chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Staphylococcus test positive, Urinary tract infection, Urine analysis abnormal, Vascular occlusion
Clinical narrative: Hospitalized 10/23/2021; COVID-19 positive 10/23/2021; fully vaccinated  BRIEF OVERVIEW:   Admission Date: 10/23/2021 Discharge Date: 10/28/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia (HCC) [J96.01] COVID-19 virus infection [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   Patient is a wonderful 92 y/o man admitted for confusion related to COVID19 pneumonia as well as UTI/prostatitis.  He has a past medical history significant for NPH, hypertension, AAA status post stenting, history of melanoma status post resection.   Patient presented with AMS and was found to be covid positive and was started on dexamethasone and remdesivir and had rapid resolution of acute respiratory failure with hypoxia.  UA was positive as well raising concern for UTI and was started on ceftriaxone.  Mental status changes resolved.  UC ultimately grew Klebsiella and staph hemolyticus and imaging raised concern for prostatitis as well severe bladder infection or neoplasm and so ID and urology were consulted.  Urology recommended outpatient cystoscopy with resolution of COVID19 and UTI.  ID recommended changing antibiotic to bactrim with course dictated by etiology of imaging findings - 2 week minimum course with course extension as long as 6 weeks if imaging findings were secondary to infection rather than neoplasm.     Above CT imaging was actually obtained as part of vascular workup - patient complained of leg pain and had difficult to palpate pulses.  CT imaging of thorax showed 4.8cm descending thoracic aortic aneurysm w/ likely prior old dissection, CT angio of aorta and lower extremities showed multiple occlusions in both lower extremities with reconstitution and ABIs showed at least moderate disease in both legs.  Vascular surgery evaluated patient and recommended outpatient f/u post completion of treatment of infectious as patient didn't have signs or findings to suggest critical limb ischemia.  Patient was started on ASA/statin.   Patient was seen by PT/OT who recommended SAR however COVID19 infection made placement very difficult so ultimately patient returned to his facility with additional family support and home care.  He will need close f/u with PCP, repeat BMP in 1 week and weekly thereafter while on bactrim, f/u with urology, and f/u with vascular surgery.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Heavy menstrual bleeding, Menstruation irregular, Pain
Clinical narrative: Had severe aches/chills that started about 12 hours after the vaccination (which was expected as a potential side effect), but then a heavy menstrual period started about 4 hours after the other symptoms started. It started off very light, but has been heavy since. I have a history of irregular and heavy menstrual cycles, but they have been lighter and regular since getting the Mirena IUD in May. LMP was 10/14/21 through 10/20/21, so this one is a couple weeks early.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Antibody test normal, Antinuclear antibody negative, Arthralgia, Blood immunoglobulin G normal, Blood immunoglobulin M
Clinical narrative: Extreme bilateral joint pain, stiffness, soreness, and decreased range of motion in shoulders, elbows, wrists, fingers, SI joints, knees, and toes, along with symphysis pubis and neck; nausea secondary to pain; weight loss secondary to nausea. Symptom onset began 28 hours after receiving 1st COVID19 vaccination and has persisted everyday since 8/21/21.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood uric acid normal, Borrelia test negative, C-reactive protein normal, Epstein-Barr virus antibody negative, Full blood count normal
Clinical narrative: Extreme bilateral joint pain, stiffness, soreness, and decreased range of motion in shoulders, elbows, wrists, fingers, SI joints, knees, and toes, along with symphysis pubis and neck; nausea secondary to pain; weight loss secondary to nausea. Symptom onset began 28 hours after receiving 1st COVID19 vaccination and has persisted everyday since 8/21/21.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Immunology test, Joint range of motion decreased, Metabolic function test, Metabolic function test normal, Musculoskeletal stiffness
Clinical narrative: Extreme bilateral joint pain, stiffness, soreness, and decreased range of motion in shoulders, elbows, wrists, fingers, SI joints, knees, and toes, along with symphysis pubis and neck; nausea secondary to pain; weight loss secondary to nausea. Symptom onset began 28 hours after receiving 1st COVID19 vaccination and has persisted everyday since 8/21/21.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Red blood cell sedimentation rate normal, Rheumatoid factor negative, SARS-CoV-2 antibody test
Clinical narrative: Extreme bilateral joint pain, stiffness, soreness, and decreased range of motion in shoulders, elbows, wrists, fingers, SI joints, knees, and toes, along with symphysis pubis and neck; nausea secondary to pain; weight loss secondary to nausea. Symptom onset began 28 hours after receiving 1st COVID19 vaccination and has persisted everyday since 8/21/21.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Symphysiolysis, Vitamin D, Weight decreased
Clinical narrative: Extreme bilateral joint pain, stiffness, soreness, and decreased range of motion in shoulders, elbows, wrists, fingers, SI joints, knees, and toes, along with symphysis pubis and neck; nausea secondary to pain; weight loss secondary to nausea. Symptom onset began 28 hours after receiving 1st COVID19 vaccination and has persisted everyday since 8/21/21.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy, Photophobia, Pyrexia
Clinical narrative: Just over 28 hours after booster dose of Moderna (10/30), fever began. First gradual, then escalated to around 101 Fahrenheit. Also, swelling and intense pain under left arm (lymph node) - arm shot was administered in.  On 11/1, experiencing some light sensitivity.
Age: 76.0
Sex: M
Vaccine: UNK
Symptoms: Asthenia, Gait disturbance, Scan normal, Thrombosis
Clinical narrative: Woke up the morning and was so weak I couldn't walk. No fever. Stayed in bed all day. Next day I was 90%. The following day I was fine. After the second vaccination I found what I thought was a blood clot between the second and third finger of my left hand. Went away after six months.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID-19 PCR - Pre-procedure screening (asymptomatic)
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Renal pain, Urinary tract infection, White blood cells urine positive
Clinical narrative: Developed UTI symptoms the following morning.  UA showed elevated WBC.  Seen at Urgent Care and given Antibiotics.  UTI has progressed to Right kidney pain.   UTI symptoms and onset time are similar to that experienced the day after 2nd dose of Moderna vaccine.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Blindness unilateral, Retinal oedema
Clinical narrative: Left eye, I started losing vision. Then I went to my ophthalmologist. He said my left ratio was swollen. This started end of March and I had surgery on it. But I am still having issues with it.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Dizziness, Dysgeusia, Electrocardiogram ambulatory normal, Electromyogram normal
Clinical narrative: Few days after shot started with light headed ness/dizzy, which has come and go, then few weeks and my right side of face would go numb/tingly, then few weeks later my right arm would feel like asleep/heavy/burning sensation/numb/tingly, then few weeks started have burning sensation in torso on right side with something feeling as if it were squeezing me on right side, few more weeks spread down into calf and foot numb/burning/tight/tingling sensation, to right back spasm in shoulder blade with shooting pains down arm, another month went by now starting to have same sensation on left side arm/fingers/calf/foot as do on right, does come and go but most generally have symptoms every day now even have metallic taste in my mouth last few weeks
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Hypoaesthesia, Immunology test normal, Laboratory test normal, Limb discomfort
Clinical narrative: Few days after shot started with light headed ness/dizzy, which has come and go, then few weeks and my right side of face would go numb/tingly, then few weeks later my right arm would feel like asleep/heavy/burning sensation/numb/tingly, then few weeks started have burning sensation in torso on right side with something feeling as if it were squeezing me on right side, few more weeks spread down into calf and foot numb/burning/tight/tingling sensation, to right back spasm in shoulder blade with shooting pains down arm, another month went by now starting to have same sensation on left side arm/fingers/calf/foot as do on right, does come and go but most generally have symptoms every day now even have metallic taste in my mouth last few weeks
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head normal, Magnetic resonance imaging spinal normal, Metabolic function test, Metabolic function test normal, Muscle spasms
Clinical narrative: Few days after shot started with light headed ness/dizzy, which has come and go, then few weeks and my right side of face would go numb/tingly, then few weeks later my right arm would feel like asleep/heavy/burning sensation/numb/tingly, then few weeks started have burning sensation in torso on right side with something feeling as if it were squeezing me on right side, few more weeks spread down into calf and foot numb/burning/tight/tingling sensation, to right back spasm in shoulder blade with shooting pains down arm, another month went by now starting to have same sensation on left side arm/fingers/calf/foot as do on right, does come and go but most generally have symptoms every day now even have metallic taste in my mouth last few weeks
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Nerve conduction studies normal, Pain, Pain in extremity, Paraesthesia, Red blood cell sedimentation rate normal
Clinical narrative: Few days after shot started with light headed ness/dizzy, which has come and go, then few weeks and my right side of face would go numb/tingly, then few weeks later my right arm would feel like asleep/heavy/burning sensation/numb/tingly, then few weeks started have burning sensation in torso on right side with something feeling as if it were squeezing me on right side, few more weeks spread down into calf and foot numb/burning/tight/tingling sensation, to right back spasm in shoulder blade with shooting pains down arm, another month went by now starting to have same sensation on left side arm/fingers/calf/foot as do on right, does come and go but most generally have symptoms every day now even have metallic taste in my mouth last few weeks
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast normal, Sensory disturbance, Skin tightness, Urine analysis normal
Clinical narrative: Few days after shot started with light headed ness/dizzy, which has come and go, then few weeks and my right side of face would go numb/tingly, then few weeks later my right arm would feel like asleep/heavy/burning sensation/numb/tingly, then few weeks started have burning sensation in torso on right side with something feeling as if it were squeezing me on right side, few more weeks spread down into calf and foot numb/burning/tight/tingling sensation, to right back spasm in shoulder blade with shooting pains down arm, another month went by now starting to have same sensation on left side arm/fingers/calf/foot as do on right, does come and go but most generally have symptoms every day now even have metallic taste in my mouth last few weeks
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient verbally and in writing states his first covid vaccine was a Pfizer.  PHN was in the trailer by herself without a computer at the time.  PHN chose to give a Pfizer based off of his word and in fact his first one was a Moderna.  PHN called patient to apologize and patient apologized to PHN even more.  PHN explained that he does not need to repeat dose.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatine increased, Blood urea increased, Chest discomfort, Condition aggravated, Dizziness
Clinical narrative: About two weeks ago, I had exacerbation (extreme) of Gerd symptoms and there was no relief with my medications. And with that exacerbation, I had severe reflux, chest tightening, dizziness. I already had an appointment scheduled with the GI clinic for a follow up so I waited until then and that was last Wednesday (the 27th). I had quit taking the Nexium and I was put on Protonix. I started on that on Thursday, the 28th. I am still waiting for the meds to take effect. I have been pretty miserable for the first couple of weeks. I have only noticed slight improvement of symptoms, but I know it's a couple of weeks for it to fully take effect. If my symptoms don't subside, my practitioner my wants to do a CT scan done just to rule things out.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Gastrooesophageal reflux disease, Lipase normal, Renal impairment
Clinical narrative: About two weeks ago, I had exacerbation (extreme) of Gerd symptoms and there was no relief with my medications. And with that exacerbation, I had severe reflux, chest tightening, dizziness. I already had an appointment scheduled with the GI clinic for a follow up so I waited until then and that was last Wednesday (the 27th). I had quit taking the Nexium and I was put on Protonix. I started on that on Thursday, the 28th. I am still waiting for the meds to take effect. I have been pretty miserable for the first couple of weeks. I have only noticed slight improvement of symptoms, but I know it's a couple of weeks for it to fully take effect. If my symptoms don't subside, my practitioner my wants to do a CT scan done just to rule things out.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Deafness, Ear pain, Headache, Night sweats
Clinical narrative: 10/29/21 2100 - 2400hrs:  Minor fever (<100), chills  10/30/21 0000 - 0600hrs:  Night sweats, headache  0600 - 1500hrs: ear ache  1500 - present (11/1/21  1700hrs):  ringing in ears and mild hearing loss.   11/1/21 1800hrs:  scheduled virtual doctor visit (pending at time of submission)
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Tinnitus
Clinical narrative: 10/29/21 2100 - 2400hrs:  Minor fever (<100), chills  10/30/21 0000 - 0600hrs:  Night sweats, headache  0600 - 1500hrs: ear ache  1500 - present (11/1/21  1700hrs):  ringing in ears and mild hearing loss.   11/1/21 1800hrs:  scheduled virtual doctor visit (pending at time of submission)
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Nausea, Respiratory tract congestion
Clinical narrative: COUGH, Fatigue, Congestion or runny nose, and Nausea or vomiting
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Vomiting
Clinical narrative: COUGH, Fatigue, Congestion or runny nose, and Nausea or vomiting
Age: 57.0
Sex: F
Vaccine: UNK
Symptoms: Asthenia, Back pain, Balance disorder, Cerebral atrophy, Cerebral ischaemia
Clinical narrative: Patient is 57 years old female with history of diabetes and hypertension who developed upper respiratory tract infection about 2 weeks ago and after that she started having generalized weakness in all extremities but after few days she got better.  For the last 3 days her progression of her weakness get worse where she cannot walk anymore so she presented to the emergency room with upper and lower extremities generalized weakness.  She was found also to have UTI.  She denied dysuria.  No nausea no vomiting.  No headache.  MRI of the brain and C-spine was not conclusive to explain her weakness.   57 Years old  Female with a history of diabetes and hypertension presenting with a feeling of generalized weakness, which began 3 days ago.  Patient states that she feels generalized weakness in the lower extremity's the upper extremities. Patient states that she has more weakness on her left lower extremity compared to her right lower extremity.  Patient needs assistance in order to stay ambulate. Symptoms have progressively gotten worse with tingling radiation. The weakness has been constant. The patient is feeling unsteady and off-balance when attempting to walk. Patient also feels pain her back which begun approximately the same time as her weakness condition.
Age: 57.0
Sex: F
Vaccine: UNK
Symptoms: Gait inability, Intervertebral disc degeneration, Intervertebral disc protrusion, Magnetic resonance imaging head abnormal, Magnetic resonance imaging spinal abnormal
Clinical narrative: Patient is 57 years old female with history of diabetes and hypertension who developed upper respiratory tract infection about 2 weeks ago and after that she started having generalized weakness in all extremities but after few days she got better.  For the last 3 days her progression of her weakness get worse where she cannot walk anymore so she presented to the emergency room with upper and lower extremities generalized weakness.  She was found also to have UTI.  She denied dysuria.  No nausea no vomiting.  No headache.  MRI of the brain and C-spine was not conclusive to explain her weakness.   57 Years old  Female with a history of diabetes and hypertension presenting with a feeling of generalized weakness, which began 3 days ago.  Patient states that she feels generalized weakness in the lower extremity's the upper extremities. Patient states that she has more weakness on her left lower extremity compared to her right lower extremity.  Patient needs assistance in order to stay ambulate. Symptoms have progressively gotten worse with tingling radiation. The weakness has been constant. The patient is feeling unsteady and off-balance when attempting to walk. Patient also feels pain her back which begun approximately the same time as her weakness condition.
Age: 57.0
Sex: F
Vaccine: UNK
Symptoms: Muscular weakness, Paraesthesia, Spinal stenosis, Upper respiratory tract infection, Urinary tract infection
Clinical narrative: Patient is 57 years old female with history of diabetes and hypertension who developed upper respiratory tract infection about 2 weeks ago and after that she started having generalized weakness in all extremities but after few days she got better.  For the last 3 days her progression of her weakness get worse where she cannot walk anymore so she presented to the emergency room with upper and lower extremities generalized weakness.  She was found also to have UTI.  She denied dysuria.  No nausea no vomiting.  No headache.  MRI of the brain and C-spine was not conclusive to explain her weakness.   57 Years old  Female with a history of diabetes and hypertension presenting with a feeling of generalized weakness, which began 3 days ago.  Patient states that she feels generalized weakness in the lower extremity's the upper extremities. Patient states that she has more weakness on her left lower extremity compared to her right lower extremity.  Patient needs assistance in order to stay ambulate. Symptoms have progressively gotten worse with tingling radiation. The weakness has been constant. The patient is feeling unsteady and off-balance when attempting to walk. Patient also feels pain her back which begun approximately the same time as her weakness condition.
Age: 57.0
Sex: F
Vaccine: UNK
Symptoms: Vertebral foraminal stenosis
Clinical narrative: Patient is 57 years old female with history of diabetes and hypertension who developed upper respiratory tract infection about 2 weeks ago and after that she started having generalized weakness in all extremities but after few days she got better.  For the last 3 days her progression of her weakness get worse where she cannot walk anymore so she presented to the emergency room with upper and lower extremities generalized weakness.  She was found also to have UTI.  She denied dysuria.  No nausea no vomiting.  No headache.  MRI of the brain and C-spine was not conclusive to explain her weakness.   57 Years old  Female with a history of diabetes and hypertension presenting with a feeling of generalized weakness, which began 3 days ago.  Patient states that she feels generalized weakness in the lower extremity's the upper extremities. Patient states that she has more weakness on her left lower extremity compared to her right lower extremity.  Patient needs assistance in order to stay ambulate. Symptoms have progressively gotten worse with tingling radiation. The weakness has been constant. The patient is feeling unsteady and off-balance when attempting to walk. Patient also feels pain her back which begun approximately the same time as her weakness condition.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Heavy menstrual bleeding, Polymenorrhoea
Clinical narrative: Since the Vaccine I have had my period 2x a month and very heavy bleeding
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Gait disturbance, Mobility decreased, Muscular weakness, Walking aid user
Clinical narrative: Extreme chills with intense shivering.  Followed the next morning with extreme weakness so couldn't walk without help using walker. Unable to get out of chair. Weakness lasted all day after shot day till mid day of second day after shot.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Nucleic acid test, SARS-CoV-2 test positive
Clinical narrative: Tested NAAT positive for COVID-19 10/31/21 after being fully vaccinated.
Age: 46.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Moderna vaccine was stored in lower temperatures than what was recommended. Moderna confirmed, vaccines are viable.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Polymenorrhoea
Clinical narrative: Menstrual cycle changes- period began 8 days early (no memory of such a drastic early start happening before)
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Migraine, Nausea, Pain, Pyrexia
Clinical narrative: Fever and body aches began around 0100 followed by onset of migraine around 0600.   Fever and migraine discontinued by end of day 10.23.2021.  Lack of appetite and mild nausea began 10.23.2021 and has continued with inconsistent severity.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Extra dose administered, Malaise, Odynophagia, Oropharyngeal pain
Clinical narrative: My booster was on Monday 10/25 and I felt great that day and Tuesday, but Wednesday night at 9-10PM, I realized had a really sore throat, but I went to bed and didn't sleep really well. I had aches and pains. When I got up, I took my temperature, and it was 100.00. I was achy, etc. My throat was really sore. I took a flashlight and looked at my throat. And I had 5-6 white spots or sores on my tonsils on the left side. It was very tender underneath my jaw. So I spent that day (Thursday) not feeling good. I took ibuprofen during the day and rested and drank fluids. I thought if I didn't feel good the next day, I would go see the doctor. I still felt crummy but I wasn't running a fever the next day but my throat still hurt. Hurt to talk and swallow. I went to  see my doctor, he did a COVID-19 test which was negative, and he prescribed Dexamethasone and I was required to swish it around and swallow it and do that for 3-5 days. I've taken it for 3 days, and I didn't take any today. I do still feel raspy, and I still have the spots on my tonsil, but it isn't painful anymore. And my doctor put down on the diagnosis that it was an upper respiratory tract infection of unspecified type. Feeling back to normal now.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Poor quality sleep, SARS-CoV-2 test negative, Tonsillar ulcer, Upper respiratory tract infection
Clinical narrative: My booster was on Monday 10/25 and I felt great that day and Tuesday, but Wednesday night at 9-10PM, I realized had a really sore throat, but I went to bed and didn't sleep really well. I had aches and pains. When I got up, I took my temperature, and it was 100.00. I was achy, etc. My throat was really sore. I took a flashlight and looked at my throat. And I had 5-6 white spots or sores on my tonsils on the left side. It was very tender underneath my jaw. So I spent that day (Thursday) not feeling good. I took ibuprofen during the day and rested and drank fluids. I thought if I didn't feel good the next day, I would go see the doctor. I still felt crummy but I wasn't running a fever the next day but my throat still hurt. Hurt to talk and swallow. I went to  see my doctor, he did a COVID-19 test which was negative, and he prescribed Dexamethasone and I was required to swish it around and swallow it and do that for 3-5 days. I've taken it for 3 days, and I didn't take any today. I do still feel raspy, and I still have the spots on my tonsil, but it isn't painful anymore. And my doctor put down on the diagnosis that it was an upper respiratory tract infection of unspecified type. Feeling back to normal now.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Decreased appetite, Fatigue, Headache, Hot flush
Clinical narrative: 1. Severe fatigue lasting 10+ days post vaccine,  2. Headache lasting 3 days post vaccine, 3. Soaking night sweats lasting 10 days post vaccine,  4. Hot flashes / Clammy lasting 10+ days post vaccine,  5. Rash on torso starting 2 days after vaccine and lasting 4 days after onset,  6. Malaise lasting 10 days post vaccine 7. Loss of appetite lasting 4 days post vaccine
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Night sweats
Clinical narrative: 1. Severe fatigue lasting 10+ days post vaccine,  2. Headache lasting 3 days post vaccine, 3. Soaking night sweats lasting 10 days post vaccine,  4. Hot flashes / Clammy lasting 10+ days post vaccine,  5. Rash on torso starting 2 days after vaccine and lasting 4 days after onset,  6. Malaise lasting 10 days post vaccine 7. Loss of appetite lasting 4 days post vaccine
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Nucleic acid test, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID 10/31/21 after being fully vaccinated.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Migraine, Pain
Clinical narrative: After vaccination I had started to get a migraine about 1-2 hours later. On top of the migraine I had body aches, chills and fatigue. Everything but the headaches have resolved. It has been 20 days since first injection and I have had a continuing migraine that has not improved.  These migraines are the same migraines I have had when I had contracted Covid in November 2020 that took months to resolve.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac disorder, Chest pain, Inflammation
Clinical narrative: Heart Inflammation Chest Inflammation Chest Pain All Lasted for about 8 weeks Became worse when exercising
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Swelling face
Clinical narrative: rash (urticaria) and facial swelling
Age: 83.0
Sex: F
Vaccine: VARZOS
Symptoms: Myalgia
Clinical narrative: Patient said shortly after her vaccine, not at the injection site, but from her wrist to her elbow, her muscles were really sore and hurt. She said she thought it was strange and wanted to report it. She said that it cleared up by the evening and did not come back.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Dyspnoea, Electrocardiogram abnormal, Erythema, Rash
Clinical narrative: 4/8/21 PT CALLED INTO OFFICE STATING SHE STARTED WITH A RASH FROM HEAD TO TOE DAY AFTER.- ADVISED TO TAKE ALLEGRA .  WENT TO HOSPITAL ED ON 4/10/21 WITH C/O SKIN IRRIATION AND REDNESS, MILD SOB AND SOME DIFFICULTY SWALLOWING.  SEEN AT URGENT CARE (? dos) WAS TREATED WITH 25MG IV BENADRYL.   ED GAVE HER BENADRYL, SOLUMEDROL AND PEPCID PLUS IV'S ECG SHOWED SINUS TACHYCARDIA INSTRUCTED TO TAKE 5 DAYS OF PEPCID BID; PREDNISONE 5 DAYS AND EPIPEN; BENADRYL 50MG EVERY 6 HOURS FOR 24 HOURS THEN PRN
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus tachycardia, Skin irritation
Clinical narrative: 4/8/21 PT CALLED INTO OFFICE STATING SHE STARTED WITH A RASH FROM HEAD TO TOE DAY AFTER.- ADVISED TO TAKE ALLEGRA .  WENT TO HOSPITAL ED ON 4/10/21 WITH C/O SKIN IRRIATION AND REDNESS, MILD SOB AND SOME DIFFICULTY SWALLOWING.  SEEN AT URGENT CARE (? dos) WAS TREATED WITH 25MG IV BENADRYL.   ED GAVE HER BENADRYL, SOLUMEDROL AND PEPCID PLUS IV'S ECG SHOWED SINUS TACHYCARDIA INSTRUCTED TO TAKE 5 DAYS OF PEPCID BID; PREDNISONE 5 DAYS AND EPIPEN; BENADRYL 50MG EVERY 6 HOURS FOR 24 HOURS THEN PRN
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Myalgia, Nausea
Clinical narrative: Severe joint/muscle aches, fatigue, nausea, chills onset 12 hours, duration 36 hours.  Minor muscle aches/fatigue for an additional 24 hours.  Symptoms cleared up 60 hours following dose.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Immediate post-injection reaction, Paraesthesia oral, Sensory loss
Clinical narrative: Immediately after all 3 shots had facial numbness. It was sensory loss only; all motor was intact. No other symptoms. After the first shot it lasted about 10 minutes; 2nd shot as bout 25 minutes. Numbness just gradually left. After 3rd shot the numbness was the same but I had lip numbness for 2 hours. They then started tingling similar to anesthetic wearing off after dental work. Then I was fine.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient, her mother, father and brother all came for flu shots. The father was also to receive his COVID booster - Pfizer. I had the injections prepared for all of them, but accidently picked up the Pfizer syringe and administered it to the child. I realized my error when I saw the remaining syringes and noted the Pfizer vaccination was missing. I immediately told the mother the error I made and also related this to the clinic nurse practitioner and the father. We monitored the patient for 15 minutes for an allergic reaction, as with all patients who receive a COVID vaccine. the mother chose not to proceed with the flu vaccination for her daughter at this time. Information was also given to the father about signs and symptoms that may normally occur when getting a COVID vaccination. The vaccination will not be approved for this age group until next week. The mother was advised about the need to the second Pfizer dose in 3 weeks.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Facial paralysis, Hypoaesthesia, Laboratory test, Peripheral swelling
Clinical narrative: left arm swollen and joints were hurting so I went to walk-in (04/24/2021) and the doctor prescribed : Hydroxyzine Pamoate 25MG, Medrol 4MG, Sulfamethoxaole-trimethoprim 800 160MH and Triamcinolone Acetonide .  The next time, my right face was drooping and right jaw num so my husband took to the ER (04/25/2021).  The tests were performed and I was kept over night to observation and was releases on 04/26/2021 and doctor prescribed aspirin 81mg and Atorvastatin  To this day, I still have spots/rashes for no reason so I am going to see an Allergist/Immun specialist on Nov 5 , 2021
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Rash macular
Clinical narrative: left arm swollen and joints were hurting so I went to walk-in (04/24/2021) and the doctor prescribed : Hydroxyzine Pamoate 25MG, Medrol 4MG, Sulfamethoxaole-trimethoprim 800 160MH and Triamcinolone Acetonide .  The next time, my right face was drooping and right jaw num so my husband took to the ER (04/25/2021).  The tests were performed and I was kept over night to observation and was releases on 04/26/2021 and doctor prescribed aspirin 81mg and Atorvastatin  To this day, I still have spots/rashes for no reason so I am going to see an Allergist/Immun specialist on Nov 5 , 2021
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling
Clinical narrative: Swollen and red arm, have been taking advil
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: NO ADVERSE EVENT OCCURED.  VACCINE ADMINSTERED PAST BUD
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: The patient reported no current adverse event experienced or any effect requiring medical attention.  The patient was instructed to contact the pharmacy if any adverse events occur.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Lymphadenopathy, Thrombosis
Clinical narrative: Underneath my left armpit, my lymph node swelled and enlarged to the size of a baseball, which has never happened before in my life even after receiving other vaccines such as the flu vaccine. Also, 2 days post-vaccine, I experienced thrombosis of my right leg, specifically the upper thigh area. Now I must get up and walk around often as that area of my leg goes numb and tingles for a while, which if left long enough without walking around turns into sharp pains in that area. I am still experiencing that as well along with the enlarged lymph node under my armpit. I have had neither symptoms before in my life or symptoms similar to that.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Full blood count abnormal, Platelet count decreased, Pyrexia
Clinical narrative: The same night of vaccination I had chills and Slight fever, My platelet went down to a 13, My doctor advise for me to take Steroid in order to get my immune system back up,  I am taking 40MG of prednisone  once a day.
Age: 61.0
Sex: F
Vaccine: FLUA4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: PATIENT WAS GIVEN FLUAD, BUT IS ONLY 61 SO SHE IS BELOW THE APPROVED AGE. HAVE LEFT MESSAGE TO FOLLOW UP WITH PATIENT, STILL WAITING TO HEAR BACK.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Constipation, Dehydration, Dizziness, Fatigue, Nausea
Clinical narrative: Pt. states that after receiving the 3rd Booster of Moderna 10/20/2021, started experiencing symptoms 10/21/2021 of vomiting, nausea, extreme fatigue, and dehydration. Primary communications 10/25/2021 recommendation for Emergency Room visit 10/25/2021 treated for Dehydration and IV Zofran (sent home with Zofran tablet). Still experiencing light headedness, fatigue and constipation (self-treating with stool softener/water).
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Pt. states that after receiving the 3rd Booster of Moderna 10/20/2021, started experiencing symptoms 10/21/2021 of vomiting, nausea, extreme fatigue, and dehydration. Primary communications 10/25/2021 recommendation for Emergency Room visit 10/25/2021 treated for Dehydration and IV Zofran (sent home with Zofran tablet). Still experiencing light headedness, fatigue and constipation (self-treating with stool softener/water).
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested NAAT positive for COVID 10/31/21 after being fully vaccinated.
Age: 55.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Moderna vaccine was stored in lower temperatures than what was recommended. Moderna confirmed, vaccines are viable.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Encounter for preprocedural  - ASYMPTOMATIC
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Aortic aneurysm, COVID-19, Carotid artery bypass, Condition aggravated, SARS-CoV-2 test positive
Clinical narrative: 05/18/2021 pt. tested for surgery. "PMHx of HTN, COVID-19 2/2021, CKD Stage 3, and known thoracic aortic aneurysm. The patient presents for carotid subclavian bypass in preparation for thoracic stent graft for thoracic aneurysm; Admitted to Hospital s/p Carotid Subclavian Bypass. Plan for TEVAR 5/19"
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Arthralgia, COVID-19, Death, Fall
Clinical narrative: Pt. presents to facility 05/21/2021 with R hip pain after mechanical fall; underwent surgery and on 06/03/2021 transfered to alternative facility; on 06/22 returns to original facility from secondary with altered mental status. On 06/23/21 pt. passed away due to Acute hypoxic, hypercarbic respiratory failure.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mental status changes, Respiratory failure, SARS-CoV-2 test positive, Surgery
Clinical narrative: Pt. presents to facility 05/21/2021 with R hip pain after mechanical fall; underwent surgery and on 06/03/2021 transfered to alternative facility; on 06/22 returns to original facility from secondary with altered mental status. On 06/23/21 pt. passed away due to Acute hypoxic, hypercarbic respiratory failure.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Anticonvulsant drug level therapeutic, Asthenia, Blood glucose increased, Blood lactic acid, Blood lactic acid decreased
Clinical narrative: weakness, decrease appetite, diarrhea, fell, sent to ER work up negative and returned. Became so weak could no longer walk or transfer independently.  Became weaker and could not move self in bed.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Coagulation test, Computerised tomogram abdomen, Computerised tomogram head, Computerised tomogram normal, Decreased appetite
Clinical narrative: weakness, decrease appetite, diarrhea, fell, sent to ER work up negative and returned. Became so weak could no longer walk or transfer independently.  Became weaker and could not move self in bed.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Full blood count, Gait disturbance, Laboratory test, Lipase
Clinical narrative: weakness, decrease appetite, diarrhea, fell, sent to ER work up negative and returned. Became so weak could no longer walk or transfer independently.  Became weaker and could not move self in bed.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Mobility decreased, Urine analysis
Clinical narrative: weakness, decrease appetite, diarrhea, fell, sent to ER work up negative and returned. Became so weak could no longer walk or transfer independently.  Became weaker and could not move self in bed.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Atrial fibrillation, Blood lactic acid normal, Blood sodium decreased, Bronchial wall thickening
Clinical narrative: Patient was Covid + on 10/29/2021. Patient received Moderna with 1st dose 012L20A on 02/08/2021 and 2nd 029L20A 03/09/2021.  Per ED Note:  History of Present Illness     71-year-old male past medical history significant for paroxysmal A. fib, HTN, newly diagnosed prostate cancer who is presenting to the emergency department from home via private vehicle for chief complaint of weakness and falls.  Patient states that over the past 24 hours he has been feeling weak and has had difficulties standing.  Patient states that he had a fall approximately 5 hours prior to arrival.  Patient states that he went from a seated to standing position and felt weak and fell.  Patient states that he has pain on the left side of his chest wall from the fall. Patient denies any  abdominal pain, vomiting, difficulty breathing, focal paresthesias or weakness, headache, dizziness, fevers or chills, URI symptoms,  change in bowel or bladder habits, leg pain or history of blood clots, or changes in medications. He denies any other modifying precipitating or relieving factors. ED Course/Medical Decision Making:     Evaluation, management, services and procedures as well as the key components of the patient's care described here were performed in the presence of the attending physician.  Clinical records were reviewed. Pulse oximetry interpreted by me: 90% on room air-abnormal.   Initial evaluation: 71-year-old male past medical history significant for paroxysmal A. fib, HTN, newly diagnosed prostate cancer who is presenting to the emergency department from home via private vehicle for chief complaint of weakness and falls.   Vitals are reviewed and significant for heart rate of 125, respiratory rate of 33 and a temperature of 103.3.  Patient was placed on 2 L nasal cannula and given Tylenol for the fever.   Patient was given 10 mg of Lopressor and ED sepsis diagnostic pathway was triggered.  30 cc/kg was held as patient has lower extremity edema and mild crackles on exam.   Labs: CBC shows no leukocytosis or severe anemia.  Blood chemistry is significant for sodium of 130.  Troponin is negative.  proBNP is 444.  Lactic acid is unremarkable.  Covid is positive.   Imaging:   CXR: Limited study due to low lung volumes. No definite evidence for acute cardiopulmonary disease.   XR 2 view: Bronchial thickening without consolidation   CT head: No evidence for acute intracranial abnormality. Advanced pan-sinus disease.   EKG interpreted by myself and attending physician and demonstrates: Rhythm: A. fib with RVR. Rate: 123. Intervals: QRS: 92, QT/QTc: 314/449. ST elevations: No acute elevations or depressions. T wave changes: T wave inversion aVR. No acute ischemic changes. Prior ECG: No significant change from EKG in October 2018.   Patient's CHADVAS score is low risk at this time and heparin was not started.  Imaging was reviewed and was grossly unremarkable.  EKG showed A. fib RVR and repeat EKG showed normal sinus rhythm at a rate of 78.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: CHA2DS2-VASc-score, COVID-19, Chest X-ray abnormal, Computerised tomogram head normal, Condition aggravated
Clinical narrative: Patient was Covid + on 10/29/2021. Patient received Moderna with 1st dose 012L20A on 02/08/2021 and 2nd 029L20A 03/09/2021.  Per ED Note:  History of Present Illness     71-year-old male past medical history significant for paroxysmal A. fib, HTN, newly diagnosed prostate cancer who is presenting to the emergency department from home via private vehicle for chief complaint of weakness and falls.  Patient states that over the past 24 hours he has been feeling weak and has had difficulties standing.  Patient states that he had a fall approximately 5 hours prior to arrival.  Patient states that he went from a seated to standing position and felt weak and fell.  Patient states that he has pain on the left side of his chest wall from the fall. Patient denies any  abdominal pain, vomiting, difficulty breathing, focal paresthesias or weakness, headache, dizziness, fevers or chills, URI symptoms,  change in bowel or bladder habits, leg pain or history of blood clots, or changes in medications. He denies any other modifying precipitating or relieving factors. ED Course/Medical Decision Making:     Evaluation, management, services and procedures as well as the key components of the patient's care described here were performed in the presence of the attending physician.  Clinical records were reviewed. Pulse oximetry interpreted by me: 90% on room air-abnormal.   Initial evaluation: 71-year-old male past medical history significant for paroxysmal A. fib, HTN, newly diagnosed prostate cancer who is presenting to the emergency department from home via private vehicle for chief complaint of weakness and falls.   Vitals are reviewed and significant for heart rate of 125, respiratory rate of 33 and a temperature of 103.3.  Patient was placed on 2 L nasal cannula and given Tylenol for the fever.   Patient was given 10 mg of Lopressor and ED sepsis diagnostic pathway was triggered.  30 cc/kg was held as patient has lower extremity edema and mild crackles on exam.   Labs: CBC shows no leukocytosis or severe anemia.  Blood chemistry is significant for sodium of 130.  Troponin is negative.  proBNP is 444.  Lactic acid is unremarkable.  Covid is positive.   Imaging:   CXR: Limited study due to low lung volumes. No definite evidence for acute cardiopulmonary disease.   XR 2 view: Bronchial thickening without consolidation   CT head: No evidence for acute intracranial abnormality. Advanced pan-sinus disease.   EKG interpreted by myself and attending physician and demonstrates: Rhythm: A. fib with RVR. Rate: 123. Intervals: QRS: 92, QT/QTc: 314/449. ST elevations: No acute elevations or depressions. T wave changes: T wave inversion aVR. No acute ischemic changes. Prior ECG: No significant change from EKG in October 2018.   Patient's CHADVAS score is low risk at this time and heparin was not started.  Imaging was reviewed and was grossly unremarkable.  EKG showed A. fib RVR and repeat EKG showed normal sinus rhythm at a rate of 78.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Crepitations, Dysstasia, Electrocardiogram T wave inversion, Fall, Full blood count normal
Clinical narrative: Patient was Covid + on 10/29/2021. Patient received Moderna with 1st dose 012L20A on 02/08/2021 and 2nd 029L20A 03/09/2021.  Per ED Note:  History of Present Illness     71-year-old male past medical history significant for paroxysmal A. fib, HTN, newly diagnosed prostate cancer who is presenting to the emergency department from home via private vehicle for chief complaint of weakness and falls.  Patient states that over the past 24 hours he has been feeling weak and has had difficulties standing.  Patient states that he had a fall approximately 5 hours prior to arrival.  Patient states that he went from a seated to standing position and felt weak and fell.  Patient states that he has pain on the left side of his chest wall from the fall. Patient denies any  abdominal pain, vomiting, difficulty breathing, focal paresthesias or weakness, headache, dizziness, fevers or chills, URI symptoms,  change in bowel or bladder habits, leg pain or history of blood clots, or changes in medications. He denies any other modifying precipitating or relieving factors. ED Course/Medical Decision Making:     Evaluation, management, services and procedures as well as the key components of the patient's care described here were performed in the presence of the attending physician.  Clinical records were reviewed. Pulse oximetry interpreted by me: 90% on room air-abnormal.   Initial evaluation: 71-year-old male past medical history significant for paroxysmal A. fib, HTN, newly diagnosed prostate cancer who is presenting to the emergency department from home via private vehicle for chief complaint of weakness and falls.   Vitals are reviewed and significant for heart rate of 125, respiratory rate of 33 and a temperature of 103.3.  Patient was placed on 2 L nasal cannula and given Tylenol for the fever.   Patient was given 10 mg of Lopressor and ED sepsis diagnostic pathway was triggered.  30 cc/kg was held as patient has lower extremity edema and mild crackles on exam.   Labs: CBC shows no leukocytosis or severe anemia.  Blood chemistry is significant for sodium of 130.  Troponin is negative.  proBNP is 444.  Lactic acid is unremarkable.  Covid is positive.   Imaging:   CXR: Limited study due to low lung volumes. No definite evidence for acute cardiopulmonary disease.   XR 2 view: Bronchial thickening without consolidation   CT head: No evidence for acute intracranial abnormality. Advanced pan-sinus disease.   EKG interpreted by myself and attending physician and demonstrates: Rhythm: A. fib with RVR. Rate: 123. Intervals: QRS: 92, QT/QTc: 314/449. ST elevations: No acute elevations or depressions. T wave changes: T wave inversion aVR. No acute ischemic changes. Prior ECG: No significant change from EKG in October 2018.   Patient's CHADVAS score is low risk at this time and heparin was not started.  Imaging was reviewed and was grossly unremarkable.  EKG showed A. fib RVR and repeat EKG showed normal sinus rhythm at a rate of 78.