chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: This is a 70-year-old male with PMH of DM and HTN presents to the ED for evaluation of shortness of breath. Patient reports that he had COVID-19 symptoms for approximately 2 weeks ago and was tested positive for COVID-19 last week. Patient reports he still feels short of breath on exertion, mild loss of taste and smell, weakness and fatigue. Patient reports he was vaccinated with the J&J in June 2021. Patient reports he is more concerned now because he has persisted short of breath and not getting any better. In the ED, patient was given 6 mg of Decadron IV. Patient is currently saturating 97 98% on room air and appears mild short of breath on exertion. CTA shows extensive bilateral pulmonary infiltrates Patient denies any chest pain, dizziness, lightheadedness, palpitations, nausea, vomiting, diarrhea, fever and chills.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Nasal congestion, SARS-CoV-2 test positive
Clinical narrative: NASAL CONGESTION, COUGH
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Erythema, Headache, Illness, Lymph node pain
Clinical narrative: Arm is swollen, hot, painful, red, and blotchy, lymphnodes in armpit are very swollen and painful. Been very sick with incrediable pain. everywhere. naucous and stomach pain. Terrible headache
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Nausea, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: Arm is swollen, hot, painful, red, and blotchy, lymphnodes in armpit are very swollen and painful. Been very sick with incrediable pain. everywhere. naucous and stomach pain. Terrible headache
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular, Skin warm
Clinical narrative: Arm is swollen, hot, painful, red, and blotchy, lymphnodes in armpit are very swollen and painful. Been very sick with incrediable pain. everywhere. naucous and stomach pain. Terrible headache
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest pain, Chills, Diarrhoea, Dyspnoea exertional
Clinical narrative: It started with generalized aching pain all over, then excruciating joint pain, muscle pain, pain in the skin that I couldn't even be touched. Enlarged lymph nodes under my left arm and left side of my neck. Unable to raise my left arm away from my body or turn my head due to stiff neck. Chills, shivering, nausea, diarrhea.  It felt like my entire nervous system was being attacked. I had one episode where I was laying still and my left leg jumped on its own and I screamed in pain. The worst was the first 24 hours, by 48 the pain was manageable with tylenol but I didn't feel back to normal for 4 to 5 days. I was easily winded when walking for the following 7-10 days and pain my chest with a deep breathe continued for several weeks.  Since receiving the vaccine my menstrual cycle (which has been regular for my entire life) has shortened and comes one week sooner.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Lymphadenopathy, Menstruation irregular, Mobility decreased, Muscle twitching
Clinical narrative: It started with generalized aching pain all over, then excruciating joint pain, muscle pain, pain in the skin that I couldn't even be touched. Enlarged lymph nodes under my left arm and left side of my neck. Unable to raise my left arm away from my body or turn my head due to stiff neck. Chills, shivering, nausea, diarrhea.  It felt like my entire nervous system was being attacked. I had one episode where I was laying still and my left leg jumped on its own and I screamed in pain. The worst was the first 24 hours, by 48 the pain was manageable with tylenol but I didn't feel back to normal for 4 to 5 days. I was easily winded when walking for the following 7-10 days and pain my chest with a deep breathe continued for several weeks.  Since receiving the vaccine my menstrual cycle (which has been regular for my entire life) has shortened and comes one week sooner.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Myalgia, Nausea, Nervous system disorder, Pain
Clinical narrative: It started with generalized aching pain all over, then excruciating joint pain, muscle pain, pain in the skin that I couldn't even be touched. Enlarged lymph nodes under my left arm and left side of my neck. Unable to raise my left arm away from my body or turn my head due to stiff neck. Chills, shivering, nausea, diarrhea.  It felt like my entire nervous system was being attacked. I had one episode where I was laying still and my left leg jumped on its own and I screamed in pain. The worst was the first 24 hours, by 48 the pain was manageable with tylenol but I didn't feel back to normal for 4 to 5 days. I was easily winded when walking for the following 7-10 days and pain my chest with a deep breathe continued for several weeks.  Since receiving the vaccine my menstrual cycle (which has been regular for my entire life) has shortened and comes one week sooner.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pain of skin, Painful respiration, Polymenorrhoea, Screaming
Clinical narrative: It started with generalized aching pain all over, then excruciating joint pain, muscle pain, pain in the skin that I couldn't even be touched. Enlarged lymph nodes under my left arm and left side of my neck. Unable to raise my left arm away from my body or turn my head due to stiff neck. Chills, shivering, nausea, diarrhea.  It felt like my entire nervous system was being attacked. I had one episode where I was laying still and my left leg jumped on its own and I screamed in pain. The worst was the first 24 hours, by 48 the pain was manageable with tylenol but I didn't feel back to normal for 4 to 5 days. I was easily winded when walking for the following 7-10 days and pain my chest with a deep breathe continued for several weeks.  Since receiving the vaccine my menstrual cycle (which has been regular for my entire life) has shortened and comes one week sooner.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Sensitive skin
Clinical narrative: It started with generalized aching pain all over, then excruciating joint pain, muscle pain, pain in the skin that I couldn't even be touched. Enlarged lymph nodes under my left arm and left side of my neck. Unable to raise my left arm away from my body or turn my head due to stiff neck. Chills, shivering, nausea, diarrhea.  It felt like my entire nervous system was being attacked. I had one episode where I was laying still and my left leg jumped on its own and I screamed in pain. The worst was the first 24 hours, by 48 the pain was manageable with tylenol but I didn't feel back to normal for 4 to 5 days. I was easily winded when walking for the following 7-10 days and pain my chest with a deep breathe continued for several weeks.  Since receiving the vaccine my menstrual cycle (which has been regular for my entire life) has shortened and comes one week sooner.
Age: 63.0
Sex: U
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Headache, Pyrexia
Clinical narrative: Pt had a 102.8 fever and had a headache, chills, weakness and fatigue
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: CHILD'S DATE OF BIRTH WRITTEN (WITHOUT DAY) AND AGE WRITTEN AS 12 ON CONSENT SIGNED BY INDIVIDUAL IDENTIFYING AS FATHER.  CHILD IDENTIFIED IN SYSTEM AS HAVING DATE OF BIRTH OF A DIFFERENT DATE WHICH MAKES CHILD TOO YOUNG FOR VACCINE IN 8/2021.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Oedema peripheral
Clinical narrative: Pain/swelling in my armpit on the same side of my body as where the shot was given
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Herpes zoster, Pain
Clinical narrative: Had Herpes Zoster/Shingles. Rashes appeared on lest side of belly and back. Felt painful on different spots of the body.  On the fourth day when this happened,  Took one VALACYCLOVIR HCL 1GM TAB three times a day/ Took three GABAPENTIN 100MG CAPS per day/  Took  one ACETAMINOPHEN ER 650MG TBCR as pain reliever four times a day / Took one B-COMPLEX per day/
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Lip swelling, Myalgia, Paraesthesia
Clinical narrative: 12/6 Moderna Booster Shot 12/7 slight muscle aches and chills which ended around 10pm 12/8 woke up with swollen lips on the left side of my mouth and tingling sensation in the left side of my face
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid +; supplemental oxygen; dexamethasone; hospitalized
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, COVID-19, Hypoxia, Lung opacity, Mental status changes
Clinical narrative: Presetned to hiospital on 12/6 from assisted libing with acute hypoxemia andn latered mental status. Diagnosed COVID + on 12/3. Started on dexamehtasone, borad spectrum antibiotics and IV diuresis. With increasing oxygen requirements, baracitinib was added. Patient's daughter requesteed pallative care involvemnt for goals of care. On 12/9 had an abrupt increase in oxygen reuqirements and CT angiogram obtained with no signe of pumonary embolism but worsening pulmonary opacities. His anitibiotics were broadened and diursis was increased. Despite aggressive measure he failed ot improve. Discussions with pallative care and family elected to persue comfort measures onm 12/11.
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Polyuria, SARS-CoV-2 test positive
Clinical narrative: Presetned to hiospital on 12/6 from assisted libing with acute hypoxemia andn latered mental status. Diagnosed COVID + on 12/3. Started on dexamehtasone, borad spectrum antibiotics and IV diuresis. With increasing oxygen requirements, baracitinib was added. Patient's daughter requesteed pallative care involvemnt for goals of care. On 12/9 had an abrupt increase in oxygen reuqirements and CT angiogram obtained with no signe of pumonary embolism but worsening pulmonary opacities. His anitibiotics were broadened and diursis was increased. Despite aggressive measure he failed ot improve. Discussions with pallative care and family elected to persue comfort measures onm 12/11.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse effect at this time - adult Pfizer vaccine given to pediatric patient. Patients mother reported Patient is okay with no issues at this time but advised to update if anything were to occur.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Blood test, Chest pain, Computerised tomogram, Pruritus
Clinical narrative: I had developed all over my body, from my scalp to my ankles and large white welts had started to form on my body. It was insane itching. I took Benadryl and took a steroid prednisone to help begin clearing the bright red rash. I saw my PCP and he informed me this was a reaction to the vaccine. I also went to the ER prior to visiting my PCP where they performed blood work, vaccine allergy test, and CT scans on my chest due to mild chest pain and history of blood clots. That's where I was given the prednisone to reduce the rash.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Urticaria
Clinical narrative: I had developed all over my body, from my scalp to my ankles and large white welts had started to form on my body. It was insane itching. I took Benadryl and took a steroid prednisone to help begin clearing the bright red rash. I saw my PCP and he informed me this was a reaction to the vaccine. I also went to the ER prior to visiting my PCP where they performed blood work, vaccine allergy test, and CT scans on my chest due to mild chest pain and history of blood clots. That's where I was given the prednisone to reduce the rash.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Pallor
Clinical narrative: Patient became pale and passed out 3 minutes after injection. BP;  86/60 Pulse: 53 RR: 20 O2 Sat: 98%
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Computerised tomogram abdomen abnormal, Intestinal dilatation, Nausea
Clinical narrative: 56 yr pt with hx of multiple abd surgeries came to ER with c/o generalized abd pain associated with nausea and vomiting. She had last BM 24 hrs ago. seen in ER, CT done shows dilated small bowel loops with transition likely in distal ileum suggestive of SBO.No CP,SOB,N,V,D,LOC.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 antibody test, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Small intestinal obstruction, Vomiting
Clinical narrative: 56 yr pt with hx of multiple abd surgeries came to ER with c/o generalized abd pain associated with nausea and vomiting. She had last BM 24 hrs ago. seen in ER, CT done shows dilated small bowel loops with transition likely in distal ileum suggestive of SBO.No CP,SOB,N,V,D,LOC.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Axillary pain, Breast pain, Headache, Lethargy, Oropharyngeal pain
Clinical narrative: About seven hours after the third vaccine that I received as a booster, I had a severe headache especially on my left temple, and generally felt lethargic and my whole body was hurting. This got worse the next morning when I woke up and felt feverish, with a throat ache and terrible headache. This subsided by the end of the second day. On the third day that I am filling this form (12/13/2021) my left armpit and breast are really tender and sore.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain, Pyrexia, Tenderness
Clinical narrative: About seven hours after the third vaccine that I received as a booster, I had a severe headache especially on my left temple, and generally felt lethargic and my whole body was hurting. This got worse the next morning when I woke up and felt feverish, with a throat ache and terrible headache. This subsided by the end of the second day. On the third day that I am filling this form (12/13/2021) my left armpit and breast are really tender and sore.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Chest X-ray, Chills, Headache
Clinical narrative: Chills and flu like symptoms started at 6pm, tachycardia lasting approximately 2 hours started at 1am, followed by severe nausea and fever that lasted until medicated in ER.  Flu like symptoms - malaise, headache, weakness -  persisted through12/12/2021.  2cm red rash at injection site painful to touch persists currently.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness, Injection site erythema, Injection site pain, Injection site rash, Malaise
Clinical narrative: Chills and flu like symptoms started at 6pm, tachycardia lasting approximately 2 hours started at 1am, followed by severe nausea and fever that lasted until medicated in ER.  Flu like symptoms - malaise, headache, weakness -  persisted through12/12/2021.  2cm red rash at injection site painful to touch persists currently.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Rash, SARS-CoV-2 test, Tachycardia
Clinical narrative: Chills and flu like symptoms started at 6pm, tachycardia lasting approximately 2 hours started at 1am, followed by severe nausea and fever that lasted until medicated in ER.  Flu like symptoms - malaise, headache, weakness -  persisted through12/12/2021.  2cm red rash at injection site painful to touch persists currently.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Wrong product administered
Clinical narrative: Incorrect vaccine administered: Adult Pfizer given to a pediatric patient. No adverse outcomes reported per patients mother as a result. Advised that if anything is experienced to report to us immediately for assistance.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Sleep disorder, Urticaria
Clinical narrative: on 12/8 I noticed a tiny itchy hive by my right eye. That night the soles of my feet and palms of my hands started itching intensely. The next night it itched so much it woke me up in the middle of the night. On 12/12 I noticed a tiny hive or more on other areas of my body that started itching. Random places that seem to be covered by clothing or accessories. Took Benadryl the night of 12/12 and it seemed to help. Took another Benadryl this morning when I saw more random hives. Seeing my dermatologist later today.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, Cough, Culture, Culture throat, Nasopharyngitis
Clinical narrative: Around November 25th, I started to feel like I had a really bad cold. I had a temperature, felt congested, was wheezing and I was coughing a lot. I went to the doctor and they diagnosed me with having Sinusitis, Bronchitis and RSV. I was given 5 rounds of steroids and antibiotics. As of today, I am feeling okay. I still have a lingering cough.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory syncytial virus infection, Respiratory tract congestion, Sinusitis, Wheezing
Clinical narrative: Around November 25th, I started to feel like I had a really bad cold. I had a temperature, felt congested, was wheezing and I was coughing a lot. I went to the doctor and they diagnosed me with having Sinusitis, Bronchitis and RSV. I was given 5 rounds of steroids and antibiotics. As of today, I am feeling okay. I still have a lingering cough.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Angiogram pulmonary abnormal, Atelectasis, Brain natriuretic peptide normal, COVID-19
Clinical narrative: This a 89y.o. male is well known to me and we recently received a message from the facility that  was coming into the ER and that he was increasingly SOB. His  history of HTN, hypothyroidism, CAD, NSTEMI is a concern and his BP and nutritional status is a concern.    Per chart review, he was hospitalized from 11/9/21-11/12/21 for AKI and UTI. He was discharged home with home care. He has been on 4 L home O2 since a hospitalization in October. He has family members that recently tested positive for COVID. He states that he has felt SOB ever since his hospitalization in October, so he is unsure when his current symptoms started. He admits to a nonproductive cough, wheezing, and SOB. He states that he has chills currently and has rigors on exam but has not had fever or chills previously. He denies diarrhea to me but told the ED that he has had nonbloody diarrhea. He denies HA, abdominal pain, N/V, or chest pain. He states that he has been fully vaccinated "ever since they first came out with the vaccine."   ER notes reviewed and  his BP has been low and is again with BP  86/54, HR 112, SpO2 92-95% on 6 L nasal canula. His COVID-19 swab was positive and his CXR showed small pleural effusions with passive atelectasis and superimposed airspace opacities in the right lower lung. His EKG showed sinus rhythm with sinus arrhythmia and PVCs and his troponin was 0.04, 0.04. His BNP was 83. His d-dimer was > 10,000. His WBC was 13.1 but his procalcitonin was 0.05. His chest CTA was negative for a PE but showed scattered groundglass opacities in both lungs concerning for an acute infectious/inflammatory process and moderate pleural effusions with passive atelectasis. ID was consulted and he was given 325 mg ASA, 6 mg Decadron, and Albuterol.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chills, Cough, Diarrhoea, Dyspnoea
Clinical narrative: This a 89y.o. male is well known to me and we recently received a message from the facility that  was coming into the ER and that he was increasingly SOB. His  history of HTN, hypothyroidism, CAD, NSTEMI is a concern and his BP and nutritional status is a concern.    Per chart review, he was hospitalized from 11/9/21-11/12/21 for AKI and UTI. He was discharged home with home care. He has been on 4 L home O2 since a hospitalization in October. He has family members that recently tested positive for COVID. He states that he has felt SOB ever since his hospitalization in October, so he is unsure when his current symptoms started. He admits to a nonproductive cough, wheezing, and SOB. He states that he has chills currently and has rigors on exam but has not had fever or chills previously. He denies diarrhea to me but told the ED that he has had nonbloody diarrhea. He denies HA, abdominal pain, N/V, or chest pain. He states that he has been fully vaccinated "ever since they first came out with the vaccine."   ER notes reviewed and  his BP has been low and is again with BP  86/54, HR 112, SpO2 92-95% on 6 L nasal canula. His COVID-19 swab was positive and his CXR showed small pleural effusions with passive atelectasis and superimposed airspace opacities in the right lower lung. His EKG showed sinus rhythm with sinus arrhythmia and PVCs and his troponin was 0.04, 0.04. His BNP was 83. His d-dimer was > 10,000. His WBC was 13.1 but his procalcitonin was 0.05. His chest CTA was negative for a PE but showed scattered groundglass opacities in both lungs concerning for an acute infectious/inflammatory process and moderate pleural effusions with passive atelectasis. ID was consulted and he was given 325 mg ASA, 6 mg Decadron, and Albuterol.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Fibrin D dimer increased, Hypotension, Lung opacity, Pleural effusion
Clinical narrative: This a 89y.o. male is well known to me and we recently received a message from the facility that  was coming into the ER and that he was increasingly SOB. His  history of HTN, hypothyroidism, CAD, NSTEMI is a concern and his BP and nutritional status is a concern.    Per chart review, he was hospitalized from 11/9/21-11/12/21 for AKI and UTI. He was discharged home with home care. He has been on 4 L home O2 since a hospitalization in October. He has family members that recently tested positive for COVID. He states that he has felt SOB ever since his hospitalization in October, so he is unsure when his current symptoms started. He admits to a nonproductive cough, wheezing, and SOB. He states that he has chills currently and has rigors on exam but has not had fever or chills previously. He denies diarrhea to me but told the ED that he has had nonbloody diarrhea. He denies HA, abdominal pain, N/V, or chest pain. He states that he has been fully vaccinated "ever since they first came out with the vaccine."   ER notes reviewed and  his BP has been low and is again with BP  86/54, HR 112, SpO2 92-95% on 6 L nasal canula. His COVID-19 swab was positive and his CXR showed small pleural effusions with passive atelectasis and superimposed airspace opacities in the right lower lung. His EKG showed sinus rhythm with sinus arrhythmia and PVCs and his troponin was 0.04, 0.04. His BNP was 83. His d-dimer was > 10,000. His WBC was 13.1 but his procalcitonin was 0.05. His chest CTA was negative for a PE but showed scattered groundglass opacities in both lungs concerning for an acute infectious/inflammatory process and moderate pleural effusions with passive atelectasis. ID was consulted and he was given 325 mg ASA, 6 mg Decadron, and Albuterol.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Procalcitonin, SARS-CoV-2 test positive, Sinus arrhythmia, Sinus rhythm, Troponin
Clinical narrative: This a 89y.o. male is well known to me and we recently received a message from the facility that  was coming into the ER and that he was increasingly SOB. His  history of HTN, hypothyroidism, CAD, NSTEMI is a concern and his BP and nutritional status is a concern.    Per chart review, he was hospitalized from 11/9/21-11/12/21 for AKI and UTI. He was discharged home with home care. He has been on 4 L home O2 since a hospitalization in October. He has family members that recently tested positive for COVID. He states that he has felt SOB ever since his hospitalization in October, so he is unsure when his current symptoms started. He admits to a nonproductive cough, wheezing, and SOB. He states that he has chills currently and has rigors on exam but has not had fever or chills previously. He denies diarrhea to me but told the ED that he has had nonbloody diarrhea. He denies HA, abdominal pain, N/V, or chest pain. He states that he has been fully vaccinated "ever since they first came out with the vaccine."   ER notes reviewed and  his BP has been low and is again with BP  86/54, HR 112, SpO2 92-95% on 6 L nasal canula. His COVID-19 swab was positive and his CXR showed small pleural effusions with passive atelectasis and superimposed airspace opacities in the right lower lung. His EKG showed sinus rhythm with sinus arrhythmia and PVCs and his troponin was 0.04, 0.04. His BNP was 83. His d-dimer was > 10,000. His WBC was 13.1 but his procalcitonin was 0.05. His chest CTA was negative for a PE but showed scattered groundglass opacities in both lungs concerning for an acute infectious/inflammatory process and moderate pleural effusions with passive atelectasis. ID was consulted and he was given 325 mg ASA, 6 mg Decadron, and Albuterol.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Urinary tract infection, Ventricular extrasystoles, Wheezing, White blood cell count increased
Clinical narrative: This a 89y.o. male is well known to me and we recently received a message from the facility that  was coming into the ER and that he was increasingly SOB. His  history of HTN, hypothyroidism, CAD, NSTEMI is a concern and his BP and nutritional status is a concern.    Per chart review, he was hospitalized from 11/9/21-11/12/21 for AKI and UTI. He was discharged home with home care. He has been on 4 L home O2 since a hospitalization in October. He has family members that recently tested positive for COVID. He states that he has felt SOB ever since his hospitalization in October, so he is unsure when his current symptoms started. He admits to a nonproductive cough, wheezing, and SOB. He states that he has chills currently and has rigors on exam but has not had fever or chills previously. He denies diarrhea to me but told the ED that he has had nonbloody diarrhea. He denies HA, abdominal pain, N/V, or chest pain. He states that he has been fully vaccinated "ever since they first came out with the vaccine."   ER notes reviewed and  his BP has been low and is again with BP  86/54, HR 112, SpO2 92-95% on 6 L nasal canula. His COVID-19 swab was positive and his CXR showed small pleural effusions with passive atelectasis and superimposed airspace opacities in the right lower lung. His EKG showed sinus rhythm with sinus arrhythmia and PVCs and his troponin was 0.04, 0.04. His BNP was 83. His d-dimer was > 10,000. His WBC was 13.1 but his procalcitonin was 0.05. His chest CTA was negative for a PE but showed scattered groundglass opacities in both lungs concerning for an acute infectious/inflammatory process and moderate pleural effusions with passive atelectasis. ID was consulted and he was given 325 mg ASA, 6 mg Decadron, and Albuterol.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Limb discomfort, Neuropathy peripheral, Peripheral coldness
Clinical narrative: I began to experience a neuropathy or cold and uncomfortable sensation in both arms in late June, 2021.  It is in the outside or lateral aspect of the upper arms and forearms.  It feels like coldness of the skin and is very uncomfortable. It has not decreased in intensity and I feel it constantly but the intensity varies throughout the day.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Blood uric acid, Dysstasia, Gout, Joint swelling
Clinical narrative: Two days after my first Moderna shot, I had a severe flare-up of gout. I had not been diagnosed with gout before, so this was the first flare-up. The swelling in my MTP joint in my right foot was so bad that I could put on a shoe or put any weight on that foot.  Dr. diagnosed it on February 8th, and  prescribed Mitigare and Allopurinol . Since then I have been seeing a rheumatologist: Dr. .
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeding disorder, Feeling cold, Hot flush, Myalgia
Clinical narrative: From time of injection, minor discomfort at vaccination site. That night, sudden, convulsive shivering, chills, fever, and muscle aches in every part of the body. Sensitive to even minor pressure (down to having to remove wedding ring as it was causing worse effects on that hand). Shivering died down after approximately 2 hours. Hot and cold flashes, chills, fever, and muscle aches persisted. Gustatory senses were altered throughout the following day, not diminished but food smelled and tasted terrible. Unable to eat much. Fever finally broke around 24 hours from time of vaccination, but thermoregulatory issues and muscle aches did not stop. Nausea in waves corresponding to hot flashes during the evening hours. Severe night sweats at 36 hour mark until following morning. Muscle aches have ceased to be systemic and have localized to the back and neck, but have increased in intensity. Temperature regulation has mostly stabilized, nausea still present at the smell of food.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Parosmia, Pyrexia, Sensitive skin, Taste disorder
Clinical narrative: From time of injection, minor discomfort at vaccination site. That night, sudden, convulsive shivering, chills, fever, and muscle aches in every part of the body. Sensitive to even minor pressure (down to having to remove wedding ring as it was causing worse effects on that hand). Shivering died down after approximately 2 hours. Hot and cold flashes, chills, fever, and muscle aches persisted. Gustatory senses were altered throughout the following day, not diminished but food smelled and tasted terrible. Unable to eat much. Fever finally broke around 24 hours from time of vaccination, but thermoregulatory issues and muscle aches did not stop. Nausea in waves corresponding to hot flashes during the evening hours. Severe night sweats at 36 hour mark until following morning. Muscle aches have ceased to be systemic and have localized to the back and neck, but have increased in intensity. Temperature regulation has mostly stabilized, nausea still present at the smell of food.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site discomfort
Clinical narrative: From time of injection, minor discomfort at vaccination site. That night, sudden, convulsive shivering, chills, fever, and muscle aches in every part of the body. Sensitive to even minor pressure (down to having to remove wedding ring as it was causing worse effects on that hand). Shivering died down after approximately 2 hours. Hot and cold flashes, chills, fever, and muscle aches persisted. Gustatory senses were altered throughout the following day, not diminished but food smelled and tasted terrible. Unable to eat much. Fever finally broke around 24 hours from time of vaccination, but thermoregulatory issues and muscle aches did not stop. Nausea in waves corresponding to hot flashes during the evening hours. Severe night sweats at 36 hour mark until following morning. Muscle aches have ceased to be systemic and have localized to the back and neck, but have increased in intensity. Temperature regulation has mostly stabilized, nausea still present at the smell of food.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Headache, Neck pain, Pyrexia
Clinical narrative: Bad neck pain started overnight 12/8 to 12/9 and hasn't gone away yet as of today 12/13.  I also had fever, chills, and horrible headache on 12/8. Fever and chills went away by next morning, headache improved but never went completely away, and neck pain won't go away.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: CHILD'S DATE OF BIRTH WIRITTEN AS ON FIRST PAGE OF CONSENT SIGNED BY INDIVIDUAL IDENTIFYING AS MOTHER.  CHILD'S DATE OF BIRTH IS WRITTEN ON THE BACK OF THIS PAGE WHICH IS THE "COVID-19 VACCINE ELIGIBILITY CHECKLIST", SIGNED BY THE SAME INDIVIDUAL. CHILD IS TOO YOUNG TO RECEIVE VACCINE ON THIS DATE BUT PER CONSENT IS RECEIVING HIS SECOND PFIZER DOSE.  POSSIBLE IMMTRAC # IS 256519977
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Dizziness, Hypertension, Laboratory test, Malaise
Clinical narrative: Feeling unwell, Dizzy, Blood pressure very high, I was prescribed a beta blocker by my doctor.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Pallor, Vomiting
Clinical narrative: After receiving the vaccination the child became lethargic, pale and vomited a small amount, roughly ten minutes after receiving the vaccine. Vital signs were obtained and the child was monitored until his skin color returned to baseline and he became more alert and interactive.  Vital signs were within normal limits within ten to fifteen minutes and symptoms had dissipated.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL, 0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Blood test, Dizziness, Fall, Loss of personal independence in daily activities
Clinical narrative: Roughly ten to fourteens after each dose of the covid vaccine, I experienced significant dizziness and balance issues. After the first dose, I was experiencing falls and could not take on normal day to day activities due to the dizziness. I also found myself struggling with finding words and with word choice. The second dose was the same but to a lesser degree; the booster dose also brought dizziness but no falls and to a less extent.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging
Clinical narrative: Roughly ten to fourteens after each dose of the covid vaccine, I experienced significant dizziness and balance issues. After the first dose, I was experiencing falls and could not take on normal day to day activities due to the dizziness. I also found myself struggling with finding words and with word choice. The second dose was the same but to a lesser degree; the booster dose also brought dizziness but no falls and to a less extent.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: None known at this time. Patient received an undiluted dose of Pfizer totaling .3
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram abnormal, Unevaluable event
Clinical narrative: Within 10d of J&J second dose, had a otherwise unprovoked PE.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Agitation, Culture urine, Dyskinesia, Headache, Heart rate increased
Clinical narrative: Rapid heart rate 110 in bed at 3:00 am, fever, extreme headache, nausea, cramps, violent vomiting, agitation, muscle ache.  Unable to keep fluids down resulting in dehydration. Went to urgent care at when symptoms would not abate.  arrived at urgent care at 1:30 pm.  the doctor evaluated my condition.  He gave me a sublingual medication for nausea, Zofran, I began to vomit again within 15 minutes.  He checked urine and found Keto in urine.  He then administered 25 mg IV Promethazine into hand IV port followed by 1Litre of saline solution.  The nausea was finally finished but severe headache persisted.  Much agitation due to the promethazine and including involuntary muscle spasms.  Finally,  able to leave Urgent Care at 4:45pm.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Myalgia, Nausea, Pyrexia, Vomiting
Clinical narrative: Rapid heart rate 110 in bed at 3:00 am, fever, extreme headache, nausea, cramps, violent vomiting, agitation, muscle ache.  Unable to keep fluids down resulting in dehydration. Went to urgent care at when symptoms would not abate.  arrived at urgent care at 1:30 pm.  the doctor evaluated my condition.  He gave me a sublingual medication for nausea, Zofran, I began to vomit again within 15 minutes.  He checked urine and found Keto in urine.  He then administered 25 mg IV Promethazine into hand IV port followed by 1Litre of saline solution.  The nausea was finally finished but severe headache persisted.  Much agitation due to the promethazine and including involuntary muscle spasms.  Finally,  able to leave Urgent Care at 4:45pm.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, Dehydration, Epistaxis, Fatigue
Clinical narrative: severe joint/bone pain, blurry vision, tinitis, headache, fever, dehydration, bloody nose, tired, swollen lymph nodes. Symptoms started about 6 hours after receiving booster and lasted 48 hours. Headache continued for another eight hours beyond. Injection site turned red and swollen 48 hours after receiving shot. Swollen lymph nodes persisting  72 hours after shot.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site swelling, Lymphadenopathy, Pyrexia
Clinical narrative: severe joint/bone pain, blurry vision, tinitis, headache, fever, dehydration, bloody nose, tired, swollen lymph nodes. Symptoms started about 6 hours after receiving booster and lasted 48 hours. Headache continued for another eight hours beyond. Injection site turned red and swollen 48 hours after receiving shot. Swollen lymph nodes persisting  72 hours after shot.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus, Vision blurred
Clinical narrative: severe joint/bone pain, blurry vision, tinitis, headache, fever, dehydration, bloody nose, tired, swollen lymph nodes. Symptoms started about 6 hours after receiving booster and lasted 48 hours. Headache continued for another eight hours beyond. Injection site turned red and swollen 48 hours after receiving shot. Swollen lymph nodes persisting  72 hours after shot.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient is a 37y.o. y.o. female who presents to the ED on 11/23/21 for evaluation of possible LUE DVT. Patient was dx with pneumonia on Friday, confirmed COVID positive yesterday, and was sent in by her PCP today for concern of DVT. Pt has PICC line present to RUE and states that she has a hx of DVT around it, and is concerned she has another one. Reports hx of clotting disorders for which she is taking blood thinners. Pt has been taking doxycycline and prednisone for her pneumonia. There are no other complaints or modifying factors at this time.   Review of Systems  Constitutional: Negative for chills and fever.  Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Negative for chest pain and palpitations.  Gastrointestinal: Negative for abdominal pain, diarrhea, nausea and vomiting.  Genitourinary: Negative for dysuria, frequency and urgency.  Musculoskeletal: Negative for back pain and neck pain.  Skin: Negative for rash.  Neurological: Negative for headaches.  Psychiatric/Behavioral: Negative for suicidal ideas.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Tension headache
Clinical narrative: 11 Days after the booster, I got a headache and it has not gone away for 2 weeks. It is low grade, originates from my neck, and does not respond to ibuprofen, muscle relaxers or any other otc headache meds. Unclear if related to vaccine booster or not.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Dose Pfizer-PEDI  COVID given to child too young to receive. Intended immunization was influenza.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Urticaria
Clinical narrative: PT has welps on legs, 102 fever
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Computerised tomogram
Clinical narrative: Was just informed I now have Bell's Palsy, never had this in my life.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID case. Asymptomatic, admitted, but for reasons unrelated to COVID-19.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received non diluted dose of Pfizer equaling .3. Was observed and no reaction.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea
Clinical narrative: Employee called stating she received the Pfizer COVID-19 booster vaccine on 12/11/2021 and is now experiencing symptoms. The symptoms include sharp chest pain that comes and goes 5/10 on pain scale, and difficulty breathing when taking a breath in. Advised employee to go to the ER or urgent care to be seen for symptoms.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Axillary pain, Chest discomfort, Lymphadenopathy, Pruritus, Rash pruritic
Clinical narrative: Within the first 24 hours of receiving my Moderna booster (vaccine #3) I developed painful and swollen lymph nodes in the armpit of the arm that received the injection. This lasted approximately 5-6 days. On day 3 an itchy rash developed on my collarbone and then significant full body itching progressed from there. The itch spreads throughout my body intermittently and is intense.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Within the first 24 hours of receiving my Moderna booster (vaccine #3) I developed painful and swollen lymph nodes in the armpit of the arm that received the injection. This lasted approximately 5-6 days. On day 3 an itchy rash developed on my collarbone and then significant full body itching progressed from there. The itch spreads throughout my body intermittently and is intense.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Limb discomfort, Lymphadenopathy, Rash, Rash pruritic
Clinical narrative: Within the first 24 hours of receiving my Moderna booster (vaccine #3) I developed painful and swollen lymph nodes in the armpit of the arm that received the injection. This lasted approximately 5-6 days. On day 3 an itchy rash developed on my collarbone and then significant full body itching progressed from there. The itch spreads throughout my body intermittently and is intense.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Axillary pain, Chest discomfort, Lymphadenopathy, Pruritus, Rash pruritic
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Lymph Node Swelling-Severe, Additional Details: Pt called in to the pharmacy this morning stating that within 24 hours, she had swollen lymph nodes on the arm that was injected.  Day 4, rash on clavicle and itching rash all over.  Had to go to ER after calf tightness.  Was given a cocktail of allergy and steroid medications.  This was effective for about 24 hours and the patient was in agony again.  She is talking with MD and dermatologist.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Lymph Node Swelling-Severe, Additional Details: Pt called in to the pharmacy this morning stating that within 24 hours, she had swollen lymph nodes on the arm that was injected.  Day 4, rash on clavicle and itching rash all over.  Had to go to ER after calf tightness.  Was given a cocktail of allergy and steroid medications.  This was effective for about 24 hours and the patient was in agony again.  She is talking with MD and dermatologist.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Limb discomfort, Lymphadenopathy, Rash, Rash pruritic
Clinical narrative: Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Rash (specify: facial area, extremeties)-Severe, Systemic: Lymph Node Swelling-Severe, Additional Details: Pt called in to the pharmacy this morning stating that within 24 hours, she had swollen lymph nodes on the arm that was injected.  Day 4, rash on clavicle and itching rash all over.  Had to go to ER after calf tightness.  Was given a cocktail of allergy and steroid medications.  This was effective for about 24 hours and the patient was in agony again.  She is talking with MD and dermatologist.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: SORE THROAT, NASAL CONGESTION
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Blood creatinine increased, Blood potassium increased, Cough, Dementia
Clinical narrative: pT ARRIVES TO BE SEEN FOR Short of Breath. pT IS BREATHING HARD Pt is here to be seen with husband. They believe they caught covid from their daughter who drove them to the HCF for pt. to be seen for follow up on esophageal cancer. Pt has had covid vaccine. pt has dementia and her husband is responsible for remembering things. Pt does not have a history of MI, cardiac stent or bypass. She is a diabetic. She is currently taking cipro for uti. Pt arives with a low sat at 85%.  Associated Symptoms: cough, shortness of breath, sputum, wheezing
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Electrocardiogram normal, Exposure to SARS-CoV-2, Fibrin D dimer, Hyperkalaemia
Clinical narrative: pT ARRIVES TO BE SEEN FOR Short of Breath. pT IS BREATHING HARD Pt is here to be seen with husband. They believe they caught covid from their daughter who drove them to the HCF for pt. to be seen for follow up on esophageal cancer. Pt has had covid vaccine. pt has dementia and her husband is responsible for remembering things. Pt does not have a history of MI, cardiac stent or bypass. She is a diabetic. She is currently taking cipro for uti. Pt arives with a low sat at 85%.  Associated Symptoms: cough, shortness of breath, sputum, wheezing
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypophagia, Laboratory test, Oxygen saturation decreased, Parosmia, Productive cough
Clinical narrative: pT ARRIVES TO BE SEEN FOR Short of Breath. pT IS BREATHING HARD Pt is here to be seen with husband. They believe they caught covid from their daughter who drove them to the HCF for pt. to be seen for follow up on esophageal cancer. Pt has had covid vaccine. pt has dementia and her husband is responsible for remembering things. Pt does not have a history of MI, cardiac stent or bypass. She is a diabetic. She is currently taking cipro for uti. Pt arives with a low sat at 85%.  Associated Symptoms: cough, shortness of breath, sputum, wheezing
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Renal impairment, Taste disorder, Urinary tract infection, Wheezing
Clinical narrative: pT ARRIVES TO BE SEEN FOR Short of Breath. pT IS BREATHING HARD Pt is here to be seen with husband. They believe they caught covid from their daughter who drove them to the HCF for pt. to be seen for follow up on esophageal cancer. Pt has had covid vaccine. pt has dementia and her husband is responsible for remembering things. Pt does not have a history of MI, cardiac stent or bypass. She is a diabetic. She is currently taking cipro for uti. Pt arives with a low sat at 85%.  Associated Symptoms: cough, shortness of breath, sputum, wheezing