chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Injection site rash, Injection site reaction, Irritability, Pallor, Pyrexia
Clinical narrative: patient received MMR, VAR and HAV on 4/22/22.  Patient had rash / lesion on right lateral upper thigh at injection site for VARIVAX- noted 5/1/22.  Fever to 103 noted 5/1/22 after the rash / lesion started.  Patient with significant fussiness during this.  Lesion was darker in redness, almost purple with 2 non vesicular papules on either side of the injection site.  Patient continued with fever to 101 x 36 hours and defervesced.  Injection site lesion improving 5/4/22 at office visit.  5/4/22 evaluation with mild pink, flat blanching 2.5 x 1.5 cm lesion on upper lateral right thigh.  No tenderness, no vesicles or papules. No subcutaneous tissue changes.  No streaking or warmth.  No other skin rashes or change.
Age: 1.0
Sex: F
Vaccine: HEPA, MMR, VARCEL
Symptoms: Rash papular, Skin lesion
Clinical narrative: patient received MMR, VAR and HAV on 4/22/22.  Patient had rash / lesion on right lateral upper thigh at injection site for VARIVAX- noted 5/1/22.  Fever to 103 noted 5/1/22 after the rash / lesion started.  Patient with significant fussiness during this.  Lesion was darker in redness, almost purple with 2 non vesicular papules on either side of the injection site.  Patient continued with fever to 101 x 36 hours and defervesced.  Injection site lesion improving 5/4/22 at office visit.  5/4/22 evaluation with mild pink, flat blanching 2.5 x 1.5 cm lesion on upper lateral right thigh.  No tenderness, no vesicles or papules. No subcutaneous tissue changes.  No streaking or warmth.  No other skin rashes or change.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Dysphonia, Pruritus, Urticaria
Clinical narrative: I woke covered in hives and it was intensely itchy. I took an Allegra and it gave 80% relief. I woke Saturday and I was worse, my scalp, neck and back was covered with hives. I went to urgent care and was diagnosed with Urticaria. It also became hard for me to swallow and I became hoarse. I went to ER and was given an Epi-Pen.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: NO ADVERSE EVENT WAS NOTED.  ADMINISTERED EXPIRED VACCINE.  VACCINE EXPIRED ON 4/1/2022 AND WAS ADMINISTERED ON 04/19/2022
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Ephelides, Melanocytic naevus, Somnolence
Clinical narrative: He got his vaccine, he did not have any problems initially, was busy and trying to stay active with the holiday coming on, but he slept a lot.  Somewhere around January 3, he noticed some increasing freckles on his hands and all of his pores.  Very small, very light.  He also has some black moles on his chest, neck and shoulders that popped up.  He went to his doctor for his freckles/brown marks which are all over his body.  She said it was due to his age and light skinned and that they see it a lot.  They have not taken any tests or anything.   He also has joint pains.  His son also has similar problems.    On the 2nd vaccine he developed a lumps on his breast that just showed up.  He was at the dentist who sent him to the UC and scheduled for him to get a mammogram on 8/31/21 and was informed that he had gynecomastia and informed to stop drinking which he drank Martini's and also drank a lot of beer, which he has since limited and just drinks a couple of martini's a week now.  The lumps are still present and he measures his chest from time to time and looses weight in the summer, but is a little larger now.  They said that he had a thickening of the tissue inside, and has not have that checked out.  Was told to see his PCP immediately after that who spent some time with him, and said he had hormone changes and things were changing in his body and that is why he had the side effects, and that if it was treated would cause his prostate cancer to be worse and that he would have to live with it, loose weight.    He never thought he would live this long, and just wants to know why he has these spots.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Asthenia, COVID-19, Chills
Clinical narrative: patient presented to emergency department on 2/9/22 with  chest congestion, cough, body aches chills fever st loss of taste and smell, runny nose st, fatigue weakness patient was admitted for further management of covid 19 patient was found to be covid-19 positive on 2/9/22 patient did not require treatment for symptoms associated with covid 19 infection patient was discharged to home on 2/12/22
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Fatigue, Pain, Pulmonary congestion, Pyrexia
Clinical narrative: patient presented to emergency department on 2/9/22 with  chest congestion, cough, body aches chills fever st loss of taste and smell, runny nose st, fatigue weakness patient was admitted for further management of covid 19 patient was found to be covid-19 positive on 2/9/22 patient did not require treatment for symptoms associated with covid 19 infection patient was discharged to home on 2/12/22
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: patient presented to emergency department on 2/9/22 with  chest congestion, cough, body aches chills fever st loss of taste and smell, runny nose st, fatigue weakness patient was admitted for further management of covid 19 patient was found to be covid-19 positive on 2/9/22 patient did not require treatment for symptoms associated with covid 19 infection patient was discharged to home on 2/12/22
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness neurosensory, Deafness unilateral, Electrocochleogram abnormal, Endolymphatic hydrops
Clinical narrative: Unilateral (Right) Sensorineural Hearing Loss with hydrops of the cochlea
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Raynaud's phenomenon
Clinical narrative: Raynaud's symptoms began in the fingers. Occurs ~2/times a month.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: A third moderna booster was given unintentionally after the second booster. Patient waited 30 minutes post administration(s). Patient was immediately made aware of what happened and experienced no adverse reactions. Patient was called 2 afterwards for follow up.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Medication error - expired vaccine administered.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Death, Diarrhoea, Dyspnoea
Clinical narrative: Pfizer COVID vac #1 given 03/03/2021, lot #EN6201; Pfizer vac #2 given 03/24/2021, lot #EN6208; pt admitted to hospital for SOB, fever, cough, diarrhea, O2 on RA low 80s%; pt states he had a positive COVID test today 1/24/22 in PCP's office and came to hospital; treated with dexamethasone, remdesivir; had acute thrombotic event; thrombectomy; pt required intubation; condition worsened; pt transitioned to comfort care and passed away in the hospital
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Embolism, Endotracheal intubation, General physical health deterioration, Oxygen saturation decreased, Pyrexia
Clinical narrative: Pfizer COVID vac #1 given 03/03/2021, lot #EN6201; Pfizer vac #2 given 03/24/2021, lot #EN6208; pt admitted to hospital for SOB, fever, cough, diarrhea, O2 on RA low 80s%; pt states he had a positive COVID test today 1/24/22 in PCP's office and came to hospital; treated with dexamethasone, remdesivir; had acute thrombotic event; thrombectomy; pt required intubation; condition worsened; pt transitioned to comfort care and passed away in the hospital
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Thrombectomy
Clinical narrative: Pfizer COVID vac #1 given 03/03/2021, lot #EN6201; Pfizer vac #2 given 03/24/2021, lot #EN6208; pt admitted to hospital for SOB, fever, cough, diarrhea, O2 on RA low 80s%; pt states he had a positive COVID test today 1/24/22 in PCP's office and came to hospital; treated with dexamethasone, remdesivir; had acute thrombotic event; thrombectomy; pt required intubation; condition worsened; pt transitioned to comfort care and passed away in the hospital
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Disorientation, Fatigue
Clinical narrative: Breakthrough COVID-19 Case: I received my 2nd booster on April 14th. I had no immediate symptoms. I first started noticing symptoms on Saturday, April 30th. runny nose and cough. On Monday morning, I saw a doctor and she recommended Flonase and Zyrtec, on Tuesday morning, it tested positive for COVID-19. She prescribed Paxlovid in addition to Mucinex DM, Zyrtec. I feel weak, disoriented, fatigued and sleepy. I assume it has to do with the Mucinex DM, Flonase, and runny nose.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Rhinorrhoea, SARS-CoV-2 test positive, Somnolence, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID-19 Case: I received my 2nd booster on April 14th. I had no immediate symptoms. I first started noticing symptoms on Saturday, April 30th. runny nose and cough. On Monday morning, I saw a doctor and she recommended Flonase and Zyrtec, on Tuesday morning, it tested positive for COVID-19. She prescribed Paxlovid in addition to Mucinex DM, Zyrtec. I feel weak, disoriented, fatigued and sleepy. I assume it has to do with the Mucinex DM, Flonase, and runny nose.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case  dose 1 Moderna 3/2/21 025A21A dose 2 Moderna 3/30/21 028A21A
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Ophthalmic migraine, Ophthalmological examination normal, Vision blurred, Visual impairment
Clinical narrative: I got COVID-19 on January 1st, 2022, and Booster on January 15th 2022, I began to have migraines start up the first week of February, I went to urgent care because it was causing blurry pixelated vision that got big and colorful. It lasted about 30 minutes. General eye test was done, I was then recommended to go to an eye doctor and had another general checkup with my Primary. They did not find anything wrong and stated I was having Ocular migraines and I had about 8 more in the span of two months last one ending in March. Since March I haven't been having any symptoms.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: NO ADVERSE EVENT WAS NOTED.  ADMINISTERED EXPIRED VACCINE.  VACCINE EXPIRED ON 4/1/2022 AND WAS ADMINISTERED ON 04/19/2022
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Medication error - expired vaccine administered.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Severe arm pain that has increased with time, treated with prednisone, awaiting EMG (5/23/22)
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: No adverse event noted. Expired vaccine administered. Vaccine expired 4/1/2022. Administered 04/19/2022.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Delivery, Exposure during pregnancy, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case  dose 1 Pfizer 1/12/21 EL3248 dose 2 Pfizer 2/4/21 EL9265  delivered baby on 5/4/22
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: No adverse event noted. Expired vaccine administered. Vaccine expired 4/1/2022. Administered 04/19/2022.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Allergy test positive, Pruritus, Urticaria
Clinical narrative: I started getting itchy hives all over my body whenever anything contacts my skin.  I was prescribed antihistamines to be taken twice a day.  While on antihistamines, I still get red marks but the itchiness mostly goes away.  When I stop taking antihistamines, itchy hives return in about 12 hours after last antihistamine.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test normal, Burning sensation, Myalgia, X-ray normal
Clinical narrative: I was referred to see RA doctor and I did on March 14, 2022; I was having the same issue joint and muscle pain burning all over but no inflammation. She orders bloodwork like a bunch but she still prescribed medication. Because all tests came back normal. Prednisone for three wks. which caused an adverse event so she gave me Hydroxychloroquine Sulfate; I also went to see the bone Dr. and they ran an x-ray which came back fine and they prescribed physical therapy but I am very active so I declined to go.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Vaccine breakthrough infection
Clinical narrative: Breakthrough case of COVID-19: I did a telehealth visit with the doctor and was prescribed Benzonatate for coughing.  Monoclonal antibodies (04/18/2022).
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received a extra dose of vaccine 5/18/2021 for unknown reason.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: NO ADVERSE EVENT WAS NOTED.  ADMINISTERED EXPIRED VACCINE.  VACCINE EXPIRED ON 4/1/2022 AND WAS ADMINISTERED ON 04/19/2022
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash pruritic, Sleep disorder
Clinical narrative: HPI: Patient presents with itchy rash, which is interrupting her sleep, on wrists and ventral forearms x 1 week. She has hx of eczema (specifically hand eczema). Has been rx'd triamcinolone 0.1% cream in past for this and has been using this regularly to right palm, which is not helping much. Had 2nd dose of COVID vaccine 2 weeks before onset of rash and thinks it may be r/t this. Also using hand cream regularly and tries to avoid hand sanitizer.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, CSF white blood cell count increased, Chest pain, Culture negative, Fatigue
Clinical narrative: Patient is fully vaccinated.  COVID positive on 4/27/2022 at hopitalization. 36-year-old female that presented with bilateral lower extremity paresthesias and severe headaches. She also had general body aches, chest pain, fatigue.  She did not require oxygen. Lumbar puncture was done.  CSF showed mild increase in WBCs.  Cultures have been negative however and so have MRIs of brain and spine.  Discussed this at length with neurology and they recommended close follow-up as an outpatient.  Patient symptoms have resolved and she was feeling well on discharge.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lumbar puncture abnormal, Magnetic resonance imaging head normal, Magnetic resonance imaging spinal normal, Pain
Clinical narrative: Patient is fully vaccinated.  COVID positive on 4/27/2022 at hopitalization. 36-year-old female that presented with bilateral lower extremity paresthesias and severe headaches. She also had general body aches, chest pain, fatigue.  She did not require oxygen. Lumbar puncture was done.  CSF showed mild increase in WBCs.  Cultures have been negative however and so have MRIs of brain and spine.  Discussed this at length with neurology and they recommended close follow-up as an outpatient.  Patient symptoms have resolved and she was feeling well on discharge.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated.  COVID positive on 4/27/2022 at hopitalization. 36-year-old female that presented with bilateral lower extremity paresthesias and severe headaches. She also had general body aches, chest pain, fatigue.  She did not require oxygen. Lumbar puncture was done.  CSF showed mild increase in WBCs.  Cultures have been negative however and so have MRIs of brain and spine.  Discussed this at length with neurology and they recommended close follow-up as an outpatient.  Patient symptoms have resolved and she was feeling well on discharge.
Age: 3.0
Sex: M
Vaccine: PPV
Symptoms: No adverse event, Wrong product administered
Clinical narrative: No symptoms were experienced from the adverse event. Patient was accidentally administered the pneumo polysaccharide vaccine instead of pneumococcal -13 vaccine.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: NO ADVERSE EVENT WAS NOTED.  ADMINISTERED EXPIRED VACCINE.  VACCINE EXPIRED ON 4/1/2022 AND WAS ADMINISTERED ON 04/19/2022
Age: 29.0
Sex: M
Vaccine: ANTH
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: Diffuse erthymic , pruritic rash from injjection site of left deltoid extending to upper right shoulder.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: NO ADVERSE EVENT WAS NOTED.  ADMINISTERED EXPIRED VACCINE.  VACCINE EXPIRED ON 4/1/2022 AND WAS ADMINISTERED ON 04/19/2022
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Patient said she got hives 2 weeks after J&J. Discussed with doctor and told to get Moderna.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: NO ADVERSE EVENT WAS NOTED.  ADMINISTERED EXPIRED VACCINE.  VACCINE EXPIRED ON 4/1/2022 AND WAS ADMINISTERED ON 04/19/2022.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Myalgia, Pain in extremity
Clinical narrative: Patient is still experiencing arm pain, muscle and joint pain, fever, chills and moderate fatigue 13 days post-vaccination
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Patient is still experiencing arm pain, muscle and joint pain, fever, chills and moderate fatigue 13 days post-vaccination
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Lymphadenopathy, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: I experienced on Sunday sore throat on left side, home test on Monday and it was negative. By Tuesday, my gland became swollen and I went for a COVID-19 test on 4/26/22 and the 27th and it came back positive. Today I have cold symptoms.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Got COVID-19 - received treatment.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Chest X-ray abnormal, Death, Dyspnoea, Electrocardiogram normal
Clinical narrative: Patient presented to ED with increasing hypoxia and dyspnea.  Presented on 2LNC, and titrated up to 4LNC.  Chest xray revealed extensive bilateral infiltrates.  Started on IV antibiotics.  Troponin elevated, and EKG without ischemic changes.  She continued to require Oxygen, up to 15 L, and troponin continued to rise.  Cardiology and Pulmonology both consulted, started on Heparin qtt  until PE could be ruled out.  Discounted d/t no DVT or PE.  Patient continued to decline and developed encephalopathy and GIB.  Family /decided to make patient comfort measures.  Patient expired on 02/07/2022.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Encephalopathy, Gastrointestinal haemorrhage, General physical health deterioration, Hypoxia, Inappropriate schedule of product administration
Clinical narrative: Patient presented to ED with increasing hypoxia and dyspnea.  Presented on 2LNC, and titrated up to 4LNC.  Chest xray revealed extensive bilateral infiltrates.  Started on IV antibiotics.  Troponin elevated, and EKG without ischemic changes.  She continued to require Oxygen, up to 15 L, and troponin continued to rise.  Cardiology and Pulmonology both consulted, started on Heparin qtt  until PE could be ruled out.  Discounted d/t no DVT or PE.  Patient continued to decline and developed encephalopathy and GIB.  Family /decided to make patient comfort measures.  Patient expired on 02/07/2022.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Lung infiltration, Troponin increased
Clinical narrative: Patient presented to ED with increasing hypoxia and dyspnea.  Presented on 2LNC, and titrated up to 4LNC.  Chest xray revealed extensive bilateral infiltrates.  Started on IV antibiotics.  Troponin elevated, and EKG without ischemic changes.  She continued to require Oxygen, up to 15 L, and troponin continued to rise.  Cardiology and Pulmonology both consulted, started on Heparin qtt  until PE could be ruled out.  Discounted d/t no DVT or PE.  Patient continued to decline and developed encephalopathy and GIB.  Family /decided to make patient comfort measures.  Patient expired on 02/07/2022.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Hypoaesthesia, Lumbar puncture, Magnetic resonance imaging, Scan brain
Clinical narrative: about 2 weeks after first dose I woke up with numbness in lower half of my body. both legs and torso. I ended up in emergency room and was looked at over next week in hospital for stroke and different disease including MS, Transverse myelitis, Guillen-Barre.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Surgery, X-ray
Clinical narrative: about 2 weeks after first dose I woke up with numbness in lower half of my body. both legs and torso. I ended up in emergency room and was looked at over next week in hospital for stroke and different disease including MS, Transverse myelitis, Guillen-Barre.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chest X-ray normal, Chest pain, Chills, Cough
Clinical narrative: Patient is fully vaccinated. 34-year-old female with no significant past medical history who presents with complaints of body aches, chest pain, generalized abdominal pain, fever/chills, nausea/vomiting, headaches, dizziness, cough, and congestion that started about 3 days ago.  Patient states that her coworker tested positive for COVID and she was exposed to him on 4 days ago. BP 115/68  | Pulse 58  | Temp 98.4 °F (36.9 °C) (Oral)  | Resp 16  | Ht 157.5 cm (5' 2")  | Wt 68 kg (150 lb)  | SpO2 97% chest x ray: No acute intrathoracic process. EKG normal sinus rhythm. Started patient on a 1 L bolus of fluids and Toradol for pain.Gave her a dose of Norco. Discharged home.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Electrocardiogram normal, Headache, Nausea, Occupational exposure to SARS-CoV-2
Clinical narrative: Patient is fully vaccinated. 34-year-old female with no significant past medical history who presents with complaints of body aches, chest pain, generalized abdominal pain, fever/chills, nausea/vomiting, headaches, dizziness, cough, and congestion that started about 3 days ago.  Patient states that her coworker tested positive for COVID and she was exposed to him on 4 days ago. BP 115/68  | Pulse 58  | Temp 98.4 °F (36.9 °C) (Oral)  | Resp 16  | Ht 157.5 cm (5' 2")  | Wt 68 kg (150 lb)  | SpO2 97% chest x ray: No acute intrathoracic process. EKG normal sinus rhythm. Started patient on a 1 L bolus of fluids and Toradol for pain.Gave her a dose of Norco. Discharged home.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Respiratory tract congestion, Vomiting
Clinical narrative: Patient is fully vaccinated. 34-year-old female with no significant past medical history who presents with complaints of body aches, chest pain, generalized abdominal pain, fever/chills, nausea/vomiting, headaches, dizziness, cough, and congestion that started about 3 days ago.  Patient states that her coworker tested positive for COVID and she was exposed to him on 4 days ago. BP 115/68  | Pulse 58  | Temp 98.4 °F (36.9 °C) (Oral)  | Resp 16  | Ht 157.5 cm (5' 2")  | Wt 68 kg (150 lb)  | SpO2 97% chest x ray: No acute intrathoracic process. EKG normal sinus rhythm. Started patient on a 1 L bolus of fluids and Toradol for pain.Gave her a dose of Norco. Discharged home.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough case
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Inappropriate schedule of product administration, Interchange of vaccine products
Clinical narrative: Patient presented with a vaccine card J&J 05/11/2021 asking for booster.  Registration found an additional two doses of pfizer on 04/03/2021 and 04/24/2021 at outside pharmacy, patient admitted he got those two doses (not on his vaccine card ). EHR noted pt received Pfizer on 12/1/21 which patient denied receiving.  Pt received Pfizer booster dose on  4/28/22. No side effect noted to writer post-vaccination.  On further review, staff discovered additional forms in pt chart and possible that pt received Pfizer dose on 12/1/21 despite pt denying not getting it.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, COVID-19, Chapped lips, Contusion, Dyspnoea
Clinical narrative: January 20,2022 I woke up with chapped lips which is rare. I had a fever of 102. I took a COVID-19 test and it was positive. I had no other symptoms. The fever was gone by the next day. A week later I began having shortness of breath, broke out with a rash, I was very tired and fatigued. The rash went away a few weeks ago and I have  bruises everywhere the rash was. I still get tired off and on. The doctor did bloodwork and all was good, so she told me I was having side effects of COVID-19.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pyrexia, Rash, SARS-CoV-2 test positive
Clinical narrative: January 20,2022 I woke up with chapped lips which is rare. I had a fever of 102. I took a COVID-19 test and it was positive. I had no other symptoms. The fever was gone by the next day. A week later I began having shortness of breath, broke out with a rash, I was very tired and fatigued. The rash went away a few weeks ago and I have  bruises everywhere the rash was. I still get tired off and on. The doctor did bloodwork and all was good, so she told me I was having side effects of COVID-19.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Feeling abnormal, Hypermobility syndrome, Joint stiffness
Clinical narrative: I started to notice that when I woke up my right index finger felt stiff. It seemed to be getting worse within a period of 7 weeks. As time went on it would hurt and be stiff when I woke up. When I would try to use it felt tender in the middle joint and then spread to the top joint and the joint where it connects to my hand. In general, I notice stiffness in my knees and just stiff when I wake up than I did before. This started a month after the booster. I had a baby in April 2021 and all stuff feels different. I went to a hand specialist orthopedic surgeon Dr. and she did some imaging and said it looks like early arthritis. and hypermobility in my hand. I've taken Ibuprofen for a short period of time and now glucosamine, tart cherry and chondroitin. It doesn't seem to be getting worse.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Pain in extremity, X-ray limb abnormal
Clinical narrative: I started to notice that when I woke up my right index finger felt stiff. It seemed to be getting worse within a period of 7 weeks. As time went on it would hurt and be stiff when I woke up. When I would try to use it felt tender in the middle joint and then spread to the top joint and the joint where it connects to my hand. In general, I notice stiffness in my knees and just stiff when I wake up than I did before. This started a month after the booster. I had a baby in April 2021 and all stuff feels different. I went to a hand specialist orthopedic surgeon Dr. and she did some imaging and said it looks like early arthritis. and hypermobility in my hand. I've taken Ibuprofen for a short period of time and now glucosamine, tart cherry and chondroitin. It doesn't seem to be getting worse.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Death, Dialysis, Loss of consciousness
Clinical narrative: pt comes to ED after LOC (2-3min) during dialysis; c/o generalized weakness x1 wk; positive for COVID; placed on O2; given steroids, ABX; respiratory status worsened; DNR/DNI; during dialysis pt passed away in the hospital
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory disorder, SARS-CoV-2 test positive
Clinical narrative: pt comes to ED after LOC (2-3min) during dialysis; c/o generalized weakness x1 wk; positive for COVID; placed on O2; given steroids, ABX; respiratory status worsened; DNR/DNI; during dialysis pt passed away in the hospital
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Guttate psoriasis, SARS-CoV-2 test positive
Clinical narrative: Severe guttate psoriasis flare began about 1 month after vaccination. Full body coverage with over 500 spots. Skin had been clear from over 12 years while on biologic medication.  Three kenalog injects given over 3 months to slow growth of new plaques.  Positive Covid infection in December triggered another round of severe guttate psoriasis flare in Jan - a month after COVID infection in December. Guttate psoriasis remains out of control - unable to be controlled by aggressive biologic medication and highly potent topical steroids.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Malaise, Nausea, SARS-CoV-2 test positive
Clinical narrative: patient presented to emergency department on 1/9/22 with weakness and nausea and vomiting patient was admitted for further management of nausea patien was found to be covid 19 jpositive on 1/9/22 patient did not require treatment for symptoms associated with covid 19 infection patient was discharged to home on 1/12/22
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: patient presented to emergency department on 1/9/22 with weakness and nausea and vomiting patient was admitted for further management of nausea patien was found to be covid 19 jpositive on 1/9/22 patient did not require treatment for symptoms associated with covid 19 infection patient was discharged to home on 1/12/22
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Vaccinated pt admitted to inpatient facility with positive covid infection. No vaccination information available
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site pain, Pain, Pyrexia
Clinical narrative: The injection site as sore soon after the shot and through the second day.  I ran a fever of 99.3, was quite tried; had aches and slight chills for the next day.  The fever and aches went away after one day.  I also notice red blotches and about 18 hives.  The blotch was about 1 inch on my abdomen; hives were about 3/4 to 1/2 inch on various parts of my body.   They have not gone away yet.  I took Tylenol 1000 MG twice for the fever and aches.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Rash macular, Urticaria
Clinical narrative: The injection site as sore soon after the shot and through the second day.  I ran a fever of 99.3, was quite tried; had aches and slight chills for the next day.  The fever and aches went away after one day.  I also notice red blotches and about 18 hives.  The blotch was about 1 inch on my abdomen; hives were about 3/4 to 1/2 inch on various parts of my body.   They have not gone away yet.  I took Tylenol 1000 MG twice for the fever and aches.
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Product preparation error
Clinical narrative: Vaccine was reconstituted with  sterile water instead of the diluent provided with it.
Age: 52.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Dizziness, Headache, Localised infection, Neck pain
Clinical narrative: Female  presenting with pain and swelling to the right lower extremity that occurred 2 months ago. Symptoms occurred gradually and are still present. Symptoms are described as moderate in nature.  Patient states that her symptoms began after receiving the first dose of a COVID-19 vaccine.  Patient is also complaining of a left-sided headache that has been ongoing for the past 2 weeks.  She states that the pain also radiates into her neck and she endorses dizziness.  She states that ibuprofen helps mildly.  Patient also complains of right shoulder pain.  She states that she has been to see her primary care doctor for the symptoms and was told that her leg was an infection.
Age: 52.0
Sex: F
Vaccine: UNK
Symptoms: Pain, Pain in extremity, Peripheral swelling
Clinical narrative: Female  presenting with pain and swelling to the right lower extremity that occurred 2 months ago. Symptoms occurred gradually and are still present. Symptoms are described as moderate in nature.  Patient states that her symptoms began after receiving the first dose of a COVID-19 vaccine.  Patient is also complaining of a left-sided headache that has been ongoing for the past 2 weeks.  She states that the pain also radiates into her neck and she endorses dizziness.  She states that ibuprofen helps mildly.  Patient also complains of right shoulder pain.  She states that she has been to see her primary care doctor for the symptoms and was told that her leg was an infection.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Diarrhoea, Fatigue, Hyperhidrosis, Injection site pain
Clinical narrative: I experienced injection site pain, my arm became swollen, diarrhea, loss of appetite, body aches, fatigue, fever, sweats, and those symptoms lasted for 2 days.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Peripheral swelling, Pyrexia
Clinical narrative: I experienced injection site pain, my arm became swollen, diarrhea, loss of appetite, body aches, fatigue, fever, sweats, and those symptoms lasted for 2 days.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Chest pain, Echocardiogram normal, Pain
Clinical narrative: After my vaccine I had no symptoms but on Saturday 04-30-2022, I went to the ER at Medical Center because I started to experience strong chest pain, left side radiating to my axilla then to my upper shoulder and down my left hand. I underwent a cardiogram which was negative this occurred at about 6 hours after my symptoms. I do not know if my symptoms were caused by the vaccine.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: After my vaccine I had no symptoms but on Saturday 04-30-2022, I went to the ER at Medical Center because I started to experience strong chest pain, left side radiating to my axilla then to my upper shoulder and down my left hand. I underwent a cardiogram which was negative this occurred at about 6 hours after my symptoms. I do not know if my symptoms were caused by the vaccine.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Crohn's disease, Diarrhoea, Haematochezia, Inflammation
Clinical narrative: I was completely in remission from Crohn's Disease but since the vaccine I have been having flare ups again. When I woke up in the morning I had experienced looser and bloody stool. on 03/26/2021 I brought a stool sample to the doctor. He confirmed it was a flare up and prescribed a topical stereo cream  Budesonide. I has improved since then, but has not gone away completely.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Stool analysis abnormal
Clinical narrative: I was completely in remission from Crohn's Disease but since the vaccine I have been having flare ups again. When I woke up in the morning I had experienced looser and bloody stool. on 03/26/2021 I brought a stool sample to the doctor. He confirmed it was a flare up and prescribed a topical stereo cream  Budesonide. I has improved since then, but has not gone away completely.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling abnormal, Pyrexia
Clinical narrative: High fever (101-102), chills (lasted two days), brain fog (lasted 5-7 days). Tylenol and Advil; resolved issues.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Flushing, Headache, Hypersomnia
Clinical narrative: About 11PM on the day that I got the shot, I started getting dizzy and a really bad headache and fatigued until I took acetaminophen. Same for Wednesday, 04/27. I slept the entire day. Headache, dizzy, fatigued. I was fine the 28th until Monday, the 2nd of May. Dizzy, headache, fatigue. Tuesday, May 3rd, I slept a lot. Dizzy, fatigue, headache. Medications: acetaminophen, Aleve, ice packs. My arm did hurt on Wednesday, 04/27. General other effects: face flushing, general body inflammation.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Pain in extremity
Clinical narrative: About 11PM on the day that I got the shot, I started getting dizzy and a really bad headache and fatigued until I took acetaminophen. Same for Wednesday, 04/27. I slept the entire day. Headache, dizzy, fatigued. I was fine the 28th until Monday, the 2nd of May. Dizzy, headache, fatigue. Tuesday, May 3rd, I slept a lot. Dizzy, fatigue, headache. Medications: acetaminophen, Aleve, ice packs. My arm did hurt on Wednesday, 04/27. General other effects: face flushing, general body inflammation.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given the 2nd dose too early (first dose 10/6/21, next dose eligible would be 10/23/21 but pt was given 2nd dose on 10/22/21 at 5:09PM)
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Rhinorrhoea, Seasonal allergy, Sinus congestion
Clinical narrative: About 12 hours later I started getting a runny nose but 24 hours later it became more significant. It lasted for about 3 days. I seemed to have developed seasonal allergies since then. With any activity I get sinus congestion and runny nose. I also had a mild headache that lasted 4 hours.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling hot, Injection site pain, Injection site swelling
Clinical narrative: Starting that evening after receiving the vaccine, my entire body including the left arm became warm. The left arm injection site became very sensitive to touch and swollen, and the symptoms lasted for about a week.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Ear pain, Ear swelling, Facial pain, Full blood count
Clinical narrative: Patient developed immediate body aches following second dose, followed by headache, swelling and pain left side of face and ear. Diagnosed with bell's palsy, unresolved 10 days post vaccine.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Immediate post-injection reaction, Metabolic function test, Pain, Swelling face
Clinical narrative: Patient developed immediate body aches following second dose, followed by headache, swelling and pain left side of face and ear. Diagnosed with bell's palsy, unresolved 10 days post vaccine.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood pressure fluctuation, Blood test abnormal, Cardiac stress test abnormal, Chronic obstructive pulmonary disease
Clinical narrative: My blood pressure is all over the place. I was getting really weak in the middle of the afternoon which I later realized was because it was dipping very low in the middle of the day. I saw my cardiologist on March 15. Stress Test and pulmonary test on March 29 and all the results were showing very mild COPD but no issues with my heart. Blood pressure is going so high that the doctor is considering raising my blood pressure medication but reluctant due to the dips in the middle of the day. They have me currently tracking my blood pressure a few times a day. She is waiting to see whether it is consistently high or low before changing the dosage. I was diagnosed with hyper polycythemia and advised to see a blood specialist.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Hypertension, Hypotension, Polycythaemia, Pulmonary function test abnormal
Clinical narrative: My blood pressure is all over the place. I was getting really weak in the middle of the afternoon which I later realized was because it was dipping very low in the middle of the day. I saw my cardiologist on March 15. Stress Test and pulmonary test on March 29 and all the results were showing very mild COPD but no issues with my heart. Blood pressure is going so high that the doctor is considering raising my blood pressure medication but reluctant due to the dips in the middle of the day. They have me currently tracking my blood pressure a few times a day. She is waiting to see whether it is consistently high or low before changing the dosage. I was diagnosed with hyper polycythemia and advised to see a blood specialist.
Age: 100.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Pfizer COVID vac #1 - 1/14/21 - #EL3247; Pfizer COVID vac #2 - 2/4/21 - EEL9261; pt lives in a residential facility; had a positive COVID test on 12/21/21, prior to admission into the facility; DNR; slow to recover from COVID; on O2 supplementation; pt expired in the residential facility
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Pyrexia
Clinical narrative: I contracted COVID-19 April 23,2022, I had a fever.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, COVID-19, Disturbance in attention, Fatigue, Feeling abnormal
Clinical narrative: On 10/15/2021 I got my 1st booster at 1:00PM. On the 12/20/2021 the flu like symptoms stated on the same day few hours later and lasted the whole weekend. I tested positive on 12/27/2021. I went to the ER on Feb. first tele visit 12/27/2021, 2nd tele visit 01/10/2021. I had 2 tele visit. On the first week of march that's when I started feeling better. when I went to the ER they gave me Benadryl, meclizine, while I was in the ER they gave me Tylenol, intravenous Benadryl, intervenes Reglan. it was really bad luckily I was vaccinated otherwise it could have gotten worse. On the 2nd booster I had joint pain, brain fog, fatigue got worst, and lost of concentration. Not sure if its related to the 2nd dose. Still trying to find out. March 14/2022 follow up for ER visit. May 2, 2022 based on the symptoms.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Laboratory test, SARS-CoV-2 test positive
Clinical narrative: On 10/15/2021 I got my 1st booster at 1:00PM. On the 12/20/2021 the flu like symptoms stated on the same day few hours later and lasted the whole weekend. I tested positive on 12/27/2021. I went to the ER on Feb. first tele visit 12/27/2021, 2nd tele visit 01/10/2021. I had 2 tele visit. On the first week of march that's when I started feeling better. when I went to the ER they gave me Benadryl, meclizine, while I was in the ER they gave me Tylenol, intravenous Benadryl, intervenes Reglan. it was really bad luckily I was vaccinated otherwise it could have gotten worse. On the 2nd booster I had joint pain, brain fog, fatigue got worst, and lost of concentration. Not sure if its related to the 2nd dose. Still trying to find out. March 14/2022 follow up for ER visit. May 2, 2022 based on the symptoms.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Coeliac disease, Diarrhoea, Muscle spasms
Clinical narrative: Starting 11/25/2021, I started having diarrhea, cramps, and bloating. I was diagnose with Celiac disease.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Skin exfoliation, Skin wrinkling
Clinical narrative: Large red area approximately 2.5 inches  at injection site which which was swollen along with swollen left arm pit.  Redness has remained for 3 weeks since receipt of injection as well as itching.  Skin in that area appears wrinkled and is now peeling.  Redness and itching still remain  along with small swelling under left armpit.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Large red area approximately 2.5 inches  at injection site which which was swollen along with swollen left arm pit.  Redness has remained for 3 weeks since receipt of injection as well as itching.  Skin in that area appears wrinkled and is now peeling.  Redness and itching still remain  along with small swelling under left armpit.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain upper, Angiogram pulmonary abnormal, Anticoagulant therapy, Asthenia, COVID-19
Clinical narrative: Notes from discharge provider: "59 YO male with a history of HIV/ AIDS with CD4 count less than 35 on 12/07/2021, pneumocystis pneumonia, cryptococcal pneumonia, cytomegalovirus retinitis who presented to emergency department for complaint of right upper quadrant abdominal pain for the past three days. Patient ran out of his medications day prior to arrival and unable to get help or medications since his home aide got sick with COVID. In the ED, patient's vitals stable. He subsequently tested positive for COVID-19, not hypoxic. D-dimer elevated and CTPA revealed bilateral pulmonary emboli. Patient started on anticoagulation. He is to start Eliquis on discharge with medication arrangements with his primary provider. Infectious Disease was consulted and helped coordinate medications for patient with sotrovimab monoclonal antibody infusion during hospital stay. Patient received remdesvir for 3 days, though did not receive steroids as it was not indicated. He was additionally started on ceftriaxone and doxycycline for community acquired pneumonia prophylaxis. He is to continue doxycycline for 4 more days. He is current with LHC and will have home health. He is medically stable and ready for discharge in the afternoon of January 14, 2022."
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Exposure to SARS-CoV-2, Fibrin D dimer increased, Leukopenia, Liver function test increased, Normocytic anaemia
Clinical narrative: Notes from discharge provider: "59 YO male with a history of HIV/ AIDS with CD4 count less than 35 on 12/07/2021, pneumocystis pneumonia, cryptococcal pneumonia, cytomegalovirus retinitis who presented to emergency department for complaint of right upper quadrant abdominal pain for the past three days. Patient ran out of his medications day prior to arrival and unable to get help or medications since his home aide got sick with COVID. In the ED, patient's vitals stable. He subsequently tested positive for COVID-19, not hypoxic. D-dimer elevated and CTPA revealed bilateral pulmonary emboli. Patient started on anticoagulation. He is to start Eliquis on discharge with medication arrangements with his primary provider. Infectious Disease was consulted and helped coordinate medications for patient with sotrovimab monoclonal antibody infusion during hospital stay. Patient received remdesvir for 3 days, though did not receive steroids as it was not indicated. He was additionally started on ceftriaxone and doxycycline for community acquired pneumonia prophylaxis. He is to continue doxycycline for 4 more days. He is current with LHC and will have home health. He is medically stable and ready for discharge in the afternoon of January 14, 2022."
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pneumonia, Pulmonary embolism, SARS-CoV-2 test positive, Thrombocytopenia
Clinical narrative: Notes from discharge provider: "59 YO male with a history of HIV/ AIDS with CD4 count less than 35 on 12/07/2021, pneumocystis pneumonia, cryptococcal pneumonia, cytomegalovirus retinitis who presented to emergency department for complaint of right upper quadrant abdominal pain for the past three days. Patient ran out of his medications day prior to arrival and unable to get help or medications since his home aide got sick with COVID. In the ED, patient's vitals stable. He subsequently tested positive for COVID-19, not hypoxic. D-dimer elevated and CTPA revealed bilateral pulmonary emboli. Patient started on anticoagulation. He is to start Eliquis on discharge with medication arrangements with his primary provider. Infectious Disease was consulted and helped coordinate medications for patient with sotrovimab monoclonal antibody infusion during hospital stay. Patient received remdesvir for 3 days, though did not receive steroids as it was not indicated. He was additionally started on ceftriaxone and doxycycline for community acquired pneumonia prophylaxis. He is to continue doxycycline for 4 more days. He is current with LHC and will have home health. He is medically stable and ready for discharge in the afternoon of January 14, 2022."