chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Tachycardia, Ventricular extrasystoles
Clinical narrative: Pt contacted Health Department on 1/18/22 stating that her and her husband have been experiencing tachycardia and a-fib in the middle of the night and early morning off and on. Per pt, the symptoms started about a month after recieving the second Moderna vaccine on 02/26/21. Pt stated that she uses an app on her phone that she places her fingers on the back of and it shows an EKG. She states that her EKG results show up as tachycardic, PVCs, and A-fib at different times. She states that these episodes wake her up in the middle of the night or occur early morning when she is at rest. When asking what her heart rate runs while experiencing this she stated it runs in the 160s. Per pt, she has no underlying health conditions and does not take any medications. Asked pt if she had seen a primary care or any physician since these symptoms started and she stated that she has not seen a doctor. Pt stated that she did not consult with a physician before recieving her Moderna booster on 12/21/21 and that cardiac episodes are still occuring. Educated patient on the importance of seeking a primary care physician to further investigate cardiac symptoms.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Pyrexia, SARS-CoV-2 test, Vomiting
Clinical narrative: Fever with vomiting lasting at least until my evaluation on day 3.   Mild diarrhea.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Dyskinesia, Loss of consciousness, Syncope
Clinical narrative: Patient fainted 10 minutes after receiving the 2nd COVID vaccine. Has some jerking movements while unconscious. She was very nervous beforehand. Recovered after 1-2 minutes, was feeling fine, didn't remember the event, had normal vital signs and exam by physician. Went to clinic and was observed for 2 hours, no repeat reactions.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dizziness, Headache, Influenza A virus test negative
Clinical narrative: This is a 43y.o. male with a history of congenital adrenal hyperplasia, diabetes type 1, history of substance abuse, left frontal inferior mass (s/p craniotomy), seizure disorder, mood disorder and urinary retention who presents to BFH-ED with a chief complaint of possible syncopal episode. Patient states that he does not recall the episode, but often gets lightheaded when he is hypotensive or hypoglycemic. Per chart review, patient was at a care facility and had a possible syncopal episode after getting up to go to the bathroom. Patient admits to lightheadedness, headaches, chills, vomiting and loose stools for the past week He received his COVID booster vaccine 4 days ago. Denies cough, chest pain, shortness of breath, fevers, abdominal pain, lower extremity edema. Patient has a history of meth and cocaine use and reports that he last used them >1 year ago. He also states that he stopped drinking alcohol 2 years ago and tobacco use 8 months ago. Patient had an ankle fracture 2 months ago and is currently wearing a cast, which was changed 12/23/21.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza B virus test, Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Vomiting
Clinical narrative: This is a 43y.o. male with a history of congenital adrenal hyperplasia, diabetes type 1, history of substance abuse, left frontal inferior mass (s/p craniotomy), seizure disorder, mood disorder and urinary retention who presents to BFH-ED with a chief complaint of possible syncopal episode. Patient states that he does not recall the episode, but often gets lightheaded when he is hypotensive or hypoglycemic. Per chart review, patient was at a care facility and had a possible syncopal episode after getting up to go to the bathroom. Patient admits to lightheadedness, headaches, chills, vomiting and loose stools for the past week He received his COVID booster vaccine 4 days ago. Denies cough, chest pain, shortness of breath, fevers, abdominal pain, lower extremity edema. Patient has a history of meth and cocaine use and reports that he last used them >1 year ago. He also states that he stopped drinking alcohol 2 years ago and tobacco use 8 months ago. Patient had an ankle fracture 2 months ago and is currently wearing a cast, which was changed 12/23/21.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Lethargy, Respiratory tract congestion
Clinical narrative: Headache, chills, congestion, lethargic
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, Chest X-ray, Condition aggravated, Disorientation
Clinical narrative: The patient has received the COVID series and has been hospitalized.  Per the H&P-Chief Complaint   Multiple falls, dizziness. Also states driving yesterday and was getting disoriented and was "all over the place"  Reason for Consultation  Balance Issues  History of Present Illness     The patient is an 81 Right Handed male with a h/o HTN, DM, CAD s/p CABG (2000),  who presents to the ED for multiple falls. Patient says he's been having balance issues for years but has gotten worse in the last 4-5 days. He would recall having falls 5-6x/ year but acutely, has been falling more times than he can count. He has difficulty getting out of bed describing himself as being weak. He says the balance issues start immediately as he stands up.  He denies any chest pain, palpitations or lightheadedness when standing up. He is able to sit upright with no difficulty. He reports that he's hit his head multiple times because of the falls but no loss of consciousness, no nausea, vomiting or associated dizziness. He reports of chronic bilateral tinnitus that has gotten worse in the last few days as well. He usually has his ears cleaned by PCP. He also reports of having a brief period of disorientation while driving. He says he was driving on the main road then suddenly found himself on the emergency lane. Patient also reports visual hallucinations in the last two days described as seeing objects such as cups or glasses on the table that aren't there. Denies any auditory, gustatory, olfactory or tactile hallucinations. He denies any medication changes or supplement use. He denies any chest pain, shortness of breath, abdominal pain, weakness, problems with urination or numbness of the extremities.  Unknown covid vaccine manufacturer, date, and facility received.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Dysstasia, Fall, Feeling abnormal, Hallucination, visual
Clinical narrative: The patient has received the COVID series and has been hospitalized.  Per the H&P-Chief Complaint   Multiple falls, dizziness. Also states driving yesterday and was getting disoriented and was "all over the place"  Reason for Consultation  Balance Issues  History of Present Illness     The patient is an 81 Right Handed male with a h/o HTN, DM, CAD s/p CABG (2000),  who presents to the ED for multiple falls. Patient says he's been having balance issues for years but has gotten worse in the last 4-5 days. He would recall having falls 5-6x/ year but acutely, has been falling more times than he can count. He has difficulty getting out of bed describing himself as being weak. He says the balance issues start immediately as he stands up.  He denies any chest pain, palpitations or lightheadedness when standing up. He is able to sit upright with no difficulty. He reports that he's hit his head multiple times because of the falls but no loss of consciousness, no nausea, vomiting or associated dizziness. He reports of chronic bilateral tinnitus that has gotten worse in the last few days as well. He usually has his ears cleaned by PCP. He also reports of having a brief period of disorientation while driving. He says he was driving on the main road then suddenly found himself on the emergency lane. Patient also reports visual hallucinations in the last two days described as seeing objects such as cups or glasses on the table that aren't there. Denies any auditory, gustatory, olfactory or tactile hallucinations. He denies any medication changes or supplement use. He denies any chest pain, shortness of breath, abdominal pain, weakness, problems with urination or numbness of the extremities.  Unknown covid vaccine manufacturer, date, and facility received.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Head injury, Impaired driving ability, Mobility decreased, SARS-CoV-2 test, Tinnitus
Clinical narrative: The patient has received the COVID series and has been hospitalized.  Per the H&P-Chief Complaint   Multiple falls, dizziness. Also states driving yesterday and was getting disoriented and was "all over the place"  Reason for Consultation  Balance Issues  History of Present Illness     The patient is an 81 Right Handed male with a h/o HTN, DM, CAD s/p CABG (2000),  who presents to the ED for multiple falls. Patient says he's been having balance issues for years but has gotten worse in the last 4-5 days. He would recall having falls 5-6x/ year but acutely, has been falling more times than he can count. He has difficulty getting out of bed describing himself as being weak. He says the balance issues start immediately as he stands up.  He denies any chest pain, palpitations or lightheadedness when standing up. He is able to sit upright with no difficulty. He reports that he's hit his head multiple times because of the falls but no loss of consciousness, no nausea, vomiting or associated dizziness. He reports of chronic bilateral tinnitus that has gotten worse in the last few days as well. He usually has his ears cleaned by PCP. He also reports of having a brief period of disorientation while driving. He says he was driving on the main road then suddenly found himself on the emergency lane. Patient also reports visual hallucinations in the last two days described as seeing objects such as cups or glasses on the table that aren't there. Denies any auditory, gustatory, olfactory or tactile hallucinations. He denies any medication changes or supplement use. He denies any chest pain, shortness of breath, abdominal pain, weakness, problems with urination or numbness of the extremities.  Unknown covid vaccine manufacturer, date, and facility received.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient is hospitalized with COVID and is receiving treatment with 8L high flow nasal cannula oxygen and dexamethasone
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Atrial fibrillation, Heart rate increased, Tachycardia
Clinical narrative: Pt's wife contacted Health Department on 1/18/22 stating that her and her husband have been experiencing tachycardia and A-fib in the middle of the night and in the mornings off and on. Per patient's wife, the symptoms started about a month after recieving the second Moderna vaccine on 2/26/21. Pts wife stated that he wears a smart watch and that the watch was showing that pt was experiencing tachycardia and a-fib. During these symptoms, wife stated that pt wakes up in the middle of the night and can feel that his heart rate it high. Pts wife stated that his HR runs in the 50s usually and it was running <160 but higher than his normal.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dizziness, Heart rate increased
Clinical narrative: Increased heart rate, tightness of chest, and dizziness
Age: 38.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: Patient came to vaccine clinic requesting the flu shot, VIS form given and injection to right deltoid with 25g 1" needle.  No symptoms, no reaction, no further treatment.  documented vaccines given in computer and noted the patient already received this season's flu shot in September 2021.  pt called to notify of second flu shot for season was given.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Agitation, Crying, Hallucination, Palpitations, Pyrexia
Clinical narrative: My son revived his Covid 19 booster on 1/15 2922 at 10:00 AM. Approximately 14-18 hours after this vaccine is given my son begins approximately 5 min episodes of hallucinations in which he says and does things that do not make sense.  15 hrs after his vaccine at 1:00 AM on 1/16/2022 he woke up and became extremely agitated, yelling, screaming, crying, heart racing and this time started saying he was going to die or needed to die. He is not lucid. When asked questions he does not make sense or does not know basic information such as his age or birthdate. He walked to the banister from his room on the 2nd story and began climbing over the edge. My husband grabbed him and took him to his bed holding him down and asking him to count to 10. He slowly begins to calm and all of a sudden becomes lucid again and starts making sense. He has no memory if his actions during the hallucinations. He did have a mild fever of 100.9 and the hallucinations happen after sleeping or when he appears to wake up from sleeping. The following day he was fine and lucid. The next night 10/16/2022 at 10:30 PM after sleeping for 1.5 hrs he awoke and began having a 2nd hallucination. He did not have a fever this night. He enters he hallways and began yelling at his brother as if he was there, but his brother was in his room sleeping. He ran downstairs to my bedroom and started yelling he was going to die. I walked him back upstairs and he told my husband to kill him. When we asked him what he did that day he had he jumped over the edge and jumped off a cliff. He then began answering questions correctly and became lucid again. He had no memory of the episode.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Screaming, Suicidal ideation
Clinical narrative: My son revived his Covid 19 booster on 1/15 2922 at 10:00 AM. Approximately 14-18 hours after this vaccine is given my son begins approximately 5 min episodes of hallucinations in which he says and does things that do not make sense.  15 hrs after his vaccine at 1:00 AM on 1/16/2022 he woke up and became extremely agitated, yelling, screaming, crying, heart racing and this time started saying he was going to die or needed to die. He is not lucid. When asked questions he does not make sense or does not know basic information such as his age or birthdate. He walked to the banister from his room on the 2nd story and began climbing over the edge. My husband grabbed him and took him to his bed holding him down and asking him to count to 10. He slowly begins to calm and all of a sudden becomes lucid again and starts making sense. He has no memory if his actions during the hallucinations. He did have a mild fever of 100.9 and the hallucinations happen after sleeping or when he appears to wake up from sleeping. The following day he was fine and lucid. The next night 10/16/2022 at 10:30 PM after sleeping for 1.5 hrs he awoke and began having a 2nd hallucination. He did not have a fever this night. He enters he hallways and began yelling at his brother as if he was there, but his brother was in his room sleeping. He ran downstairs to my bedroom and started yelling he was going to die. I walked him back upstairs and he told my husband to kill him. When we asked him what he did that day he had he jumped over the edge and jumped off a cliff. He then began answering questions correctly and became lucid again. He had no memory of the episode.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Agitation, Chills, Hallucination, Pain, Pyrexia
Clinical narrative: My son revived his Covid 19 booster on 1/15 2922 at 10:00 AM. Approximately 14-18 hours after this vaccine is given my son begins approximately 5 min episodes of hallucinations in which he says and does things that do not make sense.  15 hrs after his vaccine at 1:00 AM on 1/16/2022 he woke up and became extremely agitated, yelling, screaming, crying, heart racing and this time started saying he was going to die or needed to die. He is not lucid. When asked questions he does not make sense or does not know basic information such as his age or birthdate. He walked to the banister from his room on the 2nd story and began climbing over the edge. My husband grabbed him and took him to his bed holding him down and asking him to count to 10. He slowly begins to calm and all of a sudden becomes lucid again and starts making sense. He has no memory if his actions during the hallucinations. He did have a mild fever of 100.9 and the hallucinations happen after sleeping or when he appears to wake up from sleeping. The following day he was fine and lucid. The next night 10/16/2022 at 10:30 PM after sleeping for 1.5 hrs he awoke and began having a 2nd hallucination. He did not have a fever this night. He enters he hallways and began yelling at his brother as if he was there, but his brother was in his room sleeping. He ran downstairs to my bedroom and started yelling he was going to die. I walked him back upstairs and he told my husband to kill him. When we asked him what he did that day he had he jumped over the edge and jumped off a cliff. He then began answering questions correctly and became lucid again. He had no memory of the episode.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Suicidal ideation, Suicide attempt
Clinical narrative: My son revived his Covid 19 booster on 1/15 2922 at 10:00 AM. Approximately 14-18 hours after this vaccine is given my son begins approximately 5 min episodes of hallucinations in which he says and does things that do not make sense.  15 hrs after his vaccine at 1:00 AM on 1/16/2022 he woke up and became extremely agitated, yelling, screaming, crying, heart racing and this time started saying he was going to die or needed to die. He is not lucid. When asked questions he does not make sense or does not know basic information such as his age or birthdate. He walked to the banister from his room on the 2nd story and began climbing over the edge. My husband grabbed him and took him to his bed holding him down and asking him to count to 10. He slowly begins to calm and all of a sudden becomes lucid again and starts making sense. He has no memory if his actions during the hallucinations. He did have a mild fever of 100.9 and the hallucinations happen after sleeping or when he appears to wake up from sleeping. The following day he was fine and lucid. The next night 10/16/2022 at 10:30 PM after sleeping for 1.5 hrs he awoke and began having a 2nd hallucination. He did not have a fever this night. He enters he hallways and began yelling at his brother as if he was there, but his brother was in his room sleeping. He ran downstairs to my bedroom and started yelling he was going to die. I walked him back upstairs and he told my husband to kill him. When we asked him what he did that day he had he jumped over the edge and jumped off a cliff. He then began answering questions correctly and became lucid again. He had no memory of the episode.
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Agitation, Crying, Hallucination, Palpitations, Pyrexia
Clinical narrative: pt with fever,  hallucinations/agitation approximately 15 hrs after injection - started to feel achy and chilled around 12 hrs, went to bed, then woke up told father he needed to die and tried to jump off the bannister of the stairs.   Parents had to restrain him and asked questions - took about 4-5 minutes for him to return to baseline - no memory of episode.   fine for rest of night and day.   Then about 36 hrs  post injection, woke again after ~90 min asleep with agitation, said, "dad you need to kill me", said he had jumped off a ledge or cliff earlier in day.   after 4-5 minutes of calming he returned to baseline, no memory of episode.   Was afebrile at this time.   No prior h/o psychosis/mood disorder/SI, night terrors, hallucinations with fevers .
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Screaming, Suicidal ideation
Clinical narrative: pt with fever,  hallucinations/agitation approximately 15 hrs after injection - started to feel achy and chilled around 12 hrs, went to bed, then woke up told father he needed to die and tried to jump off the bannister of the stairs.   Parents had to restrain him and asked questions - took about 4-5 minutes for him to return to baseline - no memory of episode.   fine for rest of night and day.   Then about 36 hrs  post injection, woke again after ~90 min asleep with agitation, said, "dad you need to kill me", said he had jumped off a ledge or cliff earlier in day.   after 4-5 minutes of calming he returned to baseline, no memory of episode.   Was afebrile at this time.   No prior h/o psychosis/mood disorder/SI, night terrors, hallucinations with fevers .
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Agitation, Chills, Hallucination, Pain, Pyrexia
Clinical narrative: pt with fever,  hallucinations/agitation approximately 15 hrs after injection - started to feel achy and chilled around 12 hrs, went to bed, then woke up told father he needed to die and tried to jump off the bannister of the stairs.   Parents had to restrain him and asked questions - took about 4-5 minutes for him to return to baseline - no memory of episode.   fine for rest of night and day.   Then about 36 hrs  post injection, woke again after ~90 min asleep with agitation, said, "dad you need to kill me", said he had jumped off a ledge or cliff earlier in day.   after 4-5 minutes of calming he returned to baseline, no memory of episode.   Was afebrile at this time.   No prior h/o psychosis/mood disorder/SI, night terrors, hallucinations with fevers .
Age: 12.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Suicidal ideation, Suicide attempt
Clinical narrative: pt with fever,  hallucinations/agitation approximately 15 hrs after injection - started to feel achy and chilled around 12 hrs, went to bed, then woke up told father he needed to die and tried to jump off the bannister of the stairs.   Parents had to restrain him and asked questions - took about 4-5 minutes for him to return to baseline - no memory of episode.   fine for rest of night and day.   Then about 36 hrs  post injection, woke again after ~90 min asleep with agitation, said, "dad you need to kill me", said he had jumped off a ledge or cliff earlier in day.   after 4-5 minutes of calming he returned to baseline, no memory of episode.   Was afebrile at this time.   No prior h/o psychosis/mood disorder/SI, night terrors, hallucinations with fevers .
Age: 0.42
Sex: M
Vaccine: DTAPHEPBIP, IPV
Symptoms: Wrong product administered
Clinical narrative: No adverse outcome.  Gave IPV and Pediarix at same visit
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Condition aggravated, Dyspnoea, Pain
Clinical narrative: I woke up the next morning and the pain was horrible. I couldn't take a deep breathe. I saw a pulmonologist. I was put on an inhaler. The pain was in my joints it was a bad flare up of RA. I was put on a drug called prenozone.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary function test, Rheumatoid arthritis
Clinical narrative: I woke up the next morning and the pain was horrible. I couldn't take a deep breathe. I saw a pulmonologist. I was put on an inhaler. The pain was in my joints it was a bad flare up of RA. I was put on a drug called prenozone.
Age: 63.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Anger, COVID-19, Chills, Disturbance in attention, Emotional distress
Clinical narrative: After the first Shingles vaccine on Sept 23 I developed fever, chills, pain in the injection site, muscular pain generally, headaches, fatigue.  But the worst thing is that it adversely impacted my emotional state significantly.  I became easily angry, suspicious, paranoid and unable to control impulses.  The emotional and psychological adverse impact was completely unexpected and quite severe.  Knowing that I had this adverse impact when I had the second shot in the shingles series (it was administered on December 17, 2021) I planned for the adverse effects.  But was shocked at yet another psychological/emotional/perceptive effect.  My peripheral vision was almost non-existent.  I was driving, went to the supermarket and had to will myself to pay attention to things that were around me.  It was an incredibly odd and disconcerting adverse impact.  Something I had never experienced before.  I went home and tried to sleep it off and spent a few days in bed.  Surprisingly and perhaps unrelated - but if related then very significant to note - I started feeling like I had a cold.  A standard cold.  Nothing special.  I used over the counter medication.  Then on about 9/26 I administered the Binax Now test and surprisingly for my very first time and after being fully vaccinated it came up positive.  I then had a PCR test to confirm.  Its very likely this was Omicron because it was only upper respiratory, rather mild (except for meaningful hearing problems), no impact on taste and smell and ended in about 6 days.  I quarantined and have home tested multiple times since and always negative.  I do not know if taking the Shingles vaccine made me more susceptible to Covid but I have been traveling, going to events, wearing masks, vaccinating properly, taking Vitamin D daily - I never got Covid except shortly after taking the Shingles vaccine.  There may be a cause and effect here that I suggest you look into.  And PLEASE look into the emotional and cognitive adverse impact of the Shinglex vaccine.  I have spoken with quite a few friends about it and it is amazing how often they reported they had sever and unexpected adverse reactions to it.   This is a completely voluntary vaccine.  I would absolutely not have had it if I knew these were possible side effects.  Please look into this!!!  I had the flu vaccine the same day as the first Shingles vaccine.  I report this on the next page but I do not know which Flu vaccine I was given so I clicked on the first one.
Age: 63.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Fatigue, Headache, Impulse-control disorder, Injection site pain, Myalgia
Clinical narrative: After the first Shingles vaccine on Sept 23 I developed fever, chills, pain in the injection site, muscular pain generally, headaches, fatigue.  But the worst thing is that it adversely impacted my emotional state significantly.  I became easily angry, suspicious, paranoid and unable to control impulses.  The emotional and psychological adverse impact was completely unexpected and quite severe.  Knowing that I had this adverse impact when I had the second shot in the shingles series (it was administered on December 17, 2021) I planned for the adverse effects.  But was shocked at yet another psychological/emotional/perceptive effect.  My peripheral vision was almost non-existent.  I was driving, went to the supermarket and had to will myself to pay attention to things that were around me.  It was an incredibly odd and disconcerting adverse impact.  Something I had never experienced before.  I went home and tried to sleep it off and spent a few days in bed.  Surprisingly and perhaps unrelated - but if related then very significant to note - I started feeling like I had a cold.  A standard cold.  Nothing special.  I used over the counter medication.  Then on about 9/26 I administered the Binax Now test and surprisingly for my very first time and after being fully vaccinated it came up positive.  I then had a PCR test to confirm.  Its very likely this was Omicron because it was only upper respiratory, rather mild (except for meaningful hearing problems), no impact on taste and smell and ended in about 6 days.  I quarantined and have home tested multiple times since and always negative.  I do not know if taking the Shingles vaccine made me more susceptible to Covid but I have been traveling, going to events, wearing masks, vaccinating properly, taking Vitamin D daily - I never got Covid except shortly after taking the Shingles vaccine.  There may be a cause and effect here that I suggest you look into.  And PLEASE look into the emotional and cognitive adverse impact of the Shinglex vaccine.  I have spoken with quite a few friends about it and it is amazing how often they reported they had sever and unexpected adverse reactions to it.   This is a completely voluntary vaccine.  I would absolutely not have had it if I knew these were possible side effects.  Please look into this!!!  I had the flu vaccine the same day as the first Shingles vaccine.  I report this on the next page but I do not know which Flu vaccine I was given so I clicked on the first one.
Age: 63.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Nasopharyngitis, Paranoia, Pyrexia, Respiratory disorder, SARS-CoV-2 test positive
Clinical narrative: After the first Shingles vaccine on Sept 23 I developed fever, chills, pain in the injection site, muscular pain generally, headaches, fatigue.  But the worst thing is that it adversely impacted my emotional state significantly.  I became easily angry, suspicious, paranoid and unable to control impulses.  The emotional and psychological adverse impact was completely unexpected and quite severe.  Knowing that I had this adverse impact when I had the second shot in the shingles series (it was administered on December 17, 2021) I planned for the adverse effects.  But was shocked at yet another psychological/emotional/perceptive effect.  My peripheral vision was almost non-existent.  I was driving, went to the supermarket and had to will myself to pay attention to things that were around me.  It was an incredibly odd and disconcerting adverse impact.  Something I had never experienced before.  I went home and tried to sleep it off and spent a few days in bed.  Surprisingly and perhaps unrelated - but if related then very significant to note - I started feeling like I had a cold.  A standard cold.  Nothing special.  I used over the counter medication.  Then on about 9/26 I administered the Binax Now test and surprisingly for my very first time and after being fully vaccinated it came up positive.  I then had a PCR test to confirm.  Its very likely this was Omicron because it was only upper respiratory, rather mild (except for meaningful hearing problems), no impact on taste and smell and ended in about 6 days.  I quarantined and have home tested multiple times since and always negative.  I do not know if taking the Shingles vaccine made me more susceptible to Covid but I have been traveling, going to events, wearing masks, vaccinating properly, taking Vitamin D daily - I never got Covid except shortly after taking the Shingles vaccine.  There may be a cause and effect here that I suggest you look into.  And PLEASE look into the emotional and cognitive adverse impact of the Shinglex vaccine.  I have spoken with quite a few friends about it and it is amazing how often they reported they had sever and unexpected adverse reactions to it.   This is a completely voluntary vaccine.  I would absolutely not have had it if I knew these were possible side effects.  Please look into this!!!  I had the flu vaccine the same day as the first Shingles vaccine.  I report this on the next page but I do not know which Flu vaccine I was given so I clicked on the first one.
Age: 63.0
Sex: M
Vaccine: VARZOS, VARZOS
Symptoms: Suspiciousness, Visual field defect
Clinical narrative: After the first Shingles vaccine on Sept 23 I developed fever, chills, pain in the injection site, muscular pain generally, headaches, fatigue.  But the worst thing is that it adversely impacted my emotional state significantly.  I became easily angry, suspicious, paranoid and unable to control impulses.  The emotional and psychological adverse impact was completely unexpected and quite severe.  Knowing that I had this adverse impact when I had the second shot in the shingles series (it was administered on December 17, 2021) I planned for the adverse effects.  But was shocked at yet another psychological/emotional/perceptive effect.  My peripheral vision was almost non-existent.  I was driving, went to the supermarket and had to will myself to pay attention to things that were around me.  It was an incredibly odd and disconcerting adverse impact.  Something I had never experienced before.  I went home and tried to sleep it off and spent a few days in bed.  Surprisingly and perhaps unrelated - but if related then very significant to note - I started feeling like I had a cold.  A standard cold.  Nothing special.  I used over the counter medication.  Then on about 9/26 I administered the Binax Now test and surprisingly for my very first time and after being fully vaccinated it came up positive.  I then had a PCR test to confirm.  Its very likely this was Omicron because it was only upper respiratory, rather mild (except for meaningful hearing problems), no impact on taste and smell and ended in about 6 days.  I quarantined and have home tested multiple times since and always negative.  I do not know if taking the Shingles vaccine made me more susceptible to Covid but I have been traveling, going to events, wearing masks, vaccinating properly, taking Vitamin D daily - I never got Covid except shortly after taking the Shingles vaccine.  There may be a cause and effect here that I suggest you look into.  And PLEASE look into the emotional and cognitive adverse impact of the Shinglex vaccine.  I have spoken with quite a few friends about it and it is amazing how often they reported they had sever and unexpected adverse reactions to it.   This is a completely voluntary vaccine.  I would absolutely not have had it if I knew these were possible side effects.  Please look into this!!!  I had the flu vaccine the same day as the first Shingles vaccine.  I report this on the next page but I do not know which Flu vaccine I was given so I clicked on the first one.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache
Clinical narrative: Full body fatigue, headache.
Age: 18.0
Sex: M
Vaccine: UNK
Symptoms: Acute myocardial infarction, Electrocardiogram ST segment elevation, Pericarditis, Troponin
Clinical narrative: Pericarditis with EKG ST elevation and troponin of 12
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood creatinine increased, Blood culture negative, Blood lactic acid increased, COVID-19
Clinical narrative: ER with son present stated that he has been" in and out" and very lethargic when he arrived at his dad's home that afternoon.  His son states that he was unable to stand on his own and had to call EMS.  At baseline he does have urinary urgency and incontinence at night and to the best of his son's knowledge he has not had any vomiting, diarrhea, cough or congestion. Patient found to be positive for COVID-19, sepsis was supported with a temperature of 101.7, lactic acidosis of 2.4 after fluid resuscitation was 1.5 and he has leukocytosis of 15 K.  He was not hypoxic, his saturations have been in the mid 90s throughout his hospital stay.  He is vaccinated but has not had his booster shot yet.  Apparently the patient lives in his own home, family does help him during the day but at night the documented bed and then come back . the following morning.  He has been quite impulsive, requiring one-to-one sitter says he does not understand that he is weak at baseline and unsteady on his feet and is a fall risk. Patient did present with initial complaint of 3 days worth of diarrhea at home but has not had any further diarrheal episodes while hospitalized.  And required no antimotility agents.  Urinalysis with negative and blood cultures were negative.  Because of the sepsis presentation he was started on Zosyn in the emergency room he did have a procalcitonin of 0.61 and the CT findings were plus minus findings appropriate for COVID versus enteritis.  COVID can cause some inflammatory changes within the bowels, but needless to say he has improved with treatment of antibiotics.  He was discharged home with Augmentin 500 mg p.o. 3 times daily for additional 7 doses. Patient has a history of CKD stage III with his previous creatinine of 1.53.  On admission his creatinine was 2.39 he did receive a liter of IVF while his work-up was being completed in the emergency room and then was just encouraged to drink plenty of water.  Kidney function on day of discharge is good with a creatinine level of 1.39.  Still encouraged him to drink plenty of fluids, cont w/ his aricept. See his primary clinic MD next week for follow up. Could discuss new medications for behavior changes example low dose Seroquel as needed. Will let Dr. discuss w/ family. PT and OT evaluations recommend 24/7 support at home which the family states they can support, will order home PT and OT and if they feel appropriate they will arrange for an RN to come visit also.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Diarrhoea, Dysstasia, Enteritis, Gait disturbance
Clinical narrative: ER with son present stated that he has been" in and out" and very lethargic when he arrived at his dad's home that afternoon.  His son states that he was unable to stand on his own and had to call EMS.  At baseline he does have urinary urgency and incontinence at night and to the best of his son's knowledge he has not had any vomiting, diarrhea, cough or congestion. Patient found to be positive for COVID-19, sepsis was supported with a temperature of 101.7, lactic acidosis of 2.4 after fluid resuscitation was 1.5 and he has leukocytosis of 15 K.  He was not hypoxic, his saturations have been in the mid 90s throughout his hospital stay.  He is vaccinated but has not had his booster shot yet.  Apparently the patient lives in his own home, family does help him during the day but at night the documented bed and then come back . the following morning.  He has been quite impulsive, requiring one-to-one sitter says he does not understand that he is weak at baseline and unsteady on his feet and is a fall risk. Patient did present with initial complaint of 3 days worth of diarrhea at home but has not had any further diarrheal episodes while hospitalized.  And required no antimotility agents.  Urinalysis with negative and blood cultures were negative.  Because of the sepsis presentation he was started on Zosyn in the emergency room he did have a procalcitonin of 0.61 and the CT findings were plus minus findings appropriate for COVID versus enteritis.  COVID can cause some inflammatory changes within the bowels, but needless to say he has improved with treatment of antibiotics.  He was discharged home with Augmentin 500 mg p.o. 3 times daily for additional 7 doses. Patient has a history of CKD stage III with his previous creatinine of 1.53.  On admission his creatinine was 2.39 he did receive a liter of IVF while his work-up was being completed in the emergency room and then was just encouraged to drink plenty of water.  Kidney function on day of discharge is good with a creatinine level of 1.39.  Still encouraged him to drink plenty of fluids, cont w/ his aricept. See his primary clinic MD next week for follow up. Could discuss new medications for behavior changes example low dose Seroquel as needed. Will let Dr. discuss w/ family. PT and OT evaluations recommend 24/7 support at home which the family states they can support, will order home PT and OT and if they feel appropriate they will arrange for an RN to come visit also.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Lactic acidosis, Lethargy, Leukocytosis, Procalcitonin, Pyrexia
Clinical narrative: ER with son present stated that he has been" in and out" and very lethargic when he arrived at his dad's home that afternoon.  His son states that he was unable to stand on his own and had to call EMS.  At baseline he does have urinary urgency and incontinence at night and to the best of his son's knowledge he has not had any vomiting, diarrhea, cough or congestion. Patient found to be positive for COVID-19, sepsis was supported with a temperature of 101.7, lactic acidosis of 2.4 after fluid resuscitation was 1.5 and he has leukocytosis of 15 K.  He was not hypoxic, his saturations have been in the mid 90s throughout his hospital stay.  He is vaccinated but has not had his booster shot yet.  Apparently the patient lives in his own home, family does help him during the day but at night the documented bed and then come back . the following morning.  He has been quite impulsive, requiring one-to-one sitter says he does not understand that he is weak at baseline and unsteady on his feet and is a fall risk. Patient did present with initial complaint of 3 days worth of diarrhea at home but has not had any further diarrheal episodes while hospitalized.  And required no antimotility agents.  Urinalysis with negative and blood cultures were negative.  Because of the sepsis presentation he was started on Zosyn in the emergency room he did have a procalcitonin of 0.61 and the CT findings were plus minus findings appropriate for COVID versus enteritis.  COVID can cause some inflammatory changes within the bowels, but needless to say he has improved with treatment of antibiotics.  He was discharged home with Augmentin 500 mg p.o. 3 times daily for additional 7 doses. Patient has a history of CKD stage III with his previous creatinine of 1.53.  On admission his creatinine was 2.39 he did receive a liter of IVF while his work-up was being completed in the emergency room and then was just encouraged to drink plenty of water.  Kidney function on day of discharge is good with a creatinine level of 1.39.  Still encouraged him to drink plenty of fluids, cont w/ his aricept. See his primary clinic MD next week for follow up. Could discuss new medications for behavior changes example low dose Seroquel as needed. Will let Dr. discuss w/ family. PT and OT evaluations recommend 24/7 support at home which the family states they can support, will order home PT and OT and if they feel appropriate they will arrange for an RN to come visit also.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis, Urine analysis normal, White blood cell count increased
Clinical narrative: ER with son present stated that he has been" in and out" and very lethargic when he arrived at his dad's home that afternoon.  His son states that he was unable to stand on his own and had to call EMS.  At baseline he does have urinary urgency and incontinence at night and to the best of his son's knowledge he has not had any vomiting, diarrhea, cough or congestion. Patient found to be positive for COVID-19, sepsis was supported with a temperature of 101.7, lactic acidosis of 2.4 after fluid resuscitation was 1.5 and he has leukocytosis of 15 K.  He was not hypoxic, his saturations have been in the mid 90s throughout his hospital stay.  He is vaccinated but has not had his booster shot yet.  Apparently the patient lives in his own home, family does help him during the day but at night the documented bed and then come back . the following morning.  He has been quite impulsive, requiring one-to-one sitter says he does not understand that he is weak at baseline and unsteady on his feet and is a fall risk. Patient did present with initial complaint of 3 days worth of diarrhea at home but has not had any further diarrheal episodes while hospitalized.  And required no antimotility agents.  Urinalysis with negative and blood cultures were negative.  Because of the sepsis presentation he was started on Zosyn in the emergency room he did have a procalcitonin of 0.61 and the CT findings were plus minus findings appropriate for COVID versus enteritis.  COVID can cause some inflammatory changes within the bowels, but needless to say he has improved with treatment of antibiotics.  He was discharged home with Augmentin 500 mg p.o. 3 times daily for additional 7 doses. Patient has a history of CKD stage III with his previous creatinine of 1.53.  On admission his creatinine was 2.39 he did receive a liter of IVF while his work-up was being completed in the emergency room and then was just encouraged to drink plenty of water.  Kidney function on day of discharge is good with a creatinine level of 1.39.  Still encouraged him to drink plenty of fluids, cont w/ his aricept. See his primary clinic MD next week for follow up. Could discuss new medications for behavior changes example low dose Seroquel as needed. Will let Dr. discuss w/ family. PT and OT evaluations recommend 24/7 support at home which the family states they can support, will order home PT and OT and if they feel appropriate they will arrange for an RN to come visit also.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, Blood alkaline phosphatase increased, Blood creatinine increased, Blood lactate dehydrogenase increased
Clinical narrative: Shortness of breath   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 61y.o. male with PMHx of HTN, HFpEF, a-flutter on Xarelto, CAD, bipolar disorder, schizophrenia, OSA, hx of DVT who presented to ED on 12/27 with shortness of breath and chest pain x 1 day. Patient reports his symptoms started yesterday evening. Admits to nonproductive cough and L-sided chest discomfort as well. Admits to fever, chills. Patient denies sick contacts. He has received two COVID-19 vaccines but not his booster. Denies recent travel. Denies abdominal pain, nausea, vomiting, diarrhea, constipation. Patient also endorses worsening swelling of his bilateral lower extremities as well as orthopnea. Most recent echo 9/2021 with EF 60%, abnormal LV diastolic function. Patient states he takes all of his medications regularly and has not missed a dose of his diuretics.    In the ED, vitals as follows: BP 119/75, HR 116, RR 18, T 101.4, SpO2 82% on RA. On exam, patient ill appearing and in respiratory distress with tachypnea and accessory muscle use. Patient initially placed on 6L NC, later placed on BiPAP with improvement in oxygen saturation. Labs remarkable for Hgb 8.0, K 3.1, Cr 1.38, alk phos 241, CRP 8.1, LDH 440, D-dimer 900, Mg 1.5, BNP 599. EKG demonstrated a-fib with RVR, troponin 0.59 -> 0.58. COVID-19 positive, flu/RSV negative. CXR with pulmonary edema and small R pleural effusion. Patient was given IV Lasix 40mg x 1, Cardizem 10mg x 1, and started on a Cardizem gtt with good response. Patient started on heparin gtt. He will be admitted to PCU for further management of COVID-19/CHF exacerbation with consults to infectious disease and cardiology.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Blood magnesium normal, Blood potassium decreased, Brain natriuretic peptide increased, C-reactive protein increased, COVID-19
Clinical narrative: Shortness of breath   Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 61y.o. male with PMHx of HTN, HFpEF, a-flutter on Xarelto, CAD, bipolar disorder, schizophrenia, OSA, hx of DVT who presented to ED on 12/27 with shortness of breath and chest pain x 1 day. Patient reports his symptoms started yesterday evening. Admits to nonproductive cough and L-sided chest discomfort as well. Admits to fever, chills. Patient denies sick contacts. He has received two COVID-19 vaccines but not his booster. Denies recent travel. Denies abdominal pain, nausea, vomiting, diarrhea, constipation. Patient also endorses worsening swelling of his bilateral lower extremities as well as orthopnea. Most recent echo 9/2021 with EF 60%, abnormal LV diastolic function. Patient states he takes all of his medications regularly and has not missed a dose of his diuretics.    In the ED, vitals as follows: BP 119/75, HR 116, RR 18, T 101.4, SpO2 82% on RA. On exam, patient ill appearing and in respiratory distress with tachypnea and accessory muscle use. Patient initially placed on 6L NC, later placed on BiPAP with improvement in oxygen saturation. Labs remarkable for Hgb 8.0, K 3.1, Cr 1.38, alk phos 241, CRP 8.1, LDH 440, D-dimer 900, Mg 1.5, BNP 599. EKG demonstrated a-fib with RVR, troponin 0.59 -> 0.58. COVID-19 positive, flu/RSV negative. CXR with pulmonary edema and small R pleural effusion. Patient was given IV Lasix 40mg x 1, Cardizem 10mg x 1, and started on a Cardizem gtt with good response. Patient started on heparin gtt. He will be admitted to PCU for further management of COVID-19/CHF exacerbation with consults to infectious disease and cardiology.