chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Bone fragmentation, COVID-19, Computerised tomogram abdomen abnormal, Computerised tomogram thorax abnormal
Clinical narrative: Hospitalized (9.18.21);  COVID-19 positive (9.18.21);  fully vaccinated  Discharge Provider: MD Primary Care Provider at Discharge: MD Admission Date: 9/18/2021 Discharge Date: 9/21/2021  DETAILS OF HOSPITAL STAY: Patient is an 80-year-old woman with history of chronic stage IV coccygeal ulcer with chronic osteomyelitis, paroxysmal atrial fibrillation on Xarelto, hypertension, obstructive sleep apnea, hyperlipidemia, hypertension, depression, hypothyroidism and chronic pain who presented with 2 days of fever and generalized weakness along with cough.  She follows with Wound clinic who sees her every 6 weeks for chronic sacrococcygeal osteomyelitis and ulcer.  Due to concerns for fevers patient presented herself to the emergency department.                In the ER patient was hemodynamically stable though had a fever of 38.0 degree centigrade. CT thorax abdomen and pelvis with contrast was done which was consistent with inflammation related to chronic osteomyelitis however concerns for possible epidural abscess. MRI of sacrum showed sacral decubitus ulcer 4 cm in depth located just below the tip of the sacrum. No abscess. Acute on chronic osteomyelitis. Extensive changes of chronic osteomyelitis involving the bilateral iliac bones and sacrum. There is chronic near complete destruction of the coccyx with a few tiny bony fragments noted on comparison CT.  Wound was consulted who recommended to continue Dakin's dressing changes follow-up with Wound Clinic as scheduled before.                Due to fever, cough she was tested for COVID-19 and she was positive.  She did receive Pfizer COVID vaccine in March.  She had no indication for remdesivir or Decadron.  She declined monoclonal antibody infusion.  She did not require any oxygen. For chronic pain she will continue methadone 5 mg 2 times a day and Lyrica 150 mg 2 times a day. For all other:  She will continue her previous medication.   She was discharged home with her husband who is primary caregiver.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Cough, Decubitus ulcer, Inflammation, Magnetic resonance imaging abdominal abnormal
Clinical narrative: Hospitalized (9.18.21);  COVID-19 positive (9.18.21);  fully vaccinated  Discharge Provider: MD Primary Care Provider at Discharge: MD Admission Date: 9/18/2021 Discharge Date: 9/21/2021  DETAILS OF HOSPITAL STAY: Patient is an 80-year-old woman with history of chronic stage IV coccygeal ulcer with chronic osteomyelitis, paroxysmal atrial fibrillation on Xarelto, hypertension, obstructive sleep apnea, hyperlipidemia, hypertension, depression, hypothyroidism and chronic pain who presented with 2 days of fever and generalized weakness along with cough.  She follows with Wound clinic who sees her every 6 weeks for chronic sacrococcygeal osteomyelitis and ulcer.  Due to concerns for fevers patient presented herself to the emergency department.                In the ER patient was hemodynamically stable though had a fever of 38.0 degree centigrade. CT thorax abdomen and pelvis with contrast was done which was consistent with inflammation related to chronic osteomyelitis however concerns for possible epidural abscess. MRI of sacrum showed sacral decubitus ulcer 4 cm in depth located just below the tip of the sacrum. No abscess. Acute on chronic osteomyelitis. Extensive changes of chronic osteomyelitis involving the bilateral iliac bones and sacrum. There is chronic near complete destruction of the coccyx with a few tiny bony fragments noted on comparison CT.  Wound was consulted who recommended to continue Dakin's dressing changes follow-up with Wound Clinic as scheduled before.                Due to fever, cough she was tested for COVID-19 and she was positive.  She did receive Pfizer COVID vaccine in March.  She had no indication for remdesivir or Decadron.  She declined monoclonal antibody infusion.  She did not require any oxygen. For chronic pain she will continue methadone 5 mg 2 times a day and Lyrica 150 mg 2 times a day. For all other:  She will continue her previous medication.   She was discharged home with her husband who is primary caregiver.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Osteomyelitis acute, Osteomyelitis chronic, Pain, Pyrexia, Resorption bone increased
Clinical narrative: Hospitalized (9.18.21);  COVID-19 positive (9.18.21);  fully vaccinated  Discharge Provider: MD Primary Care Provider at Discharge: MD Admission Date: 9/18/2021 Discharge Date: 9/21/2021  DETAILS OF HOSPITAL STAY: Patient is an 80-year-old woman with history of chronic stage IV coccygeal ulcer with chronic osteomyelitis, paroxysmal atrial fibrillation on Xarelto, hypertension, obstructive sleep apnea, hyperlipidemia, hypertension, depression, hypothyroidism and chronic pain who presented with 2 days of fever and generalized weakness along with cough.  She follows with Wound clinic who sees her every 6 weeks for chronic sacrococcygeal osteomyelitis and ulcer.  Due to concerns for fevers patient presented herself to the emergency department.                In the ER patient was hemodynamically stable though had a fever of 38.0 degree centigrade. CT thorax abdomen and pelvis with contrast was done which was consistent with inflammation related to chronic osteomyelitis however concerns for possible epidural abscess. MRI of sacrum showed sacral decubitus ulcer 4 cm in depth located just below the tip of the sacrum. No abscess. Acute on chronic osteomyelitis. Extensive changes of chronic osteomyelitis involving the bilateral iliac bones and sacrum. There is chronic near complete destruction of the coccyx with a few tiny bony fragments noted on comparison CT.  Wound was consulted who recommended to continue Dakin's dressing changes follow-up with Wound Clinic as scheduled before.                Due to fever, cough she was tested for COVID-19 and she was positive.  She did receive Pfizer COVID vaccine in March.  She had no indication for remdesivir or Decadron.  She declined monoclonal antibody infusion.  She did not require any oxygen. For chronic pain she will continue methadone 5 mg 2 times a day and Lyrica 150 mg 2 times a day. For all other:  She will continue her previous medication.   She was discharged home with her husband who is primary caregiver.
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Spinal disorder
Clinical narrative: Hospitalized (9.18.21);  COVID-19 positive (9.18.21);  fully vaccinated  Discharge Provider: MD Primary Care Provider at Discharge: MD Admission Date: 9/18/2021 Discharge Date: 9/21/2021  DETAILS OF HOSPITAL STAY: Patient is an 80-year-old woman with history of chronic stage IV coccygeal ulcer with chronic osteomyelitis, paroxysmal atrial fibrillation on Xarelto, hypertension, obstructive sleep apnea, hyperlipidemia, hypertension, depression, hypothyroidism and chronic pain who presented with 2 days of fever and generalized weakness along with cough.  She follows with Wound clinic who sees her every 6 weeks for chronic sacrococcygeal osteomyelitis and ulcer.  Due to concerns for fevers patient presented herself to the emergency department.                In the ER patient was hemodynamically stable though had a fever of 38.0 degree centigrade. CT thorax abdomen and pelvis with contrast was done which was consistent with inflammation related to chronic osteomyelitis however concerns for possible epidural abscess. MRI of sacrum showed sacral decubitus ulcer 4 cm in depth located just below the tip of the sacrum. No abscess. Acute on chronic osteomyelitis. Extensive changes of chronic osteomyelitis involving the bilateral iliac bones and sacrum. There is chronic near complete destruction of the coccyx with a few tiny bony fragments noted on comparison CT.  Wound was consulted who recommended to continue Dakin's dressing changes follow-up with Wound Clinic as scheduled before.                Due to fever, cough she was tested for COVID-19 and she was positive.  She did receive Pfizer COVID vaccine in March.  She had no indication for remdesivir or Decadron.  She declined monoclonal antibody infusion.  She did not require any oxygen. For chronic pain she will continue methadone 5 mg 2 times a day and Lyrica 150 mg 2 times a day. For all other:  She will continue her previous medication.   She was discharged home with her husband who is primary caregiver.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Pruritus, Urticaria
Clinical narrative: Almost immediately after the shot the area started to itch. after about 10 minutes more and more of my body started to itch. it has been almost 4 days and my whole body is itching with hives in certain places like the back of my head, neck, breast area. I have been trying to take Benadryl to help but it isn't helping much. as of today (9/22/2021 at 12:45pm) I am still having full body itching. If it continues tomorrow I am going to make a doctors visit.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dyspnoea, Headache
Clinical narrative: Pt started complaing of headache/SOB about 10mins after the vaccine, VS  157/98, 73 98% 02 on RA, 174/97, 68, 97% on RA 15mins interval, Blood sugar 222 but she had breakfast already. Daughter said she took allergy pills along side BP meds just before coming to the clinic. Even though after 45mins of Post vac Patient verbalise she felt better. Her daughter was educated to take her to her Dr's office due to uncontrolled BP and headache. She verbalize understanding.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Ear discomfort, Tinnitus
Clinical narrative: Noise in inner ear, plugged sensation, pressure build up in ear canal. Ear examination shows normal results but issue has remained constant for over 2 months now.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Full blood count, Metabolic function test, Pain in extremity, Peripheral swelling
Clinical narrative: Developed left leg pain beginning the Tuesday following the first Pfizer/BioNTech vaccination.  The following Monday, the left leg began swelling which prompted a trip to the urgent care and followed with an ultrasound. Ultrasound showed a deep vein thrombosis in the deep calf vein extending to the popliteal bifurcation but not past.  Treatment with Eliquis began in the emergency department on 01/25/2021.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Ultrasound scan abnormal
Clinical narrative: Developed left leg pain beginning the Tuesday following the first Pfizer/BioNTech vaccination.  The following Monday, the left leg began swelling which prompted a trip to the urgent care and followed with an ultrasound. Ultrasound showed a deep vein thrombosis in the deep calf vein extending to the popliteal bifurcation but not past.  Treatment with Eliquis began in the emergency department on 01/25/2021.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient received the Janssen vaccine on 5/13/21 so was fully vaccinated when they tested positive for COVID-19 on 9/19/21.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Cough, Dyspnoea, Dysstasia
Clinical narrative: Respiratory Distress (cough, low SPO2) and Weakness - Generalized (Fall and was on floor for 16 hours this morning; EMS called and patient refused any treatment )     HISTORY OF PRESENT ILLNESS     Patient presents is an 83-year-old male per private auto for shortness of breath and weakness.   Patient presents per private auto with progression of weakness or last couple of days including increased shortness of breath.  According to family members the patient is experiencing some mild cough and cold symptoms.  Apparently the EMS for called presented to his place earlier today after the patient been found on the floor and apparently been on the floor for approximately over half a day.  Patient refused EMS transport. Respiratory Distress (cough, low SPO2) and Weakness - Generalized (Fall and was on floor for 16 hours this morning; EMS called and patient refused any treatment )     HISTORY OF PRESENT ILLNESS     Patient presents is an 83-year-old male per private auto for shortness of breath and weakness. Patient presents per private auto with progression of weakness or last couple of days including increased shortness of breath.  According to family members the patient is experiencing some mild cough and cold symptoms.  Apparently the EMS for called presented to his place earlier today after the patient been found on the floor and apparently been on the floor for approximately over half a day.  Patient refused EMS transport.  However as the day progressed family members were able to get hold his primary care provider who came and did a house call and found it to be quite short of breath, lethargic, extremely weak prompting emergency room visit.   Patient denies any known contacts with persons of COVID-19.  He is vaccinated.  Patient denies any chest pains, palpitations.  Patient is a full code.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fall, Lethargy, Nasopharyngitis, Oxygen saturation decreased, Refusal of treatment by patient
Clinical narrative: Respiratory Distress (cough, low SPO2) and Weakness - Generalized (Fall and was on floor for 16 hours this morning; EMS called and patient refused any treatment )     HISTORY OF PRESENT ILLNESS     Patient presents is an 83-year-old male per private auto for shortness of breath and weakness.   Patient presents per private auto with progression of weakness or last couple of days including increased shortness of breath.  According to family members the patient is experiencing some mild cough and cold symptoms.  Apparently the EMS for called presented to his place earlier today after the patient been found on the floor and apparently been on the floor for approximately over half a day.  Patient refused EMS transport. Respiratory Distress (cough, low SPO2) and Weakness - Generalized (Fall and was on floor for 16 hours this morning; EMS called and patient refused any treatment )     HISTORY OF PRESENT ILLNESS     Patient presents is an 83-year-old male per private auto for shortness of breath and weakness. Patient presents per private auto with progression of weakness or last couple of days including increased shortness of breath.  According to family members the patient is experiencing some mild cough and cold symptoms.  Apparently the EMS for called presented to his place earlier today after the patient been found on the floor and apparently been on the floor for approximately over half a day.  Patient refused EMS transport.  However as the day progressed family members were able to get hold his primary care provider who came and did a house call and found it to be quite short of breath, lethargic, extremely weak prompting emergency room visit.   Patient denies any known contacts with persons of COVID-19.  He is vaccinated.  Patient denies any chest pains, palpitations.  Patient is a full code.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory distress, SARS-CoV-2 test positive
Clinical narrative: Respiratory Distress (cough, low SPO2) and Weakness - Generalized (Fall and was on floor for 16 hours this morning; EMS called and patient refused any treatment )     HISTORY OF PRESENT ILLNESS     Patient presents is an 83-year-old male per private auto for shortness of breath and weakness.   Patient presents per private auto with progression of weakness or last couple of days including increased shortness of breath.  According to family members the patient is experiencing some mild cough and cold symptoms.  Apparently the EMS for called presented to his place earlier today after the patient been found on the floor and apparently been on the floor for approximately over half a day.  Patient refused EMS transport. Respiratory Distress (cough, low SPO2) and Weakness - Generalized (Fall and was on floor for 16 hours this morning; EMS called and patient refused any treatment )     HISTORY OF PRESENT ILLNESS     Patient presents is an 83-year-old male per private auto for shortness of breath and weakness. Patient presents per private auto with progression of weakness or last couple of days including increased shortness of breath.  According to family members the patient is experiencing some mild cough and cold symptoms.  Apparently the EMS for called presented to his place earlier today after the patient been found on the floor and apparently been on the floor for approximately over half a day.  Patient refused EMS transport.  However as the day progressed family members were able to get hold his primary care provider who came and did a house call and found it to be quite short of breath, lethargic, extremely weak prompting emergency room visit.   Patient denies any known contacts with persons of COVID-19.  He is vaccinated.  Patient denies any chest pains, palpitations.  Patient is a full code.
Age: 46.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Mobility decreased, Pain
Clinical narrative: About two day after the vaccine was given, right shoulder and deltoid pain with movement of my arm to the side or behind me.  The pain has continued to progress and worsen over 2 weeks, not able to move my arm away from my body if my palm is facing posteriorly.  MD appt on Monday 9/27 with employee health
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Patient came for the second shot of pfizer on 09/22/21 and reported that  her arm still hurts on and off since her  first shot on 09/01/21
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalized on 9-13-21 for COVID
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral, Swollen tongue
Clinical narrative: Patient experienced a reaction post COVID vaccination  Vaccine brand PFIZER Lot # FD0809 Type of reaction TINGLING  Symptoms Patient had vaccine and was in the observation area.  She experienced tingling of her lips and tongue.  Patient felt like her tongue was beginning to feel swollen.  Denied trouble breathing or difficulty swallowing.  No swelling noted.   Vital signs:  BP 149/76  | Pulse 71  | Resp 16  | LMP  (LMP Unknown)  Interventions (Fexofenadine 60 PO given per standing order) Was a code blue called -No How long was patient monitored in observation area -30 minutes after the Fexofenadine was given Final outcome - Tingling subsided.  Instructed to call PCP for further instructions and to proceed to nearest ER or call the emergency line for difficulty breathing or swallowing.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: A temperature excursion was discovered in our refrigerator, the high temp. was 48F
Age: 68.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Malaise, Pyrexia
Clinical narrative: Three hours after the vaccination I developed rigors lasting about 45 minutes followed by fevers >101 lasting about 24 hours; also generalized myalgias
Age: 35.0
Sex: M
Vaccine: UNK
Symptoms: Chills, Headache, Pain
Clinical narrative: Chills, body aches, headache
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: N/A. No adverse effects reported. Vaccine stored in freezer past excursion date and was given to patient.
Age: 78.0
Sex: F
Vaccine: FLU4
Symptoms: Cellulitis, Infection, Injection site swelling, Injection site warmth, Peripheral swelling
Clinical narrative: Patient arm becames swollen and hot later in the day after she got the flu shot. She went to urgent care and was diagnosed with cellulitis and was given IV abx while admitted and discharged home with clindamycin and prednisone.  After 2.5 days of taking oral antibiotics, the injection site seem to have reduced in swelling but and no longer hot (patient also had no fever or other symptoms) but infection site seem to be spreading. She went back to urgent care and was prescribed Keflex to take on top of clindamycin. Pt had a fever on  the night of 9/20 and the fever broke the morning of 9/21.  She will be seeing her PCP today 9/22/21
Age: 78.0
Sex: F
Vaccine: FLU4
Symptoms: Pyrexia
Clinical narrative: Patient arm becames swollen and hot later in the day after she got the flu shot. She went to urgent care and was diagnosed with cellulitis and was given IV abx while admitted and discharged home with clindamycin and prednisone.  After 2.5 days of taking oral antibiotics, the injection site seem to have reduced in swelling but and no longer hot (patient also had no fever or other symptoms) but infection site seem to be spreading. She went back to urgent care and was prescribed Keflex to take on top of clindamycin. Pt had a fever on  the night of 9/20 and the fever broke the morning of 9/21.  She will be seeing her PCP today 9/22/21
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Palpitations
Clinical narrative: Accelerated heart rate , pounding hearth rate for several days
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: PATIENT HAD COVID-19 PFIZER VACCINE Dose 1 date: 12/22/2020,  Dose 2 date: 01/12/2021, AND TESTED POSITIVE TO COVID.
Age: 55.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash, Rash erythematous
Clinical narrative: severe red rash from neck to gluteal area
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for COVID19 seven days after 1st vaccine administration.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19
Clinical narrative: Hospitalization PARMC IP provided pt information; pt admitted to hospital with acute hypoxemic respiratory failure secondary to COVID-19. Pt received remdesivir treatment in addition to oxygen and other medications. No ventilator, ECMO, or ICU admission.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Angiogram cerebral normal, Anxiety, Blood test normal, Bone pain
Clinical narrative: Chronic, primary stabbing/burning headache diagnosed as nummular headache at top of head began May 9, 2021; headache and stabbing/burning pain has not stopped since May 9 and has worsened since May 9, 2021, 26 days after my second covid vaccination.   Pain began without other trauma, no change in medications, or discernable cause.  Other symptoms began in July 2021 including unexplained nausea, weight loss, rashes on head and legs, muscle and bone pain, insomnia, ocular pain, nose and throat pain, hair loss, and anxiety.  Other symptoms lasted for approximately 45 days.  Primary headache, which remains largely non-responsive to current drug therapies of gabapentin, amitriptyline, and botox, continues to current day.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Borrelia test negative, Burning sensation, C-reactive protein normal, Eye pain, Headache
Clinical narrative: Chronic, primary stabbing/burning headache diagnosed as nummular headache at top of head began May 9, 2021; headache and stabbing/burning pain has not stopped since May 9 and has worsened since May 9, 2021, 26 days after my second covid vaccination.   Pain began without other trauma, no change in medications, or discernable cause.  Other symptoms began in July 2021 including unexplained nausea, weight loss, rashes on head and legs, muscle and bone pain, insomnia, ocular pain, nose and throat pain, hair loss, and anxiety.  Other symptoms lasted for approximately 45 days.  Primary headache, which remains largely non-responsive to current drug therapies of gabapentin, amitriptyline, and botox, continues to current day.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Magnetic resonance imaging head normal, Myalgia, Nausea, Oropharyngeal pain
Clinical narrative: Chronic, primary stabbing/burning headache diagnosed as nummular headache at top of head began May 9, 2021; headache and stabbing/burning pain has not stopped since May 9 and has worsened since May 9, 2021, 26 days after my second covid vaccination.   Pain began without other trauma, no change in medications, or discernable cause.  Other symptoms began in July 2021 including unexplained nausea, weight loss, rashes on head and legs, muscle and bone pain, insomnia, ocular pain, nose and throat pain, hair loss, and anxiety.  Other symptoms lasted for approximately 45 days.  Primary headache, which remains largely non-responsive to current drug therapies of gabapentin, amitriptyline, and botox, continues to current day.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rhinalgia, Venogram, Weight decreased
Clinical narrative: Chronic, primary stabbing/burning headache diagnosed as nummular headache at top of head began May 9, 2021; headache and stabbing/burning pain has not stopped since May 9 and has worsened since May 9, 2021, 26 days after my second covid vaccination.   Pain began without other trauma, no change in medications, or discernable cause.  Other symptoms began in July 2021 including unexplained nausea, weight loss, rashes on head and legs, muscle and bone pain, insomnia, ocular pain, nose and throat pain, hair loss, and anxiety.  Other symptoms lasted for approximately 45 days.  Primary headache, which remains largely non-responsive to current drug therapies of gabapentin, amitriptyline, and botox, continues to current day.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was administered an expired COVID vaccine on 09/21/2021. Patient did not state having in adverse reaction from expired vaccine.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site pain
Clinical narrative: A few days after the injection I was hanging pain from the site injection. Now it?s four months later and I still have  a stabbing pain in the exact location of my shot. This occurs at least 5-6 times a day.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Cough, Decreased immune responsiveness, Depression, Dizziness
Clinical narrative: I received the Covid-19 Vaccine in my left arm by a skilled practitioner on Wednesday afternoon Sept 8th. The remainder of the day I felt slightly light headed and then extremely energized, almost hyper toward 9pm.  I noticed an immediate pain in the back left of my head.  not deep like a headache and not surface like a scratch.  something more like a near the surface pulsing. I began detox protocols that night, taking epsom salt bath and getting into bed at a good time with a book and had had lots of water and continued to drink lots. That night --- and unlike anything I'd experienced since my teenage years --- I had racing mind for hours.  Unable to fall asleep from 9pm - 3:30 am.  I am highly intune with my body and my immune system and this was not a typical bout of self induced stress, and believe it was in reaction to the Vaccine. - at 5:30 am, needing to get up to go to the bathroom, I found myself nearly unable to stand up and severe cramping (more severe than I've ever experienced) in my abdomen and vaginal and sexual organs area.   - i stumbled to the bathroom and from the toilet, unable to make it to the sink to wash my hands, curled up on the floor to wait out the feeling of black out I was experiencing. - i was given water by my roommate around 6 am and was able to stumble my way back to my bed - i slept for another 7 hours.   - the rest of the day I felt much more human, the cramping much less painful.  the pulsing in the spot in back left of head continued. - Next two week and a half, up until Saturday Sept. 18th, the racing mind at night/insomnia continued, and severe depression.  my brain has not responded to such powerful chemicals in decades and I also have not suffered from depression since my teenage years.   I also believe this is in reaction to the vaccine.   - depression began to live Saturday sept 18th. - as of Sept 19th what was a left back of head pulse is now also on the right.  the pain not severe but very sensitive in both spaces.  my immune system also feels weakened and I've developed a cough as of Sept 19th.  Again... since 2012, I have not taken any medications, nor been sick... at all... minus what might have been undiagnosed covid Jan 2020.  I believe this is all in reaction to the vaccine.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Energy increased, Feeling abnormal, Genital pain, Head discomfort
Clinical narrative: I received the Covid-19 Vaccine in my left arm by a skilled practitioner on Wednesday afternoon Sept 8th. The remainder of the day I felt slightly light headed and then extremely energized, almost hyper toward 9pm.  I noticed an immediate pain in the back left of my head.  not deep like a headache and not surface like a scratch.  something more like a near the surface pulsing. I began detox protocols that night, taking epsom salt bath and getting into bed at a good time with a book and had had lots of water and continued to drink lots. That night --- and unlike anything I'd experienced since my teenage years --- I had racing mind for hours.  Unable to fall asleep from 9pm - 3:30 am.  I am highly intune with my body and my immune system and this was not a typical bout of self induced stress, and believe it was in reaction to the Vaccine. - at 5:30 am, needing to get up to go to the bathroom, I found myself nearly unable to stand up and severe cramping (more severe than I've ever experienced) in my abdomen and vaginal and sexual organs area.   - i stumbled to the bathroom and from the toilet, unable to make it to the sink to wash my hands, curled up on the floor to wait out the feeling of black out I was experiencing. - i was given water by my roommate around 6 am and was able to stumble my way back to my bed - i slept for another 7 hours.   - the rest of the day I felt much more human, the cramping much less painful.  the pulsing in the spot in back left of head continued. - Next two week and a half, up until Saturday Sept. 18th, the racing mind at night/insomnia continued, and severe depression.  my brain has not responded to such powerful chemicals in decades and I also have not suffered from depression since my teenage years.   I also believe this is in reaction to the vaccine.   - depression began to live Saturday sept 18th. - as of Sept 19th what was a left back of head pulse is now also on the right.  the pain not severe but very sensitive in both spaces.  my immune system also feels weakened and I've developed a cough as of Sept 19th.  Again... since 2012, I have not taken any medications, nor been sick... at all... minus what might have been undiagnosed covid Jan 2020.  I believe this is all in reaction to the vaccine.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Insomnia, Tachyphrenia, Vaccination complication, Vulvovaginal pain
Clinical narrative: I received the Covid-19 Vaccine in my left arm by a skilled practitioner on Wednesday afternoon Sept 8th. The remainder of the day I felt slightly light headed and then extremely energized, almost hyper toward 9pm.  I noticed an immediate pain in the back left of my head.  not deep like a headache and not surface like a scratch.  something more like a near the surface pulsing. I began detox protocols that night, taking epsom salt bath and getting into bed at a good time with a book and had had lots of water and continued to drink lots. That night --- and unlike anything I'd experienced since my teenage years --- I had racing mind for hours.  Unable to fall asleep from 9pm - 3:30 am.  I am highly intune with my body and my immune system and this was not a typical bout of self induced stress, and believe it was in reaction to the Vaccine. - at 5:30 am, needing to get up to go to the bathroom, I found myself nearly unable to stand up and severe cramping (more severe than I've ever experienced) in my abdomen and vaginal and sexual organs area.   - i stumbled to the bathroom and from the toilet, unable to make it to the sink to wash my hands, curled up on the floor to wait out the feeling of black out I was experiencing. - i was given water by my roommate around 6 am and was able to stumble my way back to my bed - i slept for another 7 hours.   - the rest of the day I felt much more human, the cramping much less painful.  the pulsing in the spot in back left of head continued. - Next two week and a half, up until Saturday Sept. 18th, the racing mind at night/insomnia continued, and severe depression.  my brain has not responded to such powerful chemicals in decades and I also have not suffered from depression since my teenage years.   I also believe this is in reaction to the vaccine.   - depression began to live Saturday sept 18th. - as of Sept 19th what was a left back of head pulse is now also on the right.  the pain not severe but very sensitive in both spaces.  my immune system also feels weakened and I've developed a cough as of Sept 19th.  Again... since 2012, I have not taken any medications, nor been sick... at all... minus what might have been undiagnosed covid Jan 2020.  I believe this is all in reaction to the vaccine.
Age: 97.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Fall, Joint dislocation, Ligament operation, Orthopaedic procedure
Clinical narrative: Hospitalized (9.10.21);  COVID-19 positive (9.16.21);  Fully Vaccinated Discharge Provider: MD Primary Care Provider: MD Admission Date: 9/10/2021 Discharge Date: Sep 21, 2021 Discharge Disposition:  home health care svc  Active Issues Requiring Follow-up:  1. Let elbow dislocation- follow up with orthopedic surgery DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Dislocation of left elbow, initial encounter [S53.105A] Acute kidney injury superimposed on chronic kidney disease (HCC) [N17.9, N18.9] HOSPITAL COURSE: Pt. is a 97 y/o woman with PMH of hypertension, COPD, anemia, and GERD who presented to the ED on 9/10 after she had a fall backwards and suffered a closed left elbow dislocation.   Patient is blind and walks with a walker at her assisted living facility. She missed the toilet when sitting down and landed on her left side. She was admitted to the ED observation unit. Orthopedic surgery was consulted and performed closed reduction of the left elbow under Deep/MAC sedation (received propofol). Initially Hospitalists were consulted for preop clearance. She then developed AKI on CKD so she was admitted to the internal  medicine service. She underwent left radial head replacement and LCL repair with ortho who recommended NWB left arm, No aBduction or platform walker. She will need to follow up with ortho outpatient.  Nephrology was consulted for patients AKI on CKD4. They recommended outpatient following. PT/OT recommended HHC. Patient did test negative for covid om 9/10, then positive on 9/15, then negative again on 9/17. The patient was not felt to have active covid. She has a history of covid in the past and has been full vaccinated with no current symptoms. Patient was recommended to follow up with her PCP and ortho outpatient. She was discharged home in stable condition. Discussed signs and symptoms of when to return to the ER.  Consults: Orthopedics Nephrology Procedures: Closed reduction of the left elbow under Deep/MAC sedation Left radial head replacement and LCL repair
Age: 97.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Radius fracture, SARS-CoV-2 test false positive
Clinical narrative: Hospitalized (9.10.21);  COVID-19 positive (9.16.21);  Fully Vaccinated Discharge Provider: MD Primary Care Provider: MD Admission Date: 9/10/2021 Discharge Date: Sep 21, 2021 Discharge Disposition:  home health care svc  Active Issues Requiring Follow-up:  1. Let elbow dislocation- follow up with orthopedic surgery DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Dislocation of left elbow, initial encounter [S53.105A] Acute kidney injury superimposed on chronic kidney disease (HCC) [N17.9, N18.9] HOSPITAL COURSE: Pt. is a 97 y/o woman with PMH of hypertension, COPD, anemia, and GERD who presented to the ED on 9/10 after she had a fall backwards and suffered a closed left elbow dislocation.   Patient is blind and walks with a walker at her assisted living facility. She missed the toilet when sitting down and landed on her left side. She was admitted to the ED observation unit. Orthopedic surgery was consulted and performed closed reduction of the left elbow under Deep/MAC sedation (received propofol). Initially Hospitalists were consulted for preop clearance. She then developed AKI on CKD so she was admitted to the internal  medicine service. She underwent left radial head replacement and LCL repair with ortho who recommended NWB left arm, No aBduction or platform walker. She will need to follow up with ortho outpatient.  Nephrology was consulted for patients AKI on CKD4. They recommended outpatient following. PT/OT recommended HHC. Patient did test negative for covid om 9/10, then positive on 9/15, then negative again on 9/17. The patient was not felt to have active covid. She has a history of covid in the past and has been full vaccinated with no current symptoms. Patient was recommended to follow up with her PCP and ortho outpatient. She was discharged home in stable condition. Discussed signs and symptoms of when to return to the ER.  Consults: Orthopedics Nephrology Procedures: Closed reduction of the left elbow under Deep/MAC sedation Left radial head replacement and LCL repair
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Back pain, Magnetic resonance imaging, Neuralgia
Clinical narrative: Right sided sciatic nerve pain developed beginning late April - physician evaluation obtained May5, 2021 Lower back pain began late May, 2021 Right hip pain developed beginning July, 2021
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chills, Cough, Dyspnoea, Pain
Clinical narrative: Pt test positive for Covid on Saturday. She has had fever, chills, body aches, cough. Deep breaths make pt short of breath. Pt took Tylenol and Ibuprofen this morning at 1100. Pt vomiting in intake.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Pt test positive for Covid on Saturday. She has had fever, chills, body aches, cough. Deep breaths make pt short of breath. Pt took Tylenol and Ibuprofen this morning at 1100. Pt vomiting in intake.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for COVID on 9/20/21.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy, Fatigue, Foetal growth restriction, Ultrasound antenatal screen abnormal
Clinical narrative: I was pregnant, due date was March 31,2022.  I got the vaccine on August 9, 2021 when I was almost 7 weeks pregnant. I felt no symptoms, just tired. Then a few days later I no longer felt pregnant. I had lost all of my pervious pregnancy symptoms. My first prenatal appointment was August 30, 2021.  The midwife performed an ultrasound to determine approximately how far along I was and discovered that the sack was empty. It appeared that based on the size of the sack the baby stopped growing at approximately 7 weeks.  I had had a silent miscarriage.
Age: 2.0
Sex: M
Vaccine: MMR
Symptoms: Dysphagia, Feeding disorder, Lymphadenopathy
Clinical narrative: Swollen glands cant eat . hard to swallow
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Paraesthesia, Somnolence
Clinical narrative: Tingling LEFT hand and fingers, marked fatigue, somnolence
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Cold sweat, Fatigue, Headache, Hyperhidrosis
Clinical narrative: Severe exhaustion, hot and cold sweats, severe muscle aches, headache, arm at shot site was very painful, pain radiated into shoulder and chest which all lasted for 36 hours. Then I started to get very itchy around the shot site for another couple days. Did not full recover for a WEEK
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Myalgia, Pain
Clinical narrative: Severe exhaustion, hot and cold sweats, severe muscle aches, headache, arm at shot site was very painful, pain radiated into shoulder and chest which all lasted for 36 hours. Then I started to get very itchy around the shot site for another couple days. Did not full recover for a WEEK
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Artificial heart device user, Cerebrovascular accident, Computerised tomogram, Laboratory test, Magnetic resonance imaging
Clinical narrative: Had a set of strokes, was hospitalized, Thromlectomy preformed as well as Biomarker device implanted into heart.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Thrombectomy
Clinical narrative: Had a set of strokes, was hospitalized, Thromlectomy preformed as well as Biomarker device implanted into heart.
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac failure congestive, Catheterisation cardiac, Dyspnoea, Echocardiogram, Heart rate irregular
Clinical narrative: Congestive Heart Failure.  Irregular heart rhythm, shortness of breath
Age: 48.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Magnetic resonance imaging
Clinical narrative: Congestive Heart Failure.  Irregular heart rhythm, shortness of breath
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Muscular weakness, Pain in extremity
Clinical narrative: My arm is so sore and painful I cant lift my arm up at all it?s so weak  I can?t even pick up my toothbrush
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Lip swelling
Clinical narrative: Lip swelling, starting on morning following 2nd COVID-19 vaccine. Treated with Benadryl.
Age: 56.0
Sex: F
Vaccine: UNK
Symptoms: Chills, Headache, Injection site pain, Pain, Pyrexia
Clinical narrative: Pain at injection site, fever, chills, headache, body aches,
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient received the Pfizer vaccine on 2/18/21 and 3/11/21 so was fully vaccinated when they tested positive for COVID-19 on 9/17/21.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Hyperhidrosis, Pyrexia
Clinical narrative: Awful chills, pounding headache, fever, profuse sweating
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: patient tested positive for COVID on 9/20/21
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Mass
Clinical narrative: Lump by collarbone
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Nausea, Oropharyngeal pain, Vomiting
Clinical narrative: Headache, Nausea, vomiting , sore throat SIQ
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Impaired work ability, Trigger finger
Clinical narrative: Developed trigger finger in my little finger and ring finger on right hand about two days after the first dose of Pfizer Covid vaccine. Never had trigger finger before or any joint problems. I am a musician and this has limited my ability to play and make a living. I have no treatment since I have no insurance and no regular doctor. Symptoms are worst in the morning when I wake up.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Trigger finger
Clinical narrative: Developed trigger finger in my little finger and ring finger on right hand about two days after the first dose of Pfizer Covid vaccine. Never had trigger finger before or any joint problems. I am a musician and this has limited my ability to play and make a living. I have no treatment since I have no insurance and no regular doctor. Symptoms are worst in the morning when I wake up.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature abnormal, Fatigue, Headache, Hypersomnia, Myalgia
Clinical narrative: Inability to regulate body temperature  (was freezing all day like I had been in the -17 degree weather for days)  101 degree fever Severe headache Severe muscle soreness throughout entire body  Extremely fatigued +20 sleep
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Inability to regulate body temperature  (was freezing all day like I had been in the -17 degree weather for days)  101 degree fever Severe headache Severe muscle soreness throughout entire body  Extremely fatigued +20 sleep
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Fatigue, Headache
Clinical narrative: Fever, chills, muscle ache, fatigue, cough, congestion, sore throat, chest congestion, headache starting on September 3rd at approximately 0330 hrs.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Oropharyngeal pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Fever, chills, muscle ache, fatigue, cough, congestion, sore throat, chest congestion, headache starting on September 3rd at approximately 0330 hrs.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram abdomen abnormal, Hepatic mass, Intestinal mass, Neoplasm malignant, Pulmonary mass
Clinical narrative: September 16, 2021 onset of vomiting sent my husband to the Urgent Care who sent him to the Emergency Room -- CT Scan shows likely cancerous nodules growing on Colon, Liver, and Lung -- he has been referred to Oncologist for next steps
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: September 16, 2021 onset of vomiting sent my husband to the Urgent Care who sent him to the Emergency Room -- CT Scan shows likely cancerous nodules growing on Colon, Liver, and Lung -- he has been referred to Oncologist for next steps
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia
Clinical narrative: Patient called hospital call center for advice after c/o  tingling sensation and shoulder/neck pain  on his left arm for 3 weeks. Pt received vaccine on 8/26/21 at outside institution facility.   Pt tried Advil and tylenol; but no relief. Pt went to ED to be reevaluated but eloped 9/17/21. Pt was then seen by urgent care provider on 9/18/21; provider unclear of pathogenesis of symptoms.  Pt had benign exam and no acute changes.  Neurology was consulted and plan was for referral to neurology for further follow-up.  Pt was given gabapentin PRN for pain and continue ibuprofen PRN or Tylenol PRN for analgesia. Provider gave pt ED precautions for any worsening symptoms.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site rash, Rash erythematous, Rash pruritic
Clinical narrative: On September 19, 2021, 2 days post vaccine, I developed a sizeable red, itchy, tender rash in my left upper arm from the site of the vaccination in my deltoid muscle that wrapped in toward my inner upper arm. On Monday, September 21, 2021, I took 1 pill of Xyzal to manage the itch I felt at the site. As of today, September 22, 2021, the redness, itchiness and tenderness have decreased but are still minimally present.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Patient was scheduled for Pfizer vaccine due to age = 17 years. She was given Moderna inadvertently.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Patient was fully vaccinated. Patient died due to COVID.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Dysphagia, Dyspnoea, Facial paresis, Gait inability
Clinical narrative: Patient received his COVID-19 vaccine, the Johnson & Johnson brand, on 9/16/2021.  Following his vaccination, he has had worsening ascending weakness and paresthesia in the bilateral lower extremities.  This initially worsened to the point of requiring a cane, but as of 9-22-2021 he is unable to walk.   In addition, he has noted weakness of the facial muscles and trouble with speaking, swallowing, and breathing.  All of the symptoms have been persistent and worsening over the last several days.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Muscular weakness, Paraesthesia, Speech disorder, Subacute inflammatory demyelinating polyneuropathy
Clinical narrative: Patient received his COVID-19 vaccine, the Johnson & Johnson brand, on 9/16/2021.  Following his vaccination, he has had worsening ascending weakness and paresthesia in the bilateral lower extremities.  This initially worsened to the point of requiring a cane, but as of 9-22-2021 he is unable to walk.   In addition, he has noted weakness of the facial muscles and trouble with speaking, swallowing, and breathing.  All of the symptoms have been persistent and worsening over the last several days.