chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Palpitations
Clinical narrative: within 4 hours of injection, severe nausea, debilitating headache behind eyes, between ears in center of brain, heart palpitations, chest tightness, facial palsy left side, abdominal pain, arthritic flare in all joints, muscle tension, ribcage injury right side from cyclic vomiting over 3-4 days.   After 4 days, vomiting reduced to nausea, able to keep down sips of water, broth, ginger ale.   I am reporting because of the persistent headache knot in center of brain and joint pain that persists as of today.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bursitis, Compression garment application, Joint swelling, Myalgia
Clinical narrative: Sore arm muscle and pain when reaching high. Vaccine induced bursitis of both elbows with pain and swelling.   Using ibuprofen and ice packs along with compression sleeves until symptoms resolve. Have called to inform my MD.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Sore arm muscle and pain when reaching high. Vaccine induced bursitis of both elbows with pain and swelling.   Using ibuprofen and ice packs along with compression sleeves until symptoms resolve. Have called to inform my MD.
Age: 46.0
Sex: M
Vaccine: PPV
Symptoms: Inflammation, Injection site scab
Clinical narrative: Pt states: " I have a spreading scab where i got the pneumonia vaccine. Its about 2.5cm by1. it does not hurt..."   pt. sent picture to PCP who states: " it looks like you had a superficial inflammatory reaction, and secondary escahr (scab). since the area is not an angry red, i don't think this is currently infected."
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram, Hot flush, Hypertension, Limb discomfort
Clinical narrative: Due to taking immunosuppressants (Rinvoq), my rheumatologist directed me to halt my meds a week prior to the covid shot and start again 5-7 days after the covid shot. I restarted my medications in that window. 24hrs after my first dose I felt light headed, injection arm (entire arm, not just limited to shoulder) was heavy and hurt, blood pressure high (typically 113/70 but recorded 152/86), hot flashes, felt like heart was pounding. Laying down was only way to feel better, everytime I sat up my blood pressure rose again, even resting was not ideal level. Following day felt better but a couple hours later symptoms started again so I went to urgent care.  I did not restart my medication beyond the one dose. Attempted to restart Rinvoq medication again 11 days after shot, again 24hrs later arm was heavy and hurt, blood pressure was up and feeling light headed. Symptoms were not as severe as the first incidence but noticeable enough. Laid in bed to rest. Follow up with general practitioner (same office as Urgent Care) and determined I might be overly sensitive to vaccines and had a hyperactive immune system. I had rashes that also appeared during the month of November that did not abate for several weeks. Restarted Rinvoq 17 days post-shot and finally had no reactions; however, effectiveness of medication has seemingly been diminished and overall health is not the same as prior to 11/1/2021. Discussed events with my rheumatologist who said it sounded like an immunologic reaction but had never heard of such a reaction to the medication with a vaccine.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Palpitations
Clinical narrative: Due to taking immunosuppressants (Rinvoq), my rheumatologist directed me to halt my meds a week prior to the covid shot and start again 5-7 days after the covid shot. I restarted my medications in that window. 24hrs after my first dose I felt light headed, injection arm (entire arm, not just limited to shoulder) was heavy and hurt, blood pressure high (typically 113/70 but recorded 152/86), hot flashes, felt like heart was pounding. Laying down was only way to feel better, everytime I sat up my blood pressure rose again, even resting was not ideal level. Following day felt better but a couple hours later symptoms started again so I went to urgent care.  I did not restart my medication beyond the one dose. Attempted to restart Rinvoq medication again 11 days after shot, again 24hrs later arm was heavy and hurt, blood pressure was up and feeling light headed. Symptoms were not as severe as the first incidence but noticeable enough. Laid in bed to rest. Follow up with general practitioner (same office as Urgent Care) and determined I might be overly sensitive to vaccines and had a hyperactive immune system. I had rashes that also appeared during the month of November that did not abate for several weeks. Restarted Rinvoq 17 days post-shot and finally had no reactions; however, effectiveness of medication has seemingly been diminished and overall health is not the same as prior to 11/1/2021. Discussed events with my rheumatologist who said it sounded like an immunologic reaction but had never heard of such a reaction to the medication with a vaccine.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Disorientation, Fall, Loss of consciousness, Syncope
Clinical narrative: Approximately 3.5 hours after getting his third COVID vaccine from Pfizer, patient fainted without much warning, never having had a history of this. He had eaten and hydrated normally that day, and after being unconscious on the floor for about 10 seconds and then confused and disoriented for about one minute, he behaved normally and reported that he felt okay. He was not injured in his fall.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Incorrect dose administered
Clinical narrative: Administered pediatric Pfizer concentration diluted with 1.8mL normal saline instead of adult dose.  Patient notified and asked to return for dose of adult Pfizer as recommended. Patient's mother called, concerned because patient is pregnant. I advised patient to contact obstetrician for further advice. Patient to see doctor Wednesday, January 12, 2022.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test abnormal, Gastric dilatation, Inflammation, Joint swelling
Clinical narrative: The morning after I received the shot, my stomach became distended and all my muscles and joints had pain. My joints began to swell and my tendons were tender to the touch.  This lasted for 2 weeks. I went to the doctor who ran bloodwork which revealed rheumatoid factor which I have never had before. I was sent to rheumatologist who prescribed more bloodwork and prescribed a round of steroids. I am  this day being followed by rheumatologist. The steroids reduced the pain and inflammation so that I was able to function again.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Rheumatoid factor positive, Tenderness
Clinical narrative: The morning after I received the shot, my stomach became distended and all my muscles and joints had pain. My joints began to swell and my tendons were tender to the touch.  This lasted for 2 weeks. I went to the doctor who ran bloodwork which revealed rheumatoid factor which I have never had before. I was sent to rheumatologist who prescribed more bloodwork and prescribed a round of steroids. I am  this day being followed by rheumatologist. The steroids reduced the pain and inflammation so that I was able to function again.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Balance disorder, Blood pressure decreased, Chills, Computerised tomogram head
Clinical narrative: 01/14/21 got first shot (Moderna). First week experienced soreness in right upper arm and shoulder. 01/23/21   started experiencing cramps, cold chills, headaches,and dry cough. Blood pressure even dropped one time. 02/05/21 experiencing bad vertigo.  Ended up calling Moderna @ 1-866-633-3762.  Was given case # MOD21024718. Was told this was an experimental drug and to call your doctor. 05/03/21  was able to see Md for vertigo, left ear discomfort ( itching and pressure), and head aches. 05/26/21 saw ENT and Allergy to check ears and do a hearing test. 06/22/21 went to Emergency Room at Medical Center for head hurting , dizziness
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dizziness, Dysphonia, Ear discomfort, Ear inflammation
Clinical narrative: 01/14/21 got first shot (Moderna). First week experienced soreness in right upper arm and shoulder. 01/23/21   started experiencing cramps, cold chills, headaches,and dry cough. Blood pressure even dropped one time. 02/05/21 experiencing bad vertigo.  Ended up calling Moderna @ 1-866-633-3762.  Was given case # MOD21024718. Was told this was an experimental drug and to call your doctor. 05/03/21  was able to see Md for vertigo, left ear discomfort ( itching and pressure), and head aches. 05/26/21 saw ENT and Allergy to check ears and do a hearing test. 06/22/21 went to Emergency Room at Medical Center for head hurting , dizziness
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Eye pain, Feeling cold, Head discomfort, Headache
Clinical narrative: 01/14/21 got first shot (Moderna). First week experienced soreness in right upper arm and shoulder. 01/23/21   started experiencing cramps, cold chills, headaches,and dry cough. Blood pressure even dropped one time. 02/05/21 experiencing bad vertigo.  Ended up calling Moderna @ 1-866-633-3762.  Was given case # MOD21024718. Was told this was an experimental drug and to call your doctor. 05/03/21  was able to see Md for vertigo, left ear discomfort ( itching and pressure), and head aches. 05/26/21 saw ENT and Allergy to check ears and do a hearing test. 06/22/21 went to Emergency Room at Medical Center for head hurting , dizziness
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Magnetic resonance imaging head, Muscle spasms, Musculoskeletal discomfort, Nausea
Clinical narrative: 01/14/21 got first shot (Moderna). First week experienced soreness in right upper arm and shoulder. 01/23/21   started experiencing cramps, cold chills, headaches,and dry cough. Blood pressure even dropped one time. 02/05/21 experiencing bad vertigo.  Ended up calling Moderna @ 1-866-633-3762.  Was given case # MOD21024718. Was told this was an experimental drug and to call your doctor. 05/03/21  was able to see Md for vertigo, left ear discomfort ( itching and pressure), and head aches. 05/26/21 saw ENT and Allergy to check ears and do a hearing test. 06/22/21 went to Emergency Room at Medical Center for head hurting , dizziness
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Ophthalmological examination, Oropharyngeal discomfort, Pain, Vertigo, Vision blurred
Clinical narrative: 01/14/21 got first shot (Moderna). First week experienced soreness in right upper arm and shoulder. 01/23/21   started experiencing cramps, cold chills, headaches,and dry cough. Blood pressure even dropped one time. 02/05/21 experiencing bad vertigo.  Ended up calling Moderna @ 1-866-633-3762.  Was given case # MOD21024718. Was told this was an experimental drug and to call your doctor. 05/03/21  was able to see Md for vertigo, left ear discomfort ( itching and pressure), and head aches. 05/26/21 saw ENT and Allergy to check ears and do a hearing test. 06/22/21 went to Emergency Room at Medical Center for head hurting , dizziness
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: 1ST DOSE PFIZER 8/17/2021 2ND DOSE PFIZER 9/14/2021 3RD DOSE PFIZER 1/07/2022- ADMINISTERED 2 MONTHS EARLY PER THE 6 MONTH WINDOW
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Tissue injury
Clinical narrative: Swelling at injection site and tissue damage (possibly cellulitis)
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache
Clinical narrative: Extreme fatigue, slight headache
Age: 42.0
Sex: F
Vaccine: UNK
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive covid
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Hypertension, Loss of consciousness, Nausea, Rash
Clinical narrative: Booster shot on 1/11/22 Blood pressure went sky high right after injection then dropped very low. Dizziness nausea and threw up, passed out in a sitting down position.   Initual shot on 7/22/21  Reaction after first shot was skin rash 24 hours after the vaccine
Age: 18.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Booster shot on 1/11/22 Blood pressure went sky high right after injection then dropped very low. Dizziness nausea and threw up, passed out in a sitting down position.   Initual shot on 7/22/21  Reaction after first shot was skin rash 24 hours after the vaccine
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Interchange of vaccine products, Paraesthesia
Clinical narrative: Client  received the 1st COVID vaccine Janssen 11/30/21.  Client reports that approximately 1 hour after receiving his 1st dose he started having left sided numbness and tingly from the shoulder to his waist.  Client  reports that the symptoms lasted roughly 1-2 days.  Client  did not follow-up with primary care physician.   Client  denies any medical underlying conditions, no known allergies, and not currently taking any medications.  Client  requesting Moderna as a booster dose.  At 1346, Co-lead  elevated medical consult to Vaccine Operation Team for review.  At 1350, Co-lead  received response from Dr. approving Moderna Booster Dose.  Client  notified of the approval and at 1356 Client  was administered Moderna Booster Vaccine (Lot #059H21A, Exp 3/27/22).  Client  was observed and no adverse reactions nor symptoms were noted.  Client education on adverse reactions and when to seek care.  Client  completed observation without complaint and left vaccination center with steady gait.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Pain
Clinical narrative: Intermittent chest pain and dull ache under right pectoralis (over heart) x2 days. Patient woke up  feeling the chest pain and noted it also at rest. Due to these red flag symptoms, he was sent to ER today, Jan 11, 2022.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administration Error - Dose was given beyond 6 hour mark.  Vial punctured 01/03/22  9am;  On 1/4/22 a dose was drawn from this vial and administered to the patient mentioned in report.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Pleuritic pain, Respiratory symptom, SARS-CoV-2 test negative
Clinical narrative: 20 Y male presented to the ed  12/24/21 with substernal, pleuritic cp and sob which started last pm.  Patient returned from college a week ago and 6 days ago got a Phizer COVID booster immunization.  Three days ago developed URI sxs and since has had 2 neg outpatient COVID tests(home test and PCR).  Spoke to his pcp yeterday and requested a strep-test(not yet done).  Chest pain and SOB started last pm before he went to bed and went away at one point but came back at 4 am which prompted him to come to the ed.  Patient was discharged to home on 12/25/21.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: 20 Y male presented to the ed  12/24/21 with substernal, pleuritic cp and sob which started last pm.  Patient returned from college a week ago and 6 days ago got a Phizer COVID booster immunization.  Three days ago developed URI sxs and since has had 2 neg outpatient COVID tests(home test and PCR).  Spoke to his pcp yeterday and requested a strep-test(not yet done).  Chest pain and SOB started last pm before he went to bed and went away at one point but came back at 4 am which prompted him to come to the ed.  Patient was discharged to home on 12/25/21.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness, Disorientation, Fall, Head injury, Loss of consciousness
Clinical narrative: When pt. awoke and stood up she passed out while standing up.  When she fell it is believed she hit her head on her dresser and  was knocked out for 2 minutes.  Her mother was unable to wake her during the 2 minutes.  EMS was called.  When she did awake she was very disoriented and said she could not hear.  By the time EMS arrived she was coherent and they checked her blood pressure (which was normal) and her temperature (which was 101.5).  She was not taken to the hospital as EMS advised against it stating the hospitals are full of covid patients.  Her pediatrician was contacted, she was not seen.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive covid
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Asthenia, Back pain, Blood creatinine increased, Blood urea increased
Clinical narrative: 67 yo M who resides at (Privacy) with PMH as listed.  He is A&Ox to self and , place. He p/w having been found by facility staff at 8 am on the floor with his leg caught on his bed.  He is known to "try to escape" per  his daughter.  THe pt reports low back pain since the fall.   Also, he reports  a 3 day hx of a congested cough, fatigue, and weakness.  He feels short of breath and is tachypneic today---his O2 sat is 95% on RA.  He has a coarse, congested cough in the room.  He reports feeling weak with   decreased intake at the facility the past few days .  There are no reports of LOC or head injury.  He is on chronic eliquis uncertain reasons-- daughter reports cardiologist prescribed.  He denies N/V/D, abd pain., chest pain, fever, or dysuria.  In the ED, he is afebrile w stable HR and BOP.   He is tachypneic to 28 w/  95% oxygen saturation.  Lungs w/  scattered rhonchi.   He leukocytosis to 24 w left shift,  PLTs 135, BUN/creat 40/2.4 (was 17/0.9 in Feb). PCT v10;  he has an AG metabolic acidosis and a lactic acidosis. He is COVID positive .  He is fully COVID vaccinated.   CXR shows no acute process but c/w COPD.  NCCT Head shows no acute IC process; large areas of encephalomalacia left left occipital lobes.   CT cervical and lumbar spine:   Shows acute compression fracture of L2 involving superior endplate in measures approximately 20% with no retropulsion--note similar findings on CT abdomen and pelvis in Dec  2020.  Hospital Medicine has been asked to admit the patient.   PT IS STILL AN INPATIENT
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Chronic obstructive pulmonary disease, Computerised tomogram head abnormal, Computerised tomogram spine
Clinical narrative: 67 yo M who resides at (Privacy) with PMH as listed.  He is A&Ox to self and , place. He p/w having been found by facility staff at 8 am on the floor with his leg caught on his bed.  He is known to "try to escape" per  his daughter.  THe pt reports low back pain since the fall.   Also, he reports  a 3 day hx of a congested cough, fatigue, and weakness.  He feels short of breath and is tachypneic today---his O2 sat is 95% on RA.  He has a coarse, congested cough in the room.  He reports feeling weak with   decreased intake at the facility the past few days .  There are no reports of LOC or head injury.  He is on chronic eliquis uncertain reasons-- daughter reports cardiologist prescribed.  He denies N/V/D, abd pain., chest pain, fever, or dysuria.  In the ED, he is afebrile w stable HR and BOP.   He is tachypneic to 28 w/  95% oxygen saturation.  Lungs w/  scattered rhonchi.   He leukocytosis to 24 w left shift,  PLTs 135, BUN/creat 40/2.4 (was 17/0.9 in Feb). PCT v10;  he has an AG metabolic acidosis and a lactic acidosis. He is COVID positive .  He is fully COVID vaccinated.   CXR shows no acute process but c/w COPD.  NCCT Head shows no acute IC process; large areas of encephalomalacia left left occipital lobes.   CT cervical and lumbar spine:   Shows acute compression fracture of L2 involving superior endplate in measures approximately 20% with no retropulsion--note similar findings on CT abdomen and pelvis in Dec  2020.  Hospital Medicine has been asked to admit the patient.   PT IS STILL AN INPATIENT
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea, Encephalomalacia, Fall, Fatigue
Clinical narrative: 67 yo M who resides at (Privacy) with PMH as listed.  He is A&Ox to self and , place. He p/w having been found by facility staff at 8 am on the floor with his leg caught on his bed.  He is known to "try to escape" per  his daughter.  THe pt reports low back pain since the fall.   Also, he reports  a 3 day hx of a congested cough, fatigue, and weakness.  He feels short of breath and is tachypneic today---his O2 sat is 95% on RA.  He has a coarse, congested cough in the room.  He reports feeling weak with   decreased intake at the facility the past few days .  There are no reports of LOC or head injury.  He is on chronic eliquis uncertain reasons-- daughter reports cardiologist prescribed.  He denies N/V/D, abd pain., chest pain, fever, or dysuria.  In the ED, he is afebrile w stable HR and BOP.   He is tachypneic to 28 w/  95% oxygen saturation.  Lungs w/  scattered rhonchi.   He leukocytosis to 24 w left shift,  PLTs 135, BUN/creat 40/2.4 (was 17/0.9 in Feb). PCT v10;  he has an AG metabolic acidosis and a lactic acidosis. He is COVID positive .  He is fully COVID vaccinated.   CXR shows no acute process but c/w COPD.  NCCT Head shows no acute IC process; large areas of encephalomalacia left left occipital lobes.   CT cervical and lumbar spine:   Shows acute compression fracture of L2 involving superior endplate in measures approximately 20% with no retropulsion--note similar findings on CT abdomen and pelvis in Dec  2020.  Hospital Medicine has been asked to admit the patient.   PT IS STILL AN INPATIENT
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypophagia, Lactic acidosis, Leukocytosis, Lumbar vertebral fracture, Metabolic acidosis
Clinical narrative: 67 yo M who resides at (Privacy) with PMH as listed.  He is A&Ox to self and , place. He p/w having been found by facility staff at 8 am on the floor with his leg caught on his bed.  He is known to "try to escape" per  his daughter.  THe pt reports low back pain since the fall.   Also, he reports  a 3 day hx of a congested cough, fatigue, and weakness.  He feels short of breath and is tachypneic today---his O2 sat is 95% on RA.  He has a coarse, congested cough in the room.  He reports feeling weak with   decreased intake at the facility the past few days .  There are no reports of LOC or head injury.  He is on chronic eliquis uncertain reasons-- daughter reports cardiologist prescribed.  He denies N/V/D, abd pain., chest pain, fever, or dysuria.  In the ED, he is afebrile w stable HR and BOP.   He is tachypneic to 28 w/  95% oxygen saturation.  Lungs w/  scattered rhonchi.   He leukocytosis to 24 w left shift,  PLTs 135, BUN/creat 40/2.4 (was 17/0.9 in Feb). PCT v10;  he has an AG metabolic acidosis and a lactic acidosis. He is COVID positive .  He is fully COVID vaccinated.   CXR shows no acute process but c/w COPD.  NCCT Head shows no acute IC process; large areas of encephalomalacia left left occipital lobes.   CT cervical and lumbar spine:   Shows acute compression fracture of L2 involving superior endplate in measures approximately 20% with no retropulsion--note similar findings on CT abdomen and pelvis in Dec  2020.  Hospital Medicine has been asked to admit the patient.   PT IS STILL AN INPATIENT
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Platelet count decreased, Respiratory tract congestion, Rhonchi, SARS-CoV-2 test positive, Shift to the left
Clinical narrative: 67 yo M who resides at (Privacy) with PMH as listed.  He is A&Ox to self and , place. He p/w having been found by facility staff at 8 am on the floor with his leg caught on his bed.  He is known to "try to escape" per  his daughter.  THe pt reports low back pain since the fall.   Also, he reports  a 3 day hx of a congested cough, fatigue, and weakness.  He feels short of breath and is tachypneic today---his O2 sat is 95% on RA.  He has a coarse, congested cough in the room.  He reports feeling weak with   decreased intake at the facility the past few days .  There are no reports of LOC or head injury.  He is on chronic eliquis uncertain reasons-- daughter reports cardiologist prescribed.  He denies N/V/D, abd pain., chest pain, fever, or dysuria.  In the ED, he is afebrile w stable HR and BOP.   He is tachypneic to 28 w/  95% oxygen saturation.  Lungs w/  scattered rhonchi.   He leukocytosis to 24 w left shift,  PLTs 135, BUN/creat 40/2.4 (was 17/0.9 in Feb). PCT v10;  he has an AG metabolic acidosis and a lactic acidosis. He is COVID positive .  He is fully COVID vaccinated.   CXR shows no acute process but c/w COPD.  NCCT Head shows no acute IC process; large areas of encephalomalacia left left occipital lobes.   CT cervical and lumbar spine:   Shows acute compression fracture of L2 involving superior endplate in measures approximately 20% with no retropulsion--note similar findings on CT abdomen and pelvis in Dec  2020.  Hospital Medicine has been asked to admit the patient.   PT IS STILL AN INPATIENT
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Spinal compression fracture, Tachypnoea, White blood cell count increased
Clinical narrative: 67 yo M who resides at (Privacy) with PMH as listed.  He is A&Ox to self and , place. He p/w having been found by facility staff at 8 am on the floor with his leg caught on his bed.  He is known to "try to escape" per  his daughter.  THe pt reports low back pain since the fall.   Also, he reports  a 3 day hx of a congested cough, fatigue, and weakness.  He feels short of breath and is tachypneic today---his O2 sat is 95% on RA.  He has a coarse, congested cough in the room.  He reports feeling weak with   decreased intake at the facility the past few days .  There are no reports of LOC or head injury.  He is on chronic eliquis uncertain reasons-- daughter reports cardiologist prescribed.  He denies N/V/D, abd pain., chest pain, fever, or dysuria.  In the ED, he is afebrile w stable HR and BOP.   He is tachypneic to 28 w/  95% oxygen saturation.  Lungs w/  scattered rhonchi.   He leukocytosis to 24 w left shift,  PLTs 135, BUN/creat 40/2.4 (was 17/0.9 in Feb). PCT v10;  he has an AG metabolic acidosis and a lactic acidosis. He is COVID positive .  He is fully COVID vaccinated.   CXR shows no acute process but c/w COPD.  NCCT Head shows no acute IC process; large areas of encephalomalacia left left occipital lobes.   CT cervical and lumbar spine:   Shows acute compression fracture of L2 involving superior endplate in measures approximately 20% with no retropulsion--note similar findings on CT abdomen and pelvis in Dec  2020.  Hospital Medicine has been asked to admit the patient.   PT IS STILL AN INPATIENT
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Hypertension, Oedema peripheral
Clinical narrative: Patient presents complains of shortness of breath pedal edema swelling dry cough he was evaluated cardiology clinic and referred here for admission by Dr.   He is slightly hypertensive tachypneic.  He is not requiring O2.  His son came in the room and states the patient has NOT received his booster and received first two shots very early on.  The son had a COVID exposure last week and two grandkids in elementary school are staying in the same home with him.  Patient not concerned about it, says he only has leg swelling and needs fluid off him. Son aware of COVID positive result and will notify family.  PT INPATIENT.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Swelling, Tachypnoea
Clinical narrative: Patient presents complains of shortness of breath pedal edema swelling dry cough he was evaluated cardiology clinic and referred here for admission by Dr.   He is slightly hypertensive tachypneic.  He is not requiring O2.  His son came in the room and states the patient has NOT received his booster and received first two shots very early on.  The son had a COVID exposure last week and two grandkids in elementary school are staying in the same home with him.  Patient not concerned about it, says he only has leg swelling and needs fluid off him. Son aware of COVID positive result and will notify family.  PT INPATIENT.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Bile duct stone, Cough, Dyspnoea, Hepatobiliary scan abnormal, Weight increased
Clinical narrative: Patient is a 27-year-old female with past medical history pertinent for , Autoimmune hepatitis, COVID in June 2020. She states she has had increased shortness of breath with associated cough starting last Wednesday. Shortness of breath worsens when she lays down and improves upon standing.  Patient also states that her weight 2 weeks ago was 156 lbs and reports she weighed 180 yesterday.  Patient was recently seen at this facility in mid December and a HIDA scan done that showed the cystic duct was patent she was discharged on Lasix and spironolactone however patient was not taking these medications upon arrival. She was scheduled to follow up for Liver transplant clinic on 1/18. Patient was v
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Exposure to SARS-CoV-2, Pyrexia, Tachypnoea
Clinical narrative: Quadriplegic from C5 down after an accident, subsequent neck surgery then meningitis, all in late 2005, has caretakers in his home. Unfortunately, one of his caretakers had COVID, having contact with him last Wednesday, January 5th. He has had increasing weakness, then febrile last 24 hrs and tachypneic. He received his second Moderna vaccine in September and di not think he was eligible yet for his 3rd shot. He was sleeping and on 2 L when I saw him with a sat of 88%, I turned up to 4L and up to 95%. We discussed treatment options and he is agreeable to Dex, Remdesivir and Baricitinib.  PT IS INPATIENT AT THIS TIME.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Peripheral swelling
Clinical narrative: My arm is swollen. I informed the nurse my first shot was Pfizer. She said it was okay to mix it with Moderna because it's like a booster.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dysphonia, Influenza virus test negative, Loss of personal independence in daily activities, Oropharyngeal pain
Clinical narrative: 1/7 Friday night started with a runny nose and on saturday he had a phlemy voice. Later developed into a 101° fever with a sore throat. Decided around 1:30PM to get tested for CoVid. Tested for flu as well but only CoVid came back positive. Could go to school in 5 days but had to isolate until then and when going back to school, he must wear a mask. Tylenol and Cold liquids for treatment OTC.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: 1/7 Friday night started with a runny nose and on saturday he had a phlemy voice. Later developed into a 101° fever with a sore throat. Decided around 1:30PM to get tested for CoVid. Tested for flu as well but only CoVid came back positive. Could go to school in 5 days but had to isolate until then and when going back to school, he must wear a mask. Tylenol and Cold liquids for treatment OTC.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Polymenorrhoea
Clinical narrative: Period started 3 weeks early. Severe abdominal cramping.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive covid
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Feeling abnormal, Headache, Nasal congestion
Clinical narrative: 1/7/22 37-year-old male presents the ICC complaining of headache, nasal congestion, occasional cough, and scratchy throat. Patient states that he had his booster this past Sunday and started feeling bad the following day.  He thought he was having symptoms related to the booster. Symptoms persisted and he checked a home test which was positive for Covid. Patient denies any speech difficulty, no focal weakness, no chest pain, no shortness of breath, no abdominal pain, no nausea, and no vomiting. Patient has been vaccinated including booster. He is here with family members who have similar symptoms. Review of Systems: Constitutional: Negative for fever. HENT: Positive for congestion and rhinorrhea. 1/7/22- Scratchy throat; Respiratory: Negative for shortness of breath. Occasional cough. Cardiovascular: Negative for chest pain. Gastrointestinal: Negative for abdominal pain, diarrhea, nausea and vomiting. Neurological: Positive for headaches. Negative for speech difficulty, weakness and numbness
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive, Throat irritation
Clinical narrative: 1/7/22 37-year-old male presents the ICC complaining of headache, nasal congestion, occasional cough, and scratchy throat. Patient states that he had his booster this past Sunday and started feeling bad the following day.  He thought he was having symptoms related to the booster. Symptoms persisted and he checked a home test which was positive for Covid. Patient denies any speech difficulty, no focal weakness, no chest pain, no shortness of breath, no abdominal pain, no nausea, and no vomiting. Patient has been vaccinated including booster. He is here with family members who have similar symptoms. Review of Systems: Constitutional: Negative for fever. HENT: Positive for congestion and rhinorrhea. 1/7/22- Scratchy throat; Respiratory: Negative for shortness of breath. Occasional cough. Cardiovascular: Negative for chest pain. Gastrointestinal: Negative for abdominal pain, diarrhea, nausea and vomiting. Neurological: Positive for headaches. Negative for speech difficulty, weakness and numbness
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: I was diagnosed with shingles.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: covid positive
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood test, Electrocardiogram, Stress echocardiogram, X-ray
Clinical narrative: developed Atrial Fibrillation in November, had to increase current beta blockers and add Xarelto
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspepsia, Eye swelling, Influenza like illness, Oropharyngeal discomfort, Pain
Clinical narrative: Day after booster, sore arm, body aches. Days 2,3,4,5,6 experienced flu-like symptoms, 101 fever, congestion. Negative Covid test. Day 7 feeling better, then that evening base of scalp & back of neck became itchy. Woke up the next day with a swollen left eye & widespread hives/welts all over body, extremely itchy. Also felt like a huge lump was in my throat/heartburn-like. That continued for a couple of days & then went away. Rash continued throughout the week on scalp, ears, literally head to toe. Completed 5 days of prednisone (Tuesday - Saturday). Currently taking Zyrtec 2x/day to keep itching / hives at bay. Today is day 9, body gets blotchy after showering & randomly throughout the day. Yesterday & today I felt the lump in my throat again. Very uncomfortable, but not as sever as at the onset.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pruritus, Pyrexia, Rash, Rash macular
Clinical narrative: Day after booster, sore arm, body aches. Days 2,3,4,5,6 experienced flu-like symptoms, 101 fever, congestion. Negative Covid test. Day 7 feeling better, then that evening base of scalp & back of neck became itchy. Woke up the next day with a swollen left eye & widespread hives/welts all over body, extremely itchy. Also felt like a huge lump was in my throat/heartburn-like. That continued for a couple of days & then went away. Rash continued throughout the week on scalp, ears, literally head to toe. Completed 5 days of prednisone (Tuesday - Saturday). Currently taking Zyrtec 2x/day to keep itching / hives at bay. Today is day 9, body gets blotchy after showering & randomly throughout the day. Yesterday & today I felt the lump in my throat again. Very uncomfortable, but not as sever as at the onset.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Sensation of foreign body, Urticaria
Clinical narrative: Day after booster, sore arm, body aches. Days 2,3,4,5,6 experienced flu-like symptoms, 101 fever, congestion. Negative Covid test. Day 7 feeling better, then that evening base of scalp & back of neck became itchy. Woke up the next day with a swollen left eye & widespread hives/welts all over body, extremely itchy. Also felt like a huge lump was in my throat/heartburn-like. That continued for a couple of days & then went away. Rash continued throughout the week on scalp, ears, literally head to toe. Completed 5 days of prednisone (Tuesday - Saturday). Currently taking Zyrtec 2x/day to keep itching / hives at bay. Today is day 9, body gets blotchy after showering & randomly throughout the day. Yesterday & today I felt the lump in my throat again. Very uncomfortable, but not as sever as at the onset.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Ear pain, Fatigue
Clinical narrative: 1/11/22/Review of Systems  Constitutional: Positive for chills, fatigue and fever.  HENT: Positive for ear pain, postnasal drip, sinus pressure and sore throat. Negative for congestion and rhinorrhea.   Respiratory: Positive for cough. Negative for shortness of breath.   Musculoskeletal: Positive for myalgias.  Allergic/Immunologic: Negative for environmental allergies.  Neurological: Positive for headaches.  Psychiatric/Behavioral: Negative for confusion.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Myalgia, Oropharyngeal pain, Paranasal sinus discomfort, Pyrexia
Clinical narrative: 1/11/22/Review of Systems  Constitutional: Positive for chills, fatigue and fever.  HENT: Positive for ear pain, postnasal drip, sinus pressure and sore throat. Negative for congestion and rhinorrhea.   Respiratory: Positive for cough. Negative for shortness of breath.   Musculoskeletal: Positive for myalgias.  Allergic/Immunologic: Negative for environmental allergies.  Neurological: Positive for headaches.  Psychiatric/Behavioral: Negative for confusion.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Upper-airway cough syndrome
Clinical narrative: 1/11/22/Review of Systems  Constitutional: Positive for chills, fatigue and fever.  HENT: Positive for ear pain, postnasal drip, sinus pressure and sore throat. Negative for congestion and rhinorrhea.   Respiratory: Positive for cough. Negative for shortness of breath.   Musculoskeletal: Positive for myalgias.  Allergic/Immunologic: Negative for environmental allergies.  Neurological: Positive for headaches.  Psychiatric/Behavioral: Negative for confusion.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Dose was administered beyond 12 hour mark.  Vial initial  punctured on 01/03/2022; refrigerated, and dose administered from same vial to patient on 1/4/22 2:45pm.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: This is an instance of breakthrough COVID-19 disease after which death occurred.  The individual was vaccinated with the Pfizer product on 03/03/2020, 03/24/2021, and 10/20/2021. It is not specifically known if this person experienced symptoms of COVID-19 disease, but they tested positive on 12/06/2021 and 12/08/2021. They were admitted to hospital on 12/12/2021 and remained hospitalized until their death on 12/19/2021.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Urticaria
Clinical narrative: Severe Hives Intermittent Chest Pain
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Erythema, Feeling abnormal, Pruritus
Clinical narrative: Severe Hives Intermittent Chest Pain
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: Severe Hives Intermittent Chest Pain
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received a Pfizer Pediatric dose (for ages 5-11)  vaccine but is 12 years old for his dose 1. He should have received regular Pfizer dose based off his age.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue, Headache, Pain
Clinical narrative: It started with mild fatigue. Body aches began and increased in intensity throughout the day. I had an elevated temperature, but not technically a fever. Chills began in the evening. An adult dose of Tylenol improved the symptoms. All previously mentioned symptoms resolved that night, but I had a mild headache intermittently for five days after the vaccine.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Oropharyngeal pain, Pruritus
Clinical narrative: itching, sore throat, coughing
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Emotional distress, First trimester pregnancy, Ultrasound antenatal screen abnormal
Clinical narrative: LMP 10/21/2021 patient came in for first trimester ultrasound on 12/30/2021 and 1/6/2022 interuterine preganacy, negative fetal heart tones on both ultrasounds consistent with miscarriage.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Received J&J on 8/8/21. Presented to ED on 1/1/22 due to STEMI. Found to be COVID positive but asymptomatic. Did not receive any COVID treatment. Discharged on 1/5/22
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: 15 min post vaccine, patient passed out, assisted to ground by father, loc for 10-15 seconds. Assisted to gurney via wheelchair, BP 108/62, A&ox4, drank 8ox of water and 6ox of apple juice. Released to father,
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Epistaxis, Hypotonia, Nasal injury, Pallor
Clinical narrative: Patient received their first Pfizer peds covid vaccine.  Patient had waited for their brother to get the shot and got a toy in the office and was acting normal, this time span had been over 5 minutes. The father, brother and patient went out to schedule their second shot when the father was going over information with the technician. There was a noise where the kids were behind the father and the child was on the ground.  The dad asked the patient what he was doing and the dad tried to pick the up the kid and the dad said he was "limp as a noodle" in his dad arms.  I then went out to the front of the pharmacy and pulled the patient into the office with the dad and the patient was bleeding from his nose. We grabbed facial tissue and applied to the nose and I called medical emergency and nursing staff came to help. Patient was clammy to touch and pale.  After about 15 minutes in the pharmacy, he coloring had returned and bleeding had stopped. The patient was seen by one of our providers in clinic due to the bump on his nose. The mother came into the pharmacy after the event while we were attending to the patient and she stated that she faints with all her vaccines.  I called security to have them review the footage and the security dispatch said he didn't trip or fall on anything but looks like he fainted.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Swelling, Syncope
Clinical narrative: Patient received their first Pfizer peds covid vaccine.  Patient had waited for their brother to get the shot and got a toy in the office and was acting normal, this time span had been over 5 minutes. The father, brother and patient went out to schedule their second shot when the father was going over information with the technician. There was a noise where the kids were behind the father and the child was on the ground.  The dad asked the patient what he was doing and the dad tried to pick the up the kid and the dad said he was "limp as a noodle" in his dad arms.  I then went out to the front of the pharmacy and pulled the patient into the office with the dad and the patient was bleeding from his nose. We grabbed facial tissue and applied to the nose and I called medical emergency and nursing staff came to help. Patient was clammy to touch and pale.  After about 15 minutes in the pharmacy, he coloring had returned and bleeding had stopped. The patient was seen by one of our providers in clinic due to the bump on his nose. The mother came into the pharmacy after the event while we were attending to the patient and she stated that she faints with all her vaccines.  I called security to have them review the footage and the security dispatch said he didn't trip or fall on anything but looks like he fainted.
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: 1/7/22  Not listed
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis, Hypoaesthesia
Clinical narrative: Patient began to experience numbness in hands, fingers and face, Facial numbness was  worse on Left side. Patient then began to experience Left eye drooping. Left eye droop began to resolve on the morning of 12/4/2021. Patient was offered appointment with a provider and refused. She just wanted it reported to VAERS
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Vomiting
Clinical narrative: Felt stomachache after injection. Vomited 5 minutes after getting the shot.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: patient fainted approximately 10 minutes after administration and regained consciousness almost immediately and did not report any other adverse effects
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Palpitations, Sinus tachycardia
Clinical narrative: Approximately 10 minutes after vaccine injection patient reported symptoms of heart pounding, apple watch showed heart rate at 177. Patient vitals obtained BP 169/105, pulse 177.  No chest pain, shortness of breath, lightheadedness, nausea. After about 5 minutes vitals improved to BP 163/105 and P 135. Patient monitored for about 2 hours, took 20 mg of propranolol that was given to her after similar reaction to moderna vaccine - dose 2(about 15 hours later). Patient seen by clinician. 2 hours after procedure vitals imprved to BP 123/82 and pulse 97. Patient went home in personal vehicle.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chills, Cough, Headache
Clinical narrative: Body and severe muscle aches  back and should pain, constant chills, headaches, nausea, dry cough, stuffy nose.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nasal congestion, Nausea, Pain
Clinical narrative: Body and severe muscle aches  back and should pain, constant chills, headaches, nausea, dry cough, stuffy nose.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Pain in extremity
Clinical narrative: Sore arm, then itchy rash at injection site.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: Started with tingling on tongue. Spread to lips (but more mild), inside of cheeks, and roof of mouth. Odd sensation on small patch from mouth to nostril on left side of face (not really numb, but maybe some pressure).
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Posture abnormal, Vaccine positive rechallenge, Vertigo
Clinical narrative: Severe spell of Vertigo that feels endless. Dizziness, Nauseous, Vision Spinning, Spinning Sensation, Inability to hold head up and hard to look at anything without being overwhelmed by all symptoms. Same happened with the first dose and lasted for 3 months which contributed to my decision not to get the second dose until regulatory authority took it upon themselves to threaten peoples livelihoods if not fully vaccinated. So I had 5 months between doses and having the same side effects again only stronger this time and will have to push myself as hard as I can just to function in everyday life and work dealing with these symptoms that I know are long term from previous experience.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: Severe spell of Vertigo that feels endless. Dizziness, Nauseous, Vision Spinning, Spinning Sensation, Inability to hold head up and hard to look at anything without being overwhelmed by all symptoms. Same happened with the first dose and lasted for 3 months which contributed to my decision not to get the second dose until regulatory authority took it upon themselves to threaten peoples livelihoods if not fully vaccinated. So I had 5 months between doses and having the same side effects again only stronger this time and will have to push myself as hard as I can just to function in everyday life and work dealing with these symptoms that I know are long term from previous experience.