chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Impaired driving ability, Lactose intolerance, Lymphadenopathy, Lymphatic disorder, Malaise
Clinical narrative: Flare-up of autoimmune pain, most dramatically from fibromyalgia trigger points; existing fibromyalgia points in both shoulder blades became extremely painful, radiating across my entire back, including my cervical spine, where I also have arthritis; pronounced muscle weakness in arms and legs, as well as widespread myalgia, and profound malaise and fatigue; difficulty in walking -- gait was shuffling and unsteady, resulting in one major fall, but without serious injury; difficulty in getting out of bed or rising from chairs or in/out of vehicles; inflammation of lymphatic system, including inflamed nodes in both armpits and breasts; sporadic flare-up of lymph nodes continue through May 2022; extreme fatigue for more than 12 weeks; muscle weakness and fatigue is lingering, as of the filing of this report in May 2022.  Both existing PAC and PVC cardiac arrhythmias increased, but apparently left no additional damage.  Increased symptoms of Sjogren's, extremely dry eyes and resultant diminished visual acuity; cannot currently see well enough to drive safely at night, with difficulty seeing street signs in daytime; prescription eye drops are not helping much.  As of May 2022, my vision has diminished to 20/30 and 20/40.  I now must wear glasses to drive during daylight and at night.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mental disorder, Mobility decreased, Muscular weakness, Musculoskeletal pain, Myalgia
Clinical narrative: Flare-up of autoimmune pain, most dramatically from fibromyalgia trigger points; existing fibromyalgia points in both shoulder blades became extremely painful, radiating across my entire back, including my cervical spine, where I also have arthritis; pronounced muscle weakness in arms and legs, as well as widespread myalgia, and profound malaise and fatigue; difficulty in walking -- gait was shuffling and unsteady, resulting in one major fall, but without serious injury; difficulty in getting out of bed or rising from chairs or in/out of vehicles; inflammation of lymphatic system, including inflamed nodes in both armpits and breasts; sporadic flare-up of lymph nodes continue through May 2022; extreme fatigue for more than 12 weeks; muscle weakness and fatigue is lingering, as of the filing of this report in May 2022.  Both existing PAC and PVC cardiac arrhythmias increased, but apparently left no additional damage.  Increased symptoms of Sjogren's, extremely dry eyes and resultant diminished visual acuity; cannot currently see well enough to drive safely at night, with difficulty seeing street signs in daytime; prescription eye drops are not helping much.  As of May 2022, my vision has diminished to 20/30 and 20/40.  I now must wear glasses to drive during daylight and at night.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nerve block, Pain, Quality of life decreased, Sjogren's syndrome, Spinal pain
Clinical narrative: Flare-up of autoimmune pain, most dramatically from fibromyalgia trigger points; existing fibromyalgia points in both shoulder blades became extremely painful, radiating across my entire back, including my cervical spine, where I also have arthritis; pronounced muscle weakness in arms and legs, as well as widespread myalgia, and profound malaise and fatigue; difficulty in walking -- gait was shuffling and unsteady, resulting in one major fall, but without serious injury; difficulty in getting out of bed or rising from chairs or in/out of vehicles; inflammation of lymphatic system, including inflamed nodes in both armpits and breasts; sporadic flare-up of lymph nodes continue through May 2022; extreme fatigue for more than 12 weeks; muscle weakness and fatigue is lingering, as of the filing of this report in May 2022.  Both existing PAC and PVC cardiac arrhythmias increased, but apparently left no additional damage.  Increased symptoms of Sjogren's, extremely dry eyes and resultant diminished visual acuity; cannot currently see well enough to drive safely at night, with difficulty seeing street signs in daytime; prescription eye drops are not helping much.  As of May 2022, my vision has diminished to 20/30 and 20/40.  I now must wear glasses to drive during daylight and at night.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Supraventricular extrasystoles, Ultrasound scan abnormal, Ventricular extrasystoles, Visual acuity reduced, Visual impairment
Clinical narrative: Flare-up of autoimmune pain, most dramatically from fibromyalgia trigger points; existing fibromyalgia points in both shoulder blades became extremely painful, radiating across my entire back, including my cervical spine, where I also have arthritis; pronounced muscle weakness in arms and legs, as well as widespread myalgia, and profound malaise and fatigue; difficulty in walking -- gait was shuffling and unsteady, resulting in one major fall, but without serious injury; difficulty in getting out of bed or rising from chairs or in/out of vehicles; inflammation of lymphatic system, including inflamed nodes in both armpits and breasts; sporadic flare-up of lymph nodes continue through May 2022; extreme fatigue for more than 12 weeks; muscle weakness and fatigue is lingering, as of the filing of this report in May 2022.  Both existing PAC and PVC cardiac arrhythmias increased, but apparently left no additional damage.  Increased symptoms of Sjogren's, extremely dry eyes and resultant diminished visual acuity; cannot currently see well enough to drive safely at night, with difficulty seeing street signs in daytime; prescription eye drops are not helping much.  As of May 2022, my vision has diminished to 20/30 and 20/40.  I now must wear glasses to drive during daylight and at night.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, COVID-19, Cardiac arrest, Death, Dyspnoea
Clinical narrative: pt comes to the ED (11/8/21) with worsening SOB; was recently discharged from a rehab facility (name not found in medical records) recovering from COVID; had a positive COVID test on 9/8/21; pt has been coughing up blood tinged sputum; blood glucose found to be >800, metabolic acidosis; transferred to ICU; pt had a PEA arrest; CPR and ACLS performed; ROSC obtained; when pt began to arrest a second time, a family member requested not to do CPR; pt expired in the hospital
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoptysis, Intensive care, Life support, Metabolic acidosis, Productive cough
Clinical narrative: pt comes to the ED (11/8/21) with worsening SOB; was recently discharged from a rehab facility (name not found in medical records) recovering from COVID; had a positive COVID test on 9/8/21; pt has been coughing up blood tinged sputum; blood glucose found to be >800, metabolic acidosis; transferred to ICU; pt had a PEA arrest; CPR and ACLS performed; ROSC obtained; when pt began to arrest a second time, a family member requested not to do CPR; pt expired in the hospital
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Pulseless electrical activity, Resuscitation, SARS-CoV-2 test positive
Clinical narrative: pt comes to the ED (11/8/21) with worsening SOB; was recently discharged from a rehab facility (name not found in medical records) recovering from COVID; had a positive COVID test on 9/8/21; pt has been coughing up blood tinged sputum; blood glucose found to be >800, metabolic acidosis; transferred to ICU; pt had a PEA arrest; CPR and ACLS performed; ROSC obtained; when pt began to arrest a second time, a family member requested not to do CPR; pt expired in the hospital
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Agitation, Anxiety, Blood test, Computerised tomogram, Decreased appetite
Clinical narrative: Had vaccine and flu shot administered on Friday, had flu like symptoms over the weekend which resolved but gastrointestinal and high hr issues began on Monday and continued. Was placed on omeprazole for on 12/22/21 for four weeks, during this time symptoms did not resolve but were exacerbated by anxiety (not a previous condition).  Stopped meds and anxiety resolved but gastro symptoms continued. In April, tried alternate medication which again left symptoms unresolved and added anxiety. Medication was stopped again but continue to suffer with chronic loss of appetite and nausea with daily periods of intensification that include agitation and elevated HR - significantly interfering with QOL.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Endoscopy, Gastrointestinal disorder, Glucose tolerance test, Heart rate increased
Clinical narrative: Had vaccine and flu shot administered on Friday, had flu like symptoms over the weekend which resolved but gastrointestinal and high hr issues began on Monday and continued. Was placed on omeprazole for on 12/22/21 for four weeks, during this time symptoms did not resolve but were exacerbated by anxiety (not a previous condition).  Stopped meds and anxiety resolved but gastro symptoms continued. In April, tried alternate medication which again left symptoms unresolved and added anxiety. Medication was stopped again but continue to suffer with chronic loss of appetite and nausea with daily periods of intensification that include agitation and elevated HR - significantly interfering with QOL.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired quality of life, Influenza like illness, Magnetic resonance imaging, Nausea
Clinical narrative: Had vaccine and flu shot administered on Friday, had flu like symptoms over the weekend which resolved but gastrointestinal and high hr issues began on Monday and continued. Was placed on omeprazole for on 12/22/21 for four weeks, during this time symptoms did not resolve but were exacerbated by anxiety (not a previous condition).  Stopped meds and anxiety resolved but gastro symptoms continued. In April, tried alternate medication which again left symptoms unresolved and added anxiety. Medication was stopped again but continue to suffer with chronic loss of appetite and nausea with daily periods of intensification that include agitation and elevated HR - significantly interfering with QOL.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Medication error - expired vaccine administered.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Psoriasis, Rash, Rash erythematous, Streptococcus test
Clinical narrative: I started with a red rash on my thigh then it went up to my buttocks and my back my doctor diagnosed me with plaque psoriasis.
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Bradycardia, COVID-19, Cardiomyopathy, Cerebral infarction
Clinical narrative: Provider discharge summary "the patient is a 91 y/o male who presented to the ED on 1/17/2022 due to being found down at home. He was encephalopathic on arrival and noted to have a UTI for which he was started on antibiotics. He also did have rhabdomyolysis for which he was started on IVF. His symptoms did improve. He did also develop Afib with RVR and was started on metoprolol/cardizem with improvement in his HR. He did develop some fluid overload and was given diuresis with improvement. On the 25th the patient was tested for COVID due to persistent hypoxia and was found to be positive, he was started on COVID directed therapies. He completed antibiotic therapy for the UTI and encephalopathy improved. His hypoxia also improved. The patients stay was prolonged due to need to be cleared from COVID quarantine before being discharged to an SNF. His stay was also complicated by development of left sided weakness on 2/4/22 and a code stroke was called, MRI was positive for acute lacunar infarct in the posterior limb of the right internal capsule. The patients deficits quickly resolved so he was not a candidate for tPA. He was seen by neurology team who recommended ASA daily. This was discussed in depth with the patient and his family. Per family the patient has been on ASA/anticoagulants before which resulted in a GI bleed. We discussed that he is very high risk for another stroke so ASA would be beneficial for him, they continued to decline (patient and family) this medication stating they were more concerned about a GI bleed. Family and patient wanted to be discharged to assisted living facility for further care.    Patient/family verbalized understanding and agreement to the above discharge plan. All questions were answered at time of discharge"
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cerebrovascular accident, Deafness unilateral, Dyspnoea, Encephalopathy, General physical health deterioration
Clinical narrative: Provider discharge summary "the patient is a 91 y/o male who presented to the ED on 1/17/2022 due to being found down at home. He was encephalopathic on arrival and noted to have a UTI for which he was started on antibiotics. He also did have rhabdomyolysis for which he was started on IVF. His symptoms did improve. He did also develop Afib with RVR and was started on metoprolol/cardizem with improvement in his HR. He did develop some fluid overload and was given diuresis with improvement. On the 25th the patient was tested for COVID due to persistent hypoxia and was found to be positive, he was started on COVID directed therapies. He completed antibiotic therapy for the UTI and encephalopathy improved. His hypoxia also improved. The patients stay was prolonged due to need to be cleared from COVID quarantine before being discharged to an SNF. His stay was also complicated by development of left sided weakness on 2/4/22 and a code stroke was called, MRI was positive for acute lacunar infarct in the posterior limb of the right internal capsule. The patients deficits quickly resolved so he was not a candidate for tPA. He was seen by neurology team who recommended ASA daily. This was discussed in depth with the patient and his family. Per family the patient has been on ASA/anticoagulants before which resulted in a GI bleed. We discussed that he is very high risk for another stroke so ASA would be beneficial for him, they continued to decline (patient and family) this medication stating they were more concerned about a GI bleed. Family and patient wanted to be discharged to assisted living facility for further care.    Patient/family verbalized understanding and agreement to the above discharge plan. All questions were answered at time of discharge"
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hemiparesis, Hypervolaemia, Hypoxia, Intervertebral disc degeneration, Lacunar infarction
Clinical narrative: Provider discharge summary "the patient is a 91 y/o male who presented to the ED on 1/17/2022 due to being found down at home. He was encephalopathic on arrival and noted to have a UTI for which he was started on antibiotics. He also did have rhabdomyolysis for which he was started on IVF. His symptoms did improve. He did also develop Afib with RVR and was started on metoprolol/cardizem with improvement in his HR. He did develop some fluid overload and was given diuresis with improvement. On the 25th the patient was tested for COVID due to persistent hypoxia and was found to be positive, he was started on COVID directed therapies. He completed antibiotic therapy for the UTI and encephalopathy improved. His hypoxia also improved. The patients stay was prolonged due to need to be cleared from COVID quarantine before being discharged to an SNF. His stay was also complicated by development of left sided weakness on 2/4/22 and a code stroke was called, MRI was positive for acute lacunar infarct in the posterior limb of the right internal capsule. The patients deficits quickly resolved so he was not a candidate for tPA. He was seen by neurology team who recommended ASA daily. This was discussed in depth with the patient and his family. Per family the patient has been on ASA/anticoagulants before which resulted in a GI bleed. We discussed that he is very high risk for another stroke so ASA would be beneficial for him, they continued to decline (patient and family) this medication stating they were more concerned about a GI bleed. Family and patient wanted to be discharged to assisted living facility for further care.    Patient/family verbalized understanding and agreement to the above discharge plan. All questions were answered at time of discharge"
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lumbar spinal stenosis, Magnetic resonance imaging head abnormal, Polyuria, Precerebral artery thrombosis, Rhabdomyolysis
Clinical narrative: Provider discharge summary "the patient is a 91 y/o male who presented to the ED on 1/17/2022 due to being found down at home. He was encephalopathic on arrival and noted to have a UTI for which he was started on antibiotics. He also did have rhabdomyolysis for which he was started on IVF. His symptoms did improve. He did also develop Afib with RVR and was started on metoprolol/cardizem with improvement in his HR. He did develop some fluid overload and was given diuresis with improvement. On the 25th the patient was tested for COVID due to persistent hypoxia and was found to be positive, he was started on COVID directed therapies. He completed antibiotic therapy for the UTI and encephalopathy improved. His hypoxia also improved. The patients stay was prolonged due to need to be cleared from COVID quarantine before being discharged to an SNF. His stay was also complicated by development of left sided weakness on 2/4/22 and a code stroke was called, MRI was positive for acute lacunar infarct in the posterior limb of the right internal capsule. The patients deficits quickly resolved so he was not a candidate for tPA. He was seen by neurology team who recommended ASA daily. This was discussed in depth with the patient and his family. Per family the patient has been on ASA/anticoagulants before which resulted in a GI bleed. We discussed that he is very high risk for another stroke so ASA would be beneficial for him, they continued to decline (patient and family) this medication stating they were more concerned about a GI bleed. Family and patient wanted to be discharged to assisted living facility for further care.    Patient/family verbalized understanding and agreement to the above discharge plan. All questions were answered at time of discharge"
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Provider discharge summary "the patient is a 91 y/o male who presented to the ED on 1/17/2022 due to being found down at home. He was encephalopathic on arrival and noted to have a UTI for which he was started on antibiotics. He also did have rhabdomyolysis for which he was started on IVF. His symptoms did improve. He did also develop Afib with RVR and was started on metoprolol/cardizem with improvement in his HR. He did develop some fluid overload and was given diuresis with improvement. On the 25th the patient was tested for COVID due to persistent hypoxia and was found to be positive, he was started on COVID directed therapies. He completed antibiotic therapy for the UTI and encephalopathy improved. His hypoxia also improved. The patients stay was prolonged due to need to be cleared from COVID quarantine before being discharged to an SNF. His stay was also complicated by development of left sided weakness on 2/4/22 and a code stroke was called, MRI was positive for acute lacunar infarct in the posterior limb of the right internal capsule. The patients deficits quickly resolved so he was not a candidate for tPA. He was seen by neurology team who recommended ASA daily. This was discussed in depth with the patient and his family. Per family the patient has been on ASA/anticoagulants before which resulted in a GI bleed. We discussed that he is very high risk for another stroke so ASA would be beneficial for him, they continued to decline (patient and family) this medication stating they were more concerned about a GI bleed. Family and patient wanted to be discharged to assisted living facility for further care.    Patient/family verbalized understanding and agreement to the above discharge plan. All questions were answered at time of discharge"
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Medication error - expired vaccine administered.
Age: 66.0
Sex: M
Vaccine: VARZOS
Symptoms: Erythema, Injection site pain, Injection site swelling, Swelling
Clinical narrative: pt said they developed a red swollen area a day after their shot. Pt says the injection site appears more swollen and painful on day 3
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Tonsillitis
Clinical narrative: fatigue, tonsilitis,
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Confusional state, Exposure to SARS-CoV-2, Fatigue, Headache
Clinical narrative: COVID-19 symptoms started 12/26/21 or 12/27/21 and it was basically a head cold and sinus stuff and I confused COVID-19 with that. Tested positive on 12/30/21. I was just tired and wanted to sleep all of the time and didn't want to go out and do anything. I just felt under the weather like I had a moderate cold. I had sneezing and a slight headache, but nothing too radical. The only reason I got tested was because my partner's symptoms were worse and he tested and was positive and because of that, I tested. Symptoms lasted around 4-5 days. I just wanted to lay around all of the time which is unlike me. Even though I did test positive I am glad I got the vaccine and it lessened the intensity.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Malaise, Nasopharyngitis, SARS-CoV-2 test positive, Sinus disorder
Clinical narrative: COVID-19 symptoms started 12/26/21 or 12/27/21 and it was basically a head cold and sinus stuff and I confused COVID-19 with that. Tested positive on 12/30/21. I was just tired and wanted to sleep all of the time and didn't want to go out and do anything. I just felt under the weather like I had a moderate cold. I had sneezing and a slight headache, but nothing too radical. The only reason I got tested was because my partner's symptoms were worse and he tested and was positive and because of that, I tested. Symptoms lasted around 4-5 days. I just wanted to lay around all of the time which is unlike me. Even though I did test positive I am glad I got the vaccine and it lessened the intensity.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Sneezing, Somnolence
Clinical narrative: COVID-19 symptoms started 12/26/21 or 12/27/21 and it was basically a head cold and sinus stuff and I confused COVID-19 with that. Tested positive on 12/30/21. I was just tired and wanted to sleep all of the time and didn't want to go out and do anything. I just felt under the weather like I had a moderate cold. I had sneezing and a slight headache, but nothing too radical. The only reason I got tested was because my partner's symptoms were worse and he tested and was positive and because of that, I tested. Symptoms lasted around 4-5 days. I just wanted to lay around all of the time which is unlike me. Even though I did test positive I am glad I got the vaccine and it lessened the intensity.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, Medication error
Clinical narrative: Medication error - expired vaccine administered.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Medication error
Clinical narrative: Medication error - expired vaccine administered.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Feeling abnormal, Influenza like illness
Clinical narrative: Starting 01/10/2022, I felt like I had the flu. I was miserable, coughing, sneezing and having trouble breathing. I was achy all over. I tried to go to sleep that night, so I had my husband take me to the ER because I was hurting so bad. They tested me for COVID-19 and I was told it was positive. I got a steroid shot and then was discharged, and told to stay in the house for 5 days. The symptoms lasted about a week.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test positive, Sneezing
Clinical narrative: Starting 01/10/2022, I felt like I had the flu. I was miserable, coughing, sneezing and having trouble breathing. I was achy all over. I tried to go to sleep that night, so I had my husband take me to the ER because I was hurting so bad. They tested me for COVID-19 and I was told it was positive. I got a steroid shot and then was discharged, and told to stay in the house for 5 days. The symptoms lasted about a week.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, Hyperhidrosis
Clinical narrative: Patient became bradycardic, HR: 39, diaphoretic
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac monitoring, Disorientation, Dizziness, Headache
Clinical narrative: Within an hour of the vaccine and I began to feel light headed and disoriented. I started to feel a slight headache and I noticed that my heart rate increased. By 3:10pm, my BP was 104/76 with a HR of 102. About an hour later, and after taking Flecainide, the episode let up. Then on Sunday, I another episode of AFIB around 6:00pm.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: Within an hour of the vaccine and I began to feel light headed and disoriented. I started to feel a slight headache and I noticed that my heart rate increased. By 3:10pm, my BP was 104/76 with a HR of 102. About an hour later, and after taking Flecainide, the episode let up. Then on Sunday, I another episode of AFIB around 6:00pm.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Decreased appetite, Fibrin D dimer increased, Fluid intake reduced
Clinical narrative: Provider discharge summary "65 year old female with history of intellectual disability, mood changes, anxiety, hyperlipidemia and GERD presents from her home due to cough and not eating right per staff. She is chronically non-verbal at baseline. In the ED, she was febrile, hypoxic on room air and tachypneic. Labs notable for hypernatremia with a free water deficit of 2.5L, hypokalemia and hypomagnesemia. She subsequently tested positive for COVID-19 and was started on decadron and remdesvir. D-dimer minimally elevated and continued to trend downward. No CT Chest imaging was performed. Patient was started on D5W maintenance fluids with correction of sodium. Concern for need of increased fluid intake at prior home living arrangement, so her case was discussed with staff and patient's PCP regarding need for increased hydration and nutritional intake. She is to obtain BMP in one week with results sent to PCP for further resolution of hypernatremia. Labs indicative of iron deficiency anemia repleted with iron therapy during this inpatient stay. She will continue iron supplementation and complete an additional 5 days of decadron on discharge to her home. She is medically stable for discharge home on January 21, 2022."
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypernatraemia, Hypokalaemia, Hypomagnesaemia, Hypoxia, Iron deficiency anaemia
Clinical narrative: Provider discharge summary "65 year old female with history of intellectual disability, mood changes, anxiety, hyperlipidemia and GERD presents from her home due to cough and not eating right per staff. She is chronically non-verbal at baseline. In the ED, she was febrile, hypoxic on room air and tachypneic. Labs notable for hypernatremia with a free water deficit of 2.5L, hypokalemia and hypomagnesemia. She subsequently tested positive for COVID-19 and was started on decadron and remdesvir. D-dimer minimally elevated and continued to trend downward. No CT Chest imaging was performed. Patient was started on D5W maintenance fluids with correction of sodium. Concern for need of increased fluid intake at prior home living arrangement, so her case was discussed with staff and patient's PCP regarding need for increased hydration and nutritional intake. She is to obtain BMP in one week with results sent to PCP for further resolution of hypernatremia. Labs indicative of iron deficiency anemia repleted with iron therapy during this inpatient stay. She will continue iron supplementation and complete an additional 5 days of decadron on discharge to her home. She is medically stable for discharge home on January 21, 2022."
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test abnormal, Pyrexia, SARS-CoV-2 test positive, Tachypnoea
Clinical narrative: Provider discharge summary "65 year old female with history of intellectual disability, mood changes, anxiety, hyperlipidemia and GERD presents from her home due to cough and not eating right per staff. She is chronically non-verbal at baseline. In the ED, she was febrile, hypoxic on room air and tachypneic. Labs notable for hypernatremia with a free water deficit of 2.5L, hypokalemia and hypomagnesemia. She subsequently tested positive for COVID-19 and was started on decadron and remdesvir. D-dimer minimally elevated and continued to trend downward. No CT Chest imaging was performed. Patient was started on D5W maintenance fluids with correction of sodium. Concern for need of increased fluid intake at prior home living arrangement, so her case was discussed with staff and patient's PCP regarding need for increased hydration and nutritional intake. She is to obtain BMP in one week with results sent to PCP for further resolution of hypernatremia. Labs indicative of iron deficiency anemia repleted with iron therapy during this inpatient stay. She will continue iron supplementation and complete an additional 5 days of decadron on discharge to her home. She is medically stable for discharge home on January 21, 2022."
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody increased, Biopsy bone marrow normal, Biopsy lymph gland, Blood test abnormal, Glycosylated haemoglobin increased
Clinical narrative: I have a whole bunch of lymphoedema, lupus, my ANA is high, I lost weight (a lot), I vomit, I can't keep nothing down, headache, my A1C is high, leukemia, all this is showing on blood work but the bone marrow shows negative. Biopsy on one of the lympnodes. I have these bumps on my body like jelly.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Leukaemia, Lymphoedema, Neoplasm malignant, Rash
Clinical narrative: I have a whole bunch of lymphoedema, lupus, my ANA is high, I lost weight (a lot), I vomit, I can't keep nothing down, headache, my A1C is high, leukemia, all this is showing on blood work but the bone marrow shows negative. Biopsy on one of the lympnodes. I have these bumps on my body like jelly.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Systemic lupus erythematosus, Vomiting, Weight decreased
Clinical narrative: I have a whole bunch of lymphoedema, lupus, my ANA is high, I lost weight (a lot), I vomit, I can't keep nothing down, headache, my A1C is high, leukemia, all this is showing on blood work but the bone marrow shows negative. Biopsy on one of the lympnodes. I have these bumps on my body like jelly.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Exposure to SARS-CoV-2, Fatigue, Rheumatoid arthritis
Clinical narrative: I had to get my shot. I was taking care of my father. I went to celebrate my father in laws 80th birthday. My brother in-law was the one that gave me COVID-19 and he wasn't vaccinated. At first they wanted to put me in the hospital but I didn't want to be admitted because I have too many health conditions to be in the hospital and the ER doctor did agree. So I went home and Zinc 220mg Sulfate which had to have 50mg of zinc one tablet two times a day. Vitamin C 500mg 2 tablets two times a day Vitamin D3 3000IU 1 tablet once a day Aspirin 325 one a day and all this was to be done for 10 days nebulizer as well as needed I am still very fatigue worse than usual, My RA is worse than it was before and the medication isn't working.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Vaccine breakthrough infection
Clinical narrative: I had to get my shot. I was taking care of my father. I went to celebrate my father in laws 80th birthday. My brother in-law was the one that gave me COVID-19 and he wasn't vaccinated. At first they wanted to put me in the hospital but I didn't want to be admitted because I have too many health conditions to be in the hospital and the ER doctor did agree. So I went home and Zinc 220mg Sulfate which had to have 50mg of zinc one tablet two times a day. Vitamin C 500mg 2 tablets two times a day Vitamin D3 3000IU 1 tablet once a day Aspirin 325 one a day and all this was to be done for 10 days nebulizer as well as needed I am still very fatigue worse than usual, My RA is worse than it was before and the medication isn't working.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Bradycardia, Chest pain, Electrocardiogram ambulatory, Myalgia
Clinical narrative: He has been followed by cardiology for history of atrial fibrillation. He received his booster COVID vaccine on 4/28/22 on the same day he saw his cardiologist. At which time, his Multaq was changed to flecainide and metoprolol as he was having some episodes of break-through atrial fibrillation. He reported to the ED on 5/1, three days later, for episodes of bradycardia with heart rates in the 40s and chest pain. Cardiology evaluated the patient in the ED, and thought myalgias could possibly be secondary to the vaccine, though it did seem to resolve with holding the metoprolol and flecainide.  He was discharged with a 48 hour Holter monitor and plans to follow-up with cardiology outpatient.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Don't know if related but developed mild shingles on 4/29/22
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Amenorrhoea, Chills, Decreased appetite, Diarrhoea, Headache
Clinical narrative: Very sick lasting from 12 hours post injection for the following two weeks with fever of up to 103, chills, severe lethargy and body aches, nausea, diarrhea, severe headaches, lack of appetite.   Was on period when i received the 2nd dose and have not had a period since receiving it.  Scheduled appointment with Gynecologist in July of 2022.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lethargy, Malaise, Nausea, Pain, Pyrexia
Clinical narrative: Very sick lasting from 12 hours post injection for the following two weeks with fever of up to 103, chills, severe lethargy and body aches, nausea, diarrhea, severe headaches, lack of appetite.   Was on period when i received the 2nd dose and have not had a period since receiving it.  Scheduled appointment with Gynecologist in July of 2022.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Crying, Loss of consciousness, Nervousness, Panic reaction
Clinical narrative: Patient has a history of fainting with vaccines. This was her first COVID vaccine and she was very nervous. She was fine after the shot, then started to have increased anxiety a few minutes later. She was panicking , breathing quickly, crying, and then briefly lost consciousness. I held her up so she did not injury herself. We applied a cold pack to her face/neck and had her lie on the ground with her feet up on a chair after she came to. She waited in the pharmacy for 30 minutes post incident. Patient felt fine and did not require further medical attention.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory rate increased
Clinical narrative: Patient has a history of fainting with vaccines. This was her first COVID vaccine and she was very nervous. She was fine after the shot, then started to have increased anxiety a few minutes later. She was panicking , breathing quickly, crying, and then briefly lost consciousness. I held her up so she did not injury herself. We applied a cold pack to her face/neck and had her lie on the ground with her feet up on a chair after she came to. She waited in the pharmacy for 30 minutes post incident. Patient felt fine and did not require further medical attention.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Discomfort, Dry throat, Inappropriate schedule of product administration, Injection site pruritus
Clinical narrative: Patient said they had an itchy arm the first they had the Moderna vaccine, as well as general itchiness. After she received the 2nd dose on 5/4, about 15-20 minutes later she complained on itchiness around the area as well as a dry and itchy throat. Patient did not have any difficulty breathing but was uncomfortable and anxious. Patient was given intramuscular Benadryl and the itchiness subsidized. 9-1-1 was called and patient refused to go with them and was picked up by her daughter.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Patient said they had an itchy arm the first they had the Moderna vaccine, as well as general itchiness. After she received the 2nd dose on 5/4, about 15-20 minutes later she complained on itchiness around the area as well as a dry and itchy throat. Patient did not have any difficulty breathing but was uncomfortable and anxious. Patient was given intramuscular Benadryl and the itchiness subsidized. 9-1-1 was called and patient refused to go with them and was picked up by her daughter.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Medication error - expired vaccine administered.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ascites, Atrial fibrillation, Blood alkaline phosphatase increased, COVID-19, Cardiac failure
Clinical narrative: Provider discharge summary "These were her acute medical issues addressed this hospitalization:   1. Hypoxia, resp insufficiency likely due to both CHF and COVID infection. -- received 5 days of Remdesivir. Daily Decadron. -- O2 requirement remained stable at 3-4 L nasal canula. -- at discharge, ambulated without significant O2 desaturation while on 3 L. -- not felt to have any superimposed bacterial infection. -- vaccinated patient   2. HFpEF. 3. Group 2 pHTN. -- continued daily Lasix.   4. HTN. -- BP well controlled.   5. PAF -- Rate controlled. Not on any AC due to history of severe epistaxis.   6. COVID infection in vaccinated patient. 7. Facial bruising due to fall at home a week ago.   8. Chronic leukocytosis due to PV. -- cont daily Hydrea.   DC home today 1/22 with home O2 (3L).  homecare and therapies set up."
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cardiac failure congestive, Condition aggravated, Contusion, Fall, Generalised anxiety disorder
Clinical narrative: Provider discharge summary "These were her acute medical issues addressed this hospitalization:   1. Hypoxia, resp insufficiency likely due to both CHF and COVID infection. -- received 5 days of Remdesivir. Daily Decadron. -- O2 requirement remained stable at 3-4 L nasal canula. -- at discharge, ambulated without significant O2 desaturation while on 3 L. -- not felt to have any superimposed bacterial infection. -- vaccinated patient   2. HFpEF. 3. Group 2 pHTN. -- continued daily Lasix.   4. HTN. -- BP well controlled.   5. PAF -- Rate controlled. Not on any AC due to history of severe epistaxis.   6. COVID infection in vaccinated patient. 7. Facial bruising due to fall at home a week ago.   8. Chronic leukocytosis due to PV. -- cont daily Hydrea.   DC home today 1/22 with home O2 (3L).  homecare and therapies set up."
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Generalised oedema, Haematoma, Hypertension, Hypocalcaemia, Hypoproteinaemia
Clinical narrative: Provider discharge summary "These were her acute medical issues addressed this hospitalization:   1. Hypoxia, resp insufficiency likely due to both CHF and COVID infection. -- received 5 days of Remdesivir. Daily Decadron. -- O2 requirement remained stable at 3-4 L nasal canula. -- at discharge, ambulated without significant O2 desaturation while on 3 L. -- not felt to have any superimposed bacterial infection. -- vaccinated patient   2. HFpEF. 3. Group 2 pHTN. -- continued daily Lasix.   4. HTN. -- BP well controlled.   5. PAF -- Rate controlled. Not on any AC due to history of severe epistaxis.   6. COVID infection in vaccinated patient. 7. Facial bruising due to fall at home a week ago.   8. Chronic leukocytosis due to PV. -- cont daily Hydrea.   DC home today 1/22 with home O2 (3L).  homecare and therapies set up."
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypoxia, Interchange of vaccine products, Leukocytosis, Normochromic normocytic anaemia, Oedema peripheral
Clinical narrative: Provider discharge summary "These were her acute medical issues addressed this hospitalization:   1. Hypoxia, resp insufficiency likely due to both CHF and COVID infection. -- received 5 days of Remdesivir. Daily Decadron. -- O2 requirement remained stable at 3-4 L nasal canula. -- at discharge, ambulated without significant O2 desaturation while on 3 L. -- not felt to have any superimposed bacterial infection. -- vaccinated patient   2. HFpEF. 3. Group 2 pHTN. -- continued daily Lasix.   4. HTN. -- BP well controlled.   5. PAF -- Rate controlled. Not on any AC due to history of severe epistaxis.   6. COVID infection in vaccinated patient. 7. Facial bruising due to fall at home a week ago.   8. Chronic leukocytosis due to PV. -- cont daily Hydrea.   DC home today 1/22 with home O2 (3L).  homecare and therapies set up."
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pelvic fracture, Pulmonary hypertension, Respiratory failure, SARS-CoV-2 test positive, Spinal compression fracture
Clinical narrative: Provider discharge summary "These were her acute medical issues addressed this hospitalization:   1. Hypoxia, resp insufficiency likely due to both CHF and COVID infection. -- received 5 days of Remdesivir. Daily Decadron. -- O2 requirement remained stable at 3-4 L nasal canula. -- at discharge, ambulated without significant O2 desaturation while on 3 L. -- not felt to have any superimposed bacterial infection. -- vaccinated patient   2. HFpEF. 3. Group 2 pHTN. -- continued daily Lasix.   4. HTN. -- BP well controlled.   5. PAF -- Rate controlled. Not on any AC due to history of severe epistaxis.   6. COVID infection in vaccinated patient. 7. Facial bruising due to fall at home a week ago.   8. Chronic leukocytosis due to PV. -- cont daily Hydrea.   DC home today 1/22 with home O2 (3L).  homecare and therapies set up."
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test abnormal
Clinical narrative: Unable to speak directly with case. Case was admitted to hospital and tested positive on 04/22/2022. Currently she remains hospitalized.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Arthralgia, Asthenia, Blood test normal, Chills
Clinical narrative: The day of the vaccine, I had a headache with muscle and joint pain all over my body. That night I had chills with my skin hot. I felt like that triggered my RA and made a flare up. On 05/01/2022 around 2:30AM, I woke up and then I experienced pain in my stomach. I went downstairs to get Gaviscon medication and milk. I bent down to get the quart of milk and I could not lift the milk. I could not move my right arm and it felt like my head was being pushed down. It was a weird feeling. I could not control my arm and spilled my medication. My arm was extremely weak and heavy. This completely stopped when I got halfway up the stairs. I wanted to call 911 because I thought I was having a stroke. I sat on my bed and then got extremely cold. I drove myself to the ER. I had a CT Scan and EKG. I was admitted and had a brain and Carotid artery MRI as well as blood work. Nothing was indicated. The neurologist at hospital diagnosed it as a TIA. I went to a cardiologist 5/2/2022 and I will have a TTE next week. I am still very week. I was prescribed Prednisone that may resolve the weakness due to the RA flare up.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Condition aggravated, Electrocardiogram normal, Feeling abnormal, Feeling cold
Clinical narrative: The day of the vaccine, I had a headache with muscle and joint pain all over my body. That night I had chills with my skin hot. I felt like that triggered my RA and made a flare up. On 05/01/2022 around 2:30AM, I woke up and then I experienced pain in my stomach. I went downstairs to get Gaviscon medication and milk. I bent down to get the quart of milk and I could not lift the milk. I could not move my right arm and it felt like my head was being pushed down. It was a weird feeling. I could not control my arm and spilled my medication. My arm was extremely weak and heavy. This completely stopped when I got halfway up the stairs. I wanted to call 911 because I thought I was having a stroke. I sat on my bed and then got extremely cold. I drove myself to the ER. I had a CT Scan and EKG. I was admitted and had a brain and Carotid artery MRI as well as blood work. Nothing was indicated. The neurologist at hospital diagnosed it as a TIA. I went to a cardiologist 5/2/2022 and I will have a TTE next week. I am still very week. I was prescribed Prednisone that may resolve the weakness due to the RA flare up.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Head discomfort, Headache, Limb discomfort, Magnetic resonance imaging head normal, Magnetic resonance imaging normal
Clinical narrative: The day of the vaccine, I had a headache with muscle and joint pain all over my body. That night I had chills with my skin hot. I felt like that triggered my RA and made a flare up. On 05/01/2022 around 2:30AM, I woke up and then I experienced pain in my stomach. I went downstairs to get Gaviscon medication and milk. I bent down to get the quart of milk and I could not lift the milk. I could not move my right arm and it felt like my head was being pushed down. It was a weird feeling. I could not control my arm and spilled my medication. My arm was extremely weak and heavy. This completely stopped when I got halfway up the stairs. I wanted to call 911 because I thought I was having a stroke. I sat on my bed and then got extremely cold. I drove myself to the ER. I had a CT Scan and EKG. I was admitted and had a brain and Carotid artery MRI as well as blood work. Nothing was indicated. The neurologist at hospital diagnosed it as a TIA. I went to a cardiologist 5/2/2022 and I will have a TTE next week. I am still very week. I was prescribed Prednisone that may resolve the weakness due to the RA flare up.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Muscular weakness, Musculoskeletal disorder, Myalgia, Rheumatoid arthritis
Clinical narrative: The day of the vaccine, I had a headache with muscle and joint pain all over my body. That night I had chills with my skin hot. I felt like that triggered my RA and made a flare up. On 05/01/2022 around 2:30AM, I woke up and then I experienced pain in my stomach. I went downstairs to get Gaviscon medication and milk. I bent down to get the quart of milk and I could not lift the milk. I could not move my right arm and it felt like my head was being pushed down. It was a weird feeling. I could not control my arm and spilled my medication. My arm was extremely weak and heavy. This completely stopped when I got halfway up the stairs. I wanted to call 911 because I thought I was having a stroke. I sat on my bed and then got extremely cold. I drove myself to the ER. I had a CT Scan and EKG. I was admitted and had a brain and Carotid artery MRI as well as blood work. Nothing was indicated. The neurologist at hospital diagnosed it as a TIA. I went to a cardiologist 5/2/2022 and I will have a TTE next week. I am still very week. I was prescribed Prednisone that may resolve the weakness due to the RA flare up.