chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 46.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstrual disorder
Clinical narrative: 1.Experienced 2 menstrual cycles on the months that the first and second vaccine doses were administrated.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Ear discomfort, Ear pain, Ear, nose and throat examination, Eustachian tube dysfunction
Clinical narrative: 3:30 p.m.--vaccine 5:00 a.m.--chills, sweats, headache, swollen sore glands, ear aches in both ears, fatigue until 3:00 p.m. the following days. Then most symptoms cleared up except for a mild headache for a few days. Ears continued to be a problem. The first two weeks sensitivity to going up and down hill (pain with pressure changes). Sore glands, ear discomfort, ringing in ears on three occasions, rash on inside of left elbow, pain in right ear when hearing certain pitches like the clinking of putting away dishes, singing, child's band concert----The right ear has continued to bother me more than a month later, uncomfortable pressure in ear, pain upon waking, pain with noises that did not hurt my ear in the past
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hyperhidrosis, Lymphadenopathy, Rash
Clinical narrative: 3:30 p.m.--vaccine 5:00 a.m.--chills, sweats, headache, swollen sore glands, ear aches in both ears, fatigue until 3:00 p.m. the following days. Then most symptoms cleared up except for a mild headache for a few days. Ears continued to be a problem. The first two weeks sensitivity to going up and down hill (pain with pressure changes). Sore glands, ear discomfort, ringing in ears on three occasions, rash on inside of left elbow, pain in right ear when hearing certain pitches like the clinking of putting away dishes, singing, child's band concert----The right ear has continued to bother me more than a month later, uncomfortable pressure in ear, pain upon waking, pain with noises that did not hurt my ear in the past
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: 3:30 p.m.--vaccine 5:00 a.m.--chills, sweats, headache, swollen sore glands, ear aches in both ears, fatigue until 3:00 p.m. the following days. Then most symptoms cleared up except for a mild headache for a few days. Ears continued to be a problem. The first two weeks sensitivity to going up and down hill (pain with pressure changes). Sore glands, ear discomfort, ringing in ears on three occasions, rash on inside of left elbow, pain in right ear when hearing certain pitches like the clinking of putting away dishes, singing, child's band concert----The right ear has continued to bother me more than a month later, uncomfortable pressure in ear, pain upon waking, pain with noises that did not hurt my ear in the past
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Rash, Vomiting
Clinical narrative: cold sweats, bumps on arm, vomiting, dizziness, faintness, baseball sized red rash on arm
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Limb discomfort, Pain, Paraesthesia, Ultrasound scan normal
Clinical narrative: The next day after my first shot, my left leg felt heavy, numb, tingling, and sore
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Pyrexia
Clinical narrative: I started feeling very achy when I woke up at 6 am on Tuesday,  I then started getting the chills, and a headache,  after about 3 hrs I got a low grade fever.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Night sweats, Pain in extremity
Clinical narrative: Assuming left arm due to records. Forgot to ask wife and didn't answer phone. Severe arm pain 5 days after 2nd Moderna radiating from top of arm to wrist. Seen Family MD and given motrin for 2 to 3 weeks l, also tried a dosepak. Neither were effective. last Wednesday, May 12th was started on gabapentin. Helping a little, still having night sweats. Also saw cardiologist to rule out heart pain...no issues with heart.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count, Heavy menstrual bleeding, Injection site erythema, Injection site pruritus, Injection site rash
Clinical narrative: 1st shot: Started period 2 days after shot.  Had hemorrhagic bleeding 24/7 for 28 days straight.  Bleeding was constant and excessive, would not stop.  Was going through 40+ pads a day, having to change every 30 minutes or so to not leak. Very upsetting. Went to dr for bloodwork, had CBC and results returned normal.  Dr encouraged me to have 2nd shot.  Period stopped 2 days after 2nd shot  2nd shot: Had shot on a Wednesday. That Saturday had hive/rash at injection site. Red, warm, itchy, raised. Treated with OTC Benadryl.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site urticaria, Menstruation irregular, Oligomenorrhoea, Rash papular
Clinical narrative: 1st shot: Started period 2 days after shot.  Had hemorrhagic bleeding 24/7 for 28 days straight.  Bleeding was constant and excessive, would not stop.  Was going through 40+ pads a day, having to change every 30 minutes or so to not leak. Very upsetting. Went to dr for bloodwork, had CBC and results returned normal.  Dr encouraged me to have 2nd shot.  Period stopped 2 days after 2nd shot  2nd shot: Had shot on a Wednesday. That Saturday had hive/rash at injection site. Red, warm, itchy, raised. Treated with OTC Benadryl.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, SARS-CoV-2 test positive
Clinical narrative: COUGH  - PREOP COVID TESTING
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Loss of consciousness, Muscle spasms, Muscle twitching, Syncope
Clinical narrative: Patient reported before the vaccine was administered that she had a history of fainting upon receiving vaccines in the past. As predicted, she fainted within seconds of administering the Janssen vaccine. While unconscious, patient had a few mild head/neck twitches which then progressed to 2-3 full body twitches/spasms before regaining consciousness. Total time unconscious with less than 1 minute. Once fully awake and alert, patient informed me that she had a history of a seizure once before. We gently laid her on the floor and I took her vitals. Vitals were low with BP 90/49, HR 49, and O2 90%. She continued to lay on the floor for approximately 10 minutes before checking her vitals again. At that time, vitals were better with HR 60 and O2 99; I was unable to retake her BP at that time, but patient claimed that it usually was on the low side. She called her mother who agreed to come stay with her to keep watch for more events at her home. A family friend was also called to come pick her up and drive her home. Before leaving, I strongly advised patient to see a doctor to check everything out. Patient just moved here and claims to not have a primary at either location.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: ringing in ears
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Injection site rash, Rash macular
Clinical narrative: Had redness that appeared a few days after injection and lasted a few days. I even had a rash in the shape of the bandaid as well as a blotch below. No pain or itchiness
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Hypoxia, Pleural effusion
Clinical narrative: Breakthrough case hospitalized with complications of COVID-19 including hypoxia, pleural effusions, and interstitial edema. First positive test on 5/10/21. Hospitalized on 5/18/21. Other symptoms include shortness of breath and cough.
Age: 71.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pulmonary oedema, SARS-CoV-2 test positive
Clinical narrative: Breakthrough case hospitalized with complications of COVID-19 including hypoxia, pleural effusions, and interstitial edema. First positive test on 5/10/21. Hospitalized on 5/18/21. Other symptoms include shortness of breath and cough.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Disorientation, Hypertension, Syncope, Visual impairment
Clinical narrative: PT had vasovagal syncopal episode, couldn?t see, disoriented,.  Checked out by ALS, administered fluids, hypertensive. Transported ALS to Hospital.  Run # 58372
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Head injury, Hypoaesthesia
Clinical narrative: five -ten minutes post vaccine patient feel from standing after reporting dizziness to mother,  mother reports lightly hitting back of head on chair. , patient reported no pain to head , no deformity on palpation or visual inspection.  Patient monitored, continued to report dizziness and numbness of arms and face, airway patient and no reports of oral numbness or angioedema   vital signs monitored  during event , stable and consistant  111/78 bp 72 HR 20 RT, only minor fluctional from this during monitoring.  Symptom not resolving and we called 911 with the patients consent .  Monitored inn ambulance for 15 minutes then patient left the scene  Patient reports not eating and a history of anxiety  / agoraphobia
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Asthma, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Exacerbation of asthma, unspecified asthma severity, unspecified whether persistent  Acute bronchitis, unspecified organism
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram cerebral abnormal, Cerebral artery occlusion, Cerebral artery stenosis, Cerebrovascular accident, Echocardiogram
Clinical narrative: Right thalmus Cerebral Vascular Accident, unspecified mechanism, left arm and face numbness
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Laboratory test, Magnetic resonance imaging head abnormal, Thalamic infarction
Clinical narrative: Right thalmus Cerebral Vascular Accident, unspecified mechanism, left arm and face numbness
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain
Clinical narrative: Pain in shoulder still after 5 weeks since shot.  Pain feels localized to the joint.  Seeing OT now and they are saying shot could have been given too high on the arm and damaged or injured and muscle. ?
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Severe numbness in right arm, right hand, right leg and right foot.
Age: 16.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inappropriate schedule of product administration, Incorrect dose administered, No adverse event
Clinical narrative: Client received first Covid vaccine at approximately  4:30pm.  Client then returned at approximately 4:55pm to another vaccinator and received a 2nd dose the same day.  Client stayed at clinic approximately 35 minutes after 2nd vaccine with no complaints of adverse effects. Mother is aware to call 911/ or take child to ED if adverse reaction occurs.  Mother verbalized understanding.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Lymphadenopathy
Clinical narrative: Swollen gland (lymph node?) at right collar bone about a day following injection, on same side as injection site.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Existing condition: Have had intermittent Tinnitus for a while (once/twice month) sometimes started by some strenuous activity or sometimes just randomly.   After shot and until right now (16 hours including sleep) very mild continuous tinnitus. Hoping it will go away with any other effects.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiomyopathy, Computerised tomogram, Ejection fraction, Electrocardiogram, Magnetic resonance imaging heart
Clinical narrative: Feeling a lot of PVCs. Went to dr office for ekg who sent me To er for left bundle branch block.  Tests done which showed mild cardiomyopathy with EF 41.5.  Mri states could be from chemo years ago or could have been myocarditis.  Worried now do I get a booster if one is offered or is that going to make ef worse etc
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Ventricular extrasystoles
Clinical narrative: Feeling a lot of PVCs. Went to dr office for ekg who sent me To er for left bundle branch block.  Tests done which showed mild cardiomyopathy with EF 41.5.  Mri states could be from chemo years ago or could have been myocarditis.  Worried now do I get a booster if one is offered or is that going to make ef worse etc
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dyspnoea, Electrocardiogram, Hypoaesthesia oral, Paraesthesia oral
Clinical narrative: increased blood pressure, lips numb/tingling, and short of breath
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Dizziness, Ear disorder, Sinus disorder, Temporomandibular joint syndrome
Clinical narrative: Diggy ness and got ear /Sinus issues along with TMJ issues .
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Ear infection, Ear pain, Gastrooesophageal reflux disease, Insomnia
Clinical narrative: Diggy ness and got ear /Sinus issues along with TMJ issues .
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Osteitis, Otitis media, Temporomandibular joint syndrome
Clinical narrative: Diggy ness and got ear /Sinus issues along with TMJ issues .
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Dysarthria, Syncope, Tunnel vision
Clinical narrative: 11:05 PT received 2nd dose of MODERNA (037B21A) COVID vaccination  11:15 PT's wife stated that she noticed his speech started to slur and then he fainted and notified medical personnel on site 11:16 Dr. made first contact with PT, and had him recline in his seat.  PT was administered an ice pack to his forehead.   11:18 Vitals were obtained:             02: 97%            HR: 76 11:20 Blood pressure was  hard to obtain so ambulance was called 11:28 Ambulance arrived.  PT denies any history of low BP.  States that the tunnel vision has subsided and feels much better. 11:32 First BP 102/70 11:36 2nd BP 103/62, PT was advised of lower BP by EMS crew.  PT denied transport to hospital and signed off care.   11:40 EMS cleared scene.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Headache, Nasal congestion, Pain, Pyrexia
Clinical narrative: 11 PM on 17th: Headache, Fever, Morning of 19th: Stuffed Nose, Coughing, Body Aches. Took Ibuprofen and DayQuil, mildly suppressed the symptoms, but headache stayed extreme until the 19th.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Contusion, Erythema, Induration
Clinical narrative: 5/19/21 patient is noted to have a red circular area approx 3 inches in diameter. The center of this circle is dark bruised. This red circular area is not hardened or raised. Vital signs within normal limits. No other signs or symptoms noted or reported. Consumer appears in no distress and denies chest pain, shortness of breath or trouble breathing.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Sensation of foreign body
Clinical narrative: Sore shoulder for a week after the shot. Also had a lump in my throat for about 2 weeks after. Felt like a sick lymph node, but no adverse affect to me, I didn?t feel sick at all after the shot.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring, Computerised tomogram, Electroencephalogram, Laboratory test, Magnetic resonance imaging
Clinical narrative: Convulsions, Seizures
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure
Clinical narrative: Convulsions, Seizures
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Painful and swollen lymph nodes under right armpit the same side I had the shot on. I first noticed it a week after and it progressively got worse throughout that day. I went to a doctor because I have a family history of breast cancer. He did a manual exam at the time. He gave me a referral to a specialist in two or three weeks if the pain didn't go away. It took two weeks to go away.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt required COVID testing prior to surgery, tested positive 5/18.  Was asymptomatic for COVID
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Product was administered greater than 3 hours past 6 hour window
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Swollen tongue, Tachycardia, Throat irritation
Clinical narrative: 28 minutes after receiving the vaccination, the patient began to experience throat itching. The patient was brought back to the monitoring area and vital signs @0759 BP 138/85, HR 85, SpO2 98% on room air. She denied shortness of breath and chest pain. She was administered diphenhydramine 25mg PO at (reduced dose at patient request) at 0802. Patient was monitored closely, breath sounds clear, no stridor or wheezing, strong pulse on exam. She reported tongue swelling and was administered Epi Pen at 0810. Rapid response was called. Vital signs @ 0815 129/82, HR 94, SpO2 98% on room air. Patient was transported to the ED via Rapid Response team. Patient states that she had COVID-19 infection of November 2020 and was hospitalized for approximately 5 to 6 days. She reports that she did not require high flow nasal cannula, intubation, or mechanical ventilation. That she has had what she terms "long haul syndrome "whereby she has continued to be followed for persistent symptoms of tachycardia and lightheadedness. She states that she awoke in her usual state of health this morning and presented for the vaccination. She did receive it in the left upper extremity deltoid region. She notes about 15 minutes after that she felt the onset of some "scratchiness "in her posterior pharynx. Given that she received both epinephrine and Benadryl a rapid response was called and the patient was transported uneventfully to the emergency department. The patient reports feeling improved but not returned to baseline. As noted in the review of systems she does not report any throat closing sensation, hoarseness, shortness of breath, chest pain, palpitations, lightheadedness, near syncope, nausea, vomiting, or pruritus of the skin. She denies urticaria.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Lethargy, Pain, Pruritus
Clinical narrative: After 2nd dose of COVID-19 Vaccine received 4/23/2021 the following symptoms appeared:  12 hours post-dose:   Fever (101.2F) Chills Headache Body aches (muscle, joint and low-back pain) Lethargy  48 hrs post-dose: Pain, swelling, and itching in Left armpit (same side as injection)
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Swelling
Clinical narrative: After 2nd dose of COVID-19 Vaccine received 4/23/2021 the following symptoms appeared:  12 hours post-dose:   Fever (101.2F) Chills Headache Body aches (muscle, joint and low-back pain) Lethargy  48 hrs post-dose: Pain, swelling, and itching in Left armpit (same side as injection)
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Urticaria
Clinical narrative: Hives and swelling of the face.  Used Benadryl to control symptoms.  Symptoms resolved over 36 hours
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: PATIENT WAS UNDER THE AGE OF 18 AT THE TIME OF ADMINISTRATION. NO ADVERSE EVENTS REPORTED BY PATIENT.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy, Pain in extremity
Clinical narrative: On 5/18/21 I woke up at 0300 with severe pain in right arm.   Took Ibuprofen and went back to bed.  Woke up around 0800 and had pain under my arm.  Saw that my lymph node is severely swollen and sticking out of my arm pit.  Its about the size of a baseball now on Day 3.  It progressively got bigger throughout day 2
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Hypermetabolism, Lymphadenopathy
Clinical narrative: MILD HYPERMETABOLIC ACTIVITY IN A LEFT LYMPH NODE POST COVID VACCINE IN HER LEFT DELTOID. THIS WAS NOTED ATT IME OF ADMIT TO HOSPITAL FOR OTHER REASONS.   DOSE 1 OF MODERNA ADMINISTERED 3/5/2021 RIGHT ARM.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Menstrual disorder, Pyrexia
Clinical narrative: The day after my second covid vaccine, I experienced fever, aches, headache, and chills.  I expected that and understand it is a normal response.  The other thing that has happened is I stopped having my menstrual cycles.  I have not had a period in 3 months.  My hormone levels show menopause.  There was never any sign or symptom of menopause before receiving the vaccine.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abnormal, Dyspnoea, Fatigue, Laboratory test, Pulmonary embolism
Clinical narrative: About 1 week in a half later after the vaccine I felt very tired and felt like I couldn't breath. I went to the Emergency room they did lab work & a CT scan and that's when they seen I had a blood cloth in my lungs. I got admitted I was hospitalized for 2 days and they also gave me oxygen to take home when I was released. I am currently still on oxygen and I still feel very tired I can't do  a lot of things because I get tired right away. I also have back pain and I have to continue paying for my medication something that was not in my budget.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Feeling of body temperature change, Headache, Malaise
Clinical narrative: started being light headed at noon, then just didn't feel well. like achy, by 5:00 i was having bad headache and feeling so achy in all my muscles and joints. worsened thru night with hot and cold body aches. Did not sleep for the pounding in my head and tremendous ache in body. All day the next day worsened. it wasn't till 18 hrs later i felt better but was still lightheaded.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Sleep disorder
Clinical narrative: started being light headed at noon, then just didn't feel well. like achy, by 5:00 i was having bad headache and feeling so achy in all my muscles and joints. worsened thru night with hot and cold body aches. Did not sleep for the pounding in my head and tremendous ache in body. All day the next day worsened. it wasn't till 18 hrs later i felt better but was still lightheaded.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: RN gave patient wrong dose
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Cooling therapy, Hepatic enzyme increased, Loss of consciousness, Syncope
Clinical narrative: Vasovagal syncope a few minutes after receiving shot. Waiting to check in to observation area and fainted. LOC but immediately awake, A&O. LEs elevated, cool compress to neck. HR, BP checked, stable. Rested and resolved. Home with dad.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Bordetella test negative, COVID-19 pneumonia, Chest pain, Chills, Chronic obstructive pulmonary disease
Clinical narrative: COPD exacerbation (CMS/HCC)  COVID-19  Multifocal pneumonia  ED Discharged  3/14/2021 (2 hours) Hospital ED MD Last attending ? Treatment team COPD exacerbation (CMS/HCC) +2 more Clinical impression Shortness of Breath Chief complaint ED Provider Notes MD (Resident) ? ? Emergency Medicine Cosigned by: MD at 3/16/2021  2:06 PM Expand AllCollapse All        ED RESIDENT NOTE                Chief Complaint      Chief Complaint Patient presents with ? Shortness of Breath        History of Present Illness   Patient is a 64 y.o. yo female presenting to the ED with shortness of breath.  Patient has history of COPD and asthma.  She uses inhaler daily and also uses nebulizer as needed.  She got her first Covid vaccine on March 1.  Approximately 6 days later she spent a significant amount of time around her son-in-law who unknowingly at that time had Covid.  She presents today with worsening shortness of breath, nighttime chills, productive cough.  She also feels that she has been wheezing and using her inhaler recently.  She is concerned that she potentially has Covid and that she may have a more severe version because she got the vaccine and was exposed to someone at the same time.  She endorses some vague right-sided chest pain that is only present while coughing.  Patient is Spanish-speaking only so translator is used for history gathering.        Medical Decision Making     Patient presents emergency department complaints of shortness of breath.  Recently got first vaccine for Covid but shortly thereafter was exposed someone with Covid.  Has been coughing, having nighttime chills, and chest pain with coughing.   Bedside exam reveals stable vital signs other than tachypnea.  Pulmonary exam does reveal diffuse rhonchi and wheezings.  Heart is regular.  Abdominal exam is benign.   We will get CBC, BMP.  Check chest x-ray and EKG.  Will give patient DuoNeb and steroids.  Will check a Covid swab.  I think patient is likely suffering from COPD/asthma exacerbation versus pneumonia.  Potentially triggered by Covid.  She currently is not hypoxic.  Anticipate breathing treatments, reevaluation, and likely discharge home.  Low suspicion at this time for cardiac process given that her pain is only present whenever coughing and she has significant findings on pulmonary exam.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Influenza A virus test negative, Influenza B virus test, Productive cough, Respiratory syncytial virus test
Clinical narrative: COPD exacerbation (CMS/HCC)  COVID-19  Multifocal pneumonia  ED Discharged  3/14/2021 (2 hours) Hospital ED MD Last attending ? Treatment team COPD exacerbation (CMS/HCC) +2 more Clinical impression Shortness of Breath Chief complaint ED Provider Notes MD (Resident) ? ? Emergency Medicine Cosigned by: MD at 3/16/2021  2:06 PM Expand AllCollapse All        ED RESIDENT NOTE                Chief Complaint      Chief Complaint Patient presents with ? Shortness of Breath        History of Present Illness   Patient is a 64 y.o. yo female presenting to the ED with shortness of breath.  Patient has history of COPD and asthma.  She uses inhaler daily and also uses nebulizer as needed.  She got her first Covid vaccine on March 1.  Approximately 6 days later she spent a significant amount of time around her son-in-law who unknowingly at that time had Covid.  She presents today with worsening shortness of breath, nighttime chills, productive cough.  She also feels that she has been wheezing and using her inhaler recently.  She is concerned that she potentially has Covid and that she may have a more severe version because she got the vaccine and was exposed to someone at the same time.  She endorses some vague right-sided chest pain that is only present while coughing.  Patient is Spanish-speaking only so translator is used for history gathering.        Medical Decision Making     Patient presents emergency department complaints of shortness of breath.  Recently got first vaccine for Covid but shortly thereafter was exposed someone with Covid.  Has been coughing, having nighttime chills, and chest pain with coughing.   Bedside exam reveals stable vital signs other than tachypnea.  Pulmonary exam does reveal diffuse rhonchi and wheezings.  Heart is regular.  Abdominal exam is benign.   We will get CBC, BMP.  Check chest x-ray and EKG.  Will give patient DuoNeb and steroids.  Will check a Covid swab.  I think patient is likely suffering from COPD/asthma exacerbation versus pneumonia.  Potentially triggered by Covid.  She currently is not hypoxic.  Anticipate breathing treatments, reevaluation, and likely discharge home.  Low suspicion at this time for cardiac process given that her pain is only present whenever coughing and she has significant findings on pulmonary exam.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Rhonchi, SARS-CoV-2 test negative, Tachypnoea, Wheezing
Clinical narrative: COPD exacerbation (CMS/HCC)  COVID-19  Multifocal pneumonia  ED Discharged  3/14/2021 (2 hours) Hospital ED MD Last attending ? Treatment team COPD exacerbation (CMS/HCC) +2 more Clinical impression Shortness of Breath Chief complaint ED Provider Notes MD (Resident) ? ? Emergency Medicine Cosigned by: MD at 3/16/2021  2:06 PM Expand AllCollapse All        ED RESIDENT NOTE                Chief Complaint      Chief Complaint Patient presents with ? Shortness of Breath        History of Present Illness   Patient is a 64 y.o. yo female presenting to the ED with shortness of breath.  Patient has history of COPD and asthma.  She uses inhaler daily and also uses nebulizer as needed.  She got her first Covid vaccine on March 1.  Approximately 6 days later she spent a significant amount of time around her son-in-law who unknowingly at that time had Covid.  She presents today with worsening shortness of breath, nighttime chills, productive cough.  She also feels that she has been wheezing and using her inhaler recently.  She is concerned that she potentially has Covid and that she may have a more severe version because she got the vaccine and was exposed to someone at the same time.  She endorses some vague right-sided chest pain that is only present while coughing.  Patient is Spanish-speaking only so translator is used for history gathering.        Medical Decision Making     Patient presents emergency department complaints of shortness of breath.  Recently got first vaccine for Covid but shortly thereafter was exposed someone with Covid.  Has been coughing, having nighttime chills, and chest pain with coughing.   Bedside exam reveals stable vital signs other than tachypnea.  Pulmonary exam does reveal diffuse rhonchi and wheezings.  Heart is regular.  Abdominal exam is benign.   We will get CBC, BMP.  Check chest x-ray and EKG.  Will give patient DuoNeb and steroids.  Will check a Covid swab.  I think patient is likely suffering from COPD/asthma exacerbation versus pneumonia.  Potentially triggered by Covid.  She currently is not hypoxic.  Anticipate breathing treatments, reevaluation, and likely discharge home.  Low suspicion at this time for cardiac process given that her pain is only present whenever coughing and she has significant findings on pulmonary exam.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Feel little bit pain in right arm, no fever
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Myalgia, Pyrexia, Vaccination complication
Clinical narrative: fever, extreme fatigue, muscle ache, covid arm
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea
Clinical narrative: NAUSEA, DIZZY
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Hyperhidrosis, Nausea
Clinical narrative: Patient with new onset of severe dizziness after his first COVID19 vaccine. Pt began having dizziness and then felt nauseated, weak, and diaphoretic. Patient left ED.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Drainage, Nausea, Retching, Secretion discharge, Throat irritation
Clinical narrative: May 13, 2021, at 10:30 pm I suffered from severe sinus drainage and phlegm clogging throat that caused severe nauseau and dry wretching in an attempt to vomit.  Since that time I have endured sinus drainage, coughing and phlegm clogging in throat. Symtoms have been moderate to severe and nothing alleviates the symptoms. Symptoms are worse at night or when I am sitting.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, COVID-19, SARS-CoV-2 test positive, Upper respiratory tract infection
Clinical narrative: Tested positive for covid with symptoms of URI and loss of taste and smell. Symptoms on 5/16/21 and positive PCR test on 5/17/2021
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest discomfort, Computerised tomogram normal, Dizziness, Dyspnoea
Clinical narrative: *sypmtoms could be unrelated to shot and caused by a dive trip I went on but I was told to report anyway b/c it's within the 3 week window of 2nd vaccine*  (Vaccine on 5/5, fever started 12 hours after vaccine and lasted for 20 hours. Peaked at 102. Flew on a plane 5/7 and dived to 10m (33') on 5/8 and 5/9. Syptoms below were noticeable on 5/10 at noon.) -tightness in chest, shortness of breath, lightheaded
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Pyrexia
Clinical narrative: *sypmtoms could be unrelated to shot and caused by a dive trip I went on but I was told to report anyway b/c it's within the 3 week window of 2nd vaccine*  (Vaccine on 5/5, fever started 12 hours after vaccine and lasted for 20 hours. Peaked at 102. Flew on a plane 5/7 and dived to 10m (33') on 5/8 and 5/9. Syptoms below were noticeable on 5/10 at noon.) -tightness in chest, shortness of breath, lightheaded
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: The day of the shot, I felt tired and had a beginning headache behind my eyes beginning about 3.5 hours after. I took Tylenol and went to bed early; I woke throughout the night with a fever of 103 degrees F, chills, body ache, headache, and the skin on my legs felt sensitive to touch. This continued the entire next day, so I slept off and on. The third day was better; all symptoms were gone except fatigue and a slight headache.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Sensitive skin
Clinical narrative: The day of the shot, I felt tired and had a beginning headache behind my eyes beginning about 3.5 hours after. I took Tylenol and went to bed early; I woke throughout the night with a fever of 103 degrees F, chills, body ache, headache, and the skin on my legs felt sensitive to touch. This continued the entire next day, so I slept off and on. The third day was better; all symptoms were gone except fatigue and a slight headache.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID 19 test on 5/19/21 after completed vaccine series.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Myalgia, Nausea, Pain in extremity
Clinical narrative: Woke up on 5/18 with pain in arm and terrible headache, by 11 am it progressed to pain in all muscles, nausea, lightheadedness, and headache. Finally subsided to just arm pain by 9 am on 5/19.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, COVID-19, Cough, Diarrhoea
Clinical narrative: ED Discharged  3/13/2021 (4 hours) Hospital ED   MD Last attending ? Treatment team Weakness +1 more Clinical impression Weakness - Generalized Chief complaint ED Provider Notes MD (Resident) ? ? Emergency Medicine Cosigned by: MD at 3/28/2021 11:44 AM Expand AllCollapse All        ED RESIDENT NOTE        Patient:  MRN:   Attending: Dr.         Medical Decision Making     Patient is a 93-year-old male presenting to the emergency department due to weakness.  He is also developed diarrhea and muscle aches over the past several days.  He had an outpatient Covid test performed which came back +2 days ago.  He is not experiencing any shortness of breath or chest pain.  O2 sat is 96% on room air and he is currently afebrile.  Lungs are clear to auscultation bilaterally.  Based on his presentation I suspect patient is fatigued due to the Covid infection.  Neuro exam does not reveal any focal deficits.  Patient's muscle aches seem to be most consistent with his chronic arthritis pains.  States that this is not really any different than usual.  Will check lab work and chest x-ray to ensure patient has no other evidence of systemic infection or underlying metabolic derangements.  Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for sore throat.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough. Negative for shortness of breath and wheezing.   Cardiovascular: Negative for chest pain, palpitations and leg swelling.  Gastrointestinal: Positive for diarrhea. Negative for abdominal pain, constipation, nausea and vomiting.  Endocrine: Negative for cold intolerance and heat intolerance.  Genitourinary: Negative for dysuria and hematuria.  Musculoskeletal: Positive for myalgias. Negative for joint swelling.  Skin: Negative for rash.  Neurological: Negative for dizziness, light-headedness and headaches.
Age: 93.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Laboratory test, Myalgia, SARS-CoV-2 test positive, X-ray
Clinical narrative: ED Discharged  3/13/2021 (4 hours) Hospital ED   MD Last attending ? Treatment team Weakness +1 more Clinical impression Weakness - Generalized Chief complaint ED Provider Notes MD (Resident) ? ? Emergency Medicine Cosigned by: MD at 3/28/2021 11:44 AM Expand AllCollapse All        ED RESIDENT NOTE        Patient:  MRN:   Attending: Dr.         Medical Decision Making     Patient is a 93-year-old male presenting to the emergency department due to weakness.  He is also developed diarrhea and muscle aches over the past several days.  He had an outpatient Covid test performed which came back +2 days ago.  He is not experiencing any shortness of breath or chest pain.  O2 sat is 96% on room air and he is currently afebrile.  Lungs are clear to auscultation bilaterally.  Based on his presentation I suspect patient is fatigued due to the Covid infection.  Neuro exam does not reveal any focal deficits.  Patient's muscle aches seem to be most consistent with his chronic arthritis pains.  States that this is not really any different than usual.  Will check lab work and chest x-ray to ensure patient has no other evidence of systemic infection or underlying metabolic derangements.  Review of Systems  Constitutional: Positive for fatigue. Negative for chills and fever.  HENT: Negative for sore throat.   Eyes: Negative for visual disturbance.  Respiratory: Positive for cough. Negative for shortness of breath and wheezing.   Cardiovascular: Negative for chest pain, palpitations and leg swelling.  Gastrointestinal: Positive for diarrhea. Negative for abdominal pain, constipation, nausea and vomiting.  Endocrine: Negative for cold intolerance and heat intolerance.  Genitourinary: Negative for dysuria and hematuria.  Musculoskeletal: Positive for myalgias. Negative for joint swelling.  Skin: Negative for rash.  Neurological: Negative for dizziness, light-headedness and headaches.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Electrocardiogram, Full blood count, Heavy menstrual bleeding, Menstrual disorder
Clinical narrative: Pt had Covid Shot on Wednesday.  Developed period on Thursday and had severe bleeding.  Went to the ER, and was found to be tachycardic.   Received IV DDAVP for Von Willingbrand Disease.  Physician unsure if reaction to COVID Vaccine, but requested report be made to VAERS.  ECG shows patient to have Sinus Tachycardia, with moderate ST depression.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Sinus tachycardia, Tachycardia, Von Willebrand's disease
Clinical narrative: Pt had Covid Shot on Wednesday.  Developed period on Thursday and had severe bleeding.  Went to the ER, and was found to be tachycardic.   Received IV DDAVP for Von Willingbrand Disease.  Physician unsure if reaction to COVID Vaccine, but requested report be made to VAERS.  ECG shows patient to have Sinus Tachycardia, with moderate ST depression.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Epistaxis, Full blood count normal, Thrombosis
Clinical narrative: Blood seepage and clot from nose. After expelled blood clot, no blood seepage from nose until after 2nd Moderna vaccine (May 5 to May, 14 2021 #048B21A). Expelled blood clot from nose again. No blood seepage from nose after expelling blood clot.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: The patient felt some lightheadedness and dizziness post vaccination. While talking with the patient he began to collapse in his chair. The pharmacist held the patient up in the chair while the event occurred. The patient came back to within about 30 seconds of the event starting and was unaware that he had lost consciousness for a short period of time. At this time he was given some water and a cool pack to rest on his neck. He was then given some orange juice. He began to feel better and moved himself from the vaccination room to a post-vaccination waiting chair in view of the pharmacy. He was able to walk under his own power to the chair and remained seated for the duration of his post-vaccination wait time. Upon completion of his wait time the patient left on his own and said that he was feeling well and able to go.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Facial pain, Magnetic resonance imaging normal
Clinical narrative: Extreme left facial pain, similar to trigeminal neuralgia. Continued from January through March 2021. Required medication management with frequent changes.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Brachial plexopathy, Electromyogram abnormal, Hypoaesthesia, Inflammation
Clinical narrative: Onset 4/29/2021 of severe left greater than right neuropathic pain which resolved on left but persisted on right and was followed by onset of severe weakness and patchy numbness. Neurologic exam and EMG consistent with brachial plexopathy.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging abnormal, Neuralgia
Clinical narrative: Onset 4/29/2021 of severe left greater than right neuropathic pain which resolved on left but persisted on right and was followed by onset of severe weakness and patchy numbness. Neurologic exam and EMG consistent with brachial plexopathy.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: Patient felt tongue heavy , no swollen and itching ears, no swollen on the tongue or perioral and no drooling, speech fluent - took Benadryl and left declined epi and wants to go home - feeling better and left
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Dry eye, Eye pruritus, Fatigue, Loss of personal independence in daily activities
Clinical narrative: Initial fatigue, muscle soreness starting at ~3pm. Slept until 9/10 am following day. Following day continued to be exhausted, low energy, unable to perform regular tasks. on Monday, 5/17 developed sudden face rash, concentrated largely on one side, spread over the nose, and a little bit on the other cheek as well. Rash was raised symmetrical bumps, smaller than a quarter centimeter with pussy-filled whiteheads, and swelling particularly concentrated around the nose. Rash was itchy and hot. Eyes were dry and itchy. Rash persisted through the evening/night, and the swelling went down (still visible) for the following morning.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Myalgia, Rash, Rash papular, Rash pruritic, Skin warm
Clinical narrative: Initial fatigue, muscle soreness starting at ~3pm. Slept until 9/10 am following day. Following day continued to be exhausted, low energy, unable to perform regular tasks. on Monday, 5/17 developed sudden face rash, concentrated largely on one side, spread over the nose, and a little bit on the other cheek as well. Rash was raised symmetrical bumps, smaller than a quarter centimeter with pussy-filled whiteheads, and swelling particularly concentrated around the nose. Rash was itchy and hot. Eyes were dry and itchy. Rash persisted through the evening/night, and the swelling went down (still visible) for the following morning.
Age: 30.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swelling face
Clinical narrative: Initial fatigue, muscle soreness starting at ~3pm. Slept until 9/10 am following day. Following day continued to be exhausted, low energy, unable to perform regular tasks. on Monday, 5/17 developed sudden face rash, concentrated largely on one side, spread over the nose, and a little bit on the other cheek as well. Rash was raised symmetrical bumps, smaller than a quarter centimeter with pussy-filled whiteheads, and swelling particularly concentrated around the nose. Rash was itchy and hot. Eyes were dry and itchy. Rash persisted through the evening/night, and the swelling went down (still visible) for the following morning.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Oropharyngeal pain, Parosmia
Clinical narrative: Since the 1st Covid vaccine on 3/16/2021, i have lost most of my smell and taste, had a mild sore throat and constantly smell smoke.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Balance disorder, Dizziness, General physical health deterioration, Hemiparesis, Hypoaesthesia
Clinical narrative: Rash presented several days after 2nd dose of vaccine. Seen in urgent care on 4/28 for this.  On 5/8/21, patient had left weakness and numbness, dizziness, and loss of balance. Alteplase given,. Transferred to Medical Center, medical intensive care unit. Transferred to medical/surgical unit 5/9/21. Intermittently Febrile - T-max 39.5. CT for mild lethargy 5/9/21. 5/11 - mild respiratory distress and minimally responsive. Continued decline. TOD 1644 5/13
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Hyporesponsive to stimuli, Intensive care, Lethargy, Pyrexia, Rash
Clinical narrative: Rash presented several days after 2nd dose of vaccine. Seen in urgent care on 4/28 for this.  On 5/8/21, patient had left weakness and numbness, dizziness, and loss of balance. Alteplase given,. Transferred to Medical Center, medical intensive care unit. Transferred to medical/surgical unit 5/9/21. Intermittently Febrile - T-max 39.5. CT for mild lethargy 5/9/21. 5/11 - mild respiratory distress and minimally responsive. Continued decline. TOD 1644 5/13
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory distress
Clinical narrative: Rash presented several days after 2nd dose of vaccine. Seen in urgent care on 4/28 for this.  On 5/8/21, patient had left weakness and numbness, dizziness, and loss of balance. Alteplase given,. Transferred to Medical Center, medical intensive care unit. Transferred to medical/surgical unit 5/9/21. Intermittently Febrile - T-max 39.5. CT for mild lethargy 5/9/21. 5/11 - mild respiratory distress and minimally responsive. Continued decline. TOD 1644 5/13
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Coagulopathy, Haemorrhage intracranial, Intensive care, Mental status changes
Clinical narrative: Within 12-24 hours, patient noted to have altered mental status - transferred to ICU where it was later discovered that patient had an intracranial hemorrhage
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: At 114, patient reported feeling light headed to  EMT. EMT assessed patient vitals: blood pressure (unable to obtain blood pressure), SpO2 94%, and pulse 54 beats/minute. Patient given water and rested head on mother's shoulder. Patient reported no difficulty breathing/itchiness/hives/rashes. Patient reported history of eosinophilic esophagitis. Patient reassessed at 1120. Patient vitals were blood pressure (unable to obtain), SpO2 96% and pulse 96 beats/minute. Patient reassessed at 1140. Patient vitals were blood pressure 96/80 mmHg, SpO2 100% and pulse 90 beats/minute. Patient stated she felt a lot better. Lead nurse educated patient on following up with primary care provider, signing up on v-safe, and signs/symptoms of when to seek emergency care.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Chills, Cough, Decreased appetite, Hyperhidrosis
Clinical narrative: (Moderna COVID?19 Vaccine EUA)   Chills, sweats, nausea, and migraine headaches. Also, respiratory congestion and cough. Symptoms started 24 hours after vaccination (not all at once) and persisted for 9 days total. Loss of appetite and loss of taste for certain foods. I lost 8 lbs. during this period.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Migraine, Nausea, Respiratory acidosis, Weight decreased
Clinical narrative: (Moderna COVID?19 Vaccine EUA)   Chills, sweats, nausea, and migraine headaches. Also, respiratory congestion and cough. Symptoms started 24 hours after vaccination (not all at once) and persisted for 9 days total. Loss of appetite and loss of taste for certain foods. I lost 8 lbs. during this period.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Runny nose Cough Contact with and (suspected) exposure to covid-19
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombosis, Ultrasound scan
Clinical narrative: blood clot
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Diarrhoea, Headache, Pain
Clinical narrative: diarrhea, joint pain, body aches, chills, vomiting, headache, fever
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Vomiting
Clinical narrative: diarrhea, joint pain, body aches, chills, vomiting, headache, fever
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fasting, Skin warm
Clinical narrative: Patient returned back to Vaccine clinic after she left, she reported she felt dizziness with ambulation. Pt reports history of HTN, Anemia, and asthma. 1324 BP 134/82, HR 84, RR 16, O2 sat 100%. At 1332, Pt reports decreased dizziness but subsequently complained of increase in dizziness, heat to head, and feeling like she may pass out. Patient taken to ER. In ER reported patient had be fasting.