chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Blood gases abnormal, Blood glucose normal, Blood potassium normal, Blood sodium abnormal, Blood sodium increased
Clinical narrative: Emergency room HPI Patient is a 91 y.o. male who presents from nursing home with positive coronavirus a and flu A positive tests.  Test was done yesterday.  Patient sent to ER because of low oxygen saturation.  Patient unable to answer or respond to questions.  No fever or chills, no cough or shortness of breath and no complaint of pain when patient was moved around. Oxygen saturation on presentation was 89% on room air and went up to 93% on 4 L of oxygen  admission: HPI:   Patient is a 91 y.o. male with a history of severe dementia and severe COPD.  He currently resides at Rehab.  He had a routine coronavirus (COVID-19) test yesterday that was positive.  Then, today he started having increasing oxygen requirement.  He was not responding to his typical breathing treatments or oxygen and so they sent him in.  In the ER he was found to be in some respiratory distress and did require increased oxygen concentration.  Once they got him calm down, his oxygen saturation state over 90% with 4 L.  His ABG did show an oxygen  Saturation of 86% on 4 L. The patient reportedly had coronavirus (COVID-19) several months ago, but then did test positive for both coronavirus (COVID-19) and influenza on rapid testing at the nursing home yesterday.  The patient is being admitted due to his increasing oxygen requirement and respiratory distress
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea normal, Blood urine absent, Brain natriuretic peptide increased, COVID-19, Carbon dioxide normal
Clinical narrative: Emergency room HPI Patient is a 91 y.o. male who presents from nursing home with positive coronavirus a and flu A positive tests.  Test was done yesterday.  Patient sent to ER because of low oxygen saturation.  Patient unable to answer or respond to questions.  No fever or chills, no cough or shortness of breath and no complaint of pain when patient was moved around. Oxygen saturation on presentation was 89% on room air and went up to 93% on 4 L of oxygen  admission: HPI:   Patient is a 91 y.o. male with a history of severe dementia and severe COPD.  He currently resides at Rehab.  He had a routine coronavirus (COVID-19) test yesterday that was positive.  Then, today he started having increasing oxygen requirement.  He was not responding to his typical breathing treatments or oxygen and so they sent him in.  In the ER he was found to be in some respiratory distress and did require increased oxygen concentration.  Once they got him calm down, his oxygen saturation state over 90% with 4 L.  His ABG did show an oxygen  Saturation of 86% on 4 L. The patient reportedly had coronavirus (COVID-19) several months ago, but then did test positive for both coronavirus (COVID-19) and influenza on rapid testing at the nursing home yesterday.  The patient is being admitted due to his increasing oxygen requirement and respiratory distress
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Chills, Computerised tomogram thorax abnormal, Cystic lung disease, Haematocrit decreased
Clinical narrative: Emergency room HPI Patient is a 91 y.o. male who presents from nursing home with positive coronavirus a and flu A positive tests.  Test was done yesterday.  Patient sent to ER because of low oxygen saturation.  Patient unable to answer or respond to questions.  No fever or chills, no cough or shortness of breath and no complaint of pain when patient was moved around. Oxygen saturation on presentation was 89% on room air and went up to 93% on 4 L of oxygen  admission: HPI:   Patient is a 91 y.o. male with a history of severe dementia and severe COPD.  He currently resides at Rehab.  He had a routine coronavirus (COVID-19) test yesterday that was positive.  Then, today he started having increasing oxygen requirement.  He was not responding to his typical breathing treatments or oxygen and so they sent him in.  In the ER he was found to be in some respiratory distress and did require increased oxygen concentration.  Once they got him calm down, his oxygen saturation state over 90% with 4 L.  His ABG did show an oxygen  Saturation of 86% on 4 L. The patient reportedly had coronavirus (COVID-19) several months ago, but then did test positive for both coronavirus (COVID-19) and influenza on rapid testing at the nursing home yesterday.  The patient is being admitted due to his increasing oxygen requirement and respiratory distress
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit normal, Haemoglobin decreased, Influenza, Influenza A virus test positive, Lung infiltration
Clinical narrative: Emergency room HPI Patient is a 91 y.o. male who presents from nursing home with positive coronavirus a and flu A positive tests.  Test was done yesterday.  Patient sent to ER because of low oxygen saturation.  Patient unable to answer or respond to questions.  No fever or chills, no cough or shortness of breath and no complaint of pain when patient was moved around. Oxygen saturation on presentation was 89% on room air and went up to 93% on 4 L of oxygen  admission: HPI:   Patient is a 91 y.o. male with a history of severe dementia and severe COPD.  He currently resides at Rehab.  He had a routine coronavirus (COVID-19) test yesterday that was positive.  Then, today he started having increasing oxygen requirement.  He was not responding to his typical breathing treatments or oxygen and so they sent him in.  In the ER he was found to be in some respiratory distress and did require increased oxygen concentration.  Once they got him calm down, his oxygen saturation state over 90% with 4 L.  His ABG did show an oxygen  Saturation of 86% on 4 L. The patient reportedly had coronavirus (COVID-19) several months ago, but then did test positive for both coronavirus (COVID-19) and influenza on rapid testing at the nursing home yesterday.  The patient is being admitted due to his increasing oxygen requirement and respiratory distress
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Mean cell volume normal, Nitrite urine absent, Osteopenia, Oxygen saturation decreased
Clinical narrative: Emergency room HPI Patient is a 91 y.o. male who presents from nursing home with positive coronavirus a and flu A positive tests.  Test was done yesterday.  Patient sent to ER because of low oxygen saturation.  Patient unable to answer or respond to questions.  No fever or chills, no cough or shortness of breath and no complaint of pain when patient was moved around. Oxygen saturation on presentation was 89% on room air and went up to 93% on 4 L of oxygen  admission: HPI:   Patient is a 91 y.o. male with a history of severe dementia and severe COPD.  He currently resides at Rehab.  He had a routine coronavirus (COVID-19) test yesterday that was positive.  Then, today he started having increasing oxygen requirement.  He was not responding to his typical breathing treatments or oxygen and so they sent him in.  In the ER he was found to be in some respiratory distress and did require increased oxygen concentration.  Once they got him calm down, his oxygen saturation state over 90% with 4 L.  His ABG did show an oxygen  Saturation of 86% on 4 L. The patient reportedly had coronavirus (COVID-19) several months ago, but then did test positive for both coronavirus (COVID-19) and influenza on rapid testing at the nursing home yesterday.  The patient is being admitted due to his increasing oxygen requirement and respiratory distress
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count decreased, Platelet count normal, Pleural effusion, Protein urine absent, Pulmonary calcification
Clinical narrative: Emergency room HPI Patient is a 91 y.o. male who presents from nursing home with positive coronavirus a and flu A positive tests.  Test was done yesterday.  Patient sent to ER because of low oxygen saturation.  Patient unable to answer or respond to questions.  No fever or chills, no cough or shortness of breath and no complaint of pain when patient was moved around. Oxygen saturation on presentation was 89% on room air and went up to 93% on 4 L of oxygen  admission: HPI:   Patient is a 91 y.o. male with a history of severe dementia and severe COPD.  He currently resides at Rehab.  He had a routine coronavirus (COVID-19) test yesterday that was positive.  Then, today he started having increasing oxygen requirement.  He was not responding to his typical breathing treatments or oxygen and so they sent him in.  In the ER he was found to be in some respiratory distress and did require increased oxygen concentration.  Once they got him calm down, his oxygen saturation state over 90% with 4 L.  His ABG did show an oxygen  Saturation of 86% on 4 L. The patient reportedly had coronavirus (COVID-19) several months ago, but then did test positive for both coronavirus (COVID-19) and influenza on rapid testing at the nursing home yesterday.  The patient is being admitted due to his increasing oxygen requirement and respiratory distress
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Red blood cell count abnormal, Red blood cell count decreased, Respiratory distress, Respiratory failure
Clinical narrative: Emergency room HPI Patient is a 91 y.o. male who presents from nursing home with positive coronavirus a and flu A positive tests.  Test was done yesterday.  Patient sent to ER because of low oxygen saturation.  Patient unable to answer or respond to questions.  No fever or chills, no cough or shortness of breath and no complaint of pain when patient was moved around. Oxygen saturation on presentation was 89% on room air and went up to 93% on 4 L of oxygen  admission: HPI:   Patient is a 91 y.o. male with a history of severe dementia and severe COPD.  He currently resides at Rehab.  He had a routine coronavirus (COVID-19) test yesterday that was positive.  Then, today he started having increasing oxygen requirement.  He was not responding to his typical breathing treatments or oxygen and so they sent him in.  In the ER he was found to be in some respiratory distress and did require increased oxygen concentration.  Once they got him calm down, his oxygen saturation state over 90% with 4 L.  His ABG did show an oxygen  Saturation of 86% on 4 L. The patient reportedly had coronavirus (COVID-19) several months ago, but then did test positive for both coronavirus (COVID-19) and influenza on rapid testing at the nursing home yesterday.  The patient is being admitted due to his increasing oxygen requirement and respiratory distress
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Scan with contrast abnormal, Specific gravity urine normal, Speech disorder, Thyroid mass
Clinical narrative: Emergency room HPI Patient is a 91 y.o. male who presents from nursing home with positive coronavirus a and flu A positive tests.  Test was done yesterday.  Patient sent to ER because of low oxygen saturation.  Patient unable to answer or respond to questions.  No fever or chills, no cough or shortness of breath and no complaint of pain when patient was moved around. Oxygen saturation on presentation was 89% on room air and went up to 93% on 4 L of oxygen  admission: HPI:   Patient is a 91 y.o. male with a history of severe dementia and severe COPD.  He currently resides at Rehab.  He had a routine coronavirus (COVID-19) test yesterday that was positive.  Then, today he started having increasing oxygen requirement.  He was not responding to his typical breathing treatments or oxygen and so they sent him in.  In the ER he was found to be in some respiratory distress and did require increased oxygen concentration.  Once they got him calm down, his oxygen saturation state over 90% with 4 L.  His ABG did show an oxygen  Saturation of 86% on 4 L. The patient reportedly had coronavirus (COVID-19) several months ago, but then did test positive for both coronavirus (COVID-19) and influenza on rapid testing at the nursing home yesterday.  The patient is being admitted due to his increasing oxygen requirement and respiratory distress
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli, Urine ketone body absent, Urine leukocyte esterase, White blood cell count decreased, White blood cell disorder
Clinical narrative: Emergency room HPI Patient is a 91 y.o. male who presents from nursing home with positive coronavirus a and flu A positive tests.  Test was done yesterday.  Patient sent to ER because of low oxygen saturation.  Patient unable to answer or respond to questions.  No fever or chills, no cough or shortness of breath and no complaint of pain when patient was moved around. Oxygen saturation on presentation was 89% on room air and went up to 93% on 4 L of oxygen  admission: HPI:   Patient is a 91 y.o. male with a history of severe dementia and severe COPD.  He currently resides at Rehab.  He had a routine coronavirus (COVID-19) test yesterday that was positive.  Then, today he started having increasing oxygen requirement.  He was not responding to his typical breathing treatments or oxygen and so they sent him in.  In the ER he was found to be in some respiratory distress and did require increased oxygen concentration.  Once they got him calm down, his oxygen saturation state over 90% with 4 L.  His ABG did show an oxygen  Saturation of 86% on 4 L. The patient reportedly had coronavirus (COVID-19) several months ago, but then did test positive for both coronavirus (COVID-19) and influenza on rapid testing at the nursing home yesterday.  The patient is being admitted due to his increasing oxygen requirement and respiratory distress
Age: 91.0
Sex: M
Vaccine: COVID19
Symptoms: pH urine normal
Clinical narrative: Emergency room HPI Patient is a 91 y.o. male who presents from nursing home with positive coronavirus a and flu A positive tests.  Test was done yesterday.  Patient sent to ER because of low oxygen saturation.  Patient unable to answer or respond to questions.  No fever or chills, no cough or shortness of breath and no complaint of pain when patient was moved around. Oxygen saturation on presentation was 89% on room air and went up to 93% on 4 L of oxygen  admission: HPI:   Patient is a 91 y.o. male with a history of severe dementia and severe COPD.  He currently resides at Rehab.  He had a routine coronavirus (COVID-19) test yesterday that was positive.  Then, today he started having increasing oxygen requirement.  He was not responding to his typical breathing treatments or oxygen and so they sent him in.  In the ER he was found to be in some respiratory distress and did require increased oxygen concentration.  Once they got him calm down, his oxygen saturation state over 90% with 4 L.  His ABG did show an oxygen  Saturation of 86% on 4 L. The patient reportedly had coronavirus (COVID-19) several months ago, but then did test positive for both coronavirus (COVID-19) and influenza on rapid testing at the nursing home yesterday.  The patient is being admitted due to his increasing oxygen requirement and respiratory distress
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Death
Clinical narrative: Patient suffered a stroke and passed away
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dizziness
Clinical narrative: Pt presented with uncontrollable coughing and reported lightheadedness 30 minutes after vaccine administration. RN treated w/ 50 mg Benadryl PO. Cough and lightheadedness gradually improved and was resolved 45 minutes after Benadryl administration.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Migraine
Clinical narrative: I had a headache of *migrane level, debilitating pain* for 66 hours.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia
Clinical narrative: when she got home after getting her vaccine she lost her voice. She compared it to having laryngitis
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: patient developed hives to shoulder, face and scalp 10 minutes after receiving covid vaccine. Treated with Benadryl 50 mg by mouth.  Doctor in to examine patient.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Injection site reaction
Clinical narrative: Had first shot on 1/25 on left arm. On 2/3, a big red rash appeared right under the shot site, about 3-4 inches in diameter.  At the place where the syringe went in, the skin is white. Today exactly one month after the first shot, the rash is not completely gone. Had second shot on 2/22 on right arm. Big rash 3-4 inches in diameter appeared under the shot site on 2/23. Rash not as reddish as the first one. No white color on skin. Rash is slightly itchy, red, raised.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Lethargy, Muscle spasms
Clinical narrative: Headache chills nausea dry heaves extreme lethargy. Diarrhea cramping for 6 days
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Retching
Clinical narrative: Headache chills nausea dry heaves extreme lethargy. Diarrhea cramping for 6 days
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Nausea, Pain
Clinical narrative: Headache, fever, body aches, nausea, tired, feel bad.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Headache, fever, body aches, nausea, tired, feel bad.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Paraesthesia oral, Pharyngeal hypoaesthesia, Swollen tongue, Tremor
Clinical narrative: Patient endorses a feeling of numbness in her throat, swelling of the tongue, and tingling of the lips. It was apparent she was also experiencing increased anxiety with evidence by arm tremors. Patient received 50mg IM diphenhydramine and 4mg of IM Dexamethasone.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Bedridden, Disorientation, Headache, Influenza like illness, Lethargy
Clinical narrative: Day 2:  flu like symptoms. W/o fever. Confined to bed Day 3:  same but part time in bed Day 4:  reduction in flu like symptoms but disoriented and lethargy and headache  Day 5:  disoriented and lethary Day 6:  same Day 7:  shakey and lethargic Day 8:  same
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Day 2:  flu like symptoms. W/o fever. Confined to bed Day 3:  same but part time in bed Day 4:  reduction in flu like symptoms but disoriented and lethargy and headache  Day 5:  disoriented and lethary Day 6:  same Day 7:  shakey and lethargic Day 8:  same
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient has received higher dose than indicated 1.8 mls.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood thyroid stimulating hormone, Culture urine, Decreased appetite, Full blood count
Clinical narrative: emergency room HPI A 94 y.o. female who presents with complaint of generalized weakness for one week. She had her first covid vaccination one week ago also. She denies fever, chills, body aches, dyspnea, cough, nausea, emesis, abdominal pain, diarrhea, urinary tract symptoms. She does have some anorexia.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Urine analysis, X-ray
Clinical narrative: emergency room HPI A 94 y.o. female who presents with complaint of generalized weakness for one week. She had her first covid vaccination one week ago also. She denies fever, chills, body aches, dyspnea, cough, nausea, emesis, abdominal pain, diarrhea, urinary tract symptoms. She does have some anorexia.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Cough, Dizziness, Nausea
Clinical narrative: Had a sinus headache at about 11pm, then throughout the night it began to worsen, started to get chills and had a fever. In the morning my fever reached up to 101.3, felt weak, could not sleep, felt dizzy and faint, had a cough, and was nauseous.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sinus headache, Sleep disorder, Syncope
Clinical narrative: Had a sinus headache at about 11pm, then throughout the night it began to worsen, started to get chills and had a fever. In the morning my fever reached up to 101.3, felt weak, could not sleep, felt dizzy and faint, had a cough, and was nauseous.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Nausea
Clinical narrative: Fatigue, fever, headache, chills, nausea, muscle pain
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fatigue, fever, headache, chills, nausea, muscle pain
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash erythematous, Rash pruritic, Skin warm
Clinical narrative: After 9 days without an adverse reaction, I developed a very itchy, very hot, very red rash at the injection site. It lasted for approximately 24 hours.  After the second dose, the rash came back even worse within 24 hours.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Diarrhoea, Dizziness, Flushing, Hyperhidrosis
Clinical narrative: Pt received her first Pfizer COVID vaccine today at approximately 1305.  She stated approximately 10 minutes into observation she developed abdominal pain and felt like she needed to have a BM.  She sat on the toilet and had an episode of diarrhea and started to feel flushed, diaphoretic and stood up to go to the sink.  She then felt nausea, dizziness and lightheaded and placed her head down leaning over the sink.  EMT arrived to bathroom and sat patient down in a wheelchair.  I arrived on scene shortly thereafter and the patient was pale and diaphoretic stating she did not feel well.  EMS was activated. She was placed on the cardiac monitor and her HR was NSR in the 80's.  BP 114/61, 96% on RA.   Denied CP, SOB, rash, mouth, lip or tongue swelling. She was brought back to the observation area and was assisted to the gurney.  Cool compresses were placed on her forehead and behind her neck.  Medics arrived to scene to assess the patient.  She stated she was feeling improved and did not want to go to the ED.  She signed the AMA form. She was given water and crackers. She was monitored for 1 hour and stated she felt improved.  She denied dizziness, lightheadedness, nausea or abdominal pain.  I assisted her to the bathroom and she had one more episode of diarrhea.  She stated she felt improved after that. She was monitored for 15 more minutes and stated she would like to go home.  She was able to get up off the gurney without assistance, stated she felt well.  She was ambulatory with a  Steady gait and assisted outside.  Prior to discharge I recommended she follow up with her PCP.  Advised that she rest for the remainder of the day and to activate 911 should she develop any new or worsening symptoms.  Advised that if she does get the second dose of vaccine she should be laying down at the time of administration and for 30 minutes after the injection for observation.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nausea, Pallor
Clinical narrative: Pt received her first Pfizer COVID vaccine today at approximately 1305.  She stated approximately 10 minutes into observation she developed abdominal pain and felt like she needed to have a BM.  She sat on the toilet and had an episode of diarrhea and started to feel flushed, diaphoretic and stood up to go to the sink.  She then felt nausea, dizziness and lightheaded and placed her head down leaning over the sink.  EMT arrived to bathroom and sat patient down in a wheelchair.  I arrived on scene shortly thereafter and the patient was pale and diaphoretic stating she did not feel well.  EMS was activated. She was placed on the cardiac monitor and her HR was NSR in the 80's.  BP 114/61, 96% on RA.   Denied CP, SOB, rash, mouth, lip or tongue swelling. She was brought back to the observation area and was assisted to the gurney.  Cool compresses were placed on her forehead and behind her neck.  Medics arrived to scene to assess the patient.  She stated she was feeling improved and did not want to go to the ED.  She signed the AMA form. She was given water and crackers. She was monitored for 1 hour and stated she felt improved.  She denied dizziness, lightheadedness, nausea or abdominal pain.  I assisted her to the bathroom and she had one more episode of diarrhea.  She stated she felt improved after that. She was monitored for 15 more minutes and stated she would like to go home.  She was able to get up off the gurney without assistance, stated she felt well.  She was ambulatory with a  Steady gait and assisted outside.  Prior to discharge I recommended she follow up with her PCP.  Advised that she rest for the remainder of the day and to activate 911 should she develop any new or worsening symptoms.  Advised that if she does get the second dose of vaccine she should be laying down at the time of administration and for 30 minutes after the injection for observation.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Fever, headache, body aches, chills, fatigue
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash all over my arm.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Asthenia, Confusional state
Clinical narrative: Patient states that 2 days after receiving vaccine, she has no memory of the events. Her spouse states that she was confused and weak and was taken to the ER and given IV fluids. It took a few days before the confusion resolved. The Hospital and MD told her it was a reaction to the vaccine and advised her to not obtain the second dose.
Age: 1.25
Sex: F
Vaccine: DTAP
Symptoms: Pyrexia
Clinical narrative: FEVERS STARTING ON 02/22/2021
Age: 23.0
Sex: F
Vaccine: UNK
Symptoms: Aphthous ulcer
Clinical narrative: canker sore on tonsil
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Feeling abnormal, Headache, Nausea, Pain
Clinical narrative: 2 weeks after 1st dose: dizziness, nausea, body aches, headaches, generally feel awful. Lasted for around 2 weeks.  2 weeks after 2nd dose dizziness, nausea, body aches, headaches, feel awful. Continues.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccine positive rechallenge
Clinical narrative: 2 weeks after 1st dose: dizziness, nausea, body aches, headaches, generally feel awful. Lasted for around 2 weeks.  2 weeks after 2nd dose dizziness, nausea, body aches, headaches, feel awful. Continues.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Injection site pruritus, Injection site rash, Pain of skin
Clinical narrative: Day after vaccine pain to touch..After that there was a lump near the injection site.. Next day rash around the site and very itchy..Used Hydrocortisone cream for 2 days..I also took Advil for pain.Day after shot when I experienced pain..only took 2x in morning and evening..
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Erythema, Injection site pruritus, Mass
Clinical narrative: Patient reports that for 4 days after recieving her covid vaccine she had dizzy spells that would last for 5-10 minutes. Patient also reports that a week after getting her covid vaccine she had a red raised lump on her arm farther down than where the vaccine was injected. She states the redness and raised lump was about 5inchesX6inches. Site was also itchy.  She is feeling fine as of phone conversation with her on last week
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Asthenia, Atrial flutter, Blood albumin normal
Clinical narrative: within 10 minutes of vaccination (administered 11:50 AM) felt weak and tired, became pale and diaphoretic. Pulse weak, irregular. EMS promptly arrive (1 block away) and transported to Emergency Department (within 1 mile). Found to have new onset atrial flutter with rapid ventricular response and BP systolic 86. Improved with diltiazem. Also treated with diphenhydramine and methlyprednisolone
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Blood alkaline phosphatase normal, Blood bilirubin increased, Blood electrolytes, Brain natriuretic peptide, Chest X-ray normal
Clinical narrative: within 10 minutes of vaccination (administered 11:50 AM) felt weak and tired, became pale and diaphoretic. Pulse weak, irregular. EMS promptly arrive (1 block away) and transported to Emergency Department (within 1 mile). Found to have new onset atrial flutter with rapid ventricular response and BP systolic 86. Improved with diltiazem. Also treated with diphenhydramine and methlyprednisolone
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Fatigue, Full blood count normal, Heart rate irregular, Hyperhidrosis
Clinical narrative: within 10 minutes of vaccination (administered 11:50 AM) felt weak and tired, became pale and diaphoretic. Pulse weak, irregular. EMS promptly arrive (1 block away) and transported to Emergency Department (within 1 mile). Found to have new onset atrial flutter with rapid ventricular response and BP systolic 86. Improved with diltiazem. Also treated with diphenhydramine and methlyprednisolone
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Hypopnoea, Liver function test increased, Pallor, Pulse abnormal, Renal function test
Clinical narrative: within 10 minutes of vaccination (administered 11:50 AM) felt weak and tired, became pale and diaphoretic. Pulse weak, irregular. EMS promptly arrive (1 block away) and transported to Emergency Department (within 1 mile). Found to have new onset atrial flutter with rapid ventricular response and BP systolic 86. Improved with diltiazem. Also treated with diphenhydramine and methlyprednisolone
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin
Clinical narrative: within 10 minutes of vaccination (administered 11:50 AM) felt weak and tired, became pale and diaphoretic. Pulse weak, irregular. EMS promptly arrive (1 block away) and transported to Emergency Department (within 1 mile). Found to have new onset atrial flutter with rapid ventricular response and BP systolic 86. Improved with diltiazem. Also treated with diphenhydramine and methlyprednisolone
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Product administration error
Clinical narrative: COVID-19 VACCINE.  ADMINISTRATION ERROR:   Patient possibly received 3 doses of vaccine.  Resident received first dose of COVID-19 vaccine on 1/11/21.  Patient was vaccinated on 2/22/21 under the impression she had only had 1 dose previously.  Patient recalls getting second dose on 2/1/21 and records show dose given but facility deferred many doses due to COVID infections that day and records were in question. Patient has no adverse reactions reported to date.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Pain in extremity, Spinal X-ray, X-ray limb
Clinical narrative: Sudden, spreading, extremely painful joint inflammation starting at the right shoulder, days later the right knee and left middle toe ball joint, followed by the same in left knee. Otherwise healthy person with no preexisting conditions.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dizziness, Headache, Vomiting
Clinical narrative: Dizziness, vomiting, diarrhea, headache, chills.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site rash, Rash erythematous
Clinical narrative: Tenderness by touch at shot site for 2 days Red rash patch around shot site noticed on second day after shot and is still there after two weeks  Saw primary care physician 2/25/2021 and he said the rash could be a reaction to something in the shot.  He suggested I have the second shot (scheduled for 3/13/2021) in the other arm.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site rash, Rash, Rash papular, Skin warm
Clinical narrative: With the second dose On day 2 after receiving vaccine I noticed a rash about 2 or 3 inches below of the injection site. It was very achy, slightly raised and hot to the touch. It was more severe than the 1st dose. It then spread to the whole arm, from my elbow to my shoulder. I also had moderate spots of rash on my trunk and back. Since I already had seen my dermatologist regarding the rash for the 1st dose I already had the topical cortic steroid at home and the oral antihistamine I used for the first dose and just used those. After about 10 days the symptoms cleared. I have pictures and will gladly provide them.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Moderate severity headache lasting about 4-6 hours. This occurred both ~24 h + ~48 h after dose administration. Eventually resolves with Ibuprofen 800 mg + Acetaminophen 1000 mg.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram
Clinical narrative: Pt has history of story telling per care taker.. pt appears to have Down syndrome.  Pt complained of Chest pain.  12 lead neagtive for MI. negative SOB, Abdominal, Nausea.  No visual signes. M-4 transport to ER.  Pt does not make decisions for her self.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache
Clinical narrative: Moderate Chills and headache
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: PATIENT HAS RECEIVED A HIGHER DOSE THAN INDICATED 1.8 MLS
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blood bicarbonate decreased, Blood creatinine increased, Blood gases abnormal, Blood urea increased, Dehydration
Clinical narrative: NVD dehydrated lead to further kidney failure
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Nausea, PCO2 decreased, Renal failure, Vomiting
Clinical narrative: NVD dehydrated lead to further kidney failure
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Electrocardiogram, Musculoskeletal stiffness, Pain in extremity, Sneezing
Clinical narrative: After the shot, I only had a slightly sore arm. Several hours later, after I had fallen asleep, I awoke to sudden onset face swelling on my right side, severe and sudden sneezing and stuffiness, and a severe asthma attack. We called 911, and in the meantime I took 2 Benadryl and used my rescue inhaler. My breathing was assessed as diminished by the paramedics, and I was taken to the hospital. I was given oxygen and prednisone, and monitored.  About 2 hours later I was released.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: After the shot, I only had a slightly sore arm. Several hours later, after I had fallen asleep, I awoke to sudden onset face swelling on my right side, severe and sudden sneezing and stuffiness, and a severe asthma attack. We called 911, and in the meantime I took 2 Benadryl and used my rescue inhaler. My breathing was assessed as diminished by the paramedics, and I was taken to the hospital. I was given oxygen and prednisone, and monitored.  About 2 hours later I was released.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site reaction, Injection site swelling, Livedo reticularis, Rash erythematous
Clinical narrative: Arm was bruised at vaccine site initially.  A week later a red rash started.  Eight days later a red area appeared, approximately 1 1/2 by 3 inches, which was slightly swollen and as red as a bad sunburn.  It was somewhat mottled.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: After a couple of years of not getting a period (now age 53), two days after receiving the Pfizer COVID-19 vaccine I got a heavy menstrual flow.  Still experiencing the menstruation right now.  Will be seeing my doctor today for guidance as I'm scheduled to get the second vaccine soon.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Paraesthesia
Clinical narrative: A few minutes post vaccination, patient complained of her ears burning, left arm was tingling.  Vitals taken, MD on site assessed patient, oral Benadryl given.  Patient remained in clinic for approx. 45 minutes.  Symptoms improved somewhat, reassessed by MD and was discharged to home via personal vehicle with spouse.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Injection site swelling, Rash erythematous
Clinical narrative: Swollen arm at injection site, red rash in the shape of a circle approximately 2inches in diameter at injection site
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Aspiration pleural cavity, Atelectasis, Blood creatinine increased, Blood glucose increased
Clinical narrative: 2/14 Emergency room HPI Patient is a 94 y.o. male who presents with complaint of cough that started about a week ago, and was seen by primary care provider on the 9th February 2021.  Patient was started on Augmentin and has taken it for about 5 days but said the cough is worse and productive of clear sputum.  Patient in ER to get checked for pneumonia.  Patient denies a fever or chills, shortness of breath, chest pain, nausea vomiting and no headache or dizziness. Transferred to another facility h&pHistory of Present Illness:  94-year-old former smoker with a history of paroxysmal atrial fibrillation not currently on anticoagulation, coronary artery disease, insulin-dependent diabetes, CKD 4, prostate cancer on surveillance, TAVR 2/17, with a son who is a doctor and a caregiver who is a Radiology NP by his report, who presents in transfer from previous Hospital due to a large right pleural effusion.  He has had a cough for some time now, but thinks it may have worsened, at least per his caregiver, over the last 4-5 days.  He was seen by his PCP on February 9th and placed on Augmentin, but nothing changed.  He himself denies being short of breath, having any chest pain, fevers, chills, sweats, change in appetite, abdominal pain, nausea, vomiting, dysuria, diarrhea.  Of note, on a chest x-ray in June he had bilateral pleural effusions, and on an MRI in July to investigate a renal mass, he was noted to have a small right-sided pleural effusion.        On arrival to facility this morning, he was afebrile, normotensive, had a normal heart rate, sometimes mildly bradycardic, normal respiratory rate and saturations of 97% on room air.  Labs demonstrated chronic anemia and thrombocytopenia, stable stage 4 kidney disease creatinine of 2.6, BUN 64, glucose 187.  Chest x-ray demonstrated a moderate right pleural effusion, noting that underlying consolidation cannot be excluded.  He was also felt to have bibasilar atelectasis.  CT of the chest without contrast showed a large right pleural effusion with most of the right lower lobe being collapsed.  Superimposed infection could not be excluded.  He had a small left pleural effusion with adjacent atelectasis and a small pericardial effusion as well.  EKG and procalcitonin were not performed.  He was sent to our facility for thoracentesis.         On arrival here, vitals remained stable.  His bedside RN informed me that upon returning from the bathroom, he appeared to be a bit dyspneic, but the patient himself denies any shortness of breath or ?huffing and puffing?. 2/25 admEd to hospital admission
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea increased, Bradycardia, Chest X-ray abnormal, Computerised tomogram thorax abnormal, Condition aggravated
Clinical narrative: 2/14 Emergency room HPI Patient is a 94 y.o. male who presents with complaint of cough that started about a week ago, and was seen by primary care provider on the 9th February 2021.  Patient was started on Augmentin and has taken it for about 5 days but said the cough is worse and productive of clear sputum.  Patient in ER to get checked for pneumonia.  Patient denies a fever or chills, shortness of breath, chest pain, nausea vomiting and no headache or dizziness. Transferred to another facility h&pHistory of Present Illness:  94-year-old former smoker with a history of paroxysmal atrial fibrillation not currently on anticoagulation, coronary artery disease, insulin-dependent diabetes, CKD 4, prostate cancer on surveillance, TAVR 2/17, with a son who is a doctor and a caregiver who is a Radiology NP by his report, who presents in transfer from previous Hospital due to a large right pleural effusion.  He has had a cough for some time now, but thinks it may have worsened, at least per his caregiver, over the last 4-5 days.  He was seen by his PCP on February 9th and placed on Augmentin, but nothing changed.  He himself denies being short of breath, having any chest pain, fevers, chills, sweats, change in appetite, abdominal pain, nausea, vomiting, dysuria, diarrhea.  Of note, on a chest x-ray in June he had bilateral pleural effusions, and on an MRI in July to investigate a renal mass, he was noted to have a small right-sided pleural effusion.        On arrival to facility this morning, he was afebrile, normotensive, had a normal heart rate, sometimes mildly bradycardic, normal respiratory rate and saturations of 97% on room air.  Labs demonstrated chronic anemia and thrombocytopenia, stable stage 4 kidney disease creatinine of 2.6, BUN 64, glucose 187.  Chest x-ray demonstrated a moderate right pleural effusion, noting that underlying consolidation cannot be excluded.  He was also felt to have bibasilar atelectasis.  CT of the chest without contrast showed a large right pleural effusion with most of the right lower lobe being collapsed.  Superimposed infection could not be excluded.  He had a small left pleural effusion with adjacent atelectasis and a small pericardial effusion as well.  EKG and procalcitonin were not performed.  He was sent to our facility for thoracentesis.         On arrival here, vitals remained stable.  His bedside RN informed me that upon returning from the bathroom, he appeared to be a bit dyspneic, but the patient himself denies any shortness of breath or ?huffing and puffing?. 2/25 admEd to hospital admission
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Differential white blood cell count, Dyspnoea, Full blood count, Laboratory test
Clinical narrative: 2/14 Emergency room HPI Patient is a 94 y.o. male who presents with complaint of cough that started about a week ago, and was seen by primary care provider on the 9th February 2021.  Patient was started on Augmentin and has taken it for about 5 days but said the cough is worse and productive of clear sputum.  Patient in ER to get checked for pneumonia.  Patient denies a fever or chills, shortness of breath, chest pain, nausea vomiting and no headache or dizziness. Transferred to another facility h&pHistory of Present Illness:  94-year-old former smoker with a history of paroxysmal atrial fibrillation not currently on anticoagulation, coronary artery disease, insulin-dependent diabetes, CKD 4, prostate cancer on surveillance, TAVR 2/17, with a son who is a doctor and a caregiver who is a Radiology NP by his report, who presents in transfer from previous Hospital due to a large right pleural effusion.  He has had a cough for some time now, but thinks it may have worsened, at least per his caregiver, over the last 4-5 days.  He was seen by his PCP on February 9th and placed on Augmentin, but nothing changed.  He himself denies being short of breath, having any chest pain, fevers, chills, sweats, change in appetite, abdominal pain, nausea, vomiting, dysuria, diarrhea.  Of note, on a chest x-ray in June he had bilateral pleural effusions, and on an MRI in July to investigate a renal mass, he was noted to have a small right-sided pleural effusion.        On arrival to facility this morning, he was afebrile, normotensive, had a normal heart rate, sometimes mildly bradycardic, normal respiratory rate and saturations of 97% on room air.  Labs demonstrated chronic anemia and thrombocytopenia, stable stage 4 kidney disease creatinine of 2.6, BUN 64, glucose 187.  Chest x-ray demonstrated a moderate right pleural effusion, noting that underlying consolidation cannot be excluded.  He was also felt to have bibasilar atelectasis.  CT of the chest without contrast showed a large right pleural effusion with most of the right lower lobe being collapsed.  Superimposed infection could not be excluded.  He had a small left pleural effusion with adjacent atelectasis and a small pericardial effusion as well.  EKG and procalcitonin were not performed.  He was sent to our facility for thoracentesis.         On arrival here, vitals remained stable.  His bedside RN informed me that upon returning from the bathroom, he appeared to be a bit dyspneic, but the patient himself denies any shortness of breath or ?huffing and puffing?. 2/25 admEd to hospital admission
Age: 94.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging abnormal, Pericardial effusion, Pleural effusion, Pneumothorax, Productive cough
Clinical narrative: 2/14 Emergency room HPI Patient is a 94 y.o. male who presents with complaint of cough that started about a week ago, and was seen by primary care provider on the 9th February 2021.  Patient was started on Augmentin and has taken it for about 5 days but said the cough is worse and productive of clear sputum.  Patient in ER to get checked for pneumonia.  Patient denies a fever or chills, shortness of breath, chest pain, nausea vomiting and no headache or dizziness. Transferred to another facility h&pHistory of Present Illness:  94-year-old former smoker with a history of paroxysmal atrial fibrillation not currently on anticoagulation, coronary artery disease, insulin-dependent diabetes, CKD 4, prostate cancer on surveillance, TAVR 2/17, with a son who is a doctor and a caregiver who is a Radiology NP by his report, who presents in transfer from previous Hospital due to a large right pleural effusion.  He has had a cough for some time now, but thinks it may have worsened, at least per his caregiver, over the last 4-5 days.  He was seen by his PCP on February 9th and placed on Augmentin, but nothing changed.  He himself denies being short of breath, having any chest pain, fevers, chills, sweats, change in appetite, abdominal pain, nausea, vomiting, dysuria, diarrhea.  Of note, on a chest x-ray in June he had bilateral pleural effusions, and on an MRI in July to investigate a renal mass, he was noted to have a small right-sided pleural effusion.        On arrival to facility this morning, he was afebrile, normotensive, had a normal heart rate, sometimes mildly bradycardic, normal respiratory rate and saturations of 97% on room air.  Labs demonstrated chronic anemia and thrombocytopenia, stable stage 4 kidney disease creatinine of 2.6, BUN 64, glucose 187.  Chest x-ray demonstrated a moderate right pleural effusion, noting that underlying consolidation cannot be excluded.  He was also felt to have bibasilar atelectasis.  CT of the chest without contrast showed a large right pleural effusion with most of the right lower lobe being collapsed.  Superimposed infection could not be excluded.  He had a small left pleural effusion with adjacent atelectasis and a small pericardial effusion as well.  EKG and procalcitonin were not performed.  He was sent to our facility for thoracentesis.         On arrival here, vitals remained stable.  His bedside RN informed me that upon returning from the bathroom, he appeared to be a bit dyspneic, but the patient himself denies any shortness of breath or ?huffing and puffing?. 2/25 admEd to hospital admission