chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Pain, Palpitations, Pneumonia, Procalcitonin increased
Clinical narrative: 80 y.o. male with a PMH of COPD, CHF, HTN, DM II, hx of DVT, afib, pacemaker,  depression, PAD, HLD, depression, and recent viral pneumonia who presented to ED with shortness of air, worsening productive cough, generalized weakness, loss of appetite, body aches, subjective fevers, and chills. Patient presented to ED and was found to be hypoxic with spo2 of 80% requiring supplemental oxygenation and eventually had oxygen increase to 40L 70%. Patient had one episode of hypotension that resolved with 500ml fluid bolus. MICU was consulted due to increased high flow settings and deferred patient to progressive care. On assessment, patient's o2 saturation of 87% with RR of 35 on 35% 30 liters high flow nasal cannula. Increased the patient to 50% 35 liters with o2 saturation of 92%.   Constitutional: Positive for appetite change, chills, diaphoresis, fatigue and fever. Negative for unexpected weight change.  HENT: Negative for congestion, hearing loss, sore throat, tinnitus and trouble swallowing.        Loss of taste/smell  Eyes: Negative for pain, redness and visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Positive for palpitations. Negative for chest pain and leg swelling.       Chronic palpitations.    #Acute on chronic hypoxic respiratory failure 2/2 COVID 19-PNA c/b CAP in setting of severe COPD and HFrEF - reports of severe COPD on home O2 (unsure of settings) and HFrEF 20-25% - COVID-19 positive on 9/6/21; s/p J&J vaccine earlier this year - CT PE 9/6: negative for PE, b/l GGO and consolidation, L>R. emphysematous changes w/ peripheral blebs and airtrapping. Some peripheral honeycombing concerning for fibrotic changes with traction bronchiectasis - elevated d-dimer, LDH, CRP, and procal  - 9/6: started on remdesivir + dexamethasone 6 mg daily, CAP coverage with ceftriaxone and azithromycin - not currently a candidate for barcitinib per ID due AKI - on transfer to MICU, was on HFNC 60L @ 100%, but this is likely 2/2 agitation and patient intermittently removing cannula. Precedex started and able to wean HFNC to 50L @70%. Plan:  - Continue ceftriaxone for 5 days (thru 9/10) and azithromycin for 3 days (thru 9/8) for CAP coverage   Patient continued to decline after admission as expected ultimately to his death on 09/16/2021 at 1134AM .  Patient was pronounced dead by hospital bedside RN.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Productive cough, Pyrexia, SARS-CoV-2 test positive, Visual impairment
Clinical narrative: 80 y.o. male with a PMH of COPD, CHF, HTN, DM II, hx of DVT, afib, pacemaker,  depression, PAD, HLD, depression, and recent viral pneumonia who presented to ED with shortness of air, worsening productive cough, generalized weakness, loss of appetite, body aches, subjective fevers, and chills. Patient presented to ED and was found to be hypoxic with spo2 of 80% requiring supplemental oxygenation and eventually had oxygen increase to 40L 70%. Patient had one episode of hypotension that resolved with 500ml fluid bolus. MICU was consulted due to increased high flow settings and deferred patient to progressive care. On assessment, patient's o2 saturation of 87% with RR of 35 on 35% 30 liters high flow nasal cannula. Increased the patient to 50% 35 liters with o2 saturation of 92%.   Constitutional: Positive for appetite change, chills, diaphoresis, fatigue and fever. Negative for unexpected weight change.  HENT: Negative for congestion, hearing loss, sore throat, tinnitus and trouble swallowing.        Loss of taste/smell  Eyes: Negative for pain, redness and visual disturbance.  Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Positive for palpitations. Negative for chest pain and leg swelling.       Chronic palpitations.    #Acute on chronic hypoxic respiratory failure 2/2 COVID 19-PNA c/b CAP in setting of severe COPD and HFrEF - reports of severe COPD on home O2 (unsure of settings) and HFrEF 20-25% - COVID-19 positive on 9/6/21; s/p J&J vaccine earlier this year - CT PE 9/6: negative for PE, b/l GGO and consolidation, L>R. emphysematous changes w/ peripheral blebs and airtrapping. Some peripheral honeycombing concerning for fibrotic changes with traction bronchiectasis - elevated d-dimer, LDH, CRP, and procal  - 9/6: started on remdesivir + dexamethasone 6 mg daily, CAP coverage with ceftriaxone and azithromycin - not currently a candidate for barcitinib per ID due AKI - on transfer to MICU, was on HFNC 60L @ 100%, but this is likely 2/2 agitation and patient intermittently removing cannula. Precedex started and able to wean HFNC to 50L @70%. Plan:  - Continue ceftriaxone for 5 days (thru 9/10) and azithromycin for 3 days (thru 9/8) for CAP coverage   Patient continued to decline after admission as expected ultimately to his death on 09/16/2021 at 1134AM .  Patient was pronounced dead by hospital bedside RN.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis
Clinical narrative: Patient is feeling sweaty and dizzy. BP: 108/70. P:64, R:16. O2 SATs 96% on RA. Patient is diaphoretic and c/o feeling dizzy. After lying supine for 5 minutes. Pt no longer is diaphoretic and is feeling better. Water and snack provided. Continued to feel better and was ambulatory when leaving.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Eye pruritus, Eye swelling, Headache, Myalgia
Clinical narrative: Arm pain, severe headache, severe muscle/joint pain, fever, swollen itchy eyes,  sore throat/swollen throat
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain in extremity, Pharyngeal swelling, Vaccine positive rechallenge
Clinical narrative: Arm pain, severe headache, severe muscle/joint pain, fever, swollen itchy eyes,  sore throat/swollen throat
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Asthenia, COVID-19, Cough
Clinical narrative: Weakness, loose stool, cough, ST, runny noise, loss of taste and smell.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Weakness, loose stool, cough, ST, runny noise, loss of taste and smell.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Sensory disturbance
Clinical narrative: My arm where I received my shot has a severe pinching sensation. Any amount of pressure on my fingertips intensifies this. Bending my arm too much or lifting it above my head too high increases the pinching sensation and pain level.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Pt came to clinic requesting booster for COVID vaccine. Cards were lost in past. Temp staff gave patients pfizer paperwork for boosters.  Nurse requested that staff look patients up on ImmTrac to make a complete card. After pfizer was given staff staff informed nurse they had received other 2 doses of Covid vaccine had been Moderna. Pts were monitored 20 min no adverse symptoms.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoacusis, Tinnitus
Clinical narrative: Persistent loud tinnitus and hearing difficulties.
Age: 36.0
Sex: F
Vaccine: COVID19, FLUX
Symptoms: Anger, Dizziness, Dyspnoea, Extra dose administered, Fatigue
Clinical narrative: Consented to a Flu Vaccination through my Employee Health Department.  I went in at my scheduled time and was sent to a room.  The nurse in the room told me to come have a seat.  I told her I was there for a Flu Shot.  She said OK and then asked for my Covid Vaccination card.  I then again stated "I was there for a Flu Shot".  The nurse said "Yea, I still need it".  I gave her  my card, she never asked any other questions like my name, date of birth, employee number, etc... and then stuck me with a vaccine.  She said I could leave and then I asked if I should grab a t-shirt off the table for receiving my Flu Shot.  She then asked if I had a flu shot yet.  I said "Yes, you just gave it to me".  She then said "What?"  I asked "What did you just give me?"  She responded, "The Covid Booster".  I was so angry because I got pretty sick from the 2nd Covid vaccine and that the reason I did not want the Booster.  We then went to management and I spoke with them.  I also filled and incident report with Hospital and so did my boss.  Before I left Employee Health was was also given my Flu Vaccine by management.  This all took place on Thursday, Oct 7th and by Saturday, Oct. 9th, I had to make a trip to Urgent Care.  I was very dizzy, had a horrible headache, very fatigued, my heart was beating so fast and I was having a bit of trouble catching my breath.  I reported all of this to Employee Health this morning Oct. 11th and I am waiting on a response.
Age: 36.0
Sex: F
Vaccine: COVID19, FLUX
Symptoms: Headache, Heart rate increased, Wrong product administered
Clinical narrative: Consented to a Flu Vaccination through my Employee Health Department.  I went in at my scheduled time and was sent to a room.  The nurse in the room told me to come have a seat.  I told her I was there for a Flu Shot.  She said OK and then asked for my Covid Vaccination card.  I then again stated "I was there for a Flu Shot".  The nurse said "Yea, I still need it".  I gave her  my card, she never asked any other questions like my name, date of birth, employee number, etc... and then stuck me with a vaccine.  She said I could leave and then I asked if I should grab a t-shirt off the table for receiving my Flu Shot.  She then asked if I had a flu shot yet.  I said "Yes, you just gave it to me".  She then said "What?"  I asked "What did you just give me?"  She responded, "The Covid Booster".  I was so angry because I got pretty sick from the 2nd Covid vaccine and that the reason I did not want the Booster.  We then went to management and I spoke with them.  I also filled and incident report with Hospital and so did my boss.  Before I left Employee Health was was also given my Flu Vaccine by management.  This all took place on Thursday, Oct 7th and by Saturday, Oct. 9th, I had to make a trip to Urgent Care.  I was very dizzy, had a horrible headache, very fatigued, my heart was beating so fast and I was having a bit of trouble catching my breath.  I reported all of this to Employee Health this morning Oct. 11th and I am waiting on a response.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: vaccine breakthrough event
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Axillary pain, Chest discomfort, Chills, Cough
Clinical narrative: I have had a fever since the 10th. My left arm, left arm pit, and left side of my chest is sore. I have a dry cough. My head hurts occasionally. I feel fatigued and get cold chills occasionally. I've had stomach issues on and off.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Headache, Pain in extremity, Pyrexia
Clinical narrative: I have had a fever since the 10th. My left arm, left arm pit, and left side of my chest is sore. I have a dry cough. My head hurts occasionally. I feel fatigued and get cold chills occasionally. I've had stomach issues on and off.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Asthenia, Balance disorder, Chills, Decreased appetite
Clinical narrative: EXTREME fatigue, EXTREME weakness, some memory loss, HIGH fever (103.5) severe chills, headache, loss of appetite, off balance, vertigo Fever and chills lasted three days, all others are still happening five days after shot
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pyrexia, Vertigo
Clinical narrative: EXTREME fatigue, EXTREME weakness, some memory loss, HIGH fever (103.5) severe chills, headache, loss of appetite, off balance, vertigo Fever and chills lasted three days, all others are still happening five days after shot
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient reports long history of anaphylaxis reactions to many different vaccines and medications.  Patient taken to EMS room. Laid down and given vaccine. Patient reports 2 doctors are pro and 2 doctors are against her getting vaccine. Patient has an autoimmune disease.  Patient waited an hour and had some dizziness but otherwise tolerated injection well.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Confusional state, Diarrhoea, Dysarthria
Clinical narrative: I'm an RN  I had NO symptoms after C-1. Only a minor frontal headache after C-2 .  I got C-booster at 9:45AM MONDAY and started to feel itchy arm and heat in the car going home.  Vision is  distorted .  My speech became slurred and disconnected from the question.  I had been alternating Tylenol and Ibuprofen for the pain. Headache became so extreme on day 3 that I finally  took an oxycodone . Projectile vomiting,  explosive diarrhea.  Mild SOB. When confusion increased the next day my daughter took me to urgent care. All the symptoms of covid but NO FEVER!  My BP and pulse ox remained fairly normal until the headache became severe. Even when I was sweating profusely I never had a fever.  Then I?d get chilled.  Skin felt creepy like the flu makes you feel.  Negative for covid, negative for flu, negative for other viruses.  No source of bacteria except possible mild UTI still being investigated. So it seems likely to me that this is just a booster shot reaction. Doctor was surprised that 6 days later I was still that sick.  She said I need to report the reaction to the CDC
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling hot, Formication, Headache, Hyperhidrosis
Clinical narrative: I'm an RN  I had NO symptoms after C-1. Only a minor frontal headache after C-2 .  I got C-booster at 9:45AM MONDAY and started to feel itchy arm and heat in the car going home.  Vision is  distorted .  My speech became slurred and disconnected from the question.  I had been alternating Tylenol and Ibuprofen for the pain. Headache became so extreme on day 3 that I finally  took an oxycodone . Projectile vomiting,  explosive diarrhea.  Mild SOB. When confusion increased the next day my daughter took me to urgent care. All the symptoms of covid but NO FEVER!  My BP and pulse ox remained fairly normal until the headache became severe. Even when I was sweating profusely I never had a fever.  Then I?d get chilled.  Skin felt creepy like the flu makes you feel.  Negative for covid, negative for flu, negative for other viruses.  No source of bacteria except possible mild UTI still being investigated. So it seems likely to me that this is just a booster shot reaction. Doctor was surprised that 6 days later I was still that sick.  She said I need to report the reaction to the CDC
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Illness, Influenza virus test negative, Metamorphopsia, Pain, Pruritus
Clinical narrative: I'm an RN  I had NO symptoms after C-1. Only a minor frontal headache after C-2 .  I got C-booster at 9:45AM MONDAY and started to feel itchy arm and heat in the car going home.  Vision is  distorted .  My speech became slurred and disconnected from the question.  I had been alternating Tylenol and Ibuprofen for the pain. Headache became so extreme on day 3 that I finally  took an oxycodone . Projectile vomiting,  explosive diarrhea.  Mild SOB. When confusion increased the next day my daughter took me to urgent care. All the symptoms of covid but NO FEVER!  My BP and pulse ox remained fairly normal until the headache became severe. Even when I was sweating profusely I never had a fever.  Then I?d get chilled.  Skin felt creepy like the flu makes you feel.  Negative for covid, negative for flu, negative for other viruses.  No source of bacteria except possible mild UTI still being investigated. So it seems likely to me that this is just a booster shot reaction. Doctor was surprised that 6 days later I was still that sick.  She said I need to report the reaction to the CDC
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory syncytial virus test negative, SARS-CoV-2 test negative, Urine analysis, Vomiting projectile
Clinical narrative: I'm an RN  I had NO symptoms after C-1. Only a minor frontal headache after C-2 .  I got C-booster at 9:45AM MONDAY and started to feel itchy arm and heat in the car going home.  Vision is  distorted .  My speech became slurred and disconnected from the question.  I had been alternating Tylenol and Ibuprofen for the pain. Headache became so extreme on day 3 that I finally  took an oxycodone . Projectile vomiting,  explosive diarrhea.  Mild SOB. When confusion increased the next day my daughter took me to urgent care. All the symptoms of covid but NO FEVER!  My BP and pulse ox remained fairly normal until the headache became severe. Even when I was sweating profusely I never had a fever.  Then I?d get chilled.  Skin felt creepy like the flu makes you feel.  Negative for covid, negative for flu, negative for other viruses.  No source of bacteria except possible mild UTI still being investigated. So it seems likely to me that this is just a booster shot reaction. Doctor was surprised that 6 days later I was still that sick.  She said I need to report the reaction to the CDC
Age: 35.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: None stated.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Peripheral coldness, Peripheral swelling, Skin discolouration
Clinical narrative: On April 9 about 3 or 4 hours after the shot, purple swelling on right ring finger where it connects to palm.  Looked like a bruise color and bulged up  swollen. Looked like maybe blood clotted up inside.  Not painful, but finger kind of numb and cold feeling. April 14 finger all white and kind of numb and cold like no blood circulation. Had teleconference with doctor office and PA seemed unconcerned, just said if it gets worse go to ER. I just tried to keep my hand warm and wore a glove even indoors, and it finally got back to normal.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Productive cough, SARS-CoV-2 test positive
Clinical narrative: SYMPTOMATIC COVID-19 - SPO2 64% ON RA, PROGRESSIVE SOB; PRODUCTIVE, PURULENT COUGH
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Blood test, Computerised tomogram
Clinical narrative: Abdominal pain, centered and slightly left side.  Intermittent beginning afternoon of 10/1/21.  Continuous and increasing afternoon of 10/2/21 and severe from 11pm 10/2/21 though time of visit to ER on 10/3/2021.  Treated with Dilaudid for pain.  Given prescription for Ondansetron, 4mg tid.  Symptoms did not reoccur after discharge.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Fatigue, Heart rate increased, Pyrexia
Clinical narrative: Low grade fever, fatigue, chest pain/pressure, elevated heart rate for 3 days
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Cardio-respiratory arrest, Death, Resuscitation, SARS-CoV-2 test negative, Unresponsive to stimuli
Clinical narrative: Found unresponsive after coworker heard a thud.  Code Blue called.  CPR initiated, AED applied and no shockable  rhythm x3.  Code continued for 45 minutes with paramedics on scene and drugs administered. Time of death called by  ER physician on phone.
Age: 83.0
Sex: F
Vaccine: UNK
Symptoms: Abdominal discomfort, Back pain, Fatigue, Illness, Nausea
Clinical narrative: severe vomiting,fatigue,stomach sickness back pain nausea
Age: 83.0
Sex: F
Vaccine: UNK
Symptoms: Vomiting
Clinical narrative: severe vomiting,fatigue,stomach sickness back pain nausea
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Adverse reaction, Arthralgia, Electrocardiogram normal, Feeling hot, Full blood count normal
Clinical narrative: left arm numbness that started about 12 hours after 2nd COVID Pfizer vaccination. Injection site was left deltoid.  Took ibuprofen 600 mg at 0600 on 10/6/21 to assist with side effect/symptoms of arm soreness/muscle aches/fever etc.  about 1700 on 10/6/21 developed severe entire left arm numbness in left arm except left hand felt like it was on fire and numb and left elbow was painful like a severe muscle stain. Took 1000 mg of Tylenol to help with pain, this did not help at all. Pain continued to intensify in left elbow for the next hour without any relief. Went to ED to rule out heart issues such as myocarditis or myocardial infarction (strong family history of MI) because there was no relief from OTC treatment.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Metabolic function test, Myalgia, Pain in extremity, Pyrexia
Clinical narrative: left arm numbness that started about 12 hours after 2nd COVID Pfizer vaccination. Injection site was left deltoid.  Took ibuprofen 600 mg at 0600 on 10/6/21 to assist with side effect/symptoms of arm soreness/muscle aches/fever etc.  about 1700 on 10/6/21 developed severe entire left arm numbness in left arm except left hand felt like it was on fire and numb and left elbow was painful like a severe muscle stain. Took 1000 mg of Tylenol to help with pain, this did not help at all. Pain continued to intensify in left elbow for the next hour without any relief. Went to ED to rule out heart issues such as myocarditis or myocardial infarction (strong family history of MI) because there was no relief from OTC treatment.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin I normal
Clinical narrative: left arm numbness that started about 12 hours after 2nd COVID Pfizer vaccination. Injection site was left deltoid.  Took ibuprofen 600 mg at 0600 on 10/6/21 to assist with side effect/symptoms of arm soreness/muscle aches/fever etc.  about 1700 on 10/6/21 developed severe entire left arm numbness in left arm except left hand felt like it was on fire and numb and left elbow was painful like a severe muscle stain. Took 1000 mg of Tylenol to help with pain, this did not help at all. Pain continued to intensify in left elbow for the next hour without any relief. Went to ED to rule out heart issues such as myocarditis or myocardial infarction (strong family history of MI) because there was no relief from OTC treatment.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: DEVELOPED SYMPTOMS AND TESTING POSITVE FOR COVID19 10/4/21
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia
Clinical narrative: Hospitalization - acute respiratory failure with hypoxia; pneumonia due to COVID-19 virus
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling
Clinical narrative: COVID arm:  swelling & redness approximately 4 inches in diameter. This lasted for 2 weeks.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal loss of weight, Biopsy lymph gland abnormal, Chills, Excessive granulation tissue, Full blood count normal
Clinical narrative: 3 hours after vaccination, she developed a sore throat, chills and a swollen lymph node in her neck.  She was treated with an antibiotic when symptoms persisted more than 10 days after vaccination.  When her symptoms did not resolve with antibiotics, she was referred to ENT.  They did a lymph node biopsy which showed abscess and then ultimately had to have the lymph node removed surgically due to significant symptoms.  She lost 10 lbs due to difficulty eating because of her symptoms.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node abscess, Lymphadenectomy, Lymphadenitis, Lymphadenopathy, Oropharyngeal pain
Clinical narrative: 3 hours after vaccination, she developed a sore throat, chills and a swollen lymph node in her neck.  She was treated with an antibiotic when symptoms persisted more than 10 days after vaccination.  When her symptoms did not resolve with antibiotics, she was referred to ENT.  They did a lymph node biopsy which showed abscess and then ultimately had to have the lymph node removed surgically due to significant symptoms.  She lost 10 lbs due to difficulty eating because of her symptoms.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count increased, SARS-CoV-2 test negative, Streptococcus test, Surgery
Clinical narrative: 3 hours after vaccination, she developed a sore throat, chills and a swollen lymph node in her neck.  She was treated with an antibiotic when symptoms persisted more than 10 days after vaccination.  When her symptoms did not resolve with antibiotics, she was referred to ENT.  They did a lymph node biopsy which showed abscess and then ultimately had to have the lymph node removed surgically due to significant symptoms.  She lost 10 lbs due to difficulty eating because of her symptoms.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Fall, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: TWO FALLS PRIOR TO ADMISSION. FEVER AND COUGH
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Fatigue, Injection site erythema, Injection site pain
Clinical narrative: Pain, redness and swelling around injection site, approx size of half dollar coin; fatigue; joint pain; diarrhea; nausea
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site swelling, Nausea
Clinical narrative: Pain, redness and swelling around injection site, approx size of half dollar coin; fatigue; joint pain; diarrhea; nausea
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred, Visual impairment
Clinical narrative: Patient was sitting in observation area and complained of vision changes. Patient states mild blurred vision. Escorted back to EMS room. Patient laid down on cot to rest eyes and relax. SaO2 100%, HR: 86. Patient denies improvement or worsening of symptoms after 15 minutes. Discussed situation and options with patient and father further. Options of staying in EMS room, going home, or calling PCP were discussed. Father believed patient will feel better after resting at home. Patient did have increased anxiety in clinic setting and I agreed that they would be more comfortable at home. @1615: Discussed follow up care if symptoms change. Dad verbalized understanding. Patient states they are "ok" but still have mild blurred vision. Dad was ready to take patient home. Patient walked out and appeared to be managing activity without any problem., RN was notified of interaction with this patient and agreed to treatment recommendation.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Alveolar lung disease, Asthenia, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Pt is a 89 y.o. female  with ovarian cancer and HFrEF, HTN, and atrial fibrillation who presents with significant weakness after being diagnosed with COVID on 9/1. She came in today because as she states it she "didn't think she was going to make it". This is a lady that at baseline does aerobics for 50 minutes three times per week.  She lives alone and due to her weakness and fatigue felt like she could fall. She has not fallen and denies feeling light headed, she just feels weak.   Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Positive for palpitations. Negative for chest pain.   COVID-19 pneumonia - on 2L this morning, saturating 98% - CXR 9/6 with bibasilar airspace disease - She has had 2 doses of moderna vaccine Plan: - hold off lasix today, seems euvolemic, likely can get off oxygen - wean off oxygen - remdesivir,  dexamethasone   On discharge:  COVID-19 pneumonia - was requiring 2L oxygen, successfully weaned down - ambulatory pulse ox was 97% on room air - She has had 2 doses of moderna vaccine - s/p 5 days of remdesivir and 7 days of dexamethasone - to continue 3 more days of dexamethasone at rehab - not received antibiotic  Discharge Disposition/Condition  Condition: Stable (s/sx potential problems absent or manageable)
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea, Fatigue, Palpitations, SARS-CoV-2 test positive
Clinical narrative: Pt is a 89 y.o. female  with ovarian cancer and HFrEF, HTN, and atrial fibrillation who presents with significant weakness after being diagnosed with COVID on 9/1. She came in today because as she states it she "didn't think she was going to make it". This is a lady that at baseline does aerobics for 50 minutes three times per week.  She lives alone and due to her weakness and fatigue felt like she could fall. She has not fallen and denies feeling light headed, she just feels weak.   Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Positive for palpitations. Negative for chest pain.   COVID-19 pneumonia - on 2L this morning, saturating 98% - CXR 9/6 with bibasilar airspace disease - She has had 2 doses of moderna vaccine Plan: - hold off lasix today, seems euvolemic, likely can get off oxygen - wean off oxygen - remdesivir,  dexamethasone   On discharge:  COVID-19 pneumonia - was requiring 2L oxygen, successfully weaned down - ambulatory pulse ox was 97% on room air - She has had 2 doses of moderna vaccine - s/p 5 days of remdesivir and 7 days of dexamethasone - to continue 3 more days of dexamethasone at rehab - not received antibiotic  Discharge Disposition/Condition  Condition: Stable (s/sx potential problems absent or manageable)
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Injection site swelling, Skin warm
Clinical narrative: Large swollen area upper arm at injection site/ warm to touch/ large swollen bump in arm pit - 10/08/2021
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: SYMPTOMATIC COVID-19; PROGRESSIVE SOB BEGINNING FOUR WEEKS PRIOR TO POSITIVE TEST RESULT.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Chills, Fatigue, Headache
Clinical narrative: Extreme fatigue, headache, chills, joint and muscle ache, large swelling and pain in armpit of injection arm.  All symptoms lasted 56 hours except pain and swelling in armpit which is still currently lasting.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Oedema peripheral
Clinical narrative: Extreme fatigue, headache, chills, joint and muscle ache, large swelling and pain in armpit of injection arm.  All symptoms lasted 56 hours except pain and swelling in armpit which is still currently lasting.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Abortion spontaneous, Exposure during pregnancy, Twin pregnancy, Ultrasound antenatal screen abnormal
Clinical narrative: Loss of twins - one potential vanishing twin in May of 2021 and missed miscarriage of remaining twin in June of 2021. Conceived within two week window of receiving vaccine
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Condition aggravated, Facioscapulohumeral muscular dystrophy, Rash, Rash pruritic
Clinical narrative: In July,  I started to breakout in bumps and welts and they itched severely. At that time I started having more severe and extended  increase flare ups  of my rheumatoid arthritis and FSH muscular dystrophy. Rheumatologist  put me on a 12 day course of steroids, Prednisone. He did it in July, August and September because I kept having these very severe breakout in bumps flare ups. I have never had these breakouts before. The third time in September the Prednisone was less effective. I went to the allergist and immunology doctor, and had allergy test done to see if there was any connections, but there was nothing there. Dr. did a biopsy, it was done on Tuesday,10/05/2021. I will get the results in 12 days. I am still breaking out, and I am now breaking out while I am on the Prednisone.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Rheumatoid arthritis, Urticaria
Clinical narrative: In July,  I started to breakout in bumps and welts and they itched severely. At that time I started having more severe and extended  increase flare ups  of my rheumatoid arthritis and FSH muscular dystrophy. Rheumatologist  put me on a 12 day course of steroids, Prednisone. He did it in July, August and September because I kept having these very severe breakout in bumps flare ups. I have never had these breakouts before. The third time in September the Prednisone was less effective. I went to the allergist and immunology doctor, and had allergy test done to see if there was any connections, but there was nothing there. Dr. did a biopsy, it was done on Tuesday,10/05/2021. I will get the results in 12 days. I am still breaking out, and I am now breaking out while I am on the Prednisone.
Age: 76.0
Sex: M
Vaccine: HIBV, MENB, MNQ, PNC13
Symptoms: Arthralgia, Induration, Joint swelling, Skin warm, Tenderness
Clinical narrative: the left shoulder/deltoid area was firm, swollen, and warm to touch. Patient reports pain 2/10 when nothing is touching it, and 7/10 when the area is touched.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Electromyogram, Fatigue, Hypoaesthesia, Hypoaesthesia eye
Clinical narrative: I had a very low grade fever, muscle aches, fatigue, sore arm. About a week later I experienced a small fiber nerve tapping. Numbness and tingling and twitching around my eyes, nose, mouth and forehead. Also, have tingling in feet, legs, arms and hands. He prescribed Gabapentin for the nerve tapping. Still under doctors care.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Magnetic resonance imaging, Muscle twitching, Myalgia, Pain in extremity
Clinical narrative: I had a very low grade fever, muscle aches, fatigue, sore arm. About a week later I experienced a small fiber nerve tapping. Numbness and tingling and twitching around my eyes, nose, mouth and forehead. Also, have tingling in feet, legs, arms and hands. He prescribed Gabapentin for the nerve tapping. Still under doctors care.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Paraesthesia oral, Pyrexia, Sensory disturbance
Clinical narrative: I had a very low grade fever, muscle aches, fatigue, sore arm. About a week later I experienced a small fiber nerve tapping. Numbness and tingling and twitching around my eyes, nose, mouth and forehead. Also, have tingling in feet, legs, arms and hands. He prescribed Gabapentin for the nerve tapping. Still under doctors care.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Hyperhidrosis, Injection site erythema, Injection site swelling
Clinical narrative: ?COVID arm?:  swelling and redness 4 inches in diameter around injection site that lasted 2+ weeks. Fever, sweating, chills, body aches, fatigue that lasted 24 hours
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: ?COVID arm?:  swelling and redness 4 inches in diameter around injection site that lasted 2+ weeks. Fever, sweating, chills, body aches, fatigue that lasted 24 hours
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Cataract operation, Chills, Extra dose administered, Malaise, Pain
Clinical narrative: Aches, chills, fever of 101. Generally felt terrible the entire day August 17th after 3rd Moderna shot on August 16th. Fever brought down by tylenol, but I hardly ever run a fever, so 101 was very high for me.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Aches, chills, fever of 101. Generally felt terrible the entire day August 17th after 3rd Moderna shot on August 16th. Fever brought down by tylenol, but I hardly ever run a fever, so 101 was very high for me.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: COVID vaccine was administered on day 35 of refrigeration, 5 days after fridge shelf life date. Patient denies any symptoms from vaccine.
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19
Clinical narrative: Hospitalization - acute respiratory failure with hypoxia; COVID-19 virus infection
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain lower, Burning sensation, Fatigue, Pruritus, Rash
Clinical narrative: Raised burning rash on legs, itching has started on upper torso, back and upper arms, Severe fatigue and some lower abdominal pain
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular
Clinical narrative: Raised burning rash on legs, itching has started on upper torso, back and upper arms, Severe fatigue and some lower abdominal pain
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Feeling cold, Hyperhidrosis, Posture abnormal
Clinical narrative: Patient refers abdominal pain, sweating, cold to the touch. Legs were elevated. head goes back and the paramedic is notified. We take his vitals BP 78/48 45 BP 122/73 53.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Diarrhoea, Eye haemorrhage, Lethargy
Clinical narrative: Blood in corner of patients eye, severe diarrhea, lethargy, loss of appetite.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: PATIENT GIVEN THE VACCINE TOO EARLY. SECOND DOSE NOT DUE UNTIL 10/19/2021
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Attention deficit hyperactivity disorder, Condition aggravated, Feeling abnormal
Clinical narrative: Brain fogginess, more than original Dx of ADHD.  No treatment for this.  Outcome: pending as this continues to be a current issue.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Nausea, Rash
Clinical narrative: Severe headache, nausea, dizziness and chills. Rash on chest and neck.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Dyspnoea exertional, Limb discomfort, Pulmonary embolism, Thrombosis
Clinical narrative: I developed shortness of breath when I was walking. On Memorial Day it became severe. I went to the emergency department; I was admitted to the hospital with acute sandal embolism. During the admission at Hospital, I was treated with heparin and an ultrasound showed clot in my right leg. I was treated with 4-5 days with heparin. I was discharged on anti clotting medication. I failed outpatient treatment. I developed another clot a month later in my right leg again.  About a month later I was in the hospital again, I was continuing to have discomforted in my right leg. I had another ultrasound they found a new clot the others had resolved. I was treated again with heparin for 4-5 days. I was discharged 3 weeks ago. I was discharged on lovenox and I am still currently taking. They are trying to get me stabilized on warfarin. I also had an IVC filter this last admission as well.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound Doppler abnormal, Vena cava filter insertion
Clinical narrative: I developed shortness of breath when I was walking. On Memorial Day it became severe. I went to the emergency department; I was admitted to the hospital with acute sandal embolism. During the admission at Hospital, I was treated with heparin and an ultrasound showed clot in my right leg. I was treated with 4-5 days with heparin. I was discharged on anti clotting medication. I failed outpatient treatment. I developed another clot a month later in my right leg again.  About a month later I was in the hospital again, I was continuing to have discomforted in my right leg. I had another ultrasound they found a new clot the others had resolved. I was treated again with heparin for 4-5 days. I was discharged 3 weeks ago. I was discharged on lovenox and I am still currently taking. They are trying to get me stabilized on warfarin. I also had an IVC filter this last admission as well.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: PATIENT GIVEN SECOND DOSE OF MODERNA TOO SOON. DOSE NOT DUE UNTIL 10/19/21
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Fatigue, Pyrexia
Clinical narrative: Pt. states that after receiving the 3rd dose Booster of Phizer 10/08/2021, started experiencing symptoms 10/09/2021 of fever (101.0), chills, fatigue, shortness of breath *Inhaler Use (Lasting 2 days). Self-treating with Tylenol, no noted Primary visit.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Diarrhoea, Dyspnoea, Nausea, Pain
Clinical narrative: Patient c/o nausea, vomiting, diarrhea and body aches and chest tightness and shortness of breath
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient c/o nausea, vomiting, diarrhea and body aches and chest tightness and shortness of breath
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Tachycardia
Clinical narrative: patient experienced tachycardia
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Skin reaction, Skin swelling
Clinical narrative: Localized skin reaction with rash and swelling.
Age: 86.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Seizure, Syncope
Clinical narrative: Syncope, seizure-like activity
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, Fall, Fatigue, SARS-CoV-2 test positive
Clinical narrative: 3 falls in the past 6 days. Shortness of breath and fatigue
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Oropharyngeal pain, Pain in extremity, Pyrexia, Rhinorrhoea
Clinical narrative: I did not have any side effects from the vaccines itself just arm pain. I had a break-through COVID-19 case. I had a runny nose, sore throat, and fever 102. I called my PCP the next day and she wanted me to come in to test for COVID-19, the test came back positive. My PCP put me on some medicine (promethazine & benzonatate) but she did send me to get the antibody infusion and started feeling better immediately. My symptoms started to resolve after that. I also got a line/dent in my thumbnail that appeared when I got COVID-19, I still have it but it's getting better.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I did not have any side effects from the vaccines itself just arm pain. I had a break-through COVID-19 case. I had a runny nose, sore throat, and fever 102. I called my PCP the next day and she wanted me to come in to test for COVID-19, the test came back positive. My PCP put me on some medicine (promethazine & benzonatate) but she did send me to get the antibody infusion and started feeling better immediately. My symptoms started to resolve after that. I also got a line/dent in my thumbnail that appeared when I got COVID-19, I still have it but it's getting better.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: PATIENT GIVEN SECOND DOSE OF MODERNA TOO EARLY. SECOND DOSE NOT DUE UNTIL 10/19/21
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, COVID-19, Essential hypertension
Clinical narrative: Hospitalization - acute kidney injury; COVID-19 virus infection; essential hypertension
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Cough, Dyspnoea
Clinical narrative: My son is not vaccinated because he cannot get vaccinated, and he got Covid. Caring for him I got Covid too. The evening of 08/11/2021 I started feeling fatigue. On 08/12/2021 and 08/13/2021 I started to get a fever and it continued to go downhill after that. On 08/13/2021 I went in to get a Covid test and it said negative, which I knew it was not right. I had to isolate with my son. On 08/26/2021 I went to the doctor because I had problems breathing and coughing. They gave me a Covid test, and it came back positive. They also did strep throat and x-rays. Strep was negative and x-rays were normal. They gave me an inhaler because they think the Covid might have caused Asthma. I still have not recovered. My son did not lose taste and smell and he got better super-fast.  I did lose taste and smell and that was at least a week after I had the fever. I continued to get worse. Like 15 days it continued to get worse.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pyrexia, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Streptococcus test negative
Clinical narrative: My son is not vaccinated because he cannot get vaccinated, and he got Covid. Caring for him I got Covid too. The evening of 08/11/2021 I started feeling fatigue. On 08/12/2021 and 08/13/2021 I started to get a fever and it continued to go downhill after that. On 08/13/2021 I went in to get a Covid test and it said negative, which I knew it was not right. I had to isolate with my son. On 08/26/2021 I went to the doctor because I had problems breathing and coughing. They gave me a Covid test, and it came back positive. They also did strep throat and x-rays. Strep was negative and x-rays were normal. They gave me an inhaler because they think the Covid might have caused Asthma. I still have not recovered. My son did not lose taste and smell and he got better super-fast.  I did lose taste and smell and that was at least a week after I had the fever. I continued to get worse. Like 15 days it continued to get worse.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray normal
Clinical narrative: My son is not vaccinated because he cannot get vaccinated, and he got Covid. Caring for him I got Covid too. The evening of 08/11/2021 I started feeling fatigue. On 08/12/2021 and 08/13/2021 I started to get a fever and it continued to go downhill after that. On 08/13/2021 I went in to get a Covid test and it said negative, which I knew it was not right. I had to isolate with my son. On 08/26/2021 I went to the doctor because I had problems breathing and coughing. They gave me a Covid test, and it came back positive. They also did strep throat and x-rays. Strep was negative and x-rays were normal. They gave me an inhaler because they think the Covid might have caused Asthma. I still have not recovered. My son did not lose taste and smell and he got better super-fast.  I did lose taste and smell and that was at least a week after I had the fever. I continued to get worse. Like 15 days it continued to get worse.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Erythema, Swelling
Clinical narrative: Patient presented with swelling, redness, and difficult breathing starting the morning of 11 OCT 21. Patient was treated with pepcid and solumedrol administered intravenously.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: patient has not presented an adverse reaction  patient had vaccine Moderna  and was administered third dose pfizer  by mistake patient did not bring in vaccination card at the moment and refers she had pfizer.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site induration, Injection site warmth, Pruritus, Urticaria
Clinical narrative: Starting about one day after the injection the site of the injection turned red, warm to touch,  and hard. 5 days post injection the site is still hard and warm to the touch. There are sporadic hives on the same arm as the injection site and some mild itching.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria, Vaccination site pruritus
Clinical narrative: Client in observation area, nurse approached to ask how she was doing. Client stated she felt itchy all over her body, mostly on left  arm where vaccine was administered.  Nurse noted 2 welts on the left upper arm.  Took client to EMS room and administered 1 tablet 25mg of diphenhydramine.
Age: 10.0
Sex: M
Vaccine: FLU4
Symptoms: Loss of consciousness, Pallor
Clinical narrative: Approximately 20 minutes after the injection, patient was in vehicle with mom and seemed to pass out. He was pale. Mom returned to parking lot at the doctors office. By this time he was awake and alert, but still appeared pale. patient was examined by physician and exam was normal. skin color returned to normal. Released to home with mom.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Hyperhidrosis, Injection site pain, Pain
Clinical narrative: Patient experienced fatigue and injection site pain.  Patient developed a raised red bump (three by two inches in diameter) that was warm to the touch and painful. Patient continued to experience fatigue and was diaphoretic. Patient consulted Primary Care Provider due to symptoms.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Swelling
Clinical narrative: Patient experienced fatigue and injection site pain.  Patient developed a raised red bump (three by two inches in diameter) that was warm to the touch and painful. Patient continued to experience fatigue and was diaphoretic. Patient consulted Primary Care Provider due to symptoms.