chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Antiphospholipid antibodies negative, Antithrombin III, Atrial septal defect, Beta-2 glycoprotein antibody negative, Blood creatinine normal
Clinical narrative: 4 October 2021 noted voice change, facial droop, and with left hemiparesis went immediately to a local Medical Center and was transferred to another HCF and found to have stroke due to right internal carotid artery terminus occlusion status post right internal carotid thrombectomy, she has some very mild left facial weakness and left upper extremity fine motor dysfunction at f/u Nov 2021, but otherwise has recovered neurologically, risk factors for stroke included thrombocytosis JAK2 positive with concern for ET, PFO, and she also was smoking that stopped at diagnosis and did have 2 moderna Covid vaccinations on 26 May and 25 June 2021, (of note her daughter w/ a h/o leukocytosis was 7 months pregnant and with her Covid vaccine lost her baby), and PT herself has had intermittent elevated white blood cells and platelet count, here at the HCF platelet count has ranged up to 790,000 and white blood cell count to 16,900 with JAK2 V617F+ at 6.9%, G3P2 also herself w/ one 2nd trimester miscarriage, she tells me her white blood cells and platelets have chronically been elevated at the Medical Center labs which I do not have.  No history of recent hormone use.  Transthoracic echocardiogram 5 October 2021 showed EF 65% with intra-atrial septal aneurysm, cannot verify shunt though discrepant findings, and follow-up TEE showed PFO  with EF of 60%  7 October 2021 bilateral lower extremity ultrasounds were negative 7 October 2021 CT chest abdomen and pelvis without evidence of metastatic disease  Of note there was an episode while driving in 2017 where she tried to say something and essentially fell over to the side and was foaming at the mouth and shook with seizure-like activity (her daughter took the wheel and parked the car and called EMS) and also had some left facial droop at the time that resolved within 24 hours and tells me she had a CT scan and subsequently after neurologic recovery and MRI that were both reportedly normal as well as an EEG, so unsure if that was seizure versus TIA activity however it does sound seizure-like other than the left facial droop that resolved within 24 hours  Other labs have shown 20 October 2021 white count 10.9, hemoglobin 12.2, platelets 760, and in October 2021 creatinine normal, A1c of 5.3, Antithrombin normal, beta-2 glycoprotein antibodies negative, anticardiolipin antibody negative, DRVVT negative, hexagonal lupus anticoagulant negative, protein C&S normal, coags normal
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac aneurysm, Cardiolipin antibody negative, Carotid artery occlusion, Cerebrovascular accident, Coagulation test normal
Clinical narrative: 4 October 2021 noted voice change, facial droop, and with left hemiparesis went immediately to a local Medical Center and was transferred to another HCF and found to have stroke due to right internal carotid artery terminus occlusion status post right internal carotid thrombectomy, she has some very mild left facial weakness and left upper extremity fine motor dysfunction at f/u Nov 2021, but otherwise has recovered neurologically, risk factors for stroke included thrombocytosis JAK2 positive with concern for ET, PFO, and she also was smoking that stopped at diagnosis and did have 2 moderna Covid vaccinations on 26 May and 25 June 2021, (of note her daughter w/ a h/o leukocytosis was 7 months pregnant and with her Covid vaccine lost her baby), and PT herself has had intermittent elevated white blood cells and platelet count, here at the HCF platelet count has ranged up to 790,000 and white blood cell count to 16,900 with JAK2 V617F+ at 6.9%, G3P2 also herself w/ one 2nd trimester miscarriage, she tells me her white blood cells and platelets have chronically been elevated at the Medical Center labs which I do not have.  No history of recent hormone use.  Transthoracic echocardiogram 5 October 2021 showed EF 65% with intra-atrial septal aneurysm, cannot verify shunt though discrepant findings, and follow-up TEE showed PFO  with EF of 60%  7 October 2021 bilateral lower extremity ultrasounds were negative 7 October 2021 CT chest abdomen and pelvis without evidence of metastatic disease  Of note there was an episode while driving in 2017 where she tried to say something and essentially fell over to the side and was foaming at the mouth and shook with seizure-like activity (her daughter took the wheel and parked the car and called EMS) and also had some left facial droop at the time that resolved within 24 hours and tells me she had a CT scan and subsequently after neurologic recovery and MRI that were both reportedly normal as well as an EEG, so unsure if that was seizure versus TIA activity however it does sound seizure-like other than the left facial droop that resolved within 24 hours  Other labs have shown 20 October 2021 white count 10.9, hemoglobin 12.2, platelets 760, and in October 2021 creatinine normal, A1c of 5.3, Antithrombin normal, beta-2 glycoprotein antibodies negative, anticardiolipin antibody negative, DRVVT negative, hexagonal lupus anticoagulant negative, protein C&S normal, coags normal
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen, Condition aggravated, Dysphonia, Echocardiogram, Ejection fraction normal
Clinical narrative: 4 October 2021 noted voice change, facial droop, and with left hemiparesis went immediately to a local Medical Center and was transferred to another HCF and found to have stroke due to right internal carotid artery terminus occlusion status post right internal carotid thrombectomy, she has some very mild left facial weakness and left upper extremity fine motor dysfunction at f/u Nov 2021, but otherwise has recovered neurologically, risk factors for stroke included thrombocytosis JAK2 positive with concern for ET, PFO, and she also was smoking that stopped at diagnosis and did have 2 moderna Covid vaccinations on 26 May and 25 June 2021, (of note her daughter w/ a h/o leukocytosis was 7 months pregnant and with her Covid vaccine lost her baby), and PT herself has had intermittent elevated white blood cells and platelet count, here at the HCF platelet count has ranged up to 790,000 and white blood cell count to 16,900 with JAK2 V617F+ at 6.9%, G3P2 also herself w/ one 2nd trimester miscarriage, she tells me her white blood cells and platelets have chronically been elevated at the Medical Center labs which I do not have.  No history of recent hormone use.  Transthoracic echocardiogram 5 October 2021 showed EF 65% with intra-atrial septal aneurysm, cannot verify shunt though discrepant findings, and follow-up TEE showed PFO  with EF of 60%  7 October 2021 bilateral lower extremity ultrasounds were negative 7 October 2021 CT chest abdomen and pelvis without evidence of metastatic disease  Of note there was an episode while driving in 2017 where she tried to say something and essentially fell over to the side and was foaming at the mouth and shook with seizure-like activity (her daughter took the wheel and parked the car and called EMS) and also had some left facial droop at the time that resolved within 24 hours and tells me she had a CT scan and subsequently after neurologic recovery and MRI that were both reportedly normal as well as an EEG, so unsure if that was seizure versus TIA activity however it does sound seizure-like other than the left facial droop that resolved within 24 hours  Other labs have shown 20 October 2021 white count 10.9, hemoglobin 12.2, platelets 760, and in October 2021 creatinine normal, A1c of 5.3, Antithrombin normal, beta-2 glycoprotein antibodies negative, anticardiolipin antibody negative, DRVVT negative, hexagonal lupus anticoagulant negative, protein C&S normal, coags normal
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis, Facial paresis, Fine motor skill dysfunction, Glycosylated haemoglobin, Haemoglobin normal
Clinical narrative: 4 October 2021 noted voice change, facial droop, and with left hemiparesis went immediately to a local Medical Center and was transferred to another HCF and found to have stroke due to right internal carotid artery terminus occlusion status post right internal carotid thrombectomy, she has some very mild left facial weakness and left upper extremity fine motor dysfunction at f/u Nov 2021, but otherwise has recovered neurologically, risk factors for stroke included thrombocytosis JAK2 positive with concern for ET, PFO, and she also was smoking that stopped at diagnosis and did have 2 moderna Covid vaccinations on 26 May and 25 June 2021, (of note her daughter w/ a h/o leukocytosis was 7 months pregnant and with her Covid vaccine lost her baby), and PT herself has had intermittent elevated white blood cells and platelet count, here at the HCF platelet count has ranged up to 790,000 and white blood cell count to 16,900 with JAK2 V617F+ at 6.9%, G3P2 also herself w/ one 2nd trimester miscarriage, she tells me her white blood cells and platelets have chronically been elevated at the Medical Center labs which I do not have.  No history of recent hormone use.  Transthoracic echocardiogram 5 October 2021 showed EF 65% with intra-atrial septal aneurysm, cannot verify shunt though discrepant findings, and follow-up TEE showed PFO  with EF of 60%  7 October 2021 bilateral lower extremity ultrasounds were negative 7 October 2021 CT chest abdomen and pelvis without evidence of metastatic disease  Of note there was an episode while driving in 2017 where she tried to say something and essentially fell over to the side and was foaming at the mouth and shook with seizure-like activity (her daughter took the wheel and parked the car and called EMS) and also had some left facial droop at the time that resolved within 24 hours and tells me she had a CT scan and subsequently after neurologic recovery and MRI that were both reportedly normal as well as an EEG, so unsure if that was seizure versus TIA activity however it does sound seizure-like other than the left facial droop that resolved within 24 hours  Other labs have shown 20 October 2021 white count 10.9, hemoglobin 12.2, platelets 760, and in October 2021 creatinine normal, A1c of 5.3, Antithrombin normal, beta-2 glycoprotein antibodies negative, anticardiolipin antibody negative, DRVVT negative, hexagonal lupus anticoagulant negative, protein C&S normal, coags normal
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Hemiparesis, Janus kinase 2 mutation, Platelet count increased, Protein C, Protein S normal
Clinical narrative: 4 October 2021 noted voice change, facial droop, and with left hemiparesis went immediately to a local Medical Center and was transferred to another HCF and found to have stroke due to right internal carotid artery terminus occlusion status post right internal carotid thrombectomy, she has some very mild left facial weakness and left upper extremity fine motor dysfunction at f/u Nov 2021, but otherwise has recovered neurologically, risk factors for stroke included thrombocytosis JAK2 positive with concern for ET, PFO, and she also was smoking that stopped at diagnosis and did have 2 moderna Covid vaccinations on 26 May and 25 June 2021, (of note her daughter w/ a h/o leukocytosis was 7 months pregnant and with her Covid vaccine lost her baby), and PT herself has had intermittent elevated white blood cells and platelet count, here at the HCF platelet count has ranged up to 790,000 and white blood cell count to 16,900 with JAK2 V617F+ at 6.9%, G3P2 also herself w/ one 2nd trimester miscarriage, she tells me her white blood cells and platelets have chronically been elevated at the Medical Center labs which I do not have.  No history of recent hormone use.  Transthoracic echocardiogram 5 October 2021 showed EF 65% with intra-atrial septal aneurysm, cannot verify shunt though discrepant findings, and follow-up TEE showed PFO  with EF of 60%  7 October 2021 bilateral lower extremity ultrasounds were negative 7 October 2021 CT chest abdomen and pelvis without evidence of metastatic disease  Of note there was an episode while driving in 2017 where she tried to say something and essentially fell over to the side and was foaming at the mouth and shook with seizure-like activity (her daughter took the wheel and parked the car and called EMS) and also had some left facial droop at the time that resolved within 24 hours and tells me she had a CT scan and subsequently after neurologic recovery and MRI that were both reportedly normal as well as an EEG, so unsure if that was seizure versus TIA activity however it does sound seizure-like other than the left facial droop that resolved within 24 hours  Other labs have shown 20 October 2021 white count 10.9, hemoglobin 12.2, platelets 760, and in October 2021 creatinine normal, A1c of 5.3, Antithrombin normal, beta-2 glycoprotein antibodies negative, anticardiolipin antibody negative, DRVVT negative, hexagonal lupus anticoagulant negative, protein C&S normal, coags normal
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Russell's viper venom time normal, Thrombectomy, Thrombocytosis, Tobacco user, Ultrasound Doppler normal
Clinical narrative: 4 October 2021 noted voice change, facial droop, and with left hemiparesis went immediately to a local Medical Center and was transferred to another HCF and found to have stroke due to right internal carotid artery terminus occlusion status post right internal carotid thrombectomy, she has some very mild left facial weakness and left upper extremity fine motor dysfunction at f/u Nov 2021, but otherwise has recovered neurologically, risk factors for stroke included thrombocytosis JAK2 positive with concern for ET, PFO, and she also was smoking that stopped at diagnosis and did have 2 moderna Covid vaccinations on 26 May and 25 June 2021, (of note her daughter w/ a h/o leukocytosis was 7 months pregnant and with her Covid vaccine lost her baby), and PT herself has had intermittent elevated white blood cells and platelet count, here at the HCF platelet count has ranged up to 790,000 and white blood cell count to 16,900 with JAK2 V617F+ at 6.9%, G3P2 also herself w/ one 2nd trimester miscarriage, she tells me her white blood cells and platelets have chronically been elevated at the Medical Center labs which I do not have.  No history of recent hormone use.  Transthoracic echocardiogram 5 October 2021 showed EF 65% with intra-atrial septal aneurysm, cannot verify shunt though discrepant findings, and follow-up TEE showed PFO  with EF of 60%  7 October 2021 bilateral lower extremity ultrasounds were negative 7 October 2021 CT chest abdomen and pelvis without evidence of metastatic disease  Of note there was an episode while driving in 2017 where she tried to say something and essentially fell over to the side and was foaming at the mouth and shook with seizure-like activity (her daughter took the wheel and parked the car and called EMS) and also had some left facial droop at the time that resolved within 24 hours and tells me she had a CT scan and subsequently after neurologic recovery and MRI that were both reportedly normal as well as an EEG, so unsure if that was seizure versus TIA activity however it does sound seizure-like other than the left facial droop that resolved within 24 hours  Other labs have shown 20 October 2021 white count 10.9, hemoglobin 12.2, platelets 760, and in October 2021 creatinine normal, A1c of 5.3, Antithrombin normal, beta-2 glycoprotein antibodies negative, anticardiolipin antibody negative, DRVVT negative, hexagonal lupus anticoagulant negative, protein C&S normal, coags normal
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: 4 October 2021 noted voice change, facial droop, and with left hemiparesis went immediately to a local Medical Center and was transferred to another HCF and found to have stroke due to right internal carotid artery terminus occlusion status post right internal carotid thrombectomy, she has some very mild left facial weakness and left upper extremity fine motor dysfunction at f/u Nov 2021, but otherwise has recovered neurologically, risk factors for stroke included thrombocytosis JAK2 positive with concern for ET, PFO, and she also was smoking that stopped at diagnosis and did have 2 moderna Covid vaccinations on 26 May and 25 June 2021, (of note her daughter w/ a h/o leukocytosis was 7 months pregnant and with her Covid vaccine lost her baby), and PT herself has had intermittent elevated white blood cells and platelet count, here at the HCF platelet count has ranged up to 790,000 and white blood cell count to 16,900 with JAK2 V617F+ at 6.9%, G3P2 also herself w/ one 2nd trimester miscarriage, she tells me her white blood cells and platelets have chronically been elevated at the Medical Center labs which I do not have.  No history of recent hormone use.  Transthoracic echocardiogram 5 October 2021 showed EF 65% with intra-atrial septal aneurysm, cannot verify shunt though discrepant findings, and follow-up TEE showed PFO  with EF of 60%  7 October 2021 bilateral lower extremity ultrasounds were negative 7 October 2021 CT chest abdomen and pelvis without evidence of metastatic disease  Of note there was an episode while driving in 2017 where she tried to say something and essentially fell over to the side and was foaming at the mouth and shook with seizure-like activity (her daughter took the wheel and parked the car and called EMS) and also had some left facial droop at the time that resolved within 24 hours and tells me she had a CT scan and subsequently after neurologic recovery and MRI that were both reportedly normal as well as an EEG, so unsure if that was seizure versus TIA activity however it does sound seizure-like other than the left facial droop that resolved within 24 hours  Other labs have shown 20 October 2021 white count 10.9, hemoglobin 12.2, platelets 760, and in October 2021 creatinine normal, A1c of 5.3, Antithrombin normal, beta-2 glycoprotein antibodies negative, anticardiolipin antibody negative, DRVVT negative, hexagonal lupus anticoagulant negative, protein C&S normal, coags normal
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, COVID-19, COVID-19 pneumonia, Dyspnoea
Clinical narrative: Date of Admission: 11/15/2021   Date of Discharge: 11/17/2021  Reason for Hospital Admission (Admitting Diagnosis):  Acute hypoxemic respiratory failure from COVID Pneumonia 81 yo lady from home, s/p COVID vaccine x 2 in 02/2021, with known HTN, preDM, chronic bronchitis developed URI s/s on 11/08/21, found to be COVID positive on 11/11/21, presented to ED on 11/15/21 due to 3 days duration of worsening sob with hypoxemia.   1. Acute hypoxemic respiratory failure from COVID pneumonia. Elevated ddimer likely due to inflammatory process from COVID infection rather than VTE. Clinically not consistent with acute CHF or COPD exacerbation. - now on NC 2-3 L.min. Goal SpO2 >92%. Consider ICU evaluation if requiring >40LPM and 60% FiO2 for SpO2 >/= 90% - Self-proning as tolerated for O2 req >3L - Decadron 6mg IV or PO qday for up to 10 days (started on 11/15/2021) or until no longer hypoxic. - Remdesivir 200mg IV x1 on 11/15/21, followed by 100mg IV daily until clinical improvement or 5 days. - Daily LFTs. Noted slight elevated, likely due to remdesivir, will cont to trend, will hold Remdesivir if ALT >10xULN or CrCl<30 - GI prophylaxis with pepcid - trend inflammatory markers every other day  - Lovenox 40mg SQ BID (BMI>40) and hold for Plt <25k, Fibrinogen <100, active bleeding - enhanced isolation in hospital per Regional/Local ID guidance.   2. PreDM - ssi in house while on steroid   3. HTN/HLD - cont PTA lisinopril/HCTZ - cont PTA lipitor    4. Moisture Associated Skin Damage to the buttocks/cleft, groin, labia with erythema + Scar tissue to the right distal lower leg from previous ulcers related to lipodermatosclerosis. No open ulcers at this time.  - To the buttocks, cleft, bilateral groin, peri area and labia, clean with warm water cleansing cloths and pat dry. Apply Critic Aid Anti Fungal ointment BID and PRN soiling. Protect Sacrum/buttocks with Mepilex sacrum border dressing, changing every 3 days and PRN soiling - To the right lower leg, clean with warm water cleansing cloths and apply Atrac Tain Superior Moisturizer BID - appreciate wound nurse iput Condition on Discharge:  Stable to be transfer to another acute hospital for continue care.   Code Status at Time of Discharge: Full Code   Discharge Disposition:  Another acute hospital
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fibrin D dimer increased, Inflammation, Inflammatory marker test, Liver function test increased
Clinical narrative: Date of Admission: 11/15/2021   Date of Discharge: 11/17/2021  Reason for Hospital Admission (Admitting Diagnosis):  Acute hypoxemic respiratory failure from COVID Pneumonia 81 yo lady from home, s/p COVID vaccine x 2 in 02/2021, with known HTN, preDM, chronic bronchitis developed URI s/s on 11/08/21, found to be COVID positive on 11/11/21, presented to ED on 11/15/21 due to 3 days duration of worsening sob with hypoxemia.   1. Acute hypoxemic respiratory failure from COVID pneumonia. Elevated ddimer likely due to inflammatory process from COVID infection rather than VTE. Clinically not consistent with acute CHF or COPD exacerbation. - now on NC 2-3 L.min. Goal SpO2 >92%. Consider ICU evaluation if requiring >40LPM and 60% FiO2 for SpO2 >/= 90% - Self-proning as tolerated for O2 req >3L - Decadron 6mg IV or PO qday for up to 10 days (started on 11/15/2021) or until no longer hypoxic. - Remdesivir 200mg IV x1 on 11/15/21, followed by 100mg IV daily until clinical improvement or 5 days. - Daily LFTs. Noted slight elevated, likely due to remdesivir, will cont to trend, will hold Remdesivir if ALT >10xULN or CrCl<30 - GI prophylaxis with pepcid - trend inflammatory markers every other day  - Lovenox 40mg SQ BID (BMI>40) and hold for Plt <25k, Fibrinogen <100, active bleeding - enhanced isolation in hospital per Regional/Local ID guidance.   2. PreDM - ssi in house while on steroid   3. HTN/HLD - cont PTA lisinopril/HCTZ - cont PTA lipitor    4. Moisture Associated Skin Damage to the buttocks/cleft, groin, labia with erythema + Scar tissue to the right distal lower leg from previous ulcers related to lipodermatosclerosis. No open ulcers at this time.  - To the buttocks, cleft, bilateral groin, peri area and labia, clean with warm water cleansing cloths and pat dry. Apply Critic Aid Anti Fungal ointment BID and PRN soiling. Protect Sacrum/buttocks with Mepilex sacrum border dressing, changing every 3 days and PRN soiling - To the right lower leg, clean with warm water cleansing cloths and apply Atrac Tain Superior Moisturizer BID - appreciate wound nurse iput Condition on Discharge:  Stable to be transfer to another acute hospital for continue care.   Code Status at Time of Discharge: Full Code   Discharge Disposition:  Another acute hospital
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Scar, Skin injury, Upper respiratory tract infection
Clinical narrative: Date of Admission: 11/15/2021   Date of Discharge: 11/17/2021  Reason for Hospital Admission (Admitting Diagnosis):  Acute hypoxemic respiratory failure from COVID Pneumonia 81 yo lady from home, s/p COVID vaccine x 2 in 02/2021, with known HTN, preDM, chronic bronchitis developed URI s/s on 11/08/21, found to be COVID positive on 11/11/21, presented to ED on 11/15/21 due to 3 days duration of worsening sob with hypoxemia.   1. Acute hypoxemic respiratory failure from COVID pneumonia. Elevated ddimer likely due to inflammatory process from COVID infection rather than VTE. Clinically not consistent with acute CHF or COPD exacerbation. - now on NC 2-3 L.min. Goal SpO2 >92%. Consider ICU evaluation if requiring >40LPM and 60% FiO2 for SpO2 >/= 90% - Self-proning as tolerated for O2 req >3L - Decadron 6mg IV or PO qday for up to 10 days (started on 11/15/2021) or until no longer hypoxic. - Remdesivir 200mg IV x1 on 11/15/21, followed by 100mg IV daily until clinical improvement or 5 days. - Daily LFTs. Noted slight elevated, likely due to remdesivir, will cont to trend, will hold Remdesivir if ALT >10xULN or CrCl<30 - GI prophylaxis with pepcid - trend inflammatory markers every other day  - Lovenox 40mg SQ BID (BMI>40) and hold for Plt <25k, Fibrinogen <100, active bleeding - enhanced isolation in hospital per Regional/Local ID guidance.   2. PreDM - ssi in house while on steroid   3. HTN/HLD - cont PTA lisinopril/HCTZ - cont PTA lipitor    4. Moisture Associated Skin Damage to the buttocks/cleft, groin, labia with erythema + Scar tissue to the right distal lower leg from previous ulcers related to lipodermatosclerosis. No open ulcers at this time.  - To the buttocks, cleft, bilateral groin, peri area and labia, clean with warm water cleansing cloths and pat dry. Apply Critic Aid Anti Fungal ointment BID and PRN soiling. Protect Sacrum/buttocks with Mepilex sacrum border dressing, changing every 3 days and PRN soiling - To the right lower leg, clean with warm water cleansing cloths and apply Atrac Tain Superior Moisturizer BID - appreciate wound nurse iput Condition on Discharge:  Stable to be transfer to another acute hospital for continue care.   Code Status at Time of Discharge: Full Code   Discharge Disposition:  Another acute hospital
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Vertigo
Clinical narrative: Vertigo.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms
Clinical narrative: Administration at 1533, muscle spasm onset at 11 minute mark after administration of vaccine. Patient BP 140/82, HR 65, O2 room air at 99%. Patient was observed for 30 minutes, family came to pick her up. She was escorted out of the facility in a wheelchair for safety. Follow - up at 1730, pt still had muscle spasm but without pain or worsening symptoms or those symptoms related to anaphylaxis. Will follow up Monday with patient.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Postmenopausal haemorrhage
Clinical narrative: pfizer covid vaccines given 2/4/21, 2/25/21, and 8/31/21 she is 60 now and began menstruating monthly since  about May of 2021, pending ablation w/ gyn
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Full body rash, itching, hives on my whole body
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site inflammation, Injection site mass, Injection site rash, Injection site swelling, Injection site warmth
Clinical narrative: Hot, inflamed, swollen rash and lump at injection site approximately  3" wide x 2" high
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Ringing of ear
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: pt complains of arm still being sore over 1 month later
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Hypoaesthesia, Magnetic resonance imaging, Nausea
Clinical narrative: Within 1-2 hours of both shots headache, fatigue, nausea, fever, 100-101.3 degrees F. Headache, fatigue, fever laster approx 36-48 hours.  Between the two shots not sure what day, noticed  intermittent tingling and numbness in the left arm. The tingling and numbness have not gone away. Tingling/numbness seems permanent, at least has lasted 9 months.
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia, Pyrexia
Clinical narrative: Within 1-2 hours of both shots headache, fatigue, nausea, fever, 100-101.3 degrees F. Headache, fatigue, fever laster approx 36-48 hours.  Between the two shots not sure what day, noticed  intermittent tingling and numbness in the left arm. The tingling and numbness have not gone away. Tingling/numbness seems permanent, at least has lasted 9 months.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Musculoskeletal stiffness, Paraesthesia, Swelling
Clinical narrative: Numbness, swelling, poor circulation,  stiffness in fingers, hands, elbow Tingling in face All on right side of the body. Still present 7 months latter
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: syncope
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient signed up for a booster moderna shot. Right before we gave her dose she said she was wanting the 3rd dose for immune compromised. Her card only showed 2 doses and the booster had already been approved on insurance, therefore we didn't think it was an issue to go to the 0.5ml dose from the 0.25ml. We reprocessed later and it flagged it for 4th dose.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Balance disorder, Dizziness, Dyspnoea, Malaise
Clinical narrative: Patient received vaccine at 6:15 and reported not feeling well at 7:00--described tingling tongue, off balance , and light headed.  At 7:05 she said her tongue  felt fat and she was having trouble walking due to balance uncertainty.  I gave her diphenhydramine 50mg intramuscularly at 7:10.  She  reported she was going to pass out and was very shaky . I called 911 and reported adverse reaction. Ems Arrived and checked vitals and gave her the option of going to hospital but said she was feeling better. i monitored her until 7:25 and her son picked her up but returned when they got to the front door because her tongue was swelling again.  She reported she could not breathe and I injected epinephrine .3mg into outer thigh and had coworker call 911.  was transported to Hospital.  At 9pm she was still under observation but feeling better.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Swollen tongue, Tremor
Clinical narrative: Patient received vaccine at 6:15 and reported not feeling well at 7:00--described tingling tongue, off balance , and light headed.  At 7:05 she said her tongue  felt fat and she was having trouble walking due to balance uncertainty.  I gave her diphenhydramine 50mg intramuscularly at 7:10.  She  reported she was going to pass out and was very shaky . I called 911 and reported adverse reaction. Ems Arrived and checked vitals and gave her the option of going to hospital but said she was feeling better. i monitored her until 7:25 and her son picked her up but returned when they got to the front door because her tongue was swelling again.  She reported she could not breathe and I injected epinephrine .3mg into outer thigh and had coworker call 911.  was transported to Hospital.  At 9pm she was still under observation but feeling better.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Depressed level of consciousness, Dry skin, Hypotonia, Lethargy
Clinical narrative: Post vaccination, the client exhibited symptoms of lethargy.  The patient was pale, dry, normal temperature but unresponsive upon initial assessment. BP 130, good radial pulses, SpO2 98%.  The patient started responding 5 minutes later as we activate emergency and slowly became more alert with better muscle tone.  At arrival of emergency, the patient as interactive and shivering.  Vital signs normal.  Released to care of mother.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Unresponsive to stimuli
Clinical narrative: Post vaccination, the client exhibited symptoms of lethargy.  The patient was pale, dry, normal temperature but unresponsive upon initial assessment. BP 130, good radial pulses, SpO2 98%.  The patient started responding 5 minutes later as we activate emergency and slowly became more alert with better muscle tone.  At arrival of emergency, the patient as interactive and shivering.  Vital signs normal.  Released to care of mother.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram normal, Blood test normal, Cardiac stress test normal, Computerised tomogram normal, Dyspnoea
Clinical narrative: Severe shortness of breath, trouble walking, weakness in arms and legs, internal tremors, debilitating fatigue, body pain, muscle spasms, saw specialists, extensive bloodwork, all normal
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Gait disturbance, Magnetic resonance imaging head normal, Magnetic resonance imaging spinal normal, Muscle spasms
Clinical narrative: Severe shortness of breath, trouble walking, weakness in arms and legs, internal tremors, debilitating fatigue, body pain, muscle spasms, saw specialists, extensive bloodwork, all normal
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscular weakness, Nerve conduction studies normal, Pain, Pulmonary function test normal, Scan with contrast normal
Clinical narrative: Severe shortness of breath, trouble walking, weakness in arms and legs, internal tremors, debilitating fatigue, body pain, muscle spasms, saw specialists, extensive bloodwork, all normal
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tremor
Clinical narrative: Severe shortness of breath, trouble walking, weakness in arms and legs, internal tremors, debilitating fatigue, body pain, muscle spasms, saw specialists, extensive bloodwork, all normal
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: * patient started vomiting about 7-10 minutes after vaccination; he recovered without incidence in about 10-15 minutes
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Injection site pain, Interchange of vaccine products, Joint swelling, Lymph node pain
Clinical narrative: I received my regular COVID-19 vaccine on 4/29/2021 which was the Johnson & Johnson/Janssen vaccine. I did not have any known long term side effects; the only side effects I had were short-term - fatigue, body aches, low grade fever, and injection site pain. On 11/13/2021, I received the Moderna booster shot; within 12 hours, I had similar short-term side effects to the Johnson & Johnson vaccine, but the injection site pain lasted almost two weeks with severe lymph node pain. Four days after the shot, on 11/17/2021, my left ankle and foot became extremely swollen. The swelling kept coming and going over the next 24-32 hours, so I saw my primary care doctor the morning of 11/19/2021. My leg was swollen and hurting a lot in my calf and behind my left knee; my doctor was concerned about a blood clot, so she sent me the same day for an ultrasound at our local hospital. No major blood clots/DVTs were detected. The doctor told me to follow up in a few weeks if the pain and swelling continue and to take ibuprofen and wear compression socks. The pain has gotten worse, and ibuprofen doesn't help and the compression socks make the pain worse. I have a follow up appointment with my doctor this Monday, 12/13. The pain is so bad that I can't sleep and have difficulty focusing.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Peripheral swelling, Sleep disorder, Ultrasound scan normal
Clinical narrative: I received my regular COVID-19 vaccine on 4/29/2021 which was the Johnson & Johnson/Janssen vaccine. I did not have any known long term side effects; the only side effects I had were short-term - fatigue, body aches, low grade fever, and injection site pain. On 11/13/2021, I received the Moderna booster shot; within 12 hours, I had similar short-term side effects to the Johnson & Johnson vaccine, but the injection site pain lasted almost two weeks with severe lymph node pain. Four days after the shot, on 11/17/2021, my left ankle and foot became extremely swollen. The swelling kept coming and going over the next 24-32 hours, so I saw my primary care doctor the morning of 11/19/2021. My leg was swollen and hurting a lot in my calf and behind my left knee; my doctor was concerned about a blood clot, so she sent me the same day for an ultrasound at our local hospital. No major blood clots/DVTs were detected. The doctor told me to follow up in a few weeks if the pain and swelling continue and to take ibuprofen and wear compression socks. The pain has gotten worse, and ibuprofen doesn't help and the compression socks make the pain worse. I have a follow up appointment with my doctor this Monday, 12/13. The pain is so bad that I can't sleep and have difficulty focusing.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Blood glucose increased, COVID-19, Condition aggravated, Coronary artery disease
Clinical narrative: ADMISSION DATE:                    11/20/2021 DISCHARGE DATE:                   11/25/2021   SERVICE:                                   Internal Medicine ATTENDING PHYSICIAN:             PRINCIPAL ADMISSION DIAGNOSIS:   AHRF due to COVID-19 infection   DISCHARGE DIAGNOSES: Active Hospital Problems   Diagnosis   ? (Principal) ACUTE HYPOXEMIC RESPIRATORY FAILURE   ? DM 2   ? CORONAVIRUS COVID-19 DISEASE   ? CAD, PRESENCE OF STENT     Resolved Hospital Problems No resolved problems to display.     ISSUES TO BE ADDRESSED AT FOLLOW UP: 1) COVID infection - 50 y/o M patient was admitted pn 11/20/21 due to COVID infection causing AHRF, and required 3 days on HFNC supplemental oxygen support. On HD4 patient was weaned off HFNC and did well on RA, with oxygen saturation 95-97% on day of discharge. Patient did not develop a cough or other bothersome symptoms. Please ensure complete resolution of symptoms and any follow up support patient requires.   Per current CDC guidelines, patient should self-isolate for a total of 20 days from the last time was febrile, which was on admission to the hospital on 11/20/21.  Thus, patient should self-isolate through 12/12/21. Patient instructed to wear a mask when outside of house and keep 6 feet of distance between himself and other individuals. A work note was provided stating patient should remain off work through 12/13/21. If patient is still not feeling fully recovered as that date approaches they are encouraged to contact their PCP for an extension of the time off from work.   2) Insulin dependent diabetes management - patient presented with blood glucose in the 300-400 range. Last A1C 11.8%, up from 6.0 in 2018. Patient's insulin regimen was adjusted for improved glycemic control. By discharge blood glucose levels were in the 100-200 range. Please follow up on new diabetes regimen and titrate medications as needed. Referral to Diabetes Care Manager placed.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Glycosylated haemoglobin increased, Impaired work ability, Pyrexia, Type 2 diabetes mellitus
Clinical narrative: ADMISSION DATE:                    11/20/2021 DISCHARGE DATE:                   11/25/2021   SERVICE:                                   Internal Medicine ATTENDING PHYSICIAN:             PRINCIPAL ADMISSION DIAGNOSIS:   AHRF due to COVID-19 infection   DISCHARGE DIAGNOSES: Active Hospital Problems   Diagnosis   ? (Principal) ACUTE HYPOXEMIC RESPIRATORY FAILURE   ? DM 2   ? CORONAVIRUS COVID-19 DISEASE   ? CAD, PRESENCE OF STENT     Resolved Hospital Problems No resolved problems to display.     ISSUES TO BE ADDRESSED AT FOLLOW UP: 1) COVID infection - 50 y/o M patient was admitted pn 11/20/21 due to COVID infection causing AHRF, and required 3 days on HFNC supplemental oxygen support. On HD4 patient was weaned off HFNC and did well on RA, with oxygen saturation 95-97% on day of discharge. Patient did not develop a cough or other bothersome symptoms. Please ensure complete resolution of symptoms and any follow up support patient requires.   Per current CDC guidelines, patient should self-isolate for a total of 20 days from the last time was febrile, which was on admission to the hospital on 11/20/21.  Thus, patient should self-isolate through 12/12/21. Patient instructed to wear a mask when outside of house and keep 6 feet of distance between himself and other individuals. A work note was provided stating patient should remain off work through 12/13/21. If patient is still not feeling fully recovered as that date approaches they are encouraged to contact their PCP for an extension of the time off from work.   2) Insulin dependent diabetes management - patient presented with blood glucose in the 300-400 range. Last A1C 11.8%, up from 6.0 in 2018. Patient's insulin regimen was adjusted for improved glycemic control. By discharge blood glucose levels were in the 100-200 range. Please follow up on new diabetes regimen and titrate medications as needed. Referral to Diabetes Care Manager placed.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Adverse event, Diarrhoea, Injection site pain
Clinical narrative: Soreness and pain at the injection site.  Adverse event was up set stomach with diarrhea.  Activia yogurt with probiotic bacteria was taken and appeared to alleviate the effects.
Age: 56.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Dizziness, Heart rate increased
Clinical narrative: Elevated heart rate. Resting heart rate normally 72. First identified elevated heart rate at noon the day after injection. Recorded at 105. At 9 pm measured at 86 bpm. Standing heart rate rose to 115 bpm at 9 pm. Lightheaded when standing. No other symptoms noted.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Blood pressure systolic decreased, Hypotension, Pallor, Posture abnormal
Clinical narrative: About 10 minutes following his vaccine, patient complained his stomach was hurting. He became very pale, head began to fall back, and he vomited all over himself. Mom was able to catch his head as it went back. The RN on duty immediately checked his pulse and blood oxygen levels, proclaimed he was hypotensive and experiencing a tachycardia episode with a low systolic in the 60s.  Blood oxygen levels sustained in the high 90s consistently. While he did not fully have a syncope event, he did was very sluggish, slow to respond, but remained conscious and responsive. We transferred him to a cot, and had EMS arrive to assure safety for the young boy. They checked is vitals, spoke with patient and Mom, and believed he was okay to go home. Lt. from FD escorted Mom and patient to their car to assure his stability. This all occurred between the hours of 1720 and 1800.  Also suggested Mom make an appointment with his primary care provider.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Slow response to stimuli, Sluggishness, Tachycardia, Vomiting
Clinical narrative: About 10 minutes following his vaccine, patient complained his stomach was hurting. He became very pale, head began to fall back, and he vomited all over himself. Mom was able to catch his head as it went back. The RN on duty immediately checked his pulse and blood oxygen levels, proclaimed he was hypotensive and experiencing a tachycardia episode with a low systolic in the 60s.  Blood oxygen levels sustained in the high 90s consistently. While he did not fully have a syncope event, he did was very sluggish, slow to respond, but remained conscious and responsive. We transferred him to a cot, and had EMS arrive to assure safety for the young boy. They checked is vitals, spoke with patient and Mom, and believed he was okay to go home. Lt. from FD escorted Mom and patient to their car to assure his stability. This all occurred between the hours of 1720 and 1800.  Also suggested Mom make an appointment with his primary care provider.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Janssen covid booster give after beyond use room temperature time. Puncture 10:25AM, at room temperature until 1:30PM. Dose administered at 1:25PM.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy, Swelling
Clinical narrative: PT came stating she got adverse reaction of booster pfizer she got yesterday, swelling and soreness at left armpit. consulted pt to use warm compression and advil , and directed to report to v-safe. and will do scrt .
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation, Injection site pain, Product storage error
Clinical narrative: Patient was given a dose of Janssen vaccine that was stored at room temp longer than 2 hours.  (less than 6 hours)  Manufacture was contacted and they had no stability data on this vaccine for this window of time at room temperature and suggested we use our clinical expertise.  Patient was notified of error. Patient was revaccinated about 1 month later.    Patient reported that original vaccine hurt and stung with administration and that they had a sore arm for a few days later but otherwise felt fine.  After revaccination with valid dose patient still reported that the vaccine stung with administration . No other side effects.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Product storage error
Clinical narrative: Patient was given a dose of Janssen vaccine that was stored at room temp longer than 2 hours. (less than 6)  Manufacture was contacted and they had no stability data on this vaccine for this window of time at room temperature and suggested we use our clinical expertise. We were advised to revaccinate and consider dose as invalid.   Patient was notified of error and stated they did not have any side effects from the vaccine dose that was administered besides feeling a little tired the following day. They are scheduled to come back in to get revaccinated.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine was administered outside of proper storage conditions. Vial was at room temp for >2 hours but <6 hours at the time of dose being drawn up. Manufacturer did not have stability information for these storage conditions so it was recommended that this dose be considered invalid and to re-administer. Patient will be coming in to get dose in near future. Patient had to adverse reactions after immunization.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Headache, Oropharyngeal pain, Pyrexia, Respiratory tract congestion
Clinical narrative: Enlarged Right tonsil, fever of 102.9, sore throat, congestion, headache, belly ache Treated with Augmentin and Dexamethasone All other symptoms have improved except right tonsil is still enlarged
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Streptococcus test negative, Tonsillar hypertrophy
Clinical narrative: Enlarged Right tonsil, fever of 102.9, sore throat, congestion, headache, belly ache Treated with Augmentin and Dexamethasone All other symptoms have improved except right tonsil is still enlarged
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Product storage error
Clinical narrative: Patient was given a dose of Janssen vaccine that was stored at room temp longer than 2 hours. (less than 6)  Manufacture was contacted and they had no stability data on this vaccine for this window of time at room temperature and suggested we use our clinical expertise. We were advised to revaccinate and consider dose as invalid.   Patient was notified of error and stated they did not have any side effects from the vaccine dose that was administered besides feeling a little tired the following day. They are scheduled to come back in to get revaccinated.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Condition aggravated, Dizziness, Malaise, Pallor
Clinical narrative: Minutes after receiving the vaccine, patient reported feeling ill and hearing ringing in her ears. Patient appeared pale. No loss of consciousness. Patient remained alert and oriented to time and place. Patient was lowered to the floor with feet elevated. HR 78 O2 Sat 99%. Radial pulse 3+. Patient was given some crackers and water. After 5 minutes, patient reported improvement and sat up on the floor.  She reported a return of the dizziness after one minute and resumed lying down. EMS was called.  Blood pressure 108/72. After 20 minutes of resting on the floor patient moved to a seated position in a chair, which she tolerated well.  After 10 minutes she stood, which she tolerated well. Paramedics discharged to home, recommending follow up with PCP. Patient left under own power.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Minutes after receiving the vaccine, patient reported feeling ill and hearing ringing in her ears. Patient appeared pale. No loss of consciousness. Patient remained alert and oriented to time and place. Patient was lowered to the floor with feet elevated. HR 78 O2 Sat 99%. Radial pulse 3+. Patient was given some crackers and water. After 5 minutes, patient reported improvement and sat up on the floor.  She reported a return of the dizziness after one minute and resumed lying down. EMS was called.  Blood pressure 108/72. After 20 minutes of resting on the floor patient moved to a seated position in a chair, which she tolerated well.  After 10 minutes she stood, which she tolerated well. Paramedics discharged to home, recommending follow up with PCP. Patient left under own power.