chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan vagina, Ultrasound uterus, Vaginal haemorrhage
Clinical narrative: I found out about my pregnancy the day I got the vaccine (which was after I got the vaccine). After that I proceeded to get a pregnancy test confirmation  (march 26) and it came back positive from the doctors office. On March 28 I began to have bleeding and I passed a blood clot the size of a baseball.  I called the nurse line that next day and they told me they could not give me any medical advice because I had not been seen by a doctor for this pregnancy.  During that week I began to experience a rash that began in the middle of my chest and proceeded to spread All over my stomach and back. It is now April 19 in the rash has continue to spread all over my limbs. On April 5 I went to the pregnancy clinic and was also getting a ultrasound and they were unable to locate the embryo in the uterus. On April 15 I got an ultrasound transvaginal and they were unable to locate an embryo or in a heartbeat. I then went to the hospital the next day on April 16 the hospital that I received my vaccine at and they did not give me any care and told me that my rash was a possible contact to something I may have come in contact recently. I try to express to the doctor that I?ve been experiencing issues since I received the vaccine and he did not connect any of the dots to my experiences.  As of today April 19 I have come across several Different websites that state that red spot is a part of the symptoms an adverse reaction to the vaccine or should be of concern.
Sex: U
Vaccine: COVID19
Symptoms: Arthralgia, Mobility decreased, Pyrexia, Syncope, Vomiting
Clinical narrative: Intense shoulder pain at time of injection.  Shoulder joint pain, not actually at injection site.  24 hrs after shot got a high fever, vomiting, fainting, and still more shoulder pain.  Can not move my arm to brush teeth, brush hair, very limited mobility in the right arm.  Not getting better and this is day 4.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest discomfort, Cough, Dyspnoea
Clinical narrative: Pt received her 1st and only needed dose of the Janssen COVID-19 vaccine on 4/2/2021.  After the 2 weeks needed to be considered fully vaccinated, She presented to the ED with cough, SOB, and chest discomfort on 4/17 and was diagnosed with COVID pneumonia.  She was treated but not admitted.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Pt received her 1st and only needed dose of the Janssen COVID-19 vaccine on 4/2/2021.  After the 2 weeks needed to be considered fully vaccinated, She presented to the ED with cough, SOB, and chest discomfort on 4/17 and was diagnosed with COVID pneumonia.  She was treated but not admitted.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort
Clinical narrative: Patient complained of chest tightness 30 minutes after receiving vaccine, which was her second dose.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient diagnosed with COVID-19 on 3/24/2021 after receiving her first dose of Moderna COVID-19 vaccine on 3/19/2021
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Abscess, Lymphadenopathy, Ultrasound scan
Clinical narrative: Swollen under arm lymnode on side if vaccination  and abscess
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Face injury, Loss of consciousness, Nausea, Neck pain
Clinical narrative: Extreme nausea, followed by immediate passing out on bathroom floor.  I hit my face on the floor and woke moments later after my wife found me.  I got in bed and had the chills for 30-60 minutes and neck pain.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Fall, Lip injury, Loss of consciousness, Nausea
Clinical narrative: Extreme nausea, followed by immediate passing out on bathroom floor.  I hit my face on the floor and woke moments later after my wife found me.  I got in bed and had the chills for 30-60 minutes and neck pain.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Headache, Hypoaesthesia, Illness, Joint swelling
Clinical narrative: Illness duration post injection: 30 hrs.,   High fever of 101.9 began 6.5 hrs post injection,  sustained high fever for 24 hrs,  treated with Tylenol PO during this time,  fever then after 24 hrs converted to a low grade fever for an additional 6 more hours.  During this whole time, had a persistent headache, general malaise.,  5 hrs after the start of the fever, developed NUMBNESS IN FEET, ANKLES, CALVES,  which then, 1.5 hrs later evolved into  HOT & SWOLLEN & REDDENED FEET, ANKLES, CALVES, KNEES, HANDS, & FACE,  this was treated with 50 mg PO of Benadryl,  which did provide relief and was followed up with 10 mg of Zyrtec 20 hrs after the Benadryl was initially given, as a precautionary measure.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Peripheral swelling, Pyrexia, Skin warm, Swelling face
Clinical narrative: Illness duration post injection: 30 hrs.,   High fever of 101.9 began 6.5 hrs post injection,  sustained high fever for 24 hrs,  treated with Tylenol PO during this time,  fever then after 24 hrs converted to a low grade fever for an additional 6 more hours.  During this whole time, had a persistent headache, general malaise.,  5 hrs after the start of the fever, developed NUMBNESS IN FEET, ANKLES, CALVES,  which then, 1.5 hrs later evolved into  HOT & SWOLLEN & REDDENED FEET, ANKLES, CALVES, KNEES, HANDS, & FACE,  this was treated with 50 mg PO of Benadryl,  which did provide relief and was followed up with 10 mg of Zyrtec 20 hrs after the Benadryl was initially given, as a precautionary measure.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Feeling hot, Headache, Hyperhidrosis
Clinical narrative: Severe headache, chills alternating to hot and sweating, arm throbbing, nausea, no energy. Lasted approximately 24 to 36 hours. Within 24 hours felt significantly better but not 100%.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Limb discomfort, Nausea, Pain
Clinical narrative: Severe headache, chills alternating to hot and sweating, arm throbbing, nausea, no energy. Lasted approximately 24 to 36 hours. Within 24 hours felt significantly better but not 100%.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort, Mouth ulceration, Rash, Rash pruritic
Clinical narrative: Sore in back of mouth on right side, Itchy bumps X4 on left arm Itchy bumps X2 above left side of stomach and 2 more right side of lower abdomen
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Impaired work ability, Pain
Clinical narrative: Extreme fatigue, sore everywhere. Unable to work due to symptoms.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Palpitations
Clinical narrative: Palpitations, particularly when supine, as well as chest pain and shortness of breath which lasted approximately 2 weeks. She was seen in the hospital ER without cause found and labs were normal. Palpitations self-resolved within 6-8 weeks after initiation.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: patient vaccinated 3 days early
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash across my upper body on front and on back down to the middle of my back.,
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Pain, Skin sensitisation
Clinical narrative: Moderna COVID-19 Vaccine EUA - may have been first or second dose (I was first vaccined by Dr. on 3/17. All of her administered vaccines were subsequently invalidated). Adverse symptoms included body aches (muscluar, joint and bones), severe chills and significant skin sensitivity. Unusual tiredness as well. No fever recorded. Two 500 mg single-doses of generic Tylenol given four hours apart approximately 11 hours after symptom onset relieved most symptoms.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Confusional state, Electrocardiogram, Heart rate increased
Clinical narrative: Increased heart rate, confusion, shaking/muscle twitch, increased breathing, weakness
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory rate increased, Tremor
Clinical narrative: Increased heart rate, confusion, shaking/muscle twitch, increased breathing, weakness
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash
Clinical narrative: Patient received second dose 4/21/21 however, she wanted us to note that she developed a localized rash after her first dose (at injection site).  Rash eventually resolved on its own without medical intervention
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: Febrile : 101 degrees. chills. headache. severe body aches.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac arrest, Chest X-ray, Computerised tomogram head, Computerised tomogram thorax, Electrocardiogram
Clinical narrative: Cardiac arrest
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Electroencephalogram
Clinical narrative: Cardiac arrest
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Rash developed on back of hands and forearms approximately 4 hours after injection. Rash was red, with raised bumps, and itchy. Treated with 25mg IV Benadryl.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Heart rate, Hyperhidrosis, Oxygen saturation, Tremor
Clinical narrative: Pt reported dizziness and shakiness after IM injection. Diaphoretic with (+) LOC, no head injury.  Pt was found responsive laying down on floor, BLEs assisted onto chair. VS laying down 134/80, HR 90, sats 97% on RA. Water and snacks given, cold compress applied to forehead. Pt was then assisted to seated position on floor, VS sitting as follows: BP 138/66, HR 97, sats 98% on RA. Pt recovered within 15 mins, ambulated out of clinic in NAD and was escorted by staff to car, was driven home by friend.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Vital signs measurement
Clinical narrative: Pt reported dizziness and shakiness after IM injection. Diaphoretic with (+) LOC, no head injury.  Pt was found responsive laying down on floor, BLEs assisted onto chair. VS laying down 134/80, HR 90, sats 97% on RA. Water and snacks given, cold compress applied to forehead. Pt was then assisted to seated position on floor, VS sitting as follows: BP 138/66, HR 97, sats 98% on RA. Pt recovered within 15 mins, ambulated out of clinic in NAD and was escorted by staff to car, was driven home by friend.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood glucose, Computerised tomogram, Feeling abnormal, Headache
Clinical narrative: Minutes after receiving vaccine I felt a tingling in my head, got a mild headache, brain fog. The tingling continued down into my body. Shoulders, chest, abdomen at which time I was slightly nauseas, and then slowly on to my knees when I became weak. The effects went on for several hours. These episodes went on for approx. 7 weeks. Not daily. In fact I didn't have another episode for several weeks. But at one time I had 11 days in a row. They lasted up to 4 hours. And several times I felt as though I would collapse when the effects reached my knees. But on the last week of the episodes, I could tell they were getting milder.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Paraesthesia
Clinical narrative: Minutes after receiving vaccine I felt a tingling in my head, got a mild headache, brain fog. The tingling continued down into my body. Shoulders, chest, abdomen at which time I was slightly nauseas, and then slowly on to my knees when I became weak. The effects went on for several hours. These episodes went on for approx. 7 weeks. Not daily. In fact I didn't have another episode for several weeks. But at one time I had 11 days in a row. They lasted up to 4 hours. And several times I felt as though I would collapse when the effects reached my knees. But on the last week of the episodes, I could tell they were getting milder.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time shortened, Angiogram cerebral normal, Angiogram pulmonary normal, Anion gap, Antibody test
Clinical narrative: Patient is a 41 yo woman with no PMH who presented to an  outside urgent care with left flank pain found to have a wedgelike defect in  the posterior left lower renal pole suggestive of a renal infarct.  She  underwent CTA which did not show any embolism, thrombus, dissection.  The  radiologist did note mild beading of the bilateral renal arteries, however the  radiologist at Valley View reviewed the images as well and was not as convinced.      Left renal infarct: Given suggestion of mild feeding of the bilateral  renal arteries, patient underwent CTA of the chest, head and neck which did not  show any other signs of fibromuscular dysplasia.  Echocardiogram did not have  any thrombus or decrease in function.  Patient did not have any arrhythmias on  telemetry.      Blood cultures were ordered and pending on discharge, but patient did not have  any of endocarditis      A hypercoagulable work-up including factor V Leiden, protein C, protein S,  Antithrombin, lupus anticoagulant, beta-2 microglobulin, anticardiolipin  antibodies were all sent and are pending at the time of discharge      Discussed the case with hematology at hospital: Most experts  treat with 3 months of anticoagulation other evidence is not entirely clear and  aspirin 81 mg may be a reasonable choice.  In light of the patient's lack of  insurance, decision was made to treat with 1 month of apixaban followed by 81  mg of aspirin daily indefinitely      Discharged with a short course of oxycodone 5 mg #15
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Antiphospholipid antibodies, Antithrombin III decreased, Arteriogram carotid normal, Basophil count decreased, Basophil count normal
Clinical narrative: Patient is a 41 yo woman with no PMH who presented to an  outside urgent care with left flank pain found to have a wedgelike defect in  the posterior left lower renal pole suggestive of a renal infarct.  She  underwent CTA which did not show any embolism, thrombus, dissection.  The  radiologist did note mild beading of the bilateral renal arteries, however the  radiologist at Valley View reviewed the images as well and was not as convinced.      Left renal infarct: Given suggestion of mild feeding of the bilateral  renal arteries, patient underwent CTA of the chest, head and neck which did not  show any other signs of fibromuscular dysplasia.  Echocardiogram did not have  any thrombus or decrease in function.  Patient did not have any arrhythmias on  telemetry.      Blood cultures were ordered and pending on discharge, but patient did not have  any of endocarditis      A hypercoagulable work-up including factor V Leiden, protein C, protein S,  Antithrombin, lupus anticoagulant, beta-2 microglobulin, anticardiolipin  antibodies were all sent and are pending at the time of discharge      Discussed the case with hematology at hospital: Most experts  treat with 3 months of anticoagulation other evidence is not entirely clear and  aspirin 81 mg may be a reasonable choice.  In light of the patient's lack of  insurance, decision was made to treat with 1 month of apixaban followed by 81  mg of aspirin daily indefinitely      Discharged with a short course of oxycodone 5 mg #15
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Beta 2 microglobulin normal, Bilirubin urine, Blood calcium decreased, Blood chloride increased, Blood cholesterol normal
Clinical narrative: Patient is a 41 yo woman with no PMH who presented to an  outside urgent care with left flank pain found to have a wedgelike defect in  the posterior left lower renal pole suggestive of a renal infarct.  She  underwent CTA which did not show any embolism, thrombus, dissection.  The  radiologist did note mild beading of the bilateral renal arteries, however the  radiologist at Valley View reviewed the images as well and was not as convinced.      Left renal infarct: Given suggestion of mild feeding of the bilateral  renal arteries, patient underwent CTA of the chest, head and neck which did not  show any other signs of fibromuscular dysplasia.  Echocardiogram did not have  any thrombus or decrease in function.  Patient did not have any arrhythmias on  telemetry.      Blood cultures were ordered and pending on discharge, but patient did not have  any of endocarditis      A hypercoagulable work-up including factor V Leiden, protein C, protein S,  Antithrombin, lupus anticoagulant, beta-2 microglobulin, anticardiolipin  antibodies were all sent and are pending at the time of discharge      Discussed the case with hematology at hospital: Most experts  treat with 3 months of anticoagulation other evidence is not entirely clear and  aspirin 81 mg may be a reasonable choice.  In light of the patient's lack of  insurance, decision was made to treat with 1 month of apixaban followed by 81  mg of aspirin daily indefinitely      Discharged with a short course of oxycodone 5 mg #15
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood culture, Blood glucose increased, Blood potassium normal, Blood sodium normal
Clinical narrative: Patient is a 41 yo woman with no PMH who presented to an  outside urgent care with left flank pain found to have a wedgelike defect in  the posterior left lower renal pole suggestive of a renal infarct.  She  underwent CTA which did not show any embolism, thrombus, dissection.  The  radiologist did note mild beading of the bilateral renal arteries, however the  radiologist at Valley View reviewed the images as well and was not as convinced.      Left renal infarct: Given suggestion of mild feeding of the bilateral  renal arteries, patient underwent CTA of the chest, head and neck which did not  show any other signs of fibromuscular dysplasia.  Echocardiogram did not have  any thrombus or decrease in function.  Patient did not have any arrhythmias on  telemetry.      Blood cultures were ordered and pending on discharge, but patient did not have  any of endocarditis      A hypercoagulable work-up including factor V Leiden, protein C, protein S,  Antithrombin, lupus anticoagulant, beta-2 microglobulin, anticardiolipin  antibodies were all sent and are pending at the time of discharge      Discussed the case with hematology at hospital: Most experts  treat with 3 months of anticoagulation other evidence is not entirely clear and  aspirin 81 mg may be a reasonable choice.  In light of the patient's lack of  insurance, decision was made to treat with 1 month of apixaban followed by 81  mg of aspirin daily indefinitely      Discharged with a short course of oxycodone 5 mg #15
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood triglycerides, Blood urea decreased, Blood urea nitrogen/creatinine ratio, Carbon dioxide decreased, Cardiac telemetry normal
Clinical narrative: Patient is a 41 yo woman with no PMH who presented to an  outside urgent care with left flank pain found to have a wedgelike defect in  the posterior left lower renal pole suggestive of a renal infarct.  She  underwent CTA which did not show any embolism, thrombus, dissection.  The  radiologist did note mild beading of the bilateral renal arteries, however the  radiologist at Valley View reviewed the images as well and was not as convinced.      Left renal infarct: Given suggestion of mild feeding of the bilateral  renal arteries, patient underwent CTA of the chest, head and neck which did not  show any other signs of fibromuscular dysplasia.  Echocardiogram did not have  any thrombus or decrease in function.  Patient did not have any arrhythmias on  telemetry.      Blood cultures were ordered and pending on discharge, but patient did not have  any of endocarditis      A hypercoagulable work-up including factor V Leiden, protein C, protein S,  Antithrombin, lupus anticoagulant, beta-2 microglobulin, anticardiolipin  antibodies were all sent and are pending at the time of discharge      Discussed the case with hematology at hospital: Most experts  treat with 3 months of anticoagulation other evidence is not entirely clear and  aspirin 81 mg may be a reasonable choice.  In light of the patient's lack of  insurance, decision was made to treat with 1 month of apixaban followed by 81  mg of aspirin daily indefinitely      Discharged with a short course of oxycodone 5 mg #15
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiolipin antibody, Cardiolipin antibody negative, Computerised tomogram head normal, Computerised tomogram kidney abnormal, Computerised tomogram neck
Clinical narrative: Patient is a 41 yo woman with no PMH who presented to an  outside urgent care with left flank pain found to have a wedgelike defect in  the posterior left lower renal pole suggestive of a renal infarct.  She  underwent CTA which did not show any embolism, thrombus, dissection.  The  radiologist did note mild beading of the bilateral renal arteries, however the  radiologist at Valley View reviewed the images as well and was not as convinced.      Left renal infarct: Given suggestion of mild feeding of the bilateral  renal arteries, patient underwent CTA of the chest, head and neck which did not  show any other signs of fibromuscular dysplasia.  Echocardiogram did not have  any thrombus or decrease in function.  Patient did not have any arrhythmias on  telemetry.      Blood cultures were ordered and pending on discharge, but patient did not have  any of endocarditis      A hypercoagulable work-up including factor V Leiden, protein C, protein S,  Antithrombin, lupus anticoagulant, beta-2 microglobulin, anticardiolipin  antibodies were all sent and are pending at the time of discharge      Discussed the case with hematology at hospital: Most experts  treat with 3 months of anticoagulation other evidence is not entirely clear and  aspirin 81 mg may be a reasonable choice.  In light of the patient's lack of  insurance, decision was made to treat with 1 month of apixaban followed by 81  mg of aspirin daily indefinitely      Discharged with a short course of oxycodone 5 mg #15
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax normal, Creatinine renal clearance normal, Echocardiogram normal, Eosinophil count decreased, Factor V Leiden mutation
Clinical narrative: Patient is a 41 yo woman with no PMH who presented to an  outside urgent care with left flank pain found to have a wedgelike defect in  the posterior left lower renal pole suggestive of a renal infarct.  She  underwent CTA which did not show any embolism, thrombus, dissection.  The  radiologist did note mild beading of the bilateral renal arteries, however the  radiologist at Valley View reviewed the images as well and was not as convinced.      Left renal infarct: Given suggestion of mild feeding of the bilateral  renal arteries, patient underwent CTA of the chest, head and neck which did not  show any other signs of fibromuscular dysplasia.  Echocardiogram did not have  any thrombus or decrease in function.  Patient did not have any arrhythmias on  telemetry.      Blood cultures were ordered and pending on discharge, but patient did not have  any of endocarditis      A hypercoagulable work-up including factor V Leiden, protein C, protein S,  Antithrombin, lupus anticoagulant, beta-2 microglobulin, anticardiolipin  antibodies were all sent and are pending at the time of discharge      Discussed the case with hematology at hospital: Most experts  treat with 3 months of anticoagulation other evidence is not entirely clear and  aspirin 81 mg may be a reasonable choice.  In light of the patient's lack of  insurance, decision was made to treat with 1 month of apixaban followed by 81  mg of aspirin daily indefinitely      Discharged with a short course of oxycodone 5 mg #15
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Flank pain, Glomerular filtration rate normal, Glucose urine absent, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: Patient is a 41 yo woman with no PMH who presented to an  outside urgent care with left flank pain found to have a wedgelike defect in  the posterior left lower renal pole suggestive of a renal infarct.  She  underwent CTA which did not show any embolism, thrombus, dissection.  The  radiologist did note mild beading of the bilateral renal arteries, however the  radiologist at Valley View reviewed the images as well and was not as convinced.      Left renal infarct: Given suggestion of mild feeding of the bilateral  renal arteries, patient underwent CTA of the chest, head and neck which did not  show any other signs of fibromuscular dysplasia.  Echocardiogram did not have  any thrombus or decrease in function.  Patient did not have any arrhythmias on  telemetry.      Blood cultures were ordered and pending on discharge, but patient did not have  any of endocarditis      A hypercoagulable work-up including factor V Leiden, protein C, protein S,  Antithrombin, lupus anticoagulant, beta-2 microglobulin, anticardiolipin  antibodies were all sent and are pending at the time of discharge      Discussed the case with hematology at hospital: Most experts  treat with 3 months of anticoagulation other evidence is not entirely clear and  aspirin 81 mg may be a reasonable choice.  In light of the patient's lack of  insurance, decision was made to treat with 1 month of apixaban followed by 81  mg of aspirin daily indefinitely      Discharged with a short course of oxycodone 5 mg #15
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: High density lipoprotein normal, International normalised ratio normal, Low density lipoprotein normal, Lymphocyte count decreased, Mean cell haemoglobin concentration normal
Clinical narrative: Patient is a 41 yo woman with no PMH who presented to an  outside urgent care with left flank pain found to have a wedgelike defect in  the posterior left lower renal pole suggestive of a renal infarct.  She  underwent CTA which did not show any embolism, thrombus, dissection.  The  radiologist did note mild beading of the bilateral renal arteries, however the  radiologist at Valley View reviewed the images as well and was not as convinced.      Left renal infarct: Given suggestion of mild feeding of the bilateral  renal arteries, patient underwent CTA of the chest, head and neck which did not  show any other signs of fibromuscular dysplasia.  Echocardiogram did not have  any thrombus or decrease in function.  Patient did not have any arrhythmias on  telemetry.      Blood cultures were ordered and pending on discharge, but patient did not have  any of endocarditis      A hypercoagulable work-up including factor V Leiden, protein C, protein S,  Antithrombin, lupus anticoagulant, beta-2 microglobulin, anticardiolipin  antibodies were all sent and are pending at the time of discharge      Discussed the case with hematology at hospital: Most experts  treat with 3 months of anticoagulation other evidence is not entirely clear and  aspirin 81 mg may be a reasonable choice.  In light of the patient's lack of  insurance, decision was made to treat with 1 month of apixaban followed by 81  mg of aspirin daily indefinitely      Discharged with a short course of oxycodone 5 mg #15
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell haemoglobin normal, Mean cell volume normal, Monocyte count, Monocyte count normal, Neutrophil count
Clinical narrative: Patient is a 41 yo woman with no PMH who presented to an  outside urgent care with left flank pain found to have a wedgelike defect in  the posterior left lower renal pole suggestive of a renal infarct.  She  underwent CTA which did not show any embolism, thrombus, dissection.  The  radiologist did note mild beading of the bilateral renal arteries, however the  radiologist at Valley View reviewed the images as well and was not as convinced.      Left renal infarct: Given suggestion of mild feeding of the bilateral  renal arteries, patient underwent CTA of the chest, head and neck which did not  show any other signs of fibromuscular dysplasia.  Echocardiogram did not have  any thrombus or decrease in function.  Patient did not have any arrhythmias on  telemetry.      Blood cultures were ordered and pending on discharge, but patient did not have  any of endocarditis      A hypercoagulable work-up including factor V Leiden, protein C, protein S,  Antithrombin, lupus anticoagulant, beta-2 microglobulin, anticardiolipin  antibodies were all sent and are pending at the time of discharge      Discussed the case with hematology at hospital: Most experts  treat with 3 months of anticoagulation other evidence is not entirely clear and  aspirin 81 mg may be a reasonable choice.  In light of the patient's lack of  insurance, decision was made to treat with 1 month of apixaban followed by 81  mg of aspirin daily indefinitely      Discharged with a short course of oxycodone 5 mg #15
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil count normal, Nitrite urine absent, Non-high-density lipoprotein cholesterol, Platelet count decreased, Protein C
Clinical narrative: Patient is a 41 yo woman with no PMH who presented to an  outside urgent care with left flank pain found to have a wedgelike defect in  the posterior left lower renal pole suggestive of a renal infarct.  She  underwent CTA which did not show any embolism, thrombus, dissection.  The  radiologist did note mild beading of the bilateral renal arteries, however the  radiologist at Valley View reviewed the images as well and was not as convinced.      Left renal infarct: Given suggestion of mild feeding of the bilateral  renal arteries, patient underwent CTA of the chest, head and neck which did not  show any other signs of fibromuscular dysplasia.  Echocardiogram did not have  any thrombus or decrease in function.  Patient did not have any arrhythmias on  telemetry.      Blood cultures were ordered and pending on discharge, but patient did not have  any of endocarditis      A hypercoagulable work-up including factor V Leiden, protein C, protein S,  Antithrombin, lupus anticoagulant, beta-2 microglobulin, anticardiolipin  antibodies were all sent and are pending at the time of discharge      Discussed the case with hematology at hospital: Most experts  treat with 3 months of anticoagulation other evidence is not entirely clear and  aspirin 81 mg may be a reasonable choice.  In light of the patient's lack of  insurance, decision was made to treat with 1 month of apixaban followed by 81  mg of aspirin daily indefinitely      Discharged with a short course of oxycodone 5 mg #15
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Protein S decreased, Protein urine absent, Prothrombin time normal, Prothrombin time prolonged, Red blood cell count decreased
Clinical narrative: Patient is a 41 yo woman with no PMH who presented to an  outside urgent care with left flank pain found to have a wedgelike defect in  the posterior left lower renal pole suggestive of a renal infarct.  She  underwent CTA which did not show any embolism, thrombus, dissection.  The  radiologist did note mild beading of the bilateral renal arteries, however the  radiologist at Valley View reviewed the images as well and was not as convinced.      Left renal infarct: Given suggestion of mild feeding of the bilateral  renal arteries, patient underwent CTA of the chest, head and neck which did not  show any other signs of fibromuscular dysplasia.  Echocardiogram did not have  any thrombus or decrease in function.  Patient did not have any arrhythmias on  telemetry.      Blood cultures were ordered and pending on discharge, but patient did not have  any of endocarditis      A hypercoagulable work-up including factor V Leiden, protein C, protein S,  Antithrombin, lupus anticoagulant, beta-2 microglobulin, anticardiolipin  antibodies were all sent and are pending at the time of discharge      Discussed the case with hematology at hospital: Most experts  treat with 3 months of anticoagulation other evidence is not entirely clear and  aspirin 81 mg may be a reasonable choice.  In light of the patient's lack of  insurance, decision was made to treat with 1 month of apixaban followed by 81  mg of aspirin daily indefinitely      Discharged with a short course of oxycodone 5 mg #15
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cells urine negative, Red cell distribution width normal, Renal infarct, Russell's viper venom time abnormal, Specific gravity urine normal
Clinical narrative: Patient is a 41 yo woman with no PMH who presented to an  outside urgent care with left flank pain found to have a wedgelike defect in  the posterior left lower renal pole suggestive of a renal infarct.  She  underwent CTA which did not show any embolism, thrombus, dissection.  The  radiologist did note mild beading of the bilateral renal arteries, however the  radiologist at Valley View reviewed the images as well and was not as convinced.      Left renal infarct: Given suggestion of mild feeding of the bilateral  renal arteries, patient underwent CTA of the chest, head and neck which did not  show any other signs of fibromuscular dysplasia.  Echocardiogram did not have  any thrombus or decrease in function.  Patient did not have any arrhythmias on  telemetry.      Blood cultures were ordered and pending on discharge, but patient did not have  any of endocarditis      A hypercoagulable work-up including factor V Leiden, protein C, protein S,  Antithrombin, lupus anticoagulant, beta-2 microglobulin, anticardiolipin  antibodies were all sent and are pending at the time of discharge      Discussed the case with hematology at hospital: Most experts  treat with 3 months of anticoagulation other evidence is not entirely clear and  aspirin 81 mg may be a reasonable choice.  In light of the patient's lack of  insurance, decision was made to treat with 1 month of apixaban followed by 81  mg of aspirin daily indefinitely      Discharged with a short course of oxycodone 5 mg #15
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary sediment present, Urine ketone body absent, Urine leukocyte esterase, Urobilinogen urine decreased, White blood cell count normal
Clinical narrative: Patient is a 41 yo woman with no PMH who presented to an  outside urgent care with left flank pain found to have a wedgelike defect in  the posterior left lower renal pole suggestive of a renal infarct.  She  underwent CTA which did not show any embolism, thrombus, dissection.  The  radiologist did note mild beading of the bilateral renal arteries, however the  radiologist at Valley View reviewed the images as well and was not as convinced.      Left renal infarct: Given suggestion of mild feeding of the bilateral  renal arteries, patient underwent CTA of the chest, head and neck which did not  show any other signs of fibromuscular dysplasia.  Echocardiogram did not have  any thrombus or decrease in function.  Patient did not have any arrhythmias on  telemetry.      Blood cultures were ordered and pending on discharge, but patient did not have  any of endocarditis      A hypercoagulable work-up including factor V Leiden, protein C, protein S,  Antithrombin, lupus anticoagulant, beta-2 microglobulin, anticardiolipin  antibodies were all sent and are pending at the time of discharge      Discussed the case with hematology at hospital: Most experts  treat with 3 months of anticoagulation other evidence is not entirely clear and  aspirin 81 mg may be a reasonable choice.  In light of the patient's lack of  insurance, decision was made to treat with 1 month of apixaban followed by 81  mg of aspirin daily indefinitely      Discharged with a short course of oxycodone 5 mg #15
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cells urine negative, pH urine normal
Clinical narrative: Patient is a 41 yo woman with no PMH who presented to an  outside urgent care with left flank pain found to have a wedgelike defect in  the posterior left lower renal pole suggestive of a renal infarct.  She  underwent CTA which did not show any embolism, thrombus, dissection.  The  radiologist did note mild beading of the bilateral renal arteries, however the  radiologist at Valley View reviewed the images as well and was not as convinced.      Left renal infarct: Given suggestion of mild feeding of the bilateral  renal arteries, patient underwent CTA of the chest, head and neck which did not  show any other signs of fibromuscular dysplasia.  Echocardiogram did not have  any thrombus or decrease in function.  Patient did not have any arrhythmias on  telemetry.      Blood cultures were ordered and pending on discharge, but patient did not have  any of endocarditis      A hypercoagulable work-up including factor V Leiden, protein C, protein S,  Antithrombin, lupus anticoagulant, beta-2 microglobulin, anticardiolipin  antibodies were all sent and are pending at the time of discharge      Discussed the case with hematology at hospital: Most experts  treat with 3 months of anticoagulation other evidence is not entirely clear and  aspirin 81 mg may be a reasonable choice.  In light of the patient's lack of  insurance, decision was made to treat with 1 month of apixaban followed by 81  mg of aspirin daily indefinitely      Discharged with a short course of oxycodone 5 mg #15
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Crying, Headache, Induration, Ocular hyperaemia
Clinical narrative: Patient returned to observation area two hours post injection complaining of LA pain. Medic on site observed some swelling to the LA and proceeded to provide an ice pack. After further assesment patient did not appear in any distress and was instructed to stay in observation for an additional 30 min. At approximately 1300 the patient began scratching  the vaccinated arm and mumbling in a language we could not understand. Immediately the interpreter was called and we prepared for an adverse reaction. Two of our LPNs began taking vitals, One RN began assessing the site where we noted possible infiltration to the subcutaneous tissues. We then moved the patient to a private room.                    RN chart note: "Patient crying sitting in chair, complains of L arm pain. Left arm swollen, softball size, hard to touch, patient sensation remains intact, left radial pulse +2 and present, patient can wiggle all fingers on command. Patient initially denied Benadryl, however after educated with safety and calling 911, patient denied ambulance, and agreed to IV placement. 20 g IV placed in Right AC, 50 mg IV push Benadryl once for swelling and itching of arm spreading in size, 500mL LR bag hung, Patient A0x4 on room air answering questions appropriately. Patient denied ambulance service at this time. Patient states headache is stronger and chest pain decreased."  Patient then fell asleep and approximately  at 1400 awoke with red eyes, continued headache that had gotten worse. BP retaken and was 162/102. At this point we decided we would need EMS to respond. With the language barrier and poor past medical history, we did not find it appropriate to continue treating the patient on site. She was still A&Ox4, denied restricted airways or significant chest pain. Our medical director was alerted of the event and instructed us to call EMS despite patient refusal. EMS arrived by 1430 and assessed patient, she finally agreed to transport.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Pruritus
Clinical narrative: Patient returned to observation area two hours post injection complaining of LA pain. Medic on site observed some swelling to the LA and proceeded to provide an ice pack. After further assesment patient did not appear in any distress and was instructed to stay in observation for an additional 30 min. At approximately 1300 the patient began scratching  the vaccinated arm and mumbling in a language we could not understand. Immediately the interpreter was called and we prepared for an adverse reaction. Two of our LPNs began taking vitals, One RN began assessing the site where we noted possible infiltration to the subcutaneous tissues. We then moved the patient to a private room.                    RN chart note: "Patient crying sitting in chair, complains of L arm pain. Left arm swollen, softball size, hard to touch, patient sensation remains intact, left radial pulse +2 and present, patient can wiggle all fingers on command. Patient initially denied Benadryl, however after educated with safety and calling 911, patient denied ambulance, and agreed to IV placement. 20 g IV placed in Right AC, 50 mg IV push Benadryl once for swelling and itching of arm spreading in size, 500mL LR bag hung, Patient A0x4 on room air answering questions appropriately. Patient denied ambulance service at this time. Patient states headache is stronger and chest pain decreased."  Patient then fell asleep and approximately  at 1400 awoke with red eyes, continued headache that had gotten worse. BP retaken and was 162/102. At this point we decided we would need EMS to respond. With the language barrier and poor past medical history, we did not find it appropriate to continue treating the patient on site. She was still A&Ox4, denied restricted airways or significant chest pain. Our medical director was alerted of the event and instructed us to call EMS despite patient refusal. EMS arrived by 1430 and assessed patient, she finally agreed to transport.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Body temperature increased, Hot flush, Influenza like illness
Clinical narrative: Flu like symptoms with fever of 101° for over a week. Now continue to have joint pain and EXTREME Hot Flashes that feel like I am in menopause again!
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Laboratory test, Supraventricular tachycardia, X-ray
Clinical narrative: SVT requiring an ER visit Diltiazem IV Increase in metoprolol Clinic and cardiologist follow up
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Fatigue, Neck pain
Clinical narrative: Extreme exhaustion to the point I had to be helped inside my home by my family as well as neck and back pain.  My neck and back are still not great today but much better than they were. I am wondering if the nurse hit a nerve maybe?
Age: 16.0
Sex: U
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient received the Moderna vaccine prior to approval from the FDA of 18 year old requirement.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Dry throat, Vital signs measurement
Clinical narrative: Patient reported dry throat, then was observed for an additional 10 minutes. Patient had normal vitals when monitored.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Movement disorder, Oedema peripheral, Pain in extremity
Clinical narrative: My left arm pit started hurting to the touch and when lifting and moving arm.  My arm pit is swollen and when pushing/feeling it when inspecting, it was very painful.  I felt little tiny nodules.  I sometimes take ibuprofen.   The pain is still ongoing.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Patient was administered a Pfizer Covid-19 vaccine that was exposed to a temperature excursion. (Vaccine was between 8-14.5 degrees C for 7hrs and 48 minutes). Pfizer was contacted and advised the clinic to consider the dose as invalid and to revaccinate. Patient was revaccinated 03/19/21 and has since received dose 2 on 04/09/21
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Patient states that after she received her vaccine she was moving the hose to the pool and twisted.  She is unsure if her right shoulder is sore from the vaccine or moving the pool hose.  She states that it became sore after 4-5 days and moving the hose.  She called her provider and pharmacy and they instructed her to notify and use a warm compress on her arm and take advil.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema
Clinical narrative: Patient reports receiving 2nd dose of Moderna vaccine on 4/16/21. In the morning on 4/17/21 patient noticed a fist sized red area on her right arm beneath where she received the injection. Patient reports taking a shower and noticing that the area was larger later in the day. Client denies any pain, warmth, swelling, itching, discharge, or fever. Client denies any shortness of breath or difficulty breathing. Client advised to monitor the area and follow up with her provider if she develops any signs of infection, the area is getting larger, or it does not seem to be improving.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: PATIENT GOT FIRST MODERNA DOSE 03/11/2021 AND SECOND DOSE 04/08/2021 AND PASSED AWAY ON 04/14/2021
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Injection site pain
Clinical narrative: On april 5th i had my first dose. From 1-2 days i had few symptoms like headach, tireness & injection site pain. Since it's been 2 weeks i still have few symptoms like mild headach, tiredness(full body pains), but those are not often  (is there anything i need to worried)
Age: 30.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Pain, Vaccination site pain
Clinical narrative: On april 5th i had my first dose. From 1-2 days i had few symptoms like headach, tireness & injection site pain. Since it's been 2 weeks i still have few symptoms like mild headach, tiredness(full body pains), but those are not often  (is there anything i need to worried)
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: sore arm 3 days, couldnt lift arm
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Pulmonary thrombosis, X-ray
Clinical narrative: Blood Clot in Lung,  diagnosed March 27, 2021
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Lymphadenopathy, Oropharyngeal pain, Vertigo
Clinical narrative: Swollen lymph nodes (neck), sore throat - more sore externally than internally, redness and swelling at injection site, mild vertigo. All presented 8 days post injection, lasted 4 days
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site extravasation, Injection site induration, Injection site mass, Injection site pain, Injection site pruritus
Clinical narrative: At time of injection, a significant portion of the vaccine spurted out of my skin and ran down my arm, the following morning there was a large lump under the injection site that was soft, movable and painful, also there was a slight rash around the injection site, after some squeezing and itching, the lump became hard and painful, the rash covered more area of the arm and the pain spread under the arm to the lymph nodes.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Lymph node pain, Rash, Underdose
Clinical narrative: At time of injection, a significant portion of the vaccine spurted out of my skin and ran down my arm, the following morning there was a large lump under the injection site that was soft, movable and painful, also there was a slight rash around the injection site, after some squeezing and itching, the lump became hard and painful, the rash covered more area of the arm and the pain spread under the arm to the lymph nodes.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Red bump at injection site, very warm to the touch and very itchy
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Deep vein thrombosis, Erythema, Feeling hot, Muscle strain
Clinical narrative: On day 3 following, 2nd dose of Pfizer vaccine, he had right sided calf pain. Initially thought to be recurence of strain injury, although no history of trauma or obvious trigger. Pain conitnued to worsen and had different characteristics than original strain symptoms. Continued to worsen to point wher eunable to weight bear and swollen, hot and red. Saw orthopedist who refered to vascular surgeon, and on day 13 was officially diagnosed with large DVT extending form  tibeal & peroneal, popliteal up to the femoral veins. Has no known clotting defects. Currently under evaluation with hematologist who recommended anticoagulants for remainder of his life.