chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Adenovirus test, Atelectasis, Bordetella test negative, COVID-19, COVID-19 pneumonia
Clinical narrative: ED to Hosp-Admission Discharged   9/21/2021 - 9/26/2021 (5 days)  Hospital  MD  Last attending ? Treatment team Pneumonia due to COVID-19 virus  Principal problem Hospital Course This is a 64-year-old lady with history of anxiety depression who came to Hospital emergency department with a chief complaint of cough fever and shortness of breath.  She was recently tested positive for COVID-19 on September 18.  Because of worsening shortness of breath she ended up coming to the hospital.  On work-up she was found to have COVID-19 pneumonia.  On admission she was hypoxic and requiring supplemental oxygen.  She was treated with IV remdesivir and dexamethasone and now changed to p.o.  Her symptoms are getting better.  We did home oxygen evaluation she need 2 L with exertion only.   Day of discharge patient feeling better.  Denies any shortness of breath at rest.  Denies any chest pain palpitation.  She has some occasional dry cough.  Denies any pain/swelling in the legs.  Afebrile.  No other new symptoms or acute event as per nursing staff
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chlamydia test negative, Coronavirus test negative, Cough, Dyspnoea
Clinical narrative: ED to Hosp-Admission Discharged   9/21/2021 - 9/26/2021 (5 days)  Hospital  MD  Last attending ? Treatment team Pneumonia due to COVID-19 virus  Principal problem Hospital Course This is a 64-year-old lady with history of anxiety depression who came to Hospital emergency department with a chief complaint of cough fever and shortness of breath.  She was recently tested positive for COVID-19 on September 18.  Because of worsening shortness of breath she ended up coming to the hospital.  On work-up she was found to have COVID-19 pneumonia.  On admission she was hypoxic and requiring supplemental oxygen.  She was treated with IV remdesivir and dexamethasone and now changed to p.o.  Her symptoms are getting better.  We did home oxygen evaluation she need 2 L with exertion only.   Day of discharge patient feeling better.  Denies any shortness of breath at rest.  Denies any chest pain palpitation.  She has some occasional dry cough.  Denies any pain/swelling in the legs.  Afebrile.  No other new symptoms or acute event as per nursing staff
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Enterovirus test negative, Human metapneumovirus test, Human rhinovirus test, Hypoxia, Influenza A virus test negative
Clinical narrative: ED to Hosp-Admission Discharged   9/21/2021 - 9/26/2021 (5 days)  Hospital  MD  Last attending ? Treatment team Pneumonia due to COVID-19 virus  Principal problem Hospital Course This is a 64-year-old lady with history of anxiety depression who came to Hospital emergency department with a chief complaint of cough fever and shortness of breath.  She was recently tested positive for COVID-19 on September 18.  Because of worsening shortness of breath she ended up coming to the hospital.  On work-up she was found to have COVID-19 pneumonia.  On admission she was hypoxic and requiring supplemental oxygen.  She was treated with IV remdesivir and dexamethasone and now changed to p.o.  Her symptoms are getting better.  We did home oxygen evaluation she need 2 L with exertion only.   Day of discharge patient feeling better.  Denies any shortness of breath at rest.  Denies any chest pain palpitation.  She has some occasional dry cough.  Denies any pain/swelling in the legs.  Afebrile.  No other new symptoms or acute event as per nursing staff
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Influenza virus test negative, Lung opacity, Mycoplasma test negative, Pleural effusion
Clinical narrative: ED to Hosp-Admission Discharged   9/21/2021 - 9/26/2021 (5 days)  Hospital  MD  Last attending ? Treatment team Pneumonia due to COVID-19 virus  Principal problem Hospital Course This is a 64-year-old lady with history of anxiety depression who came to Hospital emergency department with a chief complaint of cough fever and shortness of breath.  She was recently tested positive for COVID-19 on September 18.  Because of worsening shortness of breath she ended up coming to the hospital.  On work-up she was found to have COVID-19 pneumonia.  On admission she was hypoxic and requiring supplemental oxygen.  She was treated with IV remdesivir and dexamethasone and now changed to p.o.  Her symptoms are getting better.  We did home oxygen evaluation she need 2 L with exertion only.   Day of discharge patient feeling better.  Denies any shortness of breath at rest.  Denies any chest pain palpitation.  She has some occasional dry cough.  Denies any pain/swelling in the legs.  Afebrile.  No other new symptoms or acute event as per nursing staff
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia aspiration, Pyrexia, Respiratory syncytial virus test negative, Respiratory viral panel, SARS-CoV-2 test positive
Clinical narrative: ED to Hosp-Admission Discharged   9/21/2021 - 9/26/2021 (5 days)  Hospital  MD  Last attending ? Treatment team Pneumonia due to COVID-19 virus  Principal problem Hospital Course This is a 64-year-old lady with history of anxiety depression who came to Hospital emergency department with a chief complaint of cough fever and shortness of breath.  She was recently tested positive for COVID-19 on September 18.  Because of worsening shortness of breath she ended up coming to the hospital.  On work-up she was found to have COVID-19 pneumonia.  On admission she was hypoxic and requiring supplemental oxygen.  She was treated with IV remdesivir and dexamethasone and now changed to p.o.  Her symptoms are getting better.  We did home oxygen evaluation she need 2 L with exertion only.   Day of discharge patient feeling better.  Denies any shortness of breath at rest.  Denies any chest pain palpitation.  She has some occasional dry cough.  Denies any pain/swelling in the legs.  Afebrile.  No other new symptoms or acute event as per nursing staff
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Viral test negative
Clinical narrative: ED to Hosp-Admission Discharged   9/21/2021 - 9/26/2021 (5 days)  Hospital  MD  Last attending ? Treatment team Pneumonia due to COVID-19 virus  Principal problem Hospital Course This is a 64-year-old lady with history of anxiety depression who came to Hospital emergency department with a chief complaint of cough fever and shortness of breath.  She was recently tested positive for COVID-19 on September 18.  Because of worsening shortness of breath she ended up coming to the hospital.  On work-up she was found to have COVID-19 pneumonia.  On admission she was hypoxic and requiring supplemental oxygen.  She was treated with IV remdesivir and dexamethasone and now changed to p.o.  Her symptoms are getting better.  We did home oxygen evaluation she need 2 L with exertion only.   Day of discharge patient feeling better.  Denies any shortness of breath at rest.  Denies any chest pain palpitation.  She has some occasional dry cough.  Denies any pain/swelling in the legs.  Afebrile.  No other new symptoms or acute event as per nursing staff
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Headache, Lethargy, Menstruation irregular
Clinical narrative: After both the first and second shots I suffered from: Headaches Nausea Fever Lethargic Body aches / overall pain  After only the second shot I also suffered from: Chills  The day of my second shot I also got my period a week later than normal. It lasted the normal amount of time, but then 4 days after it ended I got it for another week. After that the cycle length and timing went back to normal, but the intensity of my period increased. (All while having an IUD in.)
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: After both the first and second shots I suffered from: Headaches Nausea Fever Lethargic Body aches / overall pain  After only the second shot I also suffered from: Chills  The day of my second shot I also got my period a week later than normal. It lasted the normal amount of time, but then 4 days after it ended I got it for another week. After that the cycle length and timing went back to normal, but the intensity of my period increased. (All while having an IUD in.)
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: I received an incoming call from one of our specialty pharmacy patients. Upon speaking with the patient she has admitted that she fainted the following day after receiving the first dose of CV19 from Pfizer. She did not mention this prior. After fainting, she did appear ok per patient report. She received the second dose in the series with no report of fainting. Patient reported lying in bed the entire day after the second dose to prevent any syncope.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Vaccine breakthrough.  COVID + 9/29. Symptomatic inpatient admit 10/3/21
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Break out in hives all over
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Adenovirus test, Arthralgia, Chest pain, Electrocardiogram ST segment elevation, Enterovirus test negative
Clinical narrative: Woke up at night with severe left shoulder pain, 12 days after 1st vaccination, which receded and he went to bed. No symptoms the next day. Woke up early the following morning (now 14 days after vaccination) with L shoulder pain, chest pain, nausea, pale in color, at which point he was taken to the local ED. He was treated with ibuprofen and colchicine and had symptomatic resolution in less than twelve hours. Troponin began to decrease 12 hours after admission, decreased from high of 18 ng/ml to 0.34 ng/ml at time of discharge 3 days after presentation.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging heart, Myocardial oedema, Myocarditis, Nausea, Pallor
Clinical narrative: Woke up at night with severe left shoulder pain, 12 days after 1st vaccination, which receded and he went to bed. No symptoms the next day. Woke up early the following morning (now 14 days after vaccination) with L shoulder pain, chest pain, nausea, pale in color, at which point he was taken to the local ED. He was treated with ibuprofen and colchicine and had symptomatic resolution in less than twelve hours. Troponin began to decrease 12 hours after admission, decreased from high of 18 ng/ml to 0.34 ng/ml at time of discharge 3 days after presentation.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased, Ultrasound scan normal, Viral test
Clinical narrative: Woke up at night with severe left shoulder pain, 12 days after 1st vaccination, which receded and he went to bed. No symptoms the next day. Woke up early the following morning (now 14 days after vaccination) with L shoulder pain, chest pain, nausea, pale in color, at which point he was taken to the local ED. He was treated with ibuprofen and colchicine and had symptomatic resolution in less than twelve hours. Troponin began to decrease 12 hours after admission, decreased from high of 18 ng/ml to 0.34 ng/ml at time of discharge 3 days after presentation.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Haematoma, Mass, Pain, Ultrasound scan
Clinical narrative: Approximately 5 hrs after vaccine I had a large (half tennis ball) size lump on my leg. It was hot and it was painful. It was not discolored. I went to the ER and was given an ultrasound. They said it was not  a DVT.  They said it was a surface hematoma. It was not discolored and I DID NOT sustain any injury to that area or any other area.  they would not say it was directly related to the vaccine.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time, Alanine aminotransferase normal, Aspartate aminotransferase normal, Atrial fibrillation, Bilirubin conjugated increased
Clinical narrative: 55 year old male, vaccinated with J&J on 6/22/2021 who tested positive for COVID-19 on 9/1 ultimately requiring intubation on 9/17 and VV ECMO cannulation on 9/24, CVICU course complicated by: 1. Hemorrhagic shock 2/2 GIB (rectal ulcers) s/p colonoscopy and clipping -- > hemodynamically stable, low dose pressors, stable  2. Delirium 3. Bradycardia 4. Klebsiella pneumonia  PLAN: NEURO: Sedation - paralytics off 9/27 - limited dex (caution with bradycardia), continue propofol, continue versed, dilaudid gtts -> weaning as tolerated  - Gabapentin q8 -> increased to 600mg TID on 10/2, seroquel 100mg qhs. Added seroquel 50mg PO BID to try to wean other drips on 10/2. - monitor prolonged Qtc when adding oral agents -> QTc on EKG from 10/3 was 451  - Of note, does overbreathe the vent, gags and coughs, but not following commands and not moving extremities so if he does not wake up with aggressive weaning of sedation today, may need to consider head CT in the next 24-48H.   CARDIAC: Normal biventricular function Afib - resolved on 9/22 Baseline bradycardia - DC amio given bradycardia noted 9/27-9/29 - Minimize dex gtt - repeat TTE 9/27 relatively stable, normal EF, mildly dilated RV with normal RV function  - on and off neo/vaso as needed for MAP goal > 65mmHg  PULM:  COVID PNA s/p VV ECMO cannulation. S/p toci on 9/8, remdesivir (9/6-9/10) - CXR daily - Continue low tidal volume ventilation for plateau < 25 and minimize FiO2  - s/p solumedrol taper to 9/23-9/27. - consult ENT for trach once off isolation  ECMO: - Keep flows > 4L/min to maintain oxygen saturations >80% (assuming SVO2 > 55%, based on desired goal: DO2/VO2 > 3). - Started bival 9/28, goal PTT 40 to 60, at goal   FEN/GI:  GIB 2/2 rectal ulcerations. S/p emergent EGD/colonoscopy (9/26): no evidence of upper GI source; 2 rectal ulcers found w/ pulsating arterial lesions; hemostasis obtained w/ 5x clips, cautery, and epi injection. - TF on 9/28, no active bleeding since GI clipping 9/26 - No rectal tube given rectal clips  - Per GI conversation 9/30, ok to give rectal enema if absolutely needed, but would try suppository first - Goal is BM daily  - GI ppx with PPI - Continue bowel regimen, last BM: 10/2 with stool. Given high OGT output on 10/3 and no BM yet on 10/3, restarted reglan 5mg IV Q6H x 8 doses and also gave 1 dose of lactulose as well.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Blood alkaline phosphatase normal, Blood bilirubin increased, Bradycardia, COVID-19, COVID-19 pneumonia
Clinical narrative: 55 year old male, vaccinated with J&J on 6/22/2021 who tested positive for COVID-19 on 9/1 ultimately requiring intubation on 9/17 and VV ECMO cannulation on 9/24, CVICU course complicated by: 1. Hemorrhagic shock 2/2 GIB (rectal ulcers) s/p colonoscopy and clipping -- > hemodynamically stable, low dose pressors, stable  2. Delirium 3. Bradycardia 4. Klebsiella pneumonia  PLAN: NEURO: Sedation - paralytics off 9/27 - limited dex (caution with bradycardia), continue propofol, continue versed, dilaudid gtts -> weaning as tolerated  - Gabapentin q8 -> increased to 600mg TID on 10/2, seroquel 100mg qhs. Added seroquel 50mg PO BID to try to wean other drips on 10/2. - monitor prolonged Qtc when adding oral agents -> QTc on EKG from 10/3 was 451  - Of note, does overbreathe the vent, gags and coughs, but not following commands and not moving extremities so if he does not wake up with aggressive weaning of sedation today, may need to consider head CT in the next 24-48H.   CARDIAC: Normal biventricular function Afib - resolved on 9/22 Baseline bradycardia - DC amio given bradycardia noted 9/27-9/29 - Minimize dex gtt - repeat TTE 9/27 relatively stable, normal EF, mildly dilated RV with normal RV function  - on and off neo/vaso as needed for MAP goal > 65mmHg  PULM:  COVID PNA s/p VV ECMO cannulation. S/p toci on 9/8, remdesivir (9/6-9/10) - CXR daily - Continue low tidal volume ventilation for plateau < 25 and minimize FiO2  - s/p solumedrol taper to 9/23-9/27. - consult ENT for trach once off isolation  ECMO: - Keep flows > 4L/min to maintain oxygen saturations >80% (assuming SVO2 > 55%, based on desired goal: DO2/VO2 > 3). - Started bival 9/28, goal PTT 40 to 60, at goal   FEN/GI:  GIB 2/2 rectal ulcerations. S/p emergent EGD/colonoscopy (9/26): no evidence of upper GI source; 2 rectal ulcers found w/ pulsating arterial lesions; hemostasis obtained w/ 5x clips, cautery, and epi injection. - TF on 9/28, no active bleeding since GI clipping 9/26 - No rectal tube given rectal clips  - Per GI conversation 9/30, ok to give rectal enema if absolutely needed, but would try suppository first - Goal is BM daily  - GI ppx with PPI - Continue bowel regimen, last BM: 10/2 with stool. Given high OGT output on 10/3 and no BM yet on 10/3, restarted reglan 5mg IV Q6H x 8 doses and also gave 1 dose of lactulose as well.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac monitoring abnormal, Chest X-ray, Colonoscopy abnormal, Cough, Delirium
Clinical narrative: 55 year old male, vaccinated with J&J on 6/22/2021 who tested positive for COVID-19 on 9/1 ultimately requiring intubation on 9/17 and VV ECMO cannulation on 9/24, CVICU course complicated by: 1. Hemorrhagic shock 2/2 GIB (rectal ulcers) s/p colonoscopy and clipping -- > hemodynamically stable, low dose pressors, stable  2. Delirium 3. Bradycardia 4. Klebsiella pneumonia  PLAN: NEURO: Sedation - paralytics off 9/27 - limited dex (caution with bradycardia), continue propofol, continue versed, dilaudid gtts -> weaning as tolerated  - Gabapentin q8 -> increased to 600mg TID on 10/2, seroquel 100mg qhs. Added seroquel 50mg PO BID to try to wean other drips on 10/2. - monitor prolonged Qtc when adding oral agents -> QTc on EKG from 10/3 was 451  - Of note, does overbreathe the vent, gags and coughs, but not following commands and not moving extremities so if he does not wake up with aggressive weaning of sedation today, may need to consider head CT in the next 24-48H.   CARDIAC: Normal biventricular function Afib - resolved on 9/22 Baseline bradycardia - DC amio given bradycardia noted 9/27-9/29 - Minimize dex gtt - repeat TTE 9/27 relatively stable, normal EF, mildly dilated RV with normal RV function  - on and off neo/vaso as needed for MAP goal > 65mmHg  PULM:  COVID PNA s/p VV ECMO cannulation. S/p toci on 9/8, remdesivir (9/6-9/10) - CXR daily - Continue low tidal volume ventilation for plateau < 25 and minimize FiO2  - s/p solumedrol taper to 9/23-9/27. - consult ENT for trach once off isolation  ECMO: - Keep flows > 4L/min to maintain oxygen saturations >80% (assuming SVO2 > 55%, based on desired goal: DO2/VO2 > 3). - Started bival 9/28, goal PTT 40 to 60, at goal   FEN/GI:  GIB 2/2 rectal ulcerations. S/p emergent EGD/colonoscopy (9/26): no evidence of upper GI source; 2 rectal ulcers found w/ pulsating arterial lesions; hemostasis obtained w/ 5x clips, cautery, and epi injection. - TF on 9/28, no active bleeding since GI clipping 9/26 - No rectal tube given rectal clips  - Per GI conversation 9/30, ok to give rectal enema if absolutely needed, but would try suppository first - Goal is BM daily  - GI ppx with PPI - Continue bowel regimen, last BM: 10/2 with stool. Given high OGT output on 10/3 and no BM yet on 10/3, restarted reglan 5mg IV Q6H x 8 doses and also gave 1 dose of lactulose as well.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Echocardiogram abnormal, Ejection fraction normal, Electrocardiogram QT prolonged, Endotracheal intubation
Clinical narrative: 55 year old male, vaccinated with J&J on 6/22/2021 who tested positive for COVID-19 on 9/1 ultimately requiring intubation on 9/17 and VV ECMO cannulation on 9/24, CVICU course complicated by: 1. Hemorrhagic shock 2/2 GIB (rectal ulcers) s/p colonoscopy and clipping -- > hemodynamically stable, low dose pressors, stable  2. Delirium 3. Bradycardia 4. Klebsiella pneumonia  PLAN: NEURO: Sedation - paralytics off 9/27 - limited dex (caution with bradycardia), continue propofol, continue versed, dilaudid gtts -> weaning as tolerated  - Gabapentin q8 -> increased to 600mg TID on 10/2, seroquel 100mg qhs. Added seroquel 50mg PO BID to try to wean other drips on 10/2. - monitor prolonged Qtc when adding oral agents -> QTc on EKG from 10/3 was 451  - Of note, does overbreathe the vent, gags and coughs, but not following commands and not moving extremities so if he does not wake up with aggressive weaning of sedation today, may need to consider head CT in the next 24-48H.   CARDIAC: Normal biventricular function Afib - resolved on 9/22 Baseline bradycardia - DC amio given bradycardia noted 9/27-9/29 - Minimize dex gtt - repeat TTE 9/27 relatively stable, normal EF, mildly dilated RV with normal RV function  - on and off neo/vaso as needed for MAP goal > 65mmHg  PULM:  COVID PNA s/p VV ECMO cannulation. S/p toci on 9/8, remdesivir (9/6-9/10) - CXR daily - Continue low tidal volume ventilation for plateau < 25 and minimize FiO2  - s/p solumedrol taper to 9/23-9/27. - consult ENT for trach once off isolation  ECMO: - Keep flows > 4L/min to maintain oxygen saturations >80% (assuming SVO2 > 55%, based on desired goal: DO2/VO2 > 3). - Started bival 9/28, goal PTT 40 to 60, at goal   FEN/GI:  GIB 2/2 rectal ulcerations. S/p emergent EGD/colonoscopy (9/26): no evidence of upper GI source; 2 rectal ulcers found w/ pulsating arterial lesions; hemostasis obtained w/ 5x clips, cautery, and epi injection. - TF on 9/28, no active bleeding since GI clipping 9/26 - No rectal tube given rectal clips  - Per GI conversation 9/30, ok to give rectal enema if absolutely needed, but would try suppository first - Goal is BM daily  - GI ppx with PPI - Continue bowel regimen, last BM: 10/2 with stool. Given high OGT output on 10/3 and no BM yet on 10/3, restarted reglan 5mg IV Q6H x 8 doses and also gave 1 dose of lactulose as well.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Gastrointestinal haemorrhage, Haemostasis, Infrequent bowel movements, Intensive care, Lung assist device therapy
Clinical narrative: 55 year old male, vaccinated with J&J on 6/22/2021 who tested positive for COVID-19 on 9/1 ultimately requiring intubation on 9/17 and VV ECMO cannulation on 9/24, CVICU course complicated by: 1. Hemorrhagic shock 2/2 GIB (rectal ulcers) s/p colonoscopy and clipping -- > hemodynamically stable, low dose pressors, stable  2. Delirium 3. Bradycardia 4. Klebsiella pneumonia  PLAN: NEURO: Sedation - paralytics off 9/27 - limited dex (caution with bradycardia), continue propofol, continue versed, dilaudid gtts -> weaning as tolerated  - Gabapentin q8 -> increased to 600mg TID on 10/2, seroquel 100mg qhs. Added seroquel 50mg PO BID to try to wean other drips on 10/2. - monitor prolonged Qtc when adding oral agents -> QTc on EKG from 10/3 was 451  - Of note, does overbreathe the vent, gags and coughs, but not following commands and not moving extremities so if he does not wake up with aggressive weaning of sedation today, may need to consider head CT in the next 24-48H.   CARDIAC: Normal biventricular function Afib - resolved on 9/22 Baseline bradycardia - DC amio given bradycardia noted 9/27-9/29 - Minimize dex gtt - repeat TTE 9/27 relatively stable, normal EF, mildly dilated RV with normal RV function  - on and off neo/vaso as needed for MAP goal > 65mmHg  PULM:  COVID PNA s/p VV ECMO cannulation. S/p toci on 9/8, remdesivir (9/6-9/10) - CXR daily - Continue low tidal volume ventilation for plateau < 25 and minimize FiO2  - s/p solumedrol taper to 9/23-9/27. - consult ENT for trach once off isolation  ECMO: - Keep flows > 4L/min to maintain oxygen saturations >80% (assuming SVO2 > 55%, based on desired goal: DO2/VO2 > 3). - Started bival 9/28, goal PTT 40 to 60, at goal   FEN/GI:  GIB 2/2 rectal ulcerations. S/p emergent EGD/colonoscopy (9/26): no evidence of upper GI source; 2 rectal ulcers found w/ pulsating arterial lesions; hemostasis obtained w/ 5x clips, cautery, and epi injection. - TF on 9/28, no active bleeding since GI clipping 9/26 - No rectal tube given rectal clips  - Per GI conversation 9/30, ok to give rectal enema if absolutely needed, but would try suppository first - Goal is BM daily  - GI ppx with PPI - Continue bowel regimen, last BM: 10/2 with stool. Given high OGT output on 10/3 and no BM yet on 10/3, restarted reglan 5mg IV Q6H x 8 doses and also gave 1 dose of lactulose as well.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical ventilation, Oesophagogastroduodenoscopy abnormal, Pneumonia klebsiella, Rectal lesion, Rectal ulcer haemorrhage
Clinical narrative: 55 year old male, vaccinated with J&J on 6/22/2021 who tested positive for COVID-19 on 9/1 ultimately requiring intubation on 9/17 and VV ECMO cannulation on 9/24, CVICU course complicated by: 1. Hemorrhagic shock 2/2 GIB (rectal ulcers) s/p colonoscopy and clipping -- > hemodynamically stable, low dose pressors, stable  2. Delirium 3. Bradycardia 4. Klebsiella pneumonia  PLAN: NEURO: Sedation - paralytics off 9/27 - limited dex (caution with bradycardia), continue propofol, continue versed, dilaudid gtts -> weaning as tolerated  - Gabapentin q8 -> increased to 600mg TID on 10/2, seroquel 100mg qhs. Added seroquel 50mg PO BID to try to wean other drips on 10/2. - monitor prolonged Qtc when adding oral agents -> QTc on EKG from 10/3 was 451  - Of note, does overbreathe the vent, gags and coughs, but not following commands and not moving extremities so if he does not wake up with aggressive weaning of sedation today, may need to consider head CT in the next 24-48H.   CARDIAC: Normal biventricular function Afib - resolved on 9/22 Baseline bradycardia - DC amio given bradycardia noted 9/27-9/29 - Minimize dex gtt - repeat TTE 9/27 relatively stable, normal EF, mildly dilated RV with normal RV function  - on and off neo/vaso as needed for MAP goal > 65mmHg  PULM:  COVID PNA s/p VV ECMO cannulation. S/p toci on 9/8, remdesivir (9/6-9/10) - CXR daily - Continue low tidal volume ventilation for plateau < 25 and minimize FiO2  - s/p solumedrol taper to 9/23-9/27. - consult ENT for trach once off isolation  ECMO: - Keep flows > 4L/min to maintain oxygen saturations >80% (assuming SVO2 > 55%, based on desired goal: DO2/VO2 > 3). - Started bival 9/28, goal PTT 40 to 60, at goal   FEN/GI:  GIB 2/2 rectal ulcerations. S/p emergent EGD/colonoscopy (9/26): no evidence of upper GI source; 2 rectal ulcers found w/ pulsating arterial lesions; hemostasis obtained w/ 5x clips, cautery, and epi injection. - TF on 9/28, no active bleeding since GI clipping 9/26 - No rectal tube given rectal clips  - Per GI conversation 9/30, ok to give rectal enema if absolutely needed, but would try suppository first - Goal is BM daily  - GI ppx with PPI - Continue bowel regimen, last BM: 10/2 with stool. Given high OGT output on 10/3 and no BM yet on 10/3, restarted reglan 5mg IV Q6H x 8 doses and also gave 1 dose of lactulose as well.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Retching, Right ventricular dilatation, SARS-CoV-2 test positive, Shock haemorrhagic, Tidal volume decreased
Clinical narrative: 55 year old male, vaccinated with J&J on 6/22/2021 who tested positive for COVID-19 on 9/1 ultimately requiring intubation on 9/17 and VV ECMO cannulation on 9/24, CVICU course complicated by: 1. Hemorrhagic shock 2/2 GIB (rectal ulcers) s/p colonoscopy and clipping -- > hemodynamically stable, low dose pressors, stable  2. Delirium 3. Bradycardia 4. Klebsiella pneumonia  PLAN: NEURO: Sedation - paralytics off 9/27 - limited dex (caution with bradycardia), continue propofol, continue versed, dilaudid gtts -> weaning as tolerated  - Gabapentin q8 -> increased to 600mg TID on 10/2, seroquel 100mg qhs. Added seroquel 50mg PO BID to try to wean other drips on 10/2. - monitor prolonged Qtc when adding oral agents -> QTc on EKG from 10/3 was 451  - Of note, does overbreathe the vent, gags and coughs, but not following commands and not moving extremities so if he does not wake up with aggressive weaning of sedation today, may need to consider head CT in the next 24-48H.   CARDIAC: Normal biventricular function Afib - resolved on 9/22 Baseline bradycardia - DC amio given bradycardia noted 9/27-9/29 - Minimize dex gtt - repeat TTE 9/27 relatively stable, normal EF, mildly dilated RV with normal RV function  - on and off neo/vaso as needed for MAP goal > 65mmHg  PULM:  COVID PNA s/p VV ECMO cannulation. S/p toci on 9/8, remdesivir (9/6-9/10) - CXR daily - Continue low tidal volume ventilation for plateau < 25 and minimize FiO2  - s/p solumedrol taper to 9/23-9/27. - consult ENT for trach once off isolation  ECMO: - Keep flows > 4L/min to maintain oxygen saturations >80% (assuming SVO2 > 55%, based on desired goal: DO2/VO2 > 3). - Started bival 9/28, goal PTT 40 to 60, at goal   FEN/GI:  GIB 2/2 rectal ulcerations. S/p emergent EGD/colonoscopy (9/26): no evidence of upper GI source; 2 rectal ulcers found w/ pulsating arterial lesions; hemostasis obtained w/ 5x clips, cautery, and epi injection. - TF on 9/28, no active bleeding since GI clipping 9/26 - No rectal tube given rectal clips  - Per GI conversation 9/30, ok to give rectal enema if absolutely needed, but would try suppository first - Goal is BM daily  - GI ppx with PPI - Continue bowel regimen, last BM: 10/2 with stool. Given high OGT output on 10/3 and no BM yet on 10/3, restarted reglan 5mg IV Q6H x 8 doses and also gave 1 dose of lactulose as well.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli, Vascular cauterisation
Clinical narrative: 55 year old male, vaccinated with J&J on 6/22/2021 who tested positive for COVID-19 on 9/1 ultimately requiring intubation on 9/17 and VV ECMO cannulation on 9/24, CVICU course complicated by: 1. Hemorrhagic shock 2/2 GIB (rectal ulcers) s/p colonoscopy and clipping -- > hemodynamically stable, low dose pressors, stable  2. Delirium 3. Bradycardia 4. Klebsiella pneumonia  PLAN: NEURO: Sedation - paralytics off 9/27 - limited dex (caution with bradycardia), continue propofol, continue versed, dilaudid gtts -> weaning as tolerated  - Gabapentin q8 -> increased to 600mg TID on 10/2, seroquel 100mg qhs. Added seroquel 50mg PO BID to try to wean other drips on 10/2. - monitor prolonged Qtc when adding oral agents -> QTc on EKG from 10/3 was 451  - Of note, does overbreathe the vent, gags and coughs, but not following commands and not moving extremities so if he does not wake up with aggressive weaning of sedation today, may need to consider head CT in the next 24-48H.   CARDIAC: Normal biventricular function Afib - resolved on 9/22 Baseline bradycardia - DC amio given bradycardia noted 9/27-9/29 - Minimize dex gtt - repeat TTE 9/27 relatively stable, normal EF, mildly dilated RV with normal RV function  - on and off neo/vaso as needed for MAP goal > 65mmHg  PULM:  COVID PNA s/p VV ECMO cannulation. S/p toci on 9/8, remdesivir (9/6-9/10) - CXR daily - Continue low tidal volume ventilation for plateau < 25 and minimize FiO2  - s/p solumedrol taper to 9/23-9/27. - consult ENT for trach once off isolation  ECMO: - Keep flows > 4L/min to maintain oxygen saturations >80% (assuming SVO2 > 55%, based on desired goal: DO2/VO2 > 3). - Started bival 9/28, goal PTT 40 to 60, at goal   FEN/GI:  GIB 2/2 rectal ulcerations. S/p emergent EGD/colonoscopy (9/26): no evidence of upper GI source; 2 rectal ulcers found w/ pulsating arterial lesions; hemostasis obtained w/ 5x clips, cautery, and epi injection. - TF on 9/28, no active bleeding since GI clipping 9/26 - No rectal tube given rectal clips  - Per GI conversation 9/30, ok to give rectal enema if absolutely needed, but would try suppository first - Goal is BM daily  - GI ppx with PPI - Continue bowel regimen, last BM: 10/2 with stool. Given high OGT output on 10/3 and no BM yet on 10/3, restarted reglan 5mg IV Q6H x 8 doses and also gave 1 dose of lactulose as well.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine phosphokinase, Blood creatine phosphokinase MB increased, C-reactive protein increased, Chest pain, Electrocardiogram ST segment elevation
Clinical narrative: She received the 2nd dose of the COVID vaccine (Pfizer) on 9/30. Beginning on 10/3, she started complaining of constant, sharp, left lateral chest pain. The pain does not radiate. Minimal aggravation with position. It is not worse with deep breaths or chest wall palpation. She also had a fever with TMax 102F. She was trying to manage symptoms at home with Tylenol, Gas-X and Alka Seltzer, but pain persisted so she presented to ED on 10/3.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Red blood cell sedimentation rate increased, Troponin increased, Ultrasound scan normal
Clinical narrative: She received the 2nd dose of the COVID vaccine (Pfizer) on 9/30. Beginning on 10/3, she started complaining of constant, sharp, left lateral chest pain. The pain does not radiate. Minimal aggravation with position. It is not worse with deep breaths or chest wall palpation. She also had a fever with TMax 102F. She was trying to manage symptoms at home with Tylenol, Gas-X and Alka Seltzer, but pain persisted so she presented to ED on 10/3.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Electrocardiogram abnormal, Eye movement disorder, Head discomfort
Clinical narrative: Pressure in head, lips going numb Profusely sweating; colour drained from face and lips went white, as eyes started rolling back and heart was pounding.  Called Paramedics.  EKG?s showed heart stress.  Ambulance drive to ER.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hypoaesthesia oral, Pallor, Palpitations
Clinical narrative: Pressure in head, lips going numb Profusely sweating; colour drained from face and lips went white, as eyes started rolling back and heart was pounding.  Called Paramedics.  EKG?s showed heart stress.  Ambulance drive to ER.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Decreased appetite, Fatigue, Injection site pain, Nasopharyngitis, Pain
Clinical narrative: After 12 hours, I experienced a sore arm at the injection site, fatigue, body aches, lose of appetite, and a rash with hives on the trunk of my body from neck to hips that itched.  These symptoms went away after 5 days.  What I didn't notice right away is that the itching didn't completely go away.  During April and May, mostly my arms itched from wrist to elbow and initially I attributed it to dry skin and/or allergy season starting.  By early July, I realized the itching was getting worse, more of my body was itching and normal doses of antihistamines didn't help.  This was not normal behavior for my allergies....I don't usually have itching like this.  I went to the allergist who increased my antihistamine dosage which is keeping the itching at bay.  Since then, I got a cold virus (covid test negative) and the hives on my body came back.  I also had a very strong reaction in September to a wasp sting that required a visit to urgent care.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Rash, Rash pruritic, SARS-CoV-2 test negative, Urticaria
Clinical narrative: After 12 hours, I experienced a sore arm at the injection site, fatigue, body aches, lose of appetite, and a rash with hives on the trunk of my body from neck to hips that itched.  These symptoms went away after 5 days.  What I didn't notice right away is that the itching didn't completely go away.  During April and May, mostly my arms itched from wrist to elbow and initially I attributed it to dry skin and/or allergy season starting.  By early July, I realized the itching was getting worse, more of my body was itching and normal doses of antihistamines didn't help.  This was not normal behavior for my allergies....I don't usually have itching like this.  I went to the allergist who increased my antihistamine dosage which is keeping the itching at bay.  Since then, I got a cold virus (covid test negative) and the hives on my body came back.  I also had a very strong reaction in September to a wasp sting that required a visit to urgent care.
Age: 11.0
Sex: F
Vaccine: HPV9, TDAP
Symptoms: Expired product administered
Clinical narrative: Vaccine expired 9/23/2021
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Eye discharge, Pulmonary congestion, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Feverish, wheezing, eye drainage, lung moist.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: Feverish, wheezing, eye drainage, lung moist.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Client received 2nd dose of Moderna vaccine 3 weeks after 1st dose not 4 weeks.  No complications known.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Angina pectoris, Chest X-ray, Chest pain, Diarrhoea
Clinical narrative: Sept 19, 2021 - Body aches started around 1pm Sept 19, 2021 - Fever (101), exhaustion and body aches  Sept 20, 2021 - Fever (100.7) exhaustion, body aches, diarrhea, stomach cramping Sept 21, 2021  - Fever (100.7) exhaustion, body aches, stomach cramps, chest pain and sharp pain where heart is located Sept 22, 2021 -  Exhaustion, body aches, chest pain and sharp pain where heart is located
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Fatigue, Pain, Pyrexia
Clinical narrative: Sept 19, 2021 - Body aches started around 1pm Sept 19, 2021 - Fever (101), exhaustion and body aches  Sept 20, 2021 - Fever (100.7) exhaustion, body aches, diarrhea, stomach cramping Sept 21, 2021  - Fever (100.7) exhaustion, body aches, stomach cramps, chest pain and sharp pain where heart is located Sept 22, 2021 -  Exhaustion, body aches, chest pain and sharp pain where heart is located
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Dizziness, Dyspnoea, Flushing
Clinical narrative: Immediate difficulty breathing, throat tightening, heart racing, feeling like I was going to pass out, dizziness, flushing. These symptoms occurred immediately post-injection at the vaccine drive-through site. I was seen by a doctor and nurse and received two doses of Benadryl (50mg). I stayed at the vaccine site for an hour post-vaccination and received a ride home. I continue to experience chest pain and tightness and joint swelling months after the initial COVID-19 dose.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Joint swelling, Palpitations, Throat tightness
Clinical narrative: Immediate difficulty breathing, throat tightening, heart racing, feeling like I was going to pass out, dizziness, flushing. These symptoms occurred immediately post-injection at the vaccine drive-through site. I was seen by a doctor and nurse and received two doses of Benadryl (50mg). I stayed at the vaccine site for an hour post-vaccination and received a ride home. I continue to experience chest pain and tightness and joint swelling months after the initial COVID-19 dose.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Computerised tomogram, Cough, Dizziness
Clinical narrative: 4 hours after COVID moderna second vaccine, she developed tachycardia, lightheadedness, palpitations, weakness., cough. Progressed to sinus pressure/discomfort, hacking cough, shortness of breath.  Symptoms of cough/sinus pressure have improved over time but she still has tachycardia, lightheadedness, palpitations and weakness.  We did recommend obtaining a covid diagnostic PCR test at the time but this was not completed by patient, so an actual COVID infection cannot be ruled out.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram, Electrocardiogram ambulatory, Palpitations, Paranasal sinus discomfort
Clinical narrative: 4 hours after COVID moderna second vaccine, she developed tachycardia, lightheadedness, palpitations, weakness., cough. Progressed to sinus pressure/discomfort, hacking cough, shortness of breath.  Symptoms of cough/sinus pressure have improved over time but she still has tachycardia, lightheadedness, palpitations and weakness.  We did recommend obtaining a covid diagnostic PCR test at the time but this was not completed by patient, so an actual COVID infection cannot be ruled out.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia
Clinical narrative: 4 hours after COVID moderna second vaccine, she developed tachycardia, lightheadedness, palpitations, weakness., cough. Progressed to sinus pressure/discomfort, hacking cough, shortness of breath.  Symptoms of cough/sinus pressure have improved over time but she still has tachycardia, lightheadedness, palpitations and weakness.  We did recommend obtaining a covid diagnostic PCR test at the time but this was not completed by patient, so an actual COVID infection cannot be ruled out.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Injection site pain, Pain in jaw, Sinus disorder, Tooth disorder
Clinical narrative: I went to the pharmacy and I received the booster vaccine. I was the third one to get the shot that day. That evening I had to put ice on the injection shot due to being sore. After that it was kind of sore, it was tender. On Wednesday, I was feeling dizzy. I was taking Sudafed. I figured out that during this time period I was dealing with problems with my sinuses and teeth. I started the prescription on the afternoon on 09/24/2021, I also stopped the Sudafed. My jaw started to hurt again. I called my doctor and they advised that I need to come in to see him. The day before yesterday I woke up and I was dizzy. I took medication for dizziness. That helped with the dizziness. The next day was a little less. This morning was I have had very little. I have used Sudafed my whole adult life.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested Positive for Covid
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain, Swelling
Clinical narrative: Right axial lymph node swelling started one day after injection. 800mg of Advil controlled pain. On day 3, took 50mg benadryl and this lessened pain and swelling.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time normal, Angiogram abnormal, Blood lactic acid increased, Haematocrit normal, Haemoglobin normal
Clinical narrative: left thumb blood clot with ischemia (confirmed via doppler and CT anger.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Human chorionic gonadotropin negative, International normalised ratio normal, Lipase normal, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal
Clinical narrative: left thumb blood clot with ischemia (confirmed via doppler and CT anger.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell volume normal, Peripheral ischaemia, Platelet count increased, Prothrombin time normal, Radial pulse decreased
Clinical narrative: left thumb blood clot with ischemia (confirmed via doppler and CT anger.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell count normal, Red blood cell sedimentation rate normal, Red cell distribution width normal, Superficial vein thrombosis, Ultrasound Doppler abnormal
Clinical narrative: left thumb blood clot with ischemia (confirmed via doppler and CT anger.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: left thumb blood clot with ischemia (confirmed via doppler and CT anger.
Age: 71.0
Sex: F
Vaccine: VARZOS
Symptoms: Local reaction
Clinical narrative: Pt had a local reaction on her arm. PA is aware and has spoken to pt
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Hypoaesthesia
Clinical narrative: Patient reports after receiving her 1st Covid Vaccine to her Left Arm on 01/09/21 she experienced numbness/tingling to her left hand that improved. At time of booster visit on 10/01/21 endorses residual numbness since the initial injection on 01/09/21 only to her left pinky finger. Reports after 2nd Covid Vaccine on 01/30/21 to her right arm she experienced no numbness or tingling to her right arm.  After receiving her booster (3rd injection) to her right arm on 10/01/21 patient endorsed numbness to right hand pinky finger rated 9/10 and improved to 3/10 during observation period. Patient advised to report to ER for MD provider evaluation but declined. Encouraged to follow up with MD provider outpatient.  Patient reports history of cancer requiring chemotherapy infusion with infiltration during infusion due to loss of peripheral IV access with subsequent numbness/tingling to Left Arm.  Patient requested VAERS be completed.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site erythema, Injection site pain, Injection site swelling, Joint swelling
Clinical narrative: left arm started hurting and swelling.  It was red and sore to the touch.  It was about 9 times bigger than normal and her wrist where she has had surgery before was like 4 times bigger than usual.  She also had headache and nausea that lasted about 5 days.  She called her orthopedic doctor and was told to take an anti-inflammatory medicine and ride it out.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: left arm started hurting and swelling.  It was red and sore to the touch.  It was about 9 times bigger than normal and her wrist where she has had surgery before was like 4 times bigger than usual.  She also had headache and nausea that lasted about 5 days.  She called her orthopedic doctor and was told to take an anti-inflammatory medicine and ride it out.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Diarrhoea, Dyspnoea, Fatigue, Headache
Clinical narrative: This case meets criteria for vaccine breakthrough review.  SxS for 11-13 days PTA include fatigue, myalgias, headache, cough, sore throat, congestion, SOB, nausea, abnormal taste and smell, and diarrhea.  Admitted after syncopal episode.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Nausea, Oropharyngeal pain, Parosmia, Respiratory tract congestion
Clinical narrative: This case meets criteria for vaccine breakthrough review.  SxS for 11-13 days PTA include fatigue, myalgias, headache, cough, sore throat, congestion, SOB, nausea, abnormal taste and smell, and diarrhea.  Admitted after syncopal episode.
Age: 44.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Syncope, Taste disorder, Vaccine breakthrough infection
Clinical narrative: This case meets criteria for vaccine breakthrough review.  SxS for 11-13 days PTA include fatigue, myalgias, headache, cough, sore throat, congestion, SOB, nausea, abnormal taste and smell, and diarrhea.  Admitted after syncopal episode.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: PATIENT DID NOT EXPERIENCE ADVERSE EVENTS.  THE PATIENT IS 16 YEARS OLD AND WAS INADVERTENTLY GIVEN A MODERNA VACCINE, WHICH IS NOT YET APPROVED FOR ANYONE UNDER THE AGE OF 18.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Intermenstrual bleeding, Menstruation irregular, Polymenorrhoea
Clinical narrative: Irregular menstruation. Spotted for 3 weeks and got heavy period week early.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Insomnia, Scan brain, Tinnitus
Clinical narrative: Develop  TINITUS that is causing me a lot of issues, can not sleep!!!
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Hyperhidrosis, Nausea
Clinical narrative: Severe shivers, sweating, nausea, fatigue and headache.  Lost 4 pound over night.  Initial 12 hours the worst.  Then 24 hours of fatigue, headache and nausea.  Symptoms resolving on day 4.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Weight decreased
Clinical narrative: Severe shivers, sweating, nausea, fatigue and headache.  Lost 4 pound over night.  Initial 12 hours the worst.  Then 24 hours of fatigue, headache and nausea.  Symptoms resolving on day 4.