chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Convalescent plasma transfusion, Coronavirus infection, Cough, Dizziness, Enterovirus test negative
Clinical narrative: ED to Hosp-Admission Current  5/8/2021 - present (12 days)   Treatment team Sepsis due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (CMS/HCC) Principal problem    Date: 5/8/2021 PCP:  DC Hospitalist: MD     Assessments     Chief Complaint Patient presents with o Dizziness o Cough     Principal Problem:   Acute respiratory failure (CMS/HCC) Active Problems:   COVID-19       Plan     #Acute hypoxic respiratory failure requiring 50 L of oxygen support to maintain his oxygen saturations, patient came in with a saturations of 58% on room air.  This is secondary to Covid pneumonia             -Patient will be started on convalescent plasma, remdesivir and dexamethasone.             -Reviewed entire plan of care with with him his interpreter at bedside and patient gave consent to receive convalescent plasma.             -We will obtain acute inflammatory markers.             -I will also obtain a CT scan of chest to rule out pulmonary embolism given severe hypoxia.             -Anticipate hospitalization for 5 days given severe acute hypoxic respiratory failure requiring high flow oxygen.   #Acute anion gap metabolic acidosis secondary to lactic acidosis secondary to Covid pneumonia resulting in severe hypoxic respiratory failure.             -Check procalcitonin to see if patient is developing secondary bacterial infection.             -If procalcitonin is elevated will start patient on antibiotics as well.             -Use guaifenesin for mucolytic purposes.             -Recheck lactic acid with the current management.   #Mild hyponatremia:             -Secondary to pulmonary infection with a Covid pneumonia.             -No acute intervention needed, will continue to monitor.   #GERD:             -Continue PPI.   Critical care time today is 38 minutes.     Patient was educated regarding prone positioning and will prescribe a cough medication gave given intractable cough as well.   # VTE Prophylaxis: heparin   Full Code   Diet:  Active Orders No diet order for this patient
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Gastrooesophageal reflux disease, Human metapneumovirus test, Human rhinovirus test, Hyponatraemia, Influenza A virus test negative
Clinical narrative: ED to Hosp-Admission Current  5/8/2021 - present (12 days)   Treatment team Sepsis due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (CMS/HCC) Principal problem    Date: 5/8/2021 PCP:  DC Hospitalist: MD     Assessments     Chief Complaint Patient presents with o Dizziness o Cough     Principal Problem:   Acute respiratory failure (CMS/HCC) Active Problems:   COVID-19       Plan     #Acute hypoxic respiratory failure requiring 50 L of oxygen support to maintain his oxygen saturations, patient came in with a saturations of 58% on room air.  This is secondary to Covid pneumonia             -Patient will be started on convalescent plasma, remdesivir and dexamethasone.             -Reviewed entire plan of care with with him his interpreter at bedside and patient gave consent to receive convalescent plasma.             -We will obtain acute inflammatory markers.             -I will also obtain a CT scan of chest to rule out pulmonary embolism given severe hypoxia.             -Anticipate hospitalization for 5 days given severe acute hypoxic respiratory failure requiring high flow oxygen.   #Acute anion gap metabolic acidosis secondary to lactic acidosis secondary to Covid pneumonia resulting in severe hypoxic respiratory failure.             -Check procalcitonin to see if patient is developing secondary bacterial infection.             -If procalcitonin is elevated will start patient on antibiotics as well.             -Use guaifenesin for mucolytic purposes.             -Recheck lactic acid with the current management.   #Mild hyponatremia:             -Secondary to pulmonary infection with a Covid pneumonia.             -No acute intervention needed, will continue to monitor.   #GERD:             -Continue PPI.   Critical care time today is 38 minutes.     Patient was educated regarding prone positioning and will prescribe a cough medication gave given intractable cough as well.   # VTE Prophylaxis: heparin   Full Code   Diet:  Active Orders No diet order for this patient
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Influenza B virus test, Lactic acidosis, Metabolic acidosis, Mycoplasma test negative, Oxygen saturation decreased
Clinical narrative: ED to Hosp-Admission Current  5/8/2021 - present (12 days)   Treatment team Sepsis due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (CMS/HCC) Principal problem    Date: 5/8/2021 PCP:  DC Hospitalist: MD     Assessments     Chief Complaint Patient presents with o Dizziness o Cough     Principal Problem:   Acute respiratory failure (CMS/HCC) Active Problems:   COVID-19       Plan     #Acute hypoxic respiratory failure requiring 50 L of oxygen support to maintain his oxygen saturations, patient came in with a saturations of 58% on room air.  This is secondary to Covid pneumonia             -Patient will be started on convalescent plasma, remdesivir and dexamethasone.             -Reviewed entire plan of care with with him his interpreter at bedside and patient gave consent to receive convalescent plasma.             -We will obtain acute inflammatory markers.             -I will also obtain a CT scan of chest to rule out pulmonary embolism given severe hypoxia.             -Anticipate hospitalization for 5 days given severe acute hypoxic respiratory failure requiring high flow oxygen.   #Acute anion gap metabolic acidosis secondary to lactic acidosis secondary to Covid pneumonia resulting in severe hypoxic respiratory failure.             -Check procalcitonin to see if patient is developing secondary bacterial infection.             -If procalcitonin is elevated will start patient on antibiotics as well.             -Use guaifenesin for mucolytic purposes.             -Recheck lactic acid with the current management.   #Mild hyponatremia:             -Secondary to pulmonary infection with a Covid pneumonia.             -No acute intervention needed, will continue to monitor.   #GERD:             -Continue PPI.   Critical care time today is 38 minutes.     Patient was educated regarding prone positioning and will prescribe a cough medication gave given intractable cough as well.   # VTE Prophylaxis: heparin   Full Code   Diet:  Active Orders No diet order for this patient
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory syncytial virus test negative, Respiratory viral panel, SARS-CoV-2 test positive, Sepsis, Severe acute respiratory syndrome
Clinical narrative: ED to Hosp-Admission Current  5/8/2021 - present (12 days)   Treatment team Sepsis due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (CMS/HCC) Principal problem    Date: 5/8/2021 PCP:  DC Hospitalist: MD     Assessments     Chief Complaint Patient presents with o Dizziness o Cough     Principal Problem:   Acute respiratory failure (CMS/HCC) Active Problems:   COVID-19       Plan     #Acute hypoxic respiratory failure requiring 50 L of oxygen support to maintain his oxygen saturations, patient came in with a saturations of 58% on room air.  This is secondary to Covid pneumonia             -Patient will be started on convalescent plasma, remdesivir and dexamethasone.             -Reviewed entire plan of care with with him his interpreter at bedside and patient gave consent to receive convalescent plasma.             -We will obtain acute inflammatory markers.             -I will also obtain a CT scan of chest to rule out pulmonary embolism given severe hypoxia.             -Anticipate hospitalization for 5 days given severe acute hypoxic respiratory failure requiring high flow oxygen.   #Acute anion gap metabolic acidosis secondary to lactic acidosis secondary to Covid pneumonia resulting in severe hypoxic respiratory failure.             -Check procalcitonin to see if patient is developing secondary bacterial infection.             -If procalcitonin is elevated will start patient on antibiotics as well.             -Use guaifenesin for mucolytic purposes.             -Recheck lactic acid with the current management.   #Mild hyponatremia:             -Secondary to pulmonary infection with a Covid pneumonia.             -No acute intervention needed, will continue to monitor.   #GERD:             -Continue PPI.   Critical care time today is 38 minutes.     Patient was educated regarding prone positioning and will prescribe a cough medication gave given intractable cough as well.   # VTE Prophylaxis: heparin   Full Code   Diet:  Active Orders No diet order for this patient
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Decreased appetite, Dependence on respirator, Dyspnoea
Clinical narrative: ED to Hosp-Admission Current  5/8/2021 - present (12 days)   Treatment team Sepsis due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (CMS/HCC) Principal problem    Date: 5/8/2021 PCP:  DC Hospitalist: MD     Assessments     Chief Complaint Patient presents with o Dizziness o Cough     Principal Problem:   Acute respiratory failure (CMS/HCC) Active Problems:   COVID-19       Plan     #Acute hypoxic respiratory failure requiring 50 L of oxygen support to maintain his oxygen saturations, patient came in with a saturations of 58% on room air.  This is secondary to Covid pneumonia             -Patient will be started on convalescent plasma, remdesivir and dexamethasone.             -Reviewed entire plan of care with with him his interpreter at bedside and patient gave consent to receive convalescent plasma.             -We will obtain acute inflammatory markers.             -I will also obtain a CT scan of chest to rule out pulmonary embolism given severe hypoxia.             -Anticipate hospitalization for 5 days given severe acute hypoxic respiratory failure requiring high flow oxygen.   #Acute anion gap metabolic acidosis secondary to lactic acidosis secondary to Covid pneumonia resulting in severe hypoxic respiratory failure.             -Check procalcitonin to see if patient is developing secondary bacterial infection.             -If procalcitonin is elevated will start patient on antibiotics as well.             -Use guaifenesin for mucolytic purposes.             -Recheck lactic acid with the current management.   #Mild hyponatremia:             -Secondary to pulmonary infection with a Covid pneumonia.             -No acute intervention needed, will continue to monitor.   #GERD:             -Continue PPI.   Critical care time today is 38 minutes.     Patient was educated regarding prone positioning and will prescribe a cough medication gave given intractable cough as well.   # VTE Prophylaxis: heparin   Full Code   Diet:  Active Orders No diet order for this patient
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Endotracheal intubation, Fatigue, Hypoxia, Intensive care, Lung assist device therapy
Clinical narrative: ED to Hosp-Admission Current  5/8/2021 - present (12 days)   Treatment team Sepsis due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (CMS/HCC) Principal problem    Date: 5/8/2021 PCP:  DC Hospitalist: MD     Assessments     Chief Complaint Patient presents with o Dizziness o Cough     Principal Problem:   Acute respiratory failure (CMS/HCC) Active Problems:   COVID-19       Plan     #Acute hypoxic respiratory failure requiring 50 L of oxygen support to maintain his oxygen saturations, patient came in with a saturations of 58% on room air.  This is secondary to Covid pneumonia             -Patient will be started on convalescent plasma, remdesivir and dexamethasone.             -Reviewed entire plan of care with with him his interpreter at bedside and patient gave consent to receive convalescent plasma.             -We will obtain acute inflammatory markers.             -I will also obtain a CT scan of chest to rule out pulmonary embolism given severe hypoxia.             -Anticipate hospitalization for 5 days given severe acute hypoxic respiratory failure requiring high flow oxygen.   #Acute anion gap metabolic acidosis secondary to lactic acidosis secondary to Covid pneumonia resulting in severe hypoxic respiratory failure.             -Check procalcitonin to see if patient is developing secondary bacterial infection.             -If procalcitonin is elevated will start patient on antibiotics as well.             -Use guaifenesin for mucolytic purposes.             -Recheck lactic acid with the current management.   #Mild hyponatremia:             -Secondary to pulmonary infection with a Covid pneumonia.             -No acute intervention needed, will continue to monitor.   #GERD:             -Continue PPI.   Critical care time today is 38 minutes.     Patient was educated regarding prone positioning and will prescribe a cough medication gave given intractable cough as well.   # VTE Prophylaxis: heparin   Full Code   Diet:  Active Orders No diet order for this patient
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Malaise, SARS-CoV-2 test positive
Clinical narrative: ED to Hosp-Admission Current  5/8/2021 - present (12 days)   Treatment team Sepsis due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (CMS/HCC) Principal problem    Date: 5/8/2021 PCP:  DC Hospitalist: MD     Assessments     Chief Complaint Patient presents with o Dizziness o Cough     Principal Problem:   Acute respiratory failure (CMS/HCC) Active Problems:   COVID-19       Plan     #Acute hypoxic respiratory failure requiring 50 L of oxygen support to maintain his oxygen saturations, patient came in with a saturations of 58% on room air.  This is secondary to Covid pneumonia             -Patient will be started on convalescent plasma, remdesivir and dexamethasone.             -Reviewed entire plan of care with with him his interpreter at bedside and patient gave consent to receive convalescent plasma.             -We will obtain acute inflammatory markers.             -I will also obtain a CT scan of chest to rule out pulmonary embolism given severe hypoxia.             -Anticipate hospitalization for 5 days given severe acute hypoxic respiratory failure requiring high flow oxygen.   #Acute anion gap metabolic acidosis secondary to lactic acidosis secondary to Covid pneumonia resulting in severe hypoxic respiratory failure.             -Check procalcitonin to see if patient is developing secondary bacterial infection.             -If procalcitonin is elevated will start patient on antibiotics as well.             -Use guaifenesin for mucolytic purposes.             -Recheck lactic acid with the current management.   #Mild hyponatremia:             -Secondary to pulmonary infection with a Covid pneumonia.             -No acute intervention needed, will continue to monitor.   #GERD:             -Continue PPI.   Critical care time today is 38 minutes.     Patient was educated regarding prone positioning and will prescribe a cough medication gave given intractable cough as well.   # VTE Prophylaxis: heparin   Full Code   Diet:  Active Orders No diet order for this patient
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Head discomfort, Laboratory test normal, Magnetic resonance imaging normal, Tinnitus
Clinical narrative: I experienced ringing in my left ear , non stop since the J&J vaccine about 5 minutes. I also have ringing in my right ear also have had a pressure headache since the moment of vaccine.  I seen doctors, had ears cleaned, hearing tests, have seen an ENT specialist and also have had an MRI. MRI was to make sure there was no tumors in my ears, my results were negative. Lab work done for blood clots which were also negative.  Today I still continue to experience these symptoms.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Generalised tonic-clonic seizure
Clinical narrative: Grand mal seizure
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Lethargy, Tinnitus
Clinical narrative: 2 weeks after 1st dose, aches; dizziness; weakness; lethargy; tinnitus on overtime.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Limb discomfort, Thrombosis
Clinical narrative: had redness and tightening of the legs, went to ER, found very small blood clot in right calf. Gave rx blood thinner eloquis along with current plavix and asa
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Palpitations
Clinical narrative: Noticed heart palpitations approximately 24-36 hours after first Moderna vaccine.  Symptoms have been persistent since 4/1.  I decided to let it play out to see if they would subside in a few days/weeks.  The palpitations did not, so I went to see my PCP, who noticed the abnormality.  We did an electrocardiogram and I was referred to a cardiologist.   Had an initial consultation with cardiologist,  Echocardiogram, and a follow up here in the next few days.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Movement disorder, Pain in extremity
Clinical narrative: Pain in upper arm the day after and has not subsided after two weeks. Shoulder not frozen but very sore and arm movement much more limited than it was. Pain progressively getting worse instead of better. Have used stretching, painkillers and liniment to treat condition. Relief only temporary.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Hyperhidrosis
Clinical narrative: headache fatigue Difficulty thinking cold chills causing shivering and chattering teeth Feeling of arthritic joints Sweating
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Thinking abnormal
Clinical narrative: headache fatigue Difficulty thinking cold chills causing shivering and chattering teeth Feeling of arthritic joints Sweating
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy, Tenderness
Clinical narrative: I developed at least two swollen lymph nodes in my armpit area in the same arm as where I got the shot. It was painful if I pressed on the area and tender if left alone. It lasted for 4 days and then the nodes shrunk and the pain subsided. I did not do any special treatment.
Age: 15.0
Sex: M
Vaccine: COVID19, HPV9, COVID19
Symptoms: C-reactive protein increased, Chest pain, Chills, Electrocardiogram ST segment abnormal, Electrocardiogram abnormal
Clinical narrative: Recevied vaccine on 5/14 around 6 pm. Started noticing chest pain, chills and fatigue on 5/15 around 6 pm. Evaluated by ED on 5/17 subsuquently admitted to PICU with intermittent chest pain and elevated troponin in the setting of recent Covid vaccination as well as a history of WPW status post ablation with recent onset of intermittent tachycardia. EKG demonstrates nonspecific ST segment changes and has elevated troponin which likey points to myocarditis as a diagnosis. Continues with elevated troponin level, no medication intervention at this time, no longer having chest pain
Age: 15.0
Sex: M
Vaccine: COVID19, HPV9, COVID19
Symptoms: Fatigue, Intensive care, Myocarditis, Respiratory viral panel, SARS-CoV-2 antibody test positive
Clinical narrative: Recevied vaccine on 5/14 around 6 pm. Started noticing chest pain, chills and fatigue on 5/15 around 6 pm. Evaluated by ED on 5/17 subsuquently admitted to PICU with intermittent chest pain and elevated troponin in the setting of recent Covid vaccination as well as a history of WPW status post ablation with recent onset of intermittent tachycardia. EKG demonstrates nonspecific ST segment changes and has elevated troponin which likey points to myocarditis as a diagnosis. Continues with elevated troponin level, no medication intervention at this time, no longer having chest pain
Age: 15.0
Sex: M
Vaccine: COVID19, HPV9, COVID19
Symptoms: SARS-CoV-2 test negative, Tachycardia, Troponin increased
Clinical narrative: Recevied vaccine on 5/14 around 6 pm. Started noticing chest pain, chills and fatigue on 5/15 around 6 pm. Evaluated by ED on 5/17 subsuquently admitted to PICU with intermittent chest pain and elevated troponin in the setting of recent Covid vaccination as well as a history of WPW status post ablation with recent onset of intermittent tachycardia. EKG demonstrates nonspecific ST segment changes and has elevated troponin which likey points to myocarditis as a diagnosis. Continues with elevated troponin level, no medication intervention at this time, no longer having chest pain
Age: 15.0
Sex: M
Vaccine: COVID19, HPV9, COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Recevied vaccine on 5/14 around 6 pm. Started noticing chest pain, chills and fatigue on 5/15 around 6 pm. Evaluated by ED on 5/17 subsuquently admitted to PICU with intermittent chest pain and elevated troponin in the setting of recent Covid vaccination as well as a history of WPW status post ablation with recent onset of intermittent tachycardia. EKG demonstrates nonspecific ST segment changes and has elevated troponin which likey points to myocarditis as a diagnosis. Continues with elevated troponin level, no medication intervention at this time, no longer having chest pain
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Constipation, Dizziness, Dyspepsia, Nausea, Vomiting
Clinical narrative: Nausea followed by vomiting , light headed, digestive issues and constipation.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient presented for his second covid-19 vaccine dose. Pt believed he had received Moderna for first dose. Pt did not have vaccine card on his person. DOB given by patient and DOB in EMR did not match which led to initial confusion and failed to reveal that patient's first dose had been Pfizer. Once date of birth was corrected and it was determined first dose was Pfizer, patient had already received the Moderna dose.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: A 17-year old minor came to receive his 2nd Moderna vaccine on 5/17/2021. While validating patient's information & demographics with the mom, we came to realize we were provided with the wrong DOB, by the father, when administering the 1st dose, making him 2 years older, & eventually eligible to receive MODERNA.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Ultrasound scan
Clinical narrative: Deep vein Thrombosis in right leg
Age: 43.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Asthenia, Blood glucose normal, Blood pressure increased, Blood pressure measurement, Dizziness
Clinical narrative: Received vaccines at 11 am. At 11:20am complained of nausea,light headed and feeling hot. Patient reports took Lisinopril this AM. 11:23am B/P 140/100.  Gave Sprite. Complained of feeling weak and faint.  Place on floor,on back with feet in air. Places O2 at 4L per mask. Called Dr. Complained of throat feeling tight, EPI pen given in right thigh at 11:25am. Called EMS. Ambulance arrived at 11:30, B/P 150/100. Ambulance personnel checked Blood Sugar 88. Left on stretcher with ambulance at 11:35am. Patient was talking and able to give phone number of family member to call. Pt. did not leave with ambulance.
Age: 43.0
Sex: M
Vaccine: HEP, VARCEL
Symptoms: Feeling hot, Nausea, Throat tightness
Clinical narrative: Received vaccines at 11 am. At 11:20am complained of nausea,light headed and feeling hot. Patient reports took Lisinopril this AM. 11:23am B/P 140/100.  Gave Sprite. Complained of feeling weak and faint.  Place on floor,on back with feet in air. Places O2 at 4L per mask. Called Dr. Complained of throat feeling tight, EPI pen given in right thigh at 11:25am. Called EMS. Ambulance arrived at 11:30, B/P 150/100. Ambulance personnel checked Blood Sugar 88. Left on stretcher with ambulance at 11:35am. Patient was talking and able to give phone number of family member to call. Pt. did not leave with ambulance.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction, Malaise, Nausea, Vomiting
Clinical narrative: The patient received his first dose of the COVID vaccine.  The father states as they were walking out, the pt complained or "not feeling well".  He describes this as feeling of dizziness and nauseaous.  The father asked is he could come back to an urgent care room to lay down which is where he had a n episode of emesis.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Poor milk ejection reflex
Clinical narrative: Milk supply decreased
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Injection site pain, Rash
Clinical narrative: Last Friday I started feeling a burning sensation on the lateral side of my right breast, the opposite side of my injection site. The next day I had what looked like a mosquito bite on the right side of my back, in the next couple of days it spread along my back all the way to the side of my breast and into my sternum all on the right side of my body. The rash now small blisters are painful and itchy.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral
Clinical narrative: Waited 30 minutes after injection, was fine. Almost immediately after I left I started feeling numbness around my lips. Within minutes my gums started feeling numb. Then my whole face felt numb. Not extreme - Not like Novocain at the dentist, but definitely strong enough to cause concern. I was on the fence about calling a doctor, but it seemed to level off. My face and lips remained numb for a couple of hours. Gums were not too bad. It didn?t completely go away until well into the evening.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Tachycardia
Clinical narrative: Chest pain and tachycardia (100-130 bpm at resting) with periodic palpitations beginning at 6am the day after injection (14Apr2021) and lasting for 2 days.  One dose (25mg) of my PRN medication metoprolol on 14Apr2021 produced no improvement in symptoms.  Short-term improvement (but not full resolution) in chest pain and tachycardia for several hours noted on 15Apr2021 after taking 3 chewable low dose aspirin but full resolution was not until 16Apr2021 .   Blood pressure simultaneously elevated at 150/92 at resting on 14Apr2021 and fully resolved to normal 120/75 on 15Apr2021.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: Missed my period for March and April. This is now May and I am having 2 periods.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: Pt is a 65 yo male with ESRD secondary to nephrolithiasis s/p kidney transplant with subsequent transplant failure due to BK viremia who presents to this institution on 4/11 for possible kidney transplant. He has been on HD with AVF for the last 2.5 years. No longer taking immunosuppression therapy as of 12/2020. He undergoes routine inpatient COVID-19 testing while admitted. Rapid testing comes back positive, whereas PCR testing comes back negative. Unclear if rapid test was false positive. Pt is s/p full Pfizer vaccination: first dose on 2/26 and second dose on 3/19.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Cervical radiculopathy, Feeling cold, Flushing, Hypoaesthesia, Inflammation
Clinical narrative: Continuing peripheral neuropathy. On 4/21 I received my first dose of the Moderna vaccine in my right arm and within two minutes had a vasovagal reaction?tingling in my underarm, flush feeling face and stiffness and tingling in my upper lips.  That mostly subsided within 30 minutes as the dull arm pain set in.  Over the next 7 days my arm pain intensified some and moved up my shoulder and down my triceps and into my elbow. 4/28 I awoke with numbness and tingling in my pointer and middle finger of my shot (right) arm in addition to the arm pain and neck and shoulder muscle tightness. 5/8 Arm pain and finger numbness still present, I did some yard work that exacerbated the arm pain, and at this point it was the first day I recognized the pain as a specific intense nerve pain from my shoulder, down my triceps, across my forearm and into my pointer and middle fingers. From this point on the nerve pain and finger numbness/tingling persisted and included intermittent cold forearm/fingers. 5/11 Met with my primary physician who diagnosed me with cervical radiculopathy (C7). Prescribed physical therapy, prednisone and flexeril. 5/12 Had a massage w/aroma therapy, cryotherapy, and cupping. Provided some relaxation, but no change in nerve pain or symptoms. 5/14 First day of PT; neck and arms stretches, neck traction and nerve glides 5/17 Completed Medrol dose pack, steroids seemingly had no effect. Flexeril at night helped relax neck and shoulder muscles a bit. 5/20 (Today) Still have numbness and tingling in my pointer and middle fingers with specific nerve pain down my triceps, elbow, across forearm and into my two fingers that intensifies with activity and at night.  Intermittent cold sensation in right hand, underarm inflammation and tenderness, and general weakness of right hand and arm.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Lymph node pain, Muscle tightness, Muscular weakness, Musculoskeletal stiffness, Neuralgia
Clinical narrative: Continuing peripheral neuropathy. On 4/21 I received my first dose of the Moderna vaccine in my right arm and within two minutes had a vasovagal reaction?tingling in my underarm, flush feeling face and stiffness and tingling in my upper lips.  That mostly subsided within 30 minutes as the dull arm pain set in.  Over the next 7 days my arm pain intensified some and moved up my shoulder and down my triceps and into my elbow. 4/28 I awoke with numbness and tingling in my pointer and middle finger of my shot (right) arm in addition to the arm pain and neck and shoulder muscle tightness. 5/8 Arm pain and finger numbness still present, I did some yard work that exacerbated the arm pain, and at this point it was the first day I recognized the pain as a specific intense nerve pain from my shoulder, down my triceps, across my forearm and into my pointer and middle fingers. From this point on the nerve pain and finger numbness/tingling persisted and included intermittent cold forearm/fingers. 5/11 Met with my primary physician who diagnosed me with cervical radiculopathy (C7). Prescribed physical therapy, prednisone and flexeril. 5/12 Had a massage w/aroma therapy, cryotherapy, and cupping. Provided some relaxation, but no change in nerve pain or symptoms. 5/14 First day of PT; neck and arms stretches, neck traction and nerve glides 5/17 Completed Medrol dose pack, steroids seemingly had no effect. Flexeril at night helped relax neck and shoulder muscles a bit. 5/20 (Today) Still have numbness and tingling in my pointer and middle fingers with specific nerve pain down my triceps, elbow, across forearm and into my two fingers that intensifies with activity and at night.  Intermittent cold sensation in right hand, underarm inflammation and tenderness, and general weakness of right hand and arm.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Pain in extremity, Paraesthesia, Paraesthesia oral, Peripheral coldness
Clinical narrative: Continuing peripheral neuropathy. On 4/21 I received my first dose of the Moderna vaccine in my right arm and within two minutes had a vasovagal reaction?tingling in my underarm, flush feeling face and stiffness and tingling in my upper lips.  That mostly subsided within 30 minutes as the dull arm pain set in.  Over the next 7 days my arm pain intensified some and moved up my shoulder and down my triceps and into my elbow. 4/28 I awoke with numbness and tingling in my pointer and middle finger of my shot (right) arm in addition to the arm pain and neck and shoulder muscle tightness. 5/8 Arm pain and finger numbness still present, I did some yard work that exacerbated the arm pain, and at this point it was the first day I recognized the pain as a specific intense nerve pain from my shoulder, down my triceps, across my forearm and into my pointer and middle fingers. From this point on the nerve pain and finger numbness/tingling persisted and included intermittent cold forearm/fingers. 5/11 Met with my primary physician who diagnosed me with cervical radiculopathy (C7). Prescribed physical therapy, prednisone and flexeril. 5/12 Had a massage w/aroma therapy, cryotherapy, and cupping. Provided some relaxation, but no change in nerve pain or symptoms. 5/14 First day of PT; neck and arms stretches, neck traction and nerve glides 5/17 Completed Medrol dose pack, steroids seemingly had no effect. Flexeril at night helped relax neck and shoulder muscles a bit. 5/20 (Today) Still have numbness and tingling in my pointer and middle fingers with specific nerve pain down my triceps, elbow, across forearm and into my two fingers that intensifies with activity and at night.  Intermittent cold sensation in right hand, underarm inflammation and tenderness, and general weakness of right hand and arm.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Physical examination, Presyncope
Clinical narrative: Continuing peripheral neuropathy. On 4/21 I received my first dose of the Moderna vaccine in my right arm and within two minutes had a vasovagal reaction?tingling in my underarm, flush feeling face and stiffness and tingling in my upper lips.  That mostly subsided within 30 minutes as the dull arm pain set in.  Over the next 7 days my arm pain intensified some and moved up my shoulder and down my triceps and into my elbow. 4/28 I awoke with numbness and tingling in my pointer and middle finger of my shot (right) arm in addition to the arm pain and neck and shoulder muscle tightness. 5/8 Arm pain and finger numbness still present, I did some yard work that exacerbated the arm pain, and at this point it was the first day I recognized the pain as a specific intense nerve pain from my shoulder, down my triceps, across my forearm and into my pointer and middle fingers. From this point on the nerve pain and finger numbness/tingling persisted and included intermittent cold forearm/fingers. 5/11 Met with my primary physician who diagnosed me with cervical radiculopathy (C7). Prescribed physical therapy, prednisone and flexeril. 5/12 Had a massage w/aroma therapy, cryotherapy, and cupping. Provided some relaxation, but no change in nerve pain or symptoms. 5/14 First day of PT; neck and arms stretches, neck traction and nerve glides 5/17 Completed Medrol dose pack, steroids seemingly had no effect. Flexeril at night helped relax neck and shoulder muscles a bit. 5/20 (Today) Still have numbness and tingling in my pointer and middle fingers with specific nerve pain down my triceps, elbow, across forearm and into my two fingers that intensifies with activity and at night.  Intermittent cold sensation in right hand, underarm inflammation and tenderness, and general weakness of right hand and arm.
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Aphasia, Asymptomatic COVID-19, Confusional state, Magnetic resonance imaging head normal, Neurological symptom
Clinical narrative: Pt is 94 yo male with PMH of afib not on anticoagulation, BPH, OA on chronic opioids, and depression. He presented to this institution on 4/19 with aphasia and confusion, concern for stroke. MRI showed no signs of stroke and at discharge 5 days later he was back to baseline. Pt underwent standard inpatient COVID-19 testing: rapid test was positive on 4/19, then PCR test was negative on 4/20. Patient is s/p Pfizer vaccine with his first dose on 1/20 and second dose on 2/10. He was asymptomatic, with no hypoxia and did not starts steroids nor remdesivir. Team decided that presentation is most consistent with false positive, but per ID and epidemiology, pt must remain in isolation for 10 days as a precaution.
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test false positive, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: Pt is 94 yo male with PMH of afib not on anticoagulation, BPH, OA on chronic opioids, and depression. He presented to this institution on 4/19 with aphasia and confusion, concern for stroke. MRI showed no signs of stroke and at discharge 5 days later he was back to baseline. Pt underwent standard inpatient COVID-19 testing: rapid test was positive on 4/19, then PCR test was negative on 4/20. Patient is s/p Pfizer vaccine with his first dose on 1/20 and second dose on 2/10. He was asymptomatic, with no hypoxia and did not starts steroids nor remdesivir. Team decided that presentation is most consistent with false positive, but per ID and epidemiology, pt must remain in isolation for 10 days as a precaution.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Herpes zoster, Rash
Clinical narrative: On 5/16, 2.5 days after receiving #2 Moderna vaccine on 5/13, I experienced a reoccurence of Shingles with a small rash in the exact same location as the first time I had Shingles (1st case was near my right clavicle in Sept 2019).  A visit to doctor on 5/16 confirmed diagnosis and I was prescribed Valtrex.  The rash is still present but now resolving. I never got the Shingles vaccine after my first episode, but will now in the next few months.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: 18 hours extremely sore arm at site. Red and swollen at site. just did not feel well.  30 hours chills and fever 100.2 coughing spell and wheezing lasted 30 min. used old inhaler it stopped it. 42 hours noticed rash over upper abdomin. Arm still extremely sore, red and swollen at site. Fever gone
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pyrexia, Wheezing
Clinical narrative: 18 hours extremely sore arm at site. Red and swollen at site. just did not feel well.  30 hours chills and fever 100.2 coughing spell and wheezing lasted 30 min. used old inhaler it stopped it. 42 hours noticed rash over upper abdomin. Arm still extremely sore, red and swollen at site. Fever gone
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Facial paralysis, Herpes zoster oticus, Hypoaesthesia oral, Lacrimation increased
Clinical narrative: Patient developed a knot on the right side of the neck. She then developed Bells Palsy and went to the ED. Patient went to ED for left facial drooping, numb lips and left eye watering.  An MRI was done on 5/8/2021 which showed abnormal enhancement of the left seventh cranial nerve that may be seen with Bell's Palsy or Ramsay Hunt Syndrome. The enhancement also extends along the greater petrosal nerve. Patient was recommended to follow-up closely with neurology.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging abnormal, Nervous system disorder, Nodule
Clinical narrative: Patient developed a knot on the right side of the neck. She then developed Bells Palsy and went to the ED. Patient went to ED for left facial drooping, numb lips and left eye watering.  An MRI was done on 5/8/2021 which showed abnormal enhancement of the left seventh cranial nerve that may be seen with Bell's Palsy or Ramsay Hunt Syndrome. The enhancement also extends along the greater petrosal nerve. Patient was recommended to follow-up closely with neurology.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Hot flush, Injection site pain
Clinical narrative: Fever Fatigue Joint aches Chills Hot flashes Soreness at injection site Last about 26 hours, Took Tylenol every 4 hours
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever Fatigue Joint aches Chills Hot flashes Soreness at injection site Last about 26 hours, Took Tylenol every 4 hours
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lymphadenopathy, Lymphocyte count abnormal, Lymphocyte count increased, Malaise
Clinical narrative: Severe swollen lymph nodes on my whole left side, and multiple lumps scattered on my legs  After 3 month lymph nodes are still present, my Lymphocites count is very high and I have severe fatigue and generalized body/muscle ache and malaise,  with recurrent episodes of fever that last a few hours and goes away
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Pyrexia, Rash
Clinical narrative: Severe swollen lymph nodes on my whole left side, and multiple lumps scattered on my legs  After 3 month lymph nodes are still present, my Lymphocites count is very high and I have severe fatigue and generalized body/muscle ache and malaise,  with recurrent episodes of fever that last a few hours and goes away
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Fatigue, SARS-CoV-2 test negative, Somnolence
Clinical narrative: Pt called health system call center to report that she had received Moderna #1 on 4/27/2021 from outside facility - Vaccination site at 2400 (Lot 043B21A).   On 4/29/2021, the following symptoms presented: intermitted cough, SOB (improved slightly with coughing), drowsiness and fatigue. Denies fevers. Pt was advised to go to ED if symptoms worsen.  Pt was scheduled for urgent care visit on 5/4/21 during which pt was prescribed APAP as needed. COVID nasal swab on 5/4/21 was negative.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Patient developed significant nausea immediately after receiving vaccine. Cold compress, fluids and food were not effective so ondansetron (4 mg PO) was administered.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives developed on 5/5/2021, 4 days after receiving first dose of Covid vaccine
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy bone marrow, Haemophagocytic lymphohistiocytosis, Lymphadenopathy, Paranasal sinus discomfort, Pyrexia
Clinical narrative: About one week after vaccination, the patient developed symptoms of enlarged cervical LN, sinus pressure, fevers. This progressed to develop rash and eventually SIRS. She was admitted several times over the course of April and May to determine a diagnosis and had extensive workup for infectious, autoimmune and hematologic malignancy. The ultimate diagnosis was macrophage activation syndrome/HLH but it is unclear if this was triggered by the COVID vaccine or not.  She is responding to steroids in taper and Anakinra and still recovering in the hospital at this point.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Systemic inflammatory response syndrome
Clinical narrative: About one week after vaccination, the patient developed symptoms of enlarged cervical LN, sinus pressure, fevers. This progressed to develop rash and eventually SIRS. She was admitted several times over the course of April and May to determine a diagnosis and had extensive workup for infectious, autoimmune and hematologic malignancy. The ultimate diagnosis was macrophage activation syndrome/HLH but it is unclear if this was triggered by the COVID vaccine or not.  She is responding to steroids in taper and Anakinra and still recovering in the hospital at this point.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Feeling feet, knees, hips, shoulder joint pain
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Pain in extremity, Tenderness
Clinical narrative: c/o intense pain 3 days after 2nd dose of Moderna on Lt arm. Pat discovered 2 masses, one at left axilla, and the other on left upper arm.  Will fu with oncologist in July, 2021.  Pat reported size of masses about size of a quarter, tender.   Told to observe, pat noticed decrease in swelling! nil reaction after 1st dose of Moderna.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram normal, Pain, Pyrexia
Clinical narrative: Fever, body aches, then the following morning intense chest pain lasting 4 hours.  Dosed with 2 aspirin, and  IBU
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Cough, Fatigue, Headache, Myalgia
Clinical narrative: 4/22--HA, vomiting, fatigue, sinus congestion, nonproductive cough; symptoms started mildly and progressively got worse i.e. sinus congestion and cough then HA, and finally vomiting.  Symptoms resolved 4/24 5/13--severe myalgia, arthralgia, fatigue, slight sinus congestion; 5/15--severe radiating left arm pain; 5/16--myalgia and arthralgia improved; severe left arm pain continues today  APAP and ibuprofen tried for pain without improvement in symptoms.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nasal congestion, Pain in extremity, Vomiting
Clinical narrative: 4/22--HA, vomiting, fatigue, sinus congestion, nonproductive cough; symptoms started mildly and progressively got worse i.e. sinus congestion and cough then HA, and finally vomiting.  Symptoms resolved 4/24 5/13--severe myalgia, arthralgia, fatigue, slight sinus congestion; 5/15--severe radiating left arm pain; 5/16--myalgia and arthralgia improved; severe left arm pain continues today  APAP and ibuprofen tried for pain without improvement in symptoms.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Hiccups, Palpitations, Rash erythematous
Clinical narrative: Patient states he felt some diffuse palpitation did not feel right and wanted to get himself checked. On arrival patient is somewhat anxious has some diffuse skin erythema over the chest wife is not sure if that is at baseline or if its new. Patient denies any shortness of breath states his chest felt funny earlier but has no symptoms at this time.  Reported SOB earlier.  Patient is having hiccups. Patient has no emesis has no respiratory difficulty denies shortness of breath saturations are 98% on room air with respiratory rate of 20. Patient has no abdominal pain no other rash to the abdomen torso extremities etc. Patient had first vaccination with no allergic reaction. Patient denies any history of allergies to medication. Patient is symptom free and is able to give good history no change in voice no neurological symptoms.  Patient treated with diphenhydramine 25mg IV x1, Famotidine 20mg IV x1, Lorazepam 0.5mg IV x1, Methylprednisolone 125mg IV x1; Discharged to home with prescriptions/ OTC  for Epinephrine 0.3mg/0.3ml IM, Famotidine 20mg po , Benadryl 25mg po
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Malaise, Seizure, Thirst, Vision blurred
Clinical narrative: After receiving vaccine, we were told to sit and wait 10 minutes before leaving.  About 7 minutes into waiting, my son said he was thirsty and not feeling that good.  we started to walk to get a water and he totally blacked out and exhibited mild like seizure activity.  After he "came too", he complained of blurry vision and still didn't feel good as we waited for ambulance.  Once ambulance came he was feeling a little better.  Vitals all checked out good and were declined going to hospital.  He doesn't remember anything that happened in Pharmacy, except that he thought he was going to die.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Tinnitus
Clinical narrative: After covid shot the next day I have ringing in my ears and dizziness
Age: 55.0
Sex: U
Vaccine: COVID19
Symptoms: Agitation, Chest discomfort, Fatigue, Heart rate abnormal, Respiration abnormal
Clinical narrative: I had bad breathing issues and tightness in chest. Extreme agitation for 4 days.  Could not do much extreme exhaustion. Still at over 3 weeks experiencing side effects . Events of irrattic heart rate
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: Pt has a history of fainting after vaccines. He  fainted after his first dose of the pfizer vaccine. about 3 minutes after his second dose the patient felt light headed and had to be brought down to the ground because he was passing out. after lying down for about 15 minutes the patient felt much better.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Rash
Clinical narrative: Patient presented with rash  (shingles) along right arm (same arm as vaccinated) and onto back. Patient states this appeared about one week after vaccine. Patient was prescribed acyclovir and the rash has been drying out slowly.