chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Blood culture, Brain natriuretic peptide, C-reactive protein, COVID-19, Coagulation factor
Clinical narrative: Concern for MISC. 5 yo with 11 days of fever in association with conjunctivitis diarrhea and emesis; labs showing systemic inflammation and COVID Ab positive, PCR negative. He had one dose of COVID vaccine; our antibody test does not distinguish between antibodies from environmental infection and those from vaccination. The source of his prolonged fevers was unclear. Infection, malignancy, incomplete KD, MIS-C were possibilities. Given continued fever showing continued active inflammation we treated for MIS-C with IVIG and IV steroids. ECHO was reassuring to cardiac function but views of the coronary arteries were technically limited. He had good clinical response with cessation of fevers.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Conjunctivitis, Diarrhoea, Echocardiogram normal, Electrocardiogram, Full blood count
Clinical narrative: Concern for MISC. 5 yo with 11 days of fever in association with conjunctivitis diarrhea and emesis; labs showing systemic inflammation and COVID Ab positive, PCR negative. He had one dose of COVID vaccine; our antibody test does not distinguish between antibodies from environmental infection and those from vaccination. The source of his prolonged fevers was unclear. Infection, malignancy, incomplete KD, MIS-C were possibilities. Given continued fever showing continued active inflammation we treated for MIS-C with IVIG and IV steroids. ECHO was reassuring to cardiac function but views of the coronary arteries were technically limited. He had good clinical response with cessation of fevers.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Immunoglobulin therapy, Laboratory test abnormal, Metabolic function test, Multisystem inflammatory syndrome, Multisystem inflammatory syndrome in children
Clinical narrative: Concern for MISC. 5 yo with 11 days of fever in association with conjunctivitis diarrhea and emesis; labs showing systemic inflammation and COVID Ab positive, PCR negative. He had one dose of COVID vaccine; our antibody test does not distinguish between antibodies from environmental infection and those from vaccination. The source of his prolonged fevers was unclear. Infection, malignancy, incomplete KD, MIS-C were possibilities. Given continued fever showing continued active inflammation we treated for MIS-C with IVIG and IV steroids. ECHO was reassuring to cardiac function but views of the coronary arteries were technically limited. He had good clinical response with cessation of fevers.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Red blood cell sedimentation rate, Respiratory viral panel, SARS-CoV-2 antibody test positive, SARS-CoV-2 test negative
Clinical narrative: Concern for MISC. 5 yo with 11 days of fever in association with conjunctivitis diarrhea and emesis; labs showing systemic inflammation and COVID Ab positive, PCR negative. He had one dose of COVID vaccine; our antibody test does not distinguish between antibodies from environmental infection and those from vaccination. The source of his prolonged fevers was unclear. Infection, malignancy, incomplete KD, MIS-C were possibilities. Given continued fever showing continued active inflammation we treated for MIS-C with IVIG and IV steroids. ECHO was reassuring to cardiac function but views of the coronary arteries were technically limited. He had good clinical response with cessation of fevers.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Serum ferritin, Troponin, Vomiting
Clinical narrative: Concern for MISC. 5 yo with 11 days of fever in association with conjunctivitis diarrhea and emesis; labs showing systemic inflammation and COVID Ab positive, PCR negative. He had one dose of COVID vaccine; our antibody test does not distinguish between antibodies from environmental infection and those from vaccination. The source of his prolonged fevers was unclear. Infection, malignancy, incomplete KD, MIS-C were possibilities. Given continued fever showing continued active inflammation we treated for MIS-C with IVIG and IV steroids. ECHO was reassuring to cardiac function but views of the coronary arteries were technically limited. He had good clinical response with cessation of fevers.
Age: 92.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid confirmed; supplemental oxygen; dexamethasone
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: + covid
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Blood test, Magnetic resonance imaging, Oral pain
Clinical narrative: After the covid vaccine, I started to experience extreme pain in my lower back, right hip and right leg.  The pain started out minor and steadily got worse over the course of a month. On Oct 5 I visited my Primary Care physician and was prescribed an anti-inflammatory and a steroid. This provided minor relief while taking the steroid but the pain returned and continued to escalate.  On Oct 30 the pain was so severe I was forced to go to the emergency room. they performed an MRI and did not find any reason for the pain. I have subsequently received 2 injections in my spine trying to relieve the pain. The pain has finally started to recede after 4 months. On Dec 31, it felt like a fog had lifted and I really started to feel better.  After the first dose of the covid vaccine, I experienced unbelievable pain in the right side of my mouth, the way that pain lifted was very similar to how the back and leg pain lifted last week. No doctor has been able to explain the pain, they have just called it a neurological flare up.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: After the covid vaccine, I started to experience extreme pain in my lower back, right hip and right leg.  The pain started out minor and steadily got worse over the course of a month. On Oct 5 I visited my Primary Care physician and was prescribed an anti-inflammatory and a steroid. This provided minor relief while taking the steroid but the pain returned and continued to escalate.  On Oct 30 the pain was so severe I was forced to go to the emergency room. they performed an MRI and did not find any reason for the pain. I have subsequently received 2 injections in my spine trying to relieve the pain. The pain has finally started to recede after 4 months. On Dec 31, it felt like a fog had lifted and I really started to feel better.  After the first dose of the covid vaccine, I experienced unbelievable pain in the right side of my mouth, the way that pain lifted was very similar to how the back and leg pain lifted last week. No doctor has been able to explain the pain, they have just called it a neurological flare up.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Hypotension, Intensive care, Lethargy
Clinical narrative: This is a 56 year olf female with PMH of HTN, MS, multiple UTI's in the past, Chronic urinary retention, Seizure disorder, and Constipation , presented to ED for weakness and letharginess. Noted to be hypotensive in ED, started on pressor support and transferred to ICU, noted to be COVID positive
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 antibody test, SARS-CoV-2 test positive
Clinical narrative: This is a 56 year olf female with PMH of HTN, MS, multiple UTI's in the past, Chronic urinary retention, Seizure disorder, and Constipation , presented to ED for weakness and letharginess. Noted to be hypotensive in ED, started on pressor support and transferred to ICU, noted to be COVID positive
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac pacemaker insertion, Catheter placement, Dizziness, Dyspnoea, Heart rate decreased
Clinical narrative: I started to have trouble breathing and exercising, started feeling light headed within three months sometime in February and March, I was thinking it was related to distant heart issues. I had had a procedure and had problems after the vaccine. I started to become asymptomatic, light SOB, was not able to do what I could do, my heart rate was extremely low. They did a stress echo test, then they did catheterization and they did put me a pacemaker and this would now allow me to work how I did and thus I had to retire out. I do not know if the procedure I received caused these symptoms.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Stress echocardiogram
Clinical narrative: I started to have trouble breathing and exercising, started feeling light headed within three months sometime in February and March, I was thinking it was related to distant heart issues. I had had a procedure and had problems after the vaccine. I started to become asymptomatic, light SOB, was not able to do what I could do, my heart rate was extremely low. They did a stress echo test, then they did catheterization and they did put me a pacemaker and this would now allow me to work how I did and thus I had to retire out. I do not know if the procedure I received caused these symptoms.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Forgot to reconstitute vaccine before administration.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, Body temperature abnormal, COVID-19, Chills, Dyspnoea
Clinical narrative: I started feeling a lot of sinus pressure and the back of my neck started hurting. I had the chills and had a temperature at the same time. I was very achy and I lost my sense of smell. I went to Urgent Care on Wednesday and was told I had tested positive for Covid. I also had shortness of breath.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain, Paranasal sinus discomfort, SARS-CoV-2 test positive, X-ray
Clinical narrative: I started feeling a lot of sinus pressure and the back of my neck started hurting. I had the chills and had a temperature at the same time. I was very achy and I lost my sense of smell. I went to Urgent Care on Wednesday and was told I had tested positive for Covid. I also had shortness of breath.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram abnormal, Atypical pneumonia, Blood culture negative, COVID-19, Cardiomegaly
Clinical narrative: PATIENT WAS HOSPITALIZED AND DISCHARGED AFTER 3 DAYS. 12/25-12/28/21.   The patient is a 25 y.o. female with past medical history of OHT 10/28/20, HTN, HLD, CKD II, migraines, anxiety and depression; she presents with 10 day history of multiple infectious symptoms including cough, congestion, N/V/D, chills, fatigue and fever as noted in ROS with significantly decreased oral intake the last 2 days. She was noted to be tachycardic and febrile on examination. Patient tested positive for COVID-19 on PCR.   She was admitted and given monoclonal antibody therapy (while in observation) and then decadron.   She remained inpatient until she was able to stay off o2 for 24 hours. Symptoms improved and inflammatory markers down-trending. Discharged in stable condition.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Chills, Cough, Diarrhoea, Dyspnoea
Clinical narrative: PATIENT WAS HOSPITALIZED AND DISCHARGED AFTER 3 DAYS. 12/25-12/28/21.   The patient is a 25 y.o. female with past medical history of OHT 10/28/20, HTN, HLD, CKD II, migraines, anxiety and depression; she presents with 10 day history of multiple infectious symptoms including cough, congestion, N/V/D, chills, fatigue and fever as noted in ROS with significantly decreased oral intake the last 2 days. She was noted to be tachycardic and febrile on examination. Patient tested positive for COVID-19 on PCR.   She was admitted and given monoclonal antibody therapy (while in observation) and then decadron.   She remained inpatient until she was able to stay off o2 for 24 hours. Symptoms improved and inflammatory markers down-trending. Discharged in stable condition.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Haemoptysis, Hypophagia, Inflammatory marker increased, Influenza A virus test negative
Clinical narrative: PATIENT WAS HOSPITALIZED AND DISCHARGED AFTER 3 DAYS. 12/25-12/28/21.   The patient is a 25 y.o. female with past medical history of OHT 10/28/20, HTN, HLD, CKD II, migraines, anxiety and depression; she presents with 10 day history of multiple infectious symptoms including cough, congestion, N/V/D, chills, fatigue and fever as noted in ROS with significantly decreased oral intake the last 2 days. She was noted to be tachycardic and febrile on examination. Patient tested positive for COVID-19 on PCR.   She was admitted and given monoclonal antibody therapy (while in observation) and then decadron.   She remained inpatient until she was able to stay off o2 for 24 hours. Symptoms improved and inflammatory markers down-trending. Discharged in stable condition.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Lung opacity, Nausea, Pneumonia, Pulmonary hilar enlargement
Clinical narrative: PATIENT WAS HOSPITALIZED AND DISCHARGED AFTER 3 DAYS. 12/25-12/28/21.   The patient is a 25 y.o. female with past medical history of OHT 10/28/20, HTN, HLD, CKD II, migraines, anxiety and depression; she presents with 10 day history of multiple infectious symptoms including cough, congestion, N/V/D, chills, fatigue and fever as noted in ROS with significantly decreased oral intake the last 2 days. She was noted to be tachycardic and febrile on examination. Patient tested positive for COVID-19 on PCR.   She was admitted and given monoclonal antibody therapy (while in observation) and then decadron.   She remained inpatient until she was able to stay off o2 for 24 hours. Symptoms improved and inflammatory markers down-trending. Discharged in stable condition.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory syncytial virus test negative, Respiratory tract congestion, SARS-CoV-2 test positive, Scan with contrast abnormal
Clinical narrative: PATIENT WAS HOSPITALIZED AND DISCHARGED AFTER 3 DAYS. 12/25-12/28/21.   The patient is a 25 y.o. female with past medical history of OHT 10/28/20, HTN, HLD, CKD II, migraines, anxiety and depression; she presents with 10 day history of multiple infectious symptoms including cough, congestion, N/V/D, chills, fatigue and fever as noted in ROS with significantly decreased oral intake the last 2 days. She was noted to be tachycardic and febrile on examination. Patient tested positive for COVID-19 on PCR.   She was admitted and given monoclonal antibody therapy (while in observation) and then decadron.   She remained inpatient until she was able to stay off o2 for 24 hours. Symptoms improved and inflammatory markers down-trending. Discharged in stable condition.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Vomiting
Clinical narrative: PATIENT WAS HOSPITALIZED AND DISCHARGED AFTER 3 DAYS. 12/25-12/28/21.   The patient is a 25 y.o. female with past medical history of OHT 10/28/20, HTN, HLD, CKD II, migraines, anxiety and depression; she presents with 10 day history of multiple infectious symptoms including cough, congestion, N/V/D, chills, fatigue and fever as noted in ROS with significantly decreased oral intake the last 2 days. She was noted to be tachycardic and febrile on examination. Patient tested positive for COVID-19 on PCR.   She was admitted and given monoclonal antibody therapy (while in observation) and then decadron.   She remained inpatient until she was able to stay off o2 for 24 hours. Symptoms improved and inflammatory markers down-trending. Discharged in stable condition.
Age: 61.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID case.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Chronic obstructive pulmonary disease, Cough, Dyspnoea
Clinical narrative: This is 78 years old male with past medical history of hyperlipidemia, BPH, hypothyroidism, and vitamin-D deficiency who presented to the emergency department with shortness of breath for 1 day duration. As per the patient he was recently diagnosed with COPD approximately 2 months ago , he underwent a pulmonary function test at that time, patient was put into inhalers that he does not recall the names and he stopped using them after he did not feel any improvement with using them. As per the patient has baseline is usually feels shortness of breath while walking, since last night he started feeling shortness of breath associated with wheezes, chills, nonproductive cough but he denies fever, chest pain, abdominal pain, nausea, headache, vomiting or contact with sick people.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Pulmonary function test abnormal, SARS-CoV-2 antibody test, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: This is 78 years old male with past medical history of hyperlipidemia, BPH, hypothyroidism, and vitamin-D deficiency who presented to the emergency department with shortness of breath for 1 day duration. As per the patient he was recently diagnosed with COPD approximately 2 months ago , he underwent a pulmonary function test at that time, patient was put into inhalers that he does not recall the names and he stopped using them after he did not feel any improvement with using them. As per the patient has baseline is usually feels shortness of breath while walking, since last night he started feeling shortness of breath associated with wheezes, chills, nonproductive cough but he denies fever, chest pain, abdominal pain, nausea, headache, vomiting or contact with sick people.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Wheezing
Clinical narrative: This is 78 years old male with past medical history of hyperlipidemia, BPH, hypothyroidism, and vitamin-D deficiency who presented to the emergency department with shortness of breath for 1 day duration. As per the patient he was recently diagnosed with COPD approximately 2 months ago , he underwent a pulmonary function test at that time, patient was put into inhalers that he does not recall the names and he stopped using them after he did not feel any improvement with using them. As per the patient has baseline is usually feels shortness of breath while walking, since last night he started feeling shortness of breath associated with wheezes, chills, nonproductive cough but he denies fever, chest pain, abdominal pain, nausea, headache, vomiting or contact with sick people.
Age: 17.0
Sex: F
Vaccine: HPV9, MENB, MNQ
Symptoms: Loss of consciousness, Nausea, Nervousness
Clinical narrative: Patient recieved the HPV, MEN B, and mcv4 in that specific order. One minute after receiving all vaccines, patient stated she felt nauseous and then started falling back onto the table. Patient was sitting down so when she started leaning back her mom and I both laid her down. After 30 seconds patient became conscious again and stated she just felt shaky. Patient was given water and was told to sit down for a while. While she was sitting down, a set of vitals were taken on her. BP- 105/64, HR  went from 47 to 57 to 61, O2 98%. VSS. Patient was then kept in the lobby for 15 extra minutes to make sure she was not going to have any other adverse reactions. After the 15 minutes, she felt fine and she left to go home with her mom.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest X-ray, Conjunctivitis, Echocardiogram, Electrocardiogram
Clinical narrative: 5 days after covid-19 pfizer vaccine was given she developed a fever with a mild rash on her extremities. Started treatment at that time for tick borne illness. Rash progressed to what appeared to be erythema multiforme, she had conjunctivitis as well as persistent fevers. Ended up being sent to ED on 12/31/21 for leukocytosis and thrombocytopenia in addition to malaise, myalgias, joint pains to get further lab work. Found to be hypotensive in the ED (was not in our office) and ended up in the PICU for treatment. Current working diagnosis is Kawasaki disease.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema multiforme, Hypotension, Illness, Imaging procedure, Intensive care
Clinical narrative: 5 days after covid-19 pfizer vaccine was given she developed a fever with a mild rash on her extremities. Started treatment at that time for tick borne illness. Rash progressed to what appeared to be erythema multiforme, she had conjunctivitis as well as persistent fevers. Ended up being sent to ED on 12/31/21 for leukocytosis and thrombocytopenia in addition to malaise, myalgias, joint pains to get further lab work. Found to be hypotensive in the ED (was not in our office) and ended up in the PICU for treatment. Current working diagnosis is Kawasaki disease.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Kawasaki's disease, Laboratory test, Leukocytosis, Malaise, Myalgia
Clinical narrative: 5 days after covid-19 pfizer vaccine was given she developed a fever with a mild rash on her extremities. Started treatment at that time for tick borne illness. Rash progressed to what appeared to be erythema multiforme, she had conjunctivitis as well as persistent fevers. Ended up being sent to ED on 12/31/21 for leukocytosis and thrombocytopenia in addition to malaise, myalgias, joint pains to get further lab work. Found to be hypotensive in the ED (was not in our office) and ended up in the PICU for treatment. Current working diagnosis is Kawasaki disease.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rash, Thrombocytopenia
Clinical narrative: 5 days after covid-19 pfizer vaccine was given she developed a fever with a mild rash on her extremities. Started treatment at that time for tick borne illness. Rash progressed to what appeared to be erythema multiforme, she had conjunctivitis as well as persistent fevers. Ended up being sent to ED on 12/31/21 for leukocytosis and thrombocytopenia in addition to malaise, myalgias, joint pains to get further lab work. Found to be hypotensive in the ED (was not in our office) and ended up in the PICU for treatment. Current working diagnosis is Kawasaki disease.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Catheterisation cardiac normal, Chest discomfort, Drug screen positive, Musculoskeletal chest pain, Pain
Clinical narrative: Anterior chest wall pain no radiation reported heaviness, and aching. Patient underwent cardiac catheterization and was found all vessels patent w/o significant disease EF 55-60%. Pain well controlled w/ IV morphine and NTG. on ASA/P2Y12 inhibitor/Statin. At time of reporting, patient is still admitted to the hospital.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin
Clinical narrative: Anterior chest wall pain no radiation reported heaviness, and aching. Patient underwent cardiac catheterization and was found all vessels patent w/o significant disease EF 55-60%. Pain well controlled w/ IV morphine and NTG. on ASA/P2Y12 inhibitor/Statin. At time of reporting, patient is still admitted to the hospital.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Wrong vaccine and dose given. Patient given Pfizer 0.3mL (12+) vaccine when needed Pfizer 0.2mL (5+).
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Chills, Dizziness, Headache
Clinical narrative: Day 2 scratchy throat Day 3-4 headache, chills, nausea, aches, dizziness  Day 5 loss of smell & taste Day 6 continues
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Throat irritation
Clinical narrative: Day 2 scratchy throat Day 3-4 headache, chills, nausea, aches, dizziness  Day 5 loss of smell & taste Day 6 continues
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Arteriosclerosis, Arteriosclerosis coronary artery, Atrial fibrillation, Brain natriuretic peptide increased
Clinical narrative: This is an 87 year old male, patient of Dr, with past medical history significant for HTN, HLP, CAD, s/p stents who presented to the ED with complaints of SOB, DOE and Cough. In the ED his Covid AG was +. He is fully vaccinated x 3 with Pfizer. A Chest xray showed subtle ground glass opacities bilaterally. His BNP ws 1062 and first troponin 1.61 with EKG changes. An EKG also showed new onset Atrial fibrillation, rate controlled. He was given 1x dose of IV Lasix. A CTA of the chest showed no evidence of PE, small bilateral pleural effusions , right greater than left, severe coronary artery calcified plaques, atrophic left kidney, severe atherosclerotic disease.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Dyspnoea, Dyspnoea exertional
Clinical narrative: This is an 87 year old male, patient of Dr, with past medical history significant for HTN, HLP, CAD, s/p stents who presented to the ED with complaints of SOB, DOE and Cough. In the ED his Covid AG was +. He is fully vaccinated x 3 with Pfizer. A Chest xray showed subtle ground glass opacities bilaterally. His BNP ws 1062 and first troponin 1.61 with EKG changes. An EKG also showed new onset Atrial fibrillation, rate controlled. He was given 1x dose of IV Lasix. A CTA of the chest showed no evidence of PE, small bilateral pleural effusions , right greater than left, severe coronary artery calcified plaques, atrophic left kidney, severe atherosclerotic disease.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Lung opacity, Pleural effusion, Renal atrophy, SARS-CoV-2 antibody test
Clinical narrative: This is an 87 year old male, patient of Dr, with past medical history significant for HTN, HLP, CAD, s/p stents who presented to the ED with complaints of SOB, DOE and Cough. In the ED his Covid AG was +. He is fully vaccinated x 3 with Pfizer. A Chest xray showed subtle ground glass opacities bilaterally. His BNP ws 1062 and first troponin 1.61 with EKG changes. An EKG also showed new onset Atrial fibrillation, rate controlled. He was given 1x dose of IV Lasix. A CTA of the chest showed no evidence of PE, small bilateral pleural effusions , right greater than left, severe coronary artery calcified plaques, atrophic left kidney, severe atherosclerotic disease.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Troponin increased
Clinical narrative: This is an 87 year old male, patient of Dr, with past medical history significant for HTN, HLP, CAD, s/p stents who presented to the ED with complaints of SOB, DOE and Cough. In the ED his Covid AG was +. He is fully vaccinated x 3 with Pfizer. A Chest xray showed subtle ground glass opacities bilaterally. His BNP ws 1062 and first troponin 1.61 with EKG changes. An EKG also showed new onset Atrial fibrillation, rate controlled. He was given 1x dose of IV Lasix. A CTA of the chest showed no evidence of PE, small bilateral pleural effusions , right greater than left, severe coronary artery calcified plaques, atrophic left kidney, severe atherosclerotic disease.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood test, Burning sensation, Cerebrovascular accident, Computerised tomogram
Clinical narrative: 1st dose of Pfizer was administered 06/16/2021 and 2nd on 07/07/2021. My right thigh became totally numb in mid-August of 2021. In September, my neck became stiff and left side was very swollen. This lasted 3-4 days.   October 3, 2021, I was resting in my camper when I felt a sharp pain on the right side of my middle back. This was followed by weakness, numbing, pins and needles on the entire right side of my body. I also had a slight droop to the right side of my face. I contacted my doctor's office, who then transferred me to the nurses' line with my insurance company. They instructed me to call 911. I was admitted to intensive care stroke center and diagnosed with Acute CVA. I was discharged on day 3 and instructed to follow up with my primary doctor and a neurologist. Approximately 3 days after discharge I was then affected by full body neuropathy. I have pins, needles, weakness and burning throughout my entire body which last 24/7. It does not go away.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Electromyogram, Facial paralysis, Hemiparesis, Hypoaesthesia, Intensive care
Clinical narrative: 1st dose of Pfizer was administered 06/16/2021 and 2nd on 07/07/2021. My right thigh became totally numb in mid-August of 2021. In September, my neck became stiff and left side was very swollen. This lasted 3-4 days.   October 3, 2021, I was resting in my camper when I felt a sharp pain on the right side of my middle back. This was followed by weakness, numbing, pins and needles on the entire right side of my body. I also had a slight droop to the right side of my face. I contacted my doctor's office, who then transferred me to the nurses' line with my insurance company. They instructed me to call 911. I was admitted to intensive care stroke center and diagnosed with Acute CVA. I was discharged on day 3 and instructed to follow up with my primary doctor and a neurologist. Approximately 3 days after discharge I was then affected by full body neuropathy. I have pins, needles, weakness and burning throughout my entire body which last 24/7. It does not go away.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Musculoskeletal stiffness, Neuropathy peripheral, Paraesthesia, Swelling
Clinical narrative: 1st dose of Pfizer was administered 06/16/2021 and 2nd on 07/07/2021. My right thigh became totally numb in mid-August of 2021. In September, my neck became stiff and left side was very swollen. This lasted 3-4 days.   October 3, 2021, I was resting in my camper when I felt a sharp pain on the right side of my middle back. This was followed by weakness, numbing, pins and needles on the entire right side of my body. I also had a slight droop to the right side of my face. I contacted my doctor's office, who then transferred me to the nurses' line with my insurance company. They instructed me to call 911. I was admitted to intensive care stroke center and diagnosed with Acute CVA. I was discharged on day 3 and instructed to follow up with my primary doctor and a neurologist. Approximately 3 days after discharge I was then affected by full body neuropathy. I have pins, needles, weakness and burning throughout my entire body which last 24/7. It does not go away.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: 1st dose of Pfizer was administered 06/16/2021 and 2nd on 07/07/2021. My right thigh became totally numb in mid-August of 2021. In September, my neck became stiff and left side was very swollen. This lasted 3-4 days.   October 3, 2021, I was resting in my camper when I felt a sharp pain on the right side of my middle back. This was followed by weakness, numbing, pins and needles on the entire right side of my body. I also had a slight droop to the right side of my face. I contacted my doctor's office, who then transferred me to the nurses' line with my insurance company. They instructed me to call 911. I was admitted to intensive care stroke center and diagnosed with Acute CVA. I was discharged on day 3 and instructed to follow up with my primary doctor and a neurologist. Approximately 3 days after discharge I was then affected by full body neuropathy. I have pins, needles, weakness and burning throughout my entire body which last 24/7. It does not go away.
Age: 12.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the local Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 42.0
Sex: U
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Acute COVID infection
Age: 34.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Eye irritation, Eye swelling, Periorbital swelling, Vaccine positive rechallenge
Clinical narrative: I was fine the day of vaccination. The next day, my eyes felt puffy and strange, so I looked in the mirror and saw it was irritate and swollen. I called my doctor who prescribed antihistamine medication and cream to take and within 24 hours, the swelling had reduced and the puffiness around the eyes had gone down. It happened after my first dose but was much milder.
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID BREAKTHROUGH CASE
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy
Clinical narrative: Bell's Palsy
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Immunisation
Clinical narrative: Bell's Palsy
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: breakthrough infection
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Brain natriuretic peptide increased, C-reactive protein increased, COVID-19, Chest X-ray abnormal
Clinical narrative: 92-year-old female with a PMH significant for CAD s/p CABG 2v/PIC, CM (EF 45-50%-10/2021), PAF, systolic/diastolic CHF, HTN, HLD, lymphoma, vaccinated Moderna x2 who presented to the ER for complaints of weakness, dry cough, SOB and decreased appetite for about 2 days reason for which she presented to the ER for further evaluation. In the ER, laboratory data revealing BNP 1026, leukopenia, thrombocytopenia and elevated CRP. CXR read as increased interstitial markings with central pulmonary vascular prominence and small bilateral pleural effusions.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Dyspnoea, Leukopenia, Pleural effusion
Clinical narrative: 92-year-old female with a PMH significant for CAD s/p CABG 2v/PIC, CM (EF 45-50%-10/2021), PAF, systolic/diastolic CHF, HTN, HLD, lymphoma, vaccinated Moderna x2 who presented to the ER for complaints of weakness, dry cough, SOB and decreased appetite for about 2 days reason for which she presented to the ER for further evaluation. In the ER, laboratory data revealing BNP 1026, leukopenia, thrombocytopenia and elevated CRP. CXR read as increased interstitial markings with central pulmonary vascular prominence and small bilateral pleural effusions.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Thrombocytopenia
Clinical narrative: 92-year-old female with a PMH significant for CAD s/p CABG 2v/PIC, CM (EF 45-50%-10/2021), PAF, systolic/diastolic CHF, HTN, HLD, lymphoma, vaccinated Moderna x2 who presented to the ER for complaints of weakness, dry cough, SOB and decreased appetite for about 2 days reason for which she presented to the ER for further evaluation. In the ER, laboratory data revealing BNP 1026, leukopenia, thrombocytopenia and elevated CRP. CXR read as increased interstitial markings with central pulmonary vascular prominence and small bilateral pleural effusions.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Asthenia, Grip strength decreased, Muscular weakness
Clinical narrative: Arthritis has rapidly grown in hands, unable to hold objects properly, weakness, no strength in hands.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Child dose given to child 12 years of age.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the Health Dept. internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody negative, Back pain, Blood pH, Blood test normal, C-reactive protein decreased
Clinical narrative: Woke up the morning of 11/11/21 with welts and itching on front torso. Throughout the day, it migrated to other areas of the body. The morning of 11/12 the welts had combined together on back of neck and lower back causing extreme pain.  Tele-doc prescribed Prednisone pack. Rash continued and was present on every part of skin including scalp. Worse at night.  PCP visit on 11/19/21 and confirmed hives. Ran several blood tests to rule out other causes - all results were negative.  PCP prescribed 20mg prednisone/2xdaily for 5 days. 12/2/21 went to dermatologist. Hives confirmed. Reviewed any changes made within the past 2 months and doctor indicated cause was likely COVID vaccine booster. Dermatologist administered steroid shot and indicated me to take antihistamine twice daily (2 different types).  As of today 1/3/21 - hives continue, though not as severe as first 2 weeks of onset.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Chlamydia test negative, HIV antibody negative, Laboratory test normal, Neck pain, Neisseria test negative
Clinical narrative: Woke up the morning of 11/11/21 with welts and itching on front torso. Throughout the day, it migrated to other areas of the body. The morning of 11/12 the welts had combined together on back of neck and lower back causing extreme pain.  Tele-doc prescribed Prednisone pack. Rash continued and was present on every part of skin including scalp. Worse at night.  PCP visit on 11/19/21 and confirmed hives. Ran several blood tests to rule out other causes - all results were negative.  PCP prescribed 20mg prednisone/2xdaily for 5 days. 12/2/21 went to dermatologist. Hives confirmed. Reviewed any changes made within the past 2 months and doctor indicated cause was likely COVID vaccine booster. Dermatologist administered steroid shot and indicated me to take antihistamine twice daily (2 different types).  As of today 1/3/21 - hives continue, though not as severe as first 2 weeks of onset.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Red blood cell sedimentation rate normal, Treponema test negative, Urine analysis normal
Clinical narrative: Woke up the morning of 11/11/21 with welts and itching on front torso. Throughout the day, it migrated to other areas of the body. The morning of 11/12 the welts had combined together on back of neck and lower back causing extreme pain.  Tele-doc prescribed Prednisone pack. Rash continued and was present on every part of skin including scalp. Worse at night.  PCP visit on 11/19/21 and confirmed hives. Ran several blood tests to rule out other causes - all results were negative.  PCP prescribed 20mg prednisone/2xdaily for 5 days. 12/2/21 went to dermatologist. Hives confirmed. Reviewed any changes made within the past 2 months and doctor indicated cause was likely COVID vaccine booster. Dermatologist administered steroid shot and indicated me to take antihistamine twice daily (2 different types).  As of today 1/3/21 - hives continue, though not as severe as first 2 weeks of onset.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Woke up the morning of 11/11/21 with welts and itching on front torso. Throughout the day, it migrated to other areas of the body. The morning of 11/12 the welts had combined together on back of neck and lower back causing extreme pain.  Tele-doc prescribed Prednisone pack. Rash continued and was present on every part of skin including scalp. Worse at night.  PCP visit on 11/19/21 and confirmed hives. Ran several blood tests to rule out other causes - all results were negative.  PCP prescribed 20mg prednisone/2xdaily for 5 days. 12/2/21 went to dermatologist. Hives confirmed. Reviewed any changes made within the past 2 months and doctor indicated cause was likely COVID vaccine booster. Dermatologist administered steroid shot and indicated me to take antihistamine twice daily (2 different types).  As of today 1/3/21 - hives continue, though not as severe as first 2 weeks of onset.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Child dose given to child age 12.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Acute endocarditis, Cardiac operation, Infusion
Clinical narrative: Accute Endocarditis, 39 days hospitalized, second open heart surgery, 33 days ceftriaxzone  infusion, penicillin for life
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Pt. states that after receiving the 1st dose of Pfizer 05/06/2021, started experiencing symptoms within a couple weeks hives developing in the chest area lasting 2 weeks at a time. No noted Primary visit/communications. Still continuing to experience symptoms.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Eczema
Clinical narrative: I began having an eczema flare after 15 years of dormancy. I have eczema in places I've never had it before including my neck, back, behind my knees, and my vagina.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Acquired diaphragmatic eventration, Acute kidney injury, Chest X-ray abnormal, Computerised tomogram head abnormal, Fatigue
Clinical narrative: 78-year-old male with a PMH significant for HTN, HLD, pulmonary emboli on ac (July 2021), vaccinated x 2 Moderna who was brought to the ER by his family due to altered mental status. He is a truck driver who recently came back, reports feeling very tired from the drive, parked in front of his house and fell asleep. This morning, he was woken up by his family and they found him altered. In the ER, NIH 1-for AMS on arrival, temperature 99.1 F, BP 142/86, HR 100, RR 18, pulse ox 96% on RA. CT head without acute intracranial abnormality, chronic white matter disease and unchanged foreign body on left temporal. CXR without acute cardiopulmonary disease and chronic elevation of the R-diaphragm. Labs significant for hypertriglyceridemia, mild AKI 1.4, UA negative, D-dimer 405, troponin negative, flu A/B negative but a covid-19 AG positive.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Foreign body, Hypertriglyceridaemia, Influenza A virus test negative, Influenza B virus test
Clinical narrative: 78-year-old male with a PMH significant for HTN, HLD, pulmonary emboli on ac (July 2021), vaccinated x 2 Moderna who was brought to the ER by his family due to altered mental status. He is a truck driver who recently came back, reports feeling very tired from the drive, parked in front of his house and fell asleep. This morning, he was woken up by his family and they found him altered. In the ER, NIH 1-for AMS on arrival, temperature 99.1 F, BP 142/86, HR 100, RR 18, pulse ox 96% on RA. CT head without acute intracranial abnormality, chronic white matter disease and unchanged foreign body on left temporal. CXR without acute cardiopulmonary disease and chronic elevation of the R-diaphragm. Labs significant for hypertriglyceridemia, mild AKI 1.4, UA negative, D-dimer 405, troponin negative, flu A/B negative but a covid-19 AG positive.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test abnormal, Mental status changes, SARS-CoV-2 antibody test, SARS-CoV-2 test positive, Troponin normal
Clinical narrative: 78-year-old male with a PMH significant for HTN, HLD, pulmonary emboli on ac (July 2021), vaccinated x 2 Moderna who was brought to the ER by his family due to altered mental status. He is a truck driver who recently came back, reports feeling very tired from the drive, parked in front of his house and fell asleep. This morning, he was woken up by his family and they found him altered. In the ER, NIH 1-for AMS on arrival, temperature 99.1 F, BP 142/86, HR 100, RR 18, pulse ox 96% on RA. CT head without acute intracranial abnormality, chronic white matter disease and unchanged foreign body on left temporal. CXR without acute cardiopulmonary disease and chronic elevation of the R-diaphragm. Labs significant for hypertriglyceridemia, mild AKI 1.4, UA negative, D-dimer 405, troponin negative, flu A/B negative but a covid-19 AG positive.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis normal, White matter lesion
Clinical narrative: 78-year-old male with a PMH significant for HTN, HLD, pulmonary emboli on ac (July 2021), vaccinated x 2 Moderna who was brought to the ER by his family due to altered mental status. He is a truck driver who recently came back, reports feeling very tired from the drive, parked in front of his house and fell asleep. This morning, he was woken up by his family and they found him altered. In the ER, NIH 1-for AMS on arrival, temperature 99.1 F, BP 142/86, HR 100, RR 18, pulse ox 96% on RA. CT head without acute intracranial abnormality, chronic white matter disease and unchanged foreign body on left temporal. CXR without acute cardiopulmonary disease and chronic elevation of the R-diaphragm. Labs significant for hypertriglyceridemia, mild AKI 1.4, UA negative, D-dimer 405, troponin negative, flu A/B negative but a covid-19 AG positive.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID vaccine breakthrough case
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Blood test, Hypertension, Pyrexia
Clinical narrative: Within 2 hours I felt feverish and my anxiety was elevated. I went to have my BP checked and it was high. It remained high for 6 weeks. My doctor sent me to the ER to get it checked out. They took my BP and did some bloodwork. Afterwards I was discharged and told to follow up with my primary doctor. No medication was administered
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Influenza like illness, Pain, Pyrexia
Clinical narrative: The symptoms were very much like a case of influenza without the respiratory component: moderate fever (~1.01), body aches, headaches, chills, etc.) lasting roughly three days.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Diplopia, Strabismus
Clinical narrative: Day one after dose Lt axilla pain. Day two after dose started with vision changes (diplopia), possibly ocular nerve palsy.  Day three after dose left eye drifting to towards my nose and vision worsened.  Day four after dose vision worsened. Day five after dose slight vision correction.  Day six after dose some improvement, but not totally resolved.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Oropharyngeal pain, Pruritus, Swelling, Throat tightness
Clinical narrative: Day 11 post booster: dermatographia hives, itching on skin- not limited to the injection site but all over, redness and swelling anywhere the skin is touched or scratched that remains for 15-30 minutes and then disappears. Tightness and pain in throat.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Day 11 post booster: dermatographia hives, itching on skin- not limited to the injection site but all over, redness and swelling anywhere the skin is touched or scratched that remains for 15-30 minutes and then disappears. Tightness and pain in throat.