chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Aortic dilatation, Bundle branch block right, Coagulation test normal, Computerised tomogram thorax abnormal
Clinical narrative: Janssen/J&J COVID-19 Vaccine  Admission Date: 4/15/2021                 Primary Discharge Diagnosis/Active Problems:  Pulmonary emboli  Cardiac Procedures Performed: echocardiogram 4/15/2021 Echocardiogram o Ejection fraction is 60-65%. o Abnormal left ventricular diastolic function. o There is a transcatheter aortic valve present. Trivial paravalvular regurgitation and mean gradient 14 mmHg. o Moderate pulmonary hypertension present. o Normal right venticular size and systolic function. o The ascending aorta is mildly dilated. Reason for admission: Present on Admission: o Pulmonary emboli  .Hospital Course: 84-year-old male past medical history of CAD status post CABG, hypertension, obesity, COPD and hyperlipidemia.  TTE back in fall 2020 had noted severe aortic stenosis with a normal ejection fraction.  Heart catheterization and 9/10/2020 showed severe native vessel CAD.  Occluded saphenous vein graft to the circumflex, occluded saphenous vein graft to the RPDA.  Distal RCA fills retrograde collaterals from the distal circumflex.  LAD 100% occluded in the midportion and 90% stenosis proximal to a small diagonal.  Patent LIMA to LAD.  He underwent a TAVR procedure on 9/22/2020 with a 26 mm sapien valve.  He was most recently seen in 10/2020 for a follow-up visit.  At that time he was doing well.  TTE from 10/20/2020 with an EF of 60%, abnormal LV diastolicDysfunction, mildly dilated ascending aorta and mild MR.  There is mild perivalvular regurgitation with a mean gradient of 15 mmHg. He presented to his local emergency department on 4/15/2021 with a complaint of shortness of breath, worse with exertion.  His symptoms were present for 1 week.  He had the Johnson & Johnson COVID-19 vaccination on 3/17/2021.  Rapid Covid test was negative.  High-sensitivity troponin was elevated at 276.  CT of the chest showed bilateral pulmonary emboli most pronounced on the right.  EKG showed sinus rhythm with right bundle branch block and ST depression was noted.  He was transferred to Hospital for further evaluation.  Echo on 4/15/2021 showed EF of 60 to 65% with abnormal LV diastolic function and moderate pulmonary hypertension.  He was transition to warfarin, he is unable to take NOAC due to Dilantin history.  INR was slowly increased to 3 mg.  He was discharged with Lovenox bridge with plans to have INR checked on Wednesday or Thursday at the Hospital and he will follow-up with his PCP for management.  He was discharged on warfarin and Plavix, aspirin was held to avoid triple therapy.  Resume aspirin once therapy completed for PE/DVT protocol. Patient discharge goals: Patient Transition Goal: Return home/prior residence to highest level of function by anticipated discharge date
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspnoea, Dyspnoea exertional, Echocardiogram abnormal, Ejection fraction normal
Clinical narrative: Janssen/J&J COVID-19 Vaccine  Admission Date: 4/15/2021                 Primary Discharge Diagnosis/Active Problems:  Pulmonary emboli  Cardiac Procedures Performed: echocardiogram 4/15/2021 Echocardiogram o Ejection fraction is 60-65%. o Abnormal left ventricular diastolic function. o There is a transcatheter aortic valve present. Trivial paravalvular regurgitation and mean gradient 14 mmHg. o Moderate pulmonary hypertension present. o Normal right venticular size and systolic function. o The ascending aorta is mildly dilated. Reason for admission: Present on Admission: o Pulmonary emboli  .Hospital Course: 84-year-old male past medical history of CAD status post CABG, hypertension, obesity, COPD and hyperlipidemia.  TTE back in fall 2020 had noted severe aortic stenosis with a normal ejection fraction.  Heart catheterization and 9/10/2020 showed severe native vessel CAD.  Occluded saphenous vein graft to the circumflex, occluded saphenous vein graft to the RPDA.  Distal RCA fills retrograde collaterals from the distal circumflex.  LAD 100% occluded in the midportion and 90% stenosis proximal to a small diagonal.  Patent LIMA to LAD.  He underwent a TAVR procedure on 9/22/2020 with a 26 mm sapien valve.  He was most recently seen in 10/2020 for a follow-up visit.  At that time he was doing well.  TTE from 10/20/2020 with an EF of 60%, abnormal LV diastolicDysfunction, mildly dilated ascending aorta and mild MR.  There is mild perivalvular regurgitation with a mean gradient of 15 mmHg. He presented to his local emergency department on 4/15/2021 with a complaint of shortness of breath, worse with exertion.  His symptoms were present for 1 week.  He had the Johnson & Johnson COVID-19 vaccination on 3/17/2021.  Rapid Covid test was negative.  High-sensitivity troponin was elevated at 276.  CT of the chest showed bilateral pulmonary emboli most pronounced on the right.  EKG showed sinus rhythm with right bundle branch block and ST depression was noted.  He was transferred to Hospital for further evaluation.  Echo on 4/15/2021 showed EF of 60 to 65% with abnormal LV diastolic function and moderate pulmonary hypertension.  He was transition to warfarin, he is unable to take NOAC due to Dilantin history.  INR was slowly increased to 3 mg.  He was discharged with Lovenox bridge with plans to have INR checked on Wednesday or Thursday at the Hospital and he will follow-up with his PCP for management.  He was discharged on warfarin and Plavix, aspirin was held to avoid triple therapy.  Resume aspirin once therapy completed for PE/DVT protocol. Patient discharge goals: Patient Transition Goal: Return home/prior residence to highest level of function by anticipated discharge date
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram ST segment depression, International normalised ratio increased, Laboratory test normal, Left ventricular dysfunction, Paravalvular regurgitation
Clinical narrative: Janssen/J&J COVID-19 Vaccine  Admission Date: 4/15/2021                 Primary Discharge Diagnosis/Active Problems:  Pulmonary emboli  Cardiac Procedures Performed: echocardiogram 4/15/2021 Echocardiogram o Ejection fraction is 60-65%. o Abnormal left ventricular diastolic function. o There is a transcatheter aortic valve present. Trivial paravalvular regurgitation and mean gradient 14 mmHg. o Moderate pulmonary hypertension present. o Normal right venticular size and systolic function. o The ascending aorta is mildly dilated. Reason for admission: Present on Admission: o Pulmonary emboli  .Hospital Course: 84-year-old male past medical history of CAD status post CABG, hypertension, obesity, COPD and hyperlipidemia.  TTE back in fall 2020 had noted severe aortic stenosis with a normal ejection fraction.  Heart catheterization and 9/10/2020 showed severe native vessel CAD.  Occluded saphenous vein graft to the circumflex, occluded saphenous vein graft to the RPDA.  Distal RCA fills retrograde collaterals from the distal circumflex.  LAD 100% occluded in the midportion and 90% stenosis proximal to a small diagonal.  Patent LIMA to LAD.  He underwent a TAVR procedure on 9/22/2020 with a 26 mm sapien valve.  He was most recently seen in 10/2020 for a follow-up visit.  At that time he was doing well.  TTE from 10/20/2020 with an EF of 60%, abnormal LV diastolicDysfunction, mildly dilated ascending aorta and mild MR.  There is mild perivalvular regurgitation with a mean gradient of 15 mmHg. He presented to his local emergency department on 4/15/2021 with a complaint of shortness of breath, worse with exertion.  His symptoms were present for 1 week.  He had the Johnson & Johnson COVID-19 vaccination on 3/17/2021.  Rapid Covid test was negative.  High-sensitivity troponin was elevated at 276.  CT of the chest showed bilateral pulmonary emboli most pronounced on the right.  EKG showed sinus rhythm with right bundle branch block and ST depression was noted.  He was transferred to Hospital for further evaluation.  Echo on 4/15/2021 showed EF of 60 to 65% with abnormal LV diastolic function and moderate pulmonary hypertension.  He was transition to warfarin, he is unable to take NOAC due to Dilantin history.  INR was slowly increased to 3 mg.  He was discharged with Lovenox bridge with plans to have INR checked on Wednesday or Thursday at the Hospital and he will follow-up with his PCP for management.  He was discharged on warfarin and Plavix, aspirin was held to avoid triple therapy.  Resume aspirin once therapy completed for PE/DVT protocol. Patient discharge goals: Patient Transition Goal: Return home/prior residence to highest level of function by anticipated discharge date
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count normal, Pulmonary embolism, Pulmonary hypertension, SARS-CoV-2 test negative, Transvalvular pressure gradient
Clinical narrative: Janssen/J&J COVID-19 Vaccine  Admission Date: 4/15/2021                 Primary Discharge Diagnosis/Active Problems:  Pulmonary emboli  Cardiac Procedures Performed: echocardiogram 4/15/2021 Echocardiogram o Ejection fraction is 60-65%. o Abnormal left ventricular diastolic function. o There is a transcatheter aortic valve present. Trivial paravalvular regurgitation and mean gradient 14 mmHg. o Moderate pulmonary hypertension present. o Normal right venticular size and systolic function. o The ascending aorta is mildly dilated. Reason for admission: Present on Admission: o Pulmonary emboli  .Hospital Course: 84-year-old male past medical history of CAD status post CABG, hypertension, obesity, COPD and hyperlipidemia.  TTE back in fall 2020 had noted severe aortic stenosis with a normal ejection fraction.  Heart catheterization and 9/10/2020 showed severe native vessel CAD.  Occluded saphenous vein graft to the circumflex, occluded saphenous vein graft to the RPDA.  Distal RCA fills retrograde collaterals from the distal circumflex.  LAD 100% occluded in the midportion and 90% stenosis proximal to a small diagonal.  Patent LIMA to LAD.  He underwent a TAVR procedure on 9/22/2020 with a 26 mm sapien valve.  He was most recently seen in 10/2020 for a follow-up visit.  At that time he was doing well.  TTE from 10/20/2020 with an EF of 60%, abnormal LV diastolicDysfunction, mildly dilated ascending aorta and mild MR.  There is mild perivalvular regurgitation with a mean gradient of 15 mmHg. He presented to his local emergency department on 4/15/2021 with a complaint of shortness of breath, worse with exertion.  His symptoms were present for 1 week.  He had the Johnson & Johnson COVID-19 vaccination on 3/17/2021.  Rapid Covid test was negative.  High-sensitivity troponin was elevated at 276.  CT of the chest showed bilateral pulmonary emboli most pronounced on the right.  EKG showed sinus rhythm with right bundle branch block and ST depression was noted.  He was transferred to Hospital for further evaluation.  Echo on 4/15/2021 showed EF of 60 to 65% with abnormal LV diastolic function and moderate pulmonary hypertension.  He was transition to warfarin, he is unable to take NOAC due to Dilantin history.  INR was slowly increased to 3 mg.  He was discharged with Lovenox bridge with plans to have INR checked on Wednesday or Thursday at the Hospital and he will follow-up with his PCP for management.  He was discharged on warfarin and Plavix, aspirin was held to avoid triple therapy.  Resume aspirin once therapy completed for PE/DVT protocol. Patient discharge goals: Patient Transition Goal: Return home/prior residence to highest level of function by anticipated discharge date
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: Janssen/J&J COVID-19 Vaccine  Admission Date: 4/15/2021                 Primary Discharge Diagnosis/Active Problems:  Pulmonary emboli  Cardiac Procedures Performed: echocardiogram 4/15/2021 Echocardiogram o Ejection fraction is 60-65%. o Abnormal left ventricular diastolic function. o There is a transcatheter aortic valve present. Trivial paravalvular regurgitation and mean gradient 14 mmHg. o Moderate pulmonary hypertension present. o Normal right venticular size and systolic function. o The ascending aorta is mildly dilated. Reason for admission: Present on Admission: o Pulmonary emboli  .Hospital Course: 84-year-old male past medical history of CAD status post CABG, hypertension, obesity, COPD and hyperlipidemia.  TTE back in fall 2020 had noted severe aortic stenosis with a normal ejection fraction.  Heart catheterization and 9/10/2020 showed severe native vessel CAD.  Occluded saphenous vein graft to the circumflex, occluded saphenous vein graft to the RPDA.  Distal RCA fills retrograde collaterals from the distal circumflex.  LAD 100% occluded in the midportion and 90% stenosis proximal to a small diagonal.  Patent LIMA to LAD.  He underwent a TAVR procedure on 9/22/2020 with a 26 mm sapien valve.  He was most recently seen in 10/2020 for a follow-up visit.  At that time he was doing well.  TTE from 10/20/2020 with an EF of 60%, abnormal LV diastolicDysfunction, mildly dilated ascending aorta and mild MR.  There is mild perivalvular regurgitation with a mean gradient of 15 mmHg. He presented to his local emergency department on 4/15/2021 with a complaint of shortness of breath, worse with exertion.  His symptoms were present for 1 week.  He had the Johnson & Johnson COVID-19 vaccination on 3/17/2021.  Rapid Covid test was negative.  High-sensitivity troponin was elevated at 276.  CT of the chest showed bilateral pulmonary emboli most pronounced on the right.  EKG showed sinus rhythm with right bundle branch block and ST depression was noted.  He was transferred to Hospital for further evaluation.  Echo on 4/15/2021 showed EF of 60 to 65% with abnormal LV diastolic function and moderate pulmonary hypertension.  He was transition to warfarin, he is unable to take NOAC due to Dilantin history.  INR was slowly increased to 3 mg.  He was discharged with Lovenox bridge with plans to have INR checked on Wednesday or Thursday at the Hospital and he will follow-up with his PCP for management.  He was discharged on warfarin and Plavix, aspirin was held to avoid triple therapy.  Resume aspirin once therapy completed for PE/DVT protocol. Patient discharge goals: Patient Transition Goal: Return home/prior residence to highest level of function by anticipated discharge date
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Dyspnoea
Clinical narrative: About 24 hours after receiving the vaccine I noticed shortness of breath and cardiac arrhythmia as determined by repeated radial pulse checks. This lasted fro 6 to 8 hours, then I seemed to return to normal. the effects were notably more severe while lying down on my side back or stomach. sitting up felt the best.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Syringe issue
Clinical narrative: Patient was administered an IM injection from an empty syringe. the vaccine administration error was not realized until after the client left the clinic. Patient was called back to the clinic for administration of the Johnson & Johnson vaccine in the other arm. Contacted CDC to get guidance on any safety issues from receiving an IM injection  with empty syringe. CDC reported back " we are not aware that administration of an empty syringe of an IM injection would cause a safety problem." contacted client for follow up of CDC response. Patient responded no adverse side effects outside of normal signs and symptoms after vaccination with Johnson & Johnson.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Headache, Pyrexia
Clinical narrative: 101.2 fever, headache ,lower back ache  for about 14 hours
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Migraine
Clinical narrative: I got the first dose of the Pfizer vaccine on 04/12/2021 and started getting severe migraine headaches on the left side of my head. The headaches are throbbing and continuous. On a pain scale of 10/10. I used Tylenol 1000 mg alternated with Ibuprofen 400 mg every 6 hours with very minor relief. I started using over the counter migraine medication (combo acetaminophen 250 mg, Aspirin 250 mg and Caffeine 65 mg per tab) I have been taking 2 tablets a day starting 4/20/21 with some relief, pain scale is still 5-6/10.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Peripheral swelling, Rash, Urticaria
Clinical narrative: Swollen eyes, rash over entire body, some welts, swollen feet, legs, fingers and hands
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Sleep disorder
Clinical narrative: Heart is beating fast for approx the past week.  Wake up between 4-5 a.m. and can?t go back to sleep. On day of shot only had mild symptoms.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Ear pain, Feeling abnormal, Feeling cold, Headache
Clinical narrative: Woke up with bad headache next day went to work and left at 12 felt so bad.  No fever, just severe headache, full like symptoms, freezing, body aches, ear ache, jaw ache, teeth hurt, also my eyes were weird like not clear in seeing.    I also have woken up with my body completely wet but not sweating g or cold.  So weird.  This has happened each night after second shot.  I had lower back pain and that started after first shot but I didn?t realize that it was from the 1sr shot done on 03/30/2021.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Influenza like illness, Pain, Toothache, Visual impairment
Clinical narrative: Woke up with bad headache next day went to work and left at 12 felt so bad.  No fever, just severe headache, full like symptoms, freezing, body aches, ear ache, jaw ache, teeth hurt, also my eyes were weird like not clear in seeing.    I also have woken up with my body completely wet but not sweating g or cold.  So weird.  This has happened each night after second shot.  I had lower back pain and that started after first shot but I didn?t realize that it was from the 1sr shot done on 03/30/2021.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: PATIENT AGE UNDER APPROVED ADMINISTRATION AGE
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Headache, Lethargy, Pain in extremity, Presyncope
Clinical narrative: Vaso vagal syncope with seizure. Had severe lethargy and  arm pain for 3 days afterward. Diarrhea and headache started day after injection and lasted for 2 days. Saw doctor for follow up, as encouraged by the clinic's staff, on Friday, April 16th and she needed to get more information before making a decision on whether or not to get a second dose. The following Monday she messaged me via "mychart" through the healthcare that I would be fine to get a second dose but wouldn't be reporting the incident. I asked her to report the incident and she refused.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Seizure
Clinical narrative: Vaso vagal syncope with seizure. Had severe lethargy and  arm pain for 3 days afterward. Diarrhea and headache started day after injection and lasted for 2 days. Saw doctor for follow up, as encouraged by the clinic's staff, on Friday, April 16th and she needed to get more information before making a decision on whether or not to get a second dose. The following Monday she messaged me via "mychart" through the healthcare that I would be fine to get a second dose but wouldn't be reporting the incident. I asked her to report the incident and she refused.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Headache, Lethargy, Pain in extremity, SARS-CoV-2 test
Clinical narrative: Vaso vagal syncope with seizure. Had severe lethargy and  arm pain for 3 days afterward. Diarrhea and headache started day after injection and lasted for 2 days. Saw doctor for follow up, as encouraged by the clinic's staff, on Friday, April 16th and she needed to get more information before making a decision on whether or not to get a second dose. The following Monday she messaged me via "mychart" through the healthcare that I would be fine to get a second dose but wouldn't be reporting the incident. I asked her to report the incident and she refused.
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Seizure, Syncope
Clinical narrative: Vaso vagal syncope with seizure. Had severe lethargy and  arm pain for 3 days afterward. Diarrhea and headache started day after injection and lasted for 2 days. Saw doctor for follow up, as encouraged by the clinic's staff, on Friday, April 16th and she needed to get more information before making a decision on whether or not to get a second dose. The following Monday she messaged me via "mychart" through the healthcare that I would be fine to get a second dose but wouldn't be reporting the incident. I asked her to report the incident and she refused.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Eye movement disorder, Hypoaesthesia, Musculoskeletal stiffness, Pain
Clinical narrative: When I woken up the next morning at 11:33AM - I Could not see straight, dizzy, stiff neck (when moved eyes up and down the picture bounced vertical; when I move eye left to right the picture bounced horizontal; looking straight could not focus at all enough to walk, drive, or even read anything much less see straight); also typical fever and horrific aches/pain. Today I have fever/aches; not perfect vision but enough to function; Numb finger tips and a few other oddities.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vision blurred, Visual impairment
Clinical narrative: When I woken up the next morning at 11:33AM - I Could not see straight, dizzy, stiff neck (when moved eyes up and down the picture bounced vertical; when I move eye left to right the picture bounced horizontal; looking straight could not focus at all enough to walk, drive, or even read anything much less see straight); also typical fever and horrific aches/pain. Today I have fever/aches; not perfect vision but enough to function; Numb finger tips and a few other oddities.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Albumin globulin ratio normal, Aspartate aminotransferase decreased, Basophil count normal, Blood albumin normal
Clinical narrative: 4/20/21 ER HPI: 67 y.o. female who presents with complaint of shortness of breath since yesterday night when she went to bed and describes it as heaviness associated with lower chest pain both back and front.  Patient says shortness of breath is worse with lying down and with activity.  Patient also complained of cough that is nonproductive.  No fever or chills, no nausea vomiting and no abdominal pain.  Patient has been off her Coumadin is since for 04/09/2021 for back injection for back pain.  Patient said the the shortness of breath is similar to the last time she had blood clot.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood alkaline phosphatase increased, Blood bilirubin normal, Blood calcium normal, Blood chloride increased, Blood creatinine normal
Clinical narrative: 4/20/21 ER HPI: 67 y.o. female who presents with complaint of shortness of breath since yesterday night when she went to bed and describes it as heaviness associated with lower chest pain both back and front.  Patient says shortness of breath is worse with lying down and with activity.  Patient also complained of cough that is nonproductive.  No fever or chills, no nausea vomiting and no abdominal pain.  Patient has been off her Coumadin is since for 04/09/2021 for back injection for back pain.  Patient said the the shortness of breath is similar to the last time she had blood clot.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood urea normal, Carbon dioxide normal
Clinical narrative: 4/20/21 ER HPI: 67 y.o. female who presents with complaint of shortness of breath since yesterday night when she went to bed and describes it as heaviness associated with lower chest pain both back and front.  Patient says shortness of breath is worse with lying down and with activity.  Patient also complained of cough that is nonproductive.  No fever or chills, no nausea vomiting and no abdominal pain.  Patient has been off her Coumadin is since for 04/09/2021 for back injection for back pain.  Patient said the the shortness of breath is similar to the last time she had blood clot.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chest discomfort, Chest pain, Computerised tomogram thorax abnormal, Cough
Clinical narrative: 4/20/21 ER HPI: 67 y.o. female who presents with complaint of shortness of breath since yesterday night when she went to bed and describes it as heaviness associated with lower chest pain both back and front.  Patient says shortness of breath is worse with lying down and with activity.  Patient also complained of cough that is nonproductive.  No fever or chills, no nausea vomiting and no abdominal pain.  Patient has been off her Coumadin is since for 04/09/2021 for back injection for back pain.  Patient said the the shortness of breath is similar to the last time she had blood clot.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Eosinophil count normal, Fibrin D dimer, Haematocrit normal, Haemoglobin decreased
Clinical narrative: 4/20/21 ER HPI: 67 y.o. female who presents with complaint of shortness of breath since yesterday night when she went to bed and describes it as heaviness associated with lower chest pain both back and front.  Patient says shortness of breath is worse with lying down and with activity.  Patient also complained of cough that is nonproductive.  No fever or chills, no nausea vomiting and no abdominal pain.  Patient has been off her Coumadin is since for 04/09/2021 for back injection for back pain.  Patient said the the shortness of breath is similar to the last time she had blood clot.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Immature granulocyte percentage increased, Lymphocyte percentage decreased, Mean cell haemoglobin concentration decreased, Mean cell haemoglobin normal, Mean cell volume normal
Clinical narrative: 4/20/21 ER HPI: 67 y.o. female who presents with complaint of shortness of breath since yesterday night when she went to bed and describes it as heaviness associated with lower chest pain both back and front.  Patient says shortness of breath is worse with lying down and with activity.  Patient also complained of cough that is nonproductive.  No fever or chills, no nausea vomiting and no abdominal pain.  Patient has been off her Coumadin is since for 04/09/2021 for back injection for back pain.  Patient said the the shortness of breath is similar to the last time she had blood clot.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Mean platelet volume normal, Metabolic function test abnormal, Monocyte count normal, Neutrophil percentage increased, Nucleated red cells
Clinical narrative: 4/20/21 ER HPI: 67 y.o. female who presents with complaint of shortness of breath since yesterday night when she went to bed and describes it as heaviness associated with lower chest pain both back and front.  Patient says shortness of breath is worse with lying down and with activity.  Patient also complained of cough that is nonproductive.  No fever or chills, no nausea vomiting and no abdominal pain.  Patient has been off her Coumadin is since for 04/09/2021 for back injection for back pain.  Patient said the the shortness of breath is similar to the last time she had blood clot.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count normal, Protein total normal, Red blood cell count normal, Red cell distribution width increased, Troponin I normal
Clinical narrative: 4/20/21 ER HPI: 67 y.o. female who presents with complaint of shortness of breath since yesterday night when she went to bed and describes it as heaviness associated with lower chest pain both back and front.  Patient says shortness of breath is worse with lying down and with activity.  Patient also complained of cough that is nonproductive.  No fever or chills, no nausea vomiting and no abdominal pain.  Patient has been off her Coumadin is since for 04/09/2021 for back injection for back pain.  Patient said the the shortness of breath is similar to the last time she had blood clot.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: 4/20/21 ER HPI: 67 y.o. female who presents with complaint of shortness of breath since yesterday night when she went to bed and describes it as heaviness associated with lower chest pain both back and front.  Patient says shortness of breath is worse with lying down and with activity.  Patient also complained of cough that is nonproductive.  No fever or chills, no nausea vomiting and no abdominal pain.  Patient has been off her Coumadin is since for 04/09/2021 for back injection for back pain.  Patient said the the shortness of breath is similar to the last time she had blood clot.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to the ED and subsequently hospitalized within 6 weeks of receiving COVID vaccination.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Bacterial infection, Hypoaesthesia, Leg amputation, Pain, Pain in extremity
Clinical narrative: Patient with a history of LLE revascularization on 2/1/2021 with fem-bkpop 6mm PTFE bypass for limb salvage in the setting of rest pain and great toe gangrene.  She was discharged on Xarelto.  Patient was admitted to the hospital on 4/13/2021.  Patient reported she noticed return of the rest pain to the left lower extremity starting on 4/12/2021.  Patient was found to have acute on chronic limb ischemia of the LLE and was found to have an occluded left femoropopliteal bypass graft.  She was taken to the OR on 4/14/2021 and underwent a thrombectomy and removal of distal portion of the graft, which appeared to be infected.  Cultures from the left femoral thrombus was positive for gram-negative rods.  Blood cultures from 4/13/2021 were positive for Pseudomonas aeruginosa.  Postoperatively, her left lower extremity continue to be numb, cool, and she was unable to dorsiflex the foot.  Patient ultimately underwent a left lower extremity below the knee amputation on 4/16/2021.  Patient remains hospitalized at this time.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral coldness, Peripheral ischaemia, Pseudomonas infection, Pseudomonas test positive, Reflexes abnormal
Clinical narrative: Patient with a history of LLE revascularization on 2/1/2021 with fem-bkpop 6mm PTFE bypass for limb salvage in the setting of rest pain and great toe gangrene.  She was discharged on Xarelto.  Patient was admitted to the hospital on 4/13/2021.  Patient reported she noticed return of the rest pain to the left lower extremity starting on 4/12/2021.  Patient was found to have acute on chronic limb ischemia of the LLE and was found to have an occluded left femoropopliteal bypass graft.  She was taken to the OR on 4/14/2021 and underwent a thrombectomy and removal of distal portion of the graft, which appeared to be infected.  Cultures from the left femoral thrombus was positive for gram-negative rods.  Blood cultures from 4/13/2021 were positive for Pseudomonas aeruginosa.  Postoperatively, her left lower extremity continue to be numb, cool, and she was unable to dorsiflex the foot.  Patient ultimately underwent a left lower extremity below the knee amputation on 4/16/2021.  Patient remains hospitalized at this time.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombectomy, Vascular graft infection, Vascular graft occlusion
Clinical narrative: Patient with a history of LLE revascularization on 2/1/2021 with fem-bkpop 6mm PTFE bypass for limb salvage in the setting of rest pain and great toe gangrene.  She was discharged on Xarelto.  Patient was admitted to the hospital on 4/13/2021.  Patient reported she noticed return of the rest pain to the left lower extremity starting on 4/12/2021.  Patient was found to have acute on chronic limb ischemia of the LLE and was found to have an occluded left femoropopliteal bypass graft.  She was taken to the OR on 4/14/2021 and underwent a thrombectomy and removal of distal portion of the graft, which appeared to be infected.  Cultures from the left femoral thrombus was positive for gram-negative rods.  Blood cultures from 4/13/2021 were positive for Pseudomonas aeruginosa.  Postoperatively, her left lower extremity continue to be numb, cool, and she was unable to dorsiflex the foot.  Patient ultimately underwent a left lower extremity below the knee amputation on 4/16/2021.  Patient remains hospitalized at this time.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Blood alkaline phosphatase increased, Blood chloride decreased, Blood creatinine increased, Blood glucose increased, Blood ketone body increased
Clinical narrative: Pt complained of blurry vision for four days, went to Urgent Care. At UC, blood glucose was >600 and pt stated that his PCP was investigating possible type 2 DM. Pt was sent to ED.  Blood glucose 652 in ED. Pt admitted to hospital with dx hyperosmolar hyperglycemic state.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Blood magnesium decreased, Blood osmolarity increased, Blood sodium decreased, Blood urea increased, Hyperglycaemic hyperosmolar nonketotic syndrome
Clinical narrative: Pt complained of blurry vision for four days, went to Urgent Care. At UC, blood glucose was >600 and pt stated that his PCP was investigating possible type 2 DM. Pt was sent to ED.  Blood glucose 652 in ED. Pt admitted to hospital with dx hyperosmolar hyperglycemic state.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Pt complained of blurry vision for four days, went to Urgent Care. At UC, blood glucose was >600 and pt stated that his PCP was investigating possible type 2 DM. Pt was sent to ED.  Blood glucose 652 in ED. Pt admitted to hospital with dx hyperosmolar hyperglycemic state.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Pain in extremity
Clinical narrative: My arm is in so much pain! From my elbow up to my shoulder is hurting so bad. I would say on a scale from 1 to 10 being 10 there are moments when it is a 10. Definitely sending pain throughout my whole body. I can barely push through showering and dressing myself. It's not just 'sore' around the shot spot.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Muscular weakness, Pain
Clinical narrative: Headaches, arm, elbow, muscle weakness, tired.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: Red bumpy itchy rash from one arm across the chest to the other arm. Patient saw primary physician.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site pruritus, Injection site reaction, Urticaria
Clinical narrative: Large itchy hard red welt around the site.
Age: 63.0
Sex: F
Vaccine: UNK
Symptoms: Injection site warmth, Pruritus, Rash, Urticaria
Clinical narrative: Hives, site hot to the touch, itching, face also breaking out in the same rash
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Fatigue, Feeling hot, Injection site erythema
Clinical narrative: 2 hours after injection - Swelling, hives, fever, nausea, dizzyness & fatigue /cold / hot spells  5 days later  - still bad swelling, extreme redness and site reaction to injection plus underarm swelling and hard enlarged lymph node swelling, still having nausea - dizzyness and fatigue - cold / hot spells - soreness and pain has radiated up the left shoulder to the shoulder and neck area .  Taking Tylenol, benedryl to ward off the hives - cool and warm compresses
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pain, Injection site swelling, Lymphadenopathy, Nasopharyngitis
Clinical narrative: 2 hours after injection - Swelling, hives, fever, nausea, dizzyness & fatigue /cold / hot spells  5 days later  - still bad swelling, extreme redness and site reaction to injection plus underarm swelling and hard enlarged lymph node swelling, still having nausea - dizzyness and fatigue - cold / hot spells - soreness and pain has radiated up the left shoulder to the shoulder and neck area .  Taking Tylenol, benedryl to ward off the hives - cool and warm compresses
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Urticaria
Clinical narrative: 2 hours after injection - Swelling, hives, fever, nausea, dizzyness & fatigue /cold / hot spells  5 days later  - still bad swelling, extreme redness and site reaction to injection plus underarm swelling and hard enlarged lymph node swelling, still having nausea - dizzyness and fatigue - cold / hot spells - soreness and pain has radiated up the left shoulder to the shoulder and neck area .  Taking Tylenol, benedryl to ward off the hives - cool and warm compresses
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Pharyngeal swelling, Tonsillar hypertrophy
Clinical narrative: Shortly after receiving vaccine the patient developed lip swelling, throat swelling. EMS evaluated patient and found tonsils were swollen. Vital signs BP 152/100 RR 20 HR 104 Oxygen sat-98% on room air. Patient received IV benadryl and was transported to local hospital ED for further evaluation and treatment.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Breast pain, Breast swelling, Chills
Clinical narrative: COVID-19 SCREEN: Have you had close contact with a laboratory-confirmed COVID-19 patient within 14 days no  Traveling in the last 14 days no  Fever? no Body aches? no Cough? no Shortness of Breath/difficulty breathing? no sorethroat?  no  Loss of taste/smell? no headache? no Nausea  no  Vomiting  no  Diarrhea no _______________________________ 41 year old female presents with swelling and soreness to right shoulder, arm, axilla, and breast since Friday evening (3 days ago). She received 2nd dose of Pfizer covid19 vaccine to the right arm on day previous on Thursday at 3:40pm. Friday evening also started with the whole right arm feeling heavy and numbness to the right 2nd finger, fever 101F, fatigue, chills, and brain fogginess.  Fever stopped the next day. 3/26/21 was first covid19 vaccine dose also to right arm, did not get any similar symptoms.  Taking 200mg ibuprofen every 6 hours, Tylenol 325mg every 4 hours for soreness.  Denies SOB, or pain or redness or rash at the injection site or redness at injection site.  Denies fever or chills at this time.  Deneis nausea, vomitng or diarrhea.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Hypoaesthesia, Limb discomfort, Oedema peripheral
Clinical narrative: COVID-19 SCREEN: Have you had close contact with a laboratory-confirmed COVID-19 patient within 14 days no  Traveling in the last 14 days no  Fever? no Body aches? no Cough? no Shortness of Breath/difficulty breathing? no sorethroat?  no  Loss of taste/smell? no headache? no Nausea  no  Vomiting  no  Diarrhea no _______________________________ 41 year old female presents with swelling and soreness to right shoulder, arm, axilla, and breast since Friday evening (3 days ago). She received 2nd dose of Pfizer covid19 vaccine to the right arm on day previous on Thursday at 3:40pm. Friday evening also started with the whole right arm feeling heavy and numbness to the right 2nd finger, fever 101F, fatigue, chills, and brain fogginess.  Fever stopped the next day. 3/26/21 was first covid19 vaccine dose also to right arm, did not get any similar symptoms.  Taking 200mg ibuprofen every 6 hours, Tylenol 325mg every 4 hours for soreness.  Denies SOB, or pain or redness or rash at the injection site or redness at injection site.  Denies fever or chills at this time.  Deneis nausea, vomitng or diarrhea.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Swelling
Clinical narrative: COVID-19 SCREEN: Have you had close contact with a laboratory-confirmed COVID-19 patient within 14 days no  Traveling in the last 14 days no  Fever? no Body aches? no Cough? no Shortness of Breath/difficulty breathing? no sorethroat?  no  Loss of taste/smell? no headache? no Nausea  no  Vomiting  no  Diarrhea no _______________________________ 41 year old female presents with swelling and soreness to right shoulder, arm, axilla, and breast since Friday evening (3 days ago). She received 2nd dose of Pfizer covid19 vaccine to the right arm on day previous on Thursday at 3:40pm. Friday evening also started with the whole right arm feeling heavy and numbness to the right 2nd finger, fever 101F, fatigue, chills, and brain fogginess.  Fever stopped the next day. 3/26/21 was first covid19 vaccine dose also to right arm, did not get any similar symptoms.  Taking 200mg ibuprofen every 6 hours, Tylenol 325mg every 4 hours for soreness.  Denies SOB, or pain or redness or rash at the injection site or redness at injection site.  Denies fever or chills at this time.  Deneis nausea, vomitng or diarrhea.
Age: 22.0
Sex: U
Vaccine: COVID19
Symptoms: Immunisation, Syringe issue
Clinical narrative: Once the needle was placed in the patient's arm, when the plunger was pushed the needle hub disconnected from the syringe and the liquid ran out. Readministered a new vaccine prepped syringe/needle into Left Deltoid.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, Incorrect route of product administration
Clinical narrative: At time of injection, patient noted that the administration was not deep or via the IM route, rather subcutaneous. Patient received dose at 1/07/2021 and 1/28/21
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: Product preparation issue, Underdose
Clinical narrative: Patient only received half of the dose of Menveo as it was not reconstituted properly. Made the patient aware of the dose, pt has not had any reactions.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Syringe issue
Clinical narrative: Patient was administered an IM injection from an empty syringe. the vaccine administration error was not realized until after the client left the clinic. Patient was called back to the clinic for administration of the Johnson & Johnson vaccine in the other arm. Contacted CDC to get guidance on any safety issues from receiving an IM injection  with empty syringe. CDC reported back " we are not aware that administration of an empty syringe of an IM injection would cause a safety problem." contacted client for follow up of CDC response. Patient responded no adverse side effects outside of normal signs and symptoms after vaccination with Johnson & Johnson.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Hypoacusis, Tinnitus
Clinical narrative: I have had low-level tinnitus for a number of years. The day after my second dose Covid vaccine I woke up with the tinnitus GREATLY amplified and at a much higher pitch. The ringing had not subsided and I believe my hearing has diminished. The tinnitus is oppressively loud and much worse than the day before the vaccine.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Breast pain, Chest pain, Injection site pain, Neck pain
Clinical narrative: Besides regular normal pain at injection point the first 2 days, I started experiencing a minor rash on my left side (not arm) on day 2-5. No biggie I thought I was in the clear with major symptoms. Then days 5 or 6-8, I felt horrible pain on the Left side from my neck and shoulder down to shoulder blade then down my left arm to elbow and left side of chest. It was this aching pain that hurts like I slept wrong but worse, more like burning pain and deep down to my muscles and bones.  My underarm and side of my breast hurt so much, I was checking for lumps thinking I had breast cancer. Imagine if your cut your body into fourths, cross-wise, my left quarter ached badly. No lump but my underarm and the side of my boobs hurt like crazy. I was doing a cocktail Acetaminophen and Ibuprofen and I never take pain meds unless its a headache. In fact, I never even took pain medication after I delivered all three kids. So this pain was pretty bad. Its pain like Ive never felt before. Its constant. Worse than the flu in terms of aches, no fever. I was miserable.  Day 9-10 feels tender but no issues or real pain.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Rash, Tenderness
Clinical narrative: Besides regular normal pain at injection point the first 2 days, I started experiencing a minor rash on my left side (not arm) on day 2-5. No biggie I thought I was in the clear with major symptoms. Then days 5 or 6-8, I felt horrible pain on the Left side from my neck and shoulder down to shoulder blade then down my left arm to elbow and left side of chest. It was this aching pain that hurts like I slept wrong but worse, more like burning pain and deep down to my muscles and bones.  My underarm and side of my breast hurt so much, I was checking for lumps thinking I had breast cancer. Imagine if your cut your body into fourths, cross-wise, my left quarter ached badly. No lump but my underarm and the side of my boobs hurt like crazy. I was doing a cocktail Acetaminophen and Ibuprofen and I never take pain meds unless its a headache. In fact, I never even took pain medication after I delivered all three kids. So this pain was pretty bad. Its pain like Ive never felt before. Its constant. Worse than the flu in terms of aches, no fever. I was miserable.  Day 9-10 feels tender but no issues or real pain.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema, Feeling hot, Induration, Migraine
Clinical narrative: Woke up with fever that lasted 36 hours, body chills, body aches that lasted 48 hours. Nausea and vomiting happened 72 hours after injection. Have had migraines starting 72 hours after injection. Left arm was and still is red/hot to the touch and feels like a knot. The day after I couldn't lay on my left arm and it stung/throbbed with pain. Has gotten a little better but it is still very sore and hot to the touch.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Tenderness, Vomiting
Clinical narrative: Woke up with fever that lasted 36 hours, body chills, body aches that lasted 48 hours. Nausea and vomiting happened 72 hours after injection. Have had migraines starting 72 hours after injection. Left arm was and still is red/hot to the touch and feels like a knot. The day after I couldn't lay on my left arm and it stung/throbbed with pain. Has gotten a little better but it is still very sore and hot to the touch.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Feeling abnormal, Headache, Pain
Clinical narrative: Moderna COVID-19 Vaccine EUA I woke up with the typical body aches, fuzzy head, headache and fatigue on 04/20/2021. On 04/21/2021, I had the same symptoms, less severe and developed a new one....my face and forearms were pink and the skin on my arms burned all day long. It felt similar to that of a light sunburn. Today is 04/22/2021 and all symptoms are gone except the pink on my face and arms and burning of my arms, which is getting better.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Skin burning sensation
Clinical narrative: Moderna COVID-19 Vaccine EUA I woke up with the typical body aches, fuzzy head, headache and fatigue on 04/20/2021. On 04/21/2021, I had the same symptoms, less severe and developed a new one....my face and forearms were pink and the skin on my arms burned all day long. It felt similar to that of a light sunburn. Today is 04/22/2021 and all symptoms are gone except the pink on my face and arms and burning of my arms, which is getting better.