chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 28.0
Sex: M
Vaccine: TDAP
Symptoms: Gastrointestinal disorder, Gastrooesophageal reflux disease, Hypersensitivity, Immediate post-injection reaction, Laboratory test
Clinical narrative: Received the vaccine on 07/25/2019 and immediately felt sick, weak, and pain on entire left side of my body. My left side of my body was filled with tension and pain that has not gone away in three years. It spreads from my neck/ jaw to my chest, arm, groin, leg. I have chest tightness daily and extreme anxiety, depression, mental health disorders. I got lock jaw almost immediately after the injection. It caused gut issues, allergies, food sensitivities, and acid reflux.   I have been seeing a naturopathic doctor, chiropractor, and taking supplements to help with these symptoms for the past three years with no changes in my health.
Age: 28.0
Sex: M
Vaccine: TDAP
Symptoms: Malaise, Mental disorder, Muscle tightness, Pain, Trismus
Clinical narrative: Received the vaccine on 07/25/2019 and immediately felt sick, weak, and pain on entire left side of my body. My left side of my body was filled with tension and pain that has not gone away in three years. It spreads from my neck/ jaw to my chest, arm, groin, leg. I have chest tightness daily and extreme anxiety, depression, mental health disorders. I got lock jaw almost immediately after the injection. It caused gut issues, allergies, food sensitivities, and acid reflux.   I have been seeing a naturopathic doctor, chiropractor, and taking supplements to help with these symptoms for the past three years with no changes in my health.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Blood culture positive, Blood test, Brain abscess, Cerebral thrombosis
Clinical narrative: Nine days after receiving the second dose of the Covid Vaccine, Patient developed severe headaches that were not relieved with any over the counter medication such as Tylenol, Ibuprofen, or Excedrin. He developed a fever a day later that would not stay down. The head ache became un bearable for him. After 3 trips to the ER, Dr office and another ER they finally ran blood cultures that diagnosed bacterial meningitis leading to a MRI which revealed a blood clot in the forehead area and a abscess in the right frontal lobe.  He was transported to the Hospital for surgery.  He was on Multiple IV antibiotics. He was also started on IV Heparin.  Eight days after the first procedure and IV antibiotic therapy the abscess had continued to  expand into the brain requiring a craniotomy.  He was then on IV antibiotics and blood thinners for an additional 7 weeks
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Craniotomy, Headache, Magnetic resonance imaging head abnormal, Meningitis bacterial
Clinical narrative: Nine days after receiving the second dose of the Covid Vaccine, Patient developed severe headaches that were not relieved with any over the counter medication such as Tylenol, Ibuprofen, or Excedrin. He developed a fever a day later that would not stay down. The head ache became un bearable for him. After 3 trips to the ER, Dr office and another ER they finally ran blood cultures that diagnosed bacterial meningitis leading to a MRI which revealed a blood clot in the forehead area and a abscess in the right frontal lobe.  He was transported to the Hospital for surgery.  He was on Multiple IV antibiotics. He was also started on IV Heparin.  Eight days after the first procedure and IV antibiotic therapy the abscess had continued to  expand into the brain requiring a craniotomy.  He was then on IV antibiotics and blood thinners for an additional 7 weeks
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Nine days after receiving the second dose of the Covid Vaccine, Patient developed severe headaches that were not relieved with any over the counter medication such as Tylenol, Ibuprofen, or Excedrin. He developed a fever a day later that would not stay down. The head ache became un bearable for him. After 3 trips to the ER, Dr office and another ER they finally ran blood cultures that diagnosed bacterial meningitis leading to a MRI which revealed a blood clot in the forehead area and a abscess in the right frontal lobe.  He was transported to the Hospital for surgery.  He was on Multiple IV antibiotics. He was also started on IV Heparin.  Eight days after the first procedure and IV antibiotic therapy the abscess had continued to  expand into the brain requiring a craniotomy.  He was then on IV antibiotics and blood thinners for an additional 7 weeks
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Blood pressure increased, Cardiovascular disorder, Condition aggravated, Dyspnoea
Clinical narrative: About two months after my vaccination I woke up I was having a hard time breathing and it was getting worse. I made an appointment to see my doctor. I have to be on oxygen throughout the day. They also increased my inhaler (Albuterol). I did go to a cardiologist and I was told I had an issue with my lungs. I was getting weak in my legs. I was also seeing a pain specialist and I was getting steriod shots in my back. My blood pressure sky rocketed and they almost had to take me to the hospital. They had me lay there for about 30 mins and my blood pressure went back down. 01/04/2022 I had a test done that showed I have a problem with my blood flow on the right side of my body. My heart also has a problem with the blood flow which they are still looking into. I was also bloating because of a gastrointestinal problems. My doctor prescribed Linzess which helps.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrointestinal disorder, Laboratory test, Lung disorder, Muscular weakness, Oxygen therapy
Clinical narrative: About two months after my vaccination I woke up I was having a hard time breathing and it was getting worse. I made an appointment to see my doctor. I have to be on oxygen throughout the day. They also increased my inhaler (Albuterol). I did go to a cardiologist and I was told I had an issue with my lungs. I was getting weak in my legs. I was also seeing a pain specialist and I was getting steriod shots in my back. My blood pressure sky rocketed and they almost had to take me to the hospital. They had me lay there for about 30 mins and my blood pressure went back down. 01/04/2022 I had a test done that showed I have a problem with my blood flow on the right side of my body. My heart also has a problem with the blood flow which they are still looking into. I was also bloating because of a gastrointestinal problems. My doctor prescribed Linzess which helps.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep apnoea syndrome, Sleep study abnormal
Clinical narrative: About two months after my vaccination I woke up I was having a hard time breathing and it was getting worse. I made an appointment to see my doctor. I have to be on oxygen throughout the day. They also increased my inhaler (Albuterol). I did go to a cardiologist and I was told I had an issue with my lungs. I was getting weak in my legs. I was also seeing a pain specialist and I was getting steriod shots in my back. My blood pressure sky rocketed and they almost had to take me to the hospital. They had me lay there for about 30 mins and my blood pressure went back down. 01/04/2022 I had a test done that showed I have a problem with my blood flow on the right side of my body. My heart also has a problem with the blood flow which they are still looking into. I was also bloating because of a gastrointestinal problems. My doctor prescribed Linzess which helps.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Inflammation
Clinical narrative: I had an autoimmune flare-up that lasted 2 months. I changed my diet to a strict vegan diet to reduce inflammation, otherwise it is unknown how long my flare would have lasted.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospital admission following COVID vaccination.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: No symptoms, no signs
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: expierd
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I got Covid after Dose 3 started experiencing congestion and diarrhea. About a week later I was treated for a cough and my symptoms lasted for a week.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: ED/Hospitalization following COVID vaccination.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Expired.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Small intestinal obstruction
Clinical narrative: ED to hospital admission following COVID vaccination.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Unknown.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: End stage renal disease, Hypotension, Respiratory failure
Clinical narrative: Patient presented to the ED for hypotension, ESRD, and respiratory failure and was subsequently hospitalized within 6 weeks of receiving covid booster.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Chills, Disturbance in attention, Fatigue, Feeling hot
Clinical narrative: No doctor's visit or hospitalization. Sometime probably 0200 plus or minus 30 I woke up with chills, shivering while also feeling like I was running fever. For 12 hours I had extreme fatigue, chills, insomnia, uncontrollable shaking, muscle aches, fever, inability to focus, I am not 100% sure how to describe but I had racing thoughts and inability to focus. I think there may have been some slight nausea but I cannot confirm that. I took a OTC dose of Tylenol around 8 or 9AM, fluids, and eat what I could. There was a degree of loss of balance as well I had trouble maintaining balance during the 12 hour period. I wear a fitness tracker 24/7 at the time I got the dose on a highly active day I would burn to 3000-3500 calories. In the 24 hours after getting my 2nd dose I spend a majority of time bed and got maybe 1000 steps total and  ended up burning 7000-7500 Calories that day. Within 36 hours I was feeling completely fine and recovered.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Insomnia, Mobility decreased, Myalgia, Pyrexia, Tachyphrenia
Clinical narrative: No doctor's visit or hospitalization. Sometime probably 0200 plus or minus 30 I woke up with chills, shivering while also feeling like I was running fever. For 12 hours I had extreme fatigue, chills, insomnia, uncontrollable shaking, muscle aches, fever, inability to focus, I am not 100% sure how to describe but I had racing thoughts and inability to focus. I think there may have been some slight nausea but I cannot confirm that. I took a OTC dose of Tylenol around 8 or 9AM, fluids, and eat what I could. There was a degree of loss of balance as well I had trouble maintaining balance during the 12 hour period. I wear a fitness tracker 24/7 at the time I got the dose on a highly active day I would burn to 3000-3500 calories. In the 24 hours after getting my 2nd dose I spend a majority of time bed and got maybe 1000 steps total and  ended up burning 7000-7500 Calories that day. Within 36 hours I was feeling completely fine and recovered.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Tremor
Clinical narrative: No doctor's visit or hospitalization. Sometime probably 0200 plus or minus 30 I woke up with chills, shivering while also feeling like I was running fever. For 12 hours I had extreme fatigue, chills, insomnia, uncontrollable shaking, muscle aches, fever, inability to focus, I am not 100% sure how to describe but I had racing thoughts and inability to focus. I think there may have been some slight nausea but I cannot confirm that. I took a OTC dose of Tylenol around 8 or 9AM, fluids, and eat what I could. There was a degree of loss of balance as well I had trouble maintaining balance during the 12 hour period. I wear a fitness tracker 24/7 at the time I got the dose on a highly active day I would burn to 3000-3500 calories. In the 24 hours after getting my 2nd dose I spend a majority of time bed and got maybe 1000 steps total and  ended up burning 7000-7500 Calories that day. Within 36 hours I was feeling completely fine and recovered.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vac expired
Age: 33.0
Sex: F
Vaccine: UNK
Symptoms: Ageusia, Anosmia, COVID-19, Fatigue, Feeling abnormal
Clinical narrative: Pfizer booster December 2021. Covid Positive one month later. Had symptoms for 24 days including loss of smell and taste, fatigue, brain fog, congestion, and sore throat. Had lingering fatigue and brain fog for 14 days once other symptoms resolved.
Age: 33.0
Sex: F
Vaccine: UNK
Symptoms: Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Pfizer booster December 2021. Covid Positive one month later. Had symptoms for 24 days including loss of smell and taste, fatigue, brain fog, congestion, and sore throat. Had lingering fatigue and brain fog for 14 days once other symptoms resolved.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstrual disorder, Pain in extremity, Peripheral swelling
Clinical narrative: Arm still hurts and is slightly swollen from shoulder to elbow after a month. I also have had my period for two weeks now, which is not normal for me.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient received Pfizer Peds (5-11) 0.2 ml dose and should have received Pfizer grey cap 0.3 ml dose.  This was dose #1.  Patient received appropriate Pfizer dose for dose #2.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Fatigue, Feeding disorder, Sinusitis
Clinical narrative: Sinus infection  Scratchy throat  Bad cough  Breathing issues Tiredness Not able to eat
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Throat irritation
Clinical narrative: Sinus infection  Scratchy throat  Bad cough  Breathing issues Tiredness Not able to eat
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Echocardiogram, Electrocardiogram, Exercise tolerance decreased, Loss of personal independence in daily activities
Clinical narrative: CHEST PAIN  AND UNABLE TO DO PHYSICAL ACTIVITIES.   NO PE AT SCHOOL .  NO LIFTING. NO EXCERTION OF ANY TYPE.     NO DESIRE TO DO ANYTHING    ABSENT FROM SCOOL ALL THE TIME BECAUSE OF PAIN  TREATMENT RECOMMEND TYLENOL PATIENT STILL HS CHEST PAIN  IT IS NOW 5 MONTHS SINCE THE SECOND VACCINE
Age: 16.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, Ultrasound Doppler
Clinical narrative: CHEST PAIN  AND UNABLE TO DO PHYSICAL ACTIVITIES.   NO PE AT SCHOOL .  NO LIFTING. NO EXCERTION OF ANY TYPE.     NO DESIRE TO DO ANYTHING    ABSENT FROM SCOOL ALL THE TIME BECAUSE OF PAIN  TREATMENT RECOMMEND TYLENOL PATIENT STILL HS CHEST PAIN  IT IS NOW 5 MONTHS SINCE THE SECOND VACCINE
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abnormal behaviour, Electroencephalogram normal, Impaired driving ability, Impaired work ability, Magnetic resonance imaging head normal
Clinical narrative: In October of 2021, 5 months after my second dose of the Pfizer covid19 shot I developed seizures and as of todays date 3\15\2022 I've had 3 seizures since  the first onset in October. I've had a seizure approximately 3 months apart.  I'm being monitored by a neurologist and am on seizure medication.   I'm unsure of any correlation however I feel I need to report this unusual behavior.     I am currently on disability from work as I'm unable to drive until my seizures are under control.
Age: 42.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Seizure
Clinical narrative: In October of 2021, 5 months after my second dose of the Pfizer covid19 shot I developed seizures and as of todays date 3\15\2022 I've had 3 seizures since  the first onset in October. I've had a seizure approximately 3 months apart.  I'm being monitored by a neurologist and am on seizure medication.   I'm unsure of any correlation however I feel I need to report this unusual behavior.     I am currently on disability from work as I'm unable to drive until my seizures are under control.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Mesenteric vein thrombosis
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for mesenteric vein thrombosis within 6 weeks of receiving covid booster.
Age: 81.0
Sex: F
Vaccine: PNC20
Symptoms: Erythema, Tenderness
Clinical narrative: Pt stated she notice some tenderness the evening of 3/14. 03/15/22 reported erythema, area larger around 5 " not as tender as what she reported in 03/14/22, She noted it was not warm to touch. Referred patient to follow up with doctor or urgent care for an evaluation
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature).
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation
Clinical narrative: 1st occurrence of atrial fibrillation
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Face injury, Loss of consciousness
Clinical narrative: Patient passed out and fell face first out of parent's lap onto floor and hit face approximately 3-5 minutes after shot was administered. Parent picked child up and placed her back on her lap and child shortly came to within a few seconds. Patient had not eaten all day that they could recall and thinks she just got worked up from seeing her own blood. Spoke with mother of child approximately 30 minutes later and child was okay, no other issues or incidents. Parent to call pharmacy if any questions or issues arise.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Cardiac monitoring, Chest pain, Dyspnoea, Heart rate abnormal
Clinical narrative: I am not convinced that this came from the vaccine but for research I am filling out this report. About a couple of months after the vaccine I started having Afib symptoms. My cardio doctor monitored and upped my dose as my condition was indeed worsening. Heavy chest, pain, hard to breathe, uncontrollable heart rate. My tinnitus has also been a problem, and after the 3rd vaccine I have had this insistent ringing in my right ear. Again I do not think it is related to the vaccine as I am 68 going on to 69 and have had heart problems before, but I am documenting this as I did have them under control for the last 3 years until I had the vaccines.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Therapy change, Tinnitus
Clinical narrative: I am not convinced that this came from the vaccine but for research I am filling out this report. About a couple of months after the vaccine I started having Afib symptoms. My cardio doctor monitored and upped my dose as my condition was indeed worsening. Heavy chest, pain, hard to breathe, uncontrollable heart rate. My tinnitus has also been a problem, and after the 3rd vaccine I have had this insistent ringing in my right ear. Again I do not think it is related to the vaccine as I am 68 going on to 69 and have had heart problems before, but I am documenting this as I did have them under control for the last 3 years until I had the vaccines.
Age: 58.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Blood test, COVID-19, Chest X-ray, Computerised tomogram thorax, Electrocardiogram
Clinical narrative: No adverse reaction to the shot. Tested positive for covid on January 13 2022.
Age: 58.0
Sex: F
Vaccine: COVID19, VARZOS
Symptoms: Pulmonary function test, SARS-CoV-2 test positive, Urine analysis
Clinical narrative: No adverse reaction to the shot. Tested positive for covid on January 13 2022.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Skin burning sensation
Clinical narrative: Burning/itching of skin. Next morning, rash appeared and I went straight to doctor at the advice of a family member.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for acute respiratory failure with hypoxia within 6 weeks of receiving 2nd covid vaccination. Patient did receive booster dose in 12/3/21.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Myalgia, Nausea, Pruritus
Clinical narrative: I had severe fatigue, muscle pain and itching. I went to the doctor to check for COVID and tested negative, the doctor suggested for me not to take the second shot. I went back the second week for a second opinion from Dr., and stated I did not need to get the second shot. I begin to develop symptoms of nausea and dizziness; the doctor referred me to a neurologist. I had multiple test ran and was diagnosis with White Matter disease. I am still under doctor care and still have symptoms of itching.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: White matter lesion
Clinical narrative: I had severe fatigue, muscle pain and itching. I went to the doctor to check for COVID and tested negative, the doctor suggested for me not to take the second shot. I went back the second week for a second opinion from Dr., and stated I did not need to get the second shot. I begin to develop symptoms of nausea and dizziness; the doctor referred me to a neurologist. I had multiple test ran and was diagnosis with White Matter disease. I am still under doctor care and still have symptoms of itching.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: expired
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rash, Urticaria
Clinical narrative: hives over body, rash on face and back
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lip swelling, Malaise, Nasal oedema, Pain, Rash erythematous
Clinical narrative: hives over body, rash on face and back
Age: 17.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test, Swelling face, Swelling of eyelid, Urticaria
Clinical narrative: hives over body, rash on face and back
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine may have been stored under conditions that departed from the manufacturer's recommended specifications. Pharmacy consulted with the vaccine manufacturer regarding this issue.  In such a circumstance, the manufacturer deems the vaccine not to be viable.  Additionally, the CDC recommends that patient repeat 1 dose of the same COVID-19 vaccine immediately (no minimum interval). Patient may not have received the full benefits of the vaccine. The additional dose is provided at no cost. Patient will call back when he can return to get additional dose.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: expired
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: The ringing in my ears became much worse about a week after my third Covid immunization. I have had tinnitus  for about 20 years however it became noticeably worse-  louder  and more distracting.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED VACCINE.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine may have been stored under conditions that departed from the manufacturer's recommended specifications. Pharmacy consulted with the vaccine manufacturer regarding this issue.  In such a circumstance, the manufacturer deems the vaccine not to be viable.  Additionally, the CDC recommends that patient repeat 1 dose of the same COVID-19 vaccine immediately (no minimum interval). Patient may not have received the full benefits of the vaccine. The additional dose is provided at no cost. Patient will consider it and will call back if she wants the additional dose.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: tinnitus ringing in the ears.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Anti-cyclic citrullinated peptide antibody, Antinuclear antibody, Blood immunoglobulin G, Burning sensation, C-reactive protein
Clinical narrative: On 01/13/2022, Patient stated she received the PFIZER BOOSTER on 01/07/2022 (FRIDAY) and on 01/10/2022 (MONDAY) she developed a red, coin shaped, itchy painful, rash starting on her hand and spreading to arms, chest, and lower extremity. Patient was prescribed DIPHENHYRAMINE HCl CAPSULE 25 MG, PREDNISONE TABLET 10 MG on 01/13/2022. On 01/20/2022, patient returned for E.R. follow up. Patient states rash got worse, spreading to her face and thighs. Patient went for further evaluation, was not given actual diagnosis. Patient was started on CETIRIZINE AND PREDNISONE 20 MG, states medication is helping. SHe still complained of rash on face, arms , right thigh and buttock area with itching and burning sensation. Lab work to rule out LUPUS was done due to shape of rashes, On, 02/08/2022, patient returned for lab results. Patient states rash has improved. The rash on right thigh have disappeared. Patient continues to have some erythematous rash on face. Patient was referred to DERMATOLOGY by DR. Dermatologist confirms diagnosis of ERYTHEMA MULTIFORME. Due to lesion that appeared in mouth during last visit, dermatologist stated that erythema multiforme is commonly seen with HSV. Patient started on ACYCLOVIR 800MG BID x 10 DAYS. On 02/23/2022, patient continues to have rash, notes more spots on arms, legs. Seemed to get worse after starting Acyclovir. Using steroid cream which helps with itching in mouth. Lidocaine helps for 20 mins. Patient was started on TRIAMCINOLONE  ACETONIDE CREAM 0.1%. Trial steroid cream for itching. Will continue to monitor closely. E.R. precautions were given.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema multiforme, Full blood count, Oral disorder, Rash, Rash erythematous
Clinical narrative: On 01/13/2022, Patient stated she received the PFIZER BOOSTER on 01/07/2022 (FRIDAY) and on 01/10/2022 (MONDAY) she developed a red, coin shaped, itchy painful, rash starting on her hand and spreading to arms, chest, and lower extremity. Patient was prescribed DIPHENHYRAMINE HCl CAPSULE 25 MG, PREDNISONE TABLET 10 MG on 01/13/2022. On 01/20/2022, patient returned for E.R. follow up. Patient states rash got worse, spreading to her face and thighs. Patient went for further evaluation, was not given actual diagnosis. Patient was started on CETIRIZINE AND PREDNISONE 20 MG, states medication is helping. SHe still complained of rash on face, arms , right thigh and buttock area with itching and burning sensation. Lab work to rule out LUPUS was done due to shape of rashes, On, 02/08/2022, patient returned for lab results. Patient states rash has improved. The rash on right thigh have disappeared. Patient continues to have some erythematous rash on face. Patient was referred to DERMATOLOGY by DR. Dermatologist confirms diagnosis of ERYTHEMA MULTIFORME. Due to lesion that appeared in mouth during last visit, dermatologist stated that erythema multiforme is commonly seen with HSV. Patient started on ACYCLOVIR 800MG BID x 10 DAYS. On 02/23/2022, patient continues to have rash, notes more spots on arms, legs. Seemed to get worse after starting Acyclovir. Using steroid cream which helps with itching in mouth. Lidocaine helps for 20 mins. Patient was started on TRIAMCINOLONE  ACETONIDE CREAM 0.1%. Trial steroid cream for itching. Will continue to monitor closely. E.R. precautions were given.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Rash pruritic, Red blood cell sedimentation rate, White blood cell count
Clinical narrative: On 01/13/2022, Patient stated she received the PFIZER BOOSTER on 01/07/2022 (FRIDAY) and on 01/10/2022 (MONDAY) she developed a red, coin shaped, itchy painful, rash starting on her hand and spreading to arms, chest, and lower extremity. Patient was prescribed DIPHENHYRAMINE HCl CAPSULE 25 MG, PREDNISONE TABLET 10 MG on 01/13/2022. On 01/20/2022, patient returned for E.R. follow up. Patient states rash got worse, spreading to her face and thighs. Patient went for further evaluation, was not given actual diagnosis. Patient was started on CETIRIZINE AND PREDNISONE 20 MG, states medication is helping. SHe still complained of rash on face, arms , right thigh and buttock area with itching and burning sensation. Lab work to rule out LUPUS was done due to shape of rashes, On, 02/08/2022, patient returned for lab results. Patient states rash has improved. The rash on right thigh have disappeared. Patient continues to have some erythematous rash on face. Patient was referred to DERMATOLOGY by DR. Dermatologist confirms diagnosis of ERYTHEMA MULTIFORME. Due to lesion that appeared in mouth during last visit, dermatologist stated that erythema multiforme is commonly seen with HSV. Patient started on ACYCLOVIR 800MG BID x 10 DAYS. On 02/23/2022, patient continues to have rash, notes more spots on arms, legs. Seemed to get worse after starting Acyclovir. Using steroid cream which helps with itching in mouth. Lidocaine helps for 20 mins. Patient was started on TRIAMCINOLONE  ACETONIDE CREAM 0.1%. Trial steroid cream for itching. Will continue to monitor closely. E.R. precautions were given.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: EXPIRED
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Acute left ventricular failure, Acute respiratory failure, Blood potassium abnormal, Cardiac failure, Chronic left ventricular failure
Clinical narrative: Acute on chronic hypoxic respiratory failure due to pulmonary edema secondary to exacerbation of chronic diastolic HF. Patient was treated for acute volume overload with probable acute diastolic heart failure with preserved EF.  She was tried treated with IV Lasix with gentle diuresis every 12 hours.  There was concern for probable UTI and so patient was started on IV Rocephin.  The following day, IV diuresis was discontinued secondary to development of hypernatremia.  It was reported that she clinically appears euvolemic.  Potassium normalized after getting Lasix and calcium gluconate in the ED.  Kidney function did improve. Plan to discharge to SNF with hospice services versus in-house comfort cares. Patient passed away on 12/31/2021. ED visit, hospital admission and death within 6 weeks of receiving the COVID vaccine.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic respiratory failure, Condition aggravated, Death, Diuretic therapy, Hypernatraemia
Clinical narrative: Acute on chronic hypoxic respiratory failure due to pulmonary edema secondary to exacerbation of chronic diastolic HF. Patient was treated for acute volume overload with probable acute diastolic heart failure with preserved EF.  She was tried treated with IV Lasix with gentle diuresis every 12 hours.  There was concern for probable UTI and so patient was started on IV Rocephin.  The following day, IV diuresis was discontinued secondary to development of hypernatremia.  It was reported that she clinically appears euvolemic.  Potassium normalized after getting Lasix and calcium gluconate in the ED.  Kidney function did improve. Plan to discharge to SNF with hospice services versus in-house comfort cares. Patient passed away on 12/31/2021. ED visit, hospital admission and death within 6 weeks of receiving the COVID vaccine.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Hypervolaemia, Pulmonary oedema, Renal impairment
Clinical narrative: Acute on chronic hypoxic respiratory failure due to pulmonary edema secondary to exacerbation of chronic diastolic HF. Patient was treated for acute volume overload with probable acute diastolic heart failure with preserved EF.  She was tried treated with IV Lasix with gentle diuresis every 12 hours.  There was concern for probable UTI and so patient was started on IV Rocephin.  The following day, IV diuresis was discontinued secondary to development of hypernatremia.  It was reported that she clinically appears euvolemic.  Potassium normalized after getting Lasix and calcium gluconate in the ED.  Kidney function did improve. Plan to discharge to SNF with hospice services versus in-house comfort cares. Patient passed away on 12/31/2021. ED visit, hospital admission and death within 6 weeks of receiving the COVID vaccine.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Diverticulitis, Lactic acidosis
Clinical narrative: Patient presented to the ED for diverticulitis and lactic acidosis within 6 weeks of receiving COVID vaccination.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chromaturia, Dizziness, Fatigue, Feeling hot, Full blood count
Clinical narrative: I got my shingles vaccine on September 09/2021 one week later I started feeling shortness of breath and it continued till November. I got my Booster on October 06/2021 on October 09/2021 at around 8:00 PM I started to experience aches all over my body, fever for 36 hours, fatigue, my tinnitus got worse, dizziness. The next day I felt over heated it lasted till the evening. After 4 days I started feeling a little better. On October 15/2021 I got more symptoms and the same reactions started happening again. It continued for a week. My urine got dark orange color. On the Oct 22 I called my doctor. she gave me antibiotics for a week.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Tinnitus, Urine analysis
Clinical narrative: I got my shingles vaccine on September 09/2021 one week later I started feeling shortness of breath and it continued till November. I got my Booster on October 06/2021 on October 09/2021 at around 8:00 PM I started to experience aches all over my body, fever for 36 hours, fatigue, my tinnitus got worse, dizziness. The next day I felt over heated it lasted till the evening. After 4 days I started feeling a little better. On October 15/2021 I got more symptoms and the same reactions started happening again. It continued for a week. My urine got dark orange color. On the Oct 22 I called my doctor. she gave me antibiotics for a week.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral coldness, Skin discolouration
Clinical narrative: Fingers turn light yellow and become very cold.  Happened about once a week initially but progressed to multiple time every day.  Only some fingers are affected. Which fingers, how many and how far up my each fingers alternates each time this occurs.
Age: 48.0
Sex: F
Vaccine: UNK
Symptoms: Arthritis, COVID-19, Chest discomfort, Cognitive disorder, Condition aggravated
Clinical narrative: Tested positive for covid. ER visit - fever, swelling, coughing, runny nose, headache, dizziness, disorientation, fogginess cognitively, moody, lack of appetite, excessive thirst, tightness in chest, difficulty with full lung breathing, heavy feeling on chest with muscle spasms, arthritic flare up.
Age: 48.0
Sex: F
Vaccine: UNK
Symptoms: Cough, Decreased appetite, Disorientation, Dizziness, Dyspnoea
Clinical narrative: Tested positive for covid. ER visit - fever, swelling, coughing, runny nose, headache, dizziness, disorientation, fogginess cognitively, moody, lack of appetite, excessive thirst, tightness in chest, difficulty with full lung breathing, heavy feeling on chest with muscle spasms, arthritic flare up.
Age: 48.0
Sex: F
Vaccine: UNK
Symptoms: Feeling abnormal, Headache, Mood altered, Muscle spasms, Pyrexia
Clinical narrative: Tested positive for covid. ER visit - fever, swelling, coughing, runny nose, headache, dizziness, disorientation, fogginess cognitively, moody, lack of appetite, excessive thirst, tightness in chest, difficulty with full lung breathing, heavy feeling on chest with muscle spasms, arthritic flare up.
Age: 48.0
Sex: F
Vaccine: UNK
Symptoms: Rhinorrhoea, SARS-CoV-2 test positive, Swelling, Thirst
Clinical narrative: Tested positive for covid. ER visit - fever, swelling, coughing, runny nose, headache, dizziness, disorientation, fogginess cognitively, moody, lack of appetite, excessive thirst, tightness in chest, difficulty with full lung breathing, heavy feeling on chest with muscle spasms, arthritic flare up.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Migraine
Clinical narrative: Migranie
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Infusion, Injection, Prostate cancer
Clinical narrative: Injection therapy for prostate cancer. This infusion was within 6 weeks of receiving the COVID vaccine.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Balance disorder, Central nervous system lesion, Dizziness, Gait disturbance
Clinical narrative: It's been 11 months. The trembling has lessened with B Complex, Vit D, Zinc & Turmeric. Still swaying at times. I no longer have the right leg twitching.   I am left with extreme anxiety.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Magnetic resonance imaging head abnormal, Muscle twitching, Panic attack, Tremor
Clinical narrative: It's been 11 months. The trembling has lessened with B Complex, Vit D, Zinc & Turmeric. Still swaying at times. I no longer have the right leg twitching.   I am left with extreme anxiety.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: It's been 11 months. The trembling has lessened with B Complex, Vit D, Zinc & Turmeric. Still swaying at times. I no longer have the right leg twitching.   I am left with extreme anxiety.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: EXPIRED
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Product storage error
Clinical narrative: Vaccine may have been stored under conditions that departed from the manufacturer's recommended specifications. Pharmacy consulted with the vaccine manufacturer regarding this issue.  In such a circumstance, the manufacturer deems the vaccine not to be viable.  Additionally, the CDC recommends that patient repeat 1 dose of the same COVID-19 vaccine immediately (no minimum interval). Patient may not have received the full benefits of the vaccine. The additional dose is provided at no cost. Patient will call back when she can return to get additional dose.
Age: 20.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine may have been stored under conditions that departed from the manufacturer's recommended specifications. Pharmacy consulted with the vaccine manufacturer regarding this issue.  In such a circumstance, the manufacturer deems the vaccine not to be viable.  Additionally, the CDC recommends that patient repeat 1 dose of the same COVID-19 vaccine immediately (no minimum interval). Patient may not have received the full benefits of the vaccine. The additional dose is provided at no cost. Patient will call back when she can return to get additional dose.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain, Alanine aminotransferase increased, Anion gap, Anticoagulant therapy
Clinical narrative: Date of Admission:  2/19/2022   Chief Complaint:  Abdominal pain    Source of Information:  Spouse / chart review   History of Present Illness:  This is a 75y.o. female with past medical history of hypothyroidism, stage IIIb T2N2 metastatic pancreatic adenocarcinoma status post Whipple procedure with Dr. 5/24/2021 status post gemcitabine chemo (stopped last September due to unable to tolerate), essential hypertension, type 2 diabetes, DVTs of the lower extremities (8/25) was placed on Eliquis (January 2022), stasis dermatitis.  Patient presenting to the emergency department via EMS from home given worsening abdominal comfort and wish for a second opinion for her pancreatic adenocarcinoma.    Patient's husband states that his wife has been experiencing pain that is not new.  Pancreatic cancer, but yesterday was much worse.   EMS was called to try to see if there is anything else that could be done for pancreatic cancer given excruciating pain she is experiencing.  Patient's husband states that patient underwent surgery back in May 2021 for the pancreatic cancer.  After that patient was started on chemotherapy which had to be stopped in September due to patient not being able to tolerate it and patient presenting with blood clots in her legs at the end of August.  At this time patient was enrolled in hospice due to poor prognosis and due to husband not being able to fully care for her at home (unclear timeline of what type of facility/when patient returned back to current residence).  Patient was then treated for her lower extremity DVTs with Eliquis until around January 2022.  Patient's husband states that over this time his wife started experiencing more problems with her legs, ulcerations and fluid leakage had she frequently need to see the doctor for.  Patient states that recently her oncologist stated that she had 2 months to live he wanted to get a second opinion to see if there is anything else that could be done.    ED course  Vitals: BP 104/70, heart rate 111, temperature 97.9, SPO2 98% on room air       Labs: Sodium 123, chloride 93, bicarb 10, anion gap 20, creatinine 1.71, albumin 2.0 and then alk phos 1889, AST 107, ALT 64, lipase 4, troponin 0.04, pH 7.18 Imaging: CT of the abdomen pelvis showing moderate volume of abdominal and pelvic ascites, postsurgical changes of the small bowel and pancreas without evidence of obstruction, bilateral inguinal lymphadenopathy, small left right pleural effusions, hypoattenuation involving the hepatic segment IV, postsurgical changes with drain localized in the head and body of the pancreas Meds: Dilaudid 1 mg x 2, Zofran, 500 mL normal saline bolus x4 Consultants: GI/interventional radiology/oncology
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Ascites, Aspartate aminotransferase increased, Blood albumin decreased, Blood alkaline phosphatase increased, Blood bicarbonate decreased
Clinical narrative: Date of Admission:  2/19/2022   Chief Complaint:  Abdominal pain    Source of Information:  Spouse / chart review   History of Present Illness:  This is a 75y.o. female with past medical history of hypothyroidism, stage IIIb T2N2 metastatic pancreatic adenocarcinoma status post Whipple procedure with Dr. 5/24/2021 status post gemcitabine chemo (stopped last September due to unable to tolerate), essential hypertension, type 2 diabetes, DVTs of the lower extremities (8/25) was placed on Eliquis (January 2022), stasis dermatitis.  Patient presenting to the emergency department via EMS from home given worsening abdominal comfort and wish for a second opinion for her pancreatic adenocarcinoma.    Patient's husband states that his wife has been experiencing pain that is not new.  Pancreatic cancer, but yesterday was much worse.   EMS was called to try to see if there is anything else that could be done for pancreatic cancer given excruciating pain she is experiencing.  Patient's husband states that patient underwent surgery back in May 2021 for the pancreatic cancer.  After that patient was started on chemotherapy which had to be stopped in September due to patient not being able to tolerate it and patient presenting with blood clots in her legs at the end of August.  At this time patient was enrolled in hospice due to poor prognosis and due to husband not being able to fully care for her at home (unclear timeline of what type of facility/when patient returned back to current residence).  Patient was then treated for her lower extremity DVTs with Eliquis until around January 2022.  Patient's husband states that over this time his wife started experiencing more problems with her legs, ulcerations and fluid leakage had she frequently need to see the doctor for.  Patient states that recently her oncologist stated that she had 2 months to live he wanted to get a second opinion to see if there is anything else that could be done.    ED course  Vitals: BP 104/70, heart rate 111, temperature 97.9, SPO2 98% on room air       Labs: Sodium 123, chloride 93, bicarb 10, anion gap 20, creatinine 1.71, albumin 2.0 and then alk phos 1889, AST 107, ALT 64, lipase 4, troponin 0.04, pH 7.18 Imaging: CT of the abdomen pelvis showing moderate volume of abdominal and pelvic ascites, postsurgical changes of the small bowel and pancreas without evidence of obstruction, bilateral inguinal lymphadenopathy, small left right pleural effusions, hypoattenuation involving the hepatic segment IV, postsurgical changes with drain localized in the head and body of the pancreas Meds: Dilaudid 1 mg x 2, Zofran, 500 mL normal saline bolus x4 Consultants: GI/interventional radiology/oncology
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Blood chloride decreased, Blood creatinine increased, Blood pH decreased, Blood sodium decreased, COVID-19
Clinical narrative: Date of Admission:  2/19/2022   Chief Complaint:  Abdominal pain    Source of Information:  Spouse / chart review   History of Present Illness:  This is a 75y.o. female with past medical history of hypothyroidism, stage IIIb T2N2 metastatic pancreatic adenocarcinoma status post Whipple procedure with Dr. 5/24/2021 status post gemcitabine chemo (stopped last September due to unable to tolerate), essential hypertension, type 2 diabetes, DVTs of the lower extremities (8/25) was placed on Eliquis (January 2022), stasis dermatitis.  Patient presenting to the emergency department via EMS from home given worsening abdominal comfort and wish for a second opinion for her pancreatic adenocarcinoma.    Patient's husband states that his wife has been experiencing pain that is not new.  Pancreatic cancer, but yesterday was much worse.   EMS was called to try to see if there is anything else that could be done for pancreatic cancer given excruciating pain she is experiencing.  Patient's husband states that patient underwent surgery back in May 2021 for the pancreatic cancer.  After that patient was started on chemotherapy which had to be stopped in September due to patient not being able to tolerate it and patient presenting with blood clots in her legs at the end of August.  At this time patient was enrolled in hospice due to poor prognosis and due to husband not being able to fully care for her at home (unclear timeline of what type of facility/when patient returned back to current residence).  Patient was then treated for her lower extremity DVTs with Eliquis until around January 2022.  Patient's husband states that over this time his wife started experiencing more problems with her legs, ulcerations and fluid leakage had she frequently need to see the doctor for.  Patient states that recently her oncologist stated that she had 2 months to live he wanted to get a second opinion to see if there is anything else that could be done.    ED course  Vitals: BP 104/70, heart rate 111, temperature 97.9, SPO2 98% on room air       Labs: Sodium 123, chloride 93, bicarb 10, anion gap 20, creatinine 1.71, albumin 2.0 and then alk phos 1889, AST 107, ALT 64, lipase 4, troponin 0.04, pH 7.18 Imaging: CT of the abdomen pelvis showing moderate volume of abdominal and pelvic ascites, postsurgical changes of the small bowel and pancreas without evidence of obstruction, bilateral inguinal lymphadenopathy, small left right pleural effusions, hypoattenuation involving the hepatic segment IV, postsurgical changes with drain localized in the head and body of the pancreas Meds: Dilaudid 1 mg x 2, Zofran, 500 mL normal saline bolus x4 Consultants: GI/interventional radiology/oncology