chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Epistaxis, Nasal discomfort, Scab
Clinical narrative: On late Monday night around 11 pm, Patient laid down to go to sleep after taking her regular spray of Fluticasone in each nostril shortly before, and immediately when she laid down, she felt blood going down the back of her throat and sat up and her right nostril was bleeding. It was a constant flow and so we had her lean slightly forward and applied pressure to her nose for about an hour, every 10 minutes releasing pressure to see if it had stopped. It wouldn't stop so I placed a call to the doctor's office after hours service and a nurse walked me through other tactics we could try to get it to stop. We tried repositioning the pressure on the nose and also tried a piece of gauze with a couple drops of water on it to place it in the nostril to put pressure on it once again and eventually, after 2 and a half hours, the bleeding stopped. The next morning, Tuesday 1/11/2022, I made an appointment for Patient to be checked out at her pediatrician's office with Dr. She checked Patient's nose and saw it looked raw inside and also a scab over a capillary (I think that is what you call it) which is where the bleeding was coming from. Dr. recommended an ENT referral for further treatment but also recommended Patient not use Fluticasone right now until the nose heals and also to use just a saline nose spray to humidify the nose, use a q-tip to apply vasoline to inside of nose 2 times a day, and also to use a humidifier in bedroom at night. We have been able to manage to keep Patient's nose moist so that the nosebleed has not reoccurred. She has been weak since the nosebleed and has gradually gotten strength back but her nose is very irritated and when wearing a mask at school today, she could not breathe well due to her nose irritation.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV9, MENB
Symptoms: Dysphagia, Induration, Lip swelling, Mouth swelling, Peripheral swelling
Clinical narrative: Patient reported swelling of her lips, mouth, and face beginning around 9:30PM. Patient stated that it progressively got worse as the night went on. Patient stated that it was hard for her to swallow.  Patient stated that the areas that were swollen were "rock hard." Patient stated her "left arm was swollen, but not terrible." Patient stated she took Benadryl, ibuprofen, and Tylenol and that the swelling "calmed down" at about 3AM. Patient stated that the swelling had gone down the next day, but that it began to swell again around Noon on 12/30/21. Patient stated she continued to take Benadryl, ibuprofen, and Tylenol for 5-6 days as the swelling would continue to come back after the Benadryl would wear off.  Patient stated the swelling was worse at night. Patient stated 1/3/22 was the first day she did not have swelling. Patient did not seek medical treatment.
Age: 18.0
Sex: F
Vaccine: HEPA, HPV9, MENB
Symptoms: Swelling face
Clinical narrative: Patient reported swelling of her lips, mouth, and face beginning around 9:30PM. Patient stated that it progressively got worse as the night went on. Patient stated that it was hard for her to swallow.  Patient stated that the areas that were swollen were "rock hard." Patient stated her "left arm was swollen, but not terrible." Patient stated she took Benadryl, ibuprofen, and Tylenol and that the swelling "calmed down" at about 3AM. Patient stated that the swelling had gone down the next day, but that it began to swell again around Noon on 12/30/21. Patient stated she continued to take Benadryl, ibuprofen, and Tylenol for 5-6 days as the swelling would continue to come back after the Benadryl would wear off.  Patient stated the swelling was worse at night. Patient stated 1/3/22 was the first day she did not have swelling. Patient did not seek medical treatment.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse event, Injected limb mobility decreased, Joint range of motion decreased, Lymphadenopathy, Pain
Clinical narrative: Patient reports adverse events from time of  immunization and has still been experiencing  symptoms. Patient knew booster dose was given incorrectly as it was administered as it caused pain and was too high up on her arm. She has limited range of motion and cannot fully lift up left arm since time of vaccination. She has swelling in her lymph nodes and pain that has not gone away. Since the time of vaccination, she has been taking Ibuprofen around the clock to help but it has not gotten better.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered at inappropriate site
Clinical narrative: Patient reports adverse events from time of  immunization and has still been experiencing  symptoms. Patient knew booster dose was given incorrectly as it was administered as it caused pain and was too high up on her arm. She has limited range of motion and cannot fully lift up left arm since time of vaccination. She has swelling in her lymph nodes and pain that has not gone away. Since the time of vaccination, she has been taking Ibuprofen around the clock to help but it has not gotten better.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was given 0.5ml of Moderna vaccine for her booster dose instead of the correct dose of 1.25ml;   Patient notified by phone and states she has not adverse reactions at this time.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Lymph nodes swelled up in armpit in 3 days, lasted 2-3 weeks tender noticed when you using deodorant. I did not go to the doctor.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, Dizziness, Fall, Hyperhidrosis, Paraesthesia
Clinical narrative: The patient received their booster dose at 1510. Starting at 1515 the patient reported that they were feeling light-headed. Roughly 30 seconds after the patient reported feeling light-headed the patient fell to the ground. I took the patients vital signs. At the time of the event the patient was bradycardic (HR=54bpm), tachypneic (23 rpm), hypotensive (100/80), they were sweating, and reported tingling in their hands. Oxygen saturation remained between 98-99 throughout the event. I instructed the patient to breath in through their nose, and out through their mouth using a count of 4. After 20 minutes the patient reported they were no longer experiencing previous symptoms and vital signs returned to normal. After being observed for an additional 30  minutes the patient remained stable.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Tachypnoea
Clinical narrative: The patient received their booster dose at 1510. Starting at 1515 the patient reported that they were feeling light-headed. Roughly 30 seconds after the patient reported feeling light-headed the patient fell to the ground. I took the patients vital signs. At the time of the event the patient was bradycardic (HR=54bpm), tachypneic (23 rpm), hypotensive (100/80), they were sweating, and reported tingling in their hands. Oxygen saturation remained between 98-99 throughout the event. I instructed the patient to breath in through their nose, and out through their mouth using a count of 4. After 20 minutes the patient reported they were no longer experiencing previous symptoms and vital signs returned to normal. After being observed for an additional 30  minutes the patient remained stable.
Age: 38.0
Sex: M
Vaccine: COVID19, FLUX
Symptoms: Chills, Dizziness, Feeling cold, Pyrexia, Syncope
Clinical narrative: Started with uncontrollable shivering cold over the course of several hours, then fever, then became extremely dizzy and fainted.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient received the wrong age Pfizer for ages 12 years and older  no side effects reported
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Bronchitis, Computerised tomogram head, Headache, Hypertension
Clinical narrative: I had a sinus infection and broncitis and I started develop a strong headache. As the day went by the headache was not going away. The top of my nose on the bridge felt tingling and numb. Overall, the symptoms were not bad however the headaches persisted months after, and still do not go away. They move around where they are located as well, sometimes they are behind the eyes, other times they are more to the side. I have always been healthy until the vaccine, and it might have nothing to do with the vaccine but I am not sure. These headaches are an oddity to me.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia, Sinusitis
Clinical narrative: I had a sinus infection and broncitis and I started develop a strong headache. As the day went by the headache was not going away. The top of my nose on the bridge felt tingling and numb. Overall, the symptoms were not bad however the headaches persisted months after, and still do not go away. They move around where they are located as well, sometimes they are behind the eyes, other times they are more to the side. I have always been healthy until the vaccine, and it might have nothing to do with the vaccine but I am not sure. These headaches are an oddity to me.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: 11 year old female c/o SOB x 3 days
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dry mouth, Dysphagia, Dyspnoea, Fatigue
Clinical narrative: 30 minutes after vaccine I started getting a very dry mouth,  had a feeling of difficulty swallowing, felt like a lump in the throat, breathing required more respiratory effort the normal. I  placed a pulse ox on my finger, the heart rate was 120, but oxygen saturation was 99%.  I monitored the pulse ox which remained stable at 99%. The symptoms decreased after 2 hours. Followed by body ache, chills, headache , fatigue and soreness at injection site.  I was afraid to sleep by myself that night afraid my throat would close up so my mother watched me all night.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Fear, Headache, Heart rate increased, Injection site pain, Pain
Clinical narrative: 30 minutes after vaccine I started getting a very dry mouth,  had a feeling of difficulty swallowing, felt like a lump in the throat, breathing required more respiratory effort the normal. I  placed a pulse ox on my finger, the heart rate was 120, but oxygen saturation was 99%.  I monitored the pulse ox which remained stable at 99%. The symptoms decreased after 2 hours. Followed by body ache, chills, headache , fatigue and soreness at injection site.  I was afraid to sleep by myself that night afraid my throat would close up so my mother watched me all night.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Sensation of foreign body, Vaccination complication
Clinical narrative: 30 minutes after vaccine I started getting a very dry mouth,  had a feeling of difficulty swallowing, felt like a lump in the throat, breathing required more respiratory effort the normal. I  placed a pulse ox on my finger, the heart rate was 120, but oxygen saturation was 99%.  I monitored the pulse ox which remained stable at 99%. The symptoms decreased after 2 hours. Followed by body ache, chills, headache , fatigue and soreness at injection site.  I was afraid to sleep by myself that night afraid my throat would close up so my mother watched me all night.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope, Urine analysis
Clinical narrative: syncopal episode 15 hours after vaccine
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Arrhythmia, Atrial fibrillation, Cardioversion, Echocardiogram
Clinical narrative: Atrial Fibrillation Cardioversion (shock treatment) 07/27/2021 xarelto 20 mg 04/19/2021 Amiodarone 200 mg 04/19/2021 Cardioversion brought heart back in to rhythm but after about 3 months heart rhythm became erratic, and still is out of rhythm.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram
Clinical narrative: Atrial Fibrillation Cardioversion (shock treatment) 07/27/2021 xarelto 20 mg 04/19/2021 Amiodarone 200 mg 04/19/2021 Cardioversion brought heart back in to rhythm but after about 3 months heart rhythm became erratic, and still is out of rhythm.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Hangover, Headache, Pyrexia
Clinical narrative: Prolonged "hang-over" headaches, fever
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Did not mix the proper dosage of the diluent
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: pt received wrong age pfizer vaccine - he received dose for ages 12 years and older
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient was given 0.5ml of Moderna vaccine for her booster dose instead of the recommended dose of 0.25ml.  Patient was notified by phone and states she has no adverse reactions at this time.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Head discomfort, Injection site pain, Injection site swelling, Oedema peripheral
Clinical narrative: By the time I arrived home my arm swelled at the injections site, like the size of a baseball!!! It hurt and was painful.  It spread to my armpits and back of neck head and even legs all swollen. Eventually arm swelling went down but under armpits still swollen and very painful, sore. Right arm still sore in general and to touch...this is 6 weeks post shot and still swollen and painful.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Swelling, Tenderness
Clinical narrative: By the time I arrived home my arm swelled at the injections site, like the size of a baseball!!! It hurt and was painful.  It spread to my armpits and back of neck head and even legs all swollen. Eventually arm swelling went down but under armpits still swollen and very painful, sore. Right arm still sore in general and to touch...this is 6 weeks post shot and still swollen and painful.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Decreased appetite, Dyspnoea, Myalgia, N-terminal prohormone brain natriuretic peptide increased
Clinical narrative: Chest pain, shortness of breath, nausea, poor appetite, myalgias.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Troponin increased
Clinical narrative: Chest pain, shortness of breath, nausea, poor appetite, myalgias.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure abnormal, Dizziness, Immediate post-injection reaction, Nausea
Clinical narrative: Patient reported feeling faint and nauseous immediately after receiving the Pfizer booster. Patient was escorted to the nurse clinic where he was assessed. Vitals were taken with soft BPs noted. Patient reported  having a history of fainting and history of vasovagal after receiving vaccines. Patient was repositioned to a trendelenburg position and closely monitored. Patient reported feeling better and back to normal after a few minutes of rest.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Aura
Clinical narrative: Started seeing Auras', went to Neurologist then Opthamologist.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient given a booster dose of Moderna after they received their J&J COVID-19 series followed by two Pfizer COVID-19 vaccinations.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: 3 days after the vaccine he broke out in hives from his neck down his torso and under his arms and on his arms. Extremely itchy. Lasted a couple of hours  Took benedryl. Helped with the itching
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic spontaneous urticaria, Erythema, Hypersensitivity, Immediate post-injection reaction, Injection site reaction
Clinical narrative: Initial site injection reaction followed by chronic spontaneous urticaria and dermatographia. "Covid arm" swelling and large red area appeared immediately after vaccine. A-typical diffuse rash all over body, onset about 10 days after vaccine. Hypersensitivity to touch - light touch produces raised welts. Patient reported to urgent care and was referred to dermatology. Course of oral and topical steroids was ineffective. Dermatologist recommended 40mg of cetirizine antihistamine pills per day for 2 months. Follow up appointment with dermatology is scheduled for Februrary 2022.  This was patient's third covid vaccine. The first two vaccines were received when patient was pregnant.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Mechanical urticaria, Rash, Swelling, Urticaria
Clinical narrative: Initial site injection reaction followed by chronic spontaneous urticaria and dermatographia. "Covid arm" swelling and large red area appeared immediately after vaccine. A-typical diffuse rash all over body, onset about 10 days after vaccine. Hypersensitivity to touch - light touch produces raised welts. Patient reported to urgent care and was referred to dermatology. Course of oral and topical steroids was ineffective. Dermatologist recommended 40mg of cetirizine antihistamine pills per day for 2 months. Follow up appointment with dermatology is scheduled for Februrary 2022.  This was patient's third covid vaccine. The first two vaccines were received when patient was pregnant.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient was accidently given a Pfizer child dose instead of a Pfizer adult dose.  Patient was informed of this in office she was offered an additional 0.1mL of Pfizer to have her at the correct dosage. Patient refused the 0.1mL dose and said she was fine with the dose she received in office.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Fatigue, Headache
Clinical narrative: 01/10/2022: fever, cough, HA, fatigue and chills.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 RNA, SARS-CoV-2 test positive
Clinical narrative: 01/10/2022: fever, cough, HA, fatigue and chills.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Pfizer dose for 5-11 yrs was given to the patient although he was 12 year 10 months of age.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Influenza, SARS-CoV-2 test negative
Clinical narrative: I had all the symptoms of the flu, plus loss of taste and smell.   Symptoms began 12/26/2021, and lasted 1 week.   Smell came back within the first week.  Taste came back 10 days later.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I had all the symptoms of the flu, plus loss of taste and smell.   Symptoms began 12/26/2021, and lasted 1 week.   Smell came back within the first week.  Taste came back 10 days later.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Pain, Pyrexia
Clinical narrative: The patient should have gotten her booster 02/20/22 but instead was given the booster on 12/24/21. The patient exhibited same symptoms as expected fever and body pain for 1 to 2 days. Patient is fine and came in because she saw that she got it earlier than it was expected.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cellulitis, Computerised tomogram spine, Intervertebral disc protrusion, Intervertebral discitis, Lordosis
Clinical narrative: Osteomyelitis of lumbar spine
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lumbar radiculopathy, Magnetic resonance imaging spinal abnormal, Myositis, Osteomyelitis, Scan with contrast abnormal
Clinical narrative: Osteomyelitis of lumbar spine
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Spinal retrolisthesis, Vertebral foraminal stenosis
Clinical narrative: Osteomyelitis of lumbar spine
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: Since vaccination, I am currently experiencing menstruation twice a month.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: 55 year old female c/o slight fever and sore arm x 2 days. Patient feels better.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Computerised tomogram, Electrocardiogram, Hemiplegia
Clinical narrative: left side paralysis of eye, mouth and  tongue. dx was Bells Palsy
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: pain in arm down to elbow
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Gait inability, Heavy menstrual bleeding, Mobility decreased
Clinical narrative: SEVERE menstrual bleeding. Clots the size of grapefruits for 8 hours. No history of fibroids, or other uterine problems. Gravita 2, no complications noted. Remained in the restroom for 9 hours and was completely unable to abúltate due to SEVERE BLEEDING, cramping, and headache. 3 cycles complete now with clots in 2nd cycle baseball to softball sized. No significant bleeding past 2nd cycle.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Decreased appetite, Headache, Myalgia
Clinical narrative: 01/10/22: COUGH, MUSCLE PAIN, HA, LOSS OF APPETITE
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 01/10/22: COUGH, MUSCLE PAIN, HA, LOSS OF APPETITE
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, Brain natriuretic peptide normal, Bronchial secretion retention, Bronchial wall thickening
Clinical narrative: Case was hospitalized for Covid pneumonia after Covid vaccination and booster.  Hospitalized at: Hospital, Discharging physician: MD Pneumonia due to COVID-19 virus Assessment & Plan Tested positive on 9/25. Was negative on 9/8. Fully vaccinated. Suspect COPD and PE contribute to symptoms of dyspnea, cough and worsening hypoxia - Dexamethasone, plan for 10 day course, on day 4. Note that he is on chronic steroids for COPD at baseline, he will hold his pred for now and resume when done with the dexamethasone.  -CT scan at time of admission showed scattered bilateral reticular groundglass opacities, bronchial wall thickening scattered mucus plugging in lung bases, to my review I do not see significant changes relative to the prior CT scan earlier in the month - IS, frequent ambulation, and self-proning as able Symptoms largely stable, improved cough, O2 needs back at baseline.     Acute on chronic respiratory failure with hypoxia (HCC) Assessment & Plan  patient is on 3.5L at least over the last month in the setting of COPD. He has had dyspnea for several weeks but reports an acute worsening on 9/24 with pleuritic chest pain. Requiring 4.5L NC at admission, suspect multifactorial from COVID-19 infection, acute PE, possible splinting due to pain from T7 fracture. -New lower extremity edema, BNP, troponin normal, no pleural effusion or significant pulmonary edema, doubt heart failure contributing  -Treating COPD and acute COVID-19 infection with dexamethasone, apixaban for pulmonary embolism
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Chest pain, Chronic obstructive pulmonary disease, Computerised tomogram thorax abnormal
Clinical narrative: Case was hospitalized for Covid pneumonia after Covid vaccination and booster.  Hospitalized at: Hospital, Discharging physician: MD Pneumonia due to COVID-19 virus Assessment & Plan Tested positive on 9/25. Was negative on 9/8. Fully vaccinated. Suspect COPD and PE contribute to symptoms of dyspnea, cough and worsening hypoxia - Dexamethasone, plan for 10 day course, on day 4. Note that he is on chronic steroids for COPD at baseline, he will hold his pred for now and resume when done with the dexamethasone.  -CT scan at time of admission showed scattered bilateral reticular groundglass opacities, bronchial wall thickening scattered mucus plugging in lung bases, to my review I do not see significant changes relative to the prior CT scan earlier in the month - IS, frequent ambulation, and self-proning as able Symptoms largely stable, improved cough, O2 needs back at baseline.     Acute on chronic respiratory failure with hypoxia (HCC) Assessment & Plan  patient is on 3.5L at least over the last month in the setting of COPD. He has had dyspnea for several weeks but reports an acute worsening on 9/24 with pleuritic chest pain. Requiring 4.5L NC at admission, suspect multifactorial from COVID-19 infection, acute PE, possible splinting due to pain from T7 fracture. -New lower extremity edema, BNP, troponin normal, no pleural effusion or significant pulmonary edema, doubt heart failure contributing  -Treating COPD and acute COVID-19 infection with dexamethasone, apixaban for pulmonary embolism
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Cough, Dyspnoea, Hypoxia, Lung opacity
Clinical narrative: Case was hospitalized for Covid pneumonia after Covid vaccination and booster.  Hospitalized at: Hospital, Discharging physician: MD Pneumonia due to COVID-19 virus Assessment & Plan Tested positive on 9/25. Was negative on 9/8. Fully vaccinated. Suspect COPD and PE contribute to symptoms of dyspnea, cough and worsening hypoxia - Dexamethasone, plan for 10 day course, on day 4. Note that he is on chronic steroids for COPD at baseline, he will hold his pred for now and resume when done with the dexamethasone.  -CT scan at time of admission showed scattered bilateral reticular groundglass opacities, bronchial wall thickening scattered mucus plugging in lung bases, to my review I do not see significant changes relative to the prior CT scan earlier in the month - IS, frequent ambulation, and self-proning as able Symptoms largely stable, improved cough, O2 needs back at baseline.     Acute on chronic respiratory failure with hypoxia (HCC) Assessment & Plan  patient is on 3.5L at least over the last month in the setting of COPD. He has had dyspnea for several weeks but reports an acute worsening on 9/24 with pleuritic chest pain. Requiring 4.5L NC at admission, suspect multifactorial from COVID-19 infection, acute PE, possible splinting due to pain from T7 fracture. -New lower extremity edema, BNP, troponin normal, no pleural effusion or significant pulmonary edema, doubt heart failure contributing  -Treating COPD and acute COVID-19 infection with dexamethasone, apixaban for pulmonary embolism
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Oedema peripheral, Oxygen saturation abnormal, Pleuritic pain, Pulmonary embolism, SARS-CoV-2 test positive
Clinical narrative: Case was hospitalized for Covid pneumonia after Covid vaccination and booster.  Hospitalized at: Hospital, Discharging physician: MD Pneumonia due to COVID-19 virus Assessment & Plan Tested positive on 9/25. Was negative on 9/8. Fully vaccinated. Suspect COPD and PE contribute to symptoms of dyspnea, cough and worsening hypoxia - Dexamethasone, plan for 10 day course, on day 4. Note that he is on chronic steroids for COPD at baseline, he will hold his pred for now and resume when done with the dexamethasone.  -CT scan at time of admission showed scattered bilateral reticular groundglass opacities, bronchial wall thickening scattered mucus plugging in lung bases, to my review I do not see significant changes relative to the prior CT scan earlier in the month - IS, frequent ambulation, and self-proning as able Symptoms largely stable, improved cough, O2 needs back at baseline.     Acute on chronic respiratory failure with hypoxia (HCC) Assessment & Plan  patient is on 3.5L at least over the last month in the setting of COPD. He has had dyspnea for several weeks but reports an acute worsening on 9/24 with pleuritic chest pain. Requiring 4.5L NC at admission, suspect multifactorial from COVID-19 infection, acute PE, possible splinting due to pain from T7 fracture. -New lower extremity edema, BNP, troponin normal, no pleural effusion or significant pulmonary edema, doubt heart failure contributing  -Treating COPD and acute COVID-19 infection with dexamethasone, apixaban for pulmonary embolism
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Thoracic vertebral fracture, Troponin normal
Clinical narrative: Case was hospitalized for Covid pneumonia after Covid vaccination and booster.  Hospitalized at: Hospital, Discharging physician: MD Pneumonia due to COVID-19 virus Assessment & Plan Tested positive on 9/25. Was negative on 9/8. Fully vaccinated. Suspect COPD and PE contribute to symptoms of dyspnea, cough and worsening hypoxia - Dexamethasone, plan for 10 day course, on day 4. Note that he is on chronic steroids for COPD at baseline, he will hold his pred for now and resume when done with the dexamethasone.  -CT scan at time of admission showed scattered bilateral reticular groundglass opacities, bronchial wall thickening scattered mucus plugging in lung bases, to my review I do not see significant changes relative to the prior CT scan earlier in the month - IS, frequent ambulation, and self-proning as able Symptoms largely stable, improved cough, O2 needs back at baseline.     Acute on chronic respiratory failure with hypoxia (HCC) Assessment & Plan  patient is on 3.5L at least over the last month in the setting of COPD. He has had dyspnea for several weeks but reports an acute worsening on 9/24 with pleuritic chest pain. Requiring 4.5L NC at admission, suspect multifactorial from COVID-19 infection, acute PE, possible splinting due to pain from T7 fracture. -New lower extremity edema, BNP, troponin normal, no pleural effusion or significant pulmonary edema, doubt heart failure contributing  -Treating COPD and acute COVID-19 infection with dexamethasone, apixaban for pulmonary embolism
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: PATIENT IS 16 YEARS OLD AND SHOULD HAVE RECEIVED PFIZER 0.3 ML AS THE BOOSTER DOSE. HOWEVER, PATIENT WAS ADMINISTERED MODERNA 0.25 ML.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Dysgeusia, Dysstasia, Headache
Clinical narrative: Signed          Hide copied text  Hover for details  Patient developed dry heaving, nausea, sever headache, metallic taste almost immediately after she received the COVDI vaccine Pfizer booster. BP 155/111 FA  HER 66, O2 saturation 100% .  She denied any chest pain, shortness of breath, chest pain, heart palpitation, numbness or weakness in her extremities. Neuro exam wnl. Emergency medication including epi was offered by charge Nurse, however patient declined. Patient was observed over an hour period. Given persistent throbing headache, high bp, overall weakness and patients inability to stand still due to lightheadedness, emergency was notified. Patient was safely transferred by parametics ambulance to ER.  Additional vitals 154/104, 147/97, 155/111, HR 60's-70's O2 Sat 100%
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Nausea, Neurological examination normal, Retching
Clinical narrative: Signed          Hide copied text  Hover for details  Patient developed dry heaving, nausea, sever headache, metallic taste almost immediately after she received the COVDI vaccine Pfizer booster. BP 155/111 FA  HER 66, O2 saturation 100% .  She denied any chest pain, shortness of breath, chest pain, heart palpitation, numbness or weakness in her extremities. Neuro exam wnl. Emergency medication including epi was offered by charge Nurse, however patient declined. Patient was observed over an hour period. Given persistent throbing headache, high bp, overall weakness and patients inability to stand still due to lightheadedness, emergency was notified. Patient was safely transferred by parametics ambulance to ER.  Additional vitals 154/104, 147/97, 155/111, HR 60's-70's O2 Sat 100%
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Immediate post-injection reaction, Malaise, Nausea, Pain in extremity
Clinical narrative: Pt got Janssen vaccine 1st dose.  Did not eat all day. Immediately after the dose was given, she had symptoms of pain in the arm, didn't feel good, nausea, had to put her head down as she was clearly in discomfort.  We gave her water, cookies, coldpack on the arm and back of neck.  Took blood pressure and it was 122/80.  15 min later, she was feeling better.  Called a code white in the store.  Manager showed up to file a report and interview pt.  Patient was able to leave on her own without medical attention.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 01/10/22: FEVER, COUGH, ST, BODY ACHES
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Fatigue, Oropharyngeal pain
Clinical narrative: Started with chills and fever 101.6° sore throat mild cough and fatigue. Got a PCR CoVid test found to be positive. Quarantined and fever broke after a day or so and was feeling right as rain in 3 days. I took some preventatives, Budesonide Nebulized, D3, C, Zinc and that seemed to help my situation.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Started with chills and fever 101.6° sore throat mild cough and fatigue. Got a PCR CoVid test found to be positive. Quarantined and fever broke after a day or so and was feeling right as rain in 3 days. I took some preventatives, Budesonide Nebulized, D3, C, Zinc and that seemed to help my situation.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Allergy test negative, Angioedema, Dermatitis contact, Hypersensitivity, Intensive care
Clinical narrative: 5 days before my second Moderna shot, I started seeing hives on my arms but didn't know why. After taking the second dose, I started to experience hives and welts all over my body. I went to an urgent care and got a week steriod pack which helped but after the course was done, my hives came back and were worse. In July 2021, I was rushed to the ER and put in the ICU for a clogged throat and angioedema in my face. I then was seen by two allergist who put me on three medications (montelekaust, famotedine, and cetrizine) and I have been on those medications ever since. I would stop then my hives would come back and my whole body flares up. Different temperature changes take part in the flare up, sensitivity to fragrances (detergent), specific material in clothes and so much more. This should stop..
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Perfume sensitivity, Temperature intolerance, Throat tightness, Urticaria
Clinical narrative: 5 days before my second Moderna shot, I started seeing hives on my arms but didn't know why. After taking the second dose, I started to experience hives and welts all over my body. I went to an urgent care and got a week steriod pack which helped but after the course was done, my hives came back and were worse. In July 2021, I was rushed to the ER and put in the ICU for a clogged throat and angioedema in my face. I then was seen by two allergist who put me on three medications (montelekaust, famotedine, and cetrizine) and I have been on those medications ever since. I would stop then my hives would come back and my whole body flares up. Different temperature changes take part in the flare up, sensitivity to fragrances (detergent), specific material in clothes and so much more. This should stop..
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: Acute leukaemia, Asthenia, Atrial fibrillation, Death
Clinical narrative: He had heart problems for the first time in his life after the vaccine  , including atrial fibrillation and several  "heart events" . I don't know  the specifics about the heart events. He had to use a catheter something he never had to do before the vaccination. He became very weak and was hospitalized several times whereas he used to take long walks , not needing a cane despite being 96 and he lifted heavy objects . Over a several moth time he got a second shot and a booster. A few weeks before he died he was diagnosed as having acute leukemia, a a side effect of the vaccines perhaps?
Age: 87.0
Sex: F
Vaccine: VARZOS
Symptoms: Computerised tomogram normal, Contusion, Fall, Joint injury, Pyrexia
Clinical narrative: Fever,Syncope Patient went to ER after falling at home and injuring knee and bruising her face. had cscan done,no brain injury
Age: 87.0
Sex: F
Vaccine: VARZOS
Symptoms: Syncope
Clinical narrative: Fever,Syncope Patient went to ER after falling at home and injuring knee and bruising her face. had cscan done,no brain injury
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Aspergillus test, Blood culture, Bronchoalveolar lavage, Bronchoscopy, C-reactive protein
Clinical narrative: He developed fever shortly after the vaccine, with worsening heart failure and oxygen requirements. Infectious work-up so far negative, but still ongoing
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac failure, Chest X-ray, Condition aggravated, Culture urine, Differential white blood cell count
Clinical narrative: He developed fever shortly after the vaccine, with worsening heart failure and oxygen requirements. Infectious work-up so far negative, but still ongoing
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count, Pyrexia, Respiratory viral panel
Clinical narrative: He developed fever shortly after the vaccine, with worsening heart failure and oxygen requirements. Infectious work-up so far negative, but still ongoing
Age: 81.0
Sex: F
Vaccine: UNK
Symptoms: Laboratory test abnormal
Clinical narrative: none
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Anticoagulant therapy, COVID-19, CSF protein increased, Condition aggravated
Clinical narrative: Hospitalized 1/2/2022-still currently admitted; transferred to hospital on 1/4/2022;  COVID-19 positive 1/2/2022; fully vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 47 y.o. male who presents as a transfer from Hospital. Past medical history of hodgkin's lymphoma, recent diagnosis of cecal adenocarcinoma, and GERD. Patient presented on 1/2/22 with complaint of lower extremity weakness. Patient states he got up during the early morning on 1/2/22 to use the bathroom. After sitting for a minute, he was unable to stand up from the toilet. He attempted to stand, but his legs were weak and buckled under him. Both legs were weak, but the right seemed to be notably more weak than the left. At that time he also noted his right upper lip and nasal fold felt numb. Prior to this weakness episode, patient he had been having some fatigue, stomach cramps, vomiting, lack of appetite, and head congestion. These symptoms all began on 12/29/21.  Covid-19 -stable on RA -symptoms began 6 days ago -can hold on decadron. Start if any signs of clinical worsening  -Mucinex PRN congestion  -check CRP 1/11/2022 note: 1. New onset weakness Resolved. Appreciate neurology input. CSF shows a total protein of 88 which is mildly elevated from the baseline and less than 50 wbc's. Responded to 5 doses of IVIG for suspected AIDP.    2. Post lumbar puncture headache. Resolved with hydration.   3.COVID 19 Has been fully vaccinated. Stable on room air. Does not have any respiratory symptoms at this time. Will hold Decadron and remdesivir at this time.   .4.Liver lesions concerning for metastatic liver disease. Appreciate input from Oncology.   5. Recent history of cecal adenocarcinoma.   Status post resection in December.  Appreciate input from Oncology..   6. Lymphadenopathy versus carotid body tumor of right neck Appreciate input from Oncology. 7. Right calf tenderness Doppler shows right calf DVT in the right peroneal and tibial veins. Started on Lovenox therapeutic dose. Appreciate Heme input. Per notes appears to be waiting on Ultrasound 1/13/2022 and PET scan.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Decreased appetite, Deep vein thrombosis, Demyelinating polyneuropathy, Dysstasia, Fatigue
Clinical narrative: Hospitalized 1/2/2022-still currently admitted; transferred to hospital on 1/4/2022;  COVID-19 positive 1/2/2022; fully vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 47 y.o. male who presents as a transfer from Hospital. Past medical history of hodgkin's lymphoma, recent diagnosis of cecal adenocarcinoma, and GERD. Patient presented on 1/2/22 with complaint of lower extremity weakness. Patient states he got up during the early morning on 1/2/22 to use the bathroom. After sitting for a minute, he was unable to stand up from the toilet. He attempted to stand, but his legs were weak and buckled under him. Both legs were weak, but the right seemed to be notably more weak than the left. At that time he also noted his right upper lip and nasal fold felt numb. Prior to this weakness episode, patient he had been having some fatigue, stomach cramps, vomiting, lack of appetite, and head congestion. These symptoms all began on 12/29/21.  Covid-19 -stable on RA -symptoms began 6 days ago -can hold on decadron. Start if any signs of clinical worsening  -Mucinex PRN congestion  -check CRP 1/11/2022 note: 1. New onset weakness Resolved. Appreciate neurology input. CSF shows a total protein of 88 which is mildly elevated from the baseline and less than 50 wbc's. Responded to 5 doses of IVIG for suspected AIDP.    2. Post lumbar puncture headache. Resolved with hydration.   3.COVID 19 Has been fully vaccinated. Stable on room air. Does not have any respiratory symptoms at this time. Will hold Decadron and remdesivir at this time.   .4.Liver lesions concerning for metastatic liver disease. Appreciate input from Oncology.   5. Recent history of cecal adenocarcinoma.   Status post resection in December.  Appreciate input from Oncology..   6. Lymphadenopathy versus carotid body tumor of right neck Appreciate input from Oncology. 7. Right calf tenderness Doppler shows right calf DVT in the right peroneal and tibial veins. Started on Lovenox therapeutic dose. Appreciate Heme input. Per notes appears to be waiting on Ultrasound 1/13/2022 and PET scan.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Head discomfort, Hepatic lesion, Hypoaesthesia oral, Immunoglobulin therapy, Inappropriate schedule of product administration
Clinical narrative: Hospitalized 1/2/2022-still currently admitted; transferred to hospital on 1/4/2022;  COVID-19 positive 1/2/2022; fully vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 47 y.o. male who presents as a transfer from Hospital. Past medical history of hodgkin's lymphoma, recent diagnosis of cecal adenocarcinoma, and GERD. Patient presented on 1/2/22 with complaint of lower extremity weakness. Patient states he got up during the early morning on 1/2/22 to use the bathroom. After sitting for a minute, he was unable to stand up from the toilet. He attempted to stand, but his legs were weak and buckled under him. Both legs were weak, but the right seemed to be notably more weak than the left. At that time he also noted his right upper lip and nasal fold felt numb. Prior to this weakness episode, patient he had been having some fatigue, stomach cramps, vomiting, lack of appetite, and head congestion. These symptoms all began on 12/29/21.  Covid-19 -stable on RA -symptoms began 6 days ago -can hold on decadron. Start if any signs of clinical worsening  -Mucinex PRN congestion  -check CRP 1/11/2022 note: 1. New onset weakness Resolved. Appreciate neurology input. CSF shows a total protein of 88 which is mildly elevated from the baseline and less than 50 wbc's. Responded to 5 doses of IVIG for suspected AIDP.    2. Post lumbar puncture headache. Resolved with hydration.   3.COVID 19 Has been fully vaccinated. Stable on room air. Does not have any respiratory symptoms at this time. Will hold Decadron and remdesivir at this time.   .4.Liver lesions concerning for metastatic liver disease. Appreciate input from Oncology.   5. Recent history of cecal adenocarcinoma.   Status post resection in December.  Appreciate input from Oncology..   6. Lymphadenopathy versus carotid body tumor of right neck Appreciate input from Oncology. 7. Right calf tenderness Doppler shows right calf DVT in the right peroneal and tibial veins. Started on Lovenox therapeutic dose. Appreciate Heme input. Per notes appears to be waiting on Ultrasound 1/13/2022 and PET scan.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Intranasal hypoaesthesia, Lymphadenopathy, Muscular weakness, Paraganglion neoplasm, Post lumbar puncture syndrome
Clinical narrative: Hospitalized 1/2/2022-still currently admitted; transferred to hospital on 1/4/2022;  COVID-19 positive 1/2/2022; fully vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 47 y.o. male who presents as a transfer from Hospital. Past medical history of hodgkin's lymphoma, recent diagnosis of cecal adenocarcinoma, and GERD. Patient presented on 1/2/22 with complaint of lower extremity weakness. Patient states he got up during the early morning on 1/2/22 to use the bathroom. After sitting for a minute, he was unable to stand up from the toilet. He attempted to stand, but his legs were weak and buckled under him. Both legs were weak, but the right seemed to be notably more weak than the left. At that time he also noted his right upper lip and nasal fold felt numb. Prior to this weakness episode, patient he had been having some fatigue, stomach cramps, vomiting, lack of appetite, and head congestion. These symptoms all began on 12/29/21.  Covid-19 -stable on RA -symptoms began 6 days ago -can hold on decadron. Start if any signs of clinical worsening  -Mucinex PRN congestion  -check CRP 1/11/2022 note: 1. New onset weakness Resolved. Appreciate neurology input. CSF shows a total protein of 88 which is mildly elevated from the baseline and less than 50 wbc's. Responded to 5 doses of IVIG for suspected AIDP.    2. Post lumbar puncture headache. Resolved with hydration.   3.COVID 19 Has been fully vaccinated. Stable on room air. Does not have any respiratory symptoms at this time. Will hold Decadron and remdesivir at this time.   .4.Liver lesions concerning for metastatic liver disease. Appreciate input from Oncology.   5. Recent history of cecal adenocarcinoma.   Status post resection in December.  Appreciate input from Oncology..   6. Lymphadenopathy versus carotid body tumor of right neck Appreciate input from Oncology. 7. Right calf tenderness Doppler shows right calf DVT in the right peroneal and tibial veins. Started on Lovenox therapeutic dose. Appreciate Heme input. Per notes appears to be waiting on Ultrasound 1/13/2022 and PET scan.
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Tenderness, Ultrasound Doppler abnormal, Vomiting, White blood cell count decreased
Clinical narrative: Hospitalized 1/2/2022-still currently admitted; transferred to hospital on 1/4/2022;  COVID-19 positive 1/2/2022; fully vaccinated  HISTORY OF PRESENT ILLNESS: Patient is a 47 y.o. male who presents as a transfer from Hospital. Past medical history of hodgkin's lymphoma, recent diagnosis of cecal adenocarcinoma, and GERD. Patient presented on 1/2/22 with complaint of lower extremity weakness. Patient states he got up during the early morning on 1/2/22 to use the bathroom. After sitting for a minute, he was unable to stand up from the toilet. He attempted to stand, but his legs were weak and buckled under him. Both legs were weak, but the right seemed to be notably more weak than the left. At that time he also noted his right upper lip and nasal fold felt numb. Prior to this weakness episode, patient he had been having some fatigue, stomach cramps, vomiting, lack of appetite, and head congestion. These symptoms all began on 12/29/21.  Covid-19 -stable on RA -symptoms began 6 days ago -can hold on decadron. Start if any signs of clinical worsening  -Mucinex PRN congestion  -check CRP 1/11/2022 note: 1. New onset weakness Resolved. Appreciate neurology input. CSF shows a total protein of 88 which is mildly elevated from the baseline and less than 50 wbc's. Responded to 5 doses of IVIG for suspected AIDP.    2. Post lumbar puncture headache. Resolved with hydration.   3.COVID 19 Has been fully vaccinated. Stable on room air. Does not have any respiratory symptoms at this time. Will hold Decadron and remdesivir at this time.   .4.Liver lesions concerning for metastatic liver disease. Appreciate input from Oncology.   5. Recent history of cecal adenocarcinoma.   Status post resection in December.  Appreciate input from Oncology..   6. Lymphadenopathy versus carotid body tumor of right neck Appreciate input from Oncology. 7. Right calf tenderness Doppler shows right calf DVT in the right peroneal and tibial veins. Started on Lovenox therapeutic dose. Appreciate Heme input. Per notes appears to be waiting on Ultrasound 1/13/2022 and PET scan.
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was given adult dose of vaccine.
Sex: F
Vaccine: UNK
Symptoms: Product storage error
Clinical narrative: pfizer vaccine not properly stored was administered