chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram abnormal, Fibrin D dimer, SARS-CoV-2 test positive, Supraventricular tachycardia
Clinical narrative: Shortness of Breath      Pt arrived via local EMS for difficulty in breathing. EMS unable to obtain initial pulse ox on room air, placed NRB 15L en route.        HPI:   This is a 82y.o. female with significant past medical history of HTN, paroxysmal atrial fib, obesity, and recent COVID admission at a local Hospital that presented to the hospital with chief complaint of shortness of breath. Patient was reportedly diagnosed with COVID-19 infection on 1/2/22, at which time she completed steroid therapy. She was noticed yesterday by her daughter to have increased labored breathing and she phoned EMS.    In the ED, patient normotensive, afebrile, stable SPO2 on nasal cannula. CT head negative for acute process. CXR with bibasilar atelectasis. D-dimer > 10k. EKG with SVT S/P adenosine with cardioversion to NSR. She has been admitted for further evaluation and management with cardiology and nephrology consultations.    Patient seen and examined only by the attending physician. NP only responsible for chart review in an effort to limit exposure given the patient's COVID positive status.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Fatigue, Feeding disorder, Oral herpes, Oral mucosal erythema
Clinical narrative: Began as a persistent cold sore in my mouth. Over the next couple days I grew very fatigued, had a fever and developed over 20 cold sores all on the left of my mouth. It became so painful that I was unable to consume anything other than liquids for multiple days. I went to my doctor who thought it could be hand foot and mouth disease or potentially shingles. I was given a prescription mouth wash to help with the pain and after about a week my mouth cleared up. Since then, however, I have had an issue with cold sores and painful red patches appearing in my mouth at least once a week. I have since went back to my doctor to raise the issue and was told to continue using the mouthwash as needed.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Oral pain, Pyrexia
Clinical narrative: Began as a persistent cold sore in my mouth. Over the next couple days I grew very fatigued, had a fever and developed over 20 cold sores all on the left of my mouth. It became so painful that I was unable to consume anything other than liquids for multiple days. I went to my doctor who thought it could be hand foot and mouth disease or potentially shingles. I was given a prescription mouth wash to help with the pain and after about a week my mouth cleared up. Since then, however, I have had an issue with cold sores and painful red patches appearing in my mouth at least once a week. I have since went back to my doctor to raise the issue and was told to continue using the mouthwash as needed.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: fever 100.8
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Lower respiratory tract infection, Pulmonary function test, Secretion discharge
Clinical narrative: I just been having lingering chest cold and mucus since the vaccine. The mucus is white. Went to a lung specialist.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Exercise tolerance decreased, Fatigue, Feeling abnormal, Impaired driving ability
Clinical narrative: Since my vaccine i have been brain fogged and not feeling like myself. When i workout i feel as though i could pass out. I feel unwell and fatigued.  This is bullshit and this vaccine is bullshit!  I wish more than anything that i could go back in time and undo what i did by getting this.  For 3 months after my second dose i couldnt even drive. I had to have my daughters father come live with me and my daughter because i couldnt take care of her!
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Loss of personal independence in daily activities, Malaise, Neurological examination
Clinical narrative: Since my vaccine i have been brain fogged and not feeling like myself. When i workout i feel as though i could pass out. I feel unwell and fatigued.  This is bullshit and this vaccine is bullshit!  I wish more than anything that i could go back in time and undo what i did by getting this.  For 3 months after my second dose i couldnt even drive. I had to have my daughters father come live with me and my daughter because i couldnt take care of her!
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID-19.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient has not reported any event, not viable vaccine.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Cough, Decreased appetite, Fatigue, Headache
Clinical narrative: 2 weeks of headaches, intermittent fatigue, low-grade fever, nauseas that has worsening in the past 12 hours with fever 101.3, significant fatigue, low appetite, sore throat and mild cough.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Nausea, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 2 weeks of headaches, intermittent fatigue, low-grade fever, nauseas that has worsening in the past 12 hours with fever 101.3, significant fatigue, low appetite, sore throat and mild cough.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: 2 weeks of headaches, intermittent fatigue, low-grade fever, nauseas that has worsening in the past 12 hours with fever 101.3, significant fatigue, low appetite, sore throat and mild cough.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site swelling, Limb discomfort, Paraesthesia
Clinical narrative: Injection site, swollen, fingers numb, arm feels heavy, tingling feeling going up and down, was told by dr that she has COVID arm.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Injection site erythema, Injection site warmth, Pyrexia
Clinical narrative: Two days after receiving booster dose, patient reported feeling chills and fever on Sunday 2/6/22 at 3 AM. Patient returned to facility on Monday 2/7/22 to report side effects. In addition, clinician noted the site where injection was administered (left arm) showed a large area of redness as well as being hot to the touch.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Joint swelling, Peripheral swelling
Clinical narrative: All joints on right side, including hand and leg, swelled up and were painful.  Swelling has subsided but pain persists today.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: 12 year old received 0.2ml 5-11 Pfizer dose as a booster instead of 0.3ml 12+ Pfizer.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: Chills, fever.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Given to a patient under the age of 18.  No other issues.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Clostridium difficile infection, Cough, Device related infection
Clinical narrative: 1/11/2022   Chief Complaint:  Shortness of breath   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 49y.o. male with a past medical history significant for asthma, atrial fibrillation, congestive heart failure patient reported most recent EF 22%, chronic kidney disease, diabetes type 2, GERD, hyperlipidemia, hypertension, left ventricular mural thrombus, morbid obesity, sleep apnea.  He presents to a local HCF on 1/11/2022 for evaluation of shortness of breath.  Patient has recently started complaining of vomiting, cough, chills that started on 1/11/2022.  Patient states that he has been repeatedly admitted to the hospital system for the past 8 weeks for various infections(c diff and endocarditis, see below).  Patient states that he is currently being treated for C. difficile with oral vancomycin and IV daptomycin for recent endocarditis from infected AICD.  States that he is still having soft stools but they are improving incrementally.  States he is currently having about 4 bowel movements per day.  Denies any hematemesis.  He notes a wound on his left foot to which she is attributing his current infection and fever to.  He states that there is a dressing on it this was to be changed daily however he has not changed it since Friday of last week.  He does note shortness of breath but is denying any chest pain. Denying any excessive orthopnea from baseline.  Patient is on Eliquis long-term for the ventricular mural thrombus.  Patient is vaccinated for COVID, not boosted.   Per chart review patient recently hospitalized from 12 17-12 28 for AICD lead infection, tricuspid valve endocarditis, polymicrobial bacteremia blood cultures were positive for corynebacterium, staph hemolyticus.  TEE that was performed on 12/21 was positive for endocarditis at that time.  Subsequently the AICD lead was extracted on 1221 as well, patient supposed to be wearing life vest which he reports that he is not.  Culture was positive for corynebacterium stratum.  Subsequent the blood culture on 12/22 had no growth to date.  The patient was discharged on daptomycin and oral vancomycin with a planned stop date of 2/1 for the daptomycin and 2/6 oral vancomycin.  On TEE there was demonstration of old left atrial thrombus as well. Patient states that he was supposed to have AICD reinstalled in February.     In the ED, Vitals on arrival of T 100.3°F, BP 99/68, HR 104, RR 20, SpO2 99 % on room air
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Endocarditis, Faeces soft, Influenza A virus test negative, Influenza B virus test
Clinical narrative: 1/11/2022   Chief Complaint:  Shortness of breath   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 49y.o. male with a past medical history significant for asthma, atrial fibrillation, congestive heart failure patient reported most recent EF 22%, chronic kidney disease, diabetes type 2, GERD, hyperlipidemia, hypertension, left ventricular mural thrombus, morbid obesity, sleep apnea.  He presents to a local HCF on 1/11/2022 for evaluation of shortness of breath.  Patient has recently started complaining of vomiting, cough, chills that started on 1/11/2022.  Patient states that he has been repeatedly admitted to the hospital system for the past 8 weeks for various infections(c diff and endocarditis, see below).  Patient states that he is currently being treated for C. difficile with oral vancomycin and IV daptomycin for recent endocarditis from infected AICD.  States that he is still having soft stools but they are improving incrementally.  States he is currently having about 4 bowel movements per day.  Denies any hematemesis.  He notes a wound on his left foot to which she is attributing his current infection and fever to.  He states that there is a dressing on it this was to be changed daily however he has not changed it since Friday of last week.  He does note shortness of breath but is denying any chest pain. Denying any excessive orthopnea from baseline.  Patient is on Eliquis long-term for the ventricular mural thrombus.  Patient is vaccinated for COVID, not boosted.   Per chart review patient recently hospitalized from 12 17-12 28 for AICD lead infection, tricuspid valve endocarditis, polymicrobial bacteremia blood cultures were positive for corynebacterium, staph hemolyticus.  TEE that was performed on 12/21 was positive for endocarditis at that time.  Subsequently the AICD lead was extracted on 1221 as well, patient supposed to be wearing life vest which he reports that he is not.  Culture was positive for corynebacterium stratum.  Subsequent the blood culture on 12/22 had no growth to date.  The patient was discharged on daptomycin and oral vancomycin with a planned stop date of 2/1 for the daptomycin and 2/6 oral vancomycin.  On TEE there was demonstration of old left atrial thrombus as well. Patient states that he was supposed to have AICD reinstalled in February.     In the ED, Vitals on arrival of T 100.3°F, BP 99/68, HR 104, RR 20, SpO2 99 % on room air
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Vomiting, Wound
Clinical narrative: 1/11/2022   Chief Complaint:  Shortness of breath   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 49y.o. male with a past medical history significant for asthma, atrial fibrillation, congestive heart failure patient reported most recent EF 22%, chronic kidney disease, diabetes type 2, GERD, hyperlipidemia, hypertension, left ventricular mural thrombus, morbid obesity, sleep apnea.  He presents to a local HCF on 1/11/2022 for evaluation of shortness of breath.  Patient has recently started complaining of vomiting, cough, chills that started on 1/11/2022.  Patient states that he has been repeatedly admitted to the hospital system for the past 8 weeks for various infections(c diff and endocarditis, see below).  Patient states that he is currently being treated for C. difficile with oral vancomycin and IV daptomycin for recent endocarditis from infected AICD.  States that he is still having soft stools but they are improving incrementally.  States he is currently having about 4 bowel movements per day.  Denies any hematemesis.  He notes a wound on his left foot to which she is attributing his current infection and fever to.  He states that there is a dressing on it this was to be changed daily however he has not changed it since Friday of last week.  He does note shortness of breath but is denying any chest pain. Denying any excessive orthopnea from baseline.  Patient is on Eliquis long-term for the ventricular mural thrombus.  Patient is vaccinated for COVID, not boosted.   Per chart review patient recently hospitalized from 12 17-12 28 for AICD lead infection, tricuspid valve endocarditis, polymicrobial bacteremia blood cultures were positive for corynebacterium, staph hemolyticus.  TEE that was performed on 12/21 was positive for endocarditis at that time.  Subsequently the AICD lead was extracted on 1221 as well, patient supposed to be wearing life vest which he reports that he is not.  Culture was positive for corynebacterium stratum.  Subsequent the blood culture on 12/22 had no growth to date.  The patient was discharged on daptomycin and oral vancomycin with a planned stop date of 2/1 for the daptomycin and 2/6 oral vancomycin.  On TEE there was demonstration of old left atrial thrombus as well. Patient states that he was supposed to have AICD reinstalled in February.     In the ED, Vitals on arrival of T 100.3°F, BP 99/68, HR 104, RR 20, SpO2 99 % on room air
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Dysaesthesia, Fatigue, Injection site pain, Joint swelling
Clinical narrative: Since the day after the injection, after the usual high fever and body aches, I have been experiencing a lot of pain in my left upper arm which does not go away, and some days is so intense it feels like it is burning. I have swelling and a feeling of pain (like tendonitis) in my hands and wrists which is generally worse in the mornings, but which never goes away, and inhibits my activities. I saw a rheumatologist on January 24 and she diagnosed the tendonitis and dysaesthesia and general fatigue, and is considering an MRI of my left shoulder.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Peripheral swelling, Pyrexia, Tendonitis
Clinical narrative: Since the day after the injection, after the usual high fever and body aches, I have been experiencing a lot of pain in my left upper arm which does not go away, and some days is so intense it feels like it is burning. I have swelling and a feeling of pain (like tendonitis) in my hands and wrists which is generally worse in the mornings, but which never goes away, and inhibits my activities. I saw a rheumatologist on January 24 and she diagnosed the tendonitis and dysaesthesia and general fatigue, and is considering an MRI of my left shoulder.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Eye swelling, Interchange of vaccine products, Rash, Rash pruritic
Clinical narrative: The morning after I broke out in an itchy rash, upper chest, neck, face, swollen eyes which has lasted 2 weeks to date. I am wondering if this has ever been reported before.  First 2 vaccines were Pfizer; booster Modena even though I had been promised Pfizer
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Given to a patient under the age of 18. No other issues.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient has not reported any event, not viable vaccine.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Computerised tomogram, Magnetic resonance imaging, Retention cyst
Clinical narrative: Rentension Cyst developed inside my right frontal lobe nasal cavity.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, COVID-19, Cardiac rehabilitation therapy, Chest discomfort, Dyspnoea
Clinical narrative: He reports he initially developed cold-like symptoms with a cough and shortness of breath 1 week ago. He did test positive for Covid-19 and 4 days ago received sotrovimab in clinic. Yesterday evening he developed low-grade temps and today was febrile to 102. He has been checking his pulse oximetry at home and has been hypoxic down to 89%.  He does not wear any supplemental O2 at baseline. He reports progressive chest heaviness and shortness of breath with exercise intolerance. He is currently in cardiac rehab and has been doing well until his symptoms began 1 week ago. He denies any increased lower extremity pain or swelling. Denies prior history of PE or DVT. He has been compliant with his home Eliquis. Currently, he is on 5 mg of prednisone daily. He reports feeling similar chest heaviness with prior episodes of pneumonia and was concerned that that may be the case prompting his evaluation in the ED.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Exercise tolerance decreased, Nasopharyngitis, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: He reports he initially developed cold-like symptoms with a cough and shortness of breath 1 week ago. He did test positive for Covid-19 and 4 days ago received sotrovimab in clinic. Yesterday evening he developed low-grade temps and today was febrile to 102. He has been checking his pulse oximetry at home and has been hypoxic down to 89%.  He does not wear any supplemental O2 at baseline. He reports progressive chest heaviness and shortness of breath with exercise intolerance. He is currently in cardiac rehab and has been doing well until his symptoms began 1 week ago. He denies any increased lower extremity pain or swelling. Denies prior history of PE or DVT. He has been compliant with his home Eliquis. Currently, he is on 5 mg of prednisone daily. He reports feeling similar chest heaviness with prior episodes of pneumonia and was concerned that that may be the case prompting his evaluation in the ED.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Cluster headache, Condition aggravated, General physical health deterioration, Malaise, Migraine
Clinical narrative: Rheumatoid arthritis flares and symptoms have gotten much worse, and overall health significantly declined after second vaccine in September. Cluster migraine headache cycle started in October, and RA flares became much worse.  Cluster migraine cycle has lasted three to four months. Questioning whether or not the prescribed Xeljanz stopped working as a result of vaccine. Will not be getting a booster, due to completely not feeling well.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Rheumatoid arthritis
Clinical narrative: Rheumatoid arthritis flares and symptoms have gotten much worse, and overall health significantly declined after second vaccine in September. Cluster migraine headache cycle started in October, and RA flares became much worse.  Cluster migraine cycle has lasted three to four months. Questioning whether or not the prescribed Xeljanz stopped working as a result of vaccine. Will not be getting a booster, due to completely not feeling well.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Syncope Pt fainted 12 hours after receiving vaccine
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Blood glucose normal, Diplopia, Dysstasia, Motor dysfunction, Muscular weakness
Clinical narrative: He received the vaccine, then had a two-hour car ride home. He noticed symptoms after he got out of the car and attempting to stand afterwards, said he could barely stand after the car ride. Also reported tremors in his hands and difficulty holding items. Symptoms worsened and included tremors, double vision, and loss of control of motor functioning in his hands and feet. Symptoms lasted for a few hours, improved by the evening after resting, and were completely gone by the following day. Denied chest pain, numbness, change in vital signs or breathing. Patient has never experienced a reaction to a vaccine in the past. Blood glucose and blood pressure were both stable during this event.
Age: 73.0
Sex: M
Vaccine: VARZOS
Symptoms: Tremor
Clinical narrative: He received the vaccine, then had a two-hour car ride home. He noticed symptoms after he got out of the car and attempting to stand afterwards, said he could barely stand after the car ride. Also reported tremors in his hands and difficulty holding items. Symptoms worsened and included tremors, double vision, and loss of control of motor functioning in his hands and feet. Symptoms lasted for a few hours, improved by the evening after resting, and were completely gone by the following day. Denied chest pain, numbness, change in vital signs or breathing. Patient has never experienced a reaction to a vaccine in the past. Blood glucose and blood pressure were both stable during this event.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Blood test, Cardiac arrest, Computerised tomogram head, Computerised tomogram pelvis
Clinical narrative: Unexplained cardiac arrest.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram spine, Echocardiogram, Electrocardiogram, SARS-CoV-2 test, Urine analysis
Clinical narrative: Unexplained cardiac arrest.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody positive, Autoimmune haemolytic anaemia, Blood immunoglobulin G, Bone marrow myelogram normal, Chromaturia
Clinical narrative: Patient self-observed lethargy, dark urine and jaundiced sclera on morning of 1/18.  Vomited 1X on 1/19 .  Went to out-patient urgent care in early afternoon of 1/19.  Sent to Hospital.  HCT @21% and hemoglobin of 7.3 upon admission. HCT 18.1% and hemo 6.2 on 1/20.  Warm COOMBS (+) with POS IgG Abs; HCT fell to 17.5% with hemoglob at 5.9 on 1/21. Idiopathic AHIA suspected.  Strong (good) RBC regenerative marrow response noted.  Normal WBC count.  High dose injectable corticosteroid given 1/20.  Transfused with 1 unit RBCs on 1/21.  Discharged on 1/22 PM with ORAL PRED 60 mg SID.  First recheck on 1/25 showed PCV @25.8% (hemo 8.5); 2nd recheck on 2/2 showed PCV @33.9% (hemo 11.5).
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen normal, Computerised tomogram thorax normal, Coombs test positive, HIV test negative, Haematocrit decreased
Clinical narrative: Patient self-observed lethargy, dark urine and jaundiced sclera on morning of 1/18.  Vomited 1X on 1/19 .  Went to out-patient urgent care in early afternoon of 1/19.  Sent to Hospital.  HCT @21% and hemoglobin of 7.3 upon admission. HCT 18.1% and hemo 6.2 on 1/20.  Warm COOMBS (+) with POS IgG Abs; HCT fell to 17.5% with hemoglob at 5.9 on 1/21. Idiopathic AHIA suspected.  Strong (good) RBC regenerative marrow response noted.  Normal WBC count.  High dose injectable corticosteroid given 1/20.  Transfused with 1 unit RBCs on 1/21.  Discharged on 1/22 PM with ORAL PRED 60 mg SID.  First recheck on 1/25 showed PCV @25.8% (hemo 8.5); 2nd recheck on 2/2 showed PCV @33.9% (hemo 11.5).
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Influenza virus test negative, Jaundice, Lethargy, Mononucleosis heterophile test negative
Clinical narrative: Patient self-observed lethargy, dark urine and jaundiced sclera on morning of 1/18.  Vomited 1X on 1/19 .  Went to out-patient urgent care in early afternoon of 1/19.  Sent to Hospital.  HCT @21% and hemoglobin of 7.3 upon admission. HCT 18.1% and hemo 6.2 on 1/20.  Warm COOMBS (+) with POS IgG Abs; HCT fell to 17.5% with hemoglob at 5.9 on 1/21. Idiopathic AHIA suspected.  Strong (good) RBC regenerative marrow response noted.  Normal WBC count.  High dose injectable corticosteroid given 1/20.  Transfused with 1 unit RBCs on 1/21.  Discharged on 1/22 PM with ORAL PRED 60 mg SID.  First recheck on 1/25 showed PCV @25.8% (hemo 8.5); 2nd recheck on 2/2 showed PCV @33.9% (hemo 11.5).
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Parasitic blood test negative, Pregnancy test negative, Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Scleral discolouration
Clinical narrative: Patient self-observed lethargy, dark urine and jaundiced sclera on morning of 1/18.  Vomited 1X on 1/19 .  Went to out-patient urgent care in early afternoon of 1/19.  Sent to Hospital.  HCT @21% and hemoglobin of 7.3 upon admission. HCT 18.1% and hemo 6.2 on 1/20.  Warm COOMBS (+) with POS IgG Abs; HCT fell to 17.5% with hemoglob at 5.9 on 1/21. Idiopathic AHIA suspected.  Strong (good) RBC regenerative marrow response noted.  Normal WBC count.  High dose injectable corticosteroid given 1/20.  Transfused with 1 unit RBCs on 1/21.  Discharged on 1/22 PM with ORAL PRED 60 mg SID.  First recheck on 1/25 showed PCV @25.8% (hemo 8.5); 2nd recheck on 2/2 showed PCV @33.9% (hemo 11.5).
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Transfusion, Ultrasound abdomen normal, Vomiting, White blood cell count normal
Clinical narrative: Patient self-observed lethargy, dark urine and jaundiced sclera on morning of 1/18.  Vomited 1X on 1/19 .  Went to out-patient urgent care in early afternoon of 1/19.  Sent to Hospital.  HCT @21% and hemoglobin of 7.3 upon admission. HCT 18.1% and hemo 6.2 on 1/20.  Warm COOMBS (+) with POS IgG Abs; HCT fell to 17.5% with hemoglob at 5.9 on 1/21. Idiopathic AHIA suspected.  Strong (good) RBC regenerative marrow response noted.  Normal WBC count.  High dose injectable corticosteroid given 1/20.  Transfused with 1 unit RBCs on 1/21.  Discharged on 1/22 PM with ORAL PRED 60 mg SID.  First recheck on 1/25 showed PCV @25.8% (hemo 8.5); 2nd recheck on 2/2 showed PCV @33.9% (hemo 11.5).
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient has not reported any event, not viable vaccine.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Breast pain, Injection site pain, Injection site rash, Injection site warmth
Clinical narrative: COVID arm - large hot bumps on my arm at injection site as well as under arm in arm pit and breast area accompanied by significant pain.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: COVID arm - large hot bumps on my arm at injection site as well as under arm in arm pit and breast area accompanied by significant pain.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Patient was vaccinated with 5-11 pfizer. Patient had turned 12. No adverse reactions.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient has not reported any event, not viable vaccine.
Age: 38.0
Sex: F
Vaccine: VARCEL
Symptoms: Rash erythematous, Rash pustular
Clinical narrative: scattered isolated vesiculopustular erythematous lesions on neck, extremities, abdomen, back, various stages of healing . Symptoms started 3 days after receiving varicella vaccine.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient has not reported any event, not viable vaccine.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Headache, Laboratory test
Clinical narrative: TROUBLE BREATHING, HEADACHES, SHORTNESS OF BREATH, FATIGUE, AND TIREDNESS.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dry skin, Injection site erythema, Injection site mass, Injection site pain
Clinical narrative: Four days after my booster dose of the COVID vaccine, I noticed myself rubbing my arm a few inches below the injection site. There was a lump, soreness, warmth, and red skin in the area, lasting more than two weeks. I now suspect, after experiencing additional chest pain symptoms, that it might have been deep vein thrombosis. While the soreness at the injection site faded within a few days of receiving the vaccine booster, the lump further down arm my lasted longer and included changes in my skin. To the touch, my skin felt like crepe paper, and I had two small sores. All arm symptoms have now healed, one month later. Additional chest pain has been alleviated with daily low-dose aspirin regimen and walking.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth, Skin disorder, Skin ulcer
Clinical narrative: Four days after my booster dose of the COVID vaccine, I noticed myself rubbing my arm a few inches below the injection site. There was a lump, soreness, warmth, and red skin in the area, lasting more than two weeks. I now suspect, after experiencing additional chest pain symptoms, that it might have been deep vein thrombosis. While the soreness at the injection site faded within a few days of receiving the vaccine booster, the lump further down arm my lasted longer and included changes in my skin. To the touch, my skin felt like crepe paper, and I had two small sores. All arm symptoms have now healed, one month later. Additional chest pain has been alleviated with daily low-dose aspirin regimen and walking.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Oxygen consumption decreased
Clinical narrative: Watch measures overall Cardio Fitness as 'VO2max'  .  In the month of the this vaccination my VO2max went from above average ' 34 to below average 19.
Age: 93.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Condition aggravated, Echocardiogram, Electrocardiogram, Electrocardiogram ambulatory
Clinical narrative: 02/04/2021 vaccination. 02/18/2021 I started to experience the heart palpitations. It would happen every 2-3 days, at rest, at one point it was so frequent I had to 'bare down' to stop palpitations. 06/2021 I had a physical and spoke to PCM who referred me to cardiologist. I couldn't get appointment until 01/2021. I got echocardiogram in 08/2021, 11/2021 had to reschedule due to location to 01/2022. I had the halter monitor just sent back 2 weeks ago and I do not know the results of that just yet. I haven't had heart palpitations like I had when had vaccinations; 'not as bad', not as frequent, not as severe. Lymph nodes swelled after 2nd vaccination.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Palpitations
Clinical narrative: 02/04/2021 vaccination. 02/18/2021 I started to experience the heart palpitations. It would happen every 2-3 days, at rest, at one point it was so frequent I had to 'bare down' to stop palpitations. 06/2021 I had a physical and spoke to PCM who referred me to cardiologist. I couldn't get appointment until 01/2021. I got echocardiogram in 08/2021, 11/2021 had to reschedule due to location to 01/2022. I had the halter monitor just sent back 2 weeks ago and I do not know the results of that just yet. I haven't had heart palpitations like I had when had vaccinations; 'not as bad', not as frequent, not as severe. Lymph nodes swelled after 2nd vaccination.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Joint injection, Joint range of motion decreased, Lymph node pain
Clinical narrative: This shot was very painful and seemed to be given much higher in my arm than previous shot I had received in the past.  The arm pain continued and has gotten worse over the next few weeks  and now going on  almost 3 months.  I have had X-rays and an  MR I of the shoulder because it is so difficult to raise my arm.  I have had a cortisone injection for getting back the range of motion in the shoulder and hopefully decrease the pain in the shoulder and arm.  This helped but only for about 4-5 days.  I have also been on oral medication, prednisone, but only minimal relief the first day or two with that medication.  I?m scheduled to see another Doctor on Wednesday to discuss other options at this point.  In addition to the arm pain, I?ve also had a reaction to the  booster shot itself, and  I have swollen lymph nodes on the left arm side, chest  Area etc which is also been very painful.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Magnetic resonance imaging, Mobility decreased, Pain in extremity, X-ray limb
Clinical narrative: This shot was very painful and seemed to be given much higher in my arm than previous shot I had received in the past.  The arm pain continued and has gotten worse over the next few weeks  and now going on  almost 3 months.  I have had X-rays and an  MR I of the shoulder because it is so difficult to raise my arm.  I have had a cortisone injection for getting back the range of motion in the shoulder and hopefully decrease the pain in the shoulder and arm.  This helped but only for about 4-5 days.  I have also been on oral medication, prednisone, but only minimal relief the first day or two with that medication.  I?m scheduled to see another Doctor on Wednesday to discuss other options at this point.  In addition to the arm pain, I?ve also had a reaction to the  booster shot itself, and  I have swollen lymph nodes on the left arm side, chest  Area etc which is also been very painful.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Asthenia, Feeding disorder, Feeling abnormal, Gait inability
Clinical narrative: Patient complained of something going on in her body which she could not explain.  PCP could not explain and sent her to doctor after doctor.  All of who found nothing. Became weaker and weaker until could not walk, could not sit up in bed, in last stages, could not talk. Lost weight rapidly because something prevented her from eating.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Laboratory test, Mobility decreased, Weight decreased
Clinical narrative: Patient complained of something going on in her body which she could not explain.  PCP could not explain and sent her to doctor after doctor.  All of who found nothing. Became weaker and weaker until could not walk, could not sit up in bed, in last stages, could not talk. Lost weight rapidly because something prevented her from eating.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Chest pain, Costochondritis, Electrocardiogram normal
Clinical narrative: Left side chest pain that got progressively worse over the course of the week following vaccination. 6 days after vaccination, pain had become severe. 7 days after vaccination, pain began to dissipate.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine positive rechallenge
Clinical narrative: Left side chest pain that got progressively worse over the course of the week following vaccination. 6 days after vaccination, pain had become severe. 7 days after vaccination, pain began to dissipate.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Gait inability, Sciatica
Clinical narrative: The following morning I experienced severe joint inflammation and sciatica inflammation. The sciatica inflammation went from my right buttock and wrapped all the way down the front of my leg to my ankle. It impaired my ability to walk and on the 11th day I had to go to urgent care and was prescribed muscle relaxers (which did not help) and steroids which eventually aided in being able to walk again normally. This sciatica issue lasted for 17 days. I am still currently experiencing inflammation in my joints especially my knees and elbows.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Sex: U
Vaccine: UNK
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt received covid vaccine.  Pt tested positive for covid
Age: 48.0
Sex: M
Vaccine: COVID19, FLU4, HPV9, TDAP
Symptoms: No adverse event, Product administered to patient of inappropriate age, Product administration error
Clinical narrative: No adverse events or treatments.  HPV vaccine given over recommended age.  Pt notified of vaccine administration error.
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Pt received covid vaccine.  Pt admitted with covid related diagnosis
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue
Clinical narrative: Major fatigue
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dysstasia, Vertigo
Clinical narrative: Vertigo upon laying in bed and turning my head.  Vertigo so bad in the am that I could not stand.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pain
Clinical narrative: Localized muscular pain around injection site made worse when laying supine and relieved by changing position and placing support pillow under upper arm
Sex: U
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Pt received Covid Vaccine.  Pt admitted to the hospital with covid related diagnosis
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Anticoagulant therapy, C-reactive protein normal, COVID-19
Clinical narrative: 2/7/2022 PROGRESS NOTE 71 yo gentleman w/ h/o COPD, recently diagnosed right humerus fracture, tested positive for COVID-19 ~1/15/22, who was admitted to emergency department 1/26/2022 with acute hypoxemic respiratory failure due to COVID-19, Covid pneumonia and acute left lung PE   Acute hypoxic resp failure due to COVID-19 pneumonia, acute left lung PE and probable COPD exacerbation: ---   Fully vaccinated with Moderna COVID-19 vaccine (3/17/2021 and/15/21) ---   Did not received a booster shot yet ---   Tested positive for COVID-19 ~ 1/15/22 ---   CT chest pulmonary angio at admit revealed extensive bilateral GGO ---   The CT scan also revealed LLL PE ---   On steroid since admit, currently on prednisone 60 mg daily as of 2/3/22, plan for 2-week taper at discharge ---   Continue apixaban ---   D/c heparin drip at 7 pm tonight and start Eliquis ---   Not a candidate for Tocilizumab or baricitinib, presented outside window for treatment ---   Currently on 2 L NC O2 supplement at rest ---   CRP < 1.0 for more than 6 days ---   D-dimer 1.07 --- > 1.0 yesterday. ---   Procalcitonin level was 0.11, thus superimposed bacterial infection less likely ---   Hemodynamically stable. ---   Full barrier isolation discontinued ---   Wean off O2 supplement if able ---   Home O2 eval today, required 6 L with exertion unstable on his feet, recommend out of bed to chair and PT OT every day for deconditioning   Acute LLL PE: ---   Precipitated by COVID-19 infection ---   Admit bilateral extremity ultrasound negative for DVT ---   Admit CT chest pulmonary angio revealed nonocclusive LLL PE ---   TTE on 2/4/2022 revealed EF 65-70%, mild pulmonary hypertension, moderate TR, no right heart strain. ---    Continue Eliquis, plan for 3 months for provoked PE   COPD with acute exacerbation ---   Precipitated by COVID-19 pneumonia ---   On O2 supplement and steroid since admission ---   On prednisone 60 mg po daily as of 2/3/2022, 2 week taper at discharge---   Schedule albuterol inhaler ---   PTA inhalers   Hx of nocturia Urinary frequency: ---   History consistent with BPH.  ---   UTI ruled out. ---   Tamsulosin 0.4 mg po qhs, initiated 2/3/2022   Proximally minimally displaced right humerus fracture: ---   Continuing nonoperative management and immobilization with sling.  ---   The patient scheduled to follow-up with orthopedic surgery as an outpatient.   Depression:  ---   PTA fluoxetine 40 mg p.o. daily ---   PTA Effexor 150 mg p.o. daily   GERD:  ---   PTA pantoprazole 40 mg p.o. daily   Code status:   Full Code  Prophylaxis:   Heparin drip  Disposition:   PT/OT recommending TCU.    Insurance does not cover TCU, will need to discharge home with home O2, home health when medically ready, O2 requirement is too high presently with exertion
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chronic obstructive pulmonary disease, Condition aggravated, Echocardiogram abnormal, Ejection fraction normal
Clinical narrative: 2/7/2022 PROGRESS NOTE 71 yo gentleman w/ h/o COPD, recently diagnosed right humerus fracture, tested positive for COVID-19 ~1/15/22, who was admitted to emergency department 1/26/2022 with acute hypoxemic respiratory failure due to COVID-19, Covid pneumonia and acute left lung PE   Acute hypoxic resp failure due to COVID-19 pneumonia, acute left lung PE and probable COPD exacerbation: ---   Fully vaccinated with Moderna COVID-19 vaccine (3/17/2021 and/15/21) ---   Did not received a booster shot yet ---   Tested positive for COVID-19 ~ 1/15/22 ---   CT chest pulmonary angio at admit revealed extensive bilateral GGO ---   The CT scan also revealed LLL PE ---   On steroid since admit, currently on prednisone 60 mg daily as of 2/3/22, plan for 2-week taper at discharge ---   Continue apixaban ---   D/c heparin drip at 7 pm tonight and start Eliquis ---   Not a candidate for Tocilizumab or baricitinib, presented outside window for treatment ---   Currently on 2 L NC O2 supplement at rest ---   CRP < 1.0 for more than 6 days ---   D-dimer 1.07 --- > 1.0 yesterday. ---   Procalcitonin level was 0.11, thus superimposed bacterial infection less likely ---   Hemodynamically stable. ---   Full barrier isolation discontinued ---   Wean off O2 supplement if able ---   Home O2 eval today, required 6 L with exertion unstable on his feet, recommend out of bed to chair and PT OT every day for deconditioning   Acute LLL PE: ---   Precipitated by COVID-19 infection ---   Admit bilateral extremity ultrasound negative for DVT ---   Admit CT chest pulmonary angio revealed nonocclusive LLL PE ---   TTE on 2/4/2022 revealed EF 65-70%, mild pulmonary hypertension, moderate TR, no right heart strain. ---    Continue Eliquis, plan for 3 months for provoked PE   COPD with acute exacerbation ---   Precipitated by COVID-19 pneumonia ---   On O2 supplement and steroid since admission ---   On prednisone 60 mg po daily as of 2/3/2022, 2 week taper at discharge---   Schedule albuterol inhaler ---   PTA inhalers   Hx of nocturia Urinary frequency: ---   History consistent with BPH.  ---   UTI ruled out. ---   Tamsulosin 0.4 mg po qhs, initiated 2/3/2022   Proximally minimally displaced right humerus fracture: ---   Continuing nonoperative management and immobilization with sling.  ---   The patient scheduled to follow-up with orthopedic surgery as an outpatient.   Depression:  ---   PTA fluoxetine 40 mg p.o. daily ---   PTA Effexor 150 mg p.o. daily   GERD:  ---   PTA pantoprazole 40 mg p.o. daily   Code status:   Full Code  Prophylaxis:   Heparin drip  Disposition:   PT/OT recommending TCU.    Insurance does not cover TCU, will need to discharge home with home O2, home health when medically ready, O2 requirement is too high presently with exertion
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Gait disturbance, Humerus fracture, Limb immobilisation, Lung opacity
Clinical narrative: 2/7/2022 PROGRESS NOTE 71 yo gentleman w/ h/o COPD, recently diagnosed right humerus fracture, tested positive for COVID-19 ~1/15/22, who was admitted to emergency department 1/26/2022 with acute hypoxemic respiratory failure due to COVID-19, Covid pneumonia and acute left lung PE   Acute hypoxic resp failure due to COVID-19 pneumonia, acute left lung PE and probable COPD exacerbation: ---   Fully vaccinated with Moderna COVID-19 vaccine (3/17/2021 and/15/21) ---   Did not received a booster shot yet ---   Tested positive for COVID-19 ~ 1/15/22 ---   CT chest pulmonary angio at admit revealed extensive bilateral GGO ---   The CT scan also revealed LLL PE ---   On steroid since admit, currently on prednisone 60 mg daily as of 2/3/22, plan for 2-week taper at discharge ---   Continue apixaban ---   D/c heparin drip at 7 pm tonight and start Eliquis ---   Not a candidate for Tocilizumab or baricitinib, presented outside window for treatment ---   Currently on 2 L NC O2 supplement at rest ---   CRP < 1.0 for more than 6 days ---   D-dimer 1.07 --- > 1.0 yesterday. ---   Procalcitonin level was 0.11, thus superimposed bacterial infection less likely ---   Hemodynamically stable. ---   Full barrier isolation discontinued ---   Wean off O2 supplement if able ---   Home O2 eval today, required 6 L with exertion unstable on his feet, recommend out of bed to chair and PT OT every day for deconditioning   Acute LLL PE: ---   Precipitated by COVID-19 infection ---   Admit bilateral extremity ultrasound negative for DVT ---   Admit CT chest pulmonary angio revealed nonocclusive LLL PE ---   TTE on 2/4/2022 revealed EF 65-70%, mild pulmonary hypertension, moderate TR, no right heart strain. ---    Continue Eliquis, plan for 3 months for provoked PE   COPD with acute exacerbation ---   Precipitated by COVID-19 pneumonia ---   On O2 supplement and steroid since admission ---   On prednisone 60 mg po daily as of 2/3/2022, 2 week taper at discharge---   Schedule albuterol inhaler ---   PTA inhalers   Hx of nocturia Urinary frequency: ---   History consistent with BPH.  ---   UTI ruled out. ---   Tamsulosin 0.4 mg po qhs, initiated 2/3/2022   Proximally minimally displaced right humerus fracture: ---   Continuing nonoperative management and immobilization with sling.  ---   The patient scheduled to follow-up with orthopedic surgery as an outpatient.   Depression:  ---   PTA fluoxetine 40 mg p.o. daily ---   PTA Effexor 150 mg p.o. daily   GERD:  ---   PTA pantoprazole 40 mg p.o. daily   Code status:   Full Code  Prophylaxis:   Heparin drip  Disposition:   PT/OT recommending TCU.    Insurance does not cover TCU, will need to discharge home with home O2, home health when medically ready, O2 requirement is too high presently with exertion