chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Full blood count, Influenza like illness, Influenza virus test, Liver function test
Clinical narrative: Formatting of this note is different from the original.  Arrival Date: 11/27/21 1304 MRN: 000000000896187  CSN: 180566856 HAR: 100011543056   EMERGENCY DEPARTMENT - General NOTE  CHIEF COMPLAINT  Chief Complaint  Patient presents with  ? Rash  ? Flu Symptoms   HPI  The nurses note was reviewed, agreed and appreciated male who presents to the emergency room with complaints of generalized body aches, fever a couple days prior and rash. Patient reports that he recently got his COVID-19 booster last Sunday and developed symptoms a couple of days later. Patient reports waking up on Thursday morning having diffuse abdominal pain which prompted his emergency room visit at Hospital with complete work-up and was told that it appeared to be a virus. Patient reports he is continuing to have discomfort in his abdomen with no associated nausea or vomiting. He reports the pain is a burning sensation and currently rates his discomfort a 2 out of 10. Reports he is taking Vicodin with symptomatic control. Patient reports that he called a friend of the family,who recommended he come in for outpatient blood work. Patient reports he attempted to go to outpatient lab however they were closed and recommended he come to the emergency room to have his blood drawn. Patient denies any worsening symptoms however they are not getting better. Denies chest pain, shortness of breath, trouble breathing, lightheadedness or dizziness. Denies any change in bowel or bladder habits. Denies any worsening of his rash. Denies any exposures to anybody with similar symptoms
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Rash, SARS-CoV-2 test, Varicella virus test
Clinical narrative: Formatting of this note is different from the original.  Arrival Date: 11/27/21 1304 MRN: 000000000896187  CSN: 180566856 HAR: 100011543056   EMERGENCY DEPARTMENT - General NOTE  CHIEF COMPLAINT  Chief Complaint  Patient presents with  ? Rash  ? Flu Symptoms   HPI  The nurses note was reviewed, agreed and appreciated male who presents to the emergency room with complaints of generalized body aches, fever a couple days prior and rash. Patient reports that he recently got his COVID-19 booster last Sunday and developed symptoms a couple of days later. Patient reports waking up on Thursday morning having diffuse abdominal pain which prompted his emergency room visit at Hospital with complete work-up and was told that it appeared to be a virus. Patient reports he is continuing to have discomfort in his abdomen with no associated nausea or vomiting. He reports the pain is a burning sensation and currently rates his discomfort a 2 out of 10. Reports he is taking Vicodin with symptomatic control. Patient reports that he called a friend of the family,who recommended he come in for outpatient blood work. Patient reports he attempted to go to outpatient lab however they were closed and recommended he come to the emergency room to have his blood drawn. Patient denies any worsening symptoms however they are not getting better. Denies chest pain, shortness of breath, trouble breathing, lightheadedness or dizziness. Denies any change in bowel or bladder habits. Denies any worsening of his rash. Denies any exposures to anybody with similar symptoms
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Ear discomfort, Ear pain, Inflammation, Tinnitus
Clinical narrative: Ringing in the left ear. Pain, inflammation in the ear. Ear feels clogged.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Condition aggravated, Mobility decreased, Pain
Clinical narrative: Approximately 3 days after this vaccine I experienced extreme swelling. My hand swelled two four times their normal size and I was unable to make a fist. The pain was excruciating. I have never felt pain so bad and I have had RA for almost 30 years. I also noticed that I was having pain in joints that weren't usually affected by my RA such as my wrist elbows and ankles. I took Advil, vicodin, and increased prednisone, along with Immersing my hands in very hot water or moist heating pads. The Tissue swelling of my hands started to subside the end of June. However my knuckles remained extremely large and severe pain continued. I was started on enbrel injections and diclofenic ointment. which helped to decrease the pain somewhat. (Diclofenic tablets DC'd). Continuing to have chronic increase pain I was placed on hydroxychloroquine. To this date the effects are still evident, as if my RA was accelerated. My knuckles are twice the size they were and I have additional pain continuing in the wrist, ankles and elbows. Prior to the vaccination my pain was pretty well maintained, (never completely gone but acceptable), with occasional flare ups which needed a little additional medication (Motrin) or therapy. Since the vaccination on April 28th 2021, my pain is worse on a daily basis, often keeping me from sleeping. The flare-ups have been so bad that I have to increase my prednisone, use motrin, vicodin, topical ointments and heat.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Rheumatoid arthritis, Sleep disorder, Soft tissue swelling
Clinical narrative: Approximately 3 days after this vaccine I experienced extreme swelling. My hand swelled two four times their normal size and I was unable to make a fist. The pain was excruciating. I have never felt pain so bad and I have had RA for almost 30 years. I also noticed that I was having pain in joints that weren't usually affected by my RA such as my wrist elbows and ankles. I took Advil, vicodin, and increased prednisone, along with Immersing my hands in very hot water or moist heating pads. The Tissue swelling of my hands started to subside the end of June. However my knuckles remained extremely large and severe pain continued. I was started on enbrel injections and diclofenic ointment. which helped to decrease the pain somewhat. (Diclofenic tablets DC'd). Continuing to have chronic increase pain I was placed on hydroxychloroquine. To this date the effects are still evident, as if my RA was accelerated. My knuckles are twice the size they were and I have additional pain continuing in the wrist, ankles and elbows. Prior to the vaccination my pain was pretty well maintained, (never completely gone but acceptable), with occasional flare ups which needed a little additional medication (Motrin) or therapy. Since the vaccination on April 28th 2021, my pain is worse on a daily basis, often keeping me from sleeping. The flare-ups have been so bad that I have to increase my prednisone, use motrin, vicodin, topical ointments and heat.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Approximately 3 days after this vaccine I experienced extreme swelling. My hand swelled two four times their normal size and I was unable to make a fist. The pain was excruciating. I have never felt pain so bad and I have had RA for almost 30 years. I also noticed that I was having pain in joints that weren't usually affected by my RA such as my wrist elbows and ankles. I took Advil, vicodin, and increased prednisone, along with Immersing my hands in very hot water or moist heating pads. The Tissue swelling of my hands started to subside the end of June. However my knuckles remained extremely large and severe pain continued. I was started on enbrel injections and diclofenic ointment. which helped to decrease the pain somewhat. (Diclofenic tablets DC'd). Continuing to have chronic increase pain I was placed on hydroxychloroquine. To this date the effects are still evident, as if my RA was accelerated. My knuckles are twice the size they were and I have additional pain continuing in the wrist, ankles and elbows. Prior to the vaccination my pain was pretty well maintained, (never completely gone but acceptable), with occasional flare ups which needed a little additional medication (Motrin) or therapy. Since the vaccination on April 28th 2021, my pain is worse on a daily basis, often keeping me from sleeping. The flare-ups have been so bad that I have to increase my prednisone, use motrin, vicodin, topical ointments and heat.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Neck pain, Oropharyngeal pain, Streptococcus test
Clinical narrative: 2 and 1/2 weeks after getting the booster, I was super tired and had throat and neck pain. I went to my doctor. He tested me for strep throat.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Asymptomatic COVID-19, COVID-19, Cough, Escherichia infection
Clinical narrative: Fully vaccinated patient admitted through ED after a ground level fall.  She has mild cough, but no other respiratory symptoms and remains well oxygenated on room air.  She was tested for routine admission testing and incidentally tested positive for COVID.  "79 YO female w/ history of Hypertension, Diabetes mellitus 2, CAD, CKD, hyperlipidemia, presented with left knee pain following ground level fall. She was found to have closed, left distal femur fracture and subsequently admitted. She was also found to be COVID 19 positive but without any symptoms. During her hospitalization stay, she had a febrile episode with UA showing E. Coli and Proteus therfore she received 7 day course of Rocephin. She was also evaluated by Orthopedic team for her femur fracture and recommended no surgical intervention. She was treated conservatively with leg immobilizer with weight bearing restriction and pain control. Physical therapy recommended further therapy therefore she was transferred to another facility on day of discharge. "
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fall, Femur fracture, Proteus infection, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated patient admitted through ED after a ground level fall.  She has mild cough, but no other respiratory symptoms and remains well oxygenated on room air.  She was tested for routine admission testing and incidentally tested positive for COVID.  "79 YO female w/ history of Hypertension, Diabetes mellitus 2, CAD, CKD, hyperlipidemia, presented with left knee pain following ground level fall. She was found to have closed, left distal femur fracture and subsequently admitted. She was also found to be COVID 19 positive but without any symptoms. During her hospitalization stay, she had a febrile episode with UA showing E. Coli and Proteus therfore she received 7 day course of Rocephin. She was also evaluated by Orthopedic team for her femur fracture and recommended no surgical intervention. She was treated conservatively with leg immobilizer with weight bearing restriction and pain control. Physical therapy recommended further therapy therefore she was transferred to another facility on day of discharge. "
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urine analysis abnormal
Clinical narrative: Fully vaccinated patient admitted through ED after a ground level fall.  She has mild cough, but no other respiratory symptoms and remains well oxygenated on room air.  She was tested for routine admission testing and incidentally tested positive for COVID.  "79 YO female w/ history of Hypertension, Diabetes mellitus 2, CAD, CKD, hyperlipidemia, presented with left knee pain following ground level fall. She was found to have closed, left distal femur fracture and subsequently admitted. She was also found to be COVID 19 positive but without any symptoms. During her hospitalization stay, she had a febrile episode with UA showing E. Coli and Proteus therfore she received 7 day course of Rocephin. She was also evaluated by Orthopedic team for her femur fracture and recommended no surgical intervention. She was treated conservatively with leg immobilizer with weight bearing restriction and pain control. Physical therapy recommended further therapy therefore she was transferred to another facility on day of discharge. "
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Condition aggravated, Feeling hot, Gait disturbance, Joint noise
Clinical narrative: 4/27/2021 vaccination administered; 4/29/2021 I woke up and started noticing my toes were very hot; COVID-19 toes. Same symptoms when I had COVID-19 12/2020. Both calves were sore and achy, especially in my knees 'grinding'. Walking up and down stairs was a lot of effort, walking 3 flights felt like 4 miles. Felt these symptoms for 4-5 days and didn't disappear for about 10 days. Had seen vascular specialist for toes 01/2021. Nothing was 'wrong' but looked like 'frostbite'.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: 4/27/2021 vaccination administered; 4/29/2021 I woke up and started noticing my toes were very hot; COVID-19 toes. Same symptoms when I had COVID-19 12/2020. Both calves were sore and achy, especially in my knees 'grinding'. Walking up and down stairs was a lot of effort, walking 3 flights felt like 4 miles. Felt these symptoms for 4-5 days and didn't disappear for about 10 days. Had seen vascular specialist for toes 01/2021. Nothing was 'wrong' but looked like 'frostbite'.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Blindness, Vision blurred
Clinical narrative: A day after vaccine she started to notice looking through her glass became a blur. She became blind and went to the ER.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cyst rupture, Loss of personal independence in daily activities, Pelvic pain
Clinical narrative: I have had severe pelvic pain that started around 2-3 weeks after the 2nd dose of the Covid Vaccine, Moderna.  It feels like cysts are rupturing around once a week.  Previously, before the vaccine, I had 1 to 2 cysts rupture per year.  Now after the vaccine, I've had around 1 rupture per week.  I have discussed this with both my family physician (08/02/2021) and my OBGYN (11/01/2021).  I'm not sure that this because of my age or not, but seems to coincide with the 2nd dosage of the vaccine.  I've now had bloodwork done that shows that I am not premenopauseal as of yet, so I wanted to record this severe issue and would like to know more information on this before allowing my daugther to be vaccinated.  This severe pain is causing issues for a day or two each week and is interrupting my work schedule and quality of life.  I will continue to visit the doctor or hospital unitl this is resolved.  I was told to go back to my OBGYN again when a cyst ruptures.  At this point, they are rupturing weekly and outside of office hours.  I will have an ultrasound completed once a rupture happens during the workday.  I would really appreciate any support or information on if this is vaccine related.  I am holding off on having my duaghter vaccinated until we have a better understanding of the vaccine and more data surrounding pelvic pain and female issues.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chills, Headache, Oedema peripheral, Pain, Vaccine positive rechallenge
Clinical narrative: Severe headache, body aches, chills, swollen armpits
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Ataxia, Balance disorder, COVID-19, Computerised tomogram head normal
Clinical narrative: 10/27/21: Patient felt weaker 10/31/21: Started experiencing balance issues and became more weak 11/12/21: Admitted to hospital with anorexia, ataxia, feeling ill and tremors 11/15/21: Consulted neurology due to persistent shakiness with sitting and standing; neurology recommended Solumedrol 1 gram IV daily x 3 days 11/17/21: Saw improvement with Solu-medrol 11/18/21: Neurology recommended IVIG 0.4mg/kg IV daily x 5 days (for possible etiology) and Depakote 15 mg/kg IV x 1 dose, then 500 mg po BID (for myoclonus). 11/22/21: Patient finished treatment. Tremors were less intense. Transferred to acute rehab facility for further therapies.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Immunoglobulin therapy, Liver function test normal, Magnetic resonance imaging head normal, Malaise
Clinical narrative: 10/27/21: Patient felt weaker 10/31/21: Started experiencing balance issues and became more weak 11/12/21: Admitted to hospital with anorexia, ataxia, feeling ill and tremors 11/15/21: Consulted neurology due to persistent shakiness with sitting and standing; neurology recommended Solumedrol 1 gram IV daily x 3 days 11/17/21: Saw improvement with Solu-medrol 11/18/21: Neurology recommended IVIG 0.4mg/kg IV daily x 5 days (for possible etiology) and Depakote 15 mg/kg IV x 1 dose, then 500 mg po BID (for myoclonus). 11/22/21: Patient finished treatment. Tremors were less intense. Transferred to acute rehab facility for further therapies.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Myoclonus, SARS-CoV-2 test positive, Tremor
Clinical narrative: 10/27/21: Patient felt weaker 10/31/21: Started experiencing balance issues and became more weak 11/12/21: Admitted to hospital with anorexia, ataxia, feeling ill and tremors 11/15/21: Consulted neurology due to persistent shakiness with sitting and standing; neurology recommended Solumedrol 1 gram IV daily x 3 days 11/17/21: Saw improvement with Solu-medrol 11/18/21: Neurology recommended IVIG 0.4mg/kg IV daily x 5 days (for possible etiology) and Depakote 15 mg/kg IV x 1 dose, then 500 mg po BID (for myoclonus). 11/22/21: Patient finished treatment. Tremors were less intense. Transferred to acute rehab facility for further therapies.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiogram normal, Anticoagulant therapy, Blood creatinine increased, COVID-19, COVID-19 pneumonia
Clinical narrative: Fully vaccinated patient (2 doses plus booster) admitted for COVID pneumonia and subsequently died.  Provider discharge note below:  "67 yo male, with PMH significant for follicular lymphoma s/p chemotherapy, HLD, OSA, and hx of one kidney (born that way), who presented to ED on 10/18/21 after testing positive for COVID. He had received all 3 COVID vaccinations, though is immunocompromised from recent completion of follicular lymphoma and chemotherapy.  CTA was done on day of admission and was negative for PE. Respiratory failure with hypoxia from covid pneumonia was initially managed on HFNC but respiratory status worsened and he was transferred to CCU on 10/27/21. BiPAP therapy was started and pt required precedex and fentanyl gtts to tolerate BiPAP.  He was treated with decadron and was fully anticoagulated with lovenox. Remdesivir was declined by pt due to having only 1 kidney. Regeneron was given on 11/3/21.  No improvement in respiratory status, and oxygenation was marginal despite BiPAP with 100% O2 with pressures of 18/12. Intubation was considered, but pt did not want to be intubated.  The pt developed SQ emphysema. Imaging did not show pneumothorax, but pneumomediastinum was seen on CXR 10/28/21.  Tube feedings were initiated for nutritional support.  Pt intermittently required pressor support for circulatory shock, initially with phenylephrine, then later with norepinephrine.  Ongoing discussions regarding goals of care and code status were held with pt and family throughout hospitalization.  Pt continued to decline intubation. Code status was changed to DNR/DNI but continue aggressive care.  Clinical condition continued to decline. PRN morphine was started for air hunger and comfort.  By 11/4/21, the pt was unresponsive, hypotensive and requiring norepi for BP support, oliguric with rising creat. Increased work of breathing on maximum BiPAP support with O2 sats ranging from low 70's to low 90's. Wife was informed that pt actively dying and no escalation of care added to code status.  The pt died on 11/5/21 at 1336 with wife at bedside. "
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest X-ray abnormal, Condition aggravated, Death, Dyspnoea, Enteral nutrition
Clinical narrative: Fully vaccinated patient (2 doses plus booster) admitted for COVID pneumonia and subsequently died.  Provider discharge note below:  "67 yo male, with PMH significant for follicular lymphoma s/p chemotherapy, HLD, OSA, and hx of one kidney (born that way), who presented to ED on 10/18/21 after testing positive for COVID. He had received all 3 COVID vaccinations, though is immunocompromised from recent completion of follicular lymphoma and chemotherapy.  CTA was done on day of admission and was negative for PE. Respiratory failure with hypoxia from covid pneumonia was initially managed on HFNC but respiratory status worsened and he was transferred to CCU on 10/27/21. BiPAP therapy was started and pt required precedex and fentanyl gtts to tolerate BiPAP.  He was treated with decadron and was fully anticoagulated with lovenox. Remdesivir was declined by pt due to having only 1 kidney. Regeneron was given on 11/3/21.  No improvement in respiratory status, and oxygenation was marginal despite BiPAP with 100% O2 with pressures of 18/12. Intubation was considered, but pt did not want to be intubated.  The pt developed SQ emphysema. Imaging did not show pneumothorax, but pneumomediastinum was seen on CXR 10/28/21.  Tube feedings were initiated for nutritional support.  Pt intermittently required pressor support for circulatory shock, initially with phenylephrine, then later with norepinephrine.  Ongoing discussions regarding goals of care and code status were held with pt and family throughout hospitalization.  Pt continued to decline intubation. Code status was changed to DNR/DNI but continue aggressive care.  Clinical condition continued to decline. PRN morphine was started for air hunger and comfort.  By 11/4/21, the pt was unresponsive, hypotensive and requiring norepi for BP support, oliguric with rising creat. Increased work of breathing on maximum BiPAP support with O2 sats ranging from low 70's to low 90's. Wife was informed that pt actively dying and no escalation of care added to code status.  The pt died on 11/5/21 at 1336 with wife at bedside. "
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hypotension, Intensive care, Oliguria, Pneumomediastinum, Positive airway pressure therapy
Clinical narrative: Fully vaccinated patient (2 doses plus booster) admitted for COVID pneumonia and subsequently died.  Provider discharge note below:  "67 yo male, with PMH significant for follicular lymphoma s/p chemotherapy, HLD, OSA, and hx of one kidney (born that way), who presented to ED on 10/18/21 after testing positive for COVID. He had received all 3 COVID vaccinations, though is immunocompromised from recent completion of follicular lymphoma and chemotherapy.  CTA was done on day of admission and was negative for PE. Respiratory failure with hypoxia from covid pneumonia was initially managed on HFNC but respiratory status worsened and he was transferred to CCU on 10/27/21. BiPAP therapy was started and pt required precedex and fentanyl gtts to tolerate BiPAP.  He was treated with decadron and was fully anticoagulated with lovenox. Remdesivir was declined by pt due to having only 1 kidney. Regeneron was given on 11/3/21.  No improvement in respiratory status, and oxygenation was marginal despite BiPAP with 100% O2 with pressures of 18/12. Intubation was considered, but pt did not want to be intubated.  The pt developed SQ emphysema. Imaging did not show pneumothorax, but pneumomediastinum was seen on CXR 10/28/21.  Tube feedings were initiated for nutritional support.  Pt intermittently required pressor support for circulatory shock, initially with phenylephrine, then later with norepinephrine.  Ongoing discussions regarding goals of care and code status were held with pt and family throughout hospitalization.  Pt continued to decline intubation. Code status was changed to DNR/DNI but continue aggressive care.  Clinical condition continued to decline. PRN morphine was started for air hunger and comfort.  By 11/4/21, the pt was unresponsive, hypotensive and requiring norepi for BP support, oliguric with rising creat. Increased work of breathing on maximum BiPAP support with O2 sats ranging from low 70's to low 90's. Wife was informed that pt actively dying and no escalation of care added to code status.  The pt died on 11/5/21 at 1336 with wife at bedside. "
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive, Shock, Subcutaneous emphysema, Unresponsive to stimuli
Clinical narrative: Fully vaccinated patient (2 doses plus booster) admitted for COVID pneumonia and subsequently died.  Provider discharge note below:  "67 yo male, with PMH significant for follicular lymphoma s/p chemotherapy, HLD, OSA, and hx of one kidney (born that way), who presented to ED on 10/18/21 after testing positive for COVID. He had received all 3 COVID vaccinations, though is immunocompromised from recent completion of follicular lymphoma and chemotherapy.  CTA was done on day of admission and was negative for PE. Respiratory failure with hypoxia from covid pneumonia was initially managed on HFNC but respiratory status worsened and he was transferred to CCU on 10/27/21. BiPAP therapy was started and pt required precedex and fentanyl gtts to tolerate BiPAP.  He was treated with decadron and was fully anticoagulated with lovenox. Remdesivir was declined by pt due to having only 1 kidney. Regeneron was given on 11/3/21.  No improvement in respiratory status, and oxygenation was marginal despite BiPAP with 100% O2 with pressures of 18/12. Intubation was considered, but pt did not want to be intubated.  The pt developed SQ emphysema. Imaging did not show pneumothorax, but pneumomediastinum was seen on CXR 10/28/21.  Tube feedings were initiated for nutritional support.  Pt intermittently required pressor support for circulatory shock, initially with phenylephrine, then later with norepinephrine.  Ongoing discussions regarding goals of care and code status were held with pt and family throughout hospitalization.  Pt continued to decline intubation. Code status was changed to DNR/DNI but continue aggressive care.  Clinical condition continued to decline. PRN morphine was started for air hunger and comfort.  By 11/4/21, the pt was unresponsive, hypotensive and requiring norepi for BP support, oliguric with rising creat. Increased work of breathing on maximum BiPAP support with O2 sats ranging from low 70's to low 90's. Wife was informed that pt actively dying and no escalation of care added to code status.  The pt died on 11/5/21 at 1336 with wife at bedside. "
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Electrocardiogram, Hypertension
Clinical narrative: High blood pressure first noticed at dermatological physician visit Aug 23, 2021.  Subsequent physical Nov 11, 2021 and follow up visit Nov 19, 2021.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Nausea, Pyrexia, Vertigo
Clinical narrative: High fever - reached 103 F that night accompanied by vertigo and chills.  Around 10 pm, I started extreme vomiting. Was extremely dizzy so was having to lay on my side during this. My heartrate, usually 55-60, was up to ~120.  By morning, most nausea had subsided. Took about 72 hours for heartrate to go back to normal range.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: High fever - reached 103 F that night accompanied by vertigo and chills.  Around 10 pm, I started extreme vomiting. Was extremely dizzy so was having to lay on my side during this. My heartrate, usually 55-60, was up to ~120.  By morning, most nausea had subsided. Took about 72 hours for heartrate to go back to normal range.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chills, Headache, Myalgia, Nausea
Clinical narrative: I have had fever, vomiting, nausea, chills, muscle aches, and headache. I have also had some abdominal pain. I had a virtual visit with my doctor today 11/30/21. My doctor advised to me take some Tylenol and he prescribed me some nausea medicine and told me to stay hydrated.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: I have had fever, vomiting, nausea, chills, muscle aches, and headache. I have also had some abdominal pain. I had a virtual visit with my doctor today 11/30/21. My doctor advised to me take some Tylenol and he prescribed me some nausea medicine and told me to stay hydrated.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pyrexia, Rash pruritic, Skin warm
Clinical narrative: symptom onset within 24 hours. Fever occurred for 12-18 hours. Patient took tylenol for fever. within 3 days (or 36hrs) Patient had a bulge that was large, red, warm, baseball size bump on arm that lasted 7-10 days and started after the fever. She did not take anything for this. she simultaneously also had a rash on arms and legs that were itchy. This lasted 3-4 weeks. Patient took topical benadryl OTC. Pt did not go to doctor, resolved from self care.
Age: 14.0
Sex: F
Vaccine: FLUR4
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Gave Flublok Quadrivalent to an underage patient. No adverse reactions or symptoms.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Blood test, Cardiac stress test, Chest discomfort, Cough
Clinical narrative: After receiving my third dose, I experienced sore throat, cough, itchy/watery eyes and sinus pressure. I never had a fever, but my whole body would get super hot. I became a little short of breath and had chest tightness. I'm still experiencing squeezing around my heart, occasionally, since my first dose. My second dose it became a bit worse and it's still here after my third dose. I have also experienced wheezing, feeling groggy and have had a lot of drainage.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Drainage, Dyspnoea, Echocardiogram, Electrocardiogram, Extra dose administered
Clinical narrative: After receiving my third dose, I experienced sore throat, cough, itchy/watery eyes and sinus pressure. I never had a fever, but my whole body would get super hot. I became a little short of breath and had chest tightness. I'm still experiencing squeezing around my heart, occasionally, since my first dose. My second dose it became a bit worse and it's still here after my third dose. I have also experienced wheezing, feeling groggy and have had a lot of drainage.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pruritus, Feeling hot, Lacrimation increased, Oropharyngeal pain, Paranasal sinus discomfort
Clinical narrative: After receiving my third dose, I experienced sore throat, cough, itchy/watery eyes and sinus pressure. I never had a fever, but my whole body would get super hot. I became a little short of breath and had chest tightness. I'm still experiencing squeezing around my heart, occasionally, since my first dose. My second dose it became a bit worse and it's still here after my third dose. I have also experienced wheezing, feeling groggy and have had a lot of drainage.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence, Wheezing
Clinical narrative: After receiving my third dose, I experienced sore throat, cough, itchy/watery eyes and sinus pressure. I never had a fever, but my whole body would get super hot. I became a little short of breath and had chest tightness. I'm still experiencing squeezing around my heart, occasionally, since my first dose. My second dose it became a bit worse and it's still here after my third dose. I have also experienced wheezing, feeling groggy and have had a lot of drainage.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Fatigue, Hypophagia, SARS-CoV-2 test positive
Clinical narrative: Patient fully vaccinated for COVID who admitted to hospital with COVID positive test.  Provider discharge note:  "74-year-old female who presented to the emergency department with decreased oral intake and generalized weakness.  Patient was recently hospitalized a week prior to admission and she developed sudden onset fatigue and weakness without focal symptoms.  Patient recently had COVID diagnosis however she is out of isolation window.  She was hydrated with IV fluids.  She did not have any respiratory signs or symptoms.  Physical therapy was ordered and after evaluation she was cleared for home discharge."
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Covid moderna  vaccine given from vial that was expired by a couple of hours (vial was refrigerated the whole time). No adverse effect reported.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Ear pain, Lethargy, Oropharyngeal pain, Pyrexia
Clinical narrative: I had running nose, sore throat, congestive, and cough. I had a fever and lethargic. I started having an earache.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Rhinorrhoea
Clinical narrative: I had running nose, sore throat, congestive, and cough. I had a fever and lethargic. I started having an earache.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Tinnitus
Clinical narrative: Acute tinnitis
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersomnia
Clinical narrative: sleeping 18-22 hours a day
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein, Metabolic function test, Rash, Red blood cell sedimentation rate
Clinical narrative: RASH TO BODY
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood test, Chest pain, Computerised tomogram abnormal, Condition aggravated
Clinical narrative: Dizziness, cramping, confusion, shortness of breath immediately after the first dose and carried on for weeks after. Second dose on october 5th and days later I was super short of breath and had weird tingling in my legs and mostly my right leg/ right calf/ foot. Progressed into worsening of shortness of breath over the next few weeks. I ended up having left side pains and was dismissed and told all of these symptoms were anxiety. The left side pain got worse and came to the point where breathing hurt or sniffling my nose hurt. The next day I tried to lay down and the pain shot up into my neck, a dull ache. I then went to emergency where they took blood, ecg, x-rays, ultra sound, and a ct scan. ( november 7th) They came back with the results that I have blood clots in my lungs. Since this finding I have been in and out of emergency with severe spasms, pains, tingling and numbness like feelings and pain in my side and chest.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram, Flank pain, Hypoaesthesia, Muscle spasms
Clinical narrative: Dizziness, cramping, confusion, shortness of breath immediately after the first dose and carried on for weeks after. Second dose on october 5th and days later I was super short of breath and had weird tingling in my legs and mostly my right leg/ right calf/ foot. Progressed into worsening of shortness of breath over the next few weeks. I ended up having left side pains and was dismissed and told all of these symptoms were anxiety. The left side pain got worse and came to the point where breathing hurt or sniffling my nose hurt. The next day I tried to lay down and the pain shot up into my neck, a dull ache. I then went to emergency where they took blood, ecg, x-rays, ultra sound, and a ct scan. ( november 7th) They came back with the results that I have blood clots in my lungs. Since this finding I have been in and out of emergency with severe spasms, pains, tingling and numbness like feelings and pain in my side and chest.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain, Paraesthesia, Pulmonary thrombosis, Ultrasound scan
Clinical narrative: Dizziness, cramping, confusion, shortness of breath immediately after the first dose and carried on for weeks after. Second dose on october 5th and days later I was super short of breath and had weird tingling in my legs and mostly my right leg/ right calf/ foot. Progressed into worsening of shortness of breath over the next few weeks. I ended up having left side pains and was dismissed and told all of these symptoms were anxiety. The left side pain got worse and came to the point where breathing hurt or sniffling my nose hurt. The next day I tried to lay down and the pain shot up into my neck, a dull ache. I then went to emergency where they took blood, ecg, x-rays, ultra sound, and a ct scan. ( november 7th) They came back with the results that I have blood clots in my lungs. Since this finding I have been in and out of emergency with severe spasms, pains, tingling and numbness like feelings and pain in my side and chest.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: Dizziness, cramping, confusion, shortness of breath immediately after the first dose and carried on for weeks after. Second dose on october 5th and days later I was super short of breath and had weird tingling in my legs and mostly my right leg/ right calf/ foot. Progressed into worsening of shortness of breath over the next few weeks. I ended up having left side pains and was dismissed and told all of these symptoms were anxiety. The left side pain got worse and came to the point where breathing hurt or sniffling my nose hurt. The next day I tried to lay down and the pain shot up into my neck, a dull ache. I then went to emergency where they took blood, ecg, x-rays, ultra sound, and a ct scan. ( november 7th) They came back with the results that I have blood clots in my lungs. Since this finding I have been in and out of emergency with severe spasms, pains, tingling and numbness like feelings and pain in my side and chest.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Anxiety, Asthenia, Cognitive disorder, Condition aggravated
Clinical narrative: 4 days after vaccination, I noticed the site on my arm was throbbing, raised, swollen. I woke up in the night, almost fainted, feeling nauseous, vomitting, and feeling flushed, adrenalized, and weak.  The "episode" lasted about 4 hours. After that episdoe, I was nauseous, dizzy, had a high pitched sound in my ears, upset stomach and weakness. I had a second episode 2 days later and went to the ED, where the doctor said it was likely "some kind of weird reaction".  He said I should get checked out by the gastroenterologist since the most pronounced symptom was upset stomach/nausea. He said it would subside over time and recommended Benadryll. That was over a month ago and I am still having symptoms. I have lost 10 lbs, have difficulty digesting food, little or no appetite, exacerbated anxiety, headaches, inflammation, feeling of being flushed like an allergic reaction, intermittent nausea, and cognitive symptoms. I'm waiting to see the gastroenterologist.  I've taken antacids, allergy meds, and Tylenol with little effect.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dizziness, Dyspepsia, Flushing, Headache
Clinical narrative: 4 days after vaccination, I noticed the site on my arm was throbbing, raised, swollen. I woke up in the night, almost fainted, feeling nauseous, vomitting, and feeling flushed, adrenalized, and weak.  The "episode" lasted about 4 hours. After that episdoe, I was nauseous, dizzy, had a high pitched sound in my ears, upset stomach and weakness. I had a second episode 2 days later and went to the ED, where the doctor said it was likely "some kind of weird reaction".  He said I should get checked out by the gastroenterologist since the most pronounced symptom was upset stomach/nausea. He said it would subside over time and recommended Benadryll. That was over a month ago and I am still having symptoms. I have lost 10 lbs, have difficulty digesting food, little or no appetite, exacerbated anxiety, headaches, inflammation, feeling of being flushed like an allergic reaction, intermittent nausea, and cognitive symptoms. I'm waiting to see the gastroenterologist.  I've taken antacids, allergy meds, and Tylenol with little effect.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Injection site reaction, Injection site swelling, Laboratory test normal, Nausea
Clinical narrative: 4 days after vaccination, I noticed the site on my arm was throbbing, raised, swollen. I woke up in the night, almost fainted, feeling nauseous, vomitting, and feeling flushed, adrenalized, and weak.  The "episode" lasted about 4 hours. After that episdoe, I was nauseous, dizzy, had a high pitched sound in my ears, upset stomach and weakness. I had a second episode 2 days later and went to the ED, where the doctor said it was likely "some kind of weird reaction".  He said I should get checked out by the gastroenterologist since the most pronounced symptom was upset stomach/nausea. He said it would subside over time and recommended Benadryll. That was over a month ago and I am still having symptoms. I have lost 10 lbs, have difficulty digesting food, little or no appetite, exacerbated anxiety, headaches, inflammation, feeling of being flushed like an allergic reaction, intermittent nausea, and cognitive symptoms. I'm waiting to see the gastroenterologist.  I've taken antacids, allergy meds, and Tylenol with little effect.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Tinnitus, Vomiting, Weight decreased
Clinical narrative: 4 days after vaccination, I noticed the site on my arm was throbbing, raised, swollen. I woke up in the night, almost fainted, feeling nauseous, vomitting, and feeling flushed, adrenalized, and weak.  The "episode" lasted about 4 hours. After that episdoe, I was nauseous, dizzy, had a high pitched sound in my ears, upset stomach and weakness. I had a second episode 2 days later and went to the ED, where the doctor said it was likely "some kind of weird reaction".  He said I should get checked out by the gastroenterologist since the most pronounced symptom was upset stomach/nausea. He said it would subside over time and recommended Benadryll. That was over a month ago and I am still having symptoms. I have lost 10 lbs, have difficulty digesting food, little or no appetite, exacerbated anxiety, headaches, inflammation, feeling of being flushed like an allergic reaction, intermittent nausea, and cognitive symptoms. I'm waiting to see the gastroenterologist.  I've taken antacids, allergy meds, and Tylenol with little effect.
Age: 26.0
Sex: M
Vaccine: FLU4, UNK
Symptoms: Eye movement disorder, Headache, Hyperhidrosis, Pallor, Seizure like phenomena
Clinical narrative: Provided the flu vaccine in left deltoid. After the flu vaccine, I gave him a PPD on the left arm. He said that he was "trying to get used to this" as I was giving the PPD. Within seconds he the patient's eyes started rolling back in his head, and I noticed that his body was shaking a bit like a convulsion. I lowered the patient to the floor and put his knees up, patient was visibly sweating and was very pale. He continued to lay down for several minutes. The patient did not lose consciousness. I took his vital signs which were 93% for 02 70 for BPM, and 100/70 for BP. The patient got up, and sat in the clinic room for a half hour until he felt better. He stated that he had a head ache before he left. No drugs were administered.
Age: 26.0
Sex: M
Vaccine: FLU4, UNK
Symptoms: Tremor
Clinical narrative: Provided the flu vaccine in left deltoid. After the flu vaccine, I gave him a PPD on the left arm. He said that he was "trying to get used to this" as I was giving the PPD. Within seconds he the patient's eyes started rolling back in his head, and I noticed that his body was shaking a bit like a convulsion. I lowered the patient to the floor and put his knees up, patient was visibly sweating and was very pale. He continued to lay down for several minutes. The patient did not lose consciousness. I took his vital signs which were 93% for 02 70 for BPM, and 100/70 for BP. The patient got up, and sat in the clinic room for a half hour until he felt better. He stated that he had a head ache before he left. No drugs were administered.
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Back pain, COVID-19, Condition aggravated, Fall, Fracture
Clinical narrative: Fully vaccinated patient admitted post fall with fracture.  Incidentally tested "detected" for COVID during routine admission testing, no COVID symptoms during stay.  Provider discharge note:  "91 YO female w/ history of Asthma, hyperlipidemia, Anxiety, Dementia, hypothyroidism who presented with low back pain following a ground level fall. No fractures seen on imaging but incidentally found to be COVID 19 positive. She was subsequently admitted due to intractable low back pain. During her hospitalization stay, she was evaluated by physical and occupational therapist who deemed her a candidate for skilled nursing facility for ongoing rehabilitation."
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Imaging procedure, SARS-CoV-2 test positive
Clinical narrative: Fully vaccinated patient admitted post fall with fracture.  Incidentally tested "detected" for COVID during routine admission testing, no COVID symptoms during stay.  Provider discharge note:  "91 YO female w/ history of Asthma, hyperlipidemia, Anxiety, Dementia, hypothyroidism who presented with low back pain following a ground level fall. No fractures seen on imaging but incidentally found to be COVID 19 positive. She was subsequently admitted due to intractable low back pain. During her hospitalization stay, she was evaluated by physical and occupational therapist who deemed her a candidate for skilled nursing facility for ongoing rehabilitation."
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen and tender in the armpit area under my left arm where the shot was administered. I assume it is my lymph node that is swollen.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Biopsy, Blood test normal, Burning sensation, Chills
Clinical narrative: 5/26/2021 vaccination. 5/27/2021 03:00AM I woke up and felt like I had a fever. My feet felt like they were on fire, burning sensation. I had 101 temperature, chills, nausea, headache. I slept all day. 5/28/2021 I woke up feeling ok. 6/19/2021 I started to notice hair loss. It has been going on until November 15, 2021. I did seek medical attention with a dermatologist and diagnosed with 'telogen effluvium'. I was advised the timing between the serious illness and vaccine; it was a true shock to my body. I lost about 30-40% of my hair over that period of time.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Diffuse alopecia, Headache, Hypersomnia, Nausea, Pyrexia
Clinical narrative: 5/26/2021 vaccination. 5/27/2021 03:00AM I woke up and felt like I had a fever. My feet felt like they were on fire, burning sensation. I had 101 temperature, chills, nausea, headache. I slept all day. 5/28/2021 I woke up feeling ok. 6/19/2021 I started to notice hair loss. It has been going on until November 15, 2021. I did seek medical attention with a dermatologist and diagnosed with 'telogen effluvium'. I was advised the timing between the serious illness and vaccine; it was a true shock to my body. I lost about 30-40% of my hair over that period of time.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: 5/26/2021 vaccination. 5/27/2021 03:00AM I woke up and felt like I had a fever. My feet felt like they were on fire, burning sensation. I had 101 temperature, chills, nausea, headache. I slept all day. 5/28/2021 I woke up feeling ok. 6/19/2021 I started to notice hair loss. It has been going on until November 15, 2021. I did seek medical attention with a dermatologist and diagnosed with 'telogen effluvium'. I was advised the timing between the serious illness and vaccine; it was a true shock to my body. I lost about 30-40% of my hair over that period of time.
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness
Clinical narrative: Very bad dizziness. Gradually went away over the course of a few hours.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Fatigue, Headache, Inner ear disorder, Tinnitus
Clinical narrative: Constant ringing in the ears (tinnitus) with feeling of my inner ear being "swollen" since receiving the injection.  Major headache , fatigue and weakness has continued since receiving the injection.  Sought care via telehealth twice, was told to go to urgent care.  Urgent care was full.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling abnormal, Flushing, Hyperhidrosis, Nervousness
Clinical narrative: A few minutes after immunization patient presented with sweating, flushed, felt like they are having a panic attack, patient felt shaky, felt liking seeing stars, trouble breathing . Patient was helped to immunization room and observed for a few more minutes. Symptoms resolved and patient was released to go home.