chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Palpitations, Swelling face
Clinical narrative: 14:59 - RN responded to waiting lot.  Pt c/o sensation of facial swelling and heart racing.  Denied other complaints.  At 1500 BP 110/80, HR 140, R 12.  1503: Pt helt HR slowing down.  No further feeling of swelling in face, throat, or elsewhere.  1505: HR 128.  1510: Pt talking, breathing without difficulty.  Advised to seek medical attention if s/sx worsen.    3/5/21 @ 1040: Another RN followed up with ph call.  Pt reported that after leaving site, she felt HR beginning to speed up.  Went to ED and was monitored x 2 hrs.  Systolic pressure there was 161.  HR was in 140's.  No interventions.  After 2 hrs VS stabilized and pt was discharged home.  Is fine today.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Left at room temperature for >6 hours.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling cold, Palpitations
Clinical narrative: Heart palpitations, very cold feeling, chills. Wore full winter clothing in my house and while sleeping with blankets and a space heater
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Ammonia increased, Confusional state, Fall, Hepatic encephalopathy, Muscular weakness
Clinical narrative: Patient presented to ED with altered mental status and leg weakness at home causing fall. Ammonia 89, being treated with lactulose for hepatic encephalopathy. Patient currently admitted.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Colitis ulcerative, Condition aggravated, Tremor
Clinical narrative: Shaking, upset stomach, ulcerative colitis flare
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: red rash, about 2 inches circular at injection site started about 10 days after injection.  almost gone after 5 days.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Gestational hypertension, Liver function test normal, Urine analysis normal
Clinical narrative: I was in for my standard prenatal check-up on the 24th of February and had an elevated blood pressure. I received instructions to monitor with a cuff at home. February 26 - I had elevated Blood pressure and they sent me to Medical Center Labor/Delivery unit to take tests and monitored me. My blood pressure has remained elevated - it's been about 135/85 - - so I am scheduled to be induced - Monday, March 8 2021. Gestational hypertension was the diagnosis.  Due date is March 29, 2021 and This is my third pregnancy. I have one other living child and one pregnancy ended in miscarriage.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Hyperhidrosis
Clinical narrative: Incident began 9:22am. Patient reports he was anxious. RN  observed patient was diaphoretic and directed to treatment area. VS: BP 118/86, HR 62 O2 98 on room air, and RR 20. Patient alert and verbal. Lungs sounds clear, Heart sounds within normal limits. Patient reports no past medical history, no known allergies, and states he has not eaten breakfast. Patient reports feeling better. Vital signs rechecked 9:32am BP 112/82, HR 70, RR 20, O2 sat 97% on room air. Patient observed for additional 15 minutes. Patient verbalized feeling better and feels ok. Education on adverse effects and signs and symptoms  provided by RN. Patient states understanding. Patient escorted to car at 9:45am with RN.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site induration, Injection site mass, Pain
Clinical narrative: 9 days after first dose.....bright red @ injection site; large hard lump below skin; skin was very warm; very sore; had a slight headache starting 4-5 days before any visible signs.  A telemedicine call to my general physician was placed the day after noticing and was immediately placed on an antibiotic  (Amoxicillin-CLAV 875-125MG TAB  2xday).  After 72 hrs. a positive effect was beginning to be noticed.  After 10 days, all but some soreness was gone.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm
Clinical narrative: 9 days after first dose.....bright red @ injection site; large hard lump below skin; skin was very warm; very sore; had a slight headache starting 4-5 days before any visible signs.  A telemedicine call to my general physician was placed the day after noticing and was immediately placed on an antibiotic  (Amoxicillin-CLAV 875-125MG TAB  2xday).  After 72 hrs. a positive effect was beginning to be noticed.  After 10 days, all but some soreness was gone.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Left at room temperature for >6hours
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Breast discharge, Chills, Hot flush, Injection site pain, Lymphadenopathy
Clinical narrative: I experienced fever, body chills, pain at the injection site. I also had a swollen lymph node under my armpit.  I also experienced hot flashes, chills which lasted for one week. I had discharge from my breasts and a diagnostic mammogram and bilateral  ultrasound of the breasts were performed, these exams were negative. My doctor thinks this symptom was from the vaccine.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Mammogram normal, Pyrexia, Ultrasound breast normal
Clinical narrative: I experienced fever, body chills, pain at the injection site. I also had a swollen lymph node under my armpit.  I also experienced hot flashes, chills which lasted for one week. I had discharge from my breasts and a diagnostic mammogram and bilateral  ultrasound of the breasts were performed, these exams were negative. My doctor thinks this symptom was from the vaccine.
Age: 23.0
Sex: M
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Student had gotten a flu vaccine on 11/03/20. He came to the campus flu clinic on 1/27/21 and received another flu vaccine, his first dose being unbeknownst to the flu clinic staff.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient came in to receive 2nd dose of moderna.  We no longer have moderna 2nd doses.  Pfizer dose given.  Patient made aware.  No complaints.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Eyelid disorder, Facial paralysis, Feeling hot, Headache, Hypoaesthesia
Clinical narrative: The entire left side of my body immediately felt mildly heavy and affected, but it was so minimal I thought it could be in my head. Throughout the evening after my shot I felt a bit of contracting of leg muscles and neck/shoulder muscles on the left side of my body. The left side of my face felt noticeably warmer than the right. This was all very mild, but just noticeable. In the middle of the night, I woke up with extreme night sweats but only on the left side of my body. The next morning (today) the left side of my face is still warmer but it feels droopy and bloated and slightly "Numbish". My left eyelid feels heavy. My left cheeks feel swollen and puffy and my left gums and lips feel slightly numb. I also have a very mild headache only on the left side. This is disturbing, while it is not debilitating or painful, it is strange and makes me think I should not get the next shot. Even as I type this, my left hand feels very fatigued. I don't know who to call or talk to about this. I do not have a health care provider.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia oral, Limb discomfort, Muscle contracture, Night sweats, Swelling face
Clinical narrative: The entire left side of my body immediately felt mildly heavy and affected, but it was so minimal I thought it could be in my head. Throughout the evening after my shot I felt a bit of contracting of leg muscles and neck/shoulder muscles on the left side of my body. The left side of my face felt noticeably warmer than the right. This was all very mild, but just noticeable. In the middle of the night, I woke up with extreme night sweats but only on the left side of my body. The next morning (today) the left side of my face is still warmer but it feels droopy and bloated and slightly "Numbish". My left eyelid feels heavy. My left cheeks feel swollen and puffy and my left gums and lips feel slightly numb. I also have a very mild headache only on the left side. This is disturbing, while it is not debilitating or painful, it is strange and makes me think I should not get the next shot. Even as I type this, my left hand feels very fatigued. I don't know who to call or talk to about this. I do not have a health care provider.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling of body temperature change, Headache, Hypoaesthesia, Myalgia, Night sweats
Clinical narrative: The entire left side of my body immediately felt mildly heavy and affected, but it was so minimal I thought it could be in my head. Throughout the evening after my shot I felt a bit of contracting of leg muscles and neck/shoulder muscles on the left side of my body. The left side of my face felt noticeably warmer than the right. This was all very mild, but just noticeable. In the middle of the night, I woke up with extreme night sweats but only on the left side of my body. The next morning (today) the left side of my face is still warmer but it feels droopy and bloated and slightly "Numbish". My left eyelid feels heavy. My left cheeks feel swollen and puffy and my left gums and lips feel slightly numb. I also have a very mild headache only on the left side. This is disturbing, while it is not debilitating or painful, it is strange and makes me think I should not get the next shot. Even as I type this, my left hand feels very fatigued. I don't know who to call or talk to about this. I do not have a health care provider.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pyrexia, Sensitive skin, Swelling face
Clinical narrative: The entire left side of my body immediately felt mildly heavy and affected, but it was so minimal I thought it could be in my head. Throughout the evening after my shot I felt a bit of contracting of leg muscles and neck/shoulder muscles on the left side of my body. The left side of my face felt noticeably warmer than the right. This was all very mild, but just noticeable. In the middle of the night, I woke up with extreme night sweats but only on the left side of my body. The next morning (today) the left side of my face is still warmer but it feels droopy and bloated and slightly "Numbish". My left eyelid feels heavy. My left cheeks feel swollen and puffy and my left gums and lips feel slightly numb. I also have a very mild headache only on the left side. This is disturbing, while it is not debilitating or painful, it is strange and makes me think I should not get the next shot. Even as I type this, my left hand feels very fatigued. I don't know who to call or talk to about this. I do not have a health care provider.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Herpes zoster, Pain, Rash
Clinical narrative: pt stated that she developed a rash on the left torso and back which turned into blisters.  She had a virtual appt on 2/18/2021.  Pt was diagnosed w/ Shingles.  She was prescribed Valacyclovir.  Pt is to take the 7 day RX along w/ Tylenol or Advil for pain.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Client verbalized feeling lightheadedness.  Evaluated by Fire Rescue.  Patient was released to go home after symptoms were resolved at 10:58 am.
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension
Clinical narrative: HYPERTENSION PATIENT TAKING METOPROLO 100mg 12 HRS - MODERNA APPARENTLY RENDERED  METOPROLO TOTALLY INEFFECTIVE BY BP READINGS FOR NOW 40 HRS AND CONTINUES.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered had been at room temperature for > 6 hours.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Pain, Pyrexia
Clinical narrative: developed a rash, that was hot to the touch and itchy and its covering the entire arm. I have fever of 100.9, body aches, chills, fatigue, vomiting, diarrhea. arm rash is horrible.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic, Skin warm, Vomiting
Clinical narrative: developed a rash, that was hot to the touch and itchy and its covering the entire arm. I have fever of 100.9, body aches, chills, fatigue, vomiting, diarrhea. arm rash is horrible.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, C-reactive protein increased, Condition aggravated
Clinical narrative: Patient had generalized weakness event, similar to MS exacerbation.  It lasted approximately 24 hours, rapid recovery after overnight admission to the hospital.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine left at room temperature for >6 hours.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Rash on back of neck...entire scalp and torso became very itchy.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: COVID rush on injected  arm  a circular red rush on  skin  itchy injection site
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: I experienced right shoulder pain the day after the injection.  On a scale of 1 to 10 the pain was a 4, the next day the pain was gone and I had no other systems.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine left at room temperature for >6 hours
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Ear discomfort, Fatigue, Headache, Nausea
Clinical narrative: ON 2/28/2021- HEADACHE, NAUSEA , FEVER, FATIGUE AND CHILLS- LASTING UNTIL 3/2/2021. ON 3/2/2021AND 3/3/2021- SINUS HEADACHE , EYE AND EAR PRESSURE BEGAN.  ON 3/4/2021 WOKE WITH SYMETRICAL RASH TO ARMS, HIPS, UPPER LEGS AND BUTTOCKS. NOT ITCHY UNTIL EVENING OF 3/4/2021.  RASH BECAME BLOTCHY, RAISED "HIVE-LIKE" PROMPTING TO SEEK MEDICAL ATTENTION AT URGENT CARE.  THEY PRESCRIBED- BENADRYL AND CALAMINE LOTION.  STATES NO RELEIF AS OF TODAY.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Ocular discomfort, Pruritus, Pyrexia, Rash, Rash macular
Clinical narrative: ON 2/28/2021- HEADACHE, NAUSEA , FEVER, FATIGUE AND CHILLS- LASTING UNTIL 3/2/2021. ON 3/2/2021AND 3/3/2021- SINUS HEADACHE , EYE AND EAR PRESSURE BEGAN.  ON 3/4/2021 WOKE WITH SYMETRICAL RASH TO ARMS, HIPS, UPPER LEGS AND BUTTOCKS. NOT ITCHY UNTIL EVENING OF 3/4/2021.  RASH BECAME BLOTCHY, RAISED "HIVE-LIKE" PROMPTING TO SEEK MEDICAL ATTENTION AT URGENT CARE.  THEY PRESCRIBED- BENADRYL AND CALAMINE LOTION.  STATES NO RELEIF AS OF TODAY.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Rash papular, Sinus headache, Urticaria
Clinical narrative: ON 2/28/2021- HEADACHE, NAUSEA , FEVER, FATIGUE AND CHILLS- LASTING UNTIL 3/2/2021. ON 3/2/2021AND 3/3/2021- SINUS HEADACHE , EYE AND EAR PRESSURE BEGAN.  ON 3/4/2021 WOKE WITH SYMETRICAL RASH TO ARMS, HIPS, UPPER LEGS AND BUTTOCKS. NOT ITCHY UNTIL EVENING OF 3/4/2021.  RASH BECAME BLOTCHY, RAISED "HIVE-LIKE" PROMPTING TO SEEK MEDICAL ATTENTION AT URGENT CARE.  THEY PRESCRIBED- BENADRYL AND CALAMINE LOTION.  STATES NO RELEIF AS OF TODAY.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure acute, Cardiac failure congestive, Condition aggravated, Dyspnoea
Clinical narrative: Patient presented to ED for on/off SOB the past few days. Required O2 60% FiO2. Acute on chronic CHF exacerbation. Treated with Lasix. Patient is currently improved and planned discharge.
Age: 51.0
Sex: U
Vaccine: COVID19
Symptoms: Blood pressure increased, Diplopia, Dizziness, Dysgeusia, Headache
Clinical narrative: I got a severe headache, was seeing double, everything tasted like metal, couldn't stop throwing up, elevated blood pressure.  I went to the ER on 2-28-21 and they gave me pain medicine, medicine to stop throwing up, and fluids through IV.  On 3-5-21 I went to my primary care doctor because I still felt dizzy.  Blood pressure 166 so she gave me blood pressure medicine.
Age: 51.0
Sex: U
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: I got a severe headache, was seeing double, everything tasted like metal, couldn't stop throwing up, elevated blood pressure.  I went to the ER on 2-28-21 and they gave me pain medicine, medicine to stop throwing up, and fluids through IV.  On 3-5-21 I went to my primary care doctor because I still felt dizzy.  Blood pressure 166 so she gave me blood pressure medicine.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine left at room temperature for >6 hours
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient waited 15 mins after covid vaccination on Wednesday 3/3, cleared by EMT to leave.  I was notified by nurse at the senior building where patient resides that she had expired Thursday evening at   home.  Paramedics were called.  No other additional information.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine left at room temperature for >6 hours.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Have picture of  approx. 4? diameter swelling, redness and Hot around injection site.  In spite of cold compress swelling, redness, and heat remained unchanged throughout 3rd day.    Now, 4th day,  redness, swelling and heat are subsiding.  No other physical symptoms.  Is it safe to get 2nd vaccine shot?
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Vaccination site pain
Clinical narrative: Dizziness,sore vaccination site
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis
Clinical narrative: Pt. states that he feels "flushed" @0956. He denies any health Hx. Pt is visibly sweating. VS: BP 162/80, HR 65, SpO2 97%. Pt. stated that he started to feel better @ 10:01am.  Pt. is D/C @ 10:10am.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Loss of consciousness, Nausea, Pallor
Clinical narrative: Patient was given vaccine and then sent to observation area for 15 minute observation. Patient appeared pale and diaphoretic when she got to the observation area and then suffered a syncopal episode. She was unconscious for several seconds. She did not hit her head or have any trauma. Patient complained of nausea, and dizziness when she regained consciousness. Patient appeared pale and diaphoretic. Patient then developed hives over her abdomen, upper torso, and upper arms. Patient never complained of difficulty breathing but was constantly pulling at the neck of her sweater.  Pt was a Type I diabetic and had a BG reading of 262. She was given 0.3 mL of epinephrine with an immediate positive response. Transported to local hospital emergency room.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Urticaria
Clinical narrative: Patient was given vaccine and then sent to observation area for 15 minute observation. Patient appeared pale and diaphoretic when she got to the observation area and then suffered a syncopal episode. She was unconscious for several seconds. She did not hit her head or have any trauma. Patient complained of nausea, and dizziness when she regained consciousness. Patient appeared pale and diaphoretic. Patient then developed hives over her abdomen, upper torso, and upper arms. Patient never complained of difficulty breathing but was constantly pulling at the neck of her sweater.  Pt was a Type I diabetic and had a BG reading of 262. She was given 0.3 mL of epinephrine with an immediate positive response. Transported to local hospital emergency room.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Heart rate increased, Hypoaesthesia, Hypoaesthesia oral, Paraesthesia
Clinical narrative: Numbness in face and lips. Some tingling.  Rapid heartbeat.  Normal breathing
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Heart rate increased, Hypoaesthesia, Hypoaesthesia oral, Lip swelling, Swelling face
Clinical narrative: Numbness in face and lips. Some tingling.  Rapid heartbeat.  Normal breathing
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Therapeutic response unexpected
Clinical narrative: Numbness in face and lips. Some tingling.  Rapid heartbeat.  Normal breathing
Age: 22.0
Sex: M
Vaccine: FLU4, TDAP
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Student had gotten a flu vaccine on 12/03/20. He came to the campus flu clinic on 1/27/21 and received another flu vaccine, his first dose being unbeknownst to the flu clinic staff.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hyperhidrosis, Pyrexia
Clinical narrative: chills, fever, sweats, tiredness
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Blood test, Cold sweat, Feeling abnormal, Headache
Clinical narrative: 2.5 hours after injection I started feeling weird, clammy cold sweats, nauseous and it felt like my eyes were bulging or like an intense pressure behind my eyes, blurry eyesight, extreme headache.  I have not ever had any issues with my blood pressure only my diabetes.  It had recently been slightly elevated but controlled mostly. I knew it was high and it suddenly just came on even after not eating at that time. I proceeded to flush with alot of water and some walking to bring it down. I wasn't exactly sure of how high it got because I don't normally have to bring my tester to work with me. However as soon as I got home I tested it and even after heavy flushing and exercise my glucose level was down to 500. It has never been that high ever. I continued to flush and monitor and not eating due to nausea and headache I was taken to the hospital. At that time my glucose reading was at 400. I was given 10 units of novolog as well as 1 full bag of fluid thru an IV.  And before I was discharged it had come down to 192.  I have only had to have insulin 1 time since 2008-9. Since then my sugar is refusing to come down below 250. My vision is still not clear and I am now attempting to keep it down with 15 units of a fast acting insulin multiple times a day. I will also be starting metformin again as of tomorrow morning to also help bring it down to a more healthy level due to the possibility of another life altering stroke.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Ocular discomfort, Urine analysis, Vision blurred
Clinical narrative: 2.5 hours after injection I started feeling weird, clammy cold sweats, nauseous and it felt like my eyes were bulging or like an intense pressure behind my eyes, blurry eyesight, extreme headache.  I have not ever had any issues with my blood pressure only my diabetes.  It had recently been slightly elevated but controlled mostly. I knew it was high and it suddenly just came on even after not eating at that time. I proceeded to flush with alot of water and some walking to bring it down. I wasn't exactly sure of how high it got because I don't normally have to bring my tester to work with me. However as soon as I got home I tested it and even after heavy flushing and exercise my glucose level was down to 500. It has never been that high ever. I continued to flush and monitor and not eating due to nausea and headache I was taken to the hospital. At that time my glucose reading was at 400. I was given 10 units of novolog as well as 1 full bag of fluid thru an IV.  And before I was discharged it had come down to 192.  I have only had to have insulin 1 time since 2008-9. Since then my sugar is refusing to come down below 250. My vision is still not clear and I am now attempting to keep it down with 15 units of a fast acting insulin multiple times a day. I will also be starting metformin again as of tomorrow morning to also help bring it down to a more healthy level due to the possibility of another life altering stroke.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Patient presented to ED for nonintractable headache. was not admitted. Per EAU, hospitalizations are to be reported irrespective of attribution to the vaccine.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Influenza virus test negative, Malaise, Pneumonia, SARS-CoV-2 test negative
Clinical narrative: Patient became acutely ill on 1/15/21 with recurrent pneumonia, treated with Augmentin. Pt became progressively worse on the next 48-72 hours, treatment goals changed to palliative-focused, and all treatments withdrawn. Patient died on 1/22/21.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: After my second vaccine on  2/26/2021 , Friday, on Feb 28th my lymph nodes under my left arm  were extremely swollen and sore. My left underarm remained swollen quite noticeably for 3 days and sore for a total of 5 days.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Headache, Vomiting
Clinical narrative: About 6 hrs after injection, I developed headache and then projectile vomiting. No appetite, still have a somewhat poor appetite.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness postural, Fall, Muscular weakness, Vertigo
Clinical narrative: Not sure if this was a reaction to vaccine or not?  3/4/2021 when I woke up to get out of bed, upon standing, I got a severe feeling of dizziness or vertigo that resulted in my legs giving out and me falling down.  I didn't get hurt but it felt like I almost passed out.  I fell backwards against a wall and slid down. I did not report this to my doctor previously listed.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Eyelid oedema, Periorbital swelling, Pruritus, Rash papular
Clinical narrative: Significant swelling of eyelids and surrounding tissue around eyes, reddening of skin over most of body with raised skin and purities.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: SOB, Elevated vitals. Evaluated by EMS-Transported to emergency room/department or urgent care.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Nausea, Pain, Pyrexia
Clinical narrative: Chills, Fever, Nausea, Vomiting, Body Aches, Fatigue
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Chills, Fever, Nausea, Vomiting, Body Aches, Fatigue
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Local reaction
Clinical narrative: Local reaction of erythema at injection site on L arm.  Denies pain at site.  Denies fever.  Erythema present x 2 weeks.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Raised, warm, red bullseye ring around injection site, on your right upper arm.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pyrexia
Clinical narrative: FEVER, HEADACHE
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysgeusia, Headache, Malaise, Nausea
Clinical narrative: Progress Notes (Nurse Practitioner)    Pt called to follow up s/p covid-19 vaccine done on 02/24/21. She reports she took a nap yesterday after getting home and felt better afterwards. Today she feels well.  Denies any other questions or concerns. She is appreciative of the phone call.   Progress Notes at 2/28/2021  7:34 AM Expand AllCollapse All    VACCINE CLINIC  2/24/2021     Subjective Patient is a 41 y.o. female who was seen at SVH COVID Vaccine Clinic today for her first  dose of the COVID 19 vaccination.    She was given the Pfizer vaccination in the right deltoid muscle.   During her 15 minute waiting period after the injection, the patient began to experience lightheadedness, headache, nausea, tingling lips and a metallic taste in her mouth.  She denied rash, difficulty breathing, difficulty swallowing, throat tightness, facial swelling and lip swelling. She does mention having a history of anxiety and did take her duloxetine and Wellbutrin today. Denies use of her Ativan recently.    This provider was notified of patient reaction and she was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including but not limited to rapid progression of symptoms, respiratory distress, tongue swelling and vomiting.     ALLERGY REVIEW OF SYSTEMS:  Patient complains of dizziness and headaches   Patient denies chills, facial swelling, chest tightness, shortness of breath and wheezing    +nausea and metallic taste in mouth:     Previous Reactions: Denies    Objective    Vitals Vitals:   02/24/21 1427 02/24/21 1434 BP: 126/70 112/68 Pulse: 81 80 SpO2: 99% 96%      Physical Exam Constitutional:      Appearance: Normal appearance.  HENT:     Head: Normocephalic and atraumatic.     Mouth/Throat:     Mouth: Mucous membranes are moist.     Pharynx: Oropharynx is clear. No posterior oropharyngeal erythema.     Comments: No swelling or lips or tongue.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.  Pulmonary:     Effort: Pulmonary effort is normal. No respiratory distress.     Breath sounds: Normal breath sounds. No wheezing or rales.  Skin:    General: Skin is warm and dry.  Neurological:     General: No focal deficit present.     Mental Status: She is alert and oriented to person, place, and time.        Assessment/Plan  Treatment included: Tylenol and water Follow up response to treatment: good. She noted some lightheadedness prior to discharge but other symptoms were improved. I walked patient around the bay area and she was feeling okay. Her vitals were stable. Pt was escorted out of the facility.  Patient discharge: Stable to go home and follow up with PCP.    Electronically Signed 2/24/2021 2:43 PM
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: Progress Notes (Nurse Practitioner)    Pt called to follow up s/p covid-19 vaccine done on 02/24/21. She reports she took a nap yesterday after getting home and felt better afterwards. Today she feels well.  Denies any other questions or concerns. She is appreciative of the phone call.   Progress Notes at 2/28/2021  7:34 AM Expand AllCollapse All    VACCINE CLINIC  2/24/2021     Subjective Patient is a 41 y.o. female who was seen at SVH COVID Vaccine Clinic today for her first  dose of the COVID 19 vaccination.    She was given the Pfizer vaccination in the right deltoid muscle.   During her 15 minute waiting period after the injection, the patient began to experience lightheadedness, headache, nausea, tingling lips and a metallic taste in her mouth.  She denied rash, difficulty breathing, difficulty swallowing, throat tightness, facial swelling and lip swelling. She does mention having a history of anxiety and did take her duloxetine and Wellbutrin today. Denies use of her Ativan recently.    This provider was notified of patient reaction and she was then assessed in the emergency bay area.   Monitored patient for severe reaction symptoms, including but not limited to rapid progression of symptoms, respiratory distress, tongue swelling and vomiting.     ALLERGY REVIEW OF SYSTEMS:  Patient complains of dizziness and headaches   Patient denies chills, facial swelling, chest tightness, shortness of breath and wheezing    +nausea and metallic taste in mouth:     Previous Reactions: Denies    Objective    Vitals Vitals:   02/24/21 1427 02/24/21 1434 BP: 126/70 112/68 Pulse: 81 80 SpO2: 99% 96%      Physical Exam Constitutional:      Appearance: Normal appearance.  HENT:     Head: Normocephalic and atraumatic.     Mouth/Throat:     Mouth: Mucous membranes are moist.     Pharynx: Oropharynx is clear. No posterior oropharyngeal erythema.     Comments: No swelling or lips or tongue.  Cardiovascular:     Rate and Rhythm: Normal rate and regular rhythm.  Pulmonary:     Effort: Pulmonary effort is normal. No respiratory distress.     Breath sounds: Normal breath sounds. No wheezing or rales.  Skin:    General: Skin is warm and dry.  Neurological:     General: No focal deficit present.     Mental Status: She is alert and oriented to person, place, and time.        Assessment/Plan  Treatment included: Tylenol and water Follow up response to treatment: good. She noted some lightheadedness prior to discharge but other symptoms were improved. I walked patient around the bay area and she was feeling okay. Her vitals were stable. Pt was escorted out of the facility.  Patient discharge: Stable to go home and follow up with PCP.    Electronically Signed 2/24/2021 2:43 PM
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Client verbalized feeling sudden headache after receiving the vaccine.  Client was evaluated.   Mrs./Ms. was released to go home at 10:51 am after symptoms subsided accompanied by niece.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysgeusia, Headache, Muscular weakness
Clinical narrative: PT STATED SHE HAS A HEADACHE AND FEELS DIZZY. SHE HAS A METALLIC TASTE IN HER MOUTH. PT ALSO C/O LEG WEAKNESS.  BP 108/66 HR 79 O2 98%  REPEAT BP 112/68 HR 70 O2 97%
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Oral herpes, Tinnitus
Clinical narrative: Within hours I had cold sores covering my lips. 72 hours later, I realized that I had developed tinnitus. The injection site took more than 35 days to heal.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blindness, Magnetic resonance imaging
Clinical narrative: VISION DEFICITS IN RIGHT EYE, SUDDEN ONSET
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Optic neuritis
Clinical narrative: VISION DEFICITS IN RIGHT EYE, SUDDEN ONSET
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Apnoea, Asthenia, Body temperature increased, COVID-19, Cough
Clinical narrative: 1/21/2021 During Covid 19 outbreak on the unit, resident contracted the virus.  1/21 MD updated on increased weakness, twitching, fatigue noted today. 2 rapid covid-19 tests done today, both negative. new orders cbc with diff, BMP, d. dimer stat and swab for covid and Influenza. 1/21-Covid and Influenza swab results received. PCR-Influenza negative, covid-19 positive.  Palliative care updated. 1/21-Labs drawn cbc, BMP, d. dimer Results WNL. Temp 101.2 and Occ dry cough. 1/22 Palliative MD and APRN visited. Family preference for no hospitalizations, no IV's and do not intubate. DNR. Admitted to Hospice services on 1/25. 1/21-1/29. Symptomatic with lethergy, occ cough, off and on temp and began refusing meals and meds at times. 1/31 periods of apnea. 2/1 precautions ended for Covid 19. Continued with Hospice care and with ongoing refusal of meals, condition declining and comfort maintained. Meds slowly discontinued. Expired at facility on 2/18/2021.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Diet refusal, Exposure to SARS-CoV-2, Fatigue, Fibrin D dimer normal
Clinical narrative: 1/21/2021 During Covid 19 outbreak on the unit, resident contracted the virus.  1/21 MD updated on increased weakness, twitching, fatigue noted today. 2 rapid covid-19 tests done today, both negative. new orders cbc with diff, BMP, d. dimer stat and swab for covid and Influenza. 1/21-Covid and Influenza swab results received. PCR-Influenza negative, covid-19 positive.  Palliative care updated. 1/21-Labs drawn cbc, BMP, d. dimer Results WNL. Temp 101.2 and Occ dry cough. 1/22 Palliative MD and APRN visited. Family preference for no hospitalizations, no IV's and do not intubate. DNR. Admitted to Hospice services on 1/25. 1/21-1/29. Symptomatic with lethergy, occ cough, off and on temp and began refusing meals and meds at times. 1/31 periods of apnea. 2/1 precautions ended for Covid 19. Continued with Hospice care and with ongoing refusal of meals, condition declining and comfort maintained. Meds slowly discontinued. Expired at facility on 2/18/2021.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, General physical health deterioration, Influenza virus test negative, Lethargy, Metabolic function test normal
Clinical narrative: 1/21/2021 During Covid 19 outbreak on the unit, resident contracted the virus.  1/21 MD updated on increased weakness, twitching, fatigue noted today. 2 rapid covid-19 tests done today, both negative. new orders cbc with diff, BMP, d. dimer stat and swab for covid and Influenza. 1/21-Covid and Influenza swab results received. PCR-Influenza negative, covid-19 positive.  Palliative care updated. 1/21-Labs drawn cbc, BMP, d. dimer Results WNL. Temp 101.2 and Occ dry cough. 1/22 Palliative MD and APRN visited. Family preference for no hospitalizations, no IV's and do not intubate. DNR. Admitted to Hospice services on 1/25. 1/21-1/29. Symptomatic with lethergy, occ cough, off and on temp and began refusing meals and meds at times. 1/31 periods of apnea. 2/1 precautions ended for Covid 19. Continued with Hospice care and with ongoing refusal of meals, condition declining and comfort maintained. Meds slowly discontinued. Expired at facility on 2/18/2021.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: 1/21/2021 During Covid 19 outbreak on the unit, resident contracted the virus.  1/21 MD updated on increased weakness, twitching, fatigue noted today. 2 rapid covid-19 tests done today, both negative. new orders cbc with diff, BMP, d. dimer stat and swab for covid and Influenza. 1/21-Covid and Influenza swab results received. PCR-Influenza negative, covid-19 positive.  Palliative care updated. 1/21-Labs drawn cbc, BMP, d. dimer Results WNL. Temp 101.2 and Occ dry cough. 1/22 Palliative MD and APRN visited. Family preference for no hospitalizations, no IV's and do not intubate. DNR. Admitted to Hospice services on 1/25. 1/21-1/29. Symptomatic with lethergy, occ cough, off and on temp and began refusing meals and meds at times. 1/31 periods of apnea. 2/1 precautions ended for Covid 19. Continued with Hospice care and with ongoing refusal of meals, condition declining and comfort maintained. Meds slowly discontinued. Expired at facility on 2/18/2021.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cold sweat, Feeling hot, Palpitations
Clinical narrative: Clammy hands, warm wave rushed over my body, felt very hot, racing heart, tightness in my chest-lasted approx 15-20 minutes
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Cardiac arrest, Coma scale normal, Diarrhoea, Endotracheal intubation
Clinical narrative: Patient is a 53 year old man with a past medical history of follicular lymphoma diagnosed in 2008, more recently with DLBCL with CNS involvement (involving hypothalamus; dx 8/2018; s/p HD MTX, s/p BMT- followed by Dr.), autoimmune hepatitis, obesity, adipic DI, central hypothyroidism and type 2 DM who presented to Hospital via EMS after a  fall at home with multisystem organ failure leading to intubation in the ED and subsequent transfer to Oncology ICU for further management.   He was in his usual state if health until Sunday. On Saturday he got COVID vaccine at 4pm, that evening he had no issues. Sunday night around 10pm he didn't make complete sense and his wife was concerned because of his history of DM and treated CNS lymphoma. BG was 320-340 at that time. Monday he was good and Monday night he started to have shaking of his left hand. Tuesday he had one episode of diarrhea. Later he was more shaky in the shower and he started to fall and his wife was unable to grab him and he slid down the wall and could not get up.  Family was called to help and he was not making sense so they called EMS.  Wife reports that he was down approximately 3 hours before EMS was able to get him up. In EMS he was noted to have a large area of skin desquamation from the right posterior knee to the ankle. His GCS was 15. He had stable blood pressure and heart rate. He was hypoxia to the 50s and oxygen was applied.   In the ED he was found to be in multisystem organ failure and was intubated and had rapid progression of shock requiring  Epinephrine, Levophed and Vasopressin. Crash lines were placed and he was sent to hospital.  Upon arrival he was noted to have a cold pulseless right lower extremity and surgery was called. He was evaluated by Trauma Surgery, Orthopedic surgery and Vascular surgery and eventually underwent above the knee amputation. Unfortunately they were not able to remove all nonviable tissue and he continued to deteriorate. He was taken level 1 back to the OR and an additional 10 cm of nonviable tissue was removed. Unfortunately upon arrive he suffered cardiac arrest in the setting of severe lactic acidosis and hyperkalemia.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, General physical health deterioration, Hyperkalaemia, Hypoxia, Incoherent
Clinical narrative: Patient is a 53 year old man with a past medical history of follicular lymphoma diagnosed in 2008, more recently with DLBCL with CNS involvement (involving hypothalamus; dx 8/2018; s/p HD MTX, s/p BMT- followed by Dr.), autoimmune hepatitis, obesity, adipic DI, central hypothyroidism and type 2 DM who presented to Hospital via EMS after a  fall at home with multisystem organ failure leading to intubation in the ED and subsequent transfer to Oncology ICU for further management.   He was in his usual state if health until Sunday. On Saturday he got COVID vaccine at 4pm, that evening he had no issues. Sunday night around 10pm he didn't make complete sense and his wife was concerned because of his history of DM and treated CNS lymphoma. BG was 320-340 at that time. Monday he was good and Monday night he started to have shaking of his left hand. Tuesday he had one episode of diarrhea. Later he was more shaky in the shower and he started to fall and his wife was unable to grab him and he slid down the wall and could not get up.  Family was called to help and he was not making sense so they called EMS.  Wife reports that he was down approximately 3 hours before EMS was able to get him up. In EMS he was noted to have a large area of skin desquamation from the right posterior knee to the ankle. His GCS was 15. He had stable blood pressure and heart rate. He was hypoxia to the 50s and oxygen was applied.   In the ED he was found to be in multisystem organ failure and was intubated and had rapid progression of shock requiring  Epinephrine, Levophed and Vasopressin. Crash lines were placed and he was sent to hospital.  Upon arrival he was noted to have a cold pulseless right lower extremity and surgery was called. He was evaluated by Trauma Surgery, Orthopedic surgery and Vascular surgery and eventually underwent above the knee amputation. Unfortunately they were not able to remove all nonviable tissue and he continued to deteriorate. He was taken level 1 back to the OR and an additional 10 cm of nonviable tissue was removed. Unfortunately upon arrive he suffered cardiac arrest in the setting of severe lactic acidosis and hyperkalemia.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Lactic acidosis, Leg amputation, Multiple organ dysfunction syndrome, Peripheral coldness
Clinical narrative: Patient is a 53 year old man with a past medical history of follicular lymphoma diagnosed in 2008, more recently with DLBCL with CNS involvement (involving hypothalamus; dx 8/2018; s/p HD MTX, s/p BMT- followed by Dr.), autoimmune hepatitis, obesity, adipic DI, central hypothyroidism and type 2 DM who presented to Hospital via EMS after a  fall at home with multisystem organ failure leading to intubation in the ED and subsequent transfer to Oncology ICU for further management.   He was in his usual state if health until Sunday. On Saturday he got COVID vaccine at 4pm, that evening he had no issues. Sunday night around 10pm he didn't make complete sense and his wife was concerned because of his history of DM and treated CNS lymphoma. BG was 320-340 at that time. Monday he was good and Monday night he started to have shaking of his left hand. Tuesday he had one episode of diarrhea. Later he was more shaky in the shower and he started to fall and his wife was unable to grab him and he slid down the wall and could not get up.  Family was called to help and he was not making sense so they called EMS.  Wife reports that he was down approximately 3 hours before EMS was able to get him up. In EMS he was noted to have a large area of skin desquamation from the right posterior knee to the ankle. His GCS was 15. He had stable blood pressure and heart rate. He was hypoxia to the 50s and oxygen was applied.   In the ED he was found to be in multisystem organ failure and was intubated and had rapid progression of shock requiring  Epinephrine, Levophed and Vasopressin. Crash lines were placed and he was sent to hospital.  Upon arrival he was noted to have a cold pulseless right lower extremity and surgery was called. He was evaluated by Trauma Surgery, Orthopedic surgery and Vascular surgery and eventually underwent above the knee amputation. Unfortunately they were not able to remove all nonviable tissue and he continued to deteriorate. He was taken level 1 back to the OR and an additional 10 cm of nonviable tissue was removed. Unfortunately upon arrive he suffered cardiac arrest in the setting of severe lactic acidosis and hyperkalemia.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Pulse absent, Shock, Skin exfoliation, Surgery, Tremor
Clinical narrative: Patient is a 53 year old man with a past medical history of follicular lymphoma diagnosed in 2008, more recently with DLBCL with CNS involvement (involving hypothalamus; dx 8/2018; s/p HD MTX, s/p BMT- followed by Dr.), autoimmune hepatitis, obesity, adipic DI, central hypothyroidism and type 2 DM who presented to Hospital via EMS after a  fall at home with multisystem organ failure leading to intubation in the ED and subsequent transfer to Oncology ICU for further management.   He was in his usual state if health until Sunday. On Saturday he got COVID vaccine at 4pm, that evening he had no issues. Sunday night around 10pm he didn't make complete sense and his wife was concerned because of his history of DM and treated CNS lymphoma. BG was 320-340 at that time. Monday he was good and Monday night he started to have shaking of his left hand. Tuesday he had one episode of diarrhea. Later he was more shaky in the shower and he started to fall and his wife was unable to grab him and he slid down the wall and could not get up.  Family was called to help and he was not making sense so they called EMS.  Wife reports that he was down approximately 3 hours before EMS was able to get him up. In EMS he was noted to have a large area of skin desquamation from the right posterior knee to the ankle. His GCS was 15. He had stable blood pressure and heart rate. He was hypoxia to the 50s and oxygen was applied.   In the ED he was found to be in multisystem organ failure and was intubated and had rapid progression of shock requiring  Epinephrine, Levophed and Vasopressin. Crash lines were placed and he was sent to hospital.  Upon arrival he was noted to have a cold pulseless right lower extremity and surgery was called. He was evaluated by Trauma Surgery, Orthopedic surgery and Vascular surgery and eventually underwent above the knee amputation. Unfortunately they were not able to remove all nonviable tissue and he continued to deteriorate. He was taken level 1 back to the OR and an additional 10 cm of nonviable tissue was removed. Unfortunately upon arrive he suffered cardiac arrest in the setting of severe lactic acidosis and hyperkalemia.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Dysphagia, Oropharyngeal discomfort, Paraesthesia oral, Pharyngeal swelling
Clinical narrative: At the end of the 15 minute observation time, the patient stated she felt like her throat was closing and that she was having a difficult time swallowing. Her O2 sat was 98%, HR 61, lungs CTA, right side of neck and jawline had mild swelling. She was given 50 mg of liquid Benadryl and 911 called. She continued to complain of back of tongue tingling. O2 sats remained at 98%. She started to say she was feeling better just before EMS arrived and departed with the patient. Patient spoke Spanish and was interpreted by her car passenger, a medical interpreter was not used as this was an emergency.  ED note indicates she had an anaphylactic reaction after 2nd Moderna vaccine. Epinephrine had been given approximately an hour after first complaining of symptoms. ED note says she initially had rash and throat swelling but now is feeling well and tolerating PO. She was counseled on Epi Pen and discharged same day.