chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: The joint in my hip was very sore. I woke up with it like that. As I tried to walk on it, the pain got really bad to the point that I couldn't step on it. I went to my PCP and we tried Tylenol (1000mg) morning and evening. That did not seem to help. Since the Tylenol wasn't working, they told me to try Voltaren. It was a topical cream that I applied 4 times a day. Eventually, I was able to walk again. I started with a cane. Now I am walking un-aided while using the cream on my hip. It is an anti-inflammatory. We have been calling it arthritis. It may just be age related. I do feel like it's important to report this just in case.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Fatigue, Hallucination, Heavy menstrual bleeding, Narcolepsy
Clinical narrative: 1. Extreme worsening of Narcolepsy symptoms - severely fatigued, excessive day-time sleepiness, very frequent cataplexy, hallucinations, night terrors, sleep paralysis  2. Breakthrough blood clots between menstrual cycle
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sleep paralysis, Sleep terror, Somnolence
Clinical narrative: 1. Extreme worsening of Narcolepsy symptoms - severely fatigued, excessive day-time sleepiness, very frequent cataplexy, hallucinations, night terrors, sleep paralysis  2. Breakthrough blood clots between menstrual cycle
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cataplexy, Disease recurrence, Hallucination, Intermenstrual bleeding, Menstrual disorder
Clinical narrative: 1. Extreme worsening of Narcolepsy symptoms - severely fatigued, excessive day-time sleepiness, very frequent cataplexy, hallucinations, night terrors, sleep paralysis  2. Breakthrough blood clots between menstrual cycle
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Narcolepsy, Sleep paralysis, Sleep terror, Somnolence
Clinical narrative: 1. Extreme worsening of Narcolepsy symptoms - severely fatigued, excessive day-time sleepiness, very frequent cataplexy, hallucinations, night terrors, sleep paralysis  2. Breakthrough blood clots between menstrual cycle
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Borrelia test, Ear pain, Facial pain, Injected limb mobility decreased
Clinical narrative: Started in left arm shooting pain, to the point where she couldn't pick up arm, then moved into neck.  Pain kept traveling up to jaw,  under eye and above left eye, including ear.  Pain sometimes goes to back.  Pt thought she was having a stroke and could barely talk.  Pt went to ER on 8/12, all labs came back perfect.  Was treated for muscles being inflammed,  pt is recommeded to follow up with PCP, pt is to be treated with steroids.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test normal, Myositis, Neck pain, Pain in extremity, Pain in jaw
Clinical narrative: Started in left arm shooting pain, to the point where she couldn't pick up arm, then moved into neck.  Pain kept traveling up to jaw,  under eye and above left eye, including ear.  Pain sometimes goes to back.  Pt thought she was having a stroke and could barely talk.  Pt went to ER on 8/12, all labs came back perfect.  Was treated for muscles being inflammed,  pt is recommeded to follow up with PCP, pt is to be treated with steroids.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Speech disorder
Clinical narrative: Started in left arm shooting pain, to the point where she couldn't pick up arm, then moved into neck.  Pain kept traveling up to jaw,  under eye and above left eye, including ear.  Pain sometimes goes to back.  Pt thought she was having a stroke and could barely talk.  Pt went to ER on 8/12, all labs came back perfect.  Was treated for muscles being inflammed,  pt is recommeded to follow up with PCP, pt is to be treated with steroids.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Taste disorder
Clinical narrative: One month after the second dose of Moderna, meat began tasting rotten. It steadily became worse where nearly all meat, corn, and onions taste and smell extremely rotten. Chicken and ham occasionally taste bad. I have seen my primary care physician who ran blood work to rule out vitamin D deficiency. I am now seeing an ENT who has prescribed three different nose sprays, plus a round of prednisone. Nose sprays are - saline spray (over the counter), XHance, and Azelastine. I finished the prednisone and am still using the nose sprays (one week now).
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Balance disorder, Dysphonia, Fatigue, Headache, Hypoaesthesia
Clinical narrative: Imbalance sensations that were mild with first shot. After  2nd shot, developed severe headaches, imbalance sensation worsened, fatigued/tiredness, voice hoarseness,  and numbness on arm.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pyrexia
Clinical narrative: febrile, short of breath, taken to local ER.   Treated and released.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Patient described severe myalgia all over - especially in feet and legs. She said she has been stuck in bed since the afternoon of the day of vaccination. She is just now feeling up to ambulating.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: Staff member gave patient pfizer vaccine without diluting it. Patient waited 30 minutes and had no adverse reaction.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory distress syndrome, COVID-19, Cardio-respiratory arrest, Death, Endotracheal intubation
Clinical narrative: Patient was a 58 year old patient. He had ESRD on HD MWF.  He had previously been hospitalized 8/4/21 - 8/5/21 - diagnosed with Covid 19 during this stay - stabilized and was able to be discharged home. He deteriorated at home and was brought back to the ED via EMS 8/6/21 with ARDS secondary to Covid - 19. He was intubated and remained for the duration of his stay in the ICU. He had two code incidents 8/16/21 and 8/17/21. Upon the 3rd Code, they were unable to revive him and upon discussion with family - decision made to stop CPR and patient expired.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: General physical health deterioration, Intensive care, Laboratory test, Resuscitation, SARS-CoV-2 test positive
Clinical narrative: Patient was a 58 year old patient. He had ESRD on HD MWF.  He had previously been hospitalized 8/4/21 - 8/5/21 - diagnosed with Covid 19 during this stay - stabilized and was able to be discharged home. He deteriorated at home and was brought back to the ED via EMS 8/6/21 with ARDS secondary to Covid - 19. He was intubated and remained for the duration of his stay in the ICU. He had two code incidents 8/16/21 and 8/17/21. Upon the 3rd Code, they were unable to revive him and upon discussion with family - decision made to stop CPR and patient expired.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, Cough, Death, Dyspnoea
Clinical narrative: Patient was a 58 year old patient. He had ESRD on HD MWF.  He had previously been hospitalized 8/4/21 - 8/5/21 - diagnosed with Covid 19 during this stay - stabilized and was able to be discharged home. He deteriorated at home and was brought back to the ED via EMS 8/6/21 with ARDS secondary to Covid - 19. He was intubated and remained for the duration of his stay in the ICU. He had two code incidents 8/16/21 and 8/17/21. Upon the 3rd Code, they were unable to revive him and upon discussion with family - decision made to stop CPR and patient expired.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoxia, Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient was a 58 year old patient. He had ESRD on HD MWF.  He had previously been hospitalized 8/4/21 - 8/5/21 - diagnosed with Covid 19 during this stay - stabilized and was able to be discharged home. He deteriorated at home and was brought back to the ED via EMS 8/6/21 with ARDS secondary to Covid - 19. He was intubated and remained for the duration of his stay in the ICU. He had two code incidents 8/16/21 and 8/17/21. Upon the 3rd Code, they were unable to revive him and upon discussion with family - decision made to stop CPR and patient expired.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Fibrin D dimer increased, Neck pain, Peripheral swelling, Thrombosis
Clinical narrative: Left neck pain, blood clot, arm swelling.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Respiratory distress, Unresponsive to stimuli, Vomiting
Clinical narrative: 8/12/21 @ 03:37 AM - PT NOTED TO HAVE EMESIS ON SHEETS AND GOWN. RESPONSIVE, VITALS STABLE, MD AND FAMILY NOTIFIED, ZOFRAN ORDERED AND GIVEN. NO DISTRESS NOTED. 8/12/21 @ 09:55 AM - PT NOTED TO BE EATING BREAKFAST.  NO DISTRESS NOTED. 8/12/21 @ 8:50 PM - VOMITING, NON-RESPONSIVE, RESPIRATORY DISTRESS. 02 SATS 48-50%. AMBULANCE CALLED, PT TAKEN TO ER. 8/12/21 @  8:58 PM - FACILITY NOTIFIED THAT RESIDENT EXPIRED.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Individual misrepresented vaccination status to staff in order to receive third dose of Pfizer prior to CDC recommendation for booster.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Erythema, Rash, Skin warm, Urticaria
Clinical narrative: after shot sat for 30mins and was fine and 10 later her neck was red and hot and her was covered in welts. she was taken to the ER and she couldn't breathe and was given the epipen
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Resident had vaccine prior to arrival at assisted living.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Diarrhoea, Fatigue, Nausea, Pyrexia
Clinical narrative: I started to feel exhausted, fatigue and a fever of 99 then rose to 100. By the third day I had real bad diarrhea. About a week into feeling these symptoms I started a Z-pac. I loss my appetite and nauseated from eating for about 2 weeks.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test
Clinical narrative: I started to feel exhausted, fatigue and a fever of 99 then rose to 100. By the third day I had real bad diarrhea. About a week into feeling these symptoms I started a Z-pac. I loss my appetite and nauseated from eating for about 2 weeks.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Full blood count, Lymphadenopathy, Neck pain, Swelling
Clinical narrative: On the 5th-6th day I became incredibly fatigued. Noticed that my neck was swollen and sore. I am a nurse practitioner, therefore palpated my neck, and noted very large supraclavicular lymph node present., multiple. This was on the right side, the same side I had my shot. The next day however another supraclavicular lymph node appeared on the left side as well. Fatigue was extreme for three days.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling
Clinical narrative: 2 days of right upper arm pain and swelling at injection site
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Diplopia
Clinical narrative: Double vision looking upward. Double vision in R eye looking upward to the left
Age: 26.0
Sex: F
Vaccine: TDAP
Symptoms: Autoimmune thyroid disorder, Fatigue, Oropharyngeal pain
Clinical narrative: symptoms started within 24 - 48 hours  severe sore throat for 5 months fatigue autoimmune thyroid problems
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was given Moderna on 3/18/2021 and his booster on 4/12/2021- patient was not 18 at time of vaccine administration.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site rash, Urticaria
Clinical narrative: rash and welts on rt deltoid
Age: 7.0
Sex: M
Vaccine: DTAPIPV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Patient was given Kinrix (combination; not age appropriate) instead of separate vaccines. Patient was monitored for the required length of time with no adverse reaction noted.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Headache, Infection
Clinical narrative: Breakthrough Covid infection. Patient received Pfizer vaccine on April 28th and May 17th, and presented with active COVID infection 8/18/2021. Symptoms first started 8/16/2021 with headache, cough, nasal congestion, bodyaches, shortness of breath. Respiratory panel positive for SARS-CoV-2 PCR.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Pain, Pulmonary function test abnormal, SARS-CoV-2 test positive
Clinical narrative: Breakthrough Covid infection. Patient received Pfizer vaccine on April 28th and May 17th, and presented with active COVID infection 8/18/2021. Symptoms first started 8/16/2021 with headache, cough, nasal congestion, bodyaches, shortness of breath. Respiratory panel positive for SARS-CoV-2 PCR.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Hypoaesthesia, Induration, Injection site hypoaesthesia
Clinical narrative: Day #1 headache, numbness to face and injection site.  Chills 1hr after injection. Day 2-5 posterior occipital headache, day 7 rash to injection site worsening, day 15 rash, red, raised hard, itchy, bulls eye in appearance.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash erythematous, Rash papular, Rash pruritic
Clinical narrative: Day #1 headache, numbness to face and injection site.  Chills 1hr after injection. Day 2-5 posterior occipital headache, day 7 rash to injection site worsening, day 15 rash, red, raised hard, itchy, bulls eye in appearance.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Lymph nodes in left arm swollen
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Respiratory distress, Respiratory symptom, SARS-CoV-2 test positive
Clinical narrative: Patient was fully vaccinated. Patient has now been hospitalized  on 8/16 with C19+ diagnosis. Presented with upper respiratory symptoms of distress.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Injection site erythema, Palpitations
Clinical narrative: Palpitations, Site Redness, Slight Blood Pressure Elevation
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Urticaria
Clinical narrative: urticaria, muscle pain in the middle of chest and arm.
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Cough, Dyspnoea, Pneumonia
Clinical narrative: 86-year-old male with COPD, chronic hypoxic respiratory failure dependent on 3 L supplemental oxygen at home, hypertension, hypothyroidism, asthma, BPH, glaucoma.  Presented to the ED via EMS with a 5 day history of shortness of breath with cough and positive COVID-19 testing outpatient.  Patient reports being fully vaccinated against COVID-19.  On arrival to the ED, oxygen saturation was 97% on 3 L supplemental oxygen via nasal cannula.  Heart rate 97, respiratory rate 20.  Patient is COVID-19 positive.  Chest x-ray reveals bilateral pneumonia.  VACCINE DATE: 3/10/2021 HOSPITALIZATION DATE: 8/16/2021
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 86-year-old male with COPD, chronic hypoxic respiratory failure dependent on 3 L supplemental oxygen at home, hypertension, hypothyroidism, asthma, BPH, glaucoma.  Presented to the ED via EMS with a 5 day history of shortness of breath with cough and positive COVID-19 testing outpatient.  Patient reports being fully vaccinated against COVID-19.  On arrival to the ED, oxygen saturation was 97% on 3 L supplemental oxygen via nasal cannula.  Heart rate 97, respiratory rate 20.  Patient is COVID-19 positive.  Chest x-ray reveals bilateral pneumonia.  VACCINE DATE: 3/10/2021 HOSPITALIZATION DATE: 8/16/2021
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Pain, Palpitations, Pyrexia
Clinical narrative: High Fever, Body Aches, Hard to Breath, Heart Pounding.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Migraine
Clinical narrative: Migraine for 5 days. No medications that I take for breakthrough would help.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Nasal congestion, SARS-CoV-2 test positive, Upper respiratory tract infection
Clinical narrative: URI, NASAL CONGESTION
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anosmia, COVID-19, Cough, Exposure to SARS-CoV-2, Pain
Clinical narrative: became covid positive 8/6/21 after daughter contracted it in daycare, no smell , cough, and had a fever for the first week, vertigo, body aches congestion, sinus pressure
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paranasal sinus discomfort, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Vertigo
Clinical narrative: became covid positive 8/6/21 after daughter contracted it in daycare, no smell , cough, and had a fever for the first week, vertigo, body aches congestion, sinus pressure
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate irregular, Hot flush, Injection site pain, Palpitations
Clinical narrative: Sore right arm, irregular heart beat, heart palpitations, hot flashes.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Nausea, Neurological symptom, Syncope, Vomiting
Clinical narrative: pt. received vaccine @ 1420,  within 5 minutes of sitting in chair, pt. c/o feeling hot and nauseated, had syncopal episode, and small seizure like activity, then arroused with physical stimuli, pt. then vomited large amount,  Pt. was taken to gurney,  Team alert called and pt. taken to ED for evaluation 129/92, 100%, 92 heart rate
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral
Clinical narrative: I started to feel numbness in my tongue and through my mouth and lips. I went to the doctor, and he did not give me any treatment or do any medical tests and to just come back in 3 months and then we will go from there. I do have arthritis in my joints, and I was wondering if it was something related to my nerves but he did not know.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Blood test
Clinical narrative: inflammation in joints
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Swelling
Clinical narrative: Pt reported numbness in shoulder down to finger tips and slight swelling in neck
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: SECOND DOSE WAS ADMINISTERED TOO EARLY
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test abnormal, Chest X-ray normal, Chest discomfort, Chest pain, Chills
Clinical narrative: I woke up at midnight with very severe chest pains, could not take a deep breath. I felt like my lungs were on fire and someone was sitting on my chest. I had to prop myself up on pillows just to be able to breathe. I didn't sleep at all that night because I was afraid I wouldn't wake up. Intense heart pounding, very rapid. The next morning  my chest still hurt very bad but I felt I could catch my breath a little better. Had a little bit of a fever & chills. I called my doctor and she told me to go the emergency room. I got an EKG, blood work, and chest X-ray. All came back normal except my blood work showed I had elevated levels for a blood clot, so I needed a CT scan. No blood clots were shown, but my left lymph node under my armpit was extremely swollen (injection site was left arm). They concluded that all of my problems were a reaction to the vaccine.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Dyspnoea, Electrocardiogram normal, Fear, Heart rate increased
Clinical narrative: I woke up at midnight with very severe chest pains, could not take a deep breath. I felt like my lungs were on fire and someone was sitting on my chest. I had to prop myself up on pillows just to be able to breathe. I didn't sleep at all that night because I was afraid I wouldn't wake up. Intense heart pounding, very rapid. The next morning  my chest still hurt very bad but I felt I could catch my breath a little better. Had a little bit of a fever & chills. I called my doctor and she told me to go the emergency room. I got an EKG, blood work, and chest X-ray. All came back normal except my blood work showed I had elevated levels for a blood clot, so I needed a CT scan. No blood clots were shown, but my left lymph node under my armpit was extremely swollen (injection site was left arm). They concluded that all of my problems were a reaction to the vaccine.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymphadenopathy, Non-cardiac chest pain, Palpitations, Pulmonary pain, Pyrexia
Clinical narrative: I woke up at midnight with very severe chest pains, could not take a deep breath. I felt like my lungs were on fire and someone was sitting on my chest. I had to prop myself up on pillows just to be able to breathe. I didn't sleep at all that night because I was afraid I wouldn't wake up. Intense heart pounding, very rapid. The next morning  my chest still hurt very bad but I felt I could catch my breath a little better. Had a little bit of a fever & chills. I called my doctor and she told me to go the emergency room. I got an EKG, blood work, and chest X-ray. All came back normal except my blood work showed I had elevated levels for a blood clot, so I needed a CT scan. No blood clots were shown, but my left lymph node under my armpit was extremely swollen (injection site was left arm). They concluded that all of my problems were a reaction to the vaccine.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sleep deficit, Vaccination complication
Clinical narrative: I woke up at midnight with very severe chest pains, could not take a deep breath. I felt like my lungs were on fire and someone was sitting on my chest. I had to prop myself up on pillows just to be able to breathe. I didn't sleep at all that night because I was afraid I wouldn't wake up. Intense heart pounding, very rapid. The next morning  my chest still hurt very bad but I felt I could catch my breath a little better. Had a little bit of a fever & chills. I called my doctor and she told me to go the emergency room. I got an EKG, blood work, and chest X-ray. All came back normal except my blood work showed I had elevated levels for a blood clot, so I needed a CT scan. No blood clots were shown, but my left lymph node under my armpit was extremely swollen (injection site was left arm). They concluded that all of my problems were a reaction to the vaccine.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Dyspnoea, Irregular breathing, Lung disorder
Clinical narrative: I woke up at midnight with very severe chest pains, could not take a deep breath. I felt like my lungs were on fire and someone was sitting on my chest. I had to prop myself up on pillows just to be able to breathe. I didn't sleep at all that night because I was afraid I wouldn't wake up. Intense heart pounding, very rapid. The next morning  my chest still hurt very bad but I felt I could catch my breath a little better. Had a little bit of a fever & chills. I called my doctor and she told me to go the emergency room. I got an EKG, blood work, and chest X-ray. All came back normal except my blood work showed I had elevated levels for a blood clot, so I needed a CT scan. No blood clots were shown, but my left lymph node under my armpit was extremely swollen (injection site was left arm). They concluded that all of my problems were a reaction to the vaccine.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray, Echocardiogram, Electrocardiogram, Laboratory test, Myocarditis
Clinical narrative: Myocarditis hospitalization troponin elevated at 5200
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin increased
Clinical narrative: Myocarditis hospitalization troponin elevated at 5200
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Patient received 2 dose series of Pfizer Vaccine from Hospital previously. Patient came in and received Janssen Vaccine at Pharmacy.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic shock
Clinical narrative: Anaphylactic shock
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Fatigue, Headache, Injection site erythema, Injection site pain
Clinical narrative: Headaches/Migraines, Fatigue/Tired, Extended Pain at Shot Site (Left Deltoid), Shot Site (area around Left Deltoid) red, hot and swollen...also itching, Pain in armpit and tricep radiating down the under side of the shot arm.  I have been using muscle cream and Advil and ensuring hydrated.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling, Injection site warmth, Migraine, Pain
Clinical narrative: Headaches/Migraines, Fatigue/Tired, Extended Pain at Shot Site (Left Deltoid), Shot Site (area around Left Deltoid) red, hot and swollen...also itching, Pain in armpit and tricep radiating down the under side of the shot arm.  I have been using muscle cream and Advil and ensuring hydrated.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Cough, Headache, Oropharyngeal pain, Polymerase chain reaction positive
Clinical narrative: Runny nose, sore throat, cough, chest pain, headache, sinusitis
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Rhinorrhoea, Sinusitis
Clinical narrative: Runny nose, sore throat, cough, chest pain, headache, sinusitis
Age: 64.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Pain, Pyrexia, SARS-CoV-2 RNA
Clinical narrative: DRY COUGH, FEVER, BODY ACHES.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: The person was given a third dose.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Antinuclear antibody positive, Asthenia, Biopsy bone marrow, Biopsy lymph gland
Clinical narrative: The patient presents on 8/10/21 for a new patient visit; she was recently seen by the hematology service and given suspicion for HLH, r/o lymphoma.  The patient is a 64 yo woman with history of Guillain-Barre syndrome/AIDP (2015), SLE (no longer on any meds), OSA (no CPAP use for past 2 yrs), TDM2, HTN, chronic lower back pain, b/l knee osteoarthritis s/p b/l TKR, LLE DVT (2000, no longer on AC), asthma, anxiety, depression, neuroendocrine tumor of pancreas s/p resection (8/31/20) who presents initially to LIJ on 7/18/21with generalized weakness, poor PO intake, weight loss, and recurrent fevers after Pfizer vaccine 1 month prior to presentation. Initial concern was for resistant bacterial PNA vs cryptogenic organizing PNA given recent admission for PNA, but hospital course c/b persistent fevers despite long course with antibiotics and fluctuating neutropenia of unknown origin so workup for malignancy started. Patient had bronchoscopy with hilar LN biopsy on 7/27/21, and BM biopsy on 7/30/21 as well as PET scan on 8/2/21 to r/o lymphoma.  Patient was seen by ID, rheumatology, and hematology services.CT A/P showed postsurgical change at site of prior neuroendocrine tumor vs neoplasm, re-demonstrated patchy pneumonia and lymphadenopathy especially in axillary and left supraclavicular nodes. Of note, patient was found to have elevated COVID-19 nucleocapsid antibodies, indicated that patient may have had prior COVID infection, which may have been the cause of her peripheral opacities on CTA, in addition to diffuse weakness. Rheum consulted due to patient's history of SLE (not on meds) and +SSA/SSB Ab and they evaluated for possible vasculitis, sarcoidosis, or autoimmune flare and results were nonspecific. 8/2 PET scan with FDG-avid cervical, axillary and hilar adenopathy. Differential includes inflammatory and neoplastic etiologies, including lymphoma. FDG-avid lymph nodes in neck and thorax, predominantly unchanged as compared to recent diagnostic CT scans, also are nonspecific. Mild, diffuse bone marrow hypermetabolism was noted but nonspecific. Peripheral blood flow cytometry (7/29) showed small population of monotypic B-cells in a polytypic background, and bone marrow biopsy (7/30) revealed moderate B-cell lymphocytosis with no clonal B-cell population on BM flow cytometry; further work up was pending to r/o underlying hematological malignancy, which the patient preferred to have performed as an inpatient. The patient was discharged from LIJ on 8/4/2/1 to follow up with hematology today to follow up on final bone marrow biopsy results as well as to arrange for an axillary lymph node biopsy to r/o suspected lymphoma.  Infectious work up, including blood, urine, bronchial and tissue cultures, including acid fast and fungal cultures, have demonstrated no growth of pathological organisms as of 8/4/21. She had no further fevers for >48 hours prior to Discharge.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Blood culture negative, Bone marrow disorder, Bronchoscopy, Computerised tomogram, Computerised tomogram abdomen abnormal
Clinical narrative: The patient presents on 8/10/21 for a new patient visit; she was recently seen by the hematology service and given suspicion for HLH, r/o lymphoma.  The patient is a 64 yo woman with history of Guillain-Barre syndrome/AIDP (2015), SLE (no longer on any meds), OSA (no CPAP use for past 2 yrs), TDM2, HTN, chronic lower back pain, b/l knee osteoarthritis s/p b/l TKR, LLE DVT (2000, no longer on AC), asthma, anxiety, depression, neuroendocrine tumor of pancreas s/p resection (8/31/20) who presents initially to LIJ on 7/18/21with generalized weakness, poor PO intake, weight loss, and recurrent fevers after Pfizer vaccine 1 month prior to presentation. Initial concern was for resistant bacterial PNA vs cryptogenic organizing PNA given recent admission for PNA, but hospital course c/b persistent fevers despite long course with antibiotics and fluctuating neutropenia of unknown origin so workup for malignancy started. Patient had bronchoscopy with hilar LN biopsy on 7/27/21, and BM biopsy on 7/30/21 as well as PET scan on 8/2/21 to r/o lymphoma.  Patient was seen by ID, rheumatology, and hematology services.CT A/P showed postsurgical change at site of prior neuroendocrine tumor vs neoplasm, re-demonstrated patchy pneumonia and lymphadenopathy especially in axillary and left supraclavicular nodes. Of note, patient was found to have elevated COVID-19 nucleocapsid antibodies, indicated that patient may have had prior COVID infection, which may have been the cause of her peripheral opacities on CTA, in addition to diffuse weakness. Rheum consulted due to patient's history of SLE (not on meds) and +SSA/SSB Ab and they evaluated for possible vasculitis, sarcoidosis, or autoimmune flare and results were nonspecific. 8/2 PET scan with FDG-avid cervical, axillary and hilar adenopathy. Differential includes inflammatory and neoplastic etiologies, including lymphoma. FDG-avid lymph nodes in neck and thorax, predominantly unchanged as compared to recent diagnostic CT scans, also are nonspecific. Mild, diffuse bone marrow hypermetabolism was noted but nonspecific. Peripheral blood flow cytometry (7/29) showed small population of monotypic B-cells in a polytypic background, and bone marrow biopsy (7/30) revealed moderate B-cell lymphocytosis with no clonal B-cell population on BM flow cytometry; further work up was pending to r/o underlying hematological malignancy, which the patient preferred to have performed as an inpatient. The patient was discharged from LIJ on 8/4/2/1 to follow up with hematology today to follow up on final bone marrow biopsy results as well as to arrange for an axillary lymph node biopsy to r/o suspected lymphoma.  Infectious work up, including blood, urine, bronchial and tissue cultures, including acid fast and fungal cultures, have demonstrated no growth of pathological organisms as of 8/4/21. She had no further fevers for >48 hours prior to Discharge.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Culture tissue specimen negative, Culture urine negative, Flow cytometry, Fungal test negative, Haemophagocytic lymphohistiocytosis
Clinical narrative: The patient presents on 8/10/21 for a new patient visit; she was recently seen by the hematology service and given suspicion for HLH, r/o lymphoma.  The patient is a 64 yo woman with history of Guillain-Barre syndrome/AIDP (2015), SLE (no longer on any meds), OSA (no CPAP use for past 2 yrs), TDM2, HTN, chronic lower back pain, b/l knee osteoarthritis s/p b/l TKR, LLE DVT (2000, no longer on AC), asthma, anxiety, depression, neuroendocrine tumor of pancreas s/p resection (8/31/20) who presents initially to LIJ on 7/18/21with generalized weakness, poor PO intake, weight loss, and recurrent fevers after Pfizer vaccine 1 month prior to presentation. Initial concern was for resistant bacterial PNA vs cryptogenic organizing PNA given recent admission for PNA, but hospital course c/b persistent fevers despite long course with antibiotics and fluctuating neutropenia of unknown origin so workup for malignancy started. Patient had bronchoscopy with hilar LN biopsy on 7/27/21, and BM biopsy on 7/30/21 as well as PET scan on 8/2/21 to r/o lymphoma.  Patient was seen by ID, rheumatology, and hematology services.CT A/P showed postsurgical change at site of prior neuroendocrine tumor vs neoplasm, re-demonstrated patchy pneumonia and lymphadenopathy especially in axillary and left supraclavicular nodes. Of note, patient was found to have elevated COVID-19 nucleocapsid antibodies, indicated that patient may have had prior COVID infection, which may have been the cause of her peripheral opacities on CTA, in addition to diffuse weakness. Rheum consulted due to patient's history of SLE (not on meds) and +SSA/SSB Ab and they evaluated for possible vasculitis, sarcoidosis, or autoimmune flare and results were nonspecific. 8/2 PET scan with FDG-avid cervical, axillary and hilar adenopathy. Differential includes inflammatory and neoplastic etiologies, including lymphoma. FDG-avid lymph nodes in neck and thorax, predominantly unchanged as compared to recent diagnostic CT scans, also are nonspecific. Mild, diffuse bone marrow hypermetabolism was noted but nonspecific. Peripheral blood flow cytometry (7/29) showed small population of monotypic B-cells in a polytypic background, and bone marrow biopsy (7/30) revealed moderate B-cell lymphocytosis with no clonal B-cell population on BM flow cytometry; further work up was pending to r/o underlying hematological malignancy, which the patient preferred to have performed as an inpatient. The patient was discharged from LIJ on 8/4/2/1 to follow up with hematology today to follow up on final bone marrow biopsy results as well as to arrange for an axillary lymph node biopsy to r/o suspected lymphoma.  Infectious work up, including blood, urine, bronchial and tissue cultures, including acid fast and fungal cultures, have demonstrated no growth of pathological organisms as of 8/4/21. She had no further fevers for >48 hours prior to Discharge.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Hypermetabolism, Hypophagia, Lung opacity, Lymphadenopathy, Lymphocytosis
Clinical narrative: The patient presents on 8/10/21 for a new patient visit; she was recently seen by the hematology service and given suspicion for HLH, r/o lymphoma.  The patient is a 64 yo woman with history of Guillain-Barre syndrome/AIDP (2015), SLE (no longer on any meds), OSA (no CPAP use for past 2 yrs), TDM2, HTN, chronic lower back pain, b/l knee osteoarthritis s/p b/l TKR, LLE DVT (2000, no longer on AC), asthma, anxiety, depression, neuroendocrine tumor of pancreas s/p resection (8/31/20) who presents initially to LIJ on 7/18/21with generalized weakness, poor PO intake, weight loss, and recurrent fevers after Pfizer vaccine 1 month prior to presentation. Initial concern was for resistant bacterial PNA vs cryptogenic organizing PNA given recent admission for PNA, but hospital course c/b persistent fevers despite long course with antibiotics and fluctuating neutropenia of unknown origin so workup for malignancy started. Patient had bronchoscopy with hilar LN biopsy on 7/27/21, and BM biopsy on 7/30/21 as well as PET scan on 8/2/21 to r/o lymphoma.  Patient was seen by ID, rheumatology, and hematology services.CT A/P showed postsurgical change at site of prior neuroendocrine tumor vs neoplasm, re-demonstrated patchy pneumonia and lymphadenopathy especially in axillary and left supraclavicular nodes. Of note, patient was found to have elevated COVID-19 nucleocapsid antibodies, indicated that patient may have had prior COVID infection, which may have been the cause of her peripheral opacities on CTA, in addition to diffuse weakness. Rheum consulted due to patient's history of SLE (not on meds) and +SSA/SSB Ab and they evaluated for possible vasculitis, sarcoidosis, or autoimmune flare and results were nonspecific. 8/2 PET scan with FDG-avid cervical, axillary and hilar adenopathy. Differential includes inflammatory and neoplastic etiologies, including lymphoma. FDG-avid lymph nodes in neck and thorax, predominantly unchanged as compared to recent diagnostic CT scans, also are nonspecific. Mild, diffuse bone marrow hypermetabolism was noted but nonspecific. Peripheral blood flow cytometry (7/29) showed small population of monotypic B-cells in a polytypic background, and bone marrow biopsy (7/30) revealed moderate B-cell lymphocytosis with no clonal B-cell population on BM flow cytometry; further work up was pending to r/o underlying hematological malignancy, which the patient preferred to have performed as an inpatient. The patient was discharged from LIJ on 8/4/2/1 to follow up with hematology today to follow up on final bone marrow biopsy results as well as to arrange for an axillary lymph node biopsy to r/o suspected lymphoma.  Infectious work up, including blood, urine, bronchial and tissue cultures, including acid fast and fungal cultures, have demonstrated no growth of pathological organisms as of 8/4/21. She had no further fevers for >48 hours prior to Discharge.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphoma, Mycobacterium test negative, Neoplasm, Neutropenia, Pneumonia
Clinical narrative: The patient presents on 8/10/21 for a new patient visit; she was recently seen by the hematology service and given suspicion for HLH, r/o lymphoma.  The patient is a 64 yo woman with history of Guillain-Barre syndrome/AIDP (2015), SLE (no longer on any meds), OSA (no CPAP use for past 2 yrs), TDM2, HTN, chronic lower back pain, b/l knee osteoarthritis s/p b/l TKR, LLE DVT (2000, no longer on AC), asthma, anxiety, depression, neuroendocrine tumor of pancreas s/p resection (8/31/20) who presents initially to LIJ on 7/18/21with generalized weakness, poor PO intake, weight loss, and recurrent fevers after Pfizer vaccine 1 month prior to presentation. Initial concern was for resistant bacterial PNA vs cryptogenic organizing PNA given recent admission for PNA, but hospital course c/b persistent fevers despite long course with antibiotics and fluctuating neutropenia of unknown origin so workup for malignancy started. Patient had bronchoscopy with hilar LN biopsy on 7/27/21, and BM biopsy on 7/30/21 as well as PET scan on 8/2/21 to r/o lymphoma.  Patient was seen by ID, rheumatology, and hematology services.CT A/P showed postsurgical change at site of prior neuroendocrine tumor vs neoplasm, re-demonstrated patchy pneumonia and lymphadenopathy especially in axillary and left supraclavicular nodes. Of note, patient was found to have elevated COVID-19 nucleocapsid antibodies, indicated that patient may have had prior COVID infection, which may have been the cause of her peripheral opacities on CTA, in addition to diffuse weakness. Rheum consulted due to patient's history of SLE (not on meds) and +SSA/SSB Ab and they evaluated for possible vasculitis, sarcoidosis, or autoimmune flare and results were nonspecific. 8/2 PET scan with FDG-avid cervical, axillary and hilar adenopathy. Differential includes inflammatory and neoplastic etiologies, including lymphoma. FDG-avid lymph nodes in neck and thorax, predominantly unchanged as compared to recent diagnostic CT scans, also are nonspecific. Mild, diffuse bone marrow hypermetabolism was noted but nonspecific. Peripheral blood flow cytometry (7/29) showed small population of monotypic B-cells in a polytypic background, and bone marrow biopsy (7/30) revealed moderate B-cell lymphocytosis with no clonal B-cell population on BM flow cytometry; further work up was pending to r/o underlying hematological malignancy, which the patient preferred to have performed as an inpatient. The patient was discharged from LIJ on 8/4/2/1 to follow up with hematology today to follow up on final bone marrow biopsy results as well as to arrange for an axillary lymph node biopsy to r/o suspected lymphoma.  Infectious work up, including blood, urine, bronchial and tissue cultures, including acid fast and fungal cultures, have demonstrated no growth of pathological organisms as of 8/4/21. She had no further fevers for >48 hours prior to Discharge.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Positron emission tomogram abnormal, Pyrexia, Rheumatological examination, SARS-CoV-2 antibody test positive, Weight decreased
Clinical narrative: The patient presents on 8/10/21 for a new patient visit; she was recently seen by the hematology service and given suspicion for HLH, r/o lymphoma.  The patient is a 64 yo woman with history of Guillain-Barre syndrome/AIDP (2015), SLE (no longer on any meds), OSA (no CPAP use for past 2 yrs), TDM2, HTN, chronic lower back pain, b/l knee osteoarthritis s/p b/l TKR, LLE DVT (2000, no longer on AC), asthma, anxiety, depression, neuroendocrine tumor of pancreas s/p resection (8/31/20) who presents initially to LIJ on 7/18/21with generalized weakness, poor PO intake, weight loss, and recurrent fevers after Pfizer vaccine 1 month prior to presentation. Initial concern was for resistant bacterial PNA vs cryptogenic organizing PNA given recent admission for PNA, but hospital course c/b persistent fevers despite long course with antibiotics and fluctuating neutropenia of unknown origin so workup for malignancy started. Patient had bronchoscopy with hilar LN biopsy on 7/27/21, and BM biopsy on 7/30/21 as well as PET scan on 8/2/21 to r/o lymphoma.  Patient was seen by ID, rheumatology, and hematology services.CT A/P showed postsurgical change at site of prior neuroendocrine tumor vs neoplasm, re-demonstrated patchy pneumonia and lymphadenopathy especially in axillary and left supraclavicular nodes. Of note, patient was found to have elevated COVID-19 nucleocapsid antibodies, indicated that patient may have had prior COVID infection, which may have been the cause of her peripheral opacities on CTA, in addition to diffuse weakness. Rheum consulted due to patient's history of SLE (not on meds) and +SSA/SSB Ab and they evaluated for possible vasculitis, sarcoidosis, or autoimmune flare and results were nonspecific. 8/2 PET scan with FDG-avid cervical, axillary and hilar adenopathy. Differential includes inflammatory and neoplastic etiologies, including lymphoma. FDG-avid lymph nodes in neck and thorax, predominantly unchanged as compared to recent diagnostic CT scans, also are nonspecific. Mild, diffuse bone marrow hypermetabolism was noted but nonspecific. Peripheral blood flow cytometry (7/29) showed small population of monotypic B-cells in a polytypic background, and bone marrow biopsy (7/30) revealed moderate B-cell lymphocytosis with no clonal B-cell population on BM flow cytometry; further work up was pending to r/o underlying hematological malignancy, which the patient preferred to have performed as an inpatient. The patient was discharged from LIJ on 8/4/2/1 to follow up with hematology today to follow up on final bone marrow biopsy results as well as to arrange for an axillary lymph node biopsy to r/o suspected lymphoma.  Infectious work up, including blood, urine, bronchial and tissue cultures, including acid fast and fungal cultures, have demonstrated no growth of pathological organisms as of 8/4/21. She had no further fevers for >48 hours prior to Discharge.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Electrocardiogram, Pulmonary function test decreased, Syncope
Clinical narrative: After the first dose, the girl suffered a syncope. She felt chest tightness and saw everything dark and collapsed. After that event, she reports that with the slightest effort her chest felt tight, and she lacks oxygen.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment
Clinical narrative: After the first dose, the girl suffered a syncope. She felt chest tightness and saw everything dark and collapsed. After that event, she reports that with the slightest effort her chest felt tight, and she lacks oxygen.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Diarrhoea, Flatulence, Headache, Myalgia
Clinical narrative: Aching muscle, pain at some joints, 99.5 fever, minor headache, excessive gas and diarrhea
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Aching muscle, pain at some joints, 99.5 fever, minor headache, excessive gas and diarrhea
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Cold sweat, Insomnia, Migraine, Renal pain, Sensitive skin
Clinical narrative: Kidney pain, skin sensitivity, migraine and cold sweats which worsened throughout the night prohibiting sleep.  Kidney pain is continuing through the next day.  Continuing to monitor.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Pruritus, Skin warm
Clinical narrative: Itching and swelling in left upper arm as well as warm to the touch - also some discomfort
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Amnesia, Chills, Coordination abnormal, Dizziness, Feeling drunk
Clinical narrative: Giddiness, dizziness, "feeling drunk", failed finger-to-nose test, uncoordinated, and memory loss of events x 10 hours.  He was able to answer questions, but kept repeating same questions over.  Approximately 13 hours from onset of adverse event, he stated feeling "punched in the face", headaches, and ringing in one ear.  Also experienced numbness in fingertips.  Approximately 24 hours after vaccination, ringing in ears/numbness in fingertips resolved, but some dizziness.  Now with lethargy, and chills - which are some of the expected side effects.  He states, "I lost at least 8 hours of my life."
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Lethargy, Tinnitus
Clinical narrative: Giddiness, dizziness, "feeling drunk", failed finger-to-nose test, uncoordinated, and memory loss of events x 10 hours.  He was able to answer questions, but kept repeating same questions over.  Approximately 13 hours from onset of adverse event, he stated feeling "punched in the face", headaches, and ringing in one ear.  Also experienced numbness in fingertips.  Approximately 24 hours after vaccination, ringing in ears/numbness in fingertips resolved, but some dizziness.  Now with lethargy, and chills - which are some of the expected side effects.  He states, "I lost at least 8 hours of my life."
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: 3rd dose given
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Injected limb mobility decreased, Mouth haemorrhage, Seizure
Clinical narrative: Diarrhea, Seizure, Blood in Mouth, Mobility Loss of Left Arm
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness unilateral, Tinnitus
Clinical narrative: Tinnitus and  sudden hearing loss in right ear.  Is this a side effect?
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Emotional distress, Genital herpes simplex, Herpes simplex test positive
Clinical narrative: Primary Breakout of HSX2 genital herpes. HSX2 infection was previously undetected and has been dormant for 25+ years. Breakout began approximately 2 weeks post-vaccination and progressed for 3 weeks. Herpes simplex was not initially considered a possible diagnosis as I have remained fully monogamous for 25 years. Post-vaccine was the primary breakout and caused significant emotional distress as well as marital complications resulting from an STD diagnosis. It is unclear whether subsequent breakouts will occur after this primary breakout.