chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cough, Decreased appetite, Dizziness, Dyspnoea
Clinical narrative: 11/21/21 note by ED Dr. :"Patient with history of CAD status post stent x2 greater than 5 years ago, and roughly QOD aspirin (81mg EC), history of bronchitis here with complaint of syncope x2 today. Patient states that he first developed cough, congestion, fever, decreased appetite and fatigue on Wednesday 11/17. Patient's entire family has tested positive for Covid and patient states that he initially tested negative x2 via rapid test in urgent care, had one positive test, followed by another negative rapid test. He suspects that he has Covid as a test yesterday was positive, however he remains unsure given that he has received mixed test results. He is vaccinated x2 for Covid, though family is unvaccinated. Patient states that his appetite has been poor and yesterday he ate a small amount, but today his appetite was again poor and he has not eaten or drink anything today. In that context he states that he was feeling weak and lightheaded and sustained a momentary syncopal episode in which he fell to the floor, x2 today. Patient has had a dull headache throughout his Covid illness but denies striking his head or having worsening of headache post syncope. He denies vomiting or diarrhea. He denies any chest pain but does report occasional wheezing and shortness of breath associated with his largely dry cough. No leg pain or swelling. No prior history of DVT/PE. Otherwise well". Patient is admitted to Medical Center on 11/21/21 and is currently inpatient.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Fatigue, Fluid intake reduced, Headache, Influenza A virus test
Clinical narrative: 11/21/21 note by ED Dr. :"Patient with history of CAD status post stent x2 greater than 5 years ago, and roughly QOD aspirin (81mg EC), history of bronchitis here with complaint of syncope x2 today. Patient states that he first developed cough, congestion, fever, decreased appetite and fatigue on Wednesday 11/17. Patient's entire family has tested positive for Covid and patient states that he initially tested negative x2 via rapid test in urgent care, had one positive test, followed by another negative rapid test. He suspects that he has Covid as a test yesterday was positive, however he remains unsure given that he has received mixed test results. He is vaccinated x2 for Covid, though family is unvaccinated. Patient states that his appetite has been poor and yesterday he ate a small amount, but today his appetite was again poor and he has not eaten or drink anything today. In that context he states that he was feeling weak and lightheaded and sustained a momentary syncopal episode in which he fell to the floor, x2 today. Patient has had a dull headache throughout his Covid illness but denies striking his head or having worsening of headache post syncope. He denies vomiting or diarrhea. He denies any chest pain but does report occasional wheezing and shortness of breath associated with his largely dry cough. No leg pain or swelling. No prior history of DVT/PE. Otherwise well". Patient is admitted to Medical Center on 11/21/21 and is currently inpatient.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza B virus test, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Syncope
Clinical narrative: 11/21/21 note by ED Dr. :"Patient with history of CAD status post stent x2 greater than 5 years ago, and roughly QOD aspirin (81mg EC), history of bronchitis here with complaint of syncope x2 today. Patient states that he first developed cough, congestion, fever, decreased appetite and fatigue on Wednesday 11/17. Patient's entire family has tested positive for Covid and patient states that he initially tested negative x2 via rapid test in urgent care, had one positive test, followed by another negative rapid test. He suspects that he has Covid as a test yesterday was positive, however he remains unsure given that he has received mixed test results. He is vaccinated x2 for Covid, though family is unvaccinated. Patient states that his appetite has been poor and yesterday he ate a small amount, but today his appetite was again poor and he has not eaten or drink anything today. In that context he states that he was feeling weak and lightheaded and sustained a momentary syncopal episode in which he fell to the floor, x2 today. Patient has had a dull headache throughout his Covid illness but denies striking his head or having worsening of headache post syncope. He denies vomiting or diarrhea. He denies any chest pain but does report occasional wheezing and shortness of breath associated with his largely dry cough. No leg pain or swelling. No prior history of DVT/PE. Otherwise well". Patient is admitted to Medical Center on 11/21/21 and is currently inpatient.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: 11/21/21 note by ED Dr. :"Patient with history of CAD status post stent x2 greater than 5 years ago, and roughly QOD aspirin (81mg EC), history of bronchitis here with complaint of syncope x2 today. Patient states that he first developed cough, congestion, fever, decreased appetite and fatigue on Wednesday 11/17. Patient's entire family has tested positive for Covid and patient states that he initially tested negative x2 via rapid test in urgent care, had one positive test, followed by another negative rapid test. He suspects that he has Covid as a test yesterday was positive, however he remains unsure given that he has received mixed test results. He is vaccinated x2 for Covid, though family is unvaccinated. Patient states that his appetite has been poor and yesterday he ate a small amount, but today his appetite was again poor and he has not eaten or drink anything today. In that context he states that he was feeling weak and lightheaded and sustained a momentary syncopal episode in which he fell to the floor, x2 today. Patient has had a dull headache throughout his Covid illness but denies striking his head or having worsening of headache post syncope. He denies vomiting or diarrhea. He denies any chest pain but does report occasional wheezing and shortness of breath associated with his largely dry cough. No leg pain or swelling. No prior history of DVT/PE. Otherwise well". Patient is admitted to Medical Center on 11/21/21 and is currently inpatient.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash
Clinical narrative: Patient started having small rash in area of shot the night of/day after vaccination and since then has started spreading across her body. She has started using benadryl but does not improve the reaction. Today is day 5 of symptom course. She is going to see urgent care for assistance.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Chills, Ear pain, Fatigue, Headache
Clinical narrative: Purple tongue, Purple teeth, Ulcers on tongue,  Headache, swollen lymph node under left arm, burning rash on and off on lower back on both sides, left sharp ear pain, body aches, chills/sweats but no fevers, fatigue,   No treatment gradual resolution of sx's.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Lymphadenopathy, Pain, Pyrexia, Rash
Clinical narrative: Purple tongue, Purple teeth, Ulcers on tongue,  Headache, swollen lymph node under left arm, burning rash on and off on lower back on both sides, left sharp ear pain, body aches, chills/sweats but no fevers, fatigue,   No treatment gradual resolution of sx's.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Tongue discolouration, Tongue ulceration, Tooth disorder
Clinical narrative: Purple tongue, Purple teeth, Ulcers on tongue,  Headache, swollen lymph node under left arm, burning rash on and off on lower back on both sides, left sharp ear pain, body aches, chills/sweats but no fevers, fatigue,   No treatment gradual resolution of sx's.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Pain, Pruritus
Clinical narrative: Soreness, fatigue, and itchiness worried me and I consulted with nurse health line with my insurance. Suggested using a cortisone cream and over time issues resolved. Not sure of timeframe.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Headache, Muscle spasticity, Muscle twitching, Palpitations
Clinical narrative: Within 6 hours began to experience heart palpitations. When attempting to excercise later that night, severe dyspnea and palpitations occurred with light movement. Palpitations continued into the night with new onset spastic muscle twitching and headache.   Palpitations: frequency decreased through days 2-3. They do continue to occur between two and three times daily Spastic Movement: still continues to awaken at night and occurs a minimum of 2 times daily Dyspnea: appears to have subsided after the third day
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Sleep disorder
Clinical narrative: Within 6 hours began to experience heart palpitations. When attempting to excercise later that night, severe dyspnea and palpitations occurred with light movement. Palpitations continued into the night with new onset spastic muscle twitching and headache.   Palpitations: frequency decreased through days 2-3. They do continue to occur between two and three times daily Spastic Movement: still continues to awaken at night and occurs a minimum of 2 times daily Dyspnea: appears to have subsided after the third day
Age: 13.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Extra dose administered, Product administration error
Clinical narrative: This was a vaccine administration error in which a 13 year old patient inadvertently received a third dose of Pfizer covid vaccine. There were duplicate records for the patient in the system. The patient received their first dose of Pfizer covid vaccine on 5/17/21 and their second dose on 6/7/21. Not knowing they had already received their second dose at school, another dose was given on 11/22/2021. The error was discovered when the mother handed over the CDC card for documentation. The patient was monitored for 30 minutes after vaccination and experienced no symptoms during that time. This happened today.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: PATIENT RECEIVED VACCINE THAT EXPERIENCED A TEMPERATURE EXCURSION, VACCINE WAS KEPT IN THE REFRIGERATOR FOR MORE THAN 30 DAYS. NO ADVERSE REACTION WAS REPORTED DURING PATIENT INTERVIEW.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood test, Computerised tomogram, Cough, Diarrhoea
Clinical narrative: That night after receiving the vaccine, I had diarrhea. Months later, I had started to feel pain on the right side of my stomach and it was very painful. I had went to the doctor and had tests did but nothing was found. I am also having really sharp pains in my right thigh that is occasional. The doctor said it could just be a muscle that is causing the pain. My doctor told me to stop walking. At night I cough when I lay down. I have stopped experiencing the right sided stomach pain, but now I am still experiencing pains in my right thigh. I haven't experienced anymore pains as of now though. I have been taking muscle relaxers for my thigh and neck from when I had surgery 2 years ago.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Urine analysis
Clinical narrative: That night after receiving the vaccine, I had diarrhea. Months later, I had started to feel pain on the right side of my stomach and it was very painful. I had went to the doctor and had tests did but nothing was found. I am also having really sharp pains in my right thigh that is occasional. The doctor said it could just be a muscle that is causing the pain. My doctor told me to stop walking. At night I cough when I lay down. I have stopped experiencing the right sided stomach pain, but now I am still experiencing pains in my right thigh. I haven't experienced anymore pains as of now though. I have been taking muscle relaxers for my thigh and neck from when I had surgery 2 years ago.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac stress test normal, Chest pain, Echocardiogram, Electrocardiogram ambulatory normal, Electrocardiogram normal
Clinical narrative: Chest pain with palpitations and higher than normal heart rate at random times throughout day - with no prior history or having experiencing these symptoms previously in my lifetime. Initially ~5-10 "episodes" per day. Nothing significant yielded from Cardiac tests, yet symptoms persisted. In early November, I noticed symptoms have improved and have resumed moderate cardio-fitness workouts.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Exercise tolerance decreased, Heart rate increased, Magnetic resonance imaging normal, Palpitations
Clinical narrative: Chest pain with palpitations and higher than normal heart rate at random times throughout day - with no prior history or having experiencing these symptoms previously in my lifetime. Initially ~5-10 "episodes" per day. Nothing significant yielded from Cardiac tests, yet symptoms persisted. In early November, I noticed symptoms have improved and have resumed moderate cardio-fitness workouts.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: hospitalization with covid after being fully vaccinated
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Facial paralysis, Laboratory test
Clinical narrative: facial nerve palsy - Left
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: breakthrough case
Age: 69.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Influenza A virus test negative, Influenza B virus test, Oropharyngeal pain, Respiratory syncytial virus test negative
Clinical narrative: Non-febrile, Sore Throat, Chills, mucous & post nasal drip.  Sore throat began 11/20/21 and is gone this morning 11/22/21.  Remaining symptoms continue.  Rested in bed at home all day after emergent visit yesterday, 11/21/21.
Age: 69.0
Sex: M
Vaccine: FLU4
Symptoms: SARS-CoV-2 test negative, Secretion discharge, Streptococcus test negative, Upper-airway cough syndrome
Clinical narrative: Non-febrile, Sore Throat, Chills, mucous & post nasal drip.  Sore throat began 11/20/21 and is gone this morning 11/22/21.  Remaining symptoms continue.  Rested in bed at home all day after emergent visit yesterday, 11/21/21.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Extra dose administered, Headache, Injection site pain
Clinical narrative: 24 hours after Dose given at Pharmacy she started to have symptoms.  Injection site pain, H/A , Joint pain, slight swelling at injection site.  48 hours after Dose Dizzyness started and she is still having it. However it is subsiding. She still remains with original symptoms she had  at 24 hours post vaccination, and in general she states she is still feeling unwell. She is being Covid-19 tested today. If her dizziness or any symptoms increase she will go to Urgent care.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Malaise, SARS-CoV-2 test
Clinical narrative: 24 hours after Dose given at Pharmacy she started to have symptoms.  Injection site pain, H/A , Joint pain, slight swelling at injection site.  48 hours after Dose Dizzyness started and she is still having it. However it is subsiding. She still remains with original symptoms she had  at 24 hours post vaccination, and in general she states she is still feeling unwell. She is being Covid-19 tested today. If her dizziness or any symptoms increase she will go to Urgent care.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Patient is 12 years old and received the 5-11 age dose for the COVID vaccine.  The patient did not experience an adverse reaction.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Fall, SARS-CoV-2 test positive
Clinical narrative: Patient fell at home on 11/21/21 and was brought to the hospital. He was tested for COVID and was positive. The patient is asymptomatic.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Injection site pain
Clinical narrative: Sore arm at injection site, fatigue, headache, chills, muscle and join pain, nausea,
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea
Clinical narrative: Sore arm at injection site, fatigue, headache, chills, muscle and join pain, nausea,
Age: 4.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Parent wrote that patient's age was: 03/24/2016 when in fact, the child was born on 03/24/2017 (per Database).  This date modification was noted after the immunization was given.  Several attempts have been made to contact Parent via phone, but our office is unable to leave a message and/or Parent does not answer her phone. A letter will be sent from the Immunization Coordinator to Parent addressing this concern. No adverse reaction has been reported to Immunization Clinic about Patient's Pfizer Covid #1 vaccination.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Hypoxia, Oxygen saturation decreased
Clinical narrative: She presented to the emergency department for evaluation of worsening hypoxia in the setting of known COVID-19 infection and was found to have acute hypoxic respiratory failure with possible secondary bacterial pneumonia for which she is being admitted for further evaluation and treatment.emergency department 11/11, discharged home on dexamethasone 6 mg daily and home O2.  Initially improving, but worsening O2 sats mornings of 11/20 and 11/21, down into the 70's in the morning, did not improve above 89% so brought to emergency department.? Increase dexamethasone to 10 mg x 10 days or until hospital discharge, started on 11/21/21 ? Remdesivir x 5 days or until hospital discharge, started on 11/21/21
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: CHIEF COMPLAINT:   States that he had covid symptoms starting 5 days ago. Had a positive home covid test on Friday. Has been feeling weak. tonight lowered himself to the floor.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Discomfort, Fatigue, Feeling abnormal, Feeling hot
Clinical narrative: Friday 1:30pm - shot administered, Friday ~5:30 - feeling of being in a haze/mental fog, fatigue, warm and sweaty. no fever, Saturday ~630am - woke up from a headache and body aches. Saturday ~730am - curled up in a ball, in bed, uncomfortable to move due to body aches.  pounding headache. Saturday 10:30am - chilly.  took a shower. Couldnt get the water warm enough which was very odd.  took 800mg advil. Did nothing for headache or body aches. spent the rest of the morning/afternoon in bed. Saturday 3:30pm - headache subsides, body aches still present but beginning to subside. Saturday ~630pm - headache starting to come back, only have muscle aches in my legs. Shoulder more sore than it had been since the shot. Sunday morning - swollen lump at injection site. sore, tender.  headache. no body aches to speak of. Sunday ~10am - out for a walk with the dogs, got nauseous and fatigued.  no other adverse events to note.   Sunday evening - started feeling dizzy/slightly nauseous again when I'm up and moving around. Dizziness continued to Monday. Arm still has swollen lump and sore.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Injection site pain, Injection site swelling, Myalgia
Clinical narrative: Friday 1:30pm - shot administered, Friday ~5:30 - feeling of being in a haze/mental fog, fatigue, warm and sweaty. no fever, Saturday ~630am - woke up from a headache and body aches. Saturday ~730am - curled up in a ball, in bed, uncomfortable to move due to body aches.  pounding headache. Saturday 10:30am - chilly.  took a shower. Couldnt get the water warm enough which was very odd.  took 800mg advil. Did nothing for headache or body aches. spent the rest of the morning/afternoon in bed. Saturday 3:30pm - headache subsides, body aches still present but beginning to subside. Saturday ~630pm - headache starting to come back, only have muscle aches in my legs. Shoulder more sore than it had been since the shot. Sunday morning - swollen lump at injection site. sore, tender.  headache. no body aches to speak of. Sunday ~10am - out for a walk with the dogs, got nauseous and fatigued.  no other adverse events to note.   Sunday evening - started feeling dizzy/slightly nauseous again when I'm up and moving around. Dizziness continued to Monday. Arm still has swollen lump and sore.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pain
Clinical narrative: Friday 1:30pm - shot administered, Friday ~5:30 - feeling of being in a haze/mental fog, fatigue, warm and sweaty. no fever, Saturday ~630am - woke up from a headache and body aches. Saturday ~730am - curled up in a ball, in bed, uncomfortable to move due to body aches.  pounding headache. Saturday 10:30am - chilly.  took a shower. Couldnt get the water warm enough which was very odd.  took 800mg advil. Did nothing for headache or body aches. spent the rest of the morning/afternoon in bed. Saturday 3:30pm - headache subsides, body aches still present but beginning to subside. Saturday ~630pm - headache starting to come back, only have muscle aches in my legs. Shoulder more sore than it had been since the shot. Sunday morning - swollen lump at injection site. sore, tender.  headache. no body aches to speak of. Sunday ~10am - out for a walk with the dogs, got nauseous and fatigued.  no other adverse events to note.   Sunday evening - started feeling dizzy/slightly nauseous again when I'm up and moving around. Dizziness continued to Monday. Arm still has swollen lump and sore.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Computerised tomogram, Headache, Hypoaesthesia, Hypoaesthesia oral, Laboratory test
Clinical narrative: Employee received FLU vaccine on 09/29/2021, on 10/2/2021 she woke up with numbness on right side of face and tongue and right side of body.  She also had a severe headache.
Age: 54.0
Sex: F
Vaccine: FLU4
Symptoms: Magnetic resonance imaging
Clinical narrative: Employee received FLU vaccine on 09/29/2021, on 10/2/2021 she woke up with numbness on right side of face and tongue and right side of body.  She also had a severe headache.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Chest X-ray, Chest pain, Costochondritis, Echocardiogram
Clinical narrative: Costochondritis, extreme left sided chest pain, abdominal pain.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Full blood count, Metabolic function test
Clinical narrative: Costochondritis, extreme left sided chest pain, abdominal pain.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram abnormal, Basal ganglia infarction, Blood culture negative, COVID-19, Carotid artery aneurysm
Clinical narrative: Hospitalized (11.15.21);  COVID-19 positive (11.15.21);  fully vaccinated  Admission Date: 11/15/2021 Discharge Date: Nov 19, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID [U07.1] COVID-19 [U07.1] HOSPITAL COURSE: 81-year-old female with past medical history of hypertension, hypothyroidism, asthma, seasonal allergies on chronic prednisone who presented to emergency room on 11/15 with slurred speech and confusion.  There was initial concern for stroke.  CT head was negative for acute abnormalities.  CT angiogram head and neck did show tubular 3 mm aneurysm protruding from the carotid arteries.  Other notable tests were positive COVID PCR, positive UA, hypokalemia, hypomagnesemia, elevated D-dimer and inflammatory markers.  Chest x-ray was clear.  Blood cultures were obtained which remained negative.  Patient was started on Rocephin. Patient was admitted for further assessment and management.  Neurology were on consult.  MRI of the brain did not show evidence of acute ischemic infarction, although there was comment on mild chronic small-vessel ischemic changes, chronic bilateral basal ganglia lacunar infarctions, age-appropriate brain atrophy.  Neurology recommended aspirin and statin as well as optimizing cardiovascular risk profile, they also recommended zio patch on discharge and outpatient neurosurgery follow-up for small aneurysms.  Patient's confusion improved by the following day.  Based on her history, she did qualify for monoclonal antibody for COVID and received this on 11/17.  Patient's respiratory status was monitored closely and did not require oxygen.  Initially physical therapy recommended subacute rehabilitation, however this changed to home with PT/OT/RN services after she recovered from her infectious symptoms.  She was discharged home with home care on 11/19/2021.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cerebral atrophy, Cerebral small vessel ischaemic disease, Chest X-ray normal, Computerised tomogram head normal, Confusional state
Clinical narrative: Hospitalized (11.15.21);  COVID-19 positive (11.15.21);  fully vaccinated  Admission Date: 11/15/2021 Discharge Date: Nov 19, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID [U07.1] COVID-19 [U07.1] HOSPITAL COURSE: 81-year-old female with past medical history of hypertension, hypothyroidism, asthma, seasonal allergies on chronic prednisone who presented to emergency room on 11/15 with slurred speech and confusion.  There was initial concern for stroke.  CT head was negative for acute abnormalities.  CT angiogram head and neck did show tubular 3 mm aneurysm protruding from the carotid arteries.  Other notable tests were positive COVID PCR, positive UA, hypokalemia, hypomagnesemia, elevated D-dimer and inflammatory markers.  Chest x-ray was clear.  Blood cultures were obtained which remained negative.  Patient was started on Rocephin. Patient was admitted for further assessment and management.  Neurology were on consult.  MRI of the brain did not show evidence of acute ischemic infarction, although there was comment on mild chronic small-vessel ischemic changes, chronic bilateral basal ganglia lacunar infarctions, age-appropriate brain atrophy.  Neurology recommended aspirin and statin as well as optimizing cardiovascular risk profile, they also recommended zio patch on discharge and outpatient neurosurgery follow-up for small aneurysms.  Patient's confusion improved by the following day.  Based on her history, she did qualify for monoclonal antibody for COVID and received this on 11/17.  Patient's respiratory status was monitored closely and did not require oxygen.  Initially physical therapy recommended subacute rehabilitation, however this changed to home with PT/OT/RN services after she recovered from her infectious symptoms.  She was discharged home with home care on 11/19/2021.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysarthria, Fibrin D dimer increased, Hypokalaemia, Hypomagnesaemia, Infection
Clinical narrative: Hospitalized (11.15.21);  COVID-19 positive (11.15.21);  fully vaccinated  Admission Date: 11/15/2021 Discharge Date: Nov 19, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID [U07.1] COVID-19 [U07.1] HOSPITAL COURSE: 81-year-old female with past medical history of hypertension, hypothyroidism, asthma, seasonal allergies on chronic prednisone who presented to emergency room on 11/15 with slurred speech and confusion.  There was initial concern for stroke.  CT head was negative for acute abnormalities.  CT angiogram head and neck did show tubular 3 mm aneurysm protruding from the carotid arteries.  Other notable tests were positive COVID PCR, positive UA, hypokalemia, hypomagnesemia, elevated D-dimer and inflammatory markers.  Chest x-ray was clear.  Blood cultures were obtained which remained negative.  Patient was started on Rocephin. Patient was admitted for further assessment and management.  Neurology were on consult.  MRI of the brain did not show evidence of acute ischemic infarction, although there was comment on mild chronic small-vessel ischemic changes, chronic bilateral basal ganglia lacunar infarctions, age-appropriate brain atrophy.  Neurology recommended aspirin and statin as well as optimizing cardiovascular risk profile, they also recommended zio patch on discharge and outpatient neurosurgery follow-up for small aneurysms.  Patient's confusion improved by the following day.  Based on her history, she did qualify for monoclonal antibody for COVID and received this on 11/17.  Patient's respiratory status was monitored closely and did not require oxygen.  Initially physical therapy recommended subacute rehabilitation, however this changed to home with PT/OT/RN services after she recovered from her infectious symptoms.  She was discharged home with home care on 11/19/2021.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inflammatory marker increased, Lacunar infarction, Magnetic resonance imaging head abnormal, SARS-CoV-2 test positive, Urine analysis abnormal
Clinical narrative: Hospitalized (11.15.21);  COVID-19 positive (11.15.21);  fully vaccinated  Admission Date: 11/15/2021 Discharge Date: Nov 19, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID [U07.1] COVID-19 [U07.1] HOSPITAL COURSE: 81-year-old female with past medical history of hypertension, hypothyroidism, asthma, seasonal allergies on chronic prednisone who presented to emergency room on 11/15 with slurred speech and confusion.  There was initial concern for stroke.  CT head was negative for acute abnormalities.  CT angiogram head and neck did show tubular 3 mm aneurysm protruding from the carotid arteries.  Other notable tests were positive COVID PCR, positive UA, hypokalemia, hypomagnesemia, elevated D-dimer and inflammatory markers.  Chest x-ray was clear.  Blood cultures were obtained which remained negative.  Patient was started on Rocephin. Patient was admitted for further assessment and management.  Neurology were on consult.  MRI of the brain did not show evidence of acute ischemic infarction, although there was comment on mild chronic small-vessel ischemic changes, chronic bilateral basal ganglia lacunar infarctions, age-appropriate brain atrophy.  Neurology recommended aspirin and statin as well as optimizing cardiovascular risk profile, they also recommended zio patch on discharge and outpatient neurosurgery follow-up for small aneurysms.  Patient's confusion improved by the following day.  Based on her history, she did qualify for monoclonal antibody for COVID and received this on 11/17.  Patient's respiratory status was monitored closely and did not require oxygen.  Initially physical therapy recommended subacute rehabilitation, however this changed to home with PT/OT/RN services after she recovered from her infectious symptoms.  She was discharged home with home care on 11/19/2021.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Cough, Diarrhoea, Fatigue, Headache
Clinical narrative: Fever of 101.2F and chills, severe night sweats, dry cough, body aches, fatigue, headache and diarrhea. Headache and diarrhea lasted for 1 week. Chills, fever, cough and body aches lasted 2 weeks. Night sweats and fatigue still persist 5 weeks later.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Night sweats, Pain, Pyrexia
Clinical narrative: Fever of 101.2F and chills, severe night sweats, dry cough, body aches, fatigue, headache and diarrhea. Headache and diarrhea lasted for 1 week. Chills, fever, cough and body aches lasted 2 weeks. Night sweats and fatigue still persist 5 weeks later.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: shingles
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pain, Injection site pruritus, Injection site swelling
Clinical narrative: The day following vaccination, soreness and swelling started to worsen. Arm visibly red and hot to the touch. This area has increased the following 2 days after vaccination. There is now a hard area under the vaccination site. Arm hurts to the touch and is itchy.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth
Clinical narrative: The day following vaccination, soreness and swelling started to worsen. Arm visibly red and hot to the touch. This area has increased the following 2 days after vaccination. There is now a hard area under the vaccination site. Arm hurts to the touch and is itchy.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Somnolence
Clinical narrative: The patient had requested and consented to receiving a Janssen COVID booster dose, after having received Janssen for his first dose.  He was accidently given a 0.5 ml dose of the Pfizer COVID vaccine instead.  The only adverse effect reported by the patient was drowsiness the day following the vaccine which resolved by the following day.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis
Clinical narrative: Myocarditis starting 8 mo after vaccination
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Cough, Fatigue, Pain, Pulmonary congestion
Clinical narrative: Infected at a large event with some kind of viral infection. Others infected at same event ended up at urgent care with me getting tested for Covid-19. Tested negative three times over the course of treatment. Experienced cough, body aches, fatigue, sinus drainage, fever. Directed to over-the-counter mucinex. Symtoms worsened after week. Prescribed antibiotic, steroid routine, and inhaler with chest Xrays ordered by urgent care. Results of xrays revealed pneumonia in both lungs. It was difficult to lay down and sleep because of congestion in lungs. Lots of coughing, body aches, and severe fatigue. When I met with my doctor,  she changed the steroid routine and the inhaler. Out of work from June 21, 2021 through July 19, 2021. Fully recovered by August 23, 2021
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test negative, Sinus disorder
Clinical narrative: Infected at a large event with some kind of viral infection. Others infected at same event ended up at urgent care with me getting tested for Covid-19. Tested negative three times over the course of treatment. Experienced cough, body aches, fatigue, sinus drainage, fever. Directed to over-the-counter mucinex. Symtoms worsened after week. Prescribed antibiotic, steroid routine, and inhaler with chest Xrays ordered by urgent care. Results of xrays revealed pneumonia in both lungs. It was difficult to lay down and sleep because of congestion in lungs. Lots of coughing, body aches, and severe fatigue. When I met with my doctor,  she changed the steroid routine and the inhaler. Out of work from June 21, 2021 through July 19, 2021. Fully recovered by August 23, 2021
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Oral pruritus, Pruritus
Clinical narrative: Moderna Booster: Patient is reporting extreme itching in scalp. Itching in hands, and  Itching in mouth.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Skin wrinkling, Vulvovaginal rash
Clinical narrative: Received a bad rash on my thighs and my vulva and creases of my legs
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Joint pain in left upper extremity including hand, worst, elbow, shoulder, and into shoulder blade and neck. Joint pain has continued off/on (at least 3 days per week) since vaccination (now 16 weeks), mostly occurring from elbow to wrist/hand, but occasionally still affecting shoulder/shoulder blades/neck.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine administered beyond the Best Used Date but before expiration date.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse reaction, Atrioventricular block, Blood test, Chest pain, Computerised tomogram
Clinical narrative: No issues at injection site, no adverse reaction until 11/25@11 pm.  Rapid onset of severe chest pain after walking dog before bed.  Couldn't sleep.  Called 911 and took ambulance to ER at 3:30 am 11/26/2021.  Got EKG before leaving house and I believe it showed problem w/ rt atrium.  Upon arrival another EKG showed no issue w/ rt atrium, but a blockage (secondary?).  Received 81 mg * (3 or 4) aspirin, 100 units nitro, fentanyl and something for nausea in ambulance, and antibiotics when I arrived in the ER. Began feeling better, then admitted to hospital. WBC count was high.  After leaving hospital w/ antibiotics, WBC count was normal, but I developed a persistent cough, which got progressively worse as the day went on, and also worse each day.  Currently I have a persistent cough and shortness of breath.  I'm taking various day & night cough medicines, 200 units ibuprofen and 100 mg benzonatate, both 3 x/d, and my prescription meds for blood pressure and cholesterol. Note that I am supportive of the vaccines, think the m-RNA technology is a major positive breakthrough in medicine, and believe the staff are managing my care in a competent manner. I got the over 65 yrs old seasonal flu vaccine.  I have no idea which one or the exact date, but it was more than 2 weeks earlier than the pfizer booster.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Echocardiogram, Electrocardiogram abnormal, Insomnia
Clinical narrative: No issues at injection site, no adverse reaction until 11/25@11 pm.  Rapid onset of severe chest pain after walking dog before bed.  Couldn't sleep.  Called 911 and took ambulance to ER at 3:30 am 11/26/2021.  Got EKG before leaving house and I believe it showed problem w/ rt atrium.  Upon arrival another EKG showed no issue w/ rt atrium, but a blockage (secondary?).  Received 81 mg * (3 or 4) aspirin, 100 units nitro, fentanyl and something for nausea in ambulance, and antibiotics when I arrived in the ER. Began feeling better, then admitted to hospital. WBC count was high.  After leaving hospital w/ antibiotics, WBC count was normal, but I developed a persistent cough, which got progressively worse as the day went on, and also worse each day.  Currently I have a persistent cough and shortness of breath.  I'm taking various day & night cough medicines, 200 units ibuprofen and 100 mg benzonatate, both 3 x/d, and my prescription meds for blood pressure and cholesterol. Note that I am supportive of the vaccines, think the m-RNA technology is a major positive breakthrough in medicine, and believe the staff are managing my care in a competent manner. I got the over 65 yrs old seasonal flu vaccine.  I have no idea which one or the exact date, but it was more than 2 weeks earlier than the pfizer booster.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, White blood cell count increased, X-ray
Clinical narrative: No issues at injection site, no adverse reaction until 11/25@11 pm.  Rapid onset of severe chest pain after walking dog before bed.  Couldn't sleep.  Called 911 and took ambulance to ER at 3:30 am 11/26/2021.  Got EKG before leaving house and I believe it showed problem w/ rt atrium.  Upon arrival another EKG showed no issue w/ rt atrium, but a blockage (secondary?).  Received 81 mg * (3 or 4) aspirin, 100 units nitro, fentanyl and something for nausea in ambulance, and antibiotics when I arrived in the ER. Began feeling better, then admitted to hospital. WBC count was high.  After leaving hospital w/ antibiotics, WBC count was normal, but I developed a persistent cough, which got progressively worse as the day went on, and also worse each day.  Currently I have a persistent cough and shortness of breath.  I'm taking various day & night cough medicines, 200 units ibuprofen and 100 mg benzonatate, both 3 x/d, and my prescription meds for blood pressure and cholesterol. Note that I am supportive of the vaccines, think the m-RNA technology is a major positive breakthrough in medicine, and believe the staff are managing my care in a competent manner. I got the over 65 yrs old seasonal flu vaccine.  I have no idea which one or the exact date, but it was more than 2 weeks earlier than the pfizer booster.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: PATIENT RECEIVED VACCINE THAT EXPERIENCED A TEMPERATURE EXCURSION, VACCINE WAS KEPT IN THE REFRIGERATOR FOR MORE THAN 30 DAYS. PATIENT DID NOT HAVE ANY ADVERSE REACTIONS
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: headache, fever-99.5, chills, body aches starting 11/19/21
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Muscular weakness
Clinical narrative: Sore arm at injection site. Muscle weakness for approximately 3 days, continually diminishing. Back to normal 72 hours later.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chromaturia, Dyspnoea, Lymphadenopathy, Myalgia
Clinical narrative: The day after the Pfizer booster vaccine, pt started developing myalgias, arthralgias, fever. Now she is having shortness of breath, fever, left arm swelling and tenderness, left axilla lymphadenopathy, dark colored urine.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pyrexia, Tenderness
Clinical narrative: The day after the Pfizer booster vaccine, pt started developing myalgias, arthralgias, fever. Now she is having shortness of breath, fever, left arm swelling and tenderness, left axilla lymphadenopathy, dark colored urine.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, Paraesthesia
Clinical narrative: started experience a tingling or stinging in hands about 4 days after 1st shot did not link it to vaccine until had the 2nd shot and it got worse now have this to happen most every day seems as  heat ,coughing ,and getting agitated sets it off especially heat . Media and agency needs to report side effects and let people know what they are taking . I for one will not take another vaccine or booster  nor will anyone of my family members. I thought Pfizer was approved by health authority found out afterwards it was just EUA approved Emergency Use Authorization only
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Dyspnoea exertional, Fatigue, Magnetic resonance imaging abnormal
Clinical narrative: CHIEF COMPLAINT:   pt c/o fever starting approx 11am today.  It was just walkin and told to come for further workup.  -sob, cp, n/v/d.  Pt had Covid booster 4 days ago.  Pt just had an MRI with some abnormal findings.   HISTORY OF PRESENT ILLNESS:     Patient is a 75-year-old male who presents emergency department with fever.  Patient states that this morning he started to feel very weak and tired.  He states that he noticed that he had a fever of 102.  He went to the walk-in with his significant other and was advised to come to the emergency department for evaluation.  Patient states that he has recently undergone testing and there is concern that he may have cancer.  He states that he feels generally tired.  He states that he does feel short of breath with any exertion.  He has not been coughing.  He denies nausea, vomiting, diarrhea.  He did receive his Covid booster about 4 days ago.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: CHIEF COMPLAINT:   pt c/o fever starting approx 11am today.  It was just walkin and told to come for further workup.  -sob, cp, n/v/d.  Pt had Covid booster 4 days ago.  Pt just had an MRI with some abnormal findings.   HISTORY OF PRESENT ILLNESS:     Patient is a 75-year-old male who presents emergency department with fever.  Patient states that this morning he started to feel very weak and tired.  He states that he noticed that he had a fever of 102.  He went to the walk-in with his significant other and was advised to come to the emergency department for evaluation.  Patient states that he has recently undergone testing and there is concern that he may have cancer.  He states that he feels generally tired.  He states that he does feel short of breath with any exertion.  He has not been coughing.  He denies nausea, vomiting, diarrhea.  He did receive his Covid booster about 4 days ago.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Skin irritation
Clinical narrative: COVID arm. Very large rash. Red and irritated.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Blood iron decreased, Blood test, Diarrhoea, Glucose tolerance impaired, Haematemesis
Clinical narrative: After the vaccine 26 hours later - sore arm but 2pm I got fever 101 and did not go away for weeks. Called PCP for 3 weeks and did not get to see the doctor. Bottom of feet was sweating and sweating all over and vomiting and diarrhea and I was supposed to take second dose. My fever went down and got the shot and fever ended after the 2nd shot. 2 days after my 2nd dose, I had menstrual flow and it never stopped and very heavy from April to October 14, 2021. Sent endocrinologist and got conflicting information. Months later, there was improvement and need to get sugars down. No more prediabetic and Hashimoto's in 11 Oct 2021. Menstrual bleeding stopped 14 Oct 2021 for 25 days. Underlying condition 2014 - arrhythmia and defibrillator, gastric bypass weight surgery in September 2008  and endoscopy and saw blood and severe infection in stomach and in Jun had endoscopy, OB/GYN and hematologist and other specialized, flared up and swelled up and internally. Blood cells were tiny, no B12 in liver. Still having endoscopy in December 2021. Haven't eaten any solid foods.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Hyperhidrosis, Pain in extremity, Pyrexia, Weight decreased
Clinical narrative: After the vaccine 26 hours later - sore arm but 2pm I got fever 101 and did not go away for weeks. Called PCP for 3 weeks and did not get to see the doctor. Bottom of feet was sweating and sweating all over and vomiting and diarrhea and I was supposed to take second dose. My fever went down and got the shot and fever ended after the 2nd shot. 2 days after my 2nd dose, I had menstrual flow and it never stopped and very heavy from April to October 14, 2021. Sent endocrinologist and got conflicting information. Months later, there was improvement and need to get sugars down. No more prediabetic and Hashimoto's in 11 Oct 2021. Menstrual bleeding stopped 14 Oct 2021 for 25 days. Underlying condition 2014 - arrhythmia and defibrillator, gastric bypass weight surgery in September 2008  and endoscopy and saw blood and severe infection in stomach and in Jun had endoscopy, OB/GYN and hematologist and other specialized, flared up and swelled up and internally. Blood cells were tiny, no B12 in liver. Still having endoscopy in December 2021. Haven't eaten any solid foods.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: Random feelings of pin pricks throughout entire body (face, legs, arms, hands, feet)
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Heart rate increased, Hyperhidrosis, Immediate post-injection reaction, Pyrexia
Clinical narrative: Heavy sweating: immediately for 3 days, sporadically for 3 months. Spontaneous sweat returned with booster but not as dramatically Fever: first two days Fatigue: for about 10 days after the shot Elevated heart rate: for approximately the first three days after shot