chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Blood glucose normal, Dizziness, HIV test positive
Clinical narrative: Patient is a 24 year old, female who received her first dose of Moderna lot 037C21A exp 06/17/21 around 10:22 am. While being  monitored patient nausea and begin vomiting around 10:35 am. The vomitus was small and  clear - 3 episodes. The patient reported she had eaten since last night (05/24/21) and  went to the ER for chest pain. Her labs and discharge diagnosis is not known. The patient  is HIV+ and has taken biktarvy for the past three years. Patient reported face tingling,  "rushing" sensation in her head, back pain, headache. The patient had cold, sweaty hands,  upper extremity shaking. An cold pack was placed on the patient's neck, given sips of  gatorade. EMS called at 10:45am and arrived at 11:10am. Patient transported to ER Initial vital signs @1035 - 98.2, SpO2 92%, 106/68, 18, HR 88. Vitals @ 1047 120/95, HR 93, SpO2 95%, RR 18 Pt was AAOx4, weak, dizzy, vomiting, cool & sweaty palms. Cardio: S1, S2, no r/m/g. Resp: CTAB
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Nasopharyngitis, Nausea, Paraesthesia
Clinical narrative: Patient is a 24 year old, female who received her first dose of Moderna lot 037C21A exp 06/17/21 around 10:22 am. While being  monitored patient nausea and begin vomiting around 10:35 am. The vomitus was small and  clear - 3 episodes. The patient reported she had eaten since last night (05/24/21) and  went to the ER for chest pain. Her labs and discharge diagnosis is not known. The patient  is HIV+ and has taken biktarvy for the past three years. Patient reported face tingling,  "rushing" sensation in her head, back pain, headache. The patient had cold, sweaty hands,  upper extremity shaking. An cold pack was placed on the patient's neck, given sips of  gatorade. EMS called at 10:45am and arrived at 11:10am. Patient transported to ER Initial vital signs @1035 - 98.2, SpO2 92%, 106/68, 18, HR 88. Vitals @ 1047 120/95, HR 93, SpO2 95%, RR 18 Pt was AAOx4, weak, dizzy, vomiting, cool & sweaty palms. Cardio: S1, S2, no r/m/g. Resp: CTAB
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Vomiting
Clinical narrative: Patient is a 24 year old, female who received her first dose of Moderna lot 037C21A exp 06/17/21 around 10:22 am. While being  monitored patient nausea and begin vomiting around 10:35 am. The vomitus was small and  clear - 3 episodes. The patient reported she had eaten since last night (05/24/21) and  went to the ER for chest pain. Her labs and discharge diagnosis is not known. The patient  is HIV+ and has taken biktarvy for the past three years. Patient reported face tingling,  "rushing" sensation in her head, back pain, headache. The patient had cold, sweaty hands,  upper extremity shaking. An cold pack was placed on the patient's neck, given sips of  gatorade. EMS called at 10:45am and arrived at 11:10am. Patient transported to ER Initial vital signs @1035 - 98.2, SpO2 92%, 106/68, 18, HR 88. Vitals @ 1047 120/95, HR 93, SpO2 95%, RR 18 Pt was AAOx4, weak, dizzy, vomiting, cool & sweaty palms. Cardio: S1, S2, no r/m/g. Resp: CTAB
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Rash down my right side and front of stomach. Hive like that itch.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: dark shadows in right eye, black spots in center of vision, vision has declined -rt and lt eye
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: This was an error on the part of our pharmacy for not catching this individual's age prior to vaccine administration. All of our information and website is very clear about Pfizer being the only vaccine indicated under the age of 18 at this time, yet the parent signed this individual up for Moderna. The rest of the fault falls on our pharmacy for not catching the date of birth prior to administration as we just starting vaccinating individuals under the age of 18 last week.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Herpes zoster, Pain, Pruritus
Clinical narrative: Patient reported having Shingles 4 days after the covid-19 vaccine.  She saw an MD after she started experiencing the vesicles and itching/pain.  Patient states she still is having symptoms today (5/25/21).  The MD did not know if it was related to the vaccine.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Balance disorder, Dizziness, Feeling abnormal, Hyperaesthesia
Clinical narrative: 05/15/2021 1300: Received first dose of Moderna COVID vaccine. No issues.  05/16/2021: No issues.  05/17/2021: No issues.  05/18/2021 0800: Some occasional vision blurriness as if my reading/computer glasses were smudged. I kept wiping my glasses all day. That evening, I was anxious and unable to settle down. I did not go to bed until 1:00 AM.  05/19/2021 0500: Brief strange chest sensation (not pain; not pressure; just a strange sensation).  05/19/2021 0800: Dizziness and more noticeable blurred vision which continued throughout the day. 1st BP at home 122/81 2nd BP at home 117/77  05/19/2021 0940: Brief strange chest sensation (not pain; not pressure; just a strange sensation) while driving to doctor's office.  05/19/2021 1015: I happened to have scheduled an annual wellness visit for May 19 at 10:15 AM with a new primary care physician because my previous PCP (in the same practice) has been on a very long medical leave of absence.  I was dizzy and having some balance problems walking from the parking lot to the office. 1st BP 143/88 Temperature 97.2 Weight 222.1 EKG good 2nd BP 130/76 Heart: soft murmur Thyroid: symmetrical The blurred vision and dizziness were getting much worse during my appointment. Dr. said he thought the symptoms were likely a side effect of the vaccine but wanted to order an MRI to make sure my brain was OK.  Dr. arranged a same day appointment at a Clinic for 3:00 PM. Dr. advised me to rest, stay well hydrated, and not skip meals.  My balance was very bad leaving the office and remained bad for about 6 hours. Dr. called me with the results of the MRI and said there was no stroke or clot, and that he thought the symptoms would slowly dissipate.  05/20/2021 0800: I woke up with ringing in my left ear that sounded like a combination of soft static coupled with soft sounds at a higher pitch. The ringing lasted about 1 hour. I had dizziness and blurred vision throughout the day, but it was less severe than the previous day.  05/21/2021 through 05/25/2021: I have had much less dizziness and it usually occurs only in the morning. I still have occasional vision blurriness throughout the day. It is most noticeable when I am working at the computer. I feel as if I have a little brain fog because it takes me longer to figure out how to type some things such as my email address, passwords, etc.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Tinnitus, Vision blurred
Clinical narrative: 05/15/2021 1300: Received first dose of Moderna COVID vaccine. No issues.  05/16/2021: No issues.  05/17/2021: No issues.  05/18/2021 0800: Some occasional vision blurriness as if my reading/computer glasses were smudged. I kept wiping my glasses all day. That evening, I was anxious and unable to settle down. I did not go to bed until 1:00 AM.  05/19/2021 0500: Brief strange chest sensation (not pain; not pressure; just a strange sensation).  05/19/2021 0800: Dizziness and more noticeable blurred vision which continued throughout the day. 1st BP at home 122/81 2nd BP at home 117/77  05/19/2021 0940: Brief strange chest sensation (not pain; not pressure; just a strange sensation) while driving to doctor's office.  05/19/2021 1015: I happened to have scheduled an annual wellness visit for May 19 at 10:15 AM with a new primary care physician because my previous PCP (in the same practice) has been on a very long medical leave of absence.  I was dizzy and having some balance problems walking from the parking lot to the office. 1st BP 143/88 Temperature 97.2 Weight 222.1 EKG good 2nd BP 130/76 Heart: soft murmur Thyroid: symmetrical The blurred vision and dizziness were getting much worse during my appointment. Dr. said he thought the symptoms were likely a side effect of the vaccine but wanted to order an MRI to make sure my brain was OK.  Dr. arranged a same day appointment at a Clinic for 3:00 PM. Dr. advised me to rest, stay well hydrated, and not skip meals.  My balance was very bad leaving the office and remained bad for about 6 hours. Dr. called me with the results of the MRI and said there was no stroke or clot, and that he thought the symptoms would slowly dissipate.  05/20/2021 0800: I woke up with ringing in my left ear that sounded like a combination of soft static coupled with soft sounds at a higher pitch. The ringing lasted about 1 hour. I had dizziness and blurred vision throughout the day, but it was less severe than the previous day.  05/21/2021 through 05/25/2021: I have had much less dizziness and it usually occurs only in the morning. I still have occasional vision blurriness throughout the day. It is most noticeable when I am working at the computer. I feel as if I have a little brain fog because it takes me longer to figure out how to type some things such as my email address, passwords, etc.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Akinesia, Catheterisation cardiac, Chest pain, Coronary arterial stent insertion
Clinical narrative: 3/22, admitted for NSTEMI 2 days after Covid vaccine. Patient was shoveling snow on the morning of March 22, 2021.  Shortly after doing that, he developed chest pain.  He did not immediately seek medical attention, however.  Rather, he had a preexisting appointment with his primary care provider, which he went to later that morning.  The PCP did an EKG and found him to be having an acute inferior ST elevation MI. The patient was subsequently transferred by EMS to the emergency room at the hospital and then was taken immediately for emergency cardiac catheterization.  The catheterization revealed 100% acute occlusions of both the proximal LAD and the distal RCA.  These were both opened and stented.  There was 1 drug-eluting stent placed in the proximal LAD, and 2 overlapping drug-eluting stents were placed extending from the distal RCA into the proximal PDA.  Postprocedure, the patient did well with resolution of his chest pain.  His peak troponin was 38.6.  An echocardiogram was done on March 22, 2021, and showed inferior akinesis and septal hypokinesis with an estimated ejection fraction of 45% to 50%.  The patient was started on the usual medications post MI and PCI.  On the morning of discharge, March 24, 2021, he is feeling well and is medically stable for discharge.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Coronary artery occlusion, Echocardiogram abnormal, Ejection fraction decreased, Electrocardiogram abnormal, Troponin
Clinical narrative: 3/22, admitted for NSTEMI 2 days after Covid vaccine. Patient was shoveling snow on the morning of March 22, 2021.  Shortly after doing that, he developed chest pain.  He did not immediately seek medical attention, however.  Rather, he had a preexisting appointment with his primary care provider, which he went to later that morning.  The PCP did an EKG and found him to be having an acute inferior ST elevation MI. The patient was subsequently transferred by EMS to the emergency room at the hospital and then was taken immediately for emergency cardiac catheterization.  The catheterization revealed 100% acute occlusions of both the proximal LAD and the distal RCA.  These were both opened and stented.  There was 1 drug-eluting stent placed in the proximal LAD, and 2 overlapping drug-eluting stents were placed extending from the distal RCA into the proximal PDA.  Postprocedure, the patient did well with resolution of his chest pain.  His peak troponin was 38.6.  An echocardiogram was done on March 22, 2021, and showed inferior akinesis and septal hypokinesis with an estimated ejection fraction of 45% to 50%.  The patient was started on the usual medications post MI and PCI.  On the morning of discharge, March 24, 2021, he is feeling well and is medically stable for discharge.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Ventricular hypokinesia
Clinical narrative: 3/22, admitted for NSTEMI 2 days after Covid vaccine. Patient was shoveling snow on the morning of March 22, 2021.  Shortly after doing that, he developed chest pain.  He did not immediately seek medical attention, however.  Rather, he had a preexisting appointment with his primary care provider, which he went to later that morning.  The PCP did an EKG and found him to be having an acute inferior ST elevation MI. The patient was subsequently transferred by EMS to the emergency room at the hospital and then was taken immediately for emergency cardiac catheterization.  The catheterization revealed 100% acute occlusions of both the proximal LAD and the distal RCA.  These were both opened and stented.  There was 1 drug-eluting stent placed in the proximal LAD, and 2 overlapping drug-eluting stents were placed extending from the distal RCA into the proximal PDA.  Postprocedure, the patient did well with resolution of his chest pain.  His peak troponin was 38.6.  An echocardiogram was done on March 22, 2021, and showed inferior akinesis and septal hypokinesis with an estimated ejection fraction of 45% to 50%.  The patient was started on the usual medications post MI and PCI.  On the morning of discharge, March 24, 2021, he is feeling well and is medically stable for discharge.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chest pain, Chills, Fatigue, Headache
Clinical narrative: Severe headache, burning inside the chest. Chills and sweating Tiredness, muscle pain. Pain behind the back.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Myalgia
Clinical narrative: Severe headache, burning inside the chest. Chills and sweating Tiredness, muscle pain. Pain behind the back.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: I have a red and itchy blotchy rash all over my torso that started from my vaccination site and spread. It started spreading slowly but it is spreading more rapidly now and is starting to spread lower onto my legs and bikini area as well. It is super itchy and painful, and more and more just keep popping up on my body at alarmingly increasing rates.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Wrong product administered
Clinical narrative: Patient received Moderna as first dose and Pfizer as second dose.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Antiplatelet therapy, Aphasia, Atrial septal defect, Cerebral infarction, Confusional state
Clinical narrative: TIA   Symptoms: UNS SYM&SIGN,COGNIT FUNC&AWARE(R419).
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Magnetic resonance imaging head abnormal, Memory impairment, NIH stroke scale abnormal, Personality change
Clinical narrative: TIA   Symptoms: UNS SYM&SIGN,COGNIT FUNC&AWARE(R419).
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Transient ischaemic attack
Clinical narrative: TIA   Symptoms: UNS SYM&SIGN,COGNIT FUNC&AWARE(R419).
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Pt states he received both of his covid vaccines at the administration facility. His second covid vaccine was on or about May 3, 2021. His left shoulder has been painful since and continues to cause pain. Denies previous injuries.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient arrived at the site to get a second dose of COVID-19 Vaccine. The patient informed the site administrator that she had received her first dose in January, but did not have any record of receiving the dose. The site administrator vaccinated the woman with the Pfizer Vaccine without checking the ADPH's IMMPRINT system. Upon entering information into the database after the vaccination occurred, the data entry consultant informed the vaccine coordinator that the patient received the Moderna vaccine on 01/28/2021 and the Pfizer vaccine on 05/19/2021. The patient has not contacted the site administrator or vaccination clinic with any other health issues related to the mixing of different brands of vaccines.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: I have been taking tamoxifen since September 2020 and have not had a menstrual period since then.  Prior to that time, I would menstruate regularly, with a very light cycle.    Approximately 17 hours after my first Covid 19 vaccination, I started menstruating very heavy with large clots for 3 days. Approximately 60 hours after my second Covid 19 vaccination, I started menstruating very heavy with large clots for 3 days.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: I started having to experience vertigo and went to my pcp and did assessment (Movements) testing. Dr. ordered meclizine medication to take up to 3 times a day. They wanted me to go to an ear, nose and throat doctor. I got  2 hours worth of tests that came back normal. They did ENG, series of vestibular testing to assess for vertigo. I am awaiting to get an appointment with a neurologist. I have gotten better in the last 3 weeks.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Dehydration, Dysphagia, Feeding disorder, Full blood count normal
Clinical narrative: I had excessive vomiting for 5 hours couldn't keep anything down, had difficulty swallowing, lethargic, incoherent, felt dehydrated. Went to the ER around 2:00 pm.  Did several test.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Incoherent, Laboratory test normal, Lethargy, Magnetic resonance imaging, SARS-CoV-2 test negative
Clinical narrative: I had excessive vomiting for 5 hours couldn't keep anything down, had difficulty swallowing, lethargic, incoherent, felt dehydrated. Went to the ER around 2:00 pm.  Did several test.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Scan with contrast normal, Urine analysis, Vomiting
Clinical narrative: I had excessive vomiting for 5 hours couldn't keep anything down, had difficulty swallowing, lethargic, incoherent, felt dehydrated. Went to the ER around 2:00 pm.  Did several test.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Injection site pain, Myalgia, Nausea
Clinical narrative: Minor headache started almost immediately. About 12 hours later,  began experiencing muscle pain, joint pain, chills, nausea and fever. These symptoms lasted at least until 10:00pm the next day. Headache still persisted, even two days after other symptoms went away. There was pain and swelling at the injection site which started about 12 hours after the injection. Both persist at least two days after the injection
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Minor headache started almost immediately. About 12 hours later,  began experiencing muscle pain, joint pain, chills, nausea and fever. These symptoms lasted at least until 10:00pm the next day. Headache still persisted, even two days after other symptoms went away. There was pain and swelling at the injection site which started about 12 hours after the injection. Both persist at least two days after the injection
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Angiogram pulmonary normal, Aortic valve incompetence, Cardiac imaging procedure abnormal, Catheterisation cardiac normal
Clinical narrative: Pt developed chest pain/shortness of breath by 4/20, proceeded to local Hospital  ER by 4/21 w/ N-STEMI on EKG w/ elevated troponin >8000, ECHO with global hypokinesis and mod-severe AR,, Chest CTA neg for PA/PNA. Emergent cardiac catheterization negative for CAD,  Transferred to another Hospital 4/22 where cardiac MRI confirmed acute edema. he was monitored by Dr's team for 10 days with improvement in LV function and reduction to near normal troponin level. Workup neg for eosinophilic carditis. Discharged home by 5/1 w/ rest precautions and adjustments made to his BP medications. Now followed by local cardiologist Dr.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Echocardiogram abnormal, Electrocardiogram abnormal, Oedema due to cardiac disease
Clinical narrative: Pt developed chest pain/shortness of breath by 4/20, proceeded to local Hospital  ER by 4/21 w/ N-STEMI on EKG w/ elevated troponin >8000, ECHO with global hypokinesis and mod-severe AR,, Chest CTA neg for PA/PNA. Emergent cardiac catheterization negative for CAD,  Transferred to another Hospital 4/22 where cardiac MRI confirmed acute edema. he was monitored by Dr's team for 10 days with improvement in LV function and reduction to near normal troponin level. Workup neg for eosinophilic carditis. Discharged home by 5/1 w/ rest precautions and adjustments made to his BP medications. Now followed by local cardiologist Dr.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased, Ventricular hypokinesia
Clinical narrative: Pt developed chest pain/shortness of breath by 4/20, proceeded to local Hospital  ER by 4/21 w/ N-STEMI on EKG w/ elevated troponin >8000, ECHO with global hypokinesis and mod-severe AR,, Chest CTA neg for PA/PNA. Emergent cardiac catheterization negative for CAD,  Transferred to another Hospital 4/22 where cardiac MRI confirmed acute edema. he was monitored by Dr's team for 10 days with improvement in LV function and reduction to near normal troponin level. Workup neg for eosinophilic carditis. Discharged home by 5/1 w/ rest precautions and adjustments made to his BP medications. Now followed by local cardiologist Dr.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Laboratory test, Pain, Peripheral swelling, Pruritus
Clinical narrative: Itching of hands and swelling of hands on day 2. of 1st vaccine.  Headache, tinnitus, body aches, rash, and overall tiredness. Itching on feet ,hands,  arms, and hives on back, ribs, core body and neck  with second vaccine
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Tinnitus, Urticaria
Clinical narrative: Itching of hands and swelling of hands on day 2. of 1st vaccine.  Headache, tinnitus, body aches, rash, and overall tiredness. Itching on feet ,hands,  arms, and hives on back, ribs, core body and neck  with second vaccine
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Magnetic resonance imaging, Peripheral swelling, Skin warm
Clinical narrative: When I first got the shot, I felt something warm all the way down my arm like when I had MRI with the contrast. I did have the person who did my vaccine check it out and they said it was fine. Around 6-8 hours later around 4 AM my left arm was hot and it  was red and it felt like I had a bump there. My arm was swollen and hot to  the touch. I called my doctor and he told me to give it a few days and so I did and it didn't go away. Dr told me if it continues go to after hours clinic but to give it a few days and take the tylenol.  It actually started getting worse 3 days later on  01/30/2021  and on the 8th day 02/03/2021 it didn't hurt so much. On the 10th day 02/05/2021 everything was gone. Everything was gone as far as the redness but when I touched the arm it still hurt a little bit but not as much before.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: I got shingles after my second does of the Pfizer vaccine.  My second shot was on 4/13/21 and I woke up with shingles on 5/20/21.  I am 33 years old and in good health. I am now taking valacyclovir 1 GM and prednisone 10mg for the shingles.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Partial seizures
Clinical narrative: CONTACT NOTE: Patient and spouse on campus today for scheduled covid vaccine. Spouse is also  caregiver.   1442- this RN responded to alert from Front desk identifying the patient  and the report of his wife whom had brought him to the lobby for help as he  had had a "Focal seizure". Unknown baseline moving forward- evident patient  totaly dependent, unknown speech baseline. Right hand and bilateral legs  contacted.  This RN donning PPE as per above walked onto lobby scene with Wife controlling  patient's home wheelchair of which he was secured into with a gait belt.  Per wife "He had his covid shot about 3 hours ago, he has a history of seizures" Patient unresponsive to name or sternal rub, radial pulse present, thready, even  chest rise, eyes open, equal bilateral pupils.   This RN wheeled patient to hallway also responding to the FD  message, Team Nurses  involved in patient's care.  This RN attempting to illicit response, some grimace to sternal rub.  1443  74/40 BP HR: 56 SPO2 87% RA- eyes open and reactive to light. Oxygen 4L applied.  1444- Patient responsive to sternal rub, follows commands to blink when he hears  his name consistent with the assessment command "blink if you can hear me". 90/57 HR: 80 SPO2 100% 4 L NC 1450- able to grip with left hand, right hand contracted and with pulse oximetry  applied. Respirations continue even and unlabored, saturations satisfactory, no  verbal response, blinks at will, appears to be gaining lucidity.   Decreased to 2L NC, moving head freely. 1500 86/56 78hr 1 L NC 99% with good non-verbal response, pupils contracting  bilaterally equally in harmony, remains non-verbal.  Able to grip and release RN fingers, move head freely, blink at command.  Patient transferred to Gurney and transported.  OF Note:  EMS on standby for all of assessment from ~1445 forward. SBAR provided with  known history, presentation, and known Dx on file.  Wife/Caregiver to go with patient via ambulance, patient wheelchair stored, name on chair. All personal belongings : yellow cap, black bag, given to  wife.   Wife informed staff will follow up post discharge,understands to  notify via call  to staff of discharge from Hospital Facility: Hospital.  OUTPATIENT MEDS: DRUG LIST As of May 21, 2021 This object does not handle Complex Pharmacy Orders. --------------------------------------------- ASPIRIN 81MG CHEW TAB GALANTAMINE HYDROBROMIDE 8MG TAB HYDROPHILIC (EQV AQUAPHOR) TOP OINT METOPROLOL TARTRATE 25MG TAB MULTIVITS W/MINERALS TAB/CAP (NO VIT K) OMEPRAZOLE 20MG EC CAP SERTRALINE HCL 100MG TAB TAMSULOSIN HCL 0.4MG CAP
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Loss of personal independence in daily activities, Menstrual disorder
Clinical narrative: Extremely Heavy period, I typically don?t get periods due to PCOS and this is very heavy bleeding. I am struggling to do daily tasks because of the amount of times I need to change my tampon and pad, this has never happened before.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Muscular weakness, Pain in extremity
Clinical narrative: Soreness, weakness, pain shooting down arm, when picking item up will lose feeling in lower arm and fingers.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Pt reported itching all over the body about 5-10mins after the vaccine. I gave her 25mg of Diphenhydramine solution by mouth immediately and asked her to monitor the symptoms and let us know. She mentioned she has Lupus and is not on any drugs for it right now. Other pharmacist called her Dr and the patient herself called Dr to report the reaction. Dr sent a prescription for Prednisone 10mg and she took 2 tabs right away.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: patient already received her 1st shot of moderna underaged at a different vaccination site. I was just honoring her 2nd dose since she was overdue for it. pt was fine no reaction. I got an ok from my district manager and patient care services manager to go ahead and honor her 2nd dose since she was due for it
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site indentation, Lipoatrophy, Ultrasound scan abnormal, Vaccination site atrophy, Vaccination site mass
Clinical narrative: Swelling of vaccine site resulted in a large disc like lump. Pain and tenderness for over a week. Healed after about 3 1/2 weeks, then left a noticeable indentation in arm where vaccine was given and swelling occured.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site pain, Vaccination site swelling
Clinical narrative: Swelling of vaccine site resulted in a large disc like lump. Pain and tenderness for over a week. Healed after about 3 1/2 weeks, then left a noticeable indentation in arm where vaccine was given and swelling occured.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Burning sensation, Gait disturbance, Insomnia, Myalgia
Clinical narrative: Legs burned the night I received the vaccine.   I have had SEVERE muscle plain in my right leg since the second dose.  It is difficult to sleep, walk or do anything.  The only thing that mildly helps is massage therapy.   It has been almost 5 weeks now with minimal relief.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Condition aggravated, Hypoaesthesia, Paraesthesia
Clinical narrative: 3 Days after my 2nd shot on 5/8/21, I was woken up by numbness on both my feet and side of lower legs, more on the left than right. The numbness then work its way further up the side of my legs. It stays with the same degree of numbness for at least 2 hrs, but slowly improved after the 3rd hr, but it didn't go away until 6 hrs after it started. Even after the numbness subsided for the most part, I still have tingling feeling on my legs and feet. The next day (4 days after 2nd shot), I started feeling tingling on my hands and along side of my arms. Currently it's been over 2 wks, tingling has lessen in the last 2 days, but got a little worse again today, especially on left feet. Symptoms of tingling persisted and haven't gone away yet.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was underage to get Pfzier COVID-19 VACCINE by three months.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy endometrium, Cervical polyp, Postmenopausal haemorrhage, Uterine polyp
Clinical narrative: Experienced a full-blown period after 3.25 years of post-menopause.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, C-reactive protein increased, Diplopia, Giant cell arteritis, Headache
Clinical narrative: Less than two weeks later, I have GCA, where the immune system attacks the vascular system.  I have lost vision and have double vision and extreme crushing headaches and fever, night sweats, swollen hands.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Night sweats, Ophthalmological examination, Peripheral swelling, Platelet count increased, Pyrexia
Clinical narrative: Less than two weeks later, I have GCA, where the immune system attacks the vascular system.  I have lost vision and have double vision and extreme crushing headaches and fever, night sweats, swollen hands.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate increased, SARS-CoV-2 antibody test negative, SARS-CoV-2 test negative
Clinical narrative: Less than two weeks later, I have GCA, where the immune system attacks the vascular system.  I have lost vision and have double vision and extreme crushing headaches and fever, night sweats, swollen hands.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Breast pain, Chills, Lymph node pain, Pyrexia
Clinical narrative: High fever 101.6 Chills  Lymph node pain in armpit and breast
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient received Covid-19 Janssen  vaccine 3/17/2021.  Patient tested positive for COVID-19 on  5/20
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Fatigue, Hypersensitivity, Impaired work ability
Clinical narrative: Within a couple hours after, I was super super tired and by 05:30 am in morning, I had severe chills and a fever - 102.5. I had severe body cramps in my legs. My legs hurt so bad I could hardly work. Through my telehealth with insurance they said to: Drink water and taking a fever reducer and if that didn't help to go to ER. I took Advil and I took that every couple of hours and that helped. They suggested ice packs on my legs and alternate with heat - I drank tons of water and slept a lot. The next day, in the morning, was when the symptoms went away. I had that fatigue for a week and a half. On April, 28, I called my doctor again. I have migraines (from before I have chronic migraines - they are agitated by allergies - and by vaccines or any medications ) and my allergies were really, really bad and were having migraines and I had fatigue. They suggested that I do a sauna and try to get talk to my my system to get in somewhat in a balance. Those symptoms have resolved for the most part.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Muscle spasms, Pain in extremity, Pyrexia
Clinical narrative: Within a couple hours after, I was super super tired and by 05:30 am in morning, I had severe chills and a fever - 102.5. I had severe body cramps in my legs. My legs hurt so bad I could hardly work. Through my telehealth with insurance they said to: Drink water and taking a fever reducer and if that didn't help to go to ER. I took Advil and I took that every couple of hours and that helped. They suggested ice packs on my legs and alternate with heat - I drank tons of water and slept a lot. The next day, in the morning, was when the symptoms went away. I had that fatigue for a week and a half. On April, 28, I called my doctor again. I have migraines (from before I have chronic migraines - they are agitated by allergies - and by vaccines or any medications ) and my allergies were really, really bad and were having migraines and I had fatigue. They suggested that I do a sauna and try to get talk to my my system to get in somewhat in a balance. Those symptoms have resolved for the most part.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Bradycardia, Face injury, Fall, Head injury, Loss of consciousness
Clinical narrative: Syncopal episode presumably vasovagal as patient was aswell bradicardic. LOC for about 10 seconds. Fall hitting head/ face with concrete floor from chair  No apreciable injury on physical exam.  Episode resolved 10 seconds after listing legs. Intent to call EMS was done but patient refused. As she was living to Boston
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Syncopal episode presumably vasovagal as patient was aswell bradicardic. LOC for about 10 seconds. Fall hitting head/ face with concrete floor from chair  No apreciable injury on physical exam.  Episode resolved 10 seconds after listing legs. Intent to call EMS was done but patient refused. As she was living to Boston
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Paraesthesia, Pruritus, Snoring
Clinical narrative: ITCHY skin Pins and needles in arms and legs I get feeling like I am being pricked with a pin several times a day in various places on my skin, arms, legs, neck, feet  tired and fatigued difficulty breathing snoring
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Borrelia test, Chest pain, Coxsackie virus test, Cytomegalovirus test, Echocardiogram
Clinical narrative: Patient rec'd  Pfizer COVID vaccine dose 1 on 2/26/21; dose 2 on 3/18/21. He began to have substernal chest pain on 3/20/21, took Tums with partial relief. He had additional episodes of chest pain over the next 2 days and came to the ED on 3/22/21. EKG was abnormal and troponin was elevated, so he was admitted with a diagnosis of myopericarditis .
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Echovirus test, Ejection fraction decreased, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, HIV antibody negative
Clinical narrative: Patient rec'd  Pfizer COVID vaccine dose 1 on 2/26/21; dose 2 on 3/18/21. He began to have substernal chest pain on 3/20/21, took Tums with partial relief. He had additional episodes of chest pain over the next 2 days and came to the ED on 3/22/21. EKG was abnormal and troponin was elevated, so he was admitted with a diagnosis of myopericarditis .
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: HIV antigen negative, Lymphadenopathy, Magnetic resonance imaging abnormal, Myocarditis, SARS-CoV-2 antibody test
Clinical narrative: Patient rec'd  Pfizer COVID vaccine dose 1 on 2/26/21; dose 2 on 3/18/21. He began to have substernal chest pain on 3/20/21, took Tums with partial relief. He had additional episodes of chest pain over the next 2 days and came to the ED on 3/22/21. EKG was abnormal and troponin was elevated, so he was admitted with a diagnosis of myopericarditis .
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 antibody test positive, Toxicologic test normal, Troponin increased
Clinical narrative: Patient rec'd  Pfizer COVID vaccine dose 1 on 2/26/21; dose 2 on 3/18/21. He began to have substernal chest pain on 3/20/21, took Tums with partial relief. He had additional episodes of chest pain over the next 2 days and came to the ED on 3/22/21. EKG was abnormal and troponin was elevated, so he was admitted with a diagnosis of myopericarditis .
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Arteriogram coronary normal, Chest pain, Chills, Echocardiogram normal, Ejection fraction normal
Clinical narrative: Patient rec'd  Pfizer COVID vaccine dose 1 on 2/26/21; dose 2 on 3/18/21. He began to have substernal chest pain on 3/20/21, took Tums with partial relief. He had additional episodes of chest pain over the next 2 days and came to the ED on 3/22/21. EKG was abnormal and troponin was elevated, so he was admitted with a diagnosis of myopericarditis .
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Fatigue, Magnetic resonance imaging heart, Myocarditis, Pain, Troponin increased
Clinical narrative: Patient rec'd  Pfizer COVID vaccine dose 1 on 2/26/21; dose 2 on 3/18/21. He began to have substernal chest pain on 3/20/21, took Tums with partial relief. He had additional episodes of chest pain over the next 2 days and came to the ED on 3/22/21. EKG was abnormal and troponin was elevated, so he was admitted with a diagnosis of myopericarditis .
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Myocarditis
Clinical narrative: Patient rec'd  Pfizer COVID vaccine dose 1 on 2/26/21; dose 2 on 3/18/21. He began to have substernal chest pain on 3/20/21, took Tums with partial relief. He had additional episodes of chest pain over the next 2 days and came to the ED on 3/22/21. EKG was abnormal and troponin was elevated, so he was admitted with a diagnosis of myopericarditis .
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Full blood count, Platelet count decreased, Thrombocytopenia
Clinical narrative: Fatigue.  Did Blood counts and had Platelet count of 11,000
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Pruritus, Vaccine positive rechallenge
Clinical narrative: Approx 5 mins. after vaccine client c/o of "feeling itchy." Redness observed just above the injection site and around client's neck. Client denied SOB or other respiratory concerns. Lead nurse offered Benadryl (liquid solution 25mg x2) and was accepted by client. All vitals WNL. After 30mins client left site with steady gait and accompanied. Was advised to notify PCP if symptoms became worse. Client experienced same symptoms with first dose
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac disorder, Heart rate increased
Clinical narrative: I have heard, and saw recently that a small group of primarily male adolescents and young adults have developed difficulties with their hearts after taking the vaccine. I am also having this problem. I am an athlete with a resting heart rate of around 55-65. Now my resting is 75-90. When I went on a light jog; it reached 210. I received the COVID vaccine. I don?t know exactly who to contact for this, or if you guys need to know this. I just knew they were looking into/ researching people with this rare affect. Have a nice day!
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea
Clinical narrative: Patient c/o shortness of breath and dizziness at 1145, patient transported to ED at 1150 via w/c. VS stable.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Rash, Urticaria
Clinical narrative: On the day of the vaccine, participant just had a minor sore arm.  A week and 2 days later, participant woke up with hives.  The hives were located on both arms from shoulder to wrist and around the waist line. Participant went to Urgent Care.  Participant was prescribed a shot of Prednisone, Prednisone 5mg  6 day Pak,  OTC Benadryl twice a day, OTC Claritin twice a day and OTC Pepcid.  If not improved, she was to come back in 3 days.  Participant went back to the doctor in 3 day since her rash has not improved.  Participant got another shot of Prednisone and told to D/C Prednisone 6 day and D/C Claritin and D/C Benadryl.  Participant was prescribed Prednisone 12 Day Pak, Zyrtec, hydroxyzine 5mg  2 tablets 4 times a day, Singulair 10mg  once a bedtime.  Participant  noticed her rash was improving with the new drug regimen and started clear up.  After 2-3 days after finishing the medications, she started to break out again.   Participant contacted her PCP  via MyChart who referred her to an allergist specialist.  She is awaiting an appointment with the allergist. Her rash is sporadic and will come and go andshe is currently taking Singulair, Zyrtec and Benadryl for the rash.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Full blood count, Heparin-induced thrombocytopenia test, Smear test, Thrombocytopenia
Clinical narrative: THROMBOSIS-THROMBOCYTOEPNIA SYNDROME--- LEFT LEG DVT
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: THROMBOSIS-THROMBOCYTOEPNIA SYNDROME--- LEFT LEG DVT
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood bicarbonate decreased, Blood calcium normal, Blood glucose increased, Blood magnesium normal
Clinical narrative: Presented to ED with nausea/vomiting and abdominal pain the day after second dose of Moderna. Patient had 2 weeks of upper abdominal pain as well as intermittent nausea and vomiting.  She denied having any diarrhea.  She said that she had had gastric ulcers in the past, though at least several years ago.  She was not on any acid blockers prior to admission.  She denied any hematemesis or coffee-ground emesis, and did not have any melena.  On admission, she had lab work significant for elevated WBC of 12.6.  Serum chemistries were significant for a sodium of 133, bicarbonate of 19, glucose of 273, and calcium was initially elevated at 10.5.  Magnesium was low at 1.4.  The patient also did have some wide complex tachycardia, which resolved, and she was given magnesium. Patient admitted and found to have grade B esophagitis, and also multiple gastric ulcers which were not bleeding at the time of the study.  The patient had been empirically placed on Protonix and was kept on this throughout her hospitalization.  She was discharged with a prescription for omeprazole and will need to take it daily and have repeat EGD in 2 months.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium decreased, Nausea, Oesophagitis, Oesophagogastroduodenoscopy abnormal, Tachycardia
Clinical narrative: Presented to ED with nausea/vomiting and abdominal pain the day after second dose of Moderna. Patient had 2 weeks of upper abdominal pain as well as intermittent nausea and vomiting.  She denied having any diarrhea.  She said that she had had gastric ulcers in the past, though at least several years ago.  She was not on any acid blockers prior to admission.  She denied any hematemesis or coffee-ground emesis, and did not have any melena.  On admission, she had lab work significant for elevated WBC of 12.6.  Serum chemistries were significant for a sodium of 133, bicarbonate of 19, glucose of 273, and calcium was initially elevated at 10.5.  Magnesium was low at 1.4.  The patient also did have some wide complex tachycardia, which resolved, and she was given magnesium. Patient admitted and found to have grade B esophagitis, and also multiple gastric ulcers which were not bleeding at the time of the study.  The patient had been empirically placed on Protonix and was kept on this throughout her hospitalization.  She was discharged with a prescription for omeprazole and will need to take it daily and have repeat EGD in 2 months.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: Presented to ED with nausea/vomiting and abdominal pain the day after second dose of Moderna. Patient had 2 weeks of upper abdominal pain as well as intermittent nausea and vomiting.  She denied having any diarrhea.  She said that she had had gastric ulcers in the past, though at least several years ago.  She was not on any acid blockers prior to admission.  She denied any hematemesis or coffee-ground emesis, and did not have any melena.  On admission, she had lab work significant for elevated WBC of 12.6.  Serum chemistries were significant for a sodium of 133, bicarbonate of 19, glucose of 273, and calcium was initially elevated at 10.5.  Magnesium was low at 1.4.  The patient also did have some wide complex tachycardia, which resolved, and she was given magnesium. Patient admitted and found to have grade B esophagitis, and also multiple gastric ulcers which were not bleeding at the time of the study.  The patient had been empirically placed on Protonix and was kept on this throughout her hospitalization.  She was discharged with a prescription for omeprazole and will need to take it daily and have repeat EGD in 2 months.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Facial pain, Headache, SARS-CoV-2 test negative, Upper respiratory tract infection
Clinical narrative: Participant experienced a severe Headache and extreme facial pain upon waking but no other symptoms her pain level 10/10 She told her school principal she would get tested for COVID and  left work at 3pm to get tested She was  tested and given Amoxicillin which helped reduce the pain within 24 hours and after she continued to take the antibiotics for 10 days and was fine after that. The doctor diagnosed her with Acute Upper raspatory infection
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Antibody test positive, Arthralgia, Blister, C-reactive protein normal, Dysstasia
Clinical narrative: The evening of receiving the vaccine, at around 10pm I started feeling pain in both my hands. It felt like I had baseball gloves on they were throbbing and very painful later that night I experienced that excruciating pain in all my joints. I couldn't stand up for a few days The excruciating pain went away but pain still remains. The pain lasted for 9 weeks. I also had vertigo I also had covid toes and fingers. I had blistering at the base of my nails and my toes were bright red. I also had rashes. They were little red pinprick like rashes on my arms and neck. I was also extremely fatigued. I contacted my primary care doctor on day 7. She said not to worry. I then contacted my acupuncturist. I then received acupuncture 2x a week along with a gentle movement program. The acupuncture helped temporarily.  At week 2 I contacted the infectious disease doctor. I was put on a waitlist and I got in at 4 weeks. We did inflammatory markers and she advised I not get the second dose. She said I have a profile of a hypersensitive immune system. I still have pain in my fingers and toes which comes and goes. I have not received the second dose. I had testing done throughout 2020 but none were positive. I believe I had COVID in February 2020. The antibodies were still present in January 2021.  I was also on an anti inflammatory diet.