chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Pericarditis, Troponin normal
Clinical narrative: pericarditis diagnosed in setting of positional chest pain, minimal EKG changes, trop negative, + leukocytosis
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Lymphadenopathy
Clinical narrative: After my second dose;  I developed inflammatory changes and nodules in  my lymphatic system. I also had nodules in my left axilla then also on my right. I also developed nodules on my neck and also on the submandibular aspect of my jaw.  I went to see my doctor who told me it would take some time to go away but they have not gone away yet.  To this day I still have the nodules in both  axillas and they have not resolved.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Oropharyngeal pain
Clinical narrative: sore throat (five days), facial redness(three days)
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, Cough, Laryngitis, SARS-CoV-2 test negative, Secretion discharge
Clinical narrative: Loss my voice, had laryngitis.  Cough quite a bit.  Had green mucus. I went to see the doctor.  They gave me z pack and steroid. They also did Covid-19 test, which came back negative.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: I broke out in hives head to toe. This went away with Benadryl. However I have been having a red itchy hand for weeks now that will not subside with antihistamine.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Angioedema, Chest discomfort, Dysphagia, Feeling hot
Clinical narrative: Per triage notes on 4/21/21: Pt had his 2nd COVID vaccine today at 0800. At 0900 developed lip swelling. Took two doses of Benadryl and has now developed chest tightness and throat swelling. Per doctor's notes: Patient is a very pleasant 60-year-old gentleman who comes in for evaluation after a possible allergic reaction today, possibly related to a second dose of Pfizer Covid vaccine that he got at 8 AM this morning.  About an hour later he started to feel flushed.  He felt like his face was warm and his ears were warm.  He started to feel like the inside of his mouth had filled with a rubber ball.  His tongue felt full and he started noticed progressively that he felt like he was having difficulty swallowing.  States that he never actually had any lip swelling, contrary to the triage note, just felt funny in the interior of his mouth.  Did feel like his tongue was slightly swollen, both based on the fact that it felt "thick" when he was talking, and on direct inspection, as well.  Took 50 mg of Benadryl around the time that his symptoms started, and lay down to nap for a little while.  When he woke up he was still feeling like he was having more difficulty swallowing.  He also felt like his face was a little bit puffy, prickly under each eye.  He also felt like he had a blotchy rash on his chest and upper back, which his wife corroborates.  He felt like his chest was a little bit tight and that something was heavy on his chest, though he was not wheezing or acutely short of breath, per se.  Took another 50 mg of Benadryl at about 2:15 PM, and presented to the emergency department for further evaluation.  Currently still has a little bit of chest tightness and throat tightness.  He feels flushed.  Symptoms have not worsened, but they have not completely resolved, either.  He has had anaphylaxis in the past and has had to be admitted to the hospital.  And this was in relation to taking doxycycline, it sounds like. Patient presented again to the ED on 4/22/21 with the same symptoms. He was admitted with anaphylaxis. Per ED notes, also diagnosed with Angioedema, improved. Likely related to second covid vaccine. Cant rule out secondary to Lisinopril.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Lip swelling, Mouth swelling, Paraesthesia, Pharyngeal swelling
Clinical narrative: Per triage notes on 4/21/21: Pt had his 2nd COVID vaccine today at 0800. At 0900 developed lip swelling. Took two doses of Benadryl and has now developed chest tightness and throat swelling. Per doctor's notes: Patient is a very pleasant 60-year-old gentleman who comes in for evaluation after a possible allergic reaction today, possibly related to a second dose of Pfizer Covid vaccine that he got at 8 AM this morning.  About an hour later he started to feel flushed.  He felt like his face was warm and his ears were warm.  He started to feel like the inside of his mouth had filled with a rubber ball.  His tongue felt full and he started noticed progressively that he felt like he was having difficulty swallowing.  States that he never actually had any lip swelling, contrary to the triage note, just felt funny in the interior of his mouth.  Did feel like his tongue was slightly swollen, both based on the fact that it felt "thick" when he was talking, and on direct inspection, as well.  Took 50 mg of Benadryl around the time that his symptoms started, and lay down to nap for a little while.  When he woke up he was still feeling like he was having more difficulty swallowing.  He also felt like his face was a little bit puffy, prickly under each eye.  He also felt like he had a blotchy rash on his chest and upper back, which his wife corroborates.  He felt like his chest was a little bit tight and that something was heavy on his chest, though he was not wheezing or acutely short of breath, per se.  Took another 50 mg of Benadryl at about 2:15 PM, and presented to the emergency department for further evaluation.  Currently still has a little bit of chest tightness and throat tightness.  He feels flushed.  Symptoms have not worsened, but they have not completely resolved, either.  He has had anaphylaxis in the past and has had to be admitted to the hospital.  And this was in relation to taking doxycycline, it sounds like. Patient presented again to the ED on 4/22/21 with the same symptoms. He was admitted with anaphylaxis. Per ED notes, also diagnosed with Angioedema, improved. Likely related to second covid vaccine. Cant rule out secondary to Lisinopril.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash macular, Skin swelling, Skin warm, Swelling face
Clinical narrative: Per triage notes on 4/21/21: Pt had his 2nd COVID vaccine today at 0800. At 0900 developed lip swelling. Took two doses of Benadryl and has now developed chest tightness and throat swelling. Per doctor's notes: Patient is a very pleasant 60-year-old gentleman who comes in for evaluation after a possible allergic reaction today, possibly related to a second dose of Pfizer Covid vaccine that he got at 8 AM this morning.  About an hour later he started to feel flushed.  He felt like his face was warm and his ears were warm.  He started to feel like the inside of his mouth had filled with a rubber ball.  His tongue felt full and he started noticed progressively that he felt like he was having difficulty swallowing.  States that he never actually had any lip swelling, contrary to the triage note, just felt funny in the interior of his mouth.  Did feel like his tongue was slightly swollen, both based on the fact that it felt "thick" when he was talking, and on direct inspection, as well.  Took 50 mg of Benadryl around the time that his symptoms started, and lay down to nap for a little while.  When he woke up he was still feeling like he was having more difficulty swallowing.  He also felt like his face was a little bit puffy, prickly under each eye.  He also felt like he had a blotchy rash on his chest and upper back, which his wife corroborates.  He felt like his chest was a little bit tight and that something was heavy on his chest, though he was not wheezing or acutely short of breath, per se.  Took another 50 mg of Benadryl at about 2:15 PM, and presented to the emergency department for further evaluation.  Currently still has a little bit of chest tightness and throat tightness.  He feels flushed.  Symptoms have not worsened, but they have not completely resolved, either.  He has had anaphylaxis in the past and has had to be admitted to the hospital.  And this was in relation to taking doxycycline, it sounds like. Patient presented again to the ED on 4/22/21 with the same symptoms. He was admitted with anaphylaxis. Per ED notes, also diagnosed with Angioedema, improved. Likely related to second covid vaccine. Cant rule out secondary to Lisinopril.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: Per triage notes on 4/21/21: Pt had his 2nd COVID vaccine today at 0800. At 0900 developed lip swelling. Took two doses of Benadryl and has now developed chest tightness and throat swelling. Per doctor's notes: Patient is a very pleasant 60-year-old gentleman who comes in for evaluation after a possible allergic reaction today, possibly related to a second dose of Pfizer Covid vaccine that he got at 8 AM this morning.  About an hour later he started to feel flushed.  He felt like his face was warm and his ears were warm.  He started to feel like the inside of his mouth had filled with a rubber ball.  His tongue felt full and he started noticed progressively that he felt like he was having difficulty swallowing.  States that he never actually had any lip swelling, contrary to the triage note, just felt funny in the interior of his mouth.  Did feel like his tongue was slightly swollen, both based on the fact that it felt "thick" when he was talking, and on direct inspection, as well.  Took 50 mg of Benadryl around the time that his symptoms started, and lay down to nap for a little while.  When he woke up he was still feeling like he was having more difficulty swallowing.  He also felt like his face was a little bit puffy, prickly under each eye.  He also felt like he had a blotchy rash on his chest and upper back, which his wife corroborates.  He felt like his chest was a little bit tight and that something was heavy on his chest, though he was not wheezing or acutely short of breath, per se.  Took another 50 mg of Benadryl at about 2:15 PM, and presented to the emergency department for further evaluation.  Currently still has a little bit of chest tightness and throat tightness.  He feels flushed.  Symptoms have not worsened, but they have not completely resolved, either.  He has had anaphylaxis in the past and has had to be admitted to the hospital.  And this was in relation to taking doxycycline, it sounds like. Patient presented again to the ED on 4/22/21 with the same symptoms. He was admitted with anaphylaxis. Per ED notes, also diagnosed with Angioedema, improved. Likely related to second covid vaccine. Cant rule out secondary to Lisinopril.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Electrocardiogram, Fatigue, Loss of consciousness
Clinical narrative: overall not feeling well idk if its from covid but after the vaccine i have been hospitalized a few times for heart issues. Constant heart racing, fatigue, passing out, etc
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Palpitations, X-ray
Clinical narrative: overall not feeling well idk if its from covid but after the vaccine i have been hospitalized a few times for heart issues. Constant heart racing, fatigue, passing out, etc
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Bone pain, Decreased appetite, Headache, Pain
Clinical narrative: Headache not relieved by Ibuprofen 800mg and BC powder, body achy and bones hurt, sick to his stomach (wanting to throw up), loss of appetite. Patient reports he has taken: Pain killers Ibuprofen 800mg TID, BC powder once or twice a day.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Coxsackie virus test, Cytomegalovirus test negative, Echocardiogram, Ejection fraction normal
Clinical narrative: Patient developed substernal chest pain ~ 24 hrs after vaccination w 2nd dose of Pfizer COVID 19 vax. Pain continued x 2 days, came to ED 5/9/21; EKG abnl and had elevated troponin; was admitted for myopericarditis. Started on ibuprofen and colchicine.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram Q waves, Electrocardiogram T wave abnormal, Electrocardiogram abnormal, Enterovirus test negative, Epstein-Barr virus antibody positive
Clinical narrative: Patient developed substernal chest pain ~ 24 hrs after vaccination w 2nd dose of Pfizer COVID 19 vax. Pain continued x 2 days, came to ED 5/9/21; EKG abnl and had elevated troponin; was admitted for myopericarditis. Started on ibuprofen and colchicine.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging heart, Myocarditis, Parvovirus B19 test negative, SARS-CoV-2 antibody test positive, Sinus tachycardia
Clinical narrative: Patient developed substernal chest pain ~ 24 hrs after vaccination w 2nd dose of Pfizer COVID 19 vax. Pain continued x 2 days, came to ED 5/9/21; EKG abnl and had elevated troponin; was admitted for myopericarditis. Started on ibuprofen and colchicine.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Troponin increased
Clinical narrative: Patient developed substernal chest pain ~ 24 hrs after vaccination w 2nd dose of Pfizer COVID 19 vax. Pain continued x 2 days, came to ED 5/9/21; EKG abnl and had elevated troponin; was admitted for myopericarditis. Started on ibuprofen and colchicine.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Myocarditis
Clinical narrative: Patient developed substernal chest pain ~ 24 hrs after vaccination w 2nd dose of Pfizer COVID 19 vax. Pain continued x 2 days, came to ED 5/9/21; EKG abnl and had elevated troponin; was admitted for myopericarditis. Started on ibuprofen and colchicine.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Asthenia, Chills, Decreased appetite, Dizziness
Clinical narrative: I received shot on Tuesday the 18th. The next afternoon I progressively became extremely fatigued and developed a fever and chills. This lasted into the weekend where I developed a severe headache for about 24 hours. After the headache subsided I continued to be fatigued with no appetite and dizziness. I'm unable to be upright for long and am extremely restless at night. I can't sleep longer than a few hours before I wake up with my body feeling anxious.  This is day 8 and I'm still weak and incredibly dizzy struggling to sleep at night.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pyrexia, Restlessness, Sleep disorder
Clinical narrative: I received shot on Tuesday the 18th. The next afternoon I progressively became extremely fatigued and developed a fever and chills. This lasted into the weekend where I developed a severe headache for about 24 hours. After the headache subsided I continued to be fatigued with no appetite and dizziness. I'm unable to be upright for long and am extremely restless at night. I can't sleep longer than a few hours before I wake up with my body feeling anxious.  This is day 8 and I'm still weak and incredibly dizzy struggling to sleep at night.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Candida infection
Clinical narrative: Client reported having white patches to back of throat beginning 2 days following COVID-19 vaccination.   Client  seen by PA, ND on 5/26/21.  PA contacted this nurse to add information to VAERS - stated diagnosed as thrush and prescribed Nystatin gargle.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Urinary tract infection, acute respiratory failure
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis, Pallor, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Additional Details: Patient had began feeling anxiety during check in , reported fear of needles, after injection she became pale, sweating, and lost consciousness in a seated position, there was no fall associated with this event. She was not responding to her husband or pharmacist, pharmacist checked pulse and breathing, both were fine, prompted student to call 911.  After a few minutes she regained consiousness and therefore no response from ems.After observation of 30 minutes was fine and left with her husband.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: Pt reported "I feel like my heart is beating too fast" RN took radial pulse 94, EMS was called to evaluate. VS were WNL, Pt denied feeling like she was having an allergic reaction and symptoms improved with sips of H20 provided by clinical staff. Pt able to leave after completing 30 min observation.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Pain, Pain of skin, Skin discomfort
Clinical narrative: The evening of his morning shot he began to have back pain up between his shoulder blades. Describes it as burning, his "skin hurts" is uncomfortable when touched, leaning against a chair or even when his t-shirt rubs against it.  Three days later and it still hurts.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Sensory loss
Clinical narrative: received 1st dose of Pfizer COVID vaccine on 12/22/20 and 2nd dose on 1/12/21, lost taste and smell on 5/24/21, tested positive from community on 5/26/21
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Amenorrhoea
Clinical narrative: Delayed Periods by 11 days and still counting
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed, Pregnancy test negative
Clinical narrative: Reports that she has not started her menstrual cycle since receiving her 2nd Pfizer vaccination on 4/20/21.  She reports her LMP was 4/8/2021 and that she has always been "regular".  If she has ever been late, it has only been a couple of days. Patient reports that she has a history of a bilateral tubal ligation almost 3 years ago, and that she had a negative home pregnancy test a couple of days ago. She is unsure the Pfizer vaccine has caused her to not have a menstrual cycle, but reports that there have been no other changes.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pallor
Clinical narrative: AE: Diaphoretic( at 12pm). patient is Type II diabetic and has not eaten today. Treatment: no medication was given. patient was under observation.  Graham crackers and water improved symptoms Outcome: symptoms resolved and patient was sent to POV/Home.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Dermatitis, Injection site reaction, Pruritus
Clinical narrative: Itchy raised dermatitis, non-hive appearance, distal to injection site
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: no adverse event expect the patient age was 11years old and 9months and we missed the age . the mom said later after the vaccination that her son was going to be 12 years old in 2 months
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Pyrexia
Clinical narrative: Fever, weakness, fatigue
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Pain, Pain in extremity
Clinical narrative: After my first dose I experienced- body aches, left arm soreness and stomach pain which lasted a couple of days.
Age: 65.0
Sex: F
Vaccine: PPV
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Patient given pneumovax23 and had reddness warmth and swelling.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Fatigue, Influenza like illness, Muscle spasms
Clinical narrative: I was tired when I got home after the shot, so I took a nap. When I woke up my teeth were chattering from a fever of 100, I was throwing up and had spasms, back pain, body pain, and I was shaking. It lasted all night, at least 5-6 hours. The next day was similar. I called my doctor a week later because I was hoping the symptoms would go away. My tongue was swollen which made it hard to talk. The doctor advised me to take Tylenol. I feel like I have had the flu everyday since April 10.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Speech disorder, Swollen tongue, Tremor
Clinical narrative: I was tired when I got home after the shot, so I took a nap. When I woke up my teeth were chattering from a fever of 100, I was throwing up and had spasms, back pain, body pain, and I was shaking. It lasted all night, at least 5-6 hours. The next day was similar. I called my doctor a week later because I was hoping the symptoms would go away. My tongue was swollen which made it hard to talk. The doctor advised me to take Tylenol. I feel like I have had the flu everyday since April 10.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: I was tired when I got home after the shot, so I took a nap. When I woke up my teeth were chattering from a fever of 100, I was throwing up and had spasms, back pain, body pain, and I was shaking. It lasted all night, at least 5-6 hours. The next day was similar. I called my doctor a week later because I was hoping the symptoms would go away. My tongue was swollen which made it hard to talk. The doctor advised me to take Tylenol. I feel like I have had the flu everyday since April 10.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Syncope
Clinical narrative: AE: Syncope( at 11am) Treatment: no medication was given. patient was under observation.  Water improved symptoms Outcome: symptoms resolved and patient was sent to POV/Home.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Impaired work ability, Loss of personal independence in daily activities, Migraine, Muscular weakness
Clinical narrative: Pain and weakness in arm for almost 5 days.  vertiginous migraine started within 12 hours, and lasted four weeks and three days, 24 hours a day, This is the longest vertigo episode I have had in my life ( longest was 3 weeks).  Prior to this,  I had not had a vertigo episode for over a year!  It made me exhausted and I had a few headaches from the vertigo itself. There is no effective treatment for it.  After two weeks, I decided to try an essential oil blend- topically and internally, which I made specifically to manage vertigo.  Internally, I placed frankincense on the roof of my mouth and took Zendocrine blend supplements.  This all helped significantly, yet this major vaccine side effect lasted incredibly long. I could not work, drive, or walk safely. I heard that for some people, the vaccine triggered underlying illnesses or "weak spots." I figured that's what happened to me. Last day of vertigo was May 14. It took another week to bounce back, still felt pretty tired until May 21. Finally think I am recuperated.  For the first vaccine, I had a major migraine within 24 hours, arm pain for 3 days, and needed a nap in the middle of the day. It was very mild and easy compared to the second vaccine dose.  Prior to vaccination, I called my PCP and MCS, and both Doctors told me I was cleared to take the vaccine, and did not think I would have any issues with it.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Pain and weakness in arm for almost 5 days.  vertiginous migraine started within 12 hours, and lasted four weeks and three days, 24 hours a day, This is the longest vertigo episode I have had in my life ( longest was 3 weeks).  Prior to this,  I had not had a vertigo episode for over a year!  It made me exhausted and I had a few headaches from the vertigo itself. There is no effective treatment for it.  After two weeks, I decided to try an essential oil blend- topically and internally, which I made specifically to manage vertigo.  Internally, I placed frankincense on the roof of my mouth and took Zendocrine blend supplements.  This all helped significantly, yet this major vaccine side effect lasted incredibly long. I could not work, drive, or walk safely. I heard that for some people, the vaccine triggered underlying illnesses or "weak spots." I figured that's what happened to me. Last day of vertigo was May 14. It took another week to bounce back, still felt pretty tired until May 21. Finally think I am recuperated.  For the first vaccine, I had a major migraine within 24 hours, arm pain for 3 days, and needed a nap in the middle of the day. It was very mild and easy compared to the second vaccine dose.  Prior to vaccination, I called my PCP and MCS, and both Doctors told me I was cleared to take the vaccine, and did not think I would have any issues with it.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache
Clinical narrative: She reports feeling fatigued still. She was calling to see if she should get the second dose of the vaccine since her doctor advised her against the second dose because she had a headache and fever following her initial injection. She reports she discussed with doctor over the phone immediately following first vaccine but was not seen in person.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Apnoea, Blood culture negative, Blood lactic acid increased, Body temperature increased, Chest X-ray normal
Clinical narrative: This is the progress note from 5/25/21 @ 3:40p.m. - She is now very lethargic.  Temp. was 100.8° this a.m. & has accepted very little food or fluids. It has been noted that her breathing pattern has changed.  Resident is taking three deep breaths and then having periods of apnea. She continues to be lethargic, she does respond to verbal stimuli. Staff is sitting with her awaiting the ambulance arrival. PCP. has seen her and requested she be sent in to ER for evaluation.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Hypophagia, Lethargy, Lymphocyte count decreased, Neutrophil count increased, Respiration abnormal
Clinical narrative: This is the progress note from 5/25/21 @ 3:40p.m. - She is now very lethargic.  Temp. was 100.8° this a.m. & has accepted very little food or fluids. It has been noted that her breathing pattern has changed.  Resident is taking three deep breaths and then having periods of apnea. She continues to be lethargic, she does respond to verbal stimuli. Staff is sitting with her awaiting the ambulance arrival. PCP. has seen her and requested she be sent in to ER for evaluation.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Urine analysis abnormal, White blood cell count increased, White blood cell count normal
Clinical narrative: This is the progress note from 5/25/21 @ 3:40p.m. - She is now very lethargic.  Temp. was 100.8° this a.m. & has accepted very little food or fluids. It has been noted that her breathing pattern has changed.  Resident is taking three deep breaths and then having periods of apnea. She continues to be lethargic, she does respond to verbal stimuli. Staff is sitting with her awaiting the ambulance arrival. PCP. has seen her and requested she be sent in to ER for evaluation.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Bile duct stone, Chest pain
Clinical narrative: Patient presented to the ED on 3/29/21 for epigastric and chest pain. Patient presented to the ED on 4/22/21 with common bile duct stone and was admitted to the hospital.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, Needle issue, Underdose
Clinical narrative: RN  administering dose when needle came off syringe-needle was not tightly attached to syringe. Only 0.25mL of medication (Jansen vaccine) administered. Provider notified and consulted with patient at chairside. Pt agreed to have another injection of remaining 0.25mL per provider recommendation for a total dose of 0.5ml for optimal protection against COVID19.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Injection site pain
Clinical narrative: pain at injection site and surrounding area, numbness to cheek and tongue, no swelling
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Hypoaesthesia, Hypoaesthesia oral, Lip swelling, Pain in extremity
Clinical narrative: pain at injection site and surrounding area, numbness to cheek and tongue, no swelling
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral thrombosis, Cerebrovascular accident
Clinical narrative: Major blood clot in the brain that caused a stroke  He is still in hospital
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Impaired work ability, Limb discomfort, Pain in extremity
Clinical narrative: I had fever on the same day and arm pain for 8 days. Not just numb but also heaviness in the arm. Had to take off from work. 99 fever for all 8 days. Headaches through out the day. The doctor told me to take tylenol
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I had fever on the same day and arm pain for 8 days. Not just numb but also heaviness in the arm. Had to take off from work. 99 fever for all 8 days. Headaches through out the day. The doctor told me to take tylenol
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Peripheral coldness, Vision blurred
Clinical narrative: pt started feeling dizzy and blurry vision a few minutes after vaccination. Dr observing instructed him to rest on the floor. BP low, felt cold hands. His BP increased and he stopped feeling dizzy/blurred vision a few minutes after laying on the floor w feet elevated on chair. Police detail called resucue team, but patient was feeling normal by the time paramedics arrived. Was able to stand up and sat under observation for several more minutes before leaving clinic.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram cerebral abnormal, Arteriogram carotid, Barium swallow, Computerised tomogram head abnormal, Confusional state
Clinical narrative: April 22, about 7 pm, vision was way off, blurry and even lost to the far left in my left eye. Woke up on the 23rd confused, I had a maintenance coming to the house and when they called, I had no idea who they were....thank the Lord they called 911. EMT's came and took me to the hospital where I stayed for 5-days. Diagnosis: Hypertension; Embolic stroke
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Embolic stroke, Hypertension, Magnetic resonance imaging head abnormal, Vision blurred
Clinical narrative: April 22, about 7 pm, vision was way off, blurry and even lost to the far left in my left eye. Woke up on the 23rd confused, I had a maintenance coming to the house and when they called, I had no idea who they were....thank the Lord they called 911. EMT's came and took me to the hospital where I stayed for 5-days. Diagnosis: Hypertension; Embolic stroke
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: April 22, about 7 pm, vision was way off, blurry and even lost to the far left in my left eye. Woke up on the 23rd confused, I had a maintenance coming to the house and when they called, I had no idea who they were....thank the Lord they called 911. EMT's came and took me to the hospital where I stayed for 5-days. Diagnosis: Hypertension; Embolic stroke
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient complained of feeling dizzy after receiving vaccine. Symptoms resolved spontaneously. Observed by provider on site for 30 minutes.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray, Chest pain, Cough, Illness
Clinical narrative: Note    Does the patient have current symptoms of illness? Yes    Date symptoms started: 5/16/21   1.         Does the patient have a fever (subjective or confirmed)? No   2.         Does the patient have a new onset of cough? Yes   3.         Does the patient have a new onset of shortness of breath? Yes, slightly with exertion. NAD. ?  If Yes: Is the patient having difficultly breathing or in distress? No   4.         Additional symptoms: Congestion, runny nose, nausea and vomiting.  Bronchitis Suspected COVID-19 virus infection Chest pain, unspecified type  Progress Notes Encounter Date: 5/25/2021 ? ? Signed    Patient is here for MAB Infusion Consent for infusion prior to this visit reviewed and verified. O2 sats > or = 90% Signs of potential reaction reviewed with patient. Tolerated IV start and MAB infusion without complication. Pt has access to pulse oximeter and thermometer for home monitoring Provided fact sheet for patients, parents and caregivers- Emergency Use Authorization of BAM for Coronovirus Disease 2019 for pt to review. Discharge instructions reviewed. Patient denies any questions    Instructions  COVID 19 Monoclonal Antibody (MAB) Infusion Patient Reference Guide     MAB Infusion Treatment Team:
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Note    Does the patient have current symptoms of illness? Yes    Date symptoms started: 5/16/21   1.         Does the patient have a fever (subjective or confirmed)? No   2.         Does the patient have a new onset of cough? Yes   3.         Does the patient have a new onset of shortness of breath? Yes, slightly with exertion. NAD. ?  If Yes: Is the patient having difficultly breathing or in distress? No   4.         Additional symptoms: Congestion, runny nose, nausea and vomiting.  Bronchitis Suspected COVID-19 virus infection Chest pain, unspecified type  Progress Notes Encounter Date: 5/25/2021 ? ? Signed    Patient is here for MAB Infusion Consent for infusion prior to this visit reviewed and verified. O2 sats > or = 90% Signs of potential reaction reviewed with patient. Tolerated IV start and MAB infusion without complication. Pt has access to pulse oximeter and thermometer for home monitoring Provided fact sheet for patients, parents and caregivers- Emergency Use Authorization of BAM for Coronovirus Disease 2019 for pt to review. Discharge instructions reviewed. Patient denies any questions    Instructions  COVID 19 Monoclonal Antibody (MAB) Infusion Patient Reference Guide     MAB Infusion Treatment Team:
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, Chills, Computerised tomogram thorax abnormal, Cough, Dyspnoea
Clinical narrative: Pt. received 2nd Covid vaccine on 05/14/2021. On 05/15/2021 pt. reports not feeling well with s/s of body aches and chills. Pt. reports that on 5/16/21 that he noticed fever, cough and increased SOB. Pt. presents with c/o increase SOB on 05/18/2021. Pt. was admitted with diagnosis of right upper and middle lobe pneumonia on 05/18/2021. Pt. required 2-3 L of O2 per nasal cannula. Pt. was also on antibiotics on Rocephin 1 gm IV every 24 hours. Pt. received a one time dose of Azithromycin 500 mg in ED.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Malaise, Neutrophil count decreased, Neutrophil percentage increased, Pain
Clinical narrative: Pt. received 2nd Covid vaccine on 05/14/2021. On 05/15/2021 pt. reports not feeling well with s/s of body aches and chills. Pt. reports that on 5/16/21 that he noticed fever, cough and increased SOB. Pt. presents with c/o increase SOB on 05/18/2021. Pt. was admitted with diagnosis of right upper and middle lobe pneumonia on 05/18/2021. Pt. required 2-3 L of O2 per nasal cannula. Pt. was also on antibiotics on Rocephin 1 gm IV every 24 hours. Pt. received a one time dose of Azithromycin 500 mg in ED.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Procalcitonin, Pyrexia, SARS-CoV-2 test negative, White blood cell count increased
Clinical narrative: Pt. received 2nd Covid vaccine on 05/14/2021. On 05/15/2021 pt. reports not feeling well with s/s of body aches and chills. Pt. reports that on 5/16/21 that he noticed fever, cough and increased SOB. Pt. presents with c/o increase SOB on 05/18/2021. Pt. was admitted with diagnosis of right upper and middle lobe pneumonia on 05/18/2021. Pt. required 2-3 L of O2 per nasal cannula. Pt. was also on antibiotics on Rocephin 1 gm IV every 24 hours. Pt. received a one time dose of Azithromycin 500 mg in ED.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Head injury
Clinical narrative: Patient received vaccine, was requested to wait in the lobby for 15 minutes for post-vaccination monitoring. Approximately 10 minuets into  waiting period, patient attempted to stand up and fell. He hit his head against our wall. He was alert and responsive, we called ems, after their evaluation they said patient was okay to leave. We requested the patient to have family member to come pick him up but he insisted to drive back and left.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Dysstasia, Feeling abnormal, Loss of consciousness
Clinical narrative: When I woke up I felt my legs wouldn't hold me up. I passed out in the bathroom. Finally managed to get up and walk with the aid of a walker. I have no more memory of that day. Except for meals and bathroom use I remained lying down all day. I was very nauseous and severely weak, light-headed, and had brain fog, Except for the nausea I felt that way for 10 days. On the 10th day I felt able to stand long enough to take a shower.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Nausea
Clinical narrative: When I woke up I felt my legs wouldn't hold me up. I passed out in the bathroom. Finally managed to get up and walk with the aid of a walker. I have no more memory of that day. Except for meals and bathroom use I remained lying down all day. I was very nauseous and severely weak, light-headed, and had brain fog, Except for the nausea I felt that way for 10 days. On the 10th day I felt able to stand long enough to take a shower.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Throat tightness
Clinical narrative: throat tightness/swelling
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizziness / lightheadedness since first shot (one month) Severe dizziness following 2d shot
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Dysphonia, Fatigue, Headache, Nausea
Clinical narrative: 34 yo male is calling to report symptoms of itching, loss of appetite, change in voice, fatigue, nausea, headache and fever that started 24 hours after first Pfizer vaccination on 4/30/21. He reports taking Nyquil at night with minimal improvement.  He reports symptoms have changed over the last two weeks and progressed to different symptoms. He did a rapid covid test last week that was negative. He did this at a travel location and did not see a provider.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: 34 yo male is calling to report symptoms of itching, loss of appetite, change in voice, fatigue, nausea, headache and fever that started 24 hours after first Pfizer vaccination on 4/30/21. He reports taking Nyquil at night with minimal improvement.  He reports symptoms have changed over the last two weeks and progressed to different symptoms. He did a rapid covid test last week that was negative. He did this at a travel location and did not see a provider.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, COVID-19 pneumonia, Chills, Cough, Death
Clinical narrative: 75 y/o female w/ PMH significant for COPD, diabetes, GERD, HLD, HTN, CAD, CVA who presented to the hospital ED on 4/2/21 for fever, dyspnea. Pt reports being exposed to COVID 1 week ago, her entire family at home had it. She called her PCP and was placed on multivitamins and prednisone taper when she became symptomatic ~3/27/21. Throughout the week, pt had worsening dyspnea, worse with exertion, as well as dry cough, fevers and chills. Reports her temperature was 102 at home. Pulse ox was 85% at home and pt was instructed to come into the ED. On arrival, O2 82% on RA and pt having some respiratory distress. Patient was intubated and placed on full vent support, but could not be extubated. Patient's diabetes continued to be uncontrolled because of IV steroid. Patient's lactic acidosis improved with IV hydration. Patient continued to be difficult to extubate because of COVID pneumonia with ARDS. Family opted for the patient to be transitioned to hospice care and comfort care. Expired on 4/26/2021.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Endotracheal intubation, Exposure to SARS-CoV-2, Influenza virus test
Clinical narrative: 75 y/o female w/ PMH significant for COPD, diabetes, GERD, HLD, HTN, CAD, CVA who presented to the hospital ED on 4/2/21 for fever, dyspnea. Pt reports being exposed to COVID 1 week ago, her entire family at home had it. She called her PCP and was placed on multivitamins and prednisone taper when she became symptomatic ~3/27/21. Throughout the week, pt had worsening dyspnea, worse with exertion, as well as dry cough, fevers and chills. Reports her temperature was 102 at home. Pulse ox was 85% at home and pt was instructed to come into the ED. On arrival, O2 82% on RA and pt having some respiratory distress. Patient was intubated and placed on full vent support, but could not be extubated. Patient's diabetes continued to be uncontrolled because of IV steroid. Patient's lactic acidosis improved with IV hydration. Patient continued to be difficult to extubate because of COVID pneumonia with ARDS. Family opted for the patient to be transitioned to hospice care and comfort care. Expired on 4/26/2021.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Lactic acidosis, Mechanical ventilation, Oxygen saturation decreased, Pyrexia, Respiratory distress
Clinical narrative: 75 y/o female w/ PMH significant for COPD, diabetes, GERD, HLD, HTN, CAD, CVA who presented to the hospital ED on 4/2/21 for fever, dyspnea. Pt reports being exposed to COVID 1 week ago, her entire family at home had it. She called her PCP and was placed on multivitamins and prednisone taper when she became symptomatic ~3/27/21. Throughout the week, pt had worsening dyspnea, worse with exertion, as well as dry cough, fevers and chills. Reports her temperature was 102 at home. Pulse ox was 85% at home and pt was instructed to come into the ED. On arrival, O2 82% on RA and pt having some respiratory distress. Patient was intubated and placed on full vent support, but could not be extubated. Patient's diabetes continued to be uncontrolled because of IV steroid. Patient's lactic acidosis improved with IV hydration. Patient continued to be difficult to extubate because of COVID pneumonia with ARDS. Family opted for the patient to be transitioned to hospice care and comfort care. Expired on 4/26/2021.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test, SARS-CoV-2 test positive
Clinical narrative: 75 y/o female w/ PMH significant for COPD, diabetes, GERD, HLD, HTN, CAD, CVA who presented to the hospital ED on 4/2/21 for fever, dyspnea. Pt reports being exposed to COVID 1 week ago, her entire family at home had it. She called her PCP and was placed on multivitamins and prednisone taper when she became symptomatic ~3/27/21. Throughout the week, pt had worsening dyspnea, worse with exertion, as well as dry cough, fevers and chills. Reports her temperature was 102 at home. Pulse ox was 85% at home and pt was instructed to come into the ED. On arrival, O2 82% on RA and pt having some respiratory distress. Patient was intubated and placed on full vent support, but could not be extubated. Patient's diabetes continued to be uncontrolled because of IV steroid. Patient's lactic acidosis improved with IV hydration. Patient continued to be difficult to extubate because of COVID pneumonia with ARDS. Family opted for the patient to be transitioned to hospice care and comfort care. Expired on 4/26/2021.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis
Clinical narrative: Pt received his vaccination at approx.. 0952, directly after receiving vaccination pt appeared diaphoretic. Reaction team was notified, vital signs obtained. Pt was released after vitals were within normal limits.  1000 BP:121/56 O2:97% HR:44 1017 BP: 138/75 O2: 99% HR: 64 1032 BP: 111/64 O2: 97% HR: 78
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse reactions as of yet but patient was not of age and will be monitoring for adverse reactions
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Coronary angioplasty, Fatigue
Clinical narrative: Patient presented to the ED on 3/25/21 for fatigue. Patient presented to the ED and was subsequently hospitalized on 5/3/21 for chest pain. Patient was hospitalized on 5/11/21 for percutaneous transluminal coronary angioplasty. These visits are within 6 weeks of receiving COVID vaccination.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Oedema peripheral, Pain in extremity, Peripheral swelling, Ultrasound Doppler
Clinical narrative: Patient presented in the office on 5/12 complaining of edema. The edema involves the left lower extremity. Onset was gradual 2 month(s) ago. Onset followed starting a new medication (around J and J vaccine). The symptoms occur intermittently. The patient describes this as unchanged. Symptoms are exacerbated by prolonged standing. Symptoms are relieved by leg elevation. Associated symptoms include calf pain (in upper thigh) and calf swelling, while associated symptoms do not include dyspnea, decreased urinary output, ascites, diarrhea, localized redness, localized warmth or fever. No chest pain
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Hypoaesthesia, Nausea
Clinical narrative: Pt experienced numbness in left arm and hands, light-headedness, nausea and weakness
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Chest X-ray abnormal, Chest pain, Chills
Clinical narrative: The patient is a 49 y.o. female who reports onset of flu-like symptoms including headaches, intermittent fever, nausea and vomiting, and chills within 3 hours of receiving her first COVID-19 vaccination on 4/2/2021. She reports symptoms increased in intensity such that it required her to seek evaluation in the ER on 4/4/2021.  Patient states she was tested for COVID-19 and received positive results. She states she was diagnosed with viral pneumonia and COVID-19 and was discharged home. She received IV infusion therapy for the positive COVID-19 result on 4/7/2021, went home and took a nap and was awoken with severe chest pains and shortness of breath. She was taken to the ER via ambulance where she  was diagnosed with atrial flutter with rapid ventricular response and acute hypoxic respiratory failure secondary to COVID-19 infection. Patient was admitted to the hospital.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Coagulation test, Dyspnoea, Echocardiogram abnormal, Full blood count, Headache
Clinical narrative: The patient is a 49 y.o. female who reports onset of flu-like symptoms including headaches, intermittent fever, nausea and vomiting, and chills within 3 hours of receiving her first COVID-19 vaccination on 4/2/2021. She reports symptoms increased in intensity such that it required her to seek evaluation in the ER on 4/4/2021.  Patient states she was tested for COVID-19 and received positive results. She states she was diagnosed with viral pneumonia and COVID-19 and was discharged home. She received IV infusion therapy for the positive COVID-19 result on 4/7/2021, went home and took a nap and was awoken with severe chest pains and shortness of breath. She was taken to the ER via ambulance where she  was diagnosed with atrial flutter with rapid ventricular response and acute hypoxic respiratory failure secondary to COVID-19 infection. Patient was admitted to the hospital.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Laboratory test, Metabolic function test, Nausea, Pneumonia viral
Clinical narrative: The patient is a 49 y.o. female who reports onset of flu-like symptoms including headaches, intermittent fever, nausea and vomiting, and chills within 3 hours of receiving her first COVID-19 vaccination on 4/2/2021. She reports symptoms increased in intensity such that it required her to seek evaluation in the ER on 4/4/2021.  Patient states she was tested for COVID-19 and received positive results. She states she was diagnosed with viral pneumonia and COVID-19 and was discharged home. She received IV infusion therapy for the positive COVID-19 result on 4/7/2021, went home and took a nap and was awoken with severe chest pains and shortness of breath. She was taken to the ER via ambulance where she  was diagnosed with atrial flutter with rapid ventricular response and acute hypoxic respiratory failure secondary to COVID-19 infection. Patient was admitted to the hospital.