chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Mobility decreased, Muscle twitching, Muscular weakness, Neuralgia
Clinical narrative: about 3 weeks after  2nd vaccine shot, I began experiencing severe tingling in head, neck, arms and legs, slurred speech, followed by elevated heart rate at rest and when standing/moving/rolling over in bed, frequent urination, extreme thirst, dizziness, on again/off again not being able to move my legs or arms at all for 20-30 minutes at a time, extreme muscle weakness in arms and legs and neck, incontinence, joint pain, night sweats, extreme brain fog, sensitivity to light, sound, touch,  and temperature. Stabbing pain in my kidney and adrenal gland area and chest and in between shoulder blades, swollen glands, tremors, insomnia, muscle twitching throughout entire body, food and medication intolerances,  nerve pain and neuropathy in legs and arms, sensations of cold water running down my legs and hot water being poured on my feet. 6 months out and I'm still experiencing some symptoms though most have improved or gone away
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Night sweats, Paraesthesia, Photophobia, Pollakiuria
Clinical narrative: about 3 weeks after  2nd vaccine shot, I began experiencing severe tingling in head, neck, arms and legs, slurred speech, followed by elevated heart rate at rest and when standing/moving/rolling over in bed, frequent urination, extreme thirst, dizziness, on again/off again not being able to move my legs or arms at all for 20-30 minutes at a time, extreme muscle weakness in arms and legs and neck, incontinence, joint pain, night sweats, extreme brain fog, sensitivity to light, sound, touch,  and temperature. Stabbing pain in my kidney and adrenal gland area and chest and in between shoulder blades, swollen glands, tremors, insomnia, muscle twitching throughout entire body, food and medication intolerances,  nerve pain and neuropathy in legs and arms, sensations of cold water running down my legs and hot water being poured on my feet. 6 months out and I'm still experiencing some symptoms though most have improved or gone away
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Renal pain, Temperature intolerance, Thirst, Tremor
Clinical narrative: about 3 weeks after  2nd vaccine shot, I began experiencing severe tingling in head, neck, arms and legs, slurred speech, followed by elevated heart rate at rest and when standing/moving/rolling over in bed, frequent urination, extreme thirst, dizziness, on again/off again not being able to move my legs or arms at all for 20-30 minutes at a time, extreme muscle weakness in arms and legs and neck, incontinence, joint pain, night sweats, extreme brain fog, sensitivity to light, sound, touch,  and temperature. Stabbing pain in my kidney and adrenal gland area and chest and in between shoulder blades, swollen glands, tremors, insomnia, muscle twitching throughout entire body, food and medication intolerances,  nerve pain and neuropathy in legs and arms, sensations of cold water running down my legs and hot water being poured on my feet. 6 months out and I'm still experiencing some symptoms though most have improved or gone away
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives throughout the body. Does not ease with medication presently.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Influenza like illness, Nausea, Pyrexia
Clinical narrative: DIZZY;  FEVER; EXTREME WEAKNESS; ALL FLU-LIKE SYMPTOMS;  FEVER BROKE 48 HOURS LATER;  NAUSEA;   STILL WEAK DID NOT GO TO DR.   AT HOME.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, Blood test, Bradycardia, Cardiac monitoring abnormal
Clinical narrative: 6-01-2021  EMS transported Hospital  - Symptoms began as dizziness, speech was slurred, struggled to walk, stiffness behind right thigh and right knee, felt generally wierd, hypotension, and Bradycardia.  Patient stayed one night at Hospital and was released early evening 6-02-2021 after showing great  improvement.  Atorvastatin 20 mg daily, Pantoprazole 40 mg daily, and 325 mg aspirin twice daily prescribed.  Advised to see cardiologist for low heart  6-05-2021  EMS transported patient to Hospital app 6:00 pm- Symptoms were GI Bleed (vomiting black blood), and hypotension.  Patient admitted to Hospital two nights 6-05 and 6-06 and released early afternoon.  6-1 rate.    6-17-2021 pharmacy administered  the second vaccine Pfizer dose EWO217.  6-24-2021  Primary Care Physician prescribed Sucralfate 1 GM as needed for stomach pains after eating.  She, also, directed Patient not to take any further vaccine doses.  8-2021  Cardiologist Dr first prescribed a one month monitor worn externally.  He then had implanted a three year Medtronic Heart Monitor and detected one atrial fibrillation event in Dec 2021.  He prescribed Eliquis 2.5 mg twice daily.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Dizziness, Dysarthria, Feeling abnormal, Gait disturbance
Clinical narrative: 6-01-2021  EMS transported Hospital  - Symptoms began as dizziness, speech was slurred, struggled to walk, stiffness behind right thigh and right knee, felt generally wierd, hypotension, and Bradycardia.  Patient stayed one night at Hospital and was released early evening 6-02-2021 after showing great  improvement.  Atorvastatin 20 mg daily, Pantoprazole 40 mg daily, and 325 mg aspirin twice daily prescribed.  Advised to see cardiologist for low heart  6-05-2021  EMS transported patient to Hospital app 6:00 pm- Symptoms were GI Bleed (vomiting black blood), and hypotension.  Patient admitted to Hospital two nights 6-05 and 6-06 and released early afternoon.  6-1 rate.    6-17-2021 pharmacy administered  the second vaccine Pfizer dose EWO217.  6-24-2021  Primary Care Physician prescribed Sucralfate 1 GM as needed for stomach pains after eating.  She, also, directed Patient not to take any further vaccine doses.  8-2021  Cardiologist Dr first prescribed a one month monitor worn externally.  He then had implanted a three year Medtronic Heart Monitor and detected one atrial fibrillation event in Dec 2021.  He prescribed Eliquis 2.5 mg twice daily.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Gastric ulcer, Gastrointestinal haemorrhage, Haematemesis, Heart rate decreased, Hypotension
Clinical narrative: 6-01-2021  EMS transported Hospital  - Symptoms began as dizziness, speech was slurred, struggled to walk, stiffness behind right thigh and right knee, felt generally wierd, hypotension, and Bradycardia.  Patient stayed one night at Hospital and was released early evening 6-02-2021 after showing great  improvement.  Atorvastatin 20 mg daily, Pantoprazole 40 mg daily, and 325 mg aspirin twice daily prescribed.  Advised to see cardiologist for low heart  6-05-2021  EMS transported patient to Hospital app 6:00 pm- Symptoms were GI Bleed (vomiting black blood), and hypotension.  Patient admitted to Hospital two nights 6-05 and 6-06 and released early afternoon.  6-1 rate.    6-17-2021 pharmacy administered  the second vaccine Pfizer dose EWO217.  6-24-2021  Primary Care Physician prescribed Sucralfate 1 GM as needed for stomach pains after eating.  She, also, directed Patient not to take any further vaccine doses.  8-2021  Cardiologist Dr first prescribed a one month monitor worn externally.  He then had implanted a three year Medtronic Heart Monitor and detected one atrial fibrillation event in Dec 2021.  He prescribed Eliquis 2.5 mg twice daily.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Musculoskeletal stiffness, Oesophageal ulcer, Oesophagoscopy abnormal
Clinical narrative: 6-01-2021  EMS transported Hospital  - Symptoms began as dizziness, speech was slurred, struggled to walk, stiffness behind right thigh and right knee, felt generally wierd, hypotension, and Bradycardia.  Patient stayed one night at Hospital and was released early evening 6-02-2021 after showing great  improvement.  Atorvastatin 20 mg daily, Pantoprazole 40 mg daily, and 325 mg aspirin twice daily prescribed.  Advised to see cardiologist for low heart  6-05-2021  EMS transported patient to Hospital app 6:00 pm- Symptoms were GI Bleed (vomiting black blood), and hypotension.  Patient admitted to Hospital two nights 6-05 and 6-06 and released early afternoon.  6-1 rate.    6-17-2021 pharmacy administered  the second vaccine Pfizer dose EWO217.  6-24-2021  Primary Care Physician prescribed Sucralfate 1 GM as needed for stomach pains after eating.  She, also, directed Patient not to take any further vaccine doses.  8-2021  Cardiologist Dr first prescribed a one month monitor worn externally.  He then had implanted a three year Medtronic Heart Monitor and detected one atrial fibrillation event in Dec 2021.  He prescribed Eliquis 2.5 mg twice daily.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Chronic hives 8 days after booster.  It?s been 2 1/2 weeks and still have them
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Sensitive skin
Clinical narrative: Skin rash including hives, itching, and what appears to be histamine sensitive skin.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Admitted to hospital with breakthrough COVID infection 12/24/21
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, C-reactive protein increased, Urticaria
Clinical narrative: Developed acute urticaria all over body on 12/3/21. Elevated c reactivity found in blood test on 12/22/21. Began prednisone 12/23/21. Symptoms still persisting
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site bruising, Injection site pain, Injection site swelling
Clinical narrative: Bruising. Raised bump at injection site and soreness. Fever up to 103.6 degrees during 30 hour period after shot. Body aches, chills, headache and fever not able to be relieved by Extra Strength Tylenol. Day 2 after shot, fever was gone. Body chills and aches subsided.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Bruising. Raised bump at injection site and soreness. Fever up to 103.6 degrees during 30 hour period after shot. Body aches, chills, headache and fever not able to be relieved by Extra Strength Tylenol. Day 2 after shot, fever was gone. Body chills and aches subsided.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Nausea all day for one week followed by nausea on and off (usually in the mornings and at night) for an additional three weeks and ongoing
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Discomfort, Feeling cold, Poor quality sleep, Pyrexia
Clinical narrative: Very quickly spiking fever that left me uncontrollably cold and shivering.  I had to jump in the show and then the bath tub in order to stop shaking.  After taking some Tylenol the fever peaked and  I stopped feeling uncontrollably cold.  Slept poorly and was uncomfortable for a night of sleep.  Recovered the next day by resting and getting my sleep.  I was better after a day or so.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Blood test, Computerised tomogram head, Dysphagia, Eating disorder
Clinical narrative: He got where he could barely walk, has trouble shallowing, eating, super sensitive hearing and sensitivity to light,  he has been to the hospital appr. 8-12 times, had MRI, ct scans, he's on Cymbalta, valuim, several other meds for anxiety.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Hyperacusis, Laboratory test, Magnetic resonance imaging, Photophobia
Clinical narrative: He got where he could barely walk, has trouble shallowing, eating, super sensitive hearing and sensitivity to light,  he has been to the hospital appr. 8-12 times, had MRI, ct scans, he's on Cymbalta, valuim, several other meds for anxiety.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: He got where he could barely walk, has trouble shallowing, eating, super sensitive hearing and sensitivity to light,  he has been to the hospital appr. 8-12 times, had MRI, ct scans, he's on Cymbalta, valuim, several other meds for anxiety.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Feeling hot, Paraesthesia, Pruritus
Clinical narrative: About 10-12 days later, starting to itch and get welts all over. Did not get any treatment, tried eliminating shampoo, heating temperature, washing clothes etc. welts form wherever scratched, are continuing, taking allergy medication . Also had symptoms immediately after the booster shot, informed medics at site of dizziness, feeling of heat, throat constriction , facial tingling,  was told I had anxiety
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness, Urticaria
Clinical narrative: About 10-12 days later, starting to itch and get welts all over. Did not get any treatment, tried eliminating shampoo, heating temperature, washing clothes etc. welts form wherever scratched, are continuing, taking allergy medication . Also had symptoms immediately after the booster shot, informed medics at site of dizziness, feeling of heat, throat constriction , facial tingling,  was told I had anxiety
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Asthenia, Axillary pain, Back pain
Clinical narrative: Swollen left axillary lymph nodes - 11/19 CT Scan Pain in left axillary  Upper and lower back and shoulder pain - still experiencing now for about 3 weeks Chest pain Extreme fatigue- currently  Stomach aches Metallic / bitter taste in mouth Weakness that rotates on both side starting with leg  going out and tensing up leading to affecting both sides
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Computerised tomogram, Dysgeusia, Fatigue, Lymphadenopathy
Clinical narrative: Swollen left axillary lymph nodes - 11/19 CT Scan Pain in left axillary  Upper and lower back and shoulder pain - still experiencing now for about 3 weeks Chest pain Extreme fatigue- currently  Stomach aches Metallic / bitter taste in mouth Weakness that rotates on both side starting with leg  going out and tensing up leading to affecting both sides
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Tension
Clinical narrative: Swollen left axillary lymph nodes - 11/19 CT Scan Pain in left axillary  Upper and lower back and shoulder pain - still experiencing now for about 3 weeks Chest pain Extreme fatigue- currently  Stomach aches Metallic / bitter taste in mouth Weakness that rotates on both side starting with leg  going out and tensing up leading to affecting both sides
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Deafness, Hypoacusis
Clinical narrative: Slight hearing loss, sounds are muffled. Same symptoms since the first day.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pyrexia
Clinical narrative: Swollen lymph nodes, fever for 4 days,
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Symptomatic since 12//21/21. Covid positive on 12/21/21. Both daughters tested positive as well on 12/20 and 12/21/21. Currently, in isolation until 12/31/21. Antibody testing requested after isolation period ends.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular, Skin warm
Clinical narrative: About 5 hours after initial injection. Splotchy rash/warm to touch: on wrist, elbow and below injection site on L arm.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Appendicectomy, Appendicitis perforated, Computerised tomogram abdomen abnormal
Clinical narrative: Appendicitis (perforated). Severe stomach pain began morning of 11/26, approximately 48 hours after booster administered.   Admitted to ER on 11/30/21. CT scan confirmed appendicitis. Underwent surgery, appendectomy, on 11/30/21.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cardiac monitoring normal, Dizziness, Dysstasia, Electrocardiogram abnormal
Clinical narrative: The next morning after injection, my mental function was affected. According to my mental function, I felt very tired while reading a book or driving. In fact, the next day after the infection, I was unable to drive at all. I could not work because of my mental function. My memory was affected. I would forget things easily. I had a hard time holding a prolonged conversation with anybody. I just got really tired very easily. I could not function the day after injection.  Along with this, I was very lightheaded. If I stood up or walked I felt like my legs would give way and I would fall down to the floor. I didnt' have physical strength to stand or walk for more than a few minutes. I was extremely lightheaded.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gait disturbance, Heart rate decreased, Heart rate irregular, Impaired driving ability
Clinical narrative: The next morning after injection, my mental function was affected. According to my mental function, I felt very tired while reading a book or driving. In fact, the next day after the infection, I was unable to drive at all. I could not work because of my mental function. My memory was affected. I would forget things easily. I had a hard time holding a prolonged conversation with anybody. I just got really tired very easily. I could not function the day after injection.  Along with this, I was very lightheaded. If I stood up or walked I felt like my legs would give way and I would fall down to the floor. I didnt' have physical strength to stand or walk for more than a few minutes. I was extremely lightheaded.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Language disorder, Memory impairment, Mental impairment, Muscular weakness
Clinical narrative: The next morning after injection, my mental function was affected. According to my mental function, I felt very tired while reading a book or driving. In fact, the next day after the infection, I was unable to drive at all. I could not work because of my mental function. My memory was affected. I would forget things easily. I had a hard time holding a prolonged conversation with anybody. I just got really tired very easily. I could not function the day after injection.  Along with this, I was very lightheaded. If I stood up or walked I felt like my legs would give way and I would fall down to the floor. I didnt' have physical strength to stand or walk for more than a few minutes. I was extremely lightheaded.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Reading disorder
Clinical narrative: The next morning after injection, my mental function was affected. According to my mental function, I felt very tired while reading a book or driving. In fact, the next day after the infection, I was unable to drive at all. I could not work because of my mental function. My memory was affected. I would forget things easily. I had a hard time holding a prolonged conversation with anybody. I just got really tired very easily. I could not function the day after injection.  Along with this, I was very lightheaded. If I stood up or walked I felt like my legs would give way and I would fall down to the floor. I didnt' have physical strength to stand or walk for more than a few minutes. I was extremely lightheaded.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Mobility decreased, Myalgia, Pain in extremity
Clinical narrative: Arm aches feels like muscle pain, soreness. Arm and shoulder extremely sore, can't use it to do simple things. It's been almost 2 months, I can't sleep on that arm it hurts so much!
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling of body temperature change, Headache, Injection site rash
Clinical narrative: 1 day post injection. ( 14 hrs after injection) Severe headache. (Migraine level) nausea. Fatigue.  By that evening. Also had chills. Was hot but so cold but no fever. Body aches.   Symptoms are better (but not gone) by day three. Still very tired. Nausea is only there after I eat. Headache is mild. But now I have a huge red rash at injection site.  Bicep is swollen and hit. I noticed it when it itched.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Peripheral swelling, Pruritus, Rash erythematous
Clinical narrative: 1 day post injection. ( 14 hrs after injection) Severe headache. (Migraine level) nausea. Fatigue.  By that evening. Also had chills. Was hot but so cold but no fever. Body aches.   Symptoms are better (but not gone) by day three. Still very tired. Nausea is only there after I eat. Headache is mild. But now I have a huge red rash at injection site.  Bicep is swollen and hit. I noticed it when it itched.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient died within 24 hours of receiving Pfizer as a booster.  Received Johnson and Johnson  as primary series.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Laboratory test normal, Migraine, Physical examination normal
Clinical narrative: My 10 y/o daughter experienced severe migraines and fatigue the day after  her first vaccination. For 2 weeks.  She is feeling 85% better
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Pain in extremity, Rash
Clinical narrative: Shingles - right leg, moderate pain with mild rash
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Rash, Urticaria
Clinical narrative: Roughly a week after I received my 3rd Moderna shot (booster)  I started to get hives all over my body.  I had to go to the urgent care and receive a steroid and Benadryl injection to calm the hives and rashes.  I was then put on a Methylprednisolone 4mg Dosepak for 6 days to help relieve the pain and hives.  I continue to take a Zyrtec twice a day and Pepcid once a day to help.  it's roughly 10 days after I first developed the hives and it still has not gone away or gotten better.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dizziness, Dyspnoea, Fatigue, Feeling abnormal
Clinical narrative: Had constant intense pain rolling throughout my body for the first  3 to 4 days. I felt like crap. Couldn?t think, didn?t want to eat. I looked very swollen?face & body. Slightly short of breath. Felt like I had the flu. Not a temp. And DIZZY. After the first week, I was much dizzier. I can?t get anything done because I?m exhausted & in pain. I?ve been taking Benedryl and sea sickness pills which help. Sinus meds for the stuffy head and nose running. I?m at the end of week two and can?t believe I?m not better. I don?t go out and my fiancée doesn?t have covid. I?m not coughing.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Loss of personal independence in daily activities, Mental impairment, Pain, Rhinorrhoea
Clinical narrative: Had constant intense pain rolling throughout my body for the first  3 to 4 days. I felt like crap. Couldn?t think, didn?t want to eat. I looked very swollen?face & body. Slightly short of breath. Felt like I had the flu. Not a temp. And DIZZY. After the first week, I was much dizzier. I can?t get anything done because I?m exhausted & in pain. I?ve been taking Benedryl and sea sickness pills which help. Sinus meds for the stuffy head and nose running. I?m at the end of week two and can?t believe I?m not better. I don?t go out and my fiancée doesn?t have covid. I?m not coughing.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus congestion, Swelling, Swelling face, Therapeutic response unexpected
Clinical narrative: Had constant intense pain rolling throughout my body for the first  3 to 4 days. I felt like crap. Couldn?t think, didn?t want to eat. I looked very swollen?face & body. Slightly short of breath. Felt like I had the flu. Not a temp. And DIZZY. After the first week, I was much dizzier. I can?t get anything done because I?m exhausted & in pain. I?ve been taking Benedryl and sea sickness pills which help. Sinus meds for the stuffy head and nose running. I?m at the end of week two and can?t believe I?m not better. I don?t go out and my fiancée doesn?t have covid. I?m not coughing.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Death
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: BOOSTER NOT APPROVED IN PT LESS THAN 16. PT IS ONLY 14 AND HAS ONLY BEEN 175 SINCE 2ND DOSE.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient Received second dose of COVID-19 vaccine Pediatric Pfizer (LOT#: FK5618) exp: 2/21/22 on 12/26/21 and first dose COVID-19 Pediatric Pfizer was given on 12/07/21. Patient came in with siblings and mother. Mother brought children two days early from second dose due date., RN submitted a medical consult via text message to Vaccine Operations Leads, requesting to proceed with the COVID second dose Pediatric Pfizer. Per Dr. approval to proceed with COVID second dose Pediatric Pfizer vaccine was obtained from medical consult team via text message from, RN, Vaccine Operations Lead. Client received COVID vaccine Pediatric Pfizer 2 days before due date. The patient did not report any symptoms during the 15 minute observation period. RN educated client on possible adverse reactions and when to seek medical care. Patient left vaccination site with her mom and siblings at 1545 unassisted and with a steady gait.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Pyrexia, Rash, Urticaria
Clinical narrative: I had Pfizer for the first two, Moderna for the booster.   On day 2 I had a fever of 102.5. On day 3/4 i developed a rash/hives on my face and scalp. The lymph nodes in my face and neck particularly around my ears on the side where the rash was worse were swollen and painful.  The rash has not yet subsided
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Back pain, Bell's palsy, Blood iron normal, Blood thyroid stimulating hormone normal, C-reactive protein normal
Clinical narrative: Narrative: Patient was in his baseline state of health until 4/6 when he noted R hemibody numbness, which began with right-sided facial numbness when brushing teeth. He was evaluated by his PCP (no exam noted) and initiated on regimen of doxycyclnine 100mg BID, acyclovir 800mg TID, and prednisone 40mg for 'Bells Palsy'. On 4/9, a referral to neurology was made after pt returnedd to clinic w/ burning deep low back pain that radiates up to his shoulder, and his b/l temples. Neuro exam documented at that time denote a L sided Bells Palsy only. CBC, CMP, PSA, RPR, TSH, B12, ESR, CRP, RPR, Iron lvls were all normal. MRI brain and Lumbar spine were ordered and pt was to obtain expedited LP. Pt again re-presented to urgent care on 4/12 due to severe burning back pain that resolved w/ activity. At this time again only L sided facial weakness noted (documented as reduced ability to close eyelid, raise eyebrow, weakness puffing out cheeck, and reduced smile on L), no other weakness, drift, or sensory findings. Pt was instructed to continue doxycycline 100mg BOD 10d course (4/6-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6/-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6-4/12). Pt was instructed to obtain MRI and LP in expedited fashion. Telephone note Addendum on 4/14 noted improve in Bell Palsy symptoms and back/shoulder/head pain w/ tylenol. Given persistent back pain and J&J COVID19 vaccine, pt was instructed to present to urgent Care. He deferred until the following day. On 4/15 pt woke up w/ worsening facial numbness. He presented to urgent care w/ b/l inability to close eyes and 'when attempting both eyes roll up into his head . He also complained of sharp pain upon extending his RUE and RLE. Exam showed b/l inability to close eyes, description of Bells phenomenon, and palpable tenderness at base of C spine w/ mild spasms. CTH was obtained and was unremarkable. CT C spine showed multilevel degenerative cahgnes w/ neuroforaminal narrowing at C5-C7. Given inability for pt to obtain an expedited MRI and LP to r/o inflammatory or malignancy process at outside hospital case was discussed and accepted for transfer on 4/15. Of note pt obtained J&J vaccine on 3/18 by outside hospital. On presentation patient confirms the timelime detailed above and additionally notes that he has lost his sense of taste. Pt underwent MRI scan on day of admission 4/15/21 which showed enhancement of the bilateral facial nerves and oculomotor nerves, and possible trigeminal nerve enhancement. He underwent LP which showed 6 WBCs and 346 protein;negative cytology and flow cytometry. Given his clinical presentation and imaging/CSF findings, high suspicion for atypical GBS/AIDP which EMG done on April 20th, 2021 was most consistent with. He underwent CT C/A/P which were all negative for malignancy. He was treated with IVIG for presumed AIDP/GBS. Discharged on April 21st, 2021.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Full blood count normal, Headache, Lipase normal, Metabolic function test, Pain
Clinical narrative: Narrative: Patient was in his baseline state of health until 4/6 when he noted R hemibody numbness, which began with right-sided facial numbness when brushing teeth. He was evaluated by his PCP (no exam noted) and initiated on regimen of doxycyclnine 100mg BID, acyclovir 800mg TID, and prednisone 40mg for 'Bells Palsy'. On 4/9, a referral to neurology was made after pt returnedd to clinic w/ burning deep low back pain that radiates up to his shoulder, and his b/l temples. Neuro exam documented at that time denote a L sided Bells Palsy only. CBC, CMP, PSA, RPR, TSH, B12, ESR, CRP, RPR, Iron lvls were all normal. MRI brain and Lumbar spine were ordered and pt was to obtain expedited LP. Pt again re-presented to urgent care on 4/12 due to severe burning back pain that resolved w/ activity. At this time again only L sided facial weakness noted (documented as reduced ability to close eyelid, raise eyebrow, weakness puffing out cheeck, and reduced smile on L), no other weakness, drift, or sensory findings. Pt was instructed to continue doxycycline 100mg BOD 10d course (4/6-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6/-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6-4/12). Pt was instructed to obtain MRI and LP in expedited fashion. Telephone note Addendum on 4/14 noted improve in Bell Palsy symptoms and back/shoulder/head pain w/ tylenol. Given persistent back pain and J&J COVID19 vaccine, pt was instructed to present to urgent Care. He deferred until the following day. On 4/15 pt woke up w/ worsening facial numbness. He presented to urgent care w/ b/l inability to close eyes and 'when attempting both eyes roll up into his head . He also complained of sharp pain upon extending his RUE and RLE. Exam showed b/l inability to close eyes, description of Bells phenomenon, and palpable tenderness at base of C spine w/ mild spasms. CTH was obtained and was unremarkable. CT C spine showed multilevel degenerative cahgnes w/ neuroforaminal narrowing at C5-C7. Given inability for pt to obtain an expedited MRI and LP to r/o inflammatory or malignancy process at outside hospital case was discussed and accepted for transfer on 4/15. Of note pt obtained J&J vaccine on 3/18 by outside hospital. On presentation patient confirms the timelime detailed above and additionally notes that he has lost his sense of taste. Pt underwent MRI scan on day of admission 4/15/21 which showed enhancement of the bilateral facial nerves and oculomotor nerves, and possible trigeminal nerve enhancement. He underwent LP which showed 6 WBCs and 346 protein;negative cytology and flow cytometry. Given his clinical presentation and imaging/CSF findings, high suspicion for atypical GBS/AIDP which EMG done on April 20th, 2021 was most consistent with. He underwent CT C/A/P which were all negative for malignancy. He was treated with IVIG for presumed AIDP/GBS. Discharged on April 21st, 2021.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Pain in extremity, Prostatic specific antigen normal, Protein total increased, Protein urine present, Red blood cell sedimentation rate normal
Clinical narrative: Narrative: Patient was in his baseline state of health until 4/6 when he noted R hemibody numbness, which began with right-sided facial numbness when brushing teeth. He was evaluated by his PCP (no exam noted) and initiated on regimen of doxycyclnine 100mg BID, acyclovir 800mg TID, and prednisone 40mg for 'Bells Palsy'. On 4/9, a referral to neurology was made after pt returnedd to clinic w/ burning deep low back pain that radiates up to his shoulder, and his b/l temples. Neuro exam documented at that time denote a L sided Bells Palsy only. CBC, CMP, PSA, RPR, TSH, B12, ESR, CRP, RPR, Iron lvls were all normal. MRI brain and Lumbar spine were ordered and pt was to obtain expedited LP. Pt again re-presented to urgent care on 4/12 due to severe burning back pain that resolved w/ activity. At this time again only L sided facial weakness noted (documented as reduced ability to close eyelid, raise eyebrow, weakness puffing out cheeck, and reduced smile on L), no other weakness, drift, or sensory findings. Pt was instructed to continue doxycycline 100mg BOD 10d course (4/6-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6/-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6-4/12). Pt was instructed to obtain MRI and LP in expedited fashion. Telephone note Addendum on 4/14 noted improve in Bell Palsy symptoms and back/shoulder/head pain w/ tylenol. Given persistent back pain and J&J COVID19 vaccine, pt was instructed to present to urgent Care. He deferred until the following day. On 4/15 pt woke up w/ worsening facial numbness. He presented to urgent care w/ b/l inability to close eyes and 'when attempting both eyes roll up into his head . He also complained of sharp pain upon extending his RUE and RLE. Exam showed b/l inability to close eyes, description of Bells phenomenon, and palpable tenderness at base of C spine w/ mild spasms. CTH was obtained and was unremarkable. CT C spine showed multilevel degenerative cahgnes w/ neuroforaminal narrowing at C5-C7. Given inability for pt to obtain an expedited MRI and LP to r/o inflammatory or malignancy process at outside hospital case was discussed and accepted for transfer on 4/15. Of note pt obtained J&J vaccine on 3/18 by outside hospital. On presentation patient confirms the timelime detailed above and additionally notes that he has lost his sense of taste. Pt underwent MRI scan on day of admission 4/15/21 which showed enhancement of the bilateral facial nerves and oculomotor nerves, and possible trigeminal nerve enhancement. He underwent LP which showed 6 WBCs and 346 protein;negative cytology and flow cytometry. Given his clinical presentation and imaging/CSF findings, high suspicion for atypical GBS/AIDP which EMG done on April 20th, 2021 was most consistent with. He underwent CT C/A/P which were all negative for malignancy. He was treated with IVIG for presumed AIDP/GBS. Discharged on April 21st, 2021.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test negative, Treponema test negative, Vitamin B12 normal
Clinical narrative: Narrative: Patient was in his baseline state of health until 4/6 when he noted R hemibody numbness, which began with right-sided facial numbness when brushing teeth. He was evaluated by his PCP (no exam noted) and initiated on regimen of doxycyclnine 100mg BID, acyclovir 800mg TID, and prednisone 40mg for 'Bells Palsy'. On 4/9, a referral to neurology was made after pt returnedd to clinic w/ burning deep low back pain that radiates up to his shoulder, and his b/l temples. Neuro exam documented at that time denote a L sided Bells Palsy only. CBC, CMP, PSA, RPR, TSH, B12, ESR, CRP, RPR, Iron lvls were all normal. MRI brain and Lumbar spine were ordered and pt was to obtain expedited LP. Pt again re-presented to urgent care on 4/12 due to severe burning back pain that resolved w/ activity. At this time again only L sided facial weakness noted (documented as reduced ability to close eyelid, raise eyebrow, weakness puffing out cheeck, and reduced smile on L), no other weakness, drift, or sensory findings. Pt was instructed to continue doxycycline 100mg BOD 10d course (4/6-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6/-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6-4/12). Pt was instructed to obtain MRI and LP in expedited fashion. Telephone note Addendum on 4/14 noted improve in Bell Palsy symptoms and back/shoulder/head pain w/ tylenol. Given persistent back pain and J&J COVID19 vaccine, pt was instructed to present to urgent Care. He deferred until the following day. On 4/15 pt woke up w/ worsening facial numbness. He presented to urgent care w/ b/l inability to close eyes and 'when attempting both eyes roll up into his head . He also complained of sharp pain upon extending his RUE and RLE. Exam showed b/l inability to close eyes, description of Bells phenomenon, and palpable tenderness at base of C spine w/ mild spasms. CTH was obtained and was unremarkable. CT C spine showed multilevel degenerative cahgnes w/ neuroforaminal narrowing at C5-C7. Given inability for pt to obtain an expedited MRI and LP to r/o inflammatory or malignancy process at outside hospital case was discussed and accepted for transfer on 4/15. Of note pt obtained J&J vaccine on 3/18 by outside hospital. On presentation patient confirms the timelime detailed above and additionally notes that he has lost his sense of taste. Pt underwent MRI scan on day of admission 4/15/21 which showed enhancement of the bilateral facial nerves and oculomotor nerves, and possible trigeminal nerve enhancement. He underwent LP which showed 6 WBCs and 346 protein;negative cytology and flow cytometry. Given his clinical presentation and imaging/CSF findings, high suspicion for atypical GBS/AIDP which EMG done on April 20th, 2021 was most consistent with. He underwent CT C/A/P which were all negative for malignancy. He was treated with IVIG for presumed AIDP/GBS. Discharged on April 21st, 2021.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Arthralgia, Back pain, Bell's palsy, Eyelid function disorder, Facial paresis
Clinical narrative: Narrative: Patient was in his baseline state of health until 4/6 when he noted R hemibody numbness, which began with right-sided facial numbness when brushing teeth. He was evaluated by his PCP (no exam noted) and initiated on regimen of doxycyclnine 100mg BID, acyclovir 800mg TID, and prednisone 40mg for 'Bells Palsy'. On 4/9, a referral to neurology was made after pt returnedd to clinic w/ burning deep low back pain that radiates up to his shoulder, and his b/l temples. Neuro exam documented at that time denote a L sided Bells Palsy only. CBC, CMP, PSA, RPR, TSH, B12, ESR, CRP, RPR, Iron lvls were all normal. MRI brain and Lumbar spine were ordered and pt was to obtain expedited LP. Pt again re-presented to urgent care on 4/12 due to severe burning back pain that resolved w/ activity. At this time again only L sided facial weakness noted (documented as reduced ability to close eyelid, raise eyebrow, weakness puffing out cheeck, and reduced smile on L), no other weakness, drift, or sensory findings. Pt was instructed to continue doxycycline 100mg BOD 10d course (4/6-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6/-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6-4/12). Pt was instructed to obtain MRI and LP in expedited fashion. Telephone note Addendum on 4/14 noted improve in Bell Palsy symptoms and back/shoulder/head pain w/ tylenol. Given persistent back pain and J&J COVID19 vaccine, pt was instructed to present to urgent Care. He deferred until the following day. On 4/15 pt woke up w/ worsening facial numbness. He presented to urgent care w/ b/l inability to close eyes and 'when attempting both eyes roll up into his head . He also complained of sharp pain upon extending his RUE and RLE. Exam showed b/l inability to close eyes, description of Bells phenomenon, and palpable tenderness at base of C spine w/ mild spasms. CTH was obtained and was unremarkable. CT C spine showed multilevel degenerative cahgnes w/ neuroforaminal narrowing at C5-C7. Given inability for pt to obtain an expedited MRI and LP to r/o inflammatory or malignancy process at outside hospital case was discussed and accepted for transfer on 4/15. Of note pt obtained J&J vaccine on 3/18 by outside hospital. On presentation patient confirms the timelime detailed above and additionally notes that he has lost his sense of taste. Pt underwent MRI scan on day of admission 4/15/21 which showed enhancement of the bilateral facial nerves and oculomotor nerves, and possible trigeminal nerve enhancement. He underwent LP which showed 6 WBCs and 346 protein;negative cytology and flow cytometry. Given his clinical presentation and imaging/CSF findings, high suspicion for atypical GBS/AIDP which EMG done on April 20th, 2021 was most consistent with. He underwent CT C/A/P which were all negative for malignancy. He was treated with IVIG for presumed AIDP/GBS. Discharged on April 21st, 2021.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Headache, Hypoaesthesia, Pain, Swelling face
Clinical narrative: Narrative: Patient was in his baseline state of health until 4/6 when he noted R hemibody numbness, which began with right-sided facial numbness when brushing teeth. He was evaluated by his PCP (no exam noted) and initiated on regimen of doxycyclnine 100mg BID, acyclovir 800mg TID, and prednisone 40mg for 'Bells Palsy'. On 4/9, a referral to neurology was made after pt returnedd to clinic w/ burning deep low back pain that radiates up to his shoulder, and his b/l temples. Neuro exam documented at that time denote a L sided Bells Palsy only. CBC, CMP, PSA, RPR, TSH, B12, ESR, CRP, RPR, Iron lvls were all normal. MRI brain and Lumbar spine were ordered and pt was to obtain expedited LP. Pt again re-presented to urgent care on 4/12 due to severe burning back pain that resolved w/ activity. At this time again only L sided facial weakness noted (documented as reduced ability to close eyelid, raise eyebrow, weakness puffing out cheeck, and reduced smile on L), no other weakness, drift, or sensory findings. Pt was instructed to continue doxycycline 100mg BOD 10d course (4/6-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6/-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6-4/12). Pt was instructed to obtain MRI and LP in expedited fashion. Telephone note Addendum on 4/14 noted improve in Bell Palsy symptoms and back/shoulder/head pain w/ tylenol. Given persistent back pain and J&J COVID19 vaccine, pt was instructed to present to urgent Care. He deferred until the following day. On 4/15 pt woke up w/ worsening facial numbness. He presented to urgent care w/ b/l inability to close eyes and 'when attempting both eyes roll up into his head . He also complained of sharp pain upon extending his RUE and RLE. Exam showed b/l inability to close eyes, description of Bells phenomenon, and palpable tenderness at base of C spine w/ mild spasms. CTH was obtained and was unremarkable. CT C spine showed multilevel degenerative cahgnes w/ neuroforaminal narrowing at C5-C7. Given inability for pt to obtain an expedited MRI and LP to r/o inflammatory or malignancy process at outside hospital case was discussed and accepted for transfer on 4/15. Of note pt obtained J&J vaccine on 3/18 by outside hospital. On presentation patient confirms the timelime detailed above and additionally notes that he has lost his sense of taste. Pt underwent MRI scan on day of admission 4/15/21 which showed enhancement of the bilateral facial nerves and oculomotor nerves, and possible trigeminal nerve enhancement. He underwent LP which showed 6 WBCs and 346 protein;negative cytology and flow cytometry. Given his clinical presentation and imaging/CSF findings, high suspicion for atypical GBS/AIDP which EMG done on April 20th, 2021 was most consistent with. He underwent CT C/A/P which were all negative for malignancy. He was treated with IVIG for presumed AIDP/GBS. Discharged on April 21st, 2021.
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Ageusia, Angiogram, Arthralgia, Back pain, Bell's palsy
Clinical narrative: Narrative: Patient was in his baseline state of health until 4/6 when he noted R hemibody numbness, which began with right-sided facial numbness when brushing teeth. He was evaluated by his PCP (no exam noted) and initiated on regimen of doxycyclnine 100mg BID, acyclovir 800mg TID, and prednisone 40mg for 'Bells Palsy'. On 4/9, a referral to neurology was made after pt returnedd to clinic w/ burning deep low back pain that radiates up to his shoulder, and his b/l temples. Neuro exam documented at that time denote a L sided Bells Palsy only. CBC, CMP, PSA, RPR, TSH, B12, ESR, CRP, RPR, Iron lvls were all normal. MRI brain and Lumbar spine were ordered and pt was to obtain expedited LP. Pt again re-presented to urgent care on 4/12 due to severe burning back pain that resolved w/ activity. At this time again only L sided facial weakness noted (documented as reduced ability to close eyelid, raise eyebrow, weakness puffing out cheeck, and reduced smile on L), no other weakness, drift, or sensory findings. Pt was instructed to continue doxycycline 100mg BOD 10d course (4/6-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6/-4/15), prednisone 40mg 7d course (4/6-4/12), acyclovir 800mg TID 7d course (4/6-4/12). Pt was instructed to obtain MRI and LP in expedited fashion. Telephone note Addendum on 4/14 noted improve in Bell Palsy symptoms and back/shoulder/head pain w/ tylenol. Given persistent back pain and J&J COVID19 vaccine, pt was instructed to present to urgent Care. He deferred until the following day. On 4/15 pt woke up w/ worsening facial numbness. He presented to urgent care w/ b/l inability to close eyes and 'when attempting both eyes roll up into his head . He also complained of sharp pain upon extending his RUE and RLE. Exam showed b/l inability to close eyes, description of Bells phenomenon, and palpable tenderness at base of C spine w/ mild spasms. CTH was obtained and was unremarkable. CT C spine showed multilevel degenerative cahgnes w/ neuroforaminal narrowing at C5-C7. Given inability for pt to obtain an expedited MRI and LP to r/o inflammatory or malignancy process at outside hospital case was discussed and accepted for transfer on 4/15. Of note pt obtained J&J vaccine on 3/18 by outside hospital. On presentation patient confirms the timelime detailed above and additionally notes that he has lost his sense of taste. Pt underwent MRI scan on day of admission 4/15/21 which showed enhancement of the bilateral facial nerves and oculomotor nerves, and possible trigeminal nerve enhancement. He underwent LP which showed 6 WBCs and 346 protein;negative cytology and flow cytometry. Given his clinical presentation and imaging/CSF findings, high suspicion for atypical GBS/AIDP which EMG done on April 20th, 2021 was most consistent with. He underwent CT C/A/P which were all negative for malignancy. He was treated with IVIG for presumed AIDP/GBS. Discharged on April 21st, 2021.