chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Insulin-requiring type 2 diabetes mellitus, Intensive care, Magnetic resonance imaging head normal, Magnetic resonance imaging normal
Clinical narrative: Within 5-minutes of vaccination, the patient reported weakness and confusion. EMS evaluated the patient on-site. No signs of stroke. EKG demonstrated NSR, rate 77bpm, no ST elevation. FSBG was 290mg/dl. EMS transported the patient to Hospital Emergency Department. Enroute, the patient became increasingly confused, forgetting their birthday and location. Patient was hypertensive (178/104) and reported a "crushing headache". EMS crew became concerned for stroke. In ED, the patient remained hypertensive (178/93). ED Physician had high suspicion of TIA versus acute reaction to COVID-19 vaccine. Administerd 650mg acetaminophen and 1mg Lorazepam. Admitted patient to critical care unit where patient stated they had developed a sudden-onset diffuse banding-like headache with associated nausea, diaphoresis, blurry vision, and confusion. MRI was negative and patient was transferred from ICU to hospital. Hospital physician believed the symptoms were likely a vagal mediated response or reaction to his COVID vaccination. Patient was discharged on 3/20 with diagnoses of TIA, Acute encephalopathy, Insulin-dependent type 2 diabetes, Essential hypertension, CAD, Unspecified mood disorder, Dyslipidemia, Obesity, and Mild neuro cognitive disorder
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Memory impairment, Nausea, Obesity, Oxygen saturation decreased, Presyncope
Clinical narrative: Within 5-minutes of vaccination, the patient reported weakness and confusion. EMS evaluated the patient on-site. No signs of stroke. EKG demonstrated NSR, rate 77bpm, no ST elevation. FSBG was 290mg/dl. EMS transported the patient to Hospital Emergency Department. Enroute, the patient became increasingly confused, forgetting their birthday and location. Patient was hypertensive (178/104) and reported a "crushing headache". EMS crew became concerned for stroke. In ED, the patient remained hypertensive (178/93). ED Physician had high suspicion of TIA versus acute reaction to COVID-19 vaccine. Administerd 650mg acetaminophen and 1mg Lorazepam. Admitted patient to critical care unit where patient stated they had developed a sudden-onset diffuse banding-like headache with associated nausea, diaphoresis, blurry vision, and confusion. MRI was negative and patient was transferred from ICU to hospital. Hospital physician believed the symptoms were likely a vagal mediated response or reaction to his COVID vaccination. Patient was discharged on 3/20 with diagnoses of TIA, Acute encephalopathy, Insulin-dependent type 2 diabetes, Essential hypertension, CAD, Unspecified mood disorder, Dyslipidemia, Obesity, and Mild neuro cognitive disorder
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Toxicologic test normal, Transient ischaemic attack, Troponin normal, Urine ketone body present
Clinical narrative: Within 5-minutes of vaccination, the patient reported weakness and confusion. EMS evaluated the patient on-site. No signs of stroke. EKG demonstrated NSR, rate 77bpm, no ST elevation. FSBG was 290mg/dl. EMS transported the patient to Hospital Emergency Department. Enroute, the patient became increasingly confused, forgetting their birthday and location. Patient was hypertensive (178/104) and reported a "crushing headache". EMS crew became concerned for stroke. In ED, the patient remained hypertensive (178/93). ED Physician had high suspicion of TIA versus acute reaction to COVID-19 vaccine. Administerd 650mg acetaminophen and 1mg Lorazepam. Admitted patient to critical care unit where patient stated they had developed a sudden-onset diffuse banding-like headache with associated nausea, diaphoresis, blurry vision, and confusion. MRI was negative and patient was transferred from ICU to hospital. Hospital physician believed the symptoms were likely a vagal mediated response or reaction to his COVID vaccination. Patient was discharged on 3/20 with diagnoses of TIA, Acute encephalopathy, Insulin-dependent type 2 diabetes, Essential hypertension, CAD, Unspecified mood disorder, Dyslipidemia, Obesity, and Mild neuro cognitive disorder
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccination complication, Vision blurred
Clinical narrative: Within 5-minutes of vaccination, the patient reported weakness and confusion. EMS evaluated the patient on-site. No signs of stroke. EKG demonstrated NSR, rate 77bpm, no ST elevation. FSBG was 290mg/dl. EMS transported the patient to Hospital Emergency Department. Enroute, the patient became increasingly confused, forgetting their birthday and location. Patient was hypertensive (178/104) and reported a "crushing headache". EMS crew became concerned for stroke. In ED, the patient remained hypertensive (178/93). ED Physician had high suspicion of TIA versus acute reaction to COVID-19 vaccine. Administerd 650mg acetaminophen and 1mg Lorazepam. Admitted patient to critical care unit where patient stated they had developed a sudden-onset diffuse banding-like headache with associated nausea, diaphoresis, blurry vision, and confusion. MRI was negative and patient was transferred from ICU to hospital. Hospital physician believed the symptoms were likely a vagal mediated response or reaction to his COVID vaccination. Patient was discharged on 3/20 with diagnoses of TIA, Acute encephalopathy, Insulin-dependent type 2 diabetes, Essential hypertension, CAD, Unspecified mood disorder, Dyslipidemia, Obesity, and Mild neuro cognitive disorder
Age: 5.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Patient is a 5 y/o female here with father with concern for vaccine reaction.  Father reports acute onset of fever along with redness, swelling, and pain of left upper arm at the site where patient received flu vaccine on 03/22/2021. Symptoms began on 03/23/2021 with Tmax of 101 degrees. Fever responded well to Tylenol. Parents have also given Benadryl to help with redness and swelling with some improvement. Patient afebrile when seen in office on 03/24/2021.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Headache, Nausea, Pain
Clinical narrative: Approximately 7PM - chills, body aches.  Midnight - headache, nausea, vomiting, diarrhea Took Pepto Bismol and Tylenol overnight.  took Phenergan about 7AM Tuesday and finally rested
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Approximately 7PM - chills, body aches.  Midnight - headache, nausea, vomiting, diarrhea Took Pepto Bismol and Tylenol overnight.  took Phenergan about 7AM Tuesday and finally rested
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, Mobility decreased, Pyrexia
Clinical narrative: Fever..effected all areas of arthritic inflammation. That night I could hardly walk to th bathroom
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling
Clinical narrative: lower lip is swollen
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Ear discomfort, Ear pain, Effusion, Malaise
Clinical narrative: Ottitis Media with Effusion, Possible Acute Otitis Media, Unilateral Left Ear Beginning ~ 1 week post vaccine: Began as feeling of ear fullness progressing to ache/pain with continued feelign of fullness. Also had significant post-vaccine symptoms ~8 hours post-administration of second dose: fever, malaise, chills which mostly disappated within 12 hours. No significant issues following first administration. No History of COVID-19 symptoms.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Office visit, Otitis media, Pyrexia
Clinical narrative: Ottitis Media with Effusion, Possible Acute Otitis Media, Unilateral Left Ear Beginning ~ 1 week post vaccine: Began as feeling of ear fullness progressing to ache/pain with continued feelign of fullness. Also had significant post-vaccine symptoms ~8 hours post-administration of second dose: fever, malaise, chills which mostly disappated within 12 hours. No significant issues following first administration. No History of COVID-19 symptoms.
Age: 4.0
Sex: F
Vaccine: DTAPIPV, MMRV
Symptoms: Erythema, Pain, Skin warm, Urticaria
Clinical narrative: RED AREA TO LEFT DELTOID WITH WELPS AND WARM TO TOUCH. ADVISED BY PROVIDER TO TAKE TYLENOL AND USE COLD PACKS FOR PAIN. GHOSH WANTS TO ALSO NOTE HERE, ALTHOUGH IT'S NOTED IN #17 THAT THE KINRIX (DTaP + IPV) WAS GIVEN IN LEFT ARM, INTRAMUSCULARLY.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Paraesthesia, Paraesthesia oral
Clinical narrative: Feeling "light" and tingling in hands and lips
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Loss of personal independence in daily activities, Migraine, Pain
Clinical narrative: Fatigue around 7:00PM same day as the vaccine. Around 10PM several waves of chills. Fever from 10PM- 9AM. Woke up every two hours, usually I sleep all through the night. Body aches, and migraine. Took 600mg of ibuprofen. Migraine stopped, but fatigue continued. Laid on the couch all day, and slept from 2PM- 8:30PM, took a cold shower,and was back in bed at 10PM, fever returned. Day 3, slight headache, body aches, but fatigue has lessened. Back to general activites.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sleep disorder
Clinical narrative: Fatigue around 7:00PM same day as the vaccine. Around 10PM several waves of chills. Fever from 10PM- 9AM. Woke up every two hours, usually I sleep all through the night. Body aches, and migraine. Took 600mg of ibuprofen. Migraine stopped, but fatigue continued. Laid on the couch all day, and slept from 2PM- 8:30PM, took a cold shower,and was back in bed at 10PM, fever returned. Day 3, slight headache, body aches, but fatigue has lessened. Back to general activites.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hypertension, Palpitations
Clinical narrative: very high BP,  High resting pulse all day (felt like heart was going to come out of my chest)
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Impaired work ability, Pain, Vomiting
Clinical narrative: I had the second dose of the COVID shot yesterday and am having symptoms. I started vomiting last night and now have diarrhea as well. I've also had chills and whole body aches. I called into work today 2/3 and wanted to let you know as well. Back to work today 2/4, had vomiting, muscle aches, chills, and diarrhea for one day.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Pruritus, Tenderness
Clinical narrative: red mark about 1" radius from injection site itchiness tenderness  This occurred within 24 hours after the injection. These symptoms were resolved after 3-4 days, and then reappeared 6 days after injection.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Peripheral swelling, Pruritus, Rash
Clinical narrative: Had the vaccine, had no problems until 9 days later when she noticed itching, redness that spread just along the forearm and swelling.  She took one aspirin last Sunday 3/21/21.  Today, 3/25/21, the rash is still present, red and is starting to dissipate but still large and light red.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Needle issue, No adverse event, Product administration interrupted, Syringe issue, Underdose
Clinical narrative: Needle was not fully secure to syringe.  When vaccine was adminstered, the vaccine came out the side of the hub where needle meets syringe rather than going into the guest.  No untoward issues with guest.  Patient received a full dose of vaccine.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Nasopharyngitis
Clinical narrative: She's come down with what looks like a bad cold. She's coughing constantly but says she doesn't really feel bad.v
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Hypoaesthesia oral, Nausea, Nervousness, Pain
Clinical narrative: staff member was asked by writer if she had any anaphylactic reaction to any previous vaccines in the past and she stated NO but was nauseated and felt funky from the flu shot.  covid vaccine given at 1523 and approx. 3 -4 minutes after in the observation area she started stating that she felt numbness in her mouth and felt funky. she also was a little tachy and shaky of her upper extremities.  we followed standard protocol for infusion reaction and gave 1 dose of epinephrine stat and activated emergency response system.  she started to feel better but was nauseous.  EMS arrived and no other doses of epinephrine administered.  EMS transferred to ER.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness
Clinical narrative: Patient passed out 5 minutes after vaccine was administered. Epipen was administered and 911 called. Patient was conscious before the arrival of EMS. Per patient's mum , the patient has a history of passing out with needle stick. She sees it as a normal reaction.
Age: 97.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Fibrin D dimer increased, SARS-CoV-2 test positive, Ultrasound scan
Clinical narrative: Patient reportedly received COVID vaccine doses on 1/23 and 2/15, but we are unsure of which manufacterer or lot number.  Patient admitted to our hospital on 3/9/2021.  Patient presented with elevated D-dimer with concern for septic shock.  Ultrasound of patient revealed no VTEs.  COVID test on 3/10 resulted POSITIVE.  Patient was going to require vasopressors but patient requested to go on comfort measures only.  Patient ordered comfort measures on 3/10 and pronounced deceased on 3/18.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Pruritus, Rash erythematous
Clinical narrative: Large warm itchy red rash several days after injection
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt is under the age of 18, pt is 16 years old.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Vaccinator administered one dose of Moderna vaccine to patient, reported that "it didn't feel like anything went in" and administered a second dose of Moderna vaccine to patient in same arm.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Endotracheal intubation, Hypoxia, Lung opacity
Clinical narrative: Patient reportedly received first dose of COVID vaccine (unknown manufacturer or lot #) on 2/2/21.  Patient was tested for COVID on 2/8/21 and resulted positive.  Patient was transfered to our hospital on 2/14/21 with complaints of hypoxemia and COVID 19 infection.   Patient required intubation, convelescent plasma, and 10 days of remdesivir therapy.  Additionally patient was treated with levofloxacin, Zosyn,  Augmentin, and vancomycin.  By 2/19/21 patient was extubated and recovering from COVID illness.  By 3/19, the patient was discharged home.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient reportedly received first dose of COVID vaccine (unknown manufacturer or lot #) on 2/2/21.  Patient was tested for COVID on 2/8/21 and resulted positive.  Patient was transfered to our hospital on 2/14/21 with complaints of hypoxemia and COVID 19 infection.   Patient required intubation, convelescent plasma, and 10 days of remdesivir therapy.  Additionally patient was treated with levofloxacin, Zosyn,  Augmentin, and vancomycin.  By 2/19/21 patient was extubated and recovering from COVID illness.  By 3/19, the patient was discharged home.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Pyrexia
Clinical narrative: Low grade fever, fatigue, light headed for 6 -7 hours.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Acute sinusitis, Hypoaesthesia, Injection site hypoaesthesia, Nasal congestion, Sneezing
Clinical narrative: Slight numbness at injection site and down lower arm.  Woke up in middle of night with numbness in lower arm. Acute sinus condition at bedtime, congestion and sneezing for about two hours.  Took two Benadryl tablets.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pruritus, Headache, Pruritus, Rhinorrhoea, Sneezing
Clinical narrative: Experienced swelling of eyelids (both L/R), intense itching  primarily in eyes, some itching on hands and feet, sneezing, runny nose Took 1 25mg Benadryl tablet within 5 minutes of start of symptoms, had to take another 25mg Benadryl tablet approximately 30 minutes later because eyes were continuing to swell and itch Also experienced onset of severe headache about 45 minutes after shot Went to bed and slept for 3 hours after taking the second Benadryl.  Felt better after waking, still had slight swelling in eyelids. Experienced minor itching  at 10:30 pm, took 2 more Benadryl tablets at 11 pm. Minor eyelid swelling next morning, minimal itching.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling of eyelid
Clinical narrative: Experienced swelling of eyelids (both L/R), intense itching  primarily in eyes, some itching on hands and feet, sneezing, runny nose Took 1 25mg Benadryl tablet within 5 minutes of start of symptoms, had to take another 25mg Benadryl tablet approximately 30 minutes later because eyes were continuing to swell and itch Also experienced onset of severe headache about 45 minutes after shot Went to bed and slept for 3 hours after taking the second Benadryl.  Felt better after waking, still had slight swelling in eyelids. Experienced minor itching  at 10:30 pm, took 2 more Benadryl tablets at 11 pm. Minor eyelid swelling next morning, minimal itching.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: 2ml of normal saline was used to reconstitute the vaccine instead of the directed 1.8ml. No adverse effects reported.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site pain, Pyrexia, Sleep disorder
Clinical narrative: Day 1 - Very sore around injection site, did not sleep well through the night. Day 2 -  More sore around injection site, tired throughout day, chills  and low grade fever, 100.4 peak in the evening. Day 3 - Less sore around injection site, temperature normal in the morning, 97.3.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Vitreous floaters
Clinical narrative: Shortly after receiving the vaccine I started noticing a black dot that I thought was a gnat or fly only on one side in front of my eye. I received my shot in the right arm and that is the same side  the dot was appearing.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Fatigue, Headache, Nausea, Pain in extremity
Clinical narrative: Fatigue, left arm swelling, left arm pain/soreness, nausea, stomach pain, headache, and severe vomiting
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Vomiting
Clinical narrative: Fatigue, left arm swelling, left arm pain/soreness, nausea, stomach pain, headache, and severe vomiting
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Tongue pruritus
Clinical narrative: Body aches, scratchy itchy tongue
Age: 22.0
Sex: F
Vaccine: UNK
Symptoms: Menstruation irregular, Vaginal haemorrhage
Clinical narrative: Vaginal bleeding . 2 weeks earlier than expected based on normal menstrual cycle
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: 2ml of normal saline was used to reconstitute the vaccine instead of 1.8ml. No adverse effects reported.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Pain
Clinical narrative: LEFT UPPER ARM PAIN STARTED AFTER RECIVING 2ND COVID VAX WITH RADIATION DOWN ARM, WORSE AT NIGHT WHEN LAYING ON AFFECTED SIDE. HAS TRIED ICE/HEAT WITH LITLE IMPROVMENT. SYMPTOMS LASTING 2 WEEKS.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Headache, Inflammation, Injection site swelling
Clinical narrative: pt states that developed a red bump the size of a quarter on her left arm around the injection site.  Lymph nodes are inflamed. she has cough, and headache.  Pt still as these symptoms but has not taken any medication. She will contact her PCP.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Tinnitus
Clinical narrative: Dizzy spells, lightheadedness,  tinnitus. Tinnitus continues 24/7, dizziness subsiding.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Decreased appetite, Dyspnoea
Clinical narrative: Patient vaccinated with first dose of Pfizer with subsequent infection and hospitalization due to COVID-19 infection. Initial H&P reads in part as,  "Patients symptoms began on or around Thursday 3/11 when he began to feel  fatigued. After two days of fatigue, he presented to an urgent care facility on  Saturday 3/13. He was noted to have a fever there and was diagnosed with a  presumed UTI, though patient reports at bedside that he has not had any  dysuria. He was treated with nitrofurantoin and increased his furosemide  temporarily per urgent care's recommendations. He then presented to the ER  on 3/15 with continued fatigue and a low blood pressure at home. We were unable  to clarify the method by which the blood pressure measurement was obtained  and/or if it was repeated. Antibiotics were changed to cephalexin at that time  despite a relatively clear UA. His daughter brought him back to the ER today  (3/18) due to persistent issues with low grade fevers in the 100-100.5 range,  significantly worsening fatigue, anorexia, and oxygen levels of 92-93% on  nonproductive cough. Does not have a home O2 requirement. In addition, he  endorses feeling chilled during the admission evaluation. Denies any chest pain,  nausea, vomiting, fevers, diarrhea, constipation. # Fever Progression of symptoms from Saturday 3/13 may constitute original presentation  of Covid-19. Presentations on 3/13 and 3/15 with dyspnea and fatigue. Initially  thought to be UTI and was treated with nitrofurantoin and cephalexin. UA on 3/15  in ED was negative for leuk esterase and nitrites. Tested positive for covid-19  on 3/18 with lymphopenia, 90-92% on room air. No home O2 req. Given duration  of symptoms and worsening fatigue and fevers, will admit for treatment of Covid- 19. Also considered CHF exacerbation, COPD exacerbation as explanations for  dyspnea. Possible CHF exacerbation as well given 1+ bilateral pitting edema to  mid-shin and JVD to ear lobe. Suspicion for COPD is low given no report of  increased sputum production and questionable history in chart to begin with.  Would be beneficial to clarify history with collateral history 3/19."
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Lymphopenia, Pyrexia, SARS-CoV-2 test positive, Urinary tract infection
Clinical narrative: Patient vaccinated with first dose of Pfizer with subsequent infection and hospitalization due to COVID-19 infection. Initial H&P reads in part as,  "Patients symptoms began on or around Thursday 3/11 when he began to feel  fatigued. After two days of fatigue, he presented to an urgent care facility on  Saturday 3/13. He was noted to have a fever there and was diagnosed with a  presumed UTI, though patient reports at bedside that he has not had any  dysuria. He was treated with nitrofurantoin and increased his furosemide  temporarily per urgent care's recommendations. He then presented to the ER  on 3/15 with continued fatigue and a low blood pressure at home. We were unable  to clarify the method by which the blood pressure measurement was obtained  and/or if it was repeated. Antibiotics were changed to cephalexin at that time  despite a relatively clear UA. His daughter brought him back to the ER today  (3/18) due to persistent issues with low grade fevers in the 100-100.5 range,  significantly worsening fatigue, anorexia, and oxygen levels of 92-93% on  nonproductive cough. Does not have a home O2 requirement. In addition, he  endorses feeling chilled during the admission evaluation. Denies any chest pain,  nausea, vomiting, fevers, diarrhea, constipation. # Fever Progression of symptoms from Saturday 3/13 may constitute original presentation  of Covid-19. Presentations on 3/13 and 3/15 with dyspnea and fatigue. Initially  thought to be UTI and was treated with nitrofurantoin and cephalexin. UA on 3/15  in ED was negative for leuk esterase and nitrites. Tested positive for covid-19  on 3/18 with lymphopenia, 90-92% on room air. No home O2 req. Given duration  of symptoms and worsening fatigue and fevers, will admit for treatment of Covid- 19. Also considered CHF exacerbation, COPD exacerbation as explanations for  dyspnea. Possible CHF exacerbation as well given 1+ bilateral pitting edema to  mid-shin and JVD to ear lobe. Suspicion for COPD is low given no report of  increased sputum production and questionable history in chart to begin with.  Would be beneficial to clarify history with collateral history 3/19."
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis normal
Clinical narrative: Patient vaccinated with first dose of Pfizer with subsequent infection and hospitalization due to COVID-19 infection. Initial H&P reads in part as,  "Patients symptoms began on or around Thursday 3/11 when he began to feel  fatigued. After two days of fatigue, he presented to an urgent care facility on  Saturday 3/13. He was noted to have a fever there and was diagnosed with a  presumed UTI, though patient reports at bedside that he has not had any  dysuria. He was treated with nitrofurantoin and increased his furosemide  temporarily per urgent care's recommendations. He then presented to the ER  on 3/15 with continued fatigue and a low blood pressure at home. We were unable  to clarify the method by which the blood pressure measurement was obtained  and/or if it was repeated. Antibiotics were changed to cephalexin at that time  despite a relatively clear UA. His daughter brought him back to the ER today  (3/18) due to persistent issues with low grade fevers in the 100-100.5 range,  significantly worsening fatigue, anorexia, and oxygen levels of 92-93% on  nonproductive cough. Does not have a home O2 requirement. In addition, he  endorses feeling chilled during the admission evaluation. Denies any chest pain,  nausea, vomiting, fevers, diarrhea, constipation. # Fever Progression of symptoms from Saturday 3/13 may constitute original presentation  of Covid-19. Presentations on 3/13 and 3/15 with dyspnea and fatigue. Initially  thought to be UTI and was treated with nitrofurantoin and cephalexin. UA on 3/15  in ED was negative for leuk esterase and nitrites. Tested positive for covid-19  on 3/18 with lymphopenia, 90-92% on room air. No home O2 req. Given duration  of symptoms and worsening fatigue and fevers, will admit for treatment of Covid- 19. Also considered CHF exacerbation, COPD exacerbation as explanations for  dyspnea. Possible CHF exacerbation as well given 1+ bilateral pitting edema to  mid-shin and JVD to ear lobe. Suspicion for COPD is low given no report of  increased sputum production and questionable history in chart to begin with.  Would be beneficial to clarify history with collateral history 3/19."
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pain
Clinical narrative: Body aches, chills, and head ache for approximately 48 hours. Took ibuprofen to help reduce symptoms.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Syringe issue
Clinical narrative: Needle was not fully secure to syringe.  When vaccine was adminstered, the vaccine came out the side of the hub where needle meets syringe rather than going into the guest.  No untoward issues with guest.  Patient received a full dose of vaccine.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Visual impairment
Clinical narrative: I woke up this morning with a headache so bad that I can barely see out of my eyes. It feels like my eyes are going to pop out of their sockets, the headache is that bad.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Dyskinesia, Lymph node pain, Lymphadenopathy
Clinical narrative: Painful swollen lymph nodes in neck and lower jaw, left side.  Symptoms were not completely gone for 2 1/2 weeks.  I had a hard time opening my mouth very far, even eating was painful.  Responded well to Ibuprofen.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Pruritus
Clinical narrative: 3 days after the 2nd dose my right arm become extremely itchy. The injection site is swollen and painful. This did not happen with the 1st shot.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Headache, Myalgia, Pyrexia
Clinical narrative: Severe headache, muscle ache, fever, chills and dizziness
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Gait disturbance, Headache, Hot flush, Myalgia
Clinical narrative: At 11:00pm on 03/23/2021 I started to feel sore from my shoulders to my knees. I also have a headache that is not relieved with ibuprofen or Tylenol. The sore muscles make it hard to walk. I did not develop a low grade fever, but I did have a few hot flashes. I?m more fatigued than normal and haven?t been sleeping well at night since the last dose of the vaccine.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Poor quality sleep
Clinical narrative: At 11:00pm on 03/23/2021 I started to feel sore from my shoulders to my knees. I also have a headache that is not relieved with ibuprofen or Tylenol. The sore muscles make it hard to walk. I did not develop a low grade fever, but I did have a few hot flashes. I?m more fatigued than normal and haven?t been sleeping well at night since the last dose of the vaccine.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Tremor
Clinical narrative: EUA Pfizer-BioNtech vaccine reaction Patient complained 10 min after vaccine of shortness of breath. she was visibly shaking , she was speaking normally but difficulty breathing.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: 2ml of normal saline was used to reconstitute the vaccine instead of 1.8ml. No adverse effects reported.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Nausea, Syncope, Urinary incontinence
Clinical narrative: Pt began feeling lightheaded after receiving her vaccine. Medical staff was notified and witnessed a syncopal episode where pt was seen with flexed arms and bladder incontinence. Pt was AOx4 after regaining consciousness with SBP in the 80s, diaphoresis, and nausea. Pt did report history of syncopal events associated with needles and SBP around 90s. Pt was monitored  and later released by medical staff and EMS after symptoms resolved. PT was instructed to follow up with PCM regarding possible concerns for seizures and hypotension.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Syringe issue
Clinical narrative: 03/22/2021 - 12:43PM:  A 30mcg/0.3mL dose* of COVID-19 Pfizer BionTECH vaccine was drawn up into a 1mL syringe with a 23G 1? needle and prepared for administration in the left deltoid.  This was the patient?s second dose of a 2 dose series.           [*vaccine lot EN6207] After insertion of the needle into the left deltoid, the nurse was beginning to depress the plunger into the barrel of a needle-syringe combination, (to administer a 0.3mL dose of COVID-19 Pfizer BionTECH vaccine) when the needle and hub broke from the tip of the syringe.  The needle hub effectively spooned the vaccine to splash in the reverse direction from that of the needle. The vaccine went into the nurses left eye and surrounding facial area(s).  The needle and hub remained in the patient?s arm, but it was removed immediately with no adverse effect, bleeding, or leaking of the vaccine suspension. The nurse apologized to the patient who was to receive the vaccine.  She told him that no vaccine was injected.  She said she would immediately prepare another 0.3mL dose of COVID-19 Pfizer BionTECH vaccine and **repeat the administration.    The man gave no vocal expression of refusal or display of guarding.  Following the completed IM injection of a 0.3mL dose of COVID-19 Pfizer BionTECH vaccine, the patient was reported to express his wish that she make ?a note of what happened.?  He was escorted to a post-immunization monitoring area for the recommended 15 minutes of observation.  During this time he did not report any adverse effects, or other abnormal outcomes possibly associated with the vaccine administration.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Headache, Pain
Clinical narrative: Headache, achiness, slightly elevated temperature
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Myalgia
Clinical narrative: Chills, joint and muscle pain from 1:00 a.m.  on 3/24 until 7:00 p.m. on 3/24.  Treated with acetaminophen and naproxen.
Age: 85.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Vaccine 12/25, 1/19.  admitted 2/18, tested COVID+ with PNA. Treated w/abx, dexa and convalescent plasma. DCd back to NH.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dizziness, Fatigue, Oropharyngeal pain, Pain
Clinical narrative: Dizziness, sinus congestion, runny nose, cough, sore throat, fatigue, mild body aches - 3 days Believe these to be due to the fact that I had Covid in November and reaction is to the first dose of vaccine.  Just wanted to report it for data collection purposes.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, Sinus congestion
Clinical narrative: Dizziness, sinus congestion, runny nose, cough, sore throat, fatigue, mild body aches - 3 days Believe these to be due to the fact that I had Covid in November and reaction is to the first dose of vaccine.  Just wanted to report it for data collection purposes.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Lymphadenopathy, Pain in extremity
Clinical narrative: Sore arm (entire arm), sore and swollen at injection site, swollen lymph node on injection arm
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Decreased appetite, Disorientation, Dysstasia, Gait disturbance
Clinical narrative: Extremem muscle weakness, especially in legs, unable to stand, low grade fever, disoriented, confused, no appetite. Had to have 2 people help me up off the floor.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness, Pyrexia
Clinical narrative: Extremem muscle weakness, especially in legs, unable to stand, low grade fever, disoriented, confused, no appetite. Had to have 2 people help me up off the floor.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Back disorder, Dizziness, Fatigue, Paraesthesia, Pyrexia
Clinical narrative: 2/10 vaccination Later that evening low grade fever by 5pm. I was getting fatigued and little bit of dizziness on and off. Tingling started in my shoulder and arm where it was after the first vaccine. Fever, fatigue, lasted 24 hours. Symptoms for back lasted, intermittingly, 2 weeks.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: Recurrent nose bleeds. I?ve never had them in my life i have now been getting them every single day sometimes 2-3 times a day
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Underdose
Clinical narrative: 2ml of normal saline was used to reconstitute the vaccine instead of 1.8ml. No adverse effects reported.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory disorder
Clinical narrative: Vaccinated 1/12, 2/11. Admit 2/25 treated for resp fx r/t COVID with anx and Remdesivir. DC to home.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Feeling abnormal, Flushing, Gastrooesophageal reflux disease, Skin reaction
Clinical narrative: I waited onsite in my car for the recommended 10 minutes. Feeling fine, I drove away. I stopped at an Aldi about 7 minutes away to use the restroom and get a snack, as I had been at the fairgrounds for about an hour and had not had breakfast. While washing my hands, I noticed that my chest and neck were flushed red, much like when I drink certain alcoholic beverages. My left arm was also red up to my elbow. Feeling a little concerned, but still feeling generally okay, I bought a Snickers bar and a Coke, thinking it would perk me up. I checked out at 10:39AM, and got on the highway to head for home. I drank a bit of Coke, then took a bite of my candy bar. It felt a little weird when I swallowed, but went down okay. I took two more small bites, and each was more difficult to swallow than the last, with the third one not clearing the back of my throat without several sips of Coke to wash it down. I was starting to feel panicky, but figured response time would be relatively slow, as I was traveling in between jurisdictions. I remember my late  husband giving me Benadryl after I had a weird reaction to a flu vaccine in 2014, so I focused on getting to a store down the road where I could stop quickly for some. This took another 5 minutes from where I was. I bought a box of Benadryl Liqui Gels, and took one in the parking lot. I could still breathe, so I decided to drive home to my daughter, who was home alone. The Benadryl kicked in when I was almost home, so I did not call EMS.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lethargy
Clinical narrative: Fatique, lethargy, Patient states fatigue all day ,did not take insulin because she was getting vaccine
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal distension
Clinical narrative: Abdominal bloating and distention beginning on March 19 and persisting to present day (Mar 25, 2021).  Seeing doctor about it today.
Age: 87.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Fall, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Admitted 2/21 for fall at NH, tested COVID+,  PNA. Vaccine 1/4, 1/29. Dtr also states pt was COVID + initially 1/18/21. Treated w/zinc and vitamins. DCd back to NH.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Employee tested COVID positive after completing COVID vaccine series.  She was tested for asymptomatic prevalence testing as she works in long term care.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Client had delayed reaction with 1st dose of Moderna Covid vaccine.  Admin. on 03/15/2021 with soreness to arm x 3 days and fatigue.   Soreness resolved, but on day 8 after admin of vaccine client c/o of redness, soreness, swelling and warmth at site, fatigue and off taste in mouth.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Taste disorder
Clinical narrative: Client had delayed reaction with 1st dose of Moderna Covid vaccine.  Admin. on 03/15/2021 with soreness to arm x 3 days and fatigue.   Soreness resolved, but on day 8 after admin of vaccine client c/o of redness, soreness, swelling and warmth at site, fatigue and off taste in mouth.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Mental status changes, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Admit 3/2. Vaccine 1/15, 2/9. COVID+ 2/12, DCd to NH, returned for AMS, PNA. Treated w/abx, DCd back to NH.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Nasopharyngitis, Nausea
Clinical narrative: Patient had Covid in OCTOBER 2020. Patient reports same symptoms as active covid. Severe sore throat, chills, fever, joint pains, severe headache, and nauseated.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pyrexia
Clinical narrative: Patient had Covid in OCTOBER 2020. Patient reports same symptoms as active covid. Severe sore throat, chills, fever, joint pains, severe headache, and nauseated.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Chills, Dizziness, Flushing, Heart rate increased
Clinical narrative: After being administered the vaccine at 7:12 am, when the nurse stood me up and started to walk me to the holding area, I became dizzy, my legs got weak, and there was a loud ringing in my ears. I nearly collapsed as I reached the seat in the holding area they were taking me to. I placed one 0.5MG tablet of my prescription Alprazolam in my mouth and waited for the nurse to bring water. They took me via wheelchair from the holding area to a secluded spot behind a curtain. There, I laid on a cot, received cold water, and a nurse talked to me while I recovered. It felt like I was having an anxiety attack, which has never happened to me after getting a shot before. Fitbit heart rate data shows my heart rate at 105 BPM at 7:00 am (going through the admission process, walking around the facility), 83 BPM at 7:10 am, 79 BPM at 7:15 am, 74 BPM at 7:20 am. Between 8:15 am and 1:25 pm, my heart rate remained between 63 and 89 BPM. My arm was sore and my skin hurt (an issue that I have when I feel very stressed). Additional symptoms arose around 1:35 pm. I began going through cycles of chills, sweating and overheating. My heart rate ranged from 127 BPM and 93 BPM for the remainder of the night. I took Tylenol at 7:07 PM to help with my fever.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Muscular weakness, Pain in extremity, Pain of skin, Presyncope
Clinical narrative: After being administered the vaccine at 7:12 am, when the nurse stood me up and started to walk me to the holding area, I became dizzy, my legs got weak, and there was a loud ringing in my ears. I nearly collapsed as I reached the seat in the holding area they were taking me to. I placed one 0.5MG tablet of my prescription Alprazolam in my mouth and waited for the nurse to bring water. They took me via wheelchair from the holding area to a secluded spot behind a curtain. There, I laid on a cot, received cold water, and a nurse talked to me while I recovered. It felt like I was having an anxiety attack, which has never happened to me after getting a shot before. Fitbit heart rate data shows my heart rate at 105 BPM at 7:00 am (going through the admission process, walking around the facility), 83 BPM at 7:10 am, 79 BPM at 7:15 am, 74 BPM at 7:20 am. Between 8:15 am and 1:25 pm, my heart rate remained between 63 and 89 BPM. My arm was sore and my skin hurt (an issue that I have when I feel very stressed). Additional symptoms arose around 1:35 pm. I began going through cycles of chills, sweating and overheating. My heart rate ranged from 127 BPM and 93 BPM for the remainder of the night. I took Tylenol at 7:07 PM to help with my fever.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Tinnitus
Clinical narrative: After being administered the vaccine at 7:12 am, when the nurse stood me up and started to walk me to the holding area, I became dizzy, my legs got weak, and there was a loud ringing in my ears. I nearly collapsed as I reached the seat in the holding area they were taking me to. I placed one 0.5MG tablet of my prescription Alprazolam in my mouth and waited for the nurse to bring water. They took me via wheelchair from the holding area to a secluded spot behind a curtain. There, I laid on a cot, received cold water, and a nurse talked to me while I recovered. It felt like I was having an anxiety attack, which has never happened to me after getting a shot before. Fitbit heart rate data shows my heart rate at 105 BPM at 7:00 am (going through the admission process, walking around the facility), 83 BPM at 7:10 am, 79 BPM at 7:15 am, 74 BPM at 7:20 am. Between 8:15 am and 1:25 pm, my heart rate remained between 63 and 89 BPM. My arm was sore and my skin hurt (an issue that I have when I feel very stressed). Additional symptoms arose around 1:35 pm. I began going through cycles of chills, sweating and overheating. My heart rate ranged from 127 BPM and 93 BPM for the remainder of the night. I took Tylenol at 7:07 PM to help with my fever.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Hyperhidrosis, Pain
Clinical narrative: Fever, all over body pain, chills, sweats, extreme fatigue, weakness
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, all over body pain, chills, sweats, extreme fatigue, weakness
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pruritus, Urticaria
Clinical narrative: Sore arm the night of the vaccination, Hives developed 2 days after vaccinated. Hives spread all over body. Very itchy. Hives stays more than 1 week after the vaccine.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Arteriosclerosis coronary artery, Cerebrovascular accident, Computerised tomogram head abnormal, Headache, Hypoaesthesia
Clinical narrative: Patient developed nausea, headache, vomiting, and lower extremity numbness within 10-15 minutes after vaccine administration. Initial BP was 190 systolic.  Patient was given Aspirin and Oxygen . She was transferred to the emergency department for management of acute stroke. TPA was administered and she is in ICU.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Nausea, Plasminogen, Vomiting
Clinical narrative: Patient developed nausea, headache, vomiting, and lower extremity numbness within 10-15 minutes after vaccine administration. Initial BP was 190 systolic.  Patient was given Aspirin and Oxygen . She was transferred to the emergency department for management of acute stroke. TPA was administered and she is in ICU.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Pruritus
Clinical narrative: After receiving Moderna covid-19 vaccine (first dose), patient was experiencing some itching on body, primarily on trunk, arms, and head. No rash visible. Blood pressure elevated at 154/118-has a history of hypertension and reports that she just took her blood pressure medications about 1 hour ago. Pulse within normal range in 70s. Denied any respiratory issues, itching/swelling of tongue/mouth/throat, or nausea/vomiting. Patient stayed her 30 minutes and left at 12:52 p.m. Advised her to seek emergent care should those signs of anaphylaxis occur. Patient verbalized understanding. Medications ordered and administered: Benadryl 25 mg capsule - TAKE 2 CAPSULES BY MOUTH NOW FOR ONE DOSE FOR ITCHING.     Qty: 2 capsule(s)
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: admit 3/2, vaccine 1/18, 2/12. COVID+ 10 days ago, admit w/COVID PNA, treated w/abx and zinc. DCd to rehab.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: 2ml of normal saline was used to reconstitute the vaccine instead of 1.8ml. No adverse effects reported.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest pain, Hypertension, Tachycardia
Clinical narrative: 03/24/2021-POSITVE COVID-19 Test   First dose no symptoms  1/10/2021 Second dose severe symptoms which sent me to the ER with chest pain, tachycardia, hypertension
Age: 94.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Escherichia sepsis, Escherichia urinary tract infection, SARS-CoV-2 test positive
Clinical narrative: Patient tested COVID+ 2/1, admitted 2/21 (20 days prior to admission). Vaccine 12/26, 1/20. Primary dx at DC Ecoli Sepsis from UTI. Treated PNA w/antibiotics. DCd
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests normal, Ear discomfort, Ear pain, Facial pain, Tinnitus
Clinical narrative: Began to have tinnitus after ~5 hours, fullness of ears and pain in face/right ear. Have no history of tinnitus. Approximately 5 days later, began to experience vertigo. It is now 8 days and there has been no reduction in either symptom after being subscribed prednisone.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Began to have tinnitus after ~5 hours, fullness of ears and pain in face/right ear. Have no history of tinnitus. Approximately 5 days later, began to experience vertigo. It is now 8 days and there has been no reduction in either symptom after being subscribed prednisone.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Mobility decreased, Pain, Pain in extremity, Peripheral swelling
Clinical narrative: My arm really hurts, it feels like I got beat with a bat. It swelled a little too and feels hard to touch. I cannot love my arm without it hurting. I?m also really tired