chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injection site erythema, Injection site swelling, Pruritus, Skin warm
Clinical narrative: Stem red, slightly smaller than a tennis ball swollen area. Raised ?bump? at injection site. Slightly improved after 10/29 injection date, on 11/1. Very itchy, warm to touch area. Achy joints.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Pruritus
Clinical narrative: I was 13 week and 4 days along when I received the vaccine I am due May 2nd, 2021. Adverse event was itching on joints such as feet, hands, elbows, knees  and a random spot on my right arm.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Insomnia, Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen lymph node L armpit, extremely painful. Reduced/resolved, yet still painful on 10/27. Friday 10/29 L armpit lymph node swollen again with R armpit lymph node swollen. Very painful, stop swollen. Holler with backpack painful, difficult sleeping on both sides. PCP ordered CBC today, another appt scheduled.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect route of product administration
Clinical narrative: Previous Vaers entered for patients 2nd dose administered in the ventrogluteal site. Chart review reflects patient also received first dose via ventrogluteal muscle versus the deltoid muscle. Patient reported no side effects from first vaccine.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: NO ADVERSE EVENT OCCURED.  VACCINE ADMINSTERED PAST BUD
Sex: M
Vaccine: HEP
Symptoms: Nasal flaring, Rash
Clinical narrative: baby had generalized rashes on face, legs, body 2hrs after the IM administration by RN, baby also had nasal flaring with pulse ox of 100% in room air as repoted by RN. Most of the rashes resolve by itself the following day but still has some rashes on BLE, chest and some on face prior to discharge on 10/30/2021 and was snorty but pulse ox was 99% in room air, no retractions or nasal flariing noted. instructed to follow up with Dr on 11/1/2021. Baby's parents speak a different language.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: NO ADVERSE EVENT OCCURED.  VACCINE ADMINSTERED PAST BUD.
Age: 72.0
Sex: F
Vaccine: FLUA4
Symptoms: Asthenia, Fatigue, Illness, Musculoskeletal stiffness, Pain
Clinical narrative: I begin by saying I am rarely sick and am not inclined to focus on discomforts. After almost six weeks of dealing with these issues I must mention them.  1.  Afternoon fatigue that causes me to nap for about an hour most days. Prior to the injection I never took naps! I needed one again today. 2. Pain, weakness and stiffness throughout my body (arms, legs, neck, hips) made getting out of bed extremely difficult. This began about three days post-injection and continued for at least a week.  Once up I could walk slowly, but the backs of my legs were very stiff for several hours each day.  3. Tingling pain in my fingers and wrists at night. It has gotten better but I experienced a mild case again last night. 4. Terrible pain in both arms at night, particularly from biceps to shoulders, that keeps me from sleeping. The right side seems to be almost normal as of about five days ago. The left continues to be painful. Ibuprofen helps. 5. Daytime pain and weakness in both arms, near the biceps, that make it very difficult to lift my arms. This made it painful for example, to get dressed or to place items on a high kitchen cabinet. It began a few days post-injection. The difficulty is worse in the morning and improves as each day wears on, but returns the next morning. Both arms are improving. As of today the left still has pain and weakness. The right seems to be almost normal as of about five days ago. 6. Neck pain and stiffness that lasted about two weeks.  7. Mild, occasional, transient headaches. I experienced another one yesterday.
Age: 72.0
Sex: F
Vaccine: FLUA4
Symptoms: Paraesthesia, Somnolence
Clinical narrative: I begin by saying I am rarely sick and am not inclined to focus on discomforts. After almost six weeks of dealing with these issues I must mention them.  1.  Afternoon fatigue that causes me to nap for about an hour most days. Prior to the injection I never took naps! I needed one again today. 2. Pain, weakness and stiffness throughout my body (arms, legs, neck, hips) made getting out of bed extremely difficult. This began about three days post-injection and continued for at least a week.  Once up I could walk slowly, but the backs of my legs were very stiff for several hours each day.  3. Tingling pain in my fingers and wrists at night. It has gotten better but I experienced a mild case again last night. 4. Terrible pain in both arms at night, particularly from biceps to shoulders, that keeps me from sleeping. The right side seems to be almost normal as of about five days ago. The left continues to be painful. Ibuprofen helps. 5. Daytime pain and weakness in both arms, near the biceps, that make it very difficult to lift my arms. This made it painful for example, to get dressed or to place items on a high kitchen cabinet. It began a few days post-injection. The difficulty is worse in the morning and improves as each day wears on, but returns the next morning. Both arms are improving. As of today the left still has pain and weakness. The right seems to be almost normal as of about five days ago. 6. Neck pain and stiffness that lasted about two weeks.  7. Mild, occasional, transient headaches. I experienced another one yesterday.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Blood glucose decreased, COVID-19, Computerised tomogram abdomen normal, Computerised tomogram thorax normal
Clinical narrative: Hospitalized (10.25.21);  COVID-19 positive;  Fully Vaccinated Discharge Provider: MD Primary Care Provider: MD Admission Date: 10/25/2021 Discharge Date: 10/28/21 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Sepsis  Shock    HOSPITAL COURSE: Patient is a 60 year old woman with PMHx of uncontrolled Dm1, gastroparesis, HTN, HLD, hypothyroidism, GERD. She is fully vaccinated against COVID-19 with Pfizer (last dose 4/20/21). For approximately 1 week prior to her hospitalization, she had not been feeling well, with nausea, vomiting, lethargy, and abdominal pain. She attributed her symptoms to gastroparesis. It seems she frequently becomes quite symptomatic from her gastroparesis, and her husband will sometimes crush up diazepam and promethazine for her when she gets that way. Her PO intake had been quite poor over the past few days. She was brought to the ED on 10/25/21 after being found by her husband, "cold, grey, gurgling, and looking like death" with a blood sugar as low as 23. EMS was called, she was given D10 and also found to be hypoxic to 83% on room air. In the emergency department she was found to be hypothermic to 33 C, hypotensive with BP's of 70's/40's. She was given 2 L IV fluids without improvement in BP's, and so was started on norepinephrine and admitted to MICU for further management. CT chest/abd/pelv was negative for obvious infectious source, she was started on zosyn empirically. She was found to be positive for COVID-19. Overnight she did become hypoxic to 88% and was placed on 1L nasal cannula, but her O2 saturations improved once she was awake. She was quickly weaned off of pressors. On 10/26 she remained hemodynamically stable to transfer out of the ICU. She developed hyperglycemia for which she was placed on endotool. Her nausea and vomiting had resolved. Her zosyn was discontinued and she was monitored. Pt was transitioned off of endotool by DGMS and was deemed stable for discharge on her pre-hospital DM regimen
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Gastrointestinal sounds abnormal, General physical condition abnormal, Hyperglycaemia, Hypophagia
Clinical narrative: Hospitalized (10.25.21);  COVID-19 positive;  Fully Vaccinated Discharge Provider: MD Primary Care Provider: MD Admission Date: 10/25/2021 Discharge Date: 10/28/21 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Sepsis  Shock    HOSPITAL COURSE: Patient is a 60 year old woman with PMHx of uncontrolled Dm1, gastroparesis, HTN, HLD, hypothyroidism, GERD. She is fully vaccinated against COVID-19 with Pfizer (last dose 4/20/21). For approximately 1 week prior to her hospitalization, she had not been feeling well, with nausea, vomiting, lethargy, and abdominal pain. She attributed her symptoms to gastroparesis. It seems she frequently becomes quite symptomatic from her gastroparesis, and her husband will sometimes crush up diazepam and promethazine for her when she gets that way. Her PO intake had been quite poor over the past few days. She was brought to the ED on 10/25/21 after being found by her husband, "cold, grey, gurgling, and looking like death" with a blood sugar as low as 23. EMS was called, she was given D10 and also found to be hypoxic to 83% on room air. In the emergency department she was found to be hypothermic to 33 C, hypotensive with BP's of 70's/40's. She was given 2 L IV fluids without improvement in BP's, and so was started on norepinephrine and admitted to MICU for further management. CT chest/abd/pelv was negative for obvious infectious source, she was started on zosyn empirically. She was found to be positive for COVID-19. Overnight she did become hypoxic to 88% and was placed on 1L nasal cannula, but her O2 saturations improved once she was awake. She was quickly weaned off of pressors. On 10/26 she remained hemodynamically stable to transfer out of the ICU. She developed hyperglycemia for which she was placed on endotool. Her nausea and vomiting had resolved. Her zosyn was discontinued and she was monitored. Pt was transitioned off of endotool by DGMS and was deemed stable for discharge on her pre-hospital DM regimen
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypotension, Hypothermia, Hypoxia, Intensive care, Lethargy
Clinical narrative: Hospitalized (10.25.21);  COVID-19 positive;  Fully Vaccinated Discharge Provider: MD Primary Care Provider: MD Admission Date: 10/25/2021 Discharge Date: 10/28/21 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Sepsis  Shock    HOSPITAL COURSE: Patient is a 60 year old woman with PMHx of uncontrolled Dm1, gastroparesis, HTN, HLD, hypothyroidism, GERD. She is fully vaccinated against COVID-19 with Pfizer (last dose 4/20/21). For approximately 1 week prior to her hospitalization, she had not been feeling well, with nausea, vomiting, lethargy, and abdominal pain. She attributed her symptoms to gastroparesis. It seems she frequently becomes quite symptomatic from her gastroparesis, and her husband will sometimes crush up diazepam and promethazine for her when she gets that way. Her PO intake had been quite poor over the past few days. She was brought to the ED on 10/25/21 after being found by her husband, "cold, grey, gurgling, and looking like death" with a blood sugar as low as 23. EMS was called, she was given D10 and also found to be hypoxic to 83% on room air. In the emergency department she was found to be hypothermic to 33 C, hypotensive with BP's of 70's/40's. She was given 2 L IV fluids without improvement in BP's, and so was started on norepinephrine and admitted to MICU for further management. CT chest/abd/pelv was negative for obvious infectious source, she was started on zosyn empirically. She was found to be positive for COVID-19. Overnight she did become hypoxic to 88% and was placed on 1L nasal cannula, but her O2 saturations improved once she was awake. She was quickly weaned off of pressors. On 10/26 she remained hemodynamically stable to transfer out of the ICU. She developed hyperglycemia for which she was placed on endotool. Her nausea and vomiting had resolved. Her zosyn was discontinued and she was monitored. Pt was transitioned off of endotool by DGMS and was deemed stable for discharge on her pre-hospital DM regimen
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Nausea, Oxygen saturation abnormal, Peripheral coldness, SARS-CoV-2 test positive
Clinical narrative: Hospitalized (10.25.21);  COVID-19 positive;  Fully Vaccinated Discharge Provider: MD Primary Care Provider: MD Admission Date: 10/25/2021 Discharge Date: 10/28/21 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Sepsis  Shock    HOSPITAL COURSE: Patient is a 60 year old woman with PMHx of uncontrolled Dm1, gastroparesis, HTN, HLD, hypothyroidism, GERD. She is fully vaccinated against COVID-19 with Pfizer (last dose 4/20/21). For approximately 1 week prior to her hospitalization, she had not been feeling well, with nausea, vomiting, lethargy, and abdominal pain. She attributed her symptoms to gastroparesis. It seems she frequently becomes quite symptomatic from her gastroparesis, and her husband will sometimes crush up diazepam and promethazine for her when she gets that way. Her PO intake had been quite poor over the past few days. She was brought to the ED on 10/25/21 after being found by her husband, "cold, grey, gurgling, and looking like death" with a blood sugar as low as 23. EMS was called, she was given D10 and also found to be hypoxic to 83% on room air. In the emergency department she was found to be hypothermic to 33 C, hypotensive with BP's of 70's/40's. She was given 2 L IV fluids without improvement in BP's, and so was started on norepinephrine and admitted to MICU for further management. CT chest/abd/pelv was negative for obvious infectious source, she was started on zosyn empirically. She was found to be positive for COVID-19. Overnight she did become hypoxic to 88% and was placed on 1L nasal cannula, but her O2 saturations improved once she was awake. She was quickly weaned off of pressors. On 10/26 she remained hemodynamically stable to transfer out of the ICU. She developed hyperglycemia for which she was placed on endotool. Her nausea and vomiting had resolved. Her zosyn was discontinued and she was monitored. Pt was transitioned off of endotool by DGMS and was deemed stable for discharge on her pre-hospital DM regimen
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sepsis, Shock, Skin discolouration, Vomiting
Clinical narrative: Hospitalized (10.25.21);  COVID-19 positive;  Fully Vaccinated Discharge Provider: MD Primary Care Provider: MD Admission Date: 10/25/2021 Discharge Date: 10/28/21 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Sepsis  Shock    HOSPITAL COURSE: Patient is a 60 year old woman with PMHx of uncontrolled Dm1, gastroparesis, HTN, HLD, hypothyroidism, GERD. She is fully vaccinated against COVID-19 with Pfizer (last dose 4/20/21). For approximately 1 week prior to her hospitalization, she had not been feeling well, with nausea, vomiting, lethargy, and abdominal pain. She attributed her symptoms to gastroparesis. It seems she frequently becomes quite symptomatic from her gastroparesis, and her husband will sometimes crush up diazepam and promethazine for her when she gets that way. Her PO intake had been quite poor over the past few days. She was brought to the ED on 10/25/21 after being found by her husband, "cold, grey, gurgling, and looking like death" with a blood sugar as low as 23. EMS was called, she was given D10 and also found to be hypoxic to 83% on room air. In the emergency department she was found to be hypothermic to 33 C, hypotensive with BP's of 70's/40's. She was given 2 L IV fluids without improvement in BP's, and so was started on norepinephrine and admitted to MICU for further management. CT chest/abd/pelv was negative for obvious infectious source, she was started on zosyn empirically. She was found to be positive for COVID-19. Overnight she did become hypoxic to 88% and was placed on 1L nasal cannula, but her O2 saturations improved once she was awake. She was quickly weaned off of pressors. On 10/26 she remained hemodynamically stable to transfer out of the ICU. She developed hyperglycemia for which she was placed on endotool. Her nausea and vomiting had resolved. Her zosyn was discontinued and she was monitored. Pt was transitioned off of endotool by DGMS and was deemed stable for discharge on her pre-hospital DM regimen
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Dyspnoea, Muscle spasms, Swelling face
Clinical narrative: Facial swelling, dizziness, weakness, muscle cramps/spams, difficulty breathing
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram, Electrocardiogram abnormal, Electrocardiogram ambulatory abnormal, Extrasystoles
Clinical narrative: Heart skipping beats and also a thumping feeling with lightheaded feelings.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Ventricular extrasystoles
Clinical narrative: Heart skipping beats and also a thumping feeling with lightheaded feelings.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Contusion, Immune thrombocytopenia
Clinical narrative: Almost one week post vaccination, I noticed unexplained bruising on the backs of my legs consistent with ITP. I was seen I two urgent cares and was sent for follow up bloodwork. By the time bloodwork came back, all levels were within normal range.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaphylactic reaction, Feeling abnormal, Hyperhidrosis, Pruritus
Clinical narrative: Patient described having a warm feeling run down vaccination arm and then sweaty hands within 5 minutes of vaccine. Within 15 minutes she said she was feeling itchy. She was given loratadine 10 mg tab and a bottle of cool water. She declined signs and symptoms of anaphylaxis, besides the itching. The itching spread to her trunk and we called EMS, but by the time they arrived patient was feeling better. They assessed her and she declined to be transported to the hospital.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Dizziness, Dysphagia, Dyspnoea, Fatigue
Clinical narrative: Patient described having a warm feeling run down vaccination arm and then sweaty hands within 5 minutes of vaccine. Within 15 minutes she said she was feeling itchy. She was given loratadine 10 mg tab and a bottle of cool water. She declined signs and symptoms of anaphylaxis, besides the itching. The itching spread to her trunk and we called EMS, but by the time they arrived patient was feeling better. They assessed her and she declined to be transported to the hospital.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Hypertension, Hypoaesthesia oral, Nausea, Pruritus
Clinical narrative: Patient described having a warm feeling run down vaccination arm and then sweaty hands within 5 minutes of vaccine. Within 15 minutes she said she was feeling itchy. She was given loratadine 10 mg tab and a bottle of cool water. She declined signs and symptoms of anaphylaxis, besides the itching. The itching spread to her trunk and we called EMS, but by the time they arrived patient was feeling better. They assessed her and she declined to be transported to the hospital.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Skin warm, Vomiting
Clinical narrative: Patient described having a warm feeling run down vaccination arm and then sweaty hands within 5 minutes of vaccine. Within 15 minutes she said she was feeling itchy. She was given loratadine 10 mg tab and a bottle of cool water. She declined signs and symptoms of anaphylaxis, besides the itching. The itching spread to her trunk and we called EMS, but by the time they arrived patient was feeling better. They assessed her and she declined to be transported to the hospital.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Joint injury, Menopause, Muscle spasms, Paraesthesia, Tremor
Clinical narrative: tingling in my lower spine the same day of the shot. Next day tingling traveled to chest (left side). The day after to the right side of my head by temple. Muscle tremors began on my mouth and chin afterward. Then muscle tremors on hands and feet. The muscles spasm were over a span of about 3 weeks. Then began severe and painful muscle cramps, in my legs, feet and hands. I am in menopause and I felt menstrual cycle cramps after not having a menstrual cycle in 3 years. My left knee gave out sporadically but I was able to maintain standing with my right leg.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Skin swelling
Clinical narrative: PATIENT REPORTS HAVING PAIN IN LEFT ARMPIT AND A BUMP UNDER THE SKIN IN THE SAME LEFT ARM AS VACCINE WAS GIVEN.  PATIENT SAID IT STARTED MONDAY MORNING AROUND 9:30AM AND HAS NOT TAKEN ANY MEDICATION OVER THE COUNTER.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient received Pfizer COVID vaccine on 2/26/21 and 3/19/21 in another state. On 10/22/21, patient tested positive for COVID at outside facility. On 10/28/21, patient admitted to our facility for acute hypoxic respiratory failure secondary to COVID-19 pneumonia and possible concomitant superimposed bacterial pneumonia. As of today (11/1/21), patient is still admitted in our med/surg unit.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest discomfort, Chest pain, Electrocardiogram
Clinical narrative: On 3/3/2021, experienced severe headache, body aches, fever, and generalized feeling of inflammation throughout body. Headache & fever resolved by 3/4/2021. Body aches, fatigue & inflammation resolved after a week or so. However, felt dull pain and sense of inflammation on left side of chest, tingling sensation in left arm. By 3/21/2021, I became so concerned about symptoms that I went to the ER.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Inflammation, Pain, Paraesthesia, Pyrexia
Clinical narrative: On 3/3/2021, experienced severe headache, body aches, fever, and generalized feeling of inflammation throughout body. Headache & fever resolved by 3/4/2021. Body aches, fatigue & inflammation resolved after a week or so. However, felt dull pain and sense of inflammation on left side of chest, tingling sensation in left arm. By 3/21/2021, I became so concerned about symptoms that I went to the ER.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Bacterial infection, C-reactive protein, COVID-19, COVID-19 pneumonia
Clinical narrative: Hospitalized (10.24.21 - currently still admitted);  COVID-19 positive;  fully vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 52 y.o. male who presents today with shortness of breath, cough and fever. The patient has a history of diabetes, HTN, GERD. He started to feel like he was getting a mild cold on 10/18 with congestion, runny nose, chills and a mild cough. The next day he had worsening cough and fever and came to the ER. He was diagnosed with COVID and sent home with cough medicine and an albuterol inhaler. He continued to have worsening cough, his PCP gave him prednisone and a Zpack. He has a pulse ox on his watch and today it started dropping into the 80s so he came to the ER for evaluation. The patient is fully vaccinated for COVID. He was scheduled to have monoclonal antibodies tomorrow. In the ER the patient was febrile, hypoxic and found to have hypokalemia. He had a normal d dimer. CXR showed covid pneumonia. He was started on dexamethasone and supplemental oxygen. The hospitalist team was contacted for further management * Pneumonia due to COVID-19 virus Assessment & Plan Fully vaccinated  Symptoms began 10/19, tested positive 10/20 Requiring 2L NC Start dexamethasone, remdesivir  Monitor CRP, CMP, CBC, d dimer Procal elevated, will start antibiotics for superimposed bacteria infection. Was already on azithro outpatient, continue this and add rocephin Supportive care Wean oxygen as tolerated Lovenox for DVT prophylaxis  Progress Note 11.1.21: Acute respiratory failure with hypoxia Assessment & Plan  high-flow nasal cannula now weaned to 6 l nc, clinically feels and looks improved   ddimer, crp, lft stable   Continue dvt prophylaxis with lovenox , repeat imaging prn with clinical changes , currently improving oxygenation needs -continue with supplemental oxygen for now, goal oxygen saturation greater than 92% * Pneumonia due to COVID-19 virus Assessment & Plan -symptom onset 10/18 -presented requiring 2 L of oxygen,  weaned to  Hfnc at 45 / 45  Now 6 l nc   -still on dexamethasone, now day 9 of 10 -completed remdesivir 5 of 5 -procalcitonin was elevated, completed a course of azithromycin and x6 day  Ceftriaxone day x 6  cxr 10/28  with Interval worsening of bilateral airspace opacities, consistent with worsening COVID 19 pneumonia.  -continue to encourage prone positioning   Clinically improving , afebrile , >10 day onset ss can dc severe respiratory isolation
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Chills, Condition aggravated, Cough, Dyspnoea exertional
Clinical narrative: Hospitalized (10.24.21 - currently still admitted);  COVID-19 positive;  fully vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 52 y.o. male who presents today with shortness of breath, cough and fever. The patient has a history of diabetes, HTN, GERD. He started to feel like he was getting a mild cold on 10/18 with congestion, runny nose, chills and a mild cough. The next day he had worsening cough and fever and came to the ER. He was diagnosed with COVID and sent home with cough medicine and an albuterol inhaler. He continued to have worsening cough, his PCP gave him prednisone and a Zpack. He has a pulse ox on his watch and today it started dropping into the 80s so he came to the ER for evaluation. The patient is fully vaccinated for COVID. He was scheduled to have monoclonal antibodies tomorrow. In the ER the patient was febrile, hypoxic and found to have hypokalemia. He had a normal d dimer. CXR showed covid pneumonia. He was started on dexamethasone and supplemental oxygen. The hospitalist team was contacted for further management * Pneumonia due to COVID-19 virus Assessment & Plan Fully vaccinated  Symptoms began 10/19, tested positive 10/20 Requiring 2L NC Start dexamethasone, remdesivir  Monitor CRP, CMP, CBC, d dimer Procal elevated, will start antibiotics for superimposed bacteria infection. Was already on azithro outpatient, continue this and add rocephin Supportive care Wean oxygen as tolerated Lovenox for DVT prophylaxis  Progress Note 11.1.21: Acute respiratory failure with hypoxia Assessment & Plan  high-flow nasal cannula now weaned to 6 l nc, clinically feels and looks improved   ddimer, crp, lft stable   Continue dvt prophylaxis with lovenox , repeat imaging prn with clinical changes , currently improving oxygenation needs -continue with supplemental oxygen for now, goal oxygen saturation greater than 92% * Pneumonia due to COVID-19 virus Assessment & Plan -symptom onset 10/18 -presented requiring 2 L of oxygen,  weaned to  Hfnc at 45 / 45  Now 6 l nc   -still on dexamethasone, now day 9 of 10 -completed remdesivir 5 of 5 -procalcitonin was elevated, completed a course of azithromycin and x6 day  Ceftriaxone day x 6  cxr 10/28  with Interval worsening of bilateral airspace opacities, consistent with worsening COVID 19 pneumonia.  -continue to encourage prone positioning   Clinically improving , afebrile , >10 day onset ss can dc severe respiratory isolation
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fibrin D dimer normal, Full blood count, Hypokalaemia, Hypoxia, Liver function test
Clinical narrative: Hospitalized (10.24.21 - currently still admitted);  COVID-19 positive;  fully vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 52 y.o. male who presents today with shortness of breath, cough and fever. The patient has a history of diabetes, HTN, GERD. He started to feel like he was getting a mild cold on 10/18 with congestion, runny nose, chills and a mild cough. The next day he had worsening cough and fever and came to the ER. He was diagnosed with COVID and sent home with cough medicine and an albuterol inhaler. He continued to have worsening cough, his PCP gave him prednisone and a Zpack. He has a pulse ox on his watch and today it started dropping into the 80s so he came to the ER for evaluation. The patient is fully vaccinated for COVID. He was scheduled to have monoclonal antibodies tomorrow. In the ER the patient was febrile, hypoxic and found to have hypokalemia. He had a normal d dimer. CXR showed covid pneumonia. He was started on dexamethasone and supplemental oxygen. The hospitalist team was contacted for further management * Pneumonia due to COVID-19 virus Assessment & Plan Fully vaccinated  Symptoms began 10/19, tested positive 10/20 Requiring 2L NC Start dexamethasone, remdesivir  Monitor CRP, CMP, CBC, d dimer Procal elevated, will start antibiotics for superimposed bacteria infection. Was already on azithro outpatient, continue this and add rocephin Supportive care Wean oxygen as tolerated Lovenox for DVT prophylaxis  Progress Note 11.1.21: Acute respiratory failure with hypoxia Assessment & Plan  high-flow nasal cannula now weaned to 6 l nc, clinically feels and looks improved   ddimer, crp, lft stable   Continue dvt prophylaxis with lovenox , repeat imaging prn with clinical changes , currently improving oxygenation needs -continue with supplemental oxygen for now, goal oxygen saturation greater than 92% * Pneumonia due to COVID-19 virus Assessment & Plan -symptom onset 10/18 -presented requiring 2 L of oxygen,  weaned to  Hfnc at 45 / 45  Now 6 l nc   -still on dexamethasone, now day 9 of 10 -completed remdesivir 5 of 5 -procalcitonin was elevated, completed a course of azithromycin and x6 day  Ceftriaxone day x 6  cxr 10/28  with Interval worsening of bilateral airspace opacities, consistent with worsening COVID 19 pneumonia.  -continue to encourage prone positioning   Clinically improving , afebrile , >10 day onset ss can dc severe respiratory isolation
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lung opacity, Metabolic function test, Nasopharyngitis, Oxygen saturation decreased, Procalcitonin increased
Clinical narrative: Hospitalized (10.24.21 - currently still admitted);  COVID-19 positive;  fully vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 52 y.o. male who presents today with shortness of breath, cough and fever. The patient has a history of diabetes, HTN, GERD. He started to feel like he was getting a mild cold on 10/18 with congestion, runny nose, chills and a mild cough. The next day he had worsening cough and fever and came to the ER. He was diagnosed with COVID and sent home with cough medicine and an albuterol inhaler. He continued to have worsening cough, his PCP gave him prednisone and a Zpack. He has a pulse ox on his watch and today it started dropping into the 80s so he came to the ER for evaluation. The patient is fully vaccinated for COVID. He was scheduled to have monoclonal antibodies tomorrow. In the ER the patient was febrile, hypoxic and found to have hypokalemia. He had a normal d dimer. CXR showed covid pneumonia. He was started on dexamethasone and supplemental oxygen. The hospitalist team was contacted for further management * Pneumonia due to COVID-19 virus Assessment & Plan Fully vaccinated  Symptoms began 10/19, tested positive 10/20 Requiring 2L NC Start dexamethasone, remdesivir  Monitor CRP, CMP, CBC, d dimer Procal elevated, will start antibiotics for superimposed bacteria infection. Was already on azithro outpatient, continue this and add rocephin Supportive care Wean oxygen as tolerated Lovenox for DVT prophylaxis  Progress Note 11.1.21: Acute respiratory failure with hypoxia Assessment & Plan  high-flow nasal cannula now weaned to 6 l nc, clinically feels and looks improved   ddimer, crp, lft stable   Continue dvt prophylaxis with lovenox , repeat imaging prn with clinical changes , currently improving oxygenation needs -continue with supplemental oxygen for now, goal oxygen saturation greater than 92% * Pneumonia due to COVID-19 virus Assessment & Plan -symptom onset 10/18 -presented requiring 2 L of oxygen,  weaned to  Hfnc at 45 / 45  Now 6 l nc   -still on dexamethasone, now day 9 of 10 -completed remdesivir 5 of 5 -procalcitonin was elevated, completed a course of azithromycin and x6 day  Ceftriaxone day x 6  cxr 10/28  with Interval worsening of bilateral airspace opacities, consistent with worsening COVID 19 pneumonia.  -continue to encourage prone positioning   Clinically improving , afebrile , >10 day onset ss can dc severe respiratory isolation
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Superinfection
Clinical narrative: Hospitalized (10.24.21 - currently still admitted);  COVID-19 positive;  fully vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 52 y.o. male who presents today with shortness of breath, cough and fever. The patient has a history of diabetes, HTN, GERD. He started to feel like he was getting a mild cold on 10/18 with congestion, runny nose, chills and a mild cough. The next day he had worsening cough and fever and came to the ER. He was diagnosed with COVID and sent home with cough medicine and an albuterol inhaler. He continued to have worsening cough, his PCP gave him prednisone and a Zpack. He has a pulse ox on his watch and today it started dropping into the 80s so he came to the ER for evaluation. The patient is fully vaccinated for COVID. He was scheduled to have monoclonal antibodies tomorrow. In the ER the patient was febrile, hypoxic and found to have hypokalemia. He had a normal d dimer. CXR showed covid pneumonia. He was started on dexamethasone and supplemental oxygen. The hospitalist team was contacted for further management * Pneumonia due to COVID-19 virus Assessment & Plan Fully vaccinated  Symptoms began 10/19, tested positive 10/20 Requiring 2L NC Start dexamethasone, remdesivir  Monitor CRP, CMP, CBC, d dimer Procal elevated, will start antibiotics for superimposed bacteria infection. Was already on azithro outpatient, continue this and add rocephin Supportive care Wean oxygen as tolerated Lovenox for DVT prophylaxis  Progress Note 11.1.21: Acute respiratory failure with hypoxia Assessment & Plan  high-flow nasal cannula now weaned to 6 l nc, clinically feels and looks improved   ddimer, crp, lft stable   Continue dvt prophylaxis with lovenox , repeat imaging prn with clinical changes , currently improving oxygenation needs -continue with supplemental oxygen for now, goal oxygen saturation greater than 92% * Pneumonia due to COVID-19 virus Assessment & Plan -symptom onset 10/18 -presented requiring 2 L of oxygen,  weaned to  Hfnc at 45 / 45  Now 6 l nc   -still on dexamethasone, now day 9 of 10 -completed remdesivir 5 of 5 -procalcitonin was elevated, completed a course of azithromycin and x6 day  Ceftriaxone day x 6  cxr 10/28  with Interval worsening of bilateral airspace opacities, consistent with worsening COVID 19 pneumonia.  -continue to encourage prone positioning   Clinically improving , afebrile , >10 day onset ss can dc severe respiratory isolation
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Viral upper respiratory tract infection
Clinical narrative: Hospitalized (10.24.21 - currently still admitted);  COVID-19 positive;  fully vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 52 y.o. male who presents today with shortness of breath, cough and fever. The patient has a history of diabetes, HTN, GERD. He started to feel like he was getting a mild cold on 10/18 with congestion, runny nose, chills and a mild cough. The next day he had worsening cough and fever and came to the ER. He was diagnosed with COVID and sent home with cough medicine and an albuterol inhaler. He continued to have worsening cough, his PCP gave him prednisone and a Zpack. He has a pulse ox on his watch and today it started dropping into the 80s so he came to the ER for evaluation. The patient is fully vaccinated for COVID. He was scheduled to have monoclonal antibodies tomorrow. In the ER the patient was febrile, hypoxic and found to have hypokalemia. He had a normal d dimer. CXR showed covid pneumonia. He was started on dexamethasone and supplemental oxygen. The hospitalist team was contacted for further management * Pneumonia due to COVID-19 virus Assessment & Plan Fully vaccinated  Symptoms began 10/19, tested positive 10/20 Requiring 2L NC Start dexamethasone, remdesivir  Monitor CRP, CMP, CBC, d dimer Procal elevated, will start antibiotics for superimposed bacteria infection. Was already on azithro outpatient, continue this and add rocephin Supportive care Wean oxygen as tolerated Lovenox for DVT prophylaxis  Progress Note 11.1.21: Acute respiratory failure with hypoxia Assessment & Plan  high-flow nasal cannula now weaned to 6 l nc, clinically feels and looks improved   ddimer, crp, lft stable   Continue dvt prophylaxis with lovenox , repeat imaging prn with clinical changes , currently improving oxygenation needs -continue with supplemental oxygen for now, goal oxygen saturation greater than 92% * Pneumonia due to COVID-19 virus Assessment & Plan -symptom onset 10/18 -presented requiring 2 L of oxygen,  weaned to  Hfnc at 45 / 45  Now 6 l nc   -still on dexamethasone, now day 9 of 10 -completed remdesivir 5 of 5 -procalcitonin was elevated, completed a course of azithromycin and x6 day  Ceftriaxone day x 6  cxr 10/28  with Interval worsening of bilateral airspace opacities, consistent with worsening COVID 19 pneumonia.  -continue to encourage prone positioning   Clinically improving , afebrile , >10 day onset ss can dc severe respiratory isolation
Age: 26.0
Sex: F
Vaccine: FLU4
Symptoms: Cold sweat, Dizziness, Headache, Lip dry, Malaise
Clinical narrative: About 3-5 minutes after getting the shot, I got a headache, severe cold sweats, felt nauseas, and felt dizzy. In the middle of the night, I woke up with extremely dry lips, cold sweats, a headache, and dizziness. The dizziness started going away after hydrating. However, I did not feel entirely well until around 11AM the next morning.
Age: 26.0
Sex: F
Vaccine: FLU4
Symptoms: Nausea, Sleep disorder
Clinical narrative: About 3-5 minutes after getting the shot, I got a headache, severe cold sweats, felt nauseas, and felt dizzy. In the middle of the night, I woke up with extremely dry lips, cold sweats, a headache, and dizziness. The dizziness started going away after hydrating. However, I did not feel entirely well until around 11AM the next morning.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood pressure increased, Dizziness, Injection site pain, Musculoskeletal pain
Clinical narrative: Severe pain from under left shoulder blade to injection spot. The pain has kept me from sleeping because I cannot lay down or get any relief. I tried heat, ice, tens unit, over the counter pain meds, handheld massage but I could not get any relief. After several days of constant pain with no relief I went to my primary care doctor. He order physical therapy and said massage therapy would also be helpful. I went for massage the following day. After massage I was relaxed and thought I might have a little relief from my pain. However, my blood pressure was 164/102 and I was dizzy and nauseated afterwards. My blood pressure started going down after about 20 mins. Although my blood pressure has not been that high it has been elevated over the last 3 days. My blood pressure averages 138/72 prior to vaccine. I'm still having non stop pain in my shoulder too.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Sleep disorder
Clinical narrative: Severe pain from under left shoulder blade to injection spot. The pain has kept me from sleeping because I cannot lay down or get any relief. I tried heat, ice, tens unit, over the counter pain meds, handheld massage but I could not get any relief. After several days of constant pain with no relief I went to my primary care doctor. He order physical therapy and said massage therapy would also be helpful. I went for massage the following day. After massage I was relaxed and thought I might have a little relief from my pain. However, my blood pressure was 164/102 and I was dizzy and nauseated afterwards. My blood pressure started going down after about 20 mins. Although my blood pressure has not been that high it has been elevated over the last 3 days. My blood pressure averages 138/72 prior to vaccine. I'm still having non stop pain in my shoulder too.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: ADVERSE SYMPTOMS & EVENT NOT RELATED TO VACCINE
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Neck pain, Pyrexia, Rash
Clinical narrative: Initially had self limiting Neck pain, fever and chills. Day or two later later she developed skin rash on her left arm, which eventually spread to diffusely over her body. Rash spared palms, soles, genital region and face.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, Fall, Haemorrhage, Hyperhidrosis
Clinical narrative: Patient fainted during the 15 minute waiting period after vaccination of primary dose of Janssen. Patient stood up from the waiting chair and got dizzy and lost his balance and spun around and fell into the 4 way display. The back of his neck scraped one of the shelves as he fell and the skin was scraped with faint amount of blood appearing. Patient fell to the ground but did not hit his head. Patient's mother was with him and helped him get off the floor. When I arrived to the patient I checked for any injury and verified that he was ok to sit down, then I got him a cold ice pack to apply to his face and neck. Patient had syncope with paleness, sweating, nausea, dizziness, brief loss of consciousness with visual disturbance. I advised patient to lie down on their back and elevate their feet. Patient rested in the waiting area for another 15 minutes and I continued to check on him until he felt better to leave. His parents helped him walk out of the store and said they would drive him home and not let him drive himself.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Nausea, Neck injury, Pallor, Skin abrasion
Clinical narrative: Patient fainted during the 15 minute waiting period after vaccination of primary dose of Janssen. Patient stood up from the waiting chair and got dizzy and lost his balance and spun around and fell into the 4 way display. The back of his neck scraped one of the shelves as he fell and the skin was scraped with faint amount of blood appearing. Patient fell to the ground but did not hit his head. Patient's mother was with him and helped him get off the floor. When I arrived to the patient I checked for any injury and verified that he was ok to sit down, then I got him a cold ice pack to apply to his face and neck. Patient had syncope with paleness, sweating, nausea, dizziness, brief loss of consciousness with visual disturbance. I advised patient to lie down on their back and elevate their feet. Patient rested in the waiting area for another 15 minutes and I continued to check on him until he felt better to leave. His parents helped him walk out of the store and said they would drive him home and not let him drive himself.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Visual impairment
Clinical narrative: Patient fainted during the 15 minute waiting period after vaccination of primary dose of Janssen. Patient stood up from the waiting chair and got dizzy and lost his balance and spun around and fell into the 4 way display. The back of his neck scraped one of the shelves as he fell and the skin was scraped with faint amount of blood appearing. Patient fell to the ground but did not hit his head. Patient's mother was with him and helped him get off the floor. When I arrived to the patient I checked for any injury and verified that he was ok to sit down, then I got him a cold ice pack to apply to his face and neck. Patient had syncope with paleness, sweating, nausea, dizziness, brief loss of consciousness with visual disturbance. I advised patient to lie down on their back and elevate their feet. Patient rested in the waiting area for another 15 minutes and I continued to check on him until he felt better to leave. His parents helped him walk out of the store and said they would drive him home and not let him drive himself.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Nausea, Pain in extremity
Clinical narrative: pain in arm, fatigue, nausea, headache
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Bone pain, Extra dose administered, Fatigue, Feeling cold
Clinical narrative: Fourteen hrs after receiving the Covid booster vaccine, my bones, muscles and skin started hurting quite severely.  At the same time I was freezing and my temp was 101.8. This came on very quickly and lasted 22 hours and for the next 24 hrs I was extremely fatigued. I have never felt so sick in my life.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Pain of skin
Clinical narrative: Fourteen hrs after receiving the Covid booster vaccine, my bones, muscles and skin started hurting quite severely.  At the same time I was freezing and my temp was 101.8. This came on very quickly and lasted 22 hours and for the next 24 hrs I was extremely fatigued. I have never felt so sick in my life.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Paraesthesia, Syncope
Clinical narrative: about 10 minutes after vaccination, the patient reported tingling in the arms, feeling light headed, brief syncope, patient self recovered without intervention but was given water and watched for further reaction until EMS arrived. Patient ultimately walked out of the store with EMS and I (the pharmacist) am unaware of what happened to the patient.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Mechanical urticaria, Urticaria
Clinical narrative: Dermatographism and hives developed about 10 days after the booster and have not resolved or improved in Almost 2 months post vaccine.  I?m having to take Zyrtec every day.  I did a steroid burst about 2 weeks after the booster but it did not improve my symptoms. I worked as a clinician in a Covid respiratory clinic today and my symptoms are worse than ever.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Extra dose administered, Lymphadenopathy, Malaise
Clinical narrative: Robust swelling/pain noted in right armpit glands approximately 48 hours after vaccine received i right deltoid. Also feverish, achy joints, generally felt unwell.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Robust swelling/pain noted in right armpit glands approximately 48 hours after vaccine received i right deltoid. Also feverish, achy joints, generally felt unwell.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Product administered to patient of inappropriate age
Clinical narrative: Patient is out of range to receive a booster vaccine. Attestation was signed stating eligible and age verification was not verified until after administration of vaccine.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Joint injury, Pelvic pain
Clinical narrative: Joint pain  Pain in pelvis last 4 days starting day after  Knees giving out last 2-3 days  Fatigue last 4 days
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration
Clinical narrative: Patient received 3rd dose (booster) about 2 months too early. Patient received second dose of Pfizer vaccine on 6/19/2021 and third dose on 10/28/2021. Patient was contacted on 10/29/2021 but patient did not answer. Was able to contact patient on 11/1/2021 and counseled patient on common side effects, no need to repeat the dose, and that there is minimal information regarding adverse reactions with giving the vaccine early. Patient stated that they were fine and working at the time of the call.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray abnormal, Chest pain, Computerised tomogram normal, Dizziness
Clinical narrative: On October 5th I had a fever, chills, sore arm, swelling  at injection site, before going to bed. Woke up at 2:00am with strong heart palpitations, chest pain, increased pulse rate, very light headed and dizzy. Contacted my dr and made an appointment, he did chest x-ray and blood test for cardiac  markers such as triponin etc. suspected pericarditis and started a course of steroid to reduce inflammation. After several  days on steroids it had not improved much so I went to the ER and they did ct scan looking for blood clots and re checked blood work. No clots and labs were all good. Symptoms appear to be consistent with postural orthostatic tachycardia syndrome.