chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Decreased appetite, Diarrhoea, Dyspnoea, Fatigue
Clinical narrative: History of present illness (8/25/21): This is a 55 year old female with known COVID-19 infection (symptom onset 08/21/21 and positive test 08/23/21) and PMHx including DMII, OSA, HTN, and obesity who presents to ED for progressively worsening shortness of air. Pt. reports initial symptoms included headache, body aches, and nausea/vomiting/diarrhea. She notes a productive cough with green sputum, and has developed left-sided rib pain with coughing. Pt. completed 2 series Pfizer covid vaccination on 03/12/2021.  Review of Systems (8/25/21): Constitutional: Positive for activity change, appetite change, chills, fatigue and fever.   Respiratory: Positive for cough, chest tightness and shortness of breath. Negative for wheezing.   Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal distention, abdominal pain and constipation.  Musculoskeletal: Positive for myalgias. Negative for back pain, gait problem and joint swelling.   #Acute hypoxic respiratory failure 2/2 SARS CoV2 bilateral pneumonia (8/25/21) - Pt. O2 sat 91% on RA at rest. VBG 7.35/55/23/31.  - CXR showing mild basilar opacities (L>R) representing atelectasis vs early infection  - Afebrile with WBC (8), procal minimally elevated. CRP (127) LDH () d-dimer (0.43) -  08/25 ? starting Remdesivir and dexamethasone 6 mg PO daily with GI ppx   #Acute hypoxic respiratory failure 2/2 COVID-19 PNA (8/28/21) - Initially required O2 via NC - CXR showing mild basilar opacities (L>R)  - Continue remdesivir for 5 day course-- > end date 8/29 - Continue dexamethasone for 10 day course-- > end date 9/3 - Trend CRP and CMP while on remdesivir - Mucinex, dextromethorphan, albuterol MDI PRN - Supplemental O2 for sats >92%  Discharged home 8/29/21
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fibrin D dimer normal, Headache, Infection, Lung opacity, Lymphocyte percentage decreased
Clinical narrative: History of present illness (8/25/21): This is a 55 year old female with known COVID-19 infection (symptom onset 08/21/21 and positive test 08/23/21) and PMHx including DMII, OSA, HTN, and obesity who presents to ED for progressively worsening shortness of air. Pt. reports initial symptoms included headache, body aches, and nausea/vomiting/diarrhea. She notes a productive cough with green sputum, and has developed left-sided rib pain with coughing. Pt. completed 2 series Pfizer covid vaccination on 03/12/2021.  Review of Systems (8/25/21): Constitutional: Positive for activity change, appetite change, chills, fatigue and fever.   Respiratory: Positive for cough, chest tightness and shortness of breath. Negative for wheezing.   Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal distention, abdominal pain and constipation.  Musculoskeletal: Positive for myalgias. Negative for back pain, gait problem and joint swelling.   #Acute hypoxic respiratory failure 2/2 SARS CoV2 bilateral pneumonia (8/25/21) - Pt. O2 sat 91% on RA at rest. VBG 7.35/55/23/31.  - CXR showing mild basilar opacities (L>R) representing atelectasis vs early infection  - Afebrile with WBC (8), procal minimally elevated. CRP (127) LDH () d-dimer (0.43) -  08/25 ? starting Remdesivir and dexamethasone 6 mg PO daily with GI ppx   #Acute hypoxic respiratory failure 2/2 COVID-19 PNA (8/28/21) - Initially required O2 via NC - CXR showing mild basilar opacities (L>R)  - Continue remdesivir for 5 day course-- > end date 8/29 - Continue dexamethasone for 10 day course-- > end date 9/3 - Trend CRP and CMP while on remdesivir - Mucinex, dextromethorphan, albuterol MDI PRN - Supplemental O2 for sats >92%  Discharged home 8/29/21
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Musculoskeletal chest pain, Myalgia, Nausea, Pain, Pneumonia
Clinical narrative: History of present illness (8/25/21): This is a 55 year old female with known COVID-19 infection (symptom onset 08/21/21 and positive test 08/23/21) and PMHx including DMII, OSA, HTN, and obesity who presents to ED for progressively worsening shortness of air. Pt. reports initial symptoms included headache, body aches, and nausea/vomiting/diarrhea. She notes a productive cough with green sputum, and has developed left-sided rib pain with coughing. Pt. completed 2 series Pfizer covid vaccination on 03/12/2021.  Review of Systems (8/25/21): Constitutional: Positive for activity change, appetite change, chills, fatigue and fever.   Respiratory: Positive for cough, chest tightness and shortness of breath. Negative for wheezing.   Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal distention, abdominal pain and constipation.  Musculoskeletal: Positive for myalgias. Negative for back pain, gait problem and joint swelling.   #Acute hypoxic respiratory failure 2/2 SARS CoV2 bilateral pneumonia (8/25/21) - Pt. O2 sat 91% on RA at rest. VBG 7.35/55/23/31.  - CXR showing mild basilar opacities (L>R) representing atelectasis vs early infection  - Afebrile with WBC (8), procal minimally elevated. CRP (127) LDH () d-dimer (0.43) -  08/25 ? starting Remdesivir and dexamethasone 6 mg PO daily with GI ppx   #Acute hypoxic respiratory failure 2/2 COVID-19 PNA (8/28/21) - Initially required O2 via NC - CXR showing mild basilar opacities (L>R)  - Continue remdesivir for 5 day course-- > end date 8/29 - Continue dexamethasone for 10 day course-- > end date 9/3 - Trend CRP and CMP while on remdesivir - Mucinex, dextromethorphan, albuterol MDI PRN - Supplemental O2 for sats >92%  Discharged home 8/29/21
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Productive cough, Pyrexia, SARS-CoV-2 test positive, Sputum discoloured, Vomiting
Clinical narrative: History of present illness (8/25/21): This is a 55 year old female with known COVID-19 infection (symptom onset 08/21/21 and positive test 08/23/21) and PMHx including DMII, OSA, HTN, and obesity who presents to ED for progressively worsening shortness of air. Pt. reports initial symptoms included headache, body aches, and nausea/vomiting/diarrhea. She notes a productive cough with green sputum, and has developed left-sided rib pain with coughing. Pt. completed 2 series Pfizer covid vaccination on 03/12/2021.  Review of Systems (8/25/21): Constitutional: Positive for activity change, appetite change, chills, fatigue and fever.   Respiratory: Positive for cough, chest tightness and shortness of breath. Negative for wheezing.   Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal distention, abdominal pain and constipation.  Musculoskeletal: Positive for myalgias. Negative for back pain, gait problem and joint swelling.   #Acute hypoxic respiratory failure 2/2 SARS CoV2 bilateral pneumonia (8/25/21) - Pt. O2 sat 91% on RA at rest. VBG 7.35/55/23/31.  - CXR showing mild basilar opacities (L>R) representing atelectasis vs early infection  - Afebrile with WBC (8), procal minimally elevated. CRP (127) LDH () d-dimer (0.43) -  08/25 ? starting Remdesivir and dexamethasone 6 mg PO daily with GI ppx   #Acute hypoxic respiratory failure 2/2 COVID-19 PNA (8/28/21) - Initially required O2 via NC - CXR showing mild basilar opacities (L>R)  - Continue remdesivir for 5 day course-- > end date 8/29 - Continue dexamethasone for 10 day course-- > end date 9/3 - Trend CRP and CMP while on remdesivir - Mucinex, dextromethorphan, albuterol MDI PRN - Supplemental O2 for sats >92%  Discharged home 8/29/21
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: White blood cell count increased
Clinical narrative: History of present illness (8/25/21): This is a 55 year old female with known COVID-19 infection (symptom onset 08/21/21 and positive test 08/23/21) and PMHx including DMII, OSA, HTN, and obesity who presents to ED for progressively worsening shortness of air. Pt. reports initial symptoms included headache, body aches, and nausea/vomiting/diarrhea. She notes a productive cough with green sputum, and has developed left-sided rib pain with coughing. Pt. completed 2 series Pfizer covid vaccination on 03/12/2021.  Review of Systems (8/25/21): Constitutional: Positive for activity change, appetite change, chills, fatigue and fever.   Respiratory: Positive for cough, chest tightness and shortness of breath. Negative for wheezing.   Gastrointestinal: Positive for diarrhea, nausea and vomiting. Negative for abdominal distention, abdominal pain and constipation.  Musculoskeletal: Positive for myalgias. Negative for back pain, gait problem and joint swelling.   #Acute hypoxic respiratory failure 2/2 SARS CoV2 bilateral pneumonia (8/25/21) - Pt. O2 sat 91% on RA at rest. VBG 7.35/55/23/31.  - CXR showing mild basilar opacities (L>R) representing atelectasis vs early infection  - Afebrile with WBC (8), procal minimally elevated. CRP (127) LDH () d-dimer (0.43) -  08/25 ? starting Remdesivir and dexamethasone 6 mg PO daily with GI ppx   #Acute hypoxic respiratory failure 2/2 COVID-19 PNA (8/28/21) - Initially required O2 via NC - CXR showing mild basilar opacities (L>R)  - Continue remdesivir for 5 day course-- > end date 8/29 - Continue dexamethasone for 10 day course-- > end date 9/3 - Trend CRP and CMP while on remdesivir - Mucinex, dextromethorphan, albuterol MDI PRN - Supplemental O2 for sats >92%  Discharged home 8/29/21
Age: 51.0
Sex: U
Vaccine: COVID19
Symptoms: COVID-19, Cardiac arrest
Clinical narrative: Cardiac arrest, covid19 8/20
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature)-
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pallor, Paraesthesia, Peripheral coldness
Clinical narrative: Dizziness Bilateral arm tingling/cold White nail beds when standing
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling abnormal, Injection site swelling, Peripheral swelling, Respiratory tract congestion
Clinical narrative: Patient came in to report today 9/2, that she had been experiencing lasting symptoms after receiving her Moderna shot a week and a half ago. Pt reports redness and a raised area around the injection site (4 inch diameter) and some swelling of the arm. Pt sounds congested and reports feeling absolutely miserable during this time. No change in symptoms over time. Patient has been on prednisone taper (40mg, now on 30mg) for unrelated condition, but it was unable to control symptoms.  Recommended seeing regular provider since any minor discomfort should have resolved by now.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Dizziness, Fatigue, Headache, Nausea
Clinical narrative: Fatigue, headache, dizziness, nauseous, diarrhea, sore arm
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity
Clinical narrative: Fatigue, headache, dizziness, nauseous, diarrhea, sore arm
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, SARS-CoV-2 test
Clinical narrative: Fatigue, headache, dizziness, nauseous, diarrhea, sore arm
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse reaction, Interchange of vaccine products
Clinical narrative: Patient received Moderna vaccine for first in series and Pfizer for second in series accidently.  Followed up with patient and reaction reported.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Dyspnoea, Electrocardiogram normal, SARS-CoV-2 test negative
Clinical narrative: Minor shortness of breath
Age: 13.0
Sex: F
Vaccine: MNQ
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received vaccine too early. The patient was not due for vaccine until 2023
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: at day 10 light red round circle surrounding injection site. each day heat and swelling gets bigger and bigger
Age: 5.0
Sex: M
Vaccine: DTAPHEPBIP, IPV
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Client received both one dose of Pediarix and one dose of IPV in the same visit.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Dyspnoea, Fatigue, Headache
Clinical narrative: Tightness in the chest area, wheezing, dry cough, a shortness of breath, body aches, severe headaches, fatigue.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Wheezing
Clinical narrative: Tightness in the chest area, wheezing, dry cough, a shortness of breath, body aches, severe headaches, fatigue.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray normal, Cough, Fatigue
Clinical narrative: 68 yo male with PMH of ESRD, hemodialysis T/T/S, CAD, DMT2, who lives at home with 7 other housemates, admitted from our ER with COVID-19 infection on 8/26/21. He presented to ER with complaints of weakness, fatigue, dry cough for about week and a half.  In ER COVID-19 PCR positive. CXR without infiltrates.  During his stay didn't require supplemental oxygen.  Respiratory status being stable.  Supportive only treatment has being provided.  His fatigue improved significantly, at discharge (9/1/21), he is ambulation without any assistance 150 ft, able to self care. Oxygen level 97% with activities.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 68 yo male with PMH of ESRD, hemodialysis T/T/S, CAD, DMT2, who lives at home with 7 other housemates, admitted from our ER with COVID-19 infection on 8/26/21. He presented to ER with complaints of weakness, fatigue, dry cough for about week and a half.  In ER COVID-19 PCR positive. CXR without infiltrates.  During his stay didn't require supplemental oxygen.  Respiratory status being stable.  Supportive only treatment has being provided.  His fatigue improved significantly, at discharge (9/1/21), he is ambulation without any assistance 150 ft, able to self care. Oxygen level 97% with activities.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac discomfort, Chest discomfort, Echocardiogram, Feeling abnormal, Sleep disorder
Clinical narrative: initial symptom: pressure on the heart on and off for five weeks after the first shot. more severe symptom: heart vibrating at night 2 weeks after first shot 3am most severe symptom: heart vibrating at night. woke me up. could feel a sensation in hands and feet. the night of the second shot 2am.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Cognitive disorder, Dehydration, Diarrhoea, Fall, Spinal fracture
Clinical narrative: Began vomiting and having diarrhea an hour after vaccine. Became dehydrated, did not know who I was or where I was. Fell down repeatedly, just laid there trying to figure out what was wrong! Finally fell so hard I broke my spine in two! Repeated trips to ER and admitted each time!
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Began vomiting and having diarrhea an hour after vaccine. Became dehydrated, did not know who I was or where I was. Fell down repeatedly, just laid there trying to figure out what was wrong! Finally fell so hard I broke my spine in two! Repeated trips to ER and admitted each time!
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Vaccine stored in immunization refrigerator from deep freeze state on July 20, 2021. Vaccine administered on August 30, 2021 which exceeds recommended storage time. Vaccine vial expiration was August 31, 2021. Client with NO adverse reactions noted.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Fatigue, Headache, Myalgia, Pruritus
Clinical narrative: States he broke out in hives all over his arms/legs/torso about a week and a half after he received his first Moderna vaccine (got vaccinated on 7-30-2021). States happened two afternoons in a row. One afternoon, he broke out in hives and within an hour of taking Benedryl, the hives were gone. The next afternoon, the same hives popped up and he took another Benedryl and within an hour, the hives were gone. States began itching these two days and used Goldbond anti-itching cream and it helped. Client states he never got tested, but his wife tested positive for covid-19 a week after he got his first vaccine. States he had bad headaches and muscle aches/fatigue for 1-2 weeks after receiving the first vaccine.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: States he broke out in hives all over his arms/legs/torso about a week and a half after he received his first Moderna vaccine (got vaccinated on 7-30-2021). States happened two afternoons in a row. One afternoon, he broke out in hives and within an hour of taking Benedryl, the hives were gone. The next afternoon, the same hives popped up and he took another Benedryl and within an hour, the hives were gone. States began itching these two days and used Goldbond anti-itching cream and it helped. Client states he never got tested, but his wife tested positive for covid-19 a week after he got his first vaccine. States he had bad headaches and muscle aches/fatigue for 1-2 weeks after receiving the first vaccine.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Blood gases abnormal, Blood pH decreased, COVID-19, Chest X-ray abnormal
Clinical narrative: Pfizer Dose 1 3/25/21 (EN6204) Pfizer Dose 2 4/22/21 (EW0151) COVID Positive 7/26/21  7/26/21: Presented to ED. Patient is 77-year-old lady with known history of COPD.  She has been having cough and worsening shortness of breath for 6 days.  She was seen in emergency department on 7/23/2021 and was discharged to home on Azithromycin.  She continued to have worsening cough and shortness of breath.  Sometimes brings out small amount of sputum.  Dyspnea is worse on exertion.  Feels better when she sits.  No history of recent weight gain or weight loss.  History of exposure to  SARS-CoV-2.  She denied fevers, chills, nausea, diarrhea, loss of taste or hemoptysis.  7/28/21: She is a 77-year-old female with a history of COPD not on home O2 and she initially presented to the emergency room on 07/23/2021 complaining of worsening shortness of breath of 6 day duration was prescribed azithromycin and subsequently discharged.  However she came back on 07/26/2021 with more SOB.  At the emergency room the O2 saturation was 86% on room chest x-ray showed some infiltrate in the left lower lobe.  The ABG was significant for a pH of 7.30 and a pCO2 69.  The COVID-19 screen was positive of note is that this patient has already received 2 doses of COVID-19 vaccination.  Chest x-ray showed no acute cardiopulmonary findings.  Patient was diagnosed with acute hypoxic, hypercapnic respiratory failure likely due to a combination of COVID-19 infection and COPD exacerbation.  She was admitted to hospital and commenced on IV remdesivir, IV antibiotics Rocephin and azithromycin, bronchodilators, IV steroid and in addition to supportive therapy.  She was briefly on a L of oxygen but was later discontinued.  Patient has been improving since admission. On re-evaluation this morning the O2 saturation is 94% on room.  She voiced no complain and stated she is breathing perfectly fine.  She had oxygen walk for home determination and the result....  She will be discharged home on antibiotics-Ceftin and azithromycin and tapering dose of prednisone.  I advised her to follow up with PCP in 1-2 weeks.  I further advised are not to hesitate to come back to the emergency room if her breathing gets worse.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic obstructive pulmonary disease, Condition aggravated, Cough, Dyspnoea, Dyspnoea exertional
Clinical narrative: Pfizer Dose 1 3/25/21 (EN6204) Pfizer Dose 2 4/22/21 (EW0151) COVID Positive 7/26/21  7/26/21: Presented to ED. Patient is 77-year-old lady with known history of COPD.  She has been having cough and worsening shortness of breath for 6 days.  She was seen in emergency department on 7/23/2021 and was discharged to home on Azithromycin.  She continued to have worsening cough and shortness of breath.  Sometimes brings out small amount of sputum.  Dyspnea is worse on exertion.  Feels better when she sits.  No history of recent weight gain or weight loss.  History of exposure to  SARS-CoV-2.  She denied fevers, chills, nausea, diarrhea, loss of taste or hemoptysis.  7/28/21: She is a 77-year-old female with a history of COPD not on home O2 and she initially presented to the emergency room on 07/23/2021 complaining of worsening shortness of breath of 6 day duration was prescribed azithromycin and subsequently discharged.  However she came back on 07/26/2021 with more SOB.  At the emergency room the O2 saturation was 86% on room chest x-ray showed some infiltrate in the left lower lobe.  The ABG was significant for a pH of 7.30 and a pCO2 69.  The COVID-19 screen was positive of note is that this patient has already received 2 doses of COVID-19 vaccination.  Chest x-ray showed no acute cardiopulmonary findings.  Patient was diagnosed with acute hypoxic, hypercapnic respiratory failure likely due to a combination of COVID-19 infection and COPD exacerbation.  She was admitted to hospital and commenced on IV remdesivir, IV antibiotics Rocephin and azithromycin, bronchodilators, IV steroid and in addition to supportive therapy.  She was briefly on a L of oxygen but was later discontinued.  Patient has been improving since admission. On re-evaluation this morning the O2 saturation is 94% on room.  She voiced no complain and stated she is breathing perfectly fine.  She had oxygen walk for home determination and the result....  She will be discharged home on antibiotics-Ceftin and azithromycin and tapering dose of prednisone.  I advised her to follow up with PCP in 1-2 weeks.  I further advised are not to hesitate to come back to the emergency room if her breathing gets worse.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Lung infiltration, Oxygen saturation decreased, PCO2 increased, Productive cough, Respiratory failure
Clinical narrative: Pfizer Dose 1 3/25/21 (EN6204) Pfizer Dose 2 4/22/21 (EW0151) COVID Positive 7/26/21  7/26/21: Presented to ED. Patient is 77-year-old lady with known history of COPD.  She has been having cough and worsening shortness of breath for 6 days.  She was seen in emergency department on 7/23/2021 and was discharged to home on Azithromycin.  She continued to have worsening cough and shortness of breath.  Sometimes brings out small amount of sputum.  Dyspnea is worse on exertion.  Feels better when she sits.  No history of recent weight gain or weight loss.  History of exposure to  SARS-CoV-2.  She denied fevers, chills, nausea, diarrhea, loss of taste or hemoptysis.  7/28/21: She is a 77-year-old female with a history of COPD not on home O2 and she initially presented to the emergency room on 07/23/2021 complaining of worsening shortness of breath of 6 day duration was prescribed azithromycin and subsequently discharged.  However she came back on 07/26/2021 with more SOB.  At the emergency room the O2 saturation was 86% on room chest x-ray showed some infiltrate in the left lower lobe.  The ABG was significant for a pH of 7.30 and a pCO2 69.  The COVID-19 screen was positive of note is that this patient has already received 2 doses of COVID-19 vaccination.  Chest x-ray showed no acute cardiopulmonary findings.  Patient was diagnosed with acute hypoxic, hypercapnic respiratory failure likely due to a combination of COVID-19 infection and COPD exacerbation.  She was admitted to hospital and commenced on IV remdesivir, IV antibiotics Rocephin and azithromycin, bronchodilators, IV steroid and in addition to supportive therapy.  She was briefly on a L of oxygen but was later discontinued.  Patient has been improving since admission. On re-evaluation this morning the O2 saturation is 94% on room.  She voiced no complain and stated she is breathing perfectly fine.  She had oxygen walk for home determination and the result....  She will be discharged home on antibiotics-Ceftin and azithromycin and tapering dose of prednisone.  I advised her to follow up with PCP in 1-2 weeks.  I further advised are not to hesitate to come back to the emergency room if her breathing gets worse.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Pfizer Dose 1 3/25/21 (EN6204) Pfizer Dose 2 4/22/21 (EW0151) COVID Positive 7/26/21  7/26/21: Presented to ED. Patient is 77-year-old lady with known history of COPD.  She has been having cough and worsening shortness of breath for 6 days.  She was seen in emergency department on 7/23/2021 and was discharged to home on Azithromycin.  She continued to have worsening cough and shortness of breath.  Sometimes brings out small amount of sputum.  Dyspnea is worse on exertion.  Feels better when she sits.  No history of recent weight gain or weight loss.  History of exposure to  SARS-CoV-2.  She denied fevers, chills, nausea, diarrhea, loss of taste or hemoptysis.  7/28/21: She is a 77-year-old female with a history of COPD not on home O2 and she initially presented to the emergency room on 07/23/2021 complaining of worsening shortness of breath of 6 day duration was prescribed azithromycin and subsequently discharged.  However she came back on 07/26/2021 with more SOB.  At the emergency room the O2 saturation was 86% on room chest x-ray showed some infiltrate in the left lower lobe.  The ABG was significant for a pH of 7.30 and a pCO2 69.  The COVID-19 screen was positive of note is that this patient has already received 2 doses of COVID-19 vaccination.  Chest x-ray showed no acute cardiopulmonary findings.  Patient was diagnosed with acute hypoxic, hypercapnic respiratory failure likely due to a combination of COVID-19 infection and COPD exacerbation.  She was admitted to hospital and commenced on IV remdesivir, IV antibiotics Rocephin and azithromycin, bronchodilators, IV steroid and in addition to supportive therapy.  She was briefly on a L of oxygen but was later discontinued.  Patient has been improving since admission. On re-evaluation this morning the O2 saturation is 94% on room.  She voiced no complain and stated she is breathing perfectly fine.  She had oxygen walk for home determination and the result....  She will be discharged home on antibiotics-Ceftin and azithromycin and tapering dose of prednisone.  I advised her to follow up with PCP in 1-2 weeks.  I further advised are not to hesitate to come back to the emergency room if her breathing gets worse.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Lethargy, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: patient c/o fever, lethargy, sob
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Sinusitis
Clinical narrative: Honestly, not sure why I'm filling this out.  I responded to a survey that I had been sick with sinus infection since having the Moderna shot.  It could be that I had covid again but wasn't tested for that as by the time I went to the doctor it had been over 10 days.  I was given antibiotics for my sinus infection and  was better within a couple of days.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Fatigue, Heart rate increased, Nausea
Clinical narrative: Patient received first dose around 0720, within about 10 minutes patient started with slight nausea.  After about 20 minutes he was feeling more lightheaded, dizzy and very tired.  He was transferred to a recliner, feet elevated and initial bp was 124/80 with a pulse of 110.  Patient started to complain of some shortness of breath and oxygen was placed on 2 liters.  His O2 level was 96% at the time.  Local EMS was contacted.  Repeat bp readings were 136/80, 107/70 and 113/74.  His pulses remained tachycardic.  When EMS arrived patient was transported to local ER.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Patient received first dose around 0720, within about 10 minutes patient started with slight nausea.  After about 20 minutes he was feeling more lightheaded, dizzy and very tired.  He was transferred to a recliner, feet elevated and initial bp was 124/80 with a pulse of 110.  Patient started to complain of some shortness of breath and oxygen was placed on 2 liters.  His O2 level was 96% at the time.  Local EMS was contacted.  Repeat bp readings were 136/80, 107/70 and 113/74.  His pulses remained tachycardic.  When EMS arrived patient was transported to local ER.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chest X-ray, Dizziness, Haemoglobin decreased, SARS-CoV-2 test
Clinical narrative: Pt sent to ER from cardiologist office for weakness, lightheadedness, low Hgb.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Chills, Dizziness, Musculoskeletal stiffness, Nausea
Clinical narrative: Patient complained of lightheadedness, nausea and chills and stiffness to bilateral arms. VS with noted non-resolving tachycardia 126-140 bpm and elevated BP 140-150/80-90. EMS contacted and patient transported to hospital. Symptoms began at 3:25p and continued with EMS transfer at 3:50p.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: Patient complained of lightheadedness, nausea and chills and stiffness to bilateral arms. VS with noted non-resolving tachycardia 126-140 bpm and elevated BP 140-150/80-90. EMS contacted and patient transported to hospital. Symptoms began at 3:25p and continued with EMS transfer at 3:50p.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Pericarditis
Clinical narrative: Pericarditis, chest pains day 2 post shot
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Antinuclear antibody negative, Blood thyroid stimulating hormone normal, Discomfort, Dysaesthesia, Feeling abnormal
Clinical narrative: Tingling in feet the ascended over a period of 1 week to include legs and hands. Burning dysthesia. Crawling sensations. This plateaued around 2-3 weeks but took over 6 months to resolve.  I never had sensory loss or motor loss. This was  extremely uncomfortable and miserable for 6 months, making it very difficult to work/function.  It should be noted that a month prior to vaccination I had unexplained vertigo for 2 months.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Formication, Full blood count normal, Impaired work ability, Magnetic resonance imaging head normal, Magnetic resonance imaging spinal normal
Clinical narrative: Tingling in feet the ascended over a period of 1 week to include legs and hands. Burning dysthesia. Crawling sensations. This plateaued around 2-3 weeks but took over 6 months to resolve.  I never had sensory loss or motor loss. This was  extremely uncomfortable and miserable for 6 months, making it very difficult to work/function.  It should be noted that a month prior to vaccination I had unexplained vertigo for 2 months.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test normal, Paraesthesia, Red blood cell sedimentation rate normal
Clinical narrative: Tingling in feet the ascended over a period of 1 week to include legs and hands. Burning dysthesia. Crawling sensations. This plateaued around 2-3 weeks but took over 6 months to resolve.  I never had sensory loss or motor loss. This was  extremely uncomfortable and miserable for 6 months, making it very difficult to work/function.  It should be noted that a month prior to vaccination I had unexplained vertigo for 2 months.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site cellulitis, Injection site erythema, Injection site inflammation, Injection site pain, Injection site pruritus
Clinical narrative: Client states that evening itching, redness, and soreness started at injection site and lasted for 1-2 days.  States resolved, but then on day 8 after injection, it became itchy, red, and inflamed again, resulting in a Dr. visit.  She states was diagnosed with cellulitis and given antibiotics to take.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Insomnia, Panic attack, Polymenorrhoea, Premenstrual syndrome
Clinical narrative: Increased menses frequency, PMS, Insomnia, hot and panic attack
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Headache, Nausea
Clinical narrative: Chills fever weakness nausea dizziness severe headaches
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Chills fever weakness nausea dizziness severe headaches
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: DEATH
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Fatigue
Clinical narrative: Shortness of breath within a couple of days of the injection, fatigue, chest pain; all symptoms got worse and at day 7 had to be hospitalized due to the severity of the chest pain and shortness of breath.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Throat tightness
Clinical narrative: Patient received first dose of Pfizer vaccine at 10:00am. AT 10:11 am patient reported feeling like her throat was closing and lightheadedness. Benadryl .5ml administered IM at 10:12am. V/s 123/86, 77, 99%, 37.0, 16. Lungs clear all lobes, no wheezing. At 10:22am  patient reports relief. Instructed to go to ED if symptoms return.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Epistaxis, Eye irritation, Fatigue, Headache
Clinical narrative: Bloody nose , fever , blurred vision , ear ringing , nausea , tiredness. Slept for 20 hours. Periods of extreme headache and feelings of burning behind my eyes and in my ears.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersomnia, Nausea, Pyrexia, Tinnitus, Vision blurred
Clinical narrative: Bloody nose , fever , blurred vision , ear ringing , nausea , tiredness. Slept for 20 hours. Periods of extreme headache and feelings of burning behind my eyes and in my ears.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning feet syndrome, Fatigue, Injection site erythema, Paraesthesia, Rash
Clinical narrative: I haven't been treated, but wanted to report the following: redness around injection site, mild swelling in face area, fatigue that is intermittent, mild rash on chest, a feeling of burning in the feet with a feeling of pins and needles. The redness and rash are gone.  The swelling is no longer visible, but I did feel like I had a generalized bee sting within my skin.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swelling face
Clinical narrative: I haven't been treated, but wanted to report the following: redness around injection site, mild swelling in face area, fatigue that is intermittent, mild rash on chest, a feeling of burning in the feet with a feeling of pins and needles. The redness and rash are gone.  The swelling is no longer visible, but I did feel like I had a generalized bee sting within my skin.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Depressed mood, Erythema, Fatigue, General physical health deterioration
Clinical narrative: I haven't been treated, but wanted to report the following: redness around injection site, mild swelling in face area, fatigue that is intermittent, mild rash on chest, a feeling of burning in the feet with a feeling of pins and needles. The redness and rash are gone.  The swelling is no longer visible, but I did feel like I had a generalized bee sting within my skin.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypersensitivity, Mucosal dryness, Nasal congestion, Nasal discomfort, Pain
Clinical narrative: I haven't been treated, but wanted to report the following: redness around injection site, mild swelling in face area, fatigue that is intermittent, mild rash on chest, a feeling of burning in the feet with a feeling of pins and needles. The redness and rash are gone.  The swelling is no longer visible, but I did feel like I had a generalized bee sting within my skin.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia, Pruritus, Rash, Swelling face
Clinical narrative: I haven't been treated, but wanted to report the following: redness around injection site, mild swelling in face area, fatigue that is intermittent, mild rash on chest, a feeling of burning in the feet with a feeling of pins and needles. The redness and rash are gone.  The swelling is no longer visible, but I did feel like I had a generalized bee sting within my skin.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Canalith repositioning procedure, Dizziness, Night blindness, Pyrexia, Tinnitus
Clinical narrative: Initially, I had a fever and the normal symptoms that were to be expected. Towards the end, I was having dizziness and extreme ringing in my ears. I went to the doctor and had 2 physical therapy sessions. They readjusted my cochlear crystals in my ear. A few months later, I had floaters appear in my left eye. It was like a film with big black spots. I went to an ophthalmologist. I was checked for a retinal tear or burst blood vessels. I was told nothing was found to credit these floaters and to keep watching it. Since then, I've noticed my vision in the dark has gotten worse in that particular eye. The floaters have improved since then.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Vitreous floaters
Clinical narrative: Initially, I had a fever and the normal symptoms that were to be expected. Towards the end, I was having dizziness and extreme ringing in my ears. I went to the doctor and had 2 physical therapy sessions. They readjusted my cochlear crystals in my ear. A few months later, I had floaters appear in my left eye. It was like a film with big black spots. I went to an ophthalmologist. I was checked for a retinal tear or burst blood vessels. I was told nothing was found to credit these floaters and to keep watching it. Since then, I've noticed my vision in the dark has gotten worse in that particular eye. The floaters have improved since then.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Mixed Series. Client received Moderna 4/7/21 and 05/05/21. Requested additional dose secondary to immunocompromised condition and received Pfizer 9/2/21
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Nausea, Paralysis
Clinical narrative: nausea, chest pain, shortness of breath, paralysis from shoulders down through lower extremities
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Palpitations
Clinical narrative: Very fast heartbeat, palpitations
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: Tested positive for covid. Had exposure
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Night sweats, Pyrexia
Clinical narrative: Headache, fever ,chills  joint pain, night sweats
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Tingling in legs right after the first dose for about 30 minutes. Continues to have tingling in left leg between knee and hip at least once a day.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: a few days after the first dose, I experienced a menstrual cycle which I rarely have anymore
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint swelling, Laboratory test normal, Peripheral swelling, Ultrasound Doppler normal
Clinical narrative: 3 weeks after receiving the second dose of the Pfizer vaccine, complaint of bilateral knee pain, swelling on the right side, mainly hip, leg, feet, and ankles; was advised to see a medical provider.; Doppler test results normal, labs normal. Diagnosed delayed immune response reaction by the treating physician
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood creatinine increased, Blood lactic acid, COVID-19, Chest X-ray abnormal
Clinical narrative: Pfizer Dose 1 2/22/2021 (EN6200) Pfizer Dose 2 3/17/2021 (EN6205) COVID Positive 7/21/2021  7/19/21: Presented to ED with GI issues and discharged.  7/21/21: The patient presents with fatigue and 93 y/o patient, he, presents to the emergency department with complaint of weakness that began 4-5 days ago. Pt.'s wife accompanied the patient to the emergency department and provided some history. Pt.'s wife states that the patient had a fever 2 days ago and has intermittent coughs. The patient states that weakness is not a recurring problem for him. Pt. PHx includes Barrett's esophagus, HTN, and GERD. This is a 93-year-old male with history of coronary artery disease, hypertension, hyperlipidemia and type 2 diabetes mellitus who presented to the emergency department with confusion and cough. Patient reports that he has been coughing for the past few days.  Wife reports that he had a temperature of 100° F on Sunday.  He woke up this morning around 3:00 a.m. confused and disoriented.  He was also feeling very weak.  His symptoms are improving.  He denies chest pain, dizziness, blurry vision, palpitations, abdominal pain, nausea, vomiting or diarrhea.  Patient was fully vaccinated for COVID-19. In the emergency department, patient was found to have a temperature of 99.6°.  Labs showed a creatinine of 1.56, lactic acid of 2.2, WBC count of 3.8 and platelets of 87. CT head without contrast showed no acute findings. Chest x-ray showed developed an bibasilar pneumonia. Patient received a dose of IV Rocephin, azithromycin and IV fluids.  7/30/21: Pt discharged with P.o.  Zinc sulfate and vitamin-C,  P.o. Decadron course,  Albuterol HFA,  COVID-19 precautions per CDC guidelines, hemodynamically stable for discharge. Will discharge to skilled nursing facility. Patient agrees with plan of care. Follow-up with PCP in 3-5 days
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Confusional state, Cough, Disorientation, Fatigue
Clinical narrative: Pfizer Dose 1 2/22/2021 (EN6200) Pfizer Dose 2 3/17/2021 (EN6205) COVID Positive 7/21/2021  7/19/21: Presented to ED with GI issues and discharged.  7/21/21: The patient presents with fatigue and 93 y/o patient, he, presents to the emergency department with complaint of weakness that began 4-5 days ago. Pt.'s wife accompanied the patient to the emergency department and provided some history. Pt.'s wife states that the patient had a fever 2 days ago and has intermittent coughs. The patient states that weakness is not a recurring problem for him. Pt. PHx includes Barrett's esophagus, HTN, and GERD. This is a 93-year-old male with history of coronary artery disease, hypertension, hyperlipidemia and type 2 diabetes mellitus who presented to the emergency department with confusion and cough. Patient reports that he has been coughing for the past few days.  Wife reports that he had a temperature of 100° F on Sunday.  He woke up this morning around 3:00 a.m. confused and disoriented.  He was also feeling very weak.  His symptoms are improving.  He denies chest pain, dizziness, blurry vision, palpitations, abdominal pain, nausea, vomiting or diarrhea.  Patient was fully vaccinated for COVID-19. In the emergency department, patient was found to have a temperature of 99.6°.  Labs showed a creatinine of 1.56, lactic acid of 2.2, WBC count of 3.8 and platelets of 87. CT head without contrast showed no acute findings. Chest x-ray showed developed an bibasilar pneumonia. Patient received a dose of IV Rocephin, azithromycin and IV fluids.  7/30/21: Pt discharged with P.o.  Zinc sulfate and vitamin-C,  P.o. Decadron course,  Albuterol HFA,  COVID-19 precautions per CDC guidelines, hemodynamically stable for discharge. Will discharge to skilled nursing facility. Patient agrees with plan of care. Follow-up with PCP in 3-5 days
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Gastrointestinal disorder, Platelet count decreased, Pneumonia, SARS-CoV-2 test positive, White blood cell count decreased
Clinical narrative: Pfizer Dose 1 2/22/2021 (EN6200) Pfizer Dose 2 3/17/2021 (EN6205) COVID Positive 7/21/2021  7/19/21: Presented to ED with GI issues and discharged.  7/21/21: The patient presents with fatigue and 93 y/o patient, he, presents to the emergency department with complaint of weakness that began 4-5 days ago. Pt.'s wife accompanied the patient to the emergency department and provided some history. Pt.'s wife states that the patient had a fever 2 days ago and has intermittent coughs. The patient states that weakness is not a recurring problem for him. Pt. PHx includes Barrett's esophagus, HTN, and GERD. This is a 93-year-old male with history of coronary artery disease, hypertension, hyperlipidemia and type 2 diabetes mellitus who presented to the emergency department with confusion and cough. Patient reports that he has been coughing for the past few days.  Wife reports that he had a temperature of 100° F on Sunday.  He woke up this morning around 3:00 a.m. confused and disoriented.  He was also feeling very weak.  His symptoms are improving.  He denies chest pain, dizziness, blurry vision, palpitations, abdominal pain, nausea, vomiting or diarrhea.  Patient was fully vaccinated for COVID-19. In the emergency department, patient was found to have a temperature of 99.6°.  Labs showed a creatinine of 1.56, lactic acid of 2.2, WBC count of 3.8 and platelets of 87. CT head without contrast showed no acute findings. Chest x-ray showed developed an bibasilar pneumonia. Patient received a dose of IV Rocephin, azithromycin and IV fluids.  7/30/21: Pt discharged with P.o.  Zinc sulfate and vitamin-C,  P.o. Decadron course,  Albuterol HFA,  COVID-19 precautions per CDC guidelines, hemodynamically stable for discharge. Will discharge to skilled nursing facility. Patient agrees with plan of care. Follow-up with PCP in 3-5 days
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Arthralgia, Back pain, Balance disorder, Burning sensation
Clinical narrative: Burning in hands, hands falling asleep. Brain fog,   Feeling of falling, loss of balance, Leg and arm weakness, joint pain, muscle pain, stabbing pains in abdomen and back shortness of breath headache diarrhea. On the 6th day after receiving vaccine I woke up with a rash and extreme itching all over
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Dyspnoea, Feeling abnormal, Headache, Muscular weakness
Clinical narrative: Burning in hands, hands falling asleep. Brain fog,   Feeling of falling, loss of balance, Leg and arm weakness, joint pain, muscle pain, stabbing pains in abdomen and back shortness of breath headache diarrhea. On the 6th day after receiving vaccine I woke up with a rash and extreme itching all over
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Paraesthesia, Pruritus, Rash
Clinical narrative: Burning in hands, hands falling asleep. Brain fog,   Feeling of falling, loss of balance, Leg and arm weakness, joint pain, muscle pain, stabbing pains in abdomen and back shortness of breath headache diarrhea. On the 6th day after receiving vaccine I woke up with a rash and extreme itching all over
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea exertional, Feeling abnormal, Malaise, Muscular weakness
Clinical narrative: Burning in hands, hands falling asleep. Brain fog,   Feeling of falling, loss of balance, Leg and arm weakness, joint pain, muscle pain, stabbing pains in abdomen and back shortness of breath headache diarrhea. On the 6th day after receiving vaccine I woke up with a rash and extreme itching all over
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nervousness
Clinical narrative: Burning in hands, hands falling asleep. Brain fog,   Feeling of falling, loss of balance, Leg and arm weakness, joint pain, muscle pain, stabbing pains in abdomen and back shortness of breath headache diarrhea. On the 6th day after receiving vaccine I woke up with a rash and extreme itching all over
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Breast pain, Dysmenorrhoea, Heavy menstrual bleeding, Menstrual disorder
Clinical narrative: Menstrual cycle changes.  After 17 years of a light 3 to 5 day cycle my periods are at 6 to 8 days of extremely heavy bleeding with clots. Very painful cramping. Very painful shooting/ stabbing pains in my breasts the week leading up to and during my cycle. The bleeding is so bad it affected my anemia, which is hard enough to treat. This months cycle has been the worst yet. I'm bleeding very heavily and weak due to this.