chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Menstruation delayed, Pregnancy test negative, Restless legs syndrome
Clinical narrative: I have not had a period since receiving my first vaccine and am not pregnant (verified by blood test by my doctor). So far I have skipped 2 cycles. I also have restless legs and joint pain in my hips and knees.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient states 8-10 hours after receiving vaccination she began developing rash on arms which progressed to most of body.    Pt currently monitoring for worsening of rash or anaphylactic event.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Skin warm, Urticaria
Clinical narrative: Reported itching all over body. Reported welts, "hives" over trunk, arms, legs and all over body. "My skin is on fire".  Started afternoon of 5/18. Continuing this morning 5/19/2021. No reports of breathing issues. No reports of other symptoms.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pfizer vaccine mixed incorrectly (used sterile water)
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: tested positive on 5/19. both vaccines, 1/24 and 2/14
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient given and completed Moderna vaccination course at age 17.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Immunoglobulin therapy, Lung transplant rejection, Plasmapheresis
Clinical narrative: 3 days prior to receiving his covid 19 vaccine, the pt had a sedated bronchoscopy at hospital. At the time, no lung tissue samples were taken due to no symptoms of rejection. Within a few days to a week of receiving his covid 19 vaccine, he started experiencing shortness of breath, returned to the transplant doctor at hospital and was diagnosed with rejection.   The timeline suggest to me that this could have been induced by the vaccine. I requested that  the transplant coordinator make the report, but she said the rejection had nothing to do with the vaccine.   Hospital is currently doing a study concerning rejection post covid vaccine in transplant patients.   I want the accurate information reported
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Appendicectomy, Appendicitis, Computerised tomogram abnormal
Clinical narrative: Acute appendicitis with removal
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dry skin, Pruritus, Rash, Rash pruritic
Clinical narrative: Dry itching rash on bilateral  entire back of hands, started suddenly within a week or two of 2nd vaccine, lasted for over 5 weeks. Rash did not respond to OTC hydrocortisone cream or lotions, but did mostly clear after I switched to a natural shea butter bar soap (was using Softsoap liquid handsoap for the past year without any skin irritation/rash prior to 2nd Covid vaccine dose). After 1 week of using the shea soap, my hands are visibly healed, but still have mild itching at times, and skin is still thinner. I have never had a rash like this before, but have had a remote history of stress dermatitis (30 years ago) on hands, and herpetiform rash on face, neck and elbows due to gluten intolerance (now cleared after going on gluten free diet 4 years ago).  I am a retired RN.  I came across this "back of hand rash"  yesterday as a Covid vaccine side effect that others were reporting, and did not realize until then that it was related to Pfizer Covid vaccine. I have already fully participated in the CDC VacSafe reporting, and did not report this on the app as I didn't realize it was related to Covid vaccine.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Syncope
Clinical narrative: Patient experienced syncope less than 5 minutes after receiving the Janssen COVID-19 shot.  We alerted store management and called 911.  He regained consciousness after about 15 seconds or so.   We laid him on the floor and got cold, wet paper towels to hold on his head.  He felts weak but was alert.  EMS arrived and checked his vitals.  His vitals were ok.  He refused to go with EMS when he was asked.  We called his wife and she came and picked him up.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient is 17 years old and this Vaccine only for 18 years old and above called the mother on the 17th but no one answer the mother called the pharmacy on the 18th. she Mentioned that her Daughter is doing fine now. She states that we ( the parents ) want her to take JNJ vaccine
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: pt received 1st moderna dose and fainted about 5 mins after receiving the dose.  He recovered without incident, drove away after the drive through event.  Nothing significant to report.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site erythema, Injection site warmth, Joint swelling
Clinical narrative: Since the 1st shot all my joints are. Swollen and soar. I am depressed and about 5 days after the injection the injection site turned red and hot and swelled up.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea
Clinical narrative: Approximately 2 minutes after receiving the vaccine, patient stated that he felt nauseous. Patient was seated in observation area. Patient stated that he had no other pain or complaints. Pt appeared diaphoretic. Vital signs taken at 2:23pm were as follows. Pulse 44 regular and strong, BP 82/41, respiratory rate 14 and unlabored, oxygen saturation 95%. EMS was called. Patient was asked to lie down and his legs were elevated. Patient stated that he felt better and no longer felt nauseous. Vital signs at 2:28pm in Trendelenburg position were pulse 50, BP 109/56, O2 sat 98%, RR 14. Lung sounds were clear and equal bilaterally. Pt reported no difficulty breathing, no tightness or pain in chest, and no swelling in face. Vital signs at 2:30pm in trendelenberg position were pulse 56, BP 115/70, RR 14, O2 sat 99%. Patient was asked to sit up. He stated that he felt fine and returned to chair. Vital signs at 2:33 in chair were pulse 58, BP 109/66, O2 Sat 98%. EMS arrived and assessed the patient. Patient stated that he did not want to go to hospital. EMS released patient.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Burning sensation, Exposure during pregnancy, Gestational diabetes, Restless legs syndrome
Clinical narrative: Restless legs; burning feet; anxiety and they did gestational Diabetes test and I was really high. I am still having all of these symptoms.  I am taking magnesium to see if it will help but it hasn't.   Pregnancy history - my second pregnancy - and I did not have gestational diabetes the first time. Estimated date of delivery - July 29, 2021 (maybe sooner now because of the gestational diabetes)
Age: 1.92
Sex: F
Vaccine: DTAP, HEPA, MMRV, PNC13, VARCEL
Symptoms: Incorrect dose administered
Clinical narrative: 18 month female was given Proquad and varivax, at this time child is not showing any symptoms or signs of an adverse reaction to the vaccines given. Mother and patient were offered to come in this morning to speak to Pediatrician in regards to incident and mother choose to come in tomorrow since she has an appointment her self close by the office .
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer vaccine mixed incorrectly (used sterile water)
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Eye movement disorder, Middle ear effusion, Skin warm
Clinical narrative: Patient had a syncopal reaction: skin became hot and clammy, patient was dizzy, upon asking him to repeat a command or do a simple action (like wiggling fingers, lifting arm) he was not responding and his eyes were rolling to the back of his head and would not vocalize (when asked if ok, or what his symptoms were, or if he was having trouble breathing) at which time we called 911 since he was not responding verbally or physically.  Had him sit, take off his mask, gave him water to sip, took BP (102/60), within 5 minutes he started to come back around, was able to follow command (wiggle fingers) vocalize that he could breathe fine, and felt that there was water behind his ears. His temperature to touch seemed to start to go back down, and once paramedics arrived they evaluated him and released him as "ok" within 10 minutes.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Unresponsive to stimuli
Clinical narrative: Patient had a syncopal reaction: skin became hot and clammy, patient was dizzy, upon asking him to repeat a command or do a simple action (like wiggling fingers, lifting arm) he was not responding and his eyes were rolling to the back of his head and would not vocalize (when asked if ok, or what his symptoms were, or if he was having trouble breathing) at which time we called 911 since he was not responding verbally or physically.  Had him sit, take off his mask, gave him water to sip, took BP (102/60), within 5 minutes he started to come back around, was able to follow command (wiggle fingers) vocalize that he could breathe fine, and felt that there was water behind his ears. His temperature to touch seemed to start to go back down, and once paramedics arrived they evaluated him and released him as "ok" within 10 minutes.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: Fever of 99.7, body ache, head ache, sore arm at shot
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Moderna vaccine second dosage was given early.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: A magnet and a quarter will stick to my arm and stay. I saw my doctor and she gave me this website.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Myalgia, Pain, SARS-CoV-2 test positive
Clinical narrative: Cough; muscle or body aches.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Rash
Clinical narrative: Shingles, first started estimated 5/7 and diagnosed 5/10. Finished antiviral medication 5/18, condition ongoing. Rashes on right side - chest, under arm, upper arm, shoulder blade.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: Menstrual bleeding for a duration much longer than usual (usually 5 days, currently on day 17 and counting)
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Cough, Heart rate increased
Clinical narrative: Pt started exhibiting a dry cough that progressed in frequency over the course of aprox. 15 mins.  Patients father remained at her side, patients father administered two puffs of patients inhaler, Albuterol, for the coughing.   Nurses attended at patients side, checked vitals which were stable with oxygen saturation of 100% and however, pulse noted to be elevated in the 130's.  RN auscultated lung sounds, no wheezing noted, but pt exhibiting signs of anxiousness as well now.  Pt assisted to wheelchair and to area to lie down for further evaluation.  Pt was lain on her right side, RN remained at her side entire time.  Pt advised to use inhaler again, two pufffs, and encouraged to slow her breathing, relax, and was advised that her vitals were stable.  Pt was asked if she felt she needed additional support with her breathing and she stated yes.  911 was called and advised of the situation.  Pts pulse did lower to 100-105 and breathing did become easier and more regular while we waited for EMS to arrive.  Pt transferred to care of EMS with oxygen saturation of 100% and pulse of 104.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Full blood count, Metabolic function test, Nausea, Pyelonephritis
Clinical narrative: Fever, severe abdominal cramping, extreme nausea, vomiting over 16 hours, pyelonephritis
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test, Urine analysis, Vomiting
Clinical narrative: Fever, severe abdominal cramping, extreme nausea, vomiting over 16 hours, pyelonephritis
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, SARS-CoV-2 test negative
Clinical narrative: loss of taste(salty taste, coffee) after 10days of 1st dose.  noticed on 4/24 and took PCR test on 4/26 and it was negative
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Dyspnoea
Clinical narrative: COVID+ on 5/10. Admitted for chest pain and SOB on 5/14.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Pain in extremity
Clinical narrative: Sore joints; hands, knees, hips
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received second dose of Pfizer vaccination one week after receiving first dose.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram ST segment elevation, Pericarditis, Troponin increased
Clinical narrative: 2 days of severe chest pain, EKG with ST segment elevation and troponin elevated to 7, consistent with pericarditis.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: A day after receiving the vaccine the patient noticed a rash developing on his neck and chest. He went to the urgent care where they gave him prednisone to treat the rash. As of today he states the rash doesn't seem as bad but may be a little larger area than it was. Patient is going to contact his primary physician.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: VACCINE WAS ADMINISTERED TO PATIENT THAT IS 11 YEARS 8 MONTHS OLD.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Delirium, Disorientation, Pain in extremity, Pyrexia
Clinical narrative: Slowed time sense/disorientation, followed by euphoria. Overnight, fever, chills, delirium, soreness of arm.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Arthritis, Condition aggravated
Clinical narrative: Exacerbation of arthritis
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Hemiparesis, Malaise
Clinical narrative: When asked how she did with her first dose, pt stated it did not go well. "About fourteen hours after the shot, I felt like I had a stroke." Pt described not feeling numb but felt as though her body was drooping bilaterally on the entire right side. Pt does not have PCP at this time and did not go get checked at ER. Stated she had tried to call with concerns but with no answer. Pt stated she went to a pharmacist and they had told her that she looked normal. Pt stated it happened, this feeling of unilateral drooping, when she was at the store. She stated that she then went home, ate, took Rx medicine, and went to bed. She said that she slept long, then awoke feeling fine.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: NO ADVERSE REACTIONS. ADMINISTRATION DEVIATION; UNAUTHORIZED AGE GROUP
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pfizer vaccine mixed incorrectly (used sterile water)
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Nausea, Pain
Clinical narrative: Patient reported body aches and chills, no fever. Also reported headache. Started Vomiting at 3:00am for an hour. In the morning ptnt was dizzy and nauseas when attempting to move. I recommended the patient get checked out by a physician.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient reported body aches and chills, no fever. Also reported headache. Started Vomiting at 3:00am for an hour. In the morning ptnt was dizzy and nauseas when attempting to move. I recommended the patient get checked out by a physician.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Fatigue, Headache, Injection site pain, Myalgia
Clinical narrative: There were no adverse symptoms after the first dose, other than soreness at injection site. After the second dose, there was initial arm soreness and headache with slight fatigue. Three weeks after the second injection, a noticeable increase in fatigue and muscle pain presented, which has occurred everyday for a month since that time (7 weeks after 2nd injection). Blood tests reveal no new illness, other than chronic fibromyalgia and arthritis. COVID-19 antibodies were not present in bloodwork.
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 antibody test negative
Clinical narrative: There were no adverse symptoms after the first dose, other than soreness at injection site. After the second dose, there was initial arm soreness and headache with slight fatigue. Three weeks after the second injection, a noticeable increase in fatigue and muscle pain presented, which has occurred everyday for a month since that time (7 weeks after 2nd injection). Blood tests reveal no new illness, other than chronic fibromyalgia and arthritis. COVID-19 antibodies were not present in bloodwork.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Fatigue, Pain
Clinical narrative: Topic: Acute Illness >> Mar 15, 2021  8:16 AM  Reporter wrote: PCP    Does the pt have current symptoms of illness? Yes  Date symptoms started: over the weekend   1.    Does the patient have a fever (subjective or confirmed)? Yes, between 100 and 100.6 2.    Does the patient have a new onset of cough? Yes 3.    Does the patient have a new onset of shortness of breath? No 4.    Additional symptoms: body aches, fatigue   The pt received the first dose of the COVID-19 vaccine on 3/6/2021.  The pt inquired whether the pt's wife should also be tested.  The pt's wife is a pt of the practice.  The pt's wife only has a slight cough.  The pt is currently receiving treatments for prostate cancer.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: Topic: Acute Illness >> Mar 15, 2021  8:16 AM  Reporter wrote: PCP    Does the pt have current symptoms of illness? Yes  Date symptoms started: over the weekend   1.    Does the patient have a fever (subjective or confirmed)? Yes, between 100 and 100.6 2.    Does the patient have a new onset of cough? Yes 3.    Does the patient have a new onset of shortness of breath? No 4.    Additional symptoms: body aches, fatigue   The pt received the first dose of the COVID-19 vaccine on 3/6/2021.  The pt inquired whether the pt's wife should also be tested.  The pt's wife is a pt of the practice.  The pt's wife only has a slight cough.  The pt is currently receiving treatments for prostate cancer.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Hyperventilation
Clinical narrative: After 10 minutes became sweaty and hyperventilating  B/P 134/94 P 95 R 24 patient reported she was diabetic and felt blood sugar was low. Gave 2 apple juice and a few M M's
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Pyrexia
Clinical narrative: Fever starting at 11:30pm.  Continued through the night with uncontrolled shivering and reached 103.7 degrees.  While trying to find an  urgent care facility that was open 24/7, fever finally broke around  4:30am so we stopped looking at that point.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site rash, Injection site reaction, Pain in extremity, Pruritus, Rash
Clinical narrative: She got her vaccine, her arm was extremely sore for 2 days.  Then on Wednesday it was itchy real bad, and noticed a lot of tiny red bumps were on it at the injection site.  Each day more and more bumps appeared.  She then put alcohol and peroxide on it.  Then she put hydrocortisone and more bumps kept appearing.  She then took Benadryl and some of them are dried up and some are not.  Near her wrist  on her arm she thought was a cut, but now she has bumps in a line.  Every day she seems to have more and more of these, but is wondering if this is from the vaccine and if she should take the other vaccine.  She has called her doctor but they have not called her back, but she is going to go to Facility tomorrow.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash erythematous
Clinical narrative: She got her vaccine, her arm was extremely sore for 2 days.  Then on Wednesday it was itchy real bad, and noticed a lot of tiny red bumps were on it at the injection site.  Each day more and more bumps appeared.  She then put alcohol and peroxide on it.  Then she put hydrocortisone and more bumps kept appearing.  She then took Benadryl and some of them are dried up and some are not.  Near her wrist  on her arm she thought was a cut, but now she has bumps in a line.  Every day she seems to have more and more of these, but is wondering if this is from the vaccine and if she should take the other vaccine.  She has called her doctor but they have not called her back, but she is going to go to Facility tomorrow.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Amenorrhoea
Clinical narrative: Not getting my period after the second dose of the vaccine
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Complication of pregnancy, Exposure during pregnancy, Foetal death
Clinical narrative: Patient had an intrauterine fetal demise at 36 4/7 weeks. Most likely unrelated but want it reported that she had vaccine during pregnancy.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Three days after the first Moderna vaccine, I experienced tremendous pain in the calf of my right leg. It went away the same day with large doses of ibuprofen. Two days later, the pain began again and lasted for three days. It did not respond to pain relievers. I could hardly use my leg to walk, climb stairs, etc.  It went away after the third day.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling cold, Hyperhidrosis, Pallor, Skin discolouration, Syncope
Clinical narrative: A few moments after receiving the vaccination, patient fainted and had some tremors afterwards. We picked her up off of the floor and placed her in a chair. She was pale and had some discoloration around her nose area. She was able to speak to us. She felt cold and was sweating at the same time. Her body temp was 97 degrees F. According to her mom, she's had a previous reaction similar to this but not to this extreme with the HPV shot. We called 911 to have her assessed by the paramedics
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Menstruation irregular, Oligomenorrhoea
Clinical narrative: I was sick feeling for three days after.  My periods have been coming every two weeks, and the last one has lasted 22 days.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Sore arm even after 6 weeks on left side.  Used a cold pack and ibuprofen for pain.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Myalgia, Pyrexia
Clinical narrative: Chills Fever of 100.5 F Muscle Aches and Pains Fatigue Headache Used Ibuprofen to aid/alleviate symptoms. All symptoms dissipated after 32 hours.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: rapid heat beat close to 100 per minute for 24hr
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardioversion, Condition aggravated
Clinical narrative: Patient  w/h/o afib, but was regular prior to the vaccine,  showed up to the hospital approx. 1 mo after their 2nd moderna vaccine w/afib w/RVR  and failed cardioversion.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Cough, Exposure to SARS-CoV-2, Influenza A virus test negative, Influenza B virus test
Clinical narrative: ED Discharged  3/14/2021 (1 hours)  Hospital ED Treatment team Providers COVID-19 Clinical impression Covid-19  Emergency Medicine Expand AllCollapse All        ED PROVIDER NOTE        Date: 3/14/2021    This note was partially completed using voice recognition technology, and was scanned for gross errors; however some errors may still exist.  Please contact the author with any questions or requests for clarification.      Medical Decision Making     56 y.o. male patient who presents to the ED for COVID-19 screening. Patient reports PMH of sarcoidosis. Symptoms include nasal congestion, cough, and malaise. Vital signs as documented and stable. Exam reveals well appearing person in no acute distress.  No accessory muscle use, speaking in full sentences. Slight rhonchi noted in left lung base. Heart sounds normal with normal rate and rhythm.  Limbs warm and well perfused.  No edema noted.  Abdomen is soft and non tender.  X-ray negative for acute process. Patient did test positive for COVID-19.   Considered alternative causes such as ACS, PE, pneumothorax, pneumonia but unlikely given constellation of symptoms and exam findings.  Assessment is likely viral syndrome caused by COVID-19. I have directed the patient to self monitor at home.  Advised not to leave home and minimize contacts in home as much as possible for the next 10 days. Advised on symptomatic treatments for home. Patient was advised to follow-up with primary care physician and pulmonologist by telephone and to come back to the emergency department if symptoms worsen.      Chief Complaint      Chief Complaint Patient presents with ? Covid-19 Screening      History of Present Illness     Patient is a male who presents to the ED with for COVID-19 screening.  Patient has been experiencing nasal congestion, cough, and malaise since earlier today.    No specific aggravating or alleviating factors.  No treatments tried at home.  Reports sick contacts of father in law, son, and wife. Denies recent travel..
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Nasal congestion, SARS-CoV-2 test positive, Wheezing
Clinical narrative: ED Discharged  3/14/2021 (1 hours)  Hospital ED Treatment team Providers COVID-19 Clinical impression Covid-19  Emergency Medicine Expand AllCollapse All        ED PROVIDER NOTE        Date: 3/14/2021    This note was partially completed using voice recognition technology, and was scanned for gross errors; however some errors may still exist.  Please contact the author with any questions or requests for clarification.      Medical Decision Making     56 y.o. male patient who presents to the ED for COVID-19 screening. Patient reports PMH of sarcoidosis. Symptoms include nasal congestion, cough, and malaise. Vital signs as documented and stable. Exam reveals well appearing person in no acute distress.  No accessory muscle use, speaking in full sentences. Slight rhonchi noted in left lung base. Heart sounds normal with normal rate and rhythm.  Limbs warm and well perfused.  No edema noted.  Abdomen is soft and non tender.  X-ray negative for acute process. Patient did test positive for COVID-19.   Considered alternative causes such as ACS, PE, pneumothorax, pneumonia but unlikely given constellation of symptoms and exam findings.  Assessment is likely viral syndrome caused by COVID-19. I have directed the patient to self monitor at home.  Advised not to leave home and minimize contacts in home as much as possible for the next 10 days. Advised on symptomatic treatments for home. Patient was advised to follow-up with primary care physician and pulmonologist by telephone and to come back to the emergency department if symptoms worsen.      Chief Complaint      Chief Complaint Patient presents with ? Covid-19 Screening      History of Present Illness     Patient is a male who presents to the ED with for COVID-19 screening.  Patient has been experiencing nasal congestion, cough, and malaise since earlier today.    No specific aggravating or alleviating factors.  No treatments tried at home.  Reports sick contacts of father in law, son, and wife. Denies recent travel..
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Angiocardiogram, Chest discomfort, Chills, Feeling abnormal, Hyperhidrosis
Clinical narrative: COVID dose 1: Moderna, Lot# 042B212A, 4/17/21 @ 3:45pm, R arm COVID dose 1: Moderna, Lot# 022C21A, 5/15/21 @ 3:00 pm, R arm Sat 5/15/21 @ 1500: 2nd dose administered. 5/15/21 @  Evening: pt states light fever, took OTC Aleve, fever decreased (symptomatic, temp not measured) Sun 5/16/21 @ 5am: intense chills. Daytime: fevers, pt took Aleve, temp of 102.1 F. Evening time: pt reports having flu-like symptoms, head fog, slept most of day. Mon 5/17/21: felt fine, took morning off from work.  Tues 5/18/21 0630am: woke up with chest tightness/pressure, diaphoresis. Pt presented to BI-Milton Hosptial ED, found to have an elevated troponin to 0.35. Cardiac workup for myocarditis.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness, Myocarditis, Pyrexia, Troponin increased
Clinical narrative: COVID dose 1: Moderna, Lot# 042B212A, 4/17/21 @ 3:45pm, R arm COVID dose 1: Moderna, Lot# 022C21A, 5/15/21 @ 3:00 pm, R arm Sat 5/15/21 @ 1500: 2nd dose administered. 5/15/21 @  Evening: pt states light fever, took OTC Aleve, fever decreased (symptomatic, temp not measured) Sun 5/16/21 @ 5am: intense chills. Daytime: fevers, pt took Aleve, temp of 102.1 F. Evening time: pt reports having flu-like symptoms, head fog, slept most of day. Mon 5/17/21: felt fine, took morning off from work.  Tues 5/18/21 0630am: woke up with chest tightness/pressure, diaphoresis. Pt presented to BI-Milton Hosptial ED, found to have an elevated troponin to 0.35. Cardiac workup for myocarditis.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Postmenopausal haemorrhage
Clinical narrative: Started  light bleeding/spotting after 19 months of no period and being in menopause
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Trismus
Clinical narrative: On the night of the 17th, I couldn't open my jaw very well. The next morning, it had worsened and I could only open my mouth about a half an inch. It only hurt on the left side, under my ear. I called and talked to the advise nurse. The doctor told her I could wait until the next day to be seen. The next morning, I could open my jaw and it was getting better, so I canceled my appt. By Tuesday, it was gone. I've never had this to happen before.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer vaccine mixed incorrectly (used sterile water)
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: INDIVIDUAL WAS UNDER 18 AT THE TIME OF VACCINATION
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac monitoring, Cerebrovascular accident, Computerised tomogram, Echocardiogram
Clinical narrative: I experienced left sore arm after my Pfizer vaccine.  I had two episodes and I do not know if they are related to the Pfizer vaccines.  Feb 28,2021 @ 10pm, severe onset vomiting.  March 15, 2021 @9:45am had a mild stroke.  I was in ICU, CT scans, MRI, echocardiogram, extensive blood work done. They also put in a heart monitor.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Magnetic resonance imaging, Pain in extremity, Vomiting
Clinical narrative: I experienced left sore arm after my Pfizer vaccine.  I had two episodes and I do not know if they are related to the Pfizer vaccines.  Feb 28,2021 @ 10pm, severe onset vomiting.  March 15, 2021 @9:45am had a mild stroke.  I was in ICU, CT scans, MRI, echocardiogram, extensive blood work done. They also put in a heart monitor.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Client was administered Janssen COVID-19 vaccine after stating she had an allergic reaction to a Moderna COVID19 vaccine administered earlier this year in January, she would not state location/exact day. No previous COVID-19 vaccine documented in of this clients Moderna vaccination. Janssen COVID-19 vaccine provided per clients request, no documented or reported adverse reaction.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Ear infection, Exposure to SARS-CoV-2, Otitis media acute, SARS-CoV-2 test positive
Clinical narrative: 1. Close exposure to COVID: Requesting COVID test. No respiratory symptoms. Afebrile, stable, nontoxic. COVID PCR obtained.  Chief Complaint(s):  Chief Complaint Patient presents with ? Dizziness     TEAM NOTES: Pt is here today for dizziness.     ASSESSMENT and PLAN: 1. COVID-19  2. Acute suppurative otitis media of both ears without spontaneous rupture of tympanic membranes, recurrence not specified  3. Acute pansinusitis, recurrence not specified  4. Dizziness        Patient Instructions In addition to COVID you have a bilateral ear infection and sinus infection. Start taking amoxicillin as directed, continue to completion. I would recommend a probiotic pill or yogurt (like "Activia" or "live active cultures") 2 hours after antibiotic.  If not any better in the next 3-5 days or starts to get worse please return the office for evaluation. Start taking plain mucinex/Robitussin (not DM) every 12 hours.  Take with plenty of water. Continue flonase. Please call with questions.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Sinusitis, Tympanic membrane perforation
Clinical narrative: 1. Close exposure to COVID: Requesting COVID test. No respiratory symptoms. Afebrile, stable, nontoxic. COVID PCR obtained.  Chief Complaint(s):  Chief Complaint Patient presents with ? Dizziness     TEAM NOTES: Pt is here today for dizziness.     ASSESSMENT and PLAN: 1. COVID-19  2. Acute suppurative otitis media of both ears without spontaneous rupture of tympanic membranes, recurrence not specified  3. Acute pansinusitis, recurrence not specified  4. Dizziness        Patient Instructions In addition to COVID you have a bilateral ear infection and sinus infection. Start taking amoxicillin as directed, continue to completion. I would recommend a probiotic pill or yogurt (like "Activia" or "live active cultures") 2 hours after antibiotic.  If not any better in the next 3-5 days or starts to get worse please return the office for evaluation. Start taking plain mucinex/Robitussin (not DM) every 12 hours.  Take with plenty of water. Continue flonase. Please call with questions.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Headache, Herpes zoster, Pain, Pyrexia
Clinical narrative: Symtoms 24 hours after the 2nd COVID shot. Fever, chills, headache, began around 6PM on May 2, 2021. Symtoms continued, then on Wednesday, May 5, 2021, the shingles rash erupted. Shingles was confirmed at Urgent Care. on Saturday, May 8, 2021. Shingles rash on lower left back, left hip, left thigh and creeping around to the front. Received a shot for inflammation. Acyclovir 800 MG every 4 hours, Gabapentin 300 mg 3 times a day and Tylenol with codeine 300-30 mg for pain greater than 6 out of 10. On May 17, 2021 saw primary care physician for additional pain relief. Rash is drying up and no longer 'angry'. Stopped Acyclovir and Gabapentin. New script Pregabalin 75 mg.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Pulmonary embolism
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for DVT on 4/7/21. She also presented to the ED and was subsequently hospitalized for pulmonary embolism on 5/7/21. These visits are within 6 weeks of receiving COVID vaccination.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Bilevel positive airway pressure, Dysarthria, Dysphagia, Hypercapnia, Respiratory failure
Clinical narrative: 5/12 Admitted to medical center with new dysphagia and slurred speech.    5/17 Acute Hypercarbic respiratory failure; Neuromuscular dysfunction -  5/19 -CONCERN FOR GBS.  Patient on BiPAP (no history of pulmonary disease)
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Loss of consciousness
Clinical narrative: The patient passed out and fell on the floor. He woke up. He laid down. He drank some water. The nurse took his vitals BP 128/80, P:82, SPOZ: 99%. He stated that he was ok. EMS checked him out. He stated that he was ok and refused transport.
Age: 53.0
Sex: F
Vaccine: UNK
Symptoms: Asthenia, Bacteraemia, Death, Haemophagocytic lymphohistiocytosis, Immunology test
Clinical narrative: After the 2nd dose of Moderna vaccine on 4/22/2021, Patient developped facial swelling and generalized weakness. Pt was  hospitalized on 5/3/2021 due to bacteremia, sepsis, Hemophagocytic lymphohistiocytosis, acure pancertitis, and pancytopenia. Patient was treated with steroid and etoposide. patient eventually deceased due to multi-organ failure after 14 days of hospitalization.
Age: 53.0
Sex: F
Vaccine: UNK
Symptoms: Multiple organ dysfunction syndrome, Pancreatitis acute, Pancytopenia, Sepsis, Swelling face
Clinical narrative: After the 2nd dose of Moderna vaccine on 4/22/2021, Patient developped facial swelling and generalized weakness. Pt was  hospitalized on 5/3/2021 due to bacteremia, sepsis, Hemophagocytic lymphohistiocytosis, acure pancertitis, and pancytopenia. Patient was treated with steroid and etoposide. patient eventually deceased due to multi-organ failure after 14 days of hospitalization.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Encephalitis autoimmune, Generalised tonic-clonic seizure
Clinical narrative: Autoimmune encephalitis with generalized tonic/clinic seizure.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Pfizer vaccine mixed incorrectly (used sterile water)
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Influenza like illness, Pain
Clinical narrative: I woke up feeling like I had the flu, I ached all over and thought I actually caught the flu. I waited a few days but it didn't go away. I went to the doctor. I felt better in about 6 days.
Age: 80.0
Sex: M
Vaccine: VARZOS
Symptoms: Injection site pain, Joint range of motion decreased, Musculoskeletal stiffness, Pain, Pain in extremity
Clinical narrative: Wife says patient is experiencing a lot of soreness and limited range of motion of arm.  He is having significant pain with movement of arm and some stiffness in hand.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Crying, Dizziness, Dyspnoea, Palpitations, Sensory disturbance
Clinical narrative: is a 16-year-old female patient admitted with tachycardia.  Starting 1-1/2 weeks ago, mom notes that she has had episodes where she feels her heart racing.  It began 1-1/2 weeks ago with her crying and her watch that her heart rate was 208.  They went to the ED, where she was given some fluids and her heart rate improved so she was sent home.  She had had prior episodes of mild tachycardia up to the 140s in the past but which has always improved with fluids.  Mom states that she used to have a lot of trouble maintaining her hydration and would not drink a lot of water.  Since the last 1-1/2 weeks, she has been having these episodes 1-2 times a day that last about 1 to 2 minutes with a max of 5 minutes.  When it comes on, she feels dizzy and lightheaded, and after the episode she feels a big rush of blood to her head.  She also has some associated shortness of breath.  She denies having any episodes of chest pain at all.  She has never passed out, she has never felt like she was going to pass out, she has never felt like she was out of balance.  She denies any nausea or vomiting during episodes.  She denies any headaches during the episodes.  She does have history of migraines, but has not had one in the last couple weeks.  Her prior resting heart rate was in the 80s per her watch, and lately it has been in the 110s to 120s while awake in 80s while asleep.  Along with the episodes, she also feels some pulsating sensation in her abdomen.  She does not have any abdominal pain.  Today, her heart rate was again in the 200s, but it was worse than before because it lasted about 30 minutes total.  Lately they have been using an app that continuously monitors her heart rate.  Since these episodes started, she has cut down on her caffeine intake and she has increased her water intake.  Does not feel that this helped. She has never had syncope in the past and has never had seizures in the past.  Patient was started on carvedilol which has helped control heart rate and was encouraged to drink fluids. Per primary care team, her current episode of tachycardia was not due to the vaccine.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tachycardia
Clinical narrative: is a 16-year-old female patient admitted with tachycardia.  Starting 1-1/2 weeks ago, mom notes that she has had episodes where she feels her heart racing.  It began 1-1/2 weeks ago with her crying and her watch that her heart rate was 208.  They went to the ED, where she was given some fluids and her heart rate improved so she was sent home.  She had had prior episodes of mild tachycardia up to the 140s in the past but which has always improved with fluids.  Mom states that she used to have a lot of trouble maintaining her hydration and would not drink a lot of water.  Since the last 1-1/2 weeks, she has been having these episodes 1-2 times a day that last about 1 to 2 minutes with a max of 5 minutes.  When it comes on, she feels dizzy and lightheaded, and after the episode she feels a big rush of blood to her head.  She also has some associated shortness of breath.  She denies having any episodes of chest pain at all.  She has never passed out, she has never felt like she was going to pass out, she has never felt like she was out of balance.  She denies any nausea or vomiting during episodes.  She denies any headaches during the episodes.  She does have history of migraines, but has not had one in the last couple weeks.  Her prior resting heart rate was in the 80s per her watch, and lately it has been in the 110s to 120s while awake in 80s while asleep.  Along with the episodes, she also feels some pulsating sensation in her abdomen.  She does not have any abdominal pain.  Today, her heart rate was again in the 200s, but it was worse than before because it lasted about 30 minutes total.  Lately they have been using an app that continuously monitors her heart rate.  Since these episodes started, she has cut down on her caffeine intake and she has increased her water intake.  Does not feel that this helped. She has never had syncope in the past and has never had seizures in the past.  Patient was started on carvedilol which has helped control heart rate and was encouraged to drink fluids. Per primary care team, her current episode of tachycardia was not due to the vaccine.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood test normal, Computerised tomogram normal, Eating disorder, Electrocardiogram normal
Clinical narrative: I developed severe headaches which turned into a lot of inflammation. There was nerve pain throughout my body. I wasn't able to sleep or eat for almost 7 days. I was experiencing nerve pain and tremors. They weren't continuous, but they would come and go. Inside I felt like there were quivering muscle sensations and weakness. The pain that was associated with the nerve pain would not go away. I have started to experience severe anxiety. I feel like I'm experiencing PTSD.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Inflammation, Muscle disorder, Muscular weakness, Neuralgia
Clinical narrative: I developed severe headaches which turned into a lot of inflammation. There was nerve pain throughout my body. I wasn't able to sleep or eat for almost 7 days. I was experiencing nerve pain and tremors. They weren't continuous, but they would come and go. Inside I felt like there were quivering muscle sensations and weakness. The pain that was associated with the nerve pain would not go away. I have started to experience severe anxiety. I feel like I'm experiencing PTSD.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder, Tremor
Clinical narrative: I developed severe headaches which turned into a lot of inflammation. There was nerve pain throughout my body. I wasn't able to sleep or eat for almost 7 days. I was experiencing nerve pain and tremors. They weren't continuous, but they would come and go. Inside I felt like there were quivering muscle sensations and weakness. The pain that was associated with the nerve pain would not go away. I have started to experience severe anxiety. I feel like I'm experiencing PTSD.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Hypoaesthesia
Clinical narrative: within first few moments after injection- arm/hand numbness .  the following day- lightheadedness and severe headache
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Cough decreased, Exposure to SARS-CoV-2, Influenza virus test negative, Malaise, Nasal congestion
Clinical narrative: ED Discharged  3/14/2021 (1 hours) Hospital ED Treatment team Providers Exposure to COVID-19 virus +1 more Clinical impression Covid-19 Screening Chief complaint ED Provider Notes CRNP (Nurse Practitioner) ? ? Emergency Medicine Expand AllCollapse All        ED PROVIDER NOTE           This note was partially completed using voice recognition technology, and was scanned for gross errors; however some errors may still exist.  Please contact the author with any questions or requests for clarification.      Medical Decision Making     64 y.o. female patient who presents the emergency department with nasal congestion, cough, and malaise. Her husband, son and Father all have COVID-19. Patient denies PMH..  Vital signs are stable and reassuring.  Lung sounds are clear and equal bilaterally.  No other abnormality seen on exam.  I elected to get a for panel viral respiratory panel because patient was recently tested and tested negative.  I had concerns for influenza.  This panel was negative.   Differential diagnosis includes influenza, RSV, viral upper respiratory infection, COVID-19, pneumonia, or bronchitis.     Given clear lung sounds pneumonia and bronchitis seem unlikely. RSV, Influenza, and COVID-19 tests are all negative. Suspect a viral URI, but patient has had significant exposure to COVID-19, so I suggested quarantine.   Recommend symptomatic measures for treatment.  Recommend follow-up with primary care physician.  Recommended coming back to the emergency department with any worsening symptoms.      Chief Complaint      Chief Complaint Patient presents with ? Covid-19 Screening      History of Present Illness     Patient is an 64 y.o. female who presents to the ED with for COVID-19 screening.  Patient has been experiencing nasal congestion, cough, and malaise.    No specific aggravating or alleviating factors.  No treatments tried at home.  Reports sick contacts of husband, son, and father. Denies recent travel..     Diagnosis     1. Exposure to COVID-19 virus  2. Upper respiratory tract infection, unspecified type