chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Headache, Influenza virus test negative, Lethargy
Clinical narrative: That afternoon after vaccine, I took a nap and was fatigued which was normal like the other vaccines. I was a little tired the next day. But on 04/23/2022, I was very nauseous, body aches, headaches. On 4/24/2022, I did not have body aches but had a fever of 100 and was very weak. I called my doctor on 4/25/2022, I got an exam and I got a flu, COVID-19, and RSV test and was negative. I had a fever of 99.1, a headache, nausea, and was weak. Today on 4/26/2022, my temp is 99.1 with weakness and lethargic. I am concerned because I am running a low grade fever. I was advised by my doctor that if the fever persists to call back.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Respiratory syncytial virus test negative, SARS-CoV-2 test negative
Clinical narrative: That afternoon after vaccine, I took a nap and was fatigued which was normal like the other vaccines. I was a little tired the next day. But on 04/23/2022, I was very nauseous, body aches, headaches. On 4/24/2022, I did not have body aches but had a fever of 100 and was very weak. I called my doctor on 4/25/2022, I got an exam and I got a flu, COVID-19, and RSV test and was negative. I had a fever of 99.1, a headache, nausea, and was weak. Today on 4/26/2022, my temp is 99.1 with weakness and lethargic. I am concerned because I am running a low grade fever. I was advised by my doctor that if the fever persists to call back.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac stress test, Chest pain, Echocardiogram, Electrocardiogram normal, Pericarditis
Clinical narrative: In October of 2021, I started to experience chest pain. The chest pain would come and go and on some days it was more severe than others. I don't recall the exact date but I went to the ER: In February of 2021 or the because it felt like I was having an heart attack. They did an EKG and ran a bunch of other test. The EKG showed that I was not having a heart attack. The ER doctor's advised me to see a cardiology as soon possible. It took me a while to get an appointment because I kept putting it off but the chest pain kept getting worst. So I finally booked and appointment.  I setup an appointment with Doctor the cardiology for March 9, 2022. He did an EKG, Eco test, stress test, and found that I had Pericarditis. Doctor prescribe me some medication but I can't remember the name right now. Doctor wants me to come back in July 2022 for a follow-up visit.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Asymptomatic +
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Aggression, Agitation, Atrial fibrillation, Blood thyroid stimulating hormone normal, COVID-19
Clinical narrative: COVID Vaccine Breakthrough Case. Moderna Dose 1 10/29/21 (005C21A) and COVID Positive 11/8/21. 11/8/21: HPI is limited by patient's altered mental status. Collateral source of information is the medical record. Patient is a 92-year-old male who presented to the emergency department today with reported altered mental status. He was confused, agitated, and combative on arrival. The patient's son reported that he has had a progressive decline over the last 6 months, but this behavioral change was more acute. He was recently diagnosed with sundowners. On my this in the ED, the patient tells me the year is 1912. He is able to tell me his name. Tells me he lives alone and has a nurse that comes in. Cannot tell me who the president is. Not aggressive/combative at this time. He denies chest pain, shortness of breath, nausea, vomiting, diarrhea, abdominal pain, fever, and chills. On arrival to the ED, the patient's vitals were stable. He is 98% SpO2 on room air. His labs were fairly unremarkable. He has a troponin of 0.04, TSH 7.34, Free T4 0.84, hemoglobin 13.2. His urine was positive for large amount of leukoesterase. His COVID screening was positive. CXR showed no acute findings. CT of the head showed no acute intracranial findings, but did show severe parenchymal volume loss and white matter changes suggestive of advanced chronic microvascular ischemia. EKG showed AFib at a controlled rate. This appears to be chronic for the patient. The patient received 1g of Rocephin in the ED. 11/18/21: Patient is resting comfortably in bed. Has been unresponsive most of the day.  Awaiting hospice placement. Later deceased.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral atrophy, Cerebral ischaemia, Chest X-ray normal, Computerised tomogram head abnormal, Condition aggravated
Clinical narrative: COVID Vaccine Breakthrough Case. Moderna Dose 1 10/29/21 (005C21A) and COVID Positive 11/8/21. 11/8/21: HPI is limited by patient's altered mental status. Collateral source of information is the medical record. Patient is a 92-year-old male who presented to the emergency department today with reported altered mental status. He was confused, agitated, and combative on arrival. The patient's son reported that he has had a progressive decline over the last 6 months, but this behavioral change was more acute. He was recently diagnosed with sundowners. On my this in the ED, the patient tells me the year is 1912. He is able to tell me his name. Tells me he lives alone and has a nurse that comes in. Cannot tell me who the president is. Not aggressive/combative at this time. He denies chest pain, shortness of breath, nausea, vomiting, diarrhea, abdominal pain, fever, and chills. On arrival to the ED, the patient's vitals were stable. He is 98% SpO2 on room air. His labs were fairly unremarkable. He has a troponin of 0.04, TSH 7.34, Free T4 0.84, hemoglobin 13.2. His urine was positive for large amount of leukoesterase. His COVID screening was positive. CXR showed no acute findings. CT of the head showed no acute intracranial findings, but did show severe parenchymal volume loss and white matter changes suggestive of advanced chronic microvascular ischemia. EKG showed AFib at a controlled rate. This appears to be chronic for the patient. The patient received 1g of Rocephin in the ED. 11/18/21: Patient is resting comfortably in bed. Has been unresponsive most of the day.  Awaiting hospice placement. Later deceased.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Death, Electrocardiogram abnormal, Haemoglobin decreased, Mental status changes
Clinical narrative: COVID Vaccine Breakthrough Case. Moderna Dose 1 10/29/21 (005C21A) and COVID Positive 11/8/21. 11/8/21: HPI is limited by patient's altered mental status. Collateral source of information is the medical record. Patient is a 92-year-old male who presented to the emergency department today with reported altered mental status. He was confused, agitated, and combative on arrival. The patient's son reported that he has had a progressive decline over the last 6 months, but this behavioral change was more acute. He was recently diagnosed with sundowners. On my this in the ED, the patient tells me the year is 1912. He is able to tell me his name. Tells me he lives alone and has a nurse that comes in. Cannot tell me who the president is. Not aggressive/combative at this time. He denies chest pain, shortness of breath, nausea, vomiting, diarrhea, abdominal pain, fever, and chills. On arrival to the ED, the patient's vitals were stable. He is 98% SpO2 on room air. His labs were fairly unremarkable. He has a troponin of 0.04, TSH 7.34, Free T4 0.84, hemoglobin 13.2. His urine was positive for large amount of leukoesterase. His COVID screening was positive. CXR showed no acute findings. CT of the head showed no acute intracranial findings, but did show severe parenchymal volume loss and white matter changes suggestive of advanced chronic microvascular ischemia. EKG showed AFib at a controlled rate. This appears to be chronic for the patient. The patient received 1g of Rocephin in the ED. 11/18/21: Patient is resting comfortably in bed. Has been unresponsive most of the day.  Awaiting hospice placement. Later deceased.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Thyroxine free normal, Troponin, Unresponsive to stimuli, Urine leukocyte esterase positive
Clinical narrative: COVID Vaccine Breakthrough Case. Moderna Dose 1 10/29/21 (005C21A) and COVID Positive 11/8/21. 11/8/21: HPI is limited by patient's altered mental status. Collateral source of information is the medical record. Patient is a 92-year-old male who presented to the emergency department today with reported altered mental status. He was confused, agitated, and combative on arrival. The patient's son reported that he has had a progressive decline over the last 6 months, but this behavioral change was more acute. He was recently diagnosed with sundowners. On my this in the ED, the patient tells me the year is 1912. He is able to tell me his name. Tells me he lives alone and has a nurse that comes in. Cannot tell me who the president is. Not aggressive/combative at this time. He denies chest pain, shortness of breath, nausea, vomiting, diarrhea, abdominal pain, fever, and chills. On arrival to the ED, the patient's vitals were stable. He is 98% SpO2 on room air. His labs were fairly unremarkable. He has a troponin of 0.04, TSH 7.34, Free T4 0.84, hemoglobin 13.2. His urine was positive for large amount of leukoesterase. His COVID screening was positive. CXR showed no acute findings. CT of the head showed no acute intracranial findings, but did show severe parenchymal volume loss and white matter changes suggestive of advanced chronic microvascular ischemia. EKG showed AFib at a controlled rate. This appears to be chronic for the patient. The patient received 1g of Rocephin in the ED. 11/18/21: Patient is resting comfortably in bed. Has been unresponsive most of the day.  Awaiting hospice placement. Later deceased.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection, White matter lesion
Clinical narrative: COVID Vaccine Breakthrough Case. Moderna Dose 1 10/29/21 (005C21A) and COVID Positive 11/8/21. 11/8/21: HPI is limited by patient's altered mental status. Collateral source of information is the medical record. Patient is a 92-year-old male who presented to the emergency department today with reported altered mental status. He was confused, agitated, and combative on arrival. The patient's son reported that he has had a progressive decline over the last 6 months, but this behavioral change was more acute. He was recently diagnosed with sundowners. On my this in the ED, the patient tells me the year is 1912. He is able to tell me his name. Tells me he lives alone and has a nurse that comes in. Cannot tell me who the president is. Not aggressive/combative at this time. He denies chest pain, shortness of breath, nausea, vomiting, diarrhea, abdominal pain, fever, and chills. On arrival to the ED, the patient's vitals were stable. He is 98% SpO2 on room air. His labs were fairly unremarkable. He has a troponin of 0.04, TSH 7.34, Free T4 0.84, hemoglobin 13.2. His urine was positive for large amount of leukoesterase. His COVID screening was positive. CXR showed no acute findings. CT of the head showed no acute intracranial findings, but did show severe parenchymal volume loss and white matter changes suggestive of advanced chronic microvascular ischemia. EKG showed AFib at a controlled rate. This appears to be chronic for the patient. The patient received 1g of Rocephin in the ED. 11/18/21: Patient is resting comfortably in bed. Has been unresponsive most of the day.  Awaiting hospice placement. Later deceased.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Aphasia, Arthralgia, Chills, Decreased appetite
Clinical narrative: Injection site inflammation and soreness. Immune system is very responsive, and I could feel my lymph nodes under my arms starting to inflame. Within four hours I was down for a few days, including gut issues, I had a fever of 99. Bone chilling symptoms and lots of blankets to combat the symptoms. I did not have a lot of sweating, and I did not have an appetite, really bad muscle and joint pain and aches. Headache was very constant for several days on my temples of my head. My neck became very stiff as well. I went to a facility for acupuncture on day April 14th, to help limit the inflammation and again on the 25th 2022. I was also very symptomatic with brain fog as well, it became very difficult finding words. Urinary incontinences, no projectile vomiting. Nausea was constant as well. The following Friday the 22nd of April I began to really feel better. My appetite did not come back very well. The brain fog started to dissipate a bit and I am still fatigued quite a bit. Still continuing acupuncture, and I still feel very uncomfortable with my stomach as well.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Gastrointestinal disorder, Headache, Inflammation
Clinical narrative: Injection site inflammation and soreness. Immune system is very responsive, and I could feel my lymph nodes under my arms starting to inflame. Within four hours I was down for a few days, including gut issues, I had a fever of 99. Bone chilling symptoms and lots of blankets to combat the symptoms. I did not have a lot of sweating, and I did not have an appetite, really bad muscle and joint pain and aches. Headache was very constant for several days on my temples of my head. My neck became very stiff as well. I went to a facility for acupuncture on day April 14th, to help limit the inflammation and again on the 25th 2022. I was also very symptomatic with brain fog as well, it became very difficult finding words. Urinary incontinences, no projectile vomiting. Nausea was constant as well. The following Friday the 22nd of April I began to really feel better. My appetite did not come back very well. The brain fog started to dissipate a bit and I am still fatigued quite a bit. Still continuing acupuncture, and I still feel very uncomfortable with my stomach as well.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site inflammation, Injection site pain, Lymphadenitis, Mobility decreased, Musculoskeletal stiffness
Clinical narrative: Injection site inflammation and soreness. Immune system is very responsive, and I could feel my lymph nodes under my arms starting to inflame. Within four hours I was down for a few days, including gut issues, I had a fever of 99. Bone chilling symptoms and lots of blankets to combat the symptoms. I did not have a lot of sweating, and I did not have an appetite, really bad muscle and joint pain and aches. Headache was very constant for several days on my temples of my head. My neck became very stiff as well. I went to a facility for acupuncture on day April 14th, to help limit the inflammation and again on the 25th 2022. I was also very symptomatic with brain fog as well, it became very difficult finding words. Urinary incontinences, no projectile vomiting. Nausea was constant as well. The following Friday the 22nd of April I began to really feel better. My appetite did not come back very well. The brain fog started to dissipate a bit and I am still fatigued quite a bit. Still continuing acupuncture, and I still feel very uncomfortable with my stomach as well.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pain, Urinary incontinence
Clinical narrative: Injection site inflammation and soreness. Immune system is very responsive, and I could feel my lymph nodes under my arms starting to inflame. Within four hours I was down for a few days, including gut issues, I had a fever of 99. Bone chilling symptoms and lots of blankets to combat the symptoms. I did not have a lot of sweating, and I did not have an appetite, really bad muscle and joint pain and aches. Headache was very constant for several days on my temples of my head. My neck became very stiff as well. I went to a facility for acupuncture on day April 14th, to help limit the inflammation and again on the 25th 2022. I was also very symptomatic with brain fog as well, it became very difficult finding words. Urinary incontinences, no projectile vomiting. Nausea was constant as well. The following Friday the 22nd of April I began to really feel better. My appetite did not come back very well. The brain fog started to dissipate a bit and I am still fatigued quite a bit. Still continuing acupuncture, and I still feel very uncomfortable with my stomach as well.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Anxiety, Arthralgia, Back pain, Balance disorder
Clinical narrative: Post-vaccine complications. J&J 9/21. Since 16 days following the shot, has had muscle and joint pain, back and abdomen pain, headaches, disequilibrium, sleep problems and anxiety. Has seen 2 neurologist, workup has been negative. Has only received meds for anxiety and to help him sleep.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Myalgia, Sleep disorder
Clinical narrative: Post-vaccine complications. J&J 9/21. Since 16 days following the shot, has had muscle and joint pain, back and abdomen pain, headaches, disequilibrium, sleep problems and anxiety. Has seen 2 neurologist, workup has been negative. Has only received meds for anxiety and to help him sleep.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Lymphadenopathy, Oropharyngeal pain, Paranasal sinus discomfort, Respiratory tract congestion
Clinical narrative: I started having sinus pressure and a sore throat. I just thought it was a sinus infection. I had a lot of congestion and runny nose. My lymph nodes were a little swollen, but not bad. This stated on March 1, 2022 and ended on March 4th, 2022. I ended up testing positive for COVID-19. I received the antibody treatment the next week.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I started having sinus pressure and a sore throat. I just thought it was a sinus infection. I had a lot of congestion and runny nose. My lymph nodes were a little swollen, but not bad. This stated on March 1, 2022 and ended on March 4th, 2022. I ended up testing positive for COVID-19. I received the antibody treatment the next week.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Dyspnoea, Dyspnoea exertional
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 3/3/21 (EL9266) Pfizer Dose 2 3/25/21 (EN6204) Pfizer Dose 3 11/5/21 (FF8841) COVID Positive 11/11/21 COVID Positive 11/13/21  11/19/21: Patient is an 86 male with pmhx of cll baseline wbc 26, rheumatoid arthritis and chronic renal insufficiency tested positive for covid 11/11/2021, given monoclonal antibodies 11/16/2021, coming in for shortness of breath of a few days duration. pateint has covid at home program following him up, and was noted ot have oxygen saturation of 85% at home. on arrival tot he er he was 87% on room air for which he was given 3l oxygen. he denies any chest pain, nausea or vomiting. minimal coughing, non bloody material.no fevers at home but felt warm. he has minimal shortness of breath with activity. no leg swelling. no bleeding.  11/23/21: 1. Pneumonia due to COVID-19 virus, COVID-19   2. Pneumonia - bilateral   3. Hypoxia, Hypoxia   4. Leukocytosis Agency Safe at Home kit- you will receive a kit in the mail that contains a blood pressure cuff, thermometer and Pulse ox- please set this equipment up and contact Agency to monitor you .
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Inappropriate schedule of product administration, Leukocytosis, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 3/3/21 (EL9266) Pfizer Dose 2 3/25/21 (EN6204) Pfizer Dose 3 11/5/21 (FF8841) COVID Positive 11/11/21 COVID Positive 11/13/21  11/19/21: Patient is an 86 male with pmhx of cll baseline wbc 26, rheumatoid arthritis and chronic renal insufficiency tested positive for covid 11/11/2021, given monoclonal antibodies 11/16/2021, coming in for shortness of breath of a few days duration. pateint has covid at home program following him up, and was noted ot have oxygen saturation of 85% at home. on arrival tot he er he was 87% on room air for which he was given 3l oxygen. he denies any chest pain, nausea or vomiting. minimal coughing, non bloody material.no fevers at home but felt warm. he has minimal shortness of breath with activity. no leg swelling. no bleeding.  11/23/21: 1. Pneumonia due to COVID-19 virus, COVID-19   2. Pneumonia - bilateral   3. Hypoxia, Hypoxia   4. Leukocytosis Agency Safe at Home kit- you will receive a kit in the mail that contains a blood pressure cuff, thermometer and Pulse ox- please set this equipment up and contact Agency to monitor you .
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Skin warm, Vaccine breakthrough infection
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 3/3/21 (EL9266) Pfizer Dose 2 3/25/21 (EN6204) Pfizer Dose 3 11/5/21 (FF8841) COVID Positive 11/11/21 COVID Positive 11/13/21  11/19/21: Patient is an 86 male with pmhx of cll baseline wbc 26, rheumatoid arthritis and chronic renal insufficiency tested positive for covid 11/11/2021, given monoclonal antibodies 11/16/2021, coming in for shortness of breath of a few days duration. pateint has covid at home program following him up, and was noted ot have oxygen saturation of 85% at home. on arrival tot he er he was 87% on room air for which he was given 3l oxygen. he denies any chest pain, nausea or vomiting. minimal coughing, non bloody material.no fevers at home but felt warm. he has minimal shortness of breath with activity. no leg swelling. no bleeding.  11/23/21: 1. Pneumonia due to COVID-19 virus, COVID-19   2. Pneumonia - bilateral   3. Hypoxia, Hypoxia   4. Leukocytosis Agency Safe at Home kit- you will receive a kit in the mail that contains a blood pressure cuff, thermometer and Pulse ox- please set this equipment up and contact Agency to monitor you .
Age: 71.0
Sex: F
Vaccine: PNC20
Symptoms: Chills, Headache, Induration, Injection site erythema, Injection site swelling
Clinical narrative: Pt presented to clinic on 04/21/22 and received her prevnar 20 vaccine. She recounts experiencing chills, headache and 100.4-100.9 F fever for the first two days. On 4/24/22 she noticed swelling and redness at the injection site on her right arm. Her swelling continues to worsen. Reports her fingers have swollen to the point where she can no longer wear her wedding ring. Describes her arm is hard and tight. Denies any dizziness, SOB, fatigue, or chest pain. Pt has been treating her symptoms with tylenol, icing and massaging her arm. Denies adverse reaction to her first vaccine.
Age: 71.0
Sex: F
Vaccine: PNC20
Symptoms: Peripheral swelling, Pyrexia, Skin tightness
Clinical narrative: Pt presented to clinic on 04/21/22 and received her prevnar 20 vaccine. She recounts experiencing chills, headache and 100.4-100.9 F fever for the first two days. On 4/24/22 she noticed swelling and redness at the injection site on her right arm. Her swelling continues to worsen. Reports her fingers have swollen to the point where she can no longer wear her wedding ring. Describes her arm is hard and tight. Denies any dizziness, SOB, fatigue, or chest pain. Pt has been treating her symptoms with tylenol, icing and massaging her arm. Denies adverse reaction to her first vaccine.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood test normal, Deep vein thrombosis, Erythema, Induration
Clinical narrative: I developed swelling (pitting edema) and pain in my left lower extremity, as well as tenderness, redness, and induration along the course of my greater saphenous vein.  This occurred  three weeks after my Moderna booster.  I was seen three days later in the emergency department and was diagnosed with both superficial thrombophlebitis of my greater saphenous vein and a deep venous thrombosis (DVT) of my left common femoral vein.  I was started on Xarelto that day.  One month later, my symptoms persist, although they are slightly improved.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Oedema, Peripheral swelling, Superficial vein thrombosis, Tenderness, Ultrasound Doppler abnormal
Clinical narrative: I developed swelling (pitting edema) and pain in my left lower extremity, as well as tenderness, redness, and induration along the course of my greater saphenous vein.  This occurred  three weeks after my Moderna booster.  I was seen three days later in the emergency department and was diagnosed with both superficial thrombophlebitis of my greater saphenous vein and a deep venous thrombosis (DVT) of my left common femoral vein.  I was started on Xarelto that day.  One month later, my symptoms persist, although they are slightly improved.
Age: 93.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Amnesia, COVID-19, Fall, Headache, Injury
Clinical narrative: 94 y.o. male who was involved in a ground level fall at home.  The injury occurred between 2230 and 0830. His son found him down when he came to check on him, he was lying on his right arm on the floor in his bedroom.    The patient states he does not remember falling. He lives alone with frequent check-ins from family. He uses a walker at all times at home. He has pain in his head and the entire right side of his body.  Patient tested positive for COVID upon admission.
Age: 93.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, SARS-CoV-2 test positive
Clinical narrative: 94 y.o. male who was involved in a ground level fall at home.  The injury occurred between 2230 and 0830. His son found him down when he came to check on him, he was lying on his right arm on the floor in his bedroom.    The patient states he does not remember falling. He lives alone with frequent check-ins from family. He uses a walker at all times at home. He has pain in his head and the entire right side of his body.  Patient tested positive for COVID upon admission.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chronic obstructive pulmonary disease, Condition aggravated, Dyspnoea, Pneumonia
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 3/13/21 (EM9809) Pfizer Dose 2 4/3/21 (ER8729) COVID Positive 12/2/21  12/2/21: 71-year-old female with past medical history of COPD, CAD with quadruple bypass in 2005, hypertension, hyperlipidemia, chronic venous stasis presents after experiencing worsening shortness of breath.  Patient described starting to have shortness of breath states about a week ago after she inhaled some burning leaves. Progressively worsened and today she felt like she could not get any air in.  Patient is not oxygen dependent at baseline.  Patient is a former smoker.  Patient is vaccinated for COVID.  Patient tested for COVID in the ED and is positive.  12/4/21: 2019 novel coronavirus detected. Bilateral pneumonia. COPD exacerbation. Make note of changes to medications. Start taking Levaquin on 12/6/21. Use home oxygen as directed. Quarantine 10 days from positive COVID test.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 3/13/21 (EM9809) Pfizer Dose 2 4/3/21 (ER8729) COVID Positive 12/2/21  12/2/21: 71-year-old female with past medical history of COPD, CAD with quadruple bypass in 2005, hypertension, hyperlipidemia, chronic venous stasis presents after experiencing worsening shortness of breath.  Patient described starting to have shortness of breath states about a week ago after she inhaled some burning leaves. Progressively worsened and today she felt like she could not get any air in.  Patient is not oxygen dependent at baseline.  Patient is a former smoker.  Patient is vaccinated for COVID.  Patient tested for COVID in the ED and is positive.  12/4/21: 2019 novel coronavirus detected. Bilateral pneumonia. COPD exacerbation. Make note of changes to medications. Start taking Levaquin on 12/6/21. Use home oxygen as directed. Quarantine 10 days from positive COVID test.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood test, Cardiac failure congestive, Electrocardiogram, Magnetic resonance imaging
Clinical narrative: congestive heart failure, afib
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrointestinal viral infection, Influenza, Malaise, Myalgia, Pain
Clinical narrative: In the middle of the night on Thursday into Friday 2/26, I woke up with a high fever over 103 degrees. I also experienced vomiting, muscle aches, and extreme pain. It felt like a really bad flu combined with an intestinal virus. I was so sick that I didn't care at all what was going on around me.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sleep disorder, Vomiting
Clinical narrative: In the middle of the night on Thursday into Friday 2/26, I woke up with a high fever over 103 degrees. I also experienced vomiting, muscle aches, and extreme pain. It felt like a really bad flu combined with an intestinal virus. I was so sick that I didn't care at all what was going on around me.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased
Clinical narrative: I am experiencing unusually elevated blood pressure readings.  170/101s  .  I remember after my first vaccine injections my B?P was unusually elevated  the first two weeks or so and then returned to normal.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Blood pressure measurement
Clinical narrative: I am experiencing unusually elevated blood pressure readings.  170/101s  .  I remember after my first vaccine injections my B?P was unusually elevated  the first two weeks or so and then returned to normal.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient received 3rd dose (0.5ml) but should have received a booster as she was not immunocompromised at the time.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Condition aggravated, Cytokine storm, Decreased appetite, Fatigue
Clinical narrative: With 1st 2 doses I had fever and tiredness for 2 days.#rd day I felt better. With 3rd dose, I became ill next day, fever tiredness, sleepy.The symptoms kept getting worse. Brain fog became as bad as when I had covid, no appetite extreme exhausion, Low grade fever , loss of taste, Neuropathy symptoms worsened, until started taking prednisone. Acetaminophene did not help to eliviate symptoms. I had cytokine storm following 3rd dose of Covid 19 vaccine
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Laboratory test, Malaise, Neuropathy peripheral, Pyrexia
Clinical narrative: With 1st 2 doses I had fever and tiredness for 2 days.#rd day I felt better. With 3rd dose, I became ill next day, fever tiredness, sleepy.The symptoms kept getting worse. Brain fog became as bad as when I had covid, no appetite extreme exhausion, Low grade fever , loss of taste, Neuropathy symptoms worsened, until started taking prednisone. Acetaminophene did not help to eliviate symptoms. I had cytokine storm following 3rd dose of Covid 19 vaccine
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: With 1st 2 doses I had fever and tiredness for 2 days.#rd day I felt better. With 3rd dose, I became ill next day, fever tiredness, sleepy.The symptoms kept getting worse. Brain fog became as bad as when I had covid, no appetite extreme exhausion, Low grade fever , loss of taste, Neuropathy symptoms worsened, until started taking prednisone. Acetaminophene did not help to eliviate symptoms. I had cytokine storm following 3rd dose of Covid 19 vaccine
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain lower, Adverse reaction, Condition aggravated, Diverticulitis
Clinical narrative: On Booster 3 I experienced a severe 9 day Diverticulitis event, thought to be random and surgery was considered, but being in middle of a covid surge, it was avoided. I got a CT abdomen and antibiotics, fever to 104, negative covid test x 3.  Then I got Covid shot 4 last week.  Within a day I started to experience again symptoms of Diverticulitis, same symptoms, pain, inflamation, abdominal bloating, LLQ pain, fever: I started the Levoquin and gram negative antibiotics within 6 hours of definitive symptoms. They still lasted four solid days, but not to the extent as the first major event after Moderna 3.  Moderna 4 had the same time of onset of symptoms, and when the connection was made to the proximity of both events, I felt it important to report this adverse reaction. Going forward what do I do wrt vaccination, a different type or do I pre treat with Levoquin before the vaccine.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Inflammation, Pain, Pyrexia, Vaccine positive rechallenge
Clinical narrative: On Booster 3 I experienced a severe 9 day Diverticulitis event, thought to be random and surgery was considered, but being in middle of a covid surge, it was avoided. I got a CT abdomen and antibiotics, fever to 104, negative covid test x 3.  Then I got Covid shot 4 last week.  Within a day I started to experience again symptoms of Diverticulitis, same symptoms, pain, inflamation, abdominal bloating, LLQ pain, fever: I started the Levoquin and gram negative antibiotics within 6 hours of definitive symptoms. They still lasted four solid days, but not to the extent as the first major event after Moderna 3.  Moderna 4 had the same time of onset of symptoms, and when the connection was made to the proximity of both events, I felt it important to report this adverse reaction. Going forward what do I do wrt vaccination, a different type or do I pre treat with Levoquin before the vaccine.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Eye operation, Eyelid retraction, Lacrimation increased, Pain, Photophobia
Clinical narrative: In June, I noticed swelling in my right eye lid and it started retracting. My eye watered and I had light sensitivity and pain 4out of 10. I saw these changes as an issue but was unable to see my doctor until July 27,2021. He did confirm that my eye was changing and said if things continue, we could do surgery. Sept 7 to confirm and schedule the surgery. I had surgery Oct 28 and the other was Dec 28 of last year. My eye lid did lower which was the goal, but I am still having some issues: light sensitivity, pain, eye still watering at night, sometimes I wake up with a face fall of tears. Appointment coming up in May to see if we can find other solutions. My doctor said I should avoid any more vaccines related to COVID-19 at this time.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling of eyelid
Clinical narrative: In June, I noticed swelling in my right eye lid and it started retracting. My eye watered and I had light sensitivity and pain 4out of 10. I saw these changes as an issue but was unable to see my doctor until July 27,2021. He did confirm that my eye was changing and said if things continue, we could do surgery. Sept 7 to confirm and schedule the surgery. I had surgery Oct 28 and the other was Dec 28 of last year. My eye lid did lower which was the goal, but I am still having some issues: light sensitivity, pain, eye still watering at night, sometimes I wake up with a face fall of tears. Appointment coming up in May to see if we can find other solutions. My doctor said I should avoid any more vaccines related to COVID-19 at this time.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dysphagia, General physical health deterioration, Hypoxia
Clinical narrative: COVID Vaccine Breakthrough Case  J&J Dose 5/6/21 (1808980) COVID Positive 11/24/21 COVID Positive 11/26/21  11/26/21: History is obtained from patient as well as by personal review of records.  Patient has advanced amyotrophic lateral sclerosis, functional quadriplegia and is nonverbal.  Communicated to me by blinking and slight nodding.  She reportedly uses Eye gaze device.  She follows with Dr. (neurologist ).   She and her husband tested positive for  SARS-CoV-2 reportedly on 11/24/2021.  She had fever, worsening cough of 1 day duration.  Worsening difficulty in swallowing on top of chronic dysphagia.  Decline in general condition. She had temperature of 100.7° F in emergency department. She was hypoxic with pulse ox of 86% on room air.  She uses AVAPS  at nighttime.  11/30/21: Patient is hemodynamically stable to discharge home  Patient to continue with azithromycin daily for 5 days  Patient to follow-up with PCP in 1-2 weeks
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical ventilation, Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Vaccine Breakthrough Case  J&J Dose 5/6/21 (1808980) COVID Positive 11/24/21 COVID Positive 11/26/21  11/26/21: History is obtained from patient as well as by personal review of records.  Patient has advanced amyotrophic lateral sclerosis, functional quadriplegia and is nonverbal.  Communicated to me by blinking and slight nodding.  She reportedly uses Eye gaze device.  She follows with Dr. (neurologist ).   She and her husband tested positive for  SARS-CoV-2 reportedly on 11/24/2021.  She had fever, worsening cough of 1 day duration.  Worsening difficulty in swallowing on top of chronic dysphagia.  Decline in general condition. She had temperature of 100.7° F in emergency department. She was hypoxic with pulse ox of 86% on room air.  She uses AVAPS  at nighttime.  11/30/21: Patient is hemodynamically stable to discharge home  Patient to continue with azithromycin daily for 5 days  Patient to follow-up with PCP in 1-2 weeks
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Post-acute COVID-19 syndrome, Pulmonary embolism
Clinical narrative: Long COVID syndrome post vax . original infection COVID March 2020
Age: 55.0
Sex: F
Vaccine: PNC20
Symptoms: Chills, Headache, Injection site nodule, Injection site pain, Pyrexia
Clinical narrative: Had H/A. Sore right deltoid.  C hills & Fever of 101.8 for about 8 hours.  Rash. Knot also in deltoid still there as of 4/26/2022.
Age: 55.0
Sex: F
Vaccine: PNC20
Symptoms: Rash
Clinical narrative: Had H/A. Sore right deltoid.  C hills & Fever of 101.8 for about 8 hours.  Rash. Knot also in deltoid still there as of 4/26/2022.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Compression garment application, Injection site pain
Clinical narrative: Between time frame of Nov 1 to Dec 31, 2022 started feeling pain on my left elbow. Doctor recommended to put compression sleeve and put ice and heat on it. Now my right elbow is also hurting.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Influenza like illness, Malaise, Peripheral swelling, Pulmonary thrombosis
Clinical narrative: After receiving my third dose, I felt sick and experienced flu like symptoms for 2 days. It wasn't quite as severe as my second dose, but it was difficult. I recently noticed that my leg looked swollen which was not normal. I called the doctor that I had seen when I had to have hip surgery. Since I could not reach my doctor, I went to the E.R. Where they discovered blood clots in my lungs and legs. My blood pressure was also abnormally high which is something I have never experienced.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombosis
Clinical narrative: After receiving my third dose, I felt sick and experienced flu like symptoms for 2 days. It wasn't quite as severe as my second dose, but it was difficult. I recently noticed that my leg looked swollen which was not normal. I called the doctor that I had seen when I had to have hip surgery. Since I could not reach my doctor, I went to the E.R. Where they discovered blood clots in my lungs and legs. My blood pressure was also abnormally high which is something I have never experienced.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Immunisation reaction, Malaise, Neurological symptom
Clinical narrative: The weekend after I had my vaccination, I started to feel sick. I felt like I had a stroke. I kept drinking water and called my doctor. The doctor told me it was a vaccine side effect and that it would go away in a couple of days. It did go away in a couple of days. I ended up getting COVID-19 twice.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Aspartate aminotransferase increased, Blood test abnormal, Blood urea increased, COVID-19
Clinical narrative: COVID Vaccine Breakthrough Dose  Moderna Dose 1 3/2/21 (002A21A) Moderna Dose 2 4/1/21 (017B21A) COVID Positive 11/23/21  11/23/21: Patient is an 86-year-old female from home. Patient reported falling to the ground while going to the nursing home to visit husband. She was brought into the ER by EMS services and patient denied losing consciousness. Patient has a right forehead laceration and a right dislocation. A sedation and reduction procedures performed in ER and was successful. Patient was noted with low oxygen sats and was on 15 L during the procedure. Orthopedic was consulted from the ER and no plans for intervention at this time.   Blood work in ER showed BUN 42, ALT 52, AST 66,. Her COVID-19 test came back positive. Patient reported fully vaccinated with COVID-19 and has not received her flu vaccination yet. Chest x-ray negative for any acute processes. I met with the patient in ER and she reported improvement on a symptom at this time. She denies fever chest pain, numbness tingling, abdominal pain, headaches shortness of breath. I discuss the plan of care with patient and she is agreeable to stay in hospital for further management. Awaiting for Orthopedic recommendation. Will have patient work with PT to address her needs for discharge.  12/1/21: 2019 novel coronavirus detected, Acute COVID-19. COPD exacerbation. Closed dislocation of hip. Hypoxia. Closed head injury. Abrasion. Requires assistance with activities of daily living (ADL)
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chronic obstructive pulmonary disease, Condition aggravated, Craniocerebral injury, Fall
Clinical narrative: COVID Vaccine Breakthrough Dose  Moderna Dose 1 3/2/21 (002A21A) Moderna Dose 2 4/1/21 (017B21A) COVID Positive 11/23/21  11/23/21: Patient is an 86-year-old female from home. Patient reported falling to the ground while going to the nursing home to visit husband. She was brought into the ER by EMS services and patient denied losing consciousness. Patient has a right forehead laceration and a right dislocation. A sedation and reduction procedures performed in ER and was successful. Patient was noted with low oxygen sats and was on 15 L during the procedure. Orthopedic was consulted from the ER and no plans for intervention at this time.   Blood work in ER showed BUN 42, ALT 52, AST 66,. Her COVID-19 test came back positive. Patient reported fully vaccinated with COVID-19 and has not received her flu vaccination yet. Chest x-ray negative for any acute processes. I met with the patient in ER and she reported improvement on a symptom at this time. She denies fever chest pain, numbness tingling, abdominal pain, headaches shortness of breath. I discuss the plan of care with patient and she is agreeable to stay in hospital for further management. Awaiting for Orthopedic recommendation. Will have patient work with PT to address her needs for discharge.  12/1/21: 2019 novel coronavirus detected, Acute COVID-19. COPD exacerbation. Closed dislocation of hip. Hypoxia. Closed head injury. Abrasion. Requires assistance with activities of daily living (ADL)
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Inappropriate schedule of product administration, Joint dislocation, Joint dislocation reduction, Loss of personal independence in daily activities
Clinical narrative: COVID Vaccine Breakthrough Dose  Moderna Dose 1 3/2/21 (002A21A) Moderna Dose 2 4/1/21 (017B21A) COVID Positive 11/23/21  11/23/21: Patient is an 86-year-old female from home. Patient reported falling to the ground while going to the nursing home to visit husband. She was brought into the ER by EMS services and patient denied losing consciousness. Patient has a right forehead laceration and a right dislocation. A sedation and reduction procedures performed in ER and was successful. Patient was noted with low oxygen sats and was on 15 L during the procedure. Orthopedic was consulted from the ER and no plans for intervention at this time.   Blood work in ER showed BUN 42, ALT 52, AST 66,. Her COVID-19 test came back positive. Patient reported fully vaccinated with COVID-19 and has not received her flu vaccination yet. Chest x-ray negative for any acute processes. I met with the patient in ER and she reported improvement on a symptom at this time. She denies fever chest pain, numbness tingling, abdominal pain, headaches shortness of breath. I discuss the plan of care with patient and she is agreeable to stay in hospital for further management. Awaiting for Orthopedic recommendation. Will have patient work with PT to address her needs for discharge.  12/1/21: 2019 novel coronavirus detected, Acute COVID-19. COPD exacerbation. Closed dislocation of hip. Hypoxia. Closed head injury. Abrasion. Requires assistance with activities of daily living (ADL)
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, SARS-CoV-2 test positive, Skin abrasion, Skin laceration, Vaccine breakthrough infection
Clinical narrative: COVID Vaccine Breakthrough Dose  Moderna Dose 1 3/2/21 (002A21A) Moderna Dose 2 4/1/21 (017B21A) COVID Positive 11/23/21  11/23/21: Patient is an 86-year-old female from home. Patient reported falling to the ground while going to the nursing home to visit husband. She was brought into the ER by EMS services and patient denied losing consciousness. Patient has a right forehead laceration and a right dislocation. A sedation and reduction procedures performed in ER and was successful. Patient was noted with low oxygen sats and was on 15 L during the procedure. Orthopedic was consulted from the ER and no plans for intervention at this time.   Blood work in ER showed BUN 42, ALT 52, AST 66,. Her COVID-19 test came back positive. Patient reported fully vaccinated with COVID-19 and has not received her flu vaccination yet. Chest x-ray negative for any acute processes. I met with the patient in ER and she reported improvement on a symptom at this time. She denies fever chest pain, numbness tingling, abdominal pain, headaches shortness of breath. I discuss the plan of care with patient and she is agreeable to stay in hospital for further management. Awaiting for Orthopedic recommendation. Will have patient work with PT to address her needs for discharge.  12/1/21: 2019 novel coronavirus detected, Acute COVID-19. COPD exacerbation. Closed dislocation of hip. Hypoxia. Closed head injury. Abrasion. Requires assistance with activities of daily living (ADL)
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient received expired vaccine. Vaccine expired 3/26 and received on 3/30. No adverse effects noted. Patient opted to not receive re-dose.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Injection site pain, Oedema peripheral, Pain, Tenderness
Clinical narrative: Received #3 Moderna boost on Saturday 4/23/22 to left deltoid with no immediate abnormal s/e to arm. Next day patient reported slight flu-like symptoms. On 4/26/22 patient arrived at Walk In Clinic reporting radiating 4/10 pain level in left top shoulder, associated deltoid, and left underarm pit with swelling and tenderness.
Age: 11.0
Sex: F
Vaccine: HPV9
Symptoms: Crying, Dental care, Face injury, Fall, Gingival disorder
Clinical narrative: Approximately 10 seconds after I gave the HPV #2 vaccine to this patient in her right deltoid, she passed out and fell off the exam table landing on the floor. she fell on the opposite side of the table of where I was landing face down on the floor.  this broke a part of one of her front teeth off which also puntured her lower lip.In about 4 secconds she was totally alert, asking what happened and started crying because her mouth was sore. We had her spit out the blood that was in her mouth, removed the piece of tooth that was in her lower lip and applied a cold cloth then an ice pak. Parents were called. Dad took her to their dentist. Will receive further dental treatment in a week when the gum has firmed up.