chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood triglycerides increased, Cardiac imaging procedure abnormal, Cardiolipin antibody, Cardioversion, Catheterisation cardiac
Clinical narrative: 5/31 patient developed chest pain while at work, presented to clinic at work. Had ECG changes, and MI was suspected, received SL NTG. 35 minutes after nitro she collapsed pulseless and apneic, cyanotic with agonal breathing and posturing. CPR initiated, external defibrillator was used with CPR device- received 4 shocks which failed. Spontaneously converted to sinus rhythm with restoration of pulse, awoke intact neurologically. Transferred to Hospital, underwent emergent LHC, did not show infarction and had normal epicardial anatomy. TTE was normal. CTA confirmed LLL small Pulmonary Embolism. Was started on Xarelto. She had an NSTEMI type II subendocardial injury secondary to V. fib arrest in context of PE or arrhythmia. Lab tests done during admission significant for mild transaminitis with AST 132, ALT with 36 ALP 51, triglycerides 608 unable to calculate LDL, beta-2 glyco 1 IgG normal at less than 9, lupus anticoagulant not detected, double-stranded DNA antibody 2 which is normal, ANA not detected, cardiolipin antibody IgG less than 10 which is normal, cardiolipin antibody IgM less than 10 which is normal, complete blood count unremarkable. Cardiac MRI with scar likely secondary to myocarditis. Started by cardiology on colchicine. Unknown etiology for pulmonary embolism, perhaps result of arrest/cpr.  Had ICD placed.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Condition aggravated, Cyanosis, Double stranded DNA antibody, Echocardiogram
Clinical narrative: 5/31 patient developed chest pain while at work, presented to clinic at work. Had ECG changes, and MI was suspected, received SL NTG. 35 minutes after nitro she collapsed pulseless and apneic, cyanotic with agonal breathing and posturing. CPR initiated, external defibrillator was used with CPR device- received 4 shocks which failed. Spontaneously converted to sinus rhythm with restoration of pulse, awoke intact neurologically. Transferred to Hospital, underwent emergent LHC, did not show infarction and had normal epicardial anatomy. TTE was normal. CTA confirmed LLL small Pulmonary Embolism. Was started on Xarelto. She had an NSTEMI type II subendocardial injury secondary to V. fib arrest in context of PE or arrhythmia. Lab tests done during admission significant for mild transaminitis with AST 132, ALT with 36 ALP 51, triglycerides 608 unable to calculate LDL, beta-2 glyco 1 IgG normal at less than 9, lupus anticoagulant not detected, double-stranded DNA antibody 2 which is normal, ANA not detected, cardiolipin antibody IgG less than 10 which is normal, cardiolipin antibody IgM less than 10 which is normal, complete blood count unremarkable. Cardiac MRI with scar likely secondary to myocarditis. Started by cardiology on colchicine. Unknown etiology for pulmonary embolism, perhaps result of arrest/cpr.  Had ICD placed.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Implantable defibrillator insertion, Low density lipoprotein, Magnetic resonance imaging heart, Myocarditis
Clinical narrative: 5/31 patient developed chest pain while at work, presented to clinic at work. Had ECG changes, and MI was suspected, received SL NTG. 35 minutes after nitro she collapsed pulseless and apneic, cyanotic with agonal breathing and posturing. CPR initiated, external defibrillator was used with CPR device- received 4 shocks which failed. Spontaneously converted to sinus rhythm with restoration of pulse, awoke intact neurologically. Transferred to Hospital, underwent emergent LHC, did not show infarction and had normal epicardial anatomy. TTE was normal. CTA confirmed LLL small Pulmonary Embolism. Was started on Xarelto. She had an NSTEMI type II subendocardial injury secondary to V. fib arrest in context of PE or arrhythmia. Lab tests done during admission significant for mild transaminitis with AST 132, ALT with 36 ALP 51, triglycerides 608 unable to calculate LDL, beta-2 glyco 1 IgG normal at less than 9, lupus anticoagulant not detected, double-stranded DNA antibody 2 which is normal, ANA not detected, cardiolipin antibody IgG less than 10 which is normal, cardiolipin antibody IgM less than 10 which is normal, complete blood count unremarkable. Cardiac MRI with scar likely secondary to myocarditis. Started by cardiology on colchicine. Unknown etiology for pulmonary embolism, perhaps result of arrest/cpr.  Had ICD placed.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Posturing, Pulmonary embolism, Pulse absent, Resuscitation, Syncope
Clinical narrative: 5/31 patient developed chest pain while at work, presented to clinic at work. Had ECG changes, and MI was suspected, received SL NTG. 35 minutes after nitro she collapsed pulseless and apneic, cyanotic with agonal breathing and posturing. CPR initiated, external defibrillator was used with CPR device- received 4 shocks which failed. Spontaneously converted to sinus rhythm with restoration of pulse, awoke intact neurologically. Transferred to Hospital, underwent emergent LHC, did not show infarction and had normal epicardial anatomy. TTE was normal. CTA confirmed LLL small Pulmonary Embolism. Was started on Xarelto. She had an NSTEMI type II subendocardial injury secondary to V. fib arrest in context of PE or arrhythmia. Lab tests done during admission significant for mild transaminitis with AST 132, ALT with 36 ALP 51, triglycerides 608 unable to calculate LDL, beta-2 glyco 1 IgG normal at less than 9, lupus anticoagulant not detected, double-stranded DNA antibody 2 which is normal, ANA not detected, cardiolipin antibody IgG less than 10 which is normal, cardiolipin antibody IgM less than 10 which is normal, complete blood count unremarkable. Cardiac MRI with scar likely secondary to myocarditis. Started by cardiology on colchicine. Unknown etiology for pulmonary embolism, perhaps result of arrest/cpr.  Had ICD placed.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Transaminases increased
Clinical narrative: 5/31 patient developed chest pain while at work, presented to clinic at work. Had ECG changes, and MI was suspected, received SL NTG. 35 minutes after nitro she collapsed pulseless and apneic, cyanotic with agonal breathing and posturing. CPR initiated, external defibrillator was used with CPR device- received 4 shocks which failed. Spontaneously converted to sinus rhythm with restoration of pulse, awoke intact neurologically. Transferred to Hospital, underwent emergent LHC, did not show infarction and had normal epicardial anatomy. TTE was normal. CTA confirmed LLL small Pulmonary Embolism. Was started on Xarelto. She had an NSTEMI type II subendocardial injury secondary to V. fib arrest in context of PE or arrhythmia. Lab tests done during admission significant for mild transaminitis with AST 132, ALT with 36 ALP 51, triglycerides 608 unable to calculate LDL, beta-2 glyco 1 IgG normal at less than 9, lupus anticoagulant not detected, double-stranded DNA antibody 2 which is normal, ANA not detected, cardiolipin antibody IgG less than 10 which is normal, cardiolipin antibody IgM less than 10 which is normal, complete blood count unremarkable. Cardiac MRI with scar likely secondary to myocarditis. Started by cardiology on colchicine. Unknown etiology for pulmonary embolism, perhaps result of arrest/cpr.  Had ICD placed.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Burning sensation, Hypoaesthesia, Pain, Pain in extremity
Clinical narrative: my blood pressure went up over 30 points in systolic and almost 20 points in diastolic.  Lasted almost 5 months!  Experience burning throbbing stabbing pain in both my legs the day after the 2nd shot.  To this day I am experiencing same pain in both legs with tingling and numbing feelings at times in my feet and runs up my calves.  Happens on and off everyday no matter if I am doing anything or laying in bed!  I understand from other people(in other areas of the country) they are experiencing the same, and yet nothing is written about this in any articles regarding side effects of shot.  Will this pass or will this progress?
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia
Clinical narrative: my blood pressure went up over 30 points in systolic and almost 20 points in diastolic.  Lasted almost 5 months!  Experience burning throbbing stabbing pain in both my legs the day after the 2nd shot.  To this day I am experiencing same pain in both legs with tingling and numbing feelings at times in my feet and runs up my calves.  Happens on and off everyday no matter if I am doing anything or laying in bed!  I understand from other people(in other areas of the country) they are experiencing the same, and yet nothing is written about this in any articles regarding side effects of shot.  Will this pass or will this progress?
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Thrombosis
Clinical narrative: Extremely heavy menstrual cycle  with large clots.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hyponatraemia, Seizure
Clinical narrative: R56.9 - Seizure (CMS/HCC) E87.1 - Hyponatremia
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: UNKNOWN - Suspected COVID-19 virus infection
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Brain natriuretic peptide normal, C-reactive protein increased, Cardiac telemetry, Chest X-ray, Chest pain
Clinical narrative: Patient admitted fur to chest pain and dyspnea and found to have myopericarditis after 2nd dose of COVID-19 Pzifer vaccine. Vaccine was administered at pharmacy.  First dose received on 5/15/2021, second dose on 6/5/2021. Fatigue and chills started a few hours after second dose and then developed shortness of breath, nausea, emesis and 8/10 midsternal chest pain. Presented to an urgent care facility where CXR and EKG were obtained. EKG showed early repolarizations. Labs were obtained at a local ED and showed elevated troponins, initially 11k and then to 20k and peaked there. BNP was within normal limits. Subsequent EKG showed diffuse ST-segment elevations concerning for acute pericarditis. No prior infections or symptoms like this previously. He was given colchicine at outside facility prior to transfer. At hospital he was continued on ibuprofen and monitored with telemetry and had ECHO and cardiac MRI. Latter was consistent with myopericarditis. ECHO showed normal function. He received PPI while on NSAIDs. His symptoms resolved and he was discharged to home on 6/10/2021 with activity restrictions and plan to follow-up with peds cardiology. Of note, there was an error submitting the initial VAERS report for this patient during the admission, therefore, this delayed report is being submitted.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Echocardiogram normal, Electrocardiogram ST segment elevation, Electrocardiogram repolarisation abnormality
Clinical narrative: Patient admitted fur to chest pain and dyspnea and found to have myopericarditis after 2nd dose of COVID-19 Pzifer vaccine. Vaccine was administered at pharmacy.  First dose received on 5/15/2021, second dose on 6/5/2021. Fatigue and chills started a few hours after second dose and then developed shortness of breath, nausea, emesis and 8/10 midsternal chest pain. Presented to an urgent care facility where CXR and EKG were obtained. EKG showed early repolarizations. Labs were obtained at a local ED and showed elevated troponins, initially 11k and then to 20k and peaked there. BNP was within normal limits. Subsequent EKG showed diffuse ST-segment elevations concerning for acute pericarditis. No prior infections or symptoms like this previously. He was given colchicine at outside facility prior to transfer. At hospital he was continued on ibuprofen and monitored with telemetry and had ECHO and cardiac MRI. Latter was consistent with myopericarditis. ECHO showed normal function. He received PPI while on NSAIDs. His symptoms resolved and he was discharged to home on 6/10/2021 with activity restrictions and plan to follow-up with peds cardiology. Of note, there was an error submitting the initial VAERS report for this patient during the admission, therefore, this delayed report is being submitted.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Magnetic resonance imaging heart, Myocardial oedema, Myocarditis, Nausea
Clinical narrative: Patient admitted fur to chest pain and dyspnea and found to have myopericarditis after 2nd dose of COVID-19 Pzifer vaccine. Vaccine was administered at pharmacy.  First dose received on 5/15/2021, second dose on 6/5/2021. Fatigue and chills started a few hours after second dose and then developed shortness of breath, nausea, emesis and 8/10 midsternal chest pain. Presented to an urgent care facility where CXR and EKG were obtained. EKG showed early repolarizations. Labs were obtained at a local ED and showed elevated troponins, initially 11k and then to 20k and peaked there. BNP was within normal limits. Subsequent EKG showed diffuse ST-segment elevations concerning for acute pericarditis. No prior infections or symptoms like this previously. He was given colchicine at outside facility prior to transfer. At hospital he was continued on ibuprofen and monitored with telemetry and had ECHO and cardiac MRI. Latter was consistent with myopericarditis. ECHO showed normal function. He received PPI while on NSAIDs. His symptoms resolved and he was discharged to home on 6/10/2021 with activity restrictions and plan to follow-up with peds cardiology. Of note, there was an error submitting the initial VAERS report for this patient during the admission, therefore, this delayed report is being submitted.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Pericarditis, Troponin increased, Vomiting
Clinical narrative: Patient admitted fur to chest pain and dyspnea and found to have myopericarditis after 2nd dose of COVID-19 Pzifer vaccine. Vaccine was administered at pharmacy.  First dose received on 5/15/2021, second dose on 6/5/2021. Fatigue and chills started a few hours after second dose and then developed shortness of breath, nausea, emesis and 8/10 midsternal chest pain. Presented to an urgent care facility where CXR and EKG were obtained. EKG showed early repolarizations. Labs were obtained at a local ED and showed elevated troponins, initially 11k and then to 20k and peaked there. BNP was within normal limits. Subsequent EKG showed diffuse ST-segment elevations concerning for acute pericarditis. No prior infections or symptoms like this previously. He was given colchicine at outside facility prior to transfer. At hospital he was continued on ibuprofen and monitored with telemetry and had ECHO and cardiac MRI. Latter was consistent with myopericarditis. ECHO showed normal function. He received PPI while on NSAIDs. His symptoms resolved and he was discharged to home on 6/10/2021 with activity restrictions and plan to follow-up with peds cardiology. Of note, there was an error submitting the initial VAERS report for this patient during the admission, therefore, this delayed report is being submitted.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Delivery, Exposure during pregnancy, SARS-CoV-2 test positive
Clinical narrative: Received Moderna vaccines on 4/13/21 and 5/11/21 while pregnant. Tested positive for COVID-19 by PCR on 7/9/21 on hospital admission screening to labor and delivery unit. Delivered infant on 7/9/21. History of COVID-19 positive by PCR on 12/13/20. Unknown if symptomatic.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Endoscopy, Gastrooesophageal reflux disease, Mobility decreased
Clinical narrative: Pain and limited motion of arm and shoulder.   Pain in right side of neck. Have sought physical therapy now in  4th week Prior periodic gerd has increased to a daily struggle with gerd on a  on and off low grade fever still persisting
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain in extremity, Pyrexia, Scan
Clinical narrative: Pain and limited motion of arm and shoulder.   Pain in right side of neck. Have sought physical therapy now in  4th week Prior periodic gerd has increased to a daily struggle with gerd on a  on and off low grade fever still persisting
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Malaise, Nasopharyngitis, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Immediately following my second shot, I had a fever and didn't feel well for about 24 hours. I think unrelated to the vaccine, about 7 weeks after the second shot,  I had a terrible head cold and cough.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, Blood calcium decreased, Blood sodium decreased, CSF glucose increased, CSF protein increased
Clinical narrative: 7/5/2021 he started to notice numbness in his neck and shoulders, which he related to a possible pinched nerve.  On Tuesday, 7/6 he noticed increasing numbness to neck a.m. shoulders with new onset left fingers tingling as well as bilateral feet, at which time he started taking Excedrin. On Wednesday, 7/7 he noticed increasing neck pain and numbness with his "entire spine "painful.  On Thursday, 7/8 he noticed increase BL feet numbness. Today, 7/10 he woke up with numbness to the left side of his face, facial droop, mumbled speech and continued numbness to left fingers and BLE feet, for which he came to the ED for further evaluation management.  Patient is currently hospitalized in ICU at the time of this report.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: CSF test abnormal, Culture, Facial paralysis, Hypoaesthesia, Intensive care
Clinical narrative: 7/5/2021 he started to notice numbness in his neck and shoulders, which he related to a possible pinched nerve.  On Tuesday, 7/6 he noticed increasing numbness to neck a.m. shoulders with new onset left fingers tingling as well as bilateral feet, at which time he started taking Excedrin. On Wednesday, 7/7 he noticed increasing neck pain and numbness with his "entire spine "painful.  On Thursday, 7/8 he noticed increase BL feet numbness. Today, 7/10 he woke up with numbness to the left side of his face, facial droop, mumbled speech and continued numbness to left fingers and BLE feet, for which he came to the ED for further evaluation management.  Patient is currently hospitalized in ICU at the time of this report.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphocyte percentage decreased, Magnetic resonance imaging head normal, Magnetic resonance imaging spinal normal, Neck pain, Neutrophil percentage increased
Clinical narrative: 7/5/2021 he started to notice numbness in his neck and shoulders, which he related to a possible pinched nerve.  On Tuesday, 7/6 he noticed increasing numbness to neck a.m. shoulders with new onset left fingers tingling as well as bilateral feet, at which time he started taking Excedrin. On Wednesday, 7/7 he noticed increasing neck pain and numbness with his "entire spine "painful.  On Thursday, 7/8 he noticed increase BL feet numbness. Today, 7/10 he woke up with numbness to the left side of his face, facial droop, mumbled speech and continued numbness to left fingers and BLE feet, for which he came to the ED for further evaluation management.  Patient is currently hospitalized in ICU at the time of this report.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Scan with contrast normal, Speech disorder, Spinal pain, White blood cell count normal
Clinical narrative: 7/5/2021 he started to notice numbness in his neck and shoulders, which he related to a possible pinched nerve.  On Tuesday, 7/6 he noticed increasing numbness to neck a.m. shoulders with new onset left fingers tingling as well as bilateral feet, at which time he started taking Excedrin. On Wednesday, 7/7 he noticed increasing neck pain and numbness with his "entire spine "painful.  On Thursday, 7/8 he noticed increase BL feet numbness. Today, 7/10 he woke up with numbness to the left side of his face, facial droop, mumbled speech and continued numbness to left fingers and BLE feet, for which he came to the ED for further evaluation management.  Patient is currently hospitalized in ICU at the time of this report.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Blood test normal, Decreased appetite, Discomfort, Headache
Clinical narrative: Digestion issue: bloating, pain, discomfort, & loss of appetite. Similar to gall bladder issue before having it removed. Slight headache.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Ultrasound scan normal
Clinical narrative: Digestion issue: bloating, pain, discomfort, & loss of appetite. Similar to gall bladder issue before having it removed. Slight headache.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram head, Disorientation, Dizziness, Feeling abnormal
Clinical narrative: At time of injection I felt immediate head rush and pressure, along with chills and  nausea for 2-3 days. Currently on 800mg Ibuprofen Left leg swelling Continuous head pressure, throbbing headaches, dizziness and dis orientated along with nausea and head fogginess
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Head discomfort, Headache, Immediate post-injection reaction, Nausea, Neurological examination
Clinical narrative: At time of injection I felt immediate head rush and pressure, along with chills and  nausea for 2-3 days. Currently on 800mg Ibuprofen Left leg swelling Continuous head pressure, throbbing headaches, dizziness and dis orientated along with nausea and head fogginess
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Ultrasound scan
Clinical narrative: At time of injection I felt immediate head rush and pressure, along with chills and  nausea for 2-3 days. Currently on 800mg Ibuprofen Left leg swelling Continuous head pressure, throbbing headaches, dizziness and dis orientated along with nausea and head fogginess
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Blood test normal, Pain in extremity
Clinical narrative: Since I took the vaccine mre than three months ago, I have pain and numbness in my back, legs and arms.  I never had such a pain before. This pain is with me all the time now.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, SARS-CoV-2 test
Clinical narrative: First dose had a cough for a week and a half, bad breathing, 4 weeks of being tired, after shot had to get COVID testing because she started having symptoms. 3 weeks later got shot two and had a headache for that 3 weeks with no relief.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Influenza like illness, Secretion discharge
Clinical narrative: 1. Persistent viscous mucous accumulating between (what feels like) the back of the mouth and the nasal passages. Not relieved by anti-histamines nor decongestants. A much different feeling than seasonal allergic rhinitis, which is easily treatable.  2. Flu like symptoms after vigorous physical exercise.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Intraocular pressure test, Photopsia, Vitreous floaters
Clinical narrative: I was going home after getting the vaccine and I got a huge black floater right in front of my left eye and then I was seeing flashing lights in my left eye. I went to the doctor on 03/10/2021 and they said the vitreous was pulling on the retina and they told me to keep an eye on it. They did a glaucoma pressure test and they looked at my eyes, they did not give me any medications.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Cough, Electrocardiogram, Hyperhidrosis
Clinical narrative: Office Visit 7/8/2021 Family Medicine COVID-19 virus infection +2 more Dx Covid-19 Screening  Reason for Visit Progress Notes (Nurse Practitioner) ? ? Family Medicine ? ? Encounter Date: 7/8/2021 ? ? Addendum     Nontoxic 65 y.o. male presenting with viral symptoms for a week with known exposure to COVID-19 household member.  Reports periods of diaphoresis without chest pain or palpitations.  On exam hemodynamically stable without respiratory distress or hypoxia.  Appears well-hydrated with clear breath sounds.  Chest x-ray-no acute process.  EKG sinus rhythm ventricular rate 75 bpm.  No ischemic changes.  COVID-19 testing completed. Instructed to quarantine at home according to Department of Health guidelines. Symptomatic treatments reviewed. Red flag symptoms for follow-up reviewed.    Addendum: Covid 19 result positive.  Patient was contacted with test results.  Again encouraged symptomatic management with over-the-counter cough and cold medication, Tylenol or ibuprofen, stay hydrated.  Follow-up with PCP for shortness of breath, uncontrolled fever, uncontrolled vomiting.  Symptoms began July 6.  Last day of isolation is July 16th 2021.  Monoclonal antibody infusion discussed with patient but he feels that his symptoms are not severe enough at this point.  States he will call back if symptoms worsen.      1. COVID-19 virus infection  2. Night sweat  3. Cough      Patient was seen today for covid-19 screening.   Diagnoses and all orders for this visit:   COVID-19 virus infection -     X-ray chest 2 views; Future -     POCT COVID-19 PCR   Night sweat -     ECG 12-lead: URGENT CARE -     POCT COVID-19 PCR   Cough -     X-ray chest 2 views; Future -     POCT COVID-19 PCR
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Night sweats, SARS-CoV-2 test positive
Clinical narrative: Office Visit 7/8/2021 Family Medicine COVID-19 virus infection +2 more Dx Covid-19 Screening  Reason for Visit Progress Notes (Nurse Practitioner) ? ? Family Medicine ? ? Encounter Date: 7/8/2021 ? ? Addendum     Nontoxic 65 y.o. male presenting with viral symptoms for a week with known exposure to COVID-19 household member.  Reports periods of diaphoresis without chest pain or palpitations.  On exam hemodynamically stable without respiratory distress or hypoxia.  Appears well-hydrated with clear breath sounds.  Chest x-ray-no acute process.  EKG sinus rhythm ventricular rate 75 bpm.  No ischemic changes.  COVID-19 testing completed. Instructed to quarantine at home according to Department of Health guidelines. Symptomatic treatments reviewed. Red flag symptoms for follow-up reviewed.    Addendum: Covid 19 result positive.  Patient was contacted with test results.  Again encouraged symptomatic management with over-the-counter cough and cold medication, Tylenol or ibuprofen, stay hydrated.  Follow-up with PCP for shortness of breath, uncontrolled fever, uncontrolled vomiting.  Symptoms began July 6.  Last day of isolation is July 16th 2021.  Monoclonal antibody infusion discussed with patient but he feels that his symptoms are not severe enough at this point.  States he will call back if symptoms worsen.      1. COVID-19 virus infection  2. Night sweat  3. Cough      Patient was seen today for covid-19 screening.   Diagnoses and all orders for this visit:   COVID-19 virus infection -     X-ray chest 2 views; Future -     POCT COVID-19 PCR   Night sweat -     ECG 12-lead: URGENT CARE -     POCT COVID-19 PCR   Cough -     X-ray chest 2 views; Future -     POCT COVID-19 PCR
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for COVID-19 by PCR on 7/9/21.  Unknown if symptomatic. Received Pfizer vaccines on 1/5/21, 2/5/21.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event, Wrong product administered
Clinical narrative: Patient was inadvertently given a Pfizer Bio-N-Tech vaccine instead of the Shingrix Shingles Vaccination. According to the patient's husband, the patient had already previously received two pfizer doses. No immediately adverse events observed.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Facial paresis
Clinical narrative: Facial Weakness
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Second Dose should have been Modena.   Staff administered Pfizer.   No reaction.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: 25 hours after shot?Extreme  Fatigue,  chills, fever,  body aches, headache.  Symptoms subsided approximately 30 hours later
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac stress test, Echocardiogram, Electrocardiogram, Palpitations, Ventricular extrasystoles
Clinical narrative: I started having palpitations and was diagnosed with pre-ventricular contractions.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Blood test, Dizziness, Headache, Hypoaesthesia
Clinical narrative: Numbness in fingers, toes, and left side of face. Some nausea in stomach and intestines Dizziness and unbalance Malaise with any kind of physical exertion Stiffness/pain in the lower back of head
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Magnetic resonance imaging neck, Malaise, Musculoskeletal stiffness, Nausea
Clinical narrative: Numbness in fingers, toes, and left side of face. Some nausea in stomach and intestines Dizziness and unbalance Malaise with any kind of physical exertion Stiffness/pain in the lower back of head
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: Numbness in fingers, toes, and left side of face. Some nausea in stomach and intestines Dizziness and unbalance Malaise with any kind of physical exertion Stiffness/pain in the lower back of head
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Hyponatraemia
Clinical narrative: E87.1 - Hyponatremia N17.9 - AKI (acute kidney injury)
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Chest X-ray, Chest pain, Computerised tomogram thorax
Clinical narrative: On the same day I got the vaccine and the next day, I had fever, body aches, and malaise; I was in bed for 2 days. I had a lack of energy that was worse than it had been before the vaccine. On or about 4/14/2021, I woke up at about 2:00AM with chest pain, pain in the left shoulder and in the left side of the neck. The symptoms subsided after some time. I had low oxygen saturation levels; I knew this, because I used a pulse oximeter that had been used by my late husband. The low oxygen saturation levels have been ongoing ever since, and I have had periods of rapid heart rate and oxygen levels that are even lower than the low levels I have experienced since the vaccine. I have also had periods of chest pains at times, so my PCP referred me to both a pulmonologist and a cardiologist.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Echocardiogram, Heart rate increased, Malaise, Mobility decreased
Clinical narrative: On the same day I got the vaccine and the next day, I had fever, body aches, and malaise; I was in bed for 2 days. I had a lack of energy that was worse than it had been before the vaccine. On or about 4/14/2021, I woke up at about 2:00AM with chest pain, pain in the left shoulder and in the left side of the neck. The symptoms subsided after some time. I had low oxygen saturation levels; I knew this, because I used a pulse oximeter that had been used by my late husband. The low oxygen saturation levels have been ongoing ever since, and I have had periods of rapid heart rate and oxygen levels that are even lower than the low levels I have experienced since the vaccine. I have also had periods of chest pains at times, so my PCP referred me to both a pulmonologist and a cardiologist.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Oxygen saturation decreased, Pain, Pericarditis, Pulmonary function test abnormal
Clinical narrative: On the same day I got the vaccine and the next day, I had fever, body aches, and malaise; I was in bed for 2 days. I had a lack of energy that was worse than it had been before the vaccine. On or about 4/14/2021, I woke up at about 2:00AM with chest pain, pain in the left shoulder and in the left side of the neck. The symptoms subsided after some time. I had low oxygen saturation levels; I knew this, because I used a pulse oximeter that had been used by my late husband. The low oxygen saturation levels have been ongoing ever since, and I have had periods of rapid heart rate and oxygen levels that are even lower than the low levels I have experienced since the vaccine. I have also had periods of chest pains at times, so my PCP referred me to both a pulmonologist and a cardiologist.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: On the same day I got the vaccine and the next day, I had fever, body aches, and malaise; I was in bed for 2 days. I had a lack of energy that was worse than it had been before the vaccine. On or about 4/14/2021, I woke up at about 2:00AM with chest pain, pain in the left shoulder and in the left side of the neck. The symptoms subsided after some time. I had low oxygen saturation levels; I knew this, because I used a pulse oximeter that had been used by my late husband. The low oxygen saturation levels have been ongoing ever since, and I have had periods of rapid heart rate and oxygen levels that are even lower than the low levels I have experienced since the vaccine. I have also had periods of chest pains at times, so my PCP referred me to both a pulmonologist and a cardiologist.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest pain, Costochondritis, Dyspnoea
Clinical narrative: 6/10 chest pain and pangs around 36 hours after 2nd Pfizer dose (Saturday night). Shortness of breath, potential heart flutterings, and chest pain that comes and goes. Intensified around midnight. Sunday, increased around noon.  Decided to get checked out at ER.   Doctor said no evidence of a blood clot, and diagnosed me with ******"costochondritis"******   has not gone away, although slowly subsided by day 4. I still have shortness of breath, inability to breathe deeply, bend over. Got intense saturday night but is mild now.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Hypopnoea, Mobility decreased
Clinical narrative: 6/10 chest pain and pangs around 36 hours after 2nd Pfizer dose (Saturday night). Shortness of breath, potential heart flutterings, and chest pain that comes and goes. Intensified around midnight. Sunday, increased around noon.  Decided to get checked out at ER.   Doctor said no evidence of a blood clot, and diagnosed me with ******"costochondritis"******   has not gone away, although slowly subsided by day 4. I still have shortness of breath, inability to breathe deeply, bend over. Got intense saturday night but is mild now.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: I experienced tightness in my chest and my doctor (messaged her on 01/12/2021). She scheduled a video visit with her on the same day and I sent her a message. A telephone call was placed on 01/13/2021 to her and I was asked to come in so she could administered a COVID-19 and strep throat tests. She informed me that I experienced an adverse event from the vaccine. I received a prescription for antibiotics and I felt better.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Pulmonary congestion, Spirometry, Streptococcus test negative
Clinical narrative: I had a cough and congestion in my lungs. An ongoing cough and an ongoing congestion for a few weeks. I noticed the cough and congestion on 06/07/2021. I still have it now, it's just lingering, and it's not as severe as it was.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: none, she had received the pfizer after receiving the Johnson and Johnson vaccine 4/5/2021
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient received Moderna for their first shot, received Pfizer for their second. Patient filled out form stating she needed her 2nd Pfizer shot, however, after receiving shot and checking her information, she actually received Moderna (LOT 023c21A, exp 10/21) as her 1st. Patient has had no ill effects.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Paraesthesia
Clinical narrative: I have uncomfortable tingling in both of lower legs and both feet. Somethings my feet feel too warm and I have to remove my shoes and socks for relief. This condition has been continuous since June 2021. I received my J&J one dose vaccination on 4-1-2021
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Gait disturbance, Hypoaesthesia, Magnetic resonance imaging
Clinical narrative: Numbness and tingling in hands, feet, arms, and legs. Trouble walking. Trouble with balance .
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Loss of consciousness, Nausea, Pallor
Clinical narrative: Within 1 minute of receiving vaccination, patient became lightheaded and passed out. Patient regained consciousness within 1 minute of passing out. Upon regaining consciousness patient reported a headache, dizziness, shakiness, and nausea. The patient appeared pale. The patient was given water and peanut butter crackers. After 30 minutes patient returned to normal and was able  to leave the pharmacy on his own.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: Within 1 minute of receiving vaccination, patient became lightheaded and passed out. Patient regained consciousness within 1 minute of passing out. Upon regaining consciousness patient reported a headache, dizziness, shakiness, and nausea. The patient appeared pale. The patient was given water and peanut butter crackers. After 30 minutes patient returned to normal and was able  to leave the pharmacy on his own.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination site nodule, Vaccination site pain
Clinical narrative: Patient noticed soreness in her arm at the exact spot where she received her vaccine back in February.  Initially she had soreness but it resolved within 2 weeks.  Then this past weekend she noticed soreness and a knot in that same spot.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Musculoskeletal stiffness, Mydriasis, Staring
Clinical narrative: 20 year old, male patient came in for his appointment for Janssen COVID vaccine. Patient filled out the vaccine questionnaire, and we discussed patient questions and common side effects. Patient did not state any adverse reaction to previous vaccine or fainting history on the vaccine questionnaire. Patient was given vaccine in left arm. Shortly after receiving vaccine, patient states, "uh-oh it's happening again." I asked patient what was happening and he stated, "this happened to me when I got a blood draw. I fainted."  I told patient to take some deep breaths, patient started to stare off to the ceiling and his pupils were dilated and his head fell back in the chair towards the ceiling. His legs body became stiff and he lost consciousness in the chair.  I called for help and she came to assist me in the immunization room. I ran to get him a water while the pharmacy called for 911. He regained consciousness quickly, within a minute.  Emergency response came quickly and attended to him and took his blood pressure and vitals. He was able to drink water and respond to all questions. He refused to be taken to the hospital and did not think he needed any additional medical attention. He was advised to follow up with his primary care physician. He was advised to sit and stay and get a ride home, which he did.  An incident report and VAERS report will be reported today.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Ballismus
Clinical narrative: Patient developed right upper extremity hemiballismus within 48 hours of Moderna vaccine in his right upper extremity.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: 30 min after patient received #2 COVID Pfizer Vaccine patient began to itch on arms, legs and chest. Patient was seen by a medical provider and given Benadryl 50mg. Shortly after that patient was discharged to go home.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Arterial thrombosis, COVID-19, Cough, Dyspnoea
Clinical narrative: Patient was vaccinated in January 2021, has had factor V leiden treated with xarelto. Developed arterial blood clot 5 months post vaccination. Currently hospitalized with cough, sore throat, shortness of breath. Currently being treated with coumadin for closer monitoring. No IV therapies administered thus far.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: Patient was vaccinated in January 2021, has had factor V leiden treated with xarelto. Developed arterial blood clot 5 months post vaccination. Currently hospitalized with cough, sore throat, shortness of breath. Currently being treated with coumadin for closer monitoring. No IV therapies administered thus far.
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: CSF protein increased, CSF red blood cell count, Guillain-Barre syndrome, Lumbar puncture, Magnetic resonance imaging spinal abnormal
Clinical narrative: Patient currently hospitalized at hospital with high suspicion of Guillain Barre Syndrome
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging thoracic abnormal
Clinical narrative: Patient currently hospitalized at hospital with high suspicion of Guillain Barre Syndrome
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Guillain-Barre syndrome
Clinical narrative: Patient currently hospitalized at hospital with high suspicion of Guillain Barre Syndrome
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Crying, Gait inability, Guillain-Barre syndrome, Impaired work ability, Pain
Clinical narrative: Patient currently hospitalized at hospital with high suspicion of Guillain Barre Syndrome
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Paralysis
Clinical narrative: Patient currently hospitalized at hospital with high suspicion of Guillain Barre Syndrome
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cellulitis, Injection site reaction, Injection site swelling, Rash erythematous, Rash pruritic
Clinical narrative: Moderna COVID-19 Vaccine EUA  Swollen red itchy rash approximately 3" below injection site  After 1st dose it was discovered approximately 7-10 after vaccine After 2nd dose it was within the same day
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy skin, Exfoliative rash, Pityriasis rubra pilaris
Clinical narrative: Exfoliative skin rash, most likely PRP (pityriasis rubra pilaris) - symptoms started 2 weeks after 2nd moderna dose (4/3)
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Dyspnoea, Electrocardiogram, Nervousness, X-ray
Clinical narrative: Real tightness in chest, nervousness, not able to breath ,deep breath. could not go up stairs. after 2nd day went to urgent care.
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Influenza like illness, Loss of personal independence in daily activities, Pain in extremity, Painful respiration
Clinical narrative: Received Johnson and Johnson vaccine on the 10 th of March, started having flu like symptoms early next Sunday morning, late Monday night my hands began to swell up and hurt when I was laying down. This got progressively worse and I started having pain when breathing, I called my doctor and was told my symptoms were normal for the vaccine and to go back to bed, and call after a day or so if no changes. The next day I called the advice nurse and was advised to go to the urgent care. I didn?t get any information on why this was happening to me, just a bad reaction to the vaccine, I was prescribed medication to help with my breathing, but the pain in my hands now includes my arms, legs and feet. I take a minimum of 600 mg of Advil liquid gels every 5 hours, I?m pretty miserable and cannot do normal life things.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Received Johnson and Johnson vaccine on the 10 th of March, started having flu like symptoms early next Sunday morning, late Monday night my hands began to swell up and hurt when I was laying down. This got progressively worse and I started having pain when breathing, I called my doctor and was told my symptoms were normal for the vaccine and to go back to bed, and call after a day or so if no changes. The next day I called the advice nurse and was advised to go to the urgent care. I didn?t get any information on why this was happening to me, just a bad reaction to the vaccine, I was prescribed medication to help with my breathing, but the pain in my hands now includes my arms, legs and feet. I take a minimum of 600 mg of Advil liquid gels every 5 hours, I?m pretty miserable and cannot do normal life things.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Severe headache, water on ears. Prescribed Elavil, taken for 1 month, no improvement
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Mammogram, Ultrasound scan
Clinical narrative: I had swollen lymph nodes in my arm pits and breast, resulting in diagnostic mammogram and ultrasound followed by a second mammogram one month later.  This was before this known side effect was largely publicized.
Age: 0.42
Sex: F
Vaccine: DTAPIPV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Pt was given the Kinrix vaccine and was under the age of 4 years old. No reaction to the vaccine as of right now.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea
Clinical narrative: Periods have stopped.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: The employee health nurse called to inform the pharmacy that the patient passed out at work and was coming to the ER.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chills, Cough, Dyspnoea, Electrocardiogram normal
Clinical narrative: Flu like symptoms. Stuffy nose, cough, shortness of breath, muscle aches, chills. Numbness in the whole right arm from shoulder to fingertips.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Influenza like illness, Influenza virus test negative, Myalgia, Nasal congestion
Clinical narrative: Flu like symptoms. Stuffy nose, cough, shortness of breath, muscle aches, chills. Numbness in the whole right arm from shoulder to fingertips.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Flu like symptoms. Stuffy nose, cough, shortness of breath, muscle aches, chills. Numbness in the whole right arm from shoulder to fingertips.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rash
Clinical narrative: Skin rash
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Herpes zoster, Rash
Clinical narrative: Skin rash
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Postmenopausal haemorrhage
Clinical narrative: I am a post-menopausal woman, who has not has a menstrual cycle since 2019 (and only had one period in all of 2019). Just over a week after my second Pfizer injection, I had a six day, regular-flow period.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial flutter, Chest discomfort, Dyspnoea, Electrocardiogram abnormal, Heart rate increased
Clinical narrative: Elevated heart rate (resting heart rate 145), chest pressure, difficulty breathing, arm heaviness
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Limb discomfort
Clinical narrative: Elevated heart rate (resting heart rate 145), chest pressure, difficulty breathing, arm heaviness
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Paraesthesia oral
Clinical narrative: PATIENT REPORTED FEELING A TINGLING SENSATION ON SKIN WITHIN 1 HOUR OF RECEIVING SHOT -- SENSATION MAY HAVE DEVELOPED TOWARD END OF ONSITE OBSERVATION PERIOD BUT PATIENT BELIEVED IT WAS GOOSEBUMPS FROM A/C. PATIENT REPORTED THAT OVER THE NEXT HOUR (BY APPROXIMATELY 12:30PM) SHE HAD FULL-BODY ITCHING INCLUDING TONGUE AND IMMEDIATELY WENT TO URGENT CARE. SHE WAS GIVEN A STEROID INJECTION AND SUPPLIED WITH DIPHENHYDRAMINE WHICH CONTROLLED HER REACTION. SHE HAS BEEN ADVISED THAT SHE NEEDS TO KEEP LIQUID DIPHENHYDRAMINE ON HAND AND WATCH FOR ANY RETURN OF SYMPTOMS OVER THE NEXT SEVERAL DAYS, AND IF SYMPTOMS RETURN TAKE BENADRYL IMMEDIATELY AND SEEK IMMEDIATE EMERGENT CARE.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache
Clinical narrative: New onset of headaches.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time, Blood culture, Blood lactic acid, COVID-19, Chest X-ray
Clinical narrative: COUGH, FEVER, FATIGUE, SHORTNESS OF BREATHE