chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 43.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus, Urticaria
Clinical narrative: I recieved the Fluzone Vaccine, within 10 mins, i started to itch and broke out in hives. I was given benedryl and Sol Medrol. I was watched until hives went away. No EPI was given.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Oxygen saturation decreased
Clinical narrative: is a 66-year-old female who presents to the emergency room for evaluation of shortness of breath and low oxygen levels .  The patient was recently admitted to our hospital several times due to COVID 19 infection and pneumonia. She was initially diagnosed with COVID19 on July 12. Patient reports persistent shortness of breath.  Her shortness of breath is much worse with exertion. Patient reports that she has been given oxygen on August 29th.  She notes that her saturations were below 90% on home oxygen.  Patient denies any fever, chills, chest pain, hemoptysis, leg swelling, bleeding issues.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness
Clinical narrative: Patient felt dizzy during observation time. Vital signs were measured B/P 110/70, P: 86, 100% Dextrose Saturation: 105. Asian patient from home. The waiting time was extended by 20 minutes, and it was relieved. Patient leaves alert in time, place and person.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Chills, Extra dose administered, Headache
Clinical narrative: About 5pm the day of the vaccine, I started getting severe aches in my joints. I also had a fist sized bump that was hot and burning. I laid down and had a fever of 104 on and off all night. I also had severe chills and headaches as well as vomiting. Every time I took Tylenol or Advil, I would throw up. I went to the ER the next day because I couldn't get things under control. I was given sodium chloride IV and ondansetron 4mg for nausea and Tylenol 650mg all via IV. I was sent home with anti-nausea prescription. These symptoms have since resolved. They classified this as febrile with uncertain cause.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Nausea, Pyrexia, Skin warm, Swelling
Clinical narrative: About 5pm the day of the vaccine, I started getting severe aches in my joints. I also had a fist sized bump that was hot and burning. I laid down and had a fever of 104 on and off all night. I also had severe chills and headaches as well as vomiting. Every time I took Tylenol or Advil, I would throw up. I went to the ER the next day because I couldn't get things under control. I was given sodium chloride IV and ondansetron 4mg for nausea and Tylenol 650mg all via IV. I was sent home with anti-nausea prescription. These symptoms have since resolved. They classified this as febrile with uncertain cause.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: About 5pm the day of the vaccine, I started getting severe aches in my joints. I also had a fist sized bump that was hot and burning. I laid down and had a fever of 104 on and off all night. I also had severe chills and headaches as well as vomiting. Every time I took Tylenol or Advil, I would throw up. I went to the ER the next day because I couldn't get things under control. I was given sodium chloride IV and ondansetron 4mg for nausea and Tylenol 650mg all via IV. I was sent home with anti-nausea prescription. These symptoms have since resolved. They classified this as febrile with uncertain cause.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Condition aggravated, Insomnia, Pain
Clinical narrative: Heart palpitations beginning about 10 days after injection and increasing in frequency and intensity for several weeks. Then occurring at several an hour as a big "thump" for several weeks, and then gradually decreasing - first the intensity reduced, then the frequency reduced. Whole duration of increase and reduction being approximately 4 - 4 1/2 months, and, I still get them occasionally, but with way lesser intensity and frequency.  Major league joint pain beginning about 2 weeks after injection (I have had arthritis in my hips for over 20 years) in both hips, both knees, back, and hands. I tried every normal remedy including OTC pain medicine, heat, cold, creams, acupuncture, diet and lifestyle modifications, etc. I was unable to to anything without significant pain, including sleep. Lack of sleep made it all worse. It kept getting worse and worse especially in my knees and hips  until I ultimately went to see my doctor. She examined my knees and caused me considerable pain during her hands on examination. Recommended x-rays which did not show arthritis to the extend she would have expected from my demonstrated pain. And then it started to abate as well. Duration of agony was about 6 months. Now, with any insult to my immune system, it flares up again.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, X-ray normal
Clinical narrative: Heart palpitations beginning about 10 days after injection and increasing in frequency and intensity for several weeks. Then occurring at several an hour as a big "thump" for several weeks, and then gradually decreasing - first the intensity reduced, then the frequency reduced. Whole duration of increase and reduction being approximately 4 - 4 1/2 months, and, I still get them occasionally, but with way lesser intensity and frequency.  Major league joint pain beginning about 2 weeks after injection (I have had arthritis in my hips for over 20 years) in both hips, both knees, back, and hands. I tried every normal remedy including OTC pain medicine, heat, cold, creams, acupuncture, diet and lifestyle modifications, etc. I was unable to to anything without significant pain, including sleep. Lack of sleep made it all worse. It kept getting worse and worse especially in my knees and hips  until I ultimately went to see my doctor. She examined my knees and caused me considerable pain during her hands on examination. Recommended x-rays which did not show arthritis to the extend she would have expected from my demonstrated pain. And then it started to abate as well. Duration of agony was about 6 months. Now, with any insult to my immune system, it flares up again.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Condition aggravated, Headache, Parosmia, Sleep disorder
Clinical narrative: Increased smell sensitivity,  leading to more frequent headaches, also phantom smells.  Tx was chiropractic care, which has previously helped with these headaches when they become more frequent. This has not helped, and many smells are more pungent and can lead to headaches more frequently even after treatment.  I also am smelling things that are not around, such as cigarette smoke in a personal vehicle that has not been smoked in or is anywhere near anyone who may currently be smoking. This is causing anxiety and waking up from sleep and am smelling things that are not present.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Death, Respiratory arrest
Clinical narrative: Breakthrough COVID-19 case with symptom onset 8/23/2021: Runny Nose/Congestion, Cough. Hospitalized on unknown date for unknown duration. Death 8/29/2021. From Vital Records COD = ACUTE RESPIRATORY ARREST, COVID 19 PNEUMONITIS. per vital records (09/08/2021) other significant conditions: (none listed). place of death: HOSPITAL-INPATIENT PRONOUNCING AND CERTIFYING PHYSICIAN;
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID-19 case with symptom onset 8/23/2021: Runny Nose/Congestion, Cough. Hospitalized on unknown date for unknown duration. Death 8/29/2021. From Vital Records COD = ACUTE RESPIRATORY ARREST, COVID 19 PNEUMONITIS. per vital records (09/08/2021) other significant conditions: (none listed). place of death: HOSPITAL-INPATIENT PRONOUNCING AND CERTIFYING PHYSICIAN;
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Muscle spasms, Neuralgia, Pain, Pruritus
Clinical narrative: 09/27/2021- body ache. 09/29/2021- Itching, swelling of the eyes, nerve pain in hand, feet and leg, muscle spasm, whelps on legs, hand and patches of bumps that comes and disappears. 09/29/2021-virtual doctors visit-advised to come in. 09/29/2021- went in to see primary care doctor and referred to an allergist. 10/4/2021-Allergist prescribed Methylprednisolone and fexofenadine. 10/6/2021- Primary care doctor prescribed  gabapentin for nerve pain- referred to Neurologist.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: 09/27/2021- body ache. 09/29/2021- Itching, swelling of the eyes, nerve pain in hand, feet and leg, muscle spasm, whelps on legs, hand and patches of bumps that comes and disappears. 09/29/2021-virtual doctors visit-advised to come in. 09/29/2021- went in to see primary care doctor and referred to an allergist. 10/4/2021-Allergist prescribed Methylprednisolone and fexofenadine. 10/6/2021- Primary care doctor prescribed  gabapentin for nerve pain- referred to Neurologist.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Dyspnoea
Clinical narrative: Fever, muscle aches, cough, shortness of breath, nausea, vomiting, headache, loss of taste and smell, congestion
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Myalgia, Nausea, Pyrexia, Respiratory tract congestion
Clinical narrative: Fever, muscle aches, cough, shortness of breath, nausea, vomiting, headache, loss of taste and smell, congestion
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: Fever, muscle aches, cough, shortness of breath, nausea, vomiting, headache, loss of taste and smell, congestion
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient was accidentally given 2 covid vaccines by nurse inted of one covid vaccine and 1 flu shot
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient previously received the Pfizer Vaccine (does #1) at previous institution.  That vaccine is not offered at this facility. Patient meets the criteria to receive the 3rd dose of the vaccine.  It was not realized until after administration that he had previously received the Pfizer brand.  He has no adverse reactions at the current time.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Pallor, Presyncope, Tremor
Clinical narrative: Pt stated prior to vaccine, "I'm very nervous, and sometimes I have panic attacks when I have medical procedures done." Pt had a near-syncope vasovagal response. Pt was sitting up in chair, talking to this nurse, when he stated "Yeah, I think I'm going to have a panic attack with this one." Pt sat on floor, with legs crossed et stated he felt dizzy, asked this nurse if she could hold on to his hand. While this nurse was holding pt's hand, pt began squeezing hand et started to shake, pt was also very diaphoretic. This nurse asked other nurse to get pt a bottle of water, when other nurse returned to room, she instructed pt to uncross his legs to help increase blood flow. Pt did  then asked if he could lay down on floor, both nurses stated yes. Pt layed on floor, et was very pale in color. Nurse began to 'fan' pt with paper, et talked to pt, color began to slowly return to pt's face. Pt stated he was feeling better, sat up again et drank some water. Pt stated he was feeling much better at the end of visit.
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Hypoxia, Lower respiratory tract congestion, Malaise
Clinical narrative: Pt received both doses of the Moderna COVID-19 vaccine (on 2/16/2021 and 3/16/2021, respectively).  Pt became ill with COVID and tested positive on 9/29/2021.  She went to urgent care for cough and chest congestion on 9/29/2021.  On 10/5/2021, she presented to the ED with worsening symptoms of hypoxia and was admitted.  Still admitted today.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Chest discomfort, Chest pain, Electrocardiogram, Headache
Clinical narrative: The first dose I had no problems at all. The second dose was given on 10/1/21, my legs started swelling on 10/3 around 10pm, woke up on 10/4 at 7am with a weird feeling in my chest and a mild pain underneath my right arm. During my drive to work my chest started feeling like a balloon was under my chest cavity. By the time i arrived at work i started having mild chest pains and pressure in my chest. Had to leave work early, while im driving from work, i started hearing my heartbeat in my ears followed by a headache. Later that day my skin started to itch on my chest and back and legs. Called my doctor she brought me in Tuesday at 11am. After taking my Lisinopril and Metoprolol at 7am, my blood pressure at the doctor office was and my pulse. I informed my doctor about the pain underneath my right arm and she could feel the lymph node under my arm was swollen. She made the decision to put me off work until further notice.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Impaired work ability, Lymphadenopathy, Pain in extremity, Peripheral swelling
Clinical narrative: The first dose I had no problems at all. The second dose was given on 10/1/21, my legs started swelling on 10/3 around 10pm, woke up on 10/4 at 7am with a weird feeling in my chest and a mild pain underneath my right arm. During my drive to work my chest started feeling like a balloon was under my chest cavity. By the time i arrived at work i started having mild chest pains and pressure in my chest. Had to leave work early, while im driving from work, i started hearing my heartbeat in my ears followed by a headache. Later that day my skin started to itch on my chest and back and legs. Called my doctor she brought me in Tuesday at 11am. After taking my Lisinopril and Metoprolol at 7am, my blood pressure at the doctor office was and my pulse. I informed my doctor about the pain underneath my right arm and she could feel the lymph node under my arm was swollen. She made the decision to put me off work until further notice.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: The first dose I had no problems at all. The second dose was given on 10/1/21, my legs started swelling on 10/3 around 10pm, woke up on 10/4 at 7am with a weird feeling in my chest and a mild pain underneath my right arm. During my drive to work my chest started feeling like a balloon was under my chest cavity. By the time i arrived at work i started having mild chest pains and pressure in my chest. Had to leave work early, while im driving from work, i started hearing my heartbeat in my ears followed by a headache. Later that day my skin started to itch on my chest and back and legs. Called my doctor she brought me in Tuesday at 11am. After taking my Lisinopril and Metoprolol at 7am, my blood pressure at the doctor office was and my pulse. I informed my doctor about the pain underneath my right arm and she could feel the lymph node under my arm was swollen. She made the decision to put me off work until further notice.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Nausea, dizziness, lightheadedness - worst in the morning, lasting over an hour.  Nothing helped it or changed it.
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Epistaxis, Full blood count, Platelet count
Clinical narrative: Nose bleeds after 2nd Pfizer vaccine continued every other day for 10 days
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case after Covid vaccination. Dose #1 03/12/2021, dose #2 04/09/2021 C/O loss of taste/smell, SOA, and cough
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Menstrual disorder, Vaginal discharge
Clinical narrative: I began bleeding and ovulating out of my normal cycle.  I have been bleeding non stop for about 2 weeks now.  One being my regular cycle and then it was over.  About 2 days later after the shot, I began bleeding again.  Today, I am having heavy cramping and discharge.  I have always had a regular period so this is abnormal.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested Positive for Covid
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Haemorrhage, Headache, Herpes zoster, Pyrexia
Clinical narrative: After I got the vaccine the next morning I woke up with a severe headache and bloody nose. I had a headache every day since I received the vaccine. The headaches don't last all day maybe an hour or half an hour. I never have had headaches before the vaccine. I had severe headaches and fever in August and went and had a COVID-19 test but it was negative. I had rash all over the right side of my face and still fever and headaches. I went into a local urgent care and was diagnosed with shingles. I have a lesion on my rectum between my tailbone and my anus and it bled for a month.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rectal lesion, SARS-CoV-2 test negative
Clinical narrative: After I got the vaccine the next morning I woke up with a severe headache and bloody nose. I had a headache every day since I received the vaccine. The headaches don't last all day maybe an hour or half an hour. I never have had headaches before the vaccine. I had severe headaches and fever in August and went and had a COVID-19 test but it was negative. I had rash all over the right side of my face and still fever and headaches. I went into a local urgent care and was diagnosed with shingles. I have a lesion on my rectum between my tailbone and my anus and it bled for a month.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Janssen on 9/14. Positive on 9/28
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Death, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Breakthrough  COVID-19 case with symptom onset 8/22/2021: Shortness of breath/difficulty breathing. Hospitalized 8/25/2021-9/7/2021. Death 9/7/2021. Acute respiratory failure due to Covid-19
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Breakthrough  COVID-19 case with symptom onset 8/22/2021: Shortness of breath/difficulty breathing. Hospitalized 8/25/2021-9/7/2021. Death 9/7/2021. Acute respiratory failure due to Covid-19
Age: 19.0
Sex: M
Vaccine: HEPA
Symptoms: Underdose
Clinical narrative: THE PATIENT RECEIVE A HEP A PEDIATRIC DOSE AND IT SHOULD HAVE BEEN A HEP A FOR ADULTS.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Chills, Cough
Clinical narrative: Breakthrough case after Covid vaccination. Dose #1 3/19/2021 Dose #2 04/16/2021. C/O fever, chills, runny nose, muscle aches, loss of taste/smell, headache, fatigue, cough, SOA, nausea/vomiting
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Fatigue, Headache, Myalgia, Nausea
Clinical narrative: Breakthrough case after Covid vaccination. Dose #1 3/19/2021 Dose #2 04/16/2021. C/O fever, chills, runny nose, muscle aches, loss of taste/smell, headache, fatigue, cough, SOA, nausea/vomiting
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Breakthrough case after Covid vaccination. Dose #1 3/19/2021 Dose #2 04/16/2021. C/O fever, chills, runny nose, muscle aches, loss of taste/smell, headache, fatigue, cough, SOA, nausea/vomiting
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Mobility decreased, Swelling, Tenderness
Clinical narrative: 4 inch circumference area of raised skin with 2 inches of redness, can't raise elbow more than 45 degrees, painful to the touch
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blister, Breast pain, Herpes zoster, Neuralgia
Clinical narrative: 09/4/2021- skin sensitivity, skin pain in back, nerve pain. 09/10/2021- blisters and rash and pain from left shoulder around breast. 09/10/2021 Went to the doctor.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain of skin, Rash, Sensitive skin
Clinical narrative: 09/4/2021- skin sensitivity, skin pain in back, nerve pain. 09/10/2021- blisters and rash and pain from left shoulder around breast. 09/10/2021 Went to the doctor.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pain in extremity, Pyrexia
Clinical narrative: Patient reported 20 hours post vaccination a 101 - 103 degree F fever that lasted until 36 hours post vaccine after a few hours  experienced chills, aches, fatigue, and sore arm that resolved after 36 hours also.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Eructation, Fatigue, Gastrooesophageal reflux disease, Hyperhidrosis
Clinical narrative: 10/01/21 11pm,  fever chills 4 hours, fever sweats till morning, tired, achy, left arm extremely painful. 10/02/21 fever sweats morning, Epson salt bath, took 1 Tylenol, 1 Motrin,  ok a few hours, no appetite, 3-4 pm fever chills till roughly 7pm, fever sweats several more hours.  1 Tyenol, 1 Motrin before bed, arm still very sore. 10/03/21 very tired, achy, no appetite, arm still sore. 10/04/21 tired woke up very nauseous bad acid reflux burn/mouth taste no appetite, took 1 Tums very burpy 10/05/21 woke up little nauseous, bad acid reflux, hungry at lunch, took 1 Pepcid to be able to eat, not really hungry at dinner.  10/06/21 no nausea, still refluxy pepcid taken ate breakfast, ate lunch, ate dinner.  Feeling better. 10/07/21 Woke up a little acid refluxy but was ok till ate breakfast.  Took 1 Omeprazole.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oral discomfort, Pain, Pain in extremity, Pyrexia
Clinical narrative: 10/01/21 11pm,  fever chills 4 hours, fever sweats till morning, tired, achy, left arm extremely painful. 10/02/21 fever sweats morning, Epson salt bath, took 1 Tylenol, 1 Motrin,  ok a few hours, no appetite, 3-4 pm fever chills till roughly 7pm, fever sweats several more hours.  1 Tyenol, 1 Motrin before bed, arm still very sore. 10/03/21 very tired, achy, no appetite, arm still sore. 10/04/21 tired woke up very nauseous bad acid reflux burn/mouth taste no appetite, took 1 Tums very burpy 10/05/21 woke up little nauseous, bad acid reflux, hungry at lunch, took 1 Pepcid to be able to eat, not really hungry at dinner.  10/06/21 no nausea, still refluxy pepcid taken ate breakfast, ate lunch, ate dinner.  Feeling better. 10/07/21 Woke up a little acid refluxy but was ok till ate breakfast.  Took 1 Omeprazole.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site discomfort, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Facility clinic thru pharmacy provider gave the HCW a booster Pfizer vaccine in the left arm  6 inches below the acromion process, which is below the deltoid muscle. The injection went into the tissue below the deltoid  resulting in pain, discomfort, redness, swelling, and warmth to area from site of injection for 48 hours.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Erythema, Joint swelling
Clinical narrative: 3 days after vaccination, he developed L elbow redness, pain, swelling. no injury or previous hx of arthritis or joint complaints in the past.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pyrexia
Clinical narrative: I had a mild fever and minor headache and had mild chills when I went to bed. I feel fine this morning with no issues.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Headache, Hypoaesthesia, Pain in extremity, Palpitations
Clinical narrative: After testing for antibodies and being negative I chose to take vaccine even though 3 years prior I had a neurological response to the Rabies vaccine and was advised not to receive flu shot type vaccines.  I held off several months.  Out of an abundance of caution I decided to take the Pfizer Covid 19 Vaccine.  Since taking the vaccine I have had periods of numbness to my face, lower limbs.  Heart racing.  Anxiety.  Today when I awoke the left side of my face is numb.  Left hand is aching and numb.  I have experienced headaches.  Overall I have felt "off".  I did not return for the 2nd injection.  I will see my PCP on 10/11/21 and will be reporting these symptoms to her.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Breath sounds abnormal, C-reactive protein, COVID-19, Cardiomegaly
Clinical narrative: Hospitalized 10/2/2021; COVID-19 positive 10/2/2021; fully vaccinated  ED note: 10/2/2021 Assessment/Plan  DIAGNOSIS at time of disposition: 1. COVID-19   New Prescriptions  No new medications prescribed this visit.  ED Disposition   ED Disposition  Hospitalized MEDICAL DECISION MAKING Supervising Physician: Patient is a 72-year-old female with a history of multiple sclerosis presenting to the emergency department with shortness of breath, weakness.  She was saturating in the high 80s at her living facility and placed on 2 L oxygen transported to the emergency department.  On arrival, she was satting in the high 90s on 2 L of oxygen.  She had coarse breath sounds bilaterally.  She has chronic left-sided deficits due to her multiple sclerosis.  She is minimally communicative due to her multiple sclerosis.  I did obtain a complete blood count, CMP, chest x-ray, and COVID-19 test.  COVID-19 test was positive.  Labs were notable for white count 2.64.  Labs are otherwise unremarkable.  Chest x-ray showed no acute cardiopulmonary processes.  She is given Decadron and remdesivir.  I spoke with the on-call hospitalist was agreeable to admit the patient.  Patient is admitted to the hospitalist service in stable condition with all questions answered. 10/4/2021 note: ASSESSMENT / PLAN: No new Assessment & Plan notes have been filed under this hospital service since the last note was generated. Service: General Medicine  COVID-19 infection - Symptoms include reported fever, fatigue and anorexia - Saturating normally on room air despite reported history of desaturation at assisted living facility - Symptom onset: 10/2/21 - COVID-19 positive: 10/02/2021 - Vaccination status: 2 doses of Moderna in January and February of this year - CXR:  Cardiomegaly without pulmonary vascular congestion.  No consolidative pneumonia. - Patient is not a candidate for remdesivir or Decadron due to lack of hypoxia - Pt received monoclonal antibody infusion on 10/2 - Encourage incentive spirometry hourly - Supportive measures with antipyretics, analgesics, antiemetics and antitussives - Monitor continuous pulse oximetry - Trend BMP, complete blood count, CRP and D-dimer daily for 3 days - DC IVF.  - PT/OT/SLP 10/6/2021 note: CHIEF COMPLAINT: COVID-19 virus infection Assessment/Plan  ASSESSMENT / PLAN: COVID-19 infection - Symptoms include reported fever, fatigue and anorexia. Saturating normally on room air despite reported history of desaturation at longterm care facility. Symptom onset: 10/2/21. COVID-19 positive: 10/02/2021. Vaccination status: 2 doses of Moderna in January and February of this year - Patient is not a candidate for remdesivir or Decadron due to lack of hypoxia - Pt received monoclonal antibody infusion on 10/2 - Encourage incentive spirometry hourly - Supportive measures with antipyretics, analgesics, antiemetics and antitussives - Monitor continuous pulse oximetry Dispo: Placement back to home facility once out of isolation F/u  tomorrow
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray, Decreased appetite, Dyspnoea, Fatigue, Fibrin D dimer
Clinical narrative: Hospitalized 10/2/2021; COVID-19 positive 10/2/2021; fully vaccinated  ED note: 10/2/2021 Assessment/Plan  DIAGNOSIS at time of disposition: 1. COVID-19   New Prescriptions  No new medications prescribed this visit.  ED Disposition   ED Disposition  Hospitalized MEDICAL DECISION MAKING Supervising Physician: Patient is a 72-year-old female with a history of multiple sclerosis presenting to the emergency department with shortness of breath, weakness.  She was saturating in the high 80s at her living facility and placed on 2 L oxygen transported to the emergency department.  On arrival, she was satting in the high 90s on 2 L of oxygen.  She had coarse breath sounds bilaterally.  She has chronic left-sided deficits due to her multiple sclerosis.  She is minimally communicative due to her multiple sclerosis.  I did obtain a complete blood count, CMP, chest x-ray, and COVID-19 test.  COVID-19 test was positive.  Labs were notable for white count 2.64.  Labs are otherwise unremarkable.  Chest x-ray showed no acute cardiopulmonary processes.  She is given Decadron and remdesivir.  I spoke with the on-call hospitalist was agreeable to admit the patient.  Patient is admitted to the hospitalist service in stable condition with all questions answered. 10/4/2021 note: ASSESSMENT / PLAN: No new Assessment & Plan notes have been filed under this hospital service since the last note was generated. Service: General Medicine  COVID-19 infection - Symptoms include reported fever, fatigue and anorexia - Saturating normally on room air despite reported history of desaturation at assisted living facility - Symptom onset: 10/2/21 - COVID-19 positive: 10/02/2021 - Vaccination status: 2 doses of Moderna in January and February of this year - CXR:  Cardiomegaly without pulmonary vascular congestion.  No consolidative pneumonia. - Patient is not a candidate for remdesivir or Decadron due to lack of hypoxia - Pt received monoclonal antibody infusion on 10/2 - Encourage incentive spirometry hourly - Supportive measures with antipyretics, analgesics, antiemetics and antitussives - Monitor continuous pulse oximetry - Trend BMP, complete blood count, CRP and D-dimer daily for 3 days - DC IVF.  - PT/OT/SLP 10/6/2021 note: CHIEF COMPLAINT: COVID-19 virus infection Assessment/Plan  ASSESSMENT / PLAN: COVID-19 infection - Symptoms include reported fever, fatigue and anorexia. Saturating normally on room air despite reported history of desaturation at longterm care facility. Symptom onset: 10/2/21. COVID-19 positive: 10/02/2021. Vaccination status: 2 doses of Moderna in January and February of this year - Patient is not a candidate for remdesivir or Decadron due to lack of hypoxia - Pt received monoclonal antibody infusion on 10/2 - Encourage incentive spirometry hourly - Supportive measures with antipyretics, analgesics, antiemetics and antitussives - Monitor continuous pulse oximetry Dispo: Placement back to home facility once out of isolation F/u  tomorrow
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count, Incentive spirometry, Metabolic function test, Monoclonal antibody immunoconjugate therapy, Oxygen saturation
Clinical narrative: Hospitalized 10/2/2021; COVID-19 positive 10/2/2021; fully vaccinated  ED note: 10/2/2021 Assessment/Plan  DIAGNOSIS at time of disposition: 1. COVID-19   New Prescriptions  No new medications prescribed this visit.  ED Disposition   ED Disposition  Hospitalized MEDICAL DECISION MAKING Supervising Physician: Patient is a 72-year-old female with a history of multiple sclerosis presenting to the emergency department with shortness of breath, weakness.  She was saturating in the high 80s at her living facility and placed on 2 L oxygen transported to the emergency department.  On arrival, she was satting in the high 90s on 2 L of oxygen.  She had coarse breath sounds bilaterally.  She has chronic left-sided deficits due to her multiple sclerosis.  She is minimally communicative due to her multiple sclerosis.  I did obtain a complete blood count, CMP, chest x-ray, and COVID-19 test.  COVID-19 test was positive.  Labs were notable for white count 2.64.  Labs are otherwise unremarkable.  Chest x-ray showed no acute cardiopulmonary processes.  She is given Decadron and remdesivir.  I spoke with the on-call hospitalist was agreeable to admit the patient.  Patient is admitted to the hospitalist service in stable condition with all questions answered. 10/4/2021 note: ASSESSMENT / PLAN: No new Assessment & Plan notes have been filed under this hospital service since the last note was generated. Service: General Medicine  COVID-19 infection - Symptoms include reported fever, fatigue and anorexia - Saturating normally on room air despite reported history of desaturation at assisted living facility - Symptom onset: 10/2/21 - COVID-19 positive: 10/02/2021 - Vaccination status: 2 doses of Moderna in January and February of this year - CXR:  Cardiomegaly without pulmonary vascular congestion.  No consolidative pneumonia. - Patient is not a candidate for remdesivir or Decadron due to lack of hypoxia - Pt received monoclonal antibody infusion on 10/2 - Encourage incentive spirometry hourly - Supportive measures with antipyretics, analgesics, antiemetics and antitussives - Monitor continuous pulse oximetry - Trend BMP, complete blood count, CRP and D-dimer daily for 3 days - DC IVF.  - PT/OT/SLP 10/6/2021 note: CHIEF COMPLAINT: COVID-19 virus infection Assessment/Plan  ASSESSMENT / PLAN: COVID-19 infection - Symptoms include reported fever, fatigue and anorexia. Saturating normally on room air despite reported history of desaturation at longterm care facility. Symptom onset: 10/2/21. COVID-19 positive: 10/02/2021. Vaccination status: 2 doses of Moderna in January and February of this year - Patient is not a candidate for remdesivir or Decadron due to lack of hypoxia - Pt received monoclonal antibody infusion on 10/2 - Encourage incentive spirometry hourly - Supportive measures with antipyretics, analgesics, antiemetics and antitussives - Monitor continuous pulse oximetry Dispo: Placement back to home facility once out of isolation F/u  tomorrow
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, White blood cell count decreased
Clinical narrative: Hospitalized 10/2/2021; COVID-19 positive 10/2/2021; fully vaccinated  ED note: 10/2/2021 Assessment/Plan  DIAGNOSIS at time of disposition: 1. COVID-19   New Prescriptions  No new medications prescribed this visit.  ED Disposition   ED Disposition  Hospitalized MEDICAL DECISION MAKING Supervising Physician: Patient is a 72-year-old female with a history of multiple sclerosis presenting to the emergency department with shortness of breath, weakness.  She was saturating in the high 80s at her living facility and placed on 2 L oxygen transported to the emergency department.  On arrival, she was satting in the high 90s on 2 L of oxygen.  She had coarse breath sounds bilaterally.  She has chronic left-sided deficits due to her multiple sclerosis.  She is minimally communicative due to her multiple sclerosis.  I did obtain a complete blood count, CMP, chest x-ray, and COVID-19 test.  COVID-19 test was positive.  Labs were notable for white count 2.64.  Labs are otherwise unremarkable.  Chest x-ray showed no acute cardiopulmonary processes.  She is given Decadron and remdesivir.  I spoke with the on-call hospitalist was agreeable to admit the patient.  Patient is admitted to the hospitalist service in stable condition with all questions answered. 10/4/2021 note: ASSESSMENT / PLAN: No new Assessment & Plan notes have been filed under this hospital service since the last note was generated. Service: General Medicine  COVID-19 infection - Symptoms include reported fever, fatigue and anorexia - Saturating normally on room air despite reported history of desaturation at assisted living facility - Symptom onset: 10/2/21 - COVID-19 positive: 10/02/2021 - Vaccination status: 2 doses of Moderna in January and February of this year - CXR:  Cardiomegaly without pulmonary vascular congestion.  No consolidative pneumonia. - Patient is not a candidate for remdesivir or Decadron due to lack of hypoxia - Pt received monoclonal antibody infusion on 10/2 - Encourage incentive spirometry hourly - Supportive measures with antipyretics, analgesics, antiemetics and antitussives - Monitor continuous pulse oximetry - Trend BMP, complete blood count, CRP and D-dimer daily for 3 days - DC IVF.  - PT/OT/SLP 10/6/2021 note: CHIEF COMPLAINT: COVID-19 virus infection Assessment/Plan  ASSESSMENT / PLAN: COVID-19 infection - Symptoms include reported fever, fatigue and anorexia. Saturating normally on room air despite reported history of desaturation at longterm care facility. Symptom onset: 10/2/21. COVID-19 positive: 10/02/2021. Vaccination status: 2 doses of Moderna in January and February of this year - Patient is not a candidate for remdesivir or Decadron due to lack of hypoxia - Pt received monoclonal antibody infusion on 10/2 - Encourage incentive spirometry hourly - Supportive measures with antipyretics, analgesics, antiemetics and antitussives - Monitor continuous pulse oximetry Dispo: Placement back to home facility once out of isolation F/u  tomorrow
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Neck mass
Clinical narrative: Lump under armpit and on side of neck
Age: 69.0
Sex: M
Vaccine: FLU4
Symptoms: Dyspnoea
Clinical narrative: shortness of breath
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Blood pressure increased, Chest discomfort, Dizziness, Dyspnoea
Clinical narrative: Symptoms: chest tightness, shortness of breath, injection site pain, raised blood pressure, feeling flush, lightheaded, muscle aches in back. Symptoms started on 10/07/2021.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Injection site pain
Clinical narrative: Symptoms: chest tightness, shortness of breath, injection site pain, raised blood pressure, feeling flush, lightheaded, muscle aches in back. Symptoms started on 10/07/2021.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Pretty bad shortness of breath for a couple of months.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Back pain, Chills, Cold sweat
Clinical narrative: Less than 24 hours after IM vaccine of 3rd dose of COVID, developed chills, body aches, back pain that started at shoulders extending down back into legs, light headedness, "felt like eyes were on fire."  Very fatigued and diaphoretic for 1 day after vaccine.  Developed pain in axilla of left arm in the injection and left arm soreness.   continues to have episodes of diaphoresis/clammy
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Eye irritation, Fatigue, Hyperhidrosis, Pain
Clinical narrative: Less than 24 hours after IM vaccine of 3rd dose of COVID, developed chills, body aches, back pain that started at shoulders extending down back into legs, light headedness, "felt like eyes were on fire."  Very fatigued and diaphoretic for 1 day after vaccine.  Developed pain in axilla of left arm in the injection and left arm soreness.   continues to have episodes of diaphoresis/clammy
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Less than 24 hours after IM vaccine of 3rd dose of COVID, developed chills, body aches, back pain that started at shoulders extending down back into legs, light headedness, "felt like eyes were on fire."  Very fatigued and diaphoretic for 1 day after vaccine.  Developed pain in axilla of left arm in the injection and left arm soreness.   continues to have episodes of diaphoresis/clammy
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Body temperature increased, Chills, Condition aggravated, Fatigue, Headache
Clinical narrative: After the first dose, I was just fatigued.  For the first 2 days after the second dose, it was just fatigue.  On the 3rd day, I started spiking temperatures as high as 103 off and on all night.  Then I had uncontrollable shakes/chills for about 1 1/2 hours as well as horrible headache.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Burning sensation, Extra dose administered, Eye irritation, Feeling cold
Clinical narrative: 12 hours after receiving the vaccine I became very cold. I took 2 extra strength tylenol and a diclofenac and went to bed. I awoke in the night hot from all the blankets I had on me, I thought everything was ok. I was ok until evening of the following day when I was freezing cold again. I could not get warm. I took my temperature. It was 100.4, normal is 97.3. I took a hot shower to try to get warm. I had a feeling of burning throughout my body, even my eyes. It seemed like the pain I had from shingles. I took 2 extra strenght tylenol and diclofenac and went to bed. The next morning I slightly had the burning feeling. My temperature was 99 something. I took another 2 extra strength tylenol and diclofenac. The symptoms disappeared.  I continued with the tylenol and diclofenac until the third night when I stopped and everything was ok. My arm hurt at the injection site too but that was not a problem for me. I had no side effects at all from the first 2 doses, nothing at all.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Injection site pain, Pain
Clinical narrative: 12 hours after receiving the vaccine I became very cold. I took 2 extra strength tylenol and a diclofenac and went to bed. I awoke in the night hot from all the blankets I had on me, I thought everything was ok. I was ok until evening of the following day when I was freezing cold again. I could not get warm. I took my temperature. It was 100.4, normal is 97.3. I took a hot shower to try to get warm. I had a feeling of burning throughout my body, even my eyes. It seemed like the pain I had from shingles. I took 2 extra strenght tylenol and diclofenac and went to bed. The next morning I slightly had the burning feeling. My temperature was 99 something. I took another 2 extra strength tylenol and diclofenac. The symptoms disappeared.  I continued with the tylenol and diclofenac until the third night when I stopped and everything was ok. My arm hurt at the injection site too but that was not a problem for me. I had no side effects at all from the first 2 doses, nothing at all.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral, Peripheral swelling
Clinical narrative: Swelling the size of an orange under the armpit of the same arm that received vaccine dose two days following injection. Followed by swelling in same side hand 24 hours after swelling under armpit. Sought medical care and was told to take 600 mg, 3 times daily ibuprofen and to elevate hand. Hand was also wrapped to provide compression. After 2 days of beginning treatment, sx resolved.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Injection site pain, Mobility decreased, Pain in extremity
Clinical narrative: 5 days after second shot soreness in left arm persisted in muscle where given , daily for ten days straight. Then subsided for four out of seven days, then pain in arm started flaring up thoughout day intermitenlly throughout day as if i just got shot in arm. On third month i noticed pain transferring to left arm intermitenlly and right arm itermitenlly throughout week at work. Now pain tends to come and go in both arms simotaniously at periods of time lasting between one to four minutes at a time, approximately two to three times a day max. I liken the pain to a tetnus shot. Location of pain is excatly same spot in each arm ,which is the shot location of my vac series. To illistrate amount of pain during occurance
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site mass, Injection site pain
Clinical narrative: Large palpable hard mass under skin at injection site. Does not go away. Slightly painful.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Itchiness in extremities
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Nausea, Vaccine positive rechallenge, Vomiting
Clinical narrative: felt nausea, vomited, then hypertensive with diastolic 110. HR remained stable at 74.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Headache, Hyperacusis, Illness, Influenza like illness
Clinical narrative: Very ill with flu-like sx in days following vaccine.  Pressure in ears with increased hearing causing headache persisting >3 weeks.
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Back pain, Gait disturbance, Loss of personal independence in daily activities, Myalgia, Pyrexia
Clinical narrative: 24 hours after receiving 3rd shot the typical symptoms of muscle aches and minor fever started.  however, extreme lower back pain was noted unlike other times.  by day 3 symptoms started to alleviate.  by day 5 lower back pain increased exponentially.  by day 7-10 pain is so severe i cannot put my socks on, get out of a car, or sometimes walking is difficult.  an appointment with my primary is scheduled today shortly after this report.  fear of GBS.
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Back pain, Gait inability, Mobility decreased, Myalgia
Clinical narrative: 24 hours after receiving 3rd shot the typical symptoms of muscle aches and minor fever started.  however, extreme lower back pain was noted unlike other times.  by day 3 symptoms started to alleviate.  by day 5 lower back pain increased exponentially.  by day 7-10 pain is so severe i cannot put my socks on, get out of a car, or sometimes walking is difficult.  an appointment with my primary is scheduled today shortly after this report.  fear of GBS.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Pruritus
Clinical narrative: I took first dose of COVID- 19 (Pfizer) September 9, 2021 @ 3:30pm.  Around 4:00pm to 4:30pm I started having an allergic reaction. With-in a hour span I started itching on my thighs, arms, chest, back, face, ears and eyes. I called the health care professional that gave me the vaccination and explained that I was severely itching. She advised me to go back to clinic and get a steroid injection to stop the allergic reaction.  I got the steroid injection around 5:10pm.  My symptoms started to slowly stop after getting the steroid injection but it took a couple of hours for all the itching to completely stop.  On October 4, 2021 around 3:45pm I went to my doctors appointment with my primary care physician and explained that I had an allergic reaction to the first vaccination and he advised me to report this occurs to the CDC.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dysphonia, Headache, Myalgia, Pain in extremity
Clinical narrative: Headache, fever (100.1), muscle pain in legs and arms, chills, and hoarseness.    Took 1 ibuprofen every four hours.   All conditions gradually improved over next two days.  Back to normal on third day
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest pain, Cough, Fatigue, Headache
Clinical narrative: Breakthrough case after Covid vaccination. Dose #1 4/17/21 Dose #2 5/15/21. C/O fever, headache, fatigue, cough , and chest pain
Age: 70.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case after Covid vaccination. Dose #1 4/17/21 Dose #2 5/15/21. C/O fever, headache, fatigue, cough , and chest pain
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest discomfort, Chills, Fatigue, Feeling hot
Clinical narrative: 07/14/2021 - 1640 shot given. Rested until 1700. 1720 sweating. 1730 chest heaviness. 1735 headache. 1735 nausea. 1740 upper arm pain. 1856 right hand itching. 1910 pelvic pain. 1940 left wrist pain. 1950 so tired. 1950 left arm pain.  2020 chills. 2030 warm/fever. 2045 left arm numb. 2105 scratchy throat. 2105 hair itching.  2125 hot flash. On-going headache and pelvic (reproductive system sensitivity) pain for 10 full days.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hot flush, Hyperhidrosis, Hypoaesthesia, Nausea
Clinical narrative: 07/14/2021 - 1640 shot given. Rested until 1700. 1720 sweating. 1730 chest heaviness. 1735 headache. 1735 nausea. 1740 upper arm pain. 1856 right hand itching. 1910 pelvic pain. 1940 left wrist pain. 1950 so tired. 1950 left arm pain.  2020 chills. 2030 warm/fever. 2045 left arm numb. 2105 scratchy throat. 2105 hair itching.  2125 hot flash. On-going headache and pelvic (reproductive system sensitivity) pain for 10 full days.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pelvic pain, Pruritus, Pyrexia, Throat irritation
Clinical narrative: 07/14/2021 - 1640 shot given. Rested until 1700. 1720 sweating. 1730 chest heaviness. 1735 headache. 1735 nausea. 1740 upper arm pain. 1856 right hand itching. 1910 pelvic pain. 1940 left wrist pain. 1950 so tired. 1950 left arm pain.  2020 chills. 2030 warm/fever. 2045 left arm numb. 2105 scratchy throat. 2105 hair itching.  2125 hot flash. On-going headache and pelvic (reproductive system sensitivity) pain for 10 full days.