chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 34.0
Sex: M
Vaccine: HEP
Symptoms: Confusional state, Consciousness fluctuating, Disorientation, Feeling abnormal, Seizure like phenomena
Clinical narrative: Client arrived for HBV vaccine today 02/17/2022 @ 0812 . Client reviewed ?Screening Checklist for Contraindications to Vaccines for Adults.?  All answers reported as No. Client received Hepatitis B vaccine.  Client seated for HBV vaccine. Client alert and oriented. Client remained seated for at least 5 min. Client stood to leave and appeared dazed and confused. RN asked client if he was ok. No response received. Client experienced syncope. RN assisted client to floor in a controlled fall. RN called for help. PA, LPN came to assist. Client was laying on the floor. LPN brought ice packs to room. Client woke up and stood up. Client briefly fainted again and RN was able to get client to a chair. Client sitting in chair. Ice packs provided to back of neck, lollipop provided to client. Client offered water and drank some water. MD, APRN came in to assist.  Client fainted again. Experienced brief seizure-like activity one time lasting no longer than 5 seconds. Vitals BP 70/43 P 51 O2 91.  Client was confused. Appeared to be going in and out of consciousness. Ammonia ampule broken and placed under client?s nose. Client briefly aroused.  LPN in room. RN advised LPN to call EMS.  RN retrieved O2 tank and placed face mask on client with O2 at 2 L/Min. Repeat of vitals about 5 min later 79/53 P 59, SPO2 98%. Client disoriented.  Client asked if he had eaten today. States he only eats once a day in the evening. Blood sugar analysis was not performed. EMT arrived on site. EMT briefed by RN. Client more alert and oriented at this time. Client able to stand and walk to the stretcher. EMT left Immunization clinic at 0900 with client. EMT will transport client to Hospital.
Age: 34.0
Sex: M
Vaccine: HEP
Symptoms: Syncope
Clinical narrative: Client arrived for HBV vaccine today 02/17/2022 @ 0812 . Client reviewed ?Screening Checklist for Contraindications to Vaccines for Adults.?  All answers reported as No. Client received Hepatitis B vaccine.  Client seated for HBV vaccine. Client alert and oriented. Client remained seated for at least 5 min. Client stood to leave and appeared dazed and confused. RN asked client if he was ok. No response received. Client experienced syncope. RN assisted client to floor in a controlled fall. RN called for help. PA, LPN came to assist. Client was laying on the floor. LPN brought ice packs to room. Client woke up and stood up. Client briefly fainted again and RN was able to get client to a chair. Client sitting in chair. Ice packs provided to back of neck, lollipop provided to client. Client offered water and drank some water. MD, APRN came in to assist.  Client fainted again. Experienced brief seizure-like activity one time lasting no longer than 5 seconds. Vitals BP 70/43 P 51 O2 91.  Client was confused. Appeared to be going in and out of consciousness. Ammonia ampule broken and placed under client?s nose. Client briefly aroused.  LPN in room. RN advised LPN to call EMS.  RN retrieved O2 tank and placed face mask on client with O2 at 2 L/Min. Repeat of vitals about 5 min later 79/53 P 59, SPO2 98%. Client disoriented.  Client asked if he had eaten today. States he only eats once a day in the evening. Blood sugar analysis was not performed. EMT arrived on site. EMT briefed by RN. Client more alert and oriented at this time. Client able to stand and walk to the stretcher. EMT left Immunization clinic at 0900 with client. EMT will transport client to Hospital.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: admitted to hospital 2/17/22 with breakthrough COVID infection
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Musculoskeletal stiffness
Clinical narrative: Stiffiness in left side of neck for 4 days, Tylenol.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Blood pressure increased, Fatigue, Palpitations
Clinical narrative: Pt reports mild fatigue in days after vaccination (her booster dose) but awoke with heart "pounding" 4 days after vaccination and feels that this is an adverse reaction to the vaccination and requests event be reported. Symptoms resolved spontaneously and not evident at time of evaluation
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer 3/18/21, 4/8/21. Positive on 2/18/22
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Flank pain, Inflammatory marker increased, Nephrolithiasis, Pustule, Sepsis
Clinical narrative: Patient with recurrent kidney stones admitted 8/28/21 with L flank pain and sepsis in setting of known UTI with obstructing L ureteral stone. Started ceftriaxone and underwent emergent placement of double-J left ureteral stent 8/28/21 with findings of a large amount of pus behind stone. Clinically improving with downtrending inflammatory markers. ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Ureteral stent insertion, Urinary tract infection
Clinical narrative: Patient with recurrent kidney stones admitted 8/28/21 with L flank pain and sepsis in setting of known UTI with obstructing L ureteral stone. Started ceftriaxone and underwent emergent placement of double-J left ureteral stent 8/28/21 with findings of a large amount of pus behind stone. Clinically improving with downtrending inflammatory markers. ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Pediatric dose of Pfizer was given to the patient for her first dose. Based on age, patient should have received an adult dose of Pfizer.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pfizer 4/12/21, 5/3/21. Positive on 2/14/22
Age: 2.0
Sex: F
Vaccine: DTAPIPVHIB, PNC15
Symptoms: Seizure
Clinical narrative: Seizure lasting 1 minute sent to emergency room for observation
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received first dose on January 27th 2022 then received second dose on February 17th, 2022. Recieved second dose 22 days after first dose.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Computerised tomogram, Cough, Deep vein thrombosis
Clinical narrative: Difficulty breathing, Right leg cramps, I contacted the doctor right away because I thought I was having a (DVT) Deep Vein Thrombosis and they sent me to the Emergency room and the first time I went there, they did not find anything but then I went for the 2nd time and they found the DVT on my right leg (mid calf area) and I was hospitalized, they prescribed me with Eliquis after 2 - 3 days the discomfort in my legs have improved but I was still coughing a lot so my doctor prescribed me with a Potassium Pill (Pot Chloride, Losartan), I have never had problems with my lungs and my heart until I got my 2nd dose vaccination.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram, Limb discomfort, Muscle spasms
Clinical narrative: Difficulty breathing, Right leg cramps, I contacted the doctor right away because I thought I was having a (DVT) Deep Vein Thrombosis and they sent me to the Emergency room and the first time I went there, they did not find anything but then I went for the 2nd time and they found the DVT on my right leg (mid calf area) and I was hospitalized, they prescribed me with Eliquis after 2 - 3 days the discomfort in my legs have improved but I was still coughing a lot so my doctor prescribed me with a Potassium Pill (Pot Chloride, Losartan), I have never had problems with my lungs and my heart until I got my 2nd dose vaccination.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Rotator cuff tear arthropathy, Shoulder arthroplasty
Clinical narrative: Rotator cuff arthropathy. Surgery Right - right reverse total shoulder arthroplasty. The patient tolerated the surgical procedure without complications and was hospitalized for a total of 5 nights following the surgical procedure. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 16.0
Sex: M
Vaccine: UNK
Symptoms: Product storage error
Clinical narrative: vaccine stored improperly
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine stored improperly
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema nodosum, Panniculitis, Tenderness
Clinical narrative: Erythema nodosum, moderate-- tender papules of panniculitis on shins and ankles. Resolved within one week.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine stored imporperly
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Delivery, Exposure during pregnancy, Normal labour
Clinical narrative: Normal labor and delivery. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood creatine phosphokinase normal, Bone pain, Full blood count normal, Pain
Clinical narrative: Pt reported that one week after vaccination he began having Left shoulder pain that has progressively gotten worse.  States has a firey feeling of pain that radiates throughout the arm and hand.  States sometimes can feel in the bone and shoulder area.  Reports has followed up with his PCP.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Tendon disorder
Clinical narrative: Pt reported that one week after vaccination he began having Left shoulder pain that has progressively gotten worse.  States has a firey feeling of pain that radiates throughout the arm and hand.  States sometimes can feel in the bone and shoulder area.  Reports has followed up with his PCP.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Computerised tomogram thorax abnormal, Diastolic dysfunction, Echocardiogram abnormal
Clinical narrative: Provider documentation: "Patient is a 76-year-old female vaccinated against COVID with a past medical history of chronic obstructive pulmonary disease/asthma, cirrhosis secondary to NASH, type 2 diabetes mellitus who presents with COVID 19 pneumonia. Initially required 50% FiO2 on 15L with venti mask now on 4-5 L NC (5L with exertion). Negative right lower extremity venous ultrasound and CT PE for pulmonary embolism.  Echo showed grade 1 diastolic dysfunction a small pericardial effusion.   She completed a 5 day course of remdesivir.  Completed 10 day course of Decadron.  She received 4 days of IV Lasix with improvement in her oxygenation.  This was not continued on discharge.  Physical therapy occupational therapy evaluated patient.  SNFversus home with assist and patient/family elected to return home with assistance and home health care."
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pericardial effusion, Pulmonary embolism, SARS-CoV-2 test positive, Ultrasound Doppler
Clinical narrative: Provider documentation: "Patient is a 76-year-old female vaccinated against COVID with a past medical history of chronic obstructive pulmonary disease/asthma, cirrhosis secondary to NASH, type 2 diabetes mellitus who presents with COVID 19 pneumonia. Initially required 50% FiO2 on 15L with venti mask now on 4-5 L NC (5L with exertion). Negative right lower extremity venous ultrasound and CT PE for pulmonary embolism.  Echo showed grade 1 diastolic dysfunction a small pericardial effusion.   She completed a 5 day course of remdesivir.  Completed 10 day course of Decadron.  She received 4 days of IV Lasix with improvement in her oxygenation.  This was not continued on discharge.  Physical therapy occupational therapy evaluated patient.  SNFversus home with assist and patient/family elected to return home with assistance and home health care."
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored improperly.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Influenza A virus test, Influenza B virus test, SARS-CoV-2 test
Clinical narrative: Shortness of Breath
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase normal, Aspartate aminotransferase normal, Asthenia, Blood creatine phosphokinase decreased, Blood creatinine normal
Clinical narrative: Almost immediately after the vaccine on  1/23/2021, the patient started having what she described as little "flutters" on her L side (patient states she usually she gets them in her chest) this time on the  left side, almost like a "strike" = per patient like a painful electric shock down her side. Worsened and on 1/9/2022 taken to the ED. Exam there showed tenderness at mid sternum. XR was normal and an EKG was normal. In the ED, the patient reported the episodes stopped. Thought likely some component of costochondritis. Told to f/u with cardiology.   Seen by Cardiology;  on exam had reproduced left lower sternal border pain with palpation, no murmurs. EKG normal.  CXR was clear. Tested for COVID twice and negative, also flu negative.  Then after about a week she felt better and was cleared for physical activity. However, on 1/29/2022  during the second half of a field hockey game she began to "not play right", walking rather than running, experiencing vague dizziness and chest discomfort, and feeling as though her heart was beating kind of funny.  Over the next 20 minutes, these symptoms progressed. When she was taken out of the game to rest, she walked over to the shade because she was feeling weak and "really hot".  She was "not walking right", fell to the ground, but did not experience actual LOC, bodily injury, tongue biting or urinary incontinence.  She was picked up and placed on the nearby training table, where she remained awake but showed some delay in responding to questions.  Her mother noticed that she had perioral pallor at that time.  She was ultimately put in to an ambulance, and taken to the ED, where extensive testing was performed: negative thyroid function screen, D-dimer, sed rate, CRP, BNP, procalcitonin, CBC, BMP, total CK, and viral tests (Covid, flu, RSV). In addition, she had a negative chest x-ray and normal echocardiogram.  Initial serum troponin I was 0.09 ng/mL (upper limit of normal in that facility was 0.05 ng/mL) - trending showed drop in troponin to 0.03 and then <0.03 by the next morning.  She was observed in the ICU, and had a benign exam and ECG tracings.  It was recommended that she follow-up with cardiology after discharge. Afterwards she still continues to have symptoms of "fluttering" in her chest (longstanding), but to date no other symptoms.  A followup troponin and CRP on 2/14/2022 were normal.  Cardiology thoughts: Numerous published reports re: mild transient serum troponin elevation in exercising individuals, seems to reflect normal physiological response rather than pathological process. Considering evaluation for rare congenital coronary artery anomalies with chest CT angio.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone decreased, Brain natriuretic peptide normal, C-reactive protein decreased, Cardiac flutter, Chest X-ray normal
Clinical narrative: Almost immediately after the vaccine on  1/23/2021, the patient started having what she described as little "flutters" on her L side (patient states she usually she gets them in her chest) this time on the  left side, almost like a "strike" = per patient like a painful electric shock down her side. Worsened and on 1/9/2022 taken to the ED. Exam there showed tenderness at mid sternum. XR was normal and an EKG was normal. In the ED, the patient reported the episodes stopped. Thought likely some component of costochondritis. Told to f/u with cardiology.   Seen by Cardiology;  on exam had reproduced left lower sternal border pain with palpation, no murmurs. EKG normal.  CXR was clear. Tested for COVID twice and negative, also flu negative.  Then after about a week she felt better and was cleared for physical activity. However, on 1/29/2022  during the second half of a field hockey game she began to "not play right", walking rather than running, experiencing vague dizziness and chest discomfort, and feeling as though her heart was beating kind of funny.  Over the next 20 minutes, these symptoms progressed. When she was taken out of the game to rest, she walked over to the shade because she was feeling weak and "really hot".  She was "not walking right", fell to the ground, but did not experience actual LOC, bodily injury, tongue biting or urinary incontinence.  She was picked up and placed on the nearby training table, where she remained awake but showed some delay in responding to questions.  Her mother noticed that she had perioral pallor at that time.  She was ultimately put in to an ambulance, and taken to the ED, where extensive testing was performed: negative thyroid function screen, D-dimer, sed rate, CRP, BNP, procalcitonin, CBC, BMP, total CK, and viral tests (Covid, flu, RSV). In addition, she had a negative chest x-ray and normal echocardiogram.  Initial serum troponin I was 0.09 ng/mL (upper limit of normal in that facility was 0.05 ng/mL) - trending showed drop in troponin to 0.03 and then <0.03 by the next morning.  She was observed in the ICU, and had a benign exam and ECG tracings.  It was recommended that she follow-up with cardiology after discharge. Afterwards she still continues to have symptoms of "fluttering" in her chest (longstanding), but to date no other symptoms.  A followup troponin and CRP on 2/14/2022 were normal.  Cardiology thoughts: Numerous published reports re: mild transient serum troponin elevation in exercising individuals, seems to reflect normal physiological response rather than pathological process. Considering evaluation for rare congenital coronary artery anomalies with chest CT angio.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Condition aggravated, Costochondritis, Dizziness
Clinical narrative: Almost immediately after the vaccine on  1/23/2021, the patient started having what she described as little "flutters" on her L side (patient states she usually she gets them in her chest) this time on the  left side, almost like a "strike" = per patient like a painful electric shock down her side. Worsened and on 1/9/2022 taken to the ED. Exam there showed tenderness at mid sternum. XR was normal and an EKG was normal. In the ED, the patient reported the episodes stopped. Thought likely some component of costochondritis. Told to f/u with cardiology.   Seen by Cardiology;  on exam had reproduced left lower sternal border pain with palpation, no murmurs. EKG normal.  CXR was clear. Tested for COVID twice and negative, also flu negative.  Then after about a week she felt better and was cleared for physical activity. However, on 1/29/2022  during the second half of a field hockey game she began to "not play right", walking rather than running, experiencing vague dizziness and chest discomfort, and feeling as though her heart was beating kind of funny.  Over the next 20 minutes, these symptoms progressed. When she was taken out of the game to rest, she walked over to the shade because she was feeling weak and "really hot".  She was "not walking right", fell to the ground, but did not experience actual LOC, bodily injury, tongue biting or urinary incontinence.  She was picked up and placed on the nearby training table, where she remained awake but showed some delay in responding to questions.  Her mother noticed that she had perioral pallor at that time.  She was ultimately put in to an ambulance, and taken to the ED, where extensive testing was performed: negative thyroid function screen, D-dimer, sed rate, CRP, BNP, procalcitonin, CBC, BMP, total CK, and viral tests (Covid, flu, RSV). In addition, she had a negative chest x-ray and normal echocardiogram.  Initial serum troponin I was 0.09 ng/mL (upper limit of normal in that facility was 0.05 ng/mL) - trending showed drop in troponin to 0.03 and then <0.03 by the next morning.  She was observed in the ICU, and had a benign exam and ECG tracings.  It was recommended that she follow-up with cardiology after discharge. Afterwards she still continues to have symptoms of "fluttering" in her chest (longstanding), but to date no other symptoms.  A followup troponin and CRP on 2/14/2022 were normal.  Cardiology thoughts: Numerous published reports re: mild transient serum troponin elevation in exercising individuals, seems to reflect normal physiological response rather than pathological process. Considering evaluation for rare congenital coronary artery anomalies with chest CT angio.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram normal, Electric shock, Electrocardiogram, Electrocardiogram normal, Epstein-Barr virus antibody negative
Clinical narrative: Almost immediately after the vaccine on  1/23/2021, the patient started having what she described as little "flutters" on her L side (patient states she usually she gets them in her chest) this time on the  left side, almost like a "strike" = per patient like a painful electric shock down her side. Worsened and on 1/9/2022 taken to the ED. Exam there showed tenderness at mid sternum. XR was normal and an EKG was normal. In the ED, the patient reported the episodes stopped. Thought likely some component of costochondritis. Told to f/u with cardiology.   Seen by Cardiology;  on exam had reproduced left lower sternal border pain with palpation, no murmurs. EKG normal.  CXR was clear. Tested for COVID twice and negative, also flu negative.  Then after about a week she felt better and was cleared for physical activity. However, on 1/29/2022  during the second half of a field hockey game she began to "not play right", walking rather than running, experiencing vague dizziness and chest discomfort, and feeling as though her heart was beating kind of funny.  Over the next 20 minutes, these symptoms progressed. When she was taken out of the game to rest, she walked over to the shade because she was feeling weak and "really hot".  She was "not walking right", fell to the ground, but did not experience actual LOC, bodily injury, tongue biting or urinary incontinence.  She was picked up and placed on the nearby training table, where she remained awake but showed some delay in responding to questions.  Her mother noticed that she had perioral pallor at that time.  She was ultimately put in to an ambulance, and taken to the ED, where extensive testing was performed: negative thyroid function screen, D-dimer, sed rate, CRP, BNP, procalcitonin, CBC, BMP, total CK, and viral tests (Covid, flu, RSV). In addition, she had a negative chest x-ray and normal echocardiogram.  Initial serum troponin I was 0.09 ng/mL (upper limit of normal in that facility was 0.05 ng/mL) - trending showed drop in troponin to 0.03 and then <0.03 by the next morning.  She was observed in the ICU, and had a benign exam and ECG tracings.  It was recommended that she follow-up with cardiology after discharge. Afterwards she still continues to have symptoms of "fluttering" in her chest (longstanding), but to date no other symptoms.  A followup troponin and CRP on 2/14/2022 were normal.  Cardiology thoughts: Numerous published reports re: mild transient serum troponin elevation in exercising individuals, seems to reflect normal physiological response rather than pathological process. Considering evaluation for rare congenital coronary artery anomalies with chest CT angio.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Exercise tolerance decreased, Fall, Feeling hot, Fibrin D dimer normal, Full blood count
Clinical narrative: Almost immediately after the vaccine on  1/23/2021, the patient started having what she described as little "flutters" on her L side (patient states she usually she gets them in her chest) this time on the  left side, almost like a "strike" = per patient like a painful electric shock down her side. Worsened and on 1/9/2022 taken to the ED. Exam there showed tenderness at mid sternum. XR was normal and an EKG was normal. In the ED, the patient reported the episodes stopped. Thought likely some component of costochondritis. Told to f/u with cardiology.   Seen by Cardiology;  on exam had reproduced left lower sternal border pain with palpation, no murmurs. EKG normal.  CXR was clear. Tested for COVID twice and negative, also flu negative.  Then after about a week she felt better and was cleared for physical activity. However, on 1/29/2022  during the second half of a field hockey game she began to "not play right", walking rather than running, experiencing vague dizziness and chest discomfort, and feeling as though her heart was beating kind of funny.  Over the next 20 minutes, these symptoms progressed. When she was taken out of the game to rest, she walked over to the shade because she was feeling weak and "really hot".  She was "not walking right", fell to the ground, but did not experience actual LOC, bodily injury, tongue biting or urinary incontinence.  She was picked up and placed on the nearby training table, where she remained awake but showed some delay in responding to questions.  Her mother noticed that she had perioral pallor at that time.  She was ultimately put in to an ambulance, and taken to the ED, where extensive testing was performed: negative thyroid function screen, D-dimer, sed rate, CRP, BNP, procalcitonin, CBC, BMP, total CK, and viral tests (Covid, flu, RSV). In addition, she had a negative chest x-ray and normal echocardiogram.  Initial serum troponin I was 0.09 ng/mL (upper limit of normal in that facility was 0.05 ng/mL) - trending showed drop in troponin to 0.03 and then <0.03 by the next morning.  She was observed in the ICU, and had a benign exam and ECG tracings.  It was recommended that she follow-up with cardiology after discharge. Afterwards she still continues to have symptoms of "fluttering" in her chest (longstanding), but to date no other symptoms.  A followup troponin and CRP on 2/14/2022 were normal.  Cardiology thoughts: Numerous published reports re: mild transient serum troponin elevation in exercising individuals, seems to reflect normal physiological response rather than pathological process. Considering evaluation for rare congenital coronary artery anomalies with chest CT angio.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Haemoglobin normal, Heart rate irregular, Hyporesponsive to stimuli, Influenza virus test negative
Clinical narrative: Almost immediately after the vaccine on  1/23/2021, the patient started having what she described as little "flutters" on her L side (patient states she usually she gets them in her chest) this time on the  left side, almost like a "strike" = per patient like a painful electric shock down her side. Worsened and on 1/9/2022 taken to the ED. Exam there showed tenderness at mid sternum. XR was normal and an EKG was normal. In the ED, the patient reported the episodes stopped. Thought likely some component of costochondritis. Told to f/u with cardiology.   Seen by Cardiology;  on exam had reproduced left lower sternal border pain with palpation, no murmurs. EKG normal.  CXR was clear. Tested for COVID twice and negative, also flu negative.  Then after about a week she felt better and was cleared for physical activity. However, on 1/29/2022  during the second half of a field hockey game she began to "not play right", walking rather than running, experiencing vague dizziness and chest discomfort, and feeling as though her heart was beating kind of funny.  Over the next 20 minutes, these symptoms progressed. When she was taken out of the game to rest, she walked over to the shade because she was feeling weak and "really hot".  She was "not walking right", fell to the ground, but did not experience actual LOC, bodily injury, tongue biting or urinary incontinence.  She was picked up and placed on the nearby training table, where she remained awake but showed some delay in responding to questions.  Her mother noticed that she had perioral pallor at that time.  She was ultimately put in to an ambulance, and taken to the ED, where extensive testing was performed: negative thyroid function screen, D-dimer, sed rate, CRP, BNP, procalcitonin, CBC, BMP, total CK, and viral tests (Covid, flu, RSV). In addition, she had a negative chest x-ray and normal echocardiogram.  Initial serum troponin I was 0.09 ng/mL (upper limit of normal in that facility was 0.05 ng/mL) - trending showed drop in troponin to 0.03 and then <0.03 by the next morning.  She was observed in the ICU, and had a benign exam and ECG tracings.  It was recommended that she follow-up with cardiology after discharge. Afterwards she still continues to have symptoms of "fluttering" in her chest (longstanding), but to date no other symptoms.  A followup troponin and CRP on 2/14/2022 were normal.  Cardiology thoughts: Numerous published reports re: mild transient serum troponin elevation in exercising individuals, seems to reflect normal physiological response rather than pathological process. Considering evaluation for rare congenital coronary artery anomalies with chest CT angio.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Lymphocyte count, Metabolic function test, Musculoskeletal chest pain, Neutrophil count
Clinical narrative: Almost immediately after the vaccine on  1/23/2021, the patient started having what she described as little "flutters" on her L side (patient states she usually she gets them in her chest) this time on the  left side, almost like a "strike" = per patient like a painful electric shock down her side. Worsened and on 1/9/2022 taken to the ED. Exam there showed tenderness at mid sternum. XR was normal and an EKG was normal. In the ED, the patient reported the episodes stopped. Thought likely some component of costochondritis. Told to f/u with cardiology.   Seen by Cardiology;  on exam had reproduced left lower sternal border pain with palpation, no murmurs. EKG normal.  CXR was clear. Tested for COVID twice and negative, also flu negative.  Then after about a week she felt better and was cleared for physical activity. However, on 1/29/2022  during the second half of a field hockey game she began to "not play right", walking rather than running, experiencing vague dizziness and chest discomfort, and feeling as though her heart was beating kind of funny.  Over the next 20 minutes, these symptoms progressed. When she was taken out of the game to rest, she walked over to the shade because she was feeling weak and "really hot".  She was "not walking right", fell to the ground, but did not experience actual LOC, bodily injury, tongue biting or urinary incontinence.  She was picked up and placed on the nearby training table, where she remained awake but showed some delay in responding to questions.  Her mother noticed that she had perioral pallor at that time.  She was ultimately put in to an ambulance, and taken to the ED, where extensive testing was performed: negative thyroid function screen, D-dimer, sed rate, CRP, BNP, procalcitonin, CBC, BMP, total CK, and viral tests (Covid, flu, RSV). In addition, she had a negative chest x-ray and normal echocardiogram.  Initial serum troponin I was 0.09 ng/mL (upper limit of normal in that facility was 0.05 ng/mL) - trending showed drop in troponin to 0.03 and then <0.03 by the next morning.  She was observed in the ICU, and had a benign exam and ECG tracings.  It was recommended that she follow-up with cardiology after discharge. Afterwards she still continues to have symptoms of "fluttering" in her chest (longstanding), but to date no other symptoms.  A followup troponin and CRP on 2/14/2022 were normal.  Cardiology thoughts: Numerous published reports re: mild transient serum troponin elevation in exercising individuals, seems to reflect normal physiological response rather than pathological process. Considering evaluation for rare congenital coronary artery anomalies with chest CT angio.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pallor, Palpitations, Platelet count normal, Procalcitonin
Clinical narrative: Almost immediately after the vaccine on  1/23/2021, the patient started having what she described as little "flutters" on her L side (patient states she usually she gets them in her chest) this time on the  left side, almost like a "strike" = per patient like a painful electric shock down her side. Worsened and on 1/9/2022 taken to the ED. Exam there showed tenderness at mid sternum. XR was normal and an EKG was normal. In the ED, the patient reported the episodes stopped. Thought likely some component of costochondritis. Told to f/u with cardiology.   Seen by Cardiology;  on exam had reproduced left lower sternal border pain with palpation, no murmurs. EKG normal.  CXR was clear. Tested for COVID twice and negative, also flu negative.  Then after about a week she felt better and was cleared for physical activity. However, on 1/29/2022  during the second half of a field hockey game she began to "not play right", walking rather than running, experiencing vague dizziness and chest discomfort, and feeling as though her heart was beating kind of funny.  Over the next 20 minutes, these symptoms progressed. When she was taken out of the game to rest, she walked over to the shade because she was feeling weak and "really hot".  She was "not walking right", fell to the ground, but did not experience actual LOC, bodily injury, tongue biting or urinary incontinence.  She was picked up and placed on the nearby training table, where she remained awake but showed some delay in responding to questions.  Her mother noticed that she had perioral pallor at that time.  She was ultimately put in to an ambulance, and taken to the ED, where extensive testing was performed: negative thyroid function screen, D-dimer, sed rate, CRP, BNP, procalcitonin, CBC, BMP, total CK, and viral tests (Covid, flu, RSV). In addition, she had a negative chest x-ray and normal echocardiogram.  Initial serum troponin I was 0.09 ng/mL (upper limit of normal in that facility was 0.05 ng/mL) - trending showed drop in troponin to 0.03 and then <0.03 by the next morning.  She was observed in the ICU, and had a benign exam and ECG tracings.  It was recommended that she follow-up with cardiology after discharge. Afterwards she still continues to have symptoms of "fluttering" in her chest (longstanding), but to date no other symptoms.  A followup troponin and CRP on 2/14/2022 were normal.  Cardiology thoughts: Numerous published reports re: mild transient serum troponin elevation in exercising individuals, seems to reflect normal physiological response rather than pathological process. Considering evaluation for rare congenital coronary artery anomalies with chest CT angio.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate normal, Respiratory syncytial virus test negative, SARS-CoV-2 antibody test, SARS-CoV-2 antibody test positive, SARS-CoV-2 test negative
Clinical narrative: Almost immediately after the vaccine on  1/23/2021, the patient started having what she described as little "flutters" on her L side (patient states she usually she gets them in her chest) this time on the  left side, almost like a "strike" = per patient like a painful electric shock down her side. Worsened and on 1/9/2022 taken to the ED. Exam there showed tenderness at mid sternum. XR was normal and an EKG was normal. In the ED, the patient reported the episodes stopped. Thought likely some component of costochondritis. Told to f/u with cardiology.   Seen by Cardiology;  on exam had reproduced left lower sternal border pain with palpation, no murmurs. EKG normal.  CXR was clear. Tested for COVID twice and negative, also flu negative.  Then after about a week she felt better and was cleared for physical activity. However, on 1/29/2022  during the second half of a field hockey game she began to "not play right", walking rather than running, experiencing vague dizziness and chest discomfort, and feeling as though her heart was beating kind of funny.  Over the next 20 minutes, these symptoms progressed. When she was taken out of the game to rest, she walked over to the shade because she was feeling weak and "really hot".  She was "not walking right", fell to the ground, but did not experience actual LOC, bodily injury, tongue biting or urinary incontinence.  She was picked up and placed on the nearby training table, where she remained awake but showed some delay in responding to questions.  Her mother noticed that she had perioral pallor at that time.  She was ultimately put in to an ambulance, and taken to the ED, where extensive testing was performed: negative thyroid function screen, D-dimer, sed rate, CRP, BNP, procalcitonin, CBC, BMP, total CK, and viral tests (Covid, flu, RSV). In addition, she had a negative chest x-ray and normal echocardiogram.  Initial serum troponin I was 0.09 ng/mL (upper limit of normal in that facility was 0.05 ng/mL) - trending showed drop in troponin to 0.03 and then <0.03 by the next morning.  She was observed in the ICU, and had a benign exam and ECG tracings.  It was recommended that she follow-up with cardiology after discharge. Afterwards she still continues to have symptoms of "fluttering" in her chest (longstanding), but to date no other symptoms.  A followup troponin and CRP on 2/14/2022 were normal.  Cardiology thoughts: Numerous published reports re: mild transient serum troponin elevation in exercising individuals, seems to reflect normal physiological response rather than pathological process. Considering evaluation for rare congenital coronary artery anomalies with chest CT angio.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Thyroid function test, Thyroxine normal, Tri-iodothyronine normal, Troponin I increased, Troponin increased
Clinical narrative: Almost immediately after the vaccine on  1/23/2021, the patient started having what she described as little "flutters" on her L side (patient states she usually she gets them in her chest) this time on the  left side, almost like a "strike" = per patient like a painful electric shock down her side. Worsened and on 1/9/2022 taken to the ED. Exam there showed tenderness at mid sternum. XR was normal and an EKG was normal. In the ED, the patient reported the episodes stopped. Thought likely some component of costochondritis. Told to f/u with cardiology.   Seen by Cardiology;  on exam had reproduced left lower sternal border pain with palpation, no murmurs. EKG normal.  CXR was clear. Tested for COVID twice and negative, also flu negative.  Then after about a week she felt better and was cleared for physical activity. However, on 1/29/2022  during the second half of a field hockey game she began to "not play right", walking rather than running, experiencing vague dizziness and chest discomfort, and feeling as though her heart was beating kind of funny.  Over the next 20 minutes, these symptoms progressed. When she was taken out of the game to rest, she walked over to the shade because she was feeling weak and "really hot".  She was "not walking right", fell to the ground, but did not experience actual LOC, bodily injury, tongue biting or urinary incontinence.  She was picked up and placed on the nearby training table, where she remained awake but showed some delay in responding to questions.  Her mother noticed that she had perioral pallor at that time.  She was ultimately put in to an ambulance, and taken to the ED, where extensive testing was performed: negative thyroid function screen, D-dimer, sed rate, CRP, BNP, procalcitonin, CBC, BMP, total CK, and viral tests (Covid, flu, RSV). In addition, she had a negative chest x-ray and normal echocardiogram.  Initial serum troponin I was 0.09 ng/mL (upper limit of normal in that facility was 0.05 ng/mL) - trending showed drop in troponin to 0.03 and then <0.03 by the next morning.  She was observed in the ICU, and had a benign exam and ECG tracings.  It was recommended that she follow-up with cardiology after discharge. Afterwards she still continues to have symptoms of "fluttering" in her chest (longstanding), but to date no other symptoms.  A followup troponin and CRP on 2/14/2022 were normal.  Cardiology thoughts: Numerous published reports re: mild transient serum troponin elevation in exercising individuals, seems to reflect normal physiological response rather than pathological process. Considering evaluation for rare congenital coronary artery anomalies with chest CT angio.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: Almost immediately after the vaccine on  1/23/2021, the patient started having what she described as little "flutters" on her L side (patient states she usually she gets them in her chest) this time on the  left side, almost like a "strike" = per patient like a painful electric shock down her side. Worsened and on 1/9/2022 taken to the ED. Exam there showed tenderness at mid sternum. XR was normal and an EKG was normal. In the ED, the patient reported the episodes stopped. Thought likely some component of costochondritis. Told to f/u with cardiology.   Seen by Cardiology;  on exam had reproduced left lower sternal border pain with palpation, no murmurs. EKG normal.  CXR was clear. Tested for COVID twice and negative, also flu negative.  Then after about a week she felt better and was cleared for physical activity. However, on 1/29/2022  during the second half of a field hockey game she began to "not play right", walking rather than running, experiencing vague dizziness and chest discomfort, and feeling as though her heart was beating kind of funny.  Over the next 20 minutes, these symptoms progressed. When she was taken out of the game to rest, she walked over to the shade because she was feeling weak and "really hot".  She was "not walking right", fell to the ground, but did not experience actual LOC, bodily injury, tongue biting or urinary incontinence.  She was picked up and placed on the nearby training table, where she remained awake but showed some delay in responding to questions.  Her mother noticed that she had perioral pallor at that time.  She was ultimately put in to an ambulance, and taken to the ED, where extensive testing was performed: negative thyroid function screen, D-dimer, sed rate, CRP, BNP, procalcitonin, CBC, BMP, total CK, and viral tests (Covid, flu, RSV). In addition, she had a negative chest x-ray and normal echocardiogram.  Initial serum troponin I was 0.09 ng/mL (upper limit of normal in that facility was 0.05 ng/mL) - trending showed drop in troponin to 0.03 and then <0.03 by the next morning.  She was observed in the ICU, and had a benign exam and ECG tracings.  It was recommended that she follow-up with cardiology after discharge. Afterwards she still continues to have symptoms of "fluttering" in her chest (longstanding), but to date no other symptoms.  A followup troponin and CRP on 2/14/2022 were normal.  Cardiology thoughts: Numerous published reports re: mild transient serum troponin elevation in exercising individuals, seems to reflect normal physiological response rather than pathological process. Considering evaluation for rare congenital coronary artery anomalies with chest CT angio.
Age: 56.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: vaccine stored improperly
Age: 71.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Cervical radiculopathy, Intervertebral disc operation, Pain, Spinal osteoarthritis
Clinical narrative: Admitted with cervical spondylosis and cervical radiculopathy failing medical management. Procedure: Anterior discectomy and fusion. At time of Dc tolerating general diet, ambulating safely in corridors, voiding without difficulty, and pain acceptably controlled with oral pain medications. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 67.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Arthralgia, Pain, Pain in extremity, Product administered at inappropriate site, Pyrexia
Clinical narrative: Pt. received both vaccines in left deltoid 2/15/2022.  Beginning  2/16/2022 pt. experiencing pain in left arm and left shoulder, generalized body aches and fever.  Called clinic 2/18/2022, reports symptoms are still occurring, "but it's a little better today."  Advised pt. to apply warm moist compresses to vaccine administration site, and to take OTC pain medications for fever and body aches.  Pt. agrees to rest today, present to UC or ER if needed over the weekend if worse at all.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Blood pressure increased, COVID-19, Chills, Cough
Clinical narrative: 12/27 presented to the emergency department due to complaint of shortness of breath.  The patient s has been having shortness of breath and chills and headaches for the past 3 days.  COVID + test. On ceftriaxone/zmax/ decadron  12/28 Stop ceftriaxone/zmax, Start remdesivir, cont decadron 12/29 The patient is on minimal oxygen.  If the patient is weaned off oxygen, we would recommend discharging patient.  12/31 Discharged 1/2 blood pressure was elevated. This made her anxious, reached 180 systolic. Her only notable symptom right now is a headache, and persistent cough from her COVID, she was just discharged from here 2 days previously. Kept overnight released 1/3.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Headache, SARS-CoV-2 test positive
Clinical narrative: 12/27 presented to the emergency department due to complaint of shortness of breath.  The patient s has been having shortness of breath and chills and headaches for the past 3 days.  COVID + test. On ceftriaxone/zmax/ decadron  12/28 Stop ceftriaxone/zmax, Start remdesivir, cont decadron 12/29 The patient is on minimal oxygen.  If the patient is weaned off oxygen, we would recommend discharging patient.  12/31 Discharged 1/2 blood pressure was elevated. This made her anxious, reached 180 systolic. Her only notable symptom right now is a headache, and persistent cough from her COVID, she was just discharged from here 2 days previously. Kept overnight released 1/3.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine stored improperly.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, COVID-19, Condition aggravated, Electrocardiogram abnormal
Clinical narrative: Patient was found to be COVID + in the emergency department. Troponins were negative. Patient found to be in Atrial Fibrillation on EKG. Patient was started on Heparin gtt and Cardizem gtt in ED and they were titrated to bring his heart from the 140s to the 60s. Patient was transitioned to Cardizem 240 mg PO oral by cardiology and then subsequently from Heparin gtt to oral Eliquis 5 mg BID for anticoagulation in active Atrial Fibrillation. Patient was stable on discharge with plan for him to follow-up with cardiology, pulmonology for sleep study, and his primary care doctor.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Troponin normal
Clinical narrative: Patient was found to be COVID + in the emergency department. Troponins were negative. Patient found to be in Atrial Fibrillation on EKG. Patient was started on Heparin gtt and Cardizem gtt in ED and they were titrated to bring his heart from the 140s to the 60s. Patient was transitioned to Cardizem 240 mg PO oral by cardiology and then subsequently from Heparin gtt to oral Eliquis 5 mg BID for anticoagulation in active Atrial Fibrillation. Patient was stable on discharge with plan for him to follow-up with cardiology, pulmonology for sleep study, and his primary care doctor.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Dyspnoea, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Provider summary "Patient presented with dyspnea found to be in hypoxic respiratory failure from covid pneumonia, viral sepsis. Placed on NC O2, started on decadron and remdesivir. O2 need stable during hospital stay. Strep pneumo urine antigen + so treated with rocephin -- > amoxicillin for total 5 days. Prior to 5 days of remdesivir given family wanted to take patient home. He qualified for home O2.   The patient was discharged in stable condition with improvement of symptoms and appropriate follow up planned."