chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Fatigue, Feeling cold, General physical condition abnormal, Hypophagia
Clinical narrative: Hospitalized (12.23.21 - 12.30.21); COVID-19 positive (12.22.21); fully vaccinated Admission Date: 12/23/2021 Discharge Date: Dec 30, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID-19  HOSPITAL COURSE: 74 y.o. female history significant for nonischemic cardiomyopathy, chronic systolic and diastolic heart failure, history of PE on Xarelto, weighs vaccinated for COVID but not received booster presents today with complaints of shortness of breath, cough, fever, generalized weakness and loose stools going on for past 3-4 days.  Vitals were stable apart from hypoxia when presented to the emergency department, requiring 5 L oxygen via nasal cannula.  Significant labs showed creatinine 1.28, AST 46, COVID-19 PCR positive, chest x-ray showing cardiomegaly, increased pulmonary vascular congestion with prominent interstitial opacities.  Received dose of dexamethasone in the emergency department, for further evaluation and management transferred to Hospital and admitted under hospitalist service. Patient treated for COVID with dexamethasone and remdesivir.  This was completed.  Cardilogy saw patient and diuresed her and placed her back on oral diuretics for maintenance as she has progressed to no longer need supplemental O2.  Home dosage Lasix was increased to 40 mg daily. She was dealing with new nausea on 12/28.  She had reported not had a bowel movement in many days and had some abdominal distension.  Her bowel regimen was intensified.  She had an episode of lightheadedness in the bathroom with low BP which then quickly returned to normal once back in bed.  Suspect hypovolemia due to diuresis in the setting of poor PO intake due to nausea.  Gave her 500 mL fluid back and continued PO maintenance diuretics for 12/29.  Patient was able to discharge home on 12/30.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypotension, Hypovolaemia, Hypoxia, Interstitial lung disease, Lacrimation increased
Clinical narrative: Hospitalized (12.23.21 - 12.30.21); COVID-19 positive (12.22.21); fully vaccinated Admission Date: 12/23/2021 Discharge Date: Dec 30, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID-19  HOSPITAL COURSE: 74 y.o. female history significant for nonischemic cardiomyopathy, chronic systolic and diastolic heart failure, history of PE on Xarelto, weighs vaccinated for COVID but not received booster presents today with complaints of shortness of breath, cough, fever, generalized weakness and loose stools going on for past 3-4 days.  Vitals were stable apart from hypoxia when presented to the emergency department, requiring 5 L oxygen via nasal cannula.  Significant labs showed creatinine 1.28, AST 46, COVID-19 PCR positive, chest x-ray showing cardiomegaly, increased pulmonary vascular congestion with prominent interstitial opacities.  Received dose of dexamethasone in the emergency department, for further evaluation and management transferred to Hospital and admitted under hospitalist service. Patient treated for COVID with dexamethasone and remdesivir.  This was completed.  Cardilogy saw patient and diuresed her and placed her back on oral diuretics for maintenance as she has progressed to no longer need supplemental O2.  Home dosage Lasix was increased to 40 mg daily. She was dealing with new nausea on 12/28.  She had reported not had a bowel movement in many days and had some abdominal distension.  Her bowel regimen was intensified.  She had an episode of lightheadedness in the bathroom with low BP which then quickly returned to normal once back in bed.  Suspect hypovolemia due to diuresis in the setting of poor PO intake due to nausea.  Gave her 500 mL fluid back and continued PO maintenance diuretics for 12/29.  Patient was able to discharge home on 12/30.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lung opacity, Nausea, Polyuria, Productive cough, Pulmonary congestion
Clinical narrative: Hospitalized (12.23.21 - 12.30.21); COVID-19 positive (12.22.21); fully vaccinated Admission Date: 12/23/2021 Discharge Date: Dec 30, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID-19  HOSPITAL COURSE: 74 y.o. female history significant for nonischemic cardiomyopathy, chronic systolic and diastolic heart failure, history of PE on Xarelto, weighs vaccinated for COVID but not received booster presents today with complaints of shortness of breath, cough, fever, generalized weakness and loose stools going on for past 3-4 days.  Vitals were stable apart from hypoxia when presented to the emergency department, requiring 5 L oxygen via nasal cannula.  Significant labs showed creatinine 1.28, AST 46, COVID-19 PCR positive, chest x-ray showing cardiomegaly, increased pulmonary vascular congestion with prominent interstitial opacities.  Received dose of dexamethasone in the emergency department, for further evaluation and management transferred to Hospital and admitted under hospitalist service. Patient treated for COVID with dexamethasone and remdesivir.  This was completed.  Cardilogy saw patient and diuresed her and placed her back on oral diuretics for maintenance as she has progressed to no longer need supplemental O2.  Home dosage Lasix was increased to 40 mg daily. She was dealing with new nausea on 12/28.  She had reported not had a bowel movement in many days and had some abdominal distension.  Her bowel regimen was intensified.  She had an episode of lightheadedness in the bathroom with low BP which then quickly returned to normal once back in bed.  Suspect hypovolemia due to diuresis in the setting of poor PO intake due to nausea.  Gave her 500 mL fluid back and continued PO maintenance diuretics for 12/29.  Patient was able to discharge home on 12/30.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Secretion discharge, Somnolence
Clinical narrative: Hospitalized (12.23.21 - 12.30.21); COVID-19 positive (12.22.21); fully vaccinated Admission Date: 12/23/2021 Discharge Date: Dec 30, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID-19  HOSPITAL COURSE: 74 y.o. female history significant for nonischemic cardiomyopathy, chronic systolic and diastolic heart failure, history of PE on Xarelto, weighs vaccinated for COVID but not received booster presents today with complaints of shortness of breath, cough, fever, generalized weakness and loose stools going on for past 3-4 days.  Vitals were stable apart from hypoxia when presented to the emergency department, requiring 5 L oxygen via nasal cannula.  Significant labs showed creatinine 1.28, AST 46, COVID-19 PCR positive, chest x-ray showing cardiomegaly, increased pulmonary vascular congestion with prominent interstitial opacities.  Received dose of dexamethasone in the emergency department, for further evaluation and management transferred to Hospital and admitted under hospitalist service. Patient treated for COVID with dexamethasone and remdesivir.  This was completed.  Cardilogy saw patient and diuresed her and placed her back on oral diuretics for maintenance as she has progressed to no longer need supplemental O2.  Home dosage Lasix was increased to 40 mg daily. She was dealing with new nausea on 12/28.  She had reported not had a bowel movement in many days and had some abdominal distension.  Her bowel regimen was intensified.  She had an episode of lightheadedness in the bathroom with low BP which then quickly returned to normal once back in bed.  Suspect hypovolemia due to diuresis in the setting of poor PO intake due to nausea.  Gave her 500 mL fluid back and continued PO maintenance diuretics for 12/29.  Patient was able to discharge home on 12/30.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sputum discoloured, Vomiting
Clinical narrative: Hospitalized (12.23.21 - 12.30.21); COVID-19 positive (12.22.21); fully vaccinated Admission Date: 12/23/2021 Discharge Date: Dec 30, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID-19  HOSPITAL COURSE: 74 y.o. female history significant for nonischemic cardiomyopathy, chronic systolic and diastolic heart failure, history of PE on Xarelto, weighs vaccinated for COVID but not received booster presents today with complaints of shortness of breath, cough, fever, generalized weakness and loose stools going on for past 3-4 days.  Vitals were stable apart from hypoxia when presented to the emergency department, requiring 5 L oxygen via nasal cannula.  Significant labs showed creatinine 1.28, AST 46, COVID-19 PCR positive, chest x-ray showing cardiomegaly, increased pulmonary vascular congestion with prominent interstitial opacities.  Received dose of dexamethasone in the emergency department, for further evaluation and management transferred to Hospital and admitted under hospitalist service. Patient treated for COVID with dexamethasone and remdesivir.  This was completed.  Cardilogy saw patient and diuresed her and placed her back on oral diuretics for maintenance as she has progressed to no longer need supplemental O2.  Home dosage Lasix was increased to 40 mg daily. She was dealing with new nausea on 12/28.  She had reported not had a bowel movement in many days and had some abdominal distension.  Her bowel regimen was intensified.  She had an episode of lightheadedness in the bathroom with low BP which then quickly returned to normal once back in bed.  Suspect hypovolemia due to diuresis in the setting of poor PO intake due to nausea.  Gave her 500 mL fluid back and continued PO maintenance diuretics for 12/29.  Patient was able to discharge home on 12/30.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia
Clinical narrative: This was the booster vaccine. I didn't really have any reaction to the 1st and 2nd dose. I woke up the following morning, and couldn't move fingers, eyelids etc, because I felt so incredible weak. I had to get help to drink a glass of water. It got better as the day went on, and I felt normal the next day. There was no body ache, headache or fever.
Age: 5.0
Sex: F
Vaccine: FLU4
Symptoms: Incorrect dose administered, Patient uncooperative, Scratch
Clinical narrative: WHILE I WAS ADMINISTERING THE FLU VACCINE, THE PATIENT MOVED HER ARM AND THE NEEDLE CAME OUT OF HER.  THE VACCINE SPILLED EVERY WHERE AND WAS NOT INJECTED INTO THE PATIENT. BECAUSE THE PATEINT MOVED SO QUICKLY, SHE SCRAPED HER ARM ACROSS THE NEEDLE TIP. SO THERE WAS A SCRATCH MARK LEFT ON HER ARM BY THE NEEDLE.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Pain in extremity
Clinical narrative: Unable to use left arm for 24 hours due to pain
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Back pain, Migraine, Pyrexia
Clinical narrative: High fever x3 days; Migraine; Back and hip pain; No prior adverse vaccine reactions, fully recovered after 5 days
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Glomerular filtration rate decreased
Clinical narrative: I have chronic renal failure, my kidney values were steady for five years at 68 GFR, after both vaccine doses they dropped 20% to 52-54%.  I don't have any other health problems that would cause this, and I don't drink alcohol and I exercise daily.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dizziness, Exposure during pregnancy, Fatigue, Heart rate increased
Clinical narrative: I am currently pregnant and due July 2022. Following the vaccine I developed swelling in my arm about 4 inches below the injection site with a red, itchy rash. I also developed increased nausea, nasal swelling, cough, sore throat, dizziness, increased and occasional rapid heart rate, excessive fatigue, and laryngitis all which lasted approximately 10 days.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Injection site swelling, Laryngitis, Nasal congestion, Nausea
Clinical narrative: I am currently pregnant and due July 2022. Following the vaccine I developed swelling in my arm about 4 inches below the injection site with a red, itchy rash. I also developed increased nausea, nasal swelling, cough, sore throat, dizziness, increased and occasional rapid heart rate, excessive fatigue, and laryngitis all which lasted approximately 10 days.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Rash erythematous, Rash pruritic
Clinical narrative: I am currently pregnant and due July 2022. Following the vaccine I developed swelling in my arm about 4 inches below the injection site with a red, itchy rash. I also developed increased nausea, nasal swelling, cough, sore throat, dizziness, increased and occasional rapid heart rate, excessive fatigue, and laryngitis all which lasted approximately 10 days.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal dreams, Aphasia, Asthenia, Communication disorder, Delirium
Clinical narrative: Within four hours of having the vaccine I became very tired. I started getting a splitting headache, which is very abnormal for me, as I do not have headaches. I then began to shake and feel general illness. My body became weak and I was extremely tired. I went to bed very early, around 8:00 pm and had a fever of 100. My normal body temperature is 96.7. This is when it got bad. I started having fever dreams and convulsing. I would convulse and wake up but couldn?t communicate to my husband. I was unable to communicate at all. Then I would start to either hallucinate or slip back into fever dreams. I would convulse and feel my head hurt badly. Then my eyes started hurting from the pressure of the convulsions. This went on until around 1:00 am, and I could not communicate to my husband still. It was like I was paralyzed. My head hurt very badly. Around 1:00 am, I was able to use my arm to smack my husband awake. I was not able to communicate to him well. He took my temperature, and I had a fever of 104.1. He got ice packs and put them all over my body to help cool me down. I was delirious at this point and couldn?t speak or think properly. It took about two hours to cool my body down with ice packs and cold water. We called urgent cares for help, but no one could help us. We were afraid to go into the hospital because we could not afford the copay. Around 5:00 am  my fever was down to 100 and my husband helped me up to use the restroom. I could not walk well and was unable to walk without assistance. My head still hurt very badly and I feel very weak and dizzy. After a while, I was able to sleep.  I had a fever going between 100-101 for three days after the vaccine and all three days I was very weak, unable to walk well, my head hurt, and I was dizzy. It took a full week for me to return to a normal temperature. It took about two weeks before I started to feel normal again. I now will suffer occasional headaches, which has never been normal for me.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Eye pain, Fatigue, Feeling abnormal, Gait disturbance
Clinical narrative: Within four hours of having the vaccine I became very tired. I started getting a splitting headache, which is very abnormal for me, as I do not have headaches. I then began to shake and feel general illness. My body became weak and I was extremely tired. I went to bed very early, around 8:00 pm and had a fever of 100. My normal body temperature is 96.7. This is when it got bad. I started having fever dreams and convulsing. I would convulse and wake up but couldn?t communicate to my husband. I was unable to communicate at all. Then I would start to either hallucinate or slip back into fever dreams. I would convulse and feel my head hurt badly. Then my eyes started hurting from the pressure of the convulsions. This went on until around 1:00 am, and I could not communicate to my husband still. It was like I was paralyzed. My head hurt very badly. Around 1:00 am, I was able to use my arm to smack my husband awake. I was not able to communicate to him well. He took my temperature, and I had a fever of 104.1. He got ice packs and put them all over my body to help cool me down. I was delirious at this point and couldn?t speak or think properly. It took about two hours to cool my body down with ice packs and cold water. We called urgent cares for help, but no one could help us. We were afraid to go into the hospital because we could not afford the copay. Around 5:00 am  my fever was down to 100 and my husband helped me up to use the restroom. I could not walk well and was unable to walk without assistance. My head still hurt very badly and I feel very weak and dizzy. After a while, I was able to sleep.  I had a fever going between 100-101 for three days after the vaccine and all three days I was very weak, unable to walk well, my head hurt, and I was dizzy. It took a full week for me to return to a normal temperature. It took about two weeks before I started to feel normal again. I now will suffer occasional headaches, which has never been normal for me.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Pyrexia, Seizure, Thinking abnormal
Clinical narrative: Within four hours of having the vaccine I became very tired. I started getting a splitting headache, which is very abnormal for me, as I do not have headaches. I then began to shake and feel general illness. My body became weak and I was extremely tired. I went to bed very early, around 8:00 pm and had a fever of 100. My normal body temperature is 96.7. This is when it got bad. I started having fever dreams and convulsing. I would convulse and wake up but couldn?t communicate to my husband. I was unable to communicate at all. Then I would start to either hallucinate or slip back into fever dreams. I would convulse and feel my head hurt badly. Then my eyes started hurting from the pressure of the convulsions. This went on until around 1:00 am, and I could not communicate to my husband still. It was like I was paralyzed. My head hurt very badly. Around 1:00 am, I was able to use my arm to smack my husband awake. I was not able to communicate to him well. He took my temperature, and I had a fever of 104.1. He got ice packs and put them all over my body to help cool me down. I was delirious at this point and couldn?t speak or think properly. It took about two hours to cool my body down with ice packs and cold water. We called urgent cares for help, but no one could help us. We were afraid to go into the hospital because we could not afford the copay. Around 5:00 am  my fever was down to 100 and my husband helped me up to use the restroom. I could not walk well and was unable to walk without assistance. My head still hurt very badly and I feel very weak and dizzy. After a while, I was able to sleep.  I had a fever going between 100-101 for three days after the vaccine and all three days I was very weak, unable to walk well, my head hurt, and I was dizzy. It took a full week for me to return to a normal temperature. It took about two weeks before I started to feel normal again. I now will suffer occasional headaches, which has never been normal for me.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Within four hours of having the vaccine I became very tired. I started getting a splitting headache, which is very abnormal for me, as I do not have headaches. I then began to shake and feel general illness. My body became weak and I was extremely tired. I went to bed very early, around 8:00 pm and had a fever of 100. My normal body temperature is 96.7. This is when it got bad. I started having fever dreams and convulsing. I would convulse and wake up but couldn?t communicate to my husband. I was unable to communicate at all. Then I would start to either hallucinate or slip back into fever dreams. I would convulse and feel my head hurt badly. Then my eyes started hurting from the pressure of the convulsions. This went on until around 1:00 am, and I could not communicate to my husband still. It was like I was paralyzed. My head hurt very badly. Around 1:00 am, I was able to use my arm to smack my husband awake. I was not able to communicate to him well. He took my temperature, and I had a fever of 104.1. He got ice packs and put them all over my body to help cool me down. I was delirious at this point and couldn?t speak or think properly. It took about two hours to cool my body down with ice packs and cold water. We called urgent cares for help, but no one could help us. We were afraid to go into the hospital because we could not afford the copay. Around 5:00 am  my fever was down to 100 and my husband helped me up to use the restroom. I could not walk well and was unable to walk without assistance. My head still hurt very badly and I feel very weak and dizzy. After a while, I was able to sleep.  I had a fever going between 100-101 for three days after the vaccine and all three days I was very weak, unable to walk well, my head hurt, and I was dizzy. It took a full week for me to return to a normal temperature. It took about two weeks before I started to feel normal again. I now will suffer occasional headaches, which has never been normal for me.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Diverticulitis, Full blood count, Pilonidal cyst, Scan with contrast
Clinical narrative: Within two weeks of having my final dose, I developed an acute onset of diverticulitis which required Emergency visit to the doctor, CBC panel, X-ray at the doctors office, CT scan with contrast and high dose regimen of antibiotics. Additionally, developed three pilonidal cysts from 11/13 to 12/31 with antibiotics for treatment.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: X-ray
Clinical narrative: Within two weeks of having my final dose, I developed an acute onset of diverticulitis which required Emergency visit to the doctor, CBC panel, X-ray at the doctors office, CT scan with contrast and high dose regimen of antibiotics. Additionally, developed three pilonidal cysts from 11/13 to 12/31 with antibiotics for treatment.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia, Vomiting
Clinical narrative: Fever, Body Aches, Vomiting, Chills, Shivering.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Cough, Headache, Pyrexia, Respiratory tract congestion
Clinical narrative: Trembling, cough, congestion, chest pain, headache, 102+ fever
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Trembling, cough, congestion, chest pain, headache, 102+ fever
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: pt received  covid-19 booster of pfizer for adult when they are 10 months shy of being 12.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Computerised tomogram, Hilar lymphadenopathy, Lymphadenopathy mediastinal, Magnetic resonance imaging
Clinical narrative: Back pain leading to MRI with incidental finding of mediastinal and Hilar adenopathy. Biopsy pending.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pityriasis rosea, Rash erythematous
Clinical narrative: the week following the vaccine a non itchy pinkish rash started on lower abdomen. Over the past 4 wks has spread to legs/arms/stomach.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal dreams, Chills, Hyperhidrosis, Lymphadenopathy, Nightmare
Clinical narrative: Extreme chills (bone chill) alternating with sweats. Sore arm, swollen lymph node underarm. Vivid dreams/nightmares that significantly impacted sleep
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Sleep disorder
Clinical narrative: Extreme chills (bone chill) alternating with sweats. Sore arm, swollen lymph node underarm. Vivid dreams/nightmares that significantly impacted sleep
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Cerebrovascular accident, Computerised tomogram head abnormal, Echocardiogram normal, Hemiplegia
Clinical narrative: Experienced loss of function on right side of body including arm from shoulder down the right side of body to calf area of leg. Experienced numbness and tingling. Blood pressure rapidly rose to 232/128 when checked at hospital ER.  (Patient had Covid-19 in July of 2020)
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Magnetic resonance imaging head abnormal, Paraesthesia
Clinical narrative: Experienced loss of function on right side of body including arm from shoulder down the right side of body to calf area of leg. Experienced numbness and tingling. Blood pressure rapidly rose to 232/128 when checked at hospital ER.  (Patient had Covid-19 in July of 2020)
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, COVID-19, Chest X-ray abnormal, Cough, Dyspnoea
Clinical narrative: Patient is a 63 yo morbidly obese female with a history of DM, HTN, and uterine cancer s/p hysterectomy, who presented to the ED complaining of generalized malaise, cough, and shortness of breath since 1/1/22. Patient states she had been having cough since 1/1/22. Starting the night prior to presentation patient started to have difficulty breathing, specifically orthopnea and exertional dyspnea. Patient is fully vaccinated against COVID since May 2021. She is yet to b boosted against COVID. She is a Florist and has a colleague at work with COVID. She denies fevers, loss of sense of taste or smell, abdominal pain, diarrhea, chest pain. She sees a Dr. for "heart racing" that is controlled with Bystolic. She does not use oxygen at home.  Upon initial presentation at ED, 101.3 degrees F, HR 101, RR 30, she was satting 89% on RA. 178/70. CXR showed increased airspace opacities. Suspect interstitial edema. EKG showed NSR at 96 bpm with nonspecific ST/T wave abnormalities. Laboratory values showed normocytic anemia, hyponatremia, metabolic acidosis, elevated troponins, elevated N terminal pro BNP.  COVID PCR positive 1/3/22. Patient was transferred to other medical facility for further evaluation and management.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Electrocardiogram QRS complex abnormal, Electrocardiogram T wave abnormal, Exposure to SARS-CoV-2, Hyponatraemia
Clinical narrative: Patient is a 63 yo morbidly obese female with a history of DM, HTN, and uterine cancer s/p hysterectomy, who presented to the ED complaining of generalized malaise, cough, and shortness of breath since 1/1/22. Patient states she had been having cough since 1/1/22. Starting the night prior to presentation patient started to have difficulty breathing, specifically orthopnea and exertional dyspnea. Patient is fully vaccinated against COVID since May 2021. She is yet to b boosted against COVID. She is a Florist and has a colleague at work with COVID. She denies fevers, loss of sense of taste or smell, abdominal pain, diarrhea, chest pain. She sees a Dr. for "heart racing" that is controlled with Bystolic. She does not use oxygen at home.  Upon initial presentation at ED, 101.3 degrees F, HR 101, RR 30, she was satting 89% on RA. 178/70. CXR showed increased airspace opacities. Suspect interstitial edema. EKG showed NSR at 96 bpm with nonspecific ST/T wave abnormalities. Laboratory values showed normocytic anemia, hyponatremia, metabolic acidosis, elevated troponins, elevated N terminal pro BNP.  COVID PCR positive 1/3/22. Patient was transferred to other medical facility for further evaluation and management.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test abnormal, Lung opacity, Malaise, Metabolic acidosis, N-terminal prohormone brain natriuretic peptide increased
Clinical narrative: Patient is a 63 yo morbidly obese female with a history of DM, HTN, and uterine cancer s/p hysterectomy, who presented to the ED complaining of generalized malaise, cough, and shortness of breath since 1/1/22. Patient states she had been having cough since 1/1/22. Starting the night prior to presentation patient started to have difficulty breathing, specifically orthopnea and exertional dyspnea. Patient is fully vaccinated against COVID since May 2021. She is yet to b boosted against COVID. She is a Florist and has a colleague at work with COVID. She denies fevers, loss of sense of taste or smell, abdominal pain, diarrhea, chest pain. She sees a Dr. for "heart racing" that is controlled with Bystolic. She does not use oxygen at home.  Upon initial presentation at ED, 101.3 degrees F, HR 101, RR 30, she was satting 89% on RA. 178/70. CXR showed increased airspace opacities. Suspect interstitial edema. EKG showed NSR at 96 bpm with nonspecific ST/T wave abnormalities. Laboratory values showed normocytic anemia, hyponatremia, metabolic acidosis, elevated troponins, elevated N terminal pro BNP.  COVID PCR positive 1/3/22. Patient was transferred to other medical facility for further evaluation and management.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Normocytic anaemia, Orthopnoea, Pulmonary oedema, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: Patient is a 63 yo morbidly obese female with a history of DM, HTN, and uterine cancer s/p hysterectomy, who presented to the ED complaining of generalized malaise, cough, and shortness of breath since 1/1/22. Patient states she had been having cough since 1/1/22. Starting the night prior to presentation patient started to have difficulty breathing, specifically orthopnea and exertional dyspnea. Patient is fully vaccinated against COVID since May 2021. She is yet to b boosted against COVID. She is a Florist and has a colleague at work with COVID. She denies fevers, loss of sense of taste or smell, abdominal pain, diarrhea, chest pain. She sees a Dr. for "heart racing" that is controlled with Bystolic. She does not use oxygen at home.  Upon initial presentation at ED, 101.3 degrees F, HR 101, RR 30, she was satting 89% on RA. 178/70. CXR showed increased airspace opacities. Suspect interstitial edema. EKG showed NSR at 96 bpm with nonspecific ST/T wave abnormalities. Laboratory values showed normocytic anemia, hyponatremia, metabolic acidosis, elevated troponins, elevated N terminal pro BNP.  COVID PCR positive 1/3/22. Patient was transferred to other medical facility for further evaluation and management.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria, Urticaria
Clinical narrative: Developed dermatoprahia and hives. Systemic and random. Persistent with no improvement.
Age: 49.0
Sex: M
Vaccine: FLUX
Symptoms: Bell's palsy, Blood test, Computerised tomogram, Scan with contrast
Clinical narrative: Bell's Palsy onset.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain lower, Appendicitis, COVID-19, Computerised tomogram abdomen abnormal, SARS-CoV-2 test positive
Clinical narrative: Patient is a 20-year-old female with history of kidney stones who presented to ER due to right lower quadrant pain.  Patient said that she started having right lower quadrant pain last night.  No nausea /vomiting, fever/chills, diarrhea or constipation.  No urinary complaints.  She reports history of kidney stones.  She thought that she was having kidney stone again so she came to ER.  Upon evaluation in ER, vital signs were stable and she was afebrile.  WBC 15.9.  CT scan of the abdomen and pelvis showed acute appendicitis without abscess or perforation.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: White blood cell count increased
Clinical narrative: Patient is a 20-year-old female with history of kidney stones who presented to ER due to right lower quadrant pain.  Patient said that she started having right lower quadrant pain last night.  No nausea /vomiting, fever/chills, diarrhea or constipation.  No urinary complaints.  She reports history of kidney stones.  She thought that she was having kidney stone again so she came to ER.  Upon evaluation in ER, vital signs were stable and she was afebrile.  WBC 15.9.  CT scan of the abdomen and pelvis showed acute appendicitis without abscess or perforation.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash, Urticaria
Clinical narrative: Covid Arm. Large 3x3cm rash on bicept area, Smaller 2x2 cm rash lateral arm, Welt at injection site.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Dysmenorrhoea, Dyspnoea, Eye swelling
Clinical narrative: Within 12 hours I developed facial swelling - mostly of the eyes/eyelids that lasted for 3 days.  Within 60 hours I had my first bout of what we now believe is POTS though I did not know it at the time - I experienced a sudden onset of feeling as if I was going to pass out with shortness of breath, weakness, tunnel vision and the need to immediately lay down - I went to bed and when I woke I was weak but better.  At the 72 hour mark I woke with a rash on my left torso - it receded 2 days later. On 8/13/21 I had my major episode of what we believe it POTS.  I was working and it was the first day of my period.  At 10:30am I was standing and quickly realized I was going to pass out if I didn't lay down.  I was able to leave the room I was in, walk about 5 steps and then had to lay down.  I was unable to get up or lift my head for approximately 30 minutes.  I had extreme shortness of breath, was profusely sweating, tunnel vision, was barely able to speak, if I tried to sit up or lift my head I would almost pass out again.  I was experiencing some menstrual cramping that had begun 10 days earlier which was strange for me as I don't get cramps but the pain level was maybe a 4/10 so it didn't seem as if I was passing out from pain but I wasn't sure.  I asked the person with me to get me electrolyte water and advil.  30 min after ingesting I was able to sit up.  I was exhausted after wards and went home.  About 6 hours later I had another bout of feeling like I was going to pass out - took Advil and drank electrolyte water and it abated.  My period was just one day that cycle and was really just clots which is also unusual for me. I reached out to my gynecologist to see if this may be vaccine related and she referred me back to my primary.  Once I spoke with my Dr - he stated he believed it was POTS but to have a wait and see approach to see if it clears on its own.  He suggested daily electrolyte water and salt. Since then, every  cycle I have several bouts of POTS that could begin anywhere from about 9 days prior to my period lasting through cycle day 3.  They can vary on their timing but I have found if I drink electrolyte water daily I can keep them from becoming a full episode.   I also eat Celtic Sea Salt when I become shaky just to try to prevent an episode.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hyperhidrosis, Mobility decreased, Nervousness, Pain
Clinical narrative: Within 12 hours I developed facial swelling - mostly of the eyes/eyelids that lasted for 3 days.  Within 60 hours I had my first bout of what we now believe is POTS though I did not know it at the time - I experienced a sudden onset of feeling as if I was going to pass out with shortness of breath, weakness, tunnel vision and the need to immediately lay down - I went to bed and when I woke I was weak but better.  At the 72 hour mark I woke with a rash on my left torso - it receded 2 days later. On 8/13/21 I had my major episode of what we believe it POTS.  I was working and it was the first day of my period.  At 10:30am I was standing and quickly realized I was going to pass out if I didn't lay down.  I was able to leave the room I was in, walk about 5 steps and then had to lay down.  I was unable to get up or lift my head for approximately 30 minutes.  I had extreme shortness of breath, was profusely sweating, tunnel vision, was barely able to speak, if I tried to sit up or lift my head I would almost pass out again.  I was experiencing some menstrual cramping that had begun 10 days earlier which was strange for me as I don't get cramps but the pain level was maybe a 4/10 so it didn't seem as if I was passing out from pain but I wasn't sure.  I asked the person with me to get me electrolyte water and advil.  30 min after ingesting I was able to sit up.  I was exhausted after wards and went home.  About 6 hours later I had another bout of feeling like I was going to pass out - took Advil and drank electrolyte water and it abated.  My period was just one day that cycle and was really just clots which is also unusual for me. I reached out to my gynecologist to see if this may be vaccine related and she referred me back to my primary.  Once I spoke with my Dr - he stated he believed it was POTS but to have a wait and see approach to see if it clears on its own.  He suggested daily electrolyte water and salt. Since then, every  cycle I have several bouts of POTS that could begin anywhere from about 9 days prior to my period lasting through cycle day 3.  They can vary on their timing but I have found if I drink electrolyte water daily I can keep them from becoming a full episode.   I also eat Celtic Sea Salt when I become shaky just to try to prevent an episode.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Polymenorrhoea, Postural orthostatic tachycardia syndrome, Rash, Speech disorder, Swelling face
Clinical narrative: Within 12 hours I developed facial swelling - mostly of the eyes/eyelids that lasted for 3 days.  Within 60 hours I had my first bout of what we now believe is POTS though I did not know it at the time - I experienced a sudden onset of feeling as if I was going to pass out with shortness of breath, weakness, tunnel vision and the need to immediately lay down - I went to bed and when I woke I was weak but better.  At the 72 hour mark I woke with a rash on my left torso - it receded 2 days later. On 8/13/21 I had my major episode of what we believe it POTS.  I was working and it was the first day of my period.  At 10:30am I was standing and quickly realized I was going to pass out if I didn't lay down.  I was able to leave the room I was in, walk about 5 steps and then had to lay down.  I was unable to get up or lift my head for approximately 30 minutes.  I had extreme shortness of breath, was profusely sweating, tunnel vision, was barely able to speak, if I tried to sit up or lift my head I would almost pass out again.  I was experiencing some menstrual cramping that had begun 10 days earlier which was strange for me as I don't get cramps but the pain level was maybe a 4/10 so it didn't seem as if I was passing out from pain but I wasn't sure.  I asked the person with me to get me electrolyte water and advil.  30 min after ingesting I was able to sit up.  I was exhausted after wards and went home.  About 6 hours later I had another bout of feeling like I was going to pass out - took Advil and drank electrolyte water and it abated.  My period was just one day that cycle and was really just clots which is also unusual for me. I reached out to my gynecologist to see if this may be vaccine related and she referred me back to my primary.  Once I spoke with my Dr - he stated he believed it was POTS but to have a wait and see approach to see if it clears on its own.  He suggested daily electrolyte water and salt. Since then, every  cycle I have several bouts of POTS that could begin anywhere from about 9 days prior to my period lasting through cycle day 3.  They can vary on their timing but I have found if I drink electrolyte water daily I can keep them from becoming a full episode.   I also eat Celtic Sea Salt when I become shaky just to try to prevent an episode.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling of eyelid, Thrombosis, Tunnel vision, Ultrasound scan
Clinical narrative: Within 12 hours I developed facial swelling - mostly of the eyes/eyelids that lasted for 3 days.  Within 60 hours I had my first bout of what we now believe is POTS though I did not know it at the time - I experienced a sudden onset of feeling as if I was going to pass out with shortness of breath, weakness, tunnel vision and the need to immediately lay down - I went to bed and when I woke I was weak but better.  At the 72 hour mark I woke with a rash on my left torso - it receded 2 days later. On 8/13/21 I had my major episode of what we believe it POTS.  I was working and it was the first day of my period.  At 10:30am I was standing and quickly realized I was going to pass out if I didn't lay down.  I was able to leave the room I was in, walk about 5 steps and then had to lay down.  I was unable to get up or lift my head for approximately 30 minutes.  I had extreme shortness of breath, was profusely sweating, tunnel vision, was barely able to speak, if I tried to sit up or lift my head I would almost pass out again.  I was experiencing some menstrual cramping that had begun 10 days earlier which was strange for me as I don't get cramps but the pain level was maybe a 4/10 so it didn't seem as if I was passing out from pain but I wasn't sure.  I asked the person with me to get me electrolyte water and advil.  30 min after ingesting I was able to sit up.  I was exhausted after wards and went home.  About 6 hours later I had another bout of feeling like I was going to pass out - took Advil and drank electrolyte water and it abated.  My period was just one day that cycle and was really just clots which is also unusual for me. I reached out to my gynecologist to see if this may be vaccine related and she referred me back to my primary.  Once I spoke with my Dr - he stated he believed it was POTS but to have a wait and see approach to see if it clears on its own.  He suggested daily electrolyte water and salt. Since then, every  cycle I have several bouts of POTS that could begin anywhere from about 9 days prior to my period lasting through cycle day 3.  They can vary on their timing but I have found if I drink electrolyte water daily I can keep them from becoming a full episode.   I also eat Celtic Sea Salt when I become shaky just to try to prevent an episode.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: 10 days later on 12/18 - onset of severe hives. I was  prescribed prednisone. My hives are less severe now but still present 2.5 weeks later and I have flare up multiple times per day.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure systolic increased, Chest pain, Heart rate increased, Interchange of vaccine products, Sick relative
Clinical narrative: 1st two doses were Pfiser had NO side effects. Did not have tooth abscess during either This Moderna booster caused my Systolic Blood Pressure to exceed 200 for 3 days in a row with fast heart rate above 100 putting me in the ER and lucky to survive. My significant other became EXTREMELY sick for 10 days and got her booster the same time I did.  We are still trying to recover from 2 weeks ago. What a nightmare! There must be something wrong with that Moderna Lot # and please let us know asap.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Paraesthesia, Pruritus, X-ray normal
Clinical narrative: Received Flu shot in October, followed by Moderna booster in November, approximately four weeks apart.  Approximately 2 weeks after the booster shot, I started with symptoms of itchy palms & knuckles.  This progressed over the next few days to include my arms and torso.  I also had developed a "pins & needles" feeling in my hands.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Immunodeficiency, SARS-CoV-2 test positive
Clinical narrative: Patient received Pfizer COVID vaccine first 2 doses (3/2/21 lot # EN6200 and 3/31/21 lot # ER8737). While in  state, patient received the third Pfizer COVID vaccine dose on 12/23/21. On 12/29/21, patient admitted to our inpatient facility with acute respiratory failure with hypoxia due to COVID pneumonia. Patient most likely got COVID during her immunocompromised state while on 18-day prednisone taper started on 12/10/21 for atopic dermatitis.  As of today (1/4/22), patient is still admitted in our med/surg unit.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site erythema, Injection site pruritus, Injection site reaction
Clinical narrative: Chills, body aches, fever, systemic internal itching (felt like all my organs were itchy), headache, red itchy and throbbing welt at injection site. Just passed the time and also took my usual dosage of Zyrtec D.  Fever gone within 12 hours. Circled itchy welt which spread throughout arm for 6 days.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pruritus, Pyrexia, Urticaria
Clinical narrative: Chills, body aches, fever, systemic internal itching (felt like all my organs were itchy), headache, red itchy and throbbing welt at injection site. Just passed the time and also took my usual dosage of Zyrtec D.  Fever gone within 12 hours. Circled itchy welt which spread throughout arm for 6 days.
Age: 62.0
Sex: F
Vaccine: FLUR4
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: Redness at site started evening of same day administration migrated to the whole upper arm, pain and warmth.  persistent pain since November admin date in injection site upper left arm feels her ROM is affected
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Discomfort, Gait disturbance, Gait inability, Hypoaesthesia
Clinical narrative: I started with mild low back pain that went away.  It then came back with a vengeance on 7/11/21.  I could not move without screaming in agony.  I couldn't get comfortable.   I ended up having to sleep in a recliner.  I couldn't walk and was very debilitated.   In October, my sense of taste changed and nothing tasted right.  Flavors were magnified.  Salt was super salty.  Regular pepper burned my mouth.   Wine tasted like vinegar.   At the beginning of November, I started having numbness and tremendous pain in my fingertips, like someone is cutting them with a knife.  I also had random numbness in my head.  At the beginning of December, I started having numbness in my toes and lose my footing easily.   Walking and climbing stairs was a challenge.   In the middle of December, my lips and tongue started getting numb.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Magnetic resonance imaging spinal normal, Pain, Pain in extremity, Taste disorder
Clinical narrative: I started with mild low back pain that went away.  It then came back with a vengeance on 7/11/21.  I could not move without screaming in agony.  I couldn't get comfortable.   I ended up having to sleep in a recliner.  I couldn't walk and was very debilitated.   In October, my sense of taste changed and nothing tasted right.  Flavors were magnified.  Salt was super salty.  Regular pepper burned my mouth.   Wine tasted like vinegar.   At the beginning of November, I started having numbness and tremendous pain in my fingertips, like someone is cutting them with a knife.  I also had random numbness in my head.  At the beginning of December, I started having numbness in my toes and lose my footing easily.   Walking and climbing stairs was a challenge.   In the middle of December, my lips and tongue started getting numb.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Breast mass, Breast pain, Breast tenderness, Condition aggravated, Menstrual disorder
Clinical narrative: Approximately 24 hours after my first Pfizer Covid vaccine injection, I experienced bright red blood flow as if I was menstruating,  This lasted a full day and then brief spotting into day two.    24 hours after my 2nd injection, I had bright red blood flow as if I was menstruating, lasted a few days.  My actual menstruating cycle started 4 days after the shot, which was off by one week and only lasted a few days vs. 6 days.  Also, 48 hours after injection 2, I had a lot of pain behind my left areola on my left breast.  There was a quarter size lump that was tender to even put on a bra.  This lasted for 2 days and has subsided.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaginal haemorrhage
Clinical narrative: Approximately 24 hours after my first Pfizer Covid vaccine injection, I experienced bright red blood flow as if I was menstruating,  This lasted a full day and then brief spotting into day two.    24 hours after my 2nd injection, I had bright red blood flow as if I was menstruating, lasted a few days.  My actual menstruating cycle started 4 days after the shot, which was off by one week and only lasted a few days vs. 6 days.  Also, 48 hours after injection 2, I had a lot of pain behind my left areola on my left breast.  There was a quarter size lump that was tender to even put on a bra.  This lasted for 2 days and has subsided.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Hypoaesthesia, Nightmare, Paraesthesia
Clinical narrative: Non stop Tingling all over my body.  Brain fog Numbness in my face periodically  Headaches  Nightmares