chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea
Clinical narrative: low grade fever -hot flashes- began about 4 hours after vaccine remained about 14 hours sore throat - lasted 2 hours began 5 hours after vaccine feeling of muscle heaviness- began with low grade fever left with fever injection site soreness- 1 hour after remained 24 hours after runny nose- lasted only 2 hours began after sore throat started Headache- began 28 hours after vaccine....still present...getting worse
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Swollen tongue
Clinical narrative: Swelling of tongue as of 2/7 - admission to emergency on 2/8 hospital, swelling of lower lip on 2/23 to 2/24 - visit to Allergy Doctor on 2/25 - advised NOT to have second shot
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site erythema, Injection site pruritus
Clinical narrative: pt had redness/itching in a patch around injection site, starting about a week after vaccination
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: pt had redness/itching in a patch around injection site, starting about a week after vaccination
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Bladder catheterisation, Blood creatinine increased, Blood glucose increased, Blood lactic acid increased
Clinical narrative: Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6°, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, COVID-19, COVID-19 pneumonia, Cardio-respiratory arrest, Chest X-ray abnormal
Clinical narrative: Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6°, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen, Computerised tomogram head, Computerised tomogram thorax, Culture urine, Death
Clinical narrative: Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6°, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Differential white blood cell count, Dyspnoea, Emphysema, Fibrin D dimer increased, Full blood count
Clinical narrative: Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6°, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Glycosylated haemoglobin, Hypotension, Lung opacity, Metabolic function test, Myocardial necrosis marker normal
Clinical narrative: Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6°, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Oxygen therapy, Physical examination, Pleural effusion, Pulmonary fibrosis, SARS-CoV-2 test positive
Clinical narrative: Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6°, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast, Sepsis, White blood cell count increased
Clinical narrative: Emergency Room HPI: The patient is a 71 y.o. female with a PMH notable for COPD, hypertension and anxiety and depression who presented on 2/6/2021 for evaluation of shortness of breath. Patient presented to our emergency room yesterday morning from local nursing facility rehab nursing staff reported that she had had a increased shortness of breath for the last 3 days she has been diagnosed with COVID-19 on 2-2-2021.  Patient has also received both COVID-19 vaccines.  Patient presented to the emergency room with labored respirations conscious awake and was on a non-rebreather at 15 L. upon arrival to our emergency room patient's temperature 101.6°, pulse 169, respirations 40 to blood pressure 142/91 and oxygen saturation 100% on 15 L non-rebreather.  Patient received a chest x-ray that showed chronic emphysema and fibrotic changes in the lung no acute processes identified.  Patient's white count 12.8, glucose 197, creatinine 1.2, lactic acid 4.6, cardiac enzymes negative, D-dimer 1180, patient has urine culture pending.  Patient has received about 3 L normal saline boluses patient was having hypotension 86/52.  Patient also received IV acetaminophen a 1000 mg IV in the emergency room along with Decadron 10 mg IV piggyback.  Patient was admitted acute care for the need of IV fluids and IV antibiotics for COVID-19 and sepsis  2/12 admit Brief history and initial physical exam: Patient is a 71 year old long-term resident of Rehab and Healthcare.  Unfortunately, she contracted coronavirus (COVID-19) at the nursing home.  Her respiratory status started to decompensate and so she was brought into the hospital.  Initial workup showed significant bilateral pleural effusions and ground-glass opacity of both lungs.  She had a significant supplemental oxygen requirement.  She was admitted for further evaluation and treatment.   Hospital course: The patient was admitted and started on IV Remdesivir.  She was given IV Decadron.  She was given immune support vitamins.  Despite this, her sepsis worsened.  When it became apparent that the patient was not going to recover, her daughter did make her comfort care only and hospice was consulted.  The patient was found to be appropriate for general inpatient hospice and was made comfort care.  Her requirement for morphine and Ativan did slowly rise.  Eventually, the patient did succumb to her respiratory failure.  Time of death was called at 10:00 p.m. on February 15, 2021   Discharge Condition: expired. Presume cause of death with cardiopulmonary arrest secondary to acute respiratory failure secondary to coronavirus (COVID-19) pneumonia   Disposition: Deceased
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Headache, Injection site erythema, Injection site swelling
Clinical narrative: Around 4 PM I started getting chills. I took Ibuprofen and it was much easier. It started coming back around 7:00 pm. I had super sensitive skin and chills that night and didn't sleep very much, if at all. I didn't go to work that day because I still had a fever in the morning. It broke mid-morning but I was nauseous all day and had a headache. I still had a headache the following day and I didn't want to eat the next day although I wasn't nauseous. Also on that third day- the redness and swelling started in my arm where the injection site was on the right arm. It was swollen, hot to touch. I called the Dr. again. I got a different doctor than the first dose. She thought it was an allergic reaction. She said to try antihistamines that day but if it didn't get better she did prescribe a different kind of antibiotic I took the antihistamines that day and it didn't get any better. So than I took the antibiotic and it got better. It was better by Friday evening.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Nausea, Pyrexia, Sensitive skin, Sleep disorder
Clinical narrative: Around 4 PM I started getting chills. I took Ibuprofen and it was much easier. It started coming back around 7:00 pm. I had super sensitive skin and chills that night and didn't sleep very much, if at all. I didn't go to work that day because I still had a fever in the morning. It broke mid-morning but I was nauseous all day and had a headache. I still had a headache the following day and I didn't want to eat the next day although I wasn't nauseous. Also on that third day- the redness and swelling started in my arm where the injection site was on the right arm. It was swollen, hot to touch. I called the Dr. again. I got a different doctor than the first dose. She thought it was an allergic reaction. She said to try antihistamines that day but if it didn't get better she did prescribe a different kind of antibiotic I took the antihistamines that day and it didn't get any better. So than I took the antibiotic and it got better. It was better by Friday evening.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: pt started feeling a little dizzy, stated that she hadn't eaten any thing for breakfast.  Juice given and she ate a banana. Still feeling a little dizzy after, and taken to the first aid room.  Vital signs 185/99 p127, respirations 22.  denies chest tightness ore difficulty breathing.  Md called to assess patient.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Hallucination
Clinical narrative: Care giver reports patient experienced hallucinations the night/the next morning of the COVID-19 vaccine. The care giver states the patient is seeing his deceased wife. At the time the second dose was due, the symptoms have not gone away per the caregiver.  The faculty contacted the doctor in regards to the reported side effect, however the doctor did not have a clear diagnoses or assessment regarding the patients condition. The Rph did not administer the second dose due the reported side effects. The daughter of the patient (who has power of attorney) was contacted by the faculty manager and she was okay with not giving the second dose.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Retching
Clinical narrative: Pt reported before shot that has had history in past of fainting after vaccinations.  After receiving the shot, had him sit in a chair next to the table for a few minutes to see if would occur again.  After about 2 minutes, pt began reporting that he felt that he was about to faint again.  He began to dry heave and passed out momentarily for 2 seconds before coming back to.  Pharmacist caught him before he fell.  Gave pt water and took blood pressure.  Patient began to feel better.  Sat for 30 minutes and then he felt fine to leave.
Age: 51.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Injection site pain, Pain, Rash
Clinical narrative: Rash on trunk; Pain at injection site; Aches; Fatigue
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient came a week early for second dose of COVID19 vaccine. Patient had similar name to another patient when verifying information. 2nd dose was administered 14 days after 1st dose.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Anion gap increased, Blood glucose increased, Blood lactic acid, Blood potassium increased, Blood sodium decreased
Clinical narrative: Patient is a 22 y.o. female , critically ill , admitted to ICU through emergency department of this hospital.  This lady is known to have diabetes mellitus.  She has insulin pump and is very compliant with management of diabetes.  For last 3 days her insulin requirement has gone up because of hyperglycemia and her endocrinologist has increased her basal nightly dose 3 days ago.  Yesterday she received her second dose of corona virus 19 vaccine at health center and she has been been vomiting since then.  Upon arrival in the emergency department her blood glucose level is 460 with anion gap of 28 and she is in ketoacidosis.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Critical illness, Hyperglycaemia, Hyperkalaemia, Hyponatraemia, Intensive care
Clinical narrative: Patient is a 22 y.o. female , critically ill , admitted to ICU through emergency department of this hospital.  This lady is known to have diabetes mellitus.  She has insulin pump and is very compliant with management of diabetes.  For last 3 days her insulin requirement has gone up because of hyperglycemia and her endocrinologist has increased her basal nightly dose 3 days ago.  Yesterday she received her second dose of corona virus 19 vaccine at health center and she has been been vomiting since then.  Upon arrival in the emergency department her blood glucose level is 460 with anion gap of 28 and she is in ketoacidosis.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Ketoacidosis, Pregnancy test negative, Vomiting, White blood cell count increased
Clinical narrative: Patient is a 22 y.o. female , critically ill , admitted to ICU through emergency department of this hospital.  This lady is known to have diabetes mellitus.  She has insulin pump and is very compliant with management of diabetes.  For last 3 days her insulin requirement has gone up because of hyperglycemia and her endocrinologist has increased her basal nightly dose 3 days ago.  Yesterday she received her second dose of corona virus 19 vaccine at health center and she has been been vomiting since then.  Upon arrival in the emergency department her blood glucose level is 460 with anion gap of 28 and she is in ketoacidosis.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Irritability, Sleep disorder
Clinical narrative: Extreme exhaustion for more than 1 week; irritability; sleep interruption
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Back pain, Facial pain, Headache, Muscle spasms
Clinical narrative: Face pain within 10 minutes of injection, pain at back of head with in 20 minutes of injections, acute epigastric pain with in 3 hours, back pain with spasms over several days.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: Patient stated immediate itching, redness and soreness at injection site.  She wasn't concerned with that but then the next day she started developing a rash around the injection site which lasted over a week.  She read it was nothing to be concerned with as it is clearing up now.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac flutter
Clinical narrative: 0843a patient c/o chest flutter, no SOB or any other symptoms. BP 130/78 oxygen 97% HR 100, seen by EMS and at pt's side. No new interventions provided. Monitored patient an additional 15 minutes . At 0905, patient feeling slightly better BP 134/74, HR 101 and down to 94, oxygen level 93 to 94%, . Patient feels ok to go home, released by EMS and assisted to son's car.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dizziness, Headache, Myalgia
Clinical narrative: A few hours after the vaccine I developed a fever, chills, a headache, muscle pain mainly in the hip and thigh area all which lasted about 20 hours.  The 2nd day I was a little dizzy with the headache lingering for about 2 days longer
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: A few hours after the vaccine I developed a fever, chills, a headache, muscle pain mainly in the hip and thigh area all which lasted about 20 hours.  The 2nd day I was a little dizzy with the headache lingering for about 2 days longer
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal hypoaesthesia, Throat tightness
Clinical narrative: Felt throat get numb and tight
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Rash erythematous, Skin discolouration
Clinical narrative: Covid fingers - left ring finger swollen and black and blue (with a bump) - from base of the finger to the joint as of 4pm on 2/24.  On 2/25 in the morning the black and blue has extended beyond the knuckle toward the end of the finger but only about 1/4" beyond the knuckle. Right hand, middle finger, black and blue between the knuckle nearest the hand and the knuckle nearest the finger tip.  No swelling.  This was noticed about 9pm on 2/24.   Covid Toes - possibly - red bumps on toes same toe, both feet, red.  Toes next to pinky toe.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Rash, Swelling
Clinical narrative: Received vaccine at 9:15am and observed symptoms of severe rash on chest and neck with swelling in throat at 10:00am.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: PT GOT A HIGHER DOSE OF VACCINE INSTEAD  (1.8ML)
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Glossodynia, Headache, Nausea
Clinical narrative: Feb. 23 eve. I had pains in the nerves in my left hip going down my leg and the left side of my tongue was sore. Feb. 24. I was very tired and achy all day with a bad headache. I had some nausea. I took Aleve but it didn't help much. I noticed when I went to bed that I had an open, bleeding sore on my right wrist. I knew that I had not done anything to hurt my wrist. Feb. 25. When I took a shower, I saw that I had an open, bleeding sore on my right shin. The right side of my tongue was hurting and sore. When I looked in the mirror at my tongue it had little red blotches all over the right side.  I have a bad headache but not as bad as yesterday.  I am also somewhat tired, but not achy.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Neuralgia, Pain, Pain in extremity, Rash macular, Wound haemorrhage
Clinical narrative: Feb. 23 eve. I had pains in the nerves in my left hip going down my leg and the left side of my tongue was sore. Feb. 24. I was very tired and achy all day with a bad headache. I had some nausea. I took Aleve but it didn't help much. I noticed when I went to bed that I had an open, bleeding sore on my right wrist. I knew that I had not done anything to hurt my wrist. Feb. 25. When I took a shower, I saw that I had an open, bleeding sore on my right shin. The right side of my tongue was hurting and sore. When I looked in the mirror at my tongue it had little red blotches all over the right side.  I have a bad headache but not as bad as yesterday.  I am also somewhat tired, but not achy.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Chest discomfort, Erythema, Flushing, Pruritus
Clinical narrative: Anaphalaxis: hives, flushing/redness, itchiness, tongue swelling/tightness in chest. Self-administered Auvi-q epinephrine, went to the Hospital, received prednisone, pepcid, benedryl. Prednisone taper for 4 days after
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue, Urticaria
Clinical narrative: Anaphalaxis: hives, flushing/redness, itchiness, tongue swelling/tightness in chest. Self-administered Auvi-q epinephrine, went to the Hospital, received prednisone, pepcid, benedryl. Prednisone taper for 4 days after
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Bladder catheterisation, Blood culture, Blood gases, Blood lactic acid, Brain natriuretic peptide
Clinical narrative: Emergency room HPI a 73 y.o. female who presents with NURSING HOME REPORTED TO EMS THAT PT WAS SHORT OF BREATH FOR 1 WEEK AND GETTING WORSE.  NURSING HOME REPORTED TO NURSE HERE THAT PT HAD ALTERED MENTAL STATUS IN THAT SHE WAS NO LONGER SCREAMING.  PT IS UNABLE TO GIVE ANY HISTORY SECONDARY TO DEMENTIA
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Differential white blood cell count, Dyspnoea, Full blood count, Mental status changes
Clinical narrative: Emergency room HPI a 73 y.o. female who presents with NURSING HOME REPORTED TO EMS THAT PT WAS SHORT OF BREATH FOR 1 WEEK AND GETTING WORSE.  NURSING HOME REPORTED TO NURSE HERE THAT PT HAD ALTERED MENTAL STATUS IN THAT SHE WAS NO LONGER SCREAMING.  PT IS UNABLE TO GIVE ANY HISTORY SECONDARY TO DEMENTIA
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Procalcitonin, Urine analysis
Clinical narrative: Emergency room HPI a 73 y.o. female who presents with NURSING HOME REPORTED TO EMS THAT PT WAS SHORT OF BREATH FOR 1 WEEK AND GETTING WORSE.  NURSING HOME REPORTED TO NURSE HERE THAT PT HAD ALTERED MENTAL STATUS IN THAT SHE WAS NO LONGER SCREAMING.  PT IS UNABLE TO GIVE ANY HISTORY SECONDARY TO DEMENTIA
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash papular
Clinical narrative: Raised rash developed near injection site slightly larger than fist sized
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anger, Chest pain, Diarrhoea, Fatigue, Headache
Clinical narrative: heart palpitations, tired, chest pain, anger outbursts, diarrhea , head ache.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Palpitations
Clinical narrative: heart palpitations, tired, chest pain, anger outbursts, diarrhea , head ache.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Pruritus, Similar reaction on previous exposure to drug, Throat irritation, Urticaria
Clinical narrative: Severe itchiness (small hives), scratchy throat, diziness. Took two Benadryl when reaction started, symptoms continued for 35 minutes until Benadryl started to take effect.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Contusion, Face and mouth X-ray, Face injury
Clinical narrative: Got out of bed day after - 30 min later got super nauseated - passed out face down on ceramic tile in bathroom- broke nose - bruised both knees - busted forehead open- chills  started about 1 hour later and lasted for several hours- temp of 100.4-
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Facial bones fracture, Full blood count, Loss of consciousness, Nausea, Pyrexia
Clinical narrative: Got out of bed day after - 30 min later got super nauseated - passed out face down on ceramic tile in bathroom- broke nose - bruised both knees - busted forehead open- chills  started about 1 hour later and lasted for several hours- temp of 100.4-
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Skull X-ray, Spinal X-ray, Spinal X-ray abnormal
Clinical narrative: Got out of bed day after - 30 min later got super nauseated - passed out face down on ceramic tile in bathroom- broke nose - bruised both knees - busted forehead open- chills  started about 1 hour later and lasted for several hours- temp of 100.4-
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Dyspnoea, Feeling hot, Flushing
Clinical narrative: Facial Flushing,feeling hot,dizziness,Patient became sleepy and difficult to arouse,nauseated,shallow respiration's rate of about 18. Had patient remove her mask,cool compress applied to back of neck and forehead,checked vitals and blood sugar.When patient became fully aroused gave zofran odt,Patient complained of chest pain and mild sob,Benadryl  50mg given IM. Sat with patient until EMS arrived.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Hypopnoea, Nausea, Somnolence
Clinical narrative: Facial Flushing,feeling hot,dizziness,Patient became sleepy and difficult to arouse,nauseated,shallow respiration's rate of about 18. Had patient remove her mask,cool compress applied to back of neck and forehead,checked vitals and blood sugar.When patient became fully aroused gave zofran odt,Patient complained of chest pain and mild sob,Benadryl  50mg given IM. Sat with patient until EMS arrived.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: large, red, swollen, raised and itchy area at the site of the injection
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Nausea, Pain
Clinical narrative: Body aches, nausea & chest (lung) discomfort lasting from approximately 4:00am until 12:00pm
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Facial discomfort, Head discomfort, Nasal discomfort, Oral herpes, Pain of skin
Clinical narrative: on 2/24/21 noted discomfort starting on scalp on top of head going down to left eyebrow, onto left orbit down face on left side of nose, also a fever blister on bottom lip starting 2/22/2021,discomfort continues. have not called M.D. Lysine ointment on lip. no other treatment
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Periorbital discomfort
Clinical narrative: on 2/24/21 noted discomfort starting on scalp on top of head going down to left eyebrow, onto left orbit down face on left side of nose, also a fever blister on bottom lip starting 2/22/2021,discomfort continues. have not called M.D. Lysine ointment on lip. no other treatment
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pain, Pain in extremity, Palpitations
Clinical narrative: About 8 p.m. the day of the vaccine  Monday, I felt chilled, achy, fever, heart palpitations, until about 4 a.m. when it subsided. still tired the next morning with my legs that ached. rested until 3 that afternoon. Ate light dinner. By Wednesday, I felt fine with no symptoms at all. Never needed to call a doctor.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: About 8 p.m. the day of the vaccine  Monday, I felt chilled, achy, fever, heart palpitations, until about 4 a.m. when it subsided. still tired the next morning with my legs that ached. rested until 3 that afternoon. Ate light dinner. By Wednesday, I felt fine with no symptoms at all. Never needed to call a doctor.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia
Clinical narrative: My hair has been falling out in clumps, kind of hard to describe the amount and duration- mostly noticing when in the shower. I run my hands through my hair and large clumps come out. No changes have been made to other medications, diet, or bathing/shampooing habits.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Respiratory distress
Clinical narrative: Resident received her second vaccination on 2/19/21.  She was sent to the hospital on 2/20/21 for respiratory distress.  We think she aspirated (she has a history of dsyphagia) which caused pneumonia.  However, I am reporting this because it was within 24 hours of receiving her vaccine.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Palpitations
Clinical narrative: Patient complaint of feeling lightheaded, dizzy and heart racing. Vitals BP 130/88, O2 99%, P 85, T 98.1, R 18.  After 30 minutes of observation, patient expressed that she felt better and has a history of anxiety. VItals BP 126/80, O2 99%, P 68,  T 98.1, R 16. Patient was discharged from clinic.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Cardiac monitoring, Chest discomfort, Culture urine, Differential white blood cell count
Clinical narrative: A 77 year old female who presents with patient states went to see PCP today for six-month labs and was noted to have elevated BP.  Patient's has never been diagnosed with hypertension.  She states after going home she got a headache and dizzy since she recheck her blood pressure and noted that it was 190/106.  Patient denies any chest pain or shortness of breath and says that her headache is resolved.  2039 BP 145/78, PT FEELS FINE.  EXPLAINED TO PT WILL CHECK A SECOND TROPONIN WITH ABNORMAL EKG AND ELEVATED BP. PT VERBALIZED UNDERSTANDING. SECOND TROPONIN NEGATIVE WILL START PT ON ATENOLOL 25 MG DAILY AND DISCHARGE TO FOLLOW UP WITH PCP.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram, Electrocardiogram abnormal, Headache, Metabolic function test
Clinical narrative: A 77 year old female who presents with patient states went to see PCP today for six-month labs and was noted to have elevated BP.  Patient's has never been diagnosed with hypertension.  She states after going home she got a headache and dizzy since she recheck her blood pressure and noted that it was 190/106.  Patient denies any chest pain or shortness of breath and says that her headache is resolved.  2039 BP 145/78, PT FEELS FINE.  EXPLAINED TO PT WILL CHECK A SECOND TROPONIN WITH ABNORMAL EKG AND ELEVATED BP. PT VERBALIZED UNDERSTANDING. SECOND TROPONIN NEGATIVE WILL START PT ON ATENOLOL 25 MG DAILY AND DISCHARGE TO FOLLOW UP WITH PCP.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin, Troponin I
Clinical narrative: A 77 year old female who presents with patient states went to see PCP today for six-month labs and was noted to have elevated BP.  Patient's has never been diagnosed with hypertension.  She states after going home she got a headache and dizzy since she recheck her blood pressure and noted that it was 190/106.  Patient denies any chest pain or shortness of breath and says that her headache is resolved.  2039 BP 145/78, PT FEELS FINE.  EXPLAINED TO PT WILL CHECK A SECOND TROPONIN WITH ABNORMAL EKG AND ELEVATED BP. PT VERBALIZED UNDERSTANDING. SECOND TROPONIN NEGATIVE WILL START PT ON ATENOLOL 25 MG DAILY AND DISCHARGE TO FOLLOW UP WITH PCP.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Device connection issue, Immunisation, Incorrect dose administered, Syringe issue
Clinical narrative: Pfizer vaccine malfunctioned and started discharging medication just prior and just after patient injected.  Spoke with Pharmacy, explained how much medication poured out of vaccine in open air instead of in patient deltoid, advised to give second vaccination.  Second vaccination given with no issues.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Nasal congestion, Pharyngeal swelling, Sinus congestion
Clinical narrative: Patient received her second dose of Pfizer vaccine today at 1230 today.  Approximately 15 minutes later at 1246 she started to feel a flushed face, nasal and sinus congestion and stated that her throat felt as if it was swelling.  Benadryl 50 mg orally was administered.  VS were checked BP 128/80, HR 82.  Pt stated she was feeling improved at 1315 and stated her throat felt much better, denies feeling swelling in her throat.  No evidence of mouth, tongue or lip swelling, no evidence of angioedema.  No evidence of respiratory distress, no wheezing, speaking in full sentences.  No rash.    Reassessment @ 1345:  One hour after patient received benadryl she stated she felt much improved aside from mild body itching.  Requesting to leave with husband.  Advised to continue benadryl 50 mg every 6 hours as needed for symptomatic and follow up with her primary care doctor and allergist.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Vital signs measurement, Vomiting
Clinical narrative: @ 12:19 initial vitals were taken prior to vaccine due to patient having to go to ER from primer vaccine.  @12:36 He reported dizziness, BP sitting  BP 110/65 P 90 O2 97%. Standing BP 110/80. Pt denied itching or discomfort.  @1251 patient had emesis X3 @1259 BP 117/70, O2 97% P 87 @ 1315 pt reported feeling better, his PCP was notified and requested to get prescription for Zofran.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Amnesia, Blood test, Chills, Confusional state, Diarrhoea
Clinical narrative: @ 12:19 initial vitals were taken prior to vaccine due to patient having to go to ER from primer vaccine.  @12:36 He reported dizziness, BP sitting  BP 110/65 P 90 O2 97%. Standing BP 110/80. Pt denied itching or discomfort.  @1251 patient had emesis X3 @1259 BP 117/70, O2 97% P 87 @ 1315 pt reported feeling better, his PCP was notified and requested to get prescription for Zofran.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Generalised tonic-clonic seizure, Headache, Immediate post-injection reaction, Mobility decreased
Clinical narrative: @ 12:19 initial vitals were taken prior to vaccine due to patient having to go to ER from primer vaccine.  @12:36 He reported dizziness, BP sitting  BP 110/65 P 90 O2 97%. Standing BP 110/80. Pt denied itching or discomfort.  @1251 patient had emesis X3 @1259 BP 117/70, O2 97% P 87 @ 1315 pt reported feeling better, his PCP was notified and requested to get prescription for Zofran.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, Vomiting
Clinical narrative: @ 12:19 initial vitals were taken prior to vaccine due to patient having to go to ER from primer vaccine.  @12:36 He reported dizziness, BP sitting  BP 110/65 P 90 O2 97%. Standing BP 110/80. Pt denied itching or discomfort.  @1251 patient had emesis X3 @1259 BP 117/70, O2 97% P 87 @ 1315 pt reported feeling better, his PCP was notified and requested to get prescription for Zofran.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Hypersomnia, Pain, Pyrexia
Clinical narrative: Fever of 100+, aches, no appetite, lots of sleep.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Epistaxis, Feeling cold, Muscle contractions involuntary
Clinical narrative: Freezing cold and uncontrollable whole body muscular contractions, chills, started at around 8:00PM on injection day, lasted about 2 hours Next morning , blood in nose at around 8:00AM.  Single event.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Vomiting
Clinical narrative: Patient states she has been experiencing mostly vomiting as side effect from vaccine. Pt denies fever or chills. Patient states she is also having a headache which can be due to not having a lot of fluids. Patient works for a healthcare organization. Pt received the vaccine from Pfizer per a doctor. Pt states she has been vomiting 5-6 times over the past 24 hours. Patient has not been able to hold anything down.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Injection site swelling, Pain in extremity, Peripheral swelling
Clinical narrative: Chills, headache and Fever 100.4 at 9pm on 2/23/2021. Sore arm. Swelling below injection site 2/24/2021. Swelling is spreading further down the arm 2/25/2021.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Chills, headache and Fever 100.4 at 9pm on 2/23/2021. Sore arm. Swelling below injection site 2/24/2021. Swelling is spreading further down the arm 2/25/2021.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Pyrexia
Clinical narrative: Fever, chills, headache, painful joints
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Injection site pain
Clinical narrative: 1/13/2021 I was feeling fatigue, pain on the vaccine site & I felt very low on energy. It lasted for 1 day only.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Sudden death
Clinical narrative: Sudden death two weeks after first dose of vaccine was administered. No previous symptoms or signs. Family opted not to do an autopsy so cause of death (stroke or heart attack) not known.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: PT RECEIVED A HIGHER DOSE THAN INDICATED 1.8 MLS