admission to his service .  He did recommend that I broaden his antibiotic regimen to include both IV vancomycin and IV cefepime.  He recommended that I do provided dose of IV Decadron despite the neutropenia to treat his acute respiratory failure secondary to COVID-19.  Still awaiting call back from Oncology.   [SR] 1454 After multiple pages, I have not been connected to Oncology.  Patient was transported by EMS.  He will need a formal oncology consult upon arrival to admitting facility.   [SR]
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell count decreased, SARS-CoV-2 test positive, Sinus rhythm, Urine analysis abnormal, White blood cell count decreased
Clinical narrative: 71-year-old male with history of lymphoma on chemotherapy and heart transplant in 2011 on immune suppressants presenting with fever, fatigue, cough, shortness of breath x4 days.  Patient is afebrile upon arrival with otherwise normal vital signs.  He did desaturate to 88% while at rest and was placed on 2 L nasal cannula.  He has clear breath sounds bilaterally without any focal findings.  Work of breathing is not increased and very stable in my opinion.  He appears clinically euvolemic and denies history of heart failure.  No wheezing warranting treatment beta agonist.  Patient will require admission given his acute respiratory insufficiency, will need to discuss appropriate Campus placement with the Heart Transplant Service and anticipate he will require transfer to Grand Rapids.  Given his reported dyspnea, EKG ordered.  Will obtain routine screening labs, COVID-19 swab.  With his reported fever, although not objectively present during this visit, and current immunocompromised state, will treat via the emergency department sepsis protocol and collect blood cultures.  Fri May 21, 2021 1059 EKG with a normal sinus rhythm, rate of 88 beats per minute, no acute ischemic changes are noted.  Patient has a right bundle-branch block.  EKG is unchanged from that of January 21, 2021. BNP is 404, no chest pain to warrant cardiac biomarkers.   [SR] 1113 COVID-19 is detected.   [SR] 1125 CMP was sodium of 128, chloride 95, glucose 303, creatinine 0.87.  Magnesium is 1.9.  Phosphorus 2.1.  Urinalysis with trace blood, no urinary tract infection.  Urinalysis without urinary tract infection.   [SR] 1147 INR subtherapeutic at 1.2.   [SR] 1149 Received a critical result from lab, white blood cell count is 0.04, patient is by definition therefore neutropenic.  Platelets are 21 K without reported active bleeding.  Hemoglobin is 9.3.  Have a call out to Oncology to discuss need for IV cefepime given the reported fevers at home although etiologies presumably viral with COVID-19 test.  Further, I do not know if IV Decadron is appropriate given his profound neutropenia, especially having recently finished a high-dose course of 100 mg prednisone orally x5 days.   [SR] 1150 CXR: Airspace opacities are seen involving both the lungs, more prominent in the right lung, as described above. These are likely due to consolidation/pneumonia. Viral pneumonia can also have similar appearance. Correlate clinically.    [SR] 1218 Discussed case with Dr. from transplant team who agreed with admission to his service .  He did recommend that I broaden his antibiotic regimen to include both IV vancomycin and IV cefepime.  He recommended that I do provided dose of IV Decadron despite the neutropenia to treat his acute respiratory failure secondary to COVID-19.  Still awaiting call back from Oncology.   [SR] 1454 After multiple pages, I have not been connected to Oncology.  Patient was transported by EMS.  He will need a formal oncology consult upon arrival to admitting facility.   [SR]
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Antineutrophil cytoplasmic antibody, Blood creatine phosphokinase, Blood immunoglobulin A, Blood immunoglobulin E, Blood immunoglobulin G
Clinical narrative: Patient has hyper eosinophilia and myositis, both of which are new and accompanied by severe leg cramping.  This started shortly after her first Covid vaccine was given. Patient is being followed for repeat labs by PCP and seeing specialist at hospital.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Blood immunoglobulin M, Blood iron, Blood lactate dehydrogenase, Blood magnesium, Blood phosphorus
Clinical narrative: Patient has hyper eosinophilia and myositis, both of which are new and accompanied by severe leg cramping.  This started shortly after her first Covid vaccine was given. Patient is being followed for repeat labs by PCP and seeing specialist at hospital.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein, Eosinophilia, Full blood count, Metabolic function test, Muscle spasms
Clinical narrative: Patient has hyper eosinophilia and myositis, both of which are new and accompanied by severe leg cramping.  This started shortly after her first Covid vaccine was given. Patient is being followed for repeat labs by PCP and seeing specialist at hospital.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Myositis, Parasite blood test, Red blood cell sedimentation rate, SARS-CoV-2 antibody test, Serum ferritin
Clinical narrative: Patient has hyper eosinophilia and myositis, both of which are new and accompanied by severe leg cramping.  This started shortly after her first Covid vaccine was given. Patient is being followed for repeat labs by PCP and seeing specialist at hospital.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin I, Vitamin B12
Clinical narrative: Patient has hyper eosinophilia and myositis, both of which are new and accompanied by severe leg cramping.  This started shortly after her first Covid vaccine was given. Patient is being followed for repeat labs by PCP and seeing specialist at hospital.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest discomfort, Chest pain, Electrocardiogram
Clinical narrative: Body aches, muscles aches, tightness in the chest and pain. Little bit of asthma symptoms weezing a lot. Neck pain and feeling a rundown.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Neck pain, Pain, Urine analysis, Wheezing
Clinical narrative: Body aches, muscles aches, tightness in the chest and pain. Little bit of asthma symptoms weezing a lot. Neck pain and feeling a rundown.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Pt developed herpes zoster on the left side of her face and scalp.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Head injury, Nasal injury, Syncope
Clinical narrative: Systemic: Fainting / Unresponsive-Medium, Additional Details: immediately after administration of the first pfizer dose, patient started hovering over and saying I'm going down. Before I could respond immediately, he fell face first to the floor and got scraped on his nose and forehead
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Diarrhoea, Exposure to SARS-CoV-2, Fatigue
Clinical narrative: History Chief Complaint Patient presents with ? Fatigue     all sx started saturday night  ? Generalized Body Aches ? Sore Throat ? Headache     Sinus pressue  ? Chills ? Fever     100 this morning     Patient is a 39 y.o. female    HPI Had first vaccine last week. Pt presents with concerns of possible Covid 19. Pt reports the following symptoms that started 2 days ago. Sinus pain and pressure Yes  Thought was allergies when first started. Fever/ chills Yes Headache Yes Body aches Yes  Has fatigue Cough Yes Sob No Sore throat Yes Nausea/ vomiting/ diarrhea. No Loss of taste or smell No Medications used:Yes Tolerating fluids:Yes Tolerating. solids:Yes Smoke exposure:No Exposed to someone who tested positive for COVID 19: Yes History of asthma, bronchitis, pneumonia. No
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Oropharyngeal pain, Pain, Paranasal sinus discomfort
Clinical narrative: History Chief Complaint Patient presents with ? Fatigue     all sx started saturday night  ? Generalized Body Aches ? Sore Throat ? Headache     Sinus pressue  ? Chills ? Fever     100 this morning     Patient is a 39 y.o. female    HPI Had first vaccine last week. Pt presents with concerns of possible Covid 19. Pt reports the following symptoms that started 2 days ago. Sinus pain and pressure Yes  Thought was allergies when first started. Fever/ chills Yes Headache Yes Body aches Yes  Has fatigue Cough Yes Sob No Sore throat Yes Nausea/ vomiting/ diarrhea. No Loss of taste or smell No Medications used:Yes Tolerating fluids:Yes Tolerating. solids:Yes Smoke exposure:No Exposed to someone who tested positive for COVID 19: Yes History of asthma, bronchitis, pneumonia. No
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Sinus pain, Vomiting
Clinical narrative: History Chief Complaint Patient presents with ? Fatigue     all sx started saturday night  ? Generalized Body Aches ? Sore Throat ? Headache     Sinus pressue  ? Chills ? Fever     100 this morning     Patient is a 39 y.o. female    HPI Had first vaccine last week. Pt presents with concerns of possible Covid 19. Pt reports the following symptoms that started 2 days ago. Sinus pain and pressure Yes  Thought was allergies when first started. Fever/ chills Yes Headache Yes Body aches Yes  Has fatigue Cough Yes Sob No Sore throat Yes Nausea/ vomiting/ diarrhea. No Loss of taste or smell No Medications used:Yes Tolerating fluids:Yes Tolerating. solids:Yes Smoke exposure:No Exposed to someone who tested positive for COVID 19: Yes History of asthma, bronchitis, pneumonia. No
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Injection site bruising, Syncope, Unresponsive to stimuli
Clinical narrative: Site: Bruising at Injection Site-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Blood test, Pregnancy test negative
Clinical narrative: Following the first, I got a respiratory illness for over a week. Following the second, I could barely walk and have not had a menstrual cycle since. I have missed my last 3 cycles. I have NEVER had an issue or missed before. I received 2 blood tests and was not pregnant, and neither show any reason to have missed it.  I have no health issues, I am healthy, I just turned 36, have 2 healthy kids, exercise daily and eat properly. The only explanation for missed cycles would be the moderna shots I received.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine left  Health District at 10:45 AM and was mixed and given to patient at 1:30 PM.  This was 45 minutes outside of two hour window.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Vision blurred
Clinical narrative: Shortly after receiving the 2nd dose of the Moderna vaccine, she was noted rubbing her eyes frequently.  The observation RN walked over, and asked what was wrong, and the client stated her vision was blurry.  She also reported she did not eat any breakfast this morning and she is approx. 2 months pregnant.  Juice and graham crackers were offered and accepted.  No improvement noted.  Code Blue was activated and EMS was notified.  The client also began scratching her upper body and complained of itchiness.  EMS arrived and the client was transferred to Hospital via stretcher accompanied by EMS attendees.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Pallor, Peripheral coldness
Clinical narrative: Patient started to  feel dizzy , skin color getting  pale , cold hands , sweat , and was about  to faint 5 minutes after administering the vaccine .  pharmacist on duty grabbed the Epipen  and blood pressure machine . patient blood pressure  was 65/40 ,  patient started to  feel better  for couple minutes then he start to feel dizzy and to get same symptoms again    ,  at this moment pharmacist injected the patient with Epipen as he stated  he iwas fainting .patient denied to have any allergies , fear for needles or any health conditions .  pharmacist kept watching and monitoring the patient till his blood pressure came back to 118/69. patient family came to pick him up .
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Hyperhidrosis, Nausea, Pallor
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Severe, Systemic: Vomiting-Mild, Additional Details: Patient temp at time of incident was 96.8. About 8 mintues after vaccination was given patient became pale and passed out for several seconds. Patient was dizzy and vomited. No other symptoms. Called paramedics to make sure patient was okay. Gave patient some water and spoke to patient until the paramedics arrived. Paramedics took her vitals and after while they cleared her. She was able to walk out on her own and went home with her father and brother.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli, Vomiting
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Severe, Systemic: Vomiting-Mild, Additional Details: Patient temp at time of incident was 96.8. About 8 mintues after vaccination was given patient became pale and passed out for several seconds. Patient was dizzy and vomited. No other symptoms. Called paramedics to make sure patient was okay. Gave patient some water and spoke to patient until the paramedics arrived. Paramedics took her vitals and after while they cleared her. She was able to walk out on her own and went home with her father and brother.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Exposure to COVID-19 virus
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: AE: Syncope Tx: no medication given, monitored symptoms and checked vitals. Juice and water resolved the symptoms Outcome: Patient was discharged to POV/Home.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture positive, Pyrexia, Staphylococcal infection
Clinical narrative: On 5/22/2021, the patient, who was (and is) and inpatient at a healthcare facility, developed a fever to 101.4 F, had blood cultures drawn, and one bottle has grown Staphylococcus aureus (oxacillin-susceptible). No source for the bacteremia has been found.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Urticaria
Clinical narrative: Patient  reports difficulty breathing. hives on chest .  patient oxygen level 99% when checked the first time. Patient took Epi-pen at 8;08 am and 2nd dose epi-pen at 8:25 am. Arrival of 911 at 8:29 am. Patient transferred to Hospital.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Sunburn
Clinical narrative: I had prickles down my legs and arms. I also got sun burn.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea
Clinical narrative: Presents to ED with shortness of breath, history of COPD on home oxygen, noticed to progress over last 2 weeks.  Patient was given IV corticosteroids and IV antibiotics then switched to oral once improved.  Discharged on steroid taper and chronic antibiotics with follow up needed for left subclavian.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Nodule, Pain, Peripheral swelling
Clinical narrative: Moderna covid-19 vaccine eua  Swollen knot in arm, not at injection site, maybe the lymph node listed in possible side effects. Soreness.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Lymph node pain, Lymphadenopathy, Myalgia, Somnolence
Clinical narrative: Extreme drowsiness and muscle aches/weakness. Painful and swollen lymph node under injected armpit.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Appendicectomy, Appendicitis, Computerised tomogram abdomen abnormal, Laboratory test
Clinical narrative: Appendicitis - appendectomy on 4/17/21 with overnight hospital stay
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Close exposure to COVID-19 virus
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Condition aggravated
Clinical narrative: c/o anxiety and anxiousness.     He has history of anxiety.  BP was 139/92, HR 110.   Pt. refuse care and went home.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dehydration, Headache, Hyperhidrosis
Clinical narrative: Fever, Chills, Sweats, Achy Joints, Headache, Mild Dehydration
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, Chills, Sweats, Achy Joints, Headache, Mild Dehydration
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest pain, Condition aggravated, Dyslipidaemia, Dyspnoea
Clinical narrative: Evaluation on Day of Discharge: Stable for discharge   Hospital Course:  Patient was evaluated for sharp reproducible chest pain and shortness of breath. He was evaluated by cardiology who suggested MSK in nature. He started lifting weights earlier this week.  His cardiac work up included EKG with NSR, CXR no acute process, troponin neg x3, inflammatory markers negative. He did have significant dyslipidemia and was counseled on importantance of healthy lifestyle, diet modification and importance of taking statin. Patient was treated with OMT with moderate improvement of symptoms and was rx'd muscle relaxer for a few days to help with muscle spasm. He is to follow up with cardiology and get a repeat lipid panel in 3 months as well as follow up with PCP for stress echo and EGD if sx persist.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Inflammatory marker test, Muscle spasms, SARS-CoV-2 test negative, Troponin normal
Clinical narrative: Evaluation on Day of Discharge: Stable for discharge   Hospital Course:  Patient was evaluated for sharp reproducible chest pain and shortness of breath. He was evaluated by cardiology who suggested MSK in nature. He started lifting weights earlier this week.  His cardiac work up included EKG with NSR, CXR no acute process, troponin neg x3, inflammatory markers negative. He did have significant dyslipidemia and was counseled on importantance of healthy lifestyle, diet modification and importance of taking statin. Patient was treated with OMT with moderate improvement of symptoms and was rx'd muscle relaxer for a few days to help with muscle spasm. He is to follow up with cardiology and get a repeat lipid panel in 3 months as well as follow up with PCP for stress echo and EGD if sx persist.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Injection site pain
Clinical narrative: About an hour to an hour and a half after the covid vaccine he developed horrible severe diarrhea that lasted into the evening.  The next day it stopped and he had no other symptoms other than a sore arm where the shot was given.  The second vaccine did not cause these same symptoms and he felt fine after the second.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site swelling, Lymphadenopathy
Clinical narrative: Site: Swelling at Injection Site-Medium, Systemic: Lymph Node Swelling-Medium, Error: Wrong Route (SC, IM, etc.), Additional Details: Swollen left Axillary lymph Nodes probably sequel to localized immune reaction. Injection was given a little too low on the arm.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Heart rate increased, Insomnia, Pyrexia
Clinical narrative: Fever, chills, insomnia, high heart rate. Treated with acetaminophen and prescription sleeping pill at midnight. Fever broke around hour later but unable to sleep for another 6 hours
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral
Clinical narrative: Bilateral leg edema was observed on Sunday evening 5/23/2021 at approximately 6:30PM and still present at this time of filling.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Computerised tomogram, Dizziness, Laboratory test, Nausea
Clinical narrative: Dizziness, horrific abdominal pain, severe nausea,
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Paraesthesia, Sensation of foreign body
Clinical narrative: lightheaded, L. arm, tingle, knot in throat w/ swallow only.   pt is in no acute distress.  waited additional 15 mins. w/ improvement.  pt. declined additional medical care and EMS.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site hypersensitivity, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Localized swelling, pain, sensitivity & itching at injection site starting a week post vaccine. No rash or changes in skin texture, but very itchy!
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Heart rate increased
Clinical narrative: Shortness of breath, positional chest pain, increased heart rate over 7 days.  First time in my life I have had such symptoms.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Somnolence
Clinical narrative: Patent got very tired, couldn't stay awake. She refuses EMT. We released her to her mother after helping the mom put her in her car. Mother said she was taking her to the urgent care. Vitals were pace 75, bp 124/102. She just couldn't wake up.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Chills, Dizziness, Erythema
Clinical narrative: I usually pass out almost because I have a phobia of needles.  When I was poked, I jumped.  The medicine burned and stung. Later that evening, I had a headache, body aches, chills, dizzy, joint pain. My arm was swollen, hot and red and hurt to touch and felt like fire. I kept trying to move my arm, and I did.  After 2 days I started taking ibuprofen.  I called my doctor a week after my injection to tell them that my arm was still swollen, hot, red. I was told to put ice on it, and to continue to take ibuprofen. It eventually has gone away, but I do still have a small knot there. It itched while it was healing also.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Fear of injection, Headache, Injection site nodule, Injection site pruritus, Pain
Clinical narrative: I usually pass out almost because I have a phobia of needles.  When I was poked, I jumped.  The medicine burned and stung. Later that evening, I had a headache, body aches, chills, dizzy, joint pain. My arm was swollen, hot and red and hurt to touch and felt like fire. I kept trying to move my arm, and I did.  After 2 days I started taking ibuprofen.  I called my doctor a week after my injection to tell them that my arm was still swollen, hot, red. I was told to put ice on it, and to continue to take ibuprofen. It eventually has gone away, but I do still have a small knot there. It itched while it was healing also.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Skin warm
Clinical narrative: I usually pass out almost because I have a phobia of needles.  When I was poked, I jumped.  The medicine burned and stung. Later that evening, I had a headache, body aches, chills, dizzy, joint pain. My arm was swollen, hot and red and hurt to touch and felt like fire. I kept trying to move my arm, and I did.  After 2 days I started taking ibuprofen.  I called my doctor a week after my injection to tell them that my arm was still swollen, hot, red. I was told to put ice on it, and to continue to take ibuprofen. It eventually has gone away, but I do still have a small knot there. It itched while it was healing also.
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Catheterisation cardiac normal, Chest discomfort, Dizziness, Dyspnoea, Electrocardiogram T wave abnormal
Clinical narrative: Per the nursing supervisor and medical records, this patient developed chest pressure, dizziness and shortness of breath 3 days after his second moderna vaccination.
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Myocarditis, Troponin increased
Clinical narrative: Per the nursing supervisor and medical records, this patient developed chest pressure, dizziness and shortness of breath 3 days after his second moderna vaccination.
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Antinuclear antibody positive, Blood creatine phosphokinase increased, Blood immunoglobulin M, Borrelia test negative, Catheterisation cardiac normal
Clinical narrative: Per the nursing supervisor and medical records, this patient developed chest pressure, dizziness and shortness of breath 3 days after his second moderna vaccination.
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest pain, Cytomegalovirus test negative, Cytomegalovirus test positive, Double stranded DNA antibody, Echocardiogram abnormal
Clinical narrative: Per the nursing supervisor and medical records, this patient developed chest pressure, dizziness and shortness of breath 3 days after his second moderna vaccination.
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Echocardiogram normal, Ejection fraction decreased, Electrocardiogram normal, Epstein-Barr virus test negative, HIV antibody negative
Clinical narrative: Per the nursing supervisor and medical records, this patient developed chest pressure, dizziness and shortness of breath 3 days after his second moderna vaccination.
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hepatitis C antibody negative, Magnetic resonance imaging heart, Mycoplasma test positive, Parvovirus B19 test positive, Rheumatoid factor negative
Clinical narrative: Per the nursing supervisor and medical records, this patient developed chest pressure, dizziness and shortness of breath 3 days after his second moderna vaccination.
Age: 22.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Troponin I increased
Clinical narrative: Per the nursing supervisor and medical records, this patient developed chest pressure, dizziness and shortness of breath 3 days after his second moderna vaccination.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: unknown
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: pain at injection site for ~ 2 days after then 4 days after injection a 2 in diameter raise red hot bump appeared a few inches down the arm from injection site.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pain in extremity, Pyrexia, Rhinorrhoea
Clinical narrative: Arm pain, runny nose, fever, muscle aches. All symptoms resolved in 48 hours.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site hypersensitivity, Injection site mass, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: Delayed localized hypersensitivity reaction in left arm at site of the vaccination. This also occurred after first Moderna COVID-19 vaccination and now again after SECOND Moderna COVID-19 vaccination. In just 8 hours following the second vaccination, a lump appeared under the skin at vaccination site on left arm. The area was swollen, hot to the touch, and there was a red rash on the skin above the lump. The lump under the skin was treated with Zyrtec 10 mg- once per day; and Aleve 220 mg- twice per day. An ice pack was applied as needed. Cortizone cream was applied topically to the rash as needed. Additionally, lymph nodes under the left arm and along the left breast were swollen and sore. Within four days (taking medications listed above) these symptoms had lessen significantly. Within seven days the lump and rash at the injection site were gone and lymph nodes were no longer swollen or sore. Medication treatment was terminated.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Rash erythematous
Clinical narrative: Delayed localized hypersensitivity reaction in left arm at site of the vaccination. This also occurred after first Moderna COVID-19 vaccination and now again after SECOND Moderna COVID-19 vaccination. In just 8 hours following the second vaccination, a lump appeared under the skin at vaccination site on left arm. The area was swollen, hot to the touch, and there was a red rash on the skin above the lump. The lump under the skin was treated with Zyrtec 10 mg- once per day; and Aleve 220 mg- twice per day. An ice pack was applied as needed. Cortizone cream was applied topically to the rash as needed. Additionally, lymph nodes under the left arm and along the left breast were swollen and sore. Within four days (taking medications listed above) these symptoms had lessen significantly. Within seven days the lump and rash at the injection site were gone and lymph nodes were no longer swollen or sore. Medication treatment was terminated.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: patient currently has covid 19
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Sleep disorder
Clinical narrative: Arm pain has not gone away, still have pain when moving my arm up over my head and frequently wake up from the arm pain when moving around asleep in bed.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, Dyspnoea exertional, Nucleic acid test, Polymerase chain reaction
Clinical narrative: This is a 71y.o. female hx of HTN, HLD, and breast cancer dx in 2018 with lumpectomy/radiation in 2018 taking Arimidex since presenting secondary to DIB.  The patient states she had her covid vaccine Pfizer completed in March. She then decided to go to her timeshare and had flown there last week. She states that they had done multiple driving trips and had only gone to one casino that was low crowds.  She states starting on Tuesday prior to flying home she developed shortness of breath with exertion to where she needed a wheelchair for transport. She denies any syncope or chest pain. She denies any history of blood clots. She denies any fever or COVID exposure.   In emergency department patient is found to be Covid positive as well as have acute PE.  ID consulted and pt on Heparin.      seen this morning. No tobacco history, resides with her husband. To check lower extremity venous Doppler studies for completeness. Plan of care discussed with patient. To coordinate outpatient follow-up with her primary care physician, Doctor. Anticipate 6mos of anticoag ID following, on decadron and Remdesivir
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism, SARS-CoV-2 antibody test, Vaccine breakthrough infection
Clinical narrative: This is a 71y.o. female hx of HTN, HLD, and breast cancer dx in 2018 with lumpectomy/radiation in 2018 taking Arimidex since presenting secondary to DIB.  The patient states she had her covid vaccine Pfizer completed in March. She then decided to go to her timeshare and had flown there last week. She states that they had done multiple driving trips and had only gone to one casino that was low crowds.  She states starting on Tuesday prior to flying home she developed shortness of breath with exertion to where she needed a wheelchair for transport. She denies any syncope or chest pain. She denies any history of blood clots. She denies any fever or COVID exposure.   In emergency department patient is found to be Covid positive as well as have acute PE.  ID consulted and pt on Heparin.      seen this morning. No tobacco history, resides with her husband. To check lower extremity venous Doppler studies for completeness. Plan of care discussed with patient. To coordinate outpatient follow-up with her primary care physician, Doctor. Anticipate 6mos of anticoag ID following, on decadron and Remdesivir
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Faeces discoloured, Fatigue, Haemoglobin decreased
Clinical narrative: Patient received the J&J covid vaccine 5/6/21 and started to feel symptoms of dizziness, weakness, fatigue, and black stools on 5/8/21. She was hospitalized due to symptoms and required a blood transfusion 2 units packed red blood cells due to hemoglobin below 10 and symptoms.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Transfusion
Clinical narrative: Patient received the J&J covid vaccine 5/6/21 and started to feel symptoms of dizziness, weakness, fatigue, and black stools on 5/8/21. She was hospitalized due to symptoms and required a blood transfusion 2 units packed red blood cells due to hemoglobin below 10 and symptoms.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardioversion, Electrocardiogram
Clinical narrative: Atrial Fibulation
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head, Confusional state, Craniotomy, Dizziness, Headache
Clinical narrative: Patient received the vaccine on 3-31-21.  Then at 4:00 am on 4-1-2021, he became lightheaded and reports passing out.  He had several weeks of general malaise and mild headache.  He does not recall head trauma and had no bruising, "goose egg", etc.  He felt generally unwell with a mild headache since then.  Then on May 16th, 2021, while traveling with his wife, his left hand and arm and left side of tongue became numb and week.  He was mildly confused.  His wife took him to the ER and he was transferred to hospital for neurosurgery admission. Hospital records note that they presume the subdural bleed was triggered from the fall the morning of May 5th.