chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head abnormal, Platelet count normal, Porencephaly, Postictal state, Resuscitation
Clinical narrative: Briefly this is a 5 yo F with hx of neonatal stroke with L sided weakness and epilepsy presenting with breakthrough seizure. Pt had COVID-19 vaccine 2 days ago. Visiting. No fevers, URI sx. Typical seizure starts with vomiting, hand jerking/shaking, and L eye deviation. Last breakthrough seizure in Feb 2021. Sibling with runny nose. 5 yo F with epilepsy and breakthrough seizure. No symptoms of illness. Unclear if COVID vaccination was trigger for breakthrough seizure. Upon arrival, pt was post-ictal with intermittent L eye deviation and now with hand jerking which was concerning for ongoing seizure activity. Pt was given intranasal midazolam with improvement, but seizure activity returned prompting IV ativan and IV keppra load. Seizure activity stopped and pt became responsive to voice but post-ictal. 2nd IV access obtained. Labs sent with normal glucose, reassuring CBC and electrolytes. Depakote level is in therapeutic range. Pt given home dose of depakote IV (missed AM dose). Neuro at the bedside throughout resuscitation.    COVID neg.     Care transitioned to the inpatient  Neurology attending. Pt was stable at the time of admission. MRI Brain 11/12/21: IMPRESSION: Images were significantly degraded by motion artifact. 1.No evidence of acute intracranial abnormality within limitation of motion artifact. 2.Posterior frontal porencephalic cyst with associated paucity of posterior frontal and right parietal periventricular white matter. On the morning of discharge, smile was symmetric, but she was noted to be ataxic, although much less than the day prior, so we drew a peak VPA level which was 150 (peak), with otherwise normal LFTs, normal platelets and no other signs of VPA toxicity. Thus, it was felt that the ataxia is likely secondary to medication effects in the last 24-48hrs with relatively high depakote level, Midaz 0.5mg/kg total, IV Ativan, and addition of Levetiracetam. Higher level of depakote was attributed to increased bioavailability of IV medication.  We observed her through the afternoon and felt that she was stable for discharge with close Neurology follow-up with Dr. calling on Tuesday 11/16/21. We will request Neurology follow up in clinic prior to  at the end of the month.  Family is considering whether they will get her the 2nd dose of COVID vaccine.  Risks and benefits discussed.  Discussed not flying back within 2 days of dose as much harder to manage if she were to have a prolonged seizure in flight.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Seizure, White matter lesion
Clinical narrative: Briefly this is a 5 yo F with hx of neonatal stroke with L sided weakness and epilepsy presenting with breakthrough seizure. Pt had COVID-19 vaccine 2 days ago. Visiting. No fevers, URI sx. Typical seizure starts with vomiting, hand jerking/shaking, and L eye deviation. Last breakthrough seizure in Feb 2021. Sibling with runny nose. 5 yo F with epilepsy and breakthrough seizure. No symptoms of illness. Unclear if COVID vaccination was trigger for breakthrough seizure. Upon arrival, pt was post-ictal with intermittent L eye deviation and now with hand jerking which was concerning for ongoing seizure activity. Pt was given intranasal midazolam with improvement, but seizure activity returned prompting IV ativan and IV keppra load. Seizure activity stopped and pt became responsive to voice but post-ictal. 2nd IV access obtained. Labs sent with normal glucose, reassuring CBC and electrolytes. Depakote level is in therapeutic range. Pt given home dose of depakote IV (missed AM dose). Neuro at the bedside throughout resuscitation.    COVID neg.     Care transitioned to the inpatient  Neurology attending. Pt was stable at the time of admission. MRI Brain 11/12/21: IMPRESSION: Images were significantly degraded by motion artifact. 1.No evidence of acute intracranial abnormality within limitation of motion artifact. 2.Posterior frontal porencephalic cyst with associated paucity of posterior frontal and right parietal periventricular white matter. On the morning of discharge, smile was symmetric, but she was noted to be ataxic, although much less than the day prior, so we drew a peak VPA level which was 150 (peak), with otherwise normal LFTs, normal platelets and no other signs of VPA toxicity. Thus, it was felt that the ataxia is likely secondary to medication effects in the last 24-48hrs with relatively high depakote level, Midaz 0.5mg/kg total, IV Ativan, and addition of Levetiracetam. Higher level of depakote was attributed to increased bioavailability of IV medication.  We observed her through the afternoon and felt that she was stable for discharge with close Neurology follow-up with Dr. calling on Tuesday 11/16/21. We will request Neurology follow up in clinic prior to  at the end of the month.  Family is considering whether they will get her the 2nd dose of COVID vaccine.  Risks and benefits discussed.  Discussed not flying back within 2 days of dose as much harder to manage if she were to have a prolonged seizure in flight.
Age: 12.0
Sex: F
Vaccine: FLUR4
Symptoms: Neck pain, Product administered to patient of inappropriate age
Clinical narrative: Patient received Flublok, which is not indicated for her age. Experienced neck pain.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Condition aggravated, Dysmenorrhoea, Insomnia, Migraine
Clinical narrative: Period has been extra painful with cramps for 3x days, PMSing for 7+ days, and my migraine is worse.    I have been unable to sleep for the last day, and my asthma has been flaring up too.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Premenstrual syndrome
Clinical narrative: Period has been extra painful with cramps for 3x days, PMSing for 7+ days, and my migraine is worse.    I have been unable to sleep for the last day, and my asthma has been flaring up too.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Eczema, Pruritus, Rash
Clinical narrative: Day 3 post 1st dose of Covid Vaccine, child developed a circular rash around the waist, buttocks, and legs. Exacerbation of Eczema also observable. Child has severe itching boughts at night time before bed (not every night). Treated with Benadryl and topical creams. Doctors visit on Friday December 3rd, as rash appeared to be getting worse. Rash comes and goes, but appears to be a reaction usually at nighttime, and has appeared worse 2 weeks later. MD advised Zyrtec during the day and Benadryl at night while continuing topical Eucerin cream. No other treatment needed at this time.
Age: 42.0
Sex: F
Vaccine: TDAP
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: REDNESS, SWELLING WARM TO TOUCH ADVIL AND BENADRYL CREAM
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Neck pain, Neuralgia, Pain, Pain in extremity
Clinical narrative: patient called and stated that later that day he had shooting nerve pain  traveling  up his arm to his  neck
Age: 39.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Hypoaesthesia, Myalgia, Neck pain, Pain in extremity, Paraesthesia
Clinical narrative: After receiving flu shot: Immediate burning pain deep in arm that stopped when needle was removed. Numbness and tingling to  left hand and outer two fingers (pinky and ring finger)-has faded but ongoing. Tingling on left side of face and lips within five minutes of injection; faded after one hour. Deep muscle pain and sore neck. No treatment sought or received.   Moderna covid vaccine administered after flu shot without incident.
Age: 39.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Paraesthesia oral
Clinical narrative: After receiving flu shot: Immediate burning pain deep in arm that stopped when needle was removed. Numbness and tingling to  left hand and outer two fingers (pinky and ring finger)-has faded but ongoing. Tingling on left side of face and lips within five minutes of injection; faded after one hour. Deep muscle pain and sore neck. No treatment sought or received.   Moderna covid vaccine administered after flu shot without incident.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Myalgia, SARS-CoV-2 test positive
Clinical narrative: Patient contracted COVID after being fully vaccinated.  No booster Muscle Aches.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache
Clinical narrative: Headache and fatigue
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Supraclavicular swelling left side 2 days after injection. Self-diagnosis points to lymph node swelling.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: After speaking with the mother, the patient didn?t feel sick or bad the next day.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: A quarter sized red patch formed at location of vaccination shot 4 days after administered. The area became hot to touch, raised, and itchy. Since first start of this event, the red circle shaped rash gradually grew, becoming increasingly itchy and inflamed. Patient began applying cold compress and hydrocortisone topical cream 1-2x daily. Patient contacted health care professional on 12/2/21 to report event. Health care provider prescribed Triamcinolone 0.1% Cream 30gm to be applied 4-5x daily. Patient is now using the prescription provided and continuing to apply cold compress. As of today, 12/3/21, patient is still experiencing symptoms, more specifically, rash is growing, itching, and inflamed and is continuing treatment.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: A quarter sized red patch formed at location of vaccination shot 4 days after administered. The area became hot to touch, raised, and itchy. Since first start of this event, the red circle shaped rash gradually grew, becoming increasingly itchy and inflamed. Patient began applying cold compress and hydrocortisone topical cream 1-2x daily. Patient contacted health care professional on 12/2/21 to report event. Health care provider prescribed Triamcinolone 0.1% Cream 30gm to be applied 4-5x daily. Patient is now using the prescription provided and continuing to apply cold compress. As of today, 12/3/21, patient is still experiencing symptoms, more specifically, rash is growing, itching, and inflamed and is continuing treatment.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Haemorrhage, Injection site extravasation, Swelling
Clinical narrative: THE PATIENT EXPERIENCED BLEEDING AND SWELLING IMMEDIATELY AFTER INJECTION, WHICH WAS NOT COMMON FOR THE PATIENT. THE PATIENT AND HIS DOCTOR WERE WORRIED ABOUT HAVING THE PRODUCT LEAKED INTO THE SUBCUTANEOUS TISSUE AND WANTED AND ADDITIONAL DOSE. BOTH THE PHARMACIST AND THE PATIENT SPOKE WITH THE CLINICAL SPECIALIST OF THE PHARMACY AND  ADDITIONAL BOOSTER WAS GIVEN
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Claustrophobia, Syncope
Clinical narrative: Client was observed for approximately 15 minutes after she received the vaccination when she told the observation nurse that she was feeling claustrophobic and wanted to step outside for air. She exited the vaccine hub against medical advice, then fainted.  Immediately afterwards, nurses from the observation team, including myself wheeled her inside using a wheelchair. Once inside, the client's legs were raised on a chair, an ice pack was held against the back of her neck, and she was given water and crackers to consume. Her vital signs were collected periodically until they were stable and she reported feeling better.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Chills, Fatigue, Food allergy
Clinical narrative: I have had a cascading and changing series of symptoms described here (I'm a biologist by training and I know this is an N=1, but these are strange and fascinating symptoms that don't seem to be resolving and started after dose #2 and much worse after doest #3)  After Moderna Shot #2 on 03/01/2021 left arm (site of shot) has continued to hurt. Every time my immune system has a little reaction (cold, allergies) my left arm hurts.  Dose #3 12hour delay then fatigue, muscle weakness, joint pain, fever.  Left arm (site of does #2 of moderna) hurt as much as right arm and I could not lift it up.  During Week 1. post dose #3 severe fatigue, muscle aches, joint pain, chills, headache, arm pain in both right and left, feeling sick when eating (equivalent to experience from 1999 right before I had my gall bladder removed at age  24).  During Week 2. muscle weakness, intense sore throat, fatigue, malaise   During Week 3. yeast infection (trip to doctor who thinks related to immune response, dose of monastat), malaise, reaction to hazelnuts (swollen tongue, exhaustion, stomach ache, body aches). Negative COVID test.  During Week 4. chills, hard to raise left and right arms above my head, body aches, joint pain, extreme fatigue, muscle weakness in right and left arms
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Fungal infection, Headache, Injected limb mobility decreased, Malaise, Muscular weakness
Clinical narrative: I have had a cascading and changing series of symptoms described here (I'm a biologist by training and I know this is an N=1, but these are strange and fascinating symptoms that don't seem to be resolving and started after dose #2 and much worse after doest #3)  After Moderna Shot #2 on 03/01/2021 left arm (site of shot) has continued to hurt. Every time my immune system has a little reaction (cold, allergies) my left arm hurts.  Dose #3 12hour delay then fatigue, muscle weakness, joint pain, fever.  Left arm (site of does #2 of moderna) hurt as much as right arm and I could not lift it up.  During Week 1. post dose #3 severe fatigue, muscle aches, joint pain, chills, headache, arm pain in both right and left, feeling sick when eating (equivalent to experience from 1999 right before I had my gall bladder removed at age  24).  During Week 2. muscle weakness, intense sore throat, fatigue, malaise   During Week 3. yeast infection (trip to doctor who thinks related to immune response, dose of monastat), malaise, reaction to hazelnuts (swollen tongue, exhaustion, stomach ache, body aches). Negative COVID test.  During Week 4. chills, hard to raise left and right arms above my head, body aches, joint pain, extreme fatigue, muscle weakness in right and left arms
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Oropharyngeal pain, Pain, Pain in extremity, Pyrexia
Clinical narrative: I have had a cascading and changing series of symptoms described here (I'm a biologist by training and I know this is an N=1, but these are strange and fascinating symptoms that don't seem to be resolving and started after dose #2 and much worse after doest #3)  After Moderna Shot #2 on 03/01/2021 left arm (site of shot) has continued to hurt. Every time my immune system has a little reaction (cold, allergies) my left arm hurts.  Dose #3 12hour delay then fatigue, muscle weakness, joint pain, fever.  Left arm (site of does #2 of moderna) hurt as much as right arm and I could not lift it up.  During Week 1. post dose #3 severe fatigue, muscle aches, joint pain, chills, headache, arm pain in both right and left, feeling sick when eating (equivalent to experience from 1999 right before I had my gall bladder removed at age  24).  During Week 2. muscle weakness, intense sore throat, fatigue, malaise   During Week 3. yeast infection (trip to doctor who thinks related to immune response, dose of monastat), malaise, reaction to hazelnuts (swollen tongue, exhaustion, stomach ache, body aches). Negative COVID test.  During Week 4. chills, hard to raise left and right arms above my head, body aches, joint pain, extreme fatigue, muscle weakness in right and left arms
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Swollen tongue
Clinical narrative: I have had a cascading and changing series of symptoms described here (I'm a biologist by training and I know this is an N=1, but these are strange and fascinating symptoms that don't seem to be resolving and started after dose #2 and much worse after doest #3)  After Moderna Shot #2 on 03/01/2021 left arm (site of shot) has continued to hurt. Every time my immune system has a little reaction (cold, allergies) my left arm hurts.  Dose #3 12hour delay then fatigue, muscle weakness, joint pain, fever.  Left arm (site of does #2 of moderna) hurt as much as right arm and I could not lift it up.  During Week 1. post dose #3 severe fatigue, muscle aches, joint pain, chills, headache, arm pain in both right and left, feeling sick when eating (equivalent to experience from 1999 right before I had my gall bladder removed at age  24).  During Week 2. muscle weakness, intense sore throat, fatigue, malaise   During Week 3. yeast infection (trip to doctor who thinks related to immune response, dose of monastat), malaise, reaction to hazelnuts (swollen tongue, exhaustion, stomach ache, body aches). Negative COVID test.  During Week 4. chills, hard to raise left and right arms above my head, body aches, joint pain, extreme fatigue, muscle weakness in right and left arms
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Arthralgia, C-reactive protein increased, COVID-19, COVID-19 pneumonia
Clinical narrative: Covid long haul with MRI brain changes, neurological symptoms, myocarditis, tachycardia, chest pain, fatigue, memory loss, joint pain
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Fatigue, Full blood count, Magnetic resonance imaging head abnormal, Metabolic function test
Clinical narrative: Covid long haul with MRI brain changes, neurological symptoms, myocarditis, tachycardia, chest pain, fatigue, memory loss, joint pain
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Myocarditis, Neurological symptom, Post-acute COVID-19 syndrome, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: Covid long haul with MRI brain changes, neurological symptoms, myocarditis, tachycardia, chest pain, fatigue, memory loss, joint pain
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: A 15 years old, but was given Pfizer dose for 12 to 5 year old.  Return to clinic same day to receive 2nd dose of pediatric dose to provide adequate first dose amount.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Headache, Injection site erythema, Injection site pain, Injection site pruritus
Clinical narrative: Day of shot it became red, swollen and itchy. A heaviness in my chest and wheezing in my chest (enough to use my inhaler). Symptoms subsided after the 4th day. December 2nd the area of the shot started itching again. By December 3rd the area is bigger than a .50 cent piece inflamed, itchy, sore to touch and also hot to the touch with a welt in the middle of the circle. My back and legs are itchy. Severe headaches for the last week. The Doctor that saw me today December 3, 2021 prescribed prednisone for 2 days. If it's not better I need to get an appointment with my Dr.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Wheezing
Clinical narrative: Day of shot it became red, swollen and itchy. A heaviness in my chest and wheezing in my chest (enough to use my inhaler). Symptoms subsided after the 4th day. December 2nd the area of the shot started itching again. By December 3rd the area is bigger than a .50 cent piece inflamed, itchy, sore to touch and also hot to the touch with a welt in the middle of the circle. My back and legs are itchy. Severe headaches for the last week. The Doctor that saw me today December 3, 2021 prescribed prednisone for 2 days. If it's not better I need to get an appointment with my Dr.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Wrong product administered
Clinical narrative: PATIENT CAME IN TODAY 12/03/2021  FOR A FIRST TIME COVID VACCINATION . PATIENT REQUESTED JANSSEN COVID VACCINE AND MISTAKENLY RECEIVED HALF DOSE (0.25ML) OF MODERNA VACCINE . PATIENT HAD NO REACTION BUT REFUSED TO GET THE OTHER HALF OF THE DOSE  TO MAKE IT A FULL DOSE (RECOMMENDATION  PER CDC AND MODERNA UPON CALLING FOR GUIDANCE ) . PATIENT HAD NO REACTION DURING THE TIME FOLLOWING THE INTERACTION  ABOUT 30 TO 45 MINUTES.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Disability, Injected limb mobility decreased, Injection site pain, Injection site swelling, Limb injury
Clinical narrative: I received an intramuscular injection of the Pfizer vaccine.  Following vaccination, I developed severe swelling  of my right deltoid, pain in my right shoulder, and neuropathy extending into my right hand.  For 9 months, I was unable to elevate my right arm without extreme pain. Although these symptoms have improved, my right should now has severe damage and requires joint replacement. I am left handed and have no arthritis in my left arm whatsover. As a physician, I am now partially disabled.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Neuropathy peripheral, Pain, X-ray limb
Clinical narrative: I received an intramuscular injection of the Pfizer vaccine.  Following vaccination, I developed severe swelling  of my right deltoid, pain in my right shoulder, and neuropathy extending into my right hand.  For 9 months, I was unable to elevate my right arm without extreme pain. Although these symptoms have improved, my right should now has severe damage and requires joint replacement. I am left handed and have no arthritis in my left arm whatsover. As a physician, I am now partially disabled.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary normal, Balance disorder, C-reactive protein increased, Chest X-ray, Chest discomfort
Clinical narrative: 22yo male who presents with history of repair of vascular ring in May 2021 chest pain in setting of ~ 2 weeks of vomiting/diarrhea.  Emesis multiple times a day, nonbloody, occasionally green, and watery diarrhea, nonbloody. Fevers for past week, over past 4 days have been steady at 102.  3 days ago he received his maternal booster for Covid.  Yesterday, he noticed chest discomfort which is persistent and worsening today so presents for evaluation.  States that there is a sharp and intense pain with deep inspiration.  He does not feel significantly short of breath.   He denies cigarette use, marijuana, vaping.  Occasional alcohol use. Past medical history: Vascular ring repair with rotational esophagoplasty and tracheal pexy  Eosinophilic esophagitis  Note question of cortisol abnormality but not fully evaluated, no known adrenal insufifciency  Meds: Prozac, Protonix, dicyclomine  Social: From Texas, college student here at Tufts, triple major, works with preschool students with multiple illnesses in the classroom, none known to be Covid  Per verbal conversation with cardiology, patient bedside echo was normal. CT pending. On my reassessment, patient is endorsing dizziness that started before going to CT and has continued since. He describes it as the "room spinning". He states it has somewhat improved but is still there and is worse with changes in position like when he got into the wheel chair. He also endorses bifrontal pressure like headache for 3 days that have been constant with some nausea. He denies any vision changes, numbness or tingling. No neck stiffness. Still endorsing chest pain worse on the right. On my exam, patient has some initial unsteadiness while getting out of bed to ambulate but was able to tandem walk, toe and heel walk without any gait instability. He was also noted to have soft blood pressures in the mid 90s systolic.   Plan for 1 additional liter of IVF, Toradol, GI cocktail and Reglan. Will await CT, if negative and patient sx improved with improvement in BP, will DC with GI and Internal Medicine follow up. If continued dizziness, will TBW Cardiology for any additional recs.  2nd reassessment:Patient CT read as negative for PE.  Patient notes improvement in all his symptoms post fluids, Reglan, Toradol and GI cocktail. Endorsing no longer dizzy. BP improved to 108 systolic which is his initial baseline. Patient ok to DC at this time. No further cardiology consult needed. Patient given FU to GI and internal Medicine at Lahey clinic. Also given return precautions.  Final Diagnosis  1. Chest pain R07.9 2. Headache R51.9 3. Dizziness R42
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Computerised tomogram thorax normal, Diarrhoea, Discoloured vomit, Dizziness
Clinical narrative: 22yo male who presents with history of repair of vascular ring in May 2021 chest pain in setting of ~ 2 weeks of vomiting/diarrhea.  Emesis multiple times a day, nonbloody, occasionally green, and watery diarrhea, nonbloody. Fevers for past week, over past 4 days have been steady at 102.  3 days ago he received his maternal booster for Covid.  Yesterday, he noticed chest discomfort which is persistent and worsening today so presents for evaluation.  States that there is a sharp and intense pain with deep inspiration.  He does not feel significantly short of breath.   He denies cigarette use, marijuana, vaping.  Occasional alcohol use. Past medical history: Vascular ring repair with rotational esophagoplasty and tracheal pexy  Eosinophilic esophagitis  Note question of cortisol abnormality but not fully evaluated, no known adrenal insufifciency  Meds: Prozac, Protonix, dicyclomine  Social: From Texas, college student here at Tufts, triple major, works with preschool students with multiple illnesses in the classroom, none known to be Covid  Per verbal conversation with cardiology, patient bedside echo was normal. CT pending. On my reassessment, patient is endorsing dizziness that started before going to CT and has continued since. He describes it as the "room spinning". He states it has somewhat improved but is still there and is worse with changes in position like when he got into the wheel chair. He also endorses bifrontal pressure like headache for 3 days that have been constant with some nausea. He denies any vision changes, numbness or tingling. No neck stiffness. Still endorsing chest pain worse on the right. On my exam, patient has some initial unsteadiness while getting out of bed to ambulate but was able to tandem walk, toe and heel walk without any gait instability. He was also noted to have soft blood pressures in the mid 90s systolic.   Plan for 1 additional liter of IVF, Toradol, GI cocktail and Reglan. Will await CT, if negative and patient sx improved with improvement in BP, will DC with GI and Internal Medicine follow up. If continued dizziness, will TBW Cardiology for any additional recs.  2nd reassessment:Patient CT read as negative for PE.  Patient notes improvement in all his symptoms post fluids, Reglan, Toradol and GI cocktail. Endorsing no longer dizzy. BP improved to 108 systolic which is his initial baseline. Patient ok to DC at this time. No further cardiology consult needed. Patient given FU to GI and internal Medicine at Lahey clinic. Also given return precautions.  Final Diagnosis  1. Chest pain R07.9 2. Headache R51.9 3. Dizziness R42
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Fibrin D dimer, Head discomfort, Headache, Influenza A virus test negative
Clinical narrative: 22yo male who presents with history of repair of vascular ring in May 2021 chest pain in setting of ~ 2 weeks of vomiting/diarrhea.  Emesis multiple times a day, nonbloody, occasionally green, and watery diarrhea, nonbloody. Fevers for past week, over past 4 days have been steady at 102.  3 days ago he received his maternal booster for Covid.  Yesterday, he noticed chest discomfort which is persistent and worsening today so presents for evaluation.  States that there is a sharp and intense pain with deep inspiration.  He does not feel significantly short of breath.   He denies cigarette use, marijuana, vaping.  Occasional alcohol use. Past medical history: Vascular ring repair with rotational esophagoplasty and tracheal pexy  Eosinophilic esophagitis  Note question of cortisol abnormality but not fully evaluated, no known adrenal insufifciency  Meds: Prozac, Protonix, dicyclomine  Social: From Texas, college student here at Tufts, triple major, works with preschool students with multiple illnesses in the classroom, none known to be Covid  Per verbal conversation with cardiology, patient bedside echo was normal. CT pending. On my reassessment, patient is endorsing dizziness that started before going to CT and has continued since. He describes it as the "room spinning". He states it has somewhat improved but is still there and is worse with changes in position like when he got into the wheel chair. He also endorses bifrontal pressure like headache for 3 days that have been constant with some nausea. He denies any vision changes, numbness or tingling. No neck stiffness. Still endorsing chest pain worse on the right. On my exam, patient has some initial unsteadiness while getting out of bed to ambulate but was able to tandem walk, toe and heel walk without any gait instability. He was also noted to have soft blood pressures in the mid 90s systolic.   Plan for 1 additional liter of IVF, Toradol, GI cocktail and Reglan. Will await CT, if negative and patient sx improved with improvement in BP, will DC with GI and Internal Medicine follow up. If continued dizziness, will TBW Cardiology for any additional recs.  2nd reassessment:Patient CT read as negative for PE.  Patient notes improvement in all his symptoms post fluids, Reglan, Toradol and GI cocktail. Endorsing no longer dizzy. BP improved to 108 systolic which is his initial baseline. Patient ok to DC at this time. No further cardiology consult needed. Patient given FU to GI and internal Medicine at Lahey clinic. Also given return precautions.  Final Diagnosis  1. Chest pain R07.9 2. Headache R51.9 3. Dizziness R42
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza B virus test, Mononucleosis heterophile test negative, Nausea, Painful respiration, Pyrexia
Clinical narrative: 22yo male who presents with history of repair of vascular ring in May 2021 chest pain in setting of ~ 2 weeks of vomiting/diarrhea.  Emesis multiple times a day, nonbloody, occasionally green, and watery diarrhea, nonbloody. Fevers for past week, over past 4 days have been steady at 102.  3 days ago he received his maternal booster for Covid.  Yesterday, he noticed chest discomfort which is persistent and worsening today so presents for evaluation.  States that there is a sharp and intense pain with deep inspiration.  He does not feel significantly short of breath.   He denies cigarette use, marijuana, vaping.  Occasional alcohol use. Past medical history: Vascular ring repair with rotational esophagoplasty and tracheal pexy  Eosinophilic esophagitis  Note question of cortisol abnormality but not fully evaluated, no known adrenal insufifciency  Meds: Prozac, Protonix, dicyclomine  Social: From Texas, college student here at Tufts, triple major, works with preschool students with multiple illnesses in the classroom, none known to be Covid  Per verbal conversation with cardiology, patient bedside echo was normal. CT pending. On my reassessment, patient is endorsing dizziness that started before going to CT and has continued since. He describes it as the "room spinning". He states it has somewhat improved but is still there and is worse with changes in position like when he got into the wheel chair. He also endorses bifrontal pressure like headache for 3 days that have been constant with some nausea. He denies any vision changes, numbness or tingling. No neck stiffness. Still endorsing chest pain worse on the right. On my exam, patient has some initial unsteadiness while getting out of bed to ambulate but was able to tandem walk, toe and heel walk without any gait instability. He was also noted to have soft blood pressures in the mid 90s systolic.   Plan for 1 additional liter of IVF, Toradol, GI cocktail and Reglan. Will await CT, if negative and patient sx improved with improvement in BP, will DC with GI and Internal Medicine follow up. If continued dizziness, will TBW Cardiology for any additional recs.  2nd reassessment:Patient CT read as negative for PE.  Patient notes improvement in all his symptoms post fluids, Reglan, Toradol and GI cocktail. Endorsing no longer dizzy. BP improved to 108 systolic which is his initial baseline. Patient ok to DC at this time. No further cardiology consult needed. Patient given FU to GI and internal Medicine at Lahey clinic. Also given return precautions.  Final Diagnosis  1. Chest pain R07.9 2. Headache R51.9 3. Dizziness R42
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, Right ventricular systolic pressure decreased, SARS-CoV-2 test negative, Scoliosis, Tricuspid valve incompetence
Clinical narrative: 22yo male who presents with history of repair of vascular ring in May 2021 chest pain in setting of ~ 2 weeks of vomiting/diarrhea.  Emesis multiple times a day, nonbloody, occasionally green, and watery diarrhea, nonbloody. Fevers for past week, over past 4 days have been steady at 102.  3 days ago he received his maternal booster for Covid.  Yesterday, he noticed chest discomfort which is persistent and worsening today so presents for evaluation.  States that there is a sharp and intense pain with deep inspiration.  He does not feel significantly short of breath.   He denies cigarette use, marijuana, vaping.  Occasional alcohol use. Past medical history: Vascular ring repair with rotational esophagoplasty and tracheal pexy  Eosinophilic esophagitis  Note question of cortisol abnormality but not fully evaluated, no known adrenal insufifciency  Meds: Prozac, Protonix, dicyclomine  Social: From Texas, college student here at Tufts, triple major, works with preschool students with multiple illnesses in the classroom, none known to be Covid  Per verbal conversation with cardiology, patient bedside echo was normal. CT pending. On my reassessment, patient is endorsing dizziness that started before going to CT and has continued since. He describes it as the "room spinning". He states it has somewhat improved but is still there and is worse with changes in position like when he got into the wheel chair. He also endorses bifrontal pressure like headache for 3 days that have been constant with some nausea. He denies any vision changes, numbness or tingling. No neck stiffness. Still endorsing chest pain worse on the right. On my exam, patient has some initial unsteadiness while getting out of bed to ambulate but was able to tandem walk, toe and heel walk without any gait instability. He was also noted to have soft blood pressures in the mid 90s systolic.   Plan for 1 additional liter of IVF, Toradol, GI cocktail and Reglan. Will await CT, if negative and patient sx improved with improvement in BP, will DC with GI and Internal Medicine follow up. If continued dizziness, will TBW Cardiology for any additional recs.  2nd reassessment:Patient CT read as negative for PE.  Patient notes improvement in all his symptoms post fluids, Reglan, Toradol and GI cocktail. Endorsing no longer dizzy. BP improved to 108 systolic which is his initial baseline. Patient ok to DC at this time. No further cardiology consult needed. Patient given FU to GI and internal Medicine at Lahey clinic. Also given return precautions.  Final Diagnosis  1. Chest pain R07.9 2. Headache R51.9 3. Dizziness R42
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Vertigo, Vomiting
Clinical narrative: 22yo male who presents with history of repair of vascular ring in May 2021 chest pain in setting of ~ 2 weeks of vomiting/diarrhea.  Emesis multiple times a day, nonbloody, occasionally green, and watery diarrhea, nonbloody. Fevers for past week, over past 4 days have been steady at 102.  3 days ago he received his maternal booster for Covid.  Yesterday, he noticed chest discomfort which is persistent and worsening today so presents for evaluation.  States that there is a sharp and intense pain with deep inspiration.  He does not feel significantly short of breath.   He denies cigarette use, marijuana, vaping.  Occasional alcohol use. Past medical history: Vascular ring repair with rotational esophagoplasty and tracheal pexy  Eosinophilic esophagitis  Note question of cortisol abnormality but not fully evaluated, no known adrenal insufifciency  Meds: Prozac, Protonix, dicyclomine  Social: From Texas, college student here at Tufts, triple major, works with preschool students with multiple illnesses in the classroom, none known to be Covid  Per verbal conversation with cardiology, patient bedside echo was normal. CT pending. On my reassessment, patient is endorsing dizziness that started before going to CT and has continued since. He describes it as the "room spinning". He states it has somewhat improved but is still there and is worse with changes in position like when he got into the wheel chair. He also endorses bifrontal pressure like headache for 3 days that have been constant with some nausea. He denies any vision changes, numbness or tingling. No neck stiffness. Still endorsing chest pain worse on the right. On my exam, patient has some initial unsteadiness while getting out of bed to ambulate but was able to tandem walk, toe and heel walk without any gait instability. He was also noted to have soft blood pressures in the mid 90s systolic.   Plan for 1 additional liter of IVF, Toradol, GI cocktail and Reglan. Will await CT, if negative and patient sx improved with improvement in BP, will DC with GI and Internal Medicine follow up. If continued dizziness, will TBW Cardiology for any additional recs.  2nd reassessment:Patient CT read as negative for PE.  Patient notes improvement in all his symptoms post fluids, Reglan, Toradol and GI cocktail. Endorsing no longer dizzy. BP improved to 108 systolic which is his initial baseline. Patient ok to DC at this time. No further cardiology consult needed. Patient given FU to GI and internal Medicine at Lahey clinic. Also given return precautions.  Final Diagnosis  1. Chest pain R07.9 2. Headache R51.9 3. Dizziness R42
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Bells palsy
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, Myalgia, Respiratory tract congestion
Clinical narrative: Contracted COVID after being fully vaccinated.  No booster. Headache, congestion, fatigue, muscles aches.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Joint injury, Syncope
Clinical narrative: Fainting shortly after receiving vaccination. Patient stated he usually faints at the sight of blood. Patient fell and hit his hip but was not injured during the event. He came to and was okay after. Patient stayed seated in the store for about 20 to 30 minutes after fainting event.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Pyrexia
Clinical narrative: Fever /intense joint pain /chills /terrible headache Took ibuprofen 3 bad nights
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Breast tenderness, Cardiac discomfort, Fatigue, Immediate post-injection reaction, Paraesthesia
Clinical narrative: Tingling down legs and arms immediately after 1st shot.  Felt sensation up spine and around skull too.  Heart sensations.  Tingling in all limbs lasted for several weeks.  Heart sensations on and off.  Extremely tender breast for two weeks on top of fatigue.  Sat at clinic longer hoping symptoms would go away, never did.  EMT wasn't helpful (she didn't take my name, just said she needed to make sure I didn't get palsy of the face) so I left.  Made an appointment with my primary doctor and he didn't know how to advise since data not out.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Syncope
Clinical narrative: Patient felt dizzy and fainted and fell to the floor, paramedics were called and the took her to the hospital
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blister, Epistaxis, Headache, Oropharyngeal pain
Clinical narrative: What appeared to be blood blisters- one an inch from the injection site, and 4-5 more on back. Hives/rash on face, neck, and back. Sore throat, bloody noses (only when blowing nose), as well as the expected side effects- fever, headache, extreme joint pain.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash, Urticaria
Clinical narrative: What appeared to be blood blisters- one an inch from the injection site, and 4-5 more on back. Hives/rash on face, neck, and back. Sore throat, bloody noses (only when blowing nose), as well as the expected side effects- fever, headache, extreme joint pain.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swelling of lymph nodes in chest on same side of body vaccine was delivered (left side)
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Skin mass
Clinical narrative: Multiple nodules appear on skin on and around scrotum and groin area. Treated with anti-biotics and steroid cream for 1 week with only worsening symptoms. Followed by 2 weeks of antihistamine and steroid cream with no improvement.
Age: 61.0
Sex: M
Vaccine: TDAP
Symptoms: Myalgia
Clinical narrative: The patient reports severe muscle aches in the neck, arms, and hips that have been persistent since the injection and has not been able to conclude what else it could be from. He mentioned that it has been slowly getting better with time.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Pain, Pyrexia
Clinical narrative: Low grade fever, all over body and joint aches, fatigue
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient contracted COVID after being fully vaccinated.  No Booster. Asymptomatic
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Extra dose administered, Feeding disorder, Headache, Hypersomnia
Clinical narrative: about 45 minutes after I received the Pfizer booster (3rd dose), I feeling dizzy like walking during the earthquake.  satrted high fever 102-104 F the same night with nausea, bodyache, headache all continued for 3-4 days that I cannot eat anything and just lethargy and sleep.  the 5th days after the vaccine, no more fever.  Therefore, I went in to work.  Not even half day through, I started feeling dizzy, memory lapse.  I went home early that afternoon and did not complete my shift.  Then, I called my PCP and got a telephone appointment with Dr. on 09/30/2021.  I took tylenol during my fever days for temperature control.  I return to work on the next Monday (10/04/2021) on full capacity.  The memory lapse almost completely gone now.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Lethargy, Memory impairment, Nausea, Pain
Clinical narrative: about 45 minutes after I received the Pfizer booster (3rd dose), I feeling dizzy like walking during the earthquake.  satrted high fever 102-104 F the same night with nausea, bodyache, headache all continued for 3-4 days that I cannot eat anything and just lethargy and sleep.  the 5th days after the vaccine, no more fever.  Therefore, I went in to work.  Not even half day through, I started feeling dizzy, memory lapse.  I went home early that afternoon and did not complete my shift.  Then, I called my PCP and got a telephone appointment with Dr. on 09/30/2021.  I took tylenol during my fever days for temperature control.  I return to work on the next Monday (10/04/2021) on full capacity.  The memory lapse almost completely gone now.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: about 45 minutes after I received the Pfizer booster (3rd dose), I feeling dizzy like walking during the earthquake.  satrted high fever 102-104 F the same night with nausea, bodyache, headache all continued for 3-4 days that I cannot eat anything and just lethargy and sleep.  the 5th days after the vaccine, no more fever.  Therefore, I went in to work.  Not even half day through, I started feeling dizzy, memory lapse.  I went home early that afternoon and did not complete my shift.  Then, I called my PCP and got a telephone appointment with Dr. on 09/30/2021.  I took tylenol during my fever days for temperature control.  I return to work on the next Monday (10/04/2021) on full capacity.  The memory lapse almost completely gone now.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Patient had trouble breathing starting 3 hours after lasting for a day and a half
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered, No adverse event
Clinical narrative: Patient received 2.5ml dose IM into left arm instead of 0.25ml booster dose.  Patient did not have any immediate adverse reaction.  Patient caregiver reported no adverse reaction 1 hour after administration.  Patient reports no adverse reactions at 4.5 hours post administration.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Nausea, Vertigo
Clinical narrative: Chills, nausea, light-headed, headache, room-spinning
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: Heavy menstrual bleeding lasting for more than ten days following first and second dosage of Pfizer vaccine. still currently experiences three months after first dosage
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Intensive care, Lung infiltration
Clinical narrative: Patient admitted to hospital on 11/30/2021 with positive COVID test Requiring ICU admission, heated high flow oxygen and high fio2 requirements
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient admitted to hospital on 11/30/2021 with positive COVID test Requiring ICU admission, heated high flow oxygen and high fio2 requirements
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Extra dose administered, Fatigue, Headache
Clinical narrative: Patient contracted COVID after being fully vaccinated.  Booster 11/17/2021 (not infected in the two weeks after) 0.25mL; IM; Right Deltoid; 020F21A Fever, cough, headache, sore throat, fatigue, muscle aches.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Oropharyngeal pain, Pyrexia
Clinical narrative: Patient contracted COVID after being fully vaccinated.  Booster 11/17/2021 (not infected in the two weeks after) 0.25mL; IM; Right Deltoid; 020F21A Fever, cough, headache, sore throat, fatigue, muscle aches.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthropathy, Chills, Discomfort, Facial pain
Clinical narrative: A gradual sinking into lethargy and disconnected feeling that grew into aching joints, hands and feet propping and cracking with every movement, then stronger body discomfort which grew into my face and head. cheeks and teeth hurt and the pressure in the head grew stronger and stronger. Nausea and chills. Then more pain and discomfort into the evening and throughout the night along with a very rapid heartbeat. This was all night long and into the next day. It took 5 days to feel better, and the rapid heartbeat still comes and goes.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Head discomfort, Heart rate increased, Lethargy, Nausea, Pain
Clinical narrative: A gradual sinking into lethargy and disconnected feeling that grew into aching joints, hands and feet propping and cracking with every movement, then stronger body discomfort which grew into my face and head. cheeks and teeth hurt and the pressure in the head grew stronger and stronger. Nausea and chills. Then more pain and discomfort into the evening and throughout the night along with a very rapid heartbeat. This was all night long and into the next day. It took 5 days to feel better, and the rapid heartbeat still comes and goes.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Toothache
Clinical narrative: A gradual sinking into lethargy and disconnected feeling that grew into aching joints, hands and feet propping and cracking with every movement, then stronger body discomfort which grew into my face and head. cheeks and teeth hurt and the pressure in the head grew stronger and stronger. Nausea and chills. Then more pain and discomfort into the evening and throughout the night along with a very rapid heartbeat. This was all night long and into the next day. It took 5 days to feel better, and the rapid heartbeat still comes and goes.