chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Immunoglobulin therapy, Petechiae, Platelet count decreased
Clinical narrative: Blood work done on  06/21/2021 came back with Platelet level @9. Blood repeated 2-3 times on 06/22/2021 and platelet level came back being at 6 -8. Dr. advised to give IViG INFUSION with Steroid to avoid immediate risk of Internal bleeding. Patient was showing signs of Petechiae on her lower legs when at the hospital. Subsequent blood work on 06/25/2021 after IViG  showed a boost in platelet to 138. Weekly blood work has been ordered to check platelet levels and impact activities have been restricted.
Age: 15.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Body temperature, Platelet count, Platelet count decreased, Pyrexia
Clinical narrative: Blood work done on  06/21/2021 came back with Platelet level @9. Blood repeated 2-3 times on 06/22/2021 and platelet level came back being at 6 -8. Dr. advised to give IViG INFUSION with Steroid to avoid immediate risk of Internal bleeding. Patient was showing signs of Petechiae on her lower legs when at the hospital. Subsequent blood work on 06/25/2021 after IViG  showed a boost in platelet to 138. Weekly blood work has been ordered to check platelet levels and impact activities have been restricted.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Cough, Dyspnoea, Muscle spasms
Clinical narrative: Chest tightness in the morning after with shortness of breath. Mild cough and neck spasms. Patient received prednisolone
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Gastrooesophageal reflux disease, Injection site pain, Nausea
Clinical narrative: About 24 hours I started feeling nauseated, joint pain in left hand, arm pain at injection site, acid reflux.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, SARS-CoV-2 RNA increased
Clinical narrative: 60 year old, immunosuppressed man, who developed Covid-19 pneumonia approximately 3 months after receiving the Johnson & Johnson vaccine.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Neck pain, Pain in extremity, Paraesthesia, Ultrasound scan
Clinical narrative: Taking tylonla  1000mg, Trazodone 50mg, Tizanidine 1mg, Celecoxid 400mg, Venlafaxine-er 37.5mg. Has had to go to a chiropractor to try to numb arm, and got body adjusted. After getting the shot 2 weeks later her left side of her arm and neck has had pins and needles sharp pains going down arm and around the left side.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Injection site inflammation, Pain in extremity
Clinical narrative: Taking tylonla  1000mg, Trazodone 50mg, Tizanidine 1mg, Celecoxid 400mg, Venlafaxine-er 37.5mg. Has had to go to a chiropractor to try to numb arm, and got body adjusted. After getting the shot 2 weeks later her left side of her arm and neck has had pins and needles sharp pains going down arm and around the left side.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain in extremity, SARS-CoV-2 test
Clinical narrative: I had a headache and pain in my arm.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Pain, Pyrexia
Clinical narrative: Pt reported a low grade fever, aches, and diarrhea that lasted a couple days to the pharmacy
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cerebral thrombosis, Ischaemic stroke
Clinical narrative: Acute Ischemic stroke caused by blood clot.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Asthenia, Dyspnoea, Fatigue, Heart rate increased, Influenza like illness
Clinical narrative: Fatigue, malaise, elevated heart rate, difficulty taking deep breaths, feel like I'm fighting the flu.  Crashed in bed a few weeks after receiving the booster.
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Malaise
Clinical narrative: Fatigue, malaise, elevated heart rate, difficulty taking deep breaths, feel like I'm fighting the flu.  Crashed in bed a few weeks after receiving the booster.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood test normal, COVID-19, Chest X-ray normal, Cough
Clinical narrative: Pfizer COVID 19 Vaccine EUA  Pfizer Dose 1 2/18/21 (EN6200) Pfizer Dose 2 3/12/21 (EN6208) COVID Positive 5/13/21  5/20/21: The patient presents with fever and stats that he started couging 12 days ago. He was seen in the ER on 05/13 for fever and cough. He was was found to have covid. Blood test were unremarkable and the chest X ray was negative. He was enrolled to the Covid  out patient risk assessment. He states that he continue to have fever with eakness. He was seen 2 days ago at the clinic. He was sent home but he continue to have fevr, cough and weakness. No shortness of breath. No chest and no abdominal pain. No nausea nor vomiting..  The onset was 12  days ago.  The course/duration of symptoms is constant.  Associated symptoms: cough, decreased oral intake, denies chest pain, denies shortness of breath, denies rhinorrhea, denies sore throat, denies nausea, denies vomiting, denies abdominal pain and denies rash.  Temperature is 102  Fahrenheit.  6/2/21: Patient continues to feel well; nurse reports he is cleaning is dinner plate thoroughly; he has questions about discharge; physical therapy was unable to assess him yesterday, they will see him this morning at 9:00 a.m.; if they recommend physical therapy we will proceed in that direction; if they state that he is at his baseline and not in need of their services, we will discharge him with monitoring.  6/3/21: Discharged home.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Hypophagia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Pfizer COVID 19 Vaccine EUA  Pfizer Dose 1 2/18/21 (EN6200) Pfizer Dose 2 3/12/21 (EN6208) COVID Positive 5/13/21  5/20/21: The patient presents with fever and stats that he started couging 12 days ago. He was seen in the ER on 05/13 for fever and cough. He was was found to have covid. Blood test were unremarkable and the chest X ray was negative. He was enrolled to the Covid  out patient risk assessment. He states that he continue to have fever with eakness. He was seen 2 days ago at the clinic. He was sent home but he continue to have fevr, cough and weakness. No shortness of breath. No chest and no abdominal pain. No nausea nor vomiting..  The onset was 12  days ago.  The course/duration of symptoms is constant.  Associated symptoms: cough, decreased oral intake, denies chest pain, denies shortness of breath, denies rhinorrhea, denies sore throat, denies nausea, denies vomiting, denies abdominal pain and denies rash.  Temperature is 102  Fahrenheit.  6/2/21: Patient continues to feel well; nurse reports he is cleaning is dinner plate thoroughly; he has questions about discharge; physical therapy was unable to assess him yesterday, they will see him this morning at 9:00 a.m.; if they recommend physical therapy we will proceed in that direction; if they state that he is at his baseline and not in need of their services, we will discharge him with monitoring.  6/3/21: Discharged home.
Age: 42.0
Sex: U
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Vaccine was diluted using the incorrect diluent - bacteriostatic normal saline was used instead of preservative-free normal saline.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Dyspepsia, Palpitations
Clinical narrative: Indigestion, palpitations, feeling of needing to burp.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Cough, Dizziness, Dyspnoea
Clinical narrative: So right after the second vaccine, I had problems, my kidneys were hurting and I had difficulty breathing. I had scheduled to get bloodwork done and after that work it showed that my kidneys were not functioning like they were supposed to. I told my DR that I felt like I had mono. My DR said tests results show that the results are similar to mono. I also lost like 8 pounds and had basically no strength. I was so tired and had to continue working, wearing two face masks and a shield because I work at a school. I was also dizzy and fatigued and would just sit down on the floor because I was getting so dizzy. I am also sleeping a lot. When school ended I was able to really just sleep a lot. Usually I would wake up on my own before 5AM but now I sleep in several hours past then. After medical tests the DR put me on two allergy medications and an antibiotic. The antibiotic was Azithromycin 500MG for five days 1x daily. The medications I am still having problems with my lungs/breathing and the tiredness. I also had a cough which seems to be getting better but I am still not recovered. I did not take the inhaler from the DR because I didn't want to take the antibiotic at the same time due to a worry about thrush.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fatigue, Hypersomnia, Renal impairment, Renal pain
Clinical narrative: So right after the second vaccine, I had problems, my kidneys were hurting and I had difficulty breathing. I had scheduled to get bloodwork done and after that work it showed that my kidneys were not functioning like they were supposed to. I told my DR that I felt like I had mono. My DR said tests results show that the results are similar to mono. I also lost like 8 pounds and had basically no strength. I was so tired and had to continue working, wearing two face masks and a shield because I work at a school. I was also dizzy and fatigued and would just sit down on the floor because I was getting so dizzy. I am also sleeping a lot. When school ended I was able to really just sleep a lot. Usually I would wake up on my own before 5AM but now I sleep in several hours past then. After medical tests the DR put me on two allergy medications and an antibiotic. The antibiotic was Azithromycin 500MG for five days 1x daily. The medications I am still having problems with my lungs/breathing and the tiredness. I also had a cough which seems to be getting better but I am still not recovered. I did not take the inhaler from the DR because I didn't want to take the antibiotic at the same time due to a worry about thrush.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Weight decreased, X-ray
Clinical narrative: So right after the second vaccine, I had problems, my kidneys were hurting and I had difficulty breathing. I had scheduled to get bloodwork done and after that work it showed that my kidneys were not functioning like they were supposed to. I told my DR that I felt like I had mono. My DR said tests results show that the results are similar to mono. I also lost like 8 pounds and had basically no strength. I was so tired and had to continue working, wearing two face masks and a shield because I work at a school. I was also dizzy and fatigued and would just sit down on the floor because I was getting so dizzy. I am also sleeping a lot. When school ended I was able to really just sleep a lot. Usually I would wake up on my own before 5AM but now I sleep in several hours past then. After medical tests the DR put me on two allergy medications and an antibiotic. The antibiotic was Azithromycin 500MG for five days 1x daily. The medications I am still having problems with my lungs/breathing and the tiredness. I also had a cough which seems to be getting better but I am still not recovered. I did not take the inhaler from the DR because I didn't want to take the antibiotic at the same time due to a worry about thrush.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given second dose of COVID-19 Pfizer vaccine 14 days after first dose instead of 21 days. No signs/symptoms observed/reported at this time. Patient has been informed and will be monitored for adverse events.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia, Pain, Pain in extremity
Clinical narrative: Shooting pain upon raising my left arm about 3 weeks after the 2nd dose. The pain has moved up the left arm into the shoulder region and causes shooting pain when arm is raised and muscles engaged. Tendonitis?
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: About a month after getting the second moderna dose,  I began having hives,  which was  new to my health.  Hives were never an issue previously.  They are almost 24/7 now.  Break outs have occurred almost everywhere on body.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient was given second dose of COVID-19 Pfizer vaccine 14 days after first dose instead of 21 days. No signs/symptoms observed/reported at this time. Patient has been informed and will be monitored for adverse events.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 RNA, Unevaluable event
Clinical narrative: Received SARS Coronavirus 2 RNA-SARS-CoV-2, NAA test at Pharmacy on 07/05/2021 at 12:15. Case investigation interview has not been completed for this individual at time of writing this note.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Chest pain, Computerised tomogram normal, Electrocardiogram normal, Hyperhidrosis
Clinical narrative: Chest pains, almost passing out. profuse sweating,throwing up, EMT ride to Hospital, full series of heart and arty tests. Cat scan EKG,ultra sound, blood tests, All came back negative no known cause for episode. Only thing different in life style was the vaccine
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Laboratory test normal, Presyncope, Ultrasound scan normal, Vomiting
Clinical narrative: Chest pains, almost passing out. profuse sweating,throwing up, EMT ride to Hospital, full series of heart and arty tests. Cat scan EKG,ultra sound, blood tests, All came back negative no known cause for episode. Only thing different in life style was the vaccine
Age: 14.0
Sex: U
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Vaccine was diluted using the incorrect diluent - bacteriostatic normal saline was used instead of preservative-free normal saline.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Contusion, Urticaria
Clinical narrative: Left arm bruising. Patient had hives prior to ED admission that resolved at home. Received Benadryl and Tylenol.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given second dose of COVID-19 Pfizer vaccine 14 days after first dose instead of 21 days. No signs/symptoms observed/reported at this time. Patient has been informed and will be monitored for adverse events.
Age: 44.0
Sex: U
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Vaccine was diluted using the incorrect diluent - bacteriostatic normal saline was used instead of preservative-free normal saline.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Eczema, Itching scar, Peripheral swelling, Pruritus
Clinical narrative: I had surgery on my back in July 2020. After receiving the vaccine in March of 2021, my scar started itching about 2 months after . Eventually the itchiness spread to my arms, back, legs, belly and especially my back. A bubble appeared in the palms of my hands. If it was touched, it was itchy. It then spread to my fingers. The more I rubbed them together to receive the itching, the worse it got. I went to the doctor who at first thought it was psoriasis. She then determined it might be eczema. I went home and then it got worse. I went back and the doctor prescribed triamcinolone 0.5%. I put this on the bubbles on my hands and fingers. It relieved the itching but it has dried my skin and it is now peeling. It is like when your hand is in water for a long time. Even though the itching was relieved, there is still itching present. The doctor told me to use the triamcinolone for 10 days and after the 10 days, just use as needed. The triamcinolone has overall helped. Heat makes the itching worse.
Age: 59.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Diarrhoea
Clinical narrative: VERY PAINFULL ABDOMONAL CRAMPING, STARTING 11:00 PM AND LASTING FOR ABOUT 1 MIN. THIS REPEATED 4 TIMES, FOLLOWED BY DIARRHEA FOR A COUPLE HOURS (AFTER THE 2ND DOSE)
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Death, Dehydration, Endotracheal intubation, Extubation
Clinical narrative: 73 year old male, vaccinated with the Janssen Covid-19 vaccine at the time of hospital admission (5/31/21) for a  type 3 odontoid fracture; C2 vertebral body fracture extending into bilateral transverse foramina and nasal bone fracture from a fall from standing. Admitted to the trauma service for pain control. Noted to be somnolent throughout admission. On 6/2, developed AKI, likely related to dehydration vs. contrast nephropathy. On the early morning of 6/3, found unresponsive. Given naloxone 0.02 mg x 3 with no documented response. Transferred to the ICU, intubated and had PEA arrest on induction for intubation. CPR was initiated and he received epi x 1 with ROSC within 3 minutes. Remained intubated and sedated in the ICU with labile pressures on 2 pressors throughout the day on 6/3. The patient expired following compassionate extubation 6/3 2211.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, Nephropathy toxic, Pulseless electrical activity, Resuscitation, Somnolence
Clinical narrative: 73 year old male, vaccinated with the Janssen Covid-19 vaccine at the time of hospital admission (5/31/21) for a  type 3 odontoid fracture; C2 vertebral body fracture extending into bilateral transverse foramina and nasal bone fracture from a fall from standing. Admitted to the trauma service for pain control. Noted to be somnolent throughout admission. On 6/2, developed AKI, likely related to dehydration vs. contrast nephropathy. On the early morning of 6/3, found unresponsive. Given naloxone 0.02 mg x 3 with no documented response. Transferred to the ICU, intubated and had PEA arrest on induction for intubation. CPR was initiated and he received epi x 1 with ROSC within 3 minutes. Remained intubated and sedated in the ICU with labile pressures on 2 pressors throughout the day on 6/3. The patient expired following compassionate extubation 6/3 2211.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: 73 year old male, vaccinated with the Janssen Covid-19 vaccine at the time of hospital admission (5/31/21) for a  type 3 odontoid fracture; C2 vertebral body fracture extending into bilateral transverse foramina and nasal bone fracture from a fall from standing. Admitted to the trauma service for pain control. Noted to be somnolent throughout admission. On 6/2, developed AKI, likely related to dehydration vs. contrast nephropathy. On the early morning of 6/3, found unresponsive. Given naloxone 0.02 mg x 3 with no documented response. Transferred to the ICU, intubated and had PEA arrest on induction for intubation. CPR was initiated and he received epi x 1 with ROSC within 3 minutes. Remained intubated and sedated in the ICU with labile pressures on 2 pressors throughout the day on 6/3. The patient expired following compassionate extubation 6/3 2211.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Memory impairment
Clinical narrative: increased headaches, brain fog, memory problems
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient came with mom for COVID 19 vaccination. Mom and daughter both gave patient's age, patient reported age as 12., but actual making her eleven years old at age of vaccination. This was discovered through audit of medical records.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture, COVID-19, Chest X-ray abnormal, Chest pain, Electrocardiogram normal
Clinical narrative: Pfizer COVID vaccine EUA  Pfizer Dose 1 2/17/21 (EN6200) Pfizer Dose 2 3/11/21 (EN6208) COVID Positive 5/30/21  5/30/21: 89-year-old male with history of coronary artery disease status post stenting, most recently on 4/13/2021, hypertension, aortic stenosis, hyperlipidemia, neuropathy, peripheral vascular disease, GERD, pulmonary nodule, hard of hearing and glaucoma has presented to the emergency room at hospital with complaints of chest pain.  Patient reports that his whole lower chest was hurting on and off which was sharp pain which would come and go at rest.  Patient initially reported that he had the pain when he woke up today but also reported for a week he was having some pains which was not as bad as today.  Patient denies having any radiation of pain other than the lower chest across.  He did not have any nausea or emesis or sweating associated with it.  No aggravating or alleviating factors. In the emergency room patient's initial workup with troponin and EKG were not showing any elevation in troponin and no acute ST-T changes suggesting acute ischemia.  Patient's chest x-ray did show possible left lower lobe pneumonia.  Patient did not have any fever or chills or cough.  Patient has some baseline shortness of breath.  He denied any headache, nausea or vomiting or abdominal pain or diarrhea.  He had no other acute health concerns.  6/3/21: Chest pain, resolved, ACS ruled out. Patient is chest pain-free, troponins x3 normal, ACS ruled out. The chest discomfort is likely related to the pneumonia. Community-acquired pneumonia - clinically improved, on CTX Rocephin and Azithromycin.  Also received vancomycin as cultures as noted below.  On room air not working hard to breathe    Acute episode has resolved.  GPC in chains 2/2 and GPC in clusters 1/2-likely contaminant - true bacteremia vs contamination, vancomycin was initiated. Has old systolic murmur due moderate AS & AR. Low probability of IE by Modified University's criteria. ID was consulted Considering 2 different blood cultures Gram-positive cocci in chains and Gram-positive cocci in clusters based on ID recommendations this represented contamination rather than true infection. Follow-up blood cultures are also negative after 72 hours. Per Infectious Disease no further treatment/intervention was required. Severe AS & moderate AR: stable, plan to f/u as an out patient for evaluation of TAVR.  HFmrEF 45%: stable, not in decompensation, continue GDMT. CAD s/p DES : Continue on aspirin 81 mg daily, Plavix 75 mg daily, Coreg 3.125 mg twice a day and rosuvastatin.  Peripheral arterial disease : He underwent left common femoral and superficial femoral artery intervention in 2015 per records, on dual antiplatelet therapy and statin. Positive COVID 19 test- initial with PCR negative.  Patient has been vaccinated. Pulmonary nodules:  Patient undergoing evaluation for pulmonary nodules as an out patient.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, SARS-CoV-2 test positive, Troponin
Clinical narrative: Pfizer COVID vaccine EUA  Pfizer Dose 1 2/17/21 (EN6200) Pfizer Dose 2 3/11/21 (EN6208) COVID Positive 5/30/21  5/30/21: 89-year-old male with history of coronary artery disease status post stenting, most recently on 4/13/2021, hypertension, aortic stenosis, hyperlipidemia, neuropathy, peripheral vascular disease, GERD, pulmonary nodule, hard of hearing and glaucoma has presented to the emergency room at hospital with complaints of chest pain.  Patient reports that his whole lower chest was hurting on and off which was sharp pain which would come and go at rest.  Patient initially reported that he had the pain when he woke up today but also reported for a week he was having some pains which was not as bad as today.  Patient denies having any radiation of pain other than the lower chest across.  He did not have any nausea or emesis or sweating associated with it.  No aggravating or alleviating factors. In the emergency room patient's initial workup with troponin and EKG were not showing any elevation in troponin and no acute ST-T changes suggesting acute ischemia.  Patient's chest x-ray did show possible left lower lobe pneumonia.  Patient did not have any fever or chills or cough.  Patient has some baseline shortness of breath.  He denied any headache, nausea or vomiting or abdominal pain or diarrhea.  He had no other acute health concerns.  6/3/21: Chest pain, resolved, ACS ruled out. Patient is chest pain-free, troponins x3 normal, ACS ruled out. The chest discomfort is likely related to the pneumonia. Community-acquired pneumonia - clinically improved, on CTX Rocephin and Azithromycin.  Also received vancomycin as cultures as noted below.  On room air not working hard to breathe    Acute episode has resolved.  GPC in chains 2/2 and GPC in clusters 1/2-likely contaminant - true bacteremia vs contamination, vancomycin was initiated. Has old systolic murmur due moderate AS & AR. Low probability of IE by Modified University's criteria. ID was consulted Considering 2 different blood cultures Gram-positive cocci in chains and Gram-positive cocci in clusters based on ID recommendations this represented contamination rather than true infection. Follow-up blood cultures are also negative after 72 hours. Per Infectious Disease no further treatment/intervention was required. Severe AS & moderate AR: stable, plan to f/u as an out patient for evaluation of TAVR.  HFmrEF 45%: stable, not in decompensation, continue GDMT. CAD s/p DES : Continue on aspirin 81 mg daily, Plavix 75 mg daily, Coreg 3.125 mg twice a day and rosuvastatin.  Peripheral arterial disease : He underwent left common femoral and superficial femoral artery intervention in 2015 per records, on dual antiplatelet therapy and statin. Positive COVID 19 test- initial with PCR negative.  Patient has been vaccinated. Pulmonary nodules:  Patient undergoing evaluation for pulmonary nodules as an out patient.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Dizziness, Tinnitus
Clinical narrative: So in mid May 2021 you started feel dizzy. I think May 14, 2021 but this is probably not the exact. I got a referral from Dr. to get a CT scan at  Imagining center, I can't remember the date.  The CT scan came back normal. Then I made an appointment with the Ears, Noses, and Throat doctor  mid May first week of June.  The did basic hearing test with the tones. My hearing was normal except for one frequency that was high in both ears.  I don't have the ENT doctor's name. They prescribe me prednisone for 1 week.  I went back two weeks later to check if the prednisone helped and it didn't and after the appointment they said that I didn't need to see me anymore and gave me paper work stating that the visits were for tinnitus .
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site pain, Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen and painful lymph nodes - left axilla . Painful bruising - site of injection .
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Given at 14 days after first dose
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bacterial test positive, Blood creatinine increased, Blood culture, Blood urea normal
Clinical narrative: Pfizer COVID Vaccine EUA  Pfizer Dose 1 2/6/21 (lot # not listed) Pfizer Dose 2 3/6/21 (lot # not listed) COVID Positive 5/25/21 at PCP office (but negative upon repeat testing 5/25/21)  5/25/21: The patient is a 78-year-old female presents emergency department today after testing positive for COVID-19 at her PCP office, they recommended she present to ED to rule out pulmonary embolism.  Patient has a past medical history significant for ESRD on HD Monday Wednesday Friday, hypertension, diabetes mellitus type 2, anemia of CKD, and osteoarthritis.  Of note, the patient had her COVID-19 Pfizer vaccination series completed in February of this year. On arrival to the ED, the patient's temperature is 98.4° F, heart rate 68, respiratory rate 26, saturating 90% on room air with blood pressure 163/63.  The patient did desaturate to 87% on room air when ambulating in the room.  The patient's laboratory studies were significant for HGB 11.3, ESR 44, CRP 1.7, BUN 17, CR 4.80, UA: Proteinuria, trace hematuria, small leukoesterase, many bacteria, 11-30 pyuria, 1-3 RBCs and moderate squamous epithelial cells sent for culture.  Blood cultures x2 obtained.  Chest x-ray shows no acute cardiopulmonary findings.  V/Q scan showed normal exam.  EKG showed normal sinus rhythm. The patient was seen emergency department laying in bed.  She reports worsening shortness of breath over the weekend and COVID like symptoms for the past week. She reports some dyspnea on exertion.  She states she has been weak, fatigued, had some chills, and was seen by her PCP, who tested her for COVID-19 and she tested positive.  This COVID-19 test is not and are records.  The patient has had some desaturations less than 90% when she falls asleep.  She wishes to be a full code.  6/1/21: She is admitted to the hospital, as mentioned above 0 repeat COVID test is negative.  V/Q scan is reported as normal.  She is started on dexamethasone 6 mg IV daily, along with IV antibiotics ceftriaxone Zithromax and Acapella.  Pulse ox is monitored, oxygen is weaned off patient has been stable on room air and has been afebrile. Nephrology consult is requested, patient had hemodialysis as per Nephrology recommendations on Monday, Wednesday and Friday.  Her blood pressures were uncontrolled, her home medications Coreg dose was increased to 37.5 mg p.o. b.i.d. and Procardia XL increased to 60 mg p.o. daily and blood pressures have been stable now.  Patient did complain of weakness to ambulate, had physical therapy and occupational therapy evaluation.  She is being discharged home today in stable condition for skilled nursing.  She is off steroids now.  Discharge plan is discussed with the patient.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urine present, C-reactive protein increased, COVID-19, Chest X-ray normal, Chills
Clinical narrative: Pfizer COVID Vaccine EUA  Pfizer Dose 1 2/6/21 (lot # not listed) Pfizer Dose 2 3/6/21 (lot # not listed) COVID Positive 5/25/21 at PCP office (but negative upon repeat testing 5/25/21)  5/25/21: The patient is a 78-year-old female presents emergency department today after testing positive for COVID-19 at her PCP office, they recommended she present to ED to rule out pulmonary embolism.  Patient has a past medical history significant for ESRD on HD Monday Wednesday Friday, hypertension, diabetes mellitus type 2, anemia of CKD, and osteoarthritis.  Of note, the patient had her COVID-19 Pfizer vaccination series completed in February of this year. On arrival to the ED, the patient's temperature is 98.4° F, heart rate 68, respiratory rate 26, saturating 90% on room air with blood pressure 163/63.  The patient did desaturate to 87% on room air when ambulating in the room.  The patient's laboratory studies were significant for HGB 11.3, ESR 44, CRP 1.7, BUN 17, CR 4.80, UA: Proteinuria, trace hematuria, small leukoesterase, many bacteria, 11-30 pyuria, 1-3 RBCs and moderate squamous epithelial cells sent for culture.  Blood cultures x2 obtained.  Chest x-ray shows no acute cardiopulmonary findings.  V/Q scan showed normal exam.  EKG showed normal sinus rhythm. The patient was seen emergency department laying in bed.  She reports worsening shortness of breath over the weekend and COVID like symptoms for the past week. She reports some dyspnea on exertion.  She states she has been weak, fatigued, had some chills, and was seen by her PCP, who tested her for COVID-19 and she tested positive.  This COVID-19 test is not and are records.  The patient has had some desaturations less than 90% when she falls asleep.  She wishes to be a full code.  6/1/21: She is admitted to the hospital, as mentioned above 0 repeat COVID test is negative.  V/Q scan is reported as normal.  She is started on dexamethasone 6 mg IV daily, along with IV antibiotics ceftriaxone Zithromax and Acapella.  Pulse ox is monitored, oxygen is weaned off patient has been stable on room air and has been afebrile. Nephrology consult is requested, patient had hemodialysis as per Nephrology recommendations on Monday, Wednesday and Friday.  Her blood pressures were uncontrolled, her home medications Coreg dose was increased to 37.5 mg p.o. b.i.d. and Procardia XL increased to 60 mg p.o. daily and blood pressures have been stable now.  Patient did complain of weakness to ambulate, had physical therapy and occupational therapy evaluation.  She is being discharged home today in stable condition for skilled nursing.  She is off steroids now.  Discharge plan is discussed with the patient.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Culture urine, Dyspnoea, Dyspnoea exertional, Electrocardiogram normal, Fatigue
Clinical narrative: Pfizer COVID Vaccine EUA  Pfizer Dose 1 2/6/21 (lot # not listed) Pfizer Dose 2 3/6/21 (lot # not listed) COVID Positive 5/25/21 at PCP office (but negative upon repeat testing 5/25/21)  5/25/21: The patient is a 78-year-old female presents emergency department today after testing positive for COVID-19 at her PCP office, they recommended she present to ED to rule out pulmonary embolism.  Patient has a past medical history significant for ESRD on HD Monday Wednesday Friday, hypertension, diabetes mellitus type 2, anemia of CKD, and osteoarthritis.  Of note, the patient had her COVID-19 Pfizer vaccination series completed in February of this year. On arrival to the ED, the patient's temperature is 98.4° F, heart rate 68, respiratory rate 26, saturating 90% on room air with blood pressure 163/63.  The patient did desaturate to 87% on room air when ambulating in the room.  The patient's laboratory studies were significant for HGB 11.3, ESR 44, CRP 1.7, BUN 17, CR 4.80, UA: Proteinuria, trace hematuria, small leukoesterase, many bacteria, 11-30 pyuria, 1-3 RBCs and moderate squamous epithelial cells sent for culture.  Blood cultures x2 obtained.  Chest x-ray shows no acute cardiopulmonary findings.  V/Q scan showed normal exam.  EKG showed normal sinus rhythm. The patient was seen emergency department laying in bed.  She reports worsening shortness of breath over the weekend and COVID like symptoms for the past week. She reports some dyspnea on exertion.  She states she has been weak, fatigued, had some chills, and was seen by her PCP, who tested her for COVID-19 and she tested positive.  This COVID-19 test is not and are records.  The patient has had some desaturations less than 90% when she falls asleep.  She wishes to be a full code.  6/1/21: She is admitted to the hospital, as mentioned above 0 repeat COVID test is negative.  V/Q scan is reported as normal.  She is started on dexamethasone 6 mg IV daily, along with IV antibiotics ceftriaxone Zithromax and Acapella.  Pulse ox is monitored, oxygen is weaned off patient has been stable on room air and has been afebrile. Nephrology consult is requested, patient had hemodialysis as per Nephrology recommendations on Monday, Wednesday and Friday.  Her blood pressures were uncontrolled, her home medications Coreg dose was increased to 37.5 mg p.o. b.i.d. and Procardia XL increased to 60 mg p.o. daily and blood pressures have been stable now.  Patient did complain of weakness to ambulate, had physical therapy and occupational therapy evaluation.  She is being discharged home today in stable condition for skilled nursing.  She is off steroids now.  Discharge plan is discussed with the patient.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Haematuria, Haemodialysis, Haemoglobin decreased, Hypoxia
Clinical narrative: Pfizer COVID Vaccine EUA  Pfizer Dose 1 2/6/21 (lot # not listed) Pfizer Dose 2 3/6/21 (lot # not listed) COVID Positive 5/25/21 at PCP office (but negative upon repeat testing 5/25/21)  5/25/21: The patient is a 78-year-old female presents emergency department today after testing positive for COVID-19 at her PCP office, they recommended she present to ED to rule out pulmonary embolism.  Patient has a past medical history significant for ESRD on HD Monday Wednesday Friday, hypertension, diabetes mellitus type 2, anemia of CKD, and osteoarthritis.  Of note, the patient had her COVID-19 Pfizer vaccination series completed in February of this year. On arrival to the ED, the patient's temperature is 98.4° F, heart rate 68, respiratory rate 26, saturating 90% on room air with blood pressure 163/63.  The patient did desaturate to 87% on room air when ambulating in the room.  The patient's laboratory studies were significant for HGB 11.3, ESR 44, CRP 1.7, BUN 17, CR 4.80, UA: Proteinuria, trace hematuria, small leukoesterase, many bacteria, 11-30 pyuria, 1-3 RBCs and moderate squamous epithelial cells sent for culture.  Blood cultures x2 obtained.  Chest x-ray shows no acute cardiopulmonary findings.  V/Q scan showed normal exam.  EKG showed normal sinus rhythm. The patient was seen emergency department laying in bed.  She reports worsening shortness of breath over the weekend and COVID like symptoms for the past week. She reports some dyspnea on exertion.  She states she has been weak, fatigued, had some chills, and was seen by her PCP, who tested her for COVID-19 and she tested positive.  This COVID-19 test is not and are records.  The patient has had some desaturations less than 90% when she falls asleep.  She wishes to be a full code.  6/1/21: She is admitted to the hospital, as mentioned above 0 repeat COVID test is negative.  V/Q scan is reported as normal.  She is started on dexamethasone 6 mg IV daily, along with IV antibiotics ceftriaxone Zithromax and Acapella.  Pulse ox is monitored, oxygen is weaned off patient has been stable on room air and has been afebrile. Nephrology consult is requested, patient had hemodialysis as per Nephrology recommendations on Monday, Wednesday and Friday.  Her blood pressures were uncontrolled, her home medications Coreg dose was increased to 37.5 mg p.o. b.i.d. and Procardia XL increased to 60 mg p.o. daily and blood pressures have been stable now.  Patient did complain of weakness to ambulate, had physical therapy and occupational therapy evaluation.  She is being discharged home today in stable condition for skilled nursing.  She is off steroids now.  Discharge plan is discussed with the patient.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Oxygen saturation decreased, Protein urine present, Proteinuria, Pyuria
Clinical narrative: Pfizer COVID Vaccine EUA  Pfizer Dose 1 2/6/21 (lot # not listed) Pfizer Dose 2 3/6/21 (lot # not listed) COVID Positive 5/25/21 at PCP office (but negative upon repeat testing 5/25/21)  5/25/21: The patient is a 78-year-old female presents emergency department today after testing positive for COVID-19 at her PCP office, they recommended she present to ED to rule out pulmonary embolism.  Patient has a past medical history significant for ESRD on HD Monday Wednesday Friday, hypertension, diabetes mellitus type 2, anemia of CKD, and osteoarthritis.  Of note, the patient had her COVID-19 Pfizer vaccination series completed in February of this year. On arrival to the ED, the patient's temperature is 98.4° F, heart rate 68, respiratory rate 26, saturating 90% on room air with blood pressure 163/63.  The patient did desaturate to 87% on room air when ambulating in the room.  The patient's laboratory studies were significant for HGB 11.3, ESR 44, CRP 1.7, BUN 17, CR 4.80, UA: Proteinuria, trace hematuria, small leukoesterase, many bacteria, 11-30 pyuria, 1-3 RBCs and moderate squamous epithelial cells sent for culture.  Blood cultures x2 obtained.  Chest x-ray shows no acute cardiopulmonary findings.  V/Q scan showed normal exam.  EKG showed normal sinus rhythm. The patient was seen emergency department laying in bed.  She reports worsening shortness of breath over the weekend and COVID like symptoms for the past week. She reports some dyspnea on exertion.  She states she has been weak, fatigued, had some chills, and was seen by her PCP, who tested her for COVID-19 and she tested positive.  This COVID-19 test is not and are records.  The patient has had some desaturations less than 90% when she falls asleep.  She wishes to be a full code.  6/1/21: She is admitted to the hospital, as mentioned above 0 repeat COVID test is negative.  V/Q scan is reported as normal.  She is started on dexamethasone 6 mg IV daily, along with IV antibiotics ceftriaxone Zithromax and Acapella.  Pulse ox is monitored, oxygen is weaned off patient has been stable on room air and has been afebrile. Nephrology consult is requested, patient had hemodialysis as per Nephrology recommendations on Monday, Wednesday and Friday.  Her blood pressures were uncontrolled, her home medications Coreg dose was increased to 37.5 mg p.o. b.i.d. and Procardia XL increased to 60 mg p.o. daily and blood pressures have been stable now.  Patient did complain of weakness to ambulate, had physical therapy and occupational therapy evaluation.  She is being discharged home today in stable condition for skilled nursing.  She is off steroids now.  Discharge plan is discussed with the patient.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate increased, Red blood cells urine positive, SARS-CoV-2 test positive, Urinary sediment present, Urine analysis
Clinical narrative: Pfizer COVID Vaccine EUA  Pfizer Dose 1 2/6/21 (lot # not listed) Pfizer Dose 2 3/6/21 (lot # not listed) COVID Positive 5/25/21 at PCP office (but negative upon repeat testing 5/25/21)  5/25/21: The patient is a 78-year-old female presents emergency department today after testing positive for COVID-19 at her PCP office, they recommended she present to ED to rule out pulmonary embolism.  Patient has a past medical history significant for ESRD on HD Monday Wednesday Friday, hypertension, diabetes mellitus type 2, anemia of CKD, and osteoarthritis.  Of note, the patient had her COVID-19 Pfizer vaccination series completed in February of this year. On arrival to the ED, the patient's temperature is 98.4° F, heart rate 68, respiratory rate 26, saturating 90% on room air with blood pressure 163/63.  The patient did desaturate to 87% on room air when ambulating in the room.  The patient's laboratory studies were significant for HGB 11.3, ESR 44, CRP 1.7, BUN 17, CR 4.80, UA: Proteinuria, trace hematuria, small leukoesterase, many bacteria, 11-30 pyuria, 1-3 RBCs and moderate squamous epithelial cells sent for culture.  Blood cultures x2 obtained.  Chest x-ray shows no acute cardiopulmonary findings.  V/Q scan showed normal exam.  EKG showed normal sinus rhythm. The patient was seen emergency department laying in bed.  She reports worsening shortness of breath over the weekend and COVID like symptoms for the past week. She reports some dyspnea on exertion.  She states she has been weak, fatigued, had some chills, and was seen by her PCP, who tested her for COVID-19 and she tested positive.  This COVID-19 test is not and are records.  The patient has had some desaturations less than 90% when she falls asleep.  She wishes to be a full code.  6/1/21: She is admitted to the hospital, as mentioned above 0 repeat COVID test is negative.  V/Q scan is reported as normal.  She is started on dexamethasone 6 mg IV daily, along with IV antibiotics ceftriaxone Zithromax and Acapella.  Pulse ox is monitored, oxygen is weaned off patient has been stable on room air and has been afebrile. Nephrology consult is requested, patient had hemodialysis as per Nephrology recommendations on Monday, Wednesday and Friday.  Her blood pressures were uncontrolled, her home medications Coreg dose was increased to 37.5 mg p.o. b.i.d. and Procardia XL increased to 60 mg p.o. daily and blood pressures have been stable now.  Patient did complain of weakness to ambulate, had physical therapy and occupational therapy evaluation.  She is being discharged home today in stable condition for skilled nursing.  She is off steroids now.  Discharge plan is discussed with the patient.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Urine leukocyte esterase positive, Ventilation/perfusion scan normal
Clinical narrative: Pfizer COVID Vaccine EUA  Pfizer Dose 1 2/6/21 (lot # not listed) Pfizer Dose 2 3/6/21 (lot # not listed) COVID Positive 5/25/21 at PCP office (but negative upon repeat testing 5/25/21)  5/25/21: The patient is a 78-year-old female presents emergency department today after testing positive for COVID-19 at her PCP office, they recommended she present to ED to rule out pulmonary embolism.  Patient has a past medical history significant for ESRD on HD Monday Wednesday Friday, hypertension, diabetes mellitus type 2, anemia of CKD, and osteoarthritis.  Of note, the patient had her COVID-19 Pfizer vaccination series completed in February of this year. On arrival to the ED, the patient's temperature is 98.4° F, heart rate 68, respiratory rate 26, saturating 90% on room air with blood pressure 163/63.  The patient did desaturate to 87% on room air when ambulating in the room.  The patient's laboratory studies were significant for HGB 11.3, ESR 44, CRP 1.7, BUN 17, CR 4.80, UA: Proteinuria, trace hematuria, small leukoesterase, many bacteria, 11-30 pyuria, 1-3 RBCs and moderate squamous epithelial cells sent for culture.  Blood cultures x2 obtained.  Chest x-ray shows no acute cardiopulmonary findings.  V/Q scan showed normal exam.  EKG showed normal sinus rhythm. The patient was seen emergency department laying in bed.  She reports worsening shortness of breath over the weekend and COVID like symptoms for the past week. She reports some dyspnea on exertion.  She states she has been weak, fatigued, had some chills, and was seen by her PCP, who tested her for COVID-19 and she tested positive.  This COVID-19 test is not and are records.  The patient has had some desaturations less than 90% when she falls asleep.  She wishes to be a full code.  6/1/21: She is admitted to the hospital, as mentioned above 0 repeat COVID test is negative.  V/Q scan is reported as normal.  She is started on dexamethasone 6 mg IV daily, along with IV antibiotics ceftriaxone Zithromax and Acapella.  Pulse ox is monitored, oxygen is weaned off patient has been stable on room air and has been afebrile. Nephrology consult is requested, patient had hemodialysis as per Nephrology recommendations on Monday, Wednesday and Friday.  Her blood pressures were uncontrolled, her home medications Coreg dose was increased to 37.5 mg p.o. b.i.d. and Procardia XL increased to 60 mg p.o. daily and blood pressures have been stable now.  Patient did complain of weakness to ambulate, had physical therapy and occupational therapy evaluation.  She is being discharged home today in stable condition for skilled nursing.  She is off steroids now.  Discharge plan is discussed with the patient.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blister, Blood pressure increased, Dermatitis contact, Emotional distress
Clinical narrative: Broke out with blisters on left leg  and heal which scabbed and seeped. major area around blisters sorrounded by large rash.  Also broke out on leg and thigh on left and right leg.  On the first day of breakout my blood presure (taken at home) was 180/90. It in the 140's for the next three weeks. During third week of issue had a very hard time with emotions; anxiety, could cry at any time, thoughts of death, not suicide but what it was like to die.  Never in my 75 years of life have I experienced anything like this.  I am energetic and very positive.  Emotional issue lasted 1 week.  Entire reaction lasted 4 weeks.  I was seen by a walk in clinic and was diagnosed with poison ivy in the beginning. I sought a second opinion from my family physician who agreed.  I disagreed with both as I had not been any where near plant life.  I then saw my cardiologist who felt there was a possible reaction to a new BP med he had put me on a month before.  At this time I thought it might have been a reaction to the moderna 2nd shot, but did not pursue this until I recently have become aware of possible reactions with blisters and emotions.  I do have pictures of the reaction