chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Mastoid effusion, Muscular weakness, Neck injury, SARS-CoV-2 test positive, Spinal stenosis
Clinical narrative: PATIENT CURRENTLY HOSPITALIZED (6) DAYS  He is a 67 y.o. male with past medical history of poorly controlled DM II, CKD 4, obesity, OSA on BiPAP who presented to the ED with generalized weakness and recurrent falls at home.   Patient was recently hospitalized 12/15-12/24 for DKA and AKI from medical non-compliance. He was evaluated by PT/OT during that time who recommended SAR however patient refused and was discharged home. Unfortunately, the patient had a fall this morning when getting up to use the commode. He reports his legs gave out from underneath him and he fell hitting his head. He denies associated LOC or pre-syncopal prodrome. Reports this is his first fall since being home from the hospital. States his appetite has been poor and has continued to feel weak and tired. He hasn't been getting out of his bed much but does report being complaint with his medications. Denies fever, chills, URI symptoms, SOB, chest pain, unilateral weakness or joint paint.   Upon arrival to the ED, patient was afebrile and hemodynamically stable. Labs were notable for BUN 25, Cr 2.59, mg 1.4, hgb 12.4. CTH and CT cervical spine were negative for acute pathology. Patient received magnesium supplementation while in the ED.   Patient will be admitted to Facility for further treatment and evaluation.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Splenomegaly, Treatment noncompliance, Ultrasound Doppler normal, Ultrasound liver abnormal, Vascular calcification
Clinical narrative: PATIENT CURRENTLY HOSPITALIZED (6) DAYS  He is a 67 y.o. male with past medical history of poorly controlled DM II, CKD 4, obesity, OSA on BiPAP who presented to the ED with generalized weakness and recurrent falls at home.   Patient was recently hospitalized 12/15-12/24 for DKA and AKI from medical non-compliance. He was evaluated by PT/OT during that time who recommended SAR however patient refused and was discharged home. Unfortunately, the patient had a fall this morning when getting up to use the commode. He reports his legs gave out from underneath him and he fell hitting his head. He denies associated LOC or pre-syncopal prodrome. Reports this is his first fall since being home from the hospital. States his appetite has been poor and has continued to feel weak and tired. He hasn't been getting out of his bed much but does report being complaint with his medications. Denies fever, chills, URI symptoms, SOB, chest pain, unilateral weakness or joint paint.   Upon arrival to the ED, patient was afebrile and hemodynamically stable. Labs were notable for BUN 25, Cr 2.59, mg 1.4, hgb 12.4. CTH and CT cervical spine were negative for acute pathology. Patient received magnesium supplementation while in the ED.   Patient will be admitted to Facility for further treatment and evaluation.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Vertebral foraminal stenosis, Vertebral osteophyte
Clinical narrative: PATIENT CURRENTLY HOSPITALIZED (6) DAYS  He is a 67 y.o. male with past medical history of poorly controlled DM II, CKD 4, obesity, OSA on BiPAP who presented to the ED with generalized weakness and recurrent falls at home.   Patient was recently hospitalized 12/15-12/24 for DKA and AKI from medical non-compliance. He was evaluated by PT/OT during that time who recommended SAR however patient refused and was discharged home. Unfortunately, the patient had a fall this morning when getting up to use the commode. He reports his legs gave out from underneath him and he fell hitting his head. He denies associated LOC or pre-syncopal prodrome. Reports this is his first fall since being home from the hospital. States his appetite has been poor and has continued to feel weak and tired. He hasn't been getting out of his bed much but does report being complaint with his medications. Denies fever, chills, URI symptoms, SOB, chest pain, unilateral weakness or joint paint.   Upon arrival to the ED, patient was afebrile and hemodynamically stable. Labs were notable for BUN 25, Cr 2.59, mg 1.4, hgb 12.4. CTH and CT cervical spine were negative for acute pathology. Patient received magnesium supplementation while in the ED.   Patient will be admitted to Facility for further treatment and evaluation.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Diarrhoea, Hyperhidrosis, Seizure
Clinical narrative: Mom reports increase in seizure activity, sweating, diarrhea
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Mental status changes, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Pt was in the ED the previous day and was positive for COVID.  Returned for admission due to altered mental status likely due to UTI.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Cardiac flutter, Chest discomfort, Dyspnoea, Fatigue
Clinical narrative: shortness of breath, elevated heart rate, elevated blood pressure, tightness in chest and heart flutter - these symptoms lasted for over 2 months after injection.  Other common side effects lasted for approximately 2 days after injection (headache, feeling very tired, muscle aches, nausea, and fever)
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Myalgia, Nausea, Pyrexia
Clinical narrative: shortness of breath, elevated heart rate, elevated blood pressure, tightness in chest and heart flutter - these symptoms lasted for over 2 months after injection.  Other common side effects lasted for approximately 2 days after injection (headache, feeling very tired, muscle aches, nausea, and fever)
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site discharge, Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: INITIAL REPORT OF REDNESS, SORENESS AT INJECTION SITE - APPROXIMATELY 7 DAYS AFTER VACCINATION REDNESS WORSENED AND 10 DAYS POST-VACCINATION AFTER ICE THEN HOT BATH THE SWOLLEN AREA BEGAN TO DRAIN A YELLOW/GREEN DISCHARGE .  APPOINTMENT SCHEDULED FOR 1/4 WITH PCP FOR EVALUATION OF POTENTIAL INFECTION
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Confusional state, Dizziness, Fatigue
Clinical narrative: Started with extremely sore arm and noticeable dizziness on day 1. Each day had new symptoms. Day 2 I had headache, dizziness, sore arm, major sensitivity to light, confusion, and extreme thirst that could not be quenched.  Day 3 was more of the same but exhaustion was much worse. Day 4 had new symptoms, at night I had severe pelvic pain. So severe I would have gone to the ER if able. I did not sleep all night and Advil did not help. Day 5 I was still exhausted and still with pelvic pain but the pain was like an after effect pain, as if I had been injured internally and could feel all the bruising. This lasted for most of the day. I took Advil for the 2nd time. Day 6 I developed chills, still had headache and exhaustion. Day 7 Feeling a little better but not ready for normal activity. Day 8 Feeling almost normal, no headache but still weak.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Loss of personal independence in daily activities, Pain in extremity, Pelvic pain, Photophobia
Clinical narrative: Started with extremely sore arm and noticeable dizziness on day 1. Each day had new symptoms. Day 2 I had headache, dizziness, sore arm, major sensitivity to light, confusion, and extreme thirst that could not be quenched.  Day 3 was more of the same but exhaustion was much worse. Day 4 had new symptoms, at night I had severe pelvic pain. So severe I would have gone to the ER if able. I did not sleep all night and Advil did not help. Day 5 I was still exhausted and still with pelvic pain but the pain was like an after effect pain, as if I had been injured internally and could feel all the bruising. This lasted for most of the day. I took Advil for the 2nd time. Day 6 I developed chills, still had headache and exhaustion. Day 7 Feeling a little better but not ready for normal activity. Day 8 Feeling almost normal, no headache but still weak.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Thirst
Clinical narrative: Started with extremely sore arm and noticeable dizziness on day 1. Each day had new symptoms. Day 2 I had headache, dizziness, sore arm, major sensitivity to light, confusion, and extreme thirst that could not be quenched.  Day 3 was more of the same but exhaustion was much worse. Day 4 had new symptoms, at night I had severe pelvic pain. So severe I would have gone to the ER if able. I did not sleep all night and Advil did not help. Day 5 I was still exhausted and still with pelvic pain but the pain was like an after effect pain, as if I had been injured internally and could feel all the bruising. This lasted for most of the day. I took Advil for the 2nd time. Day 6 I developed chills, still had headache and exhaustion. Day 7 Feeling a little better but not ready for normal activity. Day 8 Feeling almost normal, no headache but still weak.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Immunoglobulin therapy, Monoplegia, Nervous system disorder, Pain in extremity
Clinical narrative: Systemic: Neurological Disorder (diagnosed )-Severe, Additional Details: 1 hour post injection patients right arm became paralyzed with excruciating pain/ patient had polio as a child and this was similar to what patient remembers experiencing as a child/had a neurology consult and is being treated with IGG treatments and is still under exam for ongoing symptoms and paralysis
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Nerve stimulation test abnormal, Neuralgic amyotrophy, Pain in extremity
Clinical narrative: Systemic: Neurological Disorder (diagnosed )-Severe, Additional Details: 1 hour post injection patients right arm became paralyzed with excruciating pain/ patient had polio as a child and this was similar to what patient remembers experiencing as a child/had a neurology consult and is being treated with IGG treatments and is still under exam for ongoing symptoms and paralysis
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Oedema peripheral, Tenderness
Clinical narrative: Patient states that the morning following the vaccination, her right underarm was swollen and very tender to touch and believes it to be a swollen lymph node caused by the vaccine. Patient reported the incident to the pharmacy on 1/3/2022 and to her medical provider, Dr. for documentation in her medical chart.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia, Pruritus
Clinical narrative: Hours after injection over all skin tingle/sleeping tingle. Went away after 6-7 days. Now 3 months later extreme intense skin itching without rash or reason. Right leg numbness/sleepy tingle
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, COVID-19, Chest pain, Cough, Dyspnoea
Clinical narrative: Covid19 breakthrough.  1st Vaccine given 2/21/2021.  Pt presents with URI, onset of 5 days ago and Covid exposure in the home.   Has c/o cough, SOB, Left sided chest pain radiating to back.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Exposure to SARS-CoV-2, Pain, SARS-CoV-2 test positive, Upper respiratory tract infection, Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st Vaccine given 2/21/2021.  Pt presents with URI, onset of 5 days ago and Covid exposure in the home.   Has c/o cough, SOB, Left sided chest pain radiating to back.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood potassium decreased, Blood sodium increased, Blood urea increased, Death
Clinical narrative: AFTER PT RECEIVED INITIAL DOSES OF VACCINE IN AUG 2021  STARTED HAVING INCREASED NEUROLOGICAL ISSUES, DECREASED MOBILITY TWITCHING/ JERKY MOVEMENT W/ FREQ FALLS.  AFTER RECEIVING HER BOOSTER 11/05/2021 PT BEGAN TO DECLINE AFTER 3 WKS. PLACED ON COMFORT CARE 12/2/2021 AND EXPIRED 12/03/2021
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: General physical health deterioration, Haemoglobin normal, Mean cell volume normal, White blood cell count normal
Clinical narrative: AFTER PT RECEIVED INITIAL DOSES OF VACCINE IN AUG 2021  STARTED HAVING INCREASED NEUROLOGICAL ISSUES, DECREASED MOBILITY TWITCHING/ JERKY MOVEMENT W/ FREQ FALLS.  AFTER RECEIVING HER BOOSTER 11/05/2021 PT BEGAN TO DECLINE AFTER 3 WKS. PLACED ON COMFORT CARE 12/2/2021 AND EXPIRED 12/03/2021
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Blood iron decreased, Blood test abnormal, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: I received my vaccine day 3 of my Menstrual Cycle. I have a history of heavy periods but it had gotten better after being on Birth Control. After receiving the Covid vaccine I had experienced a heavy hemorrhagic blood flow filling up an overnight pad and ultra tampon over the course of 90 minutes. I had bloodwork done about a week later. It was discovered that I was severely Anemic. I have started on Iron and will be getting Iron infusions.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Red blood cell count decreased, Transferrin saturation decreased
Clinical narrative: I received my vaccine day 3 of my Menstrual Cycle. I have a history of heavy periods but it had gotten better after being on Birth Control. After receiving the Covid vaccine I had experienced a heavy hemorrhagic blood flow filling up an overnight pad and ultra tampon over the course of 90 minutes. I had bloodwork done about a week later. It was discovered that I was severely Anemic. I have started on Iron and will be getting Iron infusions.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Ear pain, Eyelid disorder, Facial paresis, Laboratory test abnormal
Clinical narrative: Weakness in right side of face, couldn't smile  Couldn't shut eyes. Pain in right ear.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash pruritic, Urticaria
Clinical narrative: Global urticaria, still ongoing to this date, the rash will come and go on all parts of my body, it is painful and itchy
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Conjunctivitis, Endotracheal intubation, Immunoglobulin therapy, Inflammatory marker increased
Clinical narrative: Pt with MIS-C, fevers starting around 12/17/21; diagnosed w/ MIS-C on 1/1/21 when presented with fevers, abdominal pain, rash, conjunctivitis and elevated inflammatory markers, including cardiac enzymes. Ended up intubated on 2 pressors (epi and milrinone I believe, transferred to teriary care center). COVID IgG positive to nucleocapsid, so likely had asymptomatic COVID at time of vaccination. But you guys say to report this so I am. Received IVIG, steroids as well. Improving today, 1/3/22, just extubated per report.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Myocardial necrosis marker increased, Pyrexia, Rash, SARS-CoV-2 antibody test positive
Clinical narrative: Pt with MIS-C, fevers starting around 12/17/21; diagnosed w/ MIS-C on 1/1/21 when presented with fevers, abdominal pain, rash, conjunctivitis and elevated inflammatory markers, including cardiac enzymes. Ended up intubated on 2 pressors (epi and milrinone I believe, transferred to teriary care center). COVID IgG positive to nucleocapsid, so likely had asymptomatic COVID at time of vaccination. But you guys say to report this so I am. Received IVIG, steroids as well. Improving today, 1/3/22, just extubated per report.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Condition aggravated, Dry eye, Eczema, Eye pain
Clinical narrative: I had worsening dry eye in the early weeks of November (after 11/3/2021). I sought help at Eye Center on 11/17/2021, Dr. refilled a prescription for erythromycin to use at bed time (a medication I had been using since 2019). Around 2am on 11/20/2021 I woke up with searing pain in my eyes. My eyes were bloodshot, my interior eyelids had swelled significantly, and were covered in what appeared to be tiny blisters. Dr. at Eye Center was the first person that could see me, and got me in on 11/23/2021. She said that it appeared as though I was having some sort of allergic reaction, possibly to the erythromycin. She prescribed me prednisolone acetate to control the swelling, and had me come back for a follow-up on 11/30/2021. She and I discussed the possibility that I had developed a very sudden allergy to eye care preservatives. On 12/01/2021 I met with Dr. at Eye Care center. After reviewing my medical history he encouraged me to meet with a rheumatologist to discuss auto-immune disorders, and look into whether or not the recent flareup with my eyes could be related to an auto-immune flareup.  In December I also had a seborrheic dermatitis flareup that caused me to seek medical help at Clinic on 12/14/2021, and an eczema flareup I have been treating at home.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Eyelid disorder, Hypersensitivity, Ocular hyperaemia, Seborrhoeic dermatitis, Swelling of eyelid
Clinical narrative: I had worsening dry eye in the early weeks of November (after 11/3/2021). I sought help at Eye Center on 11/17/2021, Dr. refilled a prescription for erythromycin to use at bed time (a medication I had been using since 2019). Around 2am on 11/20/2021 I woke up with searing pain in my eyes. My eyes were bloodshot, my interior eyelids had swelled significantly, and were covered in what appeared to be tiny blisters. Dr. at Eye Center was the first person that could see me, and got me in on 11/23/2021. She said that it appeared as though I was having some sort of allergic reaction, possibly to the erythromycin. She prescribed me prednisolone acetate to control the swelling, and had me come back for a follow-up on 11/30/2021. She and I discussed the possibility that I had developed a very sudden allergy to eye care preservatives. On 12/01/2021 I met with Dr. at Eye Care center. After reviewing my medical history he encouraged me to meet with a rheumatologist to discuss auto-immune disorders, and look into whether or not the recent flareup with my eyes could be related to an auto-immune flareup.  In December I also had a seborrheic dermatitis flareup that caused me to seek medical help at Clinic on 12/14/2021, and an eczema flareup I have been treating at home.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Facial pain, Fatigue, Hypersomnia, Illness
Clinical narrative: 12/20/2021 Covid symptoms started. I felt very exhausted and fatigued. On the 21st I woke up very sick with runny nose, sneezing, horrible sinus pressure, facial pain, teeth pain, chills with no fever, a little tickle in my throat but it wasn't persistent, and drainage and congestion. The facial pain was the worst face pain I've ever experienced. It hit all at once and I slept for 2 days, and on the 23rd I felt better.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Paranasal sinus discomfort, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test, Sinus operation
Clinical narrative: 12/20/2021 Covid symptoms started. I felt very exhausted and fatigued. On the 21st I woke up very sick with runny nose, sneezing, horrible sinus pressure, facial pain, teeth pain, chills with no fever, a little tickle in my throat but it wasn't persistent, and drainage and congestion. The facial pain was the worst face pain I've ever experienced. It hit all at once and I slept for 2 days, and on the 23rd I felt better.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing, Throat irritation, Toothache
Clinical narrative: 12/20/2021 Covid symptoms started. I felt very exhausted and fatigued. On the 21st I woke up very sick with runny nose, sneezing, horrible sinus pressure, facial pain, teeth pain, chills with no fever, a little tickle in my throat but it wasn't persistent, and drainage and congestion. The facial pain was the worst face pain I've ever experienced. It hit all at once and I slept for 2 days, and on the 23rd I felt better.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Influenza virus test negative, Pyrexia, SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: 6-year-old 26kg male with NKDA and PMH significant for allegic rhinitis and eczema localized to penis was vaccinated with Pfizer COVID-19 vaccine (batch/lot# unknown) on ~11/12/2021. Patient reportedly had COVID-19 seven weeks before this vaccination (dose#1 of 2) was given. 24 hours following vaccination, patient had fever (102) and intermittent headache, which was managed with acetaminophen alternating with ibuprofen. No other symptoms. Fever and headache continued as of 1/2/2022; therefore patient was seen by urgent care clinic. Patient otherwise seemed healthy.  Patient tested negative for influenza, COVID-19 and strep A. Unable to rule-out possible prolonged immune-mediated fever versus viral infection. Patient to be seen by PCP.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Diplopia, Ophthalmic scan, Scan with contrast
Clinical narrative: About 2 weeks after vaccine I noticed Monocular Diplopia in my eyes & I saw double of everything so I contacted a dr.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Anion gap, Asthenia, Blood bicarbonate increased, Blood chloride normal
Clinical narrative: Patient currently hospitalized (9) days. HOSPITAL COURSE: Patient is a 58-year-old female with a history of primary progressive MS who presented with increasing generalized weakness, worse from her baseline (at baseline, right lower extremity worse than left lower extremity) and dyspnea/cough.  In ER she was noted to have COVID-19 along with chest x-ray showing patchy bilateral airspace disease. She has received her COVID vaccination and her booster in October. She was admitted and started on decadron. She was seen by neurology who recommended MRI brain to rule out acute demyelinating lesions. MRI brain without acute changes compared to prior. Neurology felt weakness represented a pseudo flare in the setting of acute COVID infection.  Oxygen needs began to increase. CT angio thorax showing no PE. The patient was transitioned to IV solumedrol, started on IV lasix and ppx antibiotics for CAP.    The patient slowly started to show improvement and oxygen was weaned down to 2L at and rest and 4L with activity. Pulm rehab evaluated the patient for home oxygen.   PT/OT evaluated the patient and recommended IRC, but did not get insurance authorization and SAR was recommended instead. After further discussion with the patient she is declining SAR and prefers to discharge home. She will be sent home with a prednisone taper and HHC will be arranged.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood urea increased
Clinical narrative: Patient currently hospitalized (9) days. HOSPITAL COURSE: Patient is a 58-year-old female with a history of primary progressive MS who presented with increasing generalized weakness, worse from her baseline (at baseline, right lower extremity worse than left lower extremity) and dyspnea/cough.  In ER she was noted to have COVID-19 along with chest x-ray showing patchy bilateral airspace disease. She has received her COVID vaccination and her booster in October. She was admitted and started on decadron. She was seen by neurology who recommended MRI brain to rule out acute demyelinating lesions. MRI brain without acute changes compared to prior. Neurology felt weakness represented a pseudo flare in the setting of acute COVID infection.  Oxygen needs began to increase. CT angio thorax showing no PE. The patient was transitioned to IV solumedrol, started on IV lasix and ppx antibiotics for CAP.    The patient slowly started to show improvement and oxygen was weaned down to 2L at and rest and 4L with activity. Pulm rehab evaluated the patient for home oxygen.   PT/OT evaluated the patient and recommended IRC, but did not get insurance authorization and SAR was recommended instead. After further discussion with the patient she is declining SAR and prefers to discharge home. She will be sent home with a prednisone taper and HHC will be arranged.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cardiomegaly, Chest X-ray abnormal, Cholelithiasis, Cough
Clinical narrative: Patient currently hospitalized (9) days. HOSPITAL COURSE: Patient is a 58-year-old female with a history of primary progressive MS who presented with increasing generalized weakness, worse from her baseline (at baseline, right lower extremity worse than left lower extremity) and dyspnea/cough.  In ER she was noted to have COVID-19 along with chest x-ray showing patchy bilateral airspace disease. She has received her COVID vaccination and her booster in October. She was admitted and started on decadron. She was seen by neurology who recommended MRI brain to rule out acute demyelinating lesions. MRI brain without acute changes compared to prior. Neurology felt weakness represented a pseudo flare in the setting of acute COVID infection.  Oxygen needs began to increase. CT angio thorax showing no PE. The patient was transitioned to IV solumedrol, started on IV lasix and ppx antibiotics for CAP.    The patient slowly started to show improvement and oxygen was weaned down to 2L at and rest and 4L with activity. Pulm rehab evaluated the patient for home oxygen.   PT/OT evaluated the patient and recommended IRC, but did not get insurance authorization and SAR was recommended instead. After further discussion with the patient she is declining SAR and prefers to discharge home. She will be sent home with a prednisone taper and HHC will be arranged.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Glomerular filtration rate normal, Haematocrit normal, Haemoglobin normal, Lung disorder
Clinical narrative: Patient currently hospitalized (9) days. HOSPITAL COURSE: Patient is a 58-year-old female with a history of primary progressive MS who presented with increasing generalized weakness, worse from her baseline (at baseline, right lower extremity worse than left lower extremity) and dyspnea/cough.  In ER she was noted to have COVID-19 along with chest x-ray showing patchy bilateral airspace disease. She has received her COVID vaccination and her booster in October. She was admitted and started on decadron. She was seen by neurology who recommended MRI brain to rule out acute demyelinating lesions. MRI brain without acute changes compared to prior. Neurology felt weakness represented a pseudo flare in the setting of acute COVID infection.  Oxygen needs began to increase. CT angio thorax showing no PE. The patient was transitioned to IV solumedrol, started on IV lasix and ppx antibiotics for CAP.    The patient slowly started to show improvement and oxygen was weaned down to 2L at and rest and 4L with activity. Pulm rehab evaluated the patient for home oxygen.   PT/OT evaluated the patient and recommended IRC, but did not get insurance authorization and SAR was recommended instead. After further discussion with the patient she is declining SAR and prefers to discharge home. She will be sent home with a prednisone taper and HHC will be arranged.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Lung opacity, Magnetic resonance imaging head normal, Mean cell volume normal, Neutrophil count, Platelet count normal
Clinical narrative: Patient currently hospitalized (9) days. HOSPITAL COURSE: Patient is a 58-year-old female with a history of primary progressive MS who presented with increasing generalized weakness, worse from her baseline (at baseline, right lower extremity worse than left lower extremity) and dyspnea/cough.  In ER she was noted to have COVID-19 along with chest x-ray showing patchy bilateral airspace disease. She has received her COVID vaccination and her booster in October. She was admitted and started on decadron. She was seen by neurology who recommended MRI brain to rule out acute demyelinating lesions. MRI brain without acute changes compared to prior. Neurology felt weakness represented a pseudo flare in the setting of acute COVID infection.  Oxygen needs began to increase. CT angio thorax showing no PE. The patient was transitioned to IV solumedrol, started on IV lasix and ppx antibiotics for CAP.    The patient slowly started to show improvement and oxygen was weaned down to 2L at and rest and 4L with activity. Pulm rehab evaluated the patient for home oxygen.   PT/OT evaluated the patient and recommended IRC, but did not get insurance authorization and SAR was recommended instead. After further discussion with the patient she is declining SAR and prefers to discharge home. She will be sent home with a prednisone taper and HHC will be arranged.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Red blood cell count normal, Scan with contrast normal, White blood cell count normal
Clinical narrative: Patient currently hospitalized (9) days. HOSPITAL COURSE: Patient is a 58-year-old female with a history of primary progressive MS who presented with increasing generalized weakness, worse from her baseline (at baseline, right lower extremity worse than left lower extremity) and dyspnea/cough.  In ER she was noted to have COVID-19 along with chest x-ray showing patchy bilateral airspace disease. She has received her COVID vaccination and her booster in October. She was admitted and started on decadron. She was seen by neurology who recommended MRI brain to rule out acute demyelinating lesions. MRI brain without acute changes compared to prior. Neurology felt weakness represented a pseudo flare in the setting of acute COVID infection.  Oxygen needs began to increase. CT angio thorax showing no PE. The patient was transitioned to IV solumedrol, started on IV lasix and ppx antibiotics for CAP.    The patient slowly started to show improvement and oxygen was weaned down to 2L at and rest and 4L with activity. Pulm rehab evaluated the patient for home oxygen.   PT/OT evaluated the patient and recommended IRC, but did not get insurance authorization and SAR was recommended instead. After further discussion with the patient she is declining SAR and prefers to discharge home. She will be sent home with a prednisone taper and HHC will be arranged.
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chills, Cough, Headache, Nasal congestion, Oropharyngeal pain
Clinical narrative: include headache on and off, sore throat, nonproductive cough on and off, chills, nasal congestion, post nasal drainage. starting 12/31/21
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Upper-airway cough syndrome
Clinical narrative: include headache on and off, sore throat, nonproductive cough on and off, chills, nasal congestion, post nasal drainage. starting 12/31/21
Sex: M
Vaccine: COVID19
Symptoms: Eyelid ptosis, Hypoaesthesia
Clinical narrative: Numbness on left side of face. Unable to keep left eye open. This lasted 2 hours. Went home went to sleep for 3 hours and woke up and it was gone.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaemia, Asymptomatic COVID-19, Haemoglobin decreased, Nausea, SARS-CoV-2 test positive
Clinical narrative: Pt with ESRD, tested asymptomatically COVID positive.  Was admitted due to acute anemia with a hemoglobin of 6.2 and nausea and vomting.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: Pt with ESRD, tested asymptomatically COVID positive.  Was admitted due to acute anemia with a hemoglobin of 6.2 and nausea and vomting.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Eye movement disorder, Musculoskeletal stiffness, Pallor, Unresponsive to stimuli
Clinical narrative: stiffen up   eyes rolled back  pt unresponsive for 5 to 10 sec  given ice pack and held to back of neck prior to administration pt was pale and sat for 25 minutes after dose  pt had the same reaction to first shot  and has it to all shots
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine positive rechallenge
Clinical narrative: stiffen up   eyes rolled back  pt unresponsive for 5 to 10 sec  given ice pack and held to back of neck prior to administration pt was pale and sat for 25 minutes after dose  pt had the same reaction to first shot  and has it to all shots
Age: 29.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Chills, Cough, Dysgeusia, Exposure to SARS-CoV-2, Fatigue
Clinical narrative: I woke up the night after I got the shot and I had a fever, chills, headache, and trouble falling back asleep. It continued into that day. The first day and second day were the same. I had a metallic taste in my mouth. I did not want to eat anything. The third day I started feeling a little bit better but I was very tired. I had a cough. The day after that I started feeling better but the cough, headache and exhaustion stayed around. On 12/8/2021 I went to a local medical Clinic to make sure I did not have Covid and it was negative. They also tested me for Strep and Flu, which were negative too. They told me to keep taking Tylenol and Dayquil. I was feeling better by the weekend. I did not have a fever anymore. I still had a bad cough and I was exhausted. That continued for a couple of weeks. The cough has mostly stopped by now. On 12/21/2021 I was exposed to Covid and tested negative. A couple of days after that I started feeling worse again. On 12/24 my cough got worse. On 12/25 I was feeling very tired, I had a headache and cough. On 12/27/2021 I went to the pharmacy and they tested me for Covid again and it was negative. They could not find anything wrong with me so they thought it was from the vaccine. They gave me an antibiotic and cough medicine. The cough has gotten better since 2 days ago. I am not as tired as I was before. Yesterday was the first day that I have not had to take Tylenol or Dayquil to feel better.
Age: 29.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Feeding disorder, Headache, Influenza virus test negative, Insomnia, Pyrexia
Clinical narrative: I woke up the night after I got the shot and I had a fever, chills, headache, and trouble falling back asleep. It continued into that day. The first day and second day were the same. I had a metallic taste in my mouth. I did not want to eat anything. The third day I started feeling a little bit better but I was very tired. I had a cough. The day after that I started feeling better but the cough, headache and exhaustion stayed around. On 12/8/2021 I went to a local medical Clinic to make sure I did not have Covid and it was negative. They also tested me for Strep and Flu, which were negative too. They told me to keep taking Tylenol and Dayquil. I was feeling better by the weekend. I did not have a fever anymore. I still had a bad cough and I was exhausted. That continued for a couple of weeks. The cough has mostly stopped by now. On 12/21/2021 I was exposed to Covid and tested negative. A couple of days after that I started feeling worse again. On 12/24 my cough got worse. On 12/25 I was feeling very tired, I had a headache and cough. On 12/27/2021 I went to the pharmacy and they tested me for Covid again and it was negative. They could not find anything wrong with me so they thought it was from the vaccine. They gave me an antibiotic and cough medicine. The cough has gotten better since 2 days ago. I am not as tired as I was before. Yesterday was the first day that I have not had to take Tylenol or Dayquil to feel better.
Age: 29.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: I woke up the night after I got the shot and I had a fever, chills, headache, and trouble falling back asleep. It continued into that day. The first day and second day were the same. I had a metallic taste in my mouth. I did not want to eat anything. The third day I started feeling a little bit better but I was very tired. I had a cough. The day after that I started feeling better but the cough, headache and exhaustion stayed around. On 12/8/2021 I went to a local medical Clinic to make sure I did not have Covid and it was negative. They also tested me for Strep and Flu, which were negative too. They told me to keep taking Tylenol and Dayquil. I was feeling better by the weekend. I did not have a fever anymore. I still had a bad cough and I was exhausted. That continued for a couple of weeks. The cough has mostly stopped by now. On 12/21/2021 I was exposed to Covid and tested negative. A couple of days after that I started feeling worse again. On 12/24 my cough got worse. On 12/25 I was feeling very tired, I had a headache and cough. On 12/27/2021 I went to the pharmacy and they tested me for Covid again and it was negative. They could not find anything wrong with me so they thought it was from the vaccine. They gave me an antibiotic and cough medicine. The cough has gotten better since 2 days ago. I am not as tired as I was before. Yesterday was the first day that I have not had to take Tylenol or Dayquil to feel better.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac arrest, Chest pain, Hypoxia
Clinical narrative: Hypoxia,  chest pain, and then 3 episodes of cardiac arrest.  No cardiac history.  Patient stated she was fully vaccinated with 2 vaccines and the booster.  Did not provide manufacturer.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Ear discomfort, Hyperacusis, Hypoacusis, Illness
Clinical narrative: Extreme illness with fever and muscular pain. Unable to get up and move about.   After the normal symptoms subsided, my ears became clogged on 12/22/21 and have been clogged ever since. Causes ringing, underwater feeling, popping, body imbalance, high pitched sounds, muffling.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Myalgia, Pyrexia, Tinnitus
Clinical narrative: Extreme illness with fever and muscular pain. Unable to get up and move about.   After the normal symptoms subsided, my ears became clogged on 12/22/21 and have been clogged ever since. Causes ringing, underwater feeling, popping, body imbalance, high pitched sounds, muffling.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid monitoring documentation. PT admitted 12/18/21 documented to have positive covid. PT received 1st dose Janssen 5/10/21 Lot 204A21A.
Age: 15.0
Sex: F
Vaccine: HPV9
Symptoms: Abortion spontaneous
Clinical narrative: Developed allergies to latex, avocado, and estrogens. No longer received period for the 14 years following vaccine. And took clomid to get pregnant and experienced a miscarriage at 19 weeks 4 days
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Client presents to vaccine site to receive additional dose due to immunocompromised one day early.  Client states he would like additional dose early as vaccine site will be closed tomorrow.  Medical consult team approves additional dose for today.  Client is vaccinated with Pfizer additional dose, no adverse symptoms reported in observation period and client is able to leave vaccination site.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrooesophageal reflux disease, Menstrual disorder, Pain in extremity, Peripheral swelling
Clinical narrative: Had typical arm pain with swelling. Had really bad Acid Reflux and affected Menstrual Cycle.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: Covid Arm - redness, soreness, swelling around injection site about the size of a softball
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Headache, Vomiting
Clinical narrative: 1 DAY AFTER PATIENT RECEIVED SECOND COVID-19 VACCINATION, HE STARTED WITH VOMITING, STOMACHACHE AND HEADACHE. MOM FEELS LIKE THIS IS RELATED TO HIM RECEIVING HIS SECOND COVID VACCINE 1 DAY PRIOR.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: A mild case of Shingles arose after second Moderna shot.  I had approximately 9 shingles bumps on the right side of my torso.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Palpitations, Pyrexia, Tachycardia
Clinical narrative: Began running fever around 10 pm on 12/13/2021 (day of vaccination). Fever escalated to 104.2 by 3 am. Felt heart pounding and took pulse via blood pressure cuff (cardiologist recommended). Resting heart rate recorded between 130 - 140 bpm; tachycardia range. Resting heart rate persisted between 115 - 125 on 12/14/2021 with a fever of 100 - 102. Called the doctor on 12/14/2021. Instructed to continue to monitor and call if the bpm escalated to 130-140 again or did not return to normal as fever subsided. Heart rate recovered to normal range (below 100 bpm) on 12/15/2021.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Dry throat, Fatigue, Headache, Nausea, Pain in extremity
Clinical narrative: DRY THROAT, HEADACHE, FATIGUE, CONGESTION, RUNNY NOSE, PERSISTANT NAUSEA FOR 2 FULL DAYS, ARM SORENESS FOR 4 DAYS
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test negative
Clinical narrative: DRY THROAT, HEADACHE, FATIGUE, CONGESTION, RUNNY NOSE, PERSISTANT NAUSEA FOR 2 FULL DAYS, ARM SORENESS FOR 4 DAYS
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hospitalization
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Gianotti Crosti type rash on L arm spreading to R arm soon after, vaccine given on 12/30/21 in AM and rash noted 1/03/22 in AM.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: covid +
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia
Clinical narrative: On March 19, 2021, I had a 2+ hour episode of a heart arrhythmia.  I put on my apple watch and catalogued the heart rate which was between 100 and 162 for most of the time period.  I had once before (in 2019 had a very short episode of a-flutter-- under 10 minutes long).  This was different.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Error: Booster given too early.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Headache, Hyperacusis, Pain in extremity, Paraesthesia
Clinical narrative: The client was accompanied by his mother. Client reported arm pain and pain around his head.  The client stated the pain around his head was "triggered by the velcro sound" of his shoe. Vitals obtained at 4:47PM were as follows: BP 106/74, HR 84, O2 99%. The client was provided a snack and water. The client began eating the snack and drinking the water. The client denied any s/s of anaphylaxis, blurry vision, or dizziness. The client last ate at 11:00AM. Repeat vitals obtained at 4:52 PM were as follows: BP 104/78, Hr 68, O2 99%. RN asked the client to rate his current pain. The client denied any pain. The client reported "it's tingling" around his head and stated he has been feeling this way for four years. RN provided education to the client and his mother regarding s/s of anaphylaxis and when to seek EMS. The client and his mother voiced understanding of this education. RN recommended the client and his mother stay in the observation area for 30 minutes after the client's symptoms began. The client's mother chose to leave the vaccination site against medical advice to "go eat something." The client ambulated with a steady gait unassisted out of the vaccination site at 5:01PM.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Blood pressure increased, Chest pain, Computerised tomogram normal, Cough
Clinical narrative: I began to have severe left chest pain. I then began having trouble breathing. It comes and goes for about 8 minutes. I drove to the hospital. I began to have trouble swelling and coughing. It seems that when I moving it gets worst. They checked my vitals and I had elevated blood pressure. They did an EKG, normal result. I had heart pain so they did an X-ray, normal. They did a CT scan, normal results. They said that I could go home and was unsure what was causing. They gave me a prescription for a medicine for my throat. I still have left chest pain and it is starting to decreased each day.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram normal, Swelling, X-ray normal
Clinical narrative: I began to have severe left chest pain. I then began having trouble breathing. It comes and goes for about 8 minutes. I drove to the hospital. I began to have trouble swelling and coughing. It seems that when I moving it gets worst. They checked my vitals and I had elevated blood pressure. They did an EKG, normal result. I had heart pain so they did an X-ray, normal. They did a CT scan, normal results. They said that I could go home and was unsure what was causing. They gave me a prescription for a medicine for my throat. I still have left chest pain and it is starting to decreased each day.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Psoriasis
Clinical narrative: extreme flare of psoriasis. prior to booster, it was confined to small patches on calves.  About 10 days after booster, massive patches on arms, legs, chest, neck, scalp and buttocks.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, Chest X-ray, Chest pain, Echocardiogram normal, Electrocardiogram
Clinical narrative: Developed substernal chest pain on 1/2/22. Sought ED treatment on 1/3/22 and was diagnosed with myopericarditis.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Myocarditis, Troponin increased
Clinical narrative: Developed substernal chest pain on 1/2/22. Sought ED treatment on 1/3/22 and was diagnosed with myopericarditis.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is 12 years of age and was given the first dose of the Moderna vaccine which is not yet approved for persons under the age of 18 yrs.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: My 12yo son was mistakenly given the moderna dose of covid vaccine instead of the approved pfizer vaccine
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Headache, Injection site erythema, Injection site swelling
Clinical narrative: pounding Headache, fever, redness and swelling at the site, fatigue, body pain and shoulder, and hip joint pain, muscle pain 2 weeks after vaccination. Then pounding headache, fatigue, shoulder, neck, and right hip joint pain never relieved and it's severe since the climate change.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Neck pain, Pain, Pyrexia
Clinical narrative: pounding Headache, fever, redness and swelling at the site, fatigue, body pain and shoulder, and hip joint pain, muscle pain 2 weeks after vaccination. Then pounding headache, fatigue, shoulder, neck, and right hip joint pain never relieved and it's severe since the climate change.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Intensive care, Ischaemic stroke, Magnetic resonance imaging
Clinical narrative: Ischemic stroke with no known risk factors in healthy, active 75 yr. old woman.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Pain, Pain in extremity, Shoulder injury related to vaccine administration
Clinical narrative: Extreme pain to left arm the day after vaccination. Ongoing extreme pain for 7 days.  Still cannot lift arm and extreme pain when moving arm when trying to move arm normally and above shoulder height.   Adverse event presents as: SIRVA
Age: 29.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test normal, Computerised tomogram abnormal, Orchidectomy, Orchidopexy, Testicular pain
Clinical narrative: Second dose given Jan 26 (first Jan 4) On March 15 I woke up with pain in my left testicle that grew worse throughout the day. I contacted the health clinic and was referred to the emergency room where an ultrasound indicated possible torsion and was followed up with a bilateral orchidopexy occurring at about 3 AM on March 16. The pain failed to resolve after two weeks and a second ultrasound was taken on April 1 with a diagnosis of testicular cancer on April 2 and a left radical inguinal orchiectomy revealed a T2 nonseminoma with no metasteses on follow-up contrast CT on April 16. Two cycles of bleomycin, etoposide and cisplatin were started on May 3 and finished June 11 and a blood draw and follow-up CT on Sept 27 showed no recurrence; next monitoring follow-up is scheduled for July 2022.