chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Sacral pain, Skin warm, Throat tightness, Upper motor neurone lesion
Clinical narrative: Immediate ache in Left arm with some nerve tingling into fingertips 2-4. 8/21/21 woke with full body ache and fatigue. Aching pain in all joints predominantly settling in both hips and SI joints. Fatigue progressed all day. headache developed by 6 pm. Experienced mild nausea with each meal. 8/22/21 - Ache at injection sight persisted. Mild stomach ache with first meal. 4 pm notice  involuntary mild flexor contraction (UMN lesion) of Left shoulder, elbow and wrist with internal rotation. 6pm mild constriction in throat leading to cough when eating. Insomnia. 8/23/21 Mild nausea with all meals. Light headed and dizzy when moving from sitting to standing. Warm/ clammy - temperature 99.1. Left shoulder contraction continues. 8/24/21 Moderate anxiety, continued "hot flashes" of 99.1 throughout the day. Left shoulder contraction. Loss of hearing due to feeling of fullness in both ears.  8/25/21 No sensation of hunger or desire to eat. Difficulty with focusing eyes. Left neck contracture, continued Left shoulder contracture. Continued hot flashes (99.4), IBS- like stomach flare with diarrhea. 8/26/21 No sensation of hunger or desire to eat. Period began 3 days early with severe cramping (atypical for me). 8/27/21 No sensation of hunger or desire to eat. Increased constriction in throat and irritation on tongue. Uncontrolled left cervical rotation. Neck pain and imbalance. Began leaning and falling to the left.  Symptoms continued as above until 9/5/21 Severe Nausea and IBS. No sensation of hunger or desire to eat. 9/8/21 Complete drop of Vestibular Ocular reflex in all directions. I experience quick bouts of dizziness every 5-10 min in any direction independent of movement or body position. Motion sickness (I have no history of motion sickness prior), fatigue, No sensation of hunger or desire to eat.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: Immediate ache in Left arm with some nerve tingling into fingertips 2-4. 8/21/21 woke with full body ache and fatigue. Aching pain in all joints predominantly settling in both hips and SI joints. Fatigue progressed all day. headache developed by 6 pm. Experienced mild nausea with each meal. 8/22/21 - Ache at injection sight persisted. Mild stomach ache with first meal. 4 pm notice  involuntary mild flexor contraction (UMN lesion) of Left shoulder, elbow and wrist with internal rotation. 6pm mild constriction in throat leading to cough when eating. Insomnia. 8/23/21 Mild nausea with all meals. Light headed and dizzy when moving from sitting to standing. Warm/ clammy - temperature 99.1. Left shoulder contraction continues. 8/24/21 Moderate anxiety, continued "hot flashes" of 99.1 throughout the day. Left shoulder contraction. Loss of hearing due to feeling of fullness in both ears.  8/25/21 No sensation of hunger or desire to eat. Difficulty with focusing eyes. Left neck contracture, continued Left shoulder contracture. Continued hot flashes (99.4), IBS- like stomach flare with diarrhea. 8/26/21 No sensation of hunger or desire to eat. Period began 3 days early with severe cramping (atypical for me). 8/27/21 No sensation of hunger or desire to eat. Increased constriction in throat and irritation on tongue. Uncontrolled left cervical rotation. Neck pain and imbalance. Began leaning and falling to the left.  Symptoms continued as above until 9/5/21 Severe Nausea and IBS. No sensation of hunger or desire to eat. 9/8/21 Complete drop of Vestibular Ocular reflex in all directions. I experience quick bouts of dizziness every 5-10 min in any direction independent of movement or body position. Motion sickness (I have no history of motion sickness prior), fatigue, No sensation of hunger or desire to eat.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Ear swelling, Pyrexia, Swelling face, Urticaria
Clinical narrative: AT night on 9/13/21 I experienced fever and some hives on my right temple. I took 400 mg of ibuprofen. The next night 9/14/21 I experienced fever again, took 400mg ibuprofen  and this time my whole right side of my face and two ears were swollen.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Coordination abnormal, Gait inability, Pyrexia
Clinical narrative: I am not complaining, but maybe my report might help someone else who gets a high fever. That is, if you can figure out what to offer people who get fevers. I could find no information on what to do. Only that the effects of Ibuprofen, Tylenol, etc. on the covid vaccine in preventing a fever were unknown. That implies that the effects on treating an actual fever are also unknown by you. I did not want to dampen the effect of the covid vaccine, so I let myself have a fever.  It was 103.1 at 10 am. I did not feel too bad so I drove my son back from (privacy). At that time my fever was 104.1.  I tried to get out of the car and stretch before driving back home, but I found to my surprise, I could not walk. I did not have the coordination to put one foot in front of the other. I managed, maybe, 20 steps out, but I am sure people thought I was inebriated. I went back to my car and rested awhile. My temperature came back down to the 103's, and I drove back home. By the next morning I had no fever and felt pretty well. (Maybe if other people have fallen and died after a covid vaccine, you should check. Maybe it was because they had a high fever and couldn't walk, not just a plain fall ?). I will still be happy to get the booster vaccine if I need it.
Age: 37.0
Sex: F
Vaccine: UNK
Symptoms: Headache, Migraine, Mobility decreased
Clinical narrative: Major migraines and headaches. Can't get up.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Nausea, Pharyngeal swelling, Tachycardia, Tremor
Clinical narrative: Pt c/o feeling like "throat swelling" and difficult to swallow approx 5 min after receiving vaccine. Also c/o nausea, tachycardia and shaking.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Pyrexia
Clinical narrative: low grade fever (200 degrees), sever back pain
Age: 36.0
Sex: M
Vaccine: TYP
Symptoms: Rash
Clinical narrative: PT into Medical Inprocessing Clinic today with reports of bilat upper extremity rash to include trunk. PT received Typhoid series dose #5 (May 2018 last updated), on Sep 14, 2021. PT at time vaccination denied prior adverse reactions to previous Typhoid. PT also denied current illness to include skin rashes at the time of vaccination. PT vital signs were stable, PT vaccinated with Typhoid without immediate reaction. PT left Medical Inprocessing clinic ambulatory. Upon return on Sep 15, PT was referred to our clinic PA for evaluation. PT was referred to his TMC,  Health Clinic to see his PCM or ER if he begins with increased symptoms. PT immunzation records were were updated to reflect Medical Permanent exemption to Typhoid vaccinations.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Blindness transient, Blindness unilateral, Blood cholesterol increased, Blood test abnormal, Computerised tomogram head
Clinical narrative: The adverse event I had was on March 31, 2021. I had temporary loss of vision in my right eye. It went all black and then grey and then it gradually just cleared up after a period of one to two minutes. I went to a number of doctors to see what may have caused it and they did not know. I went to an eye doctor, a cardiologist and a specialist. The Cardiologist ruled out a stroke. All tests came back fine and there was no conclusive result. I also saw a neurologist. August 6th, 2021, I also had another episode of partial vision loss in the right eye and then August 30th I had more of a blurry vision episode.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Electroencephalogram normal, Lumbar puncture, Nerve stimulation test normal, Neurological examination
Clinical narrative: The adverse event I had was on March 31, 2021. I had temporary loss of vision in my right eye. It went all black and then grey and then it gradually just cleared up after a period of one to two minutes. I went to a number of doctors to see what may have caused it and they did not know. I went to an eye doctor, a cardiologist and a specialist. The Cardiologist ruled out a stroke. All tests came back fine and there was no conclusive result. I also saw a neurologist. August 6th, 2021, I also had another episode of partial vision loss in the right eye and then August 30th I had more of a blurry vision episode.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count decreased, Vision blurred
Clinical narrative: The adverse event I had was on March 31, 2021. I had temporary loss of vision in my right eye. It went all black and then grey and then it gradually just cleared up after a period of one to two minutes. I went to a number of doctors to see what may have caused it and they did not know. I went to an eye doctor, a cardiologist and a specialist. The Cardiologist ruled out a stroke. All tests came back fine and there was no conclusive result. I also saw a neurologist. August 6th, 2021, I also had another episode of partial vision loss in the right eye and then August 30th I had more of a blurry vision episode.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The adverse event was that an expired Janssen COVID-19 Vaccine has been administered to the patient. There were no adverse event, symptoms or any health related issues regarding the patient after the vaccine dose was given. Only that the vaccine has been given after the expiration date, nothing else.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Basal ganglia stroke, Dysarthria, Hemiparesis, Hypoaesthesia, Incoherent
Clinical narrative: Basal ganglia stroke.  "Patient is a 54 year-old lady with history of HTN, pre-diabetes, and COPD who is presenting to ER for evaluation of new onset right-sided weakness. She reports she was in her normal state of health around 10PM yesterday when she went to bed. She woke up around midnight (12AM, 2 hours later) and felt like she had weakness on the right side of her body. She went back to sleep but when she woke up in the morning her symptoms persisted and she also felt numbness on the right side of her body. She also noted that her speech was not as coherent and she had slurring of words on the right side."
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: Basal ganglia stroke.  "Patient is a 54 year-old lady with history of HTN, pre-diabetes, and COPD who is presenting to ER for evaluation of new onset right-sided weakness. She reports she was in her normal state of health around 10PM yesterday when she went to bed. She woke up around midnight (12AM, 2 hours later) and felt like she had weakness on the right side of her body. She went back to sleep but when she woke up in the morning her symptoms persisted and she also felt numbness on the right side of her body. She also noted that her speech was not as coherent and she had slurring of words on the right side."
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Cough, Dyspnoea, Laboratory test, SARS-CoV-2 test
Clinical narrative: Pt came to ER c/o difficulty breathing and cough.  Onset 2 days prior.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dizziness, Headache, Injection site reaction, Pain in extremity
Clinical narrative: Adverse Events: Dizziness, Headache, Feeling of going to pass out around 9:00 PM, lack of appetite, very sore arm and small welps around injection site that spread all over body as weekend advanced Treatment: At home treatment of Tylenol (for head pain), Benadryl (for rash) and warm epsom salt bath (for rash)
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Adverse Events: Dizziness, Headache, Feeling of going to pass out around 9:00 PM, lack of appetite, very sore arm and small welps around injection site that spread all over body as weekend advanced Treatment: At home treatment of Tylenol (for head pain), Benadryl (for rash) and warm epsom salt bath (for rash)
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood glucose increased, C-reactive protein, COVID-19, COVID-19 pneumonia
Clinical narrative: Hospitalization;  COVID-19 positive (9.7.21);  fully vaccinated Admission Date: 9/7/2021 Discharge Date: 9/9/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID-19 virus detected Pneumonia due to COVID-19 virus  HOSPITAL COURSE: Patient is a 86 y.o. male with a history diabetes mellitus type 2 on metformin and Lantus as well as hypertension, mild dementia, depression, BPH, aortic stenosis, paroxysmal atrial fibrillation and glaucoma, who presented with upper respiratory congestion and fatigue.  Patient did have his 1st Moderna vaccination in February and received a 2nd vaccination on 03/20.  Patient reports that he had been doing well, until this past weekend when he had developed upper respiratory congestion with a sore throat.  He also reported fatigue and decreased appetite. Patient had mechanical falls at home an due to weakness and inability to get up independently EMS was called. In the ED patient was hypoxic requiring 2L NC and febrile. Complete blood count showed normal white count, with chest x-ray showing bilateral infiltrates.  COVID swab was positive.    Patient was started on decadron and remdesivir. He was weaned off oxygen and remained on room air for 24 hours. Fevers resolved and he was afebrile for 24 hours. CRP and Ddimer trended down. Patients glucose was elevated due to steroids. Discussed with patient and he adjusts his qhs lantus dose based on glucose at night. Discussed with patient to continue this and metformin. Discussed with patient to call PCP if glucose > 300. PT / OT recommended home with home healthcare. Will discharge patient home to continue another 6 days of decadron. Discussed with patient quarantine due to COVID positive status. Patient discharged home in stable condition with follow up with his PCP on 9/16. Patient was feeling well and eager to discharge home.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Condition aggravated, Decreased appetite, Dysstasia, Fall
Clinical narrative: Hospitalization;  COVID-19 positive (9.7.21);  fully vaccinated Admission Date: 9/7/2021 Discharge Date: 9/9/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID-19 virus detected Pneumonia due to COVID-19 virus  HOSPITAL COURSE: Patient is a 86 y.o. male with a history diabetes mellitus type 2 on metformin and Lantus as well as hypertension, mild dementia, depression, BPH, aortic stenosis, paroxysmal atrial fibrillation and glaucoma, who presented with upper respiratory congestion and fatigue.  Patient did have his 1st Moderna vaccination in February and received a 2nd vaccination on 03/20.  Patient reports that he had been doing well, until this past weekend when he had developed upper respiratory congestion with a sore throat.  He also reported fatigue and decreased appetite. Patient had mechanical falls at home an due to weakness and inability to get up independently EMS was called. In the ED patient was hypoxic requiring 2L NC and febrile. Complete blood count showed normal white count, with chest x-ray showing bilateral infiltrates.  COVID swab was positive.    Patient was started on decadron and remdesivir. He was weaned off oxygen and remained on room air for 24 hours. Fevers resolved and he was afebrile for 24 hours. CRP and Ddimer trended down. Patients glucose was elevated due to steroids. Discussed with patient and he adjusts his qhs lantus dose based on glucose at night. Discussed with patient to continue this and metformin. Discussed with patient to call PCP if glucose > 300. PT / OT recommended home with home healthcare. Will discharge patient home to continue another 6 days of decadron. Discussed with patient quarantine due to COVID positive status. Patient discharged home in stable condition with follow up with his PCP on 9/16. Patient was feeling well and eager to discharge home.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Fibrin D dimer, Full blood count normal, Hypoxia, Lung infiltration
Clinical narrative: Hospitalization;  COVID-19 positive (9.7.21);  fully vaccinated Admission Date: 9/7/2021 Discharge Date: 9/9/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID-19 virus detected Pneumonia due to COVID-19 virus  HOSPITAL COURSE: Patient is a 86 y.o. male with a history diabetes mellitus type 2 on metformin and Lantus as well as hypertension, mild dementia, depression, BPH, aortic stenosis, paroxysmal atrial fibrillation and glaucoma, who presented with upper respiratory congestion and fatigue.  Patient did have his 1st Moderna vaccination in February and received a 2nd vaccination on 03/20.  Patient reports that he had been doing well, until this past weekend when he had developed upper respiratory congestion with a sore throat.  He also reported fatigue and decreased appetite. Patient had mechanical falls at home an due to weakness and inability to get up independently EMS was called. In the ED patient was hypoxic requiring 2L NC and febrile. Complete blood count showed normal white count, with chest x-ray showing bilateral infiltrates.  COVID swab was positive.    Patient was started on decadron and remdesivir. He was weaned off oxygen and remained on room air for 24 hours. Fevers resolved and he was afebrile for 24 hours. CRP and Ddimer trended down. Patients glucose was elevated due to steroids. Discussed with patient and he adjusts his qhs lantus dose based on glucose at night. Discussed with patient to continue this and metformin. Discussed with patient to call PCP if glucose > 300. PT / OT recommended home with home healthcare. Will discharge patient home to continue another 6 days of decadron. Discussed with patient quarantine due to COVID positive status. Patient discharged home in stable condition with follow up with his PCP on 9/16. Patient was feeling well and eager to discharge home.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive, Upper respiratory tract congestion
Clinical narrative: Hospitalization;  COVID-19 positive (9.7.21);  fully vaccinated Admission Date: 9/7/2021 Discharge Date: 9/9/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID-19 virus detected Pneumonia due to COVID-19 virus  HOSPITAL COURSE: Patient is a 86 y.o. male with a history diabetes mellitus type 2 on metformin and Lantus as well as hypertension, mild dementia, depression, BPH, aortic stenosis, paroxysmal atrial fibrillation and glaucoma, who presented with upper respiratory congestion and fatigue.  Patient did have his 1st Moderna vaccination in February and received a 2nd vaccination on 03/20.  Patient reports that he had been doing well, until this past weekend when he had developed upper respiratory congestion with a sore throat.  He also reported fatigue and decreased appetite. Patient had mechanical falls at home an due to weakness and inability to get up independently EMS was called. In the ED patient was hypoxic requiring 2L NC and febrile. Complete blood count showed normal white count, with chest x-ray showing bilateral infiltrates.  COVID swab was positive.    Patient was started on decadron and remdesivir. He was weaned off oxygen and remained on room air for 24 hours. Fevers resolved and he was afebrile for 24 hours. CRP and Ddimer trended down. Patients glucose was elevated due to steroids. Discussed with patient and he adjusts his qhs lantus dose based on glucose at night. Discussed with patient to continue this and metformin. Discussed with patient to call PCP if glucose > 300. PT / OT recommended home with home healthcare. Will discharge patient home to continue another 6 days of decadron. Discussed with patient quarantine due to COVID positive status. Patient discharged home in stable condition with follow up with his PCP on 9/16. Patient was feeling well and eager to discharge home.
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: Hospitalization;  COVID-19 positive (9.7.21);  fully vaccinated Admission Date: 9/7/2021 Discharge Date: 9/9/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: COVID-19 virus detected Pneumonia due to COVID-19 virus  HOSPITAL COURSE: Patient is a 86 y.o. male with a history diabetes mellitus type 2 on metformin and Lantus as well as hypertension, mild dementia, depression, BPH, aortic stenosis, paroxysmal atrial fibrillation and glaucoma, who presented with upper respiratory congestion and fatigue.  Patient did have his 1st Moderna vaccination in February and received a 2nd vaccination on 03/20.  Patient reports that he had been doing well, until this past weekend when he had developed upper respiratory congestion with a sore throat.  He also reported fatigue and decreased appetite. Patient had mechanical falls at home an due to weakness and inability to get up independently EMS was called. In the ED patient was hypoxic requiring 2L NC and febrile. Complete blood count showed normal white count, with chest x-ray showing bilateral infiltrates.  COVID swab was positive.    Patient was started on decadron and remdesivir. He was weaned off oxygen and remained on room air for 24 hours. Fevers resolved and he was afebrile for 24 hours. CRP and Ddimer trended down. Patients glucose was elevated due to steroids. Discussed with patient and he adjusts his qhs lantus dose based on glucose at night. Discussed with patient to continue this and metformin. Discussed with patient to call PCP if glucose > 300. PT / OT recommended home with home healthcare. Will discharge patient home to continue another 6 days of decadron. Discussed with patient quarantine due to COVID positive status. Patient discharged home in stable condition with follow up with his PCP on 9/16. Patient was feeling well and eager to discharge home.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Computerised tomogram thorax abnormal, Dyspnoea, Pulmonary embolism
Clinical narrative: Pt received the 3rd Covid vaccine on 9/8 and on 9/10 started having shortness of breath and chest tightness. She continued to have these symptoms and presented to our emergency department on 9/14 and was found to have an acute, large saddle pulmonary embolism.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis, Fatigue, Malaise, Myalgia
Clinical narrative: left sided facial paralysis/Bells palsy within hours of receiving 2nd dosage of COVID -19 vaccine. Had symptoms of feeling unwell, fatigued, myalgia etc with 1st dosage lasting for 3-4 days
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Impaired work ability, Polymenorrhoea
Clinical narrative: Period: Heavy bleeding, debilitating cramps, 10 days early, had to stay home from work. Normally: regular intervals in between cycles, light to moderate to light bleeding with little to no cramping. I've never stayed home from work for a period.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy, Pyrexia
Clinical narrative: High fever initially observed at 101 F and trending up to 103.8 F by the end of the day.  Significant lymph node swelling the following day with a mild fever.  No fever the third day, and reduced lymph node swelling.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy, Blood test, Computerised tomogram, Culture stool, Diarrhoea
Clinical narrative: Headache, Diarrhea, vomiting, Diarrhea  started  06/17/21 and was severe for 3 weeks. Still have diarrhea  2-3  days a week. Sometimes 10 times a day. I have lost 25 pounds.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Echocardiogram, Electrocardiogram, Endoscopy upper gastrointestinal tract, Headache, SARS-CoV-2 test
Clinical narrative: Headache, Diarrhea, vomiting, Diarrhea  started  06/17/21 and was severe for 3 weeks. Still have diarrhea  2-3  days a week. Sometimes 10 times a day. I have lost 25 pounds.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis, Vomiting, Weight decreased
Clinical narrative: Headache, Diarrhea, vomiting, Diarrhea  started  06/17/21 and was severe for 3 weeks. Still have diarrhea  2-3  days a week. Sometimes 10 times a day. I have lost 25 pounds.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cardiac telemetry, Chest discomfort, Chest pain, Extrasystoles, Headache
Clinical narrative: Pt received 2nd dose in series 9/10/21 and felt drowsy that day. On 9/11/21 patient reported lying on stomach all day and development of sharp chest pain covering his whole chest that lasted throughout the day. On 9/12 the patient was no longer experiencing chest pain, but experiencing profuse sweating. On 9/13 the patient awoke with headache in the back of the head and back of teeth, chest discomfort, and feeling of heart skipping beats. Later that day he reported to an urgent care and was referred to the local hospital. At the hospital he presented with non-radiating midsternal constant stabbing pain that worsens when taking breaths. Patient admitted for close cardiac monitoring:  Cardiology consult, placed on continuous telemetry monitoring and started on aspirin, colchicine, and supportive therapy.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hyperhidrosis, Painful respiration, Somnolence, Toothache, Troponin increased
Clinical narrative: Pt received 2nd dose in series 9/10/21 and felt drowsy that day. On 9/11/21 patient reported lying on stomach all day and development of sharp chest pain covering his whole chest that lasted throughout the day. On 9/12 the patient was no longer experiencing chest pain, but experiencing profuse sweating. On 9/13 the patient awoke with headache in the back of the head and back of teeth, chest discomfort, and feeling of heart skipping beats. Later that day he reported to an urgent care and was referred to the local hospital. At the hospital he presented with non-radiating midsternal constant stabbing pain that worsens when taking breaths. Patient admitted for close cardiac monitoring:  Cardiology consult, placed on continuous telemetry monitoring and started on aspirin, colchicine, and supportive therapy.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: C-reactive protein, Chest pain, Dyspnoea, Echocardiogram, Fatigue
Clinical narrative: Pt received 2nd dose in series 9/10/21 and felt drowsy that day. On 9/11/21 patient reported lying on stomach all day and development of sharp chest pain covering his whole chest that lasted throughout the day. On 9/12 the patient was no longer experiencing chest pain, but experiencing profuse sweating. On 9/13 the patient awoke with headache in the back of the head and back of teeth, chest discomfort, and feeling of heart skipping beats. Later that day he reported to an urgent care and was referred to the local hospital. At the hospital he presented with non-radiating midsternal constant stabbing pain that worsens when taking breaths. Patient admitted for close cardiac monitoring:  Cardiology consult, placed on continuous telemetry monitoring and started on aspirin, colchicine, and supportive therapy.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fibrin D dimer, Full blood count, Metabolic function test, Procalcitonin, Red blood cell sedimentation rate
Clinical narrative: Pt received 2nd dose in series 9/10/21 and felt drowsy that day. On 9/11/21 patient reported lying on stomach all day and development of sharp chest pain covering his whole chest that lasted throughout the day. On 9/12 the patient was no longer experiencing chest pain, but experiencing profuse sweating. On 9/13 the patient awoke with headache in the back of the head and back of teeth, chest discomfort, and feeling of heart skipping beats. Later that day he reported to an urgent care and was referred to the local hospital. At the hospital he presented with non-radiating midsternal constant stabbing pain that worsens when taking breaths. Patient admitted for close cardiac monitoring:  Cardiology consult, placed on continuous telemetry monitoring and started on aspirin, colchicine, and supportive therapy.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Respiratory viral panel, Serum ferritin, Viral test
Clinical narrative: Pt received 2nd dose in series 9/10/21 and felt drowsy that day. On 9/11/21 patient reported lying on stomach all day and development of sharp chest pain covering his whole chest that lasted throughout the day. On 9/12 the patient was no longer experiencing chest pain, but experiencing profuse sweating. On 9/13 the patient awoke with headache in the back of the head and back of teeth, chest discomfort, and feeling of heart skipping beats. Later that day he reported to an urgent care and was referred to the local hospital. At the hospital he presented with non-radiating midsternal constant stabbing pain that worsens when taking breaths. Patient admitted for close cardiac monitoring:  Cardiology consult, placed on continuous telemetry monitoring and started on aspirin, colchicine, and supportive therapy.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cardiac telemetry, Chest discomfort, Chest pain, Extrasystoles, Headache
Clinical narrative: Fatigue,Chest pain,Dyspnea.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hyperhidrosis, Painful respiration, Somnolence, Toothache, Troponin increased
Clinical narrative: Fatigue,Chest pain,Dyspnea.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: C-reactive protein, Chest pain, Dyspnoea, Echocardiogram, Fatigue
Clinical narrative: Fatigue,Chest pain,Dyspnea.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fibrin D dimer, Full blood count, Metabolic function test, Procalcitonin, Red blood cell sedimentation rate
Clinical narrative: Fatigue,Chest pain,Dyspnea.
Age: 18.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Respiratory viral panel, Serum ferritin, Viral test
Clinical narrative: Fatigue,Chest pain,Dyspnea.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash pruritic
Clinical narrative: Two weeks after vaccine I Had a late onset  rash that  traveled within time started on my ankles, then behind knees and back of thighs and inner thighs, then to lower and upper abdomen,  then to braline and  lower chest, then elbows  and wrists.  It itched terribly.  It came up in red patches with bumps when scratched.  I had tried hydrocortisone and antifungal, and showered daily.   No relief.  After trying to take care of it at home for over a month, I went to convenient MD and begged for a steriod cream.   I have not had a rash like this before.    With the steriod cream the rash slowly went away.  I had to use three tubes and multiple small amounts as it was all over my body.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received third dose of Pfizer vaccine following previous completion of Pfizer vaccine series at off campus vaccination clinic location. The error was noted during documentation into patient's electronic medical record following return to medical campus. Patient was contacted and reported that she had lost her vaccination card  for her First dose. Upon receiving her second dose at civilian immunization clinic, the clinic provided her a new proof card. She presented her proof card to military medical clinic to update immunization status and was instructed by staff that her proof card requires two vaccinations to be documented prior to updating Imms status. Patient arrive to vaccination clinic and made her own decision to endorse receiving only a single Pfizer vaccination for purposes of receiving an additional dose in order to have a second dose recorded on her vaccination proof card. This resulted in a third dose of COVID vaccine for patient. Guidance will be posted and required to be read prior to administration of vaccine regarding proper procedure for updating or validating vaccination proof cards to prevent further inappropriate third doses. No identified harm was done to patient following administration.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest pain, Cold sweat, Dyspnoea
Clinical narrative: Severe chest pain, shortness of breathe, difficulty breathing, lasting for 10 consecutive hours. Moderate chest pain continued for 48 hours. Fever and cold sweats that lasted for a few days.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Physical examination, Pyrexia
Clinical narrative: Severe chest pain, shortness of breathe, difficulty breathing, lasting for 10 consecutive hours. Moderate chest pain continued for 48 hours. Fever and cold sweats that lasted for a few days.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: COVID RELATED DEATH; FULLY VACCINATED PT.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Fall, Hip fracture, Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: The patient presents following 75 year old female with history of htn, dyslipidemia, hypothyroidism, dementia, and restless leg syndrome presents via EMS after falling. Patient's daughter present at bedside and informs she was at her aunts house and was found on the floor but nobody witnessed the fall. Daughter sts they heard her fall and family members presented to bedside to try and assist her but had to call EMS for lift assist. Patient c/o left leg pain, doesn't complain of any other symptoms.  Hip fx. left.  (Covid 19 incidental finding)
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Arrhythmia, Electrocardiogram
Clinical narrative: Arrhythmia.
Age: 51.0
Sex: M
Vaccine: UNK
Symptoms: Computerised tomogram thorax abnormal, Pulmonary embolism
Clinical narrative: Pt found to have large PE today
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Hypoxia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: He completed COVID vaccines in Feb, 2021. He was admitted to Hospital due to weakness, hypoxia at 85% on room air, and fever 101.2 on 9/10/21. On hospital day 6 (9/15/21), he is on room air and completed the course of Remdesivir.
Age: 66.0
Sex: M
Vaccine: FLU4
Symptoms: Chills, Headache, Hypoaesthesia, Nausea, Pyrexia
Clinical narrative: Developed severe shaking, teeth chattering, freezing body feeling, nausea, vomiting, headache and very high fever 104.3 at 5pm.  Fever decreased with Tylenol and ice packs to 100. Fever of 100 lasted until 9/14/2021 mid afternoon. He feels OK today, 9/15/2021
Age: 66.0
Sex: M
Vaccine: FLU4
Symptoms: Tremor, Vomiting
Clinical narrative: Developed severe shaking, teeth chattering, freezing body feeling, nausea, vomiting, headache and very high fever 104.3 at 5pm.  Fever decreased with Tylenol and ice packs to 100. Fever of 100 lasted until 9/14/2021 mid afternoon. He feels OK today, 9/15/2021
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: No adverse event occurred, patient observed for 30 minutes.  Patient received Moderna Covid-19 vaccine 2nd dose on day # 16 instead of recommended date of day #28
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Aortic aneurysm, Computerised tomogram thorax, Echocardiogram, Electrocardiogram, Extra dose administered
Clinical narrative: Approximately 2 weeks after the booster, I had a syncope event.  Subsequently I have been diagnosed with an ascending aorta aneurysm.  I have no history of this and no risk factors for this.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Stress echocardiogram, Syncope, X-ray limb
Clinical narrative: Approximately 2 weeks after the booster, I had a syncope event.  Subsequently I have been diagnosed with an ascending aorta aneurysm.  I have no history of this and no risk factors for this.
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, Death, Dyspnoea
Clinical narrative: acute on chronic respiratory failure secondary to COVID, hypoxic, SOB, weakness, in hospital from 08/01/2021 to 08/12/2012 then discharged to long term care facility where he passed away
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia
Clinical narrative: acute on chronic respiratory failure secondary to COVID, hypoxic, SOB, weakness, in hospital from 08/01/2021 to 08/12/2012 then discharged to long term care facility where he passed away
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Back pain, COVID-19, Cough, Diarrhoea, Dyspnoea
Clinical narrative: 09/06/2021 The patient presents with 3 week hx of intermittent worsening shortness of breath with mid back pain, cough, fevers, diarrhea, peripheral edema. EMS services were called as symptoms were worsening. At arrival, pt was 83% room air, placed on nonrebreather and went up to 93%. Reported hx of COPD and CHF per EMS but pt denies.  Back pain currently 10/10.
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Oedema peripheral, Oxygen saturation decreased, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 09/06/2021 The patient presents with 3 week hx of intermittent worsening shortness of breath with mid back pain, cough, fevers, diarrhea, peripheral edema. EMS services were called as symptoms were worsening. At arrival, pt was 83% room air, placed on nonrebreather and went up to 93%. Reported hx of COPD and CHF per EMS but pt denies.  Back pain currently 10/10.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, Cardiomegaly, Chest X-ray abnormal
Clinical narrative: Hospitalized;  COVID-19 positive (9.9.21);  fully vaccinated  Admission Date: 9/10/2021 Discharge Date: 9/14/2021;  Discharge Disposition:  home health care DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Generalized weakness Acute respiratory failure with hypoxia COVID-19   HOSPITAL COURSE: Patient is a 68F who presents with vomiting, diarrhea, cough, generalized weakness since about 5-6 days PTA.  She has a history of ESRD on HD, HTN,  CML, hyperlipidemia.   She continued to feel considerably weak, so was tested for COVID on 09/08, which was positive.  She continued to have cough without production of sputum.  She did receive COVID vaccine (Moderna) in March and April.     On admission she was hypoxic to 84%, and required 2 L via NC.  CXR showed moderate cardiomegaly with central pulmonary vascular prominence and diffuse bilateral interstitial opacities. She was started on decadron 6 mg daily. Nephrology consulted and she underwent HD.   She remains stable on 2lpm NC. She denies further diarrhea and no fever.PT recommends home. She was discharged in stable condition on 9/14/21. She is to follow up with COVID at home program on discharge Pt on 9/14. Alert, NAD, Stable for discharge. In agreement with verbal instructions to follow up with her outpatient physicians
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Diarrhoea, Haemodialysis, Hypoxia, Interstitial lung disease
Clinical narrative: Hospitalized;  COVID-19 positive (9.9.21);  fully vaccinated  Admission Date: 9/10/2021 Discharge Date: 9/14/2021;  Discharge Disposition:  home health care DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Generalized weakness Acute respiratory failure with hypoxia COVID-19   HOSPITAL COURSE: Patient is a 68F who presents with vomiting, diarrhea, cough, generalized weakness since about 5-6 days PTA.  She has a history of ESRD on HD, HTN,  CML, hyperlipidemia.   She continued to feel considerably weak, so was tested for COVID on 09/08, which was positive.  She continued to have cough without production of sputum.  She did receive COVID vaccine (Moderna) in March and April.     On admission she was hypoxic to 84%, and required 2 L via NC.  CXR showed moderate cardiomegaly with central pulmonary vascular prominence and diffuse bilateral interstitial opacities. She was started on decadron 6 mg daily. Nephrology consulted and she underwent HD.   She remains stable on 2lpm NC. She denies further diarrhea and no fever.PT recommends home. She was discharged in stable condition on 9/14/21. She is to follow up with COVID at home program on discharge Pt on 9/14. Alert, NAD, Stable for discharge. In agreement with verbal instructions to follow up with her outpatient physicians
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lung opacity, Pulmonary vascular disorder, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Hospitalized;  COVID-19 positive (9.9.21);  fully vaccinated  Admission Date: 9/10/2021 Discharge Date: 9/14/2021;  Discharge Disposition:  home health care DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Generalized weakness Acute respiratory failure with hypoxia COVID-19   HOSPITAL COURSE: Patient is a 68F who presents with vomiting, diarrhea, cough, generalized weakness since about 5-6 days PTA.  She has a history of ESRD on HD, HTN,  CML, hyperlipidemia.   She continued to feel considerably weak, so was tested for COVID on 09/08, which was positive.  She continued to have cough without production of sputum.  She did receive COVID vaccine (Moderna) in March and April.     On admission she was hypoxic to 84%, and required 2 L via NC.  CXR showed moderate cardiomegaly with central pulmonary vascular prominence and diffuse bilateral interstitial opacities. She was started on decadron 6 mg daily. Nephrology consulted and she underwent HD.   She remains stable on 2lpm NC. She denies further diarrhea and no fever.PT recommends home. She was discharged in stable condition on 9/14/21. She is to follow up with COVID at home program on discharge Pt on 9/14. Alert, NAD, Stable for discharge. In agreement with verbal instructions to follow up with her outpatient physicians
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Ageusia, Anosmia, COVID-19, Chest X-ray abnormal
Clinical narrative: 08/30/21 The patient presents with Pt reports he was vaccinated and he started feeling sick more than 10 days ago. He reports he went to his PCP and tested positive for COVID and he got a Z pak and prednisone and he was monitoring his oxygen at home and he dropped to the 70s. He also reports he got the regeneron a couple days ago but because of the low oxygen he came in..  The onset was more than 10 days.   Patient reports that on August 17th he started having symptoms that included sob, loss of taste and smell, coughing.  He tested for covid on the same day,  and he got positive results on the 20th..  He has experienced weight loss  also.  He received Regeneron  3 days ago, but has not found any  improvement.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Fibrin D dimer increased, Hypoxia, Malaise
Clinical narrative: 08/30/21 The patient presents with Pt reports he was vaccinated and he started feeling sick more than 10 days ago. He reports he went to his PCP and tested positive for COVID and he got a Z pak and prednisone and he was monitoring his oxygen at home and he dropped to the 70s. He also reports he got the regeneron a couple days ago but because of the low oxygen he came in..  The onset was more than 10 days.   Patient reports that on August 17th he started having symptoms that included sob, loss of taste and smell, coughing.  He tested for covid on the same day,  and he got positive results on the 20th..  He has experienced weight loss  also.  He received Regeneron  3 days ago, but has not found any  improvement.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Oxygen saturation decreased, Pneumonia, SARS-CoV-2 test positive, Weight decreased
Clinical narrative: 08/30/21 The patient presents with Pt reports he was vaccinated and he started feeling sick more than 10 days ago. He reports he went to his PCP and tested positive for COVID and he got a Z pak and prednisone and he was monitoring his oxygen at home and he dropped to the 70s. He also reports he got the regeneron a couple days ago but because of the low oxygen he came in..  The onset was more than 10 days.   Patient reports that on August 17th he started having symptoms that included sob, loss of taste and smell, coughing.  He tested for covid on the same day,  and he got positive results on the 20th..  He has experienced weight loss  also.  He received Regeneron  3 days ago, but has not found any  improvement.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Coital bleeding, Exposure to vaccinated person, Intermenstrual bleeding, Oligomenorrhoea
Clinical narrative: I am actually not the recipient of the Moderna vaccination. However, my husband was vaccinated and I feel that I have had adverse affects since. Shortly after him being vaccinated, my menstruations have been much longer than they were previously. My normal cycles are between 4-5 days. One month in particular my cycle lasted 9 days. I believe that was the longest one, but all the others since his vaccination have been longer than my normal. In addition, I have had spotting between my cycles and have had bleeding occur during sexual intercourse, which is not typical or normal for me.
Age: 86.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Dyspnoea, Nausea, Vomiting
Clinical narrative: Patient was admitted to the hospital on 08/22/2021 with nausea, vomiting, and shortness of breath. Died on 08/23/2021
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Cardiac monitoring, Chest X-ray normal, Chest discomfort, Chills
Clinical narrative: The night/day following vaccination (8/6-8/7), I experienced chills and hot flashes and also an accelerated heart rate/pounding heart. These symptoms only lasted for a day.  About two weeks later, I started experiencing frequent episodes of an extremely accelerated heart rate, along with feeling flushed, a fever, tingling all over body but primarily hands and feet, chest tightness, shortness of breath, and feeling faint. These symptoms have continued for a month but have diminished in intensity and I now only feel a slightly accelerated heart rate while feeling like my heart is pounding and slight tingling in my hands and feet.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Echocardiogram normal, Electrocardiogram normal, Flushing
Clinical narrative: The night/day following vaccination (8/6-8/7), I experienced chills and hot flashes and also an accelerated heart rate/pounding heart. These symptoms only lasted for a day.  About two weeks later, I started experiencing frequent episodes of an extremely accelerated heart rate, along with feeling flushed, a fever, tingling all over body but primarily hands and feet, chest tightness, shortness of breath, and feeling faint. These symptoms have continued for a month but have diminished in intensity and I now only feel a slightly accelerated heart rate while feeling like my heart is pounding and slight tingling in my hands and feet.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hot flush, Palpitations, Paraesthesia, Pyrexia
Clinical narrative: The night/day following vaccination (8/6-8/7), I experienced chills and hot flashes and also an accelerated heart rate/pounding heart. These symptoms only lasted for a day.  About two weeks later, I started experiencing frequent episodes of an extremely accelerated heart rate, along with feeling flushed, a fever, tingling all over body but primarily hands and feet, chest tightness, shortness of breath, and feeling faint. These symptoms have continued for a month but have diminished in intensity and I now only feel a slightly accelerated heart rate while feeling like my heart is pounding and slight tingling in my hands and feet.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: The night/day following vaccination (8/6-8/7), I experienced chills and hot flashes and also an accelerated heart rate/pounding heart. These symptoms only lasted for a day.  About two weeks later, I started experiencing frequent episodes of an extremely accelerated heart rate, along with feeling flushed, a fever, tingling all over body but primarily hands and feet, chest tightness, shortness of breath, and feeling faint. These symptoms have continued for a month but have diminished in intensity and I now only feel a slightly accelerated heart rate while feeling like my heart is pounding and slight tingling in my hands and feet.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: The adverse event was that an expired Janssen COVID-19 Vaccine has been administered to the patient. There were no adverse event, symptoms or any health related issues regarding the patient after the vaccine dose was given. Only that the vaccine has been given after the expiration date, nothing else.