chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Biopsy, Extra dose administered, Rash
Clinical narrative: After the second dose the rash spread more; This spontaneous case was reported by a consumer and describes the occurrence of RASH (After the Second dose the rash spread more) in a 73-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination.     Concurrent medical conditions included Drug allergy (Promethazine), Drug allergy (Betadine), Drug allergy (Lovenox), Psoriatic arthritis, May-Thurner syndrome, Burning mouth syndrome, Hypothyroidism, Migraine, Dry mouth, Digestion impaired, Gastrointestinal disorder NOS, Anxiety, Hyperlipidemia and Immunocompromised. Concomitant products included BUPROPION for Anxiety, clozanpam for Burning mouth syndrome, metformin for Digestion impaired, pilocarpine for Dry mouth, OMEPRAZOLE for Gastrointestinal symptom NOS, ATORVASTATIN for Hyperlipidemia, topiramate for Migraine, levothyroxine for an unknown indication.   On 10-Mar-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 07-Apr-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 07-Apr-2021, the patient experienced RASH (After the Second dose the rash spread more). The patient was treated with MUPIROCIN for Adverse event, at a dose of UNK, tid for 5 days; PIMECROLIMUS (topical) for Adverse event, at a dose of 1 percent topical cream , bid and TRIAMCINOLONE (topical) for Adverse event, at a dose of 0.1 percent topical cream twice a day. At the time of the report, RASH (After the Second dose the rash spread more) had not resolved.      DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Biopsy: could not detect what it was Her Dermatologist take a biopsy and in the results, they couldn't detect what it was. On an unknown date, SARS-CoV-2 test: negative (Negative) She did not tested positive for COVID-19.         At the time of the vaccination, she had a knee replacement Surgery.  Patient took the vaccine in deltoid muscle.  Patient did not receive any other vaccine within 1 month prior to Moderna COVID-19 vaccine. All chronic illnesses did not improve but worsened after the vaccination, She reported she was a swimmer and that she was embarrassed to go the the pool to swim.   Additionally was treated with Phototherapy. None of the treatments worked.   This case was linked to MOD-2022-503094, MOD-2022-503107, MOD-2022-503108 (Patient Link).
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted and tested positive for covid
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Bone pain, Condition aggravated, Diarrhoea, Heart rate increased
Clinical narrative: Heart arrhythmia two days after administration heart rate at 150 (normal resting heart rate for patient is 40).  Other symptoms include migraine, muscle ache, fever, muscle and bone pain, diarrhea, vomiting one day after administration.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Migraine, Myalgia, Pyrexia, Vomiting
Clinical narrative: Heart arrhythmia two days after administration heart rate at 150 (normal resting heart rate for patient is 40).  Other symptoms include migraine, muscle ache, fever, muscle and bone pain, diarrhea, vomiting one day after administration.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted with covid infection
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site erythema, Injection site pain, Injection site swelling, Peripheral swelling
Clinical narrative: Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Additional Details: patient said she had no reaction to doses 1 & 2. Dose 3 administration went well & patient did not notice any reaction until the day after the vaccine in the PM.  Arm became red, hot and swollen.  Finally going down by day 3 after vaccination, but still visible skin response.  Patient wondered if premix formulation had additives that might have caused reaction not had with original vaccine diluted on site? Patient was advised to seek medical attention if resolution stalled or reaction worsened.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Skin irritation, Skin warm
Clinical narrative: Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe, Additional Details: patient said she had no reaction to doses 1 & 2. Dose 3 administration went well & patient did not notice any reaction until the day after the vaccine in the PM.  Arm became red, hot and swollen.  Finally going down by day 3 after vaccination, but still visible skin response.  Patient wondered if premix formulation had additives that might have caused reaction not had with original vaccine diluted on site? Patient was advised to seek medical attention if resolution stalled or reaction worsened.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: vaccinated pt admitted with covid infection
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Confusional state, Dizziness, Fatigue
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Chills-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Systemic: Weakness-Medium
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis, Hypotension, Injection site erythema, Injection site pain
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Chills-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Systemic: Weakness-Medium
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Lethargy, Syncope, Unresponsive to stimuli
Clinical narrative: Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Chills-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Systemic: Weakness-Medium
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated patient admitted with COVID-19 infection.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Tender axillary lymphadenopathy on left side. Vaccine also given in left deltoid. Started about 24 hours after receiving vaccine. Reporting 48 hours after vaccine and still present/tender.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Urticaria
Clinical narrative: Brought back urticaria within 10 days of the shot. I am now taking 7 antihistamines a day, as well as, Plaquenil 200mg to control my hives.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Disturbance in attention, Dizziness, Oesophageal achalasia, Visual impairment
Clinical narrative: Diagnosed with Achalasia shortly after shot. My head has not been the same: dizzy, get spells where I can't focus for periods of time, orange spots, lose balance often.
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Back pain, Contusion, Death
Clinical narrative: pt died at home; notes from HCP on 07/29/21; PMH: kidney disease stage 3, congestive heart failure, hypertension, osteoarthritis, depression, anxiety, falls, urinary incontinence; allergic to all steroids and bendryl pt complained of generalized weakness and unable to ambulate; fatigue, skin color changes from previous bruising to bilateral lower extremities; bilateral hearing aids, shortness of breath, chronic dyspnea on exertion, edema, back pain, achy joints vital signs: temp 97.2, spo2 98% at rest, BP 142/74, pulse 62
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Fatigue, Gait inability, Oedema
Clinical narrative: pt died at home; notes from HCP on 07/29/21; PMH: kidney disease stage 3, congestive heart failure, hypertension, osteoarthritis, depression, anxiety, falls, urinary incontinence; allergic to all steroids and bendryl pt complained of generalized weakness and unable to ambulate; fatigue, skin color changes from previous bruising to bilateral lower extremities; bilateral hearing aids, shortness of breath, chronic dyspnea on exertion, edema, back pain, achy joints vital signs: temp 97.2, spo2 98% at rest, BP 142/74, pulse 62
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Skin discolouration
Clinical narrative: pt died at home; notes from HCP on 07/29/21; PMH: kidney disease stage 3, congestive heart failure, hypertension, osteoarthritis, depression, anxiety, falls, urinary incontinence; allergic to all steroids and bendryl pt complained of generalized weakness and unable to ambulate; fatigue, skin color changes from previous bruising to bilateral lower extremities; bilateral hearing aids, shortness of breath, chronic dyspnea on exertion, edema, back pain, achy joints vital signs: temp 97.2, spo2 98% at rest, BP 142/74, pulse 62
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, COVID-19, Chronic obstructive pulmonary disease, Death of relative
Clinical narrative: Admission 11/16/21; admitted to the hospital with afib, copd, and hypertension; pt recently dx w/COVID;  pt treated for afib with RVR with Cardizem drip and heparin drip; pt became more lethargic and unresponsive; pt depressed after passing of wife and stopped taking all medications, not eating or drinking fluids. Family requested hospice care and was discharge to swing bed and started on comfort measures. pt tested positive for COVID outside facility on 11/09/2021; pt found unresponsive on the morning of 11/17/2021 by nurse.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Depression, Hypertension, Hypophagia, Lethargy
Clinical narrative: Admission 11/16/21; admitted to the hospital with afib, copd, and hypertension; pt recently dx w/COVID;  pt treated for afib with RVR with Cardizem drip and heparin drip; pt became more lethargic and unresponsive; pt depressed after passing of wife and stopped taking all medications, not eating or drinking fluids. Family requested hospice care and was discharge to swing bed and started on comfort measures. pt tested positive for COVID outside facility on 11/09/2021; pt found unresponsive on the morning of 11/17/2021 by nurse.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Unresponsive to stimuli
Clinical narrative: Admission 11/16/21; admitted to the hospital with afib, copd, and hypertension; pt recently dx w/COVID;  pt treated for afib with RVR with Cardizem drip and heparin drip; pt became more lethargic and unresponsive; pt depressed after passing of wife and stopped taking all medications, not eating or drinking fluids. Family requested hospice care and was discharge to swing bed and started on comfort measures. pt tested positive for COVID outside facility on 11/09/2021; pt found unresponsive on the morning of 11/17/2021 by nurse.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Malaise, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough. Patient began with symptoms on 3/4/22. Presented to the ED on 3/5/22 and tested positive. He is experiencing some shortness of breath.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vial was being stored in the freezer past the two weeks. Vial was taken out to thaw at room temperature and administered outside the recommended stability information provided by Pfizer and the CDC.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Dry mouth, Dysgeusia, Inappropriate schedule of product administration
Clinical narrative: A couple of days after the vaccine injection, I lost my taste, my mouth felt extremely dry, wired taste. The symptom lasts till today.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated and boosted 10/29/21.  COVID infection breakthrough
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Coronavirus test positive, Cough, Dyspnoea
Clinical narrative: Patient was admitted to hospital on 01/22/2022, testing positive for Covid.  Patient had an abnormal chest X-ray and had developed pneumonia.  Patient had a cough and was short of breath.  Patient has pre-existing medical conditions: type 2 diabetes, hypertension, and severe obesity. Records were recorded by hospital.  This is document is supported by those records.  Number of hospital days was not charted, no discharge date given.
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pneumonia
Clinical narrative: Patient was admitted to hospital on 01/22/2022, testing positive for Covid.  Patient had an abnormal chest X-ray and had developed pneumonia.  Patient had a cough and was short of breath.  Patient has pre-existing medical conditions: type 2 diabetes, hypertension, and severe obesity. Records were recorded by hospital.  This is document is supported by those records.  Number of hospital days was not charted, no discharge date given.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Flushing, Illness, Malaise, Pyrexia
Clinical narrative: On Friday morning, December 17, I took a Rapid test as I was visiting my son, daughter-in-law and six week old grandson. That test was negative and I was in complete good health. On Saturday night, I became flushed, feverish and completely congested. On Sunday, I was tested. A Rapid showed a negative result but the PCR came back positive. I stayed isolated for 10 days and was congested for about the first three. I had a fever only on the first outbreak. Otherwise, I had no symptoms and no lasting symptoms. On February 4, I became very sick with an illness that was ultimately diagnosed as sinusitis with fever and very sick. Two rounds of antibiotics and two weeks later, I was healthy again. It is of note that I not gotten sick with flu or infections for the past ten years.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Sinusitis
Clinical narrative: On Friday morning, December 17, I took a Rapid test as I was visiting my son, daughter-in-law and six week old grandson. That test was negative and I was in complete good health. On Saturday night, I became flushed, feverish and completely congested. On Sunday, I was tested. A Rapid showed a negative result but the PCR came back positive. I stayed isolated for 10 days and was congested for about the first three. I had a fever only on the first outbreak. Otherwise, I had no symptoms and no lasting symptoms. On February 4, I became very sick with an illness that was ultimately diagnosed as sinusitis with fever and very sick. Two rounds of antibiotics and two weeks later, I was healthy again. It is of note that I not gotten sick with flu or infections for the past ten years.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Hypoxia
Clinical narrative: Hospitalized with COVID 19 pneumonia with hypoxemia.
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Tachycardia
Clinical narrative: 12//08/21, diagnosis Tachycardia  01/13/22, diagnosis full atrial figuration 02/09/22, Myocardial perfusion
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Decreased appetite, Fatigue
Clinical narrative: I experienced fatigue, fever, headache and nausea. I had a temperature of 101.8 for a few days then it subsided. On day three felt fuzzy on the top of my head. My symptoms lasted for five days then subsided. Then on Dose 2 same symptoms lasted for 3 days except the fuzziness and Dose 3 same symptoms lasted for 16 hours except the fuzziness. After Dose 3 on December 2, 2021 got Covid on February 12, 2022. My Covid symptoms lasted for sixteen days, fever didn't elevate over 100, slight cough, no congestion, very weak, loss of appetite, and headache.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Nausea, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: I experienced fatigue, fever, headache and nausea. I had a temperature of 101.8 for a few days then it subsided. On day three felt fuzzy on the top of my head. My symptoms lasted for five days then subsided. Then on Dose 2 same symptoms lasted for 3 days except the fuzziness and Dose 3 same symptoms lasted for 16 hours except the fuzziness. After Dose 3 on December 2, 2021 got Covid on February 12, 2022. My Covid symptoms lasted for sixteen days, fever didn't elevate over 100, slight cough, no congestion, very weak, loss of appetite, and headache.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I experienced fatigue, fever, headache and nausea. I had a temperature of 101.8 for a few days then it subsided. On day three felt fuzzy on the top of my head. My symptoms lasted for five days then subsided. Then on Dose 2 same symptoms lasted for 3 days except the fuzziness and Dose 3 same symptoms lasted for 16 hours except the fuzziness. After Dose 3 on December 2, 2021 got Covid on February 12, 2022. My Covid symptoms lasted for sixteen days, fever didn't elevate over 100, slight cough, no congestion, very weak, loss of appetite, and headache.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Pt was hospitalized 2/28-3/7 for covid and then died
Age: 25.0
Sex: M
Vaccine: HEPA, HPV9
Symptoms: Blood pressure decreased, Loss of consciousness, Snoring, Syncope
Clinical narrative: Patient develops post-vaccination syncope within 5 minutes of receiving vaccine and in route to the waiting area.  Loss of consciousness with snoring for less than 1 min.  Patient BP below normal threshold with normalization within 5 minutes.  Patients states last oral intake at 0630 on the date of immunization.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Dyspnoea, Fatigue
Clinical narrative: patient developed fever, chills, muscle aches,  sore throat, cough, SOB,  nausea, vomiting, headache, fatigue, and congestion. He tested positive for Covid-19 on 1/18/22 and was hospitalized on 1/26/22.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Myalgia, Nausea, Oropharyngeal pain, Pyrexia
Clinical narrative: patient developed fever, chills, muscle aches,  sore throat, cough, SOB,  nausea, vomiting, headache, fatigue, and congestion. He tested positive for Covid-19 on 1/18/22 and was hospitalized on 1/26/22.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Vomiting
Clinical narrative: patient developed fever, chills, muscle aches,  sore throat, cough, SOB,  nausea, vomiting, headache, fatigue, and congestion. He tested positive for Covid-19 on 1/18/22 and was hospitalized on 1/26/22.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Computerised tomogram thorax abnormal, Coronavirus test positive, Cough, Dyspnoea
Clinical narrative: Patient was admitted to hospital on 01/17/2022 with high fever, cough, and shortness of breath. Patient had an abnormal chest CT scan and had developed pneumonia. Patient tested positive for Covid-19. Patient has multiple medical conditions, listed in this report. This information was obtained by medical records posted in "PRIVATE".
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Pyrexia
Clinical narrative: Patient was admitted to hospital on 01/17/2022 with high fever, cough, and shortness of breath. Patient had an abnormal chest CT scan and had developed pneumonia. Patient tested positive for Covid-19. Patient has multiple medical conditions, listed in this report. This information was obtained by medical records posted in "PRIVATE".
Age: 58.0
Sex: U
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: Vaccinated pt admitted with covid infection.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site inflammation, Injection site paraesthesia, Local reaction
Clinical narrative: Patient described tingling inflammation in the arm. The sensation was a localized reaction about 2 inches from the injection site.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Cardiac monitoring abnormal, Cardiomegaly, Dizziness, Palpitations
Clinical narrative: About three weeks after first shot my heart was racing, I was getting dizzy then suddenly felt like my heart stopped. I Hit myself in the chest and it went back into rhythm. I called Dr. office assuming it was the Wolff-Parkinson-White syndrome again but the appointment took so long and I started to feel fine so I cancelled it. Then I got my next shot on 4-8-21 and by approx. 4/29/21 I had another episode made another appointment it took so long and I felt a little better so I cancelled. Then I got the last booster on 11/02/2021 I had another really bad incident where I almost went unconscious while driving so I made another appointment and did not cancel again I was assuming that my Wolff-Parkinson-White was coming back and starting to wonder if it was the Covid-19 shot!  Each incident occurred just weeks after the shot! Dr. put me on a heart monitor for 30 days and at the appointment advised that the Covid-19 shot was the culprit and that my heart was now enlarged and I have to take medicine and be monitored
Age: 67.0
Sex: F
Vaccine: UNK, UNK
Symptoms: Pyrexia, Tinnitus
Clinical narrative: Tinnitus, high fever
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Disturbance in attention, Impaired quality of life, Migraine, Vision blurred
Clinical narrative: Severe migraines 2 days after receiving the vaccine.  Unable to focus. Went to primary care then to neurologiest. Completed CT brain scan. Cleared of any abnormalities. Given Topamax to help with migraine symptoms. Drug cause difficulty focusing on day to day activities. Quality of life is negatively impacted by vaccine reaction. Still having migraines as I type this 7 months after receiving the vaccine.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted for covid infection.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Eye inflammation, Eye swelling, Lacrimation increased, Ocular hyperaemia
Clinical narrative: 12/17/2022 - 3 or 4 hours prior to my booster, my eyes were swollen, blood shot, and they were lacrimation. My eyes tear from the moment I open my eyes till the end of the day. I have used steroid drops, moisturizing drops to no avail. I need to have a stint, plugs, in my to help open the tear drops to keep the tears from coming out. The steroid decrease the inflammation in my eye itself. My eyes are tearing profusely everyday.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Device occlusion, Fatigue, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Attestation signed by, MD at 01/27/22 1800 Patient seen and examined independently. Case discussed with mid-level provider and agree with note. Critical part of the exam and management done by myself Heart NSR no murmurs Dr   Available on mobile heartbeat          Hide copied text  Hover for details  History and Physical   Attending Physician: DO;  Date of Admission: 1/27/2022     CC:    Chief Complaint Patient presents with ? Vascular Access Problem     clogged cath since thursday 1/20, has not have dialysis since         HPI:   This is a 59y.o. male with significant past medical history of HTN, T2DM, gout, and ESRD on hemodialysis that presented to the hospital with chief complaint of vascular access problem. Patient reports he went to his routinely scheduled hemodialysis session on January 20th; however, they were unable to run him due to a clotted fistula. He went to Facility on January 25th but was discharged home and instructed to follow up OP with vascular surgery. He was not able to make his outpatient appointment so he phoned his PCP who instructed him to come to the ED for evaluation. He admits to not taking his home medications since January 20th. Admits to fatigue. Denies any fever, chills, chest pain, shortness of breath, abdominal pain, nausea, vomiting, diarrhea, or constipation.    In the ED, patient normotensive, afebrile, stable SPO2 on room air. CXR negative for acute process. He has been admitted for further evaluation and management with nephrology and vascular surgery consultations.      ROS:   Constitutional: + fatigue, fever or chills.  Eyes:  Denies change in visual acuity, diplopia or pain. HENT:  Denies nasal congestion, sore throat or tinnitus. Respiratory:  Denies cough,difficulty in breathing or shortness of breath.  Cardiovascular:  Denies chest pain, palpitations or edema.  GI:  Denies abdominal pain, nausea, vomiting, constipation or diarrhea.  GU:  Denies dysuria, urinary frequency or hematuria. Musculoskeletal:  Denies back pain, atrophy, spasticity or joint pain.  Hematologic:  Denies anemia, bleeding, or bruising. Integument:  Denies rash or lesions. Neurologic:  Denies headache, focal weakness, seizure or stroke. Endocrine:  Denies temperature intolerance, polyuria, or polydipsia.   Psychiatric:  Denies irritability, depression or anxiety.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test, Specialist consultation, Treatment noncompliance, Vascular access complication
Clinical narrative: Attestation signed by, MD at 01/27/22 1800 Patient seen and examined independently. Case discussed with mid-level provider and agree with note. Critical part of the exam and management done by myself Heart NSR no murmurs Dr   Available on mobile heartbeat          Hide copied text  Hover for details  History and Physical   Attending Physician: DO;  Date of Admission: 1/27/2022     CC:    Chief Complaint Patient presents with ? Vascular Access Problem     clogged cath since thursday 1/20, has not have dialysis since         HPI:   This is a 59y.o. male with significant past medical history of HTN, T2DM, gout, and ESRD on hemodialysis that presented to the hospital with chief complaint of vascular access problem. Patient reports he went to his routinely scheduled hemodialysis session on January 20th; however, they were unable to run him due to a clotted fistula. He went to Facility on January 25th but was discharged home and instructed to follow up OP with vascular surgery. He was not able to make his outpatient appointment so he phoned his PCP who instructed him to come to the ED for evaluation. He admits to not taking his home medications since January 20th. Admits to fatigue. Denies any fever, chills, chest pain, shortness of breath, abdominal pain, nausea, vomiting, diarrhea, or constipation.    In the ED, patient normotensive, afebrile, stable SPO2 on room air. CXR negative for acute process. He has been admitted for further evaluation and management with nephrology and vascular surgery consultations.      ROS:   Constitutional: + fatigue, fever or chills.  Eyes:  Denies change in visual acuity, diplopia or pain. HENT:  Denies nasal congestion, sore throat or tinnitus. Respiratory:  Denies cough,difficulty in breathing or shortness of breath.  Cardiovascular:  Denies chest pain, palpitations or edema.  GI:  Denies abdominal pain, nausea, vomiting, constipation or diarrhea.  GU:  Denies dysuria, urinary frequency or hematuria. Musculoskeletal:  Denies back pain, atrophy, spasticity or joint pain.  Hematologic:  Denies anemia, bleeding, or bruising. Integument:  Denies rash or lesions. Neurologic:  Denies headache, focal weakness, seizure or stroke. Endocrine:  Denies temperature intolerance, polyuria, or polydipsia.   Psychiatric:  Denies irritability, depression or anxiety.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness postural, Fall, Feeling drunk, Loss of personal independence in daily activities, Vertigo
Clinical narrative: A few days after the vaccine, I woke up feeling "drunk" and unable to move without being extremely dizzy and falling over. I was driven to Urgent Care and they referred me to a specialist. I was ultimately diagnosed with a severe case of vertigo. I was given a ton of medication for it: Meclizine, anti-nausea medicine and Valium (low-dose) which allowed me to function more normally. I was unable to do normal activities for about a week. I no longer need any medicine for it.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: The patient tested positive for Covid-19 on 2/4/22 and developed pneumonia. he was hospitalized on 2/4/22
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine had expired on 2/28/22 and was given on 3/03/22.  Patient did not have any issues.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: Vaccinated pt admitted with covid infection
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Erythema, Herpes zoster, Mobility decreased, Pain in extremity
Clinical narrative: Red spot on arm three/four days after shot, pain down arm to hand, could not lift arm past certain point for approximately 5 weeks, February hives on neck, one month later March hives on arm, went to the doctor was diagnosed in Feb with Shingles but diagnosis was not confirm/I was not tested for shingles, March had video conference call with doctor, went to the office to have blood work done for autoimmune disease everything came back negative, I had not issue prior to covid shot, hive are on left side of body where I had the COVID Booster.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Red spot on arm three/four days after shot, pain down arm to hand, could not lift arm past certain point for approximately 5 weeks, February hives on neck, one month later March hives on arm, went to the doctor was diagnosed in Feb with Shingles but diagnosis was not confirm/I was not tested for shingles, March had video conference call with doctor, went to the office to have blood work done for autoimmune disease everything came back negative, I had not issue prior to covid shot, hive are on left side of body where I had the COVID Booster.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Had second COVID vaccine in the allergy department in case of reaction. Both Pfizer COVID vaccine intradermals were negative. We then proceeded with administration of the full Pfizer COVID vaccine. She was observed here for 60 minutes. She had no change in her physical exam, her vital signs, or her overall demeanor. At this time, patient is fully vaccinated. She does not demonstrate any evidence of allergic reaction to her 2nd vaccine. She can receive her booster without any additional precautions. Refill of Epi pen on same day.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cough, Diarrhoea, Vomiting
Clinical narrative: Hospitalized with weakness, cough, diarrhea, vomiting  when she arrived in clinic for preoperative evaluation.
Age: 0.75
Sex: M
Vaccine: FLUA4
Symptoms: Local reaction, Product administered to patient of inappropriate age
Clinical narrative: Patient was mistakenly given Fluad adjuvanted vaccine.  Pt had minor local reaction to the vaccine.  No other complication was reported.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: Vaccinated pt admitted with covid infection
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy lymph gland, Bronchoscopy, Lung lobectomy, Lung neoplasm malignant
Clinical narrative: Malignant neoplasm of lower lobe of left lung; procedure - Left Lower Lobectomy w/ Mediastinal Lymph Node Sampling and Bronchoscopy. This admission was within 6 weeks of receiving the COVID vaccine.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Exposure to SARS-CoV-2, Fatigue
Clinical narrative: This is a 65y.o. male admitted from home with increasing shortness of breath intractable cough with wheezing fatigue history of being exposed to Covid wife admitted on 122 to hospital with acute Covid symptoms patient thinks he got it from his disorder who comes to visit. Patient has shortness of breath long-standing history of congestive heart failure respiratory failure COPD uses BiPAP CPAP at home morbid obesity atrial fibrillation Coumadin 3 allergies Levaquin and penicillin and adhesive tape patient has not had chest pain but has had progressive shortness of breath with cough dyspnea chills febrility has had aching feeling. Was noted to have a positive test at home and came into the hospital where his Covid positivity was confirmed. Patient at this time states she is coughing somewhat less he is concerned because he had hemoptysis. Patient occasionally drinks he does not smoke family history of diabetes hypertension congestive heart failure. Patient has a history of hypothyroidism lymphedema lower extremity edema allergic rhinitis atrial fibrillation.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoptysis, Influenza A virus test negative, Influenza B virus test, Malaise, Respiratory syncytial virus test negative
Clinical narrative: This is a 65y.o. male admitted from home with increasing shortness of breath intractable cough with wheezing fatigue history of being exposed to Covid wife admitted on 122 to hospital with acute Covid symptoms patient thinks he got it from his disorder who comes to visit. Patient has shortness of breath long-standing history of congestive heart failure respiratory failure COPD uses BiPAP CPAP at home morbid obesity atrial fibrillation Coumadin 3 allergies Levaquin and penicillin and adhesive tape patient has not had chest pain but has had progressive shortness of breath with cough dyspnea chills febrility has had aching feeling. Was noted to have a positive test at home and came into the hospital where his Covid positivity was confirmed. Patient at this time states she is coughing somewhat less he is concerned because he had hemoptysis. Patient occasionally drinks he does not smoke family history of diabetes hypertension congestive heart failure. Patient has a history of hypothyroidism lymphedema lower extremity edema allergic rhinitis atrial fibrillation.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Wheezing
Clinical narrative: This is a 65y.o. male admitted from home with increasing shortness of breath intractable cough with wheezing fatigue history of being exposed to Covid wife admitted on 122 to hospital with acute Covid symptoms patient thinks he got it from his disorder who comes to visit. Patient has shortness of breath long-standing history of congestive heart failure respiratory failure COPD uses BiPAP CPAP at home morbid obesity atrial fibrillation Coumadin 3 allergies Levaquin and penicillin and adhesive tape patient has not had chest pain but has had progressive shortness of breath with cough dyspnea chills febrility has had aching feeling. Was noted to have a positive test at home and came into the hospital where his Covid positivity was confirmed. Patient at this time states she is coughing somewhat less he is concerned because he had hemoptysis. Patient occasionally drinks he does not smoke family history of diabetes hypertension congestive heart failure. Patient has a history of hypothyroidism lymphedema lower extremity edema allergic rhinitis atrial fibrillation.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Chemotherapy, Febrile neutropenia, Ureteric cancer
Clinical narrative: Febrile neutropenia. Patient is currently undergoing chemotherapy for cancer of her ureter.  She was started on broad-spectrum antibiotics and infectious disease evaluated her but she had no further fevers since admission so they felt that antibiotics could be discontinued. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 89.0
Sex: U
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted with covid infection
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Nasopharyngitis, Pain, Pyrexia, Rhinorrhoea
Clinical narrative: Symptoms generally consistent with Omicron - very runny nose progressing to moderate head cold, fever, aches, and cough. No sore throat though. Onset within hours of vaccine, lasting 4+ weeks. Lateral flow test negative. 2 visits to doctor 2 weeks apart - Zpak prescribed both times, cough suppressant, Mucinex. Note: first 2 shots were Moderna, with milder side-effect symptoms, 2nd less mild than first.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Symptoms generally consistent with Omicron - very runny nose progressing to moderate head cold, fever, aches, and cough. No sore throat though. Onset within hours of vaccine, lasting 4+ weeks. Lateral flow test negative. 2 visits to doctor 2 weeks apart - Zpak prescribed both times, cough suppressant, Mucinex. Note: first 2 shots were Moderna, with milder side-effect symptoms, 2nd less mild than first.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Hypersensitivity, Rash
Clinical narrative: Allergy reported to COVID MRNA vaccine. Medium reaction, water under skin and rash.
Age: 20.0
Sex: M
Vaccine: FLUC4
Symptoms: Injected limb mobility decreased, Injection site pain, Product administered at inappropriate site
Clinical narrative: Patient presented to clinic the day after vaccination with pain in his  left shoulder. The injection site was still visible and appeared to be above the recommended site for Deltoid injections. Patient reports decreased range of motion and pain.  It has been 3 weeks since injection and patient is still reporting pain and decreased range of motion. Provider has started a prescription of Prednisone 40 mg for 5 days.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal loss of weight, Blood glucose increased, Hyperglycaemia, Influenza A virus test negative, Influenza B virus test
Clinical narrative: High Blood Sugar. Pt coming from home for hyperglycemia since yesterday. BS 438 enroute, been off meds since september per PCP. HPI. 40 yo m via ems with hyperglycemia.  Patient does have a history of insulin-dependent diabetes however due to improvement in his condition his insulin was discontinued several months ago.  Notes that he has been having polydipsia and polyuria and checked his blood sugar which was elevated at home.  Additionally notes recent unintended weight loss. He denies vomiting, headache, shortness of breath, LOC, and cyanosis.Review of Systems Constitutional:  No fevers or chills. Eyes:  No visual changes or discharge.ENMT:  No ear or nasal discharge. No neck pain or stiffness.Cardiac:  No chest pain or edema. Respiratory:  No cough SOB or respiratory distress. GI:  No nausea, vomiting, diarrhea or abdominal pain.GU: See history of present illnessMS:  No edema or pain. No back pain.Neuro:  No headache or weakness.  No LOC. Skin:  No skin rash.Patient's Medications.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Nucleic acid test, Polydipsia, Polyuria, Respiratory syncytial virus test negative, SARS-CoV-2 test
Clinical narrative: High Blood Sugar. Pt coming from home for hyperglycemia since yesterday. BS 438 enroute, been off meds since september per PCP. HPI. 40 yo m via ems with hyperglycemia.  Patient does have a history of insulin-dependent diabetes however due to improvement in his condition his insulin was discontinued several months ago.  Notes that he has been having polydipsia and polyuria and checked his blood sugar which was elevated at home.  Additionally notes recent unintended weight loss. He denies vomiting, headache, shortness of breath, LOC, and cyanosis.Review of Systems Constitutional:  No fevers or chills. Eyes:  No visual changes or discharge.ENMT:  No ear or nasal discharge. No neck pain or stiffness.Cardiac:  No chest pain or edema. Respiratory:  No cough SOB or respiratory distress. GI:  No nausea, vomiting, diarrhea or abdominal pain.GU: See history of present illnessMS:  No edema or pain. No back pain.Neuro:  No headache or weakness.  No LOC. Skin:  No skin rash.Patient's Medications.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Crying, Disorientation, Loss of consciousness
Clinical narrative: Patient passed out in the room, woke up crying and disoriented. States he has been in therapy since then because ofthis.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: vaccinated pt admitted with covid infection
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Hot flush, Night sweats
Clinical narrative: Menstrual periods have stopped, severe hot flashes (15+ times per day), excessive night sweats
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Alcohol abuse, Alcohol poisoning
Clinical narrative: Alcohol abuse with sever alcohol intoxication, ETOH level 381 at 1:30 in the afternoon. Chemical counselling offered. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Human metapneumovirus test positive, Pulmonary embolism, Respiratory viral panel, Skin lesion
Clinical narrative: Acute pulmonary embolism without acute cor pulmonale. She was treated with supplemental oxygen, valacyclovir, Xarelto and was briefly treated with antibiotics (Zosyn and vancomycin) until the result of the respiratory pathogen panel was known (positive for human metapneumovirus).  She responded well, but was still requiring supplemental oxygen at 2 liters via nasal cannula at the time of discharge.  See home oxygen qualification performed by RT on 12/16.  Right flank Zoster lesions were all healing without discharge or signs of secondary cellulitis. Patient was discharged to Home with home oxygen and supply of medications. ED visit and hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Chills, Fatigue
Clinical narrative: Next say extreme shivers(almost seizing) temp over 101° extreme fatigue which lasted 4 days
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Electrocardiogram ambulatory, Fatigue, Palpitations
Clinical narrative: Approximately a few months after my 2nd dose vaccination I experienced the following symptoms:  Heart Palpitations that I have never felt before, Slightly Fatigued - I saw a cardiologist and was prescribed with Metoprolol and it did help for a while but the palpitations are still there and comes in an intermittent pattern.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: vaccinated pt admitted with covid infection
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Crying, Headache, Syncope
Clinical narrative: 2nd dose Pfizer 0.2ml administered to LA at 6:05pm, 10 minutes later while child is sitting and waiting on chair, he fainted and then started crying that his head was hurting. I immediately assessed vital signs, told co worker to initiate 911. Child was not sweaty or clammy, blood pressure 134/88, pulse of 88 with pulse oximeter. He stopped crying, I continued to assess child, no pallor, nausea, denied any dizziness or pain to any areas of his body. Mom stated, he gets nervous with  shots, B/P 130/70 before ambulance arrived. Instructed mom to sign up with program, information given. Child was not transported to hospital.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, COVID-19, Condition aggravated, Dyspnoea, Nasopharyngitis
Clinical narrative: On 11/18/2021 she tested positive from school with a rapid test. She was asymptotic. Then after the second dose 12/02/2021, Lot number FK5618 she tested positive again for COVID-19 on 01/18/2022. She had cold like symptoms with a fever and difficulty breathing. She had asthma attacks as well. She had symptoms for at least 5 days.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: On 11/18/2021 she tested positive from school with a rapid test. She was asymptotic. Then after the second dose 12/02/2021, Lot number FK5618 she tested positive again for COVID-19 on 01/18/2022. She had cold like symptoms with a fever and difficulty breathing. She had asthma attacks as well. She had symptoms for at least 5 days.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Anion gap, Aspartate aminotransferase, Asthenia, Blood chloride decreased
Clinical narrative: cough, shortness of breath.  Patient is a 70 year old male with PMH of HLD, CLL diagnosed in 2015 in remission for 5 years and Covid 19 diagnosed on 2/12/22. At the time patient had c/o loss of appetite, dry cough, congestion, and lack of energy. Patient receive monoclonal antibodies on 2/14/22. Patient reports that he has had the same continued symptoms since his diagnosis. Patient is vaccinated with Moderna, 2nd shot June 2021. Today his daughter, who is a nurse, told him "it is time to be checked out". Patient denies nausea, vomiting, diarrhea, and chest pain.   In the ED, Na 126, Cl 92, GFR 60, anion gap 19, trop <0.03, PT 14/inr 1.29. DDimer 407. K, AST, and total protein hemolyzed. Rapid flu and Covid negative. CXR shows shows bilateral infiltrates, (-)effusion, (-)pneumothorax, (-)cardiomegaly. CTA of the chest shows diffuse bilateral infiltrates, no evidence of pulmonary embolism. EKG shows SR @84bpm, Nonspecific ST-T wave changes, no STEMI. Patient received Zithromax and Rocephin
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium, Blood sodium decreased, COVID-19, Chest X-ray abnormal, Cough
Clinical narrative: cough, shortness of breath.  Patient is a 70 year old male with PMH of HLD, CLL diagnosed in 2015 in remission for 5 years and Covid 19 diagnosed on 2/12/22. At the time patient had c/o loss of appetite, dry cough, congestion, and lack of energy. Patient receive monoclonal antibodies on 2/14/22. Patient reports that he has had the same continued symptoms since his diagnosis. Patient is vaccinated with Moderna, 2nd shot June 2021. Today his daughter, who is a nurse, told him "it is time to be checked out". Patient denies nausea, vomiting, diarrhea, and chest pain.   In the ED, Na 126, Cl 92, GFR 60, anion gap 19, trop <0.03, PT 14/inr 1.29. DDimer 407. K, AST, and total protein hemolyzed. Rapid flu and Covid negative. CXR shows shows bilateral infiltrates, (-)effusion, (-)pneumothorax, (-)cardiomegaly. CTA of the chest shows diffuse bilateral infiltrates, no evidence of pulmonary embolism. EKG shows SR @84bpm, Nonspecific ST-T wave changes, no STEMI. Patient received Zithromax and Rocephin
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Dyspnoea, Electrocardiogram ST-T change, Electrocardiogram normal, Fibrin D dimer increased
Clinical narrative: cough, shortness of breath.  Patient is a 70 year old male with PMH of HLD, CLL diagnosed in 2015 in remission for 5 years and Covid 19 diagnosed on 2/12/22. At the time patient had c/o loss of appetite, dry cough, congestion, and lack of energy. Patient receive monoclonal antibodies on 2/14/22. Patient reports that he has had the same continued symptoms since his diagnosis. Patient is vaccinated with Moderna, 2nd shot June 2021. Today his daughter, who is a nurse, told him "it is time to be checked out". Patient denies nausea, vomiting, diarrhea, and chest pain.   In the ED, Na 126, Cl 92, GFR 60, anion gap 19, trop <0.03, PT 14/inr 1.29. DDimer 407. K, AST, and total protein hemolyzed. Rapid flu and Covid negative. CXR shows shows bilateral infiltrates, (-)effusion, (-)pneumothorax, (-)cardiomegaly. CTA of the chest shows diffuse bilateral infiltrates, no evidence of pulmonary embolism. EKG shows SR @84bpm, Nonspecific ST-T wave changes, no STEMI. Patient received Zithromax and Rocephin