chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cerebral infarction, Chills, Computerised tomogram head, Computerised tomogram head abnormal
Clinical narrative: Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax, Computerised tomogram thorax normal, Death, Endotracheal intubation, Fatigue
Clinical narrative: Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haemoglobin, Haemoglobin decreased, Infection, Intensive care, Loss of personal independence in daily activities
Clinical narrative: Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lung disorder, Mycetoma mycotic, Oropharyngeal pain, Platelet count, Pneumonia
Clinical narrative: Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Post procedural haemorrhage, Pyrexia, Rash, Respiratory failure, SARS-CoV-2 test
Clinical narrative: Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Staphylococcal infection, Subdural haematoma, Suture insertion, Thrombocytopenia
Clinical narrative: Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tracheostomy, Transfusion, Vaccination failure, White blood cell count, White blood cell count increased
Clinical narrative: Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 05/25/21. Hospitalized from 07/23/21 - 08/21/21 (death). Below is copied from discharge (death) summary:   Patient 47 y.o. female with PMH of asthma, MAC PNA, and MRSA PNA (treatment course above) admitted to Hospital on 07/24/2021 for evaluation of progressive fatigue of 2 weeks, generalized weakness limiting activities of daily living. Found to be COVID positive. She recived J&J COVID-19 vaccination 5/25/21. Pt also noted to have a fever of 101, chills, and sore throat. Patient has been followed by pulmonary service for pulmonary cavitary lesions, MRSA, and MAC. Pt went to PCP and told her to go to ED. Patient admitted to Hospital North campus. Pulm and ID consulted this admission. CT chest with mycetomas noted. IV abx given per ID recs. BAL done 07/27 cx growing MRSA put on Bactrim, which was transitioned to Vanc, Zosyn, and minocycline given worsening thrombocytopenia. MICU consulted for worsening respiratory status and increasing oxygen requirements. 8/10/2021 ED Intubated in the setting of respiratory failure and transferred to MICU for further management. On 8/12 CT Head showed 3.4mm thickness subdural hematoma in the R frontal with occipital infarcts. S/p BAL with MRSA, started on linezold. 8/15 Transitioned from Zyvox to Bactrim due to rash, for treatment of superimposed pneumonia with MRSA on BAL. Pt transitioned to PS 8/16 and tolerated well. After discussion w family, they would like to proceed with tracheostomy.  Pt has increasing WBC this AM. Respiratory cultures.  Tracheostomy placed 8/20 with minimal blood loss   8/20, 95/39 MAP 59 200mcg phenylephrine given plus 100 more   Pt was found to be bleeding through her tracheostomy tube, surgery consulted and placed sutures, bleeding slightly decrease   Hbg 6.8 1U blood trans   8/21/2021: Patient's family visited at bedside, and then proceeded to the family counseling room. After an extensive discussion regarding the patients status and prognosis, the family (Pt's mother, father, and daughter) decided to compassionately wean the patient.  A morphine drip was started, pressors, and O2 were weaned. The patient expired shortly after.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Cold sweat, Dizziness, Dysstasia, Fatigue
Clinical narrative: Within a minute of receiving the shot, I became extremely weak, dizzy, and couldn't stand up.  Whole-body felt cold and clammy, hot to the touch, and underarms and neck became very sweaty. Had to lie down on the floor and elevate my feet on a chair for 20 minutes until I could stand up safely again.  Four hours after receiving the shot, I felt extreme fatigue and soreness all over my body. This lasted for three days.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling cold, Hyperhidrosis, Pain, Skin warm
Clinical narrative: Within a minute of receiving the shot, I became extremely weak, dizzy, and couldn't stand up.  Whole-body felt cold and clammy, hot to the touch, and underarms and neck became very sweaty. Had to lie down on the floor and elevate my feet on a chair for 20 minutes until I could stand up safely again.  Four hours after receiving the shot, I felt extreme fatigue and soreness all over my body. This lasted for three days.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Eye swelling, Fatigue, Headache, Lymphadenopathy
Clinical narrative: Headache, fatigue,swollen lymph nodes in neck, under arms. Face and eyes swollen.  Queasy and slight uneasiness in chest.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Swelling face
Clinical narrative: Headache, fatigue,swollen lymph nodes in neck, under arms. Face and eyes swollen.  Queasy and slight uneasiness in chest.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site swelling
Clinical narrative: Unexpected swelling of the left elbow and subsequent bruising ( I have images but there seems to be no place to upload them for your review) - I have reached out to my primary care provider about this as well.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Bladder cancer, Blood urine present
Clinical narrative: Two months after receiving my second dose, I was diagnosed with bladder cancer. I had noticed urine in my blood and I contacted my PCP. She did a urine test and everything came back normal. She referred me to a neurologist and they put a scope in my bladder and saw the tumor. They scheduled surgery for me in May, where they went into the bladder and removed the tumor and took tissue samples around the tumor. The results came back that it was cancer. I went back a couple of weeks later and they checked my bladder again to make sure they removed all of the cancer. I now get a vaccine put into my bladder to prevent any cancer from coming back. I've had five treatments so far. This will go on for three years if the results come back negative each time. I will go back to the surgery center in October and they will check my bladder again to make sure the cancer has not returned. I have gone and received the third vaccine now.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Patient experienced syncope several minutes after immunization administration along with their twin brother. They were given water and advised to sit/lay down on floor while they were monitored. After approximately 15 minutes they felt well enough to leave and did so in the company of their guardian.
Age: 55.0
Sex: M
Vaccine: VARZOS
Symptoms: Computerised tomogram, Dehydration, Electrocardiogram, Pain, Syncope
Clinical narrative: I was slightly dehydrated. Having experienced body pain the whole night, I then fainted for a few seconds. No other issues were reported after a CAT scan and EKG. So this seems vaccine related
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Ear discomfort, Ear pain, Menstruation delayed, Tinnitus
Clinical narrative: 1.Ear (left)tinnitus strted after 1 week - 10 days after 2 nd dose.  Sometimes pain , burning in ear. Consulted ENT, said tinnitus no visible problem with ear. Audio test normal. But tinnitus is still bothering.  2. Wisdom tooth pain, got 2 teeth extracted in July 2021 from left side. Had no tooth problem before. 3. Menstruation suddenly stopped, just had light periods after 2nd dose.  Had always had regular cycle. And, nothing after that. waiting for gynae appointmnet.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Toothache, Wisdom teeth removal
Clinical narrative: 1.Ear (left)tinnitus strted after 1 week - 10 days after 2 nd dose.  Sometimes pain , burning in ear. Consulted ENT, said tinnitus no visible problem with ear. Audio test normal. But tinnitus is still bothering.  2. Wisdom tooth pain, got 2 teeth extracted in July 2021 from left side. Had no tooth problem before. 3. Menstruation suddenly stopped, just had light periods after 2nd dose.  Had always had regular cycle. And, nothing after that. waiting for gynae appointmnet.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Full blood count, Hyperhidrosis, Magnetic resonance imaging head, Metabolic function test
Clinical narrative: I got awake ~12:15 am on 8/11/21, felt sweaty, took off the blanket.  Checked my phone for messages.  Could not make out anything on the screen.  Put on my reading glasses, still could not make out anything on the screen.  Objects in the distance appeared blurry, could make out silhouettes but not detail.  Both eyes had blurred vision, left eye had no peripheral vision, both eyes had "spider webs".   Got up to wash my face in case that would clear the disturbance; it did not.  Called a neighbor to take me to the hospital E.R.  Arrived there around 1:15 a.m..  By then the vision was mostly returned but still not my normal.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred, Visual field defect, Visual impairment
Clinical narrative: I got awake ~12:15 am on 8/11/21, felt sweaty, took off the blanket.  Checked my phone for messages.  Could not make out anything on the screen.  Put on my reading glasses, still could not make out anything on the screen.  Objects in the distance appeared blurry, could make out silhouettes but not detail.  Both eyes had blurred vision, left eye had no peripheral vision, both eyes had "spider webs".   Got up to wash my face in case that would clear the disturbance; it did not.  Called a neighbor to take me to the hospital E.R.  Arrived there around 1:15 a.m..  By then the vision was mostly returned but still not my normal.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Immediate post-injection reaction, Loss of consciousness
Clinical narrative: Approximately 45 seconds after patient received first dose of Pfizer Covid19 vaccine, he lost consciousness and fell out of his chair. He was rolled over and it was apparent that he was breathing normally. After approximately 5 minutes he regained consciousness and complained of dizziness. He was taken by EMS to the local hospital for further evaluation.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Paraesthesia
Clinical narrative: PT had first dose of Pfizer vaccine and waited 15 minutes past vaccination at 3:38.  PT complained of tingling in the arm and lightheadedness.  RN proceeded to sit PT and take first set of vitals.  HR 70  O2sat 100  BP 172/68 Water bottle was provided.  Assessment PT stated she has no allergies, had a meal earlier but no water lately.  PT was observed for another 15 minutes.  Second set of vitals HR 65  O2Sat 99  BP 110/68.  PT was released and stated she did not feel light headed anymore then RN instructed PT to seek medical attention if symptoms returned.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Limbs were numb since yesterday.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Pharyngeal paraesthesia, Schizophrenia, Throat irritation
Clinical narrative: Patient c/o tingling itchy throat caused patient to cough a little bit. Patient denied chest pain or SOB. Patient also reported that she has schizophrenia and did not take medications because she did not want it to interfere with the vaccine. Nurse practitioner on site did patient assessment and vitals. No EMS was needed. BP: 139/84 HR: 79
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Syncope
Clinical narrative: Patient fainted after waiting in the for 10 to 15 minutes, reported by the store supervisor patient left the store to the parking lot and fainted in between the entrance door while coming back from outside. Patient was found conscious on the floor and answering all questions asked to verify consciousness. Given bottle of cold water to drink and ice bag treatment at the place of hit. Patient's mom declined our offer to call the EMS and said, "He is fine and he had this fainting history in the past". Then in 10 or so minutes they left while patient was completely observed awake and conscious.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain in extremity
Clinical narrative: Sore arm, headache
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count normal, Myoclonus, Thyroid function test normal, Vitamin D
Clinical narrative: Myoclonus (involuntary muscle spasms/jerks) all over body at rest and during movement. No neurological issues prior to Covid vaccine. Muscle jerks have continued to get worse by the day.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain in extremity, Pyrexia
Clinical narrative: Severe chills including in spine, severe left arm pain despite using Tylenol/Advil, fever of 100.6 that does not come low with Advil/Tylenol Ongoing
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: Nausea Fever of 101.5 Body aches, headache
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary mass
Clinical narrative: He has a lump in his arm pit.  He noticed it Saturday
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Nausea
Clinical narrative: Chills, headache, fever, muscle aches, sore arm, nausea, fatigue lasting for 3 days
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Chills, headache, fever, muscle aches, sore arm, nausea, fatigue lasting for 3 days
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Dyspnoea, Infection
Clinical narrative: Breakthrough covid-19 infection.  Fever, chills, cough, sneezing, shortness of breath, vomiting
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Sneezing, Vomiting
Clinical narrative: Breakthrough covid-19 infection.  Fever, chills, cough, sneezing, shortness of breath, vomiting
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Glossodynia, Headache, Influenza like illness, Oral pain
Clinical narrative: The next day after the vaccine I was fine for most of the day, later i started with headaches and body aches and maybe a fever, expected side effects. Sunday 08/15/2021, I woke up with body aches, a sore throat and a runny nose, feeling like i had the flu. Monday 08/16/2021 I was still with these same symptoms. Tuesday 08/17/2021 I started to get a little worse, I woke up with a dry cough and sneezing attacks and mouth sores appeared on the tongue. Wednesday 08/18/2021 it was the same, but the sores started to get worse. Thursday I started to get better.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Pyrexia, Rhinorrhoea, Sneezing
Clinical narrative: The next day after the vaccine I was fine for most of the day, later i started with headaches and body aches and maybe a fever, expected side effects. Sunday 08/15/2021, I woke up with body aches, a sore throat and a runny nose, feeling like i had the flu. Monday 08/16/2021 I was still with these same symptoms. Tuesday 08/17/2021 I started to get a little worse, I woke up with a dry cough and sneezing attacks and mouth sores appeared on the tongue. Wednesday 08/18/2021 it was the same, but the sores started to get worse. Thursday I started to get better.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I received a positive COVID-19 diagnosis following an experience of relevant symptoms (fever, aches, tiredness) and a positive result for my wife.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain
Clinical narrative: Lower back (lumbar) pain.  Similar to early labor or menstrual back pain
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Asthenia, COVID-19, Decreased appetite, Diarrhoea
Clinical narrative: Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 03/19/21. Hospitalized from 08/13/21 - 08/19/21. Below is copied from discharge summary:   Says diarrhea with 3 loose BMs today; I see a small formed stool in bedside commode but resting tachycardia 100s PT advise home with intermittent supervision sats 95% with exertion on her home 3 l NC, pt v relucatnt to go home saying son is out of town, also a big component of her base line anxiety too Maintain COVID isolation for 20 days 8/13-9/2   8/16- 99% on home 3 lmp NC; refuses to let go of unneeded O2 " i've been on it for 2 yrs"   8/15- 100% on home 3lmp NC- dips to 97% on RA   8/14- 94% on RA with good wave - however says 3 lpm NC home O2 dependant x 2 yrs and gets v tearful when I remove O2   Now says was told at  hospital a day before this ER visit for couple of days of gen wkness, poor appetite, vomiting and not feeling well and was told to have COVID   dispo - clinical improvement in diarrhea, then  STR who accepts COVID
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, SARS-CoV-2 test positive, Tachycardia, Tearfulness, Vaccine breakthrough infection
Clinical narrative: Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 03/19/21. Hospitalized from 08/13/21 - 08/19/21. Below is copied from discharge summary:   Says diarrhea with 3 loose BMs today; I see a small formed stool in bedside commode but resting tachycardia 100s PT advise home with intermittent supervision sats 95% with exertion on her home 3 l NC, pt v relucatnt to go home saying son is out of town, also a big component of her base line anxiety too Maintain COVID isolation for 20 days 8/13-9/2   8/16- 99% on home 3 lmp NC; refuses to let go of unneeded O2 " i've been on it for 2 yrs"   8/15- 100% on home 3lmp NC- dips to 97% on RA   8/14- 94% on RA with good wave - however says 3 lpm NC home O2 dependant x 2 yrs and gets v tearful when I remove O2   Now says was told at  hospital a day before this ER visit for couple of days of gen wkness, poor appetite, vomiting and not feeling well and was told to have COVID   dispo - clinical improvement in diarrhea, then  STR who accepts COVID
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient required hospitalization due to breakthrough infection. She received J&J vaccine on 03/19/21. Hospitalized from 08/13/21 - 08/19/21. Below is copied from discharge summary:   Says diarrhea with 3 loose BMs today; I see a small formed stool in bedside commode but resting tachycardia 100s PT advise home with intermittent supervision sats 95% with exertion on her home 3 l NC, pt v relucatnt to go home saying son is out of town, also a big component of her base line anxiety too Maintain COVID isolation for 20 days 8/13-9/2   8/16- 99% on home 3 lmp NC; refuses to let go of unneeded O2 " i've been on it for 2 yrs"   8/15- 100% on home 3lmp NC- dips to 97% on RA   8/14- 94% on RA with good wave - however says 3 lpm NC home O2 dependant x 2 yrs and gets v tearful when I remove O2   Now says was told at  hospital a day before this ER visit for couple of days of gen wkness, poor appetite, vomiting and not feeling well and was told to have COVID   dispo - clinical improvement in diarrhea, then  STR who accepts COVID
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Dizziness, Dyspnoea, Headache
Clinical narrative: Fever of 102.9, left side chest pain, shortness of breath, chills, physical inability to get out of bed, overall body ache, body pain at a level 8. Light headedness, night sweats, insomnia, headache, inability to move left arm above breast level, numbness in left fingers, sharp pain in right side of chest.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Insomnia, Mobility decreased, Movement disorder, Night sweats
Clinical narrative: Fever of 102.9, left side chest pain, shortness of breath, chills, physical inability to get out of bed, overall body ache, body pain at a level 8. Light headedness, night sweats, insomnia, headache, inability to move left arm above breast level, numbness in left fingers, sharp pain in right side of chest.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Fever of 102.9, left side chest pain, shortness of breath, chills, physical inability to get out of bed, overall body ache, body pain at a level 8. Light headedness, night sweats, insomnia, headache, inability to move left arm above breast level, numbness in left fingers, sharp pain in right side of chest.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Migraine
Clinical narrative: Severe Migraine headaches daily, from the time I wake up till whenever I go to bed.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardioversion, Chest X-ray, Echocardiogram, Electrocardiogram
Clinical narrative: Diagnosed with Atrial Fibrillation July 7, 2021
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory, Ultrasound Doppler
Clinical narrative: Diagnosed with Atrial Fibrillation July 7, 2021
Age: 58.0
Sex: F
Vaccine: TTOX, VARZOS
Symptoms: Blood cortisol, Blood thyroid stimulating hormone normal, Burning sensation, Full blood count normal, Lip swelling
Clinical narrative: Recombinanat vaccine--Itching, and burning over entire body, hives (on both arms), swollen lips
Age: 58.0
Sex: F
Vaccine: TTOX, VARZOS
Symptoms: Metabolic function test, Pruritus, Urticaria, Vitamin B12 normal
Clinical narrative: Recombinanat vaccine--Itching, and burning over entire body, hives (on both arms), swollen lips
Age: 57.0
Sex: F
Vaccine: UNK
Symptoms: Hypoxia, Presyncope, Pulmonary embolism, Respiratory distress, Tachycardia
Clinical narrative: patient with large pulmonary embolism, hypoxia, tachycardia, respiratory distress & near syncope
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injected limb mobility decreased, Injection site pain, Magnetic resonance imaging, Neck pain
Clinical narrative: pain in shoulder, neck, right arm. limited range of motion in right arm, shoulder.  Physical therapy...no long term results
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Nerve conduction studies, Thoracic outlet syndrome
Clinical narrative: pain in shoulder, neck, right arm. limited range of motion in right arm, shoulder.  Physical therapy...no long term results
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Patient reports approximately 30 minutes after leaving pharmacy she felt a tingling and numbness in vaccinated arm (left).  During the next several days the paresthesia like tingling went into both arms and both feet.  No pain or itching reported.  No inflammation or heat near injection.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood test normal, Cardiac stress test normal, Echocardiogram normal, Electrocardiogram normal
Clinical narrative: Healthy man, previously high level athlete, semi professional in cycling and speedskating. Well controlled hypertension. Received 2nd Moderna vaccine 3/20/21. Developed severe neurological symptoms.  Strong tremors in the upper extremities at rest and with exertion, fasiculations of muscles in legs at rest. Severe weakness (whole body), unable to support upper body after repetitive exercise. No prior neurological diagnoses or symptoms before the 2nd Moderna vaccine. It has been 4 months without improvement.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Exercise tolerance decreased, Muscle contractions involuntary, Neurological symptom, Tremor
Clinical narrative: Healthy man, previously high level athlete, semi professional in cycling and speedskating. Well controlled hypertension. Received 2nd Moderna vaccine 3/20/21. Developed severe neurological symptoms.  Strong tremors in the upper extremities at rest and with exertion, fasiculations of muscles in legs at rest. Severe weakness (whole body), unable to support upper body after repetitive exercise. No prior neurological diagnoses or symptoms before the 2nd Moderna vaccine. It has been 4 months without improvement.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Fever, pain, chills
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Asthenia, Body temperature increased, Chest pain, Fatigue
Clinical narrative: Arm was only sore to the touch after the first injection. Otherwise operated as normal without pain.  Started getting chest pains and a temperature around 5am in the morning and became sluggish and had sore throat. Tiredness increased as the day went on and by 2pm my temperature had gone up to 102.9. My stomach was hurting and I felt like I was going to die.  Extremely tired, hot and burning up which I controlled by place ice packs around my neck and head as well as my lower back and my wrists and ankle.  Was weak and could barely get out of bed.  This lasted for appr.  24 hrs.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pain, Mobility decreased, Oropharyngeal pain, Skin warm, Sluggishness
Clinical narrative: Arm was only sore to the touch after the first injection. Otherwise operated as normal without pain.  Started getting chest pains and a temperature around 5am in the morning and became sluggish and had sore throat. Tiredness increased as the day went on and by 2pm my temperature had gone up to 102.9. My stomach was hurting and I felt like I was going to die.  Extremely tired, hot and burning up which I controlled by place ice packs around my neck and head as well as my lower back and my wrists and ankle.  Was weak and could barely get out of bed.  This lasted for appr.  24 hrs.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Arthritis, Crying, Insomnia, Magnetic resonance imaging abnormal
Clinical narrative: Within about 24 hours the soreness of my arm was different than any soreness with any previous vaccines.  We had been instructed at vaccination to avoid ibuprofen, etc for the first day or more after vaccine as could decrease? effectiveness of vaccine. As the week went on  my arm was becoming more sore particularly at night and stiffness in the morning.  I took ibuprofen at anti-inflammatory dosages but due to stomach upset switched to naproxen.   I saw my PCP on 2/12/21.  On exam and history she diagnosed me with adhesive capsulitis (frozen shoulder)  She gave me a sheet of physical therapy excercises to do at home.  I did the excercises.  As a physician I consulted with a PA in orthopedics and spoke with 2 PT's.  They all said that until frozen shoulder reaches middle to end of frozen phase that formal PT would not provide much over home excercises. The pain continued to worsen and was disrupting sleep.   I saw the PA in my docs office on 4/30 because I was getting decrease total sleep and very disrupted sleep.  So much so that I just started crying in her office.   She  prescribed meloxicam and cyclobenzaprine and ordered an MRI.  She indicated that if there was a shoulder injury that I had been unaware that PT vould be helpful and that if it was frozen shoulder PT not likely to be helpful.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Pain in extremity, Periarthritis, Sleep disorder
Clinical narrative: Within about 24 hours the soreness of my arm was different than any soreness with any previous vaccines.  We had been instructed at vaccination to avoid ibuprofen, etc for the first day or more after vaccine as could decrease? effectiveness of vaccine. As the week went on  my arm was becoming more sore particularly at night and stiffness in the morning.  I took ibuprofen at anti-inflammatory dosages but due to stomach upset switched to naproxen.   I saw my PCP on 2/12/21.  On exam and history she diagnosed me with adhesive capsulitis (frozen shoulder)  She gave me a sheet of physical therapy excercises to do at home.  I did the excercises.  As a physician I consulted with a PA in orthopedics and spoke with 2 PT's.  They all said that until frozen shoulder reaches middle to end of frozen phase that formal PT would not provide much over home excercises. The pain continued to worsen and was disrupting sleep.   I saw the PA in my docs office on 4/30 because I was getting decrease total sleep and very disrupted sleep.  So much so that I just started crying in her office.   She  prescribed meloxicam and cyclobenzaprine and ordered an MRI.  She indicated that if there was a shoulder injury that I had been unaware that PT vould be helpful and that if it was frozen shoulder PT not likely to be helpful.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site mass, Injection site pruritus
Clinical narrative: redness, itchy, hard lump at injection site, possible "Covid Arm"
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding
Clinical narrative: Elongated period, cramps, excessive bleeding. I have had my period for a month now
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Photophobia
Clinical narrative: Severe visual light sensitivity
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Head injury, Loss of consciousness, Myalgia
Clinical narrative: pt passed out and hit head, then developed severe muscle aches and dizziness
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Atypical pneumonia, B-cell lymphoma, C-reactive protein increased
Clinical narrative: Patient required hospitalization due to breakthrough infection. She received the Moderna vaccine (2nd dose in series) on 07/10/21. Hospitalized from 08/01/21 - 08/12/21 (discharged and then admitted 2 hours later, result was death in ED). Below is copied from discharge summary:   Patient is a 50 y/o morbidly obese female admitted on 8/2/2021 due to acute respiratory failure due to COVID 19 pneumonia.    Severe Sepsis with acute organ dysfunction/ Acute respiratory failure with hypoxia 2/2 COVID 19: - Now on 4L , oxygen delivered at bedside - Chest Xray showed bilateral atypical findings - CRP 63, sed rate 22.  - DVT ppx given while inpatient - dexamethasone completed x10 days on 8/10/2021 - atorvastatin given during admission - Completed Remdesevir 8/5/2021 - Isolation   Chronic lymphocytic leukemia  - Leukocytosis due to CLL  Flow cytometry with CD+5 mature B cell lymphoma  CT abdomen showing lymphadenopathy Out patient hematology follow up, no need for acute intervention    AKI: resolved  -Cr back to baseline    Hyperkalemia: -Resolved    Arterial hypertension -Controlled - continue amlodipine + HCTz   Morbid Obesity, BMI of> 40s: -would benefit from lifestyles modifications regarding low fat diet, weight loss and daily excercise -F/U with PCP     Patient is discharged in stable condition with stable vital signs. All questions rearding hospital course and plan of care after discharge have been answered to satisfaction. Prescriptions for medications needed to be taken after discharge have been given to patient. Patient has been instructed to follow up with PCP  within the next 7 days after discharge. Patient verbalizes understanding all given instructions and has no further doubts regarding discharge.   ED admission 2 hours later:  50 y.o. female presents c/o SOB. Pt was discharged from hospital today and was known covid positive. She was discharged with home O2. At home, patient's mother noticed that she was having more difficulty breathing than usual, prompting her to call 911. Pt arrived via EMS, which states she became unresponsive on arrival with a faint pulse. She quickly lost her pulse after her arrival here. Hx limited by events/condition of patient.    The history is provided by the EMS personnel, a parent and medical records. The history is limited by the condition of the patient.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chronic lymphocytic leukaemia, Computerised tomogram abdomen abnormal
Clinical narrative: Patient required hospitalization due to breakthrough infection. She received the Moderna vaccine (2nd dose in series) on 07/10/21. Hospitalized from 08/01/21 - 08/12/21 (discharged and then admitted 2 hours later, result was death in ED). Below is copied from discharge summary:   Patient is a 50 y/o morbidly obese female admitted on 8/2/2021 due to acute respiratory failure due to COVID 19 pneumonia.    Severe Sepsis with acute organ dysfunction/ Acute respiratory failure with hypoxia 2/2 COVID 19: - Now on 4L , oxygen delivered at bedside - Chest Xray showed bilateral atypical findings - CRP 63, sed rate 22.  - DVT ppx given while inpatient - dexamethasone completed x10 days on 8/10/2021 - atorvastatin given during admission - Completed Remdesevir 8/5/2021 - Isolation   Chronic lymphocytic leukemia  - Leukocytosis due to CLL  Flow cytometry with CD+5 mature B cell lymphoma  CT abdomen showing lymphadenopathy Out patient hematology follow up, no need for acute intervention    AKI: resolved  -Cr back to baseline    Hyperkalemia: -Resolved    Arterial hypertension -Controlled - continue amlodipine + HCTz   Morbid Obesity, BMI of> 40s: -would benefit from lifestyles modifications regarding low fat diet, weight loss and daily excercise -F/U with PCP     Patient is discharged in stable condition with stable vital signs. All questions rearding hospital course and plan of care after discharge have been answered to satisfaction. Prescriptions for medications needed to be taken after discharge have been given to patient. Patient has been instructed to follow up with PCP  within the next 7 days after discharge. Patient verbalizes understanding all given instructions and has no further doubts regarding discharge.   ED admission 2 hours later:  50 y.o. female presents c/o SOB. Pt was discharged from hospital today and was known covid positive. She was discharged with home O2. At home, patient's mother noticed that she was having more difficulty breathing than usual, prompting her to call 911. Pt arrived via EMS, which states she became unresponsive on arrival with a faint pulse. She quickly lost her pulse after her arrival here. Hx limited by events/condition of patient.    The history is provided by the EMS personnel, a parent and medical records. The history is limited by the condition of the patient.