chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dizziness, Dysphonia, Dyspnoea, Ear pain
Clinical narrative: After the vaccine, within 45 minutes I felt feverish my left arm was dead, I could not move my arm and it last for three days. I got severe dizziness, I could not walk, my eyes were black out but I did not pass out, I felt a lot of nausea, I felt numbness in my arm, upper torso area, I felt like needles in my body, severe headaches, my face was swallowed, my mouth was blister, I could not eat I had nausea, my joints felt like broken. My voice was changed, it was shaken. I experienced the numbness for 1 1/2 week. Yesterday I experienced numbness in my right wrist. I went to see a doctor three days after the vaccine and doctor said I am allergic to the vaccine. Dr said I got COVID-19 the same time that I got the vaccine. Doctor gave medicine for 12 days (prednisone) and Benadryl. I had fever 103-104, left chest pain, shortage of breath, constant coughing, congestion, bad throat, pain in my ears, neck. Constant sneezing, my eyes burned. I saw the doctor on the 15th, and I was hospital.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Eye irritation, Feeding disorder, Gait inability, Headache, Hypersensitivity
Clinical narrative: After the vaccine, within 45 minutes I felt feverish my left arm was dead, I could not move my arm and it last for three days. I got severe dizziness, I could not walk, my eyes were black out but I did not pass out, I felt a lot of nausea, I felt numbness in my arm, upper torso area, I felt like needles in my body, severe headaches, my face was swallowed, my mouth was blister, I could not eat I had nausea, my joints felt like broken. My voice was changed, it was shaken. I experienced the numbness for 1 1/2 week. Yesterday I experienced numbness in my right wrist. I went to see a doctor three days after the vaccine and doctor said I am allergic to the vaccine. Dr said I got COVID-19 the same time that I got the vaccine. Doctor gave medicine for 12 days (prednisone) and Benadryl. I had fever 103-104, left chest pain, shortage of breath, constant coughing, congestion, bad throat, pain in my ears, neck. Constant sneezing, my eyes burned. I saw the doctor on the 15th, and I was hospital.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Mobility decreased, Nausea, Neck pain, Oral mucosal blistering
Clinical narrative: After the vaccine, within 45 minutes I felt feverish my left arm was dead, I could not move my arm and it last for three days. I got severe dizziness, I could not walk, my eyes were black out but I did not pass out, I felt a lot of nausea, I felt numbness in my arm, upper torso area, I felt like needles in my body, severe headaches, my face was swallowed, my mouth was blister, I could not eat I had nausea, my joints felt like broken. My voice was changed, it was shaken. I experienced the numbness for 1 1/2 week. Yesterday I experienced numbness in my right wrist. I went to see a doctor three days after the vaccine and doctor said I am allergic to the vaccine. Dr said I got COVID-19 the same time that I got the vaccine. Doctor gave medicine for 12 days (prednisone) and Benadryl. I had fever 103-104, left chest pain, shortage of breath, constant coughing, congestion, bad throat, pain in my ears, neck. Constant sneezing, my eyes burned. I saw the doctor on the 15th, and I was hospital.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort, Paraesthesia, Pyrexia, Respiratory tract congestion, Sneezing
Clinical narrative: After the vaccine, within 45 minutes I felt feverish my left arm was dead, I could not move my arm and it last for three days. I got severe dizziness, I could not walk, my eyes were black out but I did not pass out, I felt a lot of nausea, I felt numbness in my arm, upper torso area, I felt like needles in my body, severe headaches, my face was swallowed, my mouth was blister, I could not eat I had nausea, my joints felt like broken. My voice was changed, it was shaken. I experienced the numbness for 1 1/2 week. Yesterday I experienced numbness in my right wrist. I went to see a doctor three days after the vaccine and doctor said I am allergic to the vaccine. Dr said I got COVID-19 the same time that I got the vaccine. Doctor gave medicine for 12 days (prednisone) and Benadryl. I had fever 103-104, left chest pain, shortage of breath, constant coughing, congestion, bad throat, pain in my ears, neck. Constant sneezing, my eyes burned. I saw the doctor on the 15th, and I was hospital.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: After the vaccine, within 45 minutes I felt feverish my left arm was dead, I could not move my arm and it last for three days. I got severe dizziness, I could not walk, my eyes were black out but I did not pass out, I felt a lot of nausea, I felt numbness in my arm, upper torso area, I felt like needles in my body, severe headaches, my face was swallowed, my mouth was blister, I could not eat I had nausea, my joints felt like broken. My voice was changed, it was shaken. I experienced the numbness for 1 1/2 week. Yesterday I experienced numbness in my right wrist. I went to see a doctor three days after the vaccine and doctor said I am allergic to the vaccine. Dr said I got COVID-19 the same time that I got the vaccine. Doctor gave medicine for 12 days (prednisone) and Benadryl. I had fever 103-104, left chest pain, shortage of breath, constant coughing, congestion, bad throat, pain in my ears, neck. Constant sneezing, my eyes burned. I saw the doctor on the 15th, and I was hospital.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect Dose Moderna booster dose administered was 0.5 milliliters. Booster dose should have been 0.25 milliliters.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Condition aggravated, Cystitis haemorrhagic, Gait inability
Clinical narrative: Patient received a booster dose (0.25ml) on 11/23/21.  Symptoms began at 9pm on 11/23/21.  Included chills, headache, muscle and joint pain.  Upon waking on 11/24/21, hips and both legs experienced excruciating pain, numbness, and tingling.  Numbness and tingling in legs were present as a result of MS, however, after injection, the numbness and tingling were greatly exacerbated and amplified.  Continued to worsen throughout the day.  Went to the emergency room at about 5pm (11/24/21).  Was unable to walk without assistance and could barely feel legs.  Due to  MS history, ER physician thought it was best not to give MS steroid protocol since patient had just received the booster less than 24 hours prior and that would negate the steroid's effects.  Was given a prescription for Duloxetine at discharge from ER to help with nerve pain.  No other tests or labs were ordered by ER staff.   The following morning (11/25/21), she noticed urine was dark brown.  Went to nearby clinic where a urinalysis was performed and was diagnosed with hemorrhagic cystitis without infection.  Physician prescribed nitrofurantion and told patient to follow up with primary physician if symptoms did not improve after 7 days.  All initial symptoms continued through Saturday (11/27/21) and continued to decrease each day thereafter.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Myalgia, Pain in extremity, Paraesthesia
Clinical narrative: Patient received a booster dose (0.25ml) on 11/23/21.  Symptoms began at 9pm on 11/23/21.  Included chills, headache, muscle and joint pain.  Upon waking on 11/24/21, hips and both legs experienced excruciating pain, numbness, and tingling.  Numbness and tingling in legs were present as a result of MS, however, after injection, the numbness and tingling were greatly exacerbated and amplified.  Continued to worsen throughout the day.  Went to the emergency room at about 5pm (11/24/21).  Was unable to walk without assistance and could barely feel legs.  Due to  MS history, ER physician thought it was best not to give MS steroid protocol since patient had just received the booster less than 24 hours prior and that would negate the steroid's effects.  Was given a prescription for Duloxetine at discharge from ER to help with nerve pain.  No other tests or labs were ordered by ER staff.   The following morning (11/25/21), she noticed urine was dark brown.  Went to nearby clinic where a urinalysis was performed and was diagnosed with hemorrhagic cystitis without infection.  Physician prescribed nitrofurantion and told patient to follow up with primary physician if symptoms did not improve after 7 days.  All initial symptoms continued through Saturday (11/27/21) and continued to decrease each day thereafter.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis abnormal
Clinical narrative: Patient received a booster dose (0.25ml) on 11/23/21.  Symptoms began at 9pm on 11/23/21.  Included chills, headache, muscle and joint pain.  Upon waking on 11/24/21, hips and both legs experienced excruciating pain, numbness, and tingling.  Numbness and tingling in legs were present as a result of MS, however, after injection, the numbness and tingling were greatly exacerbated and amplified.  Continued to worsen throughout the day.  Went to the emergency room at about 5pm (11/24/21).  Was unable to walk without assistance and could barely feel legs.  Due to  MS history, ER physician thought it was best not to give MS steroid protocol since patient had just received the booster less than 24 hours prior and that would negate the steroid's effects.  Was given a prescription for Duloxetine at discharge from ER to help with nerve pain.  No other tests or labs were ordered by ER staff.   The following morning (11/25/21), she noticed urine was dark brown.  Went to nearby clinic where a urinalysis was performed and was diagnosed with hemorrhagic cystitis without infection.  Physician prescribed nitrofurantion and told patient to follow up with primary physician if symptoms did not improve after 7 days.  All initial symptoms continued through Saturday (11/27/21) and continued to decrease each day thereafter.
Age: 5.0
Sex: M
Vaccine: FLUA4
Symptoms: Wrong product administered
Clinical narrative: MA pulled vaccine from private insurance stock without realizing influenza was under a different stock
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Hallucination, auditory, Headache, Pain, Pyrexia
Clinical narrative: Developed fever, aches, chills and headache within 8 hrs of dose. Developed auditory hallucinations which have persisted intermittently since that time. Persistent, tension type headaches also persisting.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Tension headache
Clinical narrative: Developed fever, aches, chills and headache within 8 hrs of dose. Developed auditory hallucinations which have persisted intermittently since that time. Persistent, tension type headaches also persisting.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: A severe Rash that lasted 2 weeks over entire body
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bursitis, Magnetic resonance imaging, Periarthritis, Sleep disorder
Clinical narrative: 09/01/2021-Noticed that my right shoulder and mention the joint pain in the shoulder, still same pain, so much that I could not sleep. I went back to the ortho on 09/08/2021 Cortisone injection in that shoulder. I doing a PT for about several weeks, now I had an MRI scheduled because the PT is not working. On 11/05/2021 MRI- I have fraying and probable digenite labrum. I am not back in PT and ongoing. Just started back on 11/29/2021.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Tendon disorder
Clinical narrative: 09/01/2021-Noticed that my right shoulder and mention the joint pain in the shoulder, still same pain, so much that I could not sleep. I went back to the ortho on 09/08/2021 Cortisone injection in that shoulder. I doing a PT for about several weeks, now I had an MRI scheduled because the PT is not working. On 11/05/2021 MRI- I have fraying and probable digenite labrum. I am not back in PT and ongoing. Just started back on 11/29/2021.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine
Clinical narrative: Migraines for following 3 months. Prescribed meds for migraine.
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Patient admitted 11/27/2021 on Inpatient Status with weakness and shortness of breath after speaking with the Telephone Nurse Advisor.  He was tested for COVID on 11/26/2021 and the results were Positive.  He has been Vaccinated with the Moderna vaccine (2/11/21 and 3/12/21) but had not received a booster yet.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect Dose Moderna booster dose administered was 0.5 milliliters. Booster dose should have been 0.25 milliliters.
Age: 24.0
Sex: F
Vaccine: FLU4
Symptoms: Influenza like illness, Injection site pruritus
Clinical narrative: Flu like symptoms, severe itching at injection site
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Cardiac discomfort, Condition aggravated, Fatigue, Headache
Clinical narrative: After initial 1 day symptoms of arm pain, headache, high resting heart rate, and fatigue abated (similar to second shot), different symptoms persisted:  1) Vertigo / feeling off balance, even when sitting - like sea sickness 2) Heart thumping or palpitations, and sometimes discomfort - feels like my heart is racing 3) Continued elevated heart rate - resting heart rate around 75 compared to 60 normally
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Motion sickness, Pain in extremity, Palpitations, Vertigo
Clinical narrative: After initial 1 day symptoms of arm pain, headache, high resting heart rate, and fatigue abated (similar to second shot), different symptoms persisted:  1) Vertigo / feeling off balance, even when sitting - like sea sickness 2) Heart thumping or palpitations, and sometimes discomfort - feels like my heart is racing 3) Continued elevated heart rate - resting heart rate around 75 compared to 60 normally
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Chills, Fatigue
Clinical narrative: I started to get a splitting headache and my nose started running out of nowhere. For a couple of days before that I felt really sore and I did not think it was anything. I had chills that evening. The next day I had complete exhaustion and I had no sense of taste or smell. It has been five days and I still can't taste or smell. It feels like I have a bad flu. I feel really tired and achy and as the day goes on I feel more congested. I did a rapid test at home and it was positive. On the third day I had a PCR test and it was positive.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Influenza, Pain, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: I started to get a splitting headache and my nose started running out of nowhere. For a couple of days before that I felt really sore and I did not think it was anything. I had chills that evening. The next day I had complete exhaustion and I had no sense of taste or smell. It has been five days and I still can't taste or smell. It feels like I have a bad flu. I feel really tired and achy and as the day goes on I feel more congested. I did a rapid test at home and it was positive. On the third day I had a PCR test and it was positive.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I started to get a splitting headache and my nose started running out of nowhere. For a couple of days before that I felt really sore and I did not think it was anything. I had chills that evening. The next day I had complete exhaustion and I had no sense of taste or smell. It has been five days and I still can't taste or smell. It feels like I have a bad flu. I feel really tired and achy and as the day goes on I feel more congested. I did a rapid test at home and it was positive. On the third day I had a PCR test and it was positive.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus in both ears on day of vaccination that did not subside. PCP prescribed corticosteroids, which did not  help. Was referred to ENT.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered
Clinical narrative: Incorrect Dose Moderna booster dose administered was 0.5 milliliters. Booster dose should have been 0.25 milliliters.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Extra dose administered, Fatigue, Incorrect dose administered, Myalgia
Clinical narrative: Incorrect Dose Moderna booster dose administered was 0.5 milliliters. Booster dose should have been 0.25 milliliters.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Sleep disorder
Clinical narrative: Incorrect Dose Moderna booster dose administered was 0.5 milliliters. Booster dose should have been 0.25 milliliters.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: PATIENT IS ONLY 16 AND RECEIVED MODERNA VACCINE AS FIRST DOSE.  NO ADVERSE SIGNS OR SYMPTOMS.
Age: 42.0
Sex: M
Vaccine: FLU4
Symptoms: Injected limb mobility decreased, Injection site pain, Musculoskeletal stiffness, Pain
Clinical narrative: persistent muscle soreness in left arm (site of injection) with onset of increased pain with movement, stiffness and decreased range of motion noted 9 days after receiving vaccine. Pt used occasional doses of ibuprofen or tylenol without much relief and has  not been evaluated by a medical provider as of yet. Self referred to physical therapy which he will see on 12/1/2021.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Immune thrombocytopenia, Immunoglobulin therapy, Petechiae, Platelet count decreased, Vaccination complication
Clinical narrative: Doctor believes the booster shot caused ITP. Platelet count was at 6 Thousand/uL on 2021/11/16. Rebound to 119 Thousand/uL on 11/30/2021 after treatment with Prednisone and IVig.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Laboratory test
Clinical narrative: Chest pain and tightness, baby aspirin was given. Ambulance was called and taken to the hospital.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Condition aggravated, Dizziness, Hypertension, Injection site rash
Clinical narrative: TACHYCARDIA, BROKE OUT IN HIVES AN RASH ON CHEST, BACK AND I NJECTION SITE, HYPERTENSION, WHEEZING, TIGHTENING IN CHEST, DIZZINESS
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Tachycardia, Urticaria, Wheezing
Clinical narrative: TACHYCARDIA, BROKE OUT IN HIVES AN RASH ON CHEST, BACK AND I NJECTION SITE, HYPERTENSION, WHEEZING, TIGHTENING IN CHEST, DIZZINESS
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Pyrexia, Respiratory symptom
Clinical narrative: Admitted to hospital with worsened abdominal pain, fever, and respiratory symptoms.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID-19 virus after all three doses of the vaccination. Received antibodies infusion on 11/24/2021.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect Dose Moderna booster dose administered was 0.5 milliliters. Booster dose should have been 0.25 milliliters.
Age: 44.0
Sex: F
Vaccine: FLUR4
Symptoms: Arthralgia, Mobility decreased, Myalgia, Neck pain, Pain
Clinical narrative: Pain in shoulder that radiates into neck and down arm. Pain in muscle of arm. Not able to arm above shoulder, not able to lift objects in right arm.
Age: 44.0
Sex: F
Vaccine: FLUR4
Symptoms: Pain in extremity
Clinical narrative: Pain in shoulder that radiates into neck and down arm. Pain in muscle of arm. Not able to arm above shoulder, not able to lift objects in right arm.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Erythema, Glossitis
Clinical narrative: Pfizer dose 1 administered to patient @ 9:30am. Approximately 5-10 minutes later patient had shortness of breath, redness of skin, and tongue inflammation. Pharmacist administered diphenhydramine 50 mg and ibuprofen 600mg to help combat reaction. Patient symptoms did not improve. EMS dispatched to check on patient. EMS transported patient at 10:05am
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Patient was contacted that evening and reported no adverse affects.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood test, Chest X-ray, Chills, Computerised tomogram abdomen abnormal
Clinical narrative: 11/16/2021: Received Moderna booster shot around 10am. Started to feel nauseated around 5pm. By 10pm, was throwing up violently multiple times, stomach cramps, fever, chills, diarrhea, body aches 11/17/2021: Stayed home from work with nausea, diarrhea and body aches and fatigue. Epigastic pain (about 4 inches above belly button was severe). 11/18/2021: Went to work but epigastric pain continued, nausea, fatigue, head aches 11/19/2021: Nausea and epigastic pain continued Sun 11/21/2021: Went to ER d/t epigastric pain. Had CXR, EKG, labs and CT scan abd. Labs: D-dimer elevated to 651. CT found "mild heterogeneity of the liver with possible periportal edema. Gallbladder wall is edematous with distention. No stones.  C T impression: Abnormal liver with possible hepatitis. Gallbladder wall edema likely related to underlying liver disease. (Patient has no hx of liver issues). 11/22/2021: Went to see PCP Doc in Clinic and she ordered fasting labs and ultrasound for next day. 11/23/2021: Fasting ultrasound showed: Diffusely heterogeneous liver. Liver 17.5 cm in length (which is enlarged). Liver notes to be heterogeneous with changes suggesting underlying hepatitis. Normal gallbladder. 11/24/2021: 7 tubes of blood drawn. Labs showed Hgb dropped by 2 points to 11. Shortness of breath started and continued. 11/29/2021: Went to ER due to shortness of breath and lightheaded. CXR, EKG and labs were done. No new findings. Awaiting final send off lab results.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dizziness, Dyspnoea, Electrocardiogram, Fasting
Clinical narrative: 11/16/2021: Received Moderna booster shot around 10am. Started to feel nauseated around 5pm. By 10pm, was throwing up violently multiple times, stomach cramps, fever, chills, diarrhea, body aches 11/17/2021: Stayed home from work with nausea, diarrhea and body aches and fatigue. Epigastic pain (about 4 inches above belly button was severe). 11/18/2021: Went to work but epigastric pain continued, nausea, fatigue, head aches 11/19/2021: Nausea and epigastic pain continued Sun 11/21/2021: Went to ER d/t epigastric pain. Had CXR, EKG, labs and CT scan abd. Labs: D-dimer elevated to 651. CT found "mild heterogeneity of the liver with possible periportal edema. Gallbladder wall is edematous with distention. No stones.  C T impression: Abnormal liver with possible hepatitis. Gallbladder wall edema likely related to underlying liver disease. (Patient has no hx of liver issues). 11/22/2021: Went to see PCP Doc in Clinic and she ordered fasting labs and ultrasound for next day. 11/23/2021: Fasting ultrasound showed: Diffusely heterogeneous liver. Liver 17.5 cm in length (which is enlarged). Liver notes to be heterogeneous with changes suggesting underlying hepatitis. Normal gallbladder. 11/24/2021: 7 tubes of blood drawn. Labs showed Hgb dropped by 2 points to 11. Shortness of breath started and continued. 11/29/2021: Went to ER due to shortness of breath and lightheaded. CXR, EKG and labs were done. No new findings. Awaiting final send off lab results.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Fibrin D dimer increased, Gallbladder oedema, Haemoglobin decreased, Headache
Clinical narrative: 11/16/2021: Received Moderna booster shot around 10am. Started to feel nauseated around 5pm. By 10pm, was throwing up violently multiple times, stomach cramps, fever, chills, diarrhea, body aches 11/17/2021: Stayed home from work with nausea, diarrhea and body aches and fatigue. Epigastic pain (about 4 inches above belly button was severe). 11/18/2021: Went to work but epigastric pain continued, nausea, fatigue, head aches 11/19/2021: Nausea and epigastic pain continued Sun 11/21/2021: Went to ER d/t epigastric pain. Had CXR, EKG, labs and CT scan abd. Labs: D-dimer elevated to 651. CT found "mild heterogeneity of the liver with possible periportal edema. Gallbladder wall is edematous with distention. No stones.  C T impression: Abnormal liver with possible hepatitis. Gallbladder wall edema likely related to underlying liver disease. (Patient has no hx of liver issues). 11/22/2021: Went to see PCP Doc in Clinic and she ordered fasting labs and ultrasound for next day. 11/23/2021: Fasting ultrasound showed: Diffusely heterogeneous liver. Liver 17.5 cm in length (which is enlarged). Liver notes to be heterogeneous with changes suggesting underlying hepatitis. Normal gallbladder. 11/24/2021: 7 tubes of blood drawn. Labs showed Hgb dropped by 2 points to 11. Shortness of breath started and continued. 11/29/2021: Went to ER due to shortness of breath and lightheaded. CXR, EKG and labs were done. No new findings. Awaiting final send off lab results.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Hepatitis, Hepatomegaly, Impaired work ability, Laboratory test, Liver disorder
Clinical narrative: 11/16/2021: Received Moderna booster shot around 10am. Started to feel nauseated around 5pm. By 10pm, was throwing up violently multiple times, stomach cramps, fever, chills, diarrhea, body aches 11/17/2021: Stayed home from work with nausea, diarrhea and body aches and fatigue. Epigastic pain (about 4 inches above belly button was severe). 11/18/2021: Went to work but epigastric pain continued, nausea, fatigue, head aches 11/19/2021: Nausea and epigastic pain continued Sun 11/21/2021: Went to ER d/t epigastric pain. Had CXR, EKG, labs and CT scan abd. Labs: D-dimer elevated to 651. CT found "mild heterogeneity of the liver with possible periportal edema. Gallbladder wall is edematous with distention. No stones.  C T impression: Abnormal liver with possible hepatitis. Gallbladder wall edema likely related to underlying liver disease. (Patient has no hx of liver issues). 11/22/2021: Went to see PCP Doc in Clinic and she ordered fasting labs and ultrasound for next day. 11/23/2021: Fasting ultrasound showed: Diffusely heterogeneous liver. Liver 17.5 cm in length (which is enlarged). Liver notes to be heterogeneous with changes suggesting underlying hepatitis. Normal gallbladder. 11/24/2021: 7 tubes of blood drawn. Labs showed Hgb dropped by 2 points to 11. Shortness of breath started and continued. 11/29/2021: Went to ER due to shortness of breath and lightheaded. CXR, EKG and labs were done. No new findings. Awaiting final send off lab results.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Ultrasound abdomen abnormal, Vomiting
Clinical narrative: 11/16/2021: Received Moderna booster shot around 10am. Started to feel nauseated around 5pm. By 10pm, was throwing up violently multiple times, stomach cramps, fever, chills, diarrhea, body aches 11/17/2021: Stayed home from work with nausea, diarrhea and body aches and fatigue. Epigastic pain (about 4 inches above belly button was severe). 11/18/2021: Went to work but epigastric pain continued, nausea, fatigue, head aches 11/19/2021: Nausea and epigastic pain continued Sun 11/21/2021: Went to ER d/t epigastric pain. Had CXR, EKG, labs and CT scan abd. Labs: D-dimer elevated to 651. CT found "mild heterogeneity of the liver with possible periportal edema. Gallbladder wall is edematous with distention. No stones.  C T impression: Abnormal liver with possible hepatitis. Gallbladder wall edema likely related to underlying liver disease. (Patient has no hx of liver issues). 11/22/2021: Went to see PCP Doc in Clinic and she ordered fasting labs and ultrasound for next day. 11/23/2021: Fasting ultrasound showed: Diffusely heterogeneous liver. Liver 17.5 cm in length (which is enlarged). Liver notes to be heterogeneous with changes suggesting underlying hepatitis. Normal gallbladder. 11/24/2021: 7 tubes of blood drawn. Labs showed Hgb dropped by 2 points to 11. Shortness of breath started and continued. 11/29/2021: Went to ER due to shortness of breath and lightheaded. CXR, EKG and labs were done. No new findings. Awaiting final send off lab results.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: 36 yrs old female healthy report having a rash in the face 25 mins after received a pfizer booster , associated with mild itchiness. patient denies any another symptoms. no swollen face/lips or tongue.  denies feeling tachycardia, denies feeling unwell.  She denies any reaction to the two prior doses of pfizer vaccine. px was observed and check physical exam wnl.  Benadryl 50 mg given and patient report feeling better rash almost resolved.  Went home with husband.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Blood test
Clinical narrative: Hair Loss
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Hyperaesthesia, Pain
Clinical narrative: Approximately 3 days after vaccination, patient developed exacerbation of her visceral hyperalgesia condition. A condition brought on by a history of pancreatitis (x3) that had been previously diagnosed and treated. The intense pain came on suddenly. She took her medications (Zofran and dilaudid) without relief and was transported via ambulance to ED. where she was treated with fluids and pain medications until the episode subsided.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Breast pain, Chest pain, Dizziness, Fatigue
Clinical narrative: Arm pain, breast/chest pain, low back nerve pain migrating to middle back pain.  Back muscular/nerve pain was intermittent and started two days after booster (nov 6 AM), resolved itself after getting up , then came back and was present all day and night Nov 11, 12.  Pain mostly managed by tylenol.  Pain is worse when lying down.  Since then, I have had spinal pain, stiffness is various places in my back, neck approximately every other day or every day since getting the booster.  This includes episodes Nov 14, 15, 16, 18, 20, 21.   Managed with tylenol.  Mon Nov 23, had dizzy vertigo spell for several hours.  As of today, most of the pain is resolved but I still have a stiff neck, fatigue.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Neuralgia, Pain, Pain in extremity, Spinal pain
Clinical narrative: Arm pain, breast/chest pain, low back nerve pain migrating to middle back pain.  Back muscular/nerve pain was intermittent and started two days after booster (nov 6 AM), resolved itself after getting up , then came back and was present all day and night Nov 11, 12.  Pain mostly managed by tylenol.  Pain is worse when lying down.  Since then, I have had spinal pain, stiffness is various places in my back, neck approximately every other day or every day since getting the booster.  This includes episodes Nov 14, 15, 16, 18, 20, 21.   Managed with tylenol.  Mon Nov 23, had dizzy vertigo spell for several hours.  As of today, most of the pain is resolved but I still have a stiff neck, fatigue.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Arm pain, breast/chest pain, low back nerve pain migrating to middle back pain.  Back muscular/nerve pain was intermittent and started two days after booster (nov 6 AM), resolved itself after getting up , then came back and was present all day and night Nov 11, 12.  Pain mostly managed by tylenol.  Pain is worse when lying down.  Since then, I have had spinal pain, stiffness is various places in my back, neck approximately every other day or every day since getting the booster.  This includes episodes Nov 14, 15, 16, 18, 20, 21.   Managed with tylenol.  Mon Nov 23, had dizzy vertigo spell for several hours.  As of today, most of the pain is resolved but I still have a stiff neck, fatigue.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Incorrect Dose Moderna booster dose administered was 0.5 milliliters. Booster dose should have been 0.25 milliliters.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Death, Pain, Pyrexia
Clinical narrative: Patient developed symptoms the following morning, fever, chills, body aches. He told his neighbor about it and she suggested he lie down and rest. He went to bed and was unable to be reached later in the day. She went to his condo around 7:30 p.m. and found him dead.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: I had hives after the vaccination and it lasted for 4 days I went to see my primary physician and she gave me steroids.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Feeling abnormal
Clinical narrative: Early in September I began to feel sick and as if I had seasonal allergies, however I began developing a cough on the 5th of September and tested positive for COVID-19. I had no fever however nasal congestion, deep rattling cough, body aches and muscle pains, extreme lethargy, brain fog, loss of smell and taste. I received monoclonal antibodies on September 9th 2021, after this infusion, there was a symptom spike of body aches and lethargy for 2 days afterwards, and then symptoms became less severe. Symptoms have improved however still lethargic and smell and taste are still low as well and brain fog in and out.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Malaise, Myalgia, Nasal congestion, Pain
Clinical narrative: Early in September I began to feel sick and as if I had seasonal allergies, however I began developing a cough on the 5th of September and tested positive for COVID-19. I had no fever however nasal congestion, deep rattling cough, body aches and muscle pains, extreme lethargy, brain fog, loss of smell and taste. I received monoclonal antibodies on September 9th 2021, after this infusion, there was a symptom spike of body aches and lethargy for 2 days afterwards, and then symptoms became less severe. Symptoms have improved however still lethargic and smell and taste are still low as well and brain fog in and out.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Early in September I began to feel sick and as if I had seasonal allergies, however I began developing a cough on the 5th of September and tested positive for COVID-19. I had no fever however nasal congestion, deep rattling cough, body aches and muscle pains, extreme lethargy, brain fog, loss of smell and taste. I received monoclonal antibodies on September 9th 2021, after this infusion, there was a symptom spike of body aches and lethargy for 2 days afterwards, and then symptoms became less severe. Symptoms have improved however still lethargic and smell and taste are still low as well and brain fog in and out.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Erythema, Lymphadenopathy, Peripheral swelling, Pruritus
Clinical narrative: Swollen, red arm, very itchy , swollen lymph nodes under arm.  Cellulitis treated with Celaphlex for 7 days
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Pericarditis
Clinical narrative: Patient was admitted to the hospital with pericarditis
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Swelling, Tongue disorder
Clinical narrative: 11:15 Client is a 37 year old female that recieved her Pfizer Booster vaccine today. She notified the vaccinator that she had a histamine reaction to her previous doses of the pfizer vaccine (rash), but had prophylactically took benadryl for her second dose and was ok, but forgot to this time. Client stated that 10 min into waiting in recovery area she started to feel swelling and have a fuzzy tongue. EMS was on site assessing client when this nurse arrived. Client A/O x3, verbal, no s/sx of distress. Nurse administered 1 Diphenhydramine HCl 25 mg, client was able to swallow medication with no problem. Nurse re-assessed client again at 11:27 and client states that the fuzzy feeling in her tongue has subsided and she is feeling much better and ok to leave. Nurse did teaching with client on monitoring for s/sx of worsening and appropriate action to take. client verbalized understanding.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cough, Decreased appetite, Fatigue
Clinical narrative: Patient presents to the ED with concerns of generalized ill feeling.  States she has had weakness and excessive fatigue for about the past week now, along with decrease in appetite.  Admits to dry cough.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, SARS-CoV-2 test positive
Clinical narrative: Patient presents to the ED with concerns of generalized ill feeling.  States she has had weakness and excessive fatigue for about the past week now, along with decrease in appetite.  Admits to dry cough.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Cerebrovascular accident, Cognitive disorder, Computerised tomogram head, Hemiparesis
Clinical narrative: Three days following Covid-19 booster dose seen in the ED with stroke symptoms.  Transferred for acute care.  Transferred back to Inpatient Rehab unit on 11/19/2021 for treatment of  left nondominant hemiparesis secondary to acute CVE, Dysphasia secondary to acute CVA and cognitive deficits socondary to acute CVA.  Had no reports of adverse effects following the First (2/12/2021) and second (3/16/2021) Moderna vaccinations.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Neurological symptom
Clinical narrative: Three days following Covid-19 booster dose seen in the ED with stroke symptoms.  Transferred for acute care.  Transferred back to Inpatient Rehab unit on 11/19/2021 for treatment of  left nondominant hemiparesis secondary to acute CVE, Dysphasia secondary to acute CVA and cognitive deficits socondary to acute CVA.  Had no reports of adverse effects following the First (2/12/2021) and second (3/16/2021) Moderna vaccinations.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain lower, Back pain, Biopsy bone normal, COVID-19, Central nervous system lesion
Clinical narrative: Please note that lot number and site of vaccine is unknown per existing electronic health record.   Patient is a 61 y.o. male who presented to ED with complaints of intractable back pain.  He endorses associated  nausea and vomiting with PO intake. Overall he states his intake has been poor and he "has eaten only a can of soup in 3 weeks". He denies diarrhea or constipation. He denies fever, chills or known illnesses. Patient reports onset of low back pain around 3 weeks ago. He is unable to report any known injury or fall prior to onset of pain. He states that his pain has worsened with onset. He states his pain has worsened since onset. He states that any movement worsens his pain and he has been unable to ambulate. He reports "a little" numbness and tingling in his BLE. He denies BLE weakness stating that pain is what is limiting his ambulation. Patient also reports onset of lower abdominal pain around the same time. He states that his abdominal pain is constant and worse with PO intake.   Respiratory: Positive for shortness of breath (chronic). Negative for cough.   Cardiovascular: Negative for chest pain, palpitations and leg swelling.  Gastrointestinal: Positive for abdominal pain (Lower abdominal pain, worse with PO intake), nausea and vomiting. Negative for diarrhea.   For COVID, the patient did not require any treatment neither was he hypoxic over the course of his isolation and afterwards. He came out of isolation on 10/1/21.  Regarding the back pain, he had an MRI on 9/27/21 that was concerning for L2-L4 discitis/osteomyelitis. On 10/1/21, he underwent a sterile bone biopsy (no antibiotics prior to biopsy) with Interventional Radiology with final cultures no growth and non-diagnostic on pathology assessment. Subsequent to the bone biopsy on 10/1, he was started on broad spectrum antibiotics, largely consisting of vancomycin/cefepime for a planned total 6 week course to end 11/11, but given development of leukopenia attributed to antibiotics, he was transitioned to suppressive doxycycline therapy 3 days earlier on 11/8/21 with Infectious input.    Patient has a known history of metastatic lung cancer. On 10/7/21, he underwent a CT Head that was concerning for a new lesions in the right frontal and parietal lobes with vasogenic edema. MRI confirmed these findings, and he had craniectomy with resection of the parietal and frontal brain masses done by Neurosurgery on 10/12/21. Pathology of the brain masses consistent with metastatic non-small cell lung cancer. He subsequently underwent stereotactic radiosurgery to the resection beds with Radiation Oncology from 11/17-11/22/21.    Discharge Disposition/Condition Disposition: Nursing facility (specify) Condition: Stable (s/sx potential problems absent or manageable)
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head abnormal, Condition aggravated, Craniectomy, Culture negative, Dyspnoea
Clinical narrative: Please note that lot number and site of vaccine is unknown per existing electronic health record.   Patient is a 61 y.o. male who presented to ED with complaints of intractable back pain.  He endorses associated  nausea and vomiting with PO intake. Overall he states his intake has been poor and he "has eaten only a can of soup in 3 weeks". He denies diarrhea or constipation. He denies fever, chills or known illnesses. Patient reports onset of low back pain around 3 weeks ago. He is unable to report any known injury or fall prior to onset of pain. He states that his pain has worsened with onset. He states his pain has worsened since onset. He states that any movement worsens his pain and he has been unable to ambulate. He reports "a little" numbness and tingling in his BLE. He denies BLE weakness stating that pain is what is limiting his ambulation. Patient also reports onset of lower abdominal pain around the same time. He states that his abdominal pain is constant and worse with PO intake.   Respiratory: Positive for shortness of breath (chronic). Negative for cough.   Cardiovascular: Negative for chest pain, palpitations and leg swelling.  Gastrointestinal: Positive for abdominal pain (Lower abdominal pain, worse with PO intake), nausea and vomiting. Negative for diarrhea.   For COVID, the patient did not require any treatment neither was he hypoxic over the course of his isolation and afterwards. He came out of isolation on 10/1/21.  Regarding the back pain, he had an MRI on 9/27/21 that was concerning for L2-L4 discitis/osteomyelitis. On 10/1/21, he underwent a sterile bone biopsy (no antibiotics prior to biopsy) with Interventional Radiology with final cultures no growth and non-diagnostic on pathology assessment. Subsequent to the bone biopsy on 10/1, he was started on broad spectrum antibiotics, largely consisting of vancomycin/cefepime for a planned total 6 week course to end 11/11, but given development of leukopenia attributed to antibiotics, he was transitioned to suppressive doxycycline therapy 3 days earlier on 11/8/21 with Infectious input.    Patient has a known history of metastatic lung cancer. On 10/7/21, he underwent a CT Head that was concerning for a new lesions in the right frontal and parietal lobes with vasogenic edema. MRI confirmed these findings, and he had craniectomy with resection of the parietal and frontal brain masses done by Neurosurgery on 10/12/21. Pathology of the brain masses consistent with metastatic non-small cell lung cancer. He subsequently underwent stereotactic radiosurgery to the resection beds with Radiation Oncology from 11/17-11/22/21.    Discharge Disposition/Condition Disposition: Nursing facility (specify) Condition: Stable (s/sx potential problems absent or manageable)
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Gait inability, Hypoaesthesia, Hypophagia, Intracranial mass, Leukopenia
Clinical narrative: Please note that lot number and site of vaccine is unknown per existing electronic health record.   Patient is a 61 y.o. male who presented to ED with complaints of intractable back pain.  He endorses associated  nausea and vomiting with PO intake. Overall he states his intake has been poor and he "has eaten only a can of soup in 3 weeks". He denies diarrhea or constipation. He denies fever, chills or known illnesses. Patient reports onset of low back pain around 3 weeks ago. He is unable to report any known injury or fall prior to onset of pain. He states that his pain has worsened with onset. He states his pain has worsened since onset. He states that any movement worsens his pain and he has been unable to ambulate. He reports "a little" numbness and tingling in his BLE. He denies BLE weakness stating that pain is what is limiting his ambulation. Patient also reports onset of lower abdominal pain around the same time. He states that his abdominal pain is constant and worse with PO intake.   Respiratory: Positive for shortness of breath (chronic). Negative for cough.   Cardiovascular: Negative for chest pain, palpitations and leg swelling.  Gastrointestinal: Positive for abdominal pain (Lower abdominal pain, worse with PO intake), nausea and vomiting. Negative for diarrhea.   For COVID, the patient did not require any treatment neither was he hypoxic over the course of his isolation and afterwards. He came out of isolation on 10/1/21.  Regarding the back pain, he had an MRI on 9/27/21 that was concerning for L2-L4 discitis/osteomyelitis. On 10/1/21, he underwent a sterile bone biopsy (no antibiotics prior to biopsy) with Interventional Radiology with final cultures no growth and non-diagnostic on pathology assessment. Subsequent to the bone biopsy on 10/1, he was started on broad spectrum antibiotics, largely consisting of vancomycin/cefepime for a planned total 6 week course to end 11/11, but given development of leukopenia attributed to antibiotics, he was transitioned to suppressive doxycycline therapy 3 days earlier on 11/8/21 with Infectious input.    Patient has a known history of metastatic lung cancer. On 10/7/21, he underwent a CT Head that was concerning for a new lesions in the right frontal and parietal lobes with vasogenic edema. MRI confirmed these findings, and he had craniectomy with resection of the parietal and frontal brain masses done by Neurosurgery on 10/12/21. Pathology of the brain masses consistent with metastatic non-small cell lung cancer. He subsequently underwent stereotactic radiosurgery to the resection beds with Radiation Oncology from 11/17-11/22/21.    Discharge Disposition/Condition Disposition: Nursing facility (specify) Condition: Stable (s/sx potential problems absent or manageable)