chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: U
Vaccine: COVID19
Symptoms: Immunisation, No adverse event, Wrong technique in product usage process
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Heart rate increased, Pain, Pain in extremity, Pyrexia
Clinical narrative: Woke with pain in arm and general body aches.  Had mild fever (99.0) around 9:00am followed by chills.  Around 2:45pm, my watch alerted me that my heart rate was high even though I was sitting down over a period of 10 minutes.  Heart rate was between 120 and 125 during this time.  I then took my blood pressure and received a reading of 122/84 with a pulse of 119.  I took my pulse again at 3:00pm and it was still 117-120.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Syncope
Clinical narrative: apx 10 mins after injection, pt had syncopal episode while in the waiting room; it took a few minutes for patient to come to, and apx 20 minutes for her to feel better
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Swollen tongue
Clinical narrative: My tongue swelled up and I had to go to the ER and was treated with an EPI shot, intravenous prednisone along with two other types of  histamines. Upon release I had to take prednisone pills for 4 days. And now I have to carry an EPI pen with me at all times.  I have never had my tongue swell before.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient presented for 2nd Covid Vacccine in series. The vaccinator noted the patient received a 10mcg pediatric dose for the 1st vaccine 3 weeks previously. The patient is 12 years old and was 12 years old at the time of the 1st vaccine. The patients mother was aware the patient had received a 10mcg pediatric dose and wanted him to receive the same 10mcg pediatric dose for the 2nd vaccine The 10mcg pediatric dose was documented and administered.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Balance disorder, Blood test normal, Electric shock sensation, Fatigue
Clinical narrative: So it started 10/22/2021 in the AM, the symptoms started the numbness and tingling  in my hands, finger tips, and feet  a little for getting things, anxiety and fatigued. It feels like internal shock on the inside of my body. It's kind of difficult to explain but that's the best I can say. It comes and goes throughout the day. I am still experiencing it today 12/08/2021. Sometimes, I can be walking and I get that feeling and it completely brings me to a halt. It takes me a moment to gather myself. I have to at times, sit down or if I am able, I have to grab hold to something to catch my balance. Since take the vaccine, my memory isn't sharp anymore, I forget a lot of things. I never had this problem before taking the vaccine. It has taken a toll on me and my family. I have had to take off work for some days because of this. These symptoms that I am having has taken away financially as well. My doctor, now want me to see a neurologist. Just waiting on the referral.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Impaired work ability, Memory impairment, Paraesthesia
Clinical narrative: So it started 10/22/2021 in the AM, the symptoms started the numbness and tingling  in my hands, finger tips, and feet  a little for getting things, anxiety and fatigued. It feels like internal shock on the inside of my body. It's kind of difficult to explain but that's the best I can say. It comes and goes throughout the day. I am still experiencing it today 12/08/2021. Sometimes, I can be walking and I get that feeling and it completely brings me to a halt. It takes me a moment to gather myself. I have to at times, sit down or if I am able, I have to grab hold to something to catch my balance. Since take the vaccine, my memory isn't sharp anymore, I forget a lot of things. I never had this problem before taking the vaccine. It has taken a toll on me and my family. I have had to take off work for some days because of this. These symptoms that I am having has taken away financially as well. My doctor, now want me to see a neurologist. Just waiting on the referral.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: 8/18/2021 Routine Covid Testing/ Asymptomatic.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Pain
Clinical narrative: Coronavirus Concern      "can't taste or smell, coughing, sneezing, runny nose, body aches
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Sneezing
Clinical narrative: Coronavirus Concern      "can't taste or smell, coughing, sneezing, runny nose, body aches
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19 Vaccine PEDS pediatric formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9% NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Nausea, Unresponsive to stimuli
Clinical narrative: Within a few minutes after getting the vaccine, the client reported feeling dizzy. She felt like this for a few minutes before losing consciousness. She dropped her head forward and mom attempted to wake her and called for help. Mom shook the client with no reaction. Nurse came over and attempted to arouse the client. She finally awoke and then felt nauseous. EMS activated. Client did not go to the hospital. Mother took client home after about 30 minutes of additional observation.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Pruritus
Clinical narrative: Pt. states that after receiving the 2nd dose of Phizer 04/13/2021, started experiencing symptoms 05/03/2021 of redness, swelling at the injection site. Developed into raised "bumpy" area in and around the injection site, still experiencing symptoms of itchiness. Primary/ Dermatologist visit 09/2021 with Follow-Up with Steroid Cream (Triamcinolone Acetonide).
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: The patient had no adverse reaction to the vaccine. The 12 year old patient was inadvertently given the vaccine manufactured for patients 5 - 11 years of age. The parent was informed of the administration error as soon as it was detected. Per the CDC guidance on COVID-19 Vaccine Administration Errors, if a person aged 12 -17 yrs is given the 5-11 years formulation, the Pfizer BioNTech Vaccine formulated for persons 12 years and older should be administered 21 days after the first dose. The patient received the correct second dose on 12/03/2021. To avoid further errors, the two formulations of the vaccine are stored in distinct containers and in different areas of the refrigerator. Brightly colored, easily recognizable Pediatric labels are affixed to the syringes containing the pediatric formulation to distinguish them from those for persons 12 years and older.  Providers are also reminded to always verify the age of the patient and the appropriate vaccine to administer.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 53.0
Sex: M
Vaccine: VARZOS
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Aches, fever and chills
Age: 10.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer and the CDC, due to lack of stability data, it was advised to revaccinate the patient.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Asymptomatic/Routine Covid19 Testing on 8/18/2021
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Injection site erythema, Injection site swelling, Malaise, Pruritus
Clinical narrative: Broke out with COVID arm 10 days after shot. Had rash all over but where the shot was given was swollen and very red. Was very hot and just didn't feel good from being itchy.  Dr. put me on a steroid (prednisone) and a steroid cream.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Broke out with COVID arm 10 days after shot. Had rash all over but where the shot was given was swollen and very red. Was very hot and just didn't feel good from being itchy.  Dr. put me on a steroid (prednisone) and a steroid cream.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Fatigue, Headache
Clinical narrative: I had low-grade fever, chills, and a mild cough.  I was serve fatigue.  I had a really bad headache.  These symptoms lasted for about 5 or 6 day.  The fatigue is still ongoing. I went to a testing site for a COVID-19 test, positive result.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I had low-grade fever, chills, and a mild cough.  I was serve fatigue.  I had a really bad headache.  These symptoms lasted for about 5 or 6 day.  The fatigue is still ongoing. I went to a testing site for a COVID-19 test, positive result.
Age: 6.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient received a dose of Pfizer COVID-19Vaccine  Peds formulation (5-11yr) that may have been reconstituted with a single use vial of 0.9%NS that was entered into multiple times to reconstitute other vials of Pfizer vaccine. Staff did not realize the 10mL vial  was for single use only (to take out 1.3mL then discard). Each time the vial was used it was swabbed with alcohol and a new syringe was used to enter the vial then to add the diluent to the Pfizer vaccine for reconstitution. The 10mL ,  0.9%NS vial was disposed of at the end of each day. The patient did not experience any adverse reaction. At the recommendation of Pfizer, due to lack of stability data, it was advised to revaccinate the patient.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Palpitations
Clinical narrative: Heart palpitations . Has not resolved
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Diarrhoea, Headache, Vomiting
Clinical narrative: Upset stomach and headache 2 days post vaccine. Evolved to diarrhea  and throwing up 3 times on the 4th day post-vaccine. Resolved 6 days post-vaccine.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: 08/18/2021 Covid19 Routine Testing = Positive Asymptomatic
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Wrong product administered
Clinical narrative: Patient had asked for Pfizer COVID 19 vaccine but was given Moderna COVID 19 vaccine in error
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Aphonia, COVID-19, Cardiac failure congestive, Condition aggravated
Clinical narrative: Date of Admission:  11/10/2021   Chief Complaint:  Shortness of breath   Source of Information:  Patient   History of Present Illness:  This is a 57y.o. male with PMH of HFrEF, anxiety, HTN, HLD, gout, A-fib with pacer placement, chronic lymph edema, osteoarthritis of various lower extremity joints presents to BFH ED c/o shortness of breath with incidental COVID positive test. He currently O2 sat of 99% on room air. He has received two COVID vaccination shots. He lives with his brother and sister who are both also vaccinated, but his brother also tested positive today. Pt states that he started having a dry cough three days ago, then lost his voice due to the severe coughing two days ago. He notes that hot food makes it better and dry food makes it worse. He felt that he couldn't "catch his breath" last night 11/9/21 around 9 pm and started banging his walking stick to get his sister's attention in order to take him to the ED. He notes that he struggles with anxiety and often has panic attacks, so the shortness of breath made his anxiety worse. He was recently admitted 10/6/2021 for acute CHF exacerbation where medications were changed and pt expresses concern about medication changes. Admits he does use compression pumps at home for his chronic lymphedema that he notes is improved compared to his baseline, but has not used the lymphedema pumps over the past week. He denies tobacco usage and only reports occasional social EtOH drinking, no recreational drug usage. No significant family history
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Exposure to SARS-CoV-2, SARS-CoV-2 test positive, Walking aid user
Clinical narrative: Date of Admission:  11/10/2021   Chief Complaint:  Shortness of breath   Source of Information:  Patient   History of Present Illness:  This is a 57y.o. male with PMH of HFrEF, anxiety, HTN, HLD, gout, A-fib with pacer placement, chronic lymph edema, osteoarthritis of various lower extremity joints presents to BFH ED c/o shortness of breath with incidental COVID positive test. He currently O2 sat of 99% on room air. He has received two COVID vaccination shots. He lives with his brother and sister who are both also vaccinated, but his brother also tested positive today. Pt states that he started having a dry cough three days ago, then lost his voice due to the severe coughing two days ago. He notes that hot food makes it better and dry food makes it worse. He felt that he couldn't "catch his breath" last night 11/9/21 around 9 pm and started banging his walking stick to get his sister's attention in order to take him to the ED. He notes that he struggles with anxiety and often has panic attacks, so the shortness of breath made his anxiety worse. He was recently admitted 10/6/2021 for acute CHF exacerbation where medications were changed and pt expresses concern about medication changes. Admits he does use compression pumps at home for his chronic lymphedema that he notes is improved compared to his baseline, but has not used the lymphedema pumps over the past week. He denies tobacco usage and only reports occasional social EtOH drinking, no recreational drug usage. No significant family history
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Dyspnoea, Troponin increased
Clinical narrative: SOB for one week prompting medical care at the ER, troponins were elevated and death occurred.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Cardiac failure, Cardiac infection, Cardiomegaly, Dizziness
Clinical narrative: approx 3-4 weeks after vaccine, very fatigued and off and on slight fever. my heart at times would have a irregular beat and became short of breath, couldn't walk without almost passing out, elevated heart beat. on 06/12/2021 went to the emergency room for these symptoms. found blood clots in my lungs, enlarged heart--infection, heart failure and  pneumonia.  put into the ICU for 5days and released after a week in the hospital. put on blood thinners, heart failure meds, high blood pressure  meds, and at home oxygen. there is no complete outcome from this yet, returned to the er on November 25 for irregular heart beat
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Gait disturbance, Heart rate increased, Heart rate irregular
Clinical narrative: approx 3-4 weeks after vaccine, very fatigued and off and on slight fever. my heart at times would have a irregular beat and became short of breath, couldn't walk without almost passing out, elevated heart beat. on 06/12/2021 went to the emergency room for these symptoms. found blood clots in my lungs, enlarged heart--infection, heart failure and  pneumonia.  put into the ICU for 5days and released after a week in the hospital. put on blood thinners, heart failure meds, high blood pressure  meds, and at home oxygen. there is no complete outcome from this yet, returned to the er on November 25 for irregular heart beat
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Pneumonia, Pulmonary embolism, Pyrexia
Clinical narrative: approx 3-4 weeks after vaccine, very fatigued and off and on slight fever. my heart at times would have a irregular beat and became short of breath, couldn't walk without almost passing out, elevated heart beat. on 06/12/2021 went to the emergency room for these symptoms. found blood clots in my lungs, enlarged heart--infection, heart failure and  pneumonia.  put into the ICU for 5days and released after a week in the hospital. put on blood thinners, heart failure meds, high blood pressure  meds, and at home oxygen. there is no complete outcome from this yet, returned to the er on November 25 for irregular heart beat
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Underdose
Clinical narrative: Client was given a dose of Pfizer pediatric dose 5-11 in Error. Per CDC guidelines client was then vaccinated with adult Pfiizer12+ booster dose.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: 08/18/2021 Routine Covid19 Testing = Positive/ Asymptomatic
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test normal, Rash, Scab
Clinical narrative: I had my vaccine on 04/2021 and  mid May I started getting Bumps on my arms and all over my body, I was seen by by my Cosmetologist and a Vile was removed from one of the bumps to be sent to the Lab, I was prescribed a cream but is still scabs bad, the cream seems to dry it faster but it is a still an ongoing issue.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Face injury, Fall, Head injury, Skin laceration
Clinical narrative: Patient was using her walker and leaving the vaccination site and fell down. She fell on her face and hit her head resulting in a cut that caused blood. The police and EMTs were called and came within 5-7 minutes. Patient vomited upon sitting on the stretcher. She was awake and alert but was obviously in discomfort due to the fall. She was transported to the local hospital.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting, Walking aid user
Clinical narrative: Patient was using her walker and leaving the vaccination site and fell down. She fell on her face and hit her head resulting in a cut that caused blood. The police and EMTs were called and came within 5-7 minutes. Patient vomited upon sitting on the stretcher. She was awake and alert but was obviously in discomfort due to the fall. She was transported to the local hospital.
Age: 20.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Head injury, Seizure, Syncope
Clinical narrative: Gabe seemed fine and we were talking with his father.  He appeared to faint and hit the floor from his seated position, banging his head on the refrigerator.  He appeared to have a convulsion where he scraped his forehead.  His father sat on the floor and spoke to the patient until he regained consciousness.  He stayed for 30 minutes in the pharmacy area without further problems.
Age: 30.0
Sex: F
Vaccine: MMR
Symptoms: Expired product administered
Clinical narrative: I administered an expired MMR vaccine on 12/6/21. The vaccine vials expired on 12/4/21 and the diluent vials were fine, they expire on October 2022. I notified the patient and prescriber
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Aortic dilatation, Atypical pneumonia, Blood culture, Blood lactic acid
Clinical narrative: This is a 69y.o. male with PMH significant for HTN and high cholesterol  And Psoriatic Arthritis (on sulfasalazine) presents to ED with c/o coronavirus concern. Pt is reported to have tested positive for coronavirus one week ago and symptoms have been progressively getting worse. Symptoms include SOB, non-productive cough, can't take a deep breath without coughing; fevers and diarrhea. Pt states he was fully vaccinated with the moderna vaccine about 6 months ago and is unsure where he contracted the virus. Pt feels as though he is unable to take a full breath. Pt denies dizziness, LOC, chest pain, palpitations, sputum production, abdominal pain, N/V, constipation or dysuria.  Pt was reported by EMS to be hypoxic upon arrival with improvement on 2LNC. In the ED, pt was afebrile and normotensive with tachypnea. Inflammatory markers elevated. WBC 4.7. lactic acid 1. D-dimer 1,147. Blood cultures collected. Chest xray - no acute process. CTA PE protocol - 1. No evidence for acute pulmonary embolus. 2. Diffuse bilateral pulmonary reticulonodular and groundglass opacities compatible with multifocal atypical pneumonia. 3. Ascending aortic ectasia up to 4.6 cm. 4. Hepatic steatosis. 5. Splenomegaly. 6. Bilateral renal cysts. In the ED, pt was given dexamethasone 6mg IVP. Pt will be admit for further treatment with consult to ID.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Cough, Diarrhoea, Dyspnoea
Clinical narrative: This is a 69y.o. male with PMH significant for HTN and high cholesterol  And Psoriatic Arthritis (on sulfasalazine) presents to ED with c/o coronavirus concern. Pt is reported to have tested positive for coronavirus one week ago and symptoms have been progressively getting worse. Symptoms include SOB, non-productive cough, can't take a deep breath without coughing; fevers and diarrhea. Pt states he was fully vaccinated with the moderna vaccine about 6 months ago and is unsure where he contracted the virus. Pt feels as though he is unable to take a full breath. Pt denies dizziness, LOC, chest pain, palpitations, sputum production, abdominal pain, N/V, constipation or dysuria.  Pt was reported by EMS to be hypoxic upon arrival with improvement on 2LNC. In the ED, pt was afebrile and normotensive with tachypnea. Inflammatory markers elevated. WBC 4.7. lactic acid 1. D-dimer 1,147. Blood cultures collected. Chest xray - no acute process. CTA PE protocol - 1. No evidence for acute pulmonary embolus. 2. Diffuse bilateral pulmonary reticulonodular and groundglass opacities compatible with multifocal atypical pneumonia. 3. Ascending aortic ectasia up to 4.6 cm. 4. Hepatic steatosis. 5. Splenomegaly. 6. Bilateral renal cysts. In the ED, pt was given dexamethasone 6mg IVP. Pt will be admit for further treatment with consult to ID.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Hepatic steatosis, Hypoxia, Inflammatory marker increased, Lung opacity
Clinical narrative: This is a 69y.o. male with PMH significant for HTN and high cholesterol  And Psoriatic Arthritis (on sulfasalazine) presents to ED with c/o coronavirus concern. Pt is reported to have tested positive for coronavirus one week ago and symptoms have been progressively getting worse. Symptoms include SOB, non-productive cough, can't take a deep breath without coughing; fevers and diarrhea. Pt states he was fully vaccinated with the moderna vaccine about 6 months ago and is unsure where he contracted the virus. Pt feels as though he is unable to take a full breath. Pt denies dizziness, LOC, chest pain, palpitations, sputum production, abdominal pain, N/V, constipation or dysuria.  Pt was reported by EMS to be hypoxic upon arrival with improvement on 2LNC. In the ED, pt was afebrile and normotensive with tachypnea. Inflammatory markers elevated. WBC 4.7. lactic acid 1. D-dimer 1,147. Blood cultures collected. Chest xray - no acute process. CTA PE protocol - 1. No evidence for acute pulmonary embolus. 2. Diffuse bilateral pulmonary reticulonodular and groundglass opacities compatible with multifocal atypical pneumonia. 3. Ascending aortic ectasia up to 4.6 cm. 4. Hepatic steatosis. 5. Splenomegaly. 6. Bilateral renal cysts. In the ED, pt was given dexamethasone 6mg IVP. Pt will be admit for further treatment with consult to ID.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Renal cyst, SARS-CoV-2 test positive, Splenomegaly, Tachypnoea
Clinical narrative: This is a 69y.o. male with PMH significant for HTN and high cholesterol  And Psoriatic Arthritis (on sulfasalazine) presents to ED with c/o coronavirus concern. Pt is reported to have tested positive for coronavirus one week ago and symptoms have been progressively getting worse. Symptoms include SOB, non-productive cough, can't take a deep breath without coughing; fevers and diarrhea. Pt states he was fully vaccinated with the moderna vaccine about 6 months ago and is unsure where he contracted the virus. Pt feels as though he is unable to take a full breath. Pt denies dizziness, LOC, chest pain, palpitations, sputum production, abdominal pain, N/V, constipation or dysuria.  Pt was reported by EMS to be hypoxic upon arrival with improvement on 2LNC. In the ED, pt was afebrile and normotensive with tachypnea. Inflammatory markers elevated. WBC 4.7. lactic acid 1. D-dimer 1,147. Blood cultures collected. Chest xray - no acute process. CTA PE protocol - 1. No evidence for acute pulmonary embolus. 2. Diffuse bilateral pulmonary reticulonodular and groundglass opacities compatible with multifocal atypical pneumonia. 3. Ascending aortic ectasia up to 4.6 cm. 4. Hepatic steatosis. 5. Splenomegaly. 6. Bilateral renal cysts. In the ED, pt was given dexamethasone 6mg IVP. Pt will be admit for further treatment with consult to ID.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count decreased
Clinical narrative: This is a 69y.o. male with PMH significant for HTN and high cholesterol  And Psoriatic Arthritis (on sulfasalazine) presents to ED with c/o coronavirus concern. Pt is reported to have tested positive for coronavirus one week ago and symptoms have been progressively getting worse. Symptoms include SOB, non-productive cough, can't take a deep breath without coughing; fevers and diarrhea. Pt states he was fully vaccinated with the moderna vaccine about 6 months ago and is unsure where he contracted the virus. Pt feels as though he is unable to take a full breath. Pt denies dizziness, LOC, chest pain, palpitations, sputum production, abdominal pain, N/V, constipation or dysuria.  Pt was reported by EMS to be hypoxic upon arrival with improvement on 2LNC. In the ED, pt was afebrile and normotensive with tachypnea. Inflammatory markers elevated. WBC 4.7. lactic acid 1. D-dimer 1,147. Blood cultures collected. Chest xray - no acute process. CTA PE protocol - 1. No evidence for acute pulmonary embolus. 2. Diffuse bilateral pulmonary reticulonodular and groundglass opacities compatible with multifocal atypical pneumonia. 3. Ascending aortic ectasia up to 4.6 cm. 4. Hepatic steatosis. 5. Splenomegaly. 6. Bilateral renal cysts. In the ED, pt was given dexamethasone 6mg IVP. Pt will be admit for further treatment with consult to ID.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: Moderna COVID-19 Vaccine EUA   This lot # is for the first injection.  I have since received my second dose on 3/11/21 and my booster - also Moderna - on 11/22/21.  With each successive dose, the tinnitus seems to have become much worse.  It seemed to get a little better as time went on after the first 2 doses, but with the booster it has come back ringing at even higher volume.  Most distressing/
Age: 31.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Acute coronary syndrome, Anxiety, Aortic dilatation, Aortic valve incompetence, Bifascicular block
Clinical narrative: Symptoms (Occurred 11/19 at 4:45pm): Palpitations Shortness of breath Chest tightness Near syncope Dizziness & anxiety   Emergency room visit, admitted for continued monitoring, discharged due to asymptomatic 11/20 at 8:30  Diagnosed with bifascicular bundle branch block - NSR, RBBB, LAFB ECG's, x_ray, and TTE performed Troponin: < 0.03 Potassium: 3.7meq/L Covid test: Negative   Background:  no previous indications or occurrences of issue, sister with WPW, mother with MI in 60s  Notes from ER: "Patient is a 31 year old year-old male presenting with palpitations, dyspnea, chest pain, resolved. Upon arrival the patient is afebrile, hemodynamically stable, comfortable appearing, normal work of breathing on room air, normal heart tones, no lower extremity edema or asymmetry.   Differential diagnosis includes arrhythmia, ACS, heart failure, electrolyte derangement, thyroid abnormality, pulmonary embolus, pneumonia, pneumothorax, acute intoxication, withdrawal, and others.   Based on the differential, IV access obtained, labs are sent, repeat EKG obtained, chest x-ray performed.   Overall the patient's clinical exam is reassuring.  No clinical signs of decompensated heart failure without a history to suggest this.  Low suspicion for ACS without acute ischemic changes on EKG although no prior EKG for comparison.   EKG is notable for right bundle branch block with left anterior fascicular block with no prior for comparison.  No clear delta wave, no epsilon wave, no other evidence of malignant arrhythmia at this time.   Considered pulmonary embolus however the patient is without symptoms of shortness of breath at this time, no hypoxemia, no tachycardia, low risk by Wells, negative PERC.   Labs revealed grossly normal electrolytes, renal function, TSH, with negative troponin.   Cardiology and electrophysiology were consulted due to concern for his episodes of palpitations, lightheadedness, which in light of his EKG showing bifascicular block, was concerning for an episode of complete heart block.   The patient remained asymptomatic in the emergency department.  He was admitted to the cardiology service for telemetry and further evaluation management."
Age: 31.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Blood electrolytes normal, Blood potassium normal, Blood thyroid stimulating hormone normal, Bundle branch block, Bundle branch block left
Clinical narrative: Symptoms (Occurred 11/19 at 4:45pm): Palpitations Shortness of breath Chest tightness Near syncope Dizziness & anxiety   Emergency room visit, admitted for continued monitoring, discharged due to asymptomatic 11/20 at 8:30  Diagnosed with bifascicular bundle branch block - NSR, RBBB, LAFB ECG's, x_ray, and TTE performed Troponin: < 0.03 Potassium: 3.7meq/L Covid test: Negative   Background:  no previous indications or occurrences of issue, sister with WPW, mother with MI in 60s  Notes from ER: "Patient is a 31 year old year-old male presenting with palpitations, dyspnea, chest pain, resolved. Upon arrival the patient is afebrile, hemodynamically stable, comfortable appearing, normal work of breathing on room air, normal heart tones, no lower extremity edema or asymmetry.   Differential diagnosis includes arrhythmia, ACS, heart failure, electrolyte derangement, thyroid abnormality, pulmonary embolus, pneumonia, pneumothorax, acute intoxication, withdrawal, and others.   Based on the differential, IV access obtained, labs are sent, repeat EKG obtained, chest x-ray performed.   Overall the patient's clinical exam is reassuring.  No clinical signs of decompensated heart failure without a history to suggest this.  Low suspicion for ACS without acute ischemic changes on EKG although no prior EKG for comparison.   EKG is notable for right bundle branch block with left anterior fascicular block with no prior for comparison.  No clear delta wave, no epsilon wave, no other evidence of malignant arrhythmia at this time.   Considered pulmonary embolus however the patient is without symptoms of shortness of breath at this time, no hypoxemia, no tachycardia, low risk by Wells, negative PERC.   Labs revealed grossly normal electrolytes, renal function, TSH, with negative troponin.   Cardiology and electrophysiology were consulted due to concern for his episodes of palpitations, lightheadedness, which in light of his EKG showing bifascicular block, was concerning for an episode of complete heart block.   The patient remained asymptomatic in the emergency department.  He was admitted to the cardiology service for telemetry and further evaluation management."
Age: 31.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Bundle branch block right, Cardiac telemetry, Chest X-ray, Chest discomfort, Chest pain
Clinical narrative: Symptoms (Occurred 11/19 at 4:45pm): Palpitations Shortness of breath Chest tightness Near syncope Dizziness & anxiety   Emergency room visit, admitted for continued monitoring, discharged due to asymptomatic 11/20 at 8:30  Diagnosed with bifascicular bundle branch block - NSR, RBBB, LAFB ECG's, x_ray, and TTE performed Troponin: < 0.03 Potassium: 3.7meq/L Covid test: Negative   Background:  no previous indications or occurrences of issue, sister with WPW, mother with MI in 60s  Notes from ER: "Patient is a 31 year old year-old male presenting with palpitations, dyspnea, chest pain, resolved. Upon arrival the patient is afebrile, hemodynamically stable, comfortable appearing, normal work of breathing on room air, normal heart tones, no lower extremity edema or asymmetry.   Differential diagnosis includes arrhythmia, ACS, heart failure, electrolyte derangement, thyroid abnormality, pulmonary embolus, pneumonia, pneumothorax, acute intoxication, withdrawal, and others.   Based on the differential, IV access obtained, labs are sent, repeat EKG obtained, chest x-ray performed.   Overall the patient's clinical exam is reassuring.  No clinical signs of decompensated heart failure without a history to suggest this.  Low suspicion for ACS without acute ischemic changes on EKG although no prior EKG for comparison.   EKG is notable for right bundle branch block with left anterior fascicular block with no prior for comparison.  No clear delta wave, no epsilon wave, no other evidence of malignant arrhythmia at this time.   Considered pulmonary embolus however the patient is without symptoms of shortness of breath at this time, no hypoxemia, no tachycardia, low risk by Wells, negative PERC.   Labs revealed grossly normal electrolytes, renal function, TSH, with negative troponin.   Cardiology and electrophysiology were consulted due to concern for his episodes of palpitations, lightheadedness, which in light of his EKG showing bifascicular block, was concerning for an episode of complete heart block.   The patient remained asymptomatic in the emergency department.  He was admitted to the cardiology service for telemetry and further evaluation management."
Age: 31.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Congenital aortic anomaly, Dizziness, Dyspnoea, Echocardiogram, Echocardiogram abnormal
Clinical narrative: Symptoms (Occurred 11/19 at 4:45pm): Palpitations Shortness of breath Chest tightness Near syncope Dizziness & anxiety   Emergency room visit, admitted for continued monitoring, discharged due to asymptomatic 11/20 at 8:30  Diagnosed with bifascicular bundle branch block - NSR, RBBB, LAFB ECG's, x_ray, and TTE performed Troponin: < 0.03 Potassium: 3.7meq/L Covid test: Negative   Background:  no previous indications or occurrences of issue, sister with WPW, mother with MI in 60s  Notes from ER: "Patient is a 31 year old year-old male presenting with palpitations, dyspnea, chest pain, resolved. Upon arrival the patient is afebrile, hemodynamically stable, comfortable appearing, normal work of breathing on room air, normal heart tones, no lower extremity edema or asymmetry.   Differential diagnosis includes arrhythmia, ACS, heart failure, electrolyte derangement, thyroid abnormality, pulmonary embolus, pneumonia, pneumothorax, acute intoxication, withdrawal, and others.   Based on the differential, IV access obtained, labs are sent, repeat EKG obtained, chest x-ray performed.   Overall the patient's clinical exam is reassuring.  No clinical signs of decompensated heart failure without a history to suggest this.  Low suspicion for ACS without acute ischemic changes on EKG although no prior EKG for comparison.   EKG is notable for right bundle branch block with left anterior fascicular block with no prior for comparison.  No clear delta wave, no epsilon wave, no other evidence of malignant arrhythmia at this time.   Considered pulmonary embolus however the patient is without symptoms of shortness of breath at this time, no hypoxemia, no tachycardia, low risk by Wells, negative PERC.   Labs revealed grossly normal electrolytes, renal function, TSH, with negative troponin.   Cardiology and electrophysiology were consulted due to concern for his episodes of palpitations, lightheadedness, which in light of his EKG showing bifascicular block, was concerning for an episode of complete heart block.   The patient remained asymptomatic in the emergency department.  He was admitted to the cardiology service for telemetry and further evaluation management."
Age: 31.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Electrocardiogram PR interval, Electrocardiogram QRS complex, Electrocardiogram QT interval, Electrocardiogram abnormal, Palpitations
Clinical narrative: Symptoms (Occurred 11/19 at 4:45pm): Palpitations Shortness of breath Chest tightness Near syncope Dizziness & anxiety   Emergency room visit, admitted for continued monitoring, discharged due to asymptomatic 11/20 at 8:30  Diagnosed with bifascicular bundle branch block - NSR, RBBB, LAFB ECG's, x_ray, and TTE performed Troponin: < 0.03 Potassium: 3.7meq/L Covid test: Negative   Background:  no previous indications or occurrences of issue, sister with WPW, mother with MI in 60s  Notes from ER: "Patient is a 31 year old year-old male presenting with palpitations, dyspnea, chest pain, resolved. Upon arrival the patient is afebrile, hemodynamically stable, comfortable appearing, normal work of breathing on room air, normal heart tones, no lower extremity edema or asymmetry.   Differential diagnosis includes arrhythmia, ACS, heart failure, electrolyte derangement, thyroid abnormality, pulmonary embolus, pneumonia, pneumothorax, acute intoxication, withdrawal, and others.   Based on the differential, IV access obtained, labs are sent, repeat EKG obtained, chest x-ray performed.   Overall the patient's clinical exam is reassuring.  No clinical signs of decompensated heart failure without a history to suggest this.  Low suspicion for ACS without acute ischemic changes on EKG although no prior EKG for comparison.   EKG is notable for right bundle branch block with left anterior fascicular block with no prior for comparison.  No clear delta wave, no epsilon wave, no other evidence of malignant arrhythmia at this time.   Considered pulmonary embolus however the patient is without symptoms of shortness of breath at this time, no hypoxemia, no tachycardia, low risk by Wells, negative PERC.   Labs revealed grossly normal electrolytes, renal function, TSH, with negative troponin.   Cardiology and electrophysiology were consulted due to concern for his episodes of palpitations, lightheadedness, which in light of his EKG showing bifascicular block, was concerning for an episode of complete heart block.   The patient remained asymptomatic in the emergency department.  He was admitted to the cardiology service for telemetry and further evaluation management."
Age: 31.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Presyncope, Renal function test normal, SARS-CoV-2 test negative, Sinus arrhythmia, Sinus rhythm
Clinical narrative: Symptoms (Occurred 11/19 at 4:45pm): Palpitations Shortness of breath Chest tightness Near syncope Dizziness & anxiety   Emergency room visit, admitted for continued monitoring, discharged due to asymptomatic 11/20 at 8:30  Diagnosed with bifascicular bundle branch block - NSR, RBBB, LAFB ECG's, x_ray, and TTE performed Troponin: < 0.03 Potassium: 3.7meq/L Covid test: Negative   Background:  no previous indications or occurrences of issue, sister with WPW, mother with MI in 60s  Notes from ER: "Patient is a 31 year old year-old male presenting with palpitations, dyspnea, chest pain, resolved. Upon arrival the patient is afebrile, hemodynamically stable, comfortable appearing, normal work of breathing on room air, normal heart tones, no lower extremity edema or asymmetry.   Differential diagnosis includes arrhythmia, ACS, heart failure, electrolyte derangement, thyroid abnormality, pulmonary embolus, pneumonia, pneumothorax, acute intoxication, withdrawal, and others.   Based on the differential, IV access obtained, labs are sent, repeat EKG obtained, chest x-ray performed.   Overall the patient's clinical exam is reassuring.  No clinical signs of decompensated heart failure without a history to suggest this.  Low suspicion for ACS without acute ischemic changes on EKG although no prior EKG for comparison.   EKG is notable for right bundle branch block with left anterior fascicular block with no prior for comparison.  No clear delta wave, no epsilon wave, no other evidence of malignant arrhythmia at this time.   Considered pulmonary embolus however the patient is without symptoms of shortness of breath at this time, no hypoxemia, no tachycardia, low risk by Wells, negative PERC.   Labs revealed grossly normal electrolytes, renal function, TSH, with negative troponin.   Cardiology and electrophysiology were consulted due to concern for his episodes of palpitations, lightheadedness, which in light of his EKG showing bifascicular block, was concerning for an episode of complete heart block.   The patient remained asymptomatic in the emergency department.  He was admitted to the cardiology service for telemetry and further evaluation management."
Age: 31.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Troponin normal, X-ray
Clinical narrative: Symptoms (Occurred 11/19 at 4:45pm): Palpitations Shortness of breath Chest tightness Near syncope Dizziness & anxiety   Emergency room visit, admitted for continued monitoring, discharged due to asymptomatic 11/20 at 8:30  Diagnosed with bifascicular bundle branch block - NSR, RBBB, LAFB ECG's, x_ray, and TTE performed Troponin: < 0.03 Potassium: 3.7meq/L Covid test: Negative   Background:  no previous indications or occurrences of issue, sister with WPW, mother with MI in 60s  Notes from ER: "Patient is a 31 year old year-old male presenting with palpitations, dyspnea, chest pain, resolved. Upon arrival the patient is afebrile, hemodynamically stable, comfortable appearing, normal work of breathing on room air, normal heart tones, no lower extremity edema or asymmetry.   Differential diagnosis includes arrhythmia, ACS, heart failure, electrolyte derangement, thyroid abnormality, pulmonary embolus, pneumonia, pneumothorax, acute intoxication, withdrawal, and others.   Based on the differential, IV access obtained, labs are sent, repeat EKG obtained, chest x-ray performed.   Overall the patient's clinical exam is reassuring.  No clinical signs of decompensated heart failure without a history to suggest this.  Low suspicion for ACS without acute ischemic changes on EKG although no prior EKG for comparison.   EKG is notable for right bundle branch block with left anterior fascicular block with no prior for comparison.  No clear delta wave, no epsilon wave, no other evidence of malignant arrhythmia at this time.   Considered pulmonary embolus however the patient is without symptoms of shortness of breath at this time, no hypoxemia, no tachycardia, low risk by Wells, negative PERC.   Labs revealed grossly normal electrolytes, renal function, TSH, with negative troponin.   Cardiology and electrophysiology were consulted due to concern for his episodes of palpitations, lightheadedness, which in light of his EKG showing bifascicular block, was concerning for an episode of complete heart block.   The patient remained asymptomatic in the emergency department.  He was admitted to the cardiology service for telemetry and further evaluation management."
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Rash erythematous, Rash pruritic
Clinical narrative: 3 days ago I developed a red, flat, itchy rash on the back of my neck that moved to the front of my neck and my chest. It also leaves raised marks when I scratch it.  Yesterday, it was also on my back and my hips as well as my groin. Today it spread to my wrists. I initially thought I was experiencing an allergic reaction to a new shampoo I used on Friday and again on Monday but because it was spreading and moving so much I made an appointment at the health clinic at my university. The doctor I saw told me that he saw a patient who exhibited the exact same symptoms and he had gotten his 3rd vaccine dose 10 days before his symptoms started, so he thinks that we both have been showing an immune response to the vaccine. He said he?s going to reach out to his colleagues and see if anyone else has seen patients with similar symptoms. I took a Benadryl on monday which stopped the itching but made me too drowsy, so yesterday i tied claritin and cortisone cream, both of which did not help much. The doctor I saw prescribed me tricinolone .1% cream and suggested i take allegra until the rash went away. I have taken pictures to document the progression of the rash which I would be happy to share. I know that the reaction isn?t very severe but if two of us have it, there are probably more people out there with similar symptoms so I wanted to report it
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: 08/18/2021 Routine Covid19 Testing = Positive/Asymptomatic
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure immeasurable, COVID-19, Dyspnoea, Hypopnoea, Lethargy
Clinical narrative: 10/31/21 pt in nursing home; nurse entered room and pt was non-responsive to verbal stimuli and lethargic; breathing was labored and shallow; 92% on RA; rapid COVID test was positive; COVID protocol initiated; pt found later that morning with no pulse, no BP and no respirations;
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Pulse absent, Respiratory arrest, SARS-CoV-2 test positive, Unresponsive to stimuli
Clinical narrative: 10/31/21 pt in nursing home; nurse entered room and pt was non-responsive to verbal stimuli and lethargic; breathing was labored and shallow; 92% on RA; rapid COVID test was positive; COVID protocol initiated; pt found later that morning with no pulse, no BP and no respirations;
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was administered incorrect dose of Moderna booster. Instead of receiving 0.25ml she received 0.5ml. No serious reaction or side effects reported.