chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Urine leukocyte esterase, White blood cell count normal
Clinical narrative: A very pleasant 18-year-old female who lives at home with her parents.  Her history is pertinent for chronic right leg pain due to complex regional pain syndrome, postural tachycardia syndrome (POTS), and questionable mast cell degranulation.  She has been in her usual state of health.  She is looking forward to going to The University of New England for college this fall.  They require COVID vaccination.  Family considered their options.  They opted to choose the Johnson & Johnson vaccine as it is a single shot and the patient has had adverse reactions with prior vaccines according to the mom.  The patient had her J & J vaccine early in the morning.  It was given at approximately 9 a.m.  The patient went home.  Shortly thereafter she started feeling very tired, in fact had to take a nap.  She felt hot, but when the temperature was measured at home, she was afebrile.  Then later evening she started developing significant pounding in her chest.
Age: 36.0
Sex: F
Vaccine: PPV
Symptoms: Arthralgia, Feeling hot, Hemiparesis, Immediate post-injection reaction, Injury
Clinical narrative: Immediately had discomfort in my right arm, that feeling of discomfort in my arm never went away, I started experiencing severe arm shoulder & neck pain & stiffness a few days later, I went to the ER at  for my symptoms , I was quickly released with an assumption that I had maybe injured myself pulling out carpet from my home on 3/7.  I was given pain pills, muscle relaxer & predisone. None of those options helped. Scheduled a Drs appointment with same complaint, was scheduled for an MRI of neck. Neck MRI was good, no other options to help me.  I switched providers to  Clinic in search of a 2nd opinion because at this point I was paralyzed in pain from my arm up to my neck and in my right shoulder blade.  I was referred to physical therapy, much of my physical therapy was focused on core exercises as any work or any movement with my arm/neck would send me in a spiral of pain. I started to experience low grade fevers at night time of 99.7, my whole right side of my body felt hot & weak. I had another MRI of my shoulder,  came back clear, I then had another MRI of my brain, came back clear.  I was referred to pain management and was given dose of 5 day Predisone just to try. Predisone took most all pain away, however I still have flair ups of pain.
Age: 36.0
Sex: F
Vaccine: PPV
Symptoms: Limb discomfort, Magnetic resonance imaging head normal, Magnetic resonance imaging neck, Magnetic resonance imaging normal, Musculoskeletal stiffness
Clinical narrative: Immediately had discomfort in my right arm, that feeling of discomfort in my arm never went away, I started experiencing severe arm shoulder & neck pain & stiffness a few days later, I went to the ER at  for my symptoms , I was quickly released with an assumption that I had maybe injured myself pulling out carpet from my home on 3/7.  I was given pain pills, muscle relaxer & predisone. None of those options helped. Scheduled a Drs appointment with same complaint, was scheduled for an MRI of neck. Neck MRI was good, no other options to help me.  I switched providers to  Clinic in search of a 2nd opinion because at this point I was paralyzed in pain from my arm up to my neck and in my right shoulder blade.  I was referred to physical therapy, much of my physical therapy was focused on core exercises as any work or any movement with my arm/neck would send me in a spiral of pain. I started to experience low grade fevers at night time of 99.7, my whole right side of my body felt hot & weak. I had another MRI of my shoulder,  came back clear, I then had another MRI of my brain, came back clear.  I was referred to pain management and was given dose of 5 day Predisone just to try. Predisone took most all pain away, however I still have flair ups of pain.
Age: 36.0
Sex: F
Vaccine: PPV
Symptoms: Neck pain, Pain, Pain in extremity, Pyrexia
Clinical narrative: Immediately had discomfort in my right arm, that feeling of discomfort in my arm never went away, I started experiencing severe arm shoulder & neck pain & stiffness a few days later, I went to the ER at  for my symptoms , I was quickly released with an assumption that I had maybe injured myself pulling out carpet from my home on 3/7.  I was given pain pills, muscle relaxer & predisone. None of those options helped. Scheduled a Drs appointment with same complaint, was scheduled for an MRI of neck. Neck MRI was good, no other options to help me.  I switched providers to  Clinic in search of a 2nd opinion because at this point I was paralyzed in pain from my arm up to my neck and in my right shoulder blade.  I was referred to physical therapy, much of my physical therapy was focused on core exercises as any work or any movement with my arm/neck would send me in a spiral of pain. I started to experience low grade fevers at night time of 99.7, my whole right side of my body felt hot & weak. I had another MRI of my shoulder,  came back clear, I then had another MRI of my brain, came back clear.  I was referred to pain management and was given dose of 5 day Predisone just to try. Predisone took most all pain away, however I still have flair ups of pain.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Contracted COVID-19 on 08/20/2021
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Feeling hot, Nausea
Clinical narrative: Pt. c/o of being heated, woozy, and nauseated after being in observation for 41 minutes. Pt reports she feels like anxiety caused her to feel this way. She reports she did not feel the same as she has in the past when she had an anaphylactic reaction. Pt. dc' d home with ED precautions given.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Blister
Clinical narrative: Blisters appeared all over hands and feet about 12 hours after first dose of Covid-19 injection.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest pain, Computerised tomogram normal, Dyspnoea, Eating disorder
Clinical narrative: I experienced shortness of breathe and constant chest pain, fatigue, throat soreness, and difficulty with the consumption of any food. I went to the ER for chest pain and test were run with no results. My doctor said she doesn't know what's wrong (multiple tests with no diagnosis).
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Fatigue, Oropharyngeal pain, SARS-CoV-2 test negative, X-ray normal
Clinical narrative: I experienced shortness of breathe and constant chest pain, fatigue, throat soreness, and difficulty with the consumption of any food. I went to the ER for chest pain and test were run with no results. My doctor said she doesn't know what's wrong (multiple tests with no diagnosis).
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Headache, Oropharyngeal pain, Pain
Clinical narrative: loss of taste and smell; sore throat, congestion, headache, bodyaches, starting on 8/20/21
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory tract congestion
Clinical narrative: loss of taste and smell; sore throat, congestion, headache, bodyaches, starting on 8/20/21
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness, Headache, Vertigo
Clinical narrative: Patient has experienced intermittent dizziness, headaches, and severe vertigo since the time of vaccine. Patient did not present the symptoms at any point prior to vaccination.  Patient sought treatment from his primary MD and was prescribed meclizine to relieve vertigo symptoms and instructed to continue taking ibuprofen/acetaminophen and to report back if symptoms had not resolved after 1 - 2 weeks for full work up. Patient had blood glucose within normal limits and was well-hydrated.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Lethargy, Muscular weakness
Clinical narrative: numbness around lip and mouth, numbness under feet and increased lethargy and weakness in hands
Age: 71.0
Sex: F
Vaccine: FLU4
Symptoms: Fatigue, Feeling abnormal, Injection site induration, Injection site mass, Injection site warmth
Clinical narrative: large hot, hard, raised, welt below injection site approx 3" x 3". Fuzzy, tired feeling.
Age: 71.0
Sex: F
Vaccine: FLU4
Symptoms: Urticaria
Clinical narrative: large hot, hard, raised, welt below injection site approx 3" x 3". Fuzzy, tired feeling.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, SARS-CoV-2 test
Clinical narrative: lethargy
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: Menstrual irregularities  Menstrual cycle came 5 days sooner
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Peripheral swelling, Renal impairment
Clinical narrative: Swollen legs, feet, hands, lymph nodes, decreased kidney function lasted about 6 weeks.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Cyanosis
Clinical narrative: Left and Right Big Toes turning blue
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Muscular weakness
Clinical narrative: numbness/weakness to right arm lasting longer than 12hrs
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Hyperaesthesia, Inflammation, Magnetic resonance imaging spinal, Neuritis
Clinical narrative: Symmetric bilateral thigh pain along the external edge of both legs, intermittent but always present, got worse with movements to the point that his gait was abnormal secondary to pain. No abnormalities in motor strength, noticed hyperalgesia bilaterally.  The pain would often be so severe it would wake him up from sleep.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Scan with contrast, Sleep disorder
Clinical narrative: Symmetric bilateral thigh pain along the external edge of both legs, intermittent but always present, got worse with movements to the point that his gait was abnormal secondary to pain. No abnormalities in motor strength, noticed hyperalgesia bilaterally.  The pain would often be so severe it would wake him up from sleep.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: patient states that it has been 5 days since vaccination and she has been having numbness and tingling down both arms. Advised to contact PCP to make PCP aware of situation.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Influenza like illness, Injection site erythema, Myalgia, Pain, Pyrexia
Clinical narrative: body/muscle aches, fever - similar to flu for about 36 hours. red reaction area ( about 2" X 3") on arm just below injection site
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Headache, Vomiting
Clinical narrative: HEADACHE, DIARRHEA AND VOMITING.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Chest pain, Dyspnoea, Feeling abnormal
Clinical narrative: 3 days after my  1st vaccination, I was laying down and I had tremendous sharp pain in my left upper shoulder,  just going across my chest  and shortness of breath. I had a hard time laying down and getting comfortable. The next 3 nights I laid  in a chair, because I couldn't lay down to sleep. I walk like 6 miles a day, I went to bend over to get a newspaper, I could hardly get up because of the pain , if it weren't for my walking stick, I don't know if I could of gotten back up. About the 4th night, I couldn't breathe, so I went to he ER. After about 7 hours they diagnosed  that I had fluid in the heart. And they prescribed Prednisone. The whole time I was in the ER room, I just saw nurses, never saw a doctor. That really upset.  My neighbor who is a doctor, reminded me these symptoms started after my vaccine.   A week later I  thought I was literally going to die because I couldn't breathe, the pain was so intense. I went to a different hospital. I had a sonogram that showed I had fluid in my heart. And they gave me a very high dose of Prednisone. I was admitted in the hospital for 2 days. I was under a lot of observation and they administered the prescribed medication.  Unknown, If I am recovered from the AEs because I am still under the care of Dr. until December because I am still on Prednisone and he is trying to wean me off.  I never had heart problems prior to the vaccination. There are no heart problems in my family.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pericardial effusion, Ultrasound scan abnormal, Walking aid user
Clinical narrative: 3 days after my  1st vaccination, I was laying down and I had tremendous sharp pain in my left upper shoulder,  just going across my chest  and shortness of breath. I had a hard time laying down and getting comfortable. The next 3 nights I laid  in a chair, because I couldn't lay down to sleep. I walk like 6 miles a day, I went to bend over to get a newspaper, I could hardly get up because of the pain , if it weren't for my walking stick, I don't know if I could of gotten back up. About the 4th night, I couldn't breathe, so I went to he ER. After about 7 hours they diagnosed  that I had fluid in the heart. And they prescribed Prednisone. The whole time I was in the ER room, I just saw nurses, never saw a doctor. That really upset.  My neighbor who is a doctor, reminded me these symptoms started after my vaccine.   A week later I  thought I was literally going to die because I couldn't breathe, the pain was so intense. I went to a different hospital. I had a sonogram that showed I had fluid in my heart. And they gave me a very high dose of Prednisone. I was admitted in the hospital for 2 days. I was under a lot of observation and they administered the prescribed medication.  Unknown, If I am recovered from the AEs because I am still under the care of Dr. until December because I am still on Prednisone and he is trying to wean me off.  I never had heart problems prior to the vaccination. There are no heart problems in my family.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Migraine, Mobility decreased
Clinical narrative: Since getting the 1st vaccine, I have gotten headaches every single day. Some are mild and then some are severe, turning into migraines where I cannot get out of bed. I have taken Tylenol, Advil and Excederin for them. Sometimes the medication works and other days it does not.
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: POSITIVE COVID TEST
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Electrocardiogram, Hypoaesthesia, Metabolic function test
Clinical narrative: Day 2 post vaccine SOB and Chest tightness, resolved Day 3 post vaccine L facial numbness Patient called clinic at 4:30 Day 3 post vaccine and was advised to go to ER, pt did not go Day 6 post vaccine patient had office visit and MD advised pt to go to ER for further work up
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction, Sensory disturbance
Clinical narrative: Pt. became light headed immediately after receiving vaccine. Pt reports feeling medicine go through her and immediately becoming lightheaded for just a minute. Vitals reviewed and pt. reports feeling fine a minute later. Pt. dc 'd home after waiting 30 minutes with precautions given.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphonia, Nasal congestion, Nasal obstruction, Swelling face, Swelling of eyelid
Clinical narrative: Acute onset of facial swelling with facial flushing, eye lid swelling, nasal swelling, throat tightnesss, throat hoarseness, and nasal airway constriction while driving home after vaccine. Immediately  Took Benadryl 50 mg PO.Symptoms resolved within 2hours
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Acute onset of facial swelling with facial flushing, eye lid swelling, nasal swelling, throat tightnesss, throat hoarseness, and nasal airway constriction while driving home after vaccine. Immediately  Took Benadryl 50 mg PO.Symptoms resolved within 2hours
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Erythema, Inflammation, Peripheral swelling
Clinical narrative: The patient stated that their left arm became very inflamed and red, that their arm was 'bloated' and bigger than usual afterwards.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Cough, Hypoxia, Pneumonia, SARS-CoV-2 test
Clinical narrative: hypoxic PNA, cough- needing home oxygen
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Decreased appetite, Epistaxis, Fatigue
Clinical narrative: - 12h after injection and for 2 days: sore arm and flu-like symptoms (chills, fatigue, fever, loss of appetite, body ache, sweating, nose congestion, headache). - Day 4-10 post-injection: chest and left arm (from neck down to fingers) pain - Week 2 post-injection: constant migraine (night and day) for about a week - Week 2-3 post-injection: daily nose bleeding, every morning for about 10 days - Since the injection: disrupted menstrual cycles as follows: Cycle 1: periods arrived a week too early (on day 21) and were hemorrhagic Cycle 2: periods arrived too late (on day 40) and were hemorrhagic Cycle 3: periods arrived too early (on day 23) and were hemorrhagic
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heavy menstrual bleeding, Hyperhidrosis, Influenza like illness, Menstrual disorder
Clinical narrative: - 12h after injection and for 2 days: sore arm and flu-like symptoms (chills, fatigue, fever, loss of appetite, body ache, sweating, nose congestion, headache). - Day 4-10 post-injection: chest and left arm (from neck down to fingers) pain - Week 2 post-injection: constant migraine (night and day) for about a week - Week 2-3 post-injection: daily nose bleeding, every morning for about 10 days - Since the injection: disrupted menstrual cycles as follows: Cycle 1: periods arrived a week too early (on day 21) and were hemorrhagic Cycle 2: periods arrived too late (on day 40) and were hemorrhagic Cycle 3: periods arrived too early (on day 23) and were hemorrhagic
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Nasal congestion, Pain, Pain in extremity, Pyrexia
Clinical narrative: - 12h after injection and for 2 days: sore arm and flu-like symptoms (chills, fatigue, fever, loss of appetite, body ache, sweating, nose congestion, headache). - Day 4-10 post-injection: chest and left arm (from neck down to fingers) pain - Week 2 post-injection: constant migraine (night and day) for about a week - Week 2-3 post-injection: daily nose bleeding, every morning for about 10 days - Since the injection: disrupted menstrual cycles as follows: Cycle 1: periods arrived a week too early (on day 21) and were hemorrhagic Cycle 2: periods arrived too late (on day 40) and were hemorrhagic Cycle 3: periods arrived too early (on day 23) and were hemorrhagic
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: POSITIVE COVID TEST
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Death, Diarrhoea, Pyrexia
Clinical narrative: POSITIVE COVID TEST
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: POSITIVE COVID TEST
Age: 1.08
Sex: F
Vaccine: IPV
Symptoms: Rash
Clinical narrative: After a few days, my daughter developed a rash. The bumps are very fine and are on her chest, back and arms mostly. (Upper trunk). The bumps have been there ever since and it's been serveral weeks since the injection. Baths, lotions, oils don't make a difference.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chills, Erythema, Hypoaesthesia
Clinical narrative: L arm swelling, redness, and numbness traveling up neck and L face.  L facial numbness, weakness, and swelling. L arm and L leg weakness. Aching, fever, chills, joint pains, body aches. can't move L face well.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Pain, Peripheral swelling, Pyrexia, Swelling
Clinical narrative: L arm swelling, redness, and numbness traveling up neck and L face.  L facial numbness, weakness, and swelling. L arm and L leg weakness. Aching, fever, chills, joint pains, body aches. can't move L face well.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Ear discomfort, Fatigue, Feeling abnormal, Headache
Clinical narrative: Extreme fatigue, foggy, constant headache at the back of the head, vertigo, dizziness, clogged ears, ringing in the ears.  The symptoms have been going on for 6 months now. All the tests came back negative, but the symptoms continue
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus, Vertigo
Clinical narrative: Extreme fatigue, foggy, constant headache at the back of the head, vertigo, dizziness, clogged ears, ringing in the ears.  The symptoms have been going on for 6 months now. All the tests came back negative, but the symptoms continue
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Erythema
Clinical narrative: a 1/5 th red line on my left arm going up my arm about 10 inches with a single red dot on the tip of my middle left finger. Both lasted for approx. 5 days
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Guillain-Barre syndrome, Neuropathy peripheral
Clinical narrative: Neuropathy in legs, back, hands and feet. Guillain Barre diagnosis. Spent several weeks I. The hospital and I?m in patient therapy.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: The patient MAY have received a dose of Janssen vaccine that was administered after the Beyond Use Date.  The provider may have given the dose outside of the 6 hour window after the vial was opened.  No symptoms or signs.  Pt will be contacted and offered to be re-vaccinated to offer full protection, per our Medical Group.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: The patient MAY have received a dose of Janssen vaccine that was administered after the Beyond Use Date.  The provider may have given the dose outside of the 6 hour window after the vial was opened.  No symptoms or signs.  Pt will be contacted and offered to be re-vaccinated to offer full protection, per our Medical Group.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: At night, I turned from one side to other. They whole room started spinning - lasted a couple of minutes. And then I turned to the other side and it happened again and then it happened a total of 4 times. I went back to sleep. I took Meclizine - to relieve symptoms. It made me sleepy for a couple of days. And then it happened again on Wednesday early AM. Since then I haven't had any more episodes. Later I had a physical therapy appt (per doctor advice after I told him about it) and she tried to move my head to try to trigger again and it didn't trigger the symptoms. She showed me exercises I can do if it happens again.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Expired
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Echocardiogram, Electrocardiogram, Laboratory test, Pericarditis
Clinical narrative: Pericarditis went to ER discharged and followup by PCM
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin
Clinical narrative: Pericarditis went to ER discharged and followup by PCM
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Nausea, Pain
Clinical narrative: Patient received 3rd covid dose. The first two were Moderna. The third was Moderna. Pfizer was used due to Moderna being unavailable in the local market. The wording of the CDC was the 3rd dose was "encouraged" rather than mandated to match the first two doses.   The patient had severe nausea and aches. Encourage patient to reach out to PCP for nausea meds.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Blood creatinine increased, Blood lactic acid increased, COVID-19, Dehydration
Clinical narrative: Pt is a 53yrs. female who looks clinically dehydrated with acute kidney injury and a mild lactic acidosis, after around 48 hours I decreased oral intake, nausea and vomiting, and significant output from her ileostomy.  She also had a day of preceding fatigue, mild headache, and general malaise and subjective low-grade fevers.  She is vaccinated for COVID.   On exam she looks clinically dehydrated.  She arrived mildly tachycardic but no concerning fever or hypotension.  She is chronically undergoing chemotherapy for a diagnosis of brain cancer earlier in the year.  Her last dose was around 4 days ago.  Luckily she has no acute neurologic deficits and she has a benign abdominal exam.   Port was accessed and labs were drawn, including lactic acid, which is mildly elevated at 2.4.  White blood cell count is mildly decreased with her lymphocytes decreased as well.  She has acute metabolic derangement, including acute kidney injury with her creatinine up to 2, as well as hyponatremia and hypokalemia.   We infused 2 L of lactated Ringer's, Zyprexa via IV for nausea, GI cocktail for acid reflux symptoms, and IV potassium.  She is feeling mildly improved, but still very symptomatic and lightheaded with malaise.   Her Covid test has come back as positive, which I think adequately explains her symptoms.  She is vaccinated, so hopefully her symptoms will be as severe as if she was not vaccinated.  Luckily she is not having any current respiratory symptoms or hypoxia, so I do not think she needs any steroids at this time.   Given the metabolic derangement, including the acute kidney injury, and the continued ostomy output and nausea, I think patient meets inpatient criteria.  She will be placed on Covid full barrier precautions.  She understands the current assessment and plan.  She will be admitted inpatient to the hospitalist.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Fatigue, Gastrooesophageal reflux disease, Headache, Hypokalaemia
Clinical narrative: Pt is a 53yrs. female who looks clinically dehydrated with acute kidney injury and a mild lactic acidosis, after around 48 hours I decreased oral intake, nausea and vomiting, and significant output from her ileostomy.  She also had a day of preceding fatigue, mild headache, and general malaise and subjective low-grade fevers.  She is vaccinated for COVID.   On exam she looks clinically dehydrated.  She arrived mildly tachycardic but no concerning fever or hypotension.  She is chronically undergoing chemotherapy for a diagnosis of brain cancer earlier in the year.  Her last dose was around 4 days ago.  Luckily she has no acute neurologic deficits and she has a benign abdominal exam.   Port was accessed and labs were drawn, including lactic acid, which is mildly elevated at 2.4.  White blood cell count is mildly decreased with her lymphocytes decreased as well.  She has acute metabolic derangement, including acute kidney injury with her creatinine up to 2, as well as hyponatremia and hypokalemia.   We infused 2 L of lactated Ringer's, Zyprexa via IV for nausea, GI cocktail for acid reflux symptoms, and IV potassium.  She is feeling mildly improved, but still very symptomatic and lightheaded with malaise.   Her Covid test has come back as positive, which I think adequately explains her symptoms.  She is vaccinated, so hopefully her symptoms will be as severe as if she was not vaccinated.  Luckily she is not having any current respiratory symptoms or hypoxia, so I do not think she needs any steroids at this time.   Given the metabolic derangement, including the acute kidney injury, and the continued ostomy output and nausea, I think patient meets inpatient criteria.  She will be placed on Covid full barrier precautions.  She understands the current assessment and plan.  She will be admitted inpatient to the hospitalist.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyponatraemia, Hypophagia, Ileostomy, Lactic acidosis, Lymphocyte count decreased
Clinical narrative: Pt is a 53yrs. female who looks clinically dehydrated with acute kidney injury and a mild lactic acidosis, after around 48 hours I decreased oral intake, nausea and vomiting, and significant output from her ileostomy.  She also had a day of preceding fatigue, mild headache, and general malaise and subjective low-grade fevers.  She is vaccinated for COVID.   On exam she looks clinically dehydrated.  She arrived mildly tachycardic but no concerning fever or hypotension.  She is chronically undergoing chemotherapy for a diagnosis of brain cancer earlier in the year.  Her last dose was around 4 days ago.  Luckily she has no acute neurologic deficits and she has a benign abdominal exam.   Port was accessed and labs were drawn, including lactic acid, which is mildly elevated at 2.4.  White blood cell count is mildly decreased with her lymphocytes decreased as well.  She has acute metabolic derangement, including acute kidney injury with her creatinine up to 2, as well as hyponatremia and hypokalemia.   We infused 2 L of lactated Ringer's, Zyprexa via IV for nausea, GI cocktail for acid reflux symptoms, and IV potassium.  She is feeling mildly improved, but still very symptomatic and lightheaded with malaise.   Her Covid test has come back as positive, which I think adequately explains her symptoms.  She is vaccinated, so hopefully her symptoms will be as severe as if she was not vaccinated.  Luckily she is not having any current respiratory symptoms or hypoxia, so I do not think she needs any steroids at this time.   Given the metabolic derangement, including the acute kidney injury, and the continued ostomy output and nausea, I think patient meets inpatient criteria.  She will be placed on Covid full barrier precautions.  She understands the current assessment and plan.  She will be admitted inpatient to the hospitalist.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Metabolic function test abnormal, Nausea, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Pt is a 53yrs. female who looks clinically dehydrated with acute kidney injury and a mild lactic acidosis, after around 48 hours I decreased oral intake, nausea and vomiting, and significant output from her ileostomy.  She also had a day of preceding fatigue, mild headache, and general malaise and subjective low-grade fevers.  She is vaccinated for COVID.   On exam she looks clinically dehydrated.  She arrived mildly tachycardic but no concerning fever or hypotension.  She is chronically undergoing chemotherapy for a diagnosis of brain cancer earlier in the year.  Her last dose was around 4 days ago.  Luckily she has no acute neurologic deficits and she has a benign abdominal exam.   Port was accessed and labs were drawn, including lactic acid, which is mildly elevated at 2.4.  White blood cell count is mildly decreased with her lymphocytes decreased as well.  She has acute metabolic derangement, including acute kidney injury with her creatinine up to 2, as well as hyponatremia and hypokalemia.   We infused 2 L of lactated Ringer's, Zyprexa via IV for nausea, GI cocktail for acid reflux symptoms, and IV potassium.  She is feeling mildly improved, but still very symptomatic and lightheaded with malaise.   Her Covid test has come back as positive, which I think adequately explains her symptoms.  She is vaccinated, so hopefully her symptoms will be as severe as if she was not vaccinated.  Luckily she is not having any current respiratory symptoms or hypoxia, so I do not think she needs any steroids at this time.   Given the metabolic derangement, including the acute kidney injury, and the continued ostomy output and nausea, I think patient meets inpatient criteria.  She will be placed on Covid full barrier precautions.  She understands the current assessment and plan.  She will be admitted inpatient to the hospitalist.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tachycardia, Vomiting, White blood cell count decreased
Clinical narrative: Pt is a 53yrs. female who looks clinically dehydrated with acute kidney injury and a mild lactic acidosis, after around 48 hours I decreased oral intake, nausea and vomiting, and significant output from her ileostomy.  She also had a day of preceding fatigue, mild headache, and general malaise and subjective low-grade fevers.  She is vaccinated for COVID.   On exam she looks clinically dehydrated.  She arrived mildly tachycardic but no concerning fever or hypotension.  She is chronically undergoing chemotherapy for a diagnosis of brain cancer earlier in the year.  Her last dose was around 4 days ago.  Luckily she has no acute neurologic deficits and she has a benign abdominal exam.   Port was accessed and labs were drawn, including lactic acid, which is mildly elevated at 2.4.  White blood cell count is mildly decreased with her lymphocytes decreased as well.  She has acute metabolic derangement, including acute kidney injury with her creatinine up to 2, as well as hyponatremia and hypokalemia.   We infused 2 L of lactated Ringer's, Zyprexa via IV for nausea, GI cocktail for acid reflux symptoms, and IV potassium.  She is feeling mildly improved, but still very symptomatic and lightheaded with malaise.   Her Covid test has come back as positive, which I think adequately explains her symptoms.  She is vaccinated, so hopefully her symptoms will be as severe as if she was not vaccinated.  Luckily she is not having any current respiratory symptoms or hypoxia, so I do not think she needs any steroids at this time.   Given the metabolic derangement, including the acute kidney injury, and the continued ostomy output and nausea, I think patient meets inpatient criteria.  She will be placed on Covid full barrier precautions.  She understands the current assessment and plan.  She will be admitted inpatient to the hospitalist.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: developed s/s of Covid 8/17, was admitted to the hospital 8/20 and tested positive COVID
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope, Vomiting
Clinical narrative: Patient walked approximately 20 yards away from vaccination area and fainted. After receiving care from pharmacist, patient then threw up. Patient was monitored for about 30 minutes and did not seek further medical care.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Influenza like illness, Injection site pain, Pyrexia, Skin sensitisation
Clinical narrative: Flu-like symptoms,  extreme fatigue, skin sensitivity,  fever-like symptoms, pain on arm at injection site.  Symptoms lasted 2.5 days.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested PCR positive for COVID 8/20/21 after being fully vaccinated.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Head discomfort, Hypoaesthesia, Migraine, Mobility decreased
Clinical narrative: I got my 1st dose vaccine on 08/13/2021 and felt good. I was in bodega bay that weekend and it was a  bit chilly and windy and the next day I started to have migraines, my head felt heavy, a few days later my throat felt itchy with a little cough, I took a Ibuprofen and use salon pas to help with my migraines. Today sunday 08/22 I took a nap and woke up to my right arm and right leg numb ( felt like I slept on it ) felt like I couldnt move it, felt like I was paralyzed but still had feelings  but couldnt lift up my arm and leg. I felt like i was grasping for air ( like I was drowning ) and couldnt talk for a good 5 minutes. My husband helped me elevate my right arm and right leg with pillows while my daughters massage my arm and leg to help blood circulate. After 5 minutes I could finally moved my right arm and right legs.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: I got my 1st dose vaccine on 08/13/2021 and felt good. I was in bodega bay that weekend and it was a  bit chilly and windy and the next day I started to have migraines, my head felt heavy, a few days later my throat felt itchy with a little cough, I took a Ibuprofen and use salon pas to help with my migraines. Today sunday 08/22 I took a nap and woke up to my right arm and right leg numb ( felt like I slept on it ) felt like I couldnt move it, felt like I was paralyzed but still had feelings  but couldnt lift up my arm and leg. I felt like i was grasping for air ( like I was drowning ) and couldnt talk for a good 5 minutes. My husband helped me elevate my right arm and right leg with pillows while my daughters massage my arm and leg to help blood circulate. After 5 minutes I could finally moved my right arm and right legs.
Age: 19.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthma, Condition aggravated, Cough, Fatigue
Clinical narrative: Asthma worsened greatly to the point where climbing stairs in my house is exhausting. Coughing fits and fatigue from very light physical tasks.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received COVID Jassen vaccine on 05/13/21, at different facility, then received one dose of Pfizer COVID vaccine on 08/21/21 at our facility. No symptoms within 15 minutes post Pfizer vaccination.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Flank pain, Gait disturbance, Impaired work ability, Pain
Clinical narrative: I received my first shot around 9am of 8/14/21. I ran a few errands and went home. Some time around 1-2pm that same afternoon, I was hit with excruciating pain in my left flank area that totally encompassed my upper thigh. This was the worse pain I have ever experienced, ever. I have had children, surgeries, etc. and have not had this severity of pain. I was outside in my yard when the pain started. I tried walking around some to see if that would help, but the pain became so unbearable, it was all I could to to walk into my house and lie on the floor. I did everything I could to try and relieve the pain but nothing helped. And what made it so unbearable was that the pain was nonstop; it would not let up no matter what I did. I tried different positions, etc. I finally half walked and half crawled to our extra bedroom to lie down on the bed. Again I tried multiple positions to try and help. I was in bed in horrible pain from Saturday afternoon until Tuesday.  At some point late Monday or early Tuesday, the pain started radiating down into my lower right leg and foot and toes. I was alternating aleve and tylenol (normally I take Advil for any pain but the nurse that gave me the shot that morning specifically told me not to take any Advil because there are studies or something that indicate Advil may affect the effectiveness of the shot so I specifically had my husband go get aleve and tylenol).  After much online searching and discussions with my daughter and husband, we came to the conclusion that I most likely was having severe sciatica. I have never had this before, never had back pain that was so relentless to never let up.  I have had minor aches and pains, but again, nothing this debilitating. Finally by Wednesday morning, I was able to walk and sit just enough through the pain to go see Dr., my internal medical family practitioner. I explained my symptoms and I did tell her that I had the shot Saturday morning around 9 and my pain started 4-5 hours after the shot.  She told me she believed what I have is classic sciatica and she prescribed prednisone. I was able to start doing the child pose almost all day off and on for the next several days and taking the prednisone. Initially, the child pose was the only thing I could do to help alleviate some of the pain. And I was only able to feel well enough to do that on Wednesday. I am on day 5 of the prednisone and am almost finishing it up by tapering off.  My pain is much better now. I was able to return to work this week.  I was out of work the entire last week.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Sciatica
Clinical narrative: I received my first shot around 9am of 8/14/21. I ran a few errands and went home. Some time around 1-2pm that same afternoon, I was hit with excruciating pain in my left flank area that totally encompassed my upper thigh. This was the worse pain I have ever experienced, ever. I have had children, surgeries, etc. and have not had this severity of pain. I was outside in my yard when the pain started. I tried walking around some to see if that would help, but the pain became so unbearable, it was all I could to to walk into my house and lie on the floor. I did everything I could to try and relieve the pain but nothing helped. And what made it so unbearable was that the pain was nonstop; it would not let up no matter what I did. I tried different positions, etc. I finally half walked and half crawled to our extra bedroom to lie down on the bed. Again I tried multiple positions to try and help. I was in bed in horrible pain from Saturday afternoon until Tuesday.  At some point late Monday or early Tuesday, the pain started radiating down into my lower right leg and foot and toes. I was alternating aleve and tylenol (normally I take Advil for any pain but the nurse that gave me the shot that morning specifically told me not to take any Advil because there are studies or something that indicate Advil may affect the effectiveness of the shot so I specifically had my husband go get aleve and tylenol).  After much online searching and discussions with my daughter and husband, we came to the conclusion that I most likely was having severe sciatica. I have never had this before, never had back pain that was so relentless to never let up.  I have had minor aches and pains, but again, nothing this debilitating. Finally by Wednesday morning, I was able to walk and sit just enough through the pain to go see Dr., my internal medical family practitioner. I explained my symptoms and I did tell her that I had the shot Saturday morning around 9 and my pain started 4-5 hours after the shot.  She told me she believed what I have is classic sciatica and she prescribed prednisone. I was able to start doing the child pose almost all day off and on for the next several days and taking the prednisone. Initially, the child pose was the only thing I could do to help alleviate some of the pain. And I was only able to feel well enough to do that on Wednesday. I am on day 5 of the prednisone and am almost finishing it up by tapering off.  My pain is much better now. I was able to return to work this week.  I was out of work the entire last week.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dyspnoea
Clinical narrative: shortness of breath and weakness
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product storage error
Clinical narrative: The patient MAY have received a dose of Janssen vaccine that was administered after the Beyond Use Date.  The provider may have given the dose outside of the 6 hour window after the vial was opened.  No symptoms or signs.  Pt will be contacted and offered to be re-vaccinated to offer full protection, per our Medical Group.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Impaired work ability
Clinical narrative: The night following  my second shot, I woke up to severe chills and uncontrolled shaking and quivering.  Shaking like I've never felt before in my lifetime.  This lasted approximately 2 to 3 hours.  After taking Tylenol and wrapping in blankets, finally subsided.   I called out of work and spent the next day in bed.  Following that, I felt reasonably normal and returned to work.  I did not visit a doctor since at this point I felt typical.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Tension
Clinical narrative: PATIENT WAS VERY NERVOUS PRIOR TO GETTING VACCINATION.  HER DAUGHTER HELD HER HAND DURING THE SHOT.  I ASK THE PATIENT TO REMAIN SEATED FOR 15 MINUTES AFTER THE SHOT. PATIENT WAS ANXIOUS AT THAT TIME AND REMAINED SEATED.  A FEW MOMENTS LATER HER DAUGHTER NOTIFIED US THAT HER MOTHER WAS FEELING VERY ANXIOUS AND TENSE.  PATIENT AS BROUGHT INTO THE CONSULTATION ROOM, AND WISHED TO SIT ON THE FLOOR.  SHE WAS GIVEN A BOTTLE OF WATER TO DRINK. I ASK HER QUESTIONS ABOUT HOW SHE WAS FEELING, IF THERE WAS TROUBLE BREATHING, OR FEELING FAINT.  SHE REPLIED NO, THAT SHE HAD ALWAYS HAD A FEAR OF VACCINATIONS AND THAT WAS THE REASON SHE WAS REACTING AS SHE HAD.  HER HUSBAND WAS CALLED. HE CAME IN SHORTLY. THE PATIENT SAT IN THE CONSULTATION ROOM FOR A FEW MORE MINUTES WITH HER HUSBAND AND DAUGHTER, THEN WAS AMBULATORY AND LEFT WITH HER FAMILLY
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: POSITIVE COVID TEST
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Nausea
Clinical narrative: NAUSEA, DIARHHEA
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Electroencephalogram, Electromyogram, Muscle twitching
Clinical narrative: pt began experiencing twitching in muscles of his face which progressed to other large muscle groups
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Facial discomfort, Taste disorder
Clinical narrative: When I woke up, I realized I was mumbling or not coming across clearly. I couldn't taste on the right side of my mouth. When I went to brush my teeth, the toothpaste and water wouldn't stay in my mouth. I looked in the mirror and noticed that right side of my face was not moving at all. I called my doctor, but nobody answered. My older brother came to my house and he looked at my face. He thought it may have just been swelling. On Monday, I went to urgent care. The doctor I saw used to work on a stroke unit in a hospital. She diagnosed me with Bell's Palsy and gave me prednisone. I saw my PCP, three days after I started the prednisone. She told me that there wasn't much she could do and I would have to wait it out. She said it could take 2 weeks to 6 months to clear up. Two weeks after my appointment, I saw my doctor again and she gave me medicine to help me sleep at night. Slowly, it started to get better. The beginning of August is when I felt that I was closer to being fully recovered. If looking for it, you can still notice that my smile isn't full and when I try to close my eyes, my eye remains slightly open. Overall, I feel much better.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested PCR positive for COVID 8/23/21 after being fully vaccinated.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Bruxism, Dysmenorrhoea, Headache, Menstruation irregular, Pain
Clinical narrative: Random shooting pain, on the left side of my skull, from the back to the front. The feeling is a light pain, but it results in me involuntary clenching my jaw on the same side. This never happened, prior to getting the  vaccine. I mentioned it to my cardiologist, since I had an in person appointment with her. She still advised me to get the second shot, which I am not comfortable with . A second adverse event, was a change in my menstrual,. After having my children, severe cramping became a rare event (prior to this, it was horrible and constant). It started up again .  And for the first 2 cycles after the shot, I cramped everyday until it  came again. It also would come between 28-30 days. Now  it is shorter than that, each time I?ve had my period since then.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Polymenorrhoea
Clinical narrative: Random shooting pain, on the left side of my skull, from the back to the front. The feeling is a light pain, but it results in me involuntary clenching my jaw on the same side. This never happened, prior to getting the  vaccine. I mentioned it to my cardiologist, since I had an in person appointment with her. She still advised me to get the second shot, which I am not comfortable with . A second adverse event, was a change in my menstrual,. After having my children, severe cramping became a rare event (prior to this, it was horrible and constant). It started up again .  And for the first 2 cycles after the shot, I cramped everyday until it  came again. It also would come between 28-30 days. Now  it is shorter than that, each time I?ve had my period since then.