chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Dizziness, Ear discomfort, Ear pruritus
Clinical narrative: So when I got the first vaccine, I had heart palpitations and felt my throat closing. The nurse practitioner who administered it hit a blood vessel and caused dramatic bleeding after. I felt pretty light-headed after leaving the pharmacy. The intense pressure intensified over the next couple of days. I was busy around the clock and just sort of ignored the side effects. I consulted doctors who informed me to continue my dosage and receive the second dose. I then had piercing headaches, confused dizziness, head and throat pain, itchy ears, tinnitus, body tingling, pain and numbness throughout the body. If you name it, I had it. The majority of it I had dizziness, headaches, head pressure, blurry vision, ear discomfort, and ear sound sensitivity. Now, I'm very temperature sensitive. I've gotten bloodwork, MRI, CT scans, and everything done to try to receive a diagnosis. But I was told my reactions are all microscopic so nothing can be done to help. I've visited Hospital in April 2021 for the MRI and EKG performed. In April 2021, I also visited Neurology and had VNG, EEG and bloodwork done there during May and June 2021. I had a CT scan done in June 2021. I did bloodwork with a rheumatologist in October 2021. All of the tests came back normal and I'm still currently suffering from the results of the vaccine.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Electroencephalogram, Electronystagmogram, Haemorrhage, Head discomfort, Headache
Clinical narrative: So when I got the first vaccine, I had heart palpitations and felt my throat closing. The nurse practitioner who administered it hit a blood vessel and caused dramatic bleeding after. I felt pretty light-headed after leaving the pharmacy. The intense pressure intensified over the next couple of days. I was busy around the clock and just sort of ignored the side effects. I consulted doctors who informed me to continue my dosage and receive the second dose. I then had piercing headaches, confused dizziness, head and throat pain, itchy ears, tinnitus, body tingling, pain and numbness throughout the body. If you name it, I had it. The majority of it I had dizziness, headaches, head pressure, blurry vision, ear discomfort, and ear sound sensitivity. Now, I'm very temperature sensitive. I've gotten bloodwork, MRI, CT scans, and everything done to try to receive a diagnosis. But I was told my reactions are all microscopic so nothing can be done to help. I've visited Hospital in April 2021 for the MRI and EKG performed. In April 2021, I also visited Neurology and had VNG, EEG and bloodwork done there during May and June 2021. I had a CT scan done in June 2021. I did bloodwork with a rheumatologist in October 2021. All of the tests came back normal and I'm still currently suffering from the results of the vaccine.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperacusis, Hypoaesthesia, Magnetic resonance imaging, Oropharyngeal pain, Pain
Clinical narrative: So when I got the first vaccine, I had heart palpitations and felt my throat closing. The nurse practitioner who administered it hit a blood vessel and caused dramatic bleeding after. I felt pretty light-headed after leaving the pharmacy. The intense pressure intensified over the next couple of days. I was busy around the clock and just sort of ignored the side effects. I consulted doctors who informed me to continue my dosage and receive the second dose. I then had piercing headaches, confused dizziness, head and throat pain, itchy ears, tinnitus, body tingling, pain and numbness throughout the body. If you name it, I had it. The majority of it I had dizziness, headaches, head pressure, blurry vision, ear discomfort, and ear sound sensitivity. Now, I'm very temperature sensitive. I've gotten bloodwork, MRI, CT scans, and everything done to try to receive a diagnosis. But I was told my reactions are all microscopic so nothing can be done to help. I've visited Hospital in April 2021 for the MRI and EKG performed. In April 2021, I also visited Neurology and had VNG, EEG and bloodwork done there during May and June 2021. I had a CT scan done in June 2021. I did bloodwork with a rheumatologist in October 2021. All of the tests came back normal and I'm still currently suffering from the results of the vaccine.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Paraesthesia, Throat tightness, Tinnitus, Vision blurred
Clinical narrative: So when I got the first vaccine, I had heart palpitations and felt my throat closing. The nurse practitioner who administered it hit a blood vessel and caused dramatic bleeding after. I felt pretty light-headed after leaving the pharmacy. The intense pressure intensified over the next couple of days. I was busy around the clock and just sort of ignored the side effects. I consulted doctors who informed me to continue my dosage and receive the second dose. I then had piercing headaches, confused dizziness, head and throat pain, itchy ears, tinnitus, body tingling, pain and numbness throughout the body. If you name it, I had it. The majority of it I had dizziness, headaches, head pressure, blurry vision, ear discomfort, and ear sound sensitivity. Now, I'm very temperature sensitive. I've gotten bloodwork, MRI, CT scans, and everything done to try to receive a diagnosis. But I was told my reactions are all microscopic so nothing can be done to help. I've visited Hospital in April 2021 for the MRI and EKG performed. In April 2021, I also visited Neurology and had VNG, EEG and bloodwork done there during May and June 2021. I had a CT scan done in June 2021. I did bloodwork with a rheumatologist in October 2021. All of the tests came back normal and I'm still currently suffering from the results of the vaccine.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Fall
Clinical narrative: PATIENT WAS SITTING IN A CHAIR AFTER RECEIVING THE VACCINATION AND SLUMPED TO THE FLOOR.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Pain, X-ray normal
Clinical narrative: I starting having stabbing in my arm were at the injection site. I can not lift my arm equal or higher than my shoulders or there will be a sharp pain. These has been happening ever since my vaccine. I want to my doctor about this. She order x-rays, normal results. She referred me to physical therapy. I been having physical therapy ever since Nov 22nd. My therapist wants me to see an Ortho doctor.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Seizure
Clinical narrative: Patient described having a seizure the next day which lasted 1 and 1/2 hours. She said it was not one of the on the floor arms flailing kind of seizures.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Mobility decreased, Nightmare, Pain in extremity, Visual impairment
Clinical narrative: Per patient: I became disoriented and had instant VISIONS. And I had extreme bad dreams and my arm is very sore to the point that it's hard to move.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product preparation issue
Clinical narrative: Vial of vaccine was diluted incorrectly with 0.8ml of sterile diluent instead of 1.8ml.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Illness, Myalgia
Clinical narrative: COUGH, FEELING TIRED/SICK, MUSCLE PAIN, ST
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 RNA
Clinical narrative: COUGH, FEELING TIRED/SICK, MUSCLE PAIN, ST
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anaemia, Anticoagulation drug level above therapeutic, Asthenia, COVID-19
Clinical narrative: DISCHARGE DIAGNOSES:  1. Acute on chronic respiratory failure with hypoxia secondary to sepsis realated unknown type of bacterial pneumonia of RLL (HCAP due to admission last month) 2. Pt refused treatment, requested hospice 3. Decompensated heart failure 4. Acute on chronic anemia supratherapeutic INR 5. COVID-19 positive   HOSPITAL COURSE: 80-year-old woman with a complex past medical history of TIA, CKD stage IV, COPD, chronic bronchitis, chronic back pain, chronic A. fib on chronic anticoagulation, anxiety and depression and ICM with an EF of 40% who presents via EMS for worsening shortness of breath.  She has been treated for 3 exacerbations of her COPD from October to December with marginal improvement of her symptoms.  Of late she was started on Levaquin on 12/142021 when she presented again to the emergency room on 1222 with weakness and diarrhea felt to be may be C. difficile or another enteric pathogen but those were negative.  She was hospitalized and required TCU prior to going home for which she returned 1/7/2022.  She presented very hypoxic, very weak, INR was significantly elevated and hemoglobin dropped again.  Patient was refusing any intervention of antibiotics for PNA,  to reverse her INR or replace her iron stores with a blood transfusion.  She had requested that she was ready to go to heaven and did not want any further treatment or interventions.  Her family was notified and they to agreed and supported her decision for end-of-life cares.  A family cares conference was performed with social worker, care transition team and family members and patient was placed on hospice to support her wishes. Death pronouncement was on 1/14/2022 at 2114
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac failure, Chronic obstructive pulmonary disease, Clostridium test negative, Condition aggravated, Death
Clinical narrative: DISCHARGE DIAGNOSES:  1. Acute on chronic respiratory failure with hypoxia secondary to sepsis realated unknown type of bacterial pneumonia of RLL (HCAP due to admission last month) 2. Pt refused treatment, requested hospice 3. Decompensated heart failure 4. Acute on chronic anemia supratherapeutic INR 5. COVID-19 positive   HOSPITAL COURSE: 80-year-old woman with a complex past medical history of TIA, CKD stage IV, COPD, chronic bronchitis, chronic back pain, chronic A. fib on chronic anticoagulation, anxiety and depression and ICM with an EF of 40% who presents via EMS for worsening shortness of breath.  She has been treated for 3 exacerbations of her COPD from October to December with marginal improvement of her symptoms.  Of late she was started on Levaquin on 12/142021 when she presented again to the emergency room on 1222 with weakness and diarrhea felt to be may be C. difficile or another enteric pathogen but those were negative.  She was hospitalized and required TCU prior to going home for which she returned 1/7/2022.  She presented very hypoxic, very weak, INR was significantly elevated and hemoglobin dropped again.  Patient was refusing any intervention of antibiotics for PNA,  to reverse her INR or replace her iron stores with a blood transfusion.  She had requested that she was ready to go to heaven and did not want any further treatment or interventions.  Her family was notified and they to agreed and supported her decision for end-of-life cares.  A family cares conference was performed with social worker, care transition team and family members and patient was placed on hospice to support her wishes. Death pronouncement was on 1/14/2022 at 2114
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Dyspnoea, Haemoglobin decreased, International normalised ratio increased, Laboratory test normal
Clinical narrative: DISCHARGE DIAGNOSES:  1. Acute on chronic respiratory failure with hypoxia secondary to sepsis realated unknown type of bacterial pneumonia of RLL (HCAP due to admission last month) 2. Pt refused treatment, requested hospice 3. Decompensated heart failure 4. Acute on chronic anemia supratherapeutic INR 5. COVID-19 positive   HOSPITAL COURSE: 80-year-old woman with a complex past medical history of TIA, CKD stage IV, COPD, chronic bronchitis, chronic back pain, chronic A. fib on chronic anticoagulation, anxiety and depression and ICM with an EF of 40% who presents via EMS for worsening shortness of breath.  She has been treated for 3 exacerbations of her COPD from October to December with marginal improvement of her symptoms.  Of late she was started on Levaquin on 12/142021 when she presented again to the emergency room on 1222 with weakness and diarrhea felt to be may be C. difficile or another enteric pathogen but those were negative.  She was hospitalized and required TCU prior to going home for which she returned 1/7/2022.  She presented very hypoxic, very weak, INR was significantly elevated and hemoglobin dropped again.  Patient was refusing any intervention of antibiotics for PNA,  to reverse her INR or replace her iron stores with a blood transfusion.  She had requested that she was ready to go to heaven and did not want any further treatment or interventions.  Her family was notified and they to agreed and supported her decision for end-of-life cares.  A family cares conference was performed with social worker, care transition team and family members and patient was placed on hospice to support her wishes. Death pronouncement was on 1/14/2022 at 2114
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Pneumonia bacterial, Refusal of treatment by patient, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: DISCHARGE DIAGNOSES:  1. Acute on chronic respiratory failure with hypoxia secondary to sepsis realated unknown type of bacterial pneumonia of RLL (HCAP due to admission last month) 2. Pt refused treatment, requested hospice 3. Decompensated heart failure 4. Acute on chronic anemia supratherapeutic INR 5. COVID-19 positive   HOSPITAL COURSE: 80-year-old woman with a complex past medical history of TIA, CKD stage IV, COPD, chronic bronchitis, chronic back pain, chronic A. fib on chronic anticoagulation, anxiety and depression and ICM with an EF of 40% who presents via EMS for worsening shortness of breath.  She has been treated for 3 exacerbations of her COPD from October to December with marginal improvement of her symptoms.  Of late she was started on Levaquin on 12/142021 when she presented again to the emergency room on 1222 with weakness and diarrhea felt to be may be C. difficile or another enteric pathogen but those were negative.  She was hospitalized and required TCU prior to going home for which she returned 1/7/2022.  She presented very hypoxic, very weak, INR was significantly elevated and hemoglobin dropped again.  Patient was refusing any intervention of antibiotics for PNA,  to reverse her INR or replace her iron stores with a blood transfusion.  She had requested that she was ready to go to heaven and did not want any further treatment or interventions.  Her family was notified and they to agreed and supported her decision for end-of-life cares.  A family cares conference was performed with social worker, care transition team and family members and patient was placed on hospice to support her wishes. Death pronouncement was on 1/14/2022 at 2114
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis
Clinical narrative: DISCHARGE DIAGNOSES:  1. Acute on chronic respiratory failure with hypoxia secondary to sepsis realated unknown type of bacterial pneumonia of RLL (HCAP due to admission last month) 2. Pt refused treatment, requested hospice 3. Decompensated heart failure 4. Acute on chronic anemia supratherapeutic INR 5. COVID-19 positive   HOSPITAL COURSE: 80-year-old woman with a complex past medical history of TIA, CKD stage IV, COPD, chronic bronchitis, chronic back pain, chronic A. fib on chronic anticoagulation, anxiety and depression and ICM with an EF of 40% who presents via EMS for worsening shortness of breath.  She has been treated for 3 exacerbations of her COPD from October to December with marginal improvement of her symptoms.  Of late she was started on Levaquin on 12/142021 when she presented again to the emergency room on 1222 with weakness and diarrhea felt to be may be C. difficile or another enteric pathogen but those were negative.  She was hospitalized and required TCU prior to going home for which she returned 1/7/2022.  She presented very hypoxic, very weak, INR was significantly elevated and hemoglobin dropped again.  Patient was refusing any intervention of antibiotics for PNA,  to reverse her INR or replace her iron stores with a blood transfusion.  She had requested that she was ready to go to heaven and did not want any further treatment or interventions.  Her family was notified and they to agreed and supported her decision for end-of-life cares.  A family cares conference was performed with social worker, care transition team and family members and patient was placed on hospice to support her wishes. Death pronouncement was on 1/14/2022 at 2114
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: per patient  after 72 hours  from getting the vaccine on 1/19  she experienced    severe itchiness all over her body , no sign of hives or redness , no fever   , it lasted almost the whole day  , pt called me on 1/20  to report the reaction  the itchiness  was  getting better ,
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Diarrhoea, Dizziness, Hyperhidrosis, Malaise
Clinical narrative: TWO DAYS AFTER MY SHOT I GOT VIOLENTLY SICK WITH MASSIVE DIARRHEA, DIZZINESS, HOT/COLD SWEATS AND EXCRUTIATING PAIN AND ENDED UP IN THE ER
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: TWO DAYS AFTER MY SHOT I GOT VIOLENTLY SICK WITH MASSIVE DIARRHEA, DIZZINESS, HOT/COLD SWEATS AND EXCRUTIATING PAIN AND ENDED UP IN THE ER
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Injection site erythema, Injection site inflammation, Injection site pain, Injection site swelling
Clinical narrative: PROLONGED SWELLING, INFLAMMATION, REDNESS AND PAIN AT THE INJECTION SITE - ONSET 4 MONTHS POST 2ND DOSE. PATIENT UNABLE TO LIFT ARM.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain upper, Alanine aminotransferase increased, Aspartate aminotransferase increased, Asymptomatic COVID-19
Clinical narrative: This is a 31y.o. female with PMHx of migraines who presents to ED with a complaint of abdominal pain and vomiting x 2 days. She reports that her pain has been off and on over the last several months and has acutely worsened over the last few days days, now constant. Pain located in epigastric region with radiation to back. Patient states the pain is worse with eating cheese. Has not noticed a change with other dairy products, gluten. States she has not eaten much over the last several days because she has felt nauseated. Has vomited several times, non-bloody, non-bilious. She has noticed that her stool has started to have mucous in it and has become tan and chalk-colored. Patient denies diarrhea but does admit to occasional constipation. Denies melena, hematochezia. Denies personal or family history of gastrointestinal issues. Has never had a colonoscopy. Denies history of autoimmune disease. Patient only drinks a glass of wine socially. No history of gallbladder issues. No recent steroid use. Denies fever, chills, chest pain, shortness of breath, palpitations. Patient's LMP 12/24-28. Patient states she is not pregnant, uses condoms consistently.   In the ED, vitals as follows: BP 162/100, HR 100, RR 19, T 97.5, SpO2 100% on RA. Labs remarkable for WBC 12.8, lipase > 1200, AST 136, ALT 219, tbili 1.5, dbili 0.8, bicarb 18. Patient found to be COVID positive, asymptomatic. Abdominal US demonstrated cholelithiasis without evidence of cholecystitis, small calcifications within pancreatic head, prominent common bile duct. Patient to be admitted to the general medical floor for further management of acute pancreatitis with consult to GI. Infectious disease will also be consulted for COVID-19 infection.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Bilirubin conjugated increased, Blood bicarbonate decreased, Blood bilirubin increased, Cholelithiasis
Clinical narrative: This is a 31y.o. female with PMHx of migraines who presents to ED with a complaint of abdominal pain and vomiting x 2 days. She reports that her pain has been off and on over the last several months and has acutely worsened over the last few days days, now constant. Pain located in epigastric region with radiation to back. Patient states the pain is worse with eating cheese. Has not noticed a change with other dairy products, gluten. States she has not eaten much over the last several days because she has felt nauseated. Has vomited several times, non-bloody, non-bilious. She has noticed that her stool has started to have mucous in it and has become tan and chalk-colored. Patient denies diarrhea but does admit to occasional constipation. Denies melena, hematochezia. Denies personal or family history of gastrointestinal issues. Has never had a colonoscopy. Denies history of autoimmune disease. Patient only drinks a glass of wine socially. No history of gallbladder issues. No recent steroid use. Denies fever, chills, chest pain, shortness of breath, palpitations. Patient's LMP 12/24-28. Patient states she is not pregnant, uses condoms consistently.   In the ED, vitals as follows: BP 162/100, HR 100, RR 19, T 97.5, SpO2 100% on RA. Labs remarkable for WBC 12.8, lipase > 1200, AST 136, ALT 219, tbili 1.5, dbili 0.8, bicarb 18. Patient found to be COVID positive, asymptomatic. Abdominal US demonstrated cholelithiasis without evidence of cholecystitis, small calcifications within pancreatic head, prominent common bile duct. Patient to be admitted to the general medical floor for further management of acute pancreatitis with consult to GI. Infectious disease will also be consulted for COVID-19 infection.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Constipation, Faeces discoloured, Food intolerance, Hypophagia
Clinical narrative: This is a 31y.o. female with PMHx of migraines who presents to ED with a complaint of abdominal pain and vomiting x 2 days. She reports that her pain has been off and on over the last several months and has acutely worsened over the last few days days, now constant. Pain located in epigastric region with radiation to back. Patient states the pain is worse with eating cheese. Has not noticed a change with other dairy products, gluten. States she has not eaten much over the last several days because she has felt nauseated. Has vomited several times, non-bloody, non-bilious. She has noticed that her stool has started to have mucous in it and has become tan and chalk-colored. Patient denies diarrhea but does admit to occasional constipation. Denies melena, hematochezia. Denies personal or family history of gastrointestinal issues. Has never had a colonoscopy. Denies history of autoimmune disease. Patient only drinks a glass of wine socially. No history of gallbladder issues. No recent steroid use. Denies fever, chills, chest pain, shortness of breath, palpitations. Patient's LMP 12/24-28. Patient states she is not pregnant, uses condoms consistently.   In the ED, vitals as follows: BP 162/100, HR 100, RR 19, T 97.5, SpO2 100% on RA. Labs remarkable for WBC 12.8, lipase > 1200, AST 136, ALT 219, tbili 1.5, dbili 0.8, bicarb 18. Patient found to be COVID positive, asymptomatic. Abdominal US demonstrated cholelithiasis without evidence of cholecystitis, small calcifications within pancreatic head, prominent common bile duct. Patient to be admitted to the general medical floor for further management of acute pancreatitis with consult to GI. Infectious disease will also be consulted for COVID-19 infection.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Lipase increased, Magnetic resonance cholangiopancreatography, Mucous stools, Nausea, Oedematous pancreatitis
Clinical narrative: This is a 31y.o. female with PMHx of migraines who presents to ED with a complaint of abdominal pain and vomiting x 2 days. She reports that her pain has been off and on over the last several months and has acutely worsened over the last few days days, now constant. Pain located in epigastric region with radiation to back. Patient states the pain is worse with eating cheese. Has not noticed a change with other dairy products, gluten. States she has not eaten much over the last several days because she has felt nauseated. Has vomited several times, non-bloody, non-bilious. She has noticed that her stool has started to have mucous in it and has become tan and chalk-colored. Patient denies diarrhea but does admit to occasional constipation. Denies melena, hematochezia. Denies personal or family history of gastrointestinal issues. Has never had a colonoscopy. Denies history of autoimmune disease. Patient only drinks a glass of wine socially. No history of gallbladder issues. No recent steroid use. Denies fever, chills, chest pain, shortness of breath, palpitations. Patient's LMP 12/24-28. Patient states she is not pregnant, uses condoms consistently.   In the ED, vitals as follows: BP 162/100, HR 100, RR 19, T 97.5, SpO2 100% on RA. Labs remarkable for WBC 12.8, lipase > 1200, AST 136, ALT 219, tbili 1.5, dbili 0.8, bicarb 18. Patient found to be COVID positive, asymptomatic. Abdominal US demonstrated cholelithiasis without evidence of cholecystitis, small calcifications within pancreatic head, prominent common bile duct. Patient to be admitted to the general medical floor for further management of acute pancreatitis with consult to GI. Infectious disease will also be consulted for COVID-19 infection.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pancreatic calcification, Pancreatitis acute, SARS-CoV-2 test positive, Ultrasound abdomen abnormal
Clinical narrative: This is a 31y.o. female with PMHx of migraines who presents to ED with a complaint of abdominal pain and vomiting x 2 days. She reports that her pain has been off and on over the last several months and has acutely worsened over the last few days days, now constant. Pain located in epigastric region with radiation to back. Patient states the pain is worse with eating cheese. Has not noticed a change with other dairy products, gluten. States she has not eaten much over the last several days because she has felt nauseated. Has vomited several times, non-bloody, non-bilious. She has noticed that her stool has started to have mucous in it and has become tan and chalk-colored. Patient denies diarrhea but does admit to occasional constipation. Denies melena, hematochezia. Denies personal or family history of gastrointestinal issues. Has never had a colonoscopy. Denies history of autoimmune disease. Patient only drinks a glass of wine socially. No history of gallbladder issues. No recent steroid use. Denies fever, chills, chest pain, shortness of breath, palpitations. Patient's LMP 12/24-28. Patient states she is not pregnant, uses condoms consistently.   In the ED, vitals as follows: BP 162/100, HR 100, RR 19, T 97.5, SpO2 100% on RA. Labs remarkable for WBC 12.8, lipase > 1200, AST 136, ALT 219, tbili 1.5, dbili 0.8, bicarb 18. Patient found to be COVID positive, asymptomatic. Abdominal US demonstrated cholelithiasis without evidence of cholecystitis, small calcifications within pancreatic head, prominent common bile duct. Patient to be admitted to the general medical floor for further management of acute pancreatitis with consult to GI. Infectious disease will also be consulted for COVID-19 infection.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: This is a 31y.o. female with PMHx of migraines who presents to ED with a complaint of abdominal pain and vomiting x 2 days. She reports that her pain has been off and on over the last several months and has acutely worsened over the last few days days, now constant. Pain located in epigastric region with radiation to back. Patient states the pain is worse with eating cheese. Has not noticed a change with other dairy products, gluten. States she has not eaten much over the last several days because she has felt nauseated. Has vomited several times, non-bloody, non-bilious. She has noticed that her stool has started to have mucous in it and has become tan and chalk-colored. Patient denies diarrhea but does admit to occasional constipation. Denies melena, hematochezia. Denies personal or family history of gastrointestinal issues. Has never had a colonoscopy. Denies history of autoimmune disease. Patient only drinks a glass of wine socially. No history of gallbladder issues. No recent steroid use. Denies fever, chills, chest pain, shortness of breath, palpitations. Patient's LMP 12/24-28. Patient states she is not pregnant, uses condoms consistently.   In the ED, vitals as follows: BP 162/100, HR 100, RR 19, T 97.5, SpO2 100% on RA. Labs remarkable for WBC 12.8, lipase > 1200, AST 136, ALT 219, tbili 1.5, dbili 0.8, bicarb 18. Patient found to be COVID positive, asymptomatic. Abdominal US demonstrated cholelithiasis without evidence of cholecystitis, small calcifications within pancreatic head, prominent common bile duct. Patient to be admitted to the general medical floor for further management of acute pancreatitis with consult to GI. Infectious disease will also be consulted for COVID-19 infection.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Chills, Death, Dyspnoea
Clinical narrative: Janssen COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Janssen Vaccine on 6/3/2021.  Presented to ED on 1/4/2022 with symptoms of shortness of breath, fevers, chills, body aches for the past 5 days. Admitted for acute hypoxemic respiratory failure due to Covid19 c/b CKD3, HTN, CHF DM2. Intubated and admitted to ICU. Despite therapy with dexamethsaone and baricitinib, patient decompensated and expired 1/12/22.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Endotracheal intubation, General physical health deterioration, Intensive care, Pain, Pyrexia
Clinical narrative: Janssen COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Janssen Vaccine on 6/3/2021.  Presented to ED on 1/4/2022 with symptoms of shortness of breath, fevers, chills, body aches for the past 5 days. Admitted for acute hypoxemic respiratory failure due to Covid19 c/b CKD3, HTN, CHF DM2. Intubated and admitted to ICU. Despite therapy with dexamethsaone and baricitinib, patient decompensated and expired 1/12/22.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Janssen COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Janssen Vaccine on 6/3/2021.  Presented to ED on 1/4/2022 with symptoms of shortness of breath, fevers, chills, body aches for the past 5 days. Admitted for acute hypoxemic respiratory failure due to Covid19 c/b CKD3, HTN, CHF DM2. Intubated and admitted to ICU. Despite therapy with dexamethsaone and baricitinib, patient decompensated and expired 1/12/22.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Blood gases, COVID-19, Carbon dioxide increased, Cardiac failure
Clinical narrative: COVID +, presenting with worsening shortness of breath, cough, and chest discomfort over the last week. CXR showed evidence of vascular congestion consistent with heart failure. ABG showed elevated CO2, likely due to OSA and pt body habitus. Her new O2 requirements are likely multifactorial as she is also COVID +.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Chest discomfort, Condition aggravated, Cough, Dyspnoea
Clinical narrative: COVID +, presenting with worsening shortness of breath, cough, and chest discomfort over the last week. CXR showed evidence of vascular congestion consistent with heart failure. ABG showed elevated CO2, likely due to OSA and pt body habitus. Her new O2 requirements are likely multifactorial as she is also COVID +.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fibrin D dimer normal, Hypercapnia, Positive airway pressure therapy, Pulmonary congestion, SARS-CoV-2 test positive
Clinical narrative: COVID +, presenting with worsening shortness of breath, cough, and chest discomfort over the last week. CXR showed evidence of vascular congestion consistent with heart failure. ABG showed elevated CO2, likely due to OSA and pt body habitus. Her new O2 requirements are likely multifactorial as she is also COVID +.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sleep apnoea syndrome
Clinical narrative: COVID +, presenting with worsening shortness of breath, cough, and chest discomfort over the last week. CXR showed evidence of vascular congestion consistent with heart failure. ABG showed elevated CO2, likely due to OSA and pt body habitus. Her new O2 requirements are likely multifactorial as she is also COVID +.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Headache, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: HA, CONGESTION
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Cerebral atrophy, Computerised tomogram head normal, Confusional state, Dementia
Clinical narrative: The patient had J&J vaccine in April 2021. She had outpatient COVID-19 disease in mid-Sept 2021. She received monoclonal antibody at that time (casirivimab/imdevimab). She was still having fatigue, malaise post-COVID-19 when I saw her on Nov 30, 2021. At that time, she had already had a booster with Moderna on Nov 26, 2021 at the Pharmacy. I am not sure if they did proper screening because she had monoclonal antibody less than three months before on Sept 17, 2021. Anyway, in December, she developed rapid and severe dementia. For example, even now she doesn't remember that Christmas even happened. She got up in the middle of the night last night to go get a blood draw and was confused. She can't remember the date. She has no short term memory. She can no longer run her husband's appliance repair business as she was (scheduling, taking calls, doing tasks related to the running of the business).
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Impaired work ability, Magnetic resonance imaging head abnormal, Malaise, Scan with contrast abnormal
Clinical narrative: The patient had J&J vaccine in April 2021. She had outpatient COVID-19 disease in mid-Sept 2021. She received monoclonal antibody at that time (casirivimab/imdevimab). She was still having fatigue, malaise post-COVID-19 when I saw her on Nov 30, 2021. At that time, she had already had a booster with Moderna on Nov 26, 2021 at the Pharmacy. I am not sure if they did proper screening because she had monoclonal antibody less than three months before on Sept 17, 2021. Anyway, in December, she developed rapid and severe dementia. For example, even now she doesn't remember that Christmas even happened. She got up in the middle of the night last night to go get a blood draw and was confused. She can't remember the date. She has no short term memory. She can no longer run her husband's appliance repair business as she was (scheduling, taking calls, doing tasks related to the running of the business).
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Pain
Clinical narrative: Primary series w/ other vaccine manufacturer  Pt reported 1-4-5 rating of intermittent pain left lateral mid chest pain that began while sitting after vaccine.  Pt states that it may be the way he slept. Vitals: 14:03 103/73, 67, 12, 97.3F, 100% -- > 14:08 105/63, 65, 12 Pt stable and released from the vaccination site.  Recommended that pt f/u w/ PCP.  Call 911 or go to ER is pain increases of pt develops SOB. Pt stable and released from the vaccination site.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Cough, Death, Dyspnoea
Clinical narrative: Pfizer COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 1/20/2021, 2/10/2021 and 9/08/2021. on 1/4/2022. Presented to ED with complaints of cough and shortness of breath, admitted for acute hypoxic respiratory failure due to COVID-19 and Pseudomonas pneumonia.  She was intubated 1/5 and extubated on 1/10, treated w/steroids, vancomycin and cefepime, remained on NIV without ability to wean. Expired on 1/15.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Endotracheal intubation, Mechanical ventilation, Pneumonia pseudomonal
Clinical narrative: Pfizer COVID-19 Vaccine EUA: COVID-19 case resulting in Hospitalization / Death. Patient received Pfizer Vaccines on 1/20/2021, 2/10/2021 and 9/08/2021. on 1/4/2022. Presented to ED with complaints of cough and shortness of breath, admitted for acute hypoxic respiratory failure due to COVID-19 and Pseudomonas pneumonia.  She was intubated 1/5 and extubated on 1/10, treated w/steroids, vancomycin and cefepime, remained on NIV without ability to wean. Expired on 1/15.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site pain, Pain, Pain in extremity
Clinical narrative: Chills, body aches, pain at injection site and arm
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: The patient was given the incorrect dose 0.25mL instead of 0.3 mL
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: The patient was given 0.25ml instead of 3 ml booster vaccine .
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: PAST MEDICAL HISTORY:  The patient has a history of: Asthma             Cholelithiasis    Cognitive impairment   CVA (cerebral infarction)  Fracture (femur, patella, tibia) Frequent UTI    Giant cell tumor of tendon sheath       Hyperlipidemia LDL goal <160            Hyperthermia, malignant         Incontinence of bowel  Muscle spasticity          MVA (motor vehicle accident)  Neurogenic bladder     Organic personality disorder    Osteoporosis    Overactive bladder       Personality disorder, other       Pulmonary embolus  Renal colic       Seizure disorder           Short-term memory loss          Sinus tachycardia        Swallowing impaired    TBI (traumatic brain injury)  Wheelchair bound
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Condition aggravated, Fibromyalgia, Lyme disease, Pain
Clinical narrative: So I would say an exacerbation of lime Arthritis, and new diagnosis of Fibromyalgia, the pain never went away. Did local health visit, and was prescribed pregabalin 25mg 4 tablets 2x a day.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Dermatitis
Clinical narrative: Developed dermatitis shortly after receiving second shot.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Amphetamines positive, Angiogram cerebral, Arteriogram carotid, Blood glucose normal, Cerebral infarction
Clinical narrative: Presented 1/16 with left facial weakness, which progressed to left sided weakness, followed by altered mental status and intubation for severe encephalopathy. MRI brain with bilateral white matter changes consistent with either watershed infarcts versus leukoencephalopathy. He remains comatose and intubated with severe spasticity.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Coma, Computerised tomogram head, Echocardiogram, Ejection fraction decreased, Encephalopathy
Clinical narrative: Presented 1/16 with left facial weakness, which progressed to left sided weakness, followed by altered mental status and intubation for severe encephalopathy. MRI brain with bilateral white matter changes consistent with either watershed infarcts versus leukoencephalopathy. He remains comatose and intubated with severe spasticity.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Endotracheal intubation, Facial paresis, Hemiparesis, Leukoencephalopathy, Lumbar puncture
Clinical narrative: Presented 1/16 with left facial weakness, which progressed to left sided weakness, followed by altered mental status and intubation for severe encephalopathy. MRI brain with bilateral white matter changes consistent with either watershed infarcts versus leukoencephalopathy. He remains comatose and intubated with severe spasticity.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging head abnormal, Mental status changes, Muscle spasticity, Protein total normal, Scan with contrast abnormal
Clinical narrative: Presented 1/16 with left facial weakness, which progressed to left sided weakness, followed by altered mental status and intubation for severe encephalopathy. MRI brain with bilateral white matter changes consistent with either watershed infarcts versus leukoencephalopathy. He remains comatose and intubated with severe spasticity.
Age: 35.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Toxicologic test abnormal, White blood cell count normal, White matter lesion
Clinical narrative: Presented 1/16 with left facial weakness, which progressed to left sided weakness, followed by altered mental status and intubation for severe encephalopathy. MRI brain with bilateral white matter changes consistent with either watershed infarcts versus leukoencephalopathy. He remains comatose and intubated with severe spasticity.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pain
Clinical narrative: I could feel medium sized lumps (lymph nodes) in my left armpit from Fri Jan 7 to Tues Jan 11. I called the Pharmacy staff, who said this is a common side affect and not to be alarmed.  I also researched the matter. The lumps seemed to have gone away by Wed. Jan 12, but I started feeling an aching sensation again yesterday. As of today Fri Jan 21, 2022 the lumps are still there, but not as large as they were previously.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Hypoxia, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient received Pfizer COVID vaccine on 1/5/21 and 1/26/21. On 1/18/22, patient admitted to our inpatient facility with right middle lobe pneumonia with sepsis, acute on chronic respiratory failure with hypoxia, and COVID19 infection. As of today (1/21/22), patient is still admitted in our med/surg unit.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Sepsis
Clinical narrative: Patient received Pfizer COVID vaccine on 1/5/21 and 1/26/21. On 1/18/22, patient admitted to our inpatient facility with right middle lobe pneumonia with sepsis, acute on chronic respiratory failure with hypoxia, and COVID19 infection. As of today (1/21/22), patient is still admitted in our med/surg unit.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Rash, Swelling
Clinical narrative: first my arm was sore and swollen and a rash and grew to the size of a grapefruit and was red. i lasted for about a month and spread through out both arms and to other parts of my body like my legs and torso. i had telehealth appointment with my doctor. i took Benadryl to ease the symptoms for about 3 weeks to a month.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: The patient was given the incorrect dose 0.25mL instead of 0.3 mL
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Illness, Myalgia, Respiratory tract congestion
Clinical narrative: FEELING TIRED/SICK, HA, MUSCLE PAIN, CONGESTION
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: FEELING TIRED/SICK, HA, MUSCLE PAIN, CONGESTION
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Fall, SARS-CoV-2 test positive, Sleep apnoea syndrome
Clinical narrative: admitting to general medicine team for weakness and fall evaluation/management.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Gait inability, Guillain-Barre syndrome, Laboratory test, Magnetic resonance imaging head normal
Clinical narrative: Guillan Barre starting 4 weeks later. Pt 's symptoms gradually progressed to where she was unable to walk by 9/2021. She is slowly regaining strength.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging neck, Magnetic resonance imaging spinal normal
Clinical narrative: Guillan Barre starting 4 weeks later. Pt 's symptoms gradually progressed to where she was unable to walk by 9/2021. She is slowly regaining strength.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot
Clinical narrative: Client received the 1st  dose (Pfizer, Lot# FJ6369) at 10:39 am. EMT reported to Co-Lead Nurse at 11:00 am that client stated she is feeling well right now, but noted during the 15 minute observation she experienced some dizziness that lasted a few seconds. Co-Lead Nurs responded. Client standing in no apparent distress and skin appeared appropriate for ethnicity without any sweating, redness or swelling. Client reported to Co-Lead Nurse that she also experienced feeling hot which lasted a few seconds about 5 minutes after receiving the vaccine and reports "I don't know if it is just my anxiety." At this time, client reports she is feeling well. Client admits to history of panic attacks and reports waiting to receive any COVID 19 vaccine due to anxiety related to adverse effects of vaccine. Vital signs were taken at 11:03 am and were as follows BP 124/78, Pulse 110, 02 saturation 99% room air, RR 18.  Client reports she did not eat breakfast this morning and was provided with a juice.  Client denies experiencing shortness of breath, chest tightness, dizziness, palpitations, nausea, or itchiness of face, head, legs, arms and palms. Clients medical history includes anxiety, panic attacks, and depression. Client denies known allergies or taking medications at home. At 11:20 am vital signs were as follows BP 110/76, Pulse: 90, RR16, O2 saturation 98% room air. At 11:27 am, Co-Lead Nurse educated client on ER precautions, how to sign up for V-safe, and when to follow up with PCP. Client verbalized understanding. At 11:30 am the client left the vaccine site with a steady and symmetrical gait.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Ear discomfort, Feeling abnormal, Headache, Magnetic resonance imaging
Clinical narrative: When it first began, my ears started pounding and I would get dizzy. My eyes got fuzzy. The pounding traveled to my head along with shooting pains going from my neck to my head. That last 25 to 30 seconds. I would have 3 to 4 episodes per day which lasted about 2 and a half weeks. My doctor ordered MRI which was normal. Now the episodes only happen every once in a while. It is getting better but still happens occasionally.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain
Clinical narrative: When it first began, my ears started pounding and I would get dizzy. My eyes got fuzzy. The pounding traveled to my head along with shooting pains going from my neck to my head. That last 25 to 30 seconds. I would have 3 to 4 episodes per day which lasted about 2 and a half weeks. My doctor ordered MRI which was normal. Now the episodes only happen every once in a while. It is getting better but still happens occasionally.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Feeling hot, Malaise, Thirst
Clinical narrative: approximately 6 hours after the booster (around 3pm) he felt ill.  at 7:30 pm his temperature was 99.6, he took two 500 mg of tylenol and went to bed.  at 3:30 am he was still feeling ill and still felt warm didn't check his temp with a thermometer however.  He took two more 500 mg of tylenol and went back to bed.   went back to bed after taking the tylenol and slept until 1pm the next day (today 1-21-2022).  He was thirsty but said he felt some better.  didn't take any tylenol but did drink some water.  he asked me for more tylenol at 2:20 pm i checked his temperature with a forehead scanning thermometer, his temp was 102.4
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Basal ganglia haemorrhage, Cerebral haemorrhage, Computerised tomogram head abnormal, Hemiparesis, Hydrocephalus
Clinical narrative: Presented 1/13 with left sided weakness. Found to have acute right basal ganglia intracerebral hemorrhage with interventricular hemorrhage and hydrocephalus. Course complicated by worsening hydrocephalus needing external ventricular drain placement.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: International normalised ratio normal, Intraventricular haemorrhage, Platelet count normal, Ventricular drainage
Clinical narrative: Presented 1/13 with left sided weakness. Found to have acute right basal ganglia intracerebral hemorrhage with interventricular hemorrhage and hydrocephalus. Course complicated by worsening hydrocephalus needing external ventricular drain placement.