chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Haematocrit increased, Haemoglobin increased, Metabolic function test, Nausea
Clinical narrative: 1. Emesis 5 days consecutively right after injection and then 3 days consecutively multiple times with additional sharp abdominal pain: No treatment for emesis, but took Hyoscyamine for abdominal/intestinal pain 2. Nausea everyday: Prescribed Ondansetron 3a. Bruising and unknown, painful lumps in legs causing painful/limited mobility; suspected blood clotting: Sent to have bloodwork done on 5/14/2021, for: Testosterone/Free/Bioavailable and Total MS, CBC (including DIFF/PLT), Comprehensive Metabolic Panel, Prothrombin W/Inr + Partial Thromboplastin Times, SED Rate by Modified Westergren, D-Dimer Quantitative, Estradiol. 3b. Results of bloodwork: High Testosterone (1035 H), High Testosterone Free (235.7 H), High Testosterone Bioavailable (464.3 H), High Red Blood Cell Count (6.13 H), High Hemoglobin (16.6 H), High Hematocrit (50.9 H), SED Rate by Modified Westergren (2), D-Dimer Quantitative (0.19), Estradiol (83): No treatment, but repeated labs ordered
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Prothrombin time, Red blood cell count increased, Red blood cell sedimentation rate
Clinical narrative: 1. Emesis 5 days consecutively right after injection and then 3 days consecutively multiple times with additional sharp abdominal pain: No treatment for emesis, but took Hyoscyamine for abdominal/intestinal pain 2. Nausea everyday: Prescribed Ondansetron 3a. Bruising and unknown, painful lumps in legs causing painful/limited mobility; suspected blood clotting: Sent to have bloodwork done on 5/14/2021, for: Testosterone/Free/Bioavailable and Total MS, CBC (including DIFF/PLT), Comprehensive Metabolic Panel, Prothrombin W/Inr + Partial Thromboplastin Times, SED Rate by Modified Westergren, D-Dimer Quantitative, Estradiol. 3b. Results of bloodwork: High Testosterone (1035 H), High Testosterone Free (235.7 H), High Testosterone Bioavailable (464.3 H), High Red Blood Cell Count (6.13 H), High Hemoglobin (16.6 H), High Hematocrit (50.9 H), SED Rate by Modified Westergren (2), D-Dimer Quantitative (0.19), Estradiol (83): No treatment, but repeated labs ordered
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 1. Emesis 5 days consecutively right after injection and then 3 days consecutively multiple times with additional sharp abdominal pain: No treatment for emesis, but took Hyoscyamine for abdominal/intestinal pain 2. Nausea everyday: Prescribed Ondansetron 3a. Bruising and unknown, painful lumps in legs causing painful/limited mobility; suspected blood clotting: Sent to have bloodwork done on 5/14/2021, for: Testosterone/Free/Bioavailable and Total MS, CBC (including DIFF/PLT), Comprehensive Metabolic Panel, Prothrombin W/Inr + Partial Thromboplastin Times, SED Rate by Modified Westergren, D-Dimer Quantitative, Estradiol. 3b. Results of bloodwork: High Testosterone (1035 H), High Testosterone Free (235.7 H), High Testosterone Bioavailable (464.3 H), High Red Blood Cell Count (6.13 H), High Hemoglobin (16.6 H), High Hematocrit (50.9 H), SED Rate by Modified Westergren (2), D-Dimer Quantitative (0.19), Estradiol (83): No treatment, but repeated labs ordered
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness
Clinical narrative: Patient felt light headed and weak, EMS called, patient recovered within 5 minutes. Will keep in observation for 20 more minutes.
Age: 0.33
Sex: F
Vaccine: DTAPIPVHIB, RV1
Symptoms: Flatulence, Poor feeding infant, Rash papular
Clinical narrative: Painful gas from 4pm to 7am, refusing to nurse.  Periodic painful gas for 36 hours following Small red bumps on arms,  legs, back and stomach appeared 48 hours after.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Full body rash lasting longer than 1 week even with steroids.  Currently put on stonger steroids and possibly needing further treatment.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Rash erythematous, Rash macular, Rash pruritic
Clinical narrative: Itchy red blotchy rash below the injection site of vaccine.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral ischaemia, Cerebrovascular accident, Magnetic resonance imaging head abnormal
Clinical narrative: Ischemic CVA 3 weeks prior, 2nd dose due on the day of symptom onset
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Blood culture negative, Chest X-ray normal, Chest pain, Chills
Clinical narrative: Experienced 2 days of worsening fever, chills, myalgias, mild chest pain, fatigue and malaise. Went to the ER after having a low grade fever, chills, shortness of breath, mild chest pain, and an elevated resting heart rate. Was diagnosed with SIRS as a response to the covid vaccine and hospitalized for observation. Was discharged the next day.  Diagnosed with SIRS, possibly due to the COVID vaccine with a secondary diagnosis of asthma.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Culture urine negative, Differential white blood cell count abnormal, Dyspnoea, Electrocardiogram normal
Clinical narrative: Experienced 2 days of worsening fever, chills, myalgias, mild chest pain, fatigue and malaise. Went to the ER after having a low grade fever, chills, shortness of breath, mild chest pain, and an elevated resting heart rate. Was diagnosed with SIRS as a response to the covid vaccine and hospitalized for observation. Was discharged the next day.  Diagnosed with SIRS, possibly due to the COVID vaccine with a secondary diagnosis of asthma.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Heart rate increased, Malaise, Myalgia, Pyrexia
Clinical narrative: Experienced 2 days of worsening fever, chills, myalgias, mild chest pain, fatigue and malaise. Went to the ER after having a low grade fever, chills, shortness of breath, mild chest pain, and an elevated resting heart rate. Was diagnosed with SIRS as a response to the covid vaccine and hospitalized for observation. Was discharged the next day.  Diagnosed with SIRS, possibly due to the COVID vaccine with a secondary diagnosis of asthma.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Systemic inflammatory response syndrome, White blood cell count increased
Clinical narrative: Experienced 2 days of worsening fever, chills, myalgias, mild chest pain, fatigue and malaise. Went to the ER after having a low grade fever, chills, shortness of breath, mild chest pain, and an elevated resting heart rate. Was diagnosed with SIRS as a response to the covid vaccine and hospitalized for observation. Was discharged the next day.  Diagnosed with SIRS, possibly due to the COVID vaccine with a secondary diagnosis of asthma.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhage urinary tract, Heavy menstrual bleeding, Muscle spasms
Clinical narrative: My first period after the shot is the worst of my life. More blood, darker blood, clots. Intense cramps. Serious, heavy bleeding.
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety
Clinical narrative: Patient experienced anxiety post vaccination, recovered and released
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue, Underdose
Clinical narrative: During injection, syringe became dislodge from the needle.  More than 50% of vaccine has been injected.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site reaction, Injection site warmth, Rash erythematous
Clinical narrative: Large, red rash at site of injection. Soreness. Hot to touch. Appeared 7 days after injection after the first of two doses
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chest pain, Diarrhoea, Disorganised speech, Dizziness
Clinical narrative: Fever on 105 F, Headache, Pain in the local area of the injection, chest pain, heart over 125 beats for minute, pain in the two livers, breathe difficult, inflammation and pain on the neck ....trouble with swollen and speak , hard abdominal pain, diarrhea, dizziness.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Headache, Hepatic pain, Inflammation, Injection site pain
Clinical narrative: Fever on 105 F, Headache, Pain in the local area of the injection, chest pain, heart over 125 beats for minute, pain in the two livers, breathe difficult, inflammation and pain on the neck ....trouble with swollen and speak , hard abdominal pain, diarrhea, dizziness.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pyrexia, Swelling
Clinical narrative: Fever on 105 F, Headache, Pain in the local area of the injection, chest pain, heart over 125 beats for minute, pain in the two livers, breathe difficult, inflammation and pain on the neck ....trouble with swollen and speak , hard abdominal pain, diarrhea, dizziness.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Rash, Swelling
Clinical narrative: Severe rash, redness, swelling - (size of a small melon).
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dizziness, Hyperhidrosis, Injected limb mobility decreased
Clinical narrative: Moderna COVID-19 Vaccine EUA I had pain in shoulder at first, then the whole left arm sore then to the point I could not use it. The day after shot at 8:30 pm I was feeling fine. Then all of a sudden my face which is usually red turned pale white. My stomach got chills and started to sweat a lot. I could not keep my head up and was very close to passing out. My wife was scared to the point she almost called 911 for me.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Pallor
Clinical narrative: Moderna COVID-19 Vaccine EUA I had pain in shoulder at first, then the whole left arm sore then to the point I could not use it. The day after shot at 8:30 pm I was feeling fine. Then all of a sudden my face which is usually red turned pale white. My stomach got chills and started to sweat a lot. I could not keep my head up and was very close to passing out. My wife was scared to the point she almost called 911 for me.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Ageusia, Angiogram pulmonary abnormal, Anosmia, Barium swallow abnormal
Clinical narrative: Cough     Pt states been sick for 1-2 wks, can't eat, no taste, fatigue, diarrhea, slight headaches, cough. Had 2nd covid shot 4/29/21. ? Diarrhea ? Fatigue     Patient is a 81 y.o. female    HPI   Pt presents with concerns of possible Covid 19. Pt reports the following symptoms that started 10 days ago. Sinus pain and pressure No Fever/ chills Yes Headache Yes Body aches No Cough Yes Sob No Sore throat No Nausea/ vomiting/ diarrhea. Yes Loss of taste or smell Yes Medications used:Yes Tolerating fluids:Yes Tolerating. solids:Yes Smoke exposure:No Exposed to someone who tested positive for COVID 19: Yes History of asthma, bronchitis, pneumonia. yes   Patient felt sick before receiving her second COVID 19 vaccine on 4/29. She states her and her husband were also exposed to someone at church who tested positive x 5 days ago and they were not wearing masks.    She does use her rescue inhaler as needed for her cough.  ED to Hosp-Admission Discharged  5/5/2021 - 5/17/2021 (12 days)  Hospital   MD Last attending ? Treatment team Pneumonia due to COVID-19 virus Principal problem Discharge Summary MD (Physician) ? ? Internal Medicine           Discharge Summary   Hospitalist Medicine        Patient:  Date: 5/17/2021 DOB: Admission Date: 5/5/2021 PCP: DO Length of Stay: 10 Days Discharging provider:  MD Discharge Date: 5/17/2021     Admission Diagnosis     Medical Problems     Hospital Problems        POA   * (Principal) Pneumonia due to COVID-19 virus Yes       Asthma without status asthmaticus Yes       Systemic lupus erythematosus (CMS/HCC) Yes   Overview Signed 12/1/2020  7:46 AM by  LPN      Note: Document: 08/22/19 - Consults Rheumatology -           Paroxysmal atrial fibrillation  Yes       Atrial fibrillation with RVR  Yes       Esophageal stricture Yes
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal, Cholecystectomy, Computerised tomogram abdomen abnormal, Computerised tomogram pelvis abnormal
Clinical narrative: Cough     Pt states been sick for 1-2 wks, can't eat, no taste, fatigue, diarrhea, slight headaches, cough. Had 2nd covid shot 4/29/21. ? Diarrhea ? Fatigue     Patient is a 81 y.o. female    HPI   Pt presents with concerns of possible Covid 19. Pt reports the following symptoms that started 10 days ago. Sinus pain and pressure No Fever/ chills Yes Headache Yes Body aches No Cough Yes Sob No Sore throat No Nausea/ vomiting/ diarrhea. Yes Loss of taste or smell Yes Medications used:Yes Tolerating fluids:Yes Tolerating. solids:Yes Smoke exposure:No Exposed to someone who tested positive for COVID 19: Yes History of asthma, bronchitis, pneumonia. yes   Patient felt sick before receiving her second COVID 19 vaccine on 4/29. She states her and her husband were also exposed to someone at church who tested positive x 5 days ago and they were not wearing masks.    She does use her rescue inhaler as needed for her cough.  ED to Hosp-Admission Discharged  5/5/2021 - 5/17/2021 (12 days)  Hospital   MD Last attending ? Treatment team Pneumonia due to COVID-19 virus Principal problem Discharge Summary MD (Physician) ? ? Internal Medicine           Discharge Summary   Hospitalist Medicine        Patient:  Date: 5/17/2021 DOB: Admission Date: 5/5/2021 PCP: DO Length of Stay: 10 Days Discharging provider:  MD Discharge Date: 5/17/2021     Admission Diagnosis     Medical Problems     Hospital Problems        POA   * (Principal) Pneumonia due to COVID-19 virus Yes       Asthma without status asthmaticus Yes       Systemic lupus erythematosus (CMS/HCC) Yes   Overview Signed 12/1/2020  7:46 AM by  LPN      Note: Document: 08/22/19 - Consults Rheumatology -           Paroxysmal atrial fibrillation  Yes       Atrial fibrillation with RVR  Yes       Esophageal stricture Yes
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Diarrhoea, Diverticulum intestinal, Dyspnoea
Clinical narrative: Cough     Pt states been sick for 1-2 wks, can't eat, no taste, fatigue, diarrhea, slight headaches, cough. Had 2nd covid shot 4/29/21. ? Diarrhea ? Fatigue     Patient is a 81 y.o. female    HPI   Pt presents with concerns of possible Covid 19. Pt reports the following symptoms that started 10 days ago. Sinus pain and pressure No Fever/ chills Yes Headache Yes Body aches No Cough Yes Sob No Sore throat No Nausea/ vomiting/ diarrhea. Yes Loss of taste or smell Yes Medications used:Yes Tolerating fluids:Yes Tolerating. solids:Yes Smoke exposure:No Exposed to someone who tested positive for COVID 19: Yes History of asthma, bronchitis, pneumonia. yes   Patient felt sick before receiving her second COVID 19 vaccine on 4/29. She states her and her husband were also exposed to someone at church who tested positive x 5 days ago and they were not wearing masks.    She does use her rescue inhaler as needed for her cough.  ED to Hosp-Admission Discharged  5/5/2021 - 5/17/2021 (12 days)  Hospital   MD Last attending ? Treatment team Pneumonia due to COVID-19 virus Principal problem Discharge Summary MD (Physician) ? ? Internal Medicine           Discharge Summary   Hospitalist Medicine        Patient:  Date: 5/17/2021 DOB: Admission Date: 5/5/2021 PCP: DO Length of Stay: 10 Days Discharging provider:  MD Discharge Date: 5/17/2021     Admission Diagnosis     Medical Problems     Hospital Problems        POA   * (Principal) Pneumonia due to COVID-19 virus Yes       Asthma without status asthmaticus Yes       Systemic lupus erythematosus (CMS/HCC) Yes   Overview Signed 12/1/2020  7:46 AM by  LPN      Note: Document: 08/22/19 - Consults Rheumatology -           Paroxysmal atrial fibrillation  Yes       Atrial fibrillation with RVR  Yes       Esophageal stricture Yes
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hepatic steatosis, Hiatus hernia, Lung infiltration
Clinical narrative: Cough     Pt states been sick for 1-2 wks, can't eat, no taste, fatigue, diarrhea, slight headaches, cough. Had 2nd covid shot 4/29/21. ? Diarrhea ? Fatigue     Patient is a 81 y.o. female    HPI   Pt presents with concerns of possible Covid 19. Pt reports the following symptoms that started 10 days ago. Sinus pain and pressure No Fever/ chills Yes Headache Yes Body aches No Cough Yes Sob No Sore throat No Nausea/ vomiting/ diarrhea. Yes Loss of taste or smell Yes Medications used:Yes Tolerating fluids:Yes Tolerating. solids:Yes Smoke exposure:No Exposed to someone who tested positive for COVID 19: Yes History of asthma, bronchitis, pneumonia. yes   Patient felt sick before receiving her second COVID 19 vaccine on 4/29. She states her and her husband were also exposed to someone at church who tested positive x 5 days ago and they were not wearing masks.    She does use her rescue inhaler as needed for her cough.  ED to Hosp-Admission Discharged  5/5/2021 - 5/17/2021 (12 days)  Hospital   MD Last attending ? Treatment team Pneumonia due to COVID-19 virus Principal problem Discharge Summary MD (Physician) ? ? Internal Medicine           Discharge Summary   Hospitalist Medicine        Patient:  Date: 5/17/2021 DOB: Admission Date: 5/5/2021 PCP: DO Length of Stay: 10 Days Discharging provider:  MD Discharge Date: 5/17/2021     Admission Diagnosis     Medical Problems     Hospital Problems        POA   * (Principal) Pneumonia due to COVID-19 virus Yes       Asthma without status asthmaticus Yes       Systemic lupus erythematosus (CMS/HCC) Yes   Overview Signed 12/1/2020  7:46 AM by  LPN      Note: Document: 08/22/19 - Consults Rheumatology -           Paroxysmal atrial fibrillation  Yes       Atrial fibrillation with RVR  Yes       Esophageal stricture Yes
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Lung opacity, Malaise, Oesophageal disorder, Oesophagram, Pain
Clinical narrative: Cough     Pt states been sick for 1-2 wks, can't eat, no taste, fatigue, diarrhea, slight headaches, cough. Had 2nd covid shot 4/29/21. ? Diarrhea ? Fatigue     Patient is a 81 y.o. female    HPI   Pt presents with concerns of possible Covid 19. Pt reports the following symptoms that started 10 days ago. Sinus pain and pressure No Fever/ chills Yes Headache Yes Body aches No Cough Yes Sob No Sore throat No Nausea/ vomiting/ diarrhea. Yes Loss of taste or smell Yes Medications used:Yes Tolerating fluids:Yes Tolerating. solids:Yes Smoke exposure:No Exposed to someone who tested positive for COVID 19: Yes History of asthma, bronchitis, pneumonia. yes   Patient felt sick before receiving her second COVID 19 vaccine on 4/29. She states her and her husband were also exposed to someone at church who tested positive x 5 days ago and they were not wearing masks.    She does use her rescue inhaler as needed for her cough.  ED to Hosp-Admission Discharged  5/5/2021 - 5/17/2021 (12 days)  Hospital   MD Last attending ? Treatment team Pneumonia due to COVID-19 virus Principal problem Discharge Summary MD (Physician) ? ? Internal Medicine           Discharge Summary   Hospitalist Medicine        Patient:  Date: 5/17/2021 DOB: Admission Date: 5/5/2021 PCP: DO Length of Stay: 10 Days Discharging provider:  MD Discharge Date: 5/17/2021     Admission Diagnosis     Medical Problems     Hospital Problems        POA   * (Principal) Pneumonia due to COVID-19 virus Yes       Asthma without status asthmaticus Yes       Systemic lupus erythematosus (CMS/HCC) Yes   Overview Signed 12/1/2020  7:46 AM by  LPN      Note: Document: 08/22/19 - Consults Rheumatology -           Paroxysmal atrial fibrillation  Yes       Atrial fibrillation with RVR  Yes       Esophageal stricture Yes
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Paranasal sinus discomfort, Pleural effusion, SARS-CoV-2 test positive, Scan with contrast abnormal, Sinus pain
Clinical narrative: Cough     Pt states been sick for 1-2 wks, can't eat, no taste, fatigue, diarrhea, slight headaches, cough. Had 2nd covid shot 4/29/21. ? Diarrhea ? Fatigue     Patient is a 81 y.o. female    HPI   Pt presents with concerns of possible Covid 19. Pt reports the following symptoms that started 10 days ago. Sinus pain and pressure No Fever/ chills Yes Headache Yes Body aches No Cough Yes Sob No Sore throat No Nausea/ vomiting/ diarrhea. Yes Loss of taste or smell Yes Medications used:Yes Tolerating fluids:Yes Tolerating. solids:Yes Smoke exposure:No Exposed to someone who tested positive for COVID 19: Yes History of asthma, bronchitis, pneumonia. yes   Patient felt sick before receiving her second COVID 19 vaccine on 4/29. She states her and her husband were also exposed to someone at church who tested positive x 5 days ago and they were not wearing masks.    She does use her rescue inhaler as needed for her cough.  ED to Hosp-Admission Discharged  5/5/2021 - 5/17/2021 (12 days)  Hospital   MD Last attending ? Treatment team Pneumonia due to COVID-19 virus Principal problem Discharge Summary MD (Physician) ? ? Internal Medicine           Discharge Summary   Hospitalist Medicine        Patient:  Date: 5/17/2021 DOB: Admission Date: 5/5/2021 PCP: DO Length of Stay: 10 Days Discharging provider:  MD Discharge Date: 5/17/2021     Admission Diagnosis     Medical Problems     Hospital Problems        POA   * (Principal) Pneumonia due to COVID-19 virus Yes       Asthma without status asthmaticus Yes       Systemic lupus erythematosus (CMS/HCC) Yes   Overview Signed 12/1/2020  7:46 AM by  LPN      Note: Document: 08/22/19 - Consults Rheumatology -           Paroxysmal atrial fibrillation  Yes       Atrial fibrillation with RVR  Yes       Esophageal stricture Yes
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Splenic lesion
Clinical narrative: Cough     Pt states been sick for 1-2 wks, can't eat, no taste, fatigue, diarrhea, slight headaches, cough. Had 2nd covid shot 4/29/21. ? Diarrhea ? Fatigue     Patient is a 81 y.o. female    HPI   Pt presents with concerns of possible Covid 19. Pt reports the following symptoms that started 10 days ago. Sinus pain and pressure No Fever/ chills Yes Headache Yes Body aches No Cough Yes Sob No Sore throat No Nausea/ vomiting/ diarrhea. Yes Loss of taste or smell Yes Medications used:Yes Tolerating fluids:Yes Tolerating. solids:Yes Smoke exposure:No Exposed to someone who tested positive for COVID 19: Yes History of asthma, bronchitis, pneumonia. yes   Patient felt sick before receiving her second COVID 19 vaccine on 4/29. She states her and her husband were also exposed to someone at church who tested positive x 5 days ago and they were not wearing masks.    She does use her rescue inhaler as needed for her cough.  ED to Hosp-Admission Discharged  5/5/2021 - 5/17/2021 (12 days)  Hospital   MD Last attending ? Treatment team Pneumonia due to COVID-19 virus Principal problem Discharge Summary MD (Physician) ? ? Internal Medicine           Discharge Summary   Hospitalist Medicine        Patient:  Date: 5/17/2021 DOB: Admission Date: 5/5/2021 PCP: DO Length of Stay: 10 Days Discharging provider:  MD Discharge Date: 5/17/2021     Admission Diagnosis     Medical Problems     Hospital Problems        POA   * (Principal) Pneumonia due to COVID-19 virus Yes       Asthma without status asthmaticus Yes       Systemic lupus erythematosus (CMS/HCC) Yes   Overview Signed 12/1/2020  7:46 AM by  LPN      Note: Document: 08/22/19 - Consults Rheumatology -           Paroxysmal atrial fibrillation  Yes       Atrial fibrillation with RVR  Yes       Esophageal stricture Yes
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient started vomiting 7 minutes after receiving the vaccine. Patient vital signs taken by Nurse Practitioner on site . Vital signs stable. Client given ice pack and was given water. Client observed for additional 30 minutes and was able to leave without any further reactions. Advised to of side effects and to go to ER  for  SOB
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness
Clinical narrative: Dizziness and chest tightness
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Blister, Pruritus
Clinical narrative: Large blisters all on the back and back of legs. Extremely itchy. Resolved in 1 week. Pt reported same side effects from a bubonic plague vaccine received decades ago.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Angiogram pulmonary normal, Chest pain, Dyspnoea, Electrocardiogram ST-T change
Clinical narrative: no notable previous history who presented 5/1/2021 ~0130 with chest pain and shortness of breath. History notable for Moderna COVID-19 vaccination 4 days prior (that would be 4/27/21) with subsequent development of fever, myalgias, sore throat. Then on 4/30/21 developed acute onset of shortness of breath and chest pain. Seen at ED. Exam and work-up revealed elevated troponin, unremarkable CTA of chest, EKG with diffuse slight ST changes. Patient was subsequently admitted to hospital for possible myocarditis. Per consult - Differential diagnosis includes pericarditis, myocarditis, acute coronary syndrome. Later in the day (~1530), had worsening chest pain and ST elevated noted on EKG. Pt did disclose at that time that he used cocaine about 8 days earlier. Pt transferred to Hospital for treatment of STEMI. Note: covid-19 vaccine info is pt reported, unable to access any Immunization records for this patient. Place where pt received vaccine is also unknown.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Oropharyngeal pain, Pyrexia, Troponin increased
Clinical narrative: no notable previous history who presented 5/1/2021 ~0130 with chest pain and shortness of breath. History notable for Moderna COVID-19 vaccination 4 days prior (that would be 4/27/21) with subsequent development of fever, myalgias, sore throat. Then on 4/30/21 developed acute onset of shortness of breath and chest pain. Seen at ED. Exam and work-up revealed elevated troponin, unremarkable CTA of chest, EKG with diffuse slight ST changes. Patient was subsequently admitted to hospital for possible myocarditis. Per consult - Differential diagnosis includes pericarditis, myocarditis, acute coronary syndrome. Later in the day (~1530), had worsening chest pain and ST elevated noted on EKG. Pt did disclose at that time that he used cocaine about 8 days earlier. Pt transferred to Hospital for treatment of STEMI. Note: covid-19 vaccine info is pt reported, unable to access any Immunization records for this patient. Place where pt received vaccine is also unknown.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Eye haemorrhage
Clinical narrative: About two to three  weeks after my second vaccination I woke up with a broken blood vessel in my left eye on the inside corner.  I looked it up and saw it was nothing serious. The following week after it healed I woke up with a bruise under my left eye. I then went to the eye  doctor because I was concerned. She checked me thoroughly and asked if I had taken ibuprofen recently. I had, twice in the last week for muscle soreness. She said she believed that was the cause and not to worry. The bruise went away the same week which was last week. I have taken ibuprofen for decades without any side effects. Today I saw my ex husband and same thing...he had a broken blood vessel in the inner corner of his eye! Again never happened before. Common denominators...we both had the Pyser vaccine, we both took ibuprofen weeks or months after...he?s a doctor so he was vaccinated a few months before me....the point being it?s very  odd it happened to both of us. He did have Covid in November of 2020. I have not gotten it luckily. I am reporting these occurrences because you need to do the math with all the information we can provide you with. Thank you for your time and attention to this matter.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Dizziness, Electroencephalogram normal, Feeling abnormal, Full blood count decreased
Clinical narrative: On 04-02-2021, woke up feeling dizzy and out of it also has loss of consciousness. I went to the movies with my sister and had a seizure some time while at the movies.  I went to the hospital and at the hospital I had a second convulsion seizure at the hospital which lasted 10 minutes and something that I had low blood count. They kept me at the hospital for 2-3 days. I also had migraines and taking anti convulsion medication. They performed MRI, EEG's, CT scans and all my exams came back within normal limits. I am not epileptic.   I believe I am now stable and taking my medicine as prescribed, I am still out of work and I have not had a seizure since being at the hospital.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Loss of consciousness, Magnetic resonance imaging normal, Migraine, Seizure
Clinical narrative: On 04-02-2021, woke up feeling dizzy and out of it also has loss of consciousness. I went to the movies with my sister and had a seizure some time while at the movies.  I went to the hospital and at the hospital I had a second convulsion seizure at the hospital which lasted 10 minutes and something that I had low blood count. They kept me at the hospital for 2-3 days. I also had migraines and taking anti convulsion medication. They performed MRI, EEG's, CT scans and all my exams came back within normal limits. I am not epileptic.   I believe I am now stable and taking my medicine as prescribed, I am still out of work and I have not had a seizure since being at the hospital.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Nervousness
Clinical narrative: Patient presented for 2nd dose of Pfizer vaccine.  RN was the nurse to administer the vaccine.  Prior to administering the vaccine, she began the documentation.  That is when a warning popped up saying the patient had already received maximum doses of vaccine.  RN excused herself and found the clinic lead.  I queried the patient and noted that she received Pfizer vaccine on 3/16/21, 4/6/21, and 4/30/21.    I asked the patient if she received a first and second dose, and she responded "yes".  I asked if she received a 3rd dose with us and she responded "yes".  I asked if she was wanting a 4th dose of vaccine today, and she responded "yes".  I educated the patient that she was considered fully vaccinated after 2 doses of the vaccine and that she didn't not need any further doses.  She responded that she is immunocompromised and wants to receive more than 2 doses.  She understands in other countries they are giving 3rd and 4th doses to patients similar to herself.  I explained that in this country, we are only authorized to give 2 doses 3 weeks apart and that I would not be giving her another dose today.  I told her I would need to report this error.  She asked if she had just gotten us in trouble, to which I responded "no".  I also reassured her that she was not in any trouble, but that she shouldn't continue to seek more vaccines.  At this point she shared that she works at a university and the first 2 COVID cases on campus occurred in the lab that she works.  Next week, things on campus are "going back to normal" and she is nervous.  I told her that it's ok to be nervous and scared, especially after everything we've been through in the last year.  I reassured her that she is fully vaccinated and that she can continue to wear her mask (she had on 3) as long as she felt comfortable.  I reiterated that I would not be administering a 4th dose of vaccine today, and she verbalized that she understood and left with her driver.  Throughout the entire encounter, she was very calm and forthcoming.  I contacted department head and discussed the situation.  She advised me to complete a VAERS report, which I will do.  The patient didn't report any adverse side effects to her 3rd dose.
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Dysphonia, Periorbital swelling, Swollen tongue
Clinical narrative: Pt reported an anaphylactic history to bee stings with his last reaction being in 2017 during his screening. Pt was instructed to wait an additional 30 minutes following his vaccination. Pt was given his vaccine at 1134. Pt reported a sensation of "tongue swelling and chest tightness" at 1139. Pt reported it felt like his past anaphylactic reaction. Pt voice sounded muffled, tongue appeared swollen. Pt self administered 1 adult Epi Pen at 1139 with x1 RN and x1 medic supervision. VS were taken. HR was 107, BP was 137/92, SpO2 was 97%. Lung sounds were clear in the apices and diminished in the bases bilaterally. Periorbital swelling was noted at 1140. 911 was called and an ambulance was dispatched at this time. The pt denied a feeling of nausea, denied dizziness. Pt was alert and oriented x4/4 for the entirety of observation. VS were taken again at 1144. The HR was 97, BP was 131/85, SpO2 was 97%. Last reported oral intake of a "bagel and coffee at 0800". VS taken again at 1147, HR 101, BP 135/86, SpO2 98%. Pt reported a continued feeling of throat tightness, periorbital swelling was increasing. Ambulance arrived at 1154 and was given full report. Paramedic assumed care at 1155. Paramedic team deemed it safe to administer one more dose of epinephrine and transport patient via ambulance to ER.
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Dysphonia, Periorbital swelling, Swollen tongue, Throat tightness
Clinical narrative: Pt reported an anaphylactic history to bee stings with his last reaction being in 2017 during his screening. Pt was instructed to wait an additional 30 minutes following his vaccination. Pt was given his vaccine at 1134. Pt reported a sensation of "tongue swelling and chest tightness" at 1139. Pt reported it felt like his past anaphylactic reaction. Pt voice sounded muffled, tongue appeared swollen. Pt self administered 1 adult Epi Pen at 1139 with x1 RN and x1 medic supervision. VS were taken. HR was 107, BP was 137/92, SpO2 was 97%. Lung sounds were clear in the apices and diminished in the bases bilaterally. Periorbital swelling was noted at 1140. 911 was called and an ambulance was dispatched at this time. The pt denied a feeling of nausea, denied dizziness. Pt was alert and oriented x4/4 for the entirety of observation. VS were taken again at 1144. The HR was 97, BP was 131/85, SpO2 was 97%. Last reported oral intake of a "bagel and coffee at 0800". VS taken again at 1147, HR 101, BP 135/86, SpO2 98%. Pt reported a continued feeling of throat tightness, periorbital swelling was increasing. Ambulance arrived at 1154 and was given full report. Paramedic assumed care at 1155. Paramedic team deemed it safe to administer one more dose of epinephrine and transport patient via ambulance to ER.
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Syncope, Vomiting
Clinical narrative: Patient over 10-15 minutes about 5 minutes after shot fainted and came back to several times. patient also vomited.
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Aphasia, Blindness, Chest X-ray normal, Chest discomfort
Clinical narrative: Patient over 10-15 minutes about 5 minutes after shot fainted and came back to several times. patient also vomited.
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Computerised tomogram normal, Deafness, Disturbance in attention, Dizziness
Clinical narrative: Patient over 10-15 minutes about 5 minutes after shot fainted and came back to several times. patient also vomited.
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Hypersensitivity, Hypoaesthesia, Hypotension, Loss of consciousness
Clinical narrative: Patient over 10-15 minutes about 5 minutes after shot fainted and came back to several times. patient also vomited.
Age: 21.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia oral, Syncope, Throat tightness, Vision blurred, Vomiting
Clinical narrative: Patient over 10-15 minutes about 5 minutes after shot fainted and came back to several times. patient also vomited.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral venous thrombosis, Computerised tomogram head abnormal, Craniocerebral injury, Dizziness, Haemodynamic instability
Clinical narrative: Pt found down on 5/7 for unknown period of time. Prodromal dizziness reported, but no additional history or witnesses until pt found down. At ER presentation, noted CHI with subdural hematoma and intracranial hemorrhage. Also noted left cortical vein thrombosis. Follow-up imaging after 24 hours demonstrated persistence of above findings. Pt had concomitant humerus fracture and medical instability after being found down. Now stable but below baseline in rehab facility.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhage intracranial, Humerus fracture, Loss of consciousness, Subdural haematoma
Clinical narrative: Pt found down on 5/7 for unknown period of time. Prodromal dizziness reported, but no additional history or witnesses until pt found down. At ER presentation, noted CHI with subdural hematoma and intracranial hemorrhage. Also noted left cortical vein thrombosis. Follow-up imaging after 24 hours demonstrated persistence of above findings. Pt had concomitant humerus fracture and medical instability after being found down. Now stable but below baseline in rehab facility.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Exposure to SARS-CoV-2, Fatigue, Nasal congestion, SARS-CoV-2 test
Clinical narrative: Exposure to COVID-19 virus  Fatigue, unspecified type  Nasal congestion  Cough
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Rash papular, Rash pruritic, Urticaria
Clinical narrative: Lot number ???:  Vol 0.3ML  Hives: Hundreds of raised skin tone itching bumps between knees and neck on all parts except gentles  Still occurring, Has not subsided 24 hours later.  Treating with OTC 1% Hydrocortisone.  Little effect.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Exposure during pregnancy, Oropharyngeal pain, Pain, Pain in extremity
Clinical narrative: That evening I had body aches and felt feverish. It continued through the next day and then by dinner time that night I was fine. I had a sore arm, too. That lasted two days. On May 10th, three weeks after second dose - cough, congestion, sore throat. Tested negative for COVID. No treatment - just managed with Tylenol but nothing much since I'm pregnant. I had the cold symptoms for about a week and half. Pregnancy history- third pregnancy - other two were full-term. Estimated date of delivery is May 30, 2021
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative
Clinical narrative: That evening I had body aches and felt feverish. It continued through the next day and then by dinner time that night I was fine. I had a sore arm, too. That lasted two days. On May 10th, three weeks after second dose - cough, congestion, sore throat. Tested negative for COVID. No treatment - just managed with Tylenol but nothing much since I'm pregnant. I had the cold symptoms for about a week and half. Pregnancy history- third pregnancy - other two were full-term. Estimated date of delivery is May 30, 2021
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Angioedema, Blood pressure measurement, Chills, Condition aggravated
Clinical narrative: Severe angiodema to face and lips, determined to be caused by Lisinopril, but all subsequent BP drugs caused allergic reaction, increasing in severity.  Fatigue, severe and on-going headaches, severe tinnitus, mid fog, sore throat, congestion, chills and sweats.  Unable to resolve via allergy testing, change in meds.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Hyperhidrosis, Nasal congestion
Clinical narrative: Severe angiodema to face and lips, determined to be caused by Lisinopril, but all subsequent BP drugs caused allergic reaction, increasing in severity.  Fatigue, severe and on-going headaches, severe tinnitus, mid fog, sore throat, congestion, chills and sweats.  Unable to resolve via allergy testing, change in meds.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, SARS-CoV-2 test, Tinnitus
Clinical narrative: Severe angiodema to face and lips, determined to be caused by Lisinopril, but all subsequent BP drugs caused allergic reaction, increasing in severity.  Fatigue, severe and on-going headaches, severe tinnitus, mid fog, sore throat, congestion, chills and sweats.  Unable to resolve via allergy testing, change in meds.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Nausea, Tremor, Urinary incontinence
Clinical narrative: Patient passed out while sitting in a chair during an observation period after the shot. His body started to slightly shake, and he urinated himself. The pt. woke up right after that. He claimed he felt very light headed and like he wanted to vomit.  The patient was given water and was observed for 15 more minutes. He claimed he felt better, just slightly light headed. A friend came to pick him up.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Impaired work ability, Nodule
Clinical narrative: patient started with back pain the next day and it progressed to nodules in the muscles of the back, starting with left lower back, left upper back, then appearing in the right lower and upper back. Patient had to take time off work and file for short term disability
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Chills, Cough
Clinical narrative: I went to the vaccine shot and we were crammed in there. I got the shot and I went home and I felt fine and then 11 that night I started to get a fever and chills and I started ranting, yelling couldn?t get to sleep the next day everything was gone. I started to have a small cough on Sunday morning. On the Monday I went to a college visit when my daughter to  and I didn?t feel bad at this time I was masked for most of the time. And Tuesday morning I woke up and had a sore throat and a cough that grew in to some body aches and I contacted the doc I lost my sense of taste and smell I contacted a doctor telehealth who set up and a covid test (positive) . From the time that I was not feeling well I did separate my self from everyone. The aches lasted for about 5/6 days and the body aches I did have a lingering cough. My instructions were to stay out 10 days starting 04/02 and I could go back to work on 04/12 if I was fever free and the other symptoms were improving
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Insomnia, Malaise, Mood altered, Oropharyngeal pain, Pain
Clinical narrative: I went to the vaccine shot and we were crammed in there. I got the shot and I went home and I felt fine and then 11 that night I started to get a fever and chills and I started ranting, yelling couldn?t get to sleep the next day everything was gone. I started to have a small cough on Sunday morning. On the Monday I went to a college visit when my daughter to  and I didn?t feel bad at this time I was masked for most of the time. And Tuesday morning I woke up and had a sore throat and a cough that grew in to some body aches and I contacted the doc I lost my sense of taste and smell I contacted a doctor telehealth who set up and a covid test (positive) . From the time that I was not feeling well I did separate my self from everyone. The aches lasted for about 5/6 days and the body aches I did have a lingering cough. My instructions were to stay out 10 days starting 04/02 and I could go back to work on 04/12 if I was fever free and the other symptoms were improving
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I went to the vaccine shot and we were crammed in there. I got the shot and I went home and I felt fine and then 11 that night I started to get a fever and chills and I started ranting, yelling couldn?t get to sleep the next day everything was gone. I started to have a small cough on Sunday morning. On the Monday I went to a college visit when my daughter to  and I didn?t feel bad at this time I was masked for most of the time. And Tuesday morning I woke up and had a sore throat and a cough that grew in to some body aches and I contacted the doc I lost my sense of taste and smell I contacted a doctor telehealth who set up and a covid test (positive) . From the time that I was not feeling well I did separate my self from everyone. The aches lasted for about 5/6 days and the body aches I did have a lingering cough. My instructions were to stay out 10 days starting 04/02 and I could go back to work on 04/12 if I was fever free and the other symptoms were improving
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: Have had continued, persistent elevated heart rate during aerobic activity (running) since the second vaccine shot, now over a month; unable to keep below ?easy? heart rate at almost any pace. RHR is slightly elevated. Feel fine during the day, but during activity routinely seeing heart rate in the 165-180 zone during slow paces.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness postural, Loss of consciousness, Malaise
Clinical narrative: Immediately following vaccine administration, patient stood and felt dizzy and clinic staff notified immunizer. Immunizer sat with patient and pharmacist was notified of patient feeling unwell. Patient was partially conscious and sitting in chair, leaning against another immunizer. Pharmacist stepped away to acquire ammonia inhalant from emergency kit. Patient was then moved to the ground and was fully unconscious. Pharmacist used ammonia inhalant. Patient then awoke and was able to sit up after 5 minutes. Gave patient water, orange juice, and pretzels and directly observed patient for 15 additional minutes. Patient's family member then remained with patient until patient was feeling well enough to stand up.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site rash
Clinical narrative: Immediately following vaccine administration, patient stood and felt dizzy and clinic staff notified immunizer. Immunizer sat with patient and pharmacist was notified of patient feeling unwell. Patient was partially conscious and sitting in chair, leaning against another immunizer. Pharmacist stepped away to acquire ammonia inhalant from emergency kit. Patient was then moved to the ground and was fully unconscious. Pharmacist used ammonia inhalant. Patient then awoke and was able to sit up after 5 minutes. Gave patient water, orange juice, and pretzels and directly observed patient for 15 additional minutes. Patient's family member then remained with patient until patient was feeling well enough to stand up.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: Patient was admitted to the hospital on 05/21/2021 with bilateral pulmonary embolism of unclear etiology.   Risk factors for pulmonary embolism included obesity and  tobacco abuse.  No other risk factors for pulmonary embolism.   She received her 1st dose of the phizer COVID-19 vaccination less than 30 days prior to presentation with PE.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Dizziness, Nausea
Clinical narrative: Pt became dizzy and nauseated post vaccination, experienced cardiac dysrythmia, transported to hospital via EMS.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Immediate post-injection reaction, Presyncope, Syncope, Vision blurred
Clinical narrative: 28 year-old-male with no past medical history presented with episode of vasovagal syncope. Patient states he feels "dizzy, blurry vision, and lightheaded"  immediately after receiving the vaccination. The patient was placed on the floor by the nurse who administered the vaccine and his lower extremities were elevated. Patients HR was 68 and SpO2 was 98%. That patient was given fluids and then taken to the medical tent for evaluation. Vital signs were: BP 122/84, HR69, RR18, SpO2 98%, and Temp 98F.  After 5 minutes in the medical tent, the patient stated he felt much better and wanted to go home.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Headache, Pain, SARS-CoV-2 test positive
Clinical narrative: History Chief Complaint Patient presents with ? Covid-19 Screening     exposed to coworker on friday ? Headache     since Friday 04/16/2021 ? Generalized Body Aches
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint stiffness, X-ray normal
Clinical narrative: I have a symptom of rheumatoid arthritis in my hands.  Every morning for approximately the past month, I have woken up with stiff/painful joints.  The pain gets better throughout the day, but never goes away.