chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Sleep apnoea syndrome
Clinical narrative: Date of Consultation:  3/18/2022  Time of Consultation:  10:38 AM    Assessment & Plan:   Respiratory Acute hypoxemic respiratory failure due to COVID-19 (CMS/HCC) Assessment & Plan Symptoms of altered mental status cough sore throat fatigue requiring supplemental O2.   Vaccination status: partially last dose 5/5/2021 Symptom onset: Approximately 3/14 Test date: 3/17 O2 Management NC 3L SpO2: 95 %   Periods of desaturation, multifactorial, underlying sleep apnea plus minus superimposed Covid. Out of caution and high risk for progression, have offered dexamethasone along with remdesivir.  Patient appreciates and understands. This was addressed with internal medicine. Additionally it was recommended that he should reconnect with a sleep clinic to address sleep apnea.       Reason for Consultation: COVID 19   History of Present Illness: Patient is a 61y.o. year old male    This patient is very pleasant 61-year-old male who provides his own history.  He is not completely aware of the the circumstances precipitating admission however his fiancée indicates he was not appropriate mentally.  He also had elevated blood sugars.  In discussion today he indicates he had a sore throat and a cough associated with fatigue over the course of the 48 to 72 hours prior to admission.  He is not had previous infections with Covid virus.  He was vaccinated x2 injections last being in May.  He attempted to get his third dose of vaccine but was not able to coordinate.  Since admission he has been on nasal cannula.  This morning nursing found him to be sleeping but the setting into the upper 80s.  He was aroused placed on higher amounts of nasal cannula i.e. 5 to 6 L/min and recovered quickly.  During my evaluation he was placed on nasal cannula.  After about 15 to 20 minutes he was satting at about 88 to 89% without tachycardia.  Placement of nasal cannula back to 2 to 3 L yielded an SPO2 of approximately 93 to 95%.  He does admit to wearing a nocturnal mask at about 2008 following a sleep study test by a physician previously practicing.  He only used the mask for about 6 months.  He never did return for subsequent evaluations and knows that the clinic is currently closed.     Addressed primary therapy for mild to moderate Covid.  Patient concurs with the combination of steroids and remdesivir.     Vaccination status: partially last dose 5/5/2021 Symptom onset: Approximately 3/14 Test date: 3/17 O2 Management NC 3L SpO2: 95 %   COVID 19 INFLAMMATORY MARKERS:
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Adverse event: Mis-stored vaccine administered. Result: revaccinated.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Fatigue, Headache
Clinical narrative: I was tired after getting the vaccine. Then in August 2021 I lost my taste and smell. I had a really terrible headache, and I felt like I had a sinus infection. I received the monoclonal antibody injection on August 30, 2021.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinusitis
Clinical narrative: I was tired after getting the vaccine. Then in August 2021 I lost my taste and smell. I had a really terrible headache, and I felt like I had a sinus infection. I received the monoclonal antibody injection on August 30, 2021.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bursitis, Chiropractic, Joint range of motion decreased, Loss of personal independence in daily activities
Clinical narrative: It started about a week after I had my second dose.  I woke up like I had slept funny and my right shoulder was sore and really bothering me.  Within a few days I was in excruciating pain.  My range of motion in my right shoulder was really hindered and I had extreme difficulty reaching behind my back.  Despite me being right handed, I had weakness in my right arm.  Just getting dressed was difficult and unbelievably painful.  I considered going to Urgent Care  several times, but just tried to rest it, and the extreme pain did subside but then seemed to move into my neck. Upon my next Dr. appointment with my primary, I complained about my shoulder and neck.  She said it was probably bursitis and said PT, and ice and heat were all we could do. I started chiropractic treatment to try to get relief.  I was having daily, debilitating pain in my neck and right shoulder that worsened with any activity that required my arms outstretched, bearing weight.  As a mother of two and a professional potter for an occupation, I can tell you 90% of my daily activities aggravated my symptoms, and the symptoms would get progressively worse as the day went on. I begged my chiropractor for an mri which showed just a slight spinal cord compression, but nothing that would explain the symptoms.  I then saw a spine surgeon  Rothman who referred me to a sports medicine Dr who put me on gabbapentin. He just referred me to Relieve us for acupuncture.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging spinal abnormal, Mobility decreased, Muscular weakness, Neck pain, Nerve conduction studies
Clinical narrative: It started about a week after I had my second dose.  I woke up like I had slept funny and my right shoulder was sore and really bothering me.  Within a few days I was in excruciating pain.  My range of motion in my right shoulder was really hindered and I had extreme difficulty reaching behind my back.  Despite me being right handed, I had weakness in my right arm.  Just getting dressed was difficult and unbelievably painful.  I considered going to Urgent Care  several times, but just tried to rest it, and the extreme pain did subside but then seemed to move into my neck. Upon my next Dr. appointment with my primary, I complained about my shoulder and neck.  She said it was probably bursitis and said PT, and ice and heat were all we could do. I started chiropractic treatment to try to get relief.  I was having daily, debilitating pain in my neck and right shoulder that worsened with any activity that required my arms outstretched, bearing weight.  As a mother of two and a professional potter for an occupation, I can tell you 90% of my daily activities aggravated my symptoms, and the symptoms would get progressively worse as the day went on. I begged my chiropractor for an mri which showed just a slight spinal cord compression, but nothing that would explain the symptoms.  I then saw a spine surgeon  Rothman who referred me to a sports medicine Dr who put me on gabbapentin. He just referred me to Relieve us for acupuncture.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Spinal cord compression, Weight bearing difficulty, X-ray
Clinical narrative: It started about a week after I had my second dose.  I woke up like I had slept funny and my right shoulder was sore and really bothering me.  Within a few days I was in excruciating pain.  My range of motion in my right shoulder was really hindered and I had extreme difficulty reaching behind my back.  Despite me being right handed, I had weakness in my right arm.  Just getting dressed was difficult and unbelievably painful.  I considered going to Urgent Care  several times, but just tried to rest it, and the extreme pain did subside but then seemed to move into my neck. Upon my next Dr. appointment with my primary, I complained about my shoulder and neck.  She said it was probably bursitis and said PT, and ice and heat were all we could do. I started chiropractic treatment to try to get relief.  I was having daily, debilitating pain in my neck and right shoulder that worsened with any activity that required my arms outstretched, bearing weight.  As a mother of two and a professional potter for an occupation, I can tell you 90% of my daily activities aggravated my symptoms, and the symptoms would get progressively worse as the day went on. I begged my chiropractor for an mri which showed just a slight spinal cord compression, but nothing that would explain the symptoms.  I then saw a spine surgeon  Rothman who referred me to a sports medicine Dr who put me on gabbapentin. He just referred me to Relieve us for acupuncture.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Rash, Swelling
Clinical narrative: I had extreme swelling of my arm, redness, swelling and a rash. I used over the counter antihistamines and creams to alleviate symptoms.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: First dose was given 04/15/2021. We gave 2 nd  dose on 04/18/2022. Over  a year after the first dose.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Swelling, Urticaria
Clinical narrative: Severe hives, chills, swelling
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given a dose of Pfizer pediatric covid vaccine that had been refrigerated for 76 days.  Manufacturer recommended refrigerated storage is 70 days.  Parent notified of vaccine error and given CDC recommendations.  Parent chose not to re-vaccinate at this time.  No side effects or adverse reactions noted from the vaccine per mother.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Blood bicarbonate decreased, Blood ethanol, Blood gases, Blood glucose decreased, Blood ketone body increased
Clinical narrative: Date of Admission:  3/17/2022   Chief Complaint:  Hypoglycemia   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 59-year-old male with past medical history significant for chronic pancreatitis, EtOH abuse, hypertension type 2 diabetes mellitus and medical noncompliance, presented to the hospital with complaints of hypoglycemia. Multiple episodes of emesis was reported with POC glucose noted to be 39 by EMS. Vitals on arrival of T 96.9°F, BP 111/85, HR 87, RR 20, SpO2 97% on room air. Labs on arrival remarkable for Bicarb <5, mag 1.6, phos 5.7 on initial BMP and Hgb 12.1 on CBC. Elevated lactic acid 15.7 since downtrended since admission to 11.0 with ABG 7.37/19/100/10 on RA.  Elevated beta hydroxy 3.07 and ethanol 227, toxic alcohol screen in process. UA positive for ketones, 30 Protein, >20 hyaline casts, 1+ bacteria w/ no WBC/LE/Nitrites. Found to be COVID +.  Transferred to ICU for continued monitoring.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactic acid, Blood magnesium normal, Blood phosphorus increased, COVID-19, Full blood count abnormal
Clinical narrative: Date of Admission:  3/17/2022   Chief Complaint:  Hypoglycemia   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 59-year-old male with past medical history significant for chronic pancreatitis, EtOH abuse, hypertension type 2 diabetes mellitus and medical noncompliance, presented to the hospital with complaints of hypoglycemia. Multiple episodes of emesis was reported with POC glucose noted to be 39 by EMS. Vitals on arrival of T 96.9°F, BP 111/85, HR 87, RR 20, SpO2 97% on room air. Labs on arrival remarkable for Bicarb <5, mag 1.6, phos 5.7 on initial BMP and Hgb 12.1 on CBC. Elevated lactic acid 15.7 since downtrended since admission to 11.0 with ABG 7.37/19/100/10 on RA.  Elevated beta hydroxy 3.07 and ethanol 227, toxic alcohol screen in process. UA positive for ketones, 30 Protein, >20 hyaline casts, 1+ bacteria w/ no WBC/LE/Nitrites. Found to be COVID +.  Transferred to ICU for continued monitoring.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Hypoglycaemia, Influenza A virus test negative, Influenza B virus test, Intensive care
Clinical narrative: Date of Admission:  3/17/2022   Chief Complaint:  Hypoglycemia   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 59-year-old male with past medical history significant for chronic pancreatitis, EtOH abuse, hypertension type 2 diabetes mellitus and medical noncompliance, presented to the hospital with complaints of hypoglycemia. Multiple episodes of emesis was reported with POC glucose noted to be 39 by EMS. Vitals on arrival of T 96.9°F, BP 111/85, HR 87, RR 20, SpO2 97% on room air. Labs on arrival remarkable for Bicarb <5, mag 1.6, phos 5.7 on initial BMP and Hgb 12.1 on CBC. Elevated lactic acid 15.7 since downtrended since admission to 11.0 with ABG 7.37/19/100/10 on RA.  Elevated beta hydroxy 3.07 and ethanol 227, toxic alcohol screen in process. UA positive for ketones, 30 Protein, >20 hyaline casts, 1+ bacteria w/ no WBC/LE/Nitrites. Found to be COVID +.  Transferred to ICU for continued monitoring.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Nitrite urine absent, Protein urine present, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: Date of Admission:  3/17/2022   Chief Complaint:  Hypoglycemia   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 59-year-old male with past medical history significant for chronic pancreatitis, EtOH abuse, hypertension type 2 diabetes mellitus and medical noncompliance, presented to the hospital with complaints of hypoglycemia. Multiple episodes of emesis was reported with POC glucose noted to be 39 by EMS. Vitals on arrival of T 96.9°F, BP 111/85, HR 87, RR 20, SpO2 97% on room air. Labs on arrival remarkable for Bicarb <5, mag 1.6, phos 5.7 on initial BMP and Hgb 12.1 on CBC. Elevated lactic acid 15.7 since downtrended since admission to 11.0 with ABG 7.37/19/100/10 on RA.  Elevated beta hydroxy 3.07 and ethanol 227, toxic alcohol screen in process. UA positive for ketones, 30 Protein, >20 hyaline casts, 1+ bacteria w/ no WBC/LE/Nitrites. Found to be COVID +.  Transferred to ICU for continued monitoring.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary casts, Urine analysis abnormal, Urine ketone body present, Urine leukocyte esterase, Vomiting
Clinical narrative: Date of Admission:  3/17/2022   Chief Complaint:  Hypoglycemia   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 59-year-old male with past medical history significant for chronic pancreatitis, EtOH abuse, hypertension type 2 diabetes mellitus and medical noncompliance, presented to the hospital with complaints of hypoglycemia. Multiple episodes of emesis was reported with POC glucose noted to be 39 by EMS. Vitals on arrival of T 96.9°F, BP 111/85, HR 87, RR 20, SpO2 97% on room air. Labs on arrival remarkable for Bicarb <5, mag 1.6, phos 5.7 on initial BMP and Hgb 12.1 on CBC. Elevated lactic acid 15.7 since downtrended since admission to 11.0 with ABG 7.37/19/100/10 on RA.  Elevated beta hydroxy 3.07 and ethanol 227, toxic alcohol screen in process. UA positive for ketones, 30 Protein, >20 hyaline casts, 1+ bacteria w/ no WBC/LE/Nitrites. Found to be COVID +.  Transferred to ICU for continued monitoring.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cells urine negative
Clinical narrative: Date of Admission:  3/17/2022   Chief Complaint:  Hypoglycemia   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 59-year-old male with past medical history significant for chronic pancreatitis, EtOH abuse, hypertension type 2 diabetes mellitus and medical noncompliance, presented to the hospital with complaints of hypoglycemia. Multiple episodes of emesis was reported with POC glucose noted to be 39 by EMS. Vitals on arrival of T 96.9°F, BP 111/85, HR 87, RR 20, SpO2 97% on room air. Labs on arrival remarkable for Bicarb <5, mag 1.6, phos 5.7 on initial BMP and Hgb 12.1 on CBC. Elevated lactic acid 15.7 since downtrended since admission to 11.0 with ABG 7.37/19/100/10 on RA.  Elevated beta hydroxy 3.07 and ethanol 227, toxic alcohol screen in process. UA positive for ketones, 30 Protein, >20 hyaline casts, 1+ bacteria w/ no WBC/LE/Nitrites. Found to be COVID +.  Transferred to ICU for continued monitoring.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Prostate infection
Clinical narrative: Infected Prostate.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Blood folate, Blood magnesium, Blood thyroid stimulating hormone, C-reactive protein, Full blood count
Clinical narrative: At 12:30am on 11/10/2021, I woke up and tried to get out of bed. However, as soon as I moved my muscles started contracting and spasming uncontrollably. My full body.  I wasn?t able to sit up myself and they we constant for about 72 hours straight. If I managed to lay for an extended period of time (1 hour) they would subside as long as I didn?t move at all. If I moved even a finger, they would start up again. They subsided around 72 hours after onset. For 2.5 months following, I had a slight tremor in my left arm if I wasn?t moving and occasional full body spasms if I stood up too quickly that subsided after about 20-30 seconds. On 1/30/2022, I had and orgasm and  immediately following it, and for a week after, I had the full body muscle spasms/tremors. They were better if I moved about or engaged my muscles, but at rest were very present. I saw my PCP and that started lab work and she ordered a Brain MRI and I was referred to a Neurologist who I am working with. However, overall the spasms/tremors only happen occasionally now. Mainly, if I move quickly and then stop, but still tremors in my left arm when just sitting.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Magnetic resonance imaging head, Magnetic resonance imaging spinal, Metabolic function test, Muscle contractions involuntary
Clinical narrative: At 12:30am on 11/10/2021, I woke up and tried to get out of bed. However, as soon as I moved my muscles started contracting and spasming uncontrollably. My full body.  I wasn?t able to sit up myself and they we constant for about 72 hours straight. If I managed to lay for an extended period of time (1 hour) they would subside as long as I didn?t move at all. If I moved even a finger, they would start up again. They subsided around 72 hours after onset. For 2.5 months following, I had a slight tremor in my left arm if I wasn?t moving and occasional full body spasms if I stood up too quickly that subsided after about 20-30 seconds. On 1/30/2022, I had and orgasm and  immediately following it, and for a week after, I had the full body muscle spasms/tremors. They were better if I moved about or engaged my muscles, but at rest were very present. I saw my PCP and that started lab work and she ordered a Brain MRI and I was referred to a Neurologist who I am working with. However, overall the spasms/tremors only happen occasionally now. Mainly, if I move quickly and then stop, but still tremors in my left arm when just sitting.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Red blood cell sedimentation rate, Sitting disability, Tremor, Vitamin B12
Clinical narrative: At 12:30am on 11/10/2021, I woke up and tried to get out of bed. However, as soon as I moved my muscles started contracting and spasming uncontrollably. My full body.  I wasn?t able to sit up myself and they we constant for about 72 hours straight. If I managed to lay for an extended period of time (1 hour) they would subside as long as I didn?t move at all. If I moved even a finger, they would start up again. They subsided around 72 hours after onset. For 2.5 months following, I had a slight tremor in my left arm if I wasn?t moving and occasional full body spasms if I stood up too quickly that subsided after about 20-30 seconds. On 1/30/2022, I had and orgasm and  immediately following it, and for a week after, I had the full body muscle spasms/tremors. They were better if I moved about or engaged my muscles, but at rest were very present. I saw my PCP and that started lab work and she ordered a Brain MRI and I was referred to a Neurologist who I am working with. However, overall the spasms/tremors only happen occasionally now. Mainly, if I move quickly and then stop, but still tremors in my left arm when just sitting.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Dental discomfort, Dialysis, Fall
Clinical narrative: Attending Physician: DO Specialty:Internal Medicine Date of H&P: 3/30/2022    HPI:   This is a 56y.o. male  evaluated on general medical floor. Patient reports that he was smoking a joint when he lost consciousness and fell down a few stairs.  He reports he hit his head on the concrete landing.  He denies feeling lightheaded or dizzy or experiencing any chest pain or difficulty in breathing prior to the fall.  He does report some nausea and vomiting earlier in the day.  He was unable to hold down his blood pressure medications and immediately vomited them up after taking them.  He reports a headache as well as pain in the left arm as well as the left hip and knee.  Denies any current chest pain or difficulty breathing.  Denies abdominal pain, nausea, vomiting.  Denies any blood thinner use.  He states he was recently admitted to other hospital for elevated blood pressure.  He signed out AMA (against medical advice) on Monday.  He has dialysis MWF and did go to dialysis on Monday after signing out AMA.  He reports marijuana use.  He denies any cocaine abuse since August.  This morning, good spirits, awake alert oriented times 3.  He tells me he tested positive for Covid in January.  He is in need of dental care.  Horrific dental caries.  Asking for pain therapy. No chest pain, shortness of breath, fever, chills.  Most of his discomfort is dental
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Head injury, Headache, Hypertension, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Attending Physician: DO Specialty:Internal Medicine Date of H&P: 3/30/2022    HPI:   This is a 56y.o. male  evaluated on general medical floor. Patient reports that he was smoking a joint when he lost consciousness and fell down a few stairs.  He reports he hit his head on the concrete landing.  He denies feeling lightheaded or dizzy or experiencing any chest pain or difficulty in breathing prior to the fall.  He does report some nausea and vomiting earlier in the day.  He was unable to hold down his blood pressure medications and immediately vomited them up after taking them.  He reports a headache as well as pain in the left arm as well as the left hip and knee.  Denies any current chest pain or difficulty breathing.  Denies abdominal pain, nausea, vomiting.  Denies any blood thinner use.  He states he was recently admitted to other hospital for elevated blood pressure.  He signed out AMA (against medical advice) on Monday.  He has dialysis MWF and did go to dialysis on Monday after signing out AMA.  He reports marijuana use.  He denies any cocaine abuse since August.  This morning, good spirits, awake alert oriented times 3.  He tells me he tested positive for Covid in January.  He is in need of dental care.  Horrific dental caries.  Asking for pain therapy. No chest pain, shortness of breath, fever, chills.  Most of his discomfort is dental
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Nausea, Pain in extremity, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: Attending Physician: DO Specialty:Internal Medicine Date of H&P: 3/30/2022    HPI:   This is a 56y.o. male  evaluated on general medical floor. Patient reports that he was smoking a joint when he lost consciousness and fell down a few stairs.  He reports he hit his head on the concrete landing.  He denies feeling lightheaded or dizzy or experiencing any chest pain or difficulty in breathing prior to the fall.  He does report some nausea and vomiting earlier in the day.  He was unable to hold down his blood pressure medications and immediately vomited them up after taking them.  He reports a headache as well as pain in the left arm as well as the left hip and knee.  Denies any current chest pain or difficulty breathing.  Denies abdominal pain, nausea, vomiting.  Denies any blood thinner use.  He states he was recently admitted to other hospital for elevated blood pressure.  He signed out AMA (against medical advice) on Monday.  He has dialysis MWF and did go to dialysis on Monday after signing out AMA.  He reports marijuana use.  He denies any cocaine abuse since August.  This morning, good spirits, awake alert oriented times 3.  He tells me he tested positive for Covid in January.  He is in need of dental care.  Horrific dental caries.  Asking for pain therapy. No chest pain, shortness of breath, fever, chills.  Most of his discomfort is dental
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Attending Physician: DO Specialty:Internal Medicine Date of H&P: 3/30/2022    HPI:   This is a 56y.o. male  evaluated on general medical floor. Patient reports that he was smoking a joint when he lost consciousness and fell down a few stairs.  He reports he hit his head on the concrete landing.  He denies feeling lightheaded or dizzy or experiencing any chest pain or difficulty in breathing prior to the fall.  He does report some nausea and vomiting earlier in the day.  He was unable to hold down his blood pressure medications and immediately vomited them up after taking them.  He reports a headache as well as pain in the left arm as well as the left hip and knee.  Denies any current chest pain or difficulty breathing.  Denies abdominal pain, nausea, vomiting.  Denies any blood thinner use.  He states he was recently admitted to other hospital for elevated blood pressure.  He signed out AMA (against medical advice) on Monday.  He has dialysis MWF and did go to dialysis on Monday after signing out AMA.  He reports marijuana use.  He denies any cocaine abuse since August.  This morning, good spirits, awake alert oriented times 3.  He tells me he tested positive for Covid in January.  He is in need of dental care.  Horrific dental caries.  Asking for pain therapy. No chest pain, shortness of breath, fever, chills.  Most of his discomfort is dental
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Headache, Nausea
Clinical narrative: The day after the vaccination, I woke up and had a headache, was nauseated, very fatigued and weak. I had a televisit with Physician Assistant on the night of 5-07-21. They told me to rest, drink fluids and if "you get any worse, just call us back". Symptoms lasted 4-5 days. I recovered after the 5th day.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site discolouration, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: No major side effects day of or day after Moderna 2nd booster shot (like other three, coincidentally: Pfizer). Just a little tender at inj site. The weird effect I just wanted to share: Day three there is a little swelling/redness/warmth (?) / itching (?) at inject. site ? form of a large reddish circle apx 2-2.5" diameter, with what looks like a thin 'white' perimeter 'line' (color is slightly lighter than my skin color). And the area itches, too. Just sharing as it's a side effect I hadn't had before: itching, slight swelling 2" reddish circle/welt.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site urticaria, Injection site warmth
Clinical narrative: No major side effects day of or day after Moderna 2nd booster shot (like other three, coincidentally: Pfizer). Just a little tender at inj site. The weird effect I just wanted to share: Day three there is a little swelling/redness/warmth (?) / itching (?) at inject. site ? form of a large reddish circle apx 2-2.5" diameter, with what looks like a thin 'white' perimeter 'line' (color is slightly lighter than my skin color). And the area itches, too. Just sharing as it's a side effect I hadn't had before: itching, slight swelling 2" reddish circle/welt.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Rash erythematous
Clinical narrative: developed red rash and itching around injection site.  used heat to site and sx were almost gone in the morning
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, C-reactive protein increased, COVID-19, Chest X-ray abnormal, Computerised tomogram thorax abnormal
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA:  hospitalized for pulmonary embolism and COVID-19 infection after COVID-19 immunization. Received oxygen, anticoagulated, and discharged to home.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: International normalised ratio normal, Lung opacity, Pleural effusion, Pneumonia, Prothrombin time prolonged
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA:  hospitalized for pulmonary embolism and COVID-19 infection after COVID-19 immunization. Received oxygen, anticoagulated, and discharged to home.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism, Pulmonary infarction, White blood cell count increased
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA:  hospitalized for pulmonary embolism and COVID-19 infection after COVID-19 immunization. Received oxygen, anticoagulated, and discharged to home.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Migraine, Somnolence
Clinical narrative: Extreme exhaustion, hard time staying awake. As well as I had migraines for the next few days after that. It took a while for it to go away.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Manual lymphatic drainage, Muscle tightness, Ultrasound scan
Clinical narrative: Tightness in arm/lymph node. Lymphatic draining caused cording in my left arm for several weeks. Had an ultrasound to make sure it wasn't a clot.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain
Clinical narrative: Red sore at injection site.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Injection site reaction, Rash pruritic
Clinical narrative: After receiving the second dose, within hours after injection, I had a circular rash around site of injection about the 4 inches in circumference around the majority of my arm that was itchy for a few days but actually lasted for around 2 weeks. I was extremely fatigued. The fatigue lasted for around a month before I began to feel normal again. For a week after vaccination, I also had very bad headaches.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Delivery, SARS-CoV-2 test positive
Clinical narrative: positive for covid on 4/17/22, routine testing for L&D, asymptomatic
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Pyrexia, Vomiting
Clinical narrative: I came home after the vaccine, had dinner and went to bed as usual. When I got up I had diarrhea and vomiting that went on all day. The next day I woke up to fever and chills along with the vomiting and diarrhea that lasted another three days. I was unable to get to the doctors office as I live alone.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Oral discomfort, Stomatitis, Tongue discomfort
Clinical narrative: Burning  and metallic taste in my mouth.  Started 3 days after my first shot.  Went to the doctor about 4-6 weeks later and was told that it was stomatitis, but there was no real explanation as to why.  Other than the vaccine 3 days prior to the symptoms, there were no changes in my lifestyle or diet.  There are no visual blisters or redness, just a  burning in my mouth (cheeks and tongue) has not gone away and continues still.
Age: 6.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Cellulitis, Fatigue, Hypophagia, Immunisation reaction, Injection site erythema
Clinical narrative: HPI Patient is a 6-year-old male with a past medical history significant for autism who seen in clinic 2 days ago for well-child exam.  Patient achieved his DTaP IPV combined vaccine in his right thigh.  Overnight he has developed redness and swelling around the injection site.  Patient's mother accompanies him today and provides the history.  She states that she first noticed patient's leg was swollen last night.  He intermittently complains of pain in the region and has been itching the area.  The swelling had gotten bigger this morning so the patient sent pictures and called our office for an appointment.  She notes that pt. has been more irritable and fatigued.  He is not eating as much, though drinking fluids well.  They deny any fever, vomiting, or gait changes.  He has no history of prior vaccine reactions.
Age: 6.0
Sex: M
Vaccine: DTAPIPV
Symptoms: Injection site pruritus, Injection site swelling, Irritability, Streptococcal infection
Clinical narrative: HPI Patient is a 6-year-old male with a past medical history significant for autism who seen in clinic 2 days ago for well-child exam.  Patient achieved his DTaP IPV combined vaccine in his right thigh.  Overnight he has developed redness and swelling around the injection site.  Patient's mother accompanies him today and provides the history.  She states that she first noticed patient's leg was swollen last night.  He intermittently complains of pain in the region and has been itching the area.  The swelling had gotten bigger this morning so the patient sent pictures and called our office for an appointment.  She notes that pt. has been more irritable and fatigued.  He is not eating as much, though drinking fluids well.  They deny any fever, vomiting, or gait changes.  He has no history of prior vaccine reactions.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Cardiac arrest, Cough, Death
Clinical narrative: per pt's wife, pt was seen at an urgent care after a fall at home on 9/9/21; xray showed no acute findings; urgent care did a COVID test and pt found out it was positive on 9/10/21; pt received monoclonal antibody infusion on 9/12; was brought to ED 9/14/21 with altered mental status and increased lethargy, fever, cough, and decrease in urine output; O2 sats 98% on RA; positive COVID tests on 9/14/21 and 9/21/21; through the course of his stay, his condition worsened; pneumonia; ARF; wife made pt a DNR; he slowly declined and transitioned to comfort care; he experienced cardiac arrest and passed away in the hospital
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, General physical health deterioration, Lethargy, Mental status changes, Pneumonia
Clinical narrative: per pt's wife, pt was seen at an urgent care after a fall at home on 9/9/21; xray showed no acute findings; urgent care did a COVID test and pt found out it was positive on 9/10/21; pt received monoclonal antibody infusion on 9/12; was brought to ED 9/14/21 with altered mental status and increased lethargy, fever, cough, and decrease in urine output; O2 sats 98% on RA; positive COVID tests on 9/14/21 and 9/21/21; through the course of his stay, his condition worsened; pneumonia; ARF; wife made pt a DNR; he slowly declined and transitioned to comfort care; he experienced cardiac arrest and passed away in the hospital
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Urine output decreased, X-ray normal
Clinical narrative: per pt's wife, pt was seen at an urgent care after a fall at home on 9/9/21; xray showed no acute findings; urgent care did a COVID test and pt found out it was positive on 9/10/21; pt received monoclonal antibody infusion on 9/12; was brought to ED 9/14/21 with altered mental status and increased lethargy, fever, cough, and decrease in urine output; O2 sats 98% on RA; positive COVID tests on 9/14/21 and 9/21/21; through the course of his stay, his condition worsened; pneumonia; ARF; wife made pt a DNR; he slowly declined and transitioned to comfort care; he experienced cardiac arrest and passed away in the hospital
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Middle insomnia, Pain
Clinical narrative: Persistent fatigue, body aches, sleep onset, sleep-maintenance insomnia, random brief and sharp body pains.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chills, Diarrhoea, Ear pain, Headache
Clinical narrative: Day 1: Fever 100.5 after ibuprofen and Tylenol. Chills, Severe muscle aches, headache, and ear/jaw pain. Abdominal pain. Stiffness. Day 2: Diarrhea, abdominal pain, leg pain/restless leg
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Myalgia, Pain in extremity, Pain in jaw, Pyrexia
Clinical narrative: Day 1: Fever 100.5 after ibuprofen and Tylenol. Chills, Severe muscle aches, headache, and ear/jaw pain. Abdominal pain. Stiffness. Day 2: Diarrhea, abdominal pain, leg pain/restless leg
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Restless legs syndrome
Clinical narrative: Day 1: Fever 100.5 after ibuprofen and Tylenol. Chills, Severe muscle aches, headache, and ear/jaw pain. Abdominal pain. Stiffness. Day 2: Diarrhea, abdominal pain, leg pain/restless leg
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Ankle brachial index, Blood test, Fatigue, Mobility decreased, Pain in extremity
Clinical narrative: The week of Feb 20th, I began to experiencing pain in the right heel that slowly began to go up my right leg. The next day the same symptoms started on my left leg/calf. Went to the doctor on March 18th where they ran some tests and prescribed 5days of anti-biotic which did not help. On March 25th 2021 both legs felt very fatigued. I began to develop red spots on my lower legs which lasted for a couple of days. By the time I saw my doctor it had cleared up.  Went to doctor again on April 20th which was more bloodwork and a lower extremity test on  4/22. I was then referred to a neurologist whom I saw on June 3rd. The doctor stated at this visit that it was most likely not due to the vaccine. I started physical therapy on July 1st and ended Oct which helped. In Dec, the leg tingling began again and in Jan, it was getting harder to get out of bed and the sensation had spread to my hips. By the end of Jan, the sensation had gone back down.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Rash erythematous
Clinical narrative: The week of Feb 20th, I began to experiencing pain in the right heel that slowly began to go up my right leg. The next day the same symptoms started on my left leg/calf. Went to the doctor on March 18th where they ran some tests and prescribed 5days of anti-biotic which did not help. On March 25th 2021 both legs felt very fatigued. I began to develop red spots on my lower legs which lasted for a couple of days. By the time I saw my doctor it had cleared up.  Went to doctor again on April 20th which was more bloodwork and a lower extremity test on  4/22. I was then referred to a neurologist whom I saw on June 3rd. The doctor stated at this visit that it was most likely not due to the vaccine. I started physical therapy on July 1st and ended Oct which helped. In Dec, the leg tingling began again and in Jan, it was getting harder to get out of bed and the sensation had spread to my hips. By the end of Jan, the sensation had gone back down.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Oedema peripheral
Clinical narrative: Swelling under armpit (poss. lymph node)
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Headache, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Attending Physician: (Withheld)   Date of Admission:  4/1/2022   Chief Complaint:  Chest pain    Source of Information:  Patient and available chart review    History of Present Illness:  This is a 58y.o. male with a PMHx of CAD s/p CABG x2 with LIMA to LAD and SVG to OM in 2015 and history of multiple in-stent restenosis and further PCI's following his bypass in 2015 (left main into OM, RCA and LCx which was treated with brachytherapy as well), opiate dependence, essential HTN, hyperlipiemia, anxiety, previous GSW to abdomen, COPD, and OSA who presents to hospital with the complaint of chest pain. The patient states he was at rest today when all of a sudden he started to experience a burning pain in his left chest and substernal region. The patient has a significant cardiac history as above and states this pain feels similar to the past MI's he has had. The patient denies any radiation and states his pain was worsened with exertion but had no change with rest. He took 3 nitros at home without relief. The patients last LHC was in 4/2021 (detailed report in HPI) and patient was started on ASA/Plavix at that time. The patient states he not taken his Plavix in 30 days but has been compliant with his aspirin up until a few days ago. He has not followed up with a cardiologist since April. The patient states the pain was not going away, which prompted him to seek further evaluation at our facility. He denies any other symptoms such as shortness of breath, palpitations, diaphoresis, n/v/d, fever, chills, worsening of chest pain upon inhalation, lightheadedness, dizziness, or abdominal pain. The only complaint he has other than chest pain is a headache. Denies any visual changes.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: Attending Physician: (Withheld)   Date of Admission:  4/1/2022   Chief Complaint:  Chest pain    Source of Information:  Patient and available chart review    History of Present Illness:  This is a 58y.o. male with a PMHx of CAD s/p CABG x2 with LIMA to LAD and SVG to OM in 2015 and history of multiple in-stent restenosis and further PCI's following his bypass in 2015 (left main into OM, RCA and LCx which was treated with brachytherapy as well), opiate dependence, essential HTN, hyperlipiemia, anxiety, previous GSW to abdomen, COPD, and OSA who presents to hospital with the complaint of chest pain. The patient states he was at rest today when all of a sudden he started to experience a burning pain in his left chest and substernal region. The patient has a significant cardiac history as above and states this pain feels similar to the past MI's he has had. The patient denies any radiation and states his pain was worsened with exertion but had no change with rest. He took 3 nitros at home without relief. The patients last LHC was in 4/2021 (detailed report in HPI) and patient was started on ASA/Plavix at that time. The patient states he not taken his Plavix in 30 days but has been compliant with his aspirin up until a few days ago. He has not followed up with a cardiologist since April. The patient states the pain was not going away, which prompted him to seek further evaluation at our facility. He denies any other symptoms such as shortness of breath, palpitations, diaphoresis, n/v/d, fever, chills, worsening of chest pain upon inhalation, lightheadedness, dizziness, or abdominal pain. The only complaint he has other than chest pain is a headache. Denies any visual changes.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Oral herpes, Rash
Clinical narrative: Starting about 1 week after receiving the vaccine, I developed patches of rash in random places over my body and a severe cold sore that spread across my lip. My doctor said it was likely an immune response. He put me on antibiotics and antivirals. The symptoms lasted for about a week after starting the meds and resolved on their own.
Age: 78.0
Sex: F
Vaccine: COVID19, PPV
Symptoms: Decreased appetite, Inflammation, Injected limb mobility decreased, Injection site erythema, Injection site induration
Clinical narrative: Red, hot, swollen, hard, painful, 2.5 inch raised area at injection site of the PPSV 13 vaccine. Arm difficult/sore to move, Nausea and loss of appetite, Lethargy started morning after vaccine given (approx. 18 hours). Swelling/inflammation beginning to subside on 4th day post vaccine. Nausea, loss of appetite, limb pain persist 5th day post vaccine.  Patient denied warm compress to site in attempt to alleviate inflammation. Oral analgesics minimally effective in relief of pain.
Age: 78.0
Sex: F
Vaccine: COVID19, PPV
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Lethargy, Nausea
Clinical narrative: Red, hot, swollen, hard, painful, 2.5 inch raised area at injection site of the PPSV 13 vaccine. Arm difficult/sore to move, Nausea and loss of appetite, Lethargy started morning after vaccine given (approx. 18 hours). Swelling/inflammation beginning to subside on 4th day post vaccine. Nausea, loss of appetite, limb pain persist 5th day post vaccine.  Patient denied warm compress to site in attempt to alleviate inflammation. Oral analgesics minimally effective in relief of pain.
Age: 78.0
Sex: F
Vaccine: COVID19, PPV
Symptoms: Pain, Pain in extremity
Clinical narrative: Red, hot, swollen, hard, painful, 2.5 inch raised area at injection site of the PPSV 13 vaccine. Arm difficult/sore to move, Nausea and loss of appetite, Lethargy started morning after vaccine given (approx. 18 hours). Swelling/inflammation beginning to subside on 4th day post vaccine. Nausea, loss of appetite, limb pain persist 5th day post vaccine.  Patient denied warm compress to site in attempt to alleviate inflammation. Oral analgesics minimally effective in relief of pain.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain
Clinical narrative: None.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood creatinine increased, Blood glucose increased, Blood sodium decreased, COVID-19
Clinical narrative: Moderna COVID-19 Vaccine EUA: hospitalized for COVID-19 infection with weakness and decreased oral intake. Received oxygen, IV fluids, and physical therapy. Discharged to home medically stable.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Carbon dioxide decreased, Chest X-ray abnormal, Hypophagia, International normalised ratio increased, Prothrombin time prolonged
Clinical narrative: Moderna COVID-19 Vaccine EUA: hospitalized for COVID-19 infection with weakness and decreased oral intake. Received oxygen, IV fluids, and physical therapy. Discharged to home medically stable.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary oedema, SARS-CoV-2 test positive
Clinical narrative: Moderna COVID-19 Vaccine EUA: hospitalized for COVID-19 infection with weakness and decreased oral intake. Received oxygen, IV fluids, and physical therapy. Discharged to home medically stable.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea
Clinical narrative: Pt presented 2 days later with SOB but was stable and discharged stable without oxygen requirement.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dry mouth, Eye pain, Oral fungal infection
Clinical narrative: After the 2nd dose I had a lot of pain in my eye. Then, I started experiencing a really dry mouth and ended up getting a fungus in my mouth and have to use biotin daily. I also use eye drops for my eyes, but it my left eye bothers me the most.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated
Clinical narrative: symptoms of polyarthralgia (both hips, both upper legs, both shoulders, both upper arms).  Self medication with aleve, advil for 3 months, currently on 15 mg Meloxicam 1/day and by twice monthly PT. Possible PMR.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test abnormal, Chest X-ray, Dizziness, Fatigue, Headache
Clinical narrative: 24 hours after shot: pains through lungs/rib cage; extreme pain in right arm; extreme tremors; night sweats, slight nausea/vomitting (water no food); extreme tiredness over a course of 8 days. Slight headach and dizziness at the end of that time
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Hepatic enzyme increased, Musculoskeletal chest pain, Nausea, Night sweats, Pain in extremity
Clinical narrative: 24 hours after shot: pains through lungs/rib cage; extreme pain in right arm; extreme tremors; night sweats, slight nausea/vomitting (water no food); extreme tiredness over a course of 8 days. Slight headach and dizziness at the end of that time
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary pain, Tremor, Vomiting
Clinical narrative: 24 hours after shot: pains through lungs/rib cage; extreme pain in right arm; extreme tremors; night sweats, slight nausea/vomitting (water no food); extreme tiredness over a course of 8 days. Slight headach and dizziness at the end of that time
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: NO ADVERSE EVENTS NOTED POST VACCINATION- REPORTING DUE TO <18 YEARS OLD AT TIME OF MODERNA VACCINATION.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: The event was a mild rash around my abdomen and the top of my thighs, very little itching. I called the doctor and was told to take Benadryl, I took two tablets. Within four days the rash was completely gone.