chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count decreased
Clinical narrative: Pfizer Dose 1 2/17/21 (EN9581) Pfizer Dose 2 3/10/21 (EN6204) Pfizer Dose 3 10/26/21 (FF2588) COVID Positive 1/26/22 COVID Positive 2/18/22  2/18/22: This is a 77-year-old female with history of hypertension, rheumatoid arthritis, deconditioning, chronic dementia and multiple recent fractures, recent C diff colitis and sepsis who presented to the emergency department with right shoulder pain and swelling. Patient is demented and cannot provide history. History was obtained from patient's daughter in-law. She states that patient has been complaining of pain and swelling in right shoulder. Her pain is moderate to severe in intensity and worse with movement. Patient is from a nursing facility. Patient had a recent humeral neck fracture on the right side which was deemed nonsurgical.   In the emergency department, patient was noted to be in sinus tachycardia. Labs showed a proBNP level of 941, WBC count of 1.2, hemoglobin of 7.5. Patient had a positive COVID-19 PCR test. Patient was given a dose of IV Zofran.  3/1/22: The patient presented to the hospital with generalized weakness and decreased p.o. intake, severe right shoulder pain and lower abdominal discomfort with diarrhea, she had dry oral mucosa and initially she was lethargic due to hypovolemia and sepsis, the patient she was diagnosed with C diff colitis and COVID-19 infection on January 26, later she developed bloody diarrhea due to severe C diff colitis, she require p.o. vancomycin and IV antibiotic and IV hydration, hemoglobin dropped and require total of 3 units of blood to be transfused, the patient was on Eliquis due to bilateral lower limbs DVT, the gastroenterologist consulted and recommend conservative management and no intervention due to high risk of perforation and general deconditioning, the patient had IVC filter placed. Her diarrhea improved while she is on vancomycin. The patient had chest CT show bilateral pleural effusion, CT abdomen show colitis. Blood cultures are negative. The patient does have severe difficult to control arthritis pain, she does have severe deconditioning and severe protein calories malnutrition, discussed with the patient and her family and decided to pursue with comfort measures and hospice care.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Fatigue, Headache, Injection site pain
Clinical narrative: Starting the evening after receiving the vaccine, I had some soreness at the injection site and developed body aches and fatigue. This progressively worsened over Saturday and Sunday. On Monday, the symptoms started to get better. As soon as I returned from work every day of the week, I had to go straight to bed due to the fatigue. On Saturday 06/18/2022, I developed significant chills, dry cough and the body aches/fatigue were worse than before. Also, I had a very severe headache and thought my head was going to explode. It got progressively worse until Tuesday where it has stabilized up until today where I am still experiencing symptoms. I have been alternating Tylenol and Ibuprofen every 4 hours since Saturday due to the severity of my symptoms. I have taken 3 COVID tests (one was a PCR test) and all were negative. My doctor has just prescribed me a Medrol dose pack and I am about to take my first dose now.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, SARS-CoV-2 test negative
Clinical narrative: Starting the evening after receiving the vaccine, I had some soreness at the injection site and developed body aches and fatigue. This progressively worsened over Saturday and Sunday. On Monday, the symptoms started to get better. As soon as I returned from work every day of the week, I had to go straight to bed due to the fatigue. On Saturday 06/18/2022, I developed significant chills, dry cough and the body aches/fatigue were worse than before. Also, I had a very severe headache and thought my head was going to explode. It got progressively worse until Tuesday where it has stabilized up until today where I am still experiencing symptoms. I have been alternating Tylenol and Ibuprofen every 4 hours since Saturday due to the severity of my symptoms. I have taken 3 COVID tests (one was a PCR test) and all were negative. My doctor has just prescribed me a Medrol dose pack and I am about to take my first dose now.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Dizziness, Hyperhidrosis, Incoherent, Malaise, Musculoskeletal disorder
Clinical narrative: The patient was in to get the 2nd Shingrix vaccine. No prior reactions to this vaccine or other immunizations. The patient flinched when the vaccine was administered. The vaccine administration was completed and were having a discussion. The patient stated she was feeling dizzy and not feeling well with in 5 minutes.  She started sweating and looked like she was going to faint/fall over. She was seated: gave an ice pack and water, however I had to reach for her as she started pitching forward. The patient was breathing  without issues  however was not coherent and nonresponsive. She stated responding however not really. I told her I was going to call 911 since she was sweating more it has been 20 minutes since the start. I had her lie down, continued to engage the patient  until the paramedics arrived.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Unresponsive to stimuli
Clinical narrative: The patient was in to get the 2nd Shingrix vaccine. No prior reactions to this vaccine or other immunizations. The patient flinched when the vaccine was administered. The vaccine administration was completed and were having a discussion. The patient stated she was feeling dizzy and not feeling well with in 5 minutes.  She started sweating and looked like she was going to faint/fall over. She was seated: gave an ice pack and water, however I had to reach for her as she started pitching forward. The patient was breathing  without issues  however was not coherent and nonresponsive. She stated responding however not really. I told her I was going to call 911 since she was sweating more it has been 20 minutes since the start. I had her lie down, continued to engage the patient  until the paramedics arrived.
Age: 0.58
Sex: M
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Swelling face, Wheezing
Clinical narrative: swollen face, swollen throat, wheezing. Was treated at ER with epipen and oral steroids.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Agitation, Anion gap, Atelectasis, Atrial fibrillation
Clinical narrative: Pfizer Dose 1 3/15/21 (EN6205) Pfizer Dose 2 4/7/21 (ER8737) COVID Positive 1/18/22  1/18/22: Patient is a 77-year-old male with a past medical history significant for coronary artery disease, chronic atrial fibrillation currently anticoagulated on warfarin, COPD, depression, type 1 diabetes, hyperlipidemia, hypertension, hypothyroidism, obesity.  The patient presents to the ED today via EMS from home after family found him confused, altered and agitated. The patient was seen and examined at the bedside in the ED; however, the patient is only making moaning sounds when asked questions which makes it difficult to obtain accurate HPI.  There is no family present during examination in the ED. Most of patient's HPI was obtained from ED records and previous medical records.  The patient apparently takes oxycodone at home and it was unknown if he was altered due to taking too much oxycodone, the patient did receive Narcan in the ED which did seem to help improve his orientation for a short period of time.  The patient does take warfarin at home, so a CT head was ordered to rule out a brain bleed.  The patient was found to have severe hyperglycemia upon arrival to the ED.   Upon arrival to the ED patient's temperature is 96.7°, heart rate 70, respirations 20, pulse ox 100% on room air, blood pressure 116/77.  CT of head reveals mild motion degradation without acute findings.  Chest x-ray reveals mildly decreased lung volumes with bibasilar atelectasis. Patient's laboratory findings are significant for sodium 133, potassium 6.3, chloride 88, CO2 14, a gap 31, glucose 759, BUN 61, creatinine 2.04, calc Osmo 321, hemoglobin 11.9, hematocrit 40.1.  UA is negative for infection. COVID-19 test is pending.  The patient received 2.5 mg IV droperidol, was started on an insulin drip, 25 mg IV Benadryl, 10 units IV insulin regular, 1 mg IV Ativan x2, 1 mg IV Versed, 1 mg IV Narcan, 2 L IV normal saline, 100 mcg IV fentanyl in ED.  1/31/22: Patient is a 77-year-old male admitted to hospital for acute metabolic encephalopathy due to diabetic ketoacidosis, his hospitalization was complicated by acute kidney injury, AFib with RVR and COVID-19 pneumonia. Patient was treated with supplemental oxygen and medical therapy as time progressed he clinically improved, prior to discharge patient was wean off of supplemental oxygen, he was evaluated by therapy recommended skilled nursing facility on discharge.  Patient will be discharged to another facility.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Blood chloride decreased, Blood creatinine increased, Blood glucose increased, Blood osmolarity increased, Blood potassium increased
Clinical narrative: Pfizer Dose 1 3/15/21 (EN6205) Pfizer Dose 2 4/7/21 (ER8737) COVID Positive 1/18/22  1/18/22: Patient is a 77-year-old male with a past medical history significant for coronary artery disease, chronic atrial fibrillation currently anticoagulated on warfarin, COPD, depression, type 1 diabetes, hyperlipidemia, hypertension, hypothyroidism, obesity.  The patient presents to the ED today via EMS from home after family found him confused, altered and agitated. The patient was seen and examined at the bedside in the ED; however, the patient is only making moaning sounds when asked questions which makes it difficult to obtain accurate HPI.  There is no family present during examination in the ED. Most of patient's HPI was obtained from ED records and previous medical records.  The patient apparently takes oxycodone at home and it was unknown if he was altered due to taking too much oxycodone, the patient did receive Narcan in the ED which did seem to help improve his orientation for a short period of time.  The patient does take warfarin at home, so a CT head was ordered to rule out a brain bleed.  The patient was found to have severe hyperglycemia upon arrival to the ED.   Upon arrival to the ED patient's temperature is 96.7°, heart rate 70, respirations 20, pulse ox 100% on room air, blood pressure 116/77.  CT of head reveals mild motion degradation without acute findings.  Chest x-ray reveals mildly decreased lung volumes with bibasilar atelectasis. Patient's laboratory findings are significant for sodium 133, potassium 6.3, chloride 88, CO2 14, a gap 31, glucose 759, BUN 61, creatinine 2.04, calc Osmo 321, hemoglobin 11.9, hematocrit 40.1.  UA is negative for infection. COVID-19 test is pending.  The patient received 2.5 mg IV droperidol, was started on an insulin drip, 25 mg IV Benadryl, 10 units IV insulin regular, 1 mg IV Ativan x2, 1 mg IV Versed, 1 mg IV Narcan, 2 L IV normal saline, 100 mcg IV fentanyl in ED.  1/31/22: Patient is a 77-year-old male admitted to hospital for acute metabolic encephalopathy due to diabetic ketoacidosis, his hospitalization was complicated by acute kidney injury, AFib with RVR and COVID-19 pneumonia. Patient was treated with supplemental oxygen and medical therapy as time progressed he clinically improved, prior to discharge patient was wean off of supplemental oxygen, he was evaluated by therapy recommended skilled nursing facility on discharge.  Patient will be discharged to another facility.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Blood sodium decreased, Blood urea increased, COVID-19 pneumonia, Carbon dioxide decreased, Chest X-ray abnormal
Clinical narrative: Pfizer Dose 1 3/15/21 (EN6205) Pfizer Dose 2 4/7/21 (ER8737) COVID Positive 1/18/22  1/18/22: Patient is a 77-year-old male with a past medical history significant for coronary artery disease, chronic atrial fibrillation currently anticoagulated on warfarin, COPD, depression, type 1 diabetes, hyperlipidemia, hypertension, hypothyroidism, obesity.  The patient presents to the ED today via EMS from home after family found him confused, altered and agitated. The patient was seen and examined at the bedside in the ED; however, the patient is only making moaning sounds when asked questions which makes it difficult to obtain accurate HPI.  There is no family present during examination in the ED. Most of patient's HPI was obtained from ED records and previous medical records.  The patient apparently takes oxycodone at home and it was unknown if he was altered due to taking too much oxycodone, the patient did receive Narcan in the ED which did seem to help improve his orientation for a short period of time.  The patient does take warfarin at home, so a CT head was ordered to rule out a brain bleed.  The patient was found to have severe hyperglycemia upon arrival to the ED.   Upon arrival to the ED patient's temperature is 96.7°, heart rate 70, respirations 20, pulse ox 100% on room air, blood pressure 116/77.  CT of head reveals mild motion degradation without acute findings.  Chest x-ray reveals mildly decreased lung volumes with bibasilar atelectasis. Patient's laboratory findings are significant for sodium 133, potassium 6.3, chloride 88, CO2 14, a gap 31, glucose 759, BUN 61, creatinine 2.04, calc Osmo 321, hemoglobin 11.9, hematocrit 40.1.  UA is negative for infection. COVID-19 test is pending.  The patient received 2.5 mg IV droperidol, was started on an insulin drip, 25 mg IV Benadryl, 10 units IV insulin regular, 1 mg IV Ativan x2, 1 mg IV Versed, 1 mg IV Narcan, 2 L IV normal saline, 100 mcg IV fentanyl in ED.  1/31/22: Patient is a 77-year-old male admitted to hospital for acute metabolic encephalopathy due to diabetic ketoacidosis, his hospitalization was complicated by acute kidney injury, AFib with RVR and COVID-19 pneumonia. Patient was treated with supplemental oxygen and medical therapy as time progressed he clinically improved, prior to discharge patient was wean off of supplemental oxygen, he was evaluated by therapy recommended skilled nursing facility on discharge.  Patient will be discharged to another facility.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head abnormal, Condition aggravated, Confusional state, Diabetic ketoacidosis, Disorientation
Clinical narrative: Pfizer Dose 1 3/15/21 (EN6205) Pfizer Dose 2 4/7/21 (ER8737) COVID Positive 1/18/22  1/18/22: Patient is a 77-year-old male with a past medical history significant for coronary artery disease, chronic atrial fibrillation currently anticoagulated on warfarin, COPD, depression, type 1 diabetes, hyperlipidemia, hypertension, hypothyroidism, obesity.  The patient presents to the ED today via EMS from home after family found him confused, altered and agitated. The patient was seen and examined at the bedside in the ED; however, the patient is only making moaning sounds when asked questions which makes it difficult to obtain accurate HPI.  There is no family present during examination in the ED. Most of patient's HPI was obtained from ED records and previous medical records.  The patient apparently takes oxycodone at home and it was unknown if he was altered due to taking too much oxycodone, the patient did receive Narcan in the ED which did seem to help improve his orientation for a short period of time.  The patient does take warfarin at home, so a CT head was ordered to rule out a brain bleed.  The patient was found to have severe hyperglycemia upon arrival to the ED.   Upon arrival to the ED patient's temperature is 96.7°, heart rate 70, respirations 20, pulse ox 100% on room air, blood pressure 116/77.  CT of head reveals mild motion degradation without acute findings.  Chest x-ray reveals mildly decreased lung volumes with bibasilar atelectasis. Patient's laboratory findings are significant for sodium 133, potassium 6.3, chloride 88, CO2 14, a gap 31, glucose 759, BUN 61, creatinine 2.04, calc Osmo 321, hemoglobin 11.9, hematocrit 40.1.  UA is negative for infection. COVID-19 test is pending.  The patient received 2.5 mg IV droperidol, was started on an insulin drip, 25 mg IV Benadryl, 10 units IV insulin regular, 1 mg IV Ativan x2, 1 mg IV Versed, 1 mg IV Narcan, 2 L IV normal saline, 100 mcg IV fentanyl in ED.  1/31/22: Patient is a 77-year-old male admitted to hospital for acute metabolic encephalopathy due to diabetic ketoacidosis, his hospitalization was complicated by acute kidney injury, AFib with RVR and COVID-19 pneumonia. Patient was treated with supplemental oxygen and medical therapy as time progressed he clinically improved, prior to discharge patient was wean off of supplemental oxygen, he was evaluated by therapy recommended skilled nursing facility on discharge.  Patient will be discharged to another facility.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Hyperglycaemia, Inappropriate schedule of product administration, Laboratory test
Clinical narrative: Pfizer Dose 1 3/15/21 (EN6205) Pfizer Dose 2 4/7/21 (ER8737) COVID Positive 1/18/22  1/18/22: Patient is a 77-year-old male with a past medical history significant for coronary artery disease, chronic atrial fibrillation currently anticoagulated on warfarin, COPD, depression, type 1 diabetes, hyperlipidemia, hypertension, hypothyroidism, obesity.  The patient presents to the ED today via EMS from home after family found him confused, altered and agitated. The patient was seen and examined at the bedside in the ED; however, the patient is only making moaning sounds when asked questions which makes it difficult to obtain accurate HPI.  There is no family present during examination in the ED. Most of patient's HPI was obtained from ED records and previous medical records.  The patient apparently takes oxycodone at home and it was unknown if he was altered due to taking too much oxycodone, the patient did receive Narcan in the ED which did seem to help improve his orientation for a short period of time.  The patient does take warfarin at home, so a CT head was ordered to rule out a brain bleed.  The patient was found to have severe hyperglycemia upon arrival to the ED.   Upon arrival to the ED patient's temperature is 96.7°, heart rate 70, respirations 20, pulse ox 100% on room air, blood pressure 116/77.  CT of head reveals mild motion degradation without acute findings.  Chest x-ray reveals mildly decreased lung volumes with bibasilar atelectasis. Patient's laboratory findings are significant for sodium 133, potassium 6.3, chloride 88, CO2 14, a gap 31, glucose 759, BUN 61, creatinine 2.04, calc Osmo 321, hemoglobin 11.9, hematocrit 40.1.  UA is negative for infection. COVID-19 test is pending.  The patient received 2.5 mg IV droperidol, was started on an insulin drip, 25 mg IV Benadryl, 10 units IV insulin regular, 1 mg IV Ativan x2, 1 mg IV Versed, 1 mg IV Narcan, 2 L IV normal saline, 100 mcg IV fentanyl in ED.  1/31/22: Patient is a 77-year-old male admitted to hospital for acute metabolic encephalopathy due to diabetic ketoacidosis, his hospitalization was complicated by acute kidney injury, AFib with RVR and COVID-19 pneumonia. Patient was treated with supplemental oxygen and medical therapy as time progressed he clinically improved, prior to discharge patient was wean off of supplemental oxygen, he was evaluated by therapy recommended skilled nursing facility on discharge.  Patient will be discharged to another facility.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Mental status changes, Metabolic encephalopathy, Moaning, SARS-CoV-2 test, Total lung capacity decreased
Clinical narrative: Pfizer Dose 1 3/15/21 (EN6205) Pfizer Dose 2 4/7/21 (ER8737) COVID Positive 1/18/22  1/18/22: Patient is a 77-year-old male with a past medical history significant for coronary artery disease, chronic atrial fibrillation currently anticoagulated on warfarin, COPD, depression, type 1 diabetes, hyperlipidemia, hypertension, hypothyroidism, obesity.  The patient presents to the ED today via EMS from home after family found him confused, altered and agitated. The patient was seen and examined at the bedside in the ED; however, the patient is only making moaning sounds when asked questions which makes it difficult to obtain accurate HPI.  There is no family present during examination in the ED. Most of patient's HPI was obtained from ED records and previous medical records.  The patient apparently takes oxycodone at home and it was unknown if he was altered due to taking too much oxycodone, the patient did receive Narcan in the ED which did seem to help improve his orientation for a short period of time.  The patient does take warfarin at home, so a CT head was ordered to rule out a brain bleed.  The patient was found to have severe hyperglycemia upon arrival to the ED.   Upon arrival to the ED patient's temperature is 96.7°, heart rate 70, respirations 20, pulse ox 100% on room air, blood pressure 116/77.  CT of head reveals mild motion degradation without acute findings.  Chest x-ray reveals mildly decreased lung volumes with bibasilar atelectasis. Patient's laboratory findings are significant for sodium 133, potassium 6.3, chloride 88, CO2 14, a gap 31, glucose 759, BUN 61, creatinine 2.04, calc Osmo 321, hemoglobin 11.9, hematocrit 40.1.  UA is negative for infection. COVID-19 test is pending.  The patient received 2.5 mg IV droperidol, was started on an insulin drip, 25 mg IV Benadryl, 10 units IV insulin regular, 1 mg IV Ativan x2, 1 mg IV Versed, 1 mg IV Narcan, 2 L IV normal saline, 100 mcg IV fentanyl in ED.  1/31/22: Patient is a 77-year-old male admitted to hospital for acute metabolic encephalopathy due to diabetic ketoacidosis, his hospitalization was complicated by acute kidney injury, AFib with RVR and COVID-19 pneumonia. Patient was treated with supplemental oxygen and medical therapy as time progressed he clinically improved, prior to discharge patient was wean off of supplemental oxygen, he was evaluated by therapy recommended skilled nursing facility on discharge.  Patient will be discharged to another facility.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis normal
Clinical narrative: Pfizer Dose 1 3/15/21 (EN6205) Pfizer Dose 2 4/7/21 (ER8737) COVID Positive 1/18/22  1/18/22: Patient is a 77-year-old male with a past medical history significant for coronary artery disease, chronic atrial fibrillation currently anticoagulated on warfarin, COPD, depression, type 1 diabetes, hyperlipidemia, hypertension, hypothyroidism, obesity.  The patient presents to the ED today via EMS from home after family found him confused, altered and agitated. The patient was seen and examined at the bedside in the ED; however, the patient is only making moaning sounds when asked questions which makes it difficult to obtain accurate HPI.  There is no family present during examination in the ED. Most of patient's HPI was obtained from ED records and previous medical records.  The patient apparently takes oxycodone at home and it was unknown if he was altered due to taking too much oxycodone, the patient did receive Narcan in the ED which did seem to help improve his orientation for a short period of time.  The patient does take warfarin at home, so a CT head was ordered to rule out a brain bleed.  The patient was found to have severe hyperglycemia upon arrival to the ED.   Upon arrival to the ED patient's temperature is 96.7°, heart rate 70, respirations 20, pulse ox 100% on room air, blood pressure 116/77.  CT of head reveals mild motion degradation without acute findings.  Chest x-ray reveals mildly decreased lung volumes with bibasilar atelectasis. Patient's laboratory findings are significant for sodium 133, potassium 6.3, chloride 88, CO2 14, a gap 31, glucose 759, BUN 61, creatinine 2.04, calc Osmo 321, hemoglobin 11.9, hematocrit 40.1.  UA is negative for infection. COVID-19 test is pending.  The patient received 2.5 mg IV droperidol, was started on an insulin drip, 25 mg IV Benadryl, 10 units IV insulin regular, 1 mg IV Ativan x2, 1 mg IV Versed, 1 mg IV Narcan, 2 L IV normal saline, 100 mcg IV fentanyl in ED.  1/31/22: Patient is a 77-year-old male admitted to hospital for acute metabolic encephalopathy due to diabetic ketoacidosis, his hospitalization was complicated by acute kidney injury, AFib with RVR and COVID-19 pneumonia. Patient was treated with supplemental oxygen and medical therapy as time progressed he clinically improved, prior to discharge patient was wean off of supplemental oxygen, he was evaluated by therapy recommended skilled nursing facility on discharge.  Patient will be discharged to another facility.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: 1/18/22 pt had a positive COVID test ordered by a local HCF; per death certificate, the manner of death was natural, the cause of death was COVID 19; the pt died at his residence
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia, Pyrexia
Clinical narrative: I had a low grade fever and muscle aches. I also have ongoing hip pain since getting my previous Covid vaccines. I am still taking the gabapentin for my hip pain.
Age: 21.0
Sex: M
Vaccine: HEPA, HPV9, MENB
Symptoms: Loss of consciousness
Clinical narrative: Pt presented to health department for vaccines for school. Pt requested Hep A, HPV, and MenB. Pt reports allergy to Rocephin with a reaction of Hives. Pt denies any history of any anaphylactic reactions. Pt lost consciousness for Approx 1 minute almost immediately after receiving vaccines. Pt did not fall. Pt did not hit his head. EMS was called. Vitals stable.  Pt observed for approx 20 minutes. Pt drank sprite and ambulated to car with father.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough case admission after two Janssen vaccines Janssen 3/11/21 Lot# 180525;  Janssen 11/3/21 Lot# 213D21A
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Acupuncture, Bell's palsy, Eyelid function disorder, Facial discomfort, Facial pain
Clinical narrative: I don't believe my adverse event was the result of the vaccine, but the questionnaire asked about doctors visits after receiving the vaccine,. so I am reporting.  I came down with Bell's Palsy almost one month after the Moderna booster.  Partial facial paralysis on the left side.  It came on in the morning on December 9.  I did not feel badly, just couldn't use that side of my face. I went to the doctor and they ruled out Lyme disease and stroke.  I was given steriods and anti-viral medications.  I began going for acupuncture treatments to help with symptoms.  I am still recovering (June 2022).  I have taken no other prescription medication since the initial ones prescribed.  I have gone to physical therapy as well.  I had no fever.  Mild facial pain/discomfort.  Trouble eating due to paralysis; trouble talking clearly; eye wouldn't close on it's own and for about a month, I had to tape it shut at night.  Vision changes occurred as well.  I would add that my first two doses of the vaccine were Pfizer.  My 4th dose was as well.  I did not have any adverse reaction to those vaccines.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Facial paralysis, Hypophagia, Speech disorder, Visual impairment
Clinical narrative: I don't believe my adverse event was the result of the vaccine, but the questionnaire asked about doctors visits after receiving the vaccine,. so I am reporting.  I came down with Bell's Palsy almost one month after the Moderna booster.  Partial facial paralysis on the left side.  It came on in the morning on December 9.  I did not feel badly, just couldn't use that side of my face. I went to the doctor and they ruled out Lyme disease and stroke.  I was given steriods and anti-viral medications.  I began going for acupuncture treatments to help with symptoms.  I am still recovering (June 2022).  I have taken no other prescription medication since the initial ones prescribed.  I have gone to physical therapy as well.  I had no fever.  Mild facial pain/discomfort.  Trouble eating due to paralysis; trouble talking clearly; eye wouldn't close on it's own and for about a month, I had to tape it shut at night.  Vision changes occurred as well.  I would add that my first two doses of the vaccine were Pfizer.  My 4th dose was as well.  I did not have any adverse reaction to those vaccines.
Age: 1.0
Sex: M
Vaccine: HIBV, PNC13
Symptoms: Lethargy, Pyrexia, Seizure
Clinical narrative: PATIENT DEVELOPED FEVER OF 101 F  AT 4 PM ON6/16/21  8 HOURS AFTER VACCINE . MOTHER GAVE ANTIPYRETIC BUT HE SEEMED TO BE LETHARGIC. HE HAD A SEIZURE AT 2 AM ON 6/17 /22 FOR ABOUT 6 MINUTES. MOTHER RUSHED HIM TO THE NEARBY ER WHERE TEMP WAS 104.5 F AS PER MOTHER. HE HAD ANOTHER SEIZURE IN THE ER. COOLING MEASURES WERE DONE AND ANTIPYRETICS GIVEN. PATIENT WAS DISCHARGED AFTER OBSERVATION WITH A TEMP OF 99.2F, P-169, R-24, O2 SATS -99%. PATIENT HAS BEEN DOING WELL SINCE WITH FOLLOW UP IN THE CLINIC
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram abnormal, Aortic aneurysm, COVID-19, Cardioversion, Catheterisation cardiac normal
Clinical narrative: Moderna Dose 1 6/17/21 (022C21A) Moderna Dose 2 7/14/21 (022C21A) Covid Positive 1/23/22  1/23/22: A 33-year-old gentleman presented to the emergency room with complaint of shortness of breath that started suddenly just 3 hours prior to arrival to the emergency department. Patient reports shortness of breath with activities.  He has also experienced some chest pain all over the chest.  Reports that he was at a game yesterday and was apparently normal after the game.  Reports subjective fever and has no other significant past medical history.  Of note, the patient was noted to be in SVT in the emergency room upon arrival.  He was given adenosine and has converted back to sinus rate.  1/27/22: The patient presented to the hospital with chest pain and palpitation, found to be in SVT received adenosin with abortion of his SVT, had shortness of breath and cough and his COVID-19 test came back positive, chest imaging show mild pneumonitis, he was not hypoxic and he did not require oxygenation during this admission.  His labs show elevated troponin, echocardiogram show EF 35% without significant valvular disease but the aortic valve was not visualized, the cardiologist consulted and recommend cardiac catheterization and the patient had cardiac catheterization and show clean coronary artery and EF about 50%, the cardiologist recommended angiogram to rule out aneurysm, CT chest angiogram show 4.8 centimetre aortic cured aneurysm involving the left sinus, discussed with the cardiologist Dr. and recommend beta-blocker and follow-up as an outpatient.  The patient most likely had viral myocarditis by COVID infection, will continue beta-blocker and losartan both low-dose due to borderline low blood pressure.  Discussed with the patient his wife his medical condition and the importance of compliance on stop smoking and make sure his blood pressure is well controlled and follow-up with the cardiologist with repeated scanning of his aneurysm every 6 month.  A medical report given to the patient to presented to his workplace.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Cough, Dyspnoea, Dyspnoea exertional, Echocardiogram abnormal
Clinical narrative: Moderna Dose 1 6/17/21 (022C21A) Moderna Dose 2 7/14/21 (022C21A) Covid Positive 1/23/22  1/23/22: A 33-year-old gentleman presented to the emergency room with complaint of shortness of breath that started suddenly just 3 hours prior to arrival to the emergency department. Patient reports shortness of breath with activities.  He has also experienced some chest pain all over the chest.  Reports that he was at a game yesterday and was apparently normal after the game.  Reports subjective fever and has no other significant past medical history.  Of note, the patient was noted to be in SVT in the emergency room upon arrival.  He was given adenosine and has converted back to sinus rate.  1/27/22: The patient presented to the hospital with chest pain and palpitation, found to be in SVT received adenosin with abortion of his SVT, had shortness of breath and cough and his COVID-19 test came back positive, chest imaging show mild pneumonitis, he was not hypoxic and he did not require oxygenation during this admission.  His labs show elevated troponin, echocardiogram show EF 35% without significant valvular disease but the aortic valve was not visualized, the cardiologist consulted and recommend cardiac catheterization and the patient had cardiac catheterization and show clean coronary artery and EF about 50%, the cardiologist recommended angiogram to rule out aneurysm, CT chest angiogram show 4.8 centimetre aortic cured aneurysm involving the left sinus, discussed with the cardiologist Dr. and recommend beta-blocker and follow-up as an outpatient.  The patient most likely had viral myocarditis by COVID infection, will continue beta-blocker and losartan both low-dose due to borderline low blood pressure.  Discussed with the patient his wife his medical condition and the importance of compliance on stop smoking and make sure his blood pressure is well controlled and follow-up with the cardiologist with repeated scanning of his aneurysm every 6 month.  A medical report given to the patient to presented to his workplace.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Ejection fraction decreased, Hypotension, Palpitations, Pneumonitis, Pulmonary imaging procedure abnormal
Clinical narrative: Moderna Dose 1 6/17/21 (022C21A) Moderna Dose 2 7/14/21 (022C21A) Covid Positive 1/23/22  1/23/22: A 33-year-old gentleman presented to the emergency room with complaint of shortness of breath that started suddenly just 3 hours prior to arrival to the emergency department. Patient reports shortness of breath with activities.  He has also experienced some chest pain all over the chest.  Reports that he was at a game yesterday and was apparently normal after the game.  Reports subjective fever and has no other significant past medical history.  Of note, the patient was noted to be in SVT in the emergency room upon arrival.  He was given adenosine and has converted back to sinus rate.  1/27/22: The patient presented to the hospital with chest pain and palpitation, found to be in SVT received adenosin with abortion of his SVT, had shortness of breath and cough and his COVID-19 test came back positive, chest imaging show mild pneumonitis, he was not hypoxic and he did not require oxygenation during this admission.  His labs show elevated troponin, echocardiogram show EF 35% without significant valvular disease but the aortic valve was not visualized, the cardiologist consulted and recommend cardiac catheterization and the patient had cardiac catheterization and show clean coronary artery and EF about 50%, the cardiologist recommended angiogram to rule out aneurysm, CT chest angiogram show 4.8 centimetre aortic cured aneurysm involving the left sinus, discussed with the cardiologist Dr. and recommend beta-blocker and follow-up as an outpatient.  The patient most likely had viral myocarditis by COVID infection, will continue beta-blocker and losartan both low-dose due to borderline low blood pressure.  Discussed with the patient his wife his medical condition and the importance of compliance on stop smoking and make sure his blood pressure is well controlled and follow-up with the cardiologist with repeated scanning of his aneurysm every 6 month.  A medical report given to the patient to presented to his workplace.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Supraventricular tachycardia, Troponin increased, Viral myocarditis
Clinical narrative: Moderna Dose 1 6/17/21 (022C21A) Moderna Dose 2 7/14/21 (022C21A) Covid Positive 1/23/22  1/23/22: A 33-year-old gentleman presented to the emergency room with complaint of shortness of breath that started suddenly just 3 hours prior to arrival to the emergency department. Patient reports shortness of breath with activities.  He has also experienced some chest pain all over the chest.  Reports that he was at a game yesterday and was apparently normal after the game.  Reports subjective fever and has no other significant past medical history.  Of note, the patient was noted to be in SVT in the emergency room upon arrival.  He was given adenosine and has converted back to sinus rate.  1/27/22: The patient presented to the hospital with chest pain and palpitation, found to be in SVT received adenosin with abortion of his SVT, had shortness of breath and cough and his COVID-19 test came back positive, chest imaging show mild pneumonitis, he was not hypoxic and he did not require oxygenation during this admission.  His labs show elevated troponin, echocardiogram show EF 35% without significant valvular disease but the aortic valve was not visualized, the cardiologist consulted and recommend cardiac catheterization and the patient had cardiac catheterization and show clean coronary artery and EF about 50%, the cardiologist recommended angiogram to rule out aneurysm, CT chest angiogram show 4.8 centimetre aortic cured aneurysm involving the left sinus, discussed with the cardiologist Dr. and recommend beta-blocker and follow-up as an outpatient.  The patient most likely had viral myocarditis by COVID infection, will continue beta-blocker and losartan both low-dose due to borderline low blood pressure.  Discussed with the patient his wife his medical condition and the importance of compliance on stop smoking and make sure his blood pressure is well controlled and follow-up with the cardiologist with repeated scanning of his aneurysm every 6 month.  A medical report given to the patient to presented to his workplace.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Angiogram pulmonary abnormal, Anticoagulant therapy, Asthenia, Atrial fibrillation
Clinical narrative: Pfizer Dose 1 3/19/21 (EN6208) Pfizer Dose 2 4/21/21 (ER8731) COVID Positive 12/27/21  12/27/21: The patient is an 88-year-old male past medical history significant for generalize osteoarthritis, essential hypertension, lumbar radiculopathy, obesity, spinal stenosis.   Patient Presented urinary frequency and incontinence of 1 week duration  Patient endorses that since 1 week back started to have urinary frequency with wetting himself.  He also felt generalized weakness and not feeling well.  Patient also has associated nonproductive cough with loss of taste and decreased appetite as well as generalized body aches.  Patient has had generalized osteoarthritis with lumbar radiculopathy taking medications.  In the emergency room patient was noted to be hypoxic on room air of 85% and required oxygen supplementation 4 LPM to have acceptable saturation.  Patient also noted to have atrial fibrillation hypokalemia of 2.5, elevated blood glucose of 160, lactic acidosis 2.6 with elevated proBNP of 27 31.  CBC showed lymphopenia and D-dimer was elevated 0.6 to; rapid COVID antigen test was positive.  CT angio of the chest did not show any pulmonary embolism but shows ground-glass infiltrate on both lung consistent with viral pneumonitis as well as cardiomegaly  1/17/22: Patient is an 88-year-old male with prolonged hospitalization for COVID requiring intubation.  He was extubated on 01/07/2022.  He is severely deconditioned and undergoing PT/OT.  On 3 L nasal cannula.  During his hospitalization patient also developed retroperitoneal hematoma with hemorrhagic shock.  All the anticoagulation has been stopped due to that.  Patient is saturating well on 2-3 L of nasal cannula oxygen and his breathing is much better.  During his hospitalization patient's Lantus was discontinued as he was developing episodes of hypoglycemia overnight.  It should be noted that the patient's insulin demand should be adjusted to the patient's needs once he arrives at skilled nursing facility.  Patient was discharged from the hospital on 01/17/2022 in a stable medical condition.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, COVID-19, Cardiomegaly, Cough, Decreased appetite
Clinical narrative: Pfizer Dose 1 3/19/21 (EN6208) Pfizer Dose 2 4/21/21 (ER8731) COVID Positive 12/27/21  12/27/21: The patient is an 88-year-old male past medical history significant for generalize osteoarthritis, essential hypertension, lumbar radiculopathy, obesity, spinal stenosis.   Patient Presented urinary frequency and incontinence of 1 week duration  Patient endorses that since 1 week back started to have urinary frequency with wetting himself.  He also felt generalized weakness and not feeling well.  Patient also has associated nonproductive cough with loss of taste and decreased appetite as well as generalized body aches.  Patient has had generalized osteoarthritis with lumbar radiculopathy taking medications.  In the emergency room patient was noted to be hypoxic on room air of 85% and required oxygen supplementation 4 LPM to have acceptable saturation.  Patient also noted to have atrial fibrillation hypokalemia of 2.5, elevated blood glucose of 160, lactic acidosis 2.6 with elevated proBNP of 27 31.  CBC showed lymphopenia and D-dimer was elevated 0.6 to; rapid COVID antigen test was positive.  CT angio of the chest did not show any pulmonary embolism but shows ground-glass infiltrate on both lung consistent with viral pneumonitis as well as cardiomegaly  1/17/22: Patient is an 88-year-old male with prolonged hospitalization for COVID requiring intubation.  He was extubated on 01/07/2022.  He is severely deconditioned and undergoing PT/OT.  On 3 L nasal cannula.  During his hospitalization patient also developed retroperitoneal hematoma with hemorrhagic shock.  All the anticoagulation has been stopped due to that.  Patient is saturating well on 2-3 L of nasal cannula oxygen and his breathing is much better.  During his hospitalization patient's Lantus was discontinued as he was developing episodes of hypoglycemia overnight.  It should be noted that the patient's insulin demand should be adjusted to the patient's needs once he arrives at skilled nursing facility.  Patient was discharged from the hospital on 01/17/2022 in a stable medical condition.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Endotracheal intubation, Fibrin D dimer increased, Full blood count abnormal, Hypoglycaemia, Hypokalaemia
Clinical narrative: Pfizer Dose 1 3/19/21 (EN6208) Pfizer Dose 2 4/21/21 (ER8731) COVID Positive 12/27/21  12/27/21: The patient is an 88-year-old male past medical history significant for generalize osteoarthritis, essential hypertension, lumbar radiculopathy, obesity, spinal stenosis.   Patient Presented urinary frequency and incontinence of 1 week duration  Patient endorses that since 1 week back started to have urinary frequency with wetting himself.  He also felt generalized weakness and not feeling well.  Patient also has associated nonproductive cough with loss of taste and decreased appetite as well as generalized body aches.  Patient has had generalized osteoarthritis with lumbar radiculopathy taking medications.  In the emergency room patient was noted to be hypoxic on room air of 85% and required oxygen supplementation 4 LPM to have acceptable saturation.  Patient also noted to have atrial fibrillation hypokalemia of 2.5, elevated blood glucose of 160, lactic acidosis 2.6 with elevated proBNP of 27 31.  CBC showed lymphopenia and D-dimer was elevated 0.6 to; rapid COVID antigen test was positive.  CT angio of the chest did not show any pulmonary embolism but shows ground-glass infiltrate on both lung consistent with viral pneumonitis as well as cardiomegaly  1/17/22: Patient is an 88-year-old male with prolonged hospitalization for COVID requiring intubation.  He was extubated on 01/07/2022.  He is severely deconditioned and undergoing PT/OT.  On 3 L nasal cannula.  During his hospitalization patient also developed retroperitoneal hematoma with hemorrhagic shock.  All the anticoagulation has been stopped due to that.  Patient is saturating well on 2-3 L of nasal cannula oxygen and his breathing is much better.  During his hospitalization patient's Lantus was discontinued as he was developing episodes of hypoglycemia overnight.  It should be noted that the patient's insulin demand should be adjusted to the patient's needs once he arrives at skilled nursing facility.  Patient was discharged from the hospital on 01/17/2022 in a stable medical condition.
Age: 87.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Inappropriate schedule of product administration, Lactic acidosis, Lung opacity, Lymphopenia
Clinical narrative: Pfizer Dose 1 3/19/21 (EN6208) Pfizer Dose 2 4/21/21 (ER8731) COVID Positive 12/27/21  12/27/21: The patient is an 88-year-old male past medical history significant for generalize osteoarthritis, essential hypertension, lumbar radiculopathy, obesity, spinal stenosis.   Patient Presented urinary frequency and incontinence of 1 week duration  Patient endorses that since 1 week back started to have urinary frequency with wetting himself.  He also felt generalized weakness and not feeling well.  Patient also has associated nonproductive cough with loss of taste and decreased appetite as well as generalized body aches.  Patient has had generalized osteoarthritis with lumbar radiculopathy taking medications.  In the emergency room patient was noted to be hypoxic on room air of 85% and required oxygen supplementation 4 LPM to have acceptable saturation.  Patient also noted to have atrial fibrillation hypokalemia of 2.5, elevated blood glucose of 160, lactic acidosis 2.6 with elevated proBNP of 27 31.  CBC showed lymphopenia and D-dimer was elevated 0.6 to; rapid COVID antigen test was positive.  CT angio of the chest did not show any pulmonary embolism but shows ground-glass infiltrate on both lung consistent with viral pneumonitis as well as cardiomegaly  1/17/22: Patient is an 88-year-old male with prolonged hospitalization for COVID requiring intubation.  He was extubated on 01/07/2022.  He is severely deconditioned and undergoing PT/OT.  On 3 L nasal cannula.  During his hospitalization patient also developed retroperitoneal hematoma with hemorrhagic shock.  All the anticoagulation has been stopped due to that.  Patient is saturating well on 2-3 L of nasal cannula oxygen and his breathing is much better.  During his hospitalization patient's Lantus was discontinued as he was developing episodes of hypoglycemia overnight.  It should be noted that the patient's insulin demand should be adjusted to the patient's needs once he arrives at skilled nursing facility.  Patient was discharged from the hospital on 01/17/2022 in a stable medical condition.