chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Taste disorder
Clinical narrative: 03/02/2021- the day of the vaccine-07:28pm arm was sore, minimal headache, 07:34pm weird taste in my mouth, Later in the evening migrating joint pains. 03/03 headaches, occipital headache. 03/04 occipital headache and nasal nasopharynx felt swollen, fatigue. 03/05 nasopharynx still felt weird and clear drainage, more than usual. 03/06 the headaches spread to the front of my head. 03/07 sudden abdominal discomfort, diarrhea, it was just a one time episode and then I was fine. 03/10 headaches on and off all day, seemed worse, and bloating 03/11. Headaches and nausea. 03/16 first day without headaches since the vaccine. I probably got 2 weeks of headaches after that shot. 03/19 weird pressure in the back of my head when I bend forward. After that I stopped getting headaches.
Age: 17.0
Sex: F
Vaccine: UNK
Symptoms: Asthenia, Blood pressure increased, Chest pain, Dyspnoea, Heart rate increased
Clinical narrative: None stated.
Age: 17.0
Sex: F
Vaccine: UNK
Symptoms: Lymphadenopathy, Lymphocyte morphology abnormal, Mass, Monocyte morphology abnormal
Clinical narrative: None stated.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Fatigue, Nausea, Pyrexia, SARS-CoV-2 antibody test positive
Clinical narrative: Event occurred 4 months after 2nd vaccine shot. First symptom diarrhea only lasted 1 to 2 days. Ran a low grade fever for next 5 weeks along with medium nausea and medium to heavy fatigue. No congestion, coughing, or shortness of breath. Televisit with PA. Doctor ran tests: Covid was negative, antibodies was positive. He prescribed antibiotics for 6 days. The fever and symptoms subsided over the next week.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Event occurred 4 months after 2nd vaccine shot. First symptom diarrhea only lasted 1 to 2 days. Ran a low grade fever for next 5 weeks along with medium nausea and medium to heavy fatigue. No congestion, coughing, or shortness of breath. Televisit with PA. Doctor ran tests: Covid was negative, antibodies was positive. He prescribed antibiotics for 6 days. The fever and symptoms subsided over the next week.
Age: 21.0
Sex: M
Vaccine: FLU4
Symptoms: Hypoaesthesia, Nausea
Clinical narrative: Pt stated experiencing nausea, numbness to face and right arm.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine given was expired
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine given.
Age: 66.0
Sex: M
Vaccine: FLU4
Symptoms: Pruritus, Urticaria
Clinical narrative: Shot received during the morning of Monday, 27 September 2021. Woke up on the morning of Wednesday, 29 September with approximately 25 welts (hives) on my lower body (right lower back and both legs). Largest concentration: eight welts on upper right thigh in a 3.5 x 2 inch area; remainder in one or two welt groupings. Welts are small, red, bumps with no changes to skin coloration around the welts; generally no significant itching with the welts, except where socks and underwear waistband rub against the welts. An additional ten welts appeared by the morning of 30 September and ten more by the morning of 1 October (numbers approximate). None of the welts first observed on 29 September have gone away. No other reactions.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient was administered Pfizer on 9/10 as first dose and on 10/1 was administered Janssen as second dose in error.  No adverse reaction at this time
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Cough, Dyspnoea
Clinical narrative: MD Notes: History of Present Illness 55-year-old female patient with past medical history of hypertension history of HIV was brought in at the patient noted to increase cough and shortness of breath.  Most information was taken from chart.  Patient currently on high flow oxygen and not with the mass.  Unable to obtain much information.  Patient normally follows with the wound clinic.  Patient did mention she did receive Covid vaccine in the month of April J & J.  Patient diagnosed with COVID-19 6 days prior to admission and complaining shortness of breath and cough.  Patient was feeling weak.  Patient brought to the ER and noted to O2 sats in 80s.  Patient had oxygen and currently on high flow and on with the mass.  ID was consulted and started him dizzier.  And steroids.  Patient noted worsening oxygen requirements for which 1 dose acmetra.  Plan discussed with the nurse.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: My left arm was s still extremely painful after my second Pfizer Shot after 6 months? I reported to my doctor but he said it will stop hurting but it is still hurting after six months ;(,
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine given was expired.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Discomfort, Fatigue, Injection site pain, X-ray
Clinical narrative: After the vaccine, I was a little tired and the injection site hurt. I did not get a fever, but I was a bit worn out. The shoulder pain ended up getting worse as time went on. I went to my primary care who did X-rays but saw no damage. I started physical therapy in July. The therapy has helped but there is still some discomfort when I raise my arms.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Syncope
Clinical narrative: dizzy and weak, passed out for a few seconds
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine given was expired.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Eye pruritus, Fatigue, Headache
Clinical narrative: Injection Site Pain (Wed Sep 29 ~ 1350 to present time of this report ~1000 Fri Oct 1, obviously due to the vaccine), took NSAIDs, did not help. Chills (Thur Sept 30 ~ 1230 to 1330, never happened with any other type of vaccine, nor any other time when I was not obviously sick). Fatigue (Thur Sept 30 ~ 1230 to 1330, never happened with any other type of vaccine, nor any other time when I was not obviously sick). Dizziness (Wed Sep 29 ~ 1150 to Fri Oct 1 ~ 0900, very unusual for me and nearly constant for almost two full days). Headache (various times from Wed Sep 29 evening to Thur Sep 30 night, unusual due to frequency, usually only get one headache every few weeks). Itchy eyes (Thur Sep 30 ~ 0900 to 1400, hard to say if this is due to vaccine, but it was unusually intense and brief compared to seasonal allergies) I take Claritin every day but it did not help with this bout of itchiness.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pruritus
Clinical narrative: Injection Site Pain (Wed Sep 29 ~ 1350 to present time of this report ~1000 Fri Oct 1, obviously due to the vaccine), took NSAIDs, did not help. Chills (Thur Sept 30 ~ 1230 to 1330, never happened with any other type of vaccine, nor any other time when I was not obviously sick). Fatigue (Thur Sept 30 ~ 1230 to 1330, never happened with any other type of vaccine, nor any other time when I was not obviously sick). Dizziness (Wed Sep 29 ~ 1150 to Fri Oct 1 ~ 0900, very unusual for me and nearly constant for almost two full days). Headache (various times from Wed Sep 29 evening to Thur Sep 30 night, unusual due to frequency, usually only get one headache every few weeks). Itchy eyes (Thur Sep 30 ~ 0900 to 1400, hard to say if this is due to vaccine, but it was unusually intense and brief compared to seasonal allergies) I take Claritin every day but it did not help with this bout of itchiness.
Age: 67.0
Sex: M
Vaccine: PNC13, TDAP
Symptoms: Arthralgia, Mobility decreased, Pain in extremity, Quality of life decreased
Clinical narrative: Patient mentioned today, 10/1/21, he was still experiencing bilateral arm and shoulder pain that occurred after his 3/16/19 injections.  He mentioned to doctor but no follow ups have been conducted or additional medical treatment, though he explains he has had reduced mobility and quality of life as a result.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Blood test normal, Haemorrhage, Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: After injection I skipped my period which was regularly every month. I got the injection in April 2021 and did not have period in April or May. Then I had "period" in June and I have been continued to bleed since June 2021. I have sought medical care and they are trying to figure out what is causing the bleeding. I have been told it could be an adverse effect from the COVID vaccine.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound uterus normal
Clinical narrative: After injection I skipped my period which was regularly every month. I got the injection in April 2021 and did not have period in April or May. Then I had "period" in June and I have been continued to bleed since June 2021. I have sought medical care and they are trying to figure out what is causing the bleeding. I have been told it could be an adverse effect from the COVID vaccine.
Age: 12.0
Sex: F
Vaccine: MNQ
Symptoms: Product preparation error
Clinical narrative: Sterile water used as diluent rather than meningococcal liquid component; dose will need to repeated.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Arteriogram coronary abnormal, C-reactive protein increased, Chest discomfort, Coronary artery disease, Echocardiogram normal
Clinical narrative: First Pfizer vaccine administered 8/25/21, Developed substernal chest pressure 8/26/21-8/27/21, presented to Hospital on 8/28/21 AM
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Ejection fraction normal, Laboratory test, Magnetic resonance imaging heart, Myocardial oedema, Myocarditis
Clinical narrative: First Pfizer vaccine administered 8/25/21, Developed substernal chest pressure 8/26/21-8/27/21, presented to Hospital on 8/28/21 AM
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Pericardial effusion, Red blood cell sedimentation rate normal, Troponin, White blood cell count normal
Clinical narrative: First Pfizer vaccine administered 8/25/21, Developed substernal chest pressure 8/26/21-8/27/21, presented to Hospital on 8/28/21 AM
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic shock, Angiogram cerebral, Arteriogram carotid, Bell's palsy, C-reactive protein
Clinical narrative: Anaphylactic shock : 2 dose benadryl, 2 doses of epipen, compazine, milk of magnesia, prednisone,  albuterol inhaler on 9/9 9/9  started Prednisone taper high doses of benadryl, Zyrtec, and famotidine. itching, numbness in face and chest tightness, difficulty swallowing. 9/14 diagnosed with Bells Palsy. hen on9/21 first diagnosis of  trigeminal neuralgia. 4 er visits, ct scans, mri chest  xrays. Significant nerve pain in the face sensitive to light and sounds, continued difficulty swallowing. I have to keep ice packs on face and top right side of my head and now taking gabapentin.  I have a detailed written record of all medications and symptoms. I am happy to share from the last 22 days
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Chest discomfort, Computerised tomogram, Differential white blood cell count, Dysphagia
Clinical narrative: Anaphylactic shock : 2 dose benadryl, 2 doses of epipen, compazine, milk of magnesia, prednisone,  albuterol inhaler on 9/9 9/9  started Prednisone taper high doses of benadryl, Zyrtec, and famotidine. itching, numbness in face and chest tightness, difficulty swallowing. 9/14 diagnosed with Bells Palsy. hen on9/21 first diagnosis of  trigeminal neuralgia. 4 er visits, ct scans, mri chest  xrays. Significant nerve pain in the face sensitive to light and sounds, continued difficulty swallowing. I have to keep ice packs on face and top right side of my head and now taking gabapentin.  I have a detailed written record of all medications and symptoms. I am happy to share from the last 22 days
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Facial pain, Full blood count, Hyperacusis, Hypoaesthesia
Clinical narrative: Anaphylactic shock : 2 dose benadryl, 2 doses of epipen, compazine, milk of magnesia, prednisone,  albuterol inhaler on 9/9 9/9  started Prednisone taper high doses of benadryl, Zyrtec, and famotidine. itching, numbness in face and chest tightness, difficulty swallowing. 9/14 diagnosed with Bells Palsy. hen on9/21 first diagnosis of  trigeminal neuralgia. 4 er visits, ct scans, mri chest  xrays. Significant nerve pain in the face sensitive to light and sounds, continued difficulty swallowing. I have to keep ice packs on face and top right side of my head and now taking gabapentin.  I have a detailed written record of all medications and symptoms. I am happy to share from the last 22 days
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Metabolic function test, Photophobia, Pruritus, Trigeminal neuralgia
Clinical narrative: Anaphylactic shock : 2 dose benadryl, 2 doses of epipen, compazine, milk of magnesia, prednisone,  albuterol inhaler on 9/9 9/9  started Prednisone taper high doses of benadryl, Zyrtec, and famotidine. itching, numbness in face and chest tightness, difficulty swallowing. 9/14 diagnosed with Bells Palsy. hen on9/21 first diagnosis of  trigeminal neuralgia. 4 er visits, ct scans, mri chest  xrays. Significant nerve pain in the face sensitive to light and sounds, continued difficulty swallowing. I have to keep ice packs on face and top right side of my head and now taking gabapentin.  I have a detailed written record of all medications and symptoms. I am happy to share from the last 22 days
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin
Clinical narrative: Anaphylactic shock : 2 dose benadryl, 2 doses of epipen, compazine, milk of magnesia, prednisone,  albuterol inhaler on 9/9 9/9  started Prednisone taper high doses of benadryl, Zyrtec, and famotidine. itching, numbness in face and chest tightness, difficulty swallowing. 9/14 diagnosed with Bells Palsy. hen on9/21 first diagnosis of  trigeminal neuralgia. 4 er visits, ct scans, mri chest  xrays. Significant nerve pain in the face sensitive to light and sounds, continued difficulty swallowing. I have to keep ice packs on face and top right side of my head and now taking gabapentin.  I have a detailed written record of all medications and symptoms. I am happy to share from the last 22 days
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Lethargy, Pain, Pyrexia
Clinical narrative: Fever, chills, body ache that night and a few days later. Now I am lethargic and tired all the time.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster, Miliaria, Rash
Clinical narrative: I noticed that I had a rash under my right breast on my torso and I thought it was heat rash, I didn't know. It turns out that I was having a shingles outbreak. I got a little rash on my side and on my back (like it wrapped around on one side). I noticed it and then I called the office. It was closed. On call physician's assistant - gave a televisit - prescribed to me - Valacyclovir - for treating shingles. I had taken photos of it. Took it for 7 days and took the rest of the week off from work. By the end of July, my symptoms were pretty much resolved. I saw my acupuncturist also and he gave me a salve to apply to rash. That helped a lot - it was a blend of Herbs. It worked like a charm. Did follow up with PA.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Fatigue
Clinical narrative: I have been really tried in since April 2021, I don't even have to eat, I am so tried and I have to take a nap. I am not usually a person who has to take a nap. It's so bad that I don't even hear my kids. I notice that this started right after I got the second vaccine. Major fatigue.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Ear, nose and throat examination, Throat tightness
Clinical narrative: Presented to PCP, reports getting her first Pfizer Covid vaccine in April, patient reports 24 hours after getting some shortness of breath, throat closing that patient reports has continued since having that vaccine.  Patient currently taking DayQuil/NyQuil to help with her symptoms.  Patient denies any severe symptoms. Referred to ENT and allergy for evaluation and recommendations regarding second Covid vaccine.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Injection site rash, Rash
Clinical narrative: Rash under the boob same side of the injection site, rash began to spread, was diagnosed with Shingles by healthcare provider. Was prescribed Famciclovir and pain medication.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, COVID-19 pneumonia, Cough
Clinical narrative: Patient finished COVID-19 vaccine series on 2/16/21. Patient arrived at reporting hospital with reports of weakness and cough. Other symptoms included fever and diarrhea. Patient was admitted on 9/23/21 with COVID-19 pneumonia  with acute hypoxemic respiratory failure and discharged 4 days later on 9/27/21.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Pyrexia, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Patient finished COVID-19 vaccine series on 2/16/21. Patient arrived at reporting hospital with reports of weakness and cough. Other symptoms included fever and diarrhea. Patient was admitted on 9/23/21 with COVID-19 pneumonia  with acute hypoxemic respiratory failure and discharged 4 days later on 9/27/21.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Chest pain, Dizziness, Pericarditis
Clinical narrative: The first shot, same Lot number, my heart went crazy irregular for about 3 weeks. The second shot, my heart starting hurting REALLY bad, Lightheaded, severe chest pain. Put on meds for pericarditis.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine temperature excursion. The vaccine was in the freezer for 3 weeks, then it was removed to the fridge and administered to patients.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anticoagulant therapy, Arterial catheterisation, Blood test, Cardio-respiratory distress, Chest X-ray normal
Clinical narrative: In may i started some truble with shortness of breath when walking. Felt like trying to breath through a mask when i was not wearing a mask.  In June the ymptoms seemed to clear up and were not a noticeable exceptwhen climbed stairs. had a chest xray which came back clear.   The end of August the symptoms started again especially going up stair.  Around September 8 they got worse with having great difficulty breathing when walking. by September 14th early morning I could catch my breath at all and went to the  ER around 4 am.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Dyspnoea, Dyspnoea exertional, Echocardiogram, Electrocardiogram
Clinical narrative: In may i started some truble with shortness of breath when walking. Felt like trying to breath through a mask when i was not wearing a mask.  In June the ymptoms seemed to clear up and were not a noticeable exceptwhen climbed stairs. had a chest xray which came back clear.   The end of August the symptoms started again especially going up stair.  Around September 8 they got worse with having great difficulty breathing when walking. by September 14th early morning I could catch my breath at all and went to the  ER around 4 am.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pulmonary embolism, SARS-CoV-2 test negative, Ultrasound Doppler
Clinical narrative: In may i started some truble with shortness of breath when walking. Felt like trying to breath through a mask when i was not wearing a mask.  In June the ymptoms seemed to clear up and were not a noticeable exceptwhen climbed stairs. had a chest xray which came back clear.   The end of August the symptoms started again especially going up stair.  Around September 8 they got worse with having great difficulty breathing when walking. by September 14th early morning I could catch my breath at all and went to the  ER around 4 am.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspepsia, Gastrointestinal disorder, Gastrooesophageal reflux disease, Hypertension, Paraesthesia
Clinical narrative: Three hours after the shot I felt pins and needles on my right side of the face, six hours later I experience extremely high blood pressure 200/100, a couple days after I started having gastrointestinal problemsIndigestion acid reflex felt like a lump in my throat.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Sensation of foreign body
Clinical narrative: Three hours after the shot I felt pins and needles on my right side of the face, six hours later I experience extremely high blood pressure 200/100, a couple days after I started having gastrointestinal problemsIndigestion acid reflex felt like a lump in my throat.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inflammation, Physical examination, Vertigo
Clinical narrative: I was diagnosed with vertigo 24Sep2021 thought to be related to inner ear inflamation.   I was treated with PRN Meclizine.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Local reaction
Clinical narrative: No adverse event. A slight local reaction that has resolved. Pt was not eligible for 3rd dose.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine administered.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: On 09/29/21 at 1330 contacted and arrived to assist patient who complained of chest pain. No signs of severe distress. A&Ox4 and verbal. Patient was transferred to urgent care via wheelchair with 2 members of urgent care staff.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Increased viscosity of bronchial secretion, Productive cough, Pyrexia
Clinical narrative: SOB, Fevers, Chills, Cough Productive of thick white sputum.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Sputum discoloured
Clinical narrative: SOB, Fevers, Chills, Cough Productive of thick white sputum.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Headache, Influenza like illness, Malaise
Clinical narrative: 09/02/2021 @ ~ 1:00 PM I received the Pfizer Covid Vaccine @ pharmacy. ~20 hours later I started to experience Flue like symptoms which got worse over the next three (3) days Along with the Flue symptoms, fever, headache, joint  muscle pain I started having loose Bowels which have persisted for weeks on and off.  On 09/21/2021 I returned from work with the same symptoms I had after the Vaccine only slightly milder.  I had a covid test which was negative on 09/22/2021 so I could return to work.  The symptoms lasted about 48 hours.  Still have issues with the loose bowels.  I have not felt well since receiving the Vaccine.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: 09/02/2021 @ ~ 1:00 PM I received the Pfizer Covid Vaccine @ pharmacy. ~20 hours later I started to experience Flue like symptoms which got worse over the next three (3) days Along with the Flue symptoms, fever, headache, joint  muscle pain I started having loose Bowels which have persisted for weeks on and off.  On 09/21/2021 I returned from work with the same symptoms I had after the Vaccine only slightly milder.  I had a covid test which was negative on 09/22/2021 so I could return to work.  The symptoms lasted about 48 hours.  Still have issues with the loose bowels.  I have not felt well since receiving the Vaccine.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Arteriosclerosis, Asthenia, Atelectasis, COVID-19
Clinical narrative: Hospitalized (9.22.21);  COVID-19 positive (9.21.21);  fully vaccinated  Discharge Provider: DO Primary Care Provider: PA-C Admission Date: 9/22/2021 Discharge Date: Sep 29, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia [J96.01] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 79 year old woman who presented for evaluation of fever, productive cough, weakness and shortness of breath. Found to be hypoxic, septic and covid positive. She was started on Remdesivir and Decdaron. O2 was used to maintain adequate saturations. O2 needs increased early in here stay so her admission was a bit prolonged. Gentle diuresis was employed to maintain euvolemia. As the admission progressed, o2 needs leveled out. Currently, she is using 1-2 L and will go home with oxygen as she is eager to go home. I do have concerns about medical non-compliance as many of her listed home medications have not been filled in 10 + months. For her PVD, she is advised to take ASA/Plavix and statin. Her HTN appears to be controlled off home medications Lisinopril, Triamt/HCTZ. Additionally, we resumed Levothyroxine- she had not filled this in 10+ months. I recommend checking outpatient TSH in 4-6 weeks. Two additional days of Decadron will be prescribed to complete 10 days total. Probiotic and fiber for her diarrhea. Close follow up with her pcp is recommended. A follow up cxr is advised per pcp.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Cough, Deafness, Diarrhoea, Diuretic therapy
Clinical narrative: Hospitalized (9.22.21);  COVID-19 positive (9.21.21);  fully vaccinated  Discharge Provider: DO Primary Care Provider: PA-C Admission Date: 9/22/2021 Discharge Date: Sep 29, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia [J96.01] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 79 year old woman who presented for evaluation of fever, productive cough, weakness and shortness of breath. Found to be hypoxic, septic and covid positive. She was started on Remdesivir and Decdaron. O2 was used to maintain adequate saturations. O2 needs increased early in here stay so her admission was a bit prolonged. Gentle diuresis was employed to maintain euvolemia. As the admission progressed, o2 needs leveled out. Currently, she is using 1-2 L and will go home with oxygen as she is eager to go home. I do have concerns about medical non-compliance as many of her listed home medications have not been filled in 10 + months. For her PVD, she is advised to take ASA/Plavix and statin. Her HTN appears to be controlled off home medications Lisinopril, Triamt/HCTZ. Additionally, we resumed Levothyroxine- she had not filled this in 10+ months. I recommend checking outpatient TSH in 4-6 weeks. Two additional days of Decadron will be prescribed to complete 10 days total. Probiotic and fiber for her diarrhea. Close follow up with her pcp is recommended. A follow up cxr is advised per pcp.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Fatigue, Hypoxia, Lung opacity, Oxygen saturation abnormal
Clinical narrative: Hospitalized (9.22.21);  COVID-19 positive (9.21.21);  fully vaccinated  Discharge Provider: DO Primary Care Provider: PA-C Admission Date: 9/22/2021 Discharge Date: Sep 29, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia [J96.01] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 79 year old woman who presented for evaluation of fever, productive cough, weakness and shortness of breath. Found to be hypoxic, septic and covid positive. She was started on Remdesivir and Decdaron. O2 was used to maintain adequate saturations. O2 needs increased early in here stay so her admission was a bit prolonged. Gentle diuresis was employed to maintain euvolemia. As the admission progressed, o2 needs leveled out. Currently, she is using 1-2 L and will go home with oxygen as she is eager to go home. I do have concerns about medical non-compliance as many of her listed home medications have not been filled in 10 + months. For her PVD, she is advised to take ASA/Plavix and statin. Her HTN appears to be controlled off home medications Lisinopril, Triamt/HCTZ. Additionally, we resumed Levothyroxine- she had not filled this in 10+ months. I recommend checking outpatient TSH in 4-6 weeks. Two additional days of Decadron will be prescribed to complete 10 days total. Probiotic and fiber for her diarrhea. Close follow up with her pcp is recommended. A follow up cxr is advised per pcp.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pleural effusion, Productive cough, Pyrexia, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Hospitalized (9.22.21);  COVID-19 positive (9.21.21);  fully vaccinated  Discharge Provider: DO Primary Care Provider: PA-C Admission Date: 9/22/2021 Discharge Date: Sep 29, 2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute respiratory failure with hypoxia [J96.01] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is a 79 year old woman who presented for evaluation of fever, productive cough, weakness and shortness of breath. Found to be hypoxic, septic and covid positive. She was started on Remdesivir and Decdaron. O2 was used to maintain adequate saturations. O2 needs increased early in here stay so her admission was a bit prolonged. Gentle diuresis was employed to maintain euvolemia. As the admission progressed, o2 needs leveled out. Currently, she is using 1-2 L and will go home with oxygen as she is eager to go home. I do have concerns about medical non-compliance as many of her listed home medications have not been filled in 10 + months. For her PVD, she is advised to take ASA/Plavix and statin. Her HTN appears to be controlled off home medications Lisinopril, Triamt/HCTZ. Additionally, we resumed Levothyroxine- she had not filled this in 10+ months. I recommend checking outpatient TSH in 4-6 weeks. Two additional days of Decadron will be prescribed to complete 10 days total. Probiotic and fiber for her diarrhea. Close follow up with her pcp is recommended. A follow up cxr is advised per pcp.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Extra dose administered, Pain in extremity, Pyrexia
Clinical narrative: Pt. states that after receiving the 3rd Booster of Phizer 09/30/2021, started experiencing symptoms of fever, chills, and pain in the arm. Still continuing to experience symptoms. No noted Primary visit.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Pyrexia, Rhinorrhoea
Clinical narrative: Patient contracted COVID after being fully vaccinated fever, cough, runny nose, fatigue
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Laboratory test, Neoplasm malignant, Nodule
Clinical narrative: As of January I was cancer free of Merkel cell carcinoma (left arm).I had a surgery in January no nodules was present.Then after the vaccine I have cancer again the timeline makes sense for me to think due to the vaccine. On May 16,2021 when I had the scan  the doctors at Hospital Cancer Treatment Center seen I had a nodule.
Age: 92.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt presented weak. Pt tested positive for c-19 on 09/30/2021. Pt placed on  Rocephin, Pt place on supplmental O2. Pt is still in hospital
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine given.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Fatigue, Headache, Insomnia
Clinical narrative: Diagnosed with COVID on 9/17/2021. Coughing for 6 days, fever, hard to sleep, fatigue, muscle aches, head ache, nausea.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Diagnosed with COVID on 9/17/2021. Coughing for 6 days, fever, hard to sleep, fatigue, muscle aches, head ache, nausea.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Herpes virus infection, Menstrual disorder
Clinical narrative: Made me menstruate for 32 days after. And I haven?t had a breakout of my herpes since I had contracted it in 2003 and it cause me to have a bad outbreak. And has made acyclovir the normal prescription I?ve always received if I was ever feeling a breakout coming would prevent it from becoming fully broke out. ?. Did not work at all with just one cycle. Been dealing with the breakout for 9 days now. Having to miss work for 2 weeks now
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine temperature excursion. The vaccine was in the freezer for 3 weeks, then it was removed to the fridge and administered to patients.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient received .3 ml Janssen dose instead of Pfizer dose 2, patient notified, no adverse reactions at this time.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: swelling R foot and leg
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired  vaccine given.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site swelling, Sensation of foreign body
Clinical narrative: Facial numbness and lump felt in throat , severe selling/ knot at injection site ( right deltoid)
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chest discomfort, Dizziness, Dyspnoea, Eye swelling
Clinical narrative: Hives on Arms and Trunk & Swelling around my eyes within a couple of hours of the vaccine. I took Zyrtec/Benedryl to control it and for the most part it did. Within the week I started having more symptoms including: Shortness of breath  Dizziness I could feel my heart beating in my chest. I saw my doctor and took a 3 day steroid. 2 weeks later and I am still having shortness of breath, pain in my back, and sometimes have a tightness in my chest where I can feel my heart beating.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Urticaria
Clinical narrative: Hives on Arms and Trunk & Swelling around my eyes within a couple of hours of the vaccine. I took Zyrtec/Benedryl to control it and for the most part it did. Within the week I started having more symptoms including: Shortness of breath  Dizziness I could feel my heart beating in my chest. I saw my doctor and took a 3 day steroid. 2 weeks later and I am still having shortness of breath, pain in my back, and sometimes have a tightness in my chest where I can feel my heart beating.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive 09/28/2021
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dizziness, Exposure during pregnancy, Flushing, Laboratory test
Clinical narrative: At 1636, received vaccine Pfizer 0.3ml IM in left deltoid.  She was sitting in her chair holding her laptop, dropped laptop, staff checked on her. She had her head down, large amount of vomit on the floor, tapped her on the shoulder and was responsive. Asked if she was okay and responded, "Yes and apologetic for vomiting." At 1650, DSH-Napa's dispatch/Fire Department was notified. Her vitals signs were taken T97.0-P92-R20-BP 121/78 O2 sat-97% RA. was unaware she vomited or dropped her laptop.  reports, "sitting in observation area, became flush, lightheaded, then slight tunnel vision, so she closed her eyes and passed out".  Fire department responded, ambulance took her to ER where she was Dx Vasovagal Syncope. She reports receiving IV fluids in ambulance, no further tx at. She reports Hx of near syncopal episode after having a blood drawn recently due to pregnancy. Patient is pregnant and her due date is 11/1/21.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Syncope, Tunnel vision, Vomiting
Clinical narrative: At 1636, received vaccine Pfizer 0.3ml IM in left deltoid.  She was sitting in her chair holding her laptop, dropped laptop, staff checked on her. She had her head down, large amount of vomit on the floor, tapped her on the shoulder and was responsive. Asked if she was okay and responded, "Yes and apologetic for vomiting." At 1650, DSH-Napa's dispatch/Fire Department was notified. Her vitals signs were taken T97.0-P92-R20-BP 121/78 O2 sat-97% RA. was unaware she vomited or dropped her laptop.  reports, "sitting in observation area, became flush, lightheaded, then slight tunnel vision, so she closed her eyes and passed out".  Fire department responded, ambulance took her to ER where she was Dx Vasovagal Syncope. She reports receiving IV fluids in ambulance, no further tx at. She reports Hx of near syncopal episode after having a blood drawn recently due to pregnancy. Patient is pregnant and her due date is 11/1/21.
Age: 16.0
Sex: M
Vaccine: FLU4
Symptoms: Contraindicated product administered, Contraindication to vaccination
Clinical narrative: Nurse roomed patient and obtained rapid strep and covid test after taking VS. I saw patient after that and discussed with patient and dad doing a rapid Flu test if rapid strep was negative. Patient and dad agreed, and I asked them twice, as it involved a third swab.  I left the room to check RS result and asked the nurse to do a flu test, if the rapid strep was negative, as he had been at a party with a lot of people, and they all had similar sx with fever. I went to the lab and told the lab assistant that I was going to do a flu test after confirming that his rapid strep was negative. When I came back to the room, the nurse was rolling down the patient's sleeve. I left the room with the nurse and asked her what she had just given, and nurse said his flu shot. I told her I ordered a flu test as the patient cannot get flu vaccines, due to his history of getting Guillain Barre following the flu vaccine in 2007. She then did the flu test and let patient leave. I called dad and told him the flu test was negative and explained what had happened. I asked if I should call mom and he said he would tell her.  Mom subsequently called back, and I explained to her what had happened as well.  I informed mom what to watch for if Guillain Barre were to recur i.e., weakness in legs or pain in fingertips or toes, any trouble breathing or irregular heart rate and to call immediately if noted or go to ER and that I would follow up with her after speaking in am. I have placed calls to discuss and am waiting for a call back after literature search. Received response from CDC 9/24/21 and GBS following flu vaccine is very rare. Furthermore, there has not been evidence of increased risk in GBS following immunization in people with history of GBS. The ACIP lists a history of GBS within 6 weeks after a previous flu vaccine as a precaution.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Fatigue, Malaise, Migraine, Musculoskeletal stiffness
Clinical narrative: Adverse effects noticed:  Crippling Migrane headache (9/10), high fever (101-102?F), neck stiffness (7/10), nausea  (6/10), joint and muscle pain (8/10),  malaise (7/10), and considerable fatigue (8/10)  Treatment used: Over the counter medications (acetaminophen, small doses of caffeine, heat applications (submerged in high temperature bath, and used a heating pad set to high every 30 minutes), rest, fluids, and non-solid foods (soup, mashed potatoes)  Outcome: symptoms started rapidly 8 hours after vaccine, dampened after 32 hours, and disappeared after 53 hours from the vaccine.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: Adverse effects noticed:  Crippling Migrane headache (9/10), high fever (101-102?F), neck stiffness (7/10), nausea  (6/10), joint and muscle pain (8/10),  malaise (7/10), and considerable fatigue (8/10)  Treatment used: Over the counter medications (acetaminophen, small doses of caffeine, heat applications (submerged in high temperature bath, and used a heating pad set to high every 30 minutes), rest, fluids, and non-solid foods (soup, mashed potatoes)  Outcome: symptoms started rapidly 8 hours after vaccine, dampened after 32 hours, and disappeared after 53 hours from the vaccine.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Rash, Hives,  2 hours after vaccine began itching and hives.  Had over her body, face and scalp but no respiratory distress.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer vaccine temperature excursion. The vaccine was in the freezer for 3 weeks, then it was removed to the fridge and administered to patients.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Hypoaesthesia, Paraesthesia
Clinical narrative: patient had onset of Bell's Palsy 1 week following her vaccine, reports that her husband also had numbness and tingling to his extremities
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: pt. was given expired vaccine - no ill affects noted, reported to Janssen
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: Patient vaccinated with Moderna on 02/18/2021 and 03/18/2021, hospitalized on 9/29/2021 for covid 19 pneumonia.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging normal, Periarthritis
Clinical narrative: The muscle of my right arm is damaged by some internal way causing it to become frozen. I now needed a pin point injection and will need physical therapy. The doctor suggested there may have been a bleed within. ( I thought it was a torn rotator cuff, but negative MRI )
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, COVID-19, Chest X-ray normal, Fatigue, Headache
Clinical narrative: Well I got the vaccine and had cold like symptoms and then on Wednesday I went into A-fib and went to urgent care. It is hard to say if it is the vaccine or Covid itself. I had lots of fatigue, a headache and a fever of 99.5. The ER prescribed metoprolol and I have been referred to a cardiologist. Other than that I have just been quarantined at home.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Well I got the vaccine and had cold like symptoms and then on Wednesday I went into A-fib and went to urgent care. It is hard to say if it is the vaccine or Covid itself. I had lots of fatigue, a headache and a fever of 99.5. The ER prescribed metoprolol and I have been referred to a cardiologist. Other than that I have just been quarantined at home.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Fatigue, Headache, Myalgia, Nausea
Clinical narrative: Headache, joint and muscle pain, fatigue, nausea are ongoing since injection(over3 weeks. No additional treatment beyond existing medications.  Symptoms are the same as second injection which lasted six weeks with the exception of the headache which persisted for an additional number of weeks, but whose severity lessened over time.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood creatinine increased, Blood thyroid stimulating hormone, Blood urea increased, C-reactive protein, Dizziness postural
Clinical narrative: Headache, joint and muscle pain, fatigue, nausea are ongoing since injection(over3 weeks. No additional treatment beyond existing medications.  Symptoms are the same as second injection which lasted six weeks with the exception of the headache which persisted for an additional number of weeks, but whose severity lessened over time.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dysphonia, Extra dose administered, Fatigue, Full blood count normal, Headache
Clinical narrative: Headache, joint and muscle pain, fatigue, nausea are ongoing since injection(over3 weeks. No additional treatment beyond existing medications.  Symptoms are the same as second injection which lasted six weeks with the exception of the headache which persisted for an additional number of weeks, but whose severity lessened over time.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Metabolic function test, Neuralgia
Clinical narrative: Headache, joint and muscle pain, fatigue, nausea are ongoing since injection(over3 weeks. No additional treatment beyond existing medications.  Symptoms are the same as second injection which lasted six weeks with the exception of the headache which persisted for an additional number of weeks, but whose severity lessened over time.
Age: 66.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Diarrhoea, Feeling cold, Nausea, Pyrexia
Clinical narrative: severe chills and shivering  for 2 hours,  moderate chills for about 4 hours more. spiked a fever but don't know how high til 5 am when it was 102.5 and went down through the next day. Began vomiting  2 hours after onset. nausea and vomiting lasted intermittently for 24 hours Diarhea began that morning and lasted for 24 hours
Age: 66.0
Sex: M
Vaccine: FLU4
Symptoms: Vomiting
Clinical narrative: severe chills and shivering  for 2 hours,  moderate chills for about 4 hours more. spiked a fever but don't know how high til 5 am when it was 102.5 and went down through the next day. Began vomiting  2 hours after onset. nausea and vomiting lasted intermittently for 24 hours Diarhea began that morning and lasted for 24 hours
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia
Clinical narrative: bilateral arm, and neck numbness 15 min after  vaccination. next day numbness in arms persisted and included face .  headache also present.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine given.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Vaccine was administer 24 hours after vaccine was reconstituted. Patient was notified and reported no adverse reactions after receiving vaccine.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular, Rash pruritic
Clinical narrative: after first vaccination shot, (8/28/21) I had two areas on both arms with a small, very itchy rash. After the 2nd shot, I have raised bumps (like bug bites) all over my thigh and chest/collar bone area with sporatic bumps on arms, back, calves, and glutes.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: BREAKTHROUGH COVID INFECTION.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: The patient tested positive for Covid-19 after being fully vaccinated
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired vaccine given.
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Condition aggravated, Dysgeusia, Electromyogram abnormal, Feeling abnormal
Clinical narrative: Nodules formed in my lymphnodes on the left side of my body.  The first appeared two days after the first injection below my left clavical, the second appeared the day of my second injection above my left clavical - both nodules are still present six months later, are not iverly hard, and moveable.  An ultrasound was performed and I was told that they look like "normal" lymph nodes though you can feel the knots and they could be seen on the ultrasound screen.  Additionally, in July, we were exposed to "something" (we think the Delta variant), even though we were all vaccinated and masked, and had a breakthrough that put us on our backs for a week.   Notified my doctors office of symptoms, didn't get in to see her until End of August. Since then I have had numbness in my left hand/ arm, phantom smells, loss of or disgusting tastes, brain fog, and the list goes on and on.  I've had an EMG to determine the cause of the nerve damage (it's muscle wasting in the entire appendage), but due to teh status of the overwhelmed healthcare system have received no definative diagnosis.