chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 39.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Chills, Headache, Hyperhidrosis, Joint swelling
Clinical narrative: Patient is currently pregnant, due October 25, 2021; Patient has had 2 previous pregnancies without complications. Patient noted with symptoms that began at about 0100 on 9/15/2021 of headache, chills, sweats, joint pain and states that it feels like joints are swollen.  Temperature is not available. Denies hives or shortness of breath. Patient took Acetaminophen between 0500-0600 for headache with relief of headache noted. Patient has had Tdap vaccine in the past with no reaction. Patient is vaccinated for Covid. Headache, chills and sweats have improved but patient is still achy in joints.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Presyncope, Tachycardia
Clinical narrative: Near-syncope, tachycardia
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Electrocardiogram, Fatigue, Myalgia
Clinical narrative: Febrile Sept 9-11th, with General myalgia.  Substernal chest pain and SOB with exhertion,  began Sept 11, gradually worsening until Sept 13. EKG on Sept 13, "normal". Substernal chest pain continues with exhertion Sept 15., but is gradually improving.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Febrile Sept 9-11th, with General myalgia.  Substernal chest pain and SOB with exhertion,  began Sept 11, gradually worsening until Sept 13. EKG on Sept 13, "normal". Substernal chest pain continues with exhertion Sept 15., but is gradually improving.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: The Pfizer COVID-19 vaccine was diluted incorrectly: 0.8mL of diluent was used instead of the 1.8mL that is required. The patient still received a 0.3mL volume dose however that dose was more concentrated due to the incorrect dilution. The patient was made aware of this incident and was not experiencing any adverse side effects from the vaccine when contacted.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Impaired work ability, Injected limb mobility decreased
Clinical narrative: 8/25/21 Pounding heart, dizziness headache. 8/26/21 Feeling unwell still pounding heartbeat could not lift and use left arm. 8/27/21 left work early 102 fever chills severe headache swollen face. 8/28/2021 Missed work swollen face severe headache chills fever still pounding heart. 8/29 pounding heart fatigue headache. 8/30 Same. 8/31 felt better but still pounding heart rate that lasted until 9/2/2021. Due to the side effect of my pounding heart rate I have cancelled 2nd dosage. The other side effects are manageable but not something as alarming as my heart pounding for 9 days
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Palpitations, Pyrexia, Swelling face
Clinical narrative: 8/25/21 Pounding heart, dizziness headache. 8/26/21 Feeling unwell still pounding heartbeat could not lift and use left arm. 8/27/21 left work early 102 fever chills severe headache swollen face. 8/28/2021 Missed work swollen face severe headache chills fever still pounding heart. 8/29 pounding heart fatigue headache. 8/30 Same. 8/31 felt better but still pounding heart rate that lasted until 9/2/2021. Due to the side effect of my pounding heart rate I have cancelled 2nd dosage. The other side effects are manageable but not something as alarming as my heart pounding for 9 days
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute leukaemia, Angiogram pulmonary abnormal, Anticoagulant therapy, Aortic dilatation, Bartholin's cyst
Clinical narrative: Hospitalized (still admitted at this time);  COVID-19 positive (9.2.21);  fully vaccinated  Admitted 9.2.21 - still hospitalized.  SUBJECTIVE: This is a 57 y.o. patient with a past medical history significant for recent DVT/PE, asthma, and recent Bartholin gland cyst who presented to ED for admission as directed by healthcare provider 2/2 leukocytosis concerning for new ALL.  She admits that she spoke with the doctor today regarding her illness, and she is "ready to do this."  She admits that her leg swelling and pain have improved greatly since starting her Eliquis.  She denies dyspnea although she does report that she has fatigue, particularly with exertion.  Pt admits that she has been having neck pain with severe headaches lately.  These headaches begin at the base of her skull and radiate "up over the top of my head."  Caffeine has been helpful for these headaches.  Additionally, pt states that she had an episode of diarrhea today.  She admits to being regular at home but her schedule is disrupted on weekends when family is around and she experiences, "Monday cleanouts." Oncology History: Patient in Hospital for DVT/PE when she was found to have WBC 76, 87% blasts.  Peripheral smear 8/31 consistent with acute leukemia and flow cytometry 9/1 positive for B-ALL.  Patient directly admitted to BW ED 9/3 for new B-ALL.  ASSESSMENT / PLAN:   New B-ALL - WBC 76 at on 8/31, 87% blasts - Peripheral smear 8/31 consistent with acute leukemia - Flow cytometry 9/1 positive for B-ALL - Repeat peripheral smear and flow cytometry pending - BMBx pending - EKG 9/1 NSR - CXR pending - Panorex pending - LDH 502, uric acid pending - ECHO 9/1 with LVEF 61%, mild mitral regurgitation, ascending aorta dilated at 4.5 cm - Fibrinogen elevated, D-dimer pending - HIV, hepatitis panel pending - Hydrea 1 gm TID started - Allopurinol 300 mg daily  Recent DVT/PE, dx 8/29/21 - Hx PE 2016 s/p back surgery - US BLE 8/29 with LLE DVT - CTA thorax 8/29 with right-sided PE - Pt started on Eliquis 8/29, cont - Trops neg - ECHO as above Recent Bartholin gland cyst - I&D by OB/Gyn 8/25 - Cultures sent Asthma - Cont home bronchodilators DVT proph - On Eliquis
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Biopsy bone marrow, Blood fibrinogen increased, Blood lactate dehydrogenase increased, Blood smear test abnormal, Blood uric acid
Clinical narrative: Hospitalized (still admitted at this time);  COVID-19 positive (9.2.21);  fully vaccinated  Admitted 9.2.21 - still hospitalized.  SUBJECTIVE: This is a 57 y.o. patient with a past medical history significant for recent DVT/PE, asthma, and recent Bartholin gland cyst who presented to ED for admission as directed by healthcare provider 2/2 leukocytosis concerning for new ALL.  She admits that she spoke with the doctor today regarding her illness, and she is "ready to do this."  She admits that her leg swelling and pain have improved greatly since starting her Eliquis.  She denies dyspnea although she does report that she has fatigue, particularly with exertion.  Pt admits that she has been having neck pain with severe headaches lately.  These headaches begin at the base of her skull and radiate "up over the top of my head."  Caffeine has been helpful for these headaches.  Additionally, pt states that she had an episode of diarrhea today.  She admits to being regular at home but her schedule is disrupted on weekends when family is around and she experiences, "Monday cleanouts." Oncology History: Patient in Hospital for DVT/PE when she was found to have WBC 76, 87% blasts.  Peripheral smear 8/31 consistent with acute leukemia and flow cytometry 9/1 positive for B-ALL.  Patient directly admitted to BW ED 9/3 for new B-ALL.  ASSESSMENT / PLAN:   New B-ALL - WBC 76 at on 8/31, 87% blasts - Peripheral smear 8/31 consistent with acute leukemia - Flow cytometry 9/1 positive for B-ALL - Repeat peripheral smear and flow cytometry pending - BMBx pending - EKG 9/1 NSR - CXR pending - Panorex pending - LDH 502, uric acid pending - ECHO 9/1 with LVEF 61%, mild mitral regurgitation, ascending aorta dilated at 4.5 cm - Fibrinogen elevated, D-dimer pending - HIV, hepatitis panel pending - Hydrea 1 gm TID started - Allopurinol 300 mg daily  Recent DVT/PE, dx 8/29/21 - Hx PE 2016 s/p back surgery - US BLE 8/29 with LLE DVT - CTA thorax 8/29 with right-sided PE - Pt started on Eliquis 8/29, cont - Trops neg - ECHO as above Recent Bartholin gland cyst - I&D by OB/Gyn 8/25 - Cultures sent Asthma - Cont home bronchodilators DVT proph - On Eliquis
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bronchitis, COVID-19, Chest X-ray, Condition aggravated, Culture
Clinical narrative: Hospitalized (still admitted at this time);  COVID-19 positive (9.2.21);  fully vaccinated  Admitted 9.2.21 - still hospitalized.  SUBJECTIVE: This is a 57 y.o. patient with a past medical history significant for recent DVT/PE, asthma, and recent Bartholin gland cyst who presented to ED for admission as directed by healthcare provider 2/2 leukocytosis concerning for new ALL.  She admits that she spoke with the doctor today regarding her illness, and she is "ready to do this."  She admits that her leg swelling and pain have improved greatly since starting her Eliquis.  She denies dyspnea although she does report that she has fatigue, particularly with exertion.  Pt admits that she has been having neck pain with severe headaches lately.  These headaches begin at the base of her skull and radiate "up over the top of my head."  Caffeine has been helpful for these headaches.  Additionally, pt states that she had an episode of diarrhea today.  She admits to being regular at home but her schedule is disrupted on weekends when family is around and she experiences, "Monday cleanouts." Oncology History: Patient in Hospital for DVT/PE when she was found to have WBC 76, 87% blasts.  Peripheral smear 8/31 consistent with acute leukemia and flow cytometry 9/1 positive for B-ALL.  Patient directly admitted to BW ED 9/3 for new B-ALL.  ASSESSMENT / PLAN:   New B-ALL - WBC 76 at on 8/31, 87% blasts - Peripheral smear 8/31 consistent with acute leukemia - Flow cytometry 9/1 positive for B-ALL - Repeat peripheral smear and flow cytometry pending - BMBx pending - EKG 9/1 NSR - CXR pending - Panorex pending - LDH 502, uric acid pending - ECHO 9/1 with LVEF 61%, mild mitral regurgitation, ascending aorta dilated at 4.5 cm - Fibrinogen elevated, D-dimer pending - HIV, hepatitis panel pending - Hydrea 1 gm TID started - Allopurinol 300 mg daily  Recent DVT/PE, dx 8/29/21 - Hx PE 2016 s/p back surgery - US BLE 8/29 with LLE DVT - CTA thorax 8/29 with right-sided PE - Pt started on Eliquis 8/29, cont - Trops neg - ECHO as above Recent Bartholin gland cyst - I&D by OB/Gyn 8/25 - Cultures sent Asthma - Cont home bronchodilators DVT proph - On Eliquis
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Deep vein thrombosis, Diarrhoea, Echocardiogram abnormal, Ejection fraction normal, Electrocardiogram
Clinical narrative: Hospitalized (still admitted at this time);  COVID-19 positive (9.2.21);  fully vaccinated  Admitted 9.2.21 - still hospitalized.  SUBJECTIVE: This is a 57 y.o. patient with a past medical history significant for recent DVT/PE, asthma, and recent Bartholin gland cyst who presented to ED for admission as directed by healthcare provider 2/2 leukocytosis concerning for new ALL.  She admits that she spoke with the doctor today regarding her illness, and she is "ready to do this."  She admits that her leg swelling and pain have improved greatly since starting her Eliquis.  She denies dyspnea although she does report that she has fatigue, particularly with exertion.  Pt admits that she has been having neck pain with severe headaches lately.  These headaches begin at the base of her skull and radiate "up over the top of my head."  Caffeine has been helpful for these headaches.  Additionally, pt states that she had an episode of diarrhea today.  She admits to being regular at home but her schedule is disrupted on weekends when family is around and she experiences, "Monday cleanouts." Oncology History: Patient in Hospital for DVT/PE when she was found to have WBC 76, 87% blasts.  Peripheral smear 8/31 consistent with acute leukemia and flow cytometry 9/1 positive for B-ALL.  Patient directly admitted to BW ED 9/3 for new B-ALL.  ASSESSMENT / PLAN:   New B-ALL - WBC 76 at on 8/31, 87% blasts - Peripheral smear 8/31 consistent with acute leukemia - Flow cytometry 9/1 positive for B-ALL - Repeat peripheral smear and flow cytometry pending - BMBx pending - EKG 9/1 NSR - CXR pending - Panorex pending - LDH 502, uric acid pending - ECHO 9/1 with LVEF 61%, mild mitral regurgitation, ascending aorta dilated at 4.5 cm - Fibrinogen elevated, D-dimer pending - HIV, hepatitis panel pending - Hydrea 1 gm TID started - Allopurinol 300 mg daily  Recent DVT/PE, dx 8/29/21 - Hx PE 2016 s/p back surgery - US BLE 8/29 with LLE DVT - CTA thorax 8/29 with right-sided PE - Pt started on Eliquis 8/29, cont - Trops neg - ECHO as above Recent Bartholin gland cyst - I&D by OB/Gyn 8/25 - Cultures sent Asthma - Cont home bronchodilators DVT proph - On Eliquis
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Fibrin D dimer, Flow cytometry, HIV test, Headache
Clinical narrative: Hospitalized (still admitted at this time);  COVID-19 positive (9.2.21);  fully vaccinated  Admitted 9.2.21 - still hospitalized.  SUBJECTIVE: This is a 57 y.o. patient with a past medical history significant for recent DVT/PE, asthma, and recent Bartholin gland cyst who presented to ED for admission as directed by healthcare provider 2/2 leukocytosis concerning for new ALL.  She admits that she spoke with the doctor today regarding her illness, and she is "ready to do this."  She admits that her leg swelling and pain have improved greatly since starting her Eliquis.  She denies dyspnea although she does report that she has fatigue, particularly with exertion.  Pt admits that she has been having neck pain with severe headaches lately.  These headaches begin at the base of her skull and radiate "up over the top of my head."  Caffeine has been helpful for these headaches.  Additionally, pt states that she had an episode of diarrhea today.  She admits to being regular at home but her schedule is disrupted on weekends when family is around and she experiences, "Monday cleanouts." Oncology History: Patient in Hospital for DVT/PE when she was found to have WBC 76, 87% blasts.  Peripheral smear 8/31 consistent with acute leukemia and flow cytometry 9/1 positive for B-ALL.  Patient directly admitted to BW ED 9/3 for new B-ALL.  ASSESSMENT / PLAN:   New B-ALL - WBC 76 at on 8/31, 87% blasts - Peripheral smear 8/31 consistent with acute leukemia - Flow cytometry 9/1 positive for B-ALL - Repeat peripheral smear and flow cytometry pending - BMBx pending - EKG 9/1 NSR - CXR pending - Panorex pending - LDH 502, uric acid pending - ECHO 9/1 with LVEF 61%, mild mitral regurgitation, ascending aorta dilated at 4.5 cm - Fibrinogen elevated, D-dimer pending - HIV, hepatitis panel pending - Hydrea 1 gm TID started - Allopurinol 300 mg daily  Recent DVT/PE, dx 8/29/21 - Hx PE 2016 s/p back surgery - US BLE 8/29 with LLE DVT - CTA thorax 8/29 with right-sided PE - Pt started on Eliquis 8/29, cont - Trops neg - ECHO as above Recent Bartholin gland cyst - I&D by OB/Gyn 8/25 - Cultures sent Asthma - Cont home bronchodilators DVT proph - On Eliquis
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hepatitis viral test, Incisional drainage, Leukocytosis, Mitral valve incompetence, Neck pain
Clinical narrative: Hospitalized (still admitted at this time);  COVID-19 positive (9.2.21);  fully vaccinated  Admitted 9.2.21 - still hospitalized.  SUBJECTIVE: This is a 57 y.o. patient with a past medical history significant for recent DVT/PE, asthma, and recent Bartholin gland cyst who presented to ED for admission as directed by healthcare provider 2/2 leukocytosis concerning for new ALL.  She admits that she spoke with the doctor today regarding her illness, and she is "ready to do this."  She admits that her leg swelling and pain have improved greatly since starting her Eliquis.  She denies dyspnea although she does report that she has fatigue, particularly with exertion.  Pt admits that she has been having neck pain with severe headaches lately.  These headaches begin at the base of her skull and radiate "up over the top of my head."  Caffeine has been helpful for these headaches.  Additionally, pt states that she had an episode of diarrhea today.  She admits to being regular at home but her schedule is disrupted on weekends when family is around and she experiences, "Monday cleanouts." Oncology History: Patient in Hospital for DVT/PE when she was found to have WBC 76, 87% blasts.  Peripheral smear 8/31 consistent with acute leukemia and flow cytometry 9/1 positive for B-ALL.  Patient directly admitted to BW ED 9/3 for new B-ALL.  ASSESSMENT / PLAN:   New B-ALL - WBC 76 at on 8/31, 87% blasts - Peripheral smear 8/31 consistent with acute leukemia - Flow cytometry 9/1 positive for B-ALL - Repeat peripheral smear and flow cytometry pending - BMBx pending - EKG 9/1 NSR - CXR pending - Panorex pending - LDH 502, uric acid pending - ECHO 9/1 with LVEF 61%, mild mitral regurgitation, ascending aorta dilated at 4.5 cm - Fibrinogen elevated, D-dimer pending - HIV, hepatitis panel pending - Hydrea 1 gm TID started - Allopurinol 300 mg daily  Recent DVT/PE, dx 8/29/21 - Hx PE 2016 s/p back surgery - US BLE 8/29 with LLE DVT - CTA thorax 8/29 with right-sided PE - Pt started on Eliquis 8/29, cont - Trops neg - ECHO as above Recent Bartholin gland cyst - I&D by OB/Gyn 8/25 - Cultures sent Asthma - Cont home bronchodilators DVT proph - On Eliquis
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pain in extremity, Peripheral swelling, Pulmonary embolism, SARS-CoV-2 test positive
Clinical narrative: Hospitalized (still admitted at this time);  COVID-19 positive (9.2.21);  fully vaccinated  Admitted 9.2.21 - still hospitalized.  SUBJECTIVE: This is a 57 y.o. patient with a past medical history significant for recent DVT/PE, asthma, and recent Bartholin gland cyst who presented to ED for admission as directed by healthcare provider 2/2 leukocytosis concerning for new ALL.  She admits that she spoke with the doctor today regarding her illness, and she is "ready to do this."  She admits that her leg swelling and pain have improved greatly since starting her Eliquis.  She denies dyspnea although she does report that she has fatigue, particularly with exertion.  Pt admits that she has been having neck pain with severe headaches lately.  These headaches begin at the base of her skull and radiate "up over the top of my head."  Caffeine has been helpful for these headaches.  Additionally, pt states that she had an episode of diarrhea today.  She admits to being regular at home but her schedule is disrupted on weekends when family is around and she experiences, "Monday cleanouts." Oncology History: Patient in Hospital for DVT/PE when she was found to have WBC 76, 87% blasts.  Peripheral smear 8/31 consistent with acute leukemia and flow cytometry 9/1 positive for B-ALL.  Patient directly admitted to BW ED 9/3 for new B-ALL.  ASSESSMENT / PLAN:   New B-ALL - WBC 76 at on 8/31, 87% blasts - Peripheral smear 8/31 consistent with acute leukemia - Flow cytometry 9/1 positive for B-ALL - Repeat peripheral smear and flow cytometry pending - BMBx pending - EKG 9/1 NSR - CXR pending - Panorex pending - LDH 502, uric acid pending - ECHO 9/1 with LVEF 61%, mild mitral regurgitation, ascending aorta dilated at 4.5 cm - Fibrinogen elevated, D-dimer pending - HIV, hepatitis panel pending - Hydrea 1 gm TID started - Allopurinol 300 mg daily  Recent DVT/PE, dx 8/29/21 - Hx PE 2016 s/p back surgery - US BLE 8/29 with LLE DVT - CTA thorax 8/29 with right-sided PE - Pt started on Eliquis 8/29, cont - Trops neg - ECHO as above Recent Bartholin gland cyst - I&D by OB/Gyn 8/25 - Cultures sent Asthma - Cont home bronchodilators DVT proph - On Eliquis
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Troponin normal, Ultrasound Doppler abnormal, White blood cell count increased, X-ray dental
Clinical narrative: Hospitalized (still admitted at this time);  COVID-19 positive (9.2.21);  fully vaccinated  Admitted 9.2.21 - still hospitalized.  SUBJECTIVE: This is a 57 y.o. patient with a past medical history significant for recent DVT/PE, asthma, and recent Bartholin gland cyst who presented to ED for admission as directed by healthcare provider 2/2 leukocytosis concerning for new ALL.  She admits that she spoke with the doctor today regarding her illness, and she is "ready to do this."  She admits that her leg swelling and pain have improved greatly since starting her Eliquis.  She denies dyspnea although she does report that she has fatigue, particularly with exertion.  Pt admits that she has been having neck pain with severe headaches lately.  These headaches begin at the base of her skull and radiate "up over the top of my head."  Caffeine has been helpful for these headaches.  Additionally, pt states that she had an episode of diarrhea today.  She admits to being regular at home but her schedule is disrupted on weekends when family is around and she experiences, "Monday cleanouts." Oncology History: Patient in Hospital for DVT/PE when she was found to have WBC 76, 87% blasts.  Peripheral smear 8/31 consistent with acute leukemia and flow cytometry 9/1 positive for B-ALL.  Patient directly admitted to BW ED 9/3 for new B-ALL.  ASSESSMENT / PLAN:   New B-ALL - WBC 76 at on 8/31, 87% blasts - Peripheral smear 8/31 consistent with acute leukemia - Flow cytometry 9/1 positive for B-ALL - Repeat peripheral smear and flow cytometry pending - BMBx pending - EKG 9/1 NSR - CXR pending - Panorex pending - LDH 502, uric acid pending - ECHO 9/1 with LVEF 61%, mild mitral regurgitation, ascending aorta dilated at 4.5 cm - Fibrinogen elevated, D-dimer pending - HIV, hepatitis panel pending - Hydrea 1 gm TID started - Allopurinol 300 mg daily  Recent DVT/PE, dx 8/29/21 - Hx PE 2016 s/p back surgery - US BLE 8/29 with LLE DVT - CTA thorax 8/29 with right-sided PE - Pt started on Eliquis 8/29, cont - Trops neg - ECHO as above Recent Bartholin gland cyst - I&D by OB/Gyn 8/25 - Cultures sent Asthma - Cont home bronchodilators DVT proph - On Eliquis
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Heart rate irregular
Clinical narrative: After took vaccine on 7/8/21 nurses at work checked me out on 7/29/21  and informed my of my irregular heart beat which I've never before, they preformed two EKG's and said I needed to follow up with my doctor. I did a follow up appointment with my provider and she did two more EKG's and she informed me all 4 showed different readings. Referred me to a heart specialist whom I went to she preformed another EKG and scheduled a nuclear stress test for October 4th. I
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Feeling hot, Hyperhidrosis, Hypoaesthesia
Clinical narrative: Within 5 minutes of receiving the shot, my entire body went hot from head to toe and then I broke out into a sweat. Sweat was running off my entire body. I went completely pale. I felt like I was going to throw up or pass out or both. The PA overseeing the waiting area attended to me along with either another PA or a nurse. They took my blood pressure and it was a little low for me. They retested my blood pressure about 30 minutes later and it was back to normal. My arms from my elbows down went numb and tingly. I had what felt like a lump in my throat. They had me lay down completely in my driver seat and apply ice to my neck. They also gave me some crackers and Gatorade. I later broke out into goosebumps all over my body and then began shivering and my teeth clattering which I was unable to control. My 20 minute wait turned into almost an hour and a half before I felt well again.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Nausea, Pallor, Paraesthesia, Piloerection
Clinical narrative: Within 5 minutes of receiving the shot, my entire body went hot from head to toe and then I broke out into a sweat. Sweat was running off my entire body. I went completely pale. I felt like I was going to throw up or pass out or both. The PA overseeing the waiting area attended to me along with either another PA or a nurse. They took my blood pressure and it was a little low for me. They retested my blood pressure about 30 minutes later and it was back to normal. My arms from my elbows down went numb and tingly. I had what felt like a lump in my throat. They had me lay down completely in my driver seat and apply ice to my neck. They also gave me some crackers and Gatorade. I later broke out into goosebumps all over my body and then began shivering and my teeth clattering which I was unable to control. My 20 minute wait turned into almost an hour and a half before I felt well again.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Sensation of foreign body
Clinical narrative: Within 5 minutes of receiving the shot, my entire body went hot from head to toe and then I broke out into a sweat. Sweat was running off my entire body. I went completely pale. I felt like I was going to throw up or pass out or both. The PA overseeing the waiting area attended to me along with either another PA or a nurse. They took my blood pressure and it was a little low for me. They retested my blood pressure about 30 minutes later and it was back to normal. My arms from my elbows down went numb and tingly. I had what felt like a lump in my throat. They had me lay down completely in my driver seat and apply ice to my neck. They also gave me some crackers and Gatorade. I later broke out into goosebumps all over my body and then began shivering and my teeth clattering which I was unable to control. My 20 minute wait turned into almost an hour and a half before I felt well again.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Extra dose administered, Hypersensitivity, Injection site erythema
Clinical narrative: After 24 hours all joints hurt. A fever (99.6) came. Could not keep from shivering in spite of wearing a heavy jacket. Took a couple of pain killers. Later in the day the fever broke. and felt human again.  My upper left arm is reddish and itchy. I believe I have an allergy and feel pretty strongly that it was the third dose. The two first doses did not give me any problem.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pruritus, Pyrexia
Clinical narrative: After 24 hours all joints hurt. A fever (99.6) came. Could not keep from shivering in spite of wearing a heavy jacket. Took a couple of pain killers. Later in the day the fever broke. and felt human again.  My upper left arm is reddish and itchy. I believe I have an allergy and feel pretty strongly that it was the third dose. The two first doses did not give me any problem.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Urticaria
Clinical narrative: Patient broke out in hives for 3 weeks an hour and half after receiving dose 1. Patient also stated she had SOB 1.5 after dose 1. Patient presented to site for dose 2 on 4/30/2021 and was disqualified based on reactions after dose #1. Patient only took Benadryl s\p vaccination. No other medical intervention reported.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Infection, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Chills, Electrocardiogram normal, Fatigue
Clinical narrative: Fever 99.8/chills, ibuprofen, resolved within 24 hours; Body aches/pain, ibuprofen, resolved within 24 hours; Partial Numbness in injection arm, no treatment, resolved within 6 hours; Fatigue since injection, no treatment, ongoing; Trouble falling asleep, no treatment, ongoing; Minor chest pain/discomfort during intense cardio exercise, no treatment, one time incident.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Insomnia, Pain, Thyroid hormones test
Clinical narrative: Fever 99.8/chills, ibuprofen, resolved within 24 hours; Body aches/pain, ibuprofen, resolved within 24 hours; Partial Numbness in injection arm, no treatment, resolved within 6 hours; Fatigue since injection, no treatment, ongoing; Trouble falling asleep, no treatment, ongoing; Minor chest pain/discomfort during intense cardio exercise, no treatment, one time incident.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Appendicectomy, Appendicitis, Computerised tomogram abnormal
Clinical narrative: Appendicitis - admitted to hospital on 9/4/21  Laparoscopic appendectomy 9/5/21
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, Pruritus
Clinical narrative: Within 30 min the patient started noticing itching all over his body. He did not notice obvious welts or hives. This itching was present when I saw him for an appointment the following day as well. He was stung by a mosquito approximately 3 hours after the vaccine and his whole right arm swelled up for several hours in addition to the full body itch. He used warm showers to alleviate his symptoms.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Vertigo
Clinical narrative: Vertigo onset 12 hours after administration, light headed feeling persists 4 weeks later,  treated with light dose of meclizine
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Muscular weakness, Paraesthesia oral
Clinical narrative: 5 minutes after administration employee c/o of generalized weakness especially in legs.  Employee placed in semi fowlers position and monitored. Approximately 56 mins after administration employee c/o tingling to lips and tongue, 25mg of Benadryl given im with relief. Employee transported via ambulance to Hospital ER.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood glucose normal, Blood test normal, Disability, Dizziness
Clinical narrative: On 9/9 I had radiating pain down my spine, tingling in my legs and feet. Lower extremity weakness, headache , dizziness , vision impairment and brain fog. I drove myself to the hospital and there was a 5 hr wait. Next day I went back my mom driving me was seen and in ER for 8 or so hours given IV fluids, toridol for pain, meclazine for dizziness and discharged due to all blood work levels being normal and UTI negative. Following days severe brain fog and back pain and dizziness. Followed up with PCP yesterday who advised I stop meclazine and tested again for UTI (neg) and mono test (waiting results) I?m out of work and completely ?out of it? not myself! 8 days onset after 1st shot and several have told me same reactions due to the Pfizer shot. Doctor will set me up with neurologist is this doesn?t clear. Im a healthy 32 years old female who works and lives life snd now I am impaired. Very scary.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Feeling abnormal, Full blood count normal, Headache, Impaired work ability
Clinical narrative: On 9/9 I had radiating pain down my spine, tingling in my legs and feet. Lower extremity weakness, headache , dizziness , vision impairment and brain fog. I drove myself to the hospital and there was a 5 hr wait. Next day I went back my mom driving me was seen and in ER for 8 or so hours given IV fluids, toridol for pain, meclazine for dizziness and discharged due to all blood work levels being normal and UTI negative. Following days severe brain fog and back pain and dizziness. Followed up with PCP yesterday who advised I stop meclazine and tested again for UTI (neg) and mono test (waiting results) I?m out of work and completely ?out of it? not myself! 8 days onset after 1st shot and several have told me same reactions due to the Pfizer shot. Doctor will set me up with neurologist is this doesn?t clear. Im a healthy 32 years old female who works and lives life snd now I am impaired. Very scary.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Mononucleosis heterophile test, Muscular weakness, Pain, Paraesthesia, Spinal pain
Clinical narrative: On 9/9 I had radiating pain down my spine, tingling in my legs and feet. Lower extremity weakness, headache , dizziness , vision impairment and brain fog. I drove myself to the hospital and there was a 5 hr wait. Next day I went back my mom driving me was seen and in ER for 8 or so hours given IV fluids, toridol for pain, meclazine for dizziness and discharged due to all blood work levels being normal and UTI negative. Following days severe brain fog and back pain and dizziness. Followed up with PCP yesterday who advised I stop meclazine and tested again for UTI (neg) and mono test (waiting results) I?m out of work and completely ?out of it? not myself! 8 days onset after 1st shot and several have told me same reactions due to the Pfizer shot. Doctor will set me up with neurologist is this doesn?t clear. Im a healthy 32 years old female who works and lives life snd now I am impaired. Very scary.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroid function test normal, Urine analysis normal, Visual impairment
Clinical narrative: On 9/9 I had radiating pain down my spine, tingling in my legs and feet. Lower extremity weakness, headache , dizziness , vision impairment and brain fog. I drove myself to the hospital and there was a 5 hr wait. Next day I went back my mom driving me was seen and in ER for 8 or so hours given IV fluids, toridol for pain, meclazine for dizziness and discharged due to all blood work levels being normal and UTI negative. Following days severe brain fog and back pain and dizziness. Followed up with PCP yesterday who advised I stop meclazine and tested again for UTI (neg) and mono test (waiting results) I?m out of work and completely ?out of it? not myself! 8 days onset after 1st shot and several have told me same reactions due to the Pfizer shot. Doctor will set me up with neurologist is this doesn?t clear. Im a healthy 32 years old female who works and lives life snd now I am impaired. Very scary.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: COVID ASSOCIATED DEATH; PT FULLY VACCINATED.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Testicular pain
Clinical narrative: Headaches going over 2 weeks without relief. Testicular pain for 1 week has subsided.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Condition aggravated, Essential hypertension, Failure to thrive, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 9.2.21 (still admitted); COVID-19 positive;  fully vaccinated  ASSESSMENT / PLAN:   COVID-19 positive Incidentally tested positive 9/2 (negative test on 8/6/21) Fully vaccinated with Pfizer in May 2021, per son  Asymptomatic, but unable to return to facility at this time Close monitoring of respiratory status    Failure to thrive Dementia Admitted 7/29-8/6 and ultimately placed at facility Son, has paperwork declaring him DPOA, he is requesting two physician evaluation to activate Care management consulted   DM II with long term insulin use Hgb A1c 10.5 in February, will recheck Hold home metformin Continue home dose Lantus 12 units nightly, add very low dose humalog   Essential hypertension Continue home lisinopril (5 mg daily)   CKD IIIa Per labs from last month: Cr 0.7 at baseline   Diet: general diet VTE ppx: lovenox subq (high risk in COVID) Code status: DNR, per discussion with guardian  Patient care was reviewed with Dr. whose input is reflected above. Disposition: placed in observation for monitoring since facility unwilling to accept pt with COVID-19. Hopeful discharge in 24-48 hours. HISTORY OF PRESENT ILLNESS: Pt. 88 y.o. female with history of insulin-dependent diabetes type 2, hypertension, hyperlipidemia, CKD 3, and dementia who resides at a  facillity.  Patient reportedly had an incidentally positive COVID test so was sent to the ER.  Patient is at her baseline mentation, oriented only to self.  She denies any complaints at this time.  Her son also states he had no report of new symptoms including cough, shortness of breath, fevers, chills, or weakness.  Patient was fully vaccinated with Pfizer vaccine in May. In the ER, patient was afebrile, normotensive, O2 sat 100% on room air, and heart rate in the 90s.  Per ER provider discussion with facility, they were unable to accept her back due to positive COVID status.  The patient was placed in observation with Internal Medicine for monitoring and placement.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Experienced numbness and tingling, loss of feeling in left arm and left leg.  I went to see my primary care physician and was referred to a neurologist.  My exam didn't show any issues.  The tingling went away within a few days.  My doctor visits occurred prior to being listed as a risk.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram normal, Blood creatinine normal, Blood glucose normal, Full blood count normal, Heart rate increased
Clinical narrative: Member reported unilateral left sided tingling to cheek.  Also reports increased rapid heart rate.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test normal, Paraesthesia
Clinical narrative: Member reported unilateral left sided tingling to cheek.  Also reports increased rapid heart rate.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Death, SARS-CoV-2 test positive
Clinical narrative: Case had covid vaccine x 2. Last dose on 1/15/2021. Tested positive for COVId 19 on 8/13/2021. Was admitted to medical center on 8/30/2021 with COVID Pneumonia. Case expired while still hospitalized on 9/9/2021.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: COVID RELATED DEATH; PT FULLY VACCINATED
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Death, Endotracheal intubation
Clinical narrative: COVID RELATED DEATH; PT FULLY VACCINATED
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: General physical health deterioration, Oxygen saturation decreased, Presyncope, SARS-CoV-2 test positive
Clinical narrative: COVID RELATED DEATH; PT FULLY VACCINATED
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Gait disturbance, Oral herpes, Oral mucosal blistering, Rash
Clinical narrative: 3/19 cold sore, then next day blister in oral mucosa, within 5 days itchy rash on one side of abdomen.  During this time frame when walking would lose my balance and stagger when trying to walk, this problem with walking lasted about 10 weeks then got better.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: 3/19 cold sore, then next day blister in oral mucosa, within 5 days itchy rash on one side of abdomen.  During this time frame when walking would lose my balance and stagger when trying to walk, this problem with walking lasted about 10 weeks then got better.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cardiac flutter, Chills, Disorientation, Headache
Clinical narrative: Very soon after 2nd dose; chills, nausea, headache, weakness.  Long term ongoing; fluttering heart, pounding heart, orientation problems, head aches, and decreased aerobic capacity.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Nausea, Palpitations
Clinical narrative: Very soon after 2nd dose; chills, nausea, headache, weakness.  Long term ongoing; fluttering heart, pounding heart, orientation problems, head aches, and decreased aerobic capacity.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Condition aggravated, Laboratory test, Migraine, Thyroid mass
Clinical narrative: While starting to have more severe migraines the doctor found a very large nodule on my right side of thyroid that was not there before. I also have no history of thyroid problems.  After testing I know need to have the right side of my thyroid removed.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: While starting to have more severe migraines the doctor found a very large nodule on my right side of thyroid that was not there before. I also have no history of thyroid problems.  After testing I know need to have the right side of my thyroid removed.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium decreased, Blood test, Dizziness, Hypotension, Loss of consciousness
Clinical narrative: Out at lunch @ 12:30 pm at restaurant. Had not eaten that morning. Had just taken 2nd morning dose of Carbidopa/Levodopa at table. Began to feel light headed. attempted to walk to car. Passed out but quickly revived. Transported by ambulance to local hospital ER. Physician review of blood labs identified low blood pressure, low potassium, low platelets levels. Was provided 2 potassium pills, advised to do follow-up with Neurologist and Primary Physician.  Neurologist said that both Parkinson's medications and prostate medications could contribute to low blood pressure and did not recommend change in current medications.  Primary Physician took another blood test and identified that all test results were normal.  Primary Physician asked that I take AM + PM blood pressure over a 10-day period.  BP results were normal.  A 3rd blood panel test was taken 2 days ago to recertify results of 2nd test.  Awaiting results.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count decreased
Clinical narrative: Out at lunch @ 12:30 pm at restaurant. Had not eaten that morning. Had just taken 2nd morning dose of Carbidopa/Levodopa at table. Began to feel light headed. attempted to walk to car. Passed out but quickly revived. Transported by ambulance to local hospital ER. Physician review of blood labs identified low blood pressure, low potassium, low platelets levels. Was provided 2 potassium pills, advised to do follow-up with Neurologist and Primary Physician.  Neurologist said that both Parkinson's medications and prostate medications could contribute to low blood pressure and did not recommend change in current medications.  Primary Physician took another blood test and identified that all test results were normal.  Primary Physician asked that I take AM + PM blood pressure over a 10-day period.  BP results were normal.  A 3rd blood panel test was taken 2 days ago to recertify results of 2nd test.  Awaiting results.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram normal, COVID-19, Chest pain, Computerised tomogram head normal, Confusional state
Clinical narrative: Patient is a 73 year old female past medical history of hyperlipidemia, GERD, anxiety and tested positive for COVID 19 on 08/10/2021.  She was brought to the emergency department earlier today by her husband for evaluation of chest pain, shortness of breath, headache and left-sided weakness that started approximately 1 hour prior to arrival.  Initial CT head negative for any acute intracranial abnormality or evidence of large vessel occlusion.  CTA was obtained to rule out aortic dissection in setting of chest pain and shortness of breath, result negative. Stroke alert was activated she was evaluated by tele neurologist who recommended IV alteplase.   Tested positive on 9/13/2021. Patient is a 73 year old female past medical history of hyperlipidemia, GERD, anxiety and tested positive for COVID 19 on 08/10/2021.  She was brought to the emergency department earlier today by her husband for evaluation of chest pain, shortness of breath, headache and left-sided weakness that started approximately 1 hour prior to arrival.  Initial CT head negative for any acute intracranial abnormality or evidence of large vessel occlusion.  CTA was obtained to rule out aortic dissection in setting of chest pain and shortness of breath, result negative. Stroke alert was activated she was evaluated by tele neurologist who recommended IV alteplase. IV tPA bolus given at 12:45 and infusion complete at 13:55. After IV tPA infusion patient developed worsening headache symptoms. CTA head/neck and perfusion studies were subsequently obtained, negative for any acute occlusion or hemorrhage. CCM was consulted to evaluate patient for ICU admission for close neurological checks post thrombolytic therapy. I personally evaluated patient in ED room. She is awake, alert, oriented to person and place, in no apparent respiratory distress. Hemodynamically stable. IV tPA infusion complete. She is complaining of headache 6/10,  confusion and states she feels uncoordinated. Reports that her weakness has improved. Denies any visual disturbances or paraesthesias.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Coordination abnormal, Dyspnoea, Headache, Hemiparesis, Infusion
Clinical narrative: Patient is a 73 year old female past medical history of hyperlipidemia, GERD, anxiety and tested positive for COVID 19 on 08/10/2021.  She was brought to the emergency department earlier today by her husband for evaluation of chest pain, shortness of breath, headache and left-sided weakness that started approximately 1 hour prior to arrival.  Initial CT head negative for any acute intracranial abnormality or evidence of large vessel occlusion.  CTA was obtained to rule out aortic dissection in setting of chest pain and shortness of breath, result negative. Stroke alert was activated she was evaluated by tele neurologist who recommended IV alteplase.   Tested positive on 9/13/2021. Patient is a 73 year old female past medical history of hyperlipidemia, GERD, anxiety and tested positive for COVID 19 on 08/10/2021.  She was brought to the emergency department earlier today by her husband for evaluation of chest pain, shortness of breath, headache and left-sided weakness that started approximately 1 hour prior to arrival.  Initial CT head negative for any acute intracranial abnormality or evidence of large vessel occlusion.  CTA was obtained to rule out aortic dissection in setting of chest pain and shortness of breath, result negative. Stroke alert was activated she was evaluated by tele neurologist who recommended IV alteplase. IV tPA bolus given at 12:45 and infusion complete at 13:55. After IV tPA infusion patient developed worsening headache symptoms. CTA head/neck and perfusion studies were subsequently obtained, negative for any acute occlusion or hemorrhage. CCM was consulted to evaluate patient for ICU admission for close neurological checks post thrombolytic therapy. I personally evaluated patient in ED room. She is awake, alert, oriented to person and place, in no apparent respiratory distress. Hemodynamically stable. IV tPA infusion complete. She is complaining of headache 6/10,  confusion and states she feels uncoordinated. Reports that her weakness has improved. Denies any visual disturbances or paraesthesias.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Thrombolysis
Clinical narrative: Patient is a 73 year old female past medical history of hyperlipidemia, GERD, anxiety and tested positive for COVID 19 on 08/10/2021.  She was brought to the emergency department earlier today by her husband for evaluation of chest pain, shortness of breath, headache and left-sided weakness that started approximately 1 hour prior to arrival.  Initial CT head negative for any acute intracranial abnormality or evidence of large vessel occlusion.  CTA was obtained to rule out aortic dissection in setting of chest pain and shortness of breath, result negative. Stroke alert was activated she was evaluated by tele neurologist who recommended IV alteplase.   Tested positive on 9/13/2021. Patient is a 73 year old female past medical history of hyperlipidemia, GERD, anxiety and tested positive for COVID 19 on 08/10/2021.  She was brought to the emergency department earlier today by her husband for evaluation of chest pain, shortness of breath, headache and left-sided weakness that started approximately 1 hour prior to arrival.  Initial CT head negative for any acute intracranial abnormality or evidence of large vessel occlusion.  CTA was obtained to rule out aortic dissection in setting of chest pain and shortness of breath, result negative. Stroke alert was activated she was evaluated by tele neurologist who recommended IV alteplase. IV tPA bolus given at 12:45 and infusion complete at 13:55. After IV tPA infusion patient developed worsening headache symptoms. CTA head/neck and perfusion studies were subsequently obtained, negative for any acute occlusion or hemorrhage. CCM was consulted to evaluate patient for ICU admission for close neurological checks post thrombolytic therapy. I personally evaluated patient in ED room. She is awake, alert, oriented to person and place, in no apparent respiratory distress. Hemodynamically stable. IV tPA infusion complete. She is complaining of headache 6/10,  confusion and states she feels uncoordinated. Reports that her weakness has improved. Denies any visual disturbances or paraesthesias.