chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactic acid normal, Blood magnesium normal, Blood sodium decreased, Bundle branch block right, Computerised tomogram abdomen normal
Clinical narrative: Patient is a 50 year old female with history significant for autism, developmental disability, hypertension, seizures, frequent falls, Tourette syndrome, s/p CVA. She presented 3/31/2021, through the Emergency Department from home with following an unwitnessed fall. She was found by her mother this evening on the floor at the bottom of a flight of stairs. She was last seen by her mother sometime in the morning. Patient not capable of providing history as verbalizations are limited at baseline to occasional single word expressions of needs. Patient was noted in the ED to have multiple bruises to her head, arms and legs in various stages of healing. Patient lives with her mother who is also her legal guardian. Mother was poor historian in the ED and was unable to help determine how long patient was on the floor. Patient's mother verbalized to ED provider that she is not able to supervise the patient at all times due to her own medical needs. ED provider noted that upon leaving the ED the patient's mother stated to staff that they should put the patient out of her misery. County Crisis Center was contacted by ED staff and a referral was made to Adult Protective Services. Patient does not answer review of systems questions when asked.   Admit date: 3/30/2021  Discharge date:  4/5/2021    Primary diagnoses:  Principal Problem:   Severe sepsis, unknown origin, without end organ failure o Resolving, no fever o Vancomycin stopped.  o Wbc improving, fever resolved o Blood cultures still negative o After 4days of IV antibiotics she was transitioned to oral augmentin whenDcing flagyl.  o PCP to follow fever curve, white count...            CT chest abdomen and pelvis negative at admission             Blood cultures have remained negative Active Problems:   Benign essential HTN   Developmental disability   Residual autistic disorder    Fall o Most recent fall 03/30/2021, unwitnessed, possibly down unknown number of stairs o Followed by Neurology, for frequent falls, EEG on 01/18/2021 abnormal with focal epileptic seizures suspected, she has been started on Lamictal taper o Continue Lamictal as prior to admission    Rhabdomyolysis o Due to Unwitnessed fall and immobile on floor for unknown number of hours on 03/30/2021 o CPK trending down.            Kidney function has remained normal with ongoing IV infusion   Hyponatremia    Elevated troponin I level Cardiology, Dr. consulted from the ED, elevated troponin suspected to be secondary to rhabdomyolysis o Troponin 1.58 upon arrival, peaked at 1.88 and declining is subsequently o EKG demonstrates sinus tachycardia with 1st degree AV block and RBBB, rate 101, QTc 487 Echo was normal at 60% ejection fraction     Closed anterior dislocation of right glenohumeral joint was reduced in the emergency department which will explain the large bruise over her right shoulder  right shoulder active and passive range of motion intact   Hypomagnesemia
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram pelvis, Computerised tomogram thorax normal, Contusion, Developmental delay, Echocardiogram normal
Clinical narrative: Patient is a 50 year old female with history significant for autism, developmental disability, hypertension, seizures, frequent falls, Tourette syndrome, s/p CVA. She presented 3/31/2021, through the Emergency Department from home with following an unwitnessed fall. She was found by her mother this evening on the floor at the bottom of a flight of stairs. She was last seen by her mother sometime in the morning. Patient not capable of providing history as verbalizations are limited at baseline to occasional single word expressions of needs. Patient was noted in the ED to have multiple bruises to her head, arms and legs in various stages of healing. Patient lives with her mother who is also her legal guardian. Mother was poor historian in the ED and was unable to help determine how long patient was on the floor. Patient's mother verbalized to ED provider that she is not able to supervise the patient at all times due to her own medical needs. ED provider noted that upon leaving the ED the patient's mother stated to staff that they should put the patient out of her misery. County Crisis Center was contacted by ED staff and a referral was made to Adult Protective Services. Patient does not answer review of systems questions when asked.   Admit date: 3/30/2021  Discharge date:  4/5/2021    Primary diagnoses:  Principal Problem:   Severe sepsis, unknown origin, without end organ failure o Resolving, no fever o Vancomycin stopped.  o Wbc improving, fever resolved o Blood cultures still negative o After 4days of IV antibiotics she was transitioned to oral augmentin whenDcing flagyl.  o PCP to follow fever curve, white count...            CT chest abdomen and pelvis negative at admission             Blood cultures have remained negative Active Problems:   Benign essential HTN   Developmental disability   Residual autistic disorder    Fall o Most recent fall 03/30/2021, unwitnessed, possibly down unknown number of stairs o Followed by Neurology, for frequent falls, EEG on 01/18/2021 abnormal with focal epileptic seizures suspected, she has been started on Lamictal taper o Continue Lamictal as prior to admission    Rhabdomyolysis o Due to Unwitnessed fall and immobile on floor for unknown number of hours on 03/30/2021 o CPK trending down.            Kidney function has remained normal with ongoing IV infusion   Hyponatremia    Elevated troponin I level Cardiology, Dr. consulted from the ED, elevated troponin suspected to be secondary to rhabdomyolysis o Troponin 1.58 upon arrival, peaked at 1.88 and declining is subsequently o EKG demonstrates sinus tachycardia with 1st degree AV block and RBBB, rate 101, QTc 487 Echo was normal at 60% ejection fraction     Closed anterior dislocation of right glenohumeral joint was reduced in the emergency department which will explain the large bruise over her right shoulder  right shoulder active and passive range of motion intact   Hypomagnesemia
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Ejection fraction normal, Electrocardiogram QT interval, Electrocardiogram abnormal, Epilepsy, Essential hypertension
Clinical narrative: Patient is a 50 year old female with history significant for autism, developmental disability, hypertension, seizures, frequent falls, Tourette syndrome, s/p CVA. She presented 3/31/2021, through the Emergency Department from home with following an unwitnessed fall. She was found by her mother this evening on the floor at the bottom of a flight of stairs. She was last seen by her mother sometime in the morning. Patient not capable of providing history as verbalizations are limited at baseline to occasional single word expressions of needs. Patient was noted in the ED to have multiple bruises to her head, arms and legs in various stages of healing. Patient lives with her mother who is also her legal guardian. Mother was poor historian in the ED and was unable to help determine how long patient was on the floor. Patient's mother verbalized to ED provider that she is not able to supervise the patient at all times due to her own medical needs. ED provider noted that upon leaving the ED the patient's mother stated to staff that they should put the patient out of her misery. County Crisis Center was contacted by ED staff and a referral was made to Adult Protective Services. Patient does not answer review of systems questions when asked.   Admit date: 3/30/2021  Discharge date:  4/5/2021    Primary diagnoses:  Principal Problem:   Severe sepsis, unknown origin, without end organ failure o Resolving, no fever o Vancomycin stopped.  o Wbc improving, fever resolved o Blood cultures still negative o After 4days of IV antibiotics she was transitioned to oral augmentin whenDcing flagyl.  o PCP to follow fever curve, white count...            CT chest abdomen and pelvis negative at admission             Blood cultures have remained negative Active Problems:   Benign essential HTN   Developmental disability   Residual autistic disorder    Fall o Most recent fall 03/30/2021, unwitnessed, possibly down unknown number of stairs o Followed by Neurology, for frequent falls, EEG on 01/18/2021 abnormal with focal epileptic seizures suspected, she has been started on Lamictal taper o Continue Lamictal as prior to admission    Rhabdomyolysis o Due to Unwitnessed fall and immobile on floor for unknown number of hours on 03/30/2021 o CPK trending down.            Kidney function has remained normal with ongoing IV infusion   Hyponatremia    Elevated troponin I level Cardiology, Dr. consulted from the ED, elevated troponin suspected to be secondary to rhabdomyolysis o Troponin 1.58 upon arrival, peaked at 1.88 and declining is subsequently o EKG demonstrates sinus tachycardia with 1st degree AV block and RBBB, rate 101, QTc 487 Echo was normal at 60% ejection fraction     Closed anterior dislocation of right glenohumeral joint was reduced in the emergency department which will explain the large bruise over her right shoulder  right shoulder active and passive range of motion intact   Hypomagnesemia
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Functional residual capacity abnormal, Hypomagnesaemia, Hyponatraemia, Illiteracy
Clinical narrative: Patient is a 50 year old female with history significant for autism, developmental disability, hypertension, seizures, frequent falls, Tourette syndrome, s/p CVA. She presented 3/31/2021, through the Emergency Department from home with following an unwitnessed fall. She was found by her mother this evening on the floor at the bottom of a flight of stairs. She was last seen by her mother sometime in the morning. Patient not capable of providing history as verbalizations are limited at baseline to occasional single word expressions of needs. Patient was noted in the ED to have multiple bruises to her head, arms and legs in various stages of healing. Patient lives with her mother who is also her legal guardian. Mother was poor historian in the ED and was unable to help determine how long patient was on the floor. Patient's mother verbalized to ED provider that she is not able to supervise the patient at all times due to her own medical needs. ED provider noted that upon leaving the ED the patient's mother stated to staff that they should put the patient out of her misery. County Crisis Center was contacted by ED staff and a referral was made to Adult Protective Services. Patient does not answer review of systems questions when asked.   Admit date: 3/30/2021  Discharge date:  4/5/2021    Primary diagnoses:  Principal Problem:   Severe sepsis, unknown origin, without end organ failure o Resolving, no fever o Vancomycin stopped.  o Wbc improving, fever resolved o Blood cultures still negative o After 4days of IV antibiotics she was transitioned to oral augmentin whenDcing flagyl.  o PCP to follow fever curve, white count...            CT chest abdomen and pelvis negative at admission             Blood cultures have remained negative Active Problems:   Benign essential HTN   Developmental disability   Residual autistic disorder    Fall o Most recent fall 03/30/2021, unwitnessed, possibly down unknown number of stairs o Followed by Neurology, for frequent falls, EEG on 01/18/2021 abnormal with focal epileptic seizures suspected, she has been started on Lamictal taper o Continue Lamictal as prior to admission    Rhabdomyolysis o Due to Unwitnessed fall and immobile on floor for unknown number of hours on 03/30/2021 o CPK trending down.            Kidney function has remained normal with ongoing IV infusion   Hyponatremia    Elevated troponin I level Cardiology, Dr. consulted from the ED, elevated troponin suspected to be secondary to rhabdomyolysis o Troponin 1.58 upon arrival, peaked at 1.88 and declining is subsequently o EKG demonstrates sinus tachycardia with 1st degree AV block and RBBB, rate 101, QTc 487 Echo was normal at 60% ejection fraction     Closed anterior dislocation of right glenohumeral joint was reduced in the emergency department which will explain the large bruise over her right shoulder  right shoulder active and passive range of motion intact   Hypomagnesemia
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Immobile, Investigation noncompliance, Joint dislocation, Joint dislocation reduction, N-terminal prohormone brain natriuretic peptide increased
Clinical narrative: Patient is a 50 year old female with history significant for autism, developmental disability, hypertension, seizures, frequent falls, Tourette syndrome, s/p CVA. She presented 3/31/2021, through the Emergency Department from home with following an unwitnessed fall. She was found by her mother this evening on the floor at the bottom of a flight of stairs. She was last seen by her mother sometime in the morning. Patient not capable of providing history as verbalizations are limited at baseline to occasional single word expressions of needs. Patient was noted in the ED to have multiple bruises to her head, arms and legs in various stages of healing. Patient lives with her mother who is also her legal guardian. Mother was poor historian in the ED and was unable to help determine how long patient was on the floor. Patient's mother verbalized to ED provider that she is not able to supervise the patient at all times due to her own medical needs. ED provider noted that upon leaving the ED the patient's mother stated to staff that they should put the patient out of her misery. County Crisis Center was contacted by ED staff and a referral was made to Adult Protective Services. Patient does not answer review of systems questions when asked.   Admit date: 3/30/2021  Discharge date:  4/5/2021    Primary diagnoses:  Principal Problem:   Severe sepsis, unknown origin, without end organ failure o Resolving, no fever o Vancomycin stopped.  o Wbc improving, fever resolved o Blood cultures still negative o After 4days of IV antibiotics she was transitioned to oral augmentin whenDcing flagyl.  o PCP to follow fever curve, white count...            CT chest abdomen and pelvis negative at admission             Blood cultures have remained negative Active Problems:   Benign essential HTN   Developmental disability   Residual autistic disorder    Fall o Most recent fall 03/30/2021, unwitnessed, possibly down unknown number of stairs o Followed by Neurology, for frequent falls, EEG on 01/18/2021 abnormal with focal epileptic seizures suspected, she has been started on Lamictal taper o Continue Lamictal as prior to admission    Rhabdomyolysis o Due to Unwitnessed fall and immobile on floor for unknown number of hours on 03/30/2021 o CPK trending down.            Kidney function has remained normal with ongoing IV infusion   Hyponatremia    Elevated troponin I level Cardiology, Dr. consulted from the ED, elevated troponin suspected to be secondary to rhabdomyolysis o Troponin 1.58 upon arrival, peaked at 1.88 and declining is subsequently o EKG demonstrates sinus tachycardia with 1st degree AV block and RBBB, rate 101, QTc 487 Echo was normal at 60% ejection fraction     Closed anterior dislocation of right glenohumeral joint was reduced in the emergency department which will explain the large bruise over her right shoulder  right shoulder active and passive range of motion intact   Hypomagnesemia
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Parent-child problem, Partial seizures, Procalcitonin, Procalcitonin normal, Pyrexia
Clinical narrative: Patient is a 50 year old female with history significant for autism, developmental disability, hypertension, seizures, frequent falls, Tourette syndrome, s/p CVA. She presented 3/31/2021, through the Emergency Department from home with following an unwitnessed fall. She was found by her mother this evening on the floor at the bottom of a flight of stairs. She was last seen by her mother sometime in the morning. Patient not capable of providing history as verbalizations are limited at baseline to occasional single word expressions of needs. Patient was noted in the ED to have multiple bruises to her head, arms and legs in various stages of healing. Patient lives with her mother who is also her legal guardian. Mother was poor historian in the ED and was unable to help determine how long patient was on the floor. Patient's mother verbalized to ED provider that she is not able to supervise the patient at all times due to her own medical needs. ED provider noted that upon leaving the ED the patient's mother stated to staff that they should put the patient out of her misery. County Crisis Center was contacted by ED staff and a referral was made to Adult Protective Services. Patient does not answer review of systems questions when asked.   Admit date: 3/30/2021  Discharge date:  4/5/2021    Primary diagnoses:  Principal Problem:   Severe sepsis, unknown origin, without end organ failure o Resolving, no fever o Vancomycin stopped.  o Wbc improving, fever resolved o Blood cultures still negative o After 4days of IV antibiotics she was transitioned to oral augmentin whenDcing flagyl.  o PCP to follow fever curve, white count...            CT chest abdomen and pelvis negative at admission             Blood cultures have remained negative Active Problems:   Benign essential HTN   Developmental disability   Residual autistic disorder    Fall o Most recent fall 03/30/2021, unwitnessed, possibly down unknown number of stairs o Followed by Neurology, for frequent falls, EEG on 01/18/2021 abnormal with focal epileptic seizures suspected, she has been started on Lamictal taper o Continue Lamictal as prior to admission    Rhabdomyolysis o Due to Unwitnessed fall and immobile on floor for unknown number of hours on 03/30/2021 o CPK trending down.            Kidney function has remained normal with ongoing IV infusion   Hyponatremia    Elevated troponin I level Cardiology, Dr. consulted from the ED, elevated troponin suspected to be secondary to rhabdomyolysis o Troponin 1.58 upon arrival, peaked at 1.88 and declining is subsequently o EKG demonstrates sinus tachycardia with 1st degree AV block and RBBB, rate 101, QTc 487 Echo was normal at 60% ejection fraction     Closed anterior dislocation of right glenohumeral joint was reduced in the emergency department which will explain the large bruise over her right shoulder  right shoulder active and passive range of motion intact   Hypomagnesemia
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Renal function test normal, Rhabdomyolysis, Sepsis, Shoulder deformity, Sinus tachycardia
Clinical narrative: Patient is a 50 year old female with history significant for autism, developmental disability, hypertension, seizures, frequent falls, Tourette syndrome, s/p CVA. She presented 3/31/2021, through the Emergency Department from home with following an unwitnessed fall. She was found by her mother this evening on the floor at the bottom of a flight of stairs. She was last seen by her mother sometime in the morning. Patient not capable of providing history as verbalizations are limited at baseline to occasional single word expressions of needs. Patient was noted in the ED to have multiple bruises to her head, arms and legs in various stages of healing. Patient lives with her mother who is also her legal guardian. Mother was poor historian in the ED and was unable to help determine how long patient was on the floor. Patient's mother verbalized to ED provider that she is not able to supervise the patient at all times due to her own medical needs. ED provider noted that upon leaving the ED the patient's mother stated to staff that they should put the patient out of her misery. County Crisis Center was contacted by ED staff and a referral was made to Adult Protective Services. Patient does not answer review of systems questions when asked.   Admit date: 3/30/2021  Discharge date:  4/5/2021    Primary diagnoses:  Principal Problem:   Severe sepsis, unknown origin, without end organ failure o Resolving, no fever o Vancomycin stopped.  o Wbc improving, fever resolved o Blood cultures still negative o After 4days of IV antibiotics she was transitioned to oral augmentin whenDcing flagyl.  o PCP to follow fever curve, white count...            CT chest abdomen and pelvis negative at admission             Blood cultures have remained negative Active Problems:   Benign essential HTN   Developmental disability   Residual autistic disorder    Fall o Most recent fall 03/30/2021, unwitnessed, possibly down unknown number of stairs o Followed by Neurology, for frequent falls, EEG on 01/18/2021 abnormal with focal epileptic seizures suspected, she has been started on Lamictal taper o Continue Lamictal as prior to admission    Rhabdomyolysis o Due to Unwitnessed fall and immobile on floor for unknown number of hours on 03/30/2021 o CPK trending down.            Kidney function has remained normal with ongoing IV infusion   Hyponatremia    Elevated troponin I level Cardiology, Dr. consulted from the ED, elevated troponin suspected to be secondary to rhabdomyolysis o Troponin 1.58 upon arrival, peaked at 1.88 and declining is subsequently o EKG demonstrates sinus tachycardia with 1st degree AV block and RBBB, rate 101, QTc 487 Echo was normal at 60% ejection fraction     Closed anterior dislocation of right glenohumeral joint was reduced in the emergency department which will explain the large bruise over her right shoulder  right shoulder active and passive range of motion intact   Hypomagnesemia
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin I increased, Urine analysis normal, Ventilation/perfusion scan abnormal, White blood cell count increased, X-ray limb abnormal
Clinical narrative: Patient is a 50 year old female with history significant for autism, developmental disability, hypertension, seizures, frequent falls, Tourette syndrome, s/p CVA. She presented 3/31/2021, through the Emergency Department from home with following an unwitnessed fall. She was found by her mother this evening on the floor at the bottom of a flight of stairs. She was last seen by her mother sometime in the morning. Patient not capable of providing history as verbalizations are limited at baseline to occasional single word expressions of needs. Patient was noted in the ED to have multiple bruises to her head, arms and legs in various stages of healing. Patient lives with her mother who is also her legal guardian. Mother was poor historian in the ED and was unable to help determine how long patient was on the floor. Patient's mother verbalized to ED provider that she is not able to supervise the patient at all times due to her own medical needs. ED provider noted that upon leaving the ED the patient's mother stated to staff that they should put the patient out of her misery. County Crisis Center was contacted by ED staff and a referral was made to Adult Protective Services. Patient does not answer review of systems questions when asked.   Admit date: 3/30/2021  Discharge date:  4/5/2021    Primary diagnoses:  Principal Problem:   Severe sepsis, unknown origin, without end organ failure o Resolving, no fever o Vancomycin stopped.  o Wbc improving, fever resolved o Blood cultures still negative o After 4days of IV antibiotics she was transitioned to oral augmentin whenDcing flagyl.  o PCP to follow fever curve, white count...            CT chest abdomen and pelvis negative at admission             Blood cultures have remained negative Active Problems:   Benign essential HTN   Developmental disability   Residual autistic disorder    Fall o Most recent fall 03/30/2021, unwitnessed, possibly down unknown number of stairs o Followed by Neurology, for frequent falls, EEG on 01/18/2021 abnormal with focal epileptic seizures suspected, she has been started on Lamictal taper o Continue Lamictal as prior to admission    Rhabdomyolysis o Due to Unwitnessed fall and immobile on floor for unknown number of hours on 03/30/2021 o CPK trending down.            Kidney function has remained normal with ongoing IV infusion   Hyponatremia    Elevated troponin I level Cardiology, Dr. consulted from the ED, elevated troponin suspected to be secondary to rhabdomyolysis o Troponin 1.58 upon arrival, peaked at 1.88 and declining is subsequently o EKG demonstrates sinus tachycardia with 1st degree AV block and RBBB, rate 101, QTc 487 Echo was normal at 60% ejection fraction     Closed anterior dislocation of right glenohumeral joint was reduced in the emergency department which will explain the large bruise over her right shoulder  right shoulder active and passive range of motion intact   Hypomagnesemia
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, HIBV, PNC13, RV5
Symptoms: Hypotonia, Loss of consciousness, Pallor
Clinical narrative: About 1 hour after the vaccines, my 4 month old son suddenly lost all color, went limp, and passed out. This lasted several seconds before I was able to nudge him to become alert again. He remained very pale for a couple days afterwards.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Groin pain, Myalgia, Pain, Pain in extremity
Clinical narrative: She got her vaccine, her left arm hurt as it does with her regular flu shot and normally goes away after a week.  The next day she read what to do, but she moved her arm slowly around to exercise it to get rid of the soreness.  On the 2nd day the pain went away.  By the 3rd day it was back with a vengeance, and stayed there and never got better.  Her joint and everything started to hurt.  It felt like she had to have rotator cuff surgery again, and it still feels that way.  She went to her doctor who gave her a steroid shot which helped but then it came back again.  Within a week she could move her arm, but in a certain position it hurts her extremely badly.  If she raises her arm it "bites" her and the pain does not cease.  Her groin area also she is having pain there as well that radiates to her knee.   The front top side is burning and sore all of the time, and does not want to quit.  She takes baby aspirin and was given Norco but she did not like how it made her feel and doesn't take that.  The 800 of Ibuprofen did not help with the pain, neither does Tylenol or Advil.  She states that the medicines make her muscles sting and burn and feel worse.  She feels that the vaccine got to her vulnerable places of pain from before that have healed and feels that it has reactivated that pain and the pain won't go away.   Her arm did not hurt her for years, and her leg pain had been gone for a long time, but since the vaccine she has had nothing but pain.  She got her 2nd vaccine on 3/25/21, she did not have any adverse reaction, just the reaction from the 1st one did not go away and it did not go away after the 2nd one and still has the same pain.  It did not bother the bladder where she had surgery, just the joints of her body where she had previous problems.    Her back has been out of place and could not walk for a year and a half, but this has not bothered her back.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Skin burning sensation
Clinical narrative: She got her vaccine, her left arm hurt as it does with her regular flu shot and normally goes away after a week.  The next day she read what to do, but she moved her arm slowly around to exercise it to get rid of the soreness.  On the 2nd day the pain went away.  By the 3rd day it was back with a vengeance, and stayed there and never got better.  Her joint and everything started to hurt.  It felt like she had to have rotator cuff surgery again, and it still feels that way.  She went to her doctor who gave her a steroid shot which helped but then it came back again.  Within a week she could move her arm, but in a certain position it hurts her extremely badly.  If she raises her arm it "bites" her and the pain does not cease.  Her groin area also she is having pain there as well that radiates to her knee.   The front top side is burning and sore all of the time, and does not want to quit.  She takes baby aspirin and was given Norco but she did not like how it made her feel and doesn't take that.  The 800 of Ibuprofen did not help with the pain, neither does Tylenol or Advil.  She states that the medicines make her muscles sting and burn and feel worse.  She feels that the vaccine got to her vulnerable places of pain from before that have healed and feels that it has reactivated that pain and the pain won't go away.   Her arm did not hurt her for years, and her leg pain had been gone for a long time, but since the vaccine she has had nothing but pain.  She got her 2nd vaccine on 3/25/21, she did not have any adverse reaction, just the reaction from the 1st one did not go away and it did not go away after the 2nd one and still has the same pain.  It did not bother the bladder where she had surgery, just the joints of her body where she had previous problems.    Her back has been out of place and could not walk for a year and a half, but this has not bothered her back.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hypoacusis, Hypotension
Clinical narrative: Patient received their first dose of Pfizer vaccine. Began to feel lighted headed and hearing was going in and out.  EMS responded and their blood pressure was low, after 20 mins, vitals were normal.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pain in extremity, Vomiting
Clinical narrative: Left arm numbness with mild pain. Episode of vomiting x1. Reportedly skipped breakfast and lunch; and had a great deal of anxiety about getting injection. Observed for 1 hour. Besides subjective reports, neurological exam was benign. Stayed in observation until patient could keep liquids down, and she reported she was safe to drive home.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Peripheral swelling
Clinical narrative: This patient received the Pfizer COVID-19 vaccine on 05/20/21,  On 05/28/21 pt brought her child in for catch-up vaccines and reported this "adverse reaction".  She stated that upon waking on the morning after she received the vaccine, 05/21/21, the fingers on her right hand, excluding her little finger and thumb, were swollen and "stuck in place".  Pt described what sounds like "trigger finger".  She took Ibuprofen and Tylenol during the day and was back to normal the next morning.  Subsequently, patient stated that on the morning of her child's vaccines, 05/28/21, she experienced this issue again on only one finger.  I observed no edema and the patient appeared to move all digits on both hands without difficulty.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Arteriogram coronary abnormal, Back pain, Catheterisation cardiac abnormal, Chest pain, Coronary angioplasty
Clinical narrative: Pt was at work, laying tile, and developed sudden onset of chest, back, neck and left arm pain, with associated dizziness around 10:15AM 5/10/21. He sat down for bit and symptoms persisted.  He vomited x1 and went home, assuming he had developed the same "24 GI bug" his daughter had over the weekend. Once home he continued to feel unwell.  He called his mother who proceeded to call EMS.  EKG revealed anterior and inferior STE and he was taken directly to cardio lab for emergent coronary angiography, where he was found to have total thrombotic occlusion of midLAD, treated with drug-eluting stents.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Coronary arterial stent insertion, Coronary artery disease, Coronary artery occlusion, Coronary artery thrombosis, Dizziness
Clinical narrative: Pt was at work, laying tile, and developed sudden onset of chest, back, neck and left arm pain, with associated dizziness around 10:15AM 5/10/21. He sat down for bit and symptoms persisted.  He vomited x1 and went home, assuming he had developed the same "24 GI bug" his daughter had over the weekend. Once home he continued to feel unwell.  He called his mother who proceeded to call EMS.  EKG revealed anterior and inferior STE and he was taken directly to cardio lab for emergent coronary angiography, where he was found to have total thrombotic occlusion of midLAD, treated with drug-eluting stents.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram abnormal, Ejection fraction decreased, Electrocardiogram ST segment elevation, Electrocardiogram abnormal, Left ventricular end-diastolic pressure increased
Clinical narrative: Pt was at work, laying tile, and developed sudden onset of chest, back, neck and left arm pain, with associated dizziness around 10:15AM 5/10/21. He sat down for bit and symptoms persisted.  He vomited x1 and went home, assuming he had developed the same "24 GI bug" his daughter had over the weekend. Once home he continued to feel unwell.  He called his mother who proceeded to call EMS.  EKG revealed anterior and inferior STE and he was taken directly to cardio lab for emergent coronary angiography, where he was found to have total thrombotic occlusion of midLAD, treated with drug-eluting stents.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Neck pain, Pain in extremity, Percutaneous coronary intervention, Plaque shift
Clinical narrative: Pt was at work, laying tile, and developed sudden onset of chest, back, neck and left arm pain, with associated dizziness around 10:15AM 5/10/21. He sat down for bit and symptoms persisted.  He vomited x1 and went home, assuming he had developed the same "24 GI bug" his daughter had over the weekend. Once home he continued to feel unwell.  He called his mother who proceeded to call EMS.  EKG revealed anterior and inferior STE and he was taken directly to cardio lab for emergent coronary angiography, where he was found to have total thrombotic occlusion of midLAD, treated with drug-eluting stents.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin I increased, Vomiting, Wall motion score index abnormal
Clinical narrative: Pt was at work, laying tile, and developed sudden onset of chest, back, neck and left arm pain, with associated dizziness around 10:15AM 5/10/21. He sat down for bit and symptoms persisted.  He vomited x1 and went home, assuming he had developed the same "24 GI bug" his daughter had over the weekend. Once home he continued to feel unwell.  He called his mother who proceeded to call EMS.  EKG revealed anterior and inferior STE and he was taken directly to cardio lab for emergent coronary angiography, where he was found to have total thrombotic occlusion of midLAD, treated with drug-eluting stents.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Vomiting
Clinical narrative: Nausea/Vomitting, fever for approximately 24 hours
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Electrocardiogram ambulatory, Palpitations
Clinical narrative: Heart palpitations and chest pressure, still in diagnostic stages, prescribed Holter Monitor for 48h and consultation with cardiologist
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate decreased, Hypotension, Loss of consciousness, Pallor, Somnolence
Clinical narrative: Shortly after patient received vaccination, he lost consciousness. He slumped in his char, nearly falling to the floor, but was caught by a nearby patient who noticed patient falling. Patient was assisted by staff to lie down on a cot. At that time he regained consciousness and was able to state his name. Staff attempted to check his blood pressure, but the electronic cuff was unable to measure b/p despite multiple attempts. Because of this, and persistent pallor, drowsiness and low pulse, EMS (who was standing by in the parking lot) was requested to enter the building to assess the patient. After evaluating him within the vaccination site for approximately 30 minutes, patient was transported to the hospital due to persistent low pulse and low blood pressure.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Postpartum haemorrhage
Clinical narrative: Patient hospitalized for delivery of a healthy baby girl. The baby weighed 7 pounds 2.5 ounces. Per doctor's notes: Her postpartum course was complicated by delayed postpartum hemorrhage requiring Methergine, Cytotec, and Hemabate, which controlled bleeding.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood glucose increased, Blood test normal, Erythema, Heart rate increased, Hypertension
Clinical narrative: Eyes went bright red, Heart rate went up to 187 on my fitness watch, 150 heart rate by the time the paramedics arrived, I couldn?t feel my arms or legs, I had a high blood pressure and sugar level of 220. Went to the hospital and ran tests.  Fever of 99.9-100.5 for two days straight. There was a red, warm, and inflammation in my left arm for two days. My heart felt like it was pounding out of my chest and I had a high rate for 5 days straight. I would be sitting down and it would be at 100.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Inflammation, Ocular hyperaemia, Palpitations, Pyrexia
Clinical narrative: Eyes went bright red, Heart rate went up to 187 on my fitness watch, 150 heart rate by the time the paramedics arrived, I couldn?t feel my arms or legs, I had a high blood pressure and sugar level of 220. Went to the hospital and ran tests.  Fever of 99.9-100.5 for two days straight. There was a red, warm, and inflammation in my left arm for two days. My heart felt like it was pounding out of my chest and I had a high rate for 5 days straight. I would be sitting down and it would be at 100.
Age: 24.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Skin warm
Clinical narrative: Eyes went bright red, Heart rate went up to 187 on my fitness watch, 150 heart rate by the time the paramedics arrived, I couldn?t feel my arms or legs, I had a high blood pressure and sugar level of 220. Went to the hospital and ran tests.  Fever of 99.9-100.5 for two days straight. There was a red, warm, and inflammation in my left arm for two days. My heart felt like it was pounding out of my chest and I had a high rate for 5 days straight. I would be sitting down and it would be at 100.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Persistent headaches for 10+ days.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Aphthous ulcer, Back pain
Clinical narrative: Severe back pain on the same side as given Covid shot.  Sent me to the ER. Cankers in mouth on same side as given Covid shot
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dry eye, Eye inflammation, Eye pain, Ophthalmological examination
Clinical narrative: eye pain, dry eye
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Swelling
Clinical narrative: Rash, swelling, itching, seems to be bigger than yesterday
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Gaze palsy, Generalised tonic-clonic seizure, Headache, Postictal state, SARS-CoV-2 test negative
Clinical narrative: HPI    This is a 19-year-old male that presents for complaint of witnessed seizure-like activity. He arrives by EMS. Patient is currently awake alert and oriented ×3. Today, he was out on the golf course with friends. It was a normal day and he returned home. When he got home, he was complaining of a headache to his mother. She gave him Motrin. Mother then heard a noise from the other room and found the patient on the floor unresponsive, displaying tonic-clonic activity, and eye rolling into the back of the head. This lasted for 4-5 minutes per mother. EMS arrived on scene he was postictal. Patient is never had this happen before. He denies any illicit substance, alcohol or medication use.     Review of Systems  Constitutional: Negative for chills, fatigue and fever.  HENT: Negative for facial swelling and trouble swallowing.   Respiratory: Negative for cough, shortness of breath and wheezing.   Cardiovascular: Negative for chest pain and palpitations.  Gastrointestinal: Negative for abdominal pain, diarrhea, nausea and vomiting.  Genitourinary: Negative for dysuria and frequency.  Musculoskeletal: Negative for back pain and neck pain.  Skin: Negative for rash and wound.  Neurological: Positive for seizures and syncope. Negative for weakness, light-headedness and headaches.  Psychiatric/Behavioral: Negative for confusion. The patient is not nervous/anxious.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure like phenomena, Syncope, Unresponsive to stimuli
Clinical narrative: HPI    This is a 19-year-old male that presents for complaint of witnessed seizure-like activity. He arrives by EMS. Patient is currently awake alert and oriented ×3. Today, he was out on the golf course with friends. It was a normal day and he returned home. When he got home, he was complaining of a headache to his mother. She gave him Motrin. Mother then heard a noise from the other room and found the patient on the floor unresponsive, displaying tonic-clonic activity, and eye rolling into the back of the head. This lasted for 4-5 minutes per mother. EMS arrived on scene he was postictal. Patient is never had this happen before. He denies any illicit substance, alcohol or medication use.     Review of Systems  Constitutional: Negative for chills, fatigue and fever.  HENT: Negative for facial swelling and trouble swallowing.   Respiratory: Negative for cough, shortness of breath and wheezing.   Cardiovascular: Negative for chest pain and palpitations.  Gastrointestinal: Negative for abdominal pain, diarrhea, nausea and vomiting.  Genitourinary: Negative for dysuria and frequency.  Musculoskeletal: Negative for back pain and neck pain.  Skin: Negative for rash and wound.  Neurological: Positive for seizures and syncope. Negative for weakness, light-headedness and headaches.  Psychiatric/Behavioral: Negative for confusion. The patient is not nervous/anxious.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Swelling, Urticaria
Clinical narrative: Patient developed hives with itching to left upper arm 5 minutes after receiving vaccine. Patient BP was elevated, but stable. To reduce itching and swelling, patient was given 50mg of Bendryl. Hives then spread to right arm, chest, abdomen, and then developed swelling. 9-1-1 was called. Paramedics responded and transported patient to Medical Center.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Parent and Patient put down on the consent form that the patient's birthday was date, making them 12 years old.  The immunization records show the patient's birthday is date, making them 11 years old.  The new FDA age limit for the Pfizer vaccine is 12 years old.  The patient does not meet the age limit per the FDA.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizziness.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Pain in extremity, Sleep disorder
Clinical narrative: Three weeks ago I started having muscle pain in my right shoulder where my second dose of the vaccine was. That pain went up to my neck so I had to go to the doctor.  I have been having a lot of muscle pain in my shoulders and both arms for about three weeks. The night of May 31 I could not sleep because of the pain in my left arm (on a scale of 1-10, 10), where my first dose of the vaccine was. I had to get up and take a 600ml Tylenol for the pain. The pain was relieved but I still have it.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine
Clinical narrative: Severe migraine-type headache starting 1.5-2 days after injection, constant (without any moments of relief at all) until about 2/21/21. I discussed it with my primary healthcare provider on 2/3/21 and my topiramate was increased to 3 pills per day, and when that didn't help I saw another provider who does botox therapy for migraines on 2/12/21 and he said I didn't qualify for injections but he placed me on atenolol everyday, which did stop the headache. I am still taking both medications at the doses I was placed on as I still get a migraine if I miss a dose.  Prior to my covid shot I was already on a daily low dose of topiramate for migraines because I got on average 3-5 per month that lasted about 1 day each.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Paraesthesia oral
Clinical narrative: 35 minutes after injection, tingling and swelling of bottom lip; tingling felt on tongue but no swelling. Tingling lasted for 10 minutes and swelling lasted for about 12 hours. No hives, shortness of breath.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Joint swelling, Paraesthesia
Clinical narrative: Sharp pain in ear that comes in goes morning after shot that lasted two days. Slightly swollen front inner part of right shoulder (NOT the arm that was injection) just outside bra strap, two days after shot up to present. Right arm also felt tingly. I took Ibuprofen once last week as well as yesterday and today to see if that would help with inflammation; so far it has not.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Catheterisation cardiac abnormal, Myocardial infarction
Clinical narrative: PT had myocardial infarction 6 days after 2nd Pfizer dose
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood test, Cardiac stress test, Chest X-ray, Chest pain
Clinical narrative: She experienced fever, chills, vomiting, nausea, and muscular pain. Also started getting chest pain and shortness of breath. Went to hospital 02/22/2021. They ran an EKG, echocardiogram, stress test, chest x rays, and CAT Scan. They did a lot of blood work. They found a pulmonary embolism. She was hospitalized for 3 days. Put on blood thinners.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram, Dyspnoea, Echocardiogram, Electrocardiogram
Clinical narrative: She experienced fever, chills, vomiting, nausea, and muscular pain. Also started getting chest pain and shortness of breath. Went to hospital 02/22/2021. They ran an EKG, echocardiogram, stress test, chest x rays, and CAT Scan. They did a lot of blood work. They found a pulmonary embolism. She was hospitalized for 3 days. Put on blood thinners.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pulmonary embolism, Pyrexia, Vomiting
Clinical narrative: She experienced fever, chills, vomiting, nausea, and muscular pain. Also started getting chest pain and shortness of breath. Went to hospital 02/22/2021. They ran an EKG, echocardiogram, stress test, chest x rays, and CAT Scan. They did a lot of blood work. They found a pulmonary embolism. She was hospitalized for 3 days. Put on blood thinners.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Dyspnoea, Exposure during pregnancy, Headache, Human chorionic gonadotropin decreased
Clinical narrative: Heart racing, shortness of breath which leads to mild headache; noticed approximately Monday, May 24 Miscarriage symptoms began on Tuesday May 25th
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: Heart racing, shortness of breath which leads to mild headache; noticed approximately Monday, May 24 Miscarriage symptoms began on Tuesday May 25th
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac pacemaker insertion, Delusion, Heart rate decreased
Clinical narrative: 5/21/21 - HEART RATE 33%, - 911 CALLED -  BECAME DELUSIONAL, PATIENT WAS FULLY AWARE OF EVERYTHING -  END RESULT PACEMAKER AND STILL DELUSIONAL.  HOSPITAL STAY FRIDAY 5/21/21 - 5/27/21  NEVER HAD HEART RATE ISSUES PRIOR
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Dyspnoea, Erythema, Pruritus, Skin abrasion
Clinical narrative: I evaluated patient, following her shot today. She had 2nd dose Moderna at about 11:40 AM. She was complaining of generalized itching, throat tightness, and shortness of breath following her shot.  She has a h/o multiple drug & environmental allergies. She has used an epipen many times before, last was about a year ago for a bee sting. She had her 1st dose Moderna last month and had pruritus and throat swelling, but this feels worse. Last time she took Benadryl here, and was monitored for about 2 hours. She refused an epipen that time or to go to the ED.  On exam, she is mildly anxious, constantly scratching at neck, chest, and lower back. Lungs remain clear, but somewhat diminished. Heart regular. No rash, except for redness from scratching/excoriation.  Patient had her atrovent inhaler and took two doses. She had taken Benadryl & Pepcid around 9 AM this morning.  By 12:20 PM the patient said she was feeling worse. She agreed to treatment with an epipen, which she self-administered. EMS was called, and arrived around 12:35 PM. She was taken quickly to the ambulance  and then to  ED.