chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus operation
Clinical narrative: On 07/07/2022 I woke up early in the morning with a fever of 104.3. The next day, I had terrible body aches, headaches, nausea, dizziness, ear pain, absolute exhaustion, congestion, chills, seating, coughing, and sore throat. I took Tylenol Extra Strength which hardly had any effect. I called my doctor who advised that I go to a local urgent care clinic where I was tested for COVID-19 with a PCR test. I received positive results that evening and I was prescribed Paxlovid. My neighbor picked up the prescription but it was too late in the day to begin taking it. So I began to take the medication on 07/09/2022 that morning. My symptoms began to improve shortly after. My fever broke, I still had congestion, ear pain, headache, coughing, sore throat, congestion and drainage, but it was much less severe. I never felt well while taking Paxlovid but I felt better. I continued treating symptoms with Tylenol Extra Strength as needed. I began to feel better, but then experienced a rebound of COVID. I went in to see my doctor and he confirmed that I had a rebound. My blood pressure was high when I went in to my doctor who advised that I monitor my oxygen and call for emergency care if it gets too low. I've also been experiencing nerve pain in my hands and feet throughout my illness.
Age: 34.0
Sex: U
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: HOSPITALIZED WITH COVID
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Apnoea, Blood culture, COVID-19, Chemotherapy
Clinical narrative: Patient with 2 prior Moderna vaccinations who admitted to hospital with encephalopathy and positive COVID PCR.  Provider and d/c summary below:  "61-year-old female history primary lung cancer with metastasis including brain, chronic obstructive pulmonary disease, current nicotine use vaping, daily EtOH use, and steroid induced hyperglycemia presented to the ER on 07/23 for worsening swelling and pain in her right lower extremity.  Prior ER visit 2 days prior, concern cellulitis, started doxycycline and discharge.  RLE swelling did not improve.  She presented to the ER by EMS which found the patient hypotensive in the field with blood pressure 73/50, heart rate 119, and hypoxic 73%....    Disposition:  Patient's current clinical picture appears poor.  Circulatory shock likely multifactorial, will continue volume resuscitation with vasopressor augmentation. S/p 2.6L normal saline from ER. There is concern for severe sepsis with blood cultures pending and broad-spectrum antibiotics started.  Hypoxia is also multifactorial in the setting of metastatic lung disease, chronic obstructive pulmonary disease, and COVID-19 infection.  Her AKI precludes remdesivir use.  Monitor non oliguric AKI, likely circulatory shock/poor RBF vs carboplatin induced in nature.  Patient remains DNR/DNI."  "Upon arrival to the intensive care unit, she became more encephalopathic with increasing O2 needs.  I discussed patient's case with her daughter who is the POA and very clear on her mother's wishes of DNR/DNI status.  The patient initially started on Levophed via MRI port which was being used for chemotherapy.  Most recent chemo 07/20/2022.  She had already received 2.6 L normal saline from the ER and showing significant signs of volume overload though likely remained intravascularly depleted.  This vasoressor was quickly escalated and required addition of vasopressin.  I called the daughter again to inform her that patient was showing signs of multi-system organ failure and clinically declining very rapidly. Advised that she should come to the intensive care unit as soon as possible. She was present with her 2 sons. Patient became more hypotensive, apneic, then passed away"
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chronic obstructive pulmonary disease, Death, Encephalopathy, General physical health deterioration, Hyperglycaemia
Clinical narrative: Patient with 2 prior Moderna vaccinations who admitted to hospital with encephalopathy and positive COVID PCR.  Provider and d/c summary below:  "61-year-old female history primary lung cancer with metastasis including brain, chronic obstructive pulmonary disease, current nicotine use vaping, daily EtOH use, and steroid induced hyperglycemia presented to the ER on 07/23 for worsening swelling and pain in her right lower extremity.  Prior ER visit 2 days prior, concern cellulitis, started doxycycline and discharge.  RLE swelling did not improve.  She presented to the ER by EMS which found the patient hypotensive in the field with blood pressure 73/50, heart rate 119, and hypoxic 73%....    Disposition:  Patient's current clinical picture appears poor.  Circulatory shock likely multifactorial, will continue volume resuscitation with vasopressor augmentation. S/p 2.6L normal saline from ER. There is concern for severe sepsis with blood cultures pending and broad-spectrum antibiotics started.  Hypoxia is also multifactorial in the setting of metastatic lung disease, chronic obstructive pulmonary disease, and COVID-19 infection.  Her AKI precludes remdesivir use.  Monitor non oliguric AKI, likely circulatory shock/poor RBF vs carboplatin induced in nature.  Patient remains DNR/DNI."  "Upon arrival to the intensive care unit, she became more encephalopathic with increasing O2 needs.  I discussed patient's case with her daughter who is the POA and very clear on her mother's wishes of DNR/DNI status.  The patient initially started on Levophed via MRI port which was being used for chemotherapy.  Most recent chemo 07/20/2022.  She had already received 2.6 L normal saline from the ER and showing significant signs of volume overload though likely remained intravascularly depleted.  This vasoressor was quickly escalated and required addition of vasopressin.  I called the daughter again to inform her that patient was showing signs of multi-system organ failure and clinically declining very rapidly. Advised that she should come to the intensive care unit as soon as possible. She was present with her 2 sons. Patient became more hypotensive, apneic, then passed away"
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypervolaemia, Hypotension, Hypoxia, Intensive care, Lung cancer metastatic
Clinical narrative: Patient with 2 prior Moderna vaccinations who admitted to hospital with encephalopathy and positive COVID PCR.  Provider and d/c summary below:  "61-year-old female history primary lung cancer with metastasis including brain, chronic obstructive pulmonary disease, current nicotine use vaping, daily EtOH use, and steroid induced hyperglycemia presented to the ER on 07/23 for worsening swelling and pain in her right lower extremity.  Prior ER visit 2 days prior, concern cellulitis, started doxycycline and discharge.  RLE swelling did not improve.  She presented to the ER by EMS which found the patient hypotensive in the field with blood pressure 73/50, heart rate 119, and hypoxic 73%....    Disposition:  Patient's current clinical picture appears poor.  Circulatory shock likely multifactorial, will continue volume resuscitation with vasopressor augmentation. S/p 2.6L normal saline from ER. There is concern for severe sepsis with blood cultures pending and broad-spectrum antibiotics started.  Hypoxia is also multifactorial in the setting of metastatic lung disease, chronic obstructive pulmonary disease, and COVID-19 infection.  Her AKI precludes remdesivir use.  Monitor non oliguric AKI, likely circulatory shock/poor RBF vs carboplatin induced in nature.  Patient remains DNR/DNI."  "Upon arrival to the intensive care unit, she became more encephalopathic with increasing O2 needs.  I discussed patient's case with her daughter who is the POA and very clear on her mother's wishes of DNR/DNI status.  The patient initially started on Levophed via MRI port which was being used for chemotherapy.  Most recent chemo 07/20/2022.  She had already received 2.6 L normal saline from the ER and showing significant signs of volume overload though likely remained intravascularly depleted.  This vasoressor was quickly escalated and required addition of vasopressin.  I called the daughter again to inform her that patient was showing signs of multi-system organ failure and clinically declining very rapidly. Advised that she should come to the intensive care unit as soon as possible. She was present with her 2 sons. Patient became more hypotensive, apneic, then passed away"
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Multiple organ dysfunction syndrome, Pain in extremity, Peripheral swelling, SARS-CoV-2 test positive, Shock
Clinical narrative: Patient with 2 prior Moderna vaccinations who admitted to hospital with encephalopathy and positive COVID PCR.  Provider and d/c summary below:  "61-year-old female history primary lung cancer with metastasis including brain, chronic obstructive pulmonary disease, current nicotine use vaping, daily EtOH use, and steroid induced hyperglycemia presented to the ER on 07/23 for worsening swelling and pain in her right lower extremity.  Prior ER visit 2 days prior, concern cellulitis, started doxycycline and discharge.  RLE swelling did not improve.  She presented to the ER by EMS which found the patient hypotensive in the field with blood pressure 73/50, heart rate 119, and hypoxic 73%....    Disposition:  Patient's current clinical picture appears poor.  Circulatory shock likely multifactorial, will continue volume resuscitation with vasopressor augmentation. S/p 2.6L normal saline from ER. There is concern for severe sepsis with blood cultures pending and broad-spectrum antibiotics started.  Hypoxia is also multifactorial in the setting of metastatic lung disease, chronic obstructive pulmonary disease, and COVID-19 infection.  Her AKI precludes remdesivir use.  Monitor non oliguric AKI, likely circulatory shock/poor RBF vs carboplatin induced in nature.  Patient remains DNR/DNI."  "Upon arrival to the intensive care unit, she became more encephalopathic with increasing O2 needs.  I discussed patient's case with her daughter who is the POA and very clear on her mother's wishes of DNR/DNI status.  The patient initially started on Levophed via MRI port which was being used for chemotherapy.  Most recent chemo 07/20/2022.  She had already received 2.6 L normal saline from the ER and showing significant signs of volume overload though likely remained intravascularly depleted.  This vasoressor was quickly escalated and required addition of vasopressin.  I called the daughter again to inform her that patient was showing signs of multi-system organ failure and clinically declining very rapidly. Advised that she should come to the intensive care unit as soon as possible. She was present with her 2 sons. Patient became more hypotensive, apneic, then passed away"
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Emotional disorder, Hyperhidrosis, Immediate post-injection reaction, Malaise, Vision blurred
Clinical narrative: The RN observation prior to administering the vaccine was that the patient appeared very anxious.  The patient stated that he was afraid of needles.  The J&J vaccine was administered.  He immediately stated that he was not okay.  Patient was emotional.  Stated ?I don?t feel well?.  Blurry vision.  Diaphoretic.  Patient instructed to lay on the floor, legs were elevated, cold packs to forehead and back of his neck.  Bottle water provided.  BP-178/100, HR-98, 02 ? 99% .  EMS initiated.  Vitals eventually decreased to BP-142/84 and 02-97%.  Patient never lost consciousness.  Patient assessed by EMS.  Patient denied to be transported to the ER.  Patent assessed by EMS and Vaccine staff for approx 45 minutes.  Patient left in stable condition.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: None/Vaccine Expired
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Antibody test negative, Balance disorder, Blood test normal, Borrelia test negative, CSF protein increased
Clinical narrative: I am currently being evaluated by a Neurologist for a brain disorder.  I am dizzy when standing; I have poor balance and have difficulty putting sentences together clearly.   These symptoms did not exist before getting COVID in December 2020 along with the vaccine shots.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: CSF test, Cerebral disorder, Dizziness postural, Electroencephalogram normal, Lumbar puncture abnormal
Clinical narrative: I am currently being evaluated by a Neurologist for a brain disorder.  I am dizzy when standing; I have poor balance and have difficulty putting sentences together clearly.   These symptoms did not exist before getting COVID in December 2020 along with the vaccine shots.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Speech disorder
Clinical narrative: I am currently being evaluated by a Neurologist for a brain disorder.  I am dizzy when standing; I have poor balance and have difficulty putting sentences together clearly.   These symptoms did not exist before getting COVID in December 2020 along with the vaccine shots.
Age: 64.0
Sex: M
Vaccine: UNK
Symptoms: Death
Clinical narrative: Death
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Agitation, Blood culture negative, Blood pressure systolic increased, COVID-19, Chest X-ray abnormal
Clinical narrative: Patient with 2 Pfizer COVID vaccinations who admitted with positive COVID test.  Provider D/C note below:    "Hospital Course:  Patient, a covid positive 70-year-old male with history of traumatic brain injury, epilepsy with two recent 2 hospitalizations followed by Dr. at medical facility taking dilantin and zonisamide, and alcohol use disorder presented to the emergency department in status epilepticus. On arrival patient GCS of 3. He was given 8mg of ativan and a loading dose of fosphenytoin. Patient was intubated and started on propofol drip with concerns of his compromised airway. Stat EEG and neurology consult ordered.  CT imaging of the head unremarkable for acute pathology.  With initial concerns of sepsis, the patient was started on prophylactic antibiotics and blood cultures were obtained.   Stat EEG revealed encephalopathic changes without seizure activity seen. Per Neurology recommended to maintain 100 mg of IV Dilantin q8 hours after his initial fosphenytoin load.  They recommended to maintain on Depakote and zonisamide and change propofol to precedex at that time. Norepinephrine was given briefly on 7/9, central line was not needed.   In the ICU, patient has had episodes of hypotension along with agitation. On 07/10, became hypertensive tachycardic and tachypneic after nursing provides ETT suction. patient appeared slightly rigid particularly in the upper extremities bilaterally. Bilateral eyes did not show nystagmus and pupils PERRLA. Did not follow commands or show purposeful movement.  Neurology was consulted and no stat EEG was done. patient was stabilized by the end of the night. Last precedex and propofol use 7/10.   Patient extubated on 07/11. patient has remained relatively hemodynamically stable however has required hypertensive medications for elevated systolic pressures. Failed swallow study 7/12, NG tube was placed. Concerns for aspiration pneumonia on cxr and met SIRS criteria unasyn was started (7/12-). Bcx 7/9- NGTD. Vancomycin and Zosyn D/ced (7/9-7/10).   Pt however has had slow improvement in mentation with concerns for subclinical seizures. Neurology wanted an MRI done today (7/14), however was decided to transfer to Neuro-ICU under Dr. for further evaluation."
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Coma scale, Computerised tomogram head normal, Electroencephalogram abnormal, Encephalopathy, Endotracheal intubation
Clinical narrative: Patient with 2 Pfizer COVID vaccinations who admitted with positive COVID test.  Provider D/C note below:    "Hospital Course:  Patient, a covid positive 70-year-old male with history of traumatic brain injury, epilepsy with two recent 2 hospitalizations followed by Dr. at medical facility taking dilantin and zonisamide, and alcohol use disorder presented to the emergency department in status epilepticus. On arrival patient GCS of 3. He was given 8mg of ativan and a loading dose of fosphenytoin. Patient was intubated and started on propofol drip with concerns of his compromised airway. Stat EEG and neurology consult ordered.  CT imaging of the head unremarkable for acute pathology.  With initial concerns of sepsis, the patient was started on prophylactic antibiotics and blood cultures were obtained.   Stat EEG revealed encephalopathic changes without seizure activity seen. Per Neurology recommended to maintain 100 mg of IV Dilantin q8 hours after his initial fosphenytoin load.  They recommended to maintain on Depakote and zonisamide and change propofol to precedex at that time. Norepinephrine was given briefly on 7/9, central line was not needed.   In the ICU, patient has had episodes of hypotension along with agitation. On 07/10, became hypertensive tachycardic and tachypneic after nursing provides ETT suction. patient appeared slightly rigid particularly in the upper extremities bilaterally. Bilateral eyes did not show nystagmus and pupils PERRLA. Did not follow commands or show purposeful movement.  Neurology was consulted and no stat EEG was done. patient was stabilized by the end of the night. Last precedex and propofol use 7/10.   Patient extubated on 07/11. patient has remained relatively hemodynamically stable however has required hypertensive medications for elevated systolic pressures. Failed swallow study 7/12, NG tube was placed. Concerns for aspiration pneumonia on cxr and met SIRS criteria unasyn was started (7/12-). Bcx 7/9- NGTD. Vancomycin and Zosyn D/ced (7/9-7/10).   Pt however has had slow improvement in mentation with concerns for subclinical seizures. Neurology wanted an MRI done today (7/14), however was decided to transfer to Neuro-ICU under Dr. for further evaluation."
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Gastrointestinal tube insertion, Hypertension, Hypotension, Intensive care, Mental status changes
Clinical narrative: Patient with 2 Pfizer COVID vaccinations who admitted with positive COVID test.  Provider D/C note below:    "Hospital Course:  Patient, a covid positive 70-year-old male with history of traumatic brain injury, epilepsy with two recent 2 hospitalizations followed by Dr. at medical facility taking dilantin and zonisamide, and alcohol use disorder presented to the emergency department in status epilepticus. On arrival patient GCS of 3. He was given 8mg of ativan and a loading dose of fosphenytoin. Patient was intubated and started on propofol drip with concerns of his compromised airway. Stat EEG and neurology consult ordered.  CT imaging of the head unremarkable for acute pathology.  With initial concerns of sepsis, the patient was started on prophylactic antibiotics and blood cultures were obtained.   Stat EEG revealed encephalopathic changes without seizure activity seen. Per Neurology recommended to maintain 100 mg of IV Dilantin q8 hours after his initial fosphenytoin load.  They recommended to maintain on Depakote and zonisamide and change propofol to precedex at that time. Norepinephrine was given briefly on 7/9, central line was not needed.   In the ICU, patient has had episodes of hypotension along with agitation. On 07/10, became hypertensive tachycardic and tachypneic after nursing provides ETT suction. patient appeared slightly rigid particularly in the upper extremities bilaterally. Bilateral eyes did not show nystagmus and pupils PERRLA. Did not follow commands or show purposeful movement.  Neurology was consulted and no stat EEG was done. patient was stabilized by the end of the night. Last precedex and propofol use 7/10.   Patient extubated on 07/11. patient has remained relatively hemodynamically stable however has required hypertensive medications for elevated systolic pressures. Failed swallow study 7/12, NG tube was placed. Concerns for aspiration pneumonia on cxr and met SIRS criteria unasyn was started (7/12-). Bcx 7/9- NGTD. Vancomycin and Zosyn D/ced (7/9-7/10).   Pt however has had slow improvement in mentation with concerns for subclinical seizures. Neurology wanted an MRI done today (7/14), however was decided to transfer to Neuro-ICU under Dr. for further evaluation."
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Muscle rigidity, Obstructive airways disorder, Oropharyngeal suctioning, SARS-CoV-2 test positive, Status epilepticus
Clinical narrative: Patient with 2 Pfizer COVID vaccinations who admitted with positive COVID test.  Provider D/C note below:    "Hospital Course:  Patient, a covid positive 70-year-old male with history of traumatic brain injury, epilepsy with two recent 2 hospitalizations followed by Dr. at medical facility taking dilantin and zonisamide, and alcohol use disorder presented to the emergency department in status epilepticus. On arrival patient GCS of 3. He was given 8mg of ativan and a loading dose of fosphenytoin. Patient was intubated and started on propofol drip with concerns of his compromised airway. Stat EEG and neurology consult ordered.  CT imaging of the head unremarkable for acute pathology.  With initial concerns of sepsis, the patient was started on prophylactic antibiotics and blood cultures were obtained.   Stat EEG revealed encephalopathic changes without seizure activity seen. Per Neurology recommended to maintain 100 mg of IV Dilantin q8 hours after his initial fosphenytoin load.  They recommended to maintain on Depakote and zonisamide and change propofol to precedex at that time. Norepinephrine was given briefly on 7/9, central line was not needed.   In the ICU, patient has had episodes of hypotension along with agitation. On 07/10, became hypertensive tachycardic and tachypneic after nursing provides ETT suction. patient appeared slightly rigid particularly in the upper extremities bilaterally. Bilateral eyes did not show nystagmus and pupils PERRLA. Did not follow commands or show purposeful movement.  Neurology was consulted and no stat EEG was done. patient was stabilized by the end of the night. Last precedex and propofol use 7/10.   Patient extubated on 07/11. patient has remained relatively hemodynamically stable however has required hypertensive medications for elevated systolic pressures. Failed swallow study 7/12, NG tube was placed. Concerns for aspiration pneumonia on cxr and met SIRS criteria unasyn was started (7/12-). Bcx 7/9- NGTD. Vancomycin and Zosyn D/ced (7/9-7/10).   Pt however has had slow improvement in mentation with concerns for subclinical seizures. Neurology wanted an MRI done today (7/14), however was decided to transfer to Neuro-ICU under Dr. for further evaluation."
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Swallow study abnormal, Systemic inflammatory response syndrome, Tachycardia, Tachypnoea, Unresponsive to stimuli
Clinical narrative: Patient with 2 Pfizer COVID vaccinations who admitted with positive COVID test.  Provider D/C note below:    "Hospital Course:  Patient, a covid positive 70-year-old male with history of traumatic brain injury, epilepsy with two recent 2 hospitalizations followed by Dr. at medical facility taking dilantin and zonisamide, and alcohol use disorder presented to the emergency department in status epilepticus. On arrival patient GCS of 3. He was given 8mg of ativan and a loading dose of fosphenytoin. Patient was intubated and started on propofol drip with concerns of his compromised airway. Stat EEG and neurology consult ordered.  CT imaging of the head unremarkable for acute pathology.  With initial concerns of sepsis, the patient was started on prophylactic antibiotics and blood cultures were obtained.   Stat EEG revealed encephalopathic changes without seizure activity seen. Per Neurology recommended to maintain 100 mg of IV Dilantin q8 hours after his initial fosphenytoin load.  They recommended to maintain on Depakote and zonisamide and change propofol to precedex at that time. Norepinephrine was given briefly on 7/9, central line was not needed.   In the ICU, patient has had episodes of hypotension along with agitation. On 07/10, became hypertensive tachycardic and tachypneic after nursing provides ETT suction. patient appeared slightly rigid particularly in the upper extremities bilaterally. Bilateral eyes did not show nystagmus and pupils PERRLA. Did not follow commands or show purposeful movement.  Neurology was consulted and no stat EEG was done. patient was stabilized by the end of the night. Last precedex and propofol use 7/10.   Patient extubated on 07/11. patient has remained relatively hemodynamically stable however has required hypertensive medications for elevated systolic pressures. Failed swallow study 7/12, NG tube was placed. Concerns for aspiration pneumonia on cxr and met SIRS criteria unasyn was started (7/12-). Bcx 7/9- NGTD. Vancomycin and Zosyn D/ced (7/9-7/10).   Pt however has had slow improvement in mentation with concerns for subclinical seizures. Neurology wanted an MRI done today (7/14), however was decided to transfer to Neuro-ICU under Dr. for further evaluation."
Age: 42.0
Sex: F
Vaccine: MMR
Symptoms: Immunosuppression, Incorrect route of product administration
Clinical narrative: Reporting administration error.  Patient is immunosuppressed and nursing staff was new and failed to follow protocol and administered prior to provider reviewing medications as well as gave via wrong route (administered IM in right gluteus)
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site rash, Joint swelling, Peripheral swelling, Pruritus
Clinical narrative: PATIENT STATES THAT ~3DAYS AFTER VACCINATION SHE EXPERIENCED SWELLING IN THE MORNING (IN THE HANDS, KNEES AND FEET), RASH AT INJECTION SITE, HEADACHE, HIVE AND ITCHING.  2 WEEKS LATER (7/24/22) PATIENTS STATES SHE IS STILL HAVING THE ISSUE.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: PATIENT STATES THAT ~3DAYS AFTER VACCINATION SHE EXPERIENCED SWELLING IN THE MORNING (IN THE HANDS, KNEES AND FEET), RASH AT INJECTION SITE, HEADACHE, HIVE AND ITCHING.  2 WEEKS LATER (7/24/22) PATIENTS STATES SHE IS STILL HAVING THE ISSUE.
Age: 29.0
Sex: F
Vaccine: SMALLMNK
Symptoms: Injection site erythema, Injection site pain, Injection site warmth, Pain, Pain in extremity
Clinical narrative: Extreme arm pain when moving arm, enlarged redness around injection site, injection site is very warm to the touch, sporadic sharp pains at injection site
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain lower, Headache, Nausea, Pyrexia
Clinical narrative: Patient says that he's having right lower quadrant pain, started right after vaccination. Last night he said he's been having low grade fever, along with nausea and headaches.
Age: 21.0
Sex: F
Vaccine: ANTH, JEV1, TYP, YF
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Patient reported to ED on 8 June, 2 days after vaccination,  complaining of painful, swollen, red area on L upper arm.  Records do not indicate exact site of immunization so cannot determine which vaccine was given in L upper arm.  Patient marked red area with a pen on 7 June and at time of ED visit, red area had expanded.  In the ED patient was given Benadryl and topical mupirocin.  Follow-up with patient on 9 June reveals symptoms are improving.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Loss of personal independence in daily activities, Muscle spasms
Clinical narrative: pneumonia vaccine for a 67 year old healthy male patient vaccinated at approximately 3:30 PM on Friday   About three hours after the shot the pain in the arm became excessive. An area about 4 inches by 6 inches in the area of the shot in the upper left arm became very warm and red. Cramping in the left hand near the the thumb and both the middle and ring fingers took place. Cramping also took place behind the left knee and on the outer left ankle. I am a  deliberate water drinker of over 6 glasses of water a day so there was no dehydration. I could not sleep on my left side. I took Tylenol.    The next day any movement of my left arm caused pain. I elected not to carry out any normal activities. The cramps subsided although during the night my entire right leg cramped too.  All of this cramping is not at all normal for me.   This continued until Sunday morning.  After  speaking to a nurse I started cold for 15 minutes 3 times a day and more Tylenol  Monday morning as I am writing this the area is red. It is no longer puffy.  I am returning to normal I think.  I have never had a reaction like this to a vaccine before.  Only minor pain the day of the vaccination.
Age: 67.0
Sex: M
Vaccine: PPV
Symptoms: Pain, Pain in extremity, Sleep disorder
Clinical narrative: pneumonia vaccine for a 67 year old healthy male patient vaccinated at approximately 3:30 PM on Friday   About three hours after the shot the pain in the arm became excessive. An area about 4 inches by 6 inches in the area of the shot in the upper left arm became very warm and red. Cramping in the left hand near the the thumb and both the middle and ring fingers took place. Cramping also took place behind the left knee and on the outer left ankle. I am a  deliberate water drinker of over 6 glasses of water a day so there was no dehydration. I could not sleep on my left side. I took Tylenol.    The next day any movement of my left arm caused pain. I elected not to carry out any normal activities. The cramps subsided although during the night my entire right leg cramped too.  All of this cramping is not at all normal for me.   This continued until Sunday morning.  After  speaking to a nurse I started cold for 15 minutes 3 times a day and more Tylenol  Monday morning as I am writing this the area is red. It is no longer puffy.  I am returning to normal I think.  I have never had a reaction like this to a vaccine before.  Only minor pain the day of the vaccination.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chest discomfort, Diarrhoea, Dyspnoea, Feeling abnormal
Clinical narrative: I woke up Thursday morning and I didn't feel well. I felt achy and had a headache and felt a little bit nauseous. My husband brought me TYLENOL and I took 3 of those. I laid in bed all morning progressively getting worse. Around 12PM, I started vomiting every hour on the hour. After 15 minutes of vomiting, I felt the need to vomit again. My husband called the clinic to get me an IV, but they did not have an available appointment until the next morning at 10AM. I continued to vomit until 7:30PM. I took clonazepam, went to bed, and woke up the next morning and I was still nauseous and had diarrhea as well. I also felt like I couldn't breathe. It felt like someone was sitting on my chest and I just couldn't catch my breath. I also had really bad lower back pain. I went to the clinic and I let them know about all of the symptoms. They gave me an anti-inflammatory in the IV as well as vitamins and PHENERGAN. I was there for about an hour and I didn't feel that great. I continued to have a headache that day and even this morning. I still have a slight headache. I never had these symptoms with the 3 Pfizer vaccines I took previously before this vaccine.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Mobility decreased, Nausea, Pain
Clinical narrative: I woke up Thursday morning and I didn't feel well. I felt achy and had a headache and felt a little bit nauseous. My husband brought me TYLENOL and I took 3 of those. I laid in bed all morning progressively getting worse. Around 12PM, I started vomiting every hour on the hour. After 15 minutes of vomiting, I felt the need to vomit again. My husband called the clinic to get me an IV, but they did not have an available appointment until the next morning at 10AM. I continued to vomit until 7:30PM. I took clonazepam, went to bed, and woke up the next morning and I was still nauseous and had diarrhea as well. I also felt like I couldn't breathe. It felt like someone was sitting on my chest and I just couldn't catch my breath. I also had really bad lower back pain. I went to the clinic and I let them know about all of the symptoms. They gave me an anti-inflammatory in the IV as well as vitamins and PHENERGAN. I was there for about an hour and I didn't feel that great. I continued to have a headache that day and even this morning. I still have a slight headache. I never had these symptoms with the 3 Pfizer vaccines I took previously before this vaccine.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: I woke up Thursday morning and I didn't feel well. I felt achy and had a headache and felt a little bit nauseous. My husband brought me TYLENOL and I took 3 of those. I laid in bed all morning progressively getting worse. Around 12PM, I started vomiting every hour on the hour. After 15 minutes of vomiting, I felt the need to vomit again. My husband called the clinic to get me an IV, but they did not have an available appointment until the next morning at 10AM. I continued to vomit until 7:30PM. I took clonazepam, went to bed, and woke up the next morning and I was still nauseous and had diarrhea as well. I also felt like I couldn't breathe. It felt like someone was sitting on my chest and I just couldn't catch my breath. I also had really bad lower back pain. I went to the clinic and I let them know about all of the symptoms. They gave me an anti-inflammatory in the IV as well as vitamins and PHENERGAN. I was there for about an hour and I didn't feel that great. I continued to have a headache that day and even this morning. I still have a slight headache. I never had these symptoms with the 3 Pfizer vaccines I took previously before this vaccine.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Diarrhoea, Headache, Pain, Palpitations
Clinical narrative: whole body ache , chest pain, palpitation, severe headache, persistent diarrhea 12 hour after COVID booster, then developed pinpoint itchy rash all over the body started 1 week later.   this COID vaccine is not safe and harming people.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: whole body ache , chest pain, palpitation, severe headache, persistent diarrhea 12 hour after COVID booster, then developed pinpoint itchy rash all over the body started 1 week later.   this COID vaccine is not safe and harming people.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough Covid infection, currently taking Paxlovid
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test, Vaccination failure
Clinical narrative: Breakthrough Covid infection, currently taking Paxlovid
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, COVID-19, Dehydration, Diarrhoea
Clinical narrative: Patient had 2 days of diarrhea, weakness and dizziness. Patient admitted with acute kidney injury, COVID-19, dehydration and diarrhea.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient had 2 days of diarrhea, weakness and dizziness. Patient admitted with acute kidney injury, COVID-19, dehydration and diarrhea.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was given an expired vaccine, patient did not report any side effects.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Anaemia, Asthenia, Balance disorder, COVID-19, Chest X-ray normal
Clinical narrative: Patient with 2 Moderna vaccinations who admitted with COVID detected test.  Provider d/c summary below:  "Patient is a 55 year old female with a history of anemia, anxiety, depression, DM type II, memory loss, DVT of RLE recently on Eliquis, and seizures who presents to the ED after a GLF. Patient reports her health has been deteriorating since April. She states she falls multiple times a week. Reports she is seeing a neurologist and was diagnosed with seizures a week ago. She was placed on Depakote and has had increased falling since. She reports she always remembers falling and reports unsteadiness on her feet. Today she reports she knew she was going to fall forward and landed in between her bed rail and mattress. She was uncertain if she fainted. States she had an episode of incontinence because she could no longer hold in hre urine. She does state she has urinary urgency and her urine has been more dark with a foul odor lately. Reports she has been confused off and on for months and ""not herself anymore."" Patients son has covid and was tested today. He is symptomatic with diarrhea. Patient reports no symptoms and states she is vaccinated but not boosted against the virus. Reports a dry cough that has been ongoing for months. Admits to diarrhea for months.  Denies ETOH use. Reports she is now down to a couple cigarettes daily. She denies chest pain, dyspnea, abdominal pain, sore throat, nasal congestion, lower extremity edema, or fever.             In the ED, patient was mildly hypotensive otherwise hemodynamically stable. She became hypoxic in the ED with a good waveform. Lab work revealed chronic leukopenia and anemia in which she follow with heme onc. Xray of right shoulder unremarkable. Chest xray unremarkable. CT cervical spine and CT head unremarkable. Valproic Acid sub therapeutic. Covid positive. She was given steroids. Patient was also given Ceftriaxone for presumed UTI. Due to patient having presumed breakthrough seizure, she was transferred to hospital for tele neurology consult. (HPI per NP)   Hospital Course: No notes on file Patient is a 55yr old female with a history of DM, Seizures who presented following a fall and was found to have COVID. She says she has been sick for about a year which was just complicated by covid. She was to be discharged on 07/11 but was too weak so rehab was considered. However rehab placement was a challenge due to covid status but she continued to improve and now feels strong enough to go home.   COVID infection - no respiratory symptom at this time, saturating well on room air. Improving clinically. PT initially recommended SNF, but she is now strong enough to go home. She was positive 7/5 so out of isolation today 7/15. On dexamethasone day#8. Plan is for discharge home today."
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Chromaturia, Computerised tomogram head normal, Computerised tomogram spine, Condition aggravated, Confusional state
Clinical narrative: Patient with 2 Moderna vaccinations who admitted with COVID detected test.  Provider d/c summary below:  "Patient is a 55 year old female with a history of anemia, anxiety, depression, DM type II, memory loss, DVT of RLE recently on Eliquis, and seizures who presents to the ED after a GLF. Patient reports her health has been deteriorating since April. She states she falls multiple times a week. Reports she is seeing a neurologist and was diagnosed with seizures a week ago. She was placed on Depakote and has had increased falling since. She reports she always remembers falling and reports unsteadiness on her feet. Today she reports she knew she was going to fall forward and landed in between her bed rail and mattress. She was uncertain if she fainted. States she had an episode of incontinence because she could no longer hold in hre urine. She does state she has urinary urgency and her urine has been more dark with a foul odor lately. Reports she has been confused off and on for months and ""not herself anymore."" Patients son has covid and was tested today. He is symptomatic with diarrhea. Patient reports no symptoms and states she is vaccinated but not boosted against the virus. Reports a dry cough that has been ongoing for months. Admits to diarrhea for months.  Denies ETOH use. Reports she is now down to a couple cigarettes daily. She denies chest pain, dyspnea, abdominal pain, sore throat, nasal congestion, lower extremity edema, or fever.             In the ED, patient was mildly hypotensive otherwise hemodynamically stable. She became hypoxic in the ED with a good waveform. Lab work revealed chronic leukopenia and anemia in which she follow with heme onc. Xray of right shoulder unremarkable. Chest xray unremarkable. CT cervical spine and CT head unremarkable. Valproic Acid sub therapeutic. Covid positive. She was given steroids. Patient was also given Ceftriaxone for presumed UTI. Due to patient having presumed breakthrough seizure, she was transferred to hospital for tele neurology consult. (HPI per NP)   Hospital Course: No notes on file Patient is a 55yr old female with a history of DM, Seizures who presented following a fall and was found to have COVID. She says she has been sick for about a year which was just complicated by covid. She was to be discharged on 07/11 but was too weak so rehab was considered. However rehab placement was a challenge due to covid status but she continued to improve and now feels strong enough to go home.   COVID infection - no respiratory symptom at this time, saturating well on room air. Improving clinically. PT initially recommended SNF, but she is now strong enough to go home. She was positive 7/5 so out of isolation today 7/15. On dexamethasone day#8. Plan is for discharge home today."
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Cough, Diarrhoea, Fall, Feeling abnormal, General physical health deterioration
Clinical narrative: Patient with 2 Moderna vaccinations who admitted with COVID detected test.  Provider d/c summary below:  "Patient is a 55 year old female with a history of anemia, anxiety, depression, DM type II, memory loss, DVT of RLE recently on Eliquis, and seizures who presents to the ED after a GLF. Patient reports her health has been deteriorating since April. She states she falls multiple times a week. Reports she is seeing a neurologist and was diagnosed with seizures a week ago. She was placed on Depakote and has had increased falling since. She reports she always remembers falling and reports unsteadiness on her feet. Today she reports she knew she was going to fall forward and landed in between her bed rail and mattress. She was uncertain if she fainted. States she had an episode of incontinence because she could no longer hold in hre urine. She does state she has urinary urgency and her urine has been more dark with a foul odor lately. Reports she has been confused off and on for months and ""not herself anymore."" Patients son has covid and was tested today. He is symptomatic with diarrhea. Patient reports no symptoms and states she is vaccinated but not boosted against the virus. Reports a dry cough that has been ongoing for months. Admits to diarrhea for months.  Denies ETOH use. Reports she is now down to a couple cigarettes daily. She denies chest pain, dyspnea, abdominal pain, sore throat, nasal congestion, lower extremity edema, or fever.             In the ED, patient was mildly hypotensive otherwise hemodynamically stable. She became hypoxic in the ED with a good waveform. Lab work revealed chronic leukopenia and anemia in which she follow with heme onc. Xray of right shoulder unremarkable. Chest xray unremarkable. CT cervical spine and CT head unremarkable. Valproic Acid sub therapeutic. Covid positive. She was given steroids. Patient was also given Ceftriaxone for presumed UTI. Due to patient having presumed breakthrough seizure, she was transferred to hospital for tele neurology consult. (HPI per NP)   Hospital Course: No notes on file Patient is a 55yr old female with a history of DM, Seizures who presented following a fall and was found to have COVID. She says she has been sick for about a year which was just complicated by covid. She was to be discharged on 07/11 but was too weak so rehab was considered. However rehab placement was a challenge due to covid status but she continued to improve and now feels strong enough to go home.   COVID infection - no respiratory symptom at this time, saturating well on room air. Improving clinically. PT initially recommended SNF, but she is now strong enough to go home. She was positive 7/5 so out of isolation today 7/15. On dexamethasone day#8. Plan is for discharge home today."
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Hypotension, Hypoxia, Laboratory test abnormal, Leukopenia, Malaise
Clinical narrative: Patient with 2 Moderna vaccinations who admitted with COVID detected test.  Provider d/c summary below:  "Patient is a 55 year old female with a history of anemia, anxiety, depression, DM type II, memory loss, DVT of RLE recently on Eliquis, and seizures who presents to the ED after a GLF. Patient reports her health has been deteriorating since April. She states she falls multiple times a week. Reports she is seeing a neurologist and was diagnosed with seizures a week ago. She was placed on Depakote and has had increased falling since. She reports she always remembers falling and reports unsteadiness on her feet. Today she reports she knew she was going to fall forward and landed in between her bed rail and mattress. She was uncertain if she fainted. States she had an episode of incontinence because she could no longer hold in hre urine. She does state she has urinary urgency and her urine has been more dark with a foul odor lately. Reports she has been confused off and on for months and ""not herself anymore."" Patients son has covid and was tested today. He is symptomatic with diarrhea. Patient reports no symptoms and states she is vaccinated but not boosted against the virus. Reports a dry cough that has been ongoing for months. Admits to diarrhea for months.  Denies ETOH use. Reports she is now down to a couple cigarettes daily. She denies chest pain, dyspnea, abdominal pain, sore throat, nasal congestion, lower extremity edema, or fever.             In the ED, patient was mildly hypotensive otherwise hemodynamically stable. She became hypoxic in the ED with a good waveform. Lab work revealed chronic leukopenia and anemia in which she follow with heme onc. Xray of right shoulder unremarkable. Chest xray unremarkable. CT cervical spine and CT head unremarkable. Valproic Acid sub therapeutic. Covid positive. She was given steroids. Patient was also given Ceftriaxone for presumed UTI. Due to patient having presumed breakthrough seizure, she was transferred to hospital for tele neurology consult. (HPI per NP)   Hospital Course: No notes on file Patient is a 55yr old female with a history of DM, Seizures who presented following a fall and was found to have COVID. She says she has been sick for about a year which was just complicated by covid. She was to be discharged on 07/11 but was too weak so rehab was considered. However rehab placement was a challenge due to covid status but she continued to improve and now feels strong enough to go home.   COVID infection - no respiratory symptom at this time, saturating well on room air. Improving clinically. PT initially recommended SNF, but she is now strong enough to go home. She was positive 7/5 so out of isolation today 7/15. On dexamethasone day#8. Plan is for discharge home today."