chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood lactate dehydrogenase increased, Blood lactic acid, Blood magnesium, Blood magnesium increased, Blood phosphorus
Clinical narrative: 59 Y female with history of hypothyroidism presenting with fever, cough, and fatigue, admitted for covid pneumonia.   COVID PNA/ AMS/ Fever. Pt p/w fever, cough, fatigue, x1wk, found to be covid+ in ED (7/12), p/w mild leukocytosis, fever 101.4, and elevated inflammatory markers. Pt s/p 2L IVF, and started on decadron 10mg in ED given desaturation to mid 80s w/ ambulation. CXR: w/o acute disease. Pt also p/w  and transient vision loss in setting of high fever (106), suspect symptoms 2/2 fever, no recurrent episode. Per neurology, no indication for further imaging or workup at this time. Given high fever 106 and tremulousness on admission concern for other etiologies of fever. TSH 0.4 wnl. Psych meds initially held given concern for serotonin synd, however given pt improvement w/ <24hrs of holding meds, and no recent dose changes, will restart. Pt w/ 1/2 Bcx + staph simulans, likely contaminant per ID, initially started on vanc (7/13-7/14), will dc. Worsening leukocytosis likely 2/2 known side effect of steroid use. Inflammatory markers downtrending. Overnight pt w/ episode of desaturation to 87% on ambulation to bathroom, this AM satting 94%. decadron 6mg daily for total tx 10d (7/12-); trend inflammatory markers every other day; Lovenox 40mg SQ BID (BMI>40) and hold for Plt <25k, Fibrinogen <100, active bleeding; Hypothyroidism  Last TSH 0.4 on 7/13/21. On PTA levothyroxine 25mcg daily. continue PTA levothyroxine 25mcg daily
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood phosphorus decreased, Blood potassium, Blood potassium normal, Blood sodium, Blood sodium decreased
Clinical narrative: 59 Y female with history of hypothyroidism presenting with fever, cough, and fatigue, admitted for covid pneumonia.   COVID PNA/ AMS/ Fever. Pt p/w fever, cough, fatigue, x1wk, found to be covid+ in ED (7/12), p/w mild leukocytosis, fever 101.4, and elevated inflammatory markers. Pt s/p 2L IVF, and started on decadron 10mg in ED given desaturation to mid 80s w/ ambulation. CXR: w/o acute disease. Pt also p/w  and transient vision loss in setting of high fever (106), suspect symptoms 2/2 fever, no recurrent episode. Per neurology, no indication for further imaging or workup at this time. Given high fever 106 and tremulousness on admission concern for other etiologies of fever. TSH 0.4 wnl. Psych meds initially held given concern for serotonin synd, however given pt improvement w/ <24hrs of holding meds, and no recent dose changes, will restart. Pt w/ 1/2 Bcx + staph simulans, likely contaminant per ID, initially started on vanc (7/13-7/14), will dc. Worsening leukocytosis likely 2/2 known side effect of steroid use. Inflammatory markers downtrending. Overnight pt w/ episode of desaturation to 87% on ambulation to bathroom, this AM satting 94%. decadron 6mg daily for total tx 10d (7/12-); trend inflammatory markers every other day; Lovenox 40mg SQ BID (BMI>40) and hold for Plt <25k, Fibrinogen <100, active bleeding; Hypothyroidism  Last TSH 0.4 on 7/13/21. On PTA levothyroxine 25mcg daily. continue PTA levothyroxine 25mcg daily
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood thyroid stimulating hormone, Blood thyroid stimulating hormone decreased, Blood urea, Blood urea increased, Body mass index
Clinical narrative: 59 Y female with history of hypothyroidism presenting with fever, cough, and fatigue, admitted for covid pneumonia.   COVID PNA/ AMS/ Fever. Pt p/w fever, cough, fatigue, x1wk, found to be covid+ in ED (7/12), p/w mild leukocytosis, fever 101.4, and elevated inflammatory markers. Pt s/p 2L IVF, and started on decadron 10mg in ED given desaturation to mid 80s w/ ambulation. CXR: w/o acute disease. Pt also p/w  and transient vision loss in setting of high fever (106), suspect symptoms 2/2 fever, no recurrent episode. Per neurology, no indication for further imaging or workup at this time. Given high fever 106 and tremulousness on admission concern for other etiologies of fever. TSH 0.4 wnl. Psych meds initially held given concern for serotonin synd, however given pt improvement w/ <24hrs of holding meds, and no recent dose changes, will restart. Pt w/ 1/2 Bcx + staph simulans, likely contaminant per ID, initially started on vanc (7/13-7/14), will dc. Worsening leukocytosis likely 2/2 known side effect of steroid use. Inflammatory markers downtrending. Overnight pt w/ episode of desaturation to 87% on ambulation to bathroom, this AM satting 94%. decadron 6mg daily for total tx 10d (7/12-); trend inflammatory markers every other day; Lovenox 40mg SQ BID (BMI>40) and hold for Plt <25k, Fibrinogen <100, active bleeding; Hypothyroidism  Last TSH 0.4 on 7/13/21. On PTA levothyroxine 25mcg daily. continue PTA levothyroxine 25mcg daily
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Body temperature, Brain natriuretic peptide, Brain natriuretic peptide normal, C-reactive protein, C-reactive protein increased
Clinical narrative: 59 Y female with history of hypothyroidism presenting with fever, cough, and fatigue, admitted for covid pneumonia.   COVID PNA/ AMS/ Fever. Pt p/w fever, cough, fatigue, x1wk, found to be covid+ in ED (7/12), p/w mild leukocytosis, fever 101.4, and elevated inflammatory markers. Pt s/p 2L IVF, and started on decadron 10mg in ED given desaturation to mid 80s w/ ambulation. CXR: w/o acute disease. Pt also p/w  and transient vision loss in setting of high fever (106), suspect symptoms 2/2 fever, no recurrent episode. Per neurology, no indication for further imaging or workup at this time. Given high fever 106 and tremulousness on admission concern for other etiologies of fever. TSH 0.4 wnl. Psych meds initially held given concern for serotonin synd, however given pt improvement w/ <24hrs of holding meds, and no recent dose changes, will restart. Pt w/ 1/2 Bcx + staph simulans, likely contaminant per ID, initially started on vanc (7/13-7/14), will dc. Worsening leukocytosis likely 2/2 known side effect of steroid use. Inflammatory markers downtrending. Overnight pt w/ episode of desaturation to 87% on ambulation to bathroom, this AM satting 94%. decadron 6mg daily for total tx 10d (7/12-); trend inflammatory markers every other day; Lovenox 40mg SQ BID (BMI>40) and hold for Plt <25k, Fibrinogen <100, active bleeding; Hypothyroidism  Last TSH 0.4 on 7/13/21. On PTA levothyroxine 25mcg daily. continue PTA levothyroxine 25mcg daily
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Carbon dioxide, Chest X-ray, Chest X-ray normal
Clinical narrative: 59 Y female with history of hypothyroidism presenting with fever, cough, and fatigue, admitted for covid pneumonia.   COVID PNA/ AMS/ Fever. Pt p/w fever, cough, fatigue, x1wk, found to be covid+ in ED (7/12), p/w mild leukocytosis, fever 101.4, and elevated inflammatory markers. Pt s/p 2L IVF, and started on decadron 10mg in ED given desaturation to mid 80s w/ ambulation. CXR: w/o acute disease. Pt also p/w  and transient vision loss in setting of high fever (106), suspect symptoms 2/2 fever, no recurrent episode. Per neurology, no indication for further imaging or workup at this time. Given high fever 106 and tremulousness on admission concern for other etiologies of fever. TSH 0.4 wnl. Psych meds initially held given concern for serotonin synd, however given pt improvement w/ <24hrs of holding meds, and no recent dose changes, will restart. Pt w/ 1/2 Bcx + staph simulans, likely contaminant per ID, initially started on vanc (7/13-7/14), will dc. Worsening leukocytosis likely 2/2 known side effect of steroid use. Inflammatory markers downtrending. Overnight pt w/ episode of desaturation to 87% on ambulation to bathroom, this AM satting 94%. decadron 6mg daily for total tx 10d (7/12-); trend inflammatory markers every other day; Lovenox 40mg SQ BID (BMI>40) and hold for Plt <25k, Fibrinogen <100, active bleeding; Hypothyroidism  Last TSH 0.4 on 7/13/21. On PTA levothyroxine 25mcg daily. continue PTA levothyroxine 25mcg daily
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Fatigue, Glomerular filtration rate, Inflammatory marker increased, Leukocytosis
Clinical narrative: 59 Y female with history of hypothyroidism presenting with fever, cough, and fatigue, admitted for covid pneumonia.   COVID PNA/ AMS/ Fever. Pt p/w fever, cough, fatigue, x1wk, found to be covid+ in ED (7/12), p/w mild leukocytosis, fever 101.4, and elevated inflammatory markers. Pt s/p 2L IVF, and started on decadron 10mg in ED given desaturation to mid 80s w/ ambulation. CXR: w/o acute disease. Pt also p/w  and transient vision loss in setting of high fever (106), suspect symptoms 2/2 fever, no recurrent episode. Per neurology, no indication for further imaging or workup at this time. Given high fever 106 and tremulousness on admission concern for other etiologies of fever. TSH 0.4 wnl. Psych meds initially held given concern for serotonin synd, however given pt improvement w/ <24hrs of holding meds, and no recent dose changes, will restart. Pt w/ 1/2 Bcx + staph simulans, likely contaminant per ID, initially started on vanc (7/13-7/14), will dc. Worsening leukocytosis likely 2/2 known side effect of steroid use. Inflammatory markers downtrending. Overnight pt w/ episode of desaturation to 87% on ambulation to bathroom, this AM satting 94%. decadron 6mg daily for total tx 10d (7/12-); trend inflammatory markers every other day; Lovenox 40mg SQ BID (BMI>40) and hold for Plt <25k, Fibrinogen <100, active bleeding; Hypothyroidism  Last TSH 0.4 on 7/13/21. On PTA levothyroxine 25mcg daily. continue PTA levothyroxine 25mcg daily
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lipase, Lipase normal, Mental status changes, Oxygen saturation, Oxygen saturation decreased
Clinical narrative: 59 Y female with history of hypothyroidism presenting with fever, cough, and fatigue, admitted for covid pneumonia.   COVID PNA/ AMS/ Fever. Pt p/w fever, cough, fatigue, x1wk, found to be covid+ in ED (7/12), p/w mild leukocytosis, fever 101.4, and elevated inflammatory markers. Pt s/p 2L IVF, and started on decadron 10mg in ED given desaturation to mid 80s w/ ambulation. CXR: w/o acute disease. Pt also p/w  and transient vision loss in setting of high fever (106), suspect symptoms 2/2 fever, no recurrent episode. Per neurology, no indication for further imaging or workup at this time. Given high fever 106 and tremulousness on admission concern for other etiologies of fever. TSH 0.4 wnl. Psych meds initially held given concern for serotonin synd, however given pt improvement w/ <24hrs of holding meds, and no recent dose changes, will restart. Pt w/ 1/2 Bcx + staph simulans, likely contaminant per ID, initially started on vanc (7/13-7/14), will dc. Worsening leukocytosis likely 2/2 known side effect of steroid use. Inflammatory markers downtrending. Overnight pt w/ episode of desaturation to 87% on ambulation to bathroom, this AM satting 94%. decadron 6mg daily for total tx 10d (7/12-); trend inflammatory markers every other day; Lovenox 40mg SQ BID (BMI>40) and hold for Plt <25k, Fibrinogen <100, active bleeding; Hypothyroidism  Last TSH 0.4 on 7/13/21. On PTA levothyroxine 25mcg daily. continue PTA levothyroxine 25mcg daily
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Platelet count, Protein total, Pyrexia, SARS-CoV-2 test, SARS-CoV-2 test positive
Clinical narrative: 59 Y female with history of hypothyroidism presenting with fever, cough, and fatigue, admitted for covid pneumonia.   COVID PNA/ AMS/ Fever. Pt p/w fever, cough, fatigue, x1wk, found to be covid+ in ED (7/12), p/w mild leukocytosis, fever 101.4, and elevated inflammatory markers. Pt s/p 2L IVF, and started on decadron 10mg in ED given desaturation to mid 80s w/ ambulation. CXR: w/o acute disease. Pt also p/w  and transient vision loss in setting of high fever (106), suspect symptoms 2/2 fever, no recurrent episode. Per neurology, no indication for further imaging or workup at this time. Given high fever 106 and tremulousness on admission concern for other etiologies of fever. TSH 0.4 wnl. Psych meds initially held given concern for serotonin synd, however given pt improvement w/ <24hrs of holding meds, and no recent dose changes, will restart. Pt w/ 1/2 Bcx + staph simulans, likely contaminant per ID, initially started on vanc (7/13-7/14), will dc. Worsening leukocytosis likely 2/2 known side effect of steroid use. Inflammatory markers downtrending. Overnight pt w/ episode of desaturation to 87% on ambulation to bathroom, this AM satting 94%. decadron 6mg daily for total tx 10d (7/12-); trend inflammatory markers every other day; Lovenox 40mg SQ BID (BMI>40) and hold for Plt <25k, Fibrinogen <100, active bleeding; Hypothyroidism  Last TSH 0.4 on 7/13/21. On PTA levothyroxine 25mcg daily. continue PTA levothyroxine 25mcg daily
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Serum ferritin, Serum ferritin increased, Troponin, Troponin I normal, Vaccination failure
Clinical narrative: 59 Y female with history of hypothyroidism presenting with fever, cough, and fatigue, admitted for covid pneumonia.   COVID PNA/ AMS/ Fever. Pt p/w fever, cough, fatigue, x1wk, found to be covid+ in ED (7/12), p/w mild leukocytosis, fever 101.4, and elevated inflammatory markers. Pt s/p 2L IVF, and started on decadron 10mg in ED given desaturation to mid 80s w/ ambulation. CXR: w/o acute disease. Pt also p/w  and transient vision loss in setting of high fever (106), suspect symptoms 2/2 fever, no recurrent episode. Per neurology, no indication for further imaging or workup at this time. Given high fever 106 and tremulousness on admission concern for other etiologies of fever. TSH 0.4 wnl. Psych meds initially held given concern for serotonin synd, however given pt improvement w/ <24hrs of holding meds, and no recent dose changes, will restart. Pt w/ 1/2 Bcx + staph simulans, likely contaminant per ID, initially started on vanc (7/13-7/14), will dc. Worsening leukocytosis likely 2/2 known side effect of steroid use. Inflammatory markers downtrending. Overnight pt w/ episode of desaturation to 87% on ambulation to bathroom, this AM satting 94%. decadron 6mg daily for total tx 10d (7/12-); trend inflammatory markers every other day; Lovenox 40mg SQ BID (BMI>40) and hold for Plt <25k, Fibrinogen <100, active bleeding; Hypothyroidism  Last TSH 0.4 on 7/13/21. On PTA levothyroxine 25mcg daily. continue PTA levothyroxine 25mcg daily
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Balance test, Cerebrovascular accident, Computerised tomogram, Computerised tomogram head, Confusional state
Clinical narrative: Occipital Stroke, with vertigo, vision disturbance and confusion
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Ear, nose and throat examination, Vertigo, Visual impairment
Clinical narrative: Occipital Stroke, with vertigo, vision disturbance and confusion
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia
Clinical narrative: Loss of taste
Age: 18.0
Sex: F
Vaccine: VARCEL
Symptoms: Papule, Pruritus, Rash
Clinical narrative: Diffuse rash with small papules all over trunk, arms and legs with mild itching.  Employee presented to emergency room and was treated with benadryl and fomotadine for possible allergic reaction
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt was 17 yo and was given vaccine per MD order due to pt risk factors.  No complications noted.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Pruritus, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: I was itching like crazy for two days, I was shaking I almost passed out, had low grade fever, felt like I was going to pass out, had a severe headache. symptoms lasted for around 4 days.  Worst headache of my like.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: I was itching like crazy for two days, I was shaking I almost passed out, had low grade fever, felt like I was going to pass out, had a severe headache. symptoms lasted for around 4 days.  Worst headache of my like.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: dizziness and lightheadedness Water and juice offered. Patient improved and went home.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Nausea
Clinical narrative: Patient became lightheaded, dizzy, nauseous, and she felt hot about 10 minutes after vaccine administration. Dr.  was brought in the exam room to assess the patient. Dr.  brought patient over to exam table and had her lying supine. Patient was given pretzels and 2 cups of water. Patient was lying supine for about 1.5 hours with no improvement.  Patient was driven to  Hospital Emergency Department by her father, for further evaluation and possible IV fluids.
Age: 84.0
Sex: F
Vaccine: VARZOS
Symptoms: Malaise, Seizure
Clinical narrative: After receiving vaccine patient sat and waited for her husband to receive same vaccine. Both patients seemed to be afterward and left the store. While on way to car patient told husband she was not feeling well. He took her to nearby emergency room. The next day patient called to let Pharmacist know about reaction. After reporting to ER, it was determined that patient may have suffered a seizure, possibly from a reaction to Shingrix Vaccine. Patient stated that the hospital kept her overnight for observation and was released the following day.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Neuropathy peripheral, Tremor
Clinical narrative: burning sensation in feet, neuropathy in feet and legs to calf muscle, neuropathy in hands and some occasional tremor
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram normal, Arrhythmia, Blood test normal, Cardiac stress test normal, Dyspnoea
Clinical narrative: Janssen COVID-19 Vaccine EUA: patient in clinic to establish care. COVID-19 infection in January 2020. Reports one week after immunization experienced increased heart rate and shortness of breath while on vacation out of state. Patient went to emergency department (ED) and diagnosed with heart arrhythmia. Patient left hospital before heart echo could be performed. Continues to have some shortness of breath at times but no palpitations.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Heart rate increased, Sinus rhythm
Clinical narrative: Janssen COVID-19 Vaccine EUA: patient in clinic to establish care. COVID-19 infection in January 2020. Reports one week after immunization experienced increased heart rate and shortness of breath while on vacation out of state. Patient went to emergency department (ED) and diagnosed with heart arrhythmia. Patient left hospital before heart echo could be performed. Continues to have some shortness of breath at times but no palpitations.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Erythema, Hyperhidrosis, Loss of consciousness, Malaise
Clinical narrative: patient received J & J vaccine at 1050 am  patient was talking with nurse and suddenly stiffened his body with clenching fists curled upward to chest.  He had bright red skin color, and could not speak.  this lasted 10 seconds at most.  Afterward the patient was sitting in chair had turned very pale and did not realize what had happened.  one of the other nurses asked him if he knew where he was, he stated "In the Hospital", the nurse repeated that he was not in hospital, that he was at the health department getting a Covid shot.  He stated "oh yeah.. I forgot,"  patient stated he was going to be sick,  patient grabbed garbage can that was sitting next to him Patient was hooked up to oximetry, reading was 99% on RA, attempted Blood pressure 3 times but was unable to attain a reading, patient was holding garbage can tightly.  patient had emesis 3x's that was clear in color, cold packs were placed on the nape of the neck and under armpit, patient was sweating and white in color.  patient stated he had blurred vision, and noted that he was unconscious for approx. 25-30 seconds.  911 was called at 10:57.  Nursing supervisor was notified at 10:58. Patient stated that he had nothing to eat today, and his mother stated that he had been anxious about getting the vaccine and that she made her son get it.  Epinephrine was available but not given.  no issues with breathing.  EMS came in did a quick evaluation and transported patient to the hospital.  Mother was with patient during the entire incident.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Memory impairment, Musculoskeletal stiffness, Pallor, Vision blurred, Vomiting
Clinical narrative: patient received J & J vaccine at 1050 am  patient was talking with nurse and suddenly stiffened his body with clenching fists curled upward to chest.  He had bright red skin color, and could not speak.  this lasted 10 seconds at most.  Afterward the patient was sitting in chair had turned very pale and did not realize what had happened.  one of the other nurses asked him if he knew where he was, he stated "In the Hospital", the nurse repeated that he was not in hospital, that he was at the health department getting a Covid shot.  He stated "oh yeah.. I forgot,"  patient stated he was going to be sick,  patient grabbed garbage can that was sitting next to him Patient was hooked up to oximetry, reading was 99% on RA, attempted Blood pressure 3 times but was unable to attain a reading, patient was holding garbage can tightly.  patient had emesis 3x's that was clear in color, cold packs were placed on the nape of the neck and under armpit, patient was sweating and white in color.  patient stated he had blurred vision, and noted that he was unconscious for approx. 25-30 seconds.  911 was called at 10:57.  Nursing supervisor was notified at 10:58. Patient stated that he had nothing to eat today, and his mother stated that he had been anxious about getting the vaccine and that she made her son get it.  Epinephrine was available but not given.  no issues with breathing.  EMS came in did a quick evaluation and transported patient to the hospital.  Mother was with patient during the entire incident.
Age: 31.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Blood urine present
Clinical narrative: Blood in urine starting a week later. Put on antibiotic for 12day but still having same issue.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Joint range of motion decreased, Magnetic resonance imaging abnormal, Pain
Clinical narrative: After 2nd Moderna shot, severe pain developed in left shoulder, and range of motion was totally  limited for arm movement forward, sideways, up or back. It became painful to do any routine function. Finally went to ortho doc on 4/7and they took X-ray. Showing no bone issues. Injected steroid into shoulder.  Did PT exercises. Little  relief by visit on 5/14 . 6/9 returned to NSO, was given Ascent shot...some improvement. MRI conducted on 6/17 showed extreme inflammation in joint.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: After 2nd Moderna shot, severe pain developed in left shoulder, and range of motion was totally  limited for arm movement forward, sideways, up or back. It became painful to do any routine function. Finally went to ortho doc on 4/7and they took X-ray. Showing no bone issues. Injected steroid into shoulder.  Did PT exercises. Little  relief by visit on 5/14 . 6/9 returned to NSO, was given Ascent shot...some improvement. MRI conducted on 6/17 showed extreme inflammation in joint.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic shock
Clinical narrative: I went into antiflactic shock, brought over to the hospital, was given intravenous drugs and benadryl. Had to stay for 6 hours.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus       Constant ticking, pulsating noise in left ear.  Started exactly two weeks to the day after 2nd dose of vaccine.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Colonoscopy, Diarrhoea, Influenza like illness
Clinical narrative: Night 1-severe chills Days 2-3-4 -flu like symptoms-diarrhea Chronic diarrhea has continued to this day
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Hypoaesthesia, Tongue discomfort
Clinical narrative: 3 days after my first vaccine my tongue started to feel like it was burnt. The Sunday after my first vaccination I woke up with the right side of my face was numb and not functioning.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash erythematous
Clinical narrative: 12 days after receiving the vaccine, a 2 inch square, red rash developed approximately 2 inches below the injection site.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Colitis ulcerative, Colonoscopy abnormal, Gastrointestinal haemorrhage, Gastrointestinal inflammation
Clinical narrative: Travelled a day after vaccine, gradual GI inflammation, went to bleeding, after 6 weeks returned home and got colonoscopy. Since treatment has returned to normal. Given steroids for about a month
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Gait disturbance, Hypoaesthesia
Clinical narrative: See skeletal and muscular defects on previous page,
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Guillain-Barre syndrome, Immunoglobulin therapy
Clinical narrative: See skeletal and muscular defects on previous page,
Age: 4.0
Sex: F
Vaccine: DTAPIPVHIB, HEP, MMR, VARCEL
Symptoms: Papule, Polymerase chain reaction, Pruritus, Rash erythematous, Rash pruritic
Clinical narrative: Symptoms developed 07/10/2021. Puritic rash noted s/p varicella vaccination. Not classic in appearance to varicella (no true vesicles, papules, and crusting lesions). Small papules noted with some on larger red base. Small scab noted in center of lesion. + Itchiness.
Age: 4.0
Sex: F
Vaccine: DTAPIPVHIB, HEP, MMR, VARCEL
Symptoms: Scab, Skin lesion, Varicella virus test
Clinical narrative: Symptoms developed 07/10/2021. Puritic rash noted s/p varicella vaccination. Not classic in appearance to varicella (no true vesicles, papules, and crusting lesions). Small papules noted with some on larger red base. Small scab noted in center of lesion. + Itchiness.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Pt reported a reaction that developed days after receiving the vaccine.  She said she had a reaction on her arm, leg, and back.  She did not report any swelling.  She took a picture of it and I didn't see any redness, but it looked like there were some bumps that developed on her arm.  It may have been more than a week after getting the vaccine and she is not sure the vaccine actually caused that reaction.  I made the decision to counsel her on signs and symptoms of anaphylaxis reactions and to seek medical attention if needed and gave the second dose.  I saw her mother 5 days after she got the second dose.  Her mother said she hasn't had any reaction to the second dose.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax, Subclavian vein thrombosis, Ultrasound scan
Clinical narrative: L subclavian thrombosis diagnosed 7/10/21
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Pain in extremity
Clinical narrative: One week after injection, server pain on the whole left arm, arm pit, and back shoulder blade. The pain has not gone away.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site warmth, Muscular weakness, Pain in extremity
Clinical narrative: Arm was just sore for a couple days after the shot at site of injection. It got better after a couple of days.  On Tuesday, July 13 at approx 9:30 pm the arm started hurting just below the injection site and felt warm in that one spot.  I had on a tank top and it was cool in the bedroom.  It is now Thursday afternoon and it is still sore and warm to touch in that spot and the arm is a slightly weak and sore feeling all over.  Not too bad.  It is not getting worse, just not any better.  I just went to the doctor and she is sending me to have an ultrasound just to be on the safe side to rule out a blood clot.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Feeling abnormal, Headache
Clinical narrative: I was diagnosed with COVID and still having COVID symptoms.  I was having severe body aches, fatigue, coughing, fever the day after the 2nd vaccine. I also experienced headaches and brain fog.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pain, Pyrexia
Clinical narrative: I was diagnosed with COVID and still having COVID symptoms.  I was having severe body aches, fatigue, coughing, fever the day after the 2nd vaccine. I also experienced headaches and brain fog.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Laboratory test, Periarthritis
Clinical narrative: Patient states rash on left arm started 4-5 days post administration of 2nd dose of the Moderna COVID vaccine. Patient went to see primary care physician, was prescribed orals meds, symptoms did not subside and later was referred to an Infectious Disease physician. Patient went to see Infectious Disease physician and was diagnosed with having "Moderna Rash" and "Frozen Shoulder." Infectious Disease physician told patient to call site where she received COVID vaccine and have it reported.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Disorientation, Dyspnoea, Magnetic resonance imaging abnormal, Portal vein thrombosis
Clinical narrative: Patient came to the ED with SOB, kidney pain, weight loss, and disoriented. CT scan and MRI showed portal vein thrombosis. Patient is still inpatient at Hospital.    Patient unable to give lot number or date of vaccination.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Renal pain, Weight decreased
Clinical narrative: Patient came to the ED with SOB, kidney pain, weight loss, and disoriented. CT scan and MRI showed portal vein thrombosis. Patient is still inpatient at Hospital.    Patient unable to give lot number or date of vaccination.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Diffuse urticarial rash started within 24 hours (both arms, both legs)
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Alcohol poisoning
Clinical narrative: Patient had several visits to the ED where they were subsequently hospitalized; on 1/28/2021, 2/18/2021, 2/22/2021, and 4/6/2021. These visits were for alcoholic intoxication and occurred within 6 weeks of receiving COVID vaccination. Patient received second dose on 3/18/2021.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Cyanosis, Injection site pain, Injection site swelling, Peripheral coldness, Peripheral swelling
Clinical narrative: 50-year-old female while in observation presented with c/o localized burning and swelling on the left arm at the site of injection approximately 5-10 minutes after receiving the first dose of Pfizer. EMS was alerted and patient was then evaluated and observed. Patient's left upper arm continued to swell to her hand and fingers which then progressed to a bluish tint and feel cold to the touch. Patient was recommended to be transported and evaluated further Hospital. Initial Vitals: HR- 74; BP- 183/105; O2 Sat- 98%; RR 22; Discharge Vitals: HR-75; BP- 142/88; O2 Sat-96%; RR-16
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Blood blister, Contusion
Clinical narrative: About a week after getting the first dose, blood blisters started to form on my hands, arms, legs. Bruising has been noted.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Seizure, Syncope
Clinical narrative: Reportedly had a seizure and fainting episode in the evening after receiving a vaccine in the afternoon (hours later)
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Parosmia, Pyrexia, Rash, Taste disorder
Clinical narrative: Chills, fever, hive like rash all over body a week after, and smells and tastes are no longer the same. There is a certain taste and smell (which are the same) that quite a few foods and other things taste and smell like.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Chills, fever, hive like rash all over body a week after, and smells and tastes are no longer the same. There is a certain taste and smell (which are the same) that quite a few foods and other things taste and smell like.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Blood test, Haemorrhage in pregnancy, Polymenorrhoea, Pregnancy
Clinical narrative: The second Pfizer shot caused me to have a second period in the month of April. The period occurred around the time of ovulation for me (4/17/21).  We were trying to conceive at the time. We managed to become pregnant that month despite the confusion with two periods and not knowing  if my ovulation schedule would change. I had a positive pregnancy test on 5/7/21. By 5/20/21 I started bleeding.  I had a hospital removal procedure (MVA) completed on 6/11/21 due to a miscarriage during this pregnancy.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pregnancy test positive, Ultrasound scan abnormal, Vacuum aspiration
Clinical narrative: The second Pfizer shot caused me to have a second period in the month of April. The period occurred around the time of ovulation for me (4/17/21).  We were trying to conceive at the time. We managed to become pregnant that month despite the confusion with two periods and not knowing  if my ovulation schedule would change. I had a positive pregnancy test on 5/7/21. By 5/20/21 I started bleeding.  I had a hospital removal procedure (MVA) completed on 6/11/21 due to a miscarriage during this pregnancy.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Abdominal tenderness, Arthralgia, Back pain, Chills
Clinical narrative: Bloody and mucusy stools, needing to poop every hour, diarrhea, neck, spine, back, aches, joints hurt couldn't walk or move easily like arthritis, headache, fever, chills, skin hurt to touch all over, could not sit, lie down, without pain, could not walk without extremely high levels of pain in hips, knees, ankles, and feet, abdomen tender and hurting, extremely gassy, loss of appetite, nausea,  took 2 days for fevers and chills to stop, took 4 days for skin pain to go away, and nausea to stop, took 2 weeks for stomach and joint pain to go away, took 6 weeks for bloody mucusy and frequent urge to poop to go away.  Still low appetite and some bloody mucusy poop problems, but it's much much better than it was before.  Stomach also still very sore and unable to eat foods I could before.  Unable to work for 2 weeks due to pain and inability to focus from headache and pain.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Decreased appetite, Diarrhoea, Disturbance in attention, Flatulence, Food aversion
Clinical narrative: Bloody and mucusy stools, needing to poop every hour, diarrhea, neck, spine, back, aches, joints hurt couldn't walk or move easily like arthritis, headache, fever, chills, skin hurt to touch all over, could not sit, lie down, without pain, could not walk without extremely high levels of pain in hips, knees, ankles, and feet, abdomen tender and hurting, extremely gassy, loss of appetite, nausea,  took 2 days for fevers and chills to stop, took 4 days for skin pain to go away, and nausea to stop, took 2 weeks for stomach and joint pain to go away, took 6 weeks for bloody mucusy and frequent urge to poop to go away.  Still low appetite and some bloody mucusy poop problems, but it's much much better than it was before.  Stomach also still very sore and unable to eat foods I could before.  Unable to work for 2 weeks due to pain and inability to focus from headache and pain.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Frequent bowel movements, Gait disturbance, Haematochezia, Headache, Impaired work ability
Clinical narrative: Bloody and mucusy stools, needing to poop every hour, diarrhea, neck, spine, back, aches, joints hurt couldn't walk or move easily like arthritis, headache, fever, chills, skin hurt to touch all over, could not sit, lie down, without pain, could not walk without extremely high levels of pain in hips, knees, ankles, and feet, abdomen tender and hurting, extremely gassy, loss of appetite, nausea,  took 2 days for fevers and chills to stop, took 4 days for skin pain to go away, and nausea to stop, took 2 weeks for stomach and joint pain to go away, took 6 weeks for bloody mucusy and frequent urge to poop to go away.  Still low appetite and some bloody mucusy poop problems, but it's much much better than it was before.  Stomach also still very sore and unable to eat foods I could before.  Unable to work for 2 weeks due to pain and inability to focus from headache and pain.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mucous stools, Nausea, Neck pain, Pain, Pain in extremity
Clinical narrative: Bloody and mucusy stools, needing to poop every hour, diarrhea, neck, spine, back, aches, joints hurt couldn't walk or move easily like arthritis, headache, fever, chills, skin hurt to touch all over, could not sit, lie down, without pain, could not walk without extremely high levels of pain in hips, knees, ankles, and feet, abdomen tender and hurting, extremely gassy, loss of appetite, nausea,  took 2 days for fevers and chills to stop, took 4 days for skin pain to go away, and nausea to stop, took 2 weeks for stomach and joint pain to go away, took 6 weeks for bloody mucusy and frequent urge to poop to go away.  Still low appetite and some bloody mucusy poop problems, but it's much much better than it was before.  Stomach also still very sore and unable to eat foods I could before.  Unable to work for 2 weeks due to pain and inability to focus from headache and pain.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain of skin, Pyrexia, Sensitive skin, Spinal pain
Clinical narrative: Bloody and mucusy stools, needing to poop every hour, diarrhea, neck, spine, back, aches, joints hurt couldn't walk or move easily like arthritis, headache, fever, chills, skin hurt to touch all over, could not sit, lie down, without pain, could not walk without extremely high levels of pain in hips, knees, ankles, and feet, abdomen tender and hurting, extremely gassy, loss of appetite, nausea,  took 2 days for fevers and chills to stop, took 4 days for skin pain to go away, and nausea to stop, took 2 weeks for stomach and joint pain to go away, took 6 weeks for bloody mucusy and frequent urge to poop to go away.  Still low appetite and some bloody mucusy poop problems, but it's much much better than it was before.  Stomach also still very sore and unable to eat foods I could before.  Unable to work for 2 weeks due to pain and inability to focus from headache and pain.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Condition aggravated, Lethargy, Migraine, Postmenopausal haemorrhage
Clinical narrative: 1.  Migraines began 3 days after the second dose. I have had 1-2 migraines since my vaccination one month ago. (Treatment was sleep and Advil). 2. I had spotting (slight menstruation 10 days after the vaccine). I have been through menopause and not had a period for well over 4 years. 3.  I am very lethargic. I start my day with exercise and energy, but I have to come home and sleep...as in, take a serious nap around 4-5 days per week. This is very uncharacteristic! 4.  My ears are ringing terribly! I'm accustomed to my slight tinnitus. But, on Monday, July 12th, they are ringing exceptionally loud.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence, Tinnitus
Clinical narrative: 1.  Migraines began 3 days after the second dose. I have had 1-2 migraines since my vaccination one month ago. (Treatment was sleep and Advil). 2. I had spotting (slight menstruation 10 days after the vaccine). I have been through menopause and not had a period for well over 4 years. 3.  I am very lethargic. I start my day with exercise and energy, but I have to come home and sleep...as in, take a serious nap around 4-5 days per week. This is very uncharacteristic! 4.  My ears are ringing terribly! I'm accustomed to my slight tinnitus. But, on Monday, July 12th, they are ringing exceptionally loud.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Called by observation nurse to see client who complained of lightheadedness after receiving 2nd dose of vaccine.  Client was alert and talking.  Given ammonia to smell and sips of H2O.  VS BP 73/34, P 66, O2Sat 98%, Client legs were elevated w/ little improvement.  Said she felt better after decreased dizziness.  Vital signs taken at 11:25am: T 94.4, O2Sat 90%, Pulse 59, client appeared less lethargic and did not voice any new complaints.  Given water for hydration as BP was 71/48.  At 11:30am Rescue arrived from previous call made.  Client stood up with ambulance tech and walked to ambulance where she was evaluated.  Dad was with client throughout visit and  with ambulance personnel. Mgr. and writer was informed that client would be going home with her father at 11:47am.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint range of motion decreased, Muscular weakness, Neuralgic amyotrophy
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: patient had COVID-19 in November 2020 with myalgias and joint pain. Patient reports to clinic to establish care. One week after immunization developed severe right should pain and weakness that improved with physical therapy. Patient now has almost full range of motion. Diagnosed with Parsonage-Turner Syndrome.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Gene sequencing, Malaise, Nucleic acid test, SARS-CoV-2 test positive
Clinical narrative: Client admitted to hospital on 7/14/2021 with COVID-19 symptoms, she was not admitted to ICU or intubated. Writer does not have access to any further details on this case. Please contact admitting hospital if further information is needed.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Client admitted to hospital on 7/14/2021 with COVID-19 symptoms, she was not admitted to ICU or intubated. Writer does not have access to any further details on this case. Please contact admitting hospital if further information is needed.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Anion gap, Basophil percentage, Blood chloride increased, Blood creatinine normal, Blood culture
Clinical narrative: 20 Y female with h/o of cardiac transplant in 4/29/20 for HCM with history of early ACR 5/2020 treated with rATG and steroids and early CAV 1 (20% mRCA lesion) on prograf and zortress. Admitted on 7/13 with symptoms of chest pain, lower extremity swelling, chest pressure and orthopnea for rule out rejection. Found to be COVID positive on transfer. On 7/13 underwent a EmBx that revealed 1R/1A. Today, on 7/14, patient denies symptoms of chest pain. Due to COVID hospitalization, patient will be given EUA of Casirivimab and Imdevimab intravenous administration prior to discharge. Deemed stable for discharge.    HX OF orthotopic heart transplant on 4/29/2020 at  with hypertrophic cardiomyopathy  - tacrolimus/everolimus/pred immunosuppression             -- tac goal 8-10               -- everolimus goal 3-8 -- current prednisone dose 5 mg daily  -- RTC in 1 month for OV -- lab work on Friday    - OIP: -- CMV: D+/R+- valganciclovir   -- Toxo/PCP: TMP/SMZ  -- fungal: posaconazole (for 3 months after last rATG ~ 8/22/2020) -CV: on pravastatin -  delayed d/t elevated transaminases  - osteoporosis: zoledronic acid 5mg 5/11/2020   COVID positive --appreciate ID; Casirivimab and Imdevimab today   -isolation precautions
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood lactic acid decreased, Blood magnesium normal, Blood potassium normal, Blood sodium normal
Clinical narrative: 20 Y female with h/o of cardiac transplant in 4/29/20 for HCM with history of early ACR 5/2020 treated with rATG and steroids and early CAV 1 (20% mRCA lesion) on prograf and zortress. Admitted on 7/13 with symptoms of chest pain, lower extremity swelling, chest pressure and orthopnea for rule out rejection. Found to be COVID positive on transfer. On 7/13 underwent a EmBx that revealed 1R/1A. Today, on 7/14, patient denies symptoms of chest pain. Due to COVID hospitalization, patient will be given EUA of Casirivimab and Imdevimab intravenous administration prior to discharge. Deemed stable for discharge.    HX OF orthotopic heart transplant on 4/29/2020 at  with hypertrophic cardiomyopathy  - tacrolimus/everolimus/pred immunosuppression             -- tac goal 8-10               -- everolimus goal 3-8 -- current prednisone dose 5 mg daily  -- RTC in 1 month for OV -- lab work on Friday    - OIP: -- CMV: D+/R+- valganciclovir   -- Toxo/PCP: TMP/SMZ  -- fungal: posaconazole (for 3 months after last rATG ~ 8/22/2020) -CV: on pravastatin -  delayed d/t elevated transaminases  - osteoporosis: zoledronic acid 5mg 5/11/2020   COVID positive --appreciate ID; Casirivimab and Imdevimab today   -isolation precautions
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urea normal, C-reactive protein increased, COVID-19, Carbon dioxide decreased, Chest discomfort
Clinical narrative: 20 Y female with h/o of cardiac transplant in 4/29/20 for HCM with history of early ACR 5/2020 treated with rATG and steroids and early CAV 1 (20% mRCA lesion) on prograf and zortress. Admitted on 7/13 with symptoms of chest pain, lower extremity swelling, chest pressure and orthopnea for rule out rejection. Found to be COVID positive on transfer. On 7/13 underwent a EmBx that revealed 1R/1A. Today, on 7/14, patient denies symptoms of chest pain. Due to COVID hospitalization, patient will be given EUA of Casirivimab and Imdevimab intravenous administration prior to discharge. Deemed stable for discharge.    HX OF orthotopic heart transplant on 4/29/2020 at  with hypertrophic cardiomyopathy  - tacrolimus/everolimus/pred immunosuppression             -- tac goal 8-10               -- everolimus goal 3-8 -- current prednisone dose 5 mg daily  -- RTC in 1 month for OV -- lab work on Friday    - OIP: -- CMV: D+/R+- valganciclovir   -- Toxo/PCP: TMP/SMZ  -- fungal: posaconazole (for 3 months after last rATG ~ 8/22/2020) -CV: on pravastatin -  delayed d/t elevated transaminases  - osteoporosis: zoledronic acid 5mg 5/11/2020   COVID positive --appreciate ID; Casirivimab and Imdevimab today   -isolation precautions
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Elliptocytosis, Eosinophil percentage, Glomerular filtration rate decreased, Haematocrit decreased
Clinical narrative: 20 Y female with h/o of cardiac transplant in 4/29/20 for HCM with history of early ACR 5/2020 treated with rATG and steroids and early CAV 1 (20% mRCA lesion) on prograf and zortress. Admitted on 7/13 with symptoms of chest pain, lower extremity swelling, chest pressure and orthopnea for rule out rejection. Found to be COVID positive on transfer. On 7/13 underwent a EmBx that revealed 1R/1A. Today, on 7/14, patient denies symptoms of chest pain. Due to COVID hospitalization, patient will be given EUA of Casirivimab and Imdevimab intravenous administration prior to discharge. Deemed stable for discharge.    HX OF orthotopic heart transplant on 4/29/2020 at  with hypertrophic cardiomyopathy  - tacrolimus/everolimus/pred immunosuppression             -- tac goal 8-10               -- everolimus goal 3-8 -- current prednisone dose 5 mg daily  -- RTC in 1 month for OV -- lab work on Friday    - OIP: -- CMV: D+/R+- valganciclovir   -- Toxo/PCP: TMP/SMZ  -- fungal: posaconazole (for 3 months after last rATG ~ 8/22/2020) -CV: on pravastatin -  delayed d/t elevated transaminases  - osteoporosis: zoledronic acid 5mg 5/11/2020   COVID positive --appreciate ID; Casirivimab and Imdevimab today   -isolation precautions