chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Back pain, Chills, Fatigue, Feeling abnormal
Clinical narrative: Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: Patient stated that she experienced some intermittent pain running up the side of her neck after receiving the Pfizer vaccine. The pain seemed to eventually resolve itself after some time had passed. Upon leaving, I suggested that the patient visit her MD or urget care if the issue did not resole shortly. I followed up with the patient a couple hours later, and she indicated that the pain had resolved itself and it was just a little sore.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pain, Myalgia, Oropharyngeal pain, Pain, Paranasal sinus discomfort
Clinical narrative: Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: Patient stated that she experienced some intermittent pain running up the side of her neck after receiving the Pfizer vaccine. The pain seemed to eventually resolve itself after some time had passed. Upon leaving, I suggested that the patient visit her MD or urget care if the issue did not resole shortly. I followed up with the patient a couple hours later, and she indicated that the pain had resolved itself and it was just a little sore.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia
Clinical narrative: Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: Patient stated that she experienced some intermittent pain running up the side of her neck after receiving the Pfizer vaccine. The pain seemed to eventually resolve itself after some time had passed. Upon leaving, I suggested that the patient visit her MD or urget care if the issue did not resole shortly. I followed up with the patient a couple hours later, and she indicated that the pain had resolved itself and it was just a little sore.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Therapeutic response unexpected
Clinical narrative: I had celiac disease for 11 years, and after receiving my first dose I am now able to eat gluten with no issue.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Diarrhoea, Dyspnoea, Urticaria
Clinical narrative: Hives all over body. Shortness of breath. Chest pain. Gut pain. Diarrhea.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: redness, pain and warmth on left arm, pain and swelling of left hand
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Oropharyngeal discomfort, Productive cough, Respiratory distress
Clinical narrative: Respiratory distress, breath shortness, had to think to breathe, Flemm, cannot clear throat
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Anaphylactic reaction, Swollen tongue
Clinical narrative: Anaphylaxis. Swollen back of  tongue. Severe stomach pains
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anxiety, COVID-19, Chest tube insertion, Death, Dyspnoea
Clinical narrative: Patient is a  57 y.o. male with a history of testing testing diabetes, bronchitis, hypertension and recent COVID-19 infection presenting with worsening shortness of breath and fever at 102. Initially treated outpatient with antibiotics steroids without improvement.  Patient presented today with decreased oxygen saturations at 84% on 4L.  Reports dyspnea.  Reports fatigue.  Reports fever.  Denies nausea vomiting diarrhea.  Reports recently tested positive COVID-19 on August 31st.  Patient admitted to hospitalist service.  History was obtained from patient who seemed an accurate and reliable historian.  Significant other was present.  From Pulmonary/Critical Care Consult:  Patient is a  57 y.o. male who initially presented to the emergency department on 9/13/2021 with worsening respiratory status. Pt provides some information, majority of info provided by significant other that is at the bedside.    Pt was diagnosed with 8/31 with COVID 19 in the emergency department. He was sent home with home oxygen and managed by his fiance. His status waxed and waned. He presented back to the ED on 9/13 with increased dyspnea, increased fatigue, decreased oxygen saturation, and fever. Pt was then admitted to the pulmonary floor to the hospitalist services.    He remained on the pulmonary floor. He did require more supplemental oxygen and was eventually receiving maximum amounts of oxygen via heated high flow NC with a nonrebreather on top. He was also started on IV dexamethasone on admission. Decision was made to transfer the patient to the ICU for AVAPS.    Pt arrived to the ICU. He was placed on NIV. He did become anxious with application, so he was started on precedex. Pt is alert and oriented. His fiance is at bedside.    Hospital Course:  Patient was transferred to the ICU on 9/19/2021 due to worsening respiratory status and was transition to noninvasive ventilatory support.  He required a dexmedetomidine infusion for anxiety.  He further decompensated on 9/23/2021 and required intubation.  He suffered a spontaneous left pneumothorax and a chest tube was placed.  He required paralytic infusion as well.  He was initiated on broad-spectrum antibiotics while in the ICU for a possible secondary bacterial infection.  Unfortunately, the patient continued to decompensate despite maximal mechanical support.  On the evening of 9/26/2021, the patient's family mid determination to transition to comfort measures and terminal extubation.  Patient did succumb to his critical illness on the evening of 9/26/2021 at 1910 hr, may he rest in peace.   Disposition: Deceased; time of death 1910 hr, 9/26/2021
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, General physical health deterioration, Intensive care, Mechanical ventilation, Oxygen saturation decreased
Clinical narrative: Patient is a  57 y.o. male with a history of testing testing diabetes, bronchitis, hypertension and recent COVID-19 infection presenting with worsening shortness of breath and fever at 102. Initially treated outpatient with antibiotics steroids without improvement.  Patient presented today with decreased oxygen saturations at 84% on 4L.  Reports dyspnea.  Reports fatigue.  Reports fever.  Denies nausea vomiting diarrhea.  Reports recently tested positive COVID-19 on August 31st.  Patient admitted to hospitalist service.  History was obtained from patient who seemed an accurate and reliable historian.  Significant other was present.  From Pulmonary/Critical Care Consult:  Patient is a  57 y.o. male who initially presented to the emergency department on 9/13/2021 with worsening respiratory status. Pt provides some information, majority of info provided by significant other that is at the bedside.    Pt was diagnosed with 8/31 with COVID 19 in the emergency department. He was sent home with home oxygen and managed by his fiance. His status waxed and waned. He presented back to the ED on 9/13 with increased dyspnea, increased fatigue, decreased oxygen saturation, and fever. Pt was then admitted to the pulmonary floor to the hospitalist services.    He remained on the pulmonary floor. He did require more supplemental oxygen and was eventually receiving maximum amounts of oxygen via heated high flow NC with a nonrebreather on top. He was also started on IV dexamethasone on admission. Decision was made to transfer the patient to the ICU for AVAPS.    Pt arrived to the ICU. He was placed on NIV. He did become anxious with application, so he was started on precedex. Pt is alert and oriented. His fiance is at bedside.    Hospital Course:  Patient was transferred to the ICU on 9/19/2021 due to worsening respiratory status and was transition to noninvasive ventilatory support.  He required a dexmedetomidine infusion for anxiety.  He further decompensated on 9/23/2021 and required intubation.  He suffered a spontaneous left pneumothorax and a chest tube was placed.  He required paralytic infusion as well.  He was initiated on broad-spectrum antibiotics while in the ICU for a possible secondary bacterial infection.  Unfortunately, the patient continued to decompensate despite maximal mechanical support.  On the evening of 9/26/2021, the patient's family mid determination to transition to comfort measures and terminal extubation.  Patient did succumb to his critical illness on the evening of 9/26/2021 at 1910 hr, may he rest in peace.   Disposition: Deceased; time of death 1910 hr, 9/26/2021
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pneumothorax spontaneous, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Patient is a  57 y.o. male with a history of testing testing diabetes, bronchitis, hypertension and recent COVID-19 infection presenting with worsening shortness of breath and fever at 102. Initially treated outpatient with antibiotics steroids without improvement.  Patient presented today with decreased oxygen saturations at 84% on 4L.  Reports dyspnea.  Reports fatigue.  Reports fever.  Denies nausea vomiting diarrhea.  Reports recently tested positive COVID-19 on August 31st.  Patient admitted to hospitalist service.  History was obtained from patient who seemed an accurate and reliable historian.  Significant other was present.  From Pulmonary/Critical Care Consult:  Patient is a  57 y.o. male who initially presented to the emergency department on 9/13/2021 with worsening respiratory status. Pt provides some information, majority of info provided by significant other that is at the bedside.    Pt was diagnosed with 8/31 with COVID 19 in the emergency department. He was sent home with home oxygen and managed by his fiance. His status waxed and waned. He presented back to the ED on 9/13 with increased dyspnea, increased fatigue, decreased oxygen saturation, and fever. Pt was then admitted to the pulmonary floor to the hospitalist services.    He remained on the pulmonary floor. He did require more supplemental oxygen and was eventually receiving maximum amounts of oxygen via heated high flow NC with a nonrebreather on top. He was also started on IV dexamethasone on admission. Decision was made to transfer the patient to the ICU for AVAPS.    Pt arrived to the ICU. He was placed on NIV. He did become anxious with application, so he was started on precedex. Pt is alert and oriented. His fiance is at bedside.    Hospital Course:  Patient was transferred to the ICU on 9/19/2021 due to worsening respiratory status and was transition to noninvasive ventilatory support.  He required a dexmedetomidine infusion for anxiety.  He further decompensated on 9/23/2021 and required intubation.  He suffered a spontaneous left pneumothorax and a chest tube was placed.  He required paralytic infusion as well.  He was initiated on broad-spectrum antibiotics while in the ICU for a possible secondary bacterial infection.  Unfortunately, the patient continued to decompensate despite maximal mechanical support.  On the evening of 9/26/2021, the patient's family mid determination to transition to comfort measures and terminal extubation.  Patient did succumb to his critical illness on the evening of 9/26/2021 at 1910 hr, may he rest in peace.   Disposition: Deceased; time of death 1910 hr, 9/26/2021
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Electrocardiogram, Injection site discomfort, Supraventricular extrasystoles
Clinical narrative: Two days after the vaccine was administered, she felt "tightness" on the left side of her chest and left upper arm where the shot was given, then moved to the center of the chest on 9/25/21.  Consent pressure and went to urgent care, prescribed ibuprofen.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Flushing, Hyperhidrosis, Injection site erythema
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fever-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Joint Pain-Medium, Systemic: Nausea-Medium, Additional Details: Patient came to the pharmacy on 9/27/2021 complaining that she was still experiencing a sore arm and hasn't felt right since being vaccinated. States she has a fever as high as 102 F over the past two days, says has a very sore arm which is warm to the touch, experienced body aches, and nauseousness. States she wanted me to report this and was advised to tell a medical professional if symptoms worsened. I followed up with her later that day and she said she felt better but still had a sore arm.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Injection site warmth, Nausea, Pain
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fever-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Joint Pain-Medium, Systemic: Nausea-Medium, Additional Details: Patient came to the pharmacy on 9/27/2021 complaining that she was still experiencing a sore arm and hasn't felt right since being vaccinated. States she has a fever as high as 102 F over the past two days, says has a very sore arm which is warm to the touch, experienced body aches, and nauseousness. States she wanted me to report this and was advised to tell a medical professional if symptoms worsened. I followed up with her later that day and she said she felt better but still had a sore arm.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fever-Severe, Systemic: Flushed / Sweating-Mild, Systemic: Joint Pain-Medium, Systemic: Nausea-Medium, Additional Details: Patient came to the pharmacy on 9/27/2021 complaining that she was still experiencing a sore arm and hasn't felt right since being vaccinated. States she has a fever as high as 102 F over the past two days, says has a very sore arm which is warm to the touch, experienced body aches, and nauseousness. States she wanted me to report this and was advised to tell a medical professional if symptoms worsened. I followed up with her later that day and she said she felt better but still had a sore arm.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: Shortness of breath, gasping episodes times 6 that evening when she was lying down trying to sleep. She states that she did not go in to be seen in the ER.  She "walked it off" and reports symptoms resolved in the morning.  She estimated symptoms lasted 6 hours.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Atelectasis, Atrial fibrillation, COVID-19, Chest X-ray abnormal, Chest pain
Clinical narrative: Two days prior to ED presentation, the patient felt chest pain while working in his garden. He also felt lightheaded and dizzy. Patient was seen at urgent care and told he was in A-fib and tested positive for COVID-19. Today, patient presented to ED in A-fib with RVR with heart rate in the 150s. Patient will be admitted for management of A-fib with enoxaparin and diltiazem.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, SARS-CoV-2 test positive
Clinical narrative: Two days prior to ED presentation, the patient felt chest pain while working in his garden. He also felt lightheaded and dizzy. Patient was seen at urgent care and told he was in A-fib and tested positive for COVID-19. Today, patient presented to ED in A-fib with RVR with heart rate in the 150s. Patient will be admitted for management of A-fib with enoxaparin and diltiazem.
Age: 78.0
Sex: F
Vaccine: FLU4
Symptoms: Contusion, Injection site bruising, Injection site pain, Neck pain, Pain in extremity
Clinical narrative: The patient received a flu shot on Monday 09/27/21 at approx 12:35pm.  The patient came thru the drive thru at approx 12:50 to complain of arm pain from the shot, but only wanted to let me know.  I apologized and asked if there was anything I could do for her.  She said not at this time.  I asked her to let me know if there was anything that changed.  The patient returned to the store on Tuesday 09/28/2021 at approx 1pm to show me the bruise on her upper arm near her shoulder and to report pain at that site and extending up to her neck.   I sincerely apologized and told her we would be reporting the incident and asked if there was anything I could do for her.  She declined any care.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bell's palsy, Blood test, Facial paralysis, Hypoaesthesia
Clinical narrative: Idiopathic Partial Facial Paralysis / Bell?s Palsy. Symptoms began six days after second dose of Moderna vaccination. Write facial paralysis with some numbness and weakness. Right vision was blurry. After examination, bloodwork, magnetic resonance imaging, was treated with corticosteroids (prednisone, 50 mg per day) for 14 days, Pantozol 20mg/day and Calcimagon 1 tablet/day, as well as prophylactic Valtrex 2x500mg/day for 5 days. Symptoms eventually resolved and recovered after 14 days of therapy
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Neurological examination, Viral test, Vision blurred
Clinical narrative: Idiopathic Partial Facial Paralysis / Bell?s Palsy. Symptoms began six days after second dose of Moderna vaccination. Write facial paralysis with some numbness and weakness. Right vision was blurry. After examination, bloodwork, magnetic resonance imaging, was treated with corticosteroids (prednisone, 50 mg per day) for 14 days, Pantozol 20mg/day and Calcimagon 1 tablet/day, as well as prophylactic Valtrex 2x500mg/day for 5 days. Symptoms eventually resolved and recovered after 14 days of therapy
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Anaphylactic reaction, Flushing
Clinical narrative: anaphylactic response, became flush
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: none
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Confusional state, Dizziness, Fatigue, Flushing
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Chills-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Additional Details: pt was waiting 15 min post shot and began feeling lightheaded and passed out/fainted. he came back to quickly and was accompanied by pharmmacist and wife until ems arrived. ems checked vitals and all were normal. he was escorted to car and declined hospital visit. checed in with wife 2 hours later and he was resting on couch and feeling better.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Injection site pain, Lethargy, Syncope
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Chills-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Additional Details: pt was waiting 15 min post shot and began feeling lightheaded and passed out/fainted. he came back to quickly and was accompanied by pharmmacist and wife until ems arrived. ems checked vitals and all were normal. he was escorted to car and declined hospital visit. checed in with wife 2 hours later and he was resting on couch and feeling better.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Immunodeficiency, Interchange of vaccine products
Clinical narrative: PATIENT'S FIRST 2 COVID-19 VACCINE DOSES WERE OF MODERNA; PATIENT WAS MISTAKENLY GIVEN PFIZER FOR HER 3RD DOSE BY ONE OF OUR VACCINATORS TODAY.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Platelet count increased
Clinical narrative: My platelets are elevated but not my red or white cells. I have annual blood work done and this is new. There is not a history of elevated platelets in my family. I believe the vaccine triggered my marrow to produce more platelets.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, X-ray
Clinical narrative: It started in March my left arm pain was unbearable radiated from upper arm to hand. I went to the orthopedic was referred to physical therapy for 3 sessions. I went back due to symptoms getting worse recommended FL injection which takes 90% of pain away. The cortisone injection supposed to last 4-6 months.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)-
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Vaccination complication
Clinical narrative: adverse reaction to the Johnson & Johnson COVID-19 vaccine (Angioedema).
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Dyspnoea, Fatigue, Nausea
Clinical narrative: 09/17/2021- Tiredness, fever, nausea, shortness of breath, chest pains 09/22/2021 - Tiredness, fever, nausea, shortness of breath, chest pains
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 09/17/2021- Tiredness, fever, nausea, shortness of breath, chest pains 09/22/2021 - Tiredness, fever, nausea, shortness of breath, chest pains
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: ADMINISTRATION ERROR MIXED SERIES mRNA VACCINE PFIZER AND MODERNA.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, Computerised tomogram thorax, Demyelination, Dysstasia
Clinical narrative: Per ED 9/18/2021 note: The patient is an 81-year-old male with history of prostate cancer in remission as well as recently diagnosed spinal stenosis who presents to the emergency department with worsening bilateral lower extremity weakness. The patient was seen in the emergency department on Wednesday 9/15/2021 for new onset bilateral lower extremity weakness. At that time an MRI was done that shows bulging disc at L4-L5 with compression of the spinal canal. Also performed her CT angiogram of the chest and ultrasound bilateral lower extremities as well as MRI brain. The patient was discharged to home with plan to follow-up with Dr. for likely surgery. However, since Wednesday the patient has had worsened lower extremity weakness including a fall today at home. The patient has begun using a walker and was able to get around yesterday. However, today while in the bathroom he lost his balance and did have a fall resulting in no injuries, no head trauma, however he did have difficulty getting up with his wife's help. He denies any bowel or bladder incontinence. He does have numbness and tingling bilateral lower extremities to his knees. He denies any back pain or pain going down his legs. Repeat MRI lumbar spine done today is unchanged from 3 days ago. Neurologist has recommended admission for surgery early this week. The patient is uncomfortable going home due to weakness and falls.  Neuro 9/21/2021 Note: This patient is an 81-year-old male who presented with acute decompensation and paraparesis.  He was evaluated in the emergency room and at that point in his clinical course it was thought not to be Guillain-Barré syndrome.  MRI demonstrated critical spinal stenosis at L4-5.  The patient underwent urgent decompression following optimization on September 20, 2021.  On postoperative day 1 the patient has an ascending paralysis that now involves his hands.  His lower extremity weakness is now much more profound with 2 out of 5 strength proximally and distally.  The patient's clinical picture is now more consistent with an acute demyelinating syndrome.  Patient does have a history of immunization approximately 4 weeks ago however denies watery or bloody diarrhea.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Guillain-Barre syndrome, Hypoaesthesia, Intervertebral disc protrusion, Lumbar spinal stenosis
Clinical narrative: Per ED 9/18/2021 note: The patient is an 81-year-old male with history of prostate cancer in remission as well as recently diagnosed spinal stenosis who presents to the emergency department with worsening bilateral lower extremity weakness. The patient was seen in the emergency department on Wednesday 9/15/2021 for new onset bilateral lower extremity weakness. At that time an MRI was done that shows bulging disc at L4-L5 with compression of the spinal canal. Also performed her CT angiogram of the chest and ultrasound bilateral lower extremities as well as MRI brain. The patient was discharged to home with plan to follow-up with Dr. for likely surgery. However, since Wednesday the patient has had worsened lower extremity weakness including a fall today at home. The patient has begun using a walker and was able to get around yesterday. However, today while in the bathroom he lost his balance and did have a fall resulting in no injuries, no head trauma, however he did have difficulty getting up with his wife's help. He denies any bowel or bladder incontinence. He does have numbness and tingling bilateral lower extremities to his knees. He denies any back pain or pain going down his legs. Repeat MRI lumbar spine done today is unchanged from 3 days ago. Neurologist has recommended admission for surgery early this week. The patient is uncomfortable going home due to weakness and falls.  Neuro 9/21/2021 Note: This patient is an 81-year-old male who presented with acute decompensation and paraparesis.  He was evaluated in the emergency room and at that point in his clinical course it was thought not to be Guillain-Barré syndrome.  MRI demonstrated critical spinal stenosis at L4-5.  The patient underwent urgent decompression following optimization on September 20, 2021.  On postoperative day 1 the patient has an ascending paralysis that now involves his hands.  His lower extremity weakness is now much more profound with 2 out of 5 strength proximally and distally.  The patient's clinical picture is now more consistent with an acute demyelinating syndrome.  Patient does have a history of immunization approximately 4 weeks ago however denies watery or bloody diarrhea.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head, Magnetic resonance imaging spinal abnormal, Muscular weakness, Neurological decompensation, Paraesthesia
Clinical narrative: Per ED 9/18/2021 note: The patient is an 81-year-old male with history of prostate cancer in remission as well as recently diagnosed spinal stenosis who presents to the emergency department with worsening bilateral lower extremity weakness. The patient was seen in the emergency department on Wednesday 9/15/2021 for new onset bilateral lower extremity weakness. At that time an MRI was done that shows bulging disc at L4-L5 with compression of the spinal canal. Also performed her CT angiogram of the chest and ultrasound bilateral lower extremities as well as MRI brain. The patient was discharged to home with plan to follow-up with Dr. for likely surgery. However, since Wednesday the patient has had worsened lower extremity weakness including a fall today at home. The patient has begun using a walker and was able to get around yesterday. However, today while in the bathroom he lost his balance and did have a fall resulting in no injuries, no head trauma, however he did have difficulty getting up with his wife's help. He denies any bowel or bladder incontinence. He does have numbness and tingling bilateral lower extremities to his knees. He denies any back pain or pain going down his legs. Repeat MRI lumbar spine done today is unchanged from 3 days ago. Neurologist has recommended admission for surgery early this week. The patient is uncomfortable going home due to weakness and falls.  Neuro 9/21/2021 Note: This patient is an 81-year-old male who presented with acute decompensation and paraparesis.  He was evaluated in the emergency room and at that point in his clinical course it was thought not to be Guillain-Barré syndrome.  MRI demonstrated critical spinal stenosis at L4-5.  The patient underwent urgent decompression following optimization on September 20, 2021.  On postoperative day 1 the patient has an ascending paralysis that now involves his hands.  His lower extremity weakness is now much more profound with 2 out of 5 strength proximally and distally.  The patient's clinical picture is now more consistent with an acute demyelinating syndrome.  Patient does have a history of immunization approximately 4 weeks ago however denies watery or bloody diarrhea.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Paraparesis, Peripheral paralysis, Spinal cord compression, Spinal decompression, Ultrasound scan
Clinical narrative: Per ED 9/18/2021 note: The patient is an 81-year-old male with history of prostate cancer in remission as well as recently diagnosed spinal stenosis who presents to the emergency department with worsening bilateral lower extremity weakness. The patient was seen in the emergency department on Wednesday 9/15/2021 for new onset bilateral lower extremity weakness. At that time an MRI was done that shows bulging disc at L4-L5 with compression of the spinal canal. Also performed her CT angiogram of the chest and ultrasound bilateral lower extremities as well as MRI brain. The patient was discharged to home with plan to follow-up with Dr. for likely surgery. However, since Wednesday the patient has had worsened lower extremity weakness including a fall today at home. The patient has begun using a walker and was able to get around yesterday. However, today while in the bathroom he lost his balance and did have a fall resulting in no injuries, no head trauma, however he did have difficulty getting up with his wife's help. He denies any bowel or bladder incontinence. He does have numbness and tingling bilateral lower extremities to his knees. He denies any back pain or pain going down his legs. Repeat MRI lumbar spine done today is unchanged from 3 days ago. Neurologist has recommended admission for surgery early this week. The patient is uncomfortable going home due to weakness and falls.  Neuro 9/21/2021 Note: This patient is an 81-year-old male who presented with acute decompensation and paraparesis.  He was evaluated in the emergency room and at that point in his clinical course it was thought not to be Guillain-Barré syndrome.  MRI demonstrated critical spinal stenosis at L4-5.  The patient underwent urgent decompression following optimization on September 20, 2021.  On postoperative day 1 the patient has an ascending paralysis that now involves his hands.  His lower extremity weakness is now much more profound with 2 out of 5 strength proximally and distally.  The patient's clinical picture is now more consistent with an acute demyelinating syndrome.  Patient does have a history of immunization approximately 4 weeks ago however denies watery or bloody diarrhea.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Walking aid user
Clinical narrative: Per ED 9/18/2021 note: The patient is an 81-year-old male with history of prostate cancer in remission as well as recently diagnosed spinal stenosis who presents to the emergency department with worsening bilateral lower extremity weakness. The patient was seen in the emergency department on Wednesday 9/15/2021 for new onset bilateral lower extremity weakness. At that time an MRI was done that shows bulging disc at L4-L5 with compression of the spinal canal. Also performed her CT angiogram of the chest and ultrasound bilateral lower extremities as well as MRI brain. The patient was discharged to home with plan to follow-up with Dr. for likely surgery. However, since Wednesday the patient has had worsened lower extremity weakness including a fall today at home. The patient has begun using a walker and was able to get around yesterday. However, today while in the bathroom he lost his balance and did have a fall resulting in no injuries, no head trauma, however he did have difficulty getting up with his wife's help. He denies any bowel or bladder incontinence. He does have numbness and tingling bilateral lower extremities to his knees. He denies any back pain or pain going down his legs. Repeat MRI lumbar spine done today is unchanged from 3 days ago. Neurologist has recommended admission for surgery early this week. The patient is uncomfortable going home due to weakness and falls.  Neuro 9/21/2021 Note: This patient is an 81-year-old male who presented with acute decompensation and paraparesis.  He was evaluated in the emergency room and at that point in his clinical course it was thought not to be Guillain-Barré syndrome.  MRI demonstrated critical spinal stenosis at L4-5.  The patient underwent urgent decompression following optimization on September 20, 2021.  On postoperative day 1 the patient has an ascending paralysis that now involves his hands.  His lower extremity weakness is now much more profound with 2 out of 5 strength proximally and distally.  The patient's clinical picture is now more consistent with an acute demyelinating syndrome.  Patient does have a history of immunization approximately 4 weeks ago however denies watery or bloody diarrhea.
Age: 64.0
Sex: F
Vaccine: VARZOS
Symptoms: Herpes zoster
Clinical narrative: Contracted shingles after receiving Shingrix vaccination.
Age: 56.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site pain, Neck pain, Pain, Pain in extremity
Clinical narrative: Reported 1 week after vaccination via phone call to health department,  pain at time of injection in arm that progressively worsened over the week and radiates into neck and "around heart".  Treatment and outcome unknown at present as client was advised to seek immediate medical attention due to presence of symptoms.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Device connection issue, Immunisation, Incorrect route of product administration, Injection site pain, Syringe issue
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: vaccine leaked out of syringe tip not tightened well redid vaccine pt got poked twice 1 with vaccine 1 without leaked all out-Mild, Error: Wrong Route (SC, IM, etc.)-
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Aphasia, COVID-19, Cerebrovascular accident, Confusional state, Contusion
Clinical narrative: Patient is a  84 y.o. female with dementia who resides in an assisted living facility.  She usually ambulates with a walker per her son.  She fell OOB almost 2 weeks ago and hit her right cheek - has a bruise there but seemed fine afterwards.  Her son reports she had some slurred speech on Sunday but by Monday it had resolved.  Caretaker had reported she seemed to be dragging one leg when she walked earlier this weak.  Today she was sent to ER for some confusion - her NIH stroke scale was 11 but some of the score was felt to be due to confusion with understanding directions.  An MRI shows acute stroke to the Left Posterior Parietal area and also small Left Lacunar infact adjacent to the left lateral ventricle.  She does not appear to be on any antiplatelet drugs or statins per her med list.  Her son reports she had trouble moving her left leg in the ER and trouble with speech.  she is able to follow simple commands for me.  There is no facial droop.  She does have expressive aphasia but pulls the covers up over herself and says "cold".  She easily lifts both legs off the bed for me on command and has good hand grips.     Hospital Course: Patient was admitted with expressive aphasia - Neurology was consulted - family requested hospice care as patient had little hope of improvement.  She tested + for Covid but was not requiring any oxygen.  She was made hospice care only on the Covid unit and died on 9/27/2021 at 10:01 AM
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Dysarthria, Face injury, Fall, Feeling cold
Clinical narrative: Patient is a  84 y.o. female with dementia who resides in an assisted living facility.  She usually ambulates with a walker per her son.  She fell OOB almost 2 weeks ago and hit her right cheek - has a bruise there but seemed fine afterwards.  Her son reports she had some slurred speech on Sunday but by Monday it had resolved.  Caretaker had reported she seemed to be dragging one leg when she walked earlier this weak.  Today she was sent to ER for some confusion - her NIH stroke scale was 11 but some of the score was felt to be due to confusion with understanding directions.  An MRI shows acute stroke to the Left Posterior Parietal area and also small Left Lacunar infact adjacent to the left lateral ventricle.  She does not appear to be on any antiplatelet drugs or statins per her med list.  Her son reports she had trouble moving her left leg in the ER and trouble with speech.  she is able to follow simple commands for me.  There is no facial droop.  She does have expressive aphasia but pulls the covers up over herself and says "cold".  She easily lifts both legs off the bed for me on command and has good hand grips.     Hospital Course: Patient was admitted with expressive aphasia - Neurology was consulted - family requested hospice care as patient had little hope of improvement.  She tested + for Covid but was not requiring any oxygen.  She was made hospice care only on the Covid unit and died on 9/27/2021 at 10:01 AM
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Gait disturbance, Lacunar infarction, Magnetic resonance imaging head abnormal, NIH stroke scale abnormal, SARS-CoV-2 test positive
Clinical narrative: Patient is a  84 y.o. female with dementia who resides in an assisted living facility.  She usually ambulates with a walker per her son.  She fell OOB almost 2 weeks ago and hit her right cheek - has a bruise there but seemed fine afterwards.  Her son reports she had some slurred speech on Sunday but by Monday it had resolved.  Caretaker had reported she seemed to be dragging one leg when she walked earlier this weak.  Today she was sent to ER for some confusion - her NIH stroke scale was 11 but some of the score was felt to be due to confusion with understanding directions.  An MRI shows acute stroke to the Left Posterior Parietal area and also small Left Lacunar infact adjacent to the left lateral ventricle.  She does not appear to be on any antiplatelet drugs or statins per her med list.  Her son reports she had trouble moving her left leg in the ER and trouble with speech.  she is able to follow simple commands for me.  There is no facial droop.  She does have expressive aphasia but pulls the covers up over herself and says "cold".  She easily lifts both legs off the bed for me on command and has good hand grips.     Hospital Course: Patient was admitted with expressive aphasia - Neurology was consulted - family requested hospice care as patient had little hope of improvement.  She tested + for Covid but was not requiring any oxygen.  She was made hospice care only on the Covid unit and died on 9/27/2021 at 10:01 AM
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pyrexia, SARS-CoV-2 test negative, Sensitive skin
Clinical narrative: Diffuse muscle aches, skin sensitivity, nausea, fever
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Immediate post-injection reaction, Jugular vein thrombosis, Magnetic resonance imaging head abnormal, Mental status changes
Clinical narrative: headaches began immediately after vaccine and after 3 months presented with altered mental status at medical facility.  consulted for mastoid fluid associated with multiple cranial sinus thrombosis (sagittal, transverse, sigmoid, and right proximal jugular thrombosis.)
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Middle ear effusion, Superior sagittal sinus thrombosis, Transverse sinus thrombosis
Clinical narrative: headaches began immediately after vaccine and after 3 months presented with altered mental status at medical facility.  consulted for mastoid fluid associated with multiple cranial sinus thrombosis (sagittal, transverse, sigmoid, and right proximal jugular thrombosis.)
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Burning sensation, Immediate post-injection reaction, Muscle spasms, Myalgia
Clinical narrative: Immediately I experienced muscle pain and what felt like burning sensation go down my arm to my fingers.  My arm was painful and having spasms.  On a daily basis since injection, I've had spasms and muscle/shoulder pain.  I have used ice and salon pas to help with pain, and taken Aleve.  The spasms/pain subside but reoccur several times during the say.  The spasms begin and immediately the pain returns with the spasms.  Pain level 1-2.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Immediately I experienced muscle pain and what felt like burning sensation go down my arm to my fingers.  My arm was painful and having spasms.  On a daily basis since injection, I've had spasms and muscle/shoulder pain.  I have used ice and salon pas to help with pain, and taken Aleve.  The spasms/pain subside but reoccur several times during the say.  The spasms begin and immediately the pain returns with the spasms.  Pain level 1-2.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Endotracheal intubation, Mechanical ventilation, Suspected COVID-19
Clinical narrative: Patient was admitted with COVID-19 symptoms on 9/14/2021 after finishing second vaccine dose on 9/7/2021.  Patient has progressed to being intubated during this hospitalization and remains on the ventilator at this time of reporting this.  Patient continues to slowly improve with a positive outlook but a long road to recovery.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High-
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Administration error mixed series mRNA vaccine Pfizer and Moderna
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High-
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram, Oxygen saturation decreased, X-ray
Clinical narrative: Trouble breathing that progressively got worse within 1 hour of injection.  My oxygen levels dropped and had severe shortness of breath.  The worse part lasted about 2-3 hours after injection.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Blood test, Exposure during pregnancy, Ultrasound scan
Clinical narrative: Miscarriage after covid vaccine
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Computerised tomogram thorax abnormal, Cough
Clinical narrative: Patient fully vaccinated against COVID-19 on 2/22/21 and received a Booster dose on 8/25/21. Patient was admitted to reporting hospital due to shortness of breath, weakness, cough and hypoxia. He went on vacation with his wife prior to illness. Patient was admitted with COVID-19 pneumonia. Admission test was positive for COVID-19 by PCR NP swab on 9/14/21. Patient was admitted on 9/24/21 and remains admitted at this time. Patient's booster shot was on 8/25/21 Pfizer IM Left Arm, lot# PAA165969.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Extra dose administered, Hypoxia, Lung consolidation, Lung opacity
Clinical narrative: Patient fully vaccinated against COVID-19 on 2/22/21 and received a Booster dose on 8/25/21. Patient was admitted to reporting hospital due to shortness of breath, weakness, cough and hypoxia. He went on vacation with his wife prior to illness. Patient was admitted with COVID-19 pneumonia. Admission test was positive for COVID-19 by PCR NP swab on 9/14/21. Patient was admitted on 9/24/21 and remains admitted at this time. Patient's booster shot was on 8/25/21 Pfizer IM Left Arm, lot# PAA165969.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Myocardial ischaemia, Pleural effusion, SARS-CoV-2 test positive
Clinical narrative: Patient fully vaccinated against COVID-19 on 2/22/21 and received a Booster dose on 8/25/21. Patient was admitted to reporting hospital due to shortness of breath, weakness, cough and hypoxia. He went on vacation with his wife prior to illness. Patient was admitted with COVID-19 pneumonia. Admission test was positive for COVID-19 by PCR NP swab on 9/14/21. Patient was admitted on 9/24/21 and remains admitted at this time. Patient's booster shot was on 8/25/21 Pfizer IM Left Arm, lot# PAA165969.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anosmia, Asthenia, COVID-19, Chills, Cough
Clinical narrative: presenting today for Chills (chills, nausea, can't smell anything, weakness. has been exposed to covid)   .    History provided by patient- presents with nausea and vomiting that started this am. He is having chills. He states he works in health care which would be his exposure to covid. No direct contact. He took zofran this am but did not help much. No fever.  Physical Exam  Constitutional: He appears well-developed and well-nourished. He is cooperative.  Non-toxic appearance. He does not have a sickly appearance. He does not appear ill. No distress.  Cardiovascular: Normal rate, regular rhythm and normal heart sounds.  Pulmonary/Chest: Effort normal and breath sounds normal. No respiratory distress. He has no decreased breath sounds. He has no wheezes. He has no rhonchi. He has no rales.  Abdominal: Soft. Normal appearance and bowel sounds are normal. He exhibits no distension. There is generalized abdominal tenderness. There is no rebound and no guarding.  Neurological: He is alert.  Skin: Skin is warm. He is not diaphoretic.  Psychiatric: He has a normal mood and affect.  Please self quarantine.  This means going no where; and staying in your house.  Please follow CDC guidelines for self quarantine. You can go to website and click on Covid-19 to learn more.    Wear a mask after your quarantine.  Monitor for signs and symptoms. If you develop shortness of breath go to the ER.    You can try the following medication for your symptoms. Take Flonase for a minimum of 10 days. Take an oral antihistamine such as Claritin, Zyrtec etc. May take Regular Musinex twice a day for 10 days. Cepacol lozenges for sore throat Robitussin 12 hour extended release for cough May take Sudafed or Sudafed PE for per instructions on the packaging.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nausea, Occupational exposure to SARS-CoV-2, Oropharyngeal pain, SARS-CoV-2 test positive, Vomiting
Clinical narrative: presenting today for Chills (chills, nausea, can't smell anything, weakness. has been exposed to covid)   .    History provided by patient- presents with nausea and vomiting that started this am. He is having chills. He states he works in health care which would be his exposure to covid. No direct contact. He took zofran this am but did not help much. No fever.  Physical Exam  Constitutional: He appears well-developed and well-nourished. He is cooperative.  Non-toxic appearance. He does not have a sickly appearance. He does not appear ill. No distress.  Cardiovascular: Normal rate, regular rhythm and normal heart sounds.  Pulmonary/Chest: Effort normal and breath sounds normal. No respiratory distress. He has no decreased breath sounds. He has no wheezes. He has no rhonchi. He has no rales.  Abdominal: Soft. Normal appearance and bowel sounds are normal. He exhibits no distension. There is generalized abdominal tenderness. There is no rebound and no guarding.  Neurological: He is alert.  Skin: Skin is warm. He is not diaphoretic.  Psychiatric: He has a normal mood and affect.  Please self quarantine.  This means going no where; and staying in your house.  Please follow CDC guidelines for self quarantine. You can go to website and click on Covid-19 to learn more.    Wear a mask after your quarantine.  Monitor for signs and symptoms. If you develop shortness of breath go to the ER.    You can try the following medication for your symptoms. Take Flonase for a minimum of 10 days. Take an oral antihistamine such as Claritin, Zyrtec etc. May take Regular Musinex twice a day for 10 days. Cepacol lozenges for sore throat Robitussin 12 hour extended release for cough May take Sudafed or Sudafed PE for per instructions on the packaging.