chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID19 infection and ED visit on 9/15/21
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Penile swelling
Clinical narrative: As of 1 week ago penis has grown by approximately 3 inches.   Penile function remains intact.    No other symptoms.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Product administration error
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Injection site pain
Clinical narrative: Arm pain at site of shot the same day. 1.5 days after shot, headache and dizziness started.  Have had dizziness and headaches since Friday 9/17
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Electrocardiogram, Headache, Tinnitus
Clinical narrative: Pulsatory tinnitus. Headache that worsens when bending over. Both symptoms worsen as the day progresses. As of this report 09/23/2021 the symptoms persist.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Musculoskeletal stiffness, Peripheral swelling, Rash erythematous, Rash macular
Clinical narrative: diarrhea, stiffness in arms fingers. swelling in arm for about 4 days. puffyness in my shoulder. red spots on my skin. started on my legs first. tried all the time . no energy.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Skin swelling
Clinical narrative: diarrhea, stiffness in arms fingers. swelling in arm for about 4 days. puffyness in my shoulder. red spots on my skin. started on my legs first. tried all the time . no energy.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Amnesia, Headache, Interchange of vaccine products
Clinical narrative: Constant headache, memory loss. 1st dose was Moderna and second dose was Pfizer.
Age: 66.0
Sex: U
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal discomfort, Aphthous ulcer, Colitis microscopic, Colonoscopy, Diarrhoea
Clinical narrative: Severe outbreak of canker sores in mouth and throat occurred within one day of second shot. Condition resolved after about one week. After one week from second shot developed significant diarheia and abdominal discomfort. Condition is still unresolved, but improving. Recently diagnosed with lymphocitic colitus
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Endoscopy
Clinical narrative: Severe outbreak of canker sores in mouth and throat occurred within one day of second shot. Condition resolved after about one week. After one week from second shot developed significant diarheia and abdominal discomfort. Condition is still unresolved, but improving. Recently diagnosed with lymphocitic colitus
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chromaturia, Dark circles under eyes, Injection site pain, Myalgia
Clinical narrative: - Immediate discomfort down right arm and into wrist and fingers upon injection. - Injection site/upper arm and shoulder pain within one hour, continued for approximately 3 days. - Extreme pain in muscles and joints within 2 hours of injection, continued for 2-3 days after, periodic recurrence for approximately 5 days thereafter. The pain was far, far worse than anything I experienced when I was infected with COVID-19 in April 2021. - Within one day of receiving the vaccine, I noticed my urine was unusually dark (typically very clear) and it got progressively darker, almost brown by the second day after injection. It has also been cloudy at times and has smelled strange at all times, without relief. The only time it has appeared normal is upon rapid consumption of significant amounts of water. On Friday 8/27/21 I went for a urinalysis labs and drank over 1.5L of water within 20 minutes so that I could take the test. It appeared normal at that time, but by the end of the evening it was again very dark. For the first 1-2 weeks after vaccination I avoided coffee and alcohol for fear of dehydration and have continued to drink a lot of liquids (primarily water, sometimes coconut water). I stopped exercising for the first 1-2 weeks for fear of rhabdomyolysis, but it made no impact. My attempts to hydrate and flush out the cause are futile, as my urine remains unusually and frighteningly dark and smelly.  This has continued for over a month without relief or sign of improvement. - Unusually heavy period 9/2021
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Urine abnormality, Urine analysis, Urine odour abnormal
Clinical narrative: - Immediate discomfort down right arm and into wrist and fingers upon injection. - Injection site/upper arm and shoulder pain within one hour, continued for approximately 3 days. - Extreme pain in muscles and joints within 2 hours of injection, continued for 2-3 days after, periodic recurrence for approximately 5 days thereafter. The pain was far, far worse than anything I experienced when I was infected with COVID-19 in April 2021. - Within one day of receiving the vaccine, I noticed my urine was unusually dark (typically very clear) and it got progressively darker, almost brown by the second day after injection. It has also been cloudy at times and has smelled strange at all times, without relief. The only time it has appeared normal is upon rapid consumption of significant amounts of water. On Friday 8/27/21 I went for a urinalysis labs and drank over 1.5L of water within 20 minutes so that I could take the test. It appeared normal at that time, but by the end of the evening it was again very dark. For the first 1-2 weeks after vaccination I avoided coffee and alcohol for fear of dehydration and have continued to drink a lot of liquids (primarily water, sometimes coconut water). I stopped exercising for the first 1-2 weeks for fear of rhabdomyolysis, but it made no impact. My attempts to hydrate and flush out the cause are futile, as my urine remains unusually and frighteningly dark and smelly.  This has continued for over a month without relief or sign of improvement. - Unusually heavy period 9/2021
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Aspiration, Blood creatinine increased, Blood lactic acid, Brain natriuretic peptide increased
Clinical narrative: Hospitalized (9.16.21);  COVID-19 positive (9.16.21);  Fully Vaccinated  HISTORY OF PRESENT ILLNESS: Pt is a 81 y.o. female who presents today with aspiration event and COVID-19 pneumonia.  Patient has a history of HTN, hypothyroidism, chronic pain requiring dilaudid, gabapentin, valium, and insomnia on Ambien. She lives at home with her husband.  She was eating a bagel this morning, started gagging, coughing, and having difficulty breathing. EMS was called, and upon arrival she had saturations in the 70s, improved to 80% on a non rebreather. Arrived in the ER, was given fluid bolus. Food was removed from the posterior pharynx. She was intubated for hypoxemia and altered mental status.  COVID-19 PCR was positive on routine work up, she did have bilateral infiltrates on CXR. WBC 12, lactate 2.2, BNP 600, Cr of 1.27, GFR on 40 (unclear baseline), and negative CT head. Unasyn and vancomycin were given in the ER. They also gave narcan but no significant improvement. Upon arrival to the medical ICU, patient was awake, but not following commands on propofol drip. She required minimal ventilator support, 5/5, fio2 of 35%. Hypertensive and otherwise hemodynamically stable and afebrile.  Pneumonia due to COVID-19 virus.  ASSESSMENT / PLAN: 81 year old female with history of HTN, hypothyroidism, chronic pain on opioids and benzodiazepines, insomnia on Ambien, presents with acute hypoxemic respiratory failure in the setting of aspiration event, and bilateral pulmonary infiltrates and tested positive COVID-19. She was intubated 9/16/21 for hypoxemia and altered mentation Assessment & Plan Unclear when patient developed symptoms.  Incidentally tested positive 9/16/21. Has bilateral pulmonary infiltrates on CXR.  Start Remdesivir (FD 9/16/21) Start Decadron 6 mg daily (FD 9/16/21)  Note from 9.23.21:  Acute hypoxic respiratory failure-Felt secondary to COVID infection as well as aspiration pneumonia COVID 19 infection COVID test was positive 9/16 and symptom onset was also 9/16 Patient was intubated from 09/16 to 9/17 Was previously on 4 L of oxygen, weaned down to 2 L and then was off during the daytime yesterday.  She had required oxygen overnight and also requiring 2 L of oxygen this morning Will consult pulmonary rehab to evaluate for home oxygen Completed remdesivir Continues on Decadron Continue incentive spirometry  CT angiogram thorax  did not reveal any evidence of pulmonary embolus but showed severe pulmonary emphysema/large hiatal hernia and mild cardiomegaly as well as hazy ground-glass opacity in the posterior right lung
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cardiomegaly, Chest X-ray abnormal, Computerised tomogram head normal
Clinical narrative: Hospitalized (9.16.21);  COVID-19 positive (9.16.21);  Fully Vaccinated  HISTORY OF PRESENT ILLNESS: Pt is a 81 y.o. female who presents today with aspiration event and COVID-19 pneumonia.  Patient has a history of HTN, hypothyroidism, chronic pain requiring dilaudid, gabapentin, valium, and insomnia on Ambien. She lives at home with her husband.  She was eating a bagel this morning, started gagging, coughing, and having difficulty breathing. EMS was called, and upon arrival she had saturations in the 70s, improved to 80% on a non rebreather. Arrived in the ER, was given fluid bolus. Food was removed from the posterior pharynx. She was intubated for hypoxemia and altered mental status.  COVID-19 PCR was positive on routine work up, she did have bilateral infiltrates on CXR. WBC 12, lactate 2.2, BNP 600, Cr of 1.27, GFR on 40 (unclear baseline), and negative CT head. Unasyn and vancomycin were given in the ER. They also gave narcan but no significant improvement. Upon arrival to the medical ICU, patient was awake, but not following commands on propofol drip. She required minimal ventilator support, 5/5, fio2 of 35%. Hypertensive and otherwise hemodynamically stable and afebrile.  Pneumonia due to COVID-19 virus.  ASSESSMENT / PLAN: 81 year old female with history of HTN, hypothyroidism, chronic pain on opioids and benzodiazepines, insomnia on Ambien, presents with acute hypoxemic respiratory failure in the setting of aspiration event, and bilateral pulmonary infiltrates and tested positive COVID-19. She was intubated 9/16/21 for hypoxemia and altered mentation Assessment & Plan Unclear when patient developed symptoms.  Incidentally tested positive 9/16/21. Has bilateral pulmonary infiltrates on CXR.  Start Remdesivir (FD 9/16/21) Start Decadron 6 mg daily (FD 9/16/21)  Note from 9.23.21:  Acute hypoxic respiratory failure-Felt secondary to COVID infection as well as aspiration pneumonia COVID 19 infection COVID test was positive 9/16 and symptom onset was also 9/16 Patient was intubated from 09/16 to 9/17 Was previously on 4 L of oxygen, weaned down to 2 L and then was off during the daytime yesterday.  She had required oxygen overnight and also requiring 2 L of oxygen this morning Will consult pulmonary rehab to evaluate for home oxygen Completed remdesivir Continues on Decadron Continue incentive spirometry  CT angiogram thorax  did not reveal any evidence of pulmonary embolus but showed severe pulmonary emphysema/large hiatal hernia and mild cardiomegaly as well as hazy ground-glass opacity in the posterior right lung
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax, Computerised tomogram thorax abnormal, Cough, Dyspnoea, Emphysema
Clinical narrative: Hospitalized (9.16.21);  COVID-19 positive (9.16.21);  Fully Vaccinated  HISTORY OF PRESENT ILLNESS: Pt is a 81 y.o. female who presents today with aspiration event and COVID-19 pneumonia.  Patient has a history of HTN, hypothyroidism, chronic pain requiring dilaudid, gabapentin, valium, and insomnia on Ambien. She lives at home with her husband.  She was eating a bagel this morning, started gagging, coughing, and having difficulty breathing. EMS was called, and upon arrival she had saturations in the 70s, improved to 80% on a non rebreather. Arrived in the ER, was given fluid bolus. Food was removed from the posterior pharynx. She was intubated for hypoxemia and altered mental status.  COVID-19 PCR was positive on routine work up, she did have bilateral infiltrates on CXR. WBC 12, lactate 2.2, BNP 600, Cr of 1.27, GFR on 40 (unclear baseline), and negative CT head. Unasyn and vancomycin were given in the ER. They also gave narcan but no significant improvement. Upon arrival to the medical ICU, patient was awake, but not following commands on propofol drip. She required minimal ventilator support, 5/5, fio2 of 35%. Hypertensive and otherwise hemodynamically stable and afebrile.  Pneumonia due to COVID-19 virus.  ASSESSMENT / PLAN: 81 year old female with history of HTN, hypothyroidism, chronic pain on opioids and benzodiazepines, insomnia on Ambien, presents with acute hypoxemic respiratory failure in the setting of aspiration event, and bilateral pulmonary infiltrates and tested positive COVID-19. She was intubated 9/16/21 for hypoxemia and altered mentation Assessment & Plan Unclear when patient developed symptoms.  Incidentally tested positive 9/16/21. Has bilateral pulmonary infiltrates on CXR.  Start Remdesivir (FD 9/16/21) Start Decadron 6 mg daily (FD 9/16/21)  Note from 9.23.21:  Acute hypoxic respiratory failure-Felt secondary to COVID infection as well as aspiration pneumonia COVID 19 infection COVID test was positive 9/16 and symptom onset was also 9/16 Patient was intubated from 09/16 to 9/17 Was previously on 4 L of oxygen, weaned down to 2 L and then was off during the daytime yesterday.  She had required oxygen overnight and also requiring 2 L of oxygen this morning Will consult pulmonary rehab to evaluate for home oxygen Completed remdesivir Continues on Decadron Continue incentive spirometry  CT angiogram thorax  did not reveal any evidence of pulmonary embolus but showed severe pulmonary emphysema/large hiatal hernia and mild cardiomegaly as well as hazy ground-glass opacity in the posterior right lung
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Endotracheal intubation, Foreign body in throat, Glomerular filtration rate decreased, Hiatus hernia, Hypertension
Clinical narrative: Hospitalized (9.16.21);  COVID-19 positive (9.16.21);  Fully Vaccinated  HISTORY OF PRESENT ILLNESS: Pt is a 81 y.o. female who presents today with aspiration event and COVID-19 pneumonia.  Patient has a history of HTN, hypothyroidism, chronic pain requiring dilaudid, gabapentin, valium, and insomnia on Ambien. She lives at home with her husband.  She was eating a bagel this morning, started gagging, coughing, and having difficulty breathing. EMS was called, and upon arrival she had saturations in the 70s, improved to 80% on a non rebreather. Arrived in the ER, was given fluid bolus. Food was removed from the posterior pharynx. She was intubated for hypoxemia and altered mental status.  COVID-19 PCR was positive on routine work up, she did have bilateral infiltrates on CXR. WBC 12, lactate 2.2, BNP 600, Cr of 1.27, GFR on 40 (unclear baseline), and negative CT head. Unasyn and vancomycin were given in the ER. They also gave narcan but no significant improvement. Upon arrival to the medical ICU, patient was awake, but not following commands on propofol drip. She required minimal ventilator support, 5/5, fio2 of 35%. Hypertensive and otherwise hemodynamically stable and afebrile.  Pneumonia due to COVID-19 virus.  ASSESSMENT / PLAN: 81 year old female with history of HTN, hypothyroidism, chronic pain on opioids and benzodiazepines, insomnia on Ambien, presents with acute hypoxemic respiratory failure in the setting of aspiration event, and bilateral pulmonary infiltrates and tested positive COVID-19. She was intubated 9/16/21 for hypoxemia and altered mentation Assessment & Plan Unclear when patient developed symptoms.  Incidentally tested positive 9/16/21. Has bilateral pulmonary infiltrates on CXR.  Start Remdesivir (FD 9/16/21) Start Decadron 6 mg daily (FD 9/16/21)  Note from 9.23.21:  Acute hypoxic respiratory failure-Felt secondary to COVID infection as well as aspiration pneumonia COVID 19 infection COVID test was positive 9/16 and symptom onset was also 9/16 Patient was intubated from 09/16 to 9/17 Was previously on 4 L of oxygen, weaned down to 2 L and then was off during the daytime yesterday.  She had required oxygen overnight and also requiring 2 L of oxygen this morning Will consult pulmonary rehab to evaluate for home oxygen Completed remdesivir Continues on Decadron Continue incentive spirometry  CT angiogram thorax  did not reveal any evidence of pulmonary embolus but showed severe pulmonary emphysema/large hiatal hernia and mild cardiomegaly as well as hazy ground-glass opacity in the posterior right lung
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, Intensive care, Lung infiltration, Lung opacity, Mechanical ventilation
Clinical narrative: Hospitalized (9.16.21);  COVID-19 positive (9.16.21);  Fully Vaccinated  HISTORY OF PRESENT ILLNESS: Pt is a 81 y.o. female who presents today with aspiration event and COVID-19 pneumonia.  Patient has a history of HTN, hypothyroidism, chronic pain requiring dilaudid, gabapentin, valium, and insomnia on Ambien. She lives at home with her husband.  She was eating a bagel this morning, started gagging, coughing, and having difficulty breathing. EMS was called, and upon arrival she had saturations in the 70s, improved to 80% on a non rebreather. Arrived in the ER, was given fluid bolus. Food was removed from the posterior pharynx. She was intubated for hypoxemia and altered mental status.  COVID-19 PCR was positive on routine work up, she did have bilateral infiltrates on CXR. WBC 12, lactate 2.2, BNP 600, Cr of 1.27, GFR on 40 (unclear baseline), and negative CT head. Unasyn and vancomycin were given in the ER. They also gave narcan but no significant improvement. Upon arrival to the medical ICU, patient was awake, but not following commands on propofol drip. She required minimal ventilator support, 5/5, fio2 of 35%. Hypertensive and otherwise hemodynamically stable and afebrile.  Pneumonia due to COVID-19 virus.  ASSESSMENT / PLAN: 81 year old female with history of HTN, hypothyroidism, chronic pain on opioids and benzodiazepines, insomnia on Ambien, presents with acute hypoxemic respiratory failure in the setting of aspiration event, and bilateral pulmonary infiltrates and tested positive COVID-19. She was intubated 9/16/21 for hypoxemia and altered mentation Assessment & Plan Unclear when patient developed symptoms.  Incidentally tested positive 9/16/21. Has bilateral pulmonary infiltrates on CXR.  Start Remdesivir (FD 9/16/21) Start Decadron 6 mg daily (FD 9/16/21)  Note from 9.23.21:  Acute hypoxic respiratory failure-Felt secondary to COVID infection as well as aspiration pneumonia COVID 19 infection COVID test was positive 9/16 and symptom onset was also 9/16 Patient was intubated from 09/16 to 9/17 Was previously on 4 L of oxygen, weaned down to 2 L and then was off during the daytime yesterday.  She had required oxygen overnight and also requiring 2 L of oxygen this morning Will consult pulmonary rehab to evaluate for home oxygen Completed remdesivir Continues on Decadron Continue incentive spirometry  CT angiogram thorax  did not reveal any evidence of pulmonary embolus but showed severe pulmonary emphysema/large hiatal hernia and mild cardiomegaly as well as hazy ground-glass opacity in the posterior right lung
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mental status changes, Oxygen saturation decreased, Retching, SARS-CoV-2 test positive, White blood cell count increased
Clinical narrative: Hospitalized (9.16.21);  COVID-19 positive (9.16.21);  Fully Vaccinated  HISTORY OF PRESENT ILLNESS: Pt is a 81 y.o. female who presents today with aspiration event and COVID-19 pneumonia.  Patient has a history of HTN, hypothyroidism, chronic pain requiring dilaudid, gabapentin, valium, and insomnia on Ambien. She lives at home with her husband.  She was eating a bagel this morning, started gagging, coughing, and having difficulty breathing. EMS was called, and upon arrival she had saturations in the 70s, improved to 80% on a non rebreather. Arrived in the ER, was given fluid bolus. Food was removed from the posterior pharynx. She was intubated for hypoxemia and altered mental status.  COVID-19 PCR was positive on routine work up, she did have bilateral infiltrates on CXR. WBC 12, lactate 2.2, BNP 600, Cr of 1.27, GFR on 40 (unclear baseline), and negative CT head. Unasyn and vancomycin were given in the ER. They also gave narcan but no significant improvement. Upon arrival to the medical ICU, patient was awake, but not following commands on propofol drip. She required minimal ventilator support, 5/5, fio2 of 35%. Hypertensive and otherwise hemodynamically stable and afebrile.  Pneumonia due to COVID-19 virus.  ASSESSMENT / PLAN: 81 year old female with history of HTN, hypothyroidism, chronic pain on opioids and benzodiazepines, insomnia on Ambien, presents with acute hypoxemic respiratory failure in the setting of aspiration event, and bilateral pulmonary infiltrates and tested positive COVID-19. She was intubated 9/16/21 for hypoxemia and altered mentation Assessment & Plan Unclear when patient developed symptoms.  Incidentally tested positive 9/16/21. Has bilateral pulmonary infiltrates on CXR.  Start Remdesivir (FD 9/16/21) Start Decadron 6 mg daily (FD 9/16/21)  Note from 9.23.21:  Acute hypoxic respiratory failure-Felt secondary to COVID infection as well as aspiration pneumonia COVID 19 infection COVID test was positive 9/16 and symptom onset was also 9/16 Patient was intubated from 09/16 to 9/17 Was previously on 4 L of oxygen, weaned down to 2 L and then was off during the daytime yesterday.  She had required oxygen overnight and also requiring 2 L of oxygen this morning Will consult pulmonary rehab to evaluate for home oxygen Completed remdesivir Continues on Decadron Continue incentive spirometry  CT angiogram thorax  did not reveal any evidence of pulmonary embolus but showed severe pulmonary emphysema/large hiatal hernia and mild cardiomegaly as well as hazy ground-glass opacity in the posterior right lung
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Echocardiogram abnormal, Ejection fraction, Laboratory test, Myocarditis
Clinical narrative: Chest Pain
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin increased
Clinical narrative: Chest Pain
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal loss of weight, Asthenia, Chills, Decreased appetite, Dizziness
Clinical narrative: About 6 hours after the injection, I became sweaty and dizzy. Really really bad headache, too. I took Tylenol and went to bed. For two days, I had a low grade fever and chills; sweating; get super dizzy when I'd get up. Ever since, I have had this constant low grade headache; intermittent waves of fever and chills and I get really light headed. I break out into a sweat - dripping sweat even when it's 60 degrees. General fatigue and malaise. Lost 20 lbs - I wasn't trying to lose. I am really tired. I'll make a list to go to the store and go and then turn around and walk out because I don't have the energy. I take two naps a day. I'm usually sweating at bedtime and at 02:00pm in the afternoon it's the same thing. I sleep 10-12 hours a night. I am not menopausal - have gone through that already. I get hot and then I get cold again. These are new things. Ongoing headache and the lack of energy concerns me. And the sweating - even right now, I'm breaking out in sweats and it's only 74 degrees. It's hard to get a doctor appt up here. I get to see him on Monday after waiting on 6 weeks. Just using Tylenol and dressing in layers and taking cold showers. The fatigue really concerns - and the weight loss in 6 months without trying. I don't really have an appetite. I know I have to eat but I'm only eating about 1/4-1/2 than what I usually do.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness postural, Fatigue, Feeling of body temperature change, Headache, Hyperhidrosis
Clinical narrative: About 6 hours after the injection, I became sweaty and dizzy. Really really bad headache, too. I took Tylenol and went to bed. For two days, I had a low grade fever and chills; sweating; get super dizzy when I'd get up. Ever since, I have had this constant low grade headache; intermittent waves of fever and chills and I get really light headed. I break out into a sweat - dripping sweat even when it's 60 degrees. General fatigue and malaise. Lost 20 lbs - I wasn't trying to lose. I am really tired. I'll make a list to go to the store and go and then turn around and walk out because I don't have the energy. I take two naps a day. I'm usually sweating at bedtime and at 02:00pm in the afternoon it's the same thing. I sleep 10-12 hours a night. I am not menopausal - have gone through that already. I get hot and then I get cold again. These are new things. Ongoing headache and the lack of energy concerns me. And the sweating - even right now, I'm breaking out in sweats and it's only 74 degrees. It's hard to get a doctor appt up here. I get to see him on Monday after waiting on 6 weeks. Just using Tylenol and dressing in layers and taking cold showers. The fatigue really concerns - and the weight loss in 6 months without trying. I don't really have an appetite. I know I have to eat but I'm only eating about 1/4-1/2 than what I usually do.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersomnia, Malaise, Pyrexia
Clinical narrative: About 6 hours after the injection, I became sweaty and dizzy. Really really bad headache, too. I took Tylenol and went to bed. For two days, I had a low grade fever and chills; sweating; get super dizzy when I'd get up. Ever since, I have had this constant low grade headache; intermittent waves of fever and chills and I get really light headed. I break out into a sweat - dripping sweat even when it's 60 degrees. General fatigue and malaise. Lost 20 lbs - I wasn't trying to lose. I am really tired. I'll make a list to go to the store and go and then turn around and walk out because I don't have the energy. I take two naps a day. I'm usually sweating at bedtime and at 02:00pm in the afternoon it's the same thing. I sleep 10-12 hours a night. I am not menopausal - have gone through that already. I get hot and then I get cold again. These are new things. Ongoing headache and the lack of energy concerns me. And the sweating - even right now, I'm breaking out in sweats and it's only 74 degrees. It's hard to get a doctor appt up here. I get to see him on Monday after waiting on 6 weeks. Just using Tylenol and dressing in layers and taking cold showers. The fatigue really concerns - and the weight loss in 6 months without trying. I don't really have an appetite. I know I have to eat but I'm only eating about 1/4-1/2 than what I usually do.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Hyperaesthesia, Musculoskeletal stiffness
Clinical narrative: This is the 3rd shot of Pfizer since I am immunocompromised.  Side effects were very sore and stiff back, stiff neck and head sensitivity at touch as if there was a sinus infection.  This lasted one day and resolved.
Age: 27.0
Sex: M
Vaccine: UNK, UNK
Symptoms: Axillary pain, Back pain, Chest pain, Dyspnoea, Feeling cold
Clinical narrative: Pt. is 27 yo presenting with substernal, pressing chest pain radiating to L axilla and back, worse with running and associated with shortness of breath.  Also worse with deep breathing, post eating, and worse at night (laying on the bed).  Some subjective F/C but non-febrile in clinic.  EKG abnormalities noted in clinic.  Pt. sent to the ER for further lab/work-up and referred to Cardiology with concern for pericarditis.   Symptoms began 1wk s/p 1st vaccination, peaked at 2wk post, and then improved.  After 2nd vaccination Pt. noted worse symptoms and SOB with CP during morning run with unit.  Pt. presented to the clinic the following day.
Age: 27.0
Sex: M
Vaccine: UNK, UNK
Symptoms: Pain, Painful respiration, Pyrexia
Clinical narrative: Pt. is 27 yo presenting with substernal, pressing chest pain radiating to L axilla and back, worse with running and associated with shortness of breath.  Also worse with deep breathing, post eating, and worse at night (laying on the bed).  Some subjective F/C but non-febrile in clinic.  EKG abnormalities noted in clinic.  Pt. sent to the ER for further lab/work-up and referred to Cardiology with concern for pericarditis.   Symptoms began 1wk s/p 1st vaccination, peaked at 2wk post, and then improved.  After 2nd vaccination Pt. noted worse symptoms and SOB with CP during morning run with unit.  Pt. presented to the clinic the following day.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Eyelid disorder, Gait disturbance, Lethargy, Nausea
Clinical narrative: Client stated she felt "dizzy, lightheadedness, and nauseous" ~10 minutes after receiving vaccination. Vital signs (HR 76, RR 16, BP 100/50, O2 sat 96%). Client became lethargic, drowsy, unable to open eyes and barely able to respond to verbal stimuli. EMS activated, but client refused to be transported to the hospital despite encouragement and education. AMA form filled and client left site accompanied by her 2 sons. Client stated she was still dizzy and with unstable gait.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence, Unresponsive to stimuli
Clinical narrative: Client stated she felt "dizzy, lightheadedness, and nauseous" ~10 minutes after receiving vaccination. Vital signs (HR 76, RR 16, BP 100/50, O2 sat 96%). Client became lethargic, drowsy, unable to open eyes and barely able to respond to verbal stimuli. EMS activated, but client refused to be transported to the hospital despite encouragement and education. AMA form filled and client left site accompanied by her 2 sons. Client stated she was still dizzy and with unstable gait.
Age: 57.0
Sex: M
Vaccine: UNK
Symptoms: Fatigue, Injection site pain, Injection site swelling, Pain
Clinical narrative: Immediate swelling and soreness at injection site.  A few hours later, achiness and fatigue. Got worse over the next two days.  Finally started to feel better on third day, but arm was sore for 5 days.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Administration Error--Mixed series mRNA vaccine Pfizer and Moderna
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Pain, Pneumonia
Clinical narrative: Patient is hospitalized with pneumonia and COVID-19. Patient is having a difficult time breathing, mild cough, and pains. Patient was seen at facility on 09/13/2021 and was there until a bed was available at Hospital where he is currently. Patient is fully vaccinated.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient is hospitalized with pneumonia and COVID-19. Patient is having a difficult time breathing, mild cough, and pains. Patient was seen at facility on 09/13/2021 and was there until a bed was available at Hospital where he is currently. Patient is fully vaccinated.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt completed 1 dose series of J&J Covid-19 vaccine on 4/8/2021.  Tested positive for COVID-19 and presented to ED on 9/15/2021, then admitted to this hospital later that day.  Discharged from hospital 9/17/2021
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: numbness of arm, neck and lower face.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Back pain, Dehydration, Diarrhoea, Dizziness
Clinical narrative: Had headache, muscle and back pain, dizziness, it lasts only one day only.  After that headache. On September 20 she went to the hospital because she had diarrhea, vomiting, fever and dehydration.  The hospital gave her medicine for vomiting only. Hair is also falling from head.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Laboratory test abnormal, Myalgia, Pyrexia, Vomiting
Clinical narrative: Had headache, muscle and back pain, dizziness, it lasts only one day only.  After that headache. On September 20 she went to the hospital because she had diarrhea, vomiting, fever and dehydration.  The hospital gave her medicine for vomiting only. Hair is also falling from head.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna.
Age: 62.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Cerebrovascular accident, Hypoaesthesia, Laboratory test normal, Transient ischaemic attack, Trismus
Clinical narrative: Small stroke. TIA.  Left side of body went partially numb.  Difficulty opening mouth. All symptoms subsided in 48 hours.
Age: 62.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Unevaluable event
Clinical narrative: Small stroke. TIA.  Left side of body went partially numb.  Difficulty opening mouth. All symptoms subsided in 48 hours.
Age: 62.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Cerebrovascular accident, Hypoaesthesia, Laboratory test normal, Transient ischaemic attack, Trismus
Clinical narrative: None stated.
Age: 62.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Unevaluable event
Clinical narrative: None stated.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration Error--Mixed series mRNA vaccine Pfizer and Moderna
Age: 15.0
Sex: M
Vaccine: FLU4
Symptoms: Hyperhidrosis, Muscle tightness, Pallor, Peripheral coldness, Unresponsive to stimuli
Clinical narrative: A patient had an adverse reaction following receiving a flu vaccination at a flu clinic held at this morning (9/23/21).  Immediately following vaccine given, patient became unresponsive for approximately 30-45 seconds- muscles tightened, skin cool and diaphoretic. Patient became alert, but skin remained pale. Was given OJ and cold compress. EMS was contacted, they came and evaluated the student. Did not transport him. Patient reports as well as his father that was a staff member who was present with him that he has a history of fainting after receiving shots at PCP office.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Nausea. EMS attended and cleared patient. Patient recovered.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Asthenia, COVID-19, Chest X-ray abnormal
Clinical narrative: Hospitalized (9.15.21);  COVID-19 positive (9.15.21);  Fully Vaccinated  Discharge Provider:  Primary Care Provider at Discharge:  Admission Date: 9/15/2021 Discharge Date: 9/23/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Weakness [R53.1] AKI (acute kidney injury) (HCC) [N17.9] Acute respiratory failure with hypoxia (HCC) [J96.01] Aspiration pneumonia, unspecified aspiration pneumonia type, unspecified laterality, unspecified part of lung (HCC) [J69.0] COVID-19 [U07.1]   HOSPITAL COURSE: he patient is an 81-year-old gentleman with presented to the hospital with acute respiratory insufficiency.  He was noted to have COVID-19.  Number has a past medical history significant for dementia, diabetes mellitus type 2, hypertension, dyslipidemia, CKD 3 and prior DVT for which he is on Xarelto. Apparently the patient became increasingly weak over the past 2-3 days prior to admission.  He is normally able to ambulate around the home with use of walker but he was so weak on the day admission that a wheelchair was needed.  His also had a cough, diarrhea and reduced oral intake.  The patient has dementia at baseline but his mental status has even worsened.  Denies any fevers chest pain abdominal pain or vomiting.  The patient has a history of having aspiration pneumonia in the past.  The patient does have a history of vaccination for COVID in the past.  Upon evaluation in the emergency department the patient noted to be hypoxic.  He was requiring 2 L of supplemental oxygen.  Also found to have AKI on CKD positive for COVID PCR.  X-ray chest demonstrated mild pulmonary vascular congestion.  Was started on remdesivir and dexamethasone.  He is on vent to the conservative management.  And was subsequently taken off oxygen.  Shortness of breath and cough also resolved. He did have significant hyperglycemia while he was on steroids.  The sister was subsequently discontinued.    Doing fine off oxygen.Plan is for home with OT/PT.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Dementia, Diarrhoea, Dyspnoea
Clinical narrative: Hospitalized (9.15.21);  COVID-19 positive (9.15.21);  Fully Vaccinated  Discharge Provider:  Primary Care Provider at Discharge:  Admission Date: 9/15/2021 Discharge Date: 9/23/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Weakness [R53.1] AKI (acute kidney injury) (HCC) [N17.9] Acute respiratory failure with hypoxia (HCC) [J96.01] Aspiration pneumonia, unspecified aspiration pneumonia type, unspecified laterality, unspecified part of lung (HCC) [J69.0] COVID-19 [U07.1]   HOSPITAL COURSE: he patient is an 81-year-old gentleman with presented to the hospital with acute respiratory insufficiency.  He was noted to have COVID-19.  Number has a past medical history significant for dementia, diabetes mellitus type 2, hypertension, dyslipidemia, CKD 3 and prior DVT for which he is on Xarelto. Apparently the patient became increasingly weak over the past 2-3 days prior to admission.  He is normally able to ambulate around the home with use of walker but he was so weak on the day admission that a wheelchair was needed.  His also had a cough, diarrhea and reduced oral intake.  The patient has dementia at baseline but his mental status has even worsened.  Denies any fevers chest pain abdominal pain or vomiting.  The patient has a history of having aspiration pneumonia in the past.  The patient does have a history of vaccination for COVID in the past.  Upon evaluation in the emergency department the patient noted to be hypoxic.  He was requiring 2 L of supplemental oxygen.  Also found to have AKI on CKD positive for COVID PCR.  X-ray chest demonstrated mild pulmonary vascular congestion.  Was started on remdesivir and dexamethasone.  He is on vent to the conservative management.  And was subsequently taken off oxygen.  Shortness of breath and cough also resolved. He did have significant hyperglycemia while he was on steroids.  The sister was subsequently discontinued.    Doing fine off oxygen.Plan is for home with OT/PT.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperglycaemia, Hypophagia, Mechanical ventilation, Mental status changes, Pneumonia aspiration
Clinical narrative: Hospitalized (9.15.21);  COVID-19 positive (9.15.21);  Fully Vaccinated  Discharge Provider:  Primary Care Provider at Discharge:  Admission Date: 9/15/2021 Discharge Date: 9/23/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Weakness [R53.1] AKI (acute kidney injury) (HCC) [N17.9] Acute respiratory failure with hypoxia (HCC) [J96.01] Aspiration pneumonia, unspecified aspiration pneumonia type, unspecified laterality, unspecified part of lung (HCC) [J69.0] COVID-19 [U07.1]   HOSPITAL COURSE: he patient is an 81-year-old gentleman with presented to the hospital with acute respiratory insufficiency.  He was noted to have COVID-19.  Number has a past medical history significant for dementia, diabetes mellitus type 2, hypertension, dyslipidemia, CKD 3 and prior DVT for which he is on Xarelto. Apparently the patient became increasingly weak over the past 2-3 days prior to admission.  He is normally able to ambulate around the home with use of walker but he was so weak on the day admission that a wheelchair was needed.  His also had a cough, diarrhea and reduced oral intake.  The patient has dementia at baseline but his mental status has even worsened.  Denies any fevers chest pain abdominal pain or vomiting.  The patient has a history of having aspiration pneumonia in the past.  The patient does have a history of vaccination for COVID in the past.  Upon evaluation in the emergency department the patient noted to be hypoxic.  He was requiring 2 L of supplemental oxygen.  Also found to have AKI on CKD positive for COVID PCR.  X-ray chest demonstrated mild pulmonary vascular congestion.  Was started on remdesivir and dexamethasone.  He is on vent to the conservative management.  And was subsequently taken off oxygen.  Shortness of breath and cough also resolved. He did have significant hyperglycemia while he was on steroids.  The sister was subsequently discontinued.    Doing fine off oxygen.Plan is for home with OT/PT.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary congestion, SARS-CoV-2 test positive, Wheelchair user
Clinical narrative: Hospitalized (9.15.21);  COVID-19 positive (9.15.21);  Fully Vaccinated  Discharge Provider:  Primary Care Provider at Discharge:  Admission Date: 9/15/2021 Discharge Date: 9/23/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Weakness [R53.1] AKI (acute kidney injury) (HCC) [N17.9] Acute respiratory failure with hypoxia (HCC) [J96.01] Aspiration pneumonia, unspecified aspiration pneumonia type, unspecified laterality, unspecified part of lung (HCC) [J69.0] COVID-19 [U07.1]   HOSPITAL COURSE: he patient is an 81-year-old gentleman with presented to the hospital with acute respiratory insufficiency.  He was noted to have COVID-19.  Number has a past medical history significant for dementia, diabetes mellitus type 2, hypertension, dyslipidemia, CKD 3 and prior DVT for which he is on Xarelto. Apparently the patient became increasingly weak over the past 2-3 days prior to admission.  He is normally able to ambulate around the home with use of walker but he was so weak on the day admission that a wheelchair was needed.  His also had a cough, diarrhea and reduced oral intake.  The patient has dementia at baseline but his mental status has even worsened.  Denies any fevers chest pain abdominal pain or vomiting.  The patient has a history of having aspiration pneumonia in the past.  The patient does have a history of vaccination for COVID in the past.  Upon evaluation in the emergency department the patient noted to be hypoxic.  He was requiring 2 L of supplemental oxygen.  Also found to have AKI on CKD positive for COVID PCR.  X-ray chest demonstrated mild pulmonary vascular congestion.  Was started on remdesivir and dexamethasone.  He is on vent to the conservative management.  And was subsequently taken off oxygen.  Shortness of breath and cough also resolved. He did have significant hyperglycemia while he was on steroids.  The sister was subsequently discontinued.    Doing fine off oxygen.Plan is for home with OT/PT.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Anion gap, Back pain, Blood sodium decreased, Blood thyroid stimulating hormone normal, Blood urea nitrogen/creatinine ratio
Clinical narrative: Covid Vax 1 received 6/7/21, Covid Vax 2 received 6/28/21. Night between 8/25 and 8/28 she had a shivering full body shake enough to wake the friend on the top bunk, as she was on the bottom bunk.  The friend does not remember which night it was.   She came home 8/29/21 from friends sleepover.   8/30/21 she woke to dizziness and it persisted for 1/2 the day.  8/31/21 she had her first "twitch" jerking movement of the head/neck.  9/2/21 she reported to me that she was having a jerking in her head/neck and asked if that was normal.  It was happening 1 to 3 x/day.   9/6/21 I (parent) noticed that the jerking was in sequence of 3-4 head jerking to the side (tilting of the head).  9/9/21 she had full blown tic and was seen in the MD office.   The head drops down to the right shoulder, then chin first to the mid chest line and then back up to normal position.  This happens 4-10 times in sequence when mild to moderate episodes, and constant movement for 30 to 90 minutes before starting to relax up a little.  This causes pain in the upper back and neck when moderate to severe movement.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein normal, Chills, Differential white blood cell count, Dizziness, Drug screen negative
Clinical narrative: Covid Vax 1 received 6/7/21, Covid Vax 2 received 6/28/21. Night between 8/25 and 8/28 she had a shivering full body shake enough to wake the friend on the top bunk, as she was on the bottom bunk.  The friend does not remember which night it was.   She came home 8/29/21 from friends sleepover.   8/30/21 she woke to dizziness and it persisted for 1/2 the day.  8/31/21 she had her first "twitch" jerking movement of the head/neck.  9/2/21 she reported to me that she was having a jerking in her head/neck and asked if that was normal.  It was happening 1 to 3 x/day.   9/6/21 I (parent) noticed that the jerking was in sequence of 3-4 head jerking to the side (tilting of the head).  9/9/21 she had full blown tic and was seen in the MD office.   The head drops down to the right shoulder, then chin first to the mid chest line and then back up to normal position.  This happens 4-10 times in sequence when mild to moderate episodes, and constant movement for 30 to 90 minutes before starting to relax up a little.  This causes pain in the upper back and neck when moderate to severe movement.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Dyskinesia, Full blood count, Mean cell haemoglobin increased, Mean cell volume increased, Metabolic function test
Clinical narrative: Covid Vax 1 received 6/7/21, Covid Vax 2 received 6/28/21. Night between 8/25 and 8/28 she had a shivering full body shake enough to wake the friend on the top bunk, as she was on the bottom bunk.  The friend does not remember which night it was.   She came home 8/29/21 from friends sleepover.   8/30/21 she woke to dizziness and it persisted for 1/2 the day.  8/31/21 she had her first "twitch" jerking movement of the head/neck.  9/2/21 she reported to me that she was having a jerking in her head/neck and asked if that was normal.  It was happening 1 to 3 x/day.   9/6/21 I (parent) noticed that the jerking was in sequence of 3-4 head jerking to the side (tilting of the head).  9/9/21 she had full blown tic and was seen in the MD office.   The head drops down to the right shoulder, then chin first to the mid chest line and then back up to normal position.  This happens 4-10 times in sequence when mild to moderate episodes, and constant movement for 30 to 90 minutes before starting to relax up a little.  This causes pain in the upper back and neck when moderate to severe movement.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching, Neck pain, Posture abnormal, Red blood cell sedimentation rate normal, Serum ferritin normal
Clinical narrative: Covid Vax 1 received 6/7/21, Covid Vax 2 received 6/28/21. Night between 8/25 and 8/28 she had a shivering full body shake enough to wake the friend on the top bunk, as she was on the bottom bunk.  The friend does not remember which night it was.   She came home 8/29/21 from friends sleepover.   8/30/21 she woke to dizziness and it persisted for 1/2 the day.  8/31/21 she had her first "twitch" jerking movement of the head/neck.  9/2/21 she reported to me that she was having a jerking in her head/neck and asked if that was normal.  It was happening 1 to 3 x/day.   9/6/21 I (parent) noticed that the jerking was in sequence of 3-4 head jerking to the side (tilting of the head).  9/9/21 she had full blown tic and was seen in the MD office.   The head drops down to the right shoulder, then chin first to the mid chest line and then back up to normal position.  This happens 4-10 times in sequence when mild to moderate episodes, and constant movement for 30 to 90 minutes before starting to relax up a little.  This causes pain in the upper back and neck when moderate to severe movement.