chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Nausea, Pain, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: On Monday December 20.2021 work through the day was fine then fever 104, body aches, migraines, stomach cramping. I called my dad cause I felt super sick. Then next day I got tested December 21, 2021 positive for Covid-19 experienced really bad nausea. I started having issues with no taste, smell on December 24,2021. I applied Vick's vapor rub that night to help with the smell. Upon me waking up on December 25, 2021 my smell had came back. On December 26, 2021 I went to retest Covid (negative) and still having nausea. I had a Ultrasound of abdomen on January 3,2022 and a follow up with Radiologist for Ultrasound of pelvis and uterus .
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Ultrasound abdomen
Clinical narrative: On Monday December 20.2021 work through the day was fine then fever 104, body aches, migraines, stomach cramping. I called my dad cause I felt super sick. Then next day I got tested December 21, 2021 positive for Covid-19 experienced really bad nausea. I started having issues with no taste, smell on December 24,2021. I applied Vick's vapor rub that night to help with the smell. Upon me waking up on December 25, 2021 my smell had came back. On December 26, 2021 I went to retest Covid (negative) and still having nausea. I had a Ultrasound of abdomen on January 3,2022 and a follow up with Radiologist for Ultrasound of pelvis and uterus .
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Mobility decreased, Nasopharyngitis, SARS-CoV-2 test negative
Clinical narrative: ABOUT A MONTH AFTER THE BOOSTER I FELT REALLY NOT KNOCKED DOWN WITH WHAT I THOUGHT WAS A COLD. THIS IS LATE NOV, POSSIBLY EARLY DEC. I BEGAN TO WONDER IF I WAS HAVING A BREAKTHROUGH COVID EVENT BECAUSE WITHIN A DAY I WAS PRETTY MUCH LYING ON MY BACK FOR ABOUT 2 WEEKS WITH A VERY FRUSTRATING COUGH. HOWEVER I DID HAVE  A SENSE OF SMELL AND TASTE. HAD NO APPETITE, AND LOST 5 POUNDS IN 6 DAYS. NO FEVER. FOR 2 WEEKS ALL I COULD DO WAS LAY ON MY BACK AND READ, I HAD NO ABITION AT ALL. I'VE NEVER HAD A COLD LIKE THIS SO I TOOK A COVID TEST AND IT WAS NEGATIVE. AFTER 2-3 WEEKS I CALLED MY CLINIC AND THEY REPORTED THE EVENTS AND THEY DISCONTINUED LISINAPRIL DUE TO THE DRY COUGH SIDE EFFECT. MY DOCTOR STARTED ME ON LOSARTAN. AFTER  A FULL MONTH OF  LOW ENERGY AND PRODUCTION, WHEN I'M TYPICALLY A HIGH ENERGY PERSON, I FINALLY STARTED TO BE ABLE TO WORK A FEW HOURS A  DAY. I DON'T KNOW WHAT HIT ME. FOR A MONTH I WAS PRETTY WELL NEUTRALIZED AS A PRODUCTIVE HUMANBEING.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Weight decreased
Clinical narrative: ABOUT A MONTH AFTER THE BOOSTER I FELT REALLY NOT KNOCKED DOWN WITH WHAT I THOUGHT WAS A COLD. THIS IS LATE NOV, POSSIBLY EARLY DEC. I BEGAN TO WONDER IF I WAS HAVING A BREAKTHROUGH COVID EVENT BECAUSE WITHIN A DAY I WAS PRETTY MUCH LYING ON MY BACK FOR ABOUT 2 WEEKS WITH A VERY FRUSTRATING COUGH. HOWEVER I DID HAVE  A SENSE OF SMELL AND TASTE. HAD NO APPETITE, AND LOST 5 POUNDS IN 6 DAYS. NO FEVER. FOR 2 WEEKS ALL I COULD DO WAS LAY ON MY BACK AND READ, I HAD NO ABITION AT ALL. I'VE NEVER HAD A COLD LIKE THIS SO I TOOK A COVID TEST AND IT WAS NEGATIVE. AFTER 2-3 WEEKS I CALLED MY CLINIC AND THEY REPORTED THE EVENTS AND THEY DISCONTINUED LISINAPRIL DUE TO THE DRY COUGH SIDE EFFECT. MY DOCTOR STARTED ME ON LOSARTAN. AFTER  A FULL MONTH OF  LOW ENERGY AND PRODUCTION, WHEN I'M TYPICALLY A HIGH ENERGY PERSON, I FINALLY STARTED TO BE ABLE TO WORK A FEW HOURS A  DAY. I DON'T KNOW WHAT HIT ME. FOR A MONTH I WAS PRETTY WELL NEUTRALIZED AS A PRODUCTIVE HUMANBEING.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Eczema, Pruritus, Skin burning sensation, Skin exfoliation
Clinical narrative: Patches of burning, itching and peeling skin (looks like eczema) not healing and worsening on left forearm. Recently contracted COVID-19 variant, body taking longer than normal to recover.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pain, Photophobia, Visual impairment
Clinical narrative: VISION ISSUES COULD SEE FAR OR CLOSE UP LIGHT SENSITIVITY 10/10 EYEBALL PAIN
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chest pain, Cough, Dyspnoea, Hypoxia
Clinical narrative: Admitted to Hospital for cough, chest pain, myalgia, shortness of breath, hypoxemia for 6 days on 12/28/2021.  Patient had been vaccinated for COVID-19.  Per hospital report, did not require mechanical ventilation and was not admitted to the ICU.  Discharged to home on 12/30/2021.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Myalgia, SARS-CoV-2 test positive
Clinical narrative: Admitted to Hospital for cough, chest pain, myalgia, shortness of breath, hypoxemia for 6 days on 12/28/2021.  Patient had been vaccinated for COVID-19.  Per hospital report, did not require mechanical ventilation and was not admitted to the ICU.  Discharged to home on 12/30/2021.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Admitted to Hospital for cough, chest pain, myalgia, shortness of breath, hypoxemia for 6 days on 12/28/2021.  Patient had been vaccinated for COVID-19.  Per hospital report, did not require mechanical ventilation and was not admitted to the ICU.  Discharged to home on 12/30/2021.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chest pain, Cough, Dyspnoea, Hypoxia
Clinical narrative: Hospitalization for COVID infection
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Myalgia, SARS-CoV-2 test positive
Clinical narrative: Hospitalization for COVID infection
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalization for COVID infection
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Adverse event
Clinical narrative: Unknown
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Encephalopathy
Clinical narrative: COVID-19 hospitalization (encephalopathy)
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pyrexia
Clinical narrative: 102 F. fever with joint pain.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Fatigue, Oropharyngeal pain
Clinical narrative: COVID-19 PCR positive test, fatigue, sore throat, cough, SOB, Leg swelling
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, SARS-CoV-2 test positive
Clinical narrative: COVID-19 PCR positive test, fatigue, sore throat, cough, SOB, Leg swelling
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: DISCHARGE DIAGNOSES:  1. COVID-19 viral pneumonia 2. COPD exacerbation due to #1 3. Insomnia 4. GERD   HOSPITAL COURSE: This is a 56-year-old woman who has a past medical history of COPD, insomnia, GERD who presented with complaints of shortness of breath.  She tested positive on 1/17/2022 for COVID-19 with her symptoms starting with a sore throat and feeling unwell on 1/15/2022. Patient did not have any clear documentation of hypoxia but her chest x-ray did show some bilateral infiltrates that were likely related to COVID-19 and were viral in nature versus any bacterial component.  Her procalcitonin was negative hence noting that no antibiotics are necessary to treat.  She was started on IV steroids transition to Decadron and will discharge home with an additional 3 doses starting today.  She was excellent that proning and using positional changes along with using her Aerobika.  She is encouraged to continue using those techniques along with ambulating in her home and spending as much this time out of bed as possible.  In regards to her COPD we continued her PTA medications of Flovent substituted Arnuity, tiotropium-alodaterol inhalers.  Of note she did have a history of being intubated in the ICU in August 2021 stated with that intubation she did develop some vocal cord paralysis.  She does take prednisone 5 mg daily.  She should continue her PTA regimen for insomnia with her Ambien along with her Protonix for her history of GERD.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Lung infiltration, Malaise, Oropharyngeal pain, Procalcitonin normal
Clinical narrative: DISCHARGE DIAGNOSES:  1. COVID-19 viral pneumonia 2. COPD exacerbation due to #1 3. Insomnia 4. GERD   HOSPITAL COURSE: This is a 56-year-old woman who has a past medical history of COPD, insomnia, GERD who presented with complaints of shortness of breath.  She tested positive on 1/17/2022 for COVID-19 with her symptoms starting with a sore throat and feeling unwell on 1/15/2022. Patient did not have any clear documentation of hypoxia but her chest x-ray did show some bilateral infiltrates that were likely related to COVID-19 and were viral in nature versus any bacterial component.  Her procalcitonin was negative hence noting that no antibiotics are necessary to treat.  She was started on IV steroids transition to Decadron and will discharge home with an additional 3 doses starting today.  She was excellent that proning and using positional changes along with using her Aerobika.  She is encouraged to continue using those techniques along with ambulating in her home and spending as much this time out of bed as possible.  In regards to her COPD we continued her PTA medications of Flovent substituted Arnuity, tiotropium-alodaterol inhalers.  Of note she did have a history of being intubated in the ICU in August 2021 stated with that intubation she did develop some vocal cord paralysis.  She does take prednisone 5 mg daily.  She should continue her PTA regimen for insomnia with her Ambien along with her Protonix for her history of GERD.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: DISCHARGE DIAGNOSES:  1. COVID-19 viral pneumonia 2. COPD exacerbation due to #1 3. Insomnia 4. GERD   HOSPITAL COURSE: This is a 56-year-old woman who has a past medical history of COPD, insomnia, GERD who presented with complaints of shortness of breath.  She tested positive on 1/17/2022 for COVID-19 with her symptoms starting with a sore throat and feeling unwell on 1/15/2022. Patient did not have any clear documentation of hypoxia but her chest x-ray did show some bilateral infiltrates that were likely related to COVID-19 and were viral in nature versus any bacterial component.  Her procalcitonin was negative hence noting that no antibiotics are necessary to treat.  She was started on IV steroids transition to Decadron and will discharge home with an additional 3 doses starting today.  She was excellent that proning and using positional changes along with using her Aerobika.  She is encouraged to continue using those techniques along with ambulating in her home and spending as much this time out of bed as possible.  In regards to her COPD we continued her PTA medications of Flovent substituted Arnuity, tiotropium-alodaterol inhalers.  Of note she did have a history of being intubated in the ICU in August 2021 stated with that intubation she did develop some vocal cord paralysis.  She does take prednisone 5 mg daily.  She should continue her PTA regimen for insomnia with her Ambien along with her Protonix for her history of GERD.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, Pain, Pyrexia
Clinical narrative: Fever and loss of my voice. It hurt when trying to speak
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid-19 illness
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding, Pruritus
Clinical narrative: Full body itching, menstrual spotting
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, COVID-19, Fall, SARS-CoV-2 test positive
Clinical narrative: Weakness, fell, lost of balance
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: At approximately 1400 an 11 yo female patient arrived at facility to get vaccinated (pfizer kids dose 1) with parent. She was directed to the wrong table and given the wrong color armband by registration clerk. She then sat down at the pfizer adult table where nurse (RN) failed to verify age and scribed status before administering the shot. The 11 yo patient received the adult pfizer dose of 0.3 mL, after scribing patient in the system, the error was noticed, parent was notified of error, she was then assessed by NP, patient remained stable throughout visit, vitals WNL, patient denied discomfort and was observed for 30 minutes before leaving facility and instructed to seek medical attention if any discomfort is experienced.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Lower respiratory tract infection, Pain, SARS-CoV-2 test negative, Sinusitis
Clinical narrative: On 10/26/2021 body aches and pain and headaches for ten days. Chest infection and Sinus infection since November 2021
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid-19 illness
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19 hospitalization
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Dyspnoea, Malaise, Pyrexia
Clinical narrative: SOB, feeling unwell, , COVID pneumonia, fever
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: SOB, feeling unwell, , COVID pneumonia, fever
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid-19 illness
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Aortic stenosis, Aortic valve stenosis, Bicuspid aortic valve, Blood pressure increased
Clinical narrative: HOSPITAL COURSE: Patient is a 75 y.o. male with Severe COPD, Hypertension, DMII and Hyperlipidemia who presented to the ED on 01/21 with progressively worsening shortness of breath. Patient states that he had shortness of breath and a cough x 2 weeks. He was seen by his doctor in the VA and started prednisone and doxycycline. Symptoms did not improve. He completed a course of medications yesterday. At nighttime, his symptoms worsened and he decided to present in the ED. For more detail, please see admission administrator. Hospital course dictated by problem: Acute hypoxic respiratory failure secondary to COVID-19 PNA and acute COPD exacerbation. SXS of dyspnea and cough started around 1/14. They gradually progressed to where patient came to ED. In ED tachypneic with O2 SATS in mid 80s. He was placed on BiPAP in ED initially for respiratory support. COVID-19 test positive at admit on 1/21/22. He received TX with IV solu-medrol and scheduled SABA. His respiratory status improved and O2 SATS were stable on room air. By discharge, O2 SATS were stable at rest and with activity and his dyspnea had resolved.  Will complete steroid taper for COVID/COPD exacerbation. Pulmonary evaluation as outpatient (patient has an appointment scheduled this month). Elevated Troponin 2/2 demand ischemia, Severe aortic stenosis, bicuspid aortic valve. Trop elevated in setting of demand ischemia from respiratory distress (COVID/COPD). EKG without acute ischemic changes. At no point did patient have chest pain. His dyspnea resolved completely w/ targeted TX for COVID/COPD. Echo was obtained due to troponin and HX moderate aortic valve stenosis. Echo showed severe aortic valve stenosis with valve area < 1cm. At discharge no chest pain, dyspnea at rest or with activity. No lightheadedness/pre-syncope. Due to COVID + status not candidate for intervention at this time. Will optimize, wait until convalescent, and have HVI f/u for further mgmt. of AVS- HVI f/u for aortic stenosis, consideration of valve replacement. Hypertension: Blood pressures elevated- PTA Toprol-XL, losartan, Type 2 diabetes mellitus, Continue PTA regimen. DISCHARGE DIAGNOSES: As above, COVID-19 PNA and COPD exacerbation.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chronic obstructive pulmonary disease, Condition aggravated, Cough
Clinical narrative: HOSPITAL COURSE: Patient is a 75 y.o. male with Severe COPD, Hypertension, DMII and Hyperlipidemia who presented to the ED on 01/21 with progressively worsening shortness of breath. Patient states that he had shortness of breath and a cough x 2 weeks. He was seen by his doctor in the VA and started prednisone and doxycycline. Symptoms did not improve. He completed a course of medications yesterday. At nighttime, his symptoms worsened and he decided to present in the ED. For more detail, please see admission administrator. Hospital course dictated by problem: Acute hypoxic respiratory failure secondary to COVID-19 PNA and acute COPD exacerbation. SXS of dyspnea and cough started around 1/14. They gradually progressed to where patient came to ED. In ED tachypneic with O2 SATS in mid 80s. He was placed on BiPAP in ED initially for respiratory support. COVID-19 test positive at admit on 1/21/22. He received TX with IV solu-medrol and scheduled SABA. His respiratory status improved and O2 SATS were stable on room air. By discharge, O2 SATS were stable at rest and with activity and his dyspnea had resolved.  Will complete steroid taper for COVID/COPD exacerbation. Pulmonary evaluation as outpatient (patient has an appointment scheduled this month). Elevated Troponin 2/2 demand ischemia, Severe aortic stenosis, bicuspid aortic valve. Trop elevated in setting of demand ischemia from respiratory distress (COVID/COPD). EKG without acute ischemic changes. At no point did patient have chest pain. His dyspnea resolved completely w/ targeted TX for COVID/COPD. Echo was obtained due to troponin and HX moderate aortic valve stenosis. Echo showed severe aortic valve stenosis with valve area < 1cm. At discharge no chest pain, dyspnea at rest or with activity. No lightheadedness/pre-syncope. Due to COVID + status not candidate for intervention at this time. Will optimize, wait until convalescent, and have HVI f/u for further mgmt. of AVS- HVI f/u for aortic stenosis, consideration of valve replacement. Hypertension: Blood pressures elevated- PTA Toprol-XL, losartan, Type 2 diabetes mellitus, Continue PTA regimen. DISCHARGE DIAGNOSES: As above, COVID-19 PNA and COPD exacerbation.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram abnormal, Electrocardiogram normal, Hypertension, Myocardial ischaemia
Clinical narrative: HOSPITAL COURSE: Patient is a 75 y.o. male with Severe COPD, Hypertension, DMII and Hyperlipidemia who presented to the ED on 01/21 with progressively worsening shortness of breath. Patient states that he had shortness of breath and a cough x 2 weeks. He was seen by his doctor in the VA and started prednisone and doxycycline. Symptoms did not improve. He completed a course of medications yesterday. At nighttime, his symptoms worsened and he decided to present in the ED. For more detail, please see admission administrator. Hospital course dictated by problem: Acute hypoxic respiratory failure secondary to COVID-19 PNA and acute COPD exacerbation. SXS of dyspnea and cough started around 1/14. They gradually progressed to where patient came to ED. In ED tachypneic with O2 SATS in mid 80s. He was placed on BiPAP in ED initially for respiratory support. COVID-19 test positive at admit on 1/21/22. He received TX with IV solu-medrol and scheduled SABA. His respiratory status improved and O2 SATS were stable on room air. By discharge, O2 SATS were stable at rest and with activity and his dyspnea had resolved.  Will complete steroid taper for COVID/COPD exacerbation. Pulmonary evaluation as outpatient (patient has an appointment scheduled this month). Elevated Troponin 2/2 demand ischemia, Severe aortic stenosis, bicuspid aortic valve. Trop elevated in setting of demand ischemia from respiratory distress (COVID/COPD). EKG without acute ischemic changes. At no point did patient have chest pain. His dyspnea resolved completely w/ targeted TX for COVID/COPD. Echo was obtained due to troponin and HX moderate aortic valve stenosis. Echo showed severe aortic valve stenosis with valve area < 1cm. At discharge no chest pain, dyspnea at rest or with activity. No lightheadedness/pre-syncope. Due to COVID + status not candidate for intervention at this time. Will optimize, wait until convalescent, and have HVI f/u for further mgmt. of AVS- HVI f/u for aortic stenosis, consideration of valve replacement. Hypertension: Blood pressures elevated- PTA Toprol-XL, losartan, Type 2 diabetes mellitus, Continue PTA regimen. DISCHARGE DIAGNOSES: As above, COVID-19 PNA and COPD exacerbation.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Positive airway pressure therapy, Respiratory distress, SARS-CoV-2 test positive, Tachypnoea, Troponin increased
Clinical narrative: HOSPITAL COURSE: Patient is a 75 y.o. male with Severe COPD, Hypertension, DMII and Hyperlipidemia who presented to the ED on 01/21 with progressively worsening shortness of breath. Patient states that he had shortness of breath and a cough x 2 weeks. He was seen by his doctor in the VA and started prednisone and doxycycline. Symptoms did not improve. He completed a course of medications yesterday. At nighttime, his symptoms worsened and he decided to present in the ED. For more detail, please see admission administrator. Hospital course dictated by problem: Acute hypoxic respiratory failure secondary to COVID-19 PNA and acute COPD exacerbation. SXS of dyspnea and cough started around 1/14. They gradually progressed to where patient came to ED. In ED tachypneic with O2 SATS in mid 80s. He was placed on BiPAP in ED initially for respiratory support. COVID-19 test positive at admit on 1/21/22. He received TX with IV solu-medrol and scheduled SABA. His respiratory status improved and O2 SATS were stable on room air. By discharge, O2 SATS were stable at rest and with activity and his dyspnea had resolved.  Will complete steroid taper for COVID/COPD exacerbation. Pulmonary evaluation as outpatient (patient has an appointment scheduled this month). Elevated Troponin 2/2 demand ischemia, Severe aortic stenosis, bicuspid aortic valve. Trop elevated in setting of demand ischemia from respiratory distress (COVID/COPD). EKG without acute ischemic changes. At no point did patient have chest pain. His dyspnea resolved completely w/ targeted TX for COVID/COPD. Echo was obtained due to troponin and HX moderate aortic valve stenosis. Echo showed severe aortic valve stenosis with valve area < 1cm. At discharge no chest pain, dyspnea at rest or with activity. No lightheadedness/pre-syncope. Due to COVID + status not candidate for intervention at this time. Will optimize, wait until convalescent, and have HVI f/u for further mgmt. of AVS- HVI f/u for aortic stenosis, consideration of valve replacement. Hypertension: Blood pressures elevated- PTA Toprol-XL, losartan, Type 2 diabetes mellitus, Continue PTA regimen. DISCHARGE DIAGNOSES: As above, COVID-19 PNA and COPD exacerbation.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Headache, Injection site erythema, Limb discomfort, Lymphadenitis
Clinical narrative: 1. Starting from the early morning of Jan 29th, started to get a fever(up to 37.5C) and the whole body feels muscle pain(left side was feeling worse). I took 750mg Tylenol to relieve the muscle pain and headache 2. At about 3:30 pm on Jan 29th, my 10 fingers suddenly feel paralysis for about 10 minutes which never happened in my whole life before. Then, at about 6 pm, I went up from my nap and my fever went up to 39C, and the left arm was feeling worse but whole body's muscle pain was feeling better. I took 750 mg Tylenol again to reduce the fever and headache 3. After taking Tylenol, my fever was reduced and did not go up again(highest is 37.3). But after getting up on Sunday morning(Jan 30th),  I think my armpit?s lymph node got inflammation, and the skin around the injection area starts to get redness 4. Monday morning(Jan 31th), I was woken up by the muscle aches for both arms, and my throat has a uncomfortable burning feeling. The redness around the injection area and the left arm pain including the lymph node inflammation stay the same I got a fever, headache, and redness/pain around the injection area for the second dose, but other symptoms are the first time for the third dose
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain in extremity, Peripheral paralysis, Pyrexia, Throat irritation
Clinical narrative: 1. Starting from the early morning of Jan 29th, started to get a fever(up to 37.5C) and the whole body feels muscle pain(left side was feeling worse). I took 750mg Tylenol to relieve the muscle pain and headache 2. At about 3:30 pm on Jan 29th, my 10 fingers suddenly feel paralysis for about 10 minutes which never happened in my whole life before. Then, at about 6 pm, I went up from my nap and my fever went up to 39C, and the left arm was feeling worse but whole body's muscle pain was feeling better. I took 750 mg Tylenol again to reduce the fever and headache 3. After taking Tylenol, my fever was reduced and did not go up again(highest is 37.3). But after getting up on Sunday morning(Jan 30th),  I think my armpit?s lymph node got inflammation, and the skin around the injection area starts to get redness 4. Monday morning(Jan 31th), I was woken up by the muscle aches for both arms, and my throat has a uncomfortable burning feeling. The redness around the injection area and the left arm pain including the lymph node inflammation stay the same I got a fever, headache, and redness/pain around the injection area for the second dose, but other symptoms are the first time for the third dose
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness
Clinical narrative: Almost immediately after vaccine, patient reports feeling light headed and clammy. BP 120/78, HR70, RR20, O2 Sat 96% on room air. Pt given water and placed in supine position with feet elevated. Pt recovered after 30 minutes of observation
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Appendicectomy, Brain natriuretic peptide increased, Cardiogenic shock, Echocardiogram
Clinical narrative: Patient developed MIS-C (fever, rash, abdominal pain, eye changes, extremity changes, myocarditis). Symptoms starting  Jan 23, 2022. Had laparoscopic appendectomy 1/28/2022 then developed cardiogenic shock. Currently recovering after anti-inflammatory treatment.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ejection fraction, Eye disorder, Multisystem inflammatory syndrome in children, Musculoskeletal disorder, Myocarditis
Clinical narrative: Patient developed MIS-C (fever, rash, abdominal pain, eye changes, extremity changes, myocarditis). Symptoms starting  Jan 23, 2022. Had laparoscopic appendectomy 1/28/2022 then developed cardiogenic shock. Currently recovering after anti-inflammatory treatment.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Rash, Troponin increased
Clinical narrative: Patient developed MIS-C (fever, rash, abdominal pain, eye changes, extremity changes, myocarditis). Symptoms starting  Jan 23, 2022. Had laparoscopic appendectomy 1/28/2022 then developed cardiogenic shock. Currently recovering after anti-inflammatory treatment.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain lower, Appendicectomy, Appendicitis, Computerised tomogram abdomen abnormal, Decreased appetite
Clinical narrative: Patient developed MIS-C (fever, rash, abdominal pain, eye changes, extremity changes, myocarditis). Symptoms starting  Jan 23, 2022. Had laparoscopic appendectomy 1/28/2022 then developed cardiogenic shock. Currently recovering after anti-inflammatory treatment.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Ejection fraction decreased, Hypotension, Immunoglobulin therapy, Intensive care
Clinical narrative: Patient developed MIS-C (fever, rash, abdominal pain, eye changes, extremity changes, myocarditis). Symptoms starting  Jan 23, 2022. Had laparoscopic appendectomy 1/28/2022 then developed cardiogenic shock. Currently recovering after anti-inflammatory treatment.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Laparoscopic surgery, Left ventricular dysfunction, Multisystem inflammatory syndrome in children, Myocarditis, Ocular hyperaemia
Clinical narrative: Patient developed MIS-C (fever, rash, abdominal pain, eye changes, extremity changes, myocarditis). Symptoms starting  Jan 23, 2022. Had laparoscopic appendectomy 1/28/2022 then developed cardiogenic shock. Currently recovering after anti-inflammatory treatment.
Age: 14.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pharyngitis, Pyrexia, Rash, Vomiting
Clinical narrative: Patient developed MIS-C (fever, rash, abdominal pain, eye changes, extremity changes, myocarditis). Symptoms starting  Jan 23, 2022. Had laparoscopic appendectomy 1/28/2022 then developed cardiogenic shock. Currently recovering after anti-inflammatory treatment.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid-19 illness
Age: 46.0
Sex: F
Vaccine: UNK
Symptoms: COVID-19, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: Family stated that patient was vaccinated x2 for COVID but has not received the booster. Unable to obtain information on manufacturer or dates of vaccinations. Pt hospitalized for altered mental status and has tested positive for COVID
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event, Product administration error
Clinical narrative: Patient intended to receive 1 dose of flu shot and booster pfizer dose. The pharmacist administered 2 doses of pfizer by mistake. A shot was given in each deltoid on 1/29/2022. Patient was immediately made aware. Pt followed up with on call PCP and was told to monitor symptoms. Pharmacy followed up with patient's PCP on 1/31/2022 (office was closed during weekend). Pharmacist followed up with Drug Info specialist hotline 1/31/2022 (office closed during weekend). Patient had not experienced any adverse reaction on 1/29/2022 and not reported any reaction to Pharmacy as of 1/31/2022. Patient was advised to monitor symptoms and seek emergency help if any symptoms arise.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein increased, Mobility decreased, Myalgia, Polymyalgia rheumatica, Red blood cell sedimentation rate increased
Clinical narrative: Two weeks after receiving the 2nd Pfizer vaccine dose, I woke up to extreme muscle aches around my hip girdle and shoulder girdle.  I could not lift my arms up to brush my hair and get dressed.  After seeing a rheumatologist, I was diagnosed with probable PMR (Polymyalgia Rheumatica) and started a treatment of prednisone from February 2021-December 2021.  Symptoms eventually subsided.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pfizer Covid Vaccine was expired, vaccine was left out over 12 hours prior to patient receiving the vaccine.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Heart valve incompetence
Clinical narrative: Prior to March 18 2021 I did not have any heart conditions. After the second vaccination I went to my Doctor for a prescription refill and they heard something in my heart which has led to the discovery of a sever aortic valve regurgitation.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Eye infection viral
Clinical narrative: Viral eye infection that went on for months.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid-19 illness
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: COVID-19 hospitalization
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Abortion spontaneous, COVID-19, Chills, Cough
Clinical narrative: I had a miscarriage on Sept. 10th. I went in for a baby ultra sound and their was no heart beat. I had to get an D&C done. On Jan 20th, I tested positive for Covid-19. I had fever, chills, cough, headache, body aches, congestive, and sore throat. I also had some stomach ache with nausea. These symptoms lasted for about 5 days. I still have the coughing and congestive.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: I had a miscarriage on Sept. 10th. I went in for a baby ultra sound and their was no heart beat. I had to get an D&C done. On Jan 20th, I tested positive for Covid-19. I had fever, chills, cough, headache, body aches, congestive, and sore throat. I also had some stomach ache with nausea. These symptoms lasted for about 5 days. I still have the coughing and congestive.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Ultrasound scan, Uterine dilation and curettage
Clinical narrative: I had a miscarriage on Sept. 10th. I went in for a baby ultra sound and their was no heart beat. I had to get an D&C done. On Jan 20th, I tested positive for Covid-19. I had fever, chills, cough, headache, body aches, congestive, and sore throat. I also had some stomach ache with nausea. These symptoms lasted for about 5 days. I still have the coughing and congestive.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia, Neck pain, Nerve compression, Pain in extremity
Clinical narrative: extreme shoulder pain, neck pain  arm pain. Numbness , feels like a  pinch nerve. I am schedule to see an orthopedic doctor. Currently doing acupuncture for the pain.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid-19 illness
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Product administration error
Clinical narrative: It was an administration error of the vaccine. The patient has a first dosis of Moderna. The second dosis administrated on January 28,2022 it was Pfizer instead of Moderna, so it is a mixed series. The patient didn?t present any symptoms at the moment of the vaccine administration.  Staff is given training to avoid errors in the handling of vaccines. Feedback is received from staff which is satisfactory to prevent this situation from happening again.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: sore throat, headache, congestion
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cardiac arrest, Cardiac failure congestive, Condition aggravated, Confusional state
Clinical narrative: Patient had previously tested positive for COVID-19 on 8/22/21.  Patient was a resident of Facility and was admitted to  Hospital on 10/13/21 with fever, confusion, lethargy.  Notes state that he was admitted to the ICU, but did not require any mechanical ventilation during the hospital stay.   Date of discharge was not reported.  Patient expired on 10/28/2021 at Facility with cause of death listed as sudden cardiac arrest, congestive heart failure, hypertension, diabetes.  Was NOT reported as a death caused by COVID-19.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death, Diabetes mellitus, Hypertension, Intensive care, Lethargy
Clinical narrative: Patient had previously tested positive for COVID-19 on 8/22/21.  Patient was a resident of Facility and was admitted to  Hospital on 10/13/21 with fever, confusion, lethargy.  Notes state that he was admitted to the ICU, but did not require any mechanical ventilation during the hospital stay.   Date of discharge was not reported.  Patient expired on 10/28/2021 at Facility with cause of death listed as sudden cardiac arrest, congestive heart failure, hypertension, diabetes.  Was NOT reported as a death caused by COVID-19.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient had previously tested positive for COVID-19 on 8/22/21.  Patient was a resident of Facility and was admitted to  Hospital on 10/13/21 with fever, confusion, lethargy.  Notes state that he was admitted to the ICU, but did not require any mechanical ventilation during the hospital stay.   Date of discharge was not reported.  Patient expired on 10/28/2021 at Facility with cause of death listed as sudden cardiac arrest, congestive heart failure, hypertension, diabetes.  Was NOT reported as a death caused by COVID-19.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Severely dizzy and lightheaded.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Ultrasound Doppler
Clinical narrative: Developed a red, painful lump below covid injection site the day after getting vaccine.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain, X-ray normal
Clinical narrative: PATIENT STATES MORNING AFTER VACCINATION, HER RIGHT SIDE AND SHOULDER BEGAN HURTING AND CONTINUES.  HER WHOLE BODY ACHES AS WELL. NO RELIEF FROM MEDICATION.
Age: 13.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Acute COVID infection
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Peds dose given to a child who is 15 years old.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Chest pain, Muscular weakness, Myalgia
Clinical narrative: I received my Pfizer booster shot on Oct 13th and around 25th, I noticed that my armpit was sore. I felt for any lumps or swollen lymph nodes but there were not any. The side of my arm hurt and sometimes there was chest pain that seemed to radiate from the arm. Few days later, I developed foot pain and one day after the foot pain, my left leg started to tingle. Both my legs felt extremely weak as well. The weakness only lasted for one day but the tingling continued for 2 weeks. Both my arms then started to hurt; especially joints and muscles. No tingling in the arms. All the pain went away mid December but it returned again around January 6th. It again started with underarm pain and arms and legs pain. The pain in the underarm, arms and the legs continued for 1 week and a half after January 6th and now is decreasing. There was no tingling sensation this time, only pain. I started taking Vitamin D and B supplements mid December. As of 1/31/2022, the pain in my arms and legs come and go but it is decreasing and not getting worse. I have not been to the doctor as the pain is decreasing but I wanted to report it here as it is possibly related to the vaccine. Additional note: I received my flu shot on Oct 9th, which was 4 days before receiving my Covid-19 vaccine.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Neurological examination, Pain, Pain in extremity, Paraesthesia
Clinical narrative: I received my Pfizer booster shot on Oct 13th and around 25th, I noticed that my armpit was sore. I felt for any lumps or swollen lymph nodes but there were not any. The side of my arm hurt and sometimes there was chest pain that seemed to radiate from the arm. Few days later, I developed foot pain and one day after the foot pain, my left leg started to tingle. Both my legs felt extremely weak as well. The weakness only lasted for one day but the tingling continued for 2 weeks. Both my arms then started to hurt; especially joints and muscles. No tingling in the arms. All the pain went away mid December but it returned again around January 6th. It again started with underarm pain and arms and legs pain. The pain in the underarm, arms and the legs continued for 1 week and a half after January 6th and now is decreasing. There was no tingling sensation this time, only pain. I started taking Vitamin D and B supplements mid December. As of 1/31/2022, the pain in my arms and legs come and go but it is decreasing and not getting worse. I have not been to the doctor as the pain is decreasing but I wanted to report it here as it is possibly related to the vaccine. Additional note: I received my flu shot on Oct 9th, which was 4 days before receiving my Covid-19 vaccine.
Age: 18.0
Sex: F
Vaccine: MENB
Symptoms: Injection site erythema, Injection site mass, Pain
Clinical narrative: Patient reports soreness the next day, 2 days out noticed  baseball size lump, large red ring around site, still present on day 3
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Asthenia, Bronchitis, COVID-19
Clinical narrative: I started having Covid-19 symptoms on 11/20/202, first thing I noticed is I was weak, I was sore, and my ears ached. I saw my doctor on 11/22/2021 and they tested me for Covid-19. They prescribed azithromycin because he did not know at the time if it was bronchitis. About an hour later they called me and they said my test was positive and to continue to take that medication. I could not smell or taste for a long time, for like a month.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Ear pain, Pain, SARS-CoV-2 test positive
Clinical narrative: I started having Covid-19 symptoms on 11/20/202, first thing I noticed is I was weak, I was sore, and my ears ached. I saw my doctor on 11/22/2021 and they tested me for Covid-19. They prescribed azithromycin because he did not know at the time if it was bronchitis. About an hour later they called me and they said my test was positive and to continue to take that medication. I could not smell or taste for a long time, for like a month.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anaemia, Anticoagulant therapy, COVID-19, COVID-19 pneumonia
Clinical narrative: HOSPITAL COURSE: Briefly, this is a 48-year-old with insulin-dependent type 2 diabetes, asthma, coming in with concerns of gradually worsening URI symptoms and chest tightness 1 week preceding hospitalization. For more detail, including PMH, PSH, PFH, Social Hx and further info please see admission H&P.  Hospital course dictated by problem:   Acute hypoxic respiratory failure, resolved Suspect Covid pneumonia He was admitted and provided supplemental oxygen, steroids, Lovenox based on D-dimer and our institutional protocol for anticoagulation, I-S and Aerobika for pulmonary toilet.  With a procalcitonin of 0.14 on admission lower clinical concern for superimposed bacterial pneumonia.  For greater than 24 hours now he has been off oxygen.  He subjectively feels improved, his acute phase reactants are improving, his vitals are stable.  I feel appropriate for discharge.  Advised on isolatory precautions at home, given I-S and Aerobika to go home with for continued use of pulmonary toileting there, close primary care follow-up no later than 7 days from now.  He was given a work note.  Strict return precautions reviewed.   Suspect myocardial injury Troponin around 130 on arrival, down trended.  Echo without focal wall motion abnormality.  He was without symptoms of angina or anginal equivalents on the floor.  He works a physically demanding job, preceding illness he states he was not having any chest pain or pressure tightness or exertional symptoms.  Suspicion is that this was demand ischemia in the setting of hypoxia and/or myocarditis from Covid injury.  Advised on PCP follow-up for consideration of CAD work-up and stress testing.   Insulin-dependent type 2 diabetes Suspect corticosteroid induced hyperglycemia He was managed on his long-acting Lantus and high-dose sliding scale insulin while here.  He was running high at times which I suspect was the because steroids were on board.  Patient reports that his blood sugars are very well controlled with his home regime and so he was advised to continue doing so.  Per his report he is overdue for an A1c, advised he have this rechecked with his PCP when he follows up for posthospitalization visit.   Mild MR Incidental finding on echo, told to discuss with PCP regarding monitoring.   Mild anemia Hemoglobin 12.7 today without subjective findings of blood loss such as hematemesis, coffee-ground emesis, melena, hematochezia, etc.  Vitals are otherwise stable.  Advised to have this rechecked by primary care and consider further evaluation and management depending on findings.   Hiccups, resolved Suspect this was iatrogenic induced from dexamethasone.  He was given 1 dose of PPI, few doses of Reglan and baclofen with resolution.   Asthma without findings of acute exacerbation Advised to continue with his as needed albuterol.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Condition aggravated, Echocardiogram abnormal, Fibrin D dimer, Haemoglobin decreased
Clinical narrative: HOSPITAL COURSE: Briefly, this is a 48-year-old with insulin-dependent type 2 diabetes, asthma, coming in with concerns of gradually worsening URI symptoms and chest tightness 1 week preceding hospitalization. For more detail, including PMH, PSH, PFH, Social Hx and further info please see admission H&P.  Hospital course dictated by problem:   Acute hypoxic respiratory failure, resolved Suspect Covid pneumonia He was admitted and provided supplemental oxygen, steroids, Lovenox based on D-dimer and our institutional protocol for anticoagulation, I-S and Aerobika for pulmonary toilet.  With a procalcitonin of 0.14 on admission lower clinical concern for superimposed bacterial pneumonia.  For greater than 24 hours now he has been off oxygen.  He subjectively feels improved, his acute phase reactants are improving, his vitals are stable.  I feel appropriate for discharge.  Advised on isolatory precautions at home, given I-S and Aerobika to go home with for continued use of pulmonary toileting there, close primary care follow-up no later than 7 days from now.  He was given a work note.  Strict return precautions reviewed.   Suspect myocardial injury Troponin around 130 on arrival, down trended.  Echo without focal wall motion abnormality.  He was without symptoms of angina or anginal equivalents on the floor.  He works a physically demanding job, preceding illness he states he was not having any chest pain or pressure tightness or exertional symptoms.  Suspicion is that this was demand ischemia in the setting of hypoxia and/or myocarditis from Covid injury.  Advised on PCP follow-up for consideration of CAD work-up and stress testing.   Insulin-dependent type 2 diabetes Suspect corticosteroid induced hyperglycemia He was managed on his long-acting Lantus and high-dose sliding scale insulin while here.  He was running high at times which I suspect was the because steroids were on board.  Patient reports that his blood sugars are very well controlled with his home regime and so he was advised to continue doing so.  Per his report he is overdue for an A1c, advised he have this rechecked with his PCP when he follows up for posthospitalization visit.   Mild MR Incidental finding on echo, told to discuss with PCP regarding monitoring.   Mild anemia Hemoglobin 12.7 today without subjective findings of blood loss such as hematemesis, coffee-ground emesis, melena, hematochezia, etc.  Vitals are otherwise stable.  Advised to have this rechecked by primary care and consider further evaluation and management depending on findings.   Hiccups, resolved Suspect this was iatrogenic induced from dexamethasone.  He was given 1 dose of PPI, few doses of Reglan and baclofen with resolution.   Asthma without findings of acute exacerbation Advised to continue with his as needed albuterol.