chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Asthenia, Atrial fibrillation, C-reactive protein increased, Cardiac tamponade
Clinical narrative: Patient received COVID-19 booster vaccine (Pfizer) on 9/25/21. On 9/27 she reported generalized weakness, not getting out of bed or eating for 2 days. On Wednesday 9/29 she went to Urgent Care for a COVID-19 test which was negative and a chest CT was ordered. There were findings of effusion so she was referred to the emergency department. Upon presentation to the emergency department, the patient was hypotensive, experiencing new onset atrial fibrillation, and requiring 2L oxygen. Cardiology was consulted and advised to monitor with telemetry. The following morning 9/30/21 the patient denied chest pain, shortness of breath, palpitations, and dizziness. A pericardiocentesis was completed on 9/30/21. Post-procedure the patient remained hypotensive and complained of mild chest tightness. The following day, the patient reported shortness of breath and a nonproductive cough. The patient was started on colchicine 0.6 mg BID. The patient's statin was continued. On 10/2/21, metoprolol was added for rate control for atrial fibrillation and patient reported cough and wheezing. On 10/3 the patient was started on Eliquis 5 mg twice daily for stroke prevention and did not complain of cardiac symptoms. The patient had no further cardiac complaints on 10/2 and 10/3/21 awaiting procedures for cardioversion. The patient tolerated the procedure and did not complain of chest pain, shortness of breath, palpitations, cough, or wheezing. On 10/6/2021 the patient was stable for discharge. She was discharged on home medications with the addition of metoprolol tartrate 25 mg twice daily, Eliquis 5 mg twice daily, colchicine 0.6 mg twice daily, and an albuterol inhaler. Her home amlodipine was discontinued.  She was instructed to follow up outpatient for further monitoring.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Cardioversion, Chest discomfort, Computerised tomogram thorax abnormal, Cough, Decreased appetite
Clinical narrative: Patient received COVID-19 booster vaccine (Pfizer) on 9/25/21. On 9/27 she reported generalized weakness, not getting out of bed or eating for 2 days. On Wednesday 9/29 she went to Urgent Care for a COVID-19 test which was negative and a chest CT was ordered. There were findings of effusion so she was referred to the emergency department. Upon presentation to the emergency department, the patient was hypotensive, experiencing new onset atrial fibrillation, and requiring 2L oxygen. Cardiology was consulted and advised to monitor with telemetry. The following morning 9/30/21 the patient denied chest pain, shortness of breath, palpitations, and dizziness. A pericardiocentesis was completed on 9/30/21. Post-procedure the patient remained hypotensive and complained of mild chest tightness. The following day, the patient reported shortness of breath and a nonproductive cough. The patient was started on colchicine 0.6 mg BID. The patient's statin was continued. On 10/2/21, metoprolol was added for rate control for atrial fibrillation and patient reported cough and wheezing. On 10/3 the patient was started on Eliquis 5 mg twice daily for stroke prevention and did not complain of cardiac symptoms. The patient had no further cardiac complaints on 10/2 and 10/3/21 awaiting procedures for cardioversion. The patient tolerated the procedure and did not complain of chest pain, shortness of breath, palpitations, cough, or wheezing. On 10/6/2021 the patient was stable for discharge. She was discharged on home medications with the addition of metoprolol tartrate 25 mg twice daily, Eliquis 5 mg twice daily, colchicine 0.6 mg twice daily, and an albuterol inhaler. Her home amlodipine was discontinued.  She was instructed to follow up outpatient for further monitoring.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram, Ejection fraction normal, Hypotension, Inferior vena cava dilatation
Clinical narrative: Patient received COVID-19 booster vaccine (Pfizer) on 9/25/21. On 9/27 she reported generalized weakness, not getting out of bed or eating for 2 days. On Wednesday 9/29 she went to Urgent Care for a COVID-19 test which was negative and a chest CT was ordered. There were findings of effusion so she was referred to the emergency department. Upon presentation to the emergency department, the patient was hypotensive, experiencing new onset atrial fibrillation, and requiring 2L oxygen. Cardiology was consulted and advised to monitor with telemetry. The following morning 9/30/21 the patient denied chest pain, shortness of breath, palpitations, and dizziness. A pericardiocentesis was completed on 9/30/21. Post-procedure the patient remained hypotensive and complained of mild chest tightness. The following day, the patient reported shortness of breath and a nonproductive cough. The patient was started on colchicine 0.6 mg BID. The patient's statin was continued. On 10/2/21, metoprolol was added for rate control for atrial fibrillation and patient reported cough and wheezing. On 10/3 the patient was started on Eliquis 5 mg twice daily for stroke prevention and did not complain of cardiac symptoms. The patient had no further cardiac complaints on 10/2 and 10/3/21 awaiting procedures for cardioversion. The patient tolerated the procedure and did not complain of chest pain, shortness of breath, palpitations, cough, or wheezing. On 10/6/2021 the patient was stable for discharge. She was discharged on home medications with the addition of metoprolol tartrate 25 mg twice daily, Eliquis 5 mg twice daily, colchicine 0.6 mg twice daily, and an albuterol inhaler. Her home amlodipine was discontinued.  She was instructed to follow up outpatient for further monitoring.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Mitral valve incompetence, Mobility decreased, Pericardial drainage, Pericardial effusion, Pleural effusion
Clinical narrative: Patient received COVID-19 booster vaccine (Pfizer) on 9/25/21. On 9/27 she reported generalized weakness, not getting out of bed or eating for 2 days. On Wednesday 9/29 she went to Urgent Care for a COVID-19 test which was negative and a chest CT was ordered. There were findings of effusion so she was referred to the emergency department. Upon presentation to the emergency department, the patient was hypotensive, experiencing new onset atrial fibrillation, and requiring 2L oxygen. Cardiology was consulted and advised to monitor with telemetry. The following morning 9/30/21 the patient denied chest pain, shortness of breath, palpitations, and dizziness. A pericardiocentesis was completed on 9/30/21. Post-procedure the patient remained hypotensive and complained of mild chest tightness. The following day, the patient reported shortness of breath and a nonproductive cough. The patient was started on colchicine 0.6 mg BID. The patient's statin was continued. On 10/2/21, metoprolol was added for rate control for atrial fibrillation and patient reported cough and wheezing. On 10/3 the patient was started on Eliquis 5 mg twice daily for stroke prevention and did not complain of cardiac symptoms. The patient had no further cardiac complaints on 10/2 and 10/3/21 awaiting procedures for cardioversion. The patient tolerated the procedure and did not complain of chest pain, shortness of breath, palpitations, cough, or wheezing. On 10/6/2021 the patient was stable for discharge. She was discharged on home medications with the addition of metoprolol tartrate 25 mg twice daily, Eliquis 5 mg twice daily, colchicine 0.6 mg twice daily, and an albuterol inhaler. Her home amlodipine was discontinued.  She was instructed to follow up outpatient for further monitoring.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Troponin increased, Ventricular hypertrophy, Wheezing
Clinical narrative: Patient received COVID-19 booster vaccine (Pfizer) on 9/25/21. On 9/27 she reported generalized weakness, not getting out of bed or eating for 2 days. On Wednesday 9/29 she went to Urgent Care for a COVID-19 test which was negative and a chest CT was ordered. There were findings of effusion so she was referred to the emergency department. Upon presentation to the emergency department, the patient was hypotensive, experiencing new onset atrial fibrillation, and requiring 2L oxygen. Cardiology was consulted and advised to monitor with telemetry. The following morning 9/30/21 the patient denied chest pain, shortness of breath, palpitations, and dizziness. A pericardiocentesis was completed on 9/30/21. Post-procedure the patient remained hypotensive and complained of mild chest tightness. The following day, the patient reported shortness of breath and a nonproductive cough. The patient was started on colchicine 0.6 mg BID. The patient's statin was continued. On 10/2/21, metoprolol was added for rate control for atrial fibrillation and patient reported cough and wheezing. On 10/3 the patient was started on Eliquis 5 mg twice daily for stroke prevention and did not complain of cardiac symptoms. The patient had no further cardiac complaints on 10/2 and 10/3/21 awaiting procedures for cardioversion. The patient tolerated the procedure and did not complain of chest pain, shortness of breath, palpitations, cough, or wheezing. On 10/6/2021 the patient was stable for discharge. She was discharged on home medications with the addition of metoprolol tartrate 25 mg twice daily, Eliquis 5 mg twice daily, colchicine 0.6 mg twice daily, and an albuterol inhaler. Her home amlodipine was discontinued.  She was instructed to follow up outpatient for further monitoring.
Age: 32.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Abdominal pain, Appendicectomy, Appendicitis perforated, Blood test, Computerised tomogram abdomen
Clinical narrative: I started experiencing abdominal pain and fever on 10/1. I was told to take ibuprofen for the fever and Pepcid and Pepto Bismol for the abdominal pain. I was admitted to the hospital for an appendectomy on 10/8. The doctors found my appendix had completely ruptured.
Age: 32.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Pyrexia, SARS-CoV-2 test negative
Clinical narrative: I started experiencing abdominal pain and fever on 10/1. I was told to take ibuprofen for the fever and Pepcid and Pepto Bismol for the abdominal pain. I was admitted to the hospital for an appendectomy on 10/8. The doctors found my appendix had completely ruptured.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: red itchy bumps, from shoulder to elbow on both arms, center of chest to stomach
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive for covid
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Blood iron decreased, Blood test
Clinical narrative: Around 04/20/201, I was taking a shower, washing my hair, and my hair was in my hand. From April my hair has been falling out till now.  I went to see Dr.  He prescribed me Biotin. He did a  blood test and prescribed iron pills and referred me to a dermatologist. The dermatologist prescribed iron pills. In 3 months I will  go back to to see the dermatologist. This week I have a follow up to see the dermatologist.  No, I have not recovered from the AEs. I am still losing my hair.  I am only 46 years old, I am too young to have hair loss. It just started to fall out for no reason.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test normal, Bone pain, Fatigue
Clinical narrative: Fatigue, pain in joints and bones for 2 weeks now.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: I had a nose bleed on 10/8/ and on 10/11.  This was through a patient portal. The doctor responded, I take eloquis, no history prior to taking this but I wasn't sure if Vibrate that I took on September 29th. She's not sure if they're related to the mixtures of these two medications. Due to having the 3rd dose on October 5th, I'm not sure if its related to the vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive covid test
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pallor
Clinical narrative: SHORTLY AFTER ADMINISTRATION, PATIENT STARTED TO PERSPIRATE AND PALE. HIS BLOOD PRESSURE AND TEMPERATURE WERE TAKEN AT 4:36 PM BP WAS 178/75, TEMPERATURE WAS 97.8 DEGREES F AND TAKEN AGAIN AT 4:50, BP 123/75, TEMPERATURE WAS 97.0.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Musculoskeletal stiffness, Pain in extremity
Clinical narrative: The patient experienced numbness and soreness in her arm a few days following vaccination. She also experienced a stiff neck which she treated with an ice pack.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Disorientation, Magnetic resonance imaging
Clinical narrative: June through September 2021, had 3 episodes of disorientation lasting 20 min to 100 min.  They occurred on 3 different golf courses.  I was alert and talk coherently, I just couldn't recognize the golf courses , all of which I knew very well.  When the symptoms subsided, I recognized the courses.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH INFECTION
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Cold sweat, Diarrhoea, Dizziness, Feeling hot
Clinical narrative: ANAPHYLAXIS REACTION,  heart racing, tongue swelled, hot/clammy, feeling of fainting, head ache, nauseous and diarrhea
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nausea, Palpitations, Swollen tongue
Clinical narrative: ANAPHYLAXIS REACTION,  heart racing, tongue swelled, hot/clammy, feeling of fainting, head ache, nauseous and diarrhea
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Illness, Oropharyngeal pain, Peripheral swelling
Clinical narrative: I had just finished a one hour walk and was feeling great when I arrived at the pharmacy for my booster vaccine at 11 a.m. By  6 p.m. I had a sore throat, cough, and swelling in my left arm. I was sick all weekend. I know the vaccine is not supposed to give you a sore throat, but this one did. How do I know? When I have a "regular" sore throat there's a gradual build up to it. I just don't suddenly have a sore throat. I also have the exact same sore throat I had in March 2020 when I thought I had covid - fever, shortness of breath, sore throat, cough -- but I did not qualify back then for a test because of the shortage of tests available. Don't tell me this is just a coincidence. I got covid symptoms from this shot. Next step is to get tested to see if I actually have covid. I may get a false positive because of the symptoms.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Nausea
Clinical narrative: Client reported nausea, lightheadedness, dizziness 14 minutes onset from receiving first Moderna dose.  Client denied shortness of breath, trouble breathing, throat tightening, chest pain.  Client able to sit in zero-gravity chair.  Vital signs assessed, with initial  blood pressure 148/100, then rechecked and 130/110.  Client denies history of high blood pressure, arm and blood pressure cuff readjusted.  Vitals signs at 12:26 pm:  blood pressure 102/76, pulse 78, respirations 18.  Client continues to complain of nausea, dizziness,  and headache now.  Benadryl offered and client declines.  Vital signs remain stable during observation, client reports symptoms have lessened but not resolved.  At 1:06pm, headache and lightheadedness continue, Benadryl offered again and client declines again, also offered EMS, client declines.  Client calls husband to come for her, she states she wants to go home.  1:16pm, husband arrives.  Client educated on follow up with primary care for second dose guidance and ER precautions given.  Client is able to stand, wheelchair offered and client declines.  Client is able to leave observation area, walking with husband and escorted by RN at 1:18pm.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive contact unknown
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Bursa injury, Discomfort, Eyelid disorder
Clinical narrative: That evening (early on), I took a nap and went to roll over and my arm wouldn't even come. I had to lift it and move it myself, it was the right arm. It was a 10 pain wise. It was unbelievable. That went on for two months before I could lift it on my own. My doctor said that I was hit in the bursa muscle because it was not moving. That evening also I got a fever that went up to 101. I had total flu like symptoms. Body pain, aches and couldn't open my eyes. Those symptoms lasted for about 36 hours until I could finally get out of bed and start to function again. A week after the vaccine, my neck started to be stiff where I couldn't turn it all the way, couldn't turn it to left or right. It is still that way. (Started on the right side and then it was my entire neck) and I still notice now that it's difficult to turn my neck. Physically, my entire body changed with pain. Still today, my gait is off; my left groin, I have to have help getting my leg lifted up to get into a car. I never had body pain before. I have trouble lifting my left leg. No treatment except ibuprofen on occasion. I take it when I am in bed and can't get out of bed due to a lot of discomfort. They recommended physical therapy, I can't start yet because I'm in so much discomfort. I can't do the therapy yet. I do try to lift it on my own without assistance but it doesn't work. I went to see a neurosurgeon because my pain started to vibrate to the hips and lower back. He told me I just have to deal with it because there is not much he can do about it. He said I could take gabapentin but the side effects are significant and I do not want those side effects.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Influenza like illness, Injury, Magnetic resonance imaging, Magnetic resonance imaging neck
Clinical narrative: That evening (early on), I took a nap and went to roll over and my arm wouldn't even come. I had to lift it and move it myself, it was the right arm. It was a 10 pain wise. It was unbelievable. That went on for two months before I could lift it on my own. My doctor said that I was hit in the bursa muscle because it was not moving. That evening also I got a fever that went up to 101. I had total flu like symptoms. Body pain, aches and couldn't open my eyes. Those symptoms lasted for about 36 hours until I could finally get out of bed and start to function again. A week after the vaccine, my neck started to be stiff where I couldn't turn it all the way, couldn't turn it to left or right. It is still that way. (Started on the right side and then it was my entire neck) and I still notice now that it's difficult to turn my neck. Physically, my entire body changed with pain. Still today, my gait is off; my left groin, I have to have help getting my leg lifted up to get into a car. I never had body pain before. I have trouble lifting my left leg. No treatment except ibuprofen on occasion. I take it when I am in bed and can't get out of bed due to a lot of discomfort. They recommended physical therapy, I can't start yet because I'm in so much discomfort. I can't do the therapy yet. I do try to lift it on my own without assistance but it doesn't work. I went to see a neurosurgeon because my pain started to vibrate to the hips and lower back. He told me I just have to deal with it because there is not much he can do about it. He said I could take gabapentin but the side effects are significant and I do not want those side effects.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Muscular weakness, Musculoskeletal stiffness, Pain, Pain in extremity
Clinical narrative: That evening (early on), I took a nap and went to roll over and my arm wouldn't even come. I had to lift it and move it myself, it was the right arm. It was a 10 pain wise. It was unbelievable. That went on for two months before I could lift it on my own. My doctor said that I was hit in the bursa muscle because it was not moving. That evening also I got a fever that went up to 101. I had total flu like symptoms. Body pain, aches and couldn't open my eyes. Those symptoms lasted for about 36 hours until I could finally get out of bed and start to function again. A week after the vaccine, my neck started to be stiff where I couldn't turn it all the way, couldn't turn it to left or right. It is still that way. (Started on the right side and then it was my entire neck) and I still notice now that it's difficult to turn my neck. Physically, my entire body changed with pain. Still today, my gait is off; my left groin, I have to have help getting my leg lifted up to get into a car. I never had body pain before. I have trouble lifting my left leg. No treatment except ibuprofen on occasion. I take it when I am in bed and can't get out of bed due to a lot of discomfort. They recommended physical therapy, I can't start yet because I'm in so much discomfort. I can't do the therapy yet. I do try to lift it on my own without assistance but it doesn't work. I went to see a neurosurgeon because my pain started to vibrate to the hips and lower back. He told me I just have to deal with it because there is not much he can do about it. He said I could take gabapentin but the side effects are significant and I do not want those side effects.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Product administration error, Pyrexia
Clinical narrative: That evening (early on), I took a nap and went to roll over and my arm wouldn't even come. I had to lift it and move it myself, it was the right arm. It was a 10 pain wise. It was unbelievable. That went on for two months before I could lift it on my own. My doctor said that I was hit in the bursa muscle because it was not moving. That evening also I got a fever that went up to 101. I had total flu like symptoms. Body pain, aches and couldn't open my eyes. Those symptoms lasted for about 36 hours until I could finally get out of bed and start to function again. A week after the vaccine, my neck started to be stiff where I couldn't turn it all the way, couldn't turn it to left or right. It is still that way. (Started on the right side and then it was my entire neck) and I still notice now that it's difficult to turn my neck. Physically, my entire body changed with pain. Still today, my gait is off; my left groin, I have to have help getting my leg lifted up to get into a car. I never had body pain before. I have trouble lifting my left leg. No treatment except ibuprofen on occasion. I take it when I am in bed and can't get out of bed due to a lot of discomfort. They recommended physical therapy, I can't start yet because I'm in so much discomfort. I can't do the therapy yet. I do try to lift it on my own without assistance but it doesn't work. I went to see a neurosurgeon because my pain started to vibrate to the hips and lower back. He told me I just have to deal with it because there is not much he can do about it. He said I could take gabapentin but the side effects are significant and I do not want those side effects.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested PCR positive for COVID 10/11/21 after being fully vaccinated.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive household contact
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chills, Fatigue, Pain, Pyrexia
Clinical narrative: Chills & Tired, went to bed at 9:00pm on 10/11/2021 Woke up at 1:15pm on 10/12/2021 with fever-100.3 and body aches, especially in lower back.  Took Tylenol 500mg-2 tablets at 1:30pm Rechecked temperature at 2:58 and now 98..7 and only slight body aches.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Migraine, Nausea, Photophobia
Clinical narrative: headache. slow but then became a migraine for 3 days. frontal sinuses first around eyes and base of dorsal skull, then full blown migraine with nausea. and light sensitivity
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Cough, Dysstasia, Fall, Limb injury
Clinical narrative: feeling generally weak, slid out of bed while trying to get up and use her walker, landed on the floor, sat there for several hours, not wanting to disturb her family. Did not hit her head, no LOC. Did not feel "hurt", other than a scratch on her left hand, but had a hard time getting up on her own.    She was diagnosed with a urinary tract infection as an outpatient and was started on Duricef yesterday.  Denies fevers or chills. She has a nonproductive cough, can hear herself wheezing, states this isn't normal for her. No chest pain, no difficulty breathing.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urinary tract infection, Wheezing
Clinical narrative: feeling generally weak, slid out of bed while trying to get up and use her walker, landed on the floor, sat there for several hours, not wanting to disturb her family. Did not hit her head, no LOC. Did not feel "hurt", other than a scratch on her left hand, but had a hard time getting up on her own.    She was diagnosed with a urinary tract infection as an outpatient and was started on Duricef yesterday.  Denies fevers or chills. She has a nonproductive cough, can hear herself wheezing, states this isn't normal for her. No chest pain, no difficulty breathing.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: fully vaccinated employee tested positive for covid 19
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Depressed mood, Fatigue, Herpes zoster, Illness
Clinical narrative: Broke out in shingles on right side of my nose, head, face, eyelid, eye socket, and eyeball.  Excruciating pain for six weeks, blisters, lesions, scabs resulting in deep scars and marred skin. Cleared up for a week. Reemerged on my left side of face with the  same results. I was in chronic pain for three months and sick tired and unable to do daily routines. The scars left on my face hindered my well-being, self-esteem, and mood, becoming more depressed and hiding in shame.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Ophthalmic herpes zoster, Pain, Scab, Scar
Clinical narrative: Broke out in shingles on right side of my nose, head, face, eyelid, eye socket, and eyeball.  Excruciating pain for six weeks, blisters, lesions, scabs resulting in deep scars and marred skin. Cleared up for a week. Reemerged on my left side of face with the  same results. I was in chronic pain for three months and sick tired and unable to do daily routines. The scars left on my face hindered my well-being, self-esteem, and mood, becoming more depressed and hiding in shame.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Self esteem decreased, Skin injury, Skin lesion, Social avoidant behaviour
Clinical narrative: Broke out in shingles on right side of my nose, head, face, eyelid, eye socket, and eyeball.  Excruciating pain for six weeks, blisters, lesions, scabs resulting in deep scars and marred skin. Cleared up for a week. Reemerged on my left side of face with the  same results. I was in chronic pain for three months and sick tired and unable to do daily routines. The scars left on my face hindered my well-being, self-esteem, and mood, becoming more depressed and hiding in shame.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Neuropathy peripheral
Clinical narrative: PATIENT REPORTS THAT UPON RETURNING HOME AFTER HER THIRD DOSE OF THE PFIZER COVID VACCINE, SHE BEGAN EXPERIENCING A BURNING SENSATION/NEUROPATHY IN HER RIGHT GLUTEUS MAXIMUS. PATIENT REPORTS THAT THE SENSATION HAS BEEN CONSISTENT SINCE THEN AND HASN'T BECOME CONSIDERABLY WORSE OR BETTER.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered, Fatigue, Ophthalmic scan, Pyrexia, Retinal exudates
Clinical narrative: After COVID booster patient developed fatigue and fever.  Received booster on 10/04/2021.  Reports friday after getting covid booster she developed vision changes in left eye.  Reports she went to see Dr. optometrist who performed eye scans and diagnosed her with Multi-evanescence white dot syndrome.  Reports she was referred to retina specialist.  Patient reports she continues to have vision changes and difficulty seeing out of right eye.  Reports vision changes are restricting vision.  Patient states she called and also report adverse reactions to Pfizer.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Visual impairment
Clinical narrative: After COVID booster patient developed fatigue and fever.  Received booster on 10/04/2021.  Reports friday after getting covid booster she developed vision changes in left eye.  Reports she went to see Dr. optometrist who performed eye scans and diagnosed her with Multi-evanescence white dot syndrome.  Reports she was referred to retina specialist.  Patient reports she continues to have vision changes and difficulty seeing out of right eye.  Reports vision changes are restricting vision.  Patient states she called and also report adverse reactions to Pfizer.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Retinal exudates
Clinical narrative: After COVID booster patient developed fatigue and fever.  Received booster on 10/04/2021.  Reports friday after getting covid booster she developed vision changes in left eye.  Reports she went to see Dr. optometrist who performed eye scans and diagnosed her with Multi-evanescence white dot syndrome.  Reports she was referred to retina specialist.  Patient reports she continues to have vision changes and difficulty seeing out of right eye.  Reports vision changes are restricting vision.  Patient states she called and also report adverse reactions to Pfizer.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Dysstasia, Flank pain, Inflammation
Clinical narrative: a couple weeks later began to notice back/side/hip pain I had not had before--finally was able to locate the pain being in the sacroiliac joint. Hardly able to bend over when I first get out of bed.  Turing wrong in bed could be painful.  Standing for very long very uncomfortable.  Sometimes worse. Aspirin helped.  Still bothers lots. Sometimes worse than others.  Mentioned it to my Primary care physician.  He said if artheritis, not much a person can do anyway, so didn't x-ray or carry further.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Pain, Sacral pain, X-ray normal
Clinical narrative: a couple weeks later began to notice back/side/hip pain I had not had before--finally was able to locate the pain being in the sacroiliac joint. Hardly able to bend over when I first get out of bed.  Turing wrong in bed could be painful.  Standing for very long very uncomfortable.  Sometimes worse. Aspirin helped.  Still bothers lots. Sometimes worse than others.  Mentioned it to my Primary care physician.  He said if artheritis, not much a person can do anyway, so didn't x-ray or carry further.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial tachycardia, Dizziness, Echocardiogram abnormal, Electrocardiogram, Electrocardiogram abnormal
Clinical narrative: irregular and rapid heartbeat, dizziness. started on metoprolol 25 mg prn symptoms. the symptoms finally resolved approximately around after about 3 months.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory, Heart rate increased, Heart rate irregular, Left atrial enlargement, Mitral valve incompetence
Clinical narrative: irregular and rapid heartbeat, dizziness. started on metoprolol 25 mg prn symptoms. the symptoms finally resolved approximately around after about 3 months.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus bradycardia, Supraventricular tachycardia, Tricuspid valve incompetence, Ventricular extrasystoles
Clinical narrative: irregular and rapid heartbeat, dizziness. started on metoprolol 25 mg prn symptoms. the symptoms finally resolved approximately around after about 3 months.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Adrenal mass, Arthralgia, Blood culture negative, C-reactive protein increased, Computerised tomogram abdomen abnormal
Clinical narrative: Approximately 1 week following vaccination the patient developed daily fever up to 103° F, diffuse joint pain and myalgia, severe headache, drenching night sweats, and fatigue.  The symptoms persisted for 8 weeks prior to presentation to my office with prior workup at previous PCP.  She ultimately developed erythematous nodular rash in addition to the above symptoms.  I obtained a punch biopsy of this and it resulted with findings of neutrophilic dermatosis consistent with either palisaded neutrophilic dermatitis or possibly consistent with Sweet's syndrome.  The patient was started on prednisone for this and had initial improvement in rash but had subsequent relapse.  At this time she has been referred to Rheumatology, Dermatology and Neurology.  She has been initiated on dapsone for attempted steroid sparing regimen for treatment of her rash however she continues to have daily fever, headache and night sweats.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax, Electrophoresis protein normal, Fatigue, Full blood count normal, HIV test negative
Clinical narrative: Approximately 1 week following vaccination the patient developed daily fever up to 103° F, diffuse joint pain and myalgia, severe headache, drenching night sweats, and fatigue.  The symptoms persisted for 8 weeks prior to presentation to my office with prior workup at previous PCP.  She ultimately developed erythematous nodular rash in addition to the above symptoms.  I obtained a punch biopsy of this and it resulted with findings of neutrophilic dermatosis consistent with either palisaded neutrophilic dermatitis or possibly consistent with Sweet's syndrome.  The patient was started on prednisone for this and had initial improvement in rash but had subsequent relapse.  At this time she has been referred to Rheumatology, Dermatology and Neurology.  She has been initiated on dapsone for attempted steroid sparing regimen for treatment of her rash however she continues to have daily fever, headache and night sweats.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Inflammatory marker increased, Lumbar puncture normal, Magnetic resonance imaging head
Clinical narrative: Approximately 1 week following vaccination the patient developed daily fever up to 103° F, diffuse joint pain and myalgia, severe headache, drenching night sweats, and fatigue.  The symptoms persisted for 8 weeks prior to presentation to my office with prior workup at previous PCP.  She ultimately developed erythematous nodular rash in addition to the above symptoms.  I obtained a punch biopsy of this and it resulted with findings of neutrophilic dermatosis consistent with either palisaded neutrophilic dermatitis or possibly consistent with Sweet's syndrome.  The patient was started on prednisone for this and had initial improvement in rash but had subsequent relapse.  At this time she has been referred to Rheumatology, Dermatology and Neurology.  She has been initiated on dapsone for attempted steroid sparing regimen for treatment of her rash however she continues to have daily fever, headache and night sweats.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging spinal, Metanephrine urine, Myalgia, Mycobacterium tuberculosis complex test negative, Neutrophilic dermatosis
Clinical narrative: Approximately 1 week following vaccination the patient developed daily fever up to 103° F, diffuse joint pain and myalgia, severe headache, drenching night sweats, and fatigue.  The symptoms persisted for 8 weeks prior to presentation to my office with prior workup at previous PCP.  She ultimately developed erythematous nodular rash in addition to the above symptoms.  I obtained a punch biopsy of this and it resulted with findings of neutrophilic dermatosis consistent with either palisaded neutrophilic dermatitis or possibly consistent with Sweet's syndrome.  The patient was started on prednisone for this and had initial improvement in rash but had subsequent relapse.  At this time she has been referred to Rheumatology, Dermatology and Neurology.  She has been initiated on dapsone for attempted steroid sparing regimen for treatment of her rash however she continues to have daily fever, headache and night sweats.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Night sweats, Nodular rash, Pyrexia, Rash erythematous, Red blood cell sedimentation rate increased
Clinical narrative: Approximately 1 week following vaccination the patient developed daily fever up to 103° F, diffuse joint pain and myalgia, severe headache, drenching night sweats, and fatigue.  The symptoms persisted for 8 weeks prior to presentation to my office with prior workup at previous PCP.  She ultimately developed erythematous nodular rash in addition to the above symptoms.  I obtained a punch biopsy of this and it resulted with findings of neutrophilic dermatosis consistent with either palisaded neutrophilic dermatitis or possibly consistent with Sweet's syndrome.  The patient was started on prednisone for this and had initial improvement in rash but had subsequent relapse.  At this time she has been referred to Rheumatology, Dermatology and Neurology.  She has been initiated on dapsone for attempted steroid sparing regimen for treatment of her rash however she continues to have daily fever, headache and night sweats.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast, Serology normal, Urine analysis normal
Clinical narrative: Approximately 1 week following vaccination the patient developed daily fever up to 103° F, diffuse joint pain and myalgia, severe headache, drenching night sweats, and fatigue.  The symptoms persisted for 8 weeks prior to presentation to my office with prior workup at previous PCP.  She ultimately developed erythematous nodular rash in addition to the above symptoms.  I obtained a punch biopsy of this and it resulted with findings of neutrophilic dermatosis consistent with either palisaded neutrophilic dermatitis or possibly consistent with Sweet's syndrome.  The patient was started on prednisone for this and had initial improvement in rash but had subsequent relapse.  At this time she has been referred to Rheumatology, Dermatology and Neurology.  She has been initiated on dapsone for attempted steroid sparing regimen for treatment of her rash however she continues to have daily fever, headache and night sweats.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphagia, Paraesthesia
Clinical narrative: Patient said he was experiencing difficulty swallowing about every 3 swallow and some facial tingling.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Diarrhoea, Fatigue, Headache, SARS-CoV-2 test positive
Clinical narrative: Patient contracted COVID after being fully vaccinated Headache, Fatigue, Diarrhea
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Resident received monoclonial Regen-CO antibodies on 8.27.2021 and then was given the Pfizer booster COVID-19 vaccine on 10.11.21 which is before the 90 day recommendation. No adverse effects observed. Vital signs stable. Continued monitoring in place.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: No Adverse reaction as of yet. - Dilution was supposed to be 1.8ml instead it was 1.4ml. Patient was called by provider to watch for any side effects.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Occupational exposure to SARS-CoV-2
Clinical narrative: Covid positive work contact
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Ataxia, Basal ganglia infarction, Cerebral infarction, Hemiparesis, Lacunar infarction
Clinical narrative: Patient received 3rd dose of the COVID-19 Pfizer vaccine on 10/5/21 and then developed stroke-like symptoms of ataxia and right sided weakness on 10/7/21. She presented to the ED on 10/11/21 and MRI of the head confirmed a 7 mm acute to subacute lacunar infarct in the left posterior basal ganglia in left MCA territory. She will be treated with antiplatelet therapy and a statin. She does still have some residual speech difficulties.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging head abnormal, Neurological symptom, Speech disorder
Clinical narrative: Patient received 3rd dose of the COVID-19 Pfizer vaccine on 10/5/21 and then developed stroke-like symptoms of ataxia and right sided weakness on 10/7/21. She presented to the ED on 10/11/21 and MRI of the head confirmed a 7 mm acute to subacute lacunar infarct in the left posterior basal ganglia in left MCA territory. She will be treated with antiplatelet therapy and a statin. She does still have some residual speech difficulties.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram cerebral normal, Arthralgia, Balance disorder, Burning sensation, Condition aggravated
Clinical narrative: 43-year-old female with a history of a motor vehicle accident in 2004 that created neck pain and led to discovery of a Chiari I malformation, which was later decompressed in 2005. She was stable for years without significant complaints but in January 2021 after receiving Covid vaccine, she developed a list of neurological symptoms that to date are not improving.    She is still reporting neck pain, migraine, and some burning sensation in her right arm plus other symptoms that include:  Intermittent vision disturbance "wavy vision" Feels that her equilibrium is off.  Feels off balance Pressure in the back oh her head Feels weak mostly on her left side. Feels that her head is heavy. Intermittent burning in right upper extremity Intermittent numbness and tingling in hands and feet. Muscle twitching in left leg and left arm Involuntary movements.   She has been off work since 01/04/2021 when she visited me with worsening symptoms for a few weeks. She worked as health unit coordinator at Providence. Received Pfizer Covid vaccine on 12/20/21 and 01/10/21.    She has been evaluated by neurology and neurosurgery. Had imaging or brain and spine, but no findings that specialist believe would explain her symptoms.   Most recently, she has been evaluated and treated by physiatry A and diagnosed with cervical dystonia for which she is getting Botox injections. Last injection on 08/13/2021 and she was advised to return in 3 months. She states that since the shot, she feels the neck is more unstable, getting severe headaches when bending over, pain is type sharp in the back of neck, right shoulder pain is worse. All the prior neurological symptoms remain unchanged.   Per last physiatry note: If not adequate for the upper occipital area, we will consider referral for an anesthetic medial branch block. Patient states that she has her next appointment schedule with physiatry in 12/2021
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Dyskinesia, Head discomfort, Headache, Hemiparesis, Hypoaesthesia
Clinical narrative: 43-year-old female with a history of a motor vehicle accident in 2004 that created neck pain and led to discovery of a Chiari I malformation, which was later decompressed in 2005. She was stable for years without significant complaints but in January 2021 after receiving Covid vaccine, she developed a list of neurological symptoms that to date are not improving.    She is still reporting neck pain, migraine, and some burning sensation in her right arm plus other symptoms that include:  Intermittent vision disturbance "wavy vision" Feels that her equilibrium is off.  Feels off balance Pressure in the back oh her head Feels weak mostly on her left side. Feels that her head is heavy. Intermittent burning in right upper extremity Intermittent numbness and tingling in hands and feet. Muscle twitching in left leg and left arm Involuntary movements.   She has been off work since 01/04/2021 when she visited me with worsening symptoms for a few weeks. She worked as health unit coordinator at Providence. Received Pfizer Covid vaccine on 12/20/21 and 01/10/21.    She has been evaluated by neurology and neurosurgery. Had imaging or brain and spine, but no findings that specialist believe would explain her symptoms.   Most recently, she has been evaluated and treated by physiatry A and diagnosed with cervical dystonia for which she is getting Botox injections. Last injection on 08/13/2021 and she was advised to return in 3 months. She states that since the shot, she feels the neck is more unstable, getting severe headaches when bending over, pain is type sharp in the back of neck, right shoulder pain is worse. All the prior neurological symptoms remain unchanged.   Per last physiatry note: If not adequate for the upper occipital area, we will consider referral for an anesthetic medial branch block. Patient states that she has her next appointment schedule with physiatry in 12/2021
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Magnetic resonance imaging head normal, Magnetic resonance imaging spinal normal, Migraine, Muscle twitching
Clinical narrative: 43-year-old female with a history of a motor vehicle accident in 2004 that created neck pain and led to discovery of a Chiari I malformation, which was later decompressed in 2005. She was stable for years without significant complaints but in January 2021 after receiving Covid vaccine, she developed a list of neurological symptoms that to date are not improving.    She is still reporting neck pain, migraine, and some burning sensation in her right arm plus other symptoms that include:  Intermittent vision disturbance "wavy vision" Feels that her equilibrium is off.  Feels off balance Pressure in the back oh her head Feels weak mostly on her left side. Feels that her head is heavy. Intermittent burning in right upper extremity Intermittent numbness and tingling in hands and feet. Muscle twitching in left leg and left arm Involuntary movements.   She has been off work since 01/04/2021 when she visited me with worsening symptoms for a few weeks. She worked as health unit coordinator at Providence. Received Pfizer Covid vaccine on 12/20/21 and 01/10/21.    She has been evaluated by neurology and neurosurgery. Had imaging or brain and spine, but no findings that specialist believe would explain her symptoms.   Most recently, she has been evaluated and treated by physiatry A and diagnosed with cervical dystonia for which she is getting Botox injections. Last injection on 08/13/2021 and she was advised to return in 3 months. She states that since the shot, she feels the neck is more unstable, getting severe headaches when bending over, pain is type sharp in the back of neck, right shoulder pain is worse. All the prior neurological symptoms remain unchanged.   Per last physiatry note: If not adequate for the upper occipital area, we will consider referral for an anesthetic medial branch block. Patient states that she has her next appointment schedule with physiatry in 12/2021