chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Antibody test negative, Blood magnesium normal, Blood test normal, Cardiac flutter, Chest X-ray normal
Clinical narrative: On 8/3/2021, one day after receiving first vaccine dose, heart palpitations/fluttering and muscle twitches began. I assumed these were a temporary side affect that would go away. After these symptoms persisted accompanied by extreme fatigue, I went to urgent care on 8/9. After normal EKG I was ordered a chest X-ray and sent home to rest and told these symptoms should resolve by themself eventually. Chest X-ray on 8/10 came back normal. Over the course of the next few weeks symptoms did not improve. I visited urgent care again on 9/1/21 with these same symptoms. I had blood drawn to test for antibodies which came back negative. I also had blood drawn to see if muscle twitches were caused by magnesium deficiency but was within normal magnesium levels. I was again told that I should wait for symptoms to resolve. I visited doctor on 9/22/21 and 11/10/21 with similar results.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fatigue, Muscle twitching, Palpitations
Clinical narrative: On 8/3/2021, one day after receiving first vaccine dose, heart palpitations/fluttering and muscle twitches began. I assumed these were a temporary side affect that would go away. After these symptoms persisted accompanied by extreme fatigue, I went to urgent care on 8/9. After normal EKG I was ordered a chest X-ray and sent home to rest and told these symptoms should resolve by themself eventually. Chest X-ray on 8/10 came back normal. Over the course of the next few weeks symptoms did not improve. I visited urgent care again on 9/1/21 with these same symptoms. I had blood drawn to test for antibodies which came back negative. I also had blood drawn to see if muscle twitches were caused by magnesium deficiency but was within normal magnesium levels. I was again told that I should wait for symptoms to resolve. I visited doctor on 9/22/21 and 11/10/21 with similar results.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Imaging procedure, Laboratory test, Lymphadenopathy, Mass
Clinical narrative: Lump to left groin after 2nd Pfizer Covid vaccine, hospitalization on 2/8/21, multiple office visits, specialists, labs, imaging - lump became painful to touch 2/1/2021 and first appointment for this was 2/3/2021. Patient hospitalized 2/8/2021. Diagnosis of Left inguinal lymphadenopathy.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Tenderness
Clinical narrative: Lump to left groin after 2nd Pfizer Covid vaccine, hospitalization on 2/8/21, multiple office visits, specialists, labs, imaging - lump became painful to touch 2/1/2021 and first appointment for this was 2/3/2021. Patient hospitalized 2/8/2021. Diagnosis of Left inguinal lymphadenopathy.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Death
Clinical narrative: Fatal stroke
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Blood test abnormal, Chest discomfort, Computerised tomogram normal, Dyspnoea
Clinical narrative: I  received the Pfizer COVID-19 vaccine during my second trimester of pregnancy. I received my second dose on 11/6/21, and began experiencing severe chest heaviness and difficulty breathing on 11/8/21. The severity of the chest heaviness prevented me from inhaling a full breath. I went to the ER, where a CT was performed and ruled out a pulmonary embolism, pneumonia and pneumothorax. EKG showed non-specific abnormal T wave. Troponins were normal. Blood work showed very mild anemia. Discharged from ER. Obstetrician referred me to a cardiologist, who reviewed the EKG and scheduled an echocardiogram for the end of December.  Still have mild shortness of breath that worsens with activity or even talking.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Electrocardiogram T wave abnormal, Exposure during pregnancy, Troponin normal
Clinical narrative: I  received the Pfizer COVID-19 vaccine during my second trimester of pregnancy. I received my second dose on 11/6/21, and began experiencing severe chest heaviness and difficulty breathing on 11/8/21. The severity of the chest heaviness prevented me from inhaling a full breath. I went to the ER, where a CT was performed and ruled out a pulmonary embolism, pneumonia and pneumothorax. EKG showed non-specific abnormal T wave. Troponins were normal. Blood work showed very mild anemia. Discharged from ER. Obstetrician referred me to a cardiologist, who reviewed the EKG and scheduled an echocardiogram for the end of December.  Still have mild shortness of breath that worsens with activity or even talking.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, Grip strength decreased, Impaired driving ability, Loss of personal independence in daily activities
Clinical narrative: It was 7/8 days after, I woke up very weak walking to the bathroom and tried to lift my arm and legs, My balance has been an issue so I have to be careful because I cannot stand on my own feet and my grasp I keep dropping it and I cannot maintain my grasp. It doesn't sound much but brushing my teeth in the morning I cry because I can't even do that on my own. I feel so weak and I sometime need both of my hands to get the Toothpaste and I can't use my a glass because everything I drop and it breaks so Now I have to use paper or plastic, I did not use a cane or walker, I can't no longer walk my dog because I will drop the the leash and I can't no longer drive because I can't maintain the grasp on the wheel and I couldn't maintain at all.  I'm afraid of doing anything on my own. After almost 23 days I gradually recovered.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness
Clinical narrative: It was 7/8 days after, I woke up very weak walking to the bathroom and tried to lift my arm and legs, My balance has been an issue so I have to be careful because I cannot stand on my own feet and my grasp I keep dropping it and I cannot maintain my grasp. It doesn't sound much but brushing my teeth in the morning I cry because I can't even do that on my own. I feel so weak and I sometime need both of my hands to get the Toothpaste and I can't use my a glass because everything I drop and it breaks so Now I have to use paper or plastic, I did not use a cane or walker, I can't no longer walk my dog because I will drop the the leash and I can't no longer drive because I can't maintain the grasp on the wheel and I couldn't maintain at all.  I'm afraid of doing anything on my own. After almost 23 days I gradually recovered.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: administration of improperly stored vaccines
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Headache, Tinnitus
Clinical narrative: Very bad ringing in left ear has not stopped. Strong taste of metal in my mouth that has not stopped.  Dull headache.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary normal, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Case was hospitalized for Covid 7 months after receiving the Janssen vaccine. Pneumonia due to COVID-19 virus Presented with SOB, fever, fatigue in the setting of known Covid-19 diagnosis. Symptom onset 10/11 with rhinorrhea. Subsequently developed hypoxemia. Required 2L at time of admission. CXR with bilateral patchy infiltrates, right>left. No chest pain or GI symptoms. Received Covid-19 vaccine ( J&J 3/21). Completed course of remdesivir Started dexamethasone 10/19 to complete 10- day course. Worsened 10/23 with increased O2 requirement- CTA negative for PE. Did not meet criteria for tocilizumab and given his history of factor V Leiden and risk of thromboembolism with barcitinib, did not order this agent. By 10/27 (HD #8) he was sufficiently improved to permit discharge home with supplemental oxygen.   Acute respiratory failure with hypoxia (HCC) Due to Covid pneumonia. Not entirely resolved at discharge, still need 2 lpm.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Hypoxia, Lung infiltration, Pyrexia
Clinical narrative: Case was hospitalized for Covid 7 months after receiving the Janssen vaccine. Pneumonia due to COVID-19 virus Presented with SOB, fever, fatigue in the setting of known Covid-19 diagnosis. Symptom onset 10/11 with rhinorrhea. Subsequently developed hypoxemia. Required 2L at time of admission. CXR with bilateral patchy infiltrates, right>left. No chest pain or GI symptoms. Received Covid-19 vaccine ( J&J 3/21). Completed course of remdesivir Started dexamethasone 10/19 to complete 10- day course. Worsened 10/23 with increased O2 requirement- CTA negative for PE. Did not meet criteria for tocilizumab and given his history of factor V Leiden and risk of thromboembolism with barcitinib, did not order this agent. By 10/27 (HD #8) he was sufficiently improved to permit discharge home with supplemental oxygen.   Acute respiratory failure with hypoxia (HCC) Due to Covid pneumonia. Not entirely resolved at discharge, still need 2 lpm.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 RNA, SARS-CoV-2 test positive
Clinical narrative: Case was hospitalized for Covid 7 months after receiving the Janssen vaccine. Pneumonia due to COVID-19 virus Presented with SOB, fever, fatigue in the setting of known Covid-19 diagnosis. Symptom onset 10/11 with rhinorrhea. Subsequently developed hypoxemia. Required 2L at time of admission. CXR with bilateral patchy infiltrates, right>left. No chest pain or GI symptoms. Received Covid-19 vaccine ( J&J 3/21). Completed course of remdesivir Started dexamethasone 10/19 to complete 10- day course. Worsened 10/23 with increased O2 requirement- CTA negative for PE. Did not meet criteria for tocilizumab and given his history of factor V Leiden and risk of thromboembolism with barcitinib, did not order this agent. By 10/27 (HD #8) he was sufficiently improved to permit discharge home with supplemental oxygen.   Acute respiratory failure with hypoxia (HCC) Due to Covid pneumonia. Not entirely resolved at discharge, still need 2 lpm.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Exposure to SARS-CoV-2, Hypoxia, Positive airway pressure therapy
Clinical narrative: Pt received Pfizer vaccines on 03/01/21 and 03/22/21. Pt presented to the ED on 11/24/21 with complaints of SOB and hypoxia after being exposed to a spouse with COVID. Pt was found to be COVID positive on 11/24/21. Pt required BiPAP.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Pt received Pfizer vaccines on 03/01/21 and 03/22/21. Pt presented to the ED on 11/24/21 with complaints of SOB and hypoxia after being exposed to a spouse with COVID. Pt was found to be COVID positive on 11/24/21. Pt required BiPAP.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Chest pain, Chills, Cough
Clinical narrative: Started out with night sweats, fever and chills, extreme fatigue and muscle soreness. By Sunday morning, I had also developed a deep cough with Phlegm in the back of my throat..  The cough was so deep and strained that I had piercing pain in my chest at my lumpectomy surgical site.  I still have pain in my chest and lower back when I cough.  I'm still having fever and chills that come and go - 101 last night, down to 100.4 to 98.4 - temperature.  I'm tired and don't have my normal energy.  Will this ever end?
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Myalgia, Night sweats, Productive cough, Pyrexia
Clinical narrative: Started out with night sweats, fever and chills, extreme fatigue and muscle soreness. By Sunday morning, I had also developed a deep cough with Phlegm in the back of my throat..  The cough was so deep and strained that I had piercing pain in my chest at my lumpectomy surgical site.  I still have pain in my chest and lower back when I cough.  I'm still having fever and chills that come and go - 101 last night, down to 100.4 to 98.4 - temperature.  I'm tired and don't have my normal energy.  Will this ever end?
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Nausea, Pain in extremity, Pyrexia
Clinical narrative: I had a fever, joint pains, slight headache, nausea, sore arm.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error, Product storage error
Clinical narrative: administration of improperly stored vaccines
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort
Clinical narrative: Vaccinated pt with 1st dose Moderna.  Pt had waited 15 min after getting vaccine without incident, but remained near event.  After about 20 minutes, pt approached staff saying that he was having chest tightness.  VS taken: SaO2 98%, HR 61, BP 144/80.  Pt stated that he has had intermittent chest tightness after contracting COVID about a year ago, in which he was doing breathing tx's 3-4x/day but stopped 3 months ago. Physician was then contacted.  Staff continued to monitor pt until nurses arrived, who also spoke with physician.  Directives were given to nursing staff to monitor and do VS on pt at 30 min, 1 hour, and at 4 hours.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain, Pyrexia, Rash, Urticaria
Clinical narrative: I had a fever, achy joints and body for just over 24 hours after receiving the vaccine on Monday 11/22/21. That Friday 11/26/21, I developed hives all over my body. The hives only go away if I consistently take benadryl. After 5 days of the hives I went to my doctors and was prescribed Triamcinolone cream to help with the hives.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Thrombosis, Ultrasound scan
Clinical narrative: Patient stated she was feeling blood clot symptoms a month before blood clot was found. Patient that a blood clot was found on 04/15/2021. 2 months after he 2nd dose of Moderna Vaccine.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Palpitations
Clinical narrative: About 28 hours after receiving my second dose, I started to develop chest pain and discomfort throughout my chest. It felt like an intense pressure inside of my chest. Nothing seemed to make it better. Leaning forward might have decreased the pain slightly, but not much. I was thinking that it was Myocarditis, so I self medicated with 600mg of ibuprofen. About an hour and a half later it subsided. It made the pain go from 6/10 to 2/10. I took more Advil in the morning to help because it came back. This lasted for about 3 days. I was also experiencing heart palpitations. I was experiencing the palpitations daily, up until July, and I still experience them from time to time, but they aren't severe.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error, Product storage error
Clinical narrative: administration of improperly stored vaccines
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Bell's palsy
Clinical narrative: Left-sided Bell's palsy noticed 3-4 after booster, resolving but not completely resolved as of 12/2/21. Increased balance problems about 4-5 days after booster, resolved as of 12/2/21.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive covid test in fully vaccinated pt
Age: 20.0
Sex: F
Vaccine: UNK
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Pallor, Tremor
Clinical narrative: After PPD placement, patient began to feel weak like she is going to pass out within 1-2 minutes. Began sweating and feeling shaky, appears pale. Made patient lay down with feet propped up, orange juice to drink, vital signs at 12:05 PM: pulse 72, blood pressure 92/58. Patient states that she is beginning to feel slightly better. Reports that she has had this happen before with injections. Vital signed repeated at 12:10; BP 100/58, pulse 77 and 12:20: BP: 104/78 pulse 82. Patient slowly sat patient up to sitting position, standing, and walking and patient reports that she feels "much better". Denies lightheadedness, dizzy, nausea, shaky. Her roommate/friend is on her way to pick her up due to advising her not to drive at this time. Walked patient out to waiting area to sit by PCT to wait for friend. Checked on patient again at 12:30 PM while sitting in waiting area and she reports full improvement of symptoms
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Covid poisitve...family contact
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Dyspnoea, Electrocardiogram abnormal, Intensive care
Clinical narrative: Pt. states that after receiving the 1st dose of Jansen J&J 05/27/2021, started experiencing symptoms 06/05/2021 of shortness of Breath. 06/07/2021 Emergency Room visit/ Admitted with 02 Intensive Care Unit 13 days Congestive heart Failure , Rehab 2 weeks.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Headache, Nasal congestion, Oropharyngeal pain
Clinical narrative: Breakthrough case: I contracted COVID-19. My symptoms included fever, headache, stuffiness, body aches, sore throat, and joint pain. I received the monoclonal antibody infusion as treatment.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case: I contracted COVID-19. My symptoms included fever, headache, stuffiness, body aches, sore throat, and joint pain. I received the monoclonal antibody infusion as treatment.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Intermenstrual bleeding, Postmenopause
Clinical narrative: I have been post-menopause for 12 years. I have been having severe cramping and spotting since I received the booster dosage.
Age: 11.0
Sex: M
Vaccine: MNQ
Symptoms: Expired product administered, No adverse event
Clinical narrative: The patient received one dose of Menveo LOT: AMVA419A EXP: 10/2021 on 11/30/21. The prescriber was notified of the error. The patient's mother was also notified. The  patient's mother stated that no ADRs were experienced by the patient. No other S/S were noted.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy to arthropod bite, Dyspnoea, Fatigue, Menstruation irregular, Palpitations
Clinical narrative: Shortness of breath, heart palpitations, fatigue, rapid heart rate Irregular periods (after 2.5 years on IUD with no menstruation cycles) Allergic reactions to bug bites (intense swelling and pain) (did not previously have these issues)
Age: 1.0
Sex: M
Vaccine: MMR, PNC13
Symptoms: Contusion, Erythema
Clinical narrative: Red/purple bruising slightly larger than a quarter on  back of L calf noticed at 11am morning after vaccine administration. No known injury to bruise site.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Booster vaccine was given 3 months after the second dose. Patient did not present any symptoms.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive....contact with friend
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Myalgia, Pyrexia
Clinical narrative: Janssen COVID-19 Vaccine EUA Symptoms started around 5:30 PM with muscle aches in all limbs. Between 6 and 6:30 chills started. Went to bed at 7 PM with waves of chills happening every few minutes. This continued for a few hours, then had fever. Next morning muscle aches were still present and lasted throughout the day. Muscle aches are mostly gone today, Thursday, 12/2/2021.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Muscle spasms, Pain in extremity, Rotator cuff syndrome, Vaccination site pain
Clinical narrative: I have very severe, consistent pain in my left shoulder and it is very painful to use my left arm. I have a high pain tolerance but was in tears four times today. It feels like I have a permanent charlie horse in my shoulder and like someone is twisting a screw driver into my shoulder. I tried taking 800mg of Ibuprofen at 3am and 7:45am but the ibuprofen did not help the pain. Went to Dr. at 10:45am on 12/2/21 to see if I can get a steroid shot to help the pain. Dr. said the steroid shot will affect my bodies autoimmune response to the COVID vaccine so that will be a last option. Dr. prescribed Ketorolac pain pills for today and Diclofenac tab twice daily for a week and Diclofenac gel for a week. Dr. advised to gently massage vaccine site in hot shower with arms raised, in up motion to help move vaccine meds to heart. Dr. said I may need physical therapy depending on how it improves. Dr. advise to see her tomorrow if no improvement, but then asked that I do see her again so I made an appointment for 10:45am on 12/3.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, Gait disturbance, Visual impairment
Clinical narrative: 10 days after the vaccination my vision decreased and it was in the morning till 4 hours, my weakness was so severe I was so afraid of not being able to walk again, My balance and my walking was affected.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient Initially Received vaccine in right deltoid. Due to movement of the child, only 1 ML was administered. Since the syringe was a retractable single use then a new pre-filled was used and .1ML as remainder was given in the Left Deltoid.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Dyspnoea, Headache, SARS-CoV-2 test, SARS-CoV-2 test negative
Clinical narrative: pt has had a headache, right eye blurriness, difficulty with deep breathing, and loss of taste since getting the vaccine.  No meds were given prior to being seen by me on 12/1/21.  I advised giving tylenol/motrin for pain if needed.  I contacted Peds ID to discuss the case and referred to Ophthalmology and Neurology.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: pt has had a headache, right eye blurriness, difficulty with deep breathing, and loss of taste since getting the vaccine.  No meds were given prior to being seen by me on 12/1/21.  I advised giving tylenol/motrin for pain if needed.  I contacted Peds ID to discuss the case and referred to Ophthalmology and Neurology.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Drooping shoulder syndrome, Vaccine positive rechallenge
Clinical narrative: Shoulder drop approximately 2-3 hours after administration. I had a similar event occur after the second dose in May
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Capillary fragility, Ophthalmological examination, Visual impairment
Clinical narrative: I was out of the country when it occured When I woke on the Friday 10th of September my vision wasn't clear, lines and circles was moving. I did some search on google and looked the Amsler grid and I figured out that's something was definitely wrong with my left side eye. I immediately contacted emergency and they told me to consult asap. I had an appointment to eye doctor on the same day afternoon.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Heart rate increased, Pain, Pyrexia
Clinical narrative: Shot 1, all symptoms started next day: fever of 102.6, lowered after 1 day; rapid heart rate, lasted 2 days; throat swollen and having trouble swallowing, 1 week; overall body ache, 1 week Shot 2, all symptoms started next day: fever of 101.3, active; rapid heart rate active, active; overall body ache, active
Age: 1.25
Sex: F
Vaccine: DTAPIPVHIB, FLU4, HEP, PNC13, RV5
Symptoms: No adverse event, Wrong product administered
Clinical narrative: No adverse reactions.  This was just a 15 month child who received immunizations meant for a 6 mo old, so not all immunizations that were given were needed and o e missi g vaccine wasn't given.   Mother was alerted and pt will receive their next needed vaccine at next visit
Age: 60.0
Sex: M
Vaccine: COVID19, HEPA
Symptoms: Chest pain
Clinical narrative: County Public Health was doing a vaccine event.  Vaccinated pt with 1st dose Moderna.  Pt had waited 15 min after getting vaccine without incident, but remained near event.  After 25 minutes, pt approached staff saying that he was having sharp chest pains.  Pt was immediately sat down and VS taken: SaO2 98%, HR 64, BP 145/75.  Pt stated that after he received his COVID vaccine, he then received a hepatitis A vaccine on the other side of clinic; he then had sharp chest pain that lasted 2-3 minutes but the chest pain was gone by time VS were done being taken.  Staff contacted jail guards, who then contacted jail nursing staff, and County Public Health on-call physician was then contacted.  Staff continued to monitor pt until jail nurses arrived, then taking pt into their custody for further evaluation and treatment.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive covid test in asymptomatic fully vaccinated pt
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Cough, Headache, Nasal congestion, Pain
Clinical narrative: headache, cough, nonproductive cough, low grade fever, , chills, body aches, sinus congestion, nasal congestion, sneezing. starting 11/30/21
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Sinus congestion, Sneezing
Clinical narrative: headache, cough, nonproductive cough, low grade fever, , chills, body aches, sinus congestion, nasal congestion, sneezing. starting 11/30/21
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy, Myalgia
Clinical narrative: Right arm muscle pain from 2 hours after the vaccine (nov 30th) until today (dec 2nd) right armpit swelling and pain was noticed dec 1st in the morning and is still swollen and painful today (dec 2nd)
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Hypoaesthesia, Tremor
Clinical narrative: At 10:37AM PT complain of shakiness, chest tightness, numbness, RN assessed PT vital sign taken. Ice pack was applied.PT was stable in 32mins and left.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: The patient inadvertently received the pediatric dose of Pfizer vaccine instead of the adult. Patient will be given the adult dose in 21 days. Call was made to Pfizer  who stated that they follow CDC guidelines. In this instance the patient will be considered fully vaccinated following his 2nd dose which will be of the adult dose.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Blood creatinine increased, COVID-19, COVID-19 pneumonia
Clinical narrative: Case completed  primary Covid vaccine series in Feb 2021, then was hospitalized for Covid in October 2021  * Pneumonia due to COVID-19 virus Assessment & Plan Onset of symptoms 10/11. Tested positive 10/15. Admitted 10/19/ Vaccinated. Was about to get booster but got sick first. Initially on 15L. Worsened, has been on high flow, started on baricitinib. No home O2 requirement prior to this admission. - Date of onset 10/11 - should be OK to come off isolation on Nov 1 - Continues on dexamethasone - 10-day course complete the 28th but will continue as she remains on HFNC - Continues on baricitinib to complete 14-day course - Still needing high-flow oxygen but needs trending down dramatically as of 10/31 - Discussed proning, position changes   Acute kidney injury  Assessment & Plan Creatinine up to 1.4 on admit from 0.8 at baseline. Losartan and chlorthalidone were held. Renal function recovered. Unclear if due to Covid, hypovolemia, or both. Placed back on home antihypertensives. Subsequently received several doses of furosemide, creatinine increased back to 1.6. Stopped home antihypertensives again, gave 500 cc fluid, stopped lasix. Improved.   Acute respiratory failure with hypoxia  Assessment & Plan Due to Covid-19. See related problem for treatment. - Continue HFNC - Tried some lasix to see if this helps, caused AKI. -Down to 4 L NC at rest on 11/2, possibly home 11/3 if maintains wellness.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Hypovolaemia, Malaise, SARS-CoV-2 test positive
Clinical narrative: Case completed  primary Covid vaccine series in Feb 2021, then was hospitalized for Covid in October 2021  * Pneumonia due to COVID-19 virus Assessment & Plan Onset of symptoms 10/11. Tested positive 10/15. Admitted 10/19/ Vaccinated. Was about to get booster but got sick first. Initially on 15L. Worsened, has been on high flow, started on baricitinib. No home O2 requirement prior to this admission. - Date of onset 10/11 - should be OK to come off isolation on Nov 1 - Continues on dexamethasone - 10-day course complete the 28th but will continue as she remains on HFNC - Continues on baricitinib to complete 14-day course - Still needing high-flow oxygen but needs trending down dramatically as of 10/31 - Discussed proning, position changes   Acute kidney injury  Assessment & Plan Creatinine up to 1.4 on admit from 0.8 at baseline. Losartan and chlorthalidone were held. Renal function recovered. Unclear if due to Covid, hypovolemia, or both. Placed back on home antihypertensives. Subsequently received several doses of furosemide, creatinine increased back to 1.6. Stopped home antihypertensives again, gave 500 cc fluid, stopped lasix. Improved.   Acute respiratory failure with hypoxia  Assessment & Plan Due to Covid-19. See related problem for treatment. - Continue HFNC - Tried some lasix to see if this helps, caused AKI. -Down to 4 L NC at rest on 11/2, possibly home 11/3 if maintains wellness.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chest discomfort, Cough
Clinical narrative: Patient presented to Hospital ED on 11/23/21 with SOB, cough, chest tightness in the setting of recent covid-19 diagnosis. Patient was exposed to covid from family and was diagnosed with COVID PNA on 11/16/21. Patient is fully vaccinated and received monoclonal Ab on 11/22/21. Patient was appropriately treated and was discharged on 11/29/21 on home O2.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Exposure to SARS-CoV-2, Lung opacity, SARS-CoV-2 test positive
Clinical narrative: Patient presented to Hospital ED on 11/23/21 with SOB, cough, chest tightness in the setting of recent covid-19 diagnosis. Patient was exposed to covid from family and was diagnosed with COVID PNA on 11/16/21. Patient is fully vaccinated and received monoclonal Ab on 11/22/21. Patient was appropriately treated and was discharged on 11/29/21 on home O2.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Loss of personal independence in daily activities, Myalgia, Pain
Clinical narrative: Body aches: muscular and joint Headache, cognitive issues-cannot complete daily activities
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Confusional state, Hypoxia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Pt received Pfizer vaccines on 04/20/21, 05/15/21, and 11/05/21. Pt presented to the ED with complaints of confusion, fever, and hypoxia. Pt was found to be COVID positive.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Dose was diluted incorrectly with 2.0mL of diluent instead of 1.8mL.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Erythema, Hypoaesthesia oral, Pharyngeal swelling
Clinical narrative: throat swelling,turned red all over,tongue and lips numb,couldn't breath
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Full blood count normal, Headache, Heavy menstrual bleeding
Clinical narrative: - bruising on legs and torso  - severe headache (suspected TIS, but testing indicated it was not)  - heavy mensuration cycle
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Candida infection, Oropharyngeal pain, Tonsillar inflammation
Clinical narrative: Moderna booster 10/22/21 after J&J vaccine received 3/13/21 Morning of 10/26/21 woke with sore throat, white covering tonsils and throat.   Urgent care 11/14/21 diagnosis Thrush. Prescribed Nystatin oral suspension for 10 days.  Throat improved but did not clear completely and more noticeable on tongue. Telemedicine appointment 11/23/21 - prescribed Fluconazole 200 mg tablets - 1 taken 11/23, second taken 11/25.  Improvement but tongue still not cleared as of 12/2.  Telemedicine appointment set for 12/3 with Dr. (have never had Thrush previously)
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Impaired work ability, Insomnia
Clinical narrative: This vaccine was the booster shot.  I awoke at 2:30 a.m. on Wednesday 12/1/2021 with chills, headache, stuffy head and bodyache.  Within minutes of waking  I vomited.   Then within fifteen minutes, I had dry heaves.  I could not get back to sleep.. I had to call my employer and state I was unable to come to work.  These chills, headache and bodyache lasted throughout the entire day and night. I was finally able to get some sleep.  The bodyache has continued into 12/2/2021, but I was able to return to work.  I feel very washed out. I got sick with similar symptoms from the second vaccine (same manufacturer), but this time was worse than than the first.  I won't be inclined to get another booster shot anytime in the near future.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Pain, Retching, Vomiting
Clinical narrative: This vaccine was the booster shot.  I awoke at 2:30 a.m. on Wednesday 12/1/2021 with chills, headache, stuffy head and bodyache.  Within minutes of waking  I vomited.   Then within fifteen minutes, I had dry heaves.  I could not get back to sleep.. I had to call my employer and state I was unable to come to work.  These chills, headache and bodyache lasted throughout the entire day and night. I was finally able to get some sleep.  The bodyache has continued into 12/2/2021, but I was able to return to work.  I feel very washed out. I got sick with similar symptoms from the second vaccine (same manufacturer), but this time was worse than than the first.  I won't be inclined to get another booster shot anytime in the near future.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Vertigo for 29 days
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram
Clinical narrative: Pt received 2nd dose Pfizer at 8:30am, came to nurse's office at 10:20 c/o chest pain. Blood Pressure 106/61, Pulse 78,  Pulse Ox 99%, Temp 97.8, normal color, pain rated a 5 out of 10 by Pt, occurred with activity and at rest, emergency services called and pt was evaluated by Paramedics, mom referred to ER for evaluation, mom drove pt to ER to be further evaluated, Pediatrician aware.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, Chills, Decreased appetite, Fatigue, Feeling abnormal
Clinical narrative: First dose done Sunday, 12/27/2020- same day was fine. Sxs started that evening in middle of night- arm sore, headache, fever (would fluctuate from 100-101), chills, scatterbrained, joint pain, muscle aches, fatigue that lasted over 2 weeks.   Second dose done Friday, 01/15/2021- same day was fine. Sxs started that evening in middle of night- same sxs as above but more intensified. Literally could not get out of bed, chills were so bad- I was shaking look like I was convulsing. Fever went up to 103, Headache was more of a migraine but medication would somewhat subside it.  Booster done Friday, 11/26/2021- same day started feeling fatigue cpl hrs after I recv'd it. Sxs started that night as above (extreme joint and muscle aches as if I have Restless Leg Syndrome), fever, chills, headache, fatigue, scatterbrained BUT there were more side effects to add to the mix: loss of appetite and nausea. This headache NOTHING will help subside the pain and makes it very difficult to function at work and home. Had to call out work bc I was unable to sleep night before nor drive. It is now Thursday, 12/02 and I still have this headache with not much of an appetite and nausea.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Headache, Impaired driving ability, Impaired work ability, Insomnia, Migraine
Clinical narrative: First dose done Sunday, 12/27/2020- same day was fine. Sxs started that evening in middle of night- arm sore, headache, fever (would fluctuate from 100-101), chills, scatterbrained, joint pain, muscle aches, fatigue that lasted over 2 weeks.   Second dose done Friday, 01/15/2021- same day was fine. Sxs started that evening in middle of night- same sxs as above but more intensified. Literally could not get out of bed, chills were so bad- I was shaking look like I was convulsing. Fever went up to 103, Headache was more of a migraine but medication would somewhat subside it.  Booster done Friday, 11/26/2021- same day started feeling fatigue cpl hrs after I recv'd it. Sxs started that night as above (extreme joint and muscle aches as if I have Restless Leg Syndrome), fever, chills, headache, fatigue, scatterbrained BUT there were more side effects to add to the mix: loss of appetite and nausea. This headache NOTHING will help subside the pain and makes it very difficult to function at work and home. Had to call out work bc I was unable to sleep night before nor drive. It is now Thursday, 12/02 and I still have this headache with not much of an appetite and nausea.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Myalgia, Nausea, Pain, Pain in extremity, Pyrexia
Clinical narrative: First dose done Sunday, 12/27/2020- same day was fine. Sxs started that evening in middle of night- arm sore, headache, fever (would fluctuate from 100-101), chills, scatterbrained, joint pain, muscle aches, fatigue that lasted over 2 weeks.   Second dose done Friday, 01/15/2021- same day was fine. Sxs started that evening in middle of night- same sxs as above but more intensified. Literally could not get out of bed, chills were so bad- I was shaking look like I was convulsing. Fever went up to 103, Headache was more of a migraine but medication would somewhat subside it.  Booster done Friday, 11/26/2021- same day started feeling fatigue cpl hrs after I recv'd it. Sxs started that night as above (extreme joint and muscle aches as if I have Restless Leg Syndrome), fever, chills, headache, fatigue, scatterbrained BUT there were more side effects to add to the mix: loss of appetite and nausea. This headache NOTHING will help subside the pain and makes it very difficult to function at work and home. Had to call out work bc I was unable to sleep night before nor drive. It is now Thursday, 12/02 and I still have this headache with not much of an appetite and nausea.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Tremor
Clinical narrative: First dose done Sunday, 12/27/2020- same day was fine. Sxs started that evening in middle of night- arm sore, headache, fever (would fluctuate from 100-101), chills, scatterbrained, joint pain, muscle aches, fatigue that lasted over 2 weeks.   Second dose done Friday, 01/15/2021- same day was fine. Sxs started that evening in middle of night- same sxs as above but more intensified. Literally could not get out of bed, chills were so bad- I was shaking look like I was convulsing. Fever went up to 103, Headache was more of a migraine but medication would somewhat subside it.  Booster done Friday, 11/26/2021- same day started feeling fatigue cpl hrs after I recv'd it. Sxs started that night as above (extreme joint and muscle aches as if I have Restless Leg Syndrome), fever, chills, headache, fatigue, scatterbrained BUT there were more side effects to add to the mix: loss of appetite and nausea. This headache NOTHING will help subside the pain and makes it very difficult to function at work and home. Had to call out work bc I was unable to sleep night before nor drive. It is now Thursday, 12/02 and I still have this headache with not much of an appetite and nausea.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen lymph node in left arm pit.  Presented day after vaccine. Swelling, pain, and warm to touch.
Age: 32.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus
Clinical narrative: Pt stated within 4 hours of receiving this as her first every flu shot that she was "itchy all over".
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Decreased appetite, Diarrhoea
Clinical narrative: 72-year-old female who was transferred from a Medical Center ER. to a different medical center with  c/o  sore throat, cough, with loss of appetite, feeling dizzy, and having yellow sputum as well as a watery diarrhea. Rapid    Rapid COVID-19 test was positive and chest x-ray, which showed scattered opacities throughout both lungs, which may represent multifocal pneumonia. She denies any fever, chills, chest pain, or shortness of breath.  First vaccine 4/5/2021   Patient has history of : Hypertension, Diabetes Mellitus   pulmonary fibrosis, NASH, aortic sclerosis, cataracts, GERD, s/p stent
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Lung opacity, Oropharyngeal pain, Respiratory viral panel, SARS-CoV-2 test positive
Clinical narrative: 72-year-old female who was transferred from a Medical Center ER. to a different medical center with  c/o  sore throat, cough, with loss of appetite, feeling dizzy, and having yellow sputum as well as a watery diarrhea. Rapid    Rapid COVID-19 test was positive and chest x-ray, which showed scattered opacities throughout both lungs, which may represent multifocal pneumonia. She denies any fever, chills, chest pain, or shortness of breath.  First vaccine 4/5/2021   Patient has history of : Hypertension, Diabetes Mellitus   pulmonary fibrosis, NASH, aortic sclerosis, cataracts, GERD, s/p stent
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sputum discoloured
Clinical narrative: 72-year-old female who was transferred from a Medical Center ER. to a different medical center with  c/o  sore throat, cough, with loss of appetite, feeling dizzy, and having yellow sputum as well as a watery diarrhea. Rapid    Rapid COVID-19 test was positive and chest x-ray, which showed scattered opacities throughout both lungs, which may represent multifocal pneumonia. She denies any fever, chills, chest pain, or shortness of breath.  First vaccine 4/5/2021   Patient has history of : Hypertension, Diabetes Mellitus   pulmonary fibrosis, NASH, aortic sclerosis, cataracts, GERD, s/p stent
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Blood magnesium, Blood thyroid stimulating hormone normal, Dizziness, Electrocardiogram, Electrocardiogram ambulatory abnormal
Clinical narrative: Patient developed palpitations beginning on 11/12/21, with occasional dizziness.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Laboratory test, Metabolic function test, Palpitations, Ventricular extrasystoles
Clinical narrative: Patient developed palpitations beginning on 11/12/21, with occasional dizziness.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Eyelid ptosis, Fatigue, Hypoaesthesia, Laboratory test
Clinical narrative: Severe worsening of her Neuropathy. She has a lot of numbness and tingling in her feet and hands. Severe fatigue. She had a fever and aches for a few days. Vision in right eye became bad. Her eyelids had started to droop. Got dizziness for weeks .
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Pain, Paraesthesia, Pyrexia, Visual impairment
Clinical narrative: Severe worsening of her Neuropathy. She has a lot of numbness and tingling in her feet and hands. Severe fatigue. She had a fever and aches for a few days. Vision in right eye became bad. Her eyelids had started to droop. Got dizziness for weeks .
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Muscle spasms, Muscle twitching, Neck pain, Poor quality sleep
Clinical narrative: -severe fatigue (sleeping 12+ hours a night) -interrupted /restless sleep -Restless body during the day -Neck pain -new severe tics/ Tic exacerbation -Rippling/waving/rolling muscle spasms/twitches were visible and could be felt while conscious and unconscious  -neuropsych symptoms
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Restlessness, Somnolence, Tic
Clinical narrative: -severe fatigue (sleeping 12+ hours a night) -interrupted /restless sleep -Restless body during the day -Neck pain -new severe tics/ Tic exacerbation -Rippling/waving/rolling muscle spasms/twitches were visible and could be felt while conscious and unconscious  -neuropsych symptoms
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy endometrium, Postmenopausal haemorrhage, Ultrasound scan
Clinical narrative: postmenopausal bleeding
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Incorrect dose administered, Product preparation issue
Clinical narrative: Pharmacist failed to dilute the Pfizer covid-19 vaccine vial so patient received almost 6x the recommended dose.  Spoke with patient 3 days later and he said he was tired the next day but felt fine otherwise
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mastitis
Clinical narrative: During my first two Moderna shots, I got mastitis the same or following day.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: Two weeks after the vaccine, a itchy rash would start to circulate around my body. It would come and go, and show up in different spots regularly. We initially thought the reaction was due to a dose of Doxycycline that I took one week prior, but a coworker was having the exact same issue one week later. I decided to report when that same coworker saw a dermatologist that said they have been seeing an increase in patients who have received their third dose get rashes all over the skin. It seems to be subsided with prescribed Hydroxyzine and Cetirizine.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Feeling abnormal, Pallor
Clinical narrative: Female patient 49 years old came to the area of observation looked pale and making faces of feeling bad. She gets transferred to the area of observation of incidents to be evaluated by EMT and her vitals are BP 170/100 mmHg, Sat 98%, P91, Dx 107, R16. A 15g of glucose pill is given to the patient. Case was consulted with Doctor who orders juice for patient and to apply ice to the back of her neck and to keep her in observation for 30 minutes. At 1pm she is reevaluated and her vitals are BP 150/90 mmHg, R16, Sat 99% and DXT134, Doctor takes her pressure with her head nurse.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: About June 1st, 2021 My joints started hurting starting with my hips, back, ankles, now shoulders.  Basically all joints.  Had an appt set with primary care dr Oct 4th, 2021 but had to reschedule to Dec 23, 2021.  So dr is unaware of these symptoms until my appt.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Bursitis, Injection site pain, Insomnia, Joint range of motion decreased
Clinical narrative: Intense pain at the start of the injection, with the injection of the vaccine, and upon removal of the needle. Later in the day pain in shoulder which spread down the entire arm, with almost no range of motion. Intense pain from shoulder to fingers throughout the next day (11/11/21), very limited range of motion. Pain was at a 9/10 on pain scale, unable to sleep or use arm. After starting ibuprofen the pain reduced to a 4/10 by then end of Thursday night and some range of motion came back. Since Thursday 11/11/21 pain has stayed at the same 4/10 and range of motion is still reduced by about 25%. Both ice and heat have been applied and ibuprofen use has also continued. On 11/19/21 at an urgent care visit Oxycodone 5mg was prescribed, the dose was taken 3 times between Friday night and Saturday but it had no effect on the pain.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mobility decreased, Neuritis, Pain, Pain in extremity
Clinical narrative: Intense pain at the start of the injection, with the injection of the vaccine, and upon removal of the needle. Later in the day pain in shoulder which spread down the entire arm, with almost no range of motion. Intense pain from shoulder to fingers throughout the next day (11/11/21), very limited range of motion. Pain was at a 9/10 on pain scale, unable to sleep or use arm. After starting ibuprofen the pain reduced to a 4/10 by then end of Thursday night and some range of motion came back. Since Thursday 11/11/21 pain has stayed at the same 4/10 and range of motion is still reduced by about 25%. Both ice and heat have been applied and ibuprofen use has also continued. On 11/19/21 at an urgent care visit Oxycodone 5mg was prescribed, the dose was taken 3 times between Friday night and Saturday but it had no effect on the pain.