chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Vision blurred
Clinical narrative: suffering from really blurry vision affecting both eyes/ blurry vision is also for up close objects/ not going away; really scary; This spontaneous case was reported by a consumer and describes the occurrence of VISION BLURRED (suffering from really blurry vision affecting both eyes/ blurry vision is also for up close objects/ not going away) and ANXIETY (really scary) in a 33-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 062E21A) for COVID-19 vaccination.     No Medical History information was reported.    On 19-Sep-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. In October 2021, the patient experienced VISION BLURRED (suffering from really blurry vision affecting both eyes/ blurry vision is also for up close objects/ not going away) and ANXIETY (really scary). At the time of the report, VISION BLURRED (suffering from really blurry vision affecting both eyes/ blurry vision is also for up close objects/ not going away) and ANXIETY (really scary) outcome was unknown.        The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown.       Patient had some blurry vision for objects at a distance  before the vaccination but now the blurry vision is also for close objects. Patient took dose 2 on 19-OCT-2021 with lot 011F21A. Concomitant medications were not provided. Treatment includes regular eye drops.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Vaccination site pain
Clinical narrative: pain where the shot was and the pain is going down the arm, and it is almost past the elbow; pain in elbow; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE PAIN (pain where the shot was and the pain is going down the arm, and it is almost past the elbow) and ARTHRALGIA (pain in elbow) in a 76-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 026DZ1A, 023M20A and 030L20A) for COVID-19 vaccination.     No medical history was provided by the reporter.  Concomitant products included LEVOTHYROXINE SODIUM (SYNTHROID) and CYANOCOBALAMIN (VITAMIN B12 [CYANOCOBALAMIN]) for an unknown indication.   On 25-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 25-Feb-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 23-Oct-2021, received third dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. On 23-Oct-2021, the patient experienced VACCINATION SITE PAIN (pain where the shot was and the pain is going down the arm, and it is almost past the elbow) and ARTHRALGIA (pain in elbow). The patient was treated with ASPIRIN [ACETYLSALICYLIC ACID] for Adverse event, at a dose of 2 dosage form. At the time of the report, VACCINATION SITE PAIN (pain where the shot was and the pain is going down the arm, and it is almost past the elbow) and ARTHRALGIA (pain in elbow) had not resolved.            About one and a half hour after getting the booster shot, patient started to have pain where the shot was and the pain was going down the arm and it is almost past the elbow. All this happened in the left arm.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Chronic obstructive pulmonary disease, Dyspnoea, Heavy menstrual bleeding, Influenza like illness
Clinical narrative: HCP thought it could be related to COPD; did not have a menstrual cycle until the first week of August; flu like symptoms for days; sore arm for days; shortness of breath; cycle it was like a blood bath; Bacterial lung infection; This spontaneous case was reported by a consumer and describes the occurrence of PNEUMONIA BACTERIAL (Bacterial lung infection) in a 52-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 047A21A and 031B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.   On 15-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 11-May-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In August 2021, the patient experienced PNEUMONIA BACTERIAL (Bacterial lung infection) (seriousness criterion medically significant), HEAVY MENSTRUAL BLEEDING (cycle it was like a blood bath) and DYSPNOEA (shortness of breath). On an unknown date, the patient experienced CHRONIC OBSTRUCTIVE PULMONARY DISEASE (HCP thought it could be related to COPD), AMENORRHOEA (did not have a menstrual cycle until the first week of August), INFLUENZA LIKE ILLNESS (flu like symptoms for days) and PAIN IN EXTREMITY (sore arm for days). At the time of the report, PNEUMONIA BACTERIAL (Bacterial lung infection), CHRONIC OBSTRUCTIVE PULMONARY DISEASE (HCP thought it could be related to COPD), AMENORRHOEA (did not have a menstrual cycle until the first week of August), HEAVY MENSTRUAL BLEEDING (cycle it was like a blood bath), INFLUENZA LIKE ILLNESS (flu like symptoms for days), PAIN IN EXTREMITY (sore arm for days) and DYSPNOEA (shortness of breath) outcome was unknown.            Concomitant product usage included pain medicines . Treatment details were not provided.  Company's comment: This is an spontaneous case concerning a 52 year-old, female patient with no significant clinical history who experienced the unexpected serious event of PNEUMONIA BACTERIAL and other non-serious events. The event approximately 3 months after the second dose of Spikevax The rechallenge is not applicable" as the events occurred after the second dose and no details were provided about the first dose The benefit-risk relationship of Spikevax is not affected by this report.   This case was linked to MOD-2021-353032 (Patient Link).; Sender's Comments: This is an spontaneous case concerning a 52 year-old, female patient with no significant clinical history who experienced the unexpected serious event of PNEUMONIA BACTERIAL and other non-serious events. The event approximately 3 months after the second dose of Spikevax The rechallenge is not applicable" as the events occurred after the second dose and no details were provided about the first dose The benefit-risk relationship of Spikevax is not affected by this report.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pneumonia bacterial
Clinical narrative: HCP thought it could be related to COPD; did not have a menstrual cycle until the first week of August; flu like symptoms for days; sore arm for days; shortness of breath; cycle it was like a blood bath; Bacterial lung infection; This spontaneous case was reported by a consumer and describes the occurrence of PNEUMONIA BACTERIAL (Bacterial lung infection) in a 52-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 047A21A and 031B21A) for COVID-19 vaccination. The occurrence of additional non-serious events is detailed below.     No Medical History information was reported.   On 15-Apr-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 11-May-2021, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) dosage was changed to 1 dosage form. In August 2021, the patient experienced PNEUMONIA BACTERIAL (Bacterial lung infection) (seriousness criterion medically significant), HEAVY MENSTRUAL BLEEDING (cycle it was like a blood bath) and DYSPNOEA (shortness of breath). On an unknown date, the patient experienced CHRONIC OBSTRUCTIVE PULMONARY DISEASE (HCP thought it could be related to COPD), AMENORRHOEA (did not have a menstrual cycle until the first week of August), INFLUENZA LIKE ILLNESS (flu like symptoms for days) and PAIN IN EXTREMITY (sore arm for days). At the time of the report, PNEUMONIA BACTERIAL (Bacterial lung infection), CHRONIC OBSTRUCTIVE PULMONARY DISEASE (HCP thought it could be related to COPD), AMENORRHOEA (did not have a menstrual cycle until the first week of August), HEAVY MENSTRUAL BLEEDING (cycle it was like a blood bath), INFLUENZA LIKE ILLNESS (flu like symptoms for days), PAIN IN EXTREMITY (sore arm for days) and DYSPNOEA (shortness of breath) outcome was unknown.            Concomitant product usage included pain medicines . Treatment details were not provided.  Company's comment: This is an spontaneous case concerning a 52 year-old, female patient with no significant clinical history who experienced the unexpected serious event of PNEUMONIA BACTERIAL and other non-serious events. The event approximately 3 months after the second dose of Spikevax The rechallenge is not applicable" as the events occurred after the second dose and no details were provided about the first dose The benefit-risk relationship of Spikevax is not affected by this report.   This case was linked to MOD-2021-353032 (Patient Link).; Sender's Comments: This is an spontaneous case concerning a 52 year-old, female patient with no significant clinical history who experienced the unexpected serious event of PNEUMONIA BACTERIAL and other non-serious events. The event approximately 3 months after the second dose of Spikevax The rechallenge is not applicable" as the events occurred after the second dose and no details were provided about the first dose The benefit-risk relationship of Spikevax is not affected by this report.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Dyspnoea, Eye discharge, Hypersensitivity, Interchange of vaccine products
Clinical narrative: On October 21, I had an adverse reaction to the Pfizer.  It was a booster shot.  I had two shots of Moderna in January and February.  On October 22, I went to the  Urgent Care Center where I was diagnosed with an allergic reaction.  Was given Prednisone and over the counter Benadryl.    About 6 hours after the shot, I found it difficult to breath and had a running nose and eyes.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Rhinorrhoea, Urine analysis
Clinical narrative: On October 21, I had an adverse reaction to the Pfizer.  It was a booster shot.  I had two shots of Moderna in January and February.  On October 22, I went to the  Urgent Care Center where I was diagnosed with an allergic reaction.  Was given Prednisone and over the counter Benadryl.    About 6 hours after the shot, I found it difficult to breath and had a running nose and eyes.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Disorientation, Dizziness, Flushing, Hyperhidrosis, Hypotension
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Additional Details: Patient was talking to RN after vaccine administered when he was observed slumping in his chair with head down. He did not respond to verbal/ touch cues. Pulse thready. This lasted less than 30 seconds. RN called pharmacist. Patient became diaphoretic with beads of sweat on face & arms after regaining consciousness. Disorientation resolved quickly and he could recollect previous conversation. BP 91/34 and this resolved with 2 bottles of water. Patient stable after 15mins, remained for 30.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Pulse abnormal, Syncope, Unresponsive to stimuli
Clinical narrative: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Additional Details: Patient was talking to RN after vaccine administered when he was observed slumping in his chair with head down. He did not respond to verbal/ touch cues. Pulse thready. This lasted less than 30 seconds. RN called pharmacist. Patient became diaphoretic with beads of sweat on face & arms after regaining consciousness. Disorientation resolved quickly and he could recollect previous conversation. BP 91/34 and this resolved with 2 bottles of water. Patient stable after 15mins, remained for 30.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Injection site erythema, Injection site swelling
Clinical narrative: Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Medium, Systemic: swelling at site of injection. ice given to pt-Mild, Additional Details: pt given moderna booster (previously recieved pfizer for primary series) and upon injection into the left deltoid the injection site swelled.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Systemic: Allergic: Itch Generalized-Mild, Systemic: Allergic: Rash Generalized-Mild, Additional Details: After waiting 15 minutes patient stated a rash had occured on same arm as injection. I called the minute clinic nurse practitioner in store and she examined the patient, gave her a prescription of 3 days of hydroxyzine 50mg, and instructed her to go to the ER if symptoms got worse.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Myocardial infarction
Clinical narrative: Systemic: Heart Attack-Severe
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Pruritus, Rash, Rash papular, Throat irritation
Clinical narrative: Itching throat, neck and chest off and on for 2 weeks.  Raised localized rash 5inx5in
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Feeling cold, Pain, Tremor
Clinical narrative: Started with bodyaches and then I got very cold. Started shaking, continued for about 3 hours  of which 20 minutes was violent shaking . The chills started about 10 PM, fell asleep about 3 AM. Woke up the next morning tired but no chills. 36 hours later I am back to normal.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Incorrect route of product administration, Injection site pain, Injection site swelling, Limb injury
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Joint Pain-Medium, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: UNKNOWN SIDE EFFECTS AT THIS TIME, COMPLAINT OF VACCINE ADMINISTERED TOO HIGH.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Loss of consciousness, Malaise
Clinical narrative: After vaccine patient was sitting down but he did not feel good, he got up to say he is not feeling well on counter he passed out customer next him caught him from falling who was off duty police officer he lay him down on floor and comforted him
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint injury, Limb injury, Paraesthesia
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Insomnia, Joint range of motion decreased, Loss of personal independence in daily activities
Clinical narrative: Site: Pain at Injection Site-Medium, Systemic: Body Aches Generalized-Medium, Systemic: pain and limited range of motion-Medium, Systemic: Joint Pain-Medium, Systemic: Unable to Sleep-Medium, Additional Details: Per patient...his head was turned while vaccine was given, but complained to nurse that it hurt really badly and pain continued for next 48hrs and affected his sleep and daily activities. Now the pain is a 3 out of 10 (worst), but it radiates from his shoulder to his wrist even at rest. He has limited range of motion. He believes vaccine was given in shoulder nerves and not deltoid and nerves damaged. He wants $5K from pharmacy for his time for doctor visits he may need. He has not seen doctor yet.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Site: Pain at Injection Site-Medium, Systemic: Body Aches Generalized-Medium, Systemic: pain and limited range of motion-Medium, Systemic: Joint Pain-Medium, Systemic: Unable to Sleep-Medium, Additional Details: Per patient...his head was turned while vaccine was given, but complained to nurse that it hurt really badly and pain continued for next 48hrs and affected his sleep and daily activities. Now the pain is a 3 out of 10 (worst), but it radiates from his shoulder to his wrist even at rest. He has limited range of motion. He believes vaccine was given in shoulder nerves and not deltoid and nerves damaged. He wants $5K from pharmacy for his time for doctor visits he may need. He has not seen doctor yet.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Intermenstrual bleeding
Clinical narrative: Menstrual cramping and spotting 6 days before expected period
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Patient recieved 2 doses of the Pfizer BioNTech  covid 19. One dose in each arm instead of one dose of  Pfizer and one dose of Pneumovax.  No adverse efeects as of this reporting date 10/28/2021
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombosis
Clinical narrative: Diagnosed with blood clot on 10/19/2021
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Systemic: Dizziness / Lightheadness-Medium
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Mouth swelling, Swelling face, Swollen tongue
Clinical narrative: Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Injection site pain, Insomnia, Joint range of motion decreased
Clinical narrative: The day after receiving the vaccine, my left shoulder, upper back (between shoulder and neck) began to hurt. I thought it was from the intramuscular injection, so I didn't think anything of it. But, the pain continued for a month (today). I cannot lift my arm above 90 degrees to the ground without pain, and it disrupts my sleep, since I feel pain when I move my arm at night. It is one month today, since I received the vaccine, and the pain is still the same intensity as when it started.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Error: Booster Given Too Late-
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect route of product administration, Injection site pain, Injection site swelling, Injection site vesicles
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Fluid filled blister at injection site-Medium, Error: Wrong Route (SC, IM, etc.)-, Additional Details: Patient presented with fluid filled blister about the size of a dime at the injection site.  The injection site is in an abnormal position on the upper arm, toward the front of the body (not in the center of the deltoid).  It has been 2 days since injection and has not resolved.  Patient states that he is experiencing pain.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Blepharospasm, Chills, Disturbance in attention, Headache, Insomnia
Clinical narrative: Insomnia, Eye twitching, Headaches, Fever, Chills, Cant concentrate, Vision blurred, Back of neck is tight. All of this has been going on since day 1 and has not gotten any better.  Today is day 8 and everything is still the same.  Nothing has changed.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle tightness, Pyrexia, Vision blurred
Clinical narrative: Insomnia, Eye twitching, Headaches, Fever, Chills, Cant concentrate, Vision blurred, Back of neck is tight. All of this has been going on since day 1 and has not gotten any better.  Today is day 8 and everything is still the same.  Nothing has changed.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Site: Itching at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain
Clinical narrative: Chills,body pain  took tylenol.  Lasted one day
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dizziness, Headache, Myalgia
Clinical narrative: Fever of 101.4, chills, muscle aches, joint aches, headache, nauseous, light-headedness.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: Fever of 101.4, chills, muscle aches, joint aches, headache, nauseous, light-headedness.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Condition aggravated, Diabetes mellitus
Clinical narrative: Persistent high blood sugar (350-450 mg/dL) lasting from ~24 until ~36 hours after shot. Did not respond typically to additional insulin. I administered an additional ~20 units of insulin over the course of the night. Typically, dosage is 1 unit per 35-50 mg/dL reduction, so 5-7 units would be needed to correct from 450 to 100 mg/dL. No issues noted with insulin pump or infusion set.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse reaction reported.  Vaccine given outside of EUA.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough event
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Malaise, Pain, Vomiting
Clinical narrative: Weakness, vomitting, general ill feeling that was unexpected.  This happened at home after leaving the pharmacy some hours after the shot.   This was the booster and it hurt quite a bit.   With the first two doses  the shots were painless.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Dyspnoea
Clinical narrative: SOB - PATIENT RECEIVING OXYGNE SUPPLEMENT.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Base excess increased, Basophil percentage decreased, Blood bicarbonate increased
Clinical narrative: loss of smell and taste, Short of Breath, Decadron 10 mg.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Blood gases, Blood methaemoglobin, Blood pH decreased, Carboxyhaemoglobin normal, Differential white blood cell count
Clinical narrative: loss of smell and taste, Short of Breath, Decadron 10 mg.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Eosinophil percentage, Full blood count, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: loss of smell and taste, Short of Breath, Decadron 10 mg.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphocyte count decreased, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal
Clinical narrative: loss of smell and taste, Short of Breath, Decadron 10 mg.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Mean platelet volume normal, Monocyte count normal, Monocyte percentage, Neutrophil count normal, Neutrophil percentage increased
Clinical narrative: loss of smell and taste, Short of Breath, Decadron 10 mg.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: PCO2 increased, PO2 decreased, Platelet count decreased, Red blood cell count decreased, Red cell distribution width increased
Clinical narrative: loss of smell and taste, Short of Breath, Decadron 10 mg.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: loss of smell and taste, Short of Breath, Decadron 10 mg.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given .5ml instead of the recommended .25ml
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cardiac failure congestive, Chest X-ray abnormal, Lung infiltration
Clinical narrative: Patient is a very pleasant 83-year-old female patient of Dr. with medical history significant for coronary artery disease, previous history of CABG, paroxysmal atrial fibrillation on chronic anticoagulation with Coumadin, previous history of ablation, previous history of breast cancer and mastectomy in 1994, sick sinus syndrome history of pacemaker, previous history of seizure disorder, valvular heart disease, previous history of aortic valve replacement surgery in May 2018, history of GI bleed admitted for the above reason. As per the history obtained from the chart and also from the patient.  Patient has been brought to the emergency room yesterday because patient has been feeling increasing generalized COVID-19, per patient's daughter patient was diagnosed approximately 6 weeks ago - received regeneron, chest x-ray with multifocal infiltrates however clinical picture more consistent with a CHF exacerbation, will start patient on empiric steroid, zinc/Ascorbic acid, consult infectious disease
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Blood pressure increased, Diarrhoea, Heart rate increased, Nausea
Clinical narrative: I woke up with a 10/10 tension headache. My heart rate was in the 140s, my blood pressure was 165/103(no history of hypertension). My temp was 102.6 and I had severe nausea, vomiting, and diarrhea. The GI upset, fevers, and headaches lasted 4 solid days. I was alternating Motrin and Tylenol every 6 hours.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tension headache, Vomiting
Clinical narrative: I woke up with a 10/10 tension headache. My heart rate was in the 140s, my blood pressure was 165/103(no history of hypertension). My temp was 102.6 and I had severe nausea, vomiting, and diarrhea. The GI upset, fevers, and headaches lasted 4 solid days. I was alternating Motrin and Tylenol every 6 hours.
Age: 45.0
Sex: F
Vaccine: FLUC4
Symptoms: Axillary pain, Chest pain, Inflammation, Localised oedema, Neck pain
Clinical narrative: Patient got her Flu shot on Monday, October 25th, evening. She states waking up the next day with pain and inflammation under her left arm and in the chest/neck/ clavicle area as well. She says today, Thursday October 28th, the pain and inflammation is worse and her doctor's office did not direct her or want to see her. She was directed to go see a doctor if the pain is worsening.
Age: 45.0
Sex: F
Vaccine: FLUC4
Symptoms: Oedema peripheral, Pain
Clinical narrative: Patient got her Flu shot on Monday, October 25th, evening. She states waking up the next day with pain and inflammation under her left arm and in the chest/neck/ clavicle area as well. She says today, Thursday October 28th, the pain and inflammation is worse and her doctor's office did not direct her or want to see her. She was directed to go see a doctor if the pain is worsening.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test negative, Sinus congestion
Clinical narrative: On 10/10/2021 I started to have a cough. It was not productive like croup.  I had no pain in my neck, no sore throat, and my nose started to run and I figured it was a cold. But I was afraid it was something else, and that is why I went to the doctor. On 10/15/2021-I went to see my doctor. He checked my throat, nose, heart rate, BP, ears, and gave me COVID-19 test, negative. Everything was normal. He decided it was my allergies along with a head cold. He prescribed Amoxicillin for 10 days, and Benzonatate for 7 days for my cough. Unknown if my AE's are resolved- I still have my head cough, runny nose and head stopped up. My cough is a little better.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Antibody test, Antinuclear antibody, Antiribosomal P antibody, Blood test, C-reactive protein
Clinical narrative: Pt had experienced a more recent similar rash previously after  receiving a vaccine in Aug 2021. Rash post- Pfizer vaccine #1 appeared <24hrs after vaccination. Pt had not pictures of first episode and was not seen for it. It resolved within 3 days. Reports only on eyelids and arms. Denies trunk involvement. Current rash appear approx 7 days ago and has worsened over the last 3 days. Initially over eyelids, but has since resolved. During her presentation today, she pw a slightly erythematous non-pruritic blanching morbiliform rash over her L>R AC and forearm with a clear border over medial aspect (not cw dermatomal distribution) with linear flat erythematous lesions c/w capillary damage (pt denies excoriation), R AC, R medial thigh with a clear demarcation on the posterior-medial surface (not cw dermatomal distribution), L medial thigh more diffuse and less concentrated without clear demarcation, and the most mild rash over her L antero-lateral abdomen without a clear demarcation (appeared last). No mucosal membrane involvement.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Capillary disorder, Condition aggravated, Double stranded DNA antibody, Erythema, Metabolic function test
Clinical narrative: Pt had experienced a more recent similar rash previously after  receiving a vaccine in Aug 2021. Rash post- Pfizer vaccine #1 appeared <24hrs after vaccination. Pt had not pictures of first episode and was not seen for it. It resolved within 3 days. Reports only on eyelids and arms. Denies trunk involvement. Current rash appear approx 7 days ago and has worsened over the last 3 days. Initially over eyelids, but has since resolved. During her presentation today, she pw a slightly erythematous non-pruritic blanching morbiliform rash over her L>R AC and forearm with a clear border over medial aspect (not cw dermatomal distribution) with linear flat erythematous lesions c/w capillary damage (pt denies excoriation), R AC, R medial thigh with a clear demarcation on the posterior-medial surface (not cw dermatomal distribution), L medial thigh more diffuse and less concentrated without clear demarcation, and the most mild rash over her L antero-lateral abdomen without a clear demarcation (appeared last). No mucosal membrane involvement.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Pallor, Rash, Rash erythematous, Rash morbilliform, Red blood cell sedimentation rate
Clinical narrative: Pt had experienced a more recent similar rash previously after  receiving a vaccine in Aug 2021. Rash post- Pfizer vaccine #1 appeared <24hrs after vaccination. Pt had not pictures of first episode and was not seen for it. It resolved within 3 days. Reports only on eyelids and arms. Denies trunk involvement. Current rash appear approx 7 days ago and has worsened over the last 3 days. Initially over eyelids, but has since resolved. During her presentation today, she pw a slightly erythematous non-pruritic blanching morbiliform rash over her L>R AC and forearm with a clear border over medial aspect (not cw dermatomal distribution) with linear flat erythematous lesions c/w capillary damage (pt denies excoriation), R AC, R medial thigh with a clear demarcation on the posterior-medial surface (not cw dermatomal distribution), L medial thigh more diffuse and less concentrated without clear demarcation, and the most mild rash over her L antero-lateral abdomen without a clear demarcation (appeared last). No mucosal membrane involvement.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Skin lesion
Clinical narrative: Pt had experienced a more recent similar rash previously after  receiving a vaccine in Aug 2021. Rash post- Pfizer vaccine #1 appeared <24hrs after vaccination. Pt had not pictures of first episode and was not seen for it. It resolved within 3 days. Reports only on eyelids and arms. Denies trunk involvement. Current rash appear approx 7 days ago and has worsened over the last 3 days. Initially over eyelids, but has since resolved. During her presentation today, she pw a slightly erythematous non-pruritic blanching morbiliform rash over her L>R AC and forearm with a clear border over medial aspect (not cw dermatomal distribution) with linear flat erythematous lesions c/w capillary damage (pt denies excoriation), R AC, R medial thigh with a clear demarcation on the posterior-medial surface (not cw dermatomal distribution), L medial thigh more diffuse and less concentrated without clear demarcation, and the most mild rash over her L antero-lateral abdomen without a clear demarcation (appeared last). No mucosal membrane involvement.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram normal, C-reactive protein increased, COVID-19, Chest X-ray normal, Fibrin D dimer increased
Clinical narrative: Pt was fully vaccinated against COVID 19 (on 3/1/2021 and 4/2/2021 respectively), but still contracted COVID-19 (positive PCR 10/19/2021) and was ill enough to be hospitalized (10/19/2021).  COVID  -Symptom onset 10/18/21 -Positive Covid test result 10/19/21  -Risk factors for severe disease age >65, BMI >34, diabetes, chronic kidney disease, coronary artery disease -Vaccinated for covid -Dexamethasone 6mg daily starting 10/19/21. No continued at discharge -Remdesivir - contraindicated due to kidney disease -Tocilizumab/Baricitinib - not indicated -Isolation: droplet/contact/N95 or PAPR/eye protection -DVT prophylaxis subcutaneous Heparin -Lab trends: Procalcitonin mildly elevated 0.27 (this can happen in chronic kidney disease) No leukocytosis CRP elevated, but stable D-dimer elevated on UW ED labs Legionella and strep urinary antigen Sputum sample 10/21/21 - minimal epithelial cells, moderate PMN, minimal normal respiratory flora -Imaging: ED 10/19/2021 chest x-ray without acute cardiopulmonary disease ED MRA chest without pulmonary embolism.  (Also, no mention of any lung disease.)
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Legionella test, Malaise, Procalcitonin increased, SARS-CoV-2 test positive, Sputum culture
Clinical narrative: Pt was fully vaccinated against COVID 19 (on 3/1/2021 and 4/2/2021 respectively), but still contracted COVID-19 (positive PCR 10/19/2021) and was ill enough to be hospitalized (10/19/2021).  COVID  -Symptom onset 10/18/21 -Positive Covid test result 10/19/21  -Risk factors for severe disease age >65, BMI >34, diabetes, chronic kidney disease, coronary artery disease -Vaccinated for covid -Dexamethasone 6mg daily starting 10/19/21. No continued at discharge -Remdesivir - contraindicated due to kidney disease -Tocilizumab/Baricitinib - not indicated -Isolation: droplet/contact/N95 or PAPR/eye protection -DVT prophylaxis subcutaneous Heparin -Lab trends: Procalcitonin mildly elevated 0.27 (this can happen in chronic kidney disease) No leukocytosis CRP elevated, but stable D-dimer elevated on UW ED labs Legionella and strep urinary antigen Sputum sample 10/21/21 - minimal epithelial cells, moderate PMN, minimal normal respiratory flora -Imaging: ED 10/19/2021 chest x-ray without acute cardiopulmonary disease ED MRA chest without pulmonary embolism.  (Also, no mention of any lung disease.)
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Streptococcus test
Clinical narrative: Pt was fully vaccinated against COVID 19 (on 3/1/2021 and 4/2/2021 respectively), but still contracted COVID-19 (positive PCR 10/19/2021) and was ill enough to be hospitalized (10/19/2021).  COVID  -Symptom onset 10/18/21 -Positive Covid test result 10/19/21  -Risk factors for severe disease age >65, BMI >34, diabetes, chronic kidney disease, coronary artery disease -Vaccinated for covid -Dexamethasone 6mg daily starting 10/19/21. No continued at discharge -Remdesivir - contraindicated due to kidney disease -Tocilizumab/Baricitinib - not indicated -Isolation: droplet/contact/N95 or PAPR/eye protection -DVT prophylaxis subcutaneous Heparin -Lab trends: Procalcitonin mildly elevated 0.27 (this can happen in chronic kidney disease) No leukocytosis CRP elevated, but stable D-dimer elevated on UW ED labs Legionella and strep urinary antigen Sputum sample 10/21/21 - minimal epithelial cells, moderate PMN, minimal normal respiratory flora -Imaging: ED 10/19/2021 chest x-ray without acute cardiopulmonary disease ED MRA chest without pulmonary embolism.  (Also, no mention of any lung disease.)
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Pyrexia
Clinical narrative: Brain fog Fever
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac monitoring, Dizziness, Electrocardiogram, Heart rate irregular
Clinical narrative: Irregular heartbeat - triggered AFib - required hospitalization  Started at 6:30am - ER visit required many meds - finally broke by almost passing out at 8:00am the following day.  Result: Rhythm restored, heart monitor required for 14 days to track heart rate after hospital release.
Age: 80.0
Sex: F
Vaccine: UNK
Symptoms: Abdominal wall operation, Death, Duodenal operation, Duodenostomy, Explorative laparotomy
Clinical narrative: Information about Vaccine Brand and lot number is not available.  Patient admitted to our facility on 10.22.21 from hospital. She was DNR status at time of admission. Expired 10.28.21 @0130 No specific symptoms etc. directly associated with COVID vaccine
Age: 80.0
Sex: F
Vaccine: UNK
Symptoms: Gastric ulcer perforation, Gastric ulcer surgery, Gastroenterostomy, Gastrointestinal tube insertion, Wound closure
Clinical narrative: Information about Vaccine Brand and lot number is not available.  Patient admitted to our facility on 10.22.21 from hospital. She was DNR status at time of admission. Expired 10.28.21 @0130 No specific symptoms etc. directly associated with COVID vaccine
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Headache
Clinical narrative: Severe diarrhea, headache, joint pain
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: pt reported shortness of breath and difficulty breathing. even though he has asthma he says he hasn't experienced this in years. it is better this morning but not totally gone away
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Immunodeficiency, Lymphadenopathy
Clinical narrative: Swollen tissues under arms
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Condition aggravated, Cough, Decreased appetite
Clinical narrative: Hospitalized (10.21.21 - still admitted / current);  COVID-19 positive (10.21.21); fully vaccinated  Date of Admission: 10/21/2021 Chief complaint Diarrhea due to COVID-19 History of Present Illness Patient is a 81 y.o. female who presents today with diarrhea.  Patient has a history of chronic respiratory failure with hypoxia on 2 L nasal cannula baseline, chronic obstructive pulmonary disease, history of DVT/PE on Eliquis, hypothyroid, squamous cell lung cancer, type 2 diabetes, obesity.  She is mostly wheelchair bound.  She lives at home alone and has visiting nurses who come twice a day.  Per patient, she began having diarrhea about 4 days ago, which is very frequent and yellow in color.  She states that her rectal and buttock area is very painful and brought this point.  She has noted some mild shortness of breath and more coughing and states that every time she coughs she passes stool.  She denies any fevers/chills, abdominal pain, nausea/vomiting.  She has had decreased appetite over the past few days.  Her daughter, who is a caregiver tested positive for COVID recently.  The patient is vaccinated. In the emergency department, the patient was found to be hemodynamically stable.  She was on 2 L nasal cannula with saturations of 96%.  Labs were stable.  COVID testing was positive.  Initially, it was felt that the patient could go home, however, upon further discussion with the patient's family was felt that this was an unsafe discharge plan as the patient is home alone most of the day and cannot get to the bathroom herself.  Her daughter also tells me that the home health agency told them that nobody would be coming in tonight either.  Due to her very frequent diarrhea and inability to care for self, as well as not having a caregiver who is available to take care of her, it was felt that patient should be admitted for further observation.  Family feels that patient may benefit from a rehab facility. Progress note from 10.27.21: Covid-19 positive / infection Acute on chronic Hypoxic respiratory failure  Vaccination complete Sx onset 10/17/21 (daughter with Covid) Covid + 10/21/21 Baseline 2L NC for COPD increased to 4 then 6 so started tx Decadron 6 d x10 d  Remdesivir x5 d
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Dyspnoea, Exposure to SARS-CoV-2, Faeces discoloured, Frequent bowel movements
Clinical narrative: Hospitalized (10.21.21 - still admitted / current);  COVID-19 positive (10.21.21); fully vaccinated  Date of Admission: 10/21/2021 Chief complaint Diarrhea due to COVID-19 History of Present Illness Patient is a 81 y.o. female who presents today with diarrhea.  Patient has a history of chronic respiratory failure with hypoxia on 2 L nasal cannula baseline, chronic obstructive pulmonary disease, history of DVT/PE on Eliquis, hypothyroid, squamous cell lung cancer, type 2 diabetes, obesity.  She is mostly wheelchair bound.  She lives at home alone and has visiting nurses who come twice a day.  Per patient, she began having diarrhea about 4 days ago, which is very frequent and yellow in color.  She states that her rectal and buttock area is very painful and brought this point.  She has noted some mild shortness of breath and more coughing and states that every time she coughs she passes stool.  She denies any fevers/chills, abdominal pain, nausea/vomiting.  She has had decreased appetite over the past few days.  Her daughter, who is a caregiver tested positive for COVID recently.  The patient is vaccinated. In the emergency department, the patient was found to be hemodynamically stable.  She was on 2 L nasal cannula with saturations of 96%.  Labs were stable.  COVID testing was positive.  Initially, it was felt that the patient could go home, however, upon further discussion with the patient's family was felt that this was an unsafe discharge plan as the patient is home alone most of the day and cannot get to the bathroom herself.  Her daughter also tells me that the home health agency told them that nobody would be coming in tonight either.  Due to her very frequent diarrhea and inability to care for self, as well as not having a caregiver who is available to take care of her, it was felt that patient should be admitted for further observation.  Family feels that patient may benefit from a rehab facility. Progress note from 10.27.21: Covid-19 positive / infection Acute on chronic Hypoxic respiratory failure  Vaccination complete Sx onset 10/17/21 (daughter with Covid) Covid + 10/21/21 Baseline 2L NC for COPD increased to 4 then 6 so started tx Decadron 6 d x10 d  Remdesivir x5 d
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, Impaired self-care, Laboratory test normal, Magnetic resonance imaging head, Musculoskeletal pain
Clinical narrative: Hospitalized (10.21.21 - still admitted / current);  COVID-19 positive (10.21.21); fully vaccinated  Date of Admission: 10/21/2021 Chief complaint Diarrhea due to COVID-19 History of Present Illness Patient is a 81 y.o. female who presents today with diarrhea.  Patient has a history of chronic respiratory failure with hypoxia on 2 L nasal cannula baseline, chronic obstructive pulmonary disease, history of DVT/PE on Eliquis, hypothyroid, squamous cell lung cancer, type 2 diabetes, obesity.  She is mostly wheelchair bound.  She lives at home alone and has visiting nurses who come twice a day.  Per patient, she began having diarrhea about 4 days ago, which is very frequent and yellow in color.  She states that her rectal and buttock area is very painful and brought this point.  She has noted some mild shortness of breath and more coughing and states that every time she coughs she passes stool.  She denies any fevers/chills, abdominal pain, nausea/vomiting.  She has had decreased appetite over the past few days.  Her daughter, who is a caregiver tested positive for COVID recently.  The patient is vaccinated. In the emergency department, the patient was found to be hemodynamically stable.  She was on 2 L nasal cannula with saturations of 96%.  Labs were stable.  COVID testing was positive.  Initially, it was felt that the patient could go home, however, upon further discussion with the patient's family was felt that this was an unsafe discharge plan as the patient is home alone most of the day and cannot get to the bathroom herself.  Her daughter also tells me that the home health agency told them that nobody would be coming in tonight either.  Due to her very frequent diarrhea and inability to care for self, as well as not having a caregiver who is available to take care of her, it was felt that patient should be admitted for further observation.  Family feels that patient may benefit from a rehab facility. Progress note from 10.27.21: Covid-19 positive / infection Acute on chronic Hypoxic respiratory failure  Vaccination complete Sx onset 10/17/21 (daughter with Covid) Covid + 10/21/21 Baseline 2L NC for COPD increased to 4 then 6 so started tx Decadron 6 d x10 d  Remdesivir x5 d
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Proctalgia, SARS-CoV-2 test positive, Scan with contrast
Clinical narrative: Hospitalized (10.21.21 - still admitted / current);  COVID-19 positive (10.21.21); fully vaccinated  Date of Admission: 10/21/2021 Chief complaint Diarrhea due to COVID-19 History of Present Illness Patient is a 81 y.o. female who presents today with diarrhea.  Patient has a history of chronic respiratory failure with hypoxia on 2 L nasal cannula baseline, chronic obstructive pulmonary disease, history of DVT/PE on Eliquis, hypothyroid, squamous cell lung cancer, type 2 diabetes, obesity.  She is mostly wheelchair bound.  She lives at home alone and has visiting nurses who come twice a day.  Per patient, she began having diarrhea about 4 days ago, which is very frequent and yellow in color.  She states that her rectal and buttock area is very painful and brought this point.  She has noted some mild shortness of breath and more coughing and states that every time she coughs she passes stool.  She denies any fevers/chills, abdominal pain, nausea/vomiting.  She has had decreased appetite over the past few days.  Her daughter, who is a caregiver tested positive for COVID recently.  The patient is vaccinated. In the emergency department, the patient was found to be hemodynamically stable.  She was on 2 L nasal cannula with saturations of 96%.  Labs were stable.  COVID testing was positive.  Initially, it was felt that the patient could go home, however, upon further discussion with the patient's family was felt that this was an unsafe discharge plan as the patient is home alone most of the day and cannot get to the bathroom herself.  Her daughter also tells me that the home health agency told them that nobody would be coming in tonight either.  Due to her very frequent diarrhea and inability to care for self, as well as not having a caregiver who is available to take care of her, it was felt that patient should be admitted for further observation.  Family feels that patient may benefit from a rehab facility. Progress note from 10.27.21: Covid-19 positive / infection Acute on chronic Hypoxic respiratory failure  Vaccination complete Sx onset 10/17/21 (daughter with Covid) Covid + 10/21/21 Baseline 2L NC for COPD increased to 4 then 6 so started tx Decadron 6 d x10 d  Remdesivir x5 d
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Bedridden, Chills, Immunodeficiency, Impaired work ability, Myalgia
Clinical narrative: Severe chills and muscle aches.  Lasted 24 hours Bedridden for one full day, the one day of recovery. Missed two days of work. Lots of fluids, mix of tylenol and ibuprofen
Age: 20.0
Sex: F
Vaccine: HPV9
Symptoms: Abortion spontaneous, Pregnancy, Term baby
Clinical narrative: No pregnancy scares following HPV vaccine, became pregnant in May of 2016 and lost the baby in 07/2016. Was pregnant again in February 2017 and lost the baby. met with a fertility clinic they found nothing was wrong and suggested IVF. Got a second opinion and discovered that my ovaries were not producing mature eggs. I was prescribed clomid and egg growth was monitored. After three cycles and three medication dose increases we were successful in having a full term pregnancy born 08/2019.