chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Sepsis, Vomiting
Clinical narrative: On 4/21 patient was seen at urgent care with symptoms for several days: history of fever up to 101, abdominal pain, nausea, vomiting, diarrhea and body aches, 1 week post 2nd dose of vaccine. Patient admitted to ED on 4/30 with high fever up to 104, generalized body aches and a lack of energy.  Patient was diagnosed with AKI on CKD, secondary to sepsis and polycystic kidney disease, patient was given fluids and ceftriaxone.  discharged 5/3
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Fatigue, Feeling jittery, Headache, Hypersomnia
Clinical narrative: My primary dr but I received vaccines via pharmacy.     4/2nd 1st vaccine: nausea, light headache & extreme fatigue. I fell asleep several hrs after I got it & was fatigued the next day. Additionally, began to feel jittery/clumsy w/ my fingers, eye twitching, some shooting pains on the legs, some vertigo. The jitters stayed for about a wk or so, eye twitching was bad & I felt a little anxiety ridden/panic attack like. After 4 wks passed, eye twitching had lessened, vision kept changing thruout this time & jitters seemed to be gone. Interesting, I had not had a menstrual cycle in many months but had one 3 - 4 weeks after vaccine.     5/2nd 2nd vaccine: I was a little tired the 1st day. Two days later, I was hit with fatigue, jitters, eye twitching too but lighter version. Along w/fatigue, I didn't feel like myself & felt anxious & short.  I started to have internal vibrations/shaking of tingling toes/fingers/abdomen/vaginal area - light burning too. Recently, a little on my left shoulder. As well, I had some highly infrequent but sharp, painful aching pains in foot area. Last 3 days I feel like my energy is up again, like myself. Vibrations & eye/vision issues continue though not as bad. I hope it all resolves and I continued in this better state.  I do hope to get back to 100% though.  This has all been concerning.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstrual disorder, Muscle twitching, Nausea, Pain, Vertigo
Clinical narrative: My primary dr but I received vaccines via pharmacy.     4/2nd 1st vaccine: nausea, light headache & extreme fatigue. I fell asleep several hrs after I got it & was fatigued the next day. Additionally, began to feel jittery/clumsy w/ my fingers, eye twitching, some shooting pains on the legs, some vertigo. The jitters stayed for about a wk or so, eye twitching was bad & I felt a little anxiety ridden/panic attack like. After 4 wks passed, eye twitching had lessened, vision kept changing thruout this time & jitters seemed to be gone. Interesting, I had not had a menstrual cycle in many months but had one 3 - 4 weeks after vaccine.     5/2nd 2nd vaccine: I was a little tired the 1st day. Two days later, I was hit with fatigue, jitters, eye twitching too but lighter version. Along w/fatigue, I didn't feel like myself & felt anxious & short.  I started to have internal vibrations/shaking of tingling toes/fingers/abdomen/vaginal area - light burning too. Recently, a little on my left shoulder. As well, I had some highly infrequent but sharp, painful aching pains in foot area. Last 3 days I feel like my energy is up again, like myself. Vibrations & eye/vision issues continue though not as bad. I hope it all resolves and I continued in this better state.  I do hope to get back to 100% though.  This has all been concerning.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Visual impairment
Clinical narrative: My primary dr but I received vaccines via pharmacy.     4/2nd 1st vaccine: nausea, light headache & extreme fatigue. I fell asleep several hrs after I got it & was fatigued the next day. Additionally, began to feel jittery/clumsy w/ my fingers, eye twitching, some shooting pains on the legs, some vertigo. The jitters stayed for about a wk or so, eye twitching was bad & I felt a little anxiety ridden/panic attack like. After 4 wks passed, eye twitching had lessened, vision kept changing thruout this time & jitters seemed to be gone. Interesting, I had not had a menstrual cycle in many months but had one 3 - 4 weeks after vaccine.     5/2nd 2nd vaccine: I was a little tired the 1st day. Two days later, I was hit with fatigue, jitters, eye twitching too but lighter version. Along w/fatigue, I didn't feel like myself & felt anxious & short.  I started to have internal vibrations/shaking of tingling toes/fingers/abdomen/vaginal area - light burning too. Recently, a little on my left shoulder. As well, I had some highly infrequent but sharp, painful aching pains in foot area. Last 3 days I feel like my energy is up again, like myself. Vibrations & eye/vision issues continue though not as bad. I hope it all resolves and I continued in this better state.  I do hope to get back to 100% though.  This has all been concerning.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Fall, Head injury, Loss of consciousness, Pallor
Clinical narrative: Patient was in the waiting area for about 10 minutes then turned pale and passed out. They fell out of the chair they were in and hit their head on the floor. They regained consciousness within about 10 seconds. EMT was called and responded to help treat and advise the patient on the next steps.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis, Exposure during pregnancy, Laboratory test, Rash, Rash erythematous
Clinical narrative: 29 weeks pregnant at the time of vaccination, Down syndrome baby, due date July 21st but will be induced July 7th.  Tuesday May 18th began having a red itchy skin reaction around the breast area around 4pm which moved to the torso and belly and hips, itchy red bumps by 12am.   Took Benadryl, 2 pills every 4-6 hours,  after third dose, then switched to Zyrtec, one pill.  Also applied aloe vera cream.   Currently my skin is beginning to clear up but still itchy.  Doctor looked at rash.  It is 12:50pm on May 21.  Also experiencing very minor nose bleeding today, May 21st.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic
Clinical narrative: 29 weeks pregnant at the time of vaccination, Down syndrome baby, due date July 21st but will be induced July 7th.  Tuesday May 18th began having a red itchy skin reaction around the breast area around 4pm which moved to the torso and belly and hips, itchy red bumps by 12am.   Took Benadryl, 2 pills every 4-6 hours,  after third dose, then switched to Zyrtec, one pill.  Also applied aloe vera cream.   Currently my skin is beginning to clear up but still itchy.  Doctor looked at rash.  It is 12:50pm on May 21.  Also experiencing very minor nose bleeding today, May 21st.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Presyncope
Clinical narrative: 5 minutes after vaccination patient had sign and symptoms of Vasovagal reaction. Patient felt dizziness, passed out. Patient was given apple juice, salty snack, bottle of water.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Inappropriate schedule of product administration, Pain, Pyrexia
Clinical narrative: Fever, severe vomiting, headache, body aches, exhaustion
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Fever, severe vomiting, headache, body aches, exhaustion
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Eye pain, Head discomfort, Headache, Lymphadenopathy
Clinical narrative: Client sts that he received his 2nd covid vaccine of Pfizer at the Health Department. He sts that he started having onset of severe headache/pressure in head, painful bilateral eye movement and noticed that he has a "swollen lymph node" on the left upper clavicle/neck area. Client sts that this swollen area is palpable, but not painful to touch. He denies any difficulty in breathing, swelling to mouth. sts that his s/s were more severe on 5/19 and 5/20, and seemed to feel slightly better as of today, 5/21.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Feeling cold, Headache, Hot flush
Clinical narrative: The evening of 5/13/21 pt experienced light headedness, tired, hot/cold flashes; headache, nausea and vomitted once which continued until the evening of 5/15/2021.  Has been ok since.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: The evening of 5/13/21 pt experienced light headedness, tired, hot/cold flashes; headache, nausea and vomitted once which continued until the evening of 5/15/2021.  Has been ok since.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Post vaccine (10:00am) pt experienced lightheadedness, dizziness and nausea. PT reported that she had not eaten; given juice and granola bar. 5 mins later pt reported nausea, but unable to vomit. PT continued to report dizziness. PT assisted to lay down on mat with legs up on chair. Cold compress to head and clothing loosened. Vitals remained stable, but symptoms would resolve only for a short period and would return. 911 called at 1037. EMT arrived at 1049. Following evaluation, PT transported to hospital for further evaluation and treatment if needed.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac murmur, Dyspnoea, Electrocardiogram, Fatigue, Long QT syndrome
Clinical narrative: She got her vaccine and within 10 minutes she felt like her heart did a big woosh and was sitting with her husband and told him that it was hitting her blood stream as she had not had the reaction since starting some medication due to lupus.  The first hour it was fairly overwhelming wooshing sensation that made her feel uncomfortable and restless, and then got less.  Over the course of the week it continued to happen and did not feel right.  She called her PCP and by the time she got to see him  on 5/20/21 it had been a month, but had not worsened to go to the ER.  She had an EKG that showed acquired long QT syndrome, and told her that she could not get the 2nd vaccine.   He said that if she got hte 2nd vaccine that there was a likelihood that she would develop Torsades de pointes and that it could be life threatening.  Now he has to be careful on what to treat her due to this condition.   He told her to take really good care of herself and to continue take her medications and if it got worse to go to the ER.  She will FU with him in a month and he would continue to check EKG's to see if it will go away or not.   She is more tired and if she goes up and down the steps she is out of breath much quicker than before this condition.  She had several  normal EKG's in the past that he compared the last one with and she did not have this condition on previous EKG's.    She wishes that they would put out information for people who have autoimmune issues to publish these reactions to be watchful of reactions.  Feels they need to update the website to report similar side effects.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Restlessness
Clinical narrative: She got her vaccine and within 10 minutes she felt like her heart did a big woosh and was sitting with her husband and told him that it was hitting her blood stream as she had not had the reaction since starting some medication due to lupus.  The first hour it was fairly overwhelming wooshing sensation that made her feel uncomfortable and restless, and then got less.  Over the course of the week it continued to happen and did not feel right.  She called her PCP and by the time she got to see him  on 5/20/21 it had been a month, but had not worsened to go to the ER.  She had an EKG that showed acquired long QT syndrome, and told her that she could not get the 2nd vaccine.   He said that if she got hte 2nd vaccine that there was a likelihood that she would develop Torsades de pointes and that it could be life threatening.  Now he has to be careful on what to treat her due to this condition.   He told her to take really good care of herself and to continue take her medications and if it got worse to go to the ER.  She will FU with him in a month and he would continue to check EKG's to see if it will go away or not.   She is more tired and if she goes up and down the steps she is out of breath much quicker than before this condition.  She had several  normal EKG's in the past that he compared the last one with and she did not have this condition on previous EKG's.    She wishes that they would put out information for people who have autoimmune issues to publish these reactions to be watchful of reactions.  Feels they need to update the website to report similar side effects.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Paraesthesia
Clinical narrative: Pt. completed full observation without event and arrived at checkout complaining of dizziness, lightheadedness and tingling sensation. Returned to observation and laid down. Cleared by EMS to exit facility.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: Severe headache
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Head discomfort, Musculoskeletal stiffness, Nausea
Clinical narrative: PT REPORTED HEAD FULLNESS, STIFFSNESS OR NECK, SLIGHT DIZZINESS  AND NAUSEA, PT STATED SHE IS IMMUNOCOMPROMISED AS SHE AHAS AN AUTOIMMUNE DISEASE AND CURRENTLY UNDERGOING CHEMO TREATMENTS AND ON CELLECOT. PT DENIES SOB, DYSPNEA. PAIN @INECTION SITE, ITCHINESS OR SWELLING. PT INSTRUCTED TO LAY HEAD FLAT AND ENCOURGE TO DRINK WATER VITAL SIGNS 93% ON RA AND HR 94BPM. AFTER ABOUT 20 MIN PT SATED SH NO LONGER FELT DIZZINESS, NAUSEA, PT STILLREPORTED HEAD FULLNESS AND NECK STIFFSNESS AND PT FINISHED 30 MIN OF OBSERVATION TIME AND LEFT.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac failure, Death, Pancreatic carcinoma
Clinical narrative: NA Acute Systolic AFIB Pancreatic cancer  Heart Failure
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Balance disorder, Dizziness, Fatigue, Vertigo
Clinical narrative: Dizziness /vertigo lose balance getting up from lying or sitting. Cannot lay in bed with head up  joint pain bad in hands tired alot  nothing like this at all before shot!
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Nausea, Throat irritation
Clinical narrative: approx 15 mins post injection client's mother states client is not feeling well. Eval'd client, c/o mild nausea and "throat feels a little scratchy"  denies any other s/s.  v/s remained stable throughout, Administered 5mg of Zyrtec to client, observed for another 30 mins, client states "feeling normal as always now" discharged from site, in stable condition.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Patient felt dizzy and nauseated post vaccination, recovered and released
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Arteriosclerosis, Back pain, Blood electrolytes normal, COVID-19
Clinical narrative: >> May 6, 2021  8:31 AM staff wrote: Pt has diarrhea, vomiting, headache, upset stomach, legs and back hurts. Pt has fever yesterday but not today. Pt is cold all the time. Pt has no cough. Sx started Mon 5/3.  ED Discharged  5/6/2021 (4 hours) Hospital Emergency Department  MD Last attending ? Treatment team Viral gastroenteritis Clinical impression Diarrhea ? Vomiting Chief complaint ED Provider Notes PA-C (Physician Assistant) ? ? Emergency Medicine Cosigned by: MD at 5/7/2021  9:34 AM Expand AllCollapse All      HPI      Chief Complaint Patient presents with ? Diarrhea ? Vomiting  ED Discharged  5/9/2021 (3 hours) Hospital Emergency Department  DO Last attending ? Treatment team Non-intractable vomiting with nausea, unspecified vomiting type +1 more Clinical impression Nausea Chief complaint   MDM MDM Records requested and reviewed by me showed patient was here and evaluated on May 6 at that time had a normal WBC count normal electrolytes with exception of chronic kidney disease with GFR 48 normal lactic acid and a coronavirus test which was positive. 5:09 AM After Zofran, patient has tolerated oral intake.  Will discharge to home to follow-up as an outpatient with her primary or return to the emergency department at anytime for worsening symptoms or concerns.  She was advised symptomatic treatment drinking plenty of fluids and rest. =================================================================== Initial pulse oximetry reviewed. Patient is 98% on room air indicating adequate oxygenation.     ===================================================================     The patient is in Stable condition at the time of 5:09 AM. Office Visit 5/12/2021 Family clinic  PA-C Family clinic COVID-19 virus infection +1 more Dx Hospital Follow-up  Reason for Visit Progress Notes PA-C (Physician Assistant) ? ? Family Medicine ? ? Encounter Date: 5/12/2021 ? ? Signed Cosigned by: MD at 5/14/2021 10:35 AM Expand AllCollapse All      Assessment/Plan       Patient was seen today for hospital follow-up.   Diagnoses and all orders for this visit:   COVID-19 virus infection Comments: 5/7/2021. today she is asymptomatic and afebrile.   Diarrhea of presumed infectious origin Comments: has resolved, she has some loose stools, but that is her normal. Rest Plenty of fluids  Continue sitting outside Vitamin D and C Handwashing wear mask at all timed Social distancing   All the patient's questions were answered to their satisfaction.  The patient verbalized understanding and agreement with plan.  Patient was asked to return to clinic if there is any worsening of symptoms or no improvement of symptoms.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Diarrhoea, Feeling cold, Gastroenteritis viral, Headache
Clinical narrative: >> May 6, 2021  8:31 AM staff wrote: Pt has diarrhea, vomiting, headache, upset stomach, legs and back hurts. Pt has fever yesterday but not today. Pt is cold all the time. Pt has no cough. Sx started Mon 5/3.  ED Discharged  5/6/2021 (4 hours) Hospital Emergency Department  MD Last attending ? Treatment team Viral gastroenteritis Clinical impression Diarrhea ? Vomiting Chief complaint ED Provider Notes PA-C (Physician Assistant) ? ? Emergency Medicine Cosigned by: MD at 5/7/2021  9:34 AM Expand AllCollapse All      HPI      Chief Complaint Patient presents with ? Diarrhea ? Vomiting  ED Discharged  5/9/2021 (3 hours) Hospital Emergency Department  DO Last attending ? Treatment team Non-intractable vomiting with nausea, unspecified vomiting type +1 more Clinical impression Nausea Chief complaint   MDM MDM Records requested and reviewed by me showed patient was here and evaluated on May 6 at that time had a normal WBC count normal electrolytes with exception of chronic kidney disease with GFR 48 normal lactic acid and a coronavirus test which was positive. 5:09 AM After Zofran, patient has tolerated oral intake.  Will discharge to home to follow-up as an outpatient with her primary or return to the emergency department at anytime for worsening symptoms or concerns.  She was advised symptomatic treatment drinking plenty of fluids and rest. =================================================================== Initial pulse oximetry reviewed. Patient is 98% on room air indicating adequate oxygenation.     ===================================================================     The patient is in Stable condition at the time of 5:09 AM. Office Visit 5/12/2021 Family clinic  PA-C Family clinic COVID-19 virus infection +1 more Dx Hospital Follow-up  Reason for Visit Progress Notes PA-C (Physician Assistant) ? ? Family Medicine ? ? Encounter Date: 5/12/2021 ? ? Signed Cosigned by: MD at 5/14/2021 10:35 AM Expand AllCollapse All      Assessment/Plan       Patient was seen today for hospital follow-up.   Diagnoses and all orders for this visit:   COVID-19 virus infection Comments: 5/7/2021. today she is asymptomatic and afebrile.   Diarrhea of presumed infectious origin Comments: has resolved, she has some loose stools, but that is her normal. Rest Plenty of fluids  Continue sitting outside Vitamin D and C Handwashing wear mask at all timed Social distancing   All the patient's questions were answered to their satisfaction.  The patient verbalized understanding and agreement with plan.  Patient was asked to return to clinic if there is any worsening of symptoms or no improvement of symptoms.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Hepatic steatosis, Nausea, Pain in extremity, SARS-CoV-2 test positive, Vomiting
Clinical narrative: >> May 6, 2021  8:31 AM staff wrote: Pt has diarrhea, vomiting, headache, upset stomach, legs and back hurts. Pt has fever yesterday but not today. Pt is cold all the time. Pt has no cough. Sx started Mon 5/3.  ED Discharged  5/6/2021 (4 hours) Hospital Emergency Department  MD Last attending ? Treatment team Viral gastroenteritis Clinical impression Diarrhea ? Vomiting Chief complaint ED Provider Notes PA-C (Physician Assistant) ? ? Emergency Medicine Cosigned by: MD at 5/7/2021  9:34 AM Expand AllCollapse All      HPI      Chief Complaint Patient presents with ? Diarrhea ? Vomiting  ED Discharged  5/9/2021 (3 hours) Hospital Emergency Department  DO Last attending ? Treatment team Non-intractable vomiting with nausea, unspecified vomiting type +1 more Clinical impression Nausea Chief complaint   MDM MDM Records requested and reviewed by me showed patient was here and evaluated on May 6 at that time had a normal WBC count normal electrolytes with exception of chronic kidney disease with GFR 48 normal lactic acid and a coronavirus test which was positive. 5:09 AM After Zofran, patient has tolerated oral intake.  Will discharge to home to follow-up as an outpatient with her primary or return to the emergency department at anytime for worsening symptoms or concerns.  She was advised symptomatic treatment drinking plenty of fluids and rest. =================================================================== Initial pulse oximetry reviewed. Patient is 98% on room air indicating adequate oxygenation.     ===================================================================     The patient is in Stable condition at the time of 5:09 AM. Office Visit 5/12/2021 Family clinic  PA-C Family clinic COVID-19 virus infection +1 more Dx Hospital Follow-up  Reason for Visit Progress Notes PA-C (Physician Assistant) ? ? Family Medicine ? ? Encounter Date: 5/12/2021 ? ? Signed Cosigned by: MD at 5/14/2021 10:35 AM Expand AllCollapse All      Assessment/Plan       Patient was seen today for hospital follow-up.   Diagnoses and all orders for this visit:   COVID-19 virus infection Comments: 5/7/2021. today she is asymptomatic and afebrile.   Diarrhea of presumed infectious origin Comments: has resolved, she has some loose stools, but that is her normal. Rest Plenty of fluids  Continue sitting outside Vitamin D and C Handwashing wear mask at all timed Social distancing   All the patient's questions were answered to their satisfaction.  The patient verbalized understanding and agreement with plan.  Patient was asked to return to clinic if there is any worsening of symptoms or no improvement of symptoms.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell disorder
Clinical narrative: >> May 6, 2021  8:31 AM staff wrote: Pt has diarrhea, vomiting, headache, upset stomach, legs and back hurts. Pt has fever yesterday but not today. Pt is cold all the time. Pt has no cough. Sx started Mon 5/3.  ED Discharged  5/6/2021 (4 hours) Hospital Emergency Department  MD Last attending ? Treatment team Viral gastroenteritis Clinical impression Diarrhea ? Vomiting Chief complaint ED Provider Notes PA-C (Physician Assistant) ? ? Emergency Medicine Cosigned by: MD at 5/7/2021  9:34 AM Expand AllCollapse All      HPI      Chief Complaint Patient presents with ? Diarrhea ? Vomiting  ED Discharged  5/9/2021 (3 hours) Hospital Emergency Department  DO Last attending ? Treatment team Non-intractable vomiting with nausea, unspecified vomiting type +1 more Clinical impression Nausea Chief complaint   MDM MDM Records requested and reviewed by me showed patient was here and evaluated on May 6 at that time had a normal WBC count normal electrolytes with exception of chronic kidney disease with GFR 48 normal lactic acid and a coronavirus test which was positive. 5:09 AM After Zofran, patient has tolerated oral intake.  Will discharge to home to follow-up as an outpatient with her primary or return to the emergency department at anytime for worsening symptoms or concerns.  She was advised symptomatic treatment drinking plenty of fluids and rest. =================================================================== Initial pulse oximetry reviewed. Patient is 98% on room air indicating adequate oxygenation.     ===================================================================     The patient is in Stable condition at the time of 5:09 AM. Office Visit 5/12/2021 Family clinic  PA-C Family clinic COVID-19 virus infection +1 more Dx Hospital Follow-up  Reason for Visit Progress Notes PA-C (Physician Assistant) ? ? Family Medicine ? ? Encounter Date: 5/12/2021 ? ? Signed Cosigned by: MD at 5/14/2021 10:35 AM Expand AllCollapse All      Assessment/Plan       Patient was seen today for hospital follow-up.   Diagnoses and all orders for this visit:   COVID-19 virus infection Comments: 5/7/2021. today she is asymptomatic and afebrile.   Diarrhea of presumed infectious origin Comments: has resolved, she has some loose stools, but that is her normal. Rest Plenty of fluids  Continue sitting outside Vitamin D and C Handwashing wear mask at all timed Social distancing   All the patient's questions were answered to their satisfaction.  The patient verbalized understanding and agreement with plan.  Patient was asked to return to clinic if there is any worsening of symptoms or no improvement of symptoms.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Herpes zoster, Rash, Rash pruritic, Third trimester pregnancy
Clinical narrative: I developed a rash under my right breast and on my right back. It was itchy and I went to the doctor (on a regular OB appt) and they diagnosed as shingles. And I was prescribed Valtrex for two weeks. I took it the full course and the rash went away.  I still had the rash when baby was born but it went away after that. While I was in the hospital for delivery, a few different people came and looked at the rash with a concern it might be contagious to my new daughter.   Pregnancy - first pregnancy; due date was May 9 and I delivered on May 3.  Birth weight of baby - 8 lbs and 13 ounces.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Computerised tomogram head, Dysstasia, Electrocardiogram
Clinical narrative: Presents to emergency department with complaints of intermittent chest pain for 4 days.  Denies any radiation of his chest pain.  He also complains of having leg weakness with trying to stand or ambulate x4 days.  States that his legs feel like "gummy".  Wife notes that the patient has to hold onto objects to aid in ambulation which is not normal for him.  The patient denies any headache or dizziness.  He denies any acute vision changes.  He denies any numbness or tingling to his lower extremities.  Denies any history of stroke.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Gait disturbance, Myocardial necrosis marker
Clinical narrative: Presents to emergency department with complaints of intermittent chest pain for 4 days.  Denies any radiation of his chest pain.  He also complains of having leg weakness with trying to stand or ambulate x4 days.  States that his legs feel like "gummy".  Wife notes that the patient has to hold onto objects to aid in ambulation which is not normal for him.  The patient denies any headache or dizziness.  He denies any acute vision changes.  He denies any numbness or tingling to his lower extremities.  Denies any history of stroke.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Blood pressure fluctuation, Blood test, Blood urine present
Clinical narrative: Patient described her symptoms as "layered". About 5-6 hours after vaccine symptoms began. Tight, hot pain developed in neck. Patient took Tylenol. In the morning of 04/21/2021 pain had moved to shoulder and by 04/22/2021 morning the pain had reached her lower back. 1pm on  04/22/2021 patient developed severe urination. Patient was urinating 2-3 times an hour for the next two days. 04/23/2021, Patient's Dr. thought it was kidney stones. Patient went to Hospital 04/23/2021 where they did a CAT scan and bloodwork. Patient was prescribed tramadol, lidocaine patches and physical therapy. Other symptoms included headache, palpitations, varying blood pressure, arm soreness, fatigue and blood in urine.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Fatigue, Headache, Muscle tightness, Neck pain
Clinical narrative: Patient described her symptoms as "layered". About 5-6 hours after vaccine symptoms began. Tight, hot pain developed in neck. Patient took Tylenol. In the morning of 04/21/2021 pain had moved to shoulder and by 04/22/2021 morning the pain had reached her lower back. 1pm on  04/22/2021 patient developed severe urination. Patient was urinating 2-3 times an hour for the next two days. 04/23/2021, Patient's Dr. thought it was kidney stones. Patient went to Hospital 04/23/2021 where they did a CAT scan and bloodwork. Patient was prescribed tramadol, lidocaine patches and physical therapy. Other symptoms included headache, palpitations, varying blood pressure, arm soreness, fatigue and blood in urine.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Palpitations, Pollakiuria, Skin warm, Ultrasound scan
Clinical narrative: Patient described her symptoms as "layered". About 5-6 hours after vaccine symptoms began. Tight, hot pain developed in neck. Patient took Tylenol. In the morning of 04/21/2021 pain had moved to shoulder and by 04/22/2021 morning the pain had reached her lower back. 1pm on  04/22/2021 patient developed severe urination. Patient was urinating 2-3 times an hour for the next two days. 04/23/2021, Patient's Dr. thought it was kidney stones. Patient went to Hospital 04/23/2021 where they did a CAT scan and bloodwork. Patient was prescribed tramadol, lidocaine patches and physical therapy. Other symptoms included headache, palpitations, varying blood pressure, arm soreness, fatigue and blood in urine.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Deafness, Ear pain
Clinical narrative: Loss of hearing much greater than before and much ear pain (otalgia) with nothing else to account for it. Hearing loss is still ongoing.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia, Neck pain
Clinical narrative: About two hours after my 2nd Covid shot, I felt like I had been in a terrible accident and had terrible muscle soreness in my neck and shoulders. Over one month later and my shoulder still ache and hurt?. My range of turning My neck to either side is getting better but it still HURTS.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pityriasis rosea, Rash
Clinical narrative: pityriasis rosea, no tx, still have rash. abdomen, left upper arm and upper right thigh
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Pain, Pain in extremity, Periarthritis, Swelling
Clinical narrative: Pain in left upper arm about 10 days after injection, shooting down arm to hand, reduced mobility of the arm, didn't improve for 3 weeks thus saw my own doctor. She referred to orthopaedic doctor. Saw him on 5/12/2021, he diagnosed adhesive capsulitis in left shoulder possibly caused or exacerbated by the swelling due to the vaccination in that same area. Revisit in 3 weeks after dr. visit. Taking ibuprofen to reduce inflammation.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: Pain in left upper arm about 10 days after injection, shooting down arm to hand, reduced mobility of the arm, didn't improve for 3 weeks thus saw my own doctor. She referred to orthopaedic doctor. Saw him on 5/12/2021, he diagnosed adhesive capsulitis in left shoulder possibly caused or exacerbated by the swelling due to the vaccination in that same area. Revisit in 3 weeks after dr. visit. Taking ibuprofen to reduce inflammation.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Asthenia, Chills, Dizziness, Dyspnoea
Clinical narrative: Patient reported difficulty breathing, dizziness/weakness, numbness/tingling and a fast heartbeat - and suicidal ideation - went to ED. CHIEF COMPLAINT: SUICIDAL IDEATION (pt. reports suicidal thoughts) and FEVER (pt. received 2nd Moderna vaccine approx 1100 yesterday approx 3-4 hours ago developed chills/fever/anxiety/visual hallucinations/generalized body aches) HISTORY OF PRESENT ILLNESS: HPI:  Patient is a 41-year-old male who presents to the emergency department from home with his wife for chief complaint of suicidal ideation, anxiety. Nursing noted him to be hyperventilating in triage. Patient states these thoughts started about 4 hours ago after he started feeling unwell.  Patient states that he got his 2nd moderna COVID vaccine at 11:00 a.m. yesterday.  This evening after trying to go to bed he started getting fevers body aches and myalgias.  He took Advil around 8:00 p.m..  After this, he started having increased thoughts of wanting to harm himself.  He states he is having "hallucinations of himself cutting his arms and legs off".  He called telemedicine who told him he needs to go to the emergency department.  Patient originally did not want to wake his wife up and did not want to go in but he eventually woke his wife and she brought him here.  Patient does have a history of PTSD and depression.  He is on Cymbalta which apparently he has been taking.  He has not been able to see a counselor since the beginning of the year because of his insurance.  He does see physicians through the hospital.  he has never had to be inpatient but has had to come to the ER a few years ago for suicidal ideation. He also tells me that he quit his job yesterday because he doesn't like seeing people be mean to other people. ED Course as of May 19 0613 Wed May 19, 2021 0339 Patient is a 41-year-old male who presents to the emergency department with suicidal thoughts.  Patient has PTSD.  Suicidal thoughts started about 4 hours ago.  He did get his 2nd moderna COVID vaccine at 11:00 a.m. yesterday and now has a fever and generalized body aches and fatigue.  I do believe this is a normal immune response to the COVID vaccine.  We will give him Toradol.  Patient is very tearful and anxious.  I will give him some Ativan while we are waiting for lab work to return.  Medical social worker will have to evaluate the patient.   0521 MSW is currently talking to the patient.    0611 Medical social worker and wife felt that patient could be discharged home with the safety plan.  He will follow up with the hospital for mental health counseling services.  Patient feels much better after fever subsided.  He will continue to rotate between Motrin and Tylenol.    ED Course User Index DO
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Hallucination, visual, Heart rate increased, Hyperventilation, Hypoaesthesia
Clinical narrative: Patient reported difficulty breathing, dizziness/weakness, numbness/tingling and a fast heartbeat - and suicidal ideation - went to ED. CHIEF COMPLAINT: SUICIDAL IDEATION (pt. reports suicidal thoughts) and FEVER (pt. received 2nd Moderna vaccine approx 1100 yesterday approx 3-4 hours ago developed chills/fever/anxiety/visual hallucinations/generalized body aches) HISTORY OF PRESENT ILLNESS: HPI:  Patient is a 41-year-old male who presents to the emergency department from home with his wife for chief complaint of suicidal ideation, anxiety. Nursing noted him to be hyperventilating in triage. Patient states these thoughts started about 4 hours ago after he started feeling unwell.  Patient states that he got his 2nd moderna COVID vaccine at 11:00 a.m. yesterday.  This evening after trying to go to bed he started getting fevers body aches and myalgias.  He took Advil around 8:00 p.m..  After this, he started having increased thoughts of wanting to harm himself.  He states he is having "hallucinations of himself cutting his arms and legs off".  He called telemedicine who told him he needs to go to the emergency department.  Patient originally did not want to wake his wife up and did not want to go in but he eventually woke his wife and she brought him here.  Patient does have a history of PTSD and depression.  He is on Cymbalta which apparently he has been taking.  He has not been able to see a counselor since the beginning of the year because of his insurance.  He does see physicians through the hospital.  he has never had to be inpatient but has had to come to the ER a few years ago for suicidal ideation. He also tells me that he quit his job yesterday because he doesn't like seeing people be mean to other people. ED Course as of May 19 0613 Wed May 19, 2021 0339 Patient is a 41-year-old male who presents to the emergency department with suicidal thoughts.  Patient has PTSD.  Suicidal thoughts started about 4 hours ago.  He did get his 2nd moderna COVID vaccine at 11:00 a.m. yesterday and now has a fever and generalized body aches and fatigue.  I do believe this is a normal immune response to the COVID vaccine.  We will give him Toradol.  Patient is very tearful and anxious.  I will give him some Ativan while we are waiting for lab work to return.  Medical social worker will have to evaluate the patient.   0521 MSW is currently talking to the patient.    0611 Medical social worker and wife felt that patient could be discharged home with the safety plan.  He will follow up with the hospital for mental health counseling services.  Patient feels much better after fever subsided.  He will continue to rotate between Motrin and Tylenol.    ED Course User Index DO
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Pain, Paraesthesia, Pyrexia
Clinical narrative: Patient reported difficulty breathing, dizziness/weakness, numbness/tingling and a fast heartbeat - and suicidal ideation - went to ED. CHIEF COMPLAINT: SUICIDAL IDEATION (pt. reports suicidal thoughts) and FEVER (pt. received 2nd Moderna vaccine approx 1100 yesterday approx 3-4 hours ago developed chills/fever/anxiety/visual hallucinations/generalized body aches) HISTORY OF PRESENT ILLNESS: HPI:  Patient is a 41-year-old male who presents to the emergency department from home with his wife for chief complaint of suicidal ideation, anxiety. Nursing noted him to be hyperventilating in triage. Patient states these thoughts started about 4 hours ago after he started feeling unwell.  Patient states that he got his 2nd moderna COVID vaccine at 11:00 a.m. yesterday.  This evening after trying to go to bed he started getting fevers body aches and myalgias.  He took Advil around 8:00 p.m..  After this, he started having increased thoughts of wanting to harm himself.  He states he is having "hallucinations of himself cutting his arms and legs off".  He called telemedicine who told him he needs to go to the emergency department.  Patient originally did not want to wake his wife up and did not want to go in but he eventually woke his wife and she brought him here.  Patient does have a history of PTSD and depression.  He is on Cymbalta which apparently he has been taking.  He has not been able to see a counselor since the beginning of the year because of his insurance.  He does see physicians through the hospital.  he has never had to be inpatient but has had to come to the ER a few years ago for suicidal ideation. He also tells me that he quit his job yesterday because he doesn't like seeing people be mean to other people. ED Course as of May 19 0613 Wed May 19, 2021 0339 Patient is a 41-year-old male who presents to the emergency department with suicidal thoughts.  Patient has PTSD.  Suicidal thoughts started about 4 hours ago.  He did get his 2nd moderna COVID vaccine at 11:00 a.m. yesterday and now has a fever and generalized body aches and fatigue.  I do believe this is a normal immune response to the COVID vaccine.  We will give him Toradol.  Patient is very tearful and anxious.  I will give him some Ativan while we are waiting for lab work to return.  Medical social worker will have to evaluate the patient.   0521 MSW is currently talking to the patient.    0611 Medical social worker and wife felt that patient could be discharged home with the safety plan.  He will follow up with the hospital for mental health counseling services.  Patient feels much better after fever subsided.  He will continue to rotate between Motrin and Tylenol.    ED Course User Index DO
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Suicidal ideation
Clinical narrative: Patient reported difficulty breathing, dizziness/weakness, numbness/tingling and a fast heartbeat - and suicidal ideation - went to ED. CHIEF COMPLAINT: SUICIDAL IDEATION (pt. reports suicidal thoughts) and FEVER (pt. received 2nd Moderna vaccine approx 1100 yesterday approx 3-4 hours ago developed chills/fever/anxiety/visual hallucinations/generalized body aches) HISTORY OF PRESENT ILLNESS: HPI:  Patient is a 41-year-old male who presents to the emergency department from home with his wife for chief complaint of suicidal ideation, anxiety. Nursing noted him to be hyperventilating in triage. Patient states these thoughts started about 4 hours ago after he started feeling unwell.  Patient states that he got his 2nd moderna COVID vaccine at 11:00 a.m. yesterday.  This evening after trying to go to bed he started getting fevers body aches and myalgias.  He took Advil around 8:00 p.m..  After this, he started having increased thoughts of wanting to harm himself.  He states he is having "hallucinations of himself cutting his arms and legs off".  He called telemedicine who told him he needs to go to the emergency department.  Patient originally did not want to wake his wife up and did not want to go in but he eventually woke his wife and she brought him here.  Patient does have a history of PTSD and depression.  He is on Cymbalta which apparently he has been taking.  He has not been able to see a counselor since the beginning of the year because of his insurance.  He does see physicians through the hospital.  he has never had to be inpatient but has had to come to the ER a few years ago for suicidal ideation. He also tells me that he quit his job yesterday because he doesn't like seeing people be mean to other people. ED Course as of May 19 0613 Wed May 19, 2021 0339 Patient is a 41-year-old male who presents to the emergency department with suicidal thoughts.  Patient has PTSD.  Suicidal thoughts started about 4 hours ago.  He did get his 2nd moderna COVID vaccine at 11:00 a.m. yesterday and now has a fever and generalized body aches and fatigue.  I do believe this is a normal immune response to the COVID vaccine.  We will give him Toradol.  Patient is very tearful and anxious.  I will give him some Ativan while we are waiting for lab work to return.  Medical social worker will have to evaluate the patient.   0521 MSW is currently talking to the patient.    0611 Medical social worker and wife felt that patient could be discharged home with the safety plan.  He will follow up with the hospital for mental health counseling services.  Patient feels much better after fever subsided.  He will continue to rotate between Motrin and Tylenol.    ED Course User Index DO
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Pt reported dizziness and light-headedness . We had patient sit down with head between knees for several minutes. We had her clench fists and thigh muscles. She drank bottle of water. Blood pressure check was 96/50 on left arm and 82/52 on the right arm. She sat for about 15 more minutes. We rechecked blood pressure and it was 113/61 with heart rate of 71.  I followed up with patients mother the following day. She stated that her daughter was doing much better and felt completely normal within an hour after receiving vaccine.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: Patient describes nausea and mild dizziness . Patient being sent home with mother who is driver . ER precautions given . Patient advised to follow-up with PCM for persistent symptoms.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Pain, Pyrexia
Clinical narrative: One day after the second dose I got a fever of 100.5, chills, and bodyaches for about 12 hours.   During this time I had quite sever pain behind my knees whenever I bent my leg very far.  At one moment the pain was really sharp when I bent down to pick something up.  This pain behind my knees decreased a few days later,  but never totally went away.  It is now 6 or 7 weeks later.....and I still have soreness behind my legs, especially when stretching them.  Somewhat concerned it is not going away and may get worse.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination complication
Clinical narrative: I developed COVID toes about 2 weeks after vaccine day.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling drunk, Tremor, Vision blurred
Clinical narrative: DRUNK FEELING, DIZZINESS, SHAKING, BLURRY VISION
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dysphonia, Nasal congestion, Paraesthesia oral, Pharyngeal disorder
Clinical narrative: Approximately 20 minutes after injection, I experienced tingling sensation of tongue with mild swelling, pharyngeal pruritis, increased mucus production causing coughing, nasal congestion, and constant throat clearing, globular sensation when swallowing, voice became hoarse. I reported to nurse monitoring patients post injection. Was asked regarding symptoms and told to take medications that I had brought with me. Medications were Pepcid 20 mg, Benadryl 50 mg, Prednisone 10 mg. I was  monitored for another 90 minutes. Symptoms began to resolve approximately 30 minutes after taking medications. Full resolution of symptoms occurred approximately 8 hours after taking medications. Followed nurse's instructions and immediately notified PCPs office upon returning home. PCP recommends to not receive 2nd Pfizer vaccine.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, Sensation of foreign body, Swollen tongue
Clinical narrative: Approximately 20 minutes after injection, I experienced tingling sensation of tongue with mild swelling, pharyngeal pruritis, increased mucus production causing coughing, nasal congestion, and constant throat clearing, globular sensation when swallowing, voice became hoarse. I reported to nurse monitoring patients post injection. Was asked regarding symptoms and told to take medications that I had brought with me. Medications were Pepcid 20 mg, Benadryl 50 mg, Prednisone 10 mg. I was  monitored for another 90 minutes. Symptoms began to resolve approximately 30 minutes after taking medications. Full resolution of symptoms occurred approximately 8 hours after taking medications. Followed nurse's instructions and immediately notified PCPs office upon returning home. PCP recommends to not receive 2nd Pfizer vaccine.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, Fatigue, Impaired work ability, Myalgia
Clinical narrative: On 5/19/2021: Fever of unknown temp beginning at 8pm. Fever caused inability to sleep. Fever broke around 4am. Extreme fatigue and muscle aches that caused inability to work. Began at about noon and continued through midnight. On 5/20/2021: Severe bone/joint pain in the shoulders that caused inability to sleep beginning about 9pm. Pain unmitigated by 800mg ibuprofen and topical analgesic. Minimal relief from icing the area. Pain not in the muscle. Extreme tenderness when pushing on shoulder blades. Minimal tenderness to muscle around shoulder blade. Pain subsided around 4am. Soreness and minimal pain on morning of 5/21/2021.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Sleep disorder
Clinical narrative: On 5/19/2021: Fever of unknown temp beginning at 8pm. Fever caused inability to sleep. Fever broke around 4am. Extreme fatigue and muscle aches that caused inability to work. Began at about noon and continued through midnight. On 5/20/2021: Severe bone/joint pain in the shoulders that caused inability to sleep beginning about 9pm. Pain unmitigated by 800mg ibuprofen and topical analgesic. Minimal relief from icing the area. Pain not in the muscle. Extreme tenderness when pushing on shoulder blades. Minimal tenderness to muscle around shoulder blade. Pain subsided around 4am. Soreness and minimal pain on morning of 5/21/2021.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Oesophageal pain
Clinical narrative: Pt received second Pfizer COVID-19 vaccine on 5/10/2021. On 5/12, she saw her PCP c/o mid abdomen/esophageal pain after eating breakfast. Advised to go to the ED for more complete blood work. Pt was prescribed famotidine and pt sent home.