chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Axillary pain, Burning sensation, Injection site pain, Lymphadenopathy
Clinical narrative: Starting 02/10/2022 upon awakening, I was unable to move my arm. The pain was severe (radiating from the injection site to the underarm area and to the right under arm area) and I had a "plum size" swelling underneath my arm. It was itchy, burning and warm to the touch. All day it was painful and very weak. On Friday (02/11/2022), I went to see NP and she prescribed me 600mg of Motrin (which I am sensitive to due to my asthma); however, the swelling/pain was bad enough that I needed it. Also, she prescribed me a steroid cream to use 3x daily, which significantly helped. By Sunday, the Motrin kicked in and the cream definitely helped with the pain and itching to the point that I started feeling significant relief. I have hidradenitis suppurativa stage 2 bilaterally under my arms and had surgery in 2019 to remove it. Therefore, its a sensitive area and I believe that made the area more susceptible to complications.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain, Pruritus, Skin warm, Swelling
Clinical narrative: Starting 02/10/2022 upon awakening, I was unable to move my arm. The pain was severe (radiating from the injection site to the underarm area and to the right under arm area) and I had a "plum size" swelling underneath my arm. It was itchy, burning and warm to the touch. All day it was painful and very weak. On Friday (02/11/2022), I went to see NP and she prescribed me 600mg of Motrin (which I am sensitive to due to my asthma); however, the swelling/pain was bad enough that I needed it. Also, she prescribed me a steroid cream to use 3x daily, which significantly helped. By Sunday, the Motrin kicked in and the cream definitely helped with the pain and itching to the point that I started feeling significant relief. I have hidradenitis suppurativa stage 2 bilaterally under my arms and had surgery in 2019 to remove it. Therefore, its a sensitive area and I believe that made the area more susceptible to complications.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient also received 2nd Moderna on 4/20/21 no lot number available; event occurred after 2nd vaccine; breakthrough case admission
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Headache, Mobility decreased
Clinical narrative: Chills, severe headache, nausea, feeling of almost passing out, very tired. Slept in bed for 2 days, took ibuprofen.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Somnolence
Clinical narrative: Chills, severe headache, nausea, feeling of almost passing out, very tired. Slept in bed for 2 days, took ibuprofen.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Magnetic resonance imaging, Neuropathy peripheral
Clinical narrative: Neuropathy in lower extremities with trouble ambulating
Age: 32.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood test, Blood urine present, Computerised tomogram, Hydronephrosis
Clinical narrative: Severe lower back pain determined to be a kidney infection of unknown cause. And it's still under investigation. Blood in the urine.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Kidney infection, Urine analysis
Clinical narrative: Severe lower back pain determined to be a kidney infection of unknown cause. And it's still under investigation. Blood in the urine.
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 3rd vaccine; breakthrough case admission
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: Began w/urticarial rash on torso, upper and lower extremities, and scalp, on-going x4 days at time of evaluation.  Symptoms began 17days after booster dose of COVID moderna vaccine
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 1 Jannsen vaccine; breakthrough case admission
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Event occurred after 2nd vaccine; breakthrough case admission; patient expired
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Atrial tachycardia, Cardiac monitoring, Cardiac stress test, Chest pain
Clinical narrative: Symptoms: Ongoing, significant and persistent shortness of breath during activities of daily living and upon exertion currently continuing at 7 months after vaccine administration. Significant and persistent fatigue inhibiting  ability to perform activities of daily living and prohibiting routine exercise walking 3 miles/day in 1 hour I have been doing for 15 years.  New onset of  cardiac arrhythmia diagnosed as Paroxysmal Atrial  Tachycardia.  New onset of Stage 2 Hypertension.  First ever episode of chest pain with Stage 3 Hypertension episode in Emergency Care facility  Treatment: Emergency Center care with chest pain where diagnosis of hypertension was made. Initiation of care under a cardiologist  and started on hypertension medications. Underwent cardiac evaluation procedures including nuclear exercise stress test, nuclear cardiac echo, Coronary CT scan Heart monitor worn for 2 weeks
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Dyspnoea exertional, Echocardiogram, Exercise tolerance decreased, Fatigue
Clinical narrative: Symptoms: Ongoing, significant and persistent shortness of breath during activities of daily living and upon exertion currently continuing at 7 months after vaccine administration. Significant and persistent fatigue inhibiting  ability to perform activities of daily living and prohibiting routine exercise walking 3 miles/day in 1 hour I have been doing for 15 years.  New onset of  cardiac arrhythmia diagnosed as Paroxysmal Atrial  Tachycardia.  New onset of Stage 2 Hypertension.  First ever episode of chest pain with Stage 3 Hypertension episode in Emergency Care facility  Treatment: Emergency Center care with chest pain where diagnosis of hypertension was made. Initiation of care under a cardiologist  and started on hypertension medications. Underwent cardiac evaluation procedures including nuclear exercise stress test, nuclear cardiac echo, Coronary CT scan Heart monitor worn for 2 weeks
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Loss of personal independence in daily activities
Clinical narrative: Symptoms: Ongoing, significant and persistent shortness of breath during activities of daily living and upon exertion currently continuing at 7 months after vaccine administration. Significant and persistent fatigue inhibiting  ability to perform activities of daily living and prohibiting routine exercise walking 3 miles/day in 1 hour I have been doing for 15 years.  New onset of  cardiac arrhythmia diagnosed as Paroxysmal Atrial  Tachycardia.  New onset of Stage 2 Hypertension.  First ever episode of chest pain with Stage 3 Hypertension episode in Emergency Care facility  Treatment: Emergency Center care with chest pain where diagnosis of hypertension was made. Initiation of care under a cardiologist  and started on hypertension medications. Underwent cardiac evaluation procedures including nuclear exercise stress test, nuclear cardiac echo, Coronary CT scan Heart monitor worn for 2 weeks
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Vaccine breakthrough infection
Clinical narrative: COVID RELATED DEATH; BREAKTHROUGH CASE
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Pt presented at 0905 with c/o covid symptoms and numbness to face and h/o Guillian Barre Syndrome.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Acupuncture, Arthralgia, Ear pain, Electric shock sensation, Headache
Clinical narrative: At moment of shot, sharp electrical pain from injection site up to my ear felt like electrical shock. Each month since then, the pain in my shoulder and neck, and into my scalp has a tight pinching feeling causing aching and headaches daily. here are other documented cases of intense agonizing shoulder and neck pain called SIRVA,
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Massage, Neck pain, Pain, Pain of skin
Clinical narrative: At moment of shot, sharp electrical pain from injection site up to my ear felt like electrical shock. Each month since then, the pain in my shoulder and neck, and into my scalp has a tight pinching feeling causing aching and headaches daily. here are other documented cases of intense agonizing shoulder and neck pain called SIRVA,
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Hypertension, Neuropathy peripheral, Pain in extremity
Clinical narrative: Headaches, rapid heartbeat, neuropathy in legs, soreness in both arms
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Crying, Decreased appetite, Feeling abnormal, Headache
Clinical narrative: At about 6:30 AM the following morning after the injection, patient came down from his bedroom in tears.  He said in the middle of night, he started feeling like his head hurt, and his arm was very sore.  He said he stomach also didn't feel good.  He said he "just felt bad."  Patient was given Tylenol and was kept home from school.  He had no appetite.  3 hours later, he reported mainly a headache and sore arm.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Pain in extremity
Clinical narrative: At about 6:30 AM the following morning after the injection, patient came down from his bedroom in tears.  He said in the middle of night, he started feeling like his head hurt, and his arm was very sore.  He said he stomach also didn't feel good.  He said he "just felt bad."  Patient was given Tylenol and was kept home from school.  He had no appetite.  3 hours later, he reported mainly a headache and sore arm.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Dyspnoea, Throat tightness, Urticaria
Clinical narrative: My throat closed up, I was covered in hives, and I could barely breathe. I went to Emergency Center. I was prescribed Epinephrine, Prednisone, Benadryl, Famotidine, and I also took OTC Cetirizine. I was sent home with medication. When I ran out of the medication, my symptoms flared up again. I went to the ER several times.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Aspiration joint, Cyst, Injection
Clinical narrative: In September 2021, I started growing cyst in my left knee, ankle, neck, left elbow, right knee, second joints in my fingers, and the back of my neck. I have gotten cortisone shots, fluid removed from the knee. Cyst have grown larger and multiplied after third dose of the vaccine.
Age: 20.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, C-reactive protein increased, COVID-19 pneumonia, Chest X-ray abnormal, Fibrin D dimer increased
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: patient hospitalized with COVID-19 pneumonia and acute respiratory failure. Received remdesivir, steroids, and supplemental oxygen. Discharged to home medically stable.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Lung opacity, SARS-CoV-2 test positive
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: patient hospitalized with COVID-19 pneumonia and acute respiratory failure. Received remdesivir, steroids, and supplemental oxygen. Discharged to home medically stable.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Vaccine breakthrough infection
Clinical narrative: COVID RELATED DEATH; BREAKTHROUGH CASE
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Genital rash, Hypersensitivity, Sensitive skin, Swollen tongue, Tongue eruption
Clinical narrative: I had another allergic reaction, skin sensitivity all over my body. I noticed I had a rash around vaginal area and my tongue was slightly swollen with bumps. Contacted the pharmacy and was told that is normal. The allergy symptoms  did go away after a week.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Ataxia, Condition aggravated, Depression, Disorientation
Clinical narrative: Cardiac abnormalities....arrhythmia and tachycardia still ongoing though improved ; neurological abnormalities vertigo/disorientation/ ataxia for 3 or 4 months; HSV 1   8 episodes within 3 month period of injections,, while normal is 1 to two times a year; bad rash all over body with itchiness and pain for 6 weeks;  muscular pain issues....acute and chronic neural and muscular pain that is intense...still ongoing; depression/anxiety; insomnia still ongoing
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes simplex, Insomnia, Myalgia, Neuralgia, Pain
Clinical narrative: Cardiac abnormalities....arrhythmia and tachycardia still ongoing though improved ; neurological abnormalities vertigo/disorientation/ ataxia for 3 or 4 months; HSV 1   8 episodes within 3 month period of injections,, while normal is 1 to two times a year; bad rash all over body with itchiness and pain for 6 weeks;  muscular pain issues....acute and chronic neural and muscular pain that is intense...still ongoing; depression/anxiety; insomnia still ongoing
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Tachycardia, Vertigo
Clinical narrative: Cardiac abnormalities....arrhythmia and tachycardia still ongoing though improved ; neurological abnormalities vertigo/disorientation/ ataxia for 3 or 4 months; HSV 1   8 episodes within 3 month period of injections,, while normal is 1 to two times a year; bad rash all over body with itchiness and pain for 6 weeks;  muscular pain issues....acute and chronic neural and muscular pain that is intense...still ongoing; depression/anxiety; insomnia still ongoing
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Wrong Covid dose/booster given to patient.  A Peds dose was given when it should have been a regular dose.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, COVID-19, Fatigue, Hepatic failure, Hepatitis alcoholic
Clinical narrative: Patient was admitted to observation level of care on 1-28 -22through 2-5-22 with marked jaundice and complaint of weakness. Receiving treatment for likely alcoholic hepatitis with liver failure. It is noted that the patient tested positive for covid on admission.   Readmitted on 2/12/22 ---he reports feeling very weak and tired.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Jaundice, SARS-CoV-2 test positive
Clinical narrative: Patient was admitted to observation level of care on 1-28 -22through 2-5-22 with marked jaundice and complaint of weakness. Receiving treatment for likely alcoholic hepatitis with liver failure. It is noted that the patient tested positive for covid on admission.   Readmitted on 2/12/22 ---he reports feeling very weak and tired.
Sex: F
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Pt admitted to the hospital for Covid related diagnosis.  Pt was vaccinated for Covid
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: I was diagnosed with Shingles in August but symptoms began in June.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Nasopharyngitis, SARS-CoV-2 test positive, Sepsis, Urinary tract infection
Clinical narrative: I thought I just had a cold, nothing severe. Was admitted into the hospital for sepsis and also had a UTI. While in ER, I was tested for COVID-19 and was positive. I was in the hospital for 1 week. Was getting treated for COVID-19, sepsis, and UTI. I was getting antibiotics through IV.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Breast pain, Chest pain, Mobility decreased
Clinical narrative: Approximately 3 days after her booster shot, she experienced chest pain (left part) around 6pm and when she woke up the next day it has gotten worse. It was very difficult for her to move and it got so bad around 2pm and we decided to take her to the Emergency Room and the medical staff said they couldn't find anything unusual and we mentioned that she has recently gotten her booster shot then the doctor said it could possibly be a reaction and the doctor had mentioned that he read somewhere that there are cases of women experiencing breast pain and would last about 12 -14 days and would just disappear. With my mother's case it the pain did last for 12 days there was no medication for treatment and she did not take the pain medication prescribed by the doctor.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Adenovirus test, Brain natriuretic peptide normal, C-reactive protein increased, Chest pain, Electrocardiogram ST segment elevation
Clinical narrative: Likely pericarditis.  2 days s/p Pfizer COVID dose 2, presented to local ED with 2 hours of severe substernal chest pain beginning at 0200; self-resolved at 0400. Initial Troponin of 7000+, Diffuse ST changes on EKG. Admitted to hospital for further workup, serial troponins. No further chest pain during admission. Troponins downtrending during admission, cardiology consulted, EKG showed improvement. Dc'd 2/15/22 in stable and symptomatic condition with cardiology followup.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Human metapneumovirus test, Human rhinovirus test, Influenza A virus test negative, Influenza B virus test, Pericarditis
Clinical narrative: Likely pericarditis.  2 days s/p Pfizer COVID dose 2, presented to local ED with 2 hours of severe substernal chest pain beginning at 0200; self-resolved at 0400. Initial Troponin of 7000+, Diffuse ST changes on EKG. Admitted to hospital for further workup, serial troponins. No further chest pain during admission. Troponins downtrending during admission, cardiology consulted, EKG showed improvement. Dc'd 2/15/22 in stable and symptomatic condition with cardiology followup.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate increased, Respiratory syncytial virus test negative, Streptococcus test negative, Troponin increased, Viral test negative
Clinical narrative: Likely pericarditis.  2 days s/p Pfizer COVID dose 2, presented to local ED with 2 hours of severe substernal chest pain beginning at 0200; self-resolved at 0400. Initial Troponin of 7000+, Diffuse ST changes on EKG. Admitted to hospital for further workup, serial troponins. No further chest pain during admission. Troponins downtrending during admission, cardiology consulted, EKG showed improvement. Dc'd 2/15/22 in stable and symptomatic condition with cardiology followup.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Pt had covid vaccine and admit to hospital with covid related diagnosis
Age: 66.0
Sex: F
Vaccine: UNK
Symptoms: Feeling cold
Clinical narrative: ?Freezing cold feeling? after 24 of the vaccination shot, 2 nd dose COVID-19
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Injection site pain, Joint swelling
Clinical narrative: Bilateral knee swelling (anterior and posterior), pain in arm where injection occurred, chest pain. Symptoms are slowly worsening.
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: had covid vaccine.  Admit to the hospital with covid diagnosis
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Seizure
Clinical narrative: For about 3 weeks after I received my second COVID 19 vaccine, I started having seizures at night around 30 minutes after I went to sleep. This was extremally odd as until then, I had not had a Seizure since 2012, as I had grown out of my epilepsy around that time. I continued to have these seizures for 3 weeks after I got the second vaccine at a frequency of at least 3 per week. Then after about 3 weeks to a month afterwards, the seizures just stopped and have not come back since.
Age: 14.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Laboratory test normal, Magnetic resonance imaging spinal abnormal, Muscular weakness, Myelitis transverse
Clinical narrative: Patient with acute bilateral leg weakness and chest tightness. Found to have 2/5 bilateral weakness. MRI showed "Signal abnormality of the dorsal cord extending from T3 to T10 without expansion and without enhancement of the cord, in favor of a diagnosis of transverse myelitis.If there is a clinical suspicion of ADEM, further evaluation with an MRI of the brain is recommended. Differential diagnosis includes demyelinating disease like neuromyelitis optica and anti-MOG transverse myelitis."   Treated with IV 1g solumedrol for 5 days. Repeat imaging on day 4 showed resolution of signal abnormalities. Additional lab studies were negative for MOG, MS, or SLE
Age: 14.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neuromyelitis optica spectrum disorder
Clinical narrative: Patient with acute bilateral leg weakness and chest tightness. Found to have 2/5 bilateral weakness. MRI showed "Signal abnormality of the dorsal cord extending from T3 to T10 without expansion and without enhancement of the cord, in favor of a diagnosis of transverse myelitis.If there is a clinical suspicion of ADEM, further evaluation with an MRI of the brain is recommended. Differential diagnosis includes demyelinating disease like neuromyelitis optica and anti-MOG transverse myelitis."   Treated with IV 1g solumedrol for 5 days. Repeat imaging on day 4 showed resolution of signal abnormalities. Additional lab studies were negative for MOG, MS, or SLE
Age: 14.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Dyspnoea, Limb discomfort, Myelitis transverse, Paraesthesia
Clinical narrative: Patient with acute bilateral leg weakness and chest tightness. Found to have 2/5 bilateral weakness. MRI showed "Signal abnormality of the dorsal cord extending from T3 to T10 without expansion and without enhancement of the cord, in favor of a diagnosis of transverse myelitis.If there is a clinical suspicion of ADEM, further evaluation with an MRI of the brain is recommended. Differential diagnosis includes demyelinating disease like neuromyelitis optica and anti-MOG transverse myelitis."   Treated with IV 1g solumedrol for 5 days. Repeat imaging on day 4 showed resolution of signal abnormalities. Additional lab studies were negative for MOG, MS, or SLE
Age: 14.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: Patient with acute bilateral leg weakness and chest tightness. Found to have 2/5 bilateral weakness. MRI showed "Signal abnormality of the dorsal cord extending from T3 to T10 without expansion and without enhancement of the cord, in favor of a diagnosis of transverse myelitis.If there is a clinical suspicion of ADEM, further evaluation with an MRI of the brain is recommended. Differential diagnosis includes demyelinating disease like neuromyelitis optica and anti-MOG transverse myelitis."   Treated with IV 1g solumedrol for 5 days. Repeat imaging on day 4 showed resolution of signal abnormalities. Additional lab studies were negative for MOG, MS, or SLE
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 8.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Acute symptomatic COVID infection
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID after being fully vaccinated.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chills, Electrocardiogram, Injection site erythema, Injection site induration
Clinical narrative: Heart Palpitations,  chills and fever , significant pain in right arm, swelling, and reddened area that is hot, raised, and hard below injection site.  Prompted medical attention Monday - Dr. advised ER.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Injection site warmth, Pain in extremity, Palpitations, Peripheral swelling
Clinical narrative: Heart Palpitations,  chills and fever , significant pain in right arm, swelling, and reddened area that is hot, raised, and hard below injection site.  Prompted medical attention Monday - Dr. advised ER.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Heart Palpitations,  chills and fever , significant pain in right arm, swelling, and reddened area that is hot, raised, and hard below injection site.  Prompted medical attention Monday - Dr. advised ER.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertensive urgency, SARS-CoV-2 test negative
Clinical narrative: Moderna COVID-19 Vaccine EUA: Patient hospitalized with hypertensive urgency and possible systemic inflammatory response syndrome. Received lorazepam, antihypertensive medications, and intravenous fluids and event resolved. Discharged to home medically stable.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Ear swelling, Erythema, Feeling abnormal, Feeling hot
Clinical narrative: She got her vaccine, she had a slight fever on 1/19/22, then that night her arm was swollen where she got the vaccine, hard area.  She took liquid Tylenol.  The next day was still feverish but nothing major.  Then she was fine until 1/28/22, that day she went to work and she was having tingling on her like when you have too much caffeine, jittery feeling.  She was feeling hot (it's cold) and when she went outside she opened her jacket open and it felt good to be in the cold.  She was then hot when she went back into the office.  She went home and was not feeling well.  The next day she was not feeling good, had a rash with bumps, itching.  Her ears were swollen and pink and painful.  She had an allergic reaction and took a Zyzol.  Ever since the 29th, she had the rash all over her body and the heat wave comes and goes and when she has the jitteriness she knows she's going to break out somewhere.  She did go to a dermatologist who did not know what it was, and told her it was not an allergic reaction to food or animals and that she has seen it in some of her patient's who have had the vaccine.  She prescribed Prednisone and told her to take hot showers and use gentle soaps.  This did not help her, went to her PCP who did not know what to give her, and told her it would go away eventually.  She prescribed Prednisone again which she is having a reaction to and she told her to take more allergy pills.  She was told that there was nothing else that they can give her as they do not know what it is.    She has never had allergic reactions before, and also Prednisone is causing her lack of sleep.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling jittery, Hypersensitivity, Injection site induration, Injection site swelling, Malaise
Clinical narrative: She got her vaccine, she had a slight fever on 1/19/22, then that night her arm was swollen where she got the vaccine, hard area.  She took liquid Tylenol.  The next day was still feverish but nothing major.  Then she was fine until 1/28/22, that day she went to work and she was having tingling on her like when you have too much caffeine, jittery feeling.  She was feeling hot (it's cold) and when she went outside she opened her jacket open and it felt good to be in the cold.  She was then hot when she went back into the office.  She went home and was not feeling well.  The next day she was not feeling good, had a rash with bumps, itching.  Her ears were swollen and pink and painful.  She had an allergic reaction and took a Zyzol.  Ever since the 29th, she had the rash all over her body and the heat wave comes and goes and when she has the jitteriness she knows she's going to break out somewhere.  She did go to a dermatologist who did not know what it was, and told her it was not an allergic reaction to food or animals and that she has seen it in some of her patient's who have had the vaccine.  She prescribed Prednisone and told her to take hot showers and use gentle soaps.  This did not help her, went to her PCP who did not know what to give her, and told her it would go away eventually.  She prescribed Prednisone again which she is having a reaction to and she told her to take more allergy pills.  She was told that there was nothing else that they can give her as they do not know what it is.    She has never had allergic reactions before, and also Prednisone is causing her lack of sleep.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pruritus, Pyrexia, Rash
Clinical narrative: She got her vaccine, she had a slight fever on 1/19/22, then that night her arm was swollen where she got the vaccine, hard area.  She took liquid Tylenol.  The next day was still feverish but nothing major.  Then she was fine until 1/28/22, that day she went to work and she was having tingling on her like when you have too much caffeine, jittery feeling.  She was feeling hot (it's cold) and when she went outside she opened her jacket open and it felt good to be in the cold.  She was then hot when she went back into the office.  She went home and was not feeling well.  The next day she was not feeling good, had a rash with bumps, itching.  Her ears were swollen and pink and painful.  She had an allergic reaction and took a Zyzol.  Ever since the 29th, she had the rash all over her body and the heat wave comes and goes and when she has the jitteriness she knows she's going to break out somewhere.  She did go to a dermatologist who did not know what it was, and told her it was not an allergic reaction to food or animals and that she has seen it in some of her patient's who have had the vaccine.  She prescribed Prednisone and told her to take hot showers and use gentle soaps.  This did not help her, went to her PCP who did not know what to give her, and told her it would go away eventually.  She prescribed Prednisone again which she is having a reaction to and she told her to take more allergy pills.  She was told that there was nothing else that they can give her as they do not know what it is.    She has never had allergic reactions before, and also Prednisone is causing her lack of sleep.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Suspected COVID-19, Vaccine breakthrough infection
Clinical narrative: Suspect COVID breakthrough case
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose abnormal, Dizziness, Headache
Clinical narrative: PATIENT REFERS FEELING DIZZY, AND NOT EATING BREAKFAST IN THE MORNING. VITAL SIGNS WERE TAKEN BP 110/70 PULSE 95 BREATHING 18 OXYGEN SAT 99% DEXTRO STICK 82mg/dL 10 MINUTS AFTER INDICATES A LIGH HEADACHE AS RECOMENDED BY DR, SNACK WAS GIVEN TO THE PATIENT WHO WAS FULLY CONCIOUS AND HAD NO PROBLEMS SWALLOWING. ALSO ACORDING TO PATIENT WEIGHT 2 TABLETS OF ACETAMINPHEN 500MG WERE ADMINISTER FOR HEADACHE AND 2 CHEWING SUGAR TABLETS PATIENT REMAIN UNDER PARAMEDIC SUPERVISION AND CARE AFTER 30 MINUTES OBSERVATIO PATIENT FEELS BETTER. REFERS NO HEADACHE OR DIZZINESS.  BLOOD SUGAR HASN'T IMPROVE. PATIENT DISCARD HOME UNDER MOTHERS CARE THEY WENT LUNCH.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Heart rate increased
Clinical narrative: Patient states that heart has been beating faster since vaccination.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Urticaria chronic
Clinical narrative: Adverse Event: Chronic Hives Treatment: Zyrtec, Benadryl, Anti Itch cream Outcome: TBD
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cardiac monitoring, Chest X-ray abnormal, Computerised tomogram thorax normal
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: Patient hospitalized with COVID-19 pneumonia and supraventricular tachycardia. Received intravenous fluids and metoprolol with cardiac monitoring. Discharged to home medically stable.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Lung opacity, SARS-CoV-2 test positive, Supraventricular tachycardia
Clinical narrative: Pfizer-BioNTech COVID-19 Vaccine EUA: Patient hospitalized with COVID-19 pneumonia and supraventricular tachycardia. Received intravenous fluids and metoprolol with cardiac monitoring. Discharged to home medically stable.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Anaemia, Aortic aneurysm, C-reactive protein increased, COVID-19, COVID-19 pneumonia
Clinical narrative: COVID Breakthrough Case  Pfizer Dose 1 3/7/21 (EN6199) Pfizer Dose 2 3/31/21 (EN6207) COVID Positive 9/28/21  10/3/21: patient is a 74 year old male who is fully vaccinated for Covid-19 and tested positive for Covid-19 on 9/28. He has been experiencing headaches, body aches, fatigue, sob and cough with worsening symptoms. Denies chest pain. He had nausea, vomiting and diarrhea but those symptoms subsided on Wednesday. He has a past medical history significant for obstructive sleep apnea on CPAP, hypertension, CAD s/p stenting, mild cognitive impairment, vitamin B12 deficiency, GERD, hyperlipidemia, idiopathic osteoarthritis and anxiety/depression.  Patient became hypoxic on room air at 80%.  Supplemental oxygen applied at 2 L with improvement oxygen saturations to 99%.  Laboratory findings were significant for pCO2 66. Mild anemia HGB 12.6.  C reactive protein 9.80.  Chest x-ray showed pneumonia and lung.  CT chest no PE. Bilateral pneumonia.  Ascending thoracic aortic aneurysm 4.4 cm. Rocephin and Zithromax were initiated in ED.  10/6/21: The patient was admitted and underwent treatment for COVID pneumonia with anti microbial therapy, bronchodilators and close monitoring of his hemodynamic status.  On the day of discharge patient feels very well, denies shortness of breath, chest pain, nausea or vomiting. He is very eager to go home and was evaluated to see if he needed oxygen going home.  Patient does not need oxygen going home per the O2 walk test prior to discharge. Patient is discharged in stable conditions.  Total time spent on discharge 45 minutes
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram thorax abnormal, Cough, Diarrhoea, Dyspnoea
Clinical narrative: COVID Breakthrough Case  Pfizer Dose 1 3/7/21 (EN6199) Pfizer Dose 2 3/31/21 (EN6207) COVID Positive 9/28/21  10/3/21: patient is a 74 year old male who is fully vaccinated for Covid-19 and tested positive for Covid-19 on 9/28. He has been experiencing headaches, body aches, fatigue, sob and cough with worsening symptoms. Denies chest pain. He had nausea, vomiting and diarrhea but those symptoms subsided on Wednesday. He has a past medical history significant for obstructive sleep apnea on CPAP, hypertension, CAD s/p stenting, mild cognitive impairment, vitamin B12 deficiency, GERD, hyperlipidemia, idiopathic osteoarthritis and anxiety/depression.  Patient became hypoxic on room air at 80%.  Supplemental oxygen applied at 2 L with improvement oxygen saturations to 99%.  Laboratory findings were significant for pCO2 66. Mild anemia HGB 12.6.  C reactive protein 9.80.  Chest x-ray showed pneumonia and lung.  CT chest no PE. Bilateral pneumonia.  Ascending thoracic aortic aneurysm 4.4 cm. Rocephin and Zithromax were initiated in ED.  10/6/21: The patient was admitted and underwent treatment for COVID pneumonia with anti microbial therapy, bronchodilators and close monitoring of his hemodynamic status.  On the day of discharge patient feels very well, denies shortness of breath, chest pain, nausea or vomiting. He is very eager to go home and was evaluated to see if he needed oxygen going home.  Patient does not need oxygen going home per the O2 walk test prior to discharge. Patient is discharged in stable conditions.  Total time spent on discharge 45 minutes
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Haemoglobin decreased, Headache, Hypoxia, Nausea
Clinical narrative: COVID Breakthrough Case  Pfizer Dose 1 3/7/21 (EN6199) Pfizer Dose 2 3/31/21 (EN6207) COVID Positive 9/28/21  10/3/21: patient is a 74 year old male who is fully vaccinated for Covid-19 and tested positive for Covid-19 on 9/28. He has been experiencing headaches, body aches, fatigue, sob and cough with worsening symptoms. Denies chest pain. He had nausea, vomiting and diarrhea but those symptoms subsided on Wednesday. He has a past medical history significant for obstructive sleep apnea on CPAP, hypertension, CAD s/p stenting, mild cognitive impairment, vitamin B12 deficiency, GERD, hyperlipidemia, idiopathic osteoarthritis and anxiety/depression.  Patient became hypoxic on room air at 80%.  Supplemental oxygen applied at 2 L with improvement oxygen saturations to 99%.  Laboratory findings were significant for pCO2 66. Mild anemia HGB 12.6.  C reactive protein 9.80.  Chest x-ray showed pneumonia and lung.  CT chest no PE. Bilateral pneumonia.  Ascending thoracic aortic aneurysm 4.4 cm. Rocephin and Zithromax were initiated in ED.  10/6/21: The patient was admitted and underwent treatment for COVID pneumonia with anti microbial therapy, bronchodilators and close monitoring of his hemodynamic status.  On the day of discharge patient feels very well, denies shortness of breath, chest pain, nausea or vomiting. He is very eager to go home and was evaluated to see if he needed oxygen going home.  Patient does not need oxygen going home per the O2 walk test prior to discharge. Patient is discharged in stable conditions.  Total time spent on discharge 45 minutes
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: PCO2 increased, Pain, Pneumonia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough Case  Pfizer Dose 1 3/7/21 (EN6199) Pfizer Dose 2 3/31/21 (EN6207) COVID Positive 9/28/21  10/3/21: patient is a 74 year old male who is fully vaccinated for Covid-19 and tested positive for Covid-19 on 9/28. He has been experiencing headaches, body aches, fatigue, sob and cough with worsening symptoms. Denies chest pain. He had nausea, vomiting and diarrhea but those symptoms subsided on Wednesday. He has a past medical history significant for obstructive sleep apnea on CPAP, hypertension, CAD s/p stenting, mild cognitive impairment, vitamin B12 deficiency, GERD, hyperlipidemia, idiopathic osteoarthritis and anxiety/depression.  Patient became hypoxic on room air at 80%.  Supplemental oxygen applied at 2 L with improvement oxygen saturations to 99%.  Laboratory findings were significant for pCO2 66. Mild anemia HGB 12.6.  C reactive protein 9.80.  Chest x-ray showed pneumonia and lung.  CT chest no PE. Bilateral pneumonia.  Ascending thoracic aortic aneurysm 4.4 cm. Rocephin and Zithromax were initiated in ED.  10/6/21: The patient was admitted and underwent treatment for COVID pneumonia with anti microbial therapy, bronchodilators and close monitoring of his hemodynamic status.  On the day of discharge patient feels very well, denies shortness of breath, chest pain, nausea or vomiting. He is very eager to go home and was evaluated to see if he needed oxygen going home.  Patient does not need oxygen going home per the O2 walk test prior to discharge. Patient is discharged in stable conditions.  Total time spent on discharge 45 minutes
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: COVID Breakthrough Case  Pfizer Dose 1 3/7/21 (EN6199) Pfizer Dose 2 3/31/21 (EN6207) COVID Positive 9/28/21  10/3/21: patient is a 74 year old male who is fully vaccinated for Covid-19 and tested positive for Covid-19 on 9/28. He has been experiencing headaches, body aches, fatigue, sob and cough with worsening symptoms. Denies chest pain. He had nausea, vomiting and diarrhea but those symptoms subsided on Wednesday. He has a past medical history significant for obstructive sleep apnea on CPAP, hypertension, CAD s/p stenting, mild cognitive impairment, vitamin B12 deficiency, GERD, hyperlipidemia, idiopathic osteoarthritis and anxiety/depression.  Patient became hypoxic on room air at 80%.  Supplemental oxygen applied at 2 L with improvement oxygen saturations to 99%.  Laboratory findings were significant for pCO2 66. Mild anemia HGB 12.6.  C reactive protein 9.80.  Chest x-ray showed pneumonia and lung.  CT chest no PE. Bilateral pneumonia.  Ascending thoracic aortic aneurysm 4.4 cm. Rocephin and Zithromax were initiated in ED.  10/6/21: The patient was admitted and underwent treatment for COVID pneumonia with anti microbial therapy, bronchodilators and close monitoring of his hemodynamic status.  On the day of discharge patient feels very well, denies shortness of breath, chest pain, nausea or vomiting. He is very eager to go home and was evaluated to see if he needed oxygen going home.  Patient does not need oxygen going home per the O2 walk test prior to discharge. Patient is discharged in stable conditions.  Total time spent on discharge 45 minutes
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac murmur, Heart rate increased
Clinical narrative: I wake up with extremely fast hear murmurs. It's like my heart is pounding way too fast and the noise of it wakes me up every day. I think it's been happening since i got the second shot and i actively started to read about it in november 2021.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Magnetic resonance imaging normal, Respiratory disorder, Upper respiratory tract infection
Clinical narrative: Assessment: Received message from LPN that patient wanted to let  us know since receiving her covid vaccine she has had "bilateral elbow  pain, and upper respiratory issues" Pt. denied injury or strain to  elbow and states that she "feels it is a side effect of vaccine" and  wanted to report this. Also, reports that since receiving covid vaccine  she would only have 1-2 Upper respiratory infections each year, but has  had 6-7 since getting vaccine. Will submit information to VAERS.   Pt. reports that she previously reported her side effects to Dr.  Patient reports that this is her primary Care provider that she uses outside of facility.  Pt. thought that there was a possible connection with the  vaccine and her symptoms listed above.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated with two doses of Moderna. Tested positive for COVID 19 on 01/27/2022. Admitted to Hospital on 01/27/2022. Expired on 02/10/2022 while still hospitalized.
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Toxicity to various agents
Clinical narrative: The patient is a 16 y.o. male with a past medical history significant for anxiety, depression, and evaluation twice in the past month in the ED/urgent care for drug ingestion. Admitted on 2/4/22  for the primary encounter diagnosis was Methamphetamine intoxication (*). A diagnosis of Purposeful non-suicidal drug ingestion,