chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Sepsis, Urinary tract infection
Clinical narrative: Hospitalized;  COVID-19 vaccine positive;  fully vaccinated; Admission Date: 10/11/2021 Discharge Date: 10/13/2021; PRESENTING PROBLEM:Urinary tract infection with hematuria, site unspecified [N39.0, R31.9]Sepsis, due to unspecified organism, unspecified whether acute organ dysfunction present (HCC) [A41.9]Acute hypoxemic respiratory failure due to COVID-19 [U07.1, J96.01]Pneumonia due to COVID-19 virus [U07.1, J12.82]HOSPITAL COURSE: 73 y.o. male who presented with fatigue and found to have Sepsis secondary to UTI with COVID-19 viral pneumonia with 5 days of symptoms prior to admission. The patient has a pmh copd, htn, osa, htn , obesity.  He is fully vaccinated with x2 moderna dosing. The patient was treated with remdesivir x 2 days and decadron while hospitalized. Will discharge home on decadron to complete the 10 day steroid coarse. The patient was also given a prescription for mucinex and metformin due to steroid induced hyperglycemia. An A1C is pending. Recommend outpatient follow-up with PCP for BG monitoring. Acute hypoxic respiratory failure resolved, he had a home oxygen evaluation completed and no oxygen is required. The patient is eager to return home. The patient received 2 days of ceftriaxone and will be transitioned home on keflex to complete the antibiotic course. The urine culture is pending upon discharge. Recommend post-hospitalization follow-up with PCP in 1-week. CT abdomen pelvis recommend outpatient follow-up with dedicated kidney imaging with IV contrast is suggested to exclude presence of mass. Due to finding suggestive of bilateral multilobulated kidneys with presence of cortical thickening overlying the left kidney superior pole and the right kidney middle pole probably representing hypertrophied column.
Age: 39.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Anxiety, Asthenia, Chills, Diarrhoea, Dysgeusia
Clinical narrative: 10/14/21 at 10:30pm: body aches, unable to sleep, by 1am violent body chills and shakes (subjective fever), teeth chattering, feeling anxious and shaky; by 2:30am vomiting, diarrhea, migraine HA (when closed eyes, saw flashing), metal taste when not vomiting, felt very weak. Vomiting resolved by 5-6 am on 10/15/21, but the rest of the symptoms persisted throughout the weekend. As of today, still feels shaky and week, anxious, with periods of body chills/shakes. Patient was breast feeding during the time she received the third dose and with both of the prior Pfizer vaccine doses. The child had no symptoms after the first one, sick (fussy, crying, fever, decreased appetite) after second dose, and no symptoms after third dose.
Age: 39.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Extra dose administered, Insomnia, Maternal exposure during breast feeding, Migraine, Nervousness
Clinical narrative: 10/14/21 at 10:30pm: body aches, unable to sleep, by 1am violent body chills and shakes (subjective fever), teeth chattering, feeling anxious and shaky; by 2:30am vomiting, diarrhea, migraine HA (when closed eyes, saw flashing), metal taste when not vomiting, felt very weak. Vomiting resolved by 5-6 am on 10/15/21, but the rest of the symptoms persisted throughout the weekend. As of today, still feels shaky and week, anxious, with periods of body chills/shakes. Patient was breast feeding during the time she received the third dose and with both of the prior Pfizer vaccine doses. The child had no symptoms after the first one, sick (fussy, crying, fever, decreased appetite) after second dose, and no symptoms after third dose.
Age: 39.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Pain, Photopsia, Pyrexia, Tremor, Vaccine positive rechallenge
Clinical narrative: 10/14/21 at 10:30pm: body aches, unable to sleep, by 1am violent body chills and shakes (subjective fever), teeth chattering, feeling anxious and shaky; by 2:30am vomiting, diarrhea, migraine HA (when closed eyes, saw flashing), metal taste when not vomiting, felt very weak. Vomiting resolved by 5-6 am on 10/15/21, but the rest of the symptoms persisted throughout the weekend. As of today, still feels shaky and week, anxious, with periods of body chills/shakes. Patient was breast feeding during the time she received the third dose and with both of the prior Pfizer vaccine doses. The child had no symptoms after the first one, sick (fussy, crying, fever, decreased appetite) after second dose, and no symptoms after third dose.
Age: 39.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Vomiting
Clinical narrative: 10/14/21 at 10:30pm: body aches, unable to sleep, by 1am violent body chills and shakes (subjective fever), teeth chattering, feeling anxious and shaky; by 2:30am vomiting, diarrhea, migraine HA (when closed eyes, saw flashing), metal taste when not vomiting, felt very weak. Vomiting resolved by 5-6 am on 10/15/21, but the rest of the symptoms persisted throughout the weekend. As of today, still feels shaky and week, anxious, with periods of body chills/shakes. Patient was breast feeding during the time she received the third dose and with both of the prior Pfizer vaccine doses. The child had no symptoms after the first one, sick (fussy, crying, fever, decreased appetite) after second dose, and no symptoms after third dose.
Age: 54.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Headache, Pyrexia, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: Fever, Runny nose, Cough, Headache
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Haemorrhage, Muscle spasms
Clinical narrative: The next day after the shot I started having bad cramps and bleeding. It lasted for 4 days and has since resolved.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstrual disorder
Clinical narrative: Had normal period, followed one week later by another heavier period.  This has never happened before.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Arm muscle near injection site very sore and painful
Age: 63.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was not 65 at time of dose.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Polymenorrhoea
Clinical narrative: Started menstrual bleeding in the middle of the night. This bleeding was about a week and a half before my expected period. It lasted for several hours then stopped for about 12 hours. It started again much heavier after the 12 hour break. I am still bleeding, though today (day 11) is much lighter than it has been for the past week and a half. I expect/hope to be done bleeding by tomorrow if it continues to lighten.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Death
Clinical narrative: Patient passed away on 10/10/2021.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Patient received 2 doses of Moderna Covid vaccine from another facility and patient received Pfizer as the booster shot.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Cataract
Clinical narrative: Spontaneous cataract
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling cold, Headache, Malaise, Pyrexia
Clinical narrative: ? PT received Booster dose of Pfizer Friday evening @1900. ? No reaction most of weekend, feeling cold Sunday (17Oct2021) afternoon, symptoms improved. ? @1200 Monday 18 October 2021, while working, PT reported to Observation Lead feeling chilly.  ? @ 1225 Safety was notified PT was feeling ill. ? PT escorted to Screened Observation area. ? PT reported shifting feelings of cold & feeling feverish throughout body, core & peripheral. ? Onset of headache, rhinorrhea, fatigue. ? PT Hx of Asthma, no (current) trouble breathing/ exacerbation of condition. ? No hx allergies: food, med. ? @ 1230 BP: 166/90  ? @1236 PT expressed they wanted evaluation by EMS. ? @1240 Site Director initiated emergency call. ? @1245 BP: 171/92, PR: 91, PT reported no improvement in condition. ? @1252 EMS onsite, EMS Evaluation ? @1253, BP: 164/86, PR: 88 ? @1259 BP: 146/107, PR: 91 ? @1300 PT declined transport.  Decided to go home to rest & recover.  ? @1310 PT left for the day voluntarily, ambulatory, AOx4, and stable. ? PT will follow up with Dr.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea
Clinical narrative: ? PT received Booster dose of Pfizer Friday evening @1900. ? No reaction most of weekend, feeling cold Sunday (17Oct2021) afternoon, symptoms improved. ? @1200 Monday 18 October 2021, while working, PT reported to Observation Lead feeling chilly.  ? @ 1225 Safety was notified PT was feeling ill. ? PT escorted to Screened Observation area. ? PT reported shifting feelings of cold & feeling feverish throughout body, core & peripheral. ? Onset of headache, rhinorrhea, fatigue. ? PT Hx of Asthma, no (current) trouble breathing/ exacerbation of condition. ? No hx allergies: food, med. ? @ 1230 BP: 166/90  ? @1236 PT expressed they wanted evaluation by EMS. ? @1240 Site Director initiated emergency call. ? @1245 BP: 171/92, PR: 91, PT reported no improvement in condition. ? @1252 EMS onsite, EMS Evaluation ? @1253, BP: 164/86, PR: 88 ? @1259 BP: 146/107, PR: 91 ? @1300 PT declined transport.  Decided to go home to rest & recover.  ? @1310 PT left for the day voluntarily, ambulatory, AOx4, and stable. ? PT will follow up with Dr.
Age: 28.0
Sex: F
Vaccine: FLUC4
Symptoms: Abdominal discomfort, Asthenia, Diarrhoea, Fatigue, Feeling abnormal
Clinical narrative: Approximately 10 hours after injection, I received the worst most debilitating acid reflux I had ever had in my entire life. I was getting into bed when it began. I felt like there was a giant lump in my throat that needed out, but I could not vomit. Nothing worked to lessen the symptoms and I did not get any sleep. The next day, the symptoms lessened but I was not feeling right at all. I was weak, tired, shaky, couldn't bend over without feeling sick, had diarrhea and an upset stomach all day. I then noticed a big red patch on my arm where the injection site was. This has never happened to me before during a vaccination and I have been on top of all of them.
Age: 28.0
Sex: F
Vaccine: FLUC4
Symptoms: Gastrooesophageal reflux disease, Injection site erythema, Insomnia, Malaise, Mobility decreased
Clinical narrative: Approximately 10 hours after injection, I received the worst most debilitating acid reflux I had ever had in my entire life. I was getting into bed when it began. I felt like there was a giant lump in my throat that needed out, but I could not vomit. Nothing worked to lessen the symptoms and I did not get any sleep. The next day, the symptoms lessened but I was not feeling right at all. I was weak, tired, shaky, couldn't bend over without feeling sick, had diarrhea and an upset stomach all day. I then noticed a big red patch on my arm where the injection site was. This has never happened to me before during a vaccination and I have been on top of all of them.
Age: 28.0
Sex: F
Vaccine: FLUC4
Symptoms: Nervousness, Sensation of foreign body
Clinical narrative: Approximately 10 hours after injection, I received the worst most debilitating acid reflux I had ever had in my entire life. I was getting into bed when it began. I felt like there was a giant lump in my throat that needed out, but I could not vomit. Nothing worked to lessen the symptoms and I did not get any sleep. The next day, the symptoms lessened but I was not feeling right at all. I was weak, tired, shaky, couldn't bend over without feeling sick, had diarrhea and an upset stomach all day. I then noticed a big red patch on my arm where the injection site was. This has never happened to me before during a vaccination and I have been on top of all of them.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: breakthrough COVID-19 case.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patients mother filled out form indicating patient was 12 when the child was 11 years old.  Doctors office was contacted to follow up with patient.  Spoke with mother on phone and mother stated child was fine.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Loss of personal independence in daily activities, Muscle twitching
Clinical narrative: Over the past several weeks, I have had uncontrollable 'twitching' in my left hand.  Primarily between thumb and index finger.  Thought it may be a side effect of perscribed med I took for a short time.  but I have stopped all perscriptions as none of them were working to help headaches.  Twitiching has not continued, but has become somewhat bothersome.  I have dropped a cup and have a lot of trouble carring bags and such.
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood lactic acid increased, Blood pressure decreased, COVID-19, COVID-19 pneumonia
Clinical narrative: Hospitalized 10.10.21;  COVID-19 positive (10.10.21);  Fully Vaccinated  Admission Date: 10/10/2021 Discharge Date: 10/13/2021 Admitting Diagnoses:  Pneumonia due to COVID-19 virus PRESENTING PROBLEM:  Hypoxia [R09.02] Fever, unspecified fever cause [R50.9] COVID-19 virus detected [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: 96 y.o. woman who presented to ED with a fever and hypoxia.  Patient is a resident at a facility, where she was noticed to have a fever on 10/10/21.  Patient then was transported via EMS to the emergency room.  Workup evaluation was noted to be COVID positive.  Patient did have a previous COVID test on October 3rd and was negative.  At that time patient was transferred from the emergency department was admitted for severe sepsis septic shock and left lower lobe pneumonia.  She was admitted from 10/04 to 10/8 which she was discharged home on Ceftin 1 orally 2 times a day for 7 days.  Patient did have a large party yesterday with multiple siblings she has a large family 13 and all, and felt fine.  Patient on presentation today has no complaints.  She was found to have a O2 sat of 89% in the ER.  She is not usually on supplemental oxygen. She was treated with decadron and Remdesivir for COVID pneumonia. She had mild infiltrates on CXR. She was weaned off supplemental o2 and noted improvement in her symptoms. She was very weak, PT/OT recommended home health which was set up. She was discharged on 10/13/21.
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Diarrhoea, Haematochezia, Hypoxia, Intensive care
Clinical narrative: Hospitalized 10.10.21;  COVID-19 positive (10.10.21);  Fully Vaccinated  Admission Date: 10/10/2021 Discharge Date: 10/13/2021 Admitting Diagnoses:  Pneumonia due to COVID-19 virus PRESENTING PROBLEM:  Hypoxia [R09.02] Fever, unspecified fever cause [R50.9] COVID-19 virus detected [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: 96 y.o. woman who presented to ED with a fever and hypoxia.  Patient is a resident at a facility, where she was noticed to have a fever on 10/10/21.  Patient then was transported via EMS to the emergency room.  Workup evaluation was noted to be COVID positive.  Patient did have a previous COVID test on October 3rd and was negative.  At that time patient was transferred from the emergency department was admitted for severe sepsis septic shock and left lower lobe pneumonia.  She was admitted from 10/04 to 10/8 which she was discharged home on Ceftin 1 orally 2 times a day for 7 days.  Patient did have a large party yesterday with multiple siblings she has a large family 13 and all, and felt fine.  Patient on presentation today has no complaints.  She was found to have a O2 sat of 89% in the ER.  She is not usually on supplemental oxygen. She was treated with decadron and Remdesivir for COVID pneumonia. She had mild infiltrates on CXR. She was weaned off supplemental o2 and noted improvement in her symptoms. She was very weak, PT/OT recommended home health which was set up. She was discharged on 10/13/21.
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lung infiltration, Nausea, Pneumonia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 10.10.21;  COVID-19 positive (10.10.21);  Fully Vaccinated  Admission Date: 10/10/2021 Discharge Date: 10/13/2021 Admitting Diagnoses:  Pneumonia due to COVID-19 virus PRESENTING PROBLEM:  Hypoxia [R09.02] Fever, unspecified fever cause [R50.9] COVID-19 virus detected [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: 96 y.o. woman who presented to ED with a fever and hypoxia.  Patient is a resident at a facility, where she was noticed to have a fever on 10/10/21.  Patient then was transported via EMS to the emergency room.  Workup evaluation was noted to be COVID positive.  Patient did have a previous COVID test on October 3rd and was negative.  At that time patient was transferred from the emergency department was admitted for severe sepsis septic shock and left lower lobe pneumonia.  She was admitted from 10/04 to 10/8 which she was discharged home on Ceftin 1 orally 2 times a day for 7 days.  Patient did have a large party yesterday with multiple siblings she has a large family 13 and all, and felt fine.  Patient on presentation today has no complaints.  She was found to have a O2 sat of 89% in the ER.  She is not usually on supplemental oxygen. She was treated with decadron and Remdesivir for COVID pneumonia. She had mild infiltrates on CXR. She was weaned off supplemental o2 and noted improvement in her symptoms. She was very weak, PT/OT recommended home health which was set up. She was discharged on 10/13/21.
Age: 95.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sepsis, Septic shock, Shock, Vomiting
Clinical narrative: Hospitalized 10.10.21;  COVID-19 positive (10.10.21);  Fully Vaccinated  Admission Date: 10/10/2021 Discharge Date: 10/13/2021 Admitting Diagnoses:  Pneumonia due to COVID-19 virus PRESENTING PROBLEM:  Hypoxia [R09.02] Fever, unspecified fever cause [R50.9] COVID-19 virus detected [U07.1] Pneumonia due to COVID-19 virus [U07.1, J12.82] HOSPITAL COURSE: 96 y.o. woman who presented to ED with a fever and hypoxia.  Patient is a resident at a facility, where she was noticed to have a fever on 10/10/21.  Patient then was transported via EMS to the emergency room.  Workup evaluation was noted to be COVID positive.  Patient did have a previous COVID test on October 3rd and was negative.  At that time patient was transferred from the emergency department was admitted for severe sepsis septic shock and left lower lobe pneumonia.  She was admitted from 10/04 to 10/8 which she was discharged home on Ceftin 1 orally 2 times a day for 7 days.  Patient did have a large party yesterday with multiple siblings she has a large family 13 and all, and felt fine.  Patient on presentation today has no complaints.  She was found to have a O2 sat of 89% in the ER.  She is not usually on supplemental oxygen. She was treated with decadron and Remdesivir for COVID pneumonia. She had mild infiltrates on CXR. She was weaned off supplemental o2 and noted improvement in her symptoms. She was very weak, PT/OT recommended home health which was set up. She was discharged on 10/13/21.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Had booster of Pfizer Biontech on 10/1/21. No major effect.  On the  night of 10/11/21 I got tinnitus in left ear, hissing sound, 24 hours a day.  Seeing ENT doctor on 10/29/21.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Flushing, Heart rate increased, Pain, Pyrexia
Clinical narrative: Heart beating very hard and  very rapid , fever, aches, flush, fatigue.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Hypoaesthesia, Joint swelling, X-ray
Clinical narrative: About 6 hours after my shot, my arm to my fingers got numbness. About 12 hour later, my ankle swelled up twice this sizes. This is why I went to see the doctor for. My ankle finally went down after 2 weeks. I had to physical therapy. Now there is pain in my ankle.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthropathy, Burning sensation, Hypoaesthesia, Muscular weakness
Clinical narrative: neuropathy symtoms  feet, hands numb and burning.  testing by neurologist shows no neuropathy but still stympstoms.   artheritis symtoms arms hands neck,   swollen fingers , dropping things neck pain and wrist pains.   Had similar reaction to shinrix vacccine but not senior flu shots.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Nerve conduction studies normal, Peripheral swelling
Clinical narrative: neuropathy symtoms  feet, hands numb and burning.  testing by neurologist shows no neuropathy but still stympstoms.   artheritis symtoms arms hands neck,   swollen fingers , dropping things neck pain and wrist pains.   Had similar reaction to shinrix vacccine but not senior flu shots.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy skin, Burning sensation, Fungal skin infection, Rash, Rash erythematous
Clinical narrative: rash is blistering, bumpy, burning, itchy, and painful,  redness, constant, and itching
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Rash pruritic, Rash vesicular, Skin bacterial infection, Skin culture
Clinical narrative: rash is blistering, bumpy, burning, itchy, and painful,  redness, constant, and itching
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone, Disturbance in attention, Fatigue, Full blood count, Headache
Clinical narrative: Headache, difficulty concentrating, fatigue starting 4 hours after the vaccination
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test
Clinical narrative: Headache, difficulty concentrating, fatigue starting 4 hours after the vaccination
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Migraine, Pain
Clinical narrative: 24 hours after the second COVID-19 vaccine dose: chills, body aches, joint pain,  fatigue, migraine. Symptoms resolved within 48 hours. Patient was breast feeding during both time that she received the vaccine doses. At the time of the second dose, the baby was 4 months old. He developed symptoms also 24 hours later: fussy, crying, decreased appetite.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: breakthrough COVID-19 case
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Vomiting
Clinical narrative: Shortness of breath on exertion, emesis
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Tinnitus
Clinical narrative: Worsening tinnitus. Louder, buzzier, now constant.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaemia, Blood test, Chest X-ray, Computerised tomogram, Electrocardiogram
Clinical narrative: Symptomatic anemia, syncope event, suspected upper GI bleed secondary to NSAIDS, chronic headache following Covid infection.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Syncope, Transfusion, X-ray with contrast upper gastrointestinal tract
Clinical narrative: Symptomatic anemia, syncope event, suspected upper GI bleed secondary to NSAIDS, chronic headache following Covid infection.
Age: 74.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Burning sensation, Myalgia
Clinical narrative: Patient reported onset of  muscle soreness and pain at the top of her shoulders about 10-14 days after injection. Her right arm was burning for approximately 7 days, then this sensation shifted into the sternum area and into left arm. She went to the doctor and they examined her for bursitis and decided she did not have bursitis.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Paraesthesia, Paraesthesia oral
Clinical narrative: Numbness and tingling of bilateral arms started after vaccination Numbness and tingling of right side of face and mouth 2 days after vaccination
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Crying, Dizziness, Dysstasia, Hyperhidrosis
Clinical narrative: Client presented to clinic for Janssen's COVID-19 vaccine with her husband. Client appeared anxious and had multiple questions about the safety and efficacy of the vaccine prior to administration. Client stated she was being required to have the vaccine and was not happy about it and was very nervous. Client cried briefly and reported that her heart rate felt 'fast' due to anxiety. Client ceased crying, reported that her questions were answered, and consented to the vaccine. COVID-19 Janssen was administered at 10:25am. At 10:28am, client reported feeling dizzy, lightheaded, nauseous and was visibly pale and diaphoretic. Client was lowered safely to the ground with the help of her husband. Within 20 seconds, the client began to feel better and pallor had diminished. Client reported that she had passed out during a blood draw previously, but never problems with vaccine. Client slowly resumed a sitting position and returned to a chair. Client declined juice, but drank water and reported feeling much better. At about 10:38, client again felt faint, was pale and diaphoretic and was lowered to the ground. Client stated that the muscles in her neck, near her throat, felt tight, but anxiety related. Client denied problems breathing or sensation of swelling in throat or mouth. No hives were present. Client was given a cold compress, snack and juice and reported that the tight muscles in her neck had gone away. Client reported feeling better and resumed sitting in chair. Client was making conversation, but at about 10:55am, client reported feeling faint and was moved to the ground. At this time, additional nursing staff were called in. Client reported that the tightness in her neck had returned and she was still feeling lightheaded. Client denied symptoms of anaphylaxis, reported no problems breathing. Informed the client's husband that we advised EMS services due to delayed recovery. The client began to cry and shake uncontrollably. Monitored the client on the ground while we called 911 at 11:00am. EMS arrived at 11:05am and assessed the client for about 15 minutes. Vital signs and EKG were all normal. No signs of anaphylaxis. Client continued to feel dizzy, appeared diaphoretic and pale, and could not stop shaking. Client was advised to seek medical treatment as a precaution and to be monitored. Client was unable to stand unassisted due to lightheadedness when standing. Client was transported via ambulance to Hospital.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle tightness, Nausea, Pallor, Tremor
Clinical narrative: Client presented to clinic for Janssen's COVID-19 vaccine with her husband. Client appeared anxious and had multiple questions about the safety and efficacy of the vaccine prior to administration. Client stated she was being required to have the vaccine and was not happy about it and was very nervous. Client cried briefly and reported that her heart rate felt 'fast' due to anxiety. Client ceased crying, reported that her questions were answered, and consented to the vaccine. COVID-19 Janssen was administered at 10:25am. At 10:28am, client reported feeling dizzy, lightheaded, nauseous and was visibly pale and diaphoretic. Client was lowered safely to the ground with the help of her husband. Within 20 seconds, the client began to feel better and pallor had diminished. Client reported that she had passed out during a blood draw previously, but never problems with vaccine. Client slowly resumed a sitting position and returned to a chair. Client declined juice, but drank water and reported feeling much better. At about 10:38, client again felt faint, was pale and diaphoretic and was lowered to the ground. Client stated that the muscles in her neck, near her throat, felt tight, but anxiety related. Client denied problems breathing or sensation of swelling in throat or mouth. No hives were present. Client was given a cold compress, snack and juice and reported that the tight muscles in her neck had gone away. Client reported feeling better and resumed sitting in chair. Client was making conversation, but at about 10:55am, client reported feeling faint and was moved to the ground. At this time, additional nursing staff were called in. Client reported that the tightness in her neck had returned and she was still feeling lightheaded. Client denied symptoms of anaphylaxis, reported no problems breathing. Informed the client's husband that we advised EMS services due to delayed recovery. The client began to cry and shake uncontrollably. Monitored the client on the ground while we called 911 at 11:00am. EMS arrived at 11:05am and assessed the client for about 15 minutes. Vital signs and EKG were all normal. No signs of anaphylaxis. Client continued to feel dizzy, appeared diaphoretic and pale, and could not stop shaking. Client was advised to seek medical treatment as a precaution and to be monitored. Client was unable to stand unassisted due to lightheadedness when standing. Client was transported via ambulance to Hospital.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angina pectoris, Arthralgia, Arthritis, Dyspepsia, Injection site pain
Clinical narrative: - Sore arm at the injection site followed by severe lymph nodes inflammation (right armpit & near the breast  & throat/neck areas) - Followed by all right side joints inflammation; pain in right side wrist, shoulder rotator, hip, knee, & ankle - Noted bit of heart pain, increased heart burn at night and an inability to manage breathing while performing cardio exercises like running & bicycling - A month after the 2nd vaccine, right side hip inflammation/pain & breathing issues remain  - Did not need visit the doctor due to lack trust in the medical community for being truthful about the side effects of the vaccine.  Also, possibility of their lack of knowledge.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymphadenitis, Respiratory disorder
Clinical narrative: - Sore arm at the injection site followed by severe lymph nodes inflammation (right armpit & near the breast  & throat/neck areas) - Followed by all right side joints inflammation; pain in right side wrist, shoulder rotator, hip, knee, & ankle - Noted bit of heart pain, increased heart burn at night and an inability to manage breathing while performing cardio exercises like running & bicycling - A month after the 2nd vaccine, right side hip inflammation/pain & breathing issues remain  - Did not need visit the doctor due to lack trust in the medical community for being truthful about the side effects of the vaccine.  Also, possibility of their lack of knowledge.
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anaemia, Blood folate normal, COVID-19, Condition aggravated, Cytopenia
Clinical narrative: Hospitalized;  COVID-19 positive (10.9.21);  Fully vaccinated Attending Physician: MD Date of Admission: 10/9/2021, Hospital Day: 5 Date of Discharge: 10/13/2021 PRESENTING PROBLEM: COVID-19 virus infection [U07.1] COVID-19 [U07.1] HOSPITAL COURSE: Patient is a 88 y.o. female with a history of chronic expressive aphasia secondary to TBI in 2018 as well as hypertension, B12 deficiency, chronic osteoarthritis with hip pain, who lives with her daughter and son-in-law.  At baseline the patient has expressive aphasia, but is able to understand speech and follow commands.  Patient is able to feed herself and is independent in her ADLs.  Patient's daughter reports that she had noted the patient to be panting yesterday, and also noted decreased appetite.  She also observed her mother to be sleeping most of the day yesterday.  Today she had an episode of explosive diarrhea with nausea and vomiting.  The patient did have C difficile in May of 2021, and because of her diarrhea she was brought to the emergency department. The patient nausea, vomiting and diarrhea slowly improved.  Likely due to COVID-19.  She was treated supportively.  Her diet was advanced and tolerated. Her diarrhea resolved. Hematology evaluated her due to her anemia and thrombocytopenia which they feel is reactive. Her folate and B12 levels were checked and were normal. SPEP pending. Patient will follow up with PCP. Daughter indicated that she is looking for a nursing home for the patient as her husband (daughter's) just had a heart attack and has hip pain and inability to take care of patient for too long. The patient will isolate until 10/19. PT/OT evaluated her and recommended home with assist. She was discharged with daughter to her home in the meantime in stable and improved condition.  Active Issues Requiring Follow-up Issue: covid infection Recommended follow-up provider/specialty: pcp for cytopenias What is needed: CBC, possible hematology referral if does not resolve (hematology felt that this is reactive due to covid)
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Decreased appetite, Diarrhoea, Electrophoresis protein, Hypersomnia, Nausea
Clinical narrative: Hospitalized;  COVID-19 positive (10.9.21);  Fully vaccinated Attending Physician: MD Date of Admission: 10/9/2021, Hospital Day: 5 Date of Discharge: 10/13/2021 PRESENTING PROBLEM: COVID-19 virus infection [U07.1] COVID-19 [U07.1] HOSPITAL COURSE: Patient is a 88 y.o. female with a history of chronic expressive aphasia secondary to TBI in 2018 as well as hypertension, B12 deficiency, chronic osteoarthritis with hip pain, who lives with her daughter and son-in-law.  At baseline the patient has expressive aphasia, but is able to understand speech and follow commands.  Patient is able to feed herself and is independent in her ADLs.  Patient's daughter reports that she had noted the patient to be panting yesterday, and also noted decreased appetite.  She also observed her mother to be sleeping most of the day yesterday.  Today she had an episode of explosive diarrhea with nausea and vomiting.  The patient did have C difficile in May of 2021, and because of her diarrhea she was brought to the emergency department. The patient nausea, vomiting and diarrhea slowly improved.  Likely due to COVID-19.  She was treated supportively.  Her diet was advanced and tolerated. Her diarrhea resolved. Hematology evaluated her due to her anemia and thrombocytopenia which they feel is reactive. Her folate and B12 levels were checked and were normal. SPEP pending. Patient will follow up with PCP. Daughter indicated that she is looking for a nursing home for the patient as her husband (daughter's) just had a heart attack and has hip pain and inability to take care of patient for too long. The patient will isolate until 10/19. PT/OT evaluated her and recommended home with assist. She was discharged with daughter to her home in the meantime in stable and improved condition.  Active Issues Requiring Follow-up Issue: covid infection Recommended follow-up provider/specialty: pcp for cytopenias What is needed: CBC, possible hematology referral if does not resolve (hematology felt that this is reactive due to covid)
Age: 88.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiration abnormal, SARS-CoV-2 test positive, Vitamin B12 normal, Vomiting
Clinical narrative: Hospitalized;  COVID-19 positive (10.9.21);  Fully vaccinated Attending Physician: MD Date of Admission: 10/9/2021, Hospital Day: 5 Date of Discharge: 10/13/2021 PRESENTING PROBLEM: COVID-19 virus infection [U07.1] COVID-19 [U07.1] HOSPITAL COURSE: Patient is a 88 y.o. female with a history of chronic expressive aphasia secondary to TBI in 2018 as well as hypertension, B12 deficiency, chronic osteoarthritis with hip pain, who lives with her daughter and son-in-law.  At baseline the patient has expressive aphasia, but is able to understand speech and follow commands.  Patient is able to feed herself and is independent in her ADLs.  Patient's daughter reports that she had noted the patient to be panting yesterday, and also noted decreased appetite.  She also observed her mother to be sleeping most of the day yesterday.  Today she had an episode of explosive diarrhea with nausea and vomiting.  The patient did have C difficile in May of 2021, and because of her diarrhea she was brought to the emergency department. The patient nausea, vomiting and diarrhea slowly improved.  Likely due to COVID-19.  She was treated supportively.  Her diet was advanced and tolerated. Her diarrhea resolved. Hematology evaluated her due to her anemia and thrombocytopenia which they feel is reactive. Her folate and B12 levels were checked and were normal. SPEP pending. Patient will follow up with PCP. Daughter indicated that she is looking for a nursing home for the patient as her husband (daughter's) just had a heart attack and has hip pain and inability to take care of patient for too long. The patient will isolate until 10/19. PT/OT evaluated her and recommended home with assist. She was discharged with daughter to her home in the meantime in stable and improved condition.  Active Issues Requiring Follow-up Issue: covid infection Recommended follow-up provider/specialty: pcp for cytopenias What is needed: CBC, possible hematology referral if does not resolve (hematology felt that this is reactive due to covid)
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest discomfort, Deafness unilateral, Diarrhoea, Ear discomfort
Clinical narrative: In 30 minutes my ear plugged completely and my nose started running. I had fatigue, and the next day on the 2nd of October i had the worse Diarrhea  and nausea symptoms of my life. I had a heart rate bellow 50 and its very abnormal. My heart rate is usually fast. I got tighten of chest and chest pressure. On day 4 my ear that had gotten plugged caught an infection and I lost hearing and i got a loud ringing that hasn't been resolved . This was on my left ear,  I'm currently on Dexamethasone to try to resolve it.  My chest pressure feels like a swollen feeling but it comes and goes.  I felt vascular headache pain as if it was my veins hurting and they would come as go. My menstrual cycle has not started on time.  I have been instructed by the doctor to not take the second dose.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Ear infection, Fatigue, Headache, Heart rate abnormal, Menstruation delayed
Clinical narrative: In 30 minutes my ear plugged completely and my nose started running. I had fatigue, and the next day on the 2nd of October i had the worse Diarrhea  and nausea symptoms of my life. I had a heart rate bellow 50 and its very abnormal. My heart rate is usually fast. I got tighten of chest and chest pressure. On day 4 my ear that had gotten plugged caught an infection and I lost hearing and i got a loud ringing that hasn't been resolved . This was on my left ear,  I'm currently on Dexamethasone to try to resolve it.  My chest pressure feels like a swollen feeling but it comes and goes.  I felt vascular headache pain as if it was my veins hurting and they would come as go. My menstrual cycle has not started on time.  I have been instructed by the doctor to not take the second dose.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Rhinorrhoea, Tinnitus
Clinical narrative: In 30 minutes my ear plugged completely and my nose started running. I had fatigue, and the next day on the 2nd of October i had the worse Diarrhea  and nausea symptoms of my life. I had a heart rate bellow 50 and its very abnormal. My heart rate is usually fast. I got tighten of chest and chest pressure. On day 4 my ear that had gotten plugged caught an infection and I lost hearing and i got a loud ringing that hasn't been resolved . This was on my left ear,  I'm currently on Dexamethasone to try to resolve it.  My chest pressure feels like a swollen feeling but it comes and goes.  I felt vascular headache pain as if it was my veins hurting and they would come as go. My menstrual cycle has not started on time.  I have been instructed by the doctor to not take the second dose.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Autoimmune haemolytic anaemia, Bilirubin conjugated, Blood bilirubin, Blood lactate dehydrogenase increased, Coombs test positive
Clinical narrative: severe autoimmune hemolytic anemia receiving prednisone, rituximab and transfusions still hospitalized
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Haptoglobin decreased, Reticulocyte count decreased, Transfusion
Clinical narrative: severe autoimmune hemolytic anemia receiving prednisone, rituximab and transfusions still hospitalized
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient admitted to hospital with COVID after receiving vaccine series
Age: 36.0
Sex: F
Vaccine: UNK
Symptoms: Chest pain, Dyspnoea, Palpitations
Clinical narrative: Chest pain  Shortness of breath Feeling of having a fast beating  Pounding heart
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiomyopathy, Coronary artery thrombosis, Death, Dyspnoea, Ejection fraction decreased
Clinical narrative: Patietn recived J & J vaccine early August and within 2 weeks became SOB. He presented to Medical center after syncopal episode and had acute thrombosis of RCA on 9/25 /21 . He underwent PCI and thrombectomy . He was noted to have Cardiomyopathy at this time with EF < 20% . Several hours later while in the ICU he had siexzure followed by PEA arrest with ABG Po2 28 ( presumed pulmonary embolus ) and was pronounced dead at that time
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Intensive care, PO2 decreased, Percutaneous coronary intervention, Pulmonary embolism, Pulseless electrical activity
Clinical narrative: Patietn recived J & J vaccine early August and within 2 weeks became SOB. He presented to Medical center after syncopal episode and had acute thrombosis of RCA on 9/25 /21 . He underwent PCI and thrombectomy . He was noted to have Cardiomyopathy at this time with EF < 20% . Several hours later while in the ICU he had siexzure followed by PEA arrest with ABG Po2 28 ( presumed pulmonary embolus ) and was pronounced dead at that time
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure, Syncope, Thrombectomy
Clinical narrative: Patietn recived J & J vaccine early August and within 2 weeks became SOB. He presented to Medical center after syncopal episode and had acute thrombosis of RCA on 9/25 /21 . He underwent PCI and thrombectomy . He was noted to have Cardiomyopathy at this time with EF < 20% . Several hours later while in the ICU he had siexzure followed by PEA arrest with ABG Po2 28 ( presumed pulmonary embolus ) and was pronounced dead at that time
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: Cough, nasal drainage
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Nausea, Sensation of foreign body
Clinical narrative: Patient was feeling nauseous. Felt stabbing pain in her stomach. Felt lump in her throat.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Lymph node pain, Lymphadenopathy
Clinical narrative: Patient was added into the schedule this morning due to painful swelling and warm to touch feeling of her L Axilla. Patient did receive her COVID booster on 10/15/2021 and her symptoms became present on 10/16/21 however she is unsure if it is a reaction to the booster or not. Nodule is approximatley the size of a baseball. She does have pain w/ movement.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Tested positive for COVID 10/15/21 after being fully vaccinated.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Obstructive airways disorder, Productive cough
Clinical narrative: At 72+ hours post injection I began coughing. Coughing has persisted with clear sputum. This has required continued use of an Albuterol   inhailer  to clear airway Cough persists!
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Blood glucose normal, Facial paralysis
Clinical narrative: I was diagnosed with Bells Palsy  on the right side of my face. - September 29th, 2021 at ER . I am reporting that change in my health - currently no change in symptoms since that time. My Primary care doctor confirmed the diagnosis in a follow up appt. On a treatment plan now of various medications - some have changed by this point. I have complete facial paralysis on the whole right side of face.  Those symptoms started the evening Sept 28th.  Note: I had a flu vaccine on Sunday, September 26th, 2021  - injection on my left arm - prior to the third dose of COVID - . I had the 3rd dose of COVID on October 4th -  (after I had the Bells Palsy symptoms begin).
Age: 72.0
Sex: F
Vaccine: FLU4
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given an expired vaccine. Vaccine that was administered was for the 2020-2021 Flu Season. No adverse reaction occured. Patient has been informed that she will need to be re-vaccinated.
Age: 6.0
Sex: M
Vaccine: FLU4
Symptoms: Rash
Clinical narrative: rash
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: PATIENT ADMITTED TO THE HOSPITAL FOR COVID AFTER RECEIVING BOTH VACCINATIONS
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Fatigue
Clinical narrative: Pt. states that after receiving the 2nd dose of Moderna 09/07/2021, started experiencing symptoms 09/27/2021 of loss of hair (thinning) and  fatigue.  No noted Primary visit/communications. Still continuing to experience symptoms.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Mobility decreased, Physical examination, Scoliosis, X-ray
Clinical narrative: Severe lower back pain with loss of normal range of motion, physical therapy, substantially healed 2 months later.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Breast mass, Fatigue, Headache, Sleep deficit
Clinical narrative: Lump on breast!!!!!!  ? fatigue .. constant headache ? sleep deprivation . This shot is a disease
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Computerised tomogram, Echocardiogram, Eyelid disorder, Facial paralysis
Clinical narrative: Presented to ED on 10/13 - CC right facial numbness and weakness which he noted over the last 2 days. Saw ophthalmologist 10/12-had R facial drooping and difficulty closing right eye lid. Evidence of cranial nerve VII palsy on physical exam. MRI negative for CVA. Dx with Bell's Palsy - started on prednisone and valacyclovir as treatment.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Facial paresis, Hypoaesthesia, Magnetic resonance imaging normal
Clinical narrative: Presented to ED on 10/13 - CC right facial numbness and weakness which he noted over the last 2 days. Saw ophthalmologist 10/12-had R facial drooping and difficulty closing right eye lid. Evidence of cranial nerve VII palsy on physical exam. MRI negative for CVA. Dx with Bell's Palsy - started on prednisone and valacyclovir as treatment.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Facial paralysis, Speech disorder
Clinical narrative: Presented to ED on 10/13 - CC right facial numbness and weakness which he noted over the last 2 days. Saw ophthalmologist 10/12-had R facial drooping and difficulty closing right eye lid. Evidence of cranial nerve VII palsy on physical exam. MRI negative for CVA. Dx with Bell's Palsy - started on prednisone and valacyclovir as treatment.
Age: 47.0
Sex: F
Vaccine: FLUC4
Symptoms: Chills, Dizziness, Feeling cold
Clinical narrative: About an hour after the vaccine was administered the patient began to feel light-headed and dizzy, the pt became cold and started to shiver. Patient was responsive the enitre time, and was able to talk with the staff. EMS was called and the patient was taken to the hospital. Prior to the injection the patient confirmed that they have never had an adverse reaction to the influenza vaccine in the past and they confirmed that they were not allergic to any reagents in the vaccine.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Extra dose administered, Injection site discomfort, Injection site pain, Pyrexia
Clinical narrative: Burning and pressuring sensation at the needle area, and feverish weakness all day
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Polymenorrhoea
Clinical narrative: Since this summer, my periods cycle are getting shorter and shorter.  Instead of 28 days cycle, I have now less than 20 days. I couldn't understand why was this happening, but  after talking to other woman, I am pretty sure that is a side effect of vaccines.  It started gradually and it's getting worse.  I haven't visit a doctor yet, I am trying some vitamins and collagen for now.  If nothing will help, I would go to see a doctor.