chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Bronchial secretion retention, COVID-19, COVID-19 pneumonia, Cardiac arrest, Cerebral mass effect
Clinical narrative: The patient is a 55 y.o. male who presents to the emergency department via EMS for evaluation of septic shock. The patient arrives from skilled nursing care facility into Stabilization Room 3. The patient was admitted to skilled nursing care facility for a basal ganglia hemorrhage with shift and full code. Today the patient was noted to have a fever that spiked to 103 with increased respiratory rate and suspected septic shock. Per EMS, the patient was diaphoretic and vented upon arrival. Facility noted pressures in the 100's, but EMS got a pressure of 68. The patient is typically nonverbal, but was noted to be decreased from baseline. He was started on Vancomycin and Zosyn before transfer.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Dialysis, Echocardiogram, Echocardiogram abnormal, Ejection fraction decreased
Clinical narrative: The patient is a 55 y.o. male who presents to the emergency department via EMS for evaluation of septic shock. The patient arrives from skilled nursing care facility into Stabilization Room 3. The patient was admitted to skilled nursing care facility for a basal ganglia hemorrhage with shift and full code. Today the patient was noted to have a fever that spiked to 103 with increased respiratory rate and suspected septic shock. Per EMS, the patient was diaphoretic and vented upon arrival. Facility noted pressures in the 100's, but EMS got a pressure of 68. The patient is typically nonverbal, but was noted to be decreased from baseline. He was started on Vancomycin and Zosyn before transfer.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Enterobacter bacteraemia, Enterobacter test positive, Essential hypertension, Haemoglobin decreased, Hyperhidrosis
Clinical narrative: The patient is a 55 y.o. male who presents to the emergency department via EMS for evaluation of septic shock. The patient arrives from skilled nursing care facility into Stabilization Room 3. The patient was admitted to skilled nursing care facility for a basal ganglia hemorrhage with shift and full code. Today the patient was noted to have a fever that spiked to 103 with increased respiratory rate and suspected septic shock. Per EMS, the patient was diaphoretic and vented upon arrival. Facility noted pressures in the 100's, but EMS got a pressure of 68. The patient is typically nonverbal, but was noted to be decreased from baseline. He was started on Vancomycin and Zosyn before transfer.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Hypervolaemia, Intensive care, Mechanical ventilation, Nausea, Normocytic anaemia
Clinical narrative: The patient is a 55 y.o. male who presents to the emergency department via EMS for evaluation of septic shock. The patient arrives from skilled nursing care facility into Stabilization Room 3. The patient was admitted to skilled nursing care facility for a basal ganglia hemorrhage with shift and full code. Today the patient was noted to have a fever that spiked to 103 with increased respiratory rate and suspected septic shock. Per EMS, the patient was diaphoretic and vented upon arrival. Facility noted pressures in the 100's, but EMS got a pressure of 68. The patient is typically nonverbal, but was noted to be decreased from baseline. He was started on Vancomycin and Zosyn before transfer.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Pulseless electrical activity, Pyrexia, Renal impairment, Renal tubular necrosis, Respiratory failure
Clinical narrative: The patient is a 55 y.o. male who presents to the emergency department via EMS for evaluation of septic shock. The patient arrives from skilled nursing care facility into Stabilization Room 3. The patient was admitted to skilled nursing care facility for a basal ganglia hemorrhage with shift and full code. Today the patient was noted to have a fever that spiked to 103 with increased respiratory rate and suspected septic shock. Per EMS, the patient was diaphoretic and vented upon arrival. Facility noted pressures in the 100's, but EMS got a pressure of 68. The patient is typically nonverbal, but was noted to be decreased from baseline. He was started on Vancomycin and Zosyn before transfer.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory rate increased, Resuscitation, SARS-CoV-2 test positive, Sepsis, Septic shock
Clinical narrative: The patient is a 55 y.o. male who presents to the emergency department via EMS for evaluation of septic shock. The patient arrives from skilled nursing care facility into Stabilization Room 3. The patient was admitted to skilled nursing care facility for a basal ganglia hemorrhage with shift and full code. Today the patient was noted to have a fever that spiked to 103 with increased respiratory rate and suspected septic shock. Per EMS, the patient was diaphoretic and vented upon arrival. Facility noted pressures in the 100's, but EMS got a pressure of 68. The patient is typically nonverbal, but was noted to be decreased from baseline. He was started on Vancomycin and Zosyn before transfer.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Speech disorder, Sputum culture positive, Stress cardiomyopathy, Thrombocytopenia, Vomiting
Clinical narrative: The patient is a 55 y.o. male who presents to the emergency department via EMS for evaluation of septic shock. The patient arrives from skilled nursing care facility into Stabilization Room 3. The patient was admitted to skilled nursing care facility for a basal ganglia hemorrhage with shift and full code. Today the patient was noted to have a fever that spiked to 103 with increased respiratory rate and suspected septic shock. Per EMS, the patient was diaphoretic and vented upon arrival. Facility noted pressures in the 100's, but EMS got a pressure of 68. The patient is typically nonverbal, but was noted to be decreased from baseline. He was started on Vancomycin and Zosyn before transfer.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization with covid after being full vaccinated
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Lymphadenopathy, Mobility decreased, Pain in extremity, Swelling
Clinical narrative: Pt got vaccine in afternoon. Awakened next morning unable to move the arm in extreme pain.  Examined in office and even with max OTC meds on board (Ibuprofen and Acetaminophen) she was incredibly tender to the touch, mildly swollen and unable to abduct the arm at the shoulder. No nerve symptoms. Pain has persisted and now the patient has shoulder pain on that side and very enlarged nodes under the arm.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: Pt got vaccine in afternoon. Awakened next morning unable to move the arm in extreme pain.  Examined in office and even with max OTC meds on board (Ibuprofen and Acetaminophen) she was incredibly tender to the touch, mildly swollen and unable to abduct the arm at the shoulder. No nerve symptoms. Pain has persisted and now the patient has shoulder pain on that side and very enlarged nodes under the arm.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, COVID-19, Rash, Rash erythematous, Rash pruritic
Clinical narrative: At around 5pm the day of vaccination, a rash developed on my whole neck. It had hives, and it was very itchy, red, with a burning sensation. this persisted through the night. the itchiness and burning the next night was gone, but the rash remained. it is sensitive when touched, and it does start burning and itching again. it has some blistering, but has remained the same (minus the consistent itching and burning) since it started the day of the vaccine. i did test positive for COVID on 12/26/2021, but symptoms started 12/25/2021. rashes were not a symptom while actively contagious with the virus.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Rash vesicular, SARS-CoV-2 test positive, Tenderness, Urticaria
Clinical narrative: At around 5pm the day of vaccination, a rash developed on my whole neck. It had hives, and it was very itchy, red, with a burning sensation. this persisted through the night. the itchiness and burning the next night was gone, but the rash remained. it is sensitive when touched, and it does start burning and itching again. it has some blistering, but has remained the same (minus the consistent itching and burning) since it started the day of the vaccine. i did test positive for COVID on 12/26/2021, but symptoms started 12/25/2021. rashes were not a symptom while actively contagious with the virus.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect product formulation administered, Wrong product administered
Clinical narrative: In error, the Pifzer pediatric dose was given a a whole, undiluted vial, in place of a Moderna adult booster dose.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, Urticaria chronic
Clinical narrative: chronical urticaria hives on random places on body.  the bumps go down 30 minutes after taking zyrtec. but the bumps may comes back on anywhere on my body the next day on a random spot again.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: covid hospitalized
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Oropharyngeal pain, Pyrexia
Clinical narrative: I had sore throat, fever, headache, mild cough and rash. These lasted for about 2 weeks. On Dec 30th, I tested positive for Covid-19.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Rash, SARS-CoV-2 test positive
Clinical narrative: I had sore throat, fever, headache, mild cough and rash. These lasted for about 2 weeks. On Dec 30th, I tested positive for Covid-19.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Inappropriate schedule of product administration, SARS-CoV-2 test positive
Clinical narrative: hospitalization with covid after being fully vaccinated
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Computerised tomogram abnormal, Electrocardiogram normal, Pulmonary embolism, Pulmonary thrombosis
Clinical narrative: I had a pulmonary embolism and had to have emergency surgery removing 10 blood clots from my lungs.  I had no major surgery or genetic blood conditions before this.  Almost causing death.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Surgery, Thrombectomy
Clinical narrative: I had a pulmonary embolism and had to have emergency surgery removing 10 blood clots from my lungs.  I had no major surgery or genetic blood conditions before this.  Almost causing death.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: complaint of chest pain - sharp, stabbing type of pain at the sternum which radiated outwards with movements and deep breaths.  Currently on day 3 of pain - has lessened at this point compared to days 1 and 2
Age: 62.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Adnexa uteri mass, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Received Pfizer vaccines on  8/6, 8/27/21 COVID-19 positive by PCR on  1/3/22 admitted to hospital 1/10-1/11/22 for evaluation of Right adnexal lesion and not due to COVID. Did receive remdesivir.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: I had an unexpected period shortly after my first injection. This could have been a miscarriage, as my husband and I may have conceived on 10/17/21, 10/18/21, or 10/19/21. (Please note, my husband and I have been practicing Marquette's Natural Family Planning since 2/21/2020. At the time of my vaccination, I had charted 22 complete cycles from 2/21/2020 through 10/8/2021. Before my vaccination, my 23rd cycle started with my period on 10/9/2021. I ovulated within 48 hours of 10/17/2021, as indicated by a rise in Estrogen and a rise in LH by my monitor. Per my history, I was expected to have about 13-16 more days before my next period from 10/17/2021. This came early by 8-11 days, which is has never happened before while charting.)
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, COVID-19, Chest X-ray, Fatigue, Hypomagnesaemia
Clinical narrative: Patient is fully vaccinated.  Presented to ED 11/28/2021.  COVID + on 11/28/2021. Chief complaint is fatigue. 87-year-old female presents to the emergency Department for fatigue. Patient was in a car accident earlier in the year which has worsened her chronic low back pain. Patient states that she sometimes feels burning pain on the lateral aspect of her right leg. This symptom flared up in the middle of last week and has now resolved. However for the last 3 days she has experienced worsening fatigue.  Positive for Hypomagnesemia.  Leukopenia.  Chest x-ray stable.Magnesium 1.5 and was replaced. Patient lives alone but states that she has her daughter living close by, who she could call should she need anything. Patient states that she feels safe and comfortable to go home.Patient told to return to ED for any worsening symptoms. Discharged home.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Leukopenia, Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated.  Presented to ED 11/28/2021.  COVID + on 11/28/2021. Chief complaint is fatigue. 87-year-old female presents to the emergency Department for fatigue. Patient was in a car accident earlier in the year which has worsened her chronic low back pain. Patient states that she sometimes feels burning pain on the lateral aspect of her right leg. This symptom flared up in the middle of last week and has now resolved. However for the last 3 days she has experienced worsening fatigue.  Positive for Hypomagnesemia.  Leukopenia.  Chest x-ray stable.Magnesium 1.5 and was replaced. Patient lives alone but states that she has her daughter living close by, who she could call should she need anything. Patient states that she feels safe and comfortable to go home.Patient told to return to ED for any worsening symptoms. Discharged home.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Femur fracture, SARS-CoV-2 test positive
Clinical narrative: Pt admitted on 1/6 due to femur fracture.  Tested for COVID on 1/12 for SNF placement and positive.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Gait inability, Laboratory test, Limb mass, Pain, Pain in extremity
Clinical narrative: Unable to walk Sunday night, severe pain in food, visual lump, shooting and burning pain. Went to urgent Care after taking Aspirin and was starting to  feel better. Told to take more aspirin that I had been on my feet too long. However, I'm a school teacher and used to standing for long periods of time, and this day I had been off and seated. Told I was being silly when I asked if it could be connected to my vaccination. Two days later the vaccine was suspended for Blood Clotting issues. I believe this was what I was experiencing.   Then in April my vision started changing and getting worse in my left eye, it go very severe end of August and I was diagnosed with MEWDS (white dot syndrome). Now 8-9 months later my vision is finally returning and my doctor is hopeful that in the next few months the condition will resolve. I have never had MEWDS before, nor was the cause viral.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Retinal exudates, Visual impairment
Clinical narrative: Unable to walk Sunday night, severe pain in food, visual lump, shooting and burning pain. Went to urgent Care after taking Aspirin and was starting to  feel better. Told to take more aspirin that I had been on my feet too long. However, I'm a school teacher and used to standing for long periods of time, and this day I had been off and seated. Told I was being silly when I asked if it could be connected to my vaccination. Two days later the vaccine was suspended for Blood Clotting issues. I believe this was what I was experiencing.   Then in April my vision started changing and getting worse in my left eye, it go very severe end of August and I was diagnosed with MEWDS (white dot syndrome). Now 8-9 months later my vision is finally returning and my doctor is hopeful that in the next few months the condition will resolve. I have never had MEWDS before, nor was the cause viral.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: hospitalization with covid after being fully vaccinated
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: hospitalized 2/2 covid
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, SARS-CoV-2 test
Clinical narrative: No typical events.  Recent had several unexplainable and or unwitnessed falls resulting in a trip to hospital.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the  Department of Health?s internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 50.0
Sex: F
Vaccine: VARZOS
Symptoms: Migraine
Clinical narrative: headaches/migraines
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok'd for use. Instructed by their staff to report each dose given in this system.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, Blood creatine phosphokinase, Dizziness, Electrocardiogram, Full blood count normal
Clinical narrative: Patient developed dizziness, lightheadedness on standing, and orthostatic hypotension. She has had profound fatigue since symptoms started. She normally walks 4-5 miles per day and has not been able to do more than minimal household activities. She gets fatigued with mild exertion.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Myoglobin blood, Orthostatic hypotension, Troponin
Clinical narrative: Patient developed dizziness, lightheadedness on standing, and orthostatic hypotension. She has had profound fatigue since symptoms started. She normally walks 4-5 miles per day and has not been able to do more than minimal household activities. She gets fatigued with mild exertion.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Asthenia, Blood sodium decreased, Blood thyroid stimulating hormone increased
Clinical narrative: Patient is a 58-year-old woman with known history of type 2 diabetes, essential hypertension, GERD, and tested positive for COVID-19 12/31/2021 who presented to emergency department with persistent cough, sore throat, and increased fatigue. The patient first felt unwell last Thursday, 12/30/2021. At that time, the patient had a nonproductive cough and sore throat. The patient tested positive for COVID-19 12/31/2021. By the following day, the patient's sore throat worsened, and the patient presented to an urgent care. At that time, the patient was also diagnosed with sore throat due to group A strep. The patient was prescribed azithromycin and amoxicillin. Over the next several days, the patient lost her sense of taste and smell. Furthermore, the patient became more nauseated. The patient has not been able to eat anything. Because the patient felt more weak and lightheaded due to poor appetite, the patient presented to emergency department for ongoing evaluation and treatment.   In the emergency department, the patient's serum sodium was low to 111. ED provider discussed the patient's case with on-call nephrology, it was felt that the patient required hypertonic saline to correct hyponatremia. A PICC line was placed in the emergency department. The patient was admitted to hospitalist medicine service for ongoing evaluation and treatment.   #. Severe hyponatremia: Patient has hypoosmolar hyponatremia. The patient's hyponatremia  exacerbated by PTA antihypertensive (triamterene-hydrochlorothiazide). -Nephrology consulted. They recommended 3% hypertonic saline 20 ml/hour for 8 hours w/ goal correction 6 (no more than 8) meq over first 24 hours. Na rose above that level so she was given DDaVP. Now off DDAVP. Started NaCl tablets. Continue fluid restriction.   -Continue to hold PTA triamterene-hydrochlorothiazide. Started torsemide.  -PICC line placed. Na now improved to 132.  I will discharge her to home on 1 mg 3 times daily of sodium tablets and advised her to continue holding triamterene hydrochlorothiazide for now.  She will follow-up closely with her PCP and recheck sodium levels.  Stop sodium chloride tablets when sodium normalized.    #TSH mildly elevated but free T4 WNL. Follow up with PCP.     #. Mild COVID 19: The patient is vaccinated and boosted against COVID-19. Covid symptoms began 12/30/2021. The patient is oxygenating well and chest x-ray not demonstrating pneumonia. -Patient does not qualify for systemic steroids -Patient does not qualify for tocilizumab or baricitinib   #. Strep throat: Diagnosed w/ group A strep pharyngitis at urgent care 1/1/2022 (after patient already tested positive for COVID 12/31/2021).  -Patient completing PTA azithromycin and amoxicillin as prescribed by urgent care provider    #. HTN: Holding PTA triamterene-hydrochlorothiazide until sodium normalized and she can follow this up with her PCP.    #. Type II DM: Continue PTA metformin.    Patient is in stable condition and wishes to discharge to home.  She will follow-up closely with her PCP.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Central venous catheterisation, Chest X-ray normal, Cough, Decreased appetite
Clinical narrative: Patient is a 58-year-old woman with known history of type 2 diabetes, essential hypertension, GERD, and tested positive for COVID-19 12/31/2021 who presented to emergency department with persistent cough, sore throat, and increased fatigue. The patient first felt unwell last Thursday, 12/30/2021. At that time, the patient had a nonproductive cough and sore throat. The patient tested positive for COVID-19 12/31/2021. By the following day, the patient's sore throat worsened, and the patient presented to an urgent care. At that time, the patient was also diagnosed with sore throat due to group A strep. The patient was prescribed azithromycin and amoxicillin. Over the next several days, the patient lost her sense of taste and smell. Furthermore, the patient became more nauseated. The patient has not been able to eat anything. Because the patient felt more weak and lightheaded due to poor appetite, the patient presented to emergency department for ongoing evaluation and treatment.   In the emergency department, the patient's serum sodium was low to 111. ED provider discussed the patient's case with on-call nephrology, it was felt that the patient required hypertonic saline to correct hyponatremia. A PICC line was placed in the emergency department. The patient was admitted to hospitalist medicine service for ongoing evaluation and treatment.   #. Severe hyponatremia: Patient has hypoosmolar hyponatremia. The patient's hyponatremia  exacerbated by PTA antihypertensive (triamterene-hydrochlorothiazide). -Nephrology consulted. They recommended 3% hypertonic saline 20 ml/hour for 8 hours w/ goal correction 6 (no more than 8) meq over first 24 hours. Na rose above that level so she was given DDaVP. Now off DDAVP. Started NaCl tablets. Continue fluid restriction.   -Continue to hold PTA triamterene-hydrochlorothiazide. Started torsemide.  -PICC line placed. Na now improved to 132.  I will discharge her to home on 1 mg 3 times daily of sodium tablets and advised her to continue holding triamterene hydrochlorothiazide for now.  She will follow-up closely with her PCP and recheck sodium levels.  Stop sodium chloride tablets when sodium normalized.    #TSH mildly elevated but free T4 WNL. Follow up with PCP.     #. Mild COVID 19: The patient is vaccinated and boosted against COVID-19. Covid symptoms began 12/30/2021. The patient is oxygenating well and chest x-ray not demonstrating pneumonia. -Patient does not qualify for systemic steroids -Patient does not qualify for tocilizumab or baricitinib   #. Strep throat: Diagnosed w/ group A strep pharyngitis at urgent care 1/1/2022 (after patient already tested positive for COVID 12/31/2021).  -Patient completing PTA azithromycin and amoxicillin as prescribed by urgent care provider    #. HTN: Holding PTA triamterene-hydrochlorothiazide until sodium normalized and she can follow this up with her PCP.    #. Type II DM: Continue PTA metformin.    Patient is in stable condition and wishes to discharge to home.  She will follow-up closely with her PCP.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Hyponatraemia, Hypophagia, Malaise
Clinical narrative: Patient is a 58-year-old woman with known history of type 2 diabetes, essential hypertension, GERD, and tested positive for COVID-19 12/31/2021 who presented to emergency department with persistent cough, sore throat, and increased fatigue. The patient first felt unwell last Thursday, 12/30/2021. At that time, the patient had a nonproductive cough and sore throat. The patient tested positive for COVID-19 12/31/2021. By the following day, the patient's sore throat worsened, and the patient presented to an urgent care. At that time, the patient was also diagnosed with sore throat due to group A strep. The patient was prescribed azithromycin and amoxicillin. Over the next several days, the patient lost her sense of taste and smell. Furthermore, the patient became more nauseated. The patient has not been able to eat anything. Because the patient felt more weak and lightheaded due to poor appetite, the patient presented to emergency department for ongoing evaluation and treatment.   In the emergency department, the patient's serum sodium was low to 111. ED provider discussed the patient's case with on-call nephrology, it was felt that the patient required hypertonic saline to correct hyponatremia. A PICC line was placed in the emergency department. The patient was admitted to hospitalist medicine service for ongoing evaluation and treatment.   #. Severe hyponatremia: Patient has hypoosmolar hyponatremia. The patient's hyponatremia  exacerbated by PTA antihypertensive (triamterene-hydrochlorothiazide). -Nephrology consulted. They recommended 3% hypertonic saline 20 ml/hour for 8 hours w/ goal correction 6 (no more than 8) meq over first 24 hours. Na rose above that level so she was given DDaVP. Now off DDAVP. Started NaCl tablets. Continue fluid restriction.   -Continue to hold PTA triamterene-hydrochlorothiazide. Started torsemide.  -PICC line placed. Na now improved to 132.  I will discharge her to home on 1 mg 3 times daily of sodium tablets and advised her to continue holding triamterene hydrochlorothiazide for now.  She will follow-up closely with her PCP and recheck sodium levels.  Stop sodium chloride tablets when sodium normalized.    #TSH mildly elevated but free T4 WNL. Follow up with PCP.     #. Mild COVID 19: The patient is vaccinated and boosted against COVID-19. Covid symptoms began 12/30/2021. The patient is oxygenating well and chest x-ray not demonstrating pneumonia. -Patient does not qualify for systemic steroids -Patient does not qualify for tocilizumab or baricitinib   #. Strep throat: Diagnosed w/ group A strep pharyngitis at urgent care 1/1/2022 (after patient already tested positive for COVID 12/31/2021).  -Patient completing PTA azithromycin and amoxicillin as prescribed by urgent care provider    #. HTN: Holding PTA triamterene-hydrochlorothiazide until sodium normalized and she can follow this up with her PCP.    #. Type II DM: Continue PTA metformin.    Patient is in stable condition and wishes to discharge to home.  She will follow-up closely with her PCP.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal pain, Pharyngitis streptococcal, SARS-CoV-2 test positive, Thyroxine free normal
Clinical narrative: Patient is a 58-year-old woman with known history of type 2 diabetes, essential hypertension, GERD, and tested positive for COVID-19 12/31/2021 who presented to emergency department with persistent cough, sore throat, and increased fatigue. The patient first felt unwell last Thursday, 12/30/2021. At that time, the patient had a nonproductive cough and sore throat. The patient tested positive for COVID-19 12/31/2021. By the following day, the patient's sore throat worsened, and the patient presented to an urgent care. At that time, the patient was also diagnosed with sore throat due to group A strep. The patient was prescribed azithromycin and amoxicillin. Over the next several days, the patient lost her sense of taste and smell. Furthermore, the patient became more nauseated. The patient has not been able to eat anything. Because the patient felt more weak and lightheaded due to poor appetite, the patient presented to emergency department for ongoing evaluation and treatment.   In the emergency department, the patient's serum sodium was low to 111. ED provider discussed the patient's case with on-call nephrology, it was felt that the patient required hypertonic saline to correct hyponatremia. A PICC line was placed in the emergency department. The patient was admitted to hospitalist medicine service for ongoing evaluation and treatment.   #. Severe hyponatremia: Patient has hypoosmolar hyponatremia. The patient's hyponatremia  exacerbated by PTA antihypertensive (triamterene-hydrochlorothiazide). -Nephrology consulted. They recommended 3% hypertonic saline 20 ml/hour for 8 hours w/ goal correction 6 (no more than 8) meq over first 24 hours. Na rose above that level so she was given DDaVP. Now off DDAVP. Started NaCl tablets. Continue fluid restriction.   -Continue to hold PTA triamterene-hydrochlorothiazide. Started torsemide.  -PICC line placed. Na now improved to 132.  I will discharge her to home on 1 mg 3 times daily of sodium tablets and advised her to continue holding triamterene hydrochlorothiazide for now.  She will follow-up closely with her PCP and recheck sodium levels.  Stop sodium chloride tablets when sodium normalized.    #TSH mildly elevated but free T4 WNL. Follow up with PCP.     #. Mild COVID 19: The patient is vaccinated and boosted against COVID-19. Covid symptoms began 12/30/2021. The patient is oxygenating well and chest x-ray not demonstrating pneumonia. -Patient does not qualify for systemic steroids -Patient does not qualify for tocilizumab or baricitinib   #. Strep throat: Diagnosed w/ group A strep pharyngitis at urgent care 1/1/2022 (after patient already tested positive for COVID 12/31/2021).  -Patient completing PTA azithromycin and amoxicillin as prescribed by urgent care provider    #. HTN: Holding PTA triamterene-hydrochlorothiazide until sodium normalized and she can follow this up with her PCP.    #. Type II DM: Continue PTA metformin.    Patient is in stable condition and wishes to discharge to home.  She will follow-up closely with her PCP.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Computerised tomogram thorax abnormal, Contusion, Echocardiogram abnormal, Fall
Clinical narrative: Patient is fully vaccinated. COVID + on 11/26/2021. Hospitalized from 11/26-12/02, 2021. Admission DX: fall, hypokalemia, hypomagnesaemia, facial contusion, COVID 19. 74-year-old female with significant known history for non-insulin dependent diabetes mellitus type 2/hypertension/COPD, who presented status post fall/syncope; she states that she went in to use the bathroom yesterday and had syncopal event, was on the floor for approximately 15 hours and was found by her son; at this point, she really denies any chest pain/shortness of breath/fevers or chills; no other complaints, denies any seizure-like activity or aura prior to the fall/syncope, denies any similar events. CT PE: negative for PE; trace BL pleural effusions. BL venous duplex negative for DVT.  Completed 4 days vancomycin.  Echo: EF=60%, Left ventricular diastolic function is abnormal. No indications for remdesivir at this point. Continue with pain management for left upper extremity injury; x-ray images have been negative for any fracture. Severe neutropenia with WBC of 2.5--3.5-3.9; monitored for any fevers. Discharged to home.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Hypokalaemia, Hypomagnesaemia, Left ventricular dysfunction, Limb injury, Neutropenia
Clinical narrative: Patient is fully vaccinated. COVID + on 11/26/2021. Hospitalized from 11/26-12/02, 2021. Admission DX: fall, hypokalemia, hypomagnesaemia, facial contusion, COVID 19. 74-year-old female with significant known history for non-insulin dependent diabetes mellitus type 2/hypertension/COPD, who presented status post fall/syncope; she states that she went in to use the bathroom yesterday and had syncopal event, was on the floor for approximately 15 hours and was found by her son; at this point, she really denies any chest pain/shortness of breath/fevers or chills; no other complaints, denies any seizure-like activity or aura prior to the fall/syncope, denies any similar events. CT PE: negative for PE; trace BL pleural effusions. BL venous duplex negative for DVT.  Completed 4 days vancomycin.  Echo: EF=60%, Left ventricular diastolic function is abnormal. No indications for remdesivir at this point. Continue with pain management for left upper extremity injury; x-ray images have been negative for any fracture. Severe neutropenia with WBC of 2.5--3.5-3.9; monitored for any fevers. Discharged to home.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pleural effusion, Pulmonary embolism, SARS-CoV-2 test positive, Syncope, Ultrasound Doppler
Clinical narrative: Patient is fully vaccinated. COVID + on 11/26/2021. Hospitalized from 11/26-12/02, 2021. Admission DX: fall, hypokalemia, hypomagnesaemia, facial contusion, COVID 19. 74-year-old female with significant known history for non-insulin dependent diabetes mellitus type 2/hypertension/COPD, who presented status post fall/syncope; she states that she went in to use the bathroom yesterday and had syncopal event, was on the floor for approximately 15 hours and was found by her son; at this point, she really denies any chest pain/shortness of breath/fevers or chills; no other complaints, denies any seizure-like activity or aura prior to the fall/syncope, denies any similar events. CT PE: negative for PE; trace BL pleural effusions. BL venous duplex negative for DVT.  Completed 4 days vancomycin.  Echo: EF=60%, Left ventricular diastolic function is abnormal. No indications for remdesivir at this point. Continue with pain management for left upper extremity injury; x-ray images have been negative for any fracture. Severe neutropenia with WBC of 2.5--3.5-3.9; monitored for any fevers. Discharged to home.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound Doppler normal, White blood cell count decreased, X-ray normal
Clinical narrative: Patient is fully vaccinated. COVID + on 11/26/2021. Hospitalized from 11/26-12/02, 2021. Admission DX: fall, hypokalemia, hypomagnesaemia, facial contusion, COVID 19. 74-year-old female with significant known history for non-insulin dependent diabetes mellitus type 2/hypertension/COPD, who presented status post fall/syncope; she states that she went in to use the bathroom yesterday and had syncopal event, was on the floor for approximately 15 hours and was found by her son; at this point, she really denies any chest pain/shortness of breath/fevers or chills; no other complaints, denies any seizure-like activity or aura prior to the fall/syncope, denies any similar events. CT PE: negative for PE; trace BL pleural effusions. BL venous duplex negative for DVT.  Completed 4 days vancomycin.  Echo: EF=60%, Left ventricular diastolic function is abnormal. No indications for remdesivir at this point. Continue with pain management for left upper extremity injury; x-ray images have been negative for any fracture. Severe neutropenia with WBC of 2.5--3.5-3.9; monitored for any fevers. Discharged to home.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Developed a rash on both arms, legs, hands, and feet. Denies itching or pain. Denies any other symptoms. Went to her PCP 1 week after vaccination. No treatment given. She has not taken any medication for the rash. The rash continues to this day, 01/14/2022.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Acute hepatic failure, Alanine aminotransferase increased, Aspartate aminotransferase increased, Attention deficit hyperactivity disorder, Blood lactic acid
Clinical narrative: 41F rec'd second dose of Moderna 4/30/21 Took APAP 650 x 6 tabs over 8 hrs following vaccine for side effects  Presented to ER on 5/3/21 with labs notable for AST/ALT 7000/2800, INR 9, lactate 14  Elevated LFTs at baseline in setting of 4 glasses wine/d Also on adderal at baseline for ADHD No other medications/herbals/drugs  underwent liver transplantation on 5/8/21 for acute liver failure Pathology findings below Recovered following liver transplantation  explant and clinical picture otherwise consistent with Tylenol toxicity except that the dose of Tylenol was below the usual threshold that would lead to acute liver failure.  Patient is inquiring whether ALF was a result of vaccine
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Cholestasis, Hepatectomy, Hepatic enzyme increased, Hepatic necrosis, Hepatic steatosis
Clinical narrative: 41F rec'd second dose of Moderna 4/30/21 Took APAP 650 x 6 tabs over 8 hrs following vaccine for side effects  Presented to ER on 5/3/21 with labs notable for AST/ALT 7000/2800, INR 9, lactate 14  Elevated LFTs at baseline in setting of 4 glasses wine/d Also on adderal at baseline for ADHD No other medications/herbals/drugs  underwent liver transplantation on 5/8/21 for acute liver failure Pathology findings below Recovered following liver transplantation  explant and clinical picture otherwise consistent with Tylenol toxicity except that the dose of Tylenol was below the usual threshold that would lead to acute liver failure.  Patient is inquiring whether ALF was a result of vaccine
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Inflammation, International normalised ratio increased, Liver transplant, Necrosis, Toxicity to various agents
Clinical narrative: 41F rec'd second dose of Moderna 4/30/21 Took APAP 650 x 6 tabs over 8 hrs following vaccine for side effects  Presented to ER on 5/3/21 with labs notable for AST/ALT 7000/2800, INR 9, lactate 14  Elevated LFTs at baseline in setting of 4 glasses wine/d Also on adderal at baseline for ADHD No other medications/herbals/drugs  underwent liver transplantation on 5/8/21 for acute liver failure Pathology findings below Recovered following liver transplantation  explant and clinical picture otherwise consistent with Tylenol toxicity except that the dose of Tylenol was below the usual threshold that would lead to acute liver failure.  Patient is inquiring whether ALF was a result of vaccine
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered at inappropriate site
Clinical narrative: The patient's mother raised a concern that the vaccine was administered incorrectly by injecting too low on the arm.  No immediate adverse effects were noted.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain upper, Headache, Malaise
Clinical narrative: Client presented to receive Pfizer PEDS COVID vaccine. Client was vaccinated with Pfizer PEDS COVID vaccine Dose 1 While in observation area Client's father alerted EMT  stating that client was not feeling well. Client was placed in zero gravity chair without assistance. Client stated he had an upset stomach and headache. , RN asked father if client had food to eat before arriving at vaccination site and Father responded ?No?. Client was AAOx3 and denied having trouble breathing or swallowing. Client denied feeling lightheaded or dizzy. A juice and crackers were provided for client, Client proceeded in eating the snacks. Client had a stomach pain of 3/10. . Mother stated client gets anxious with vaccines. At 1155 client stated his headache had improved and still had a slight stomachache., RN asked client about upset stomach and client stated his stomach pain was gone.  Client was feeling better and Mother stated that client was ready to go home. Client left vaccination site
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Pfizer lot #FJ6369 with temp excursion. Reported to Pfizer company and ok?d for use. Instructed by their staff to report each dose given in this system.?
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue, Underdose
Clinical narrative: Patient received half a dose as the new formulation was mistakenly diluted.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: During a review of the internal records, it was found that there might have been a possible temperature excursion with how the vaccine was stored with our mobile vendor.
Age: 97.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Upper respiratory tract infection
Clinical narrative: URI symptoms for 3-4 days. Symptoms include cough. starting 1/8/22
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Dysarthria, Fatigue, Feeling abnormal, Feeling cold, Hallucination
Clinical narrative: On Sunday 01/09/2022 at  11am my son got the first dose vaccine of Pfizer on his left shoulder. On 01/10/2022 he felt fatigued, and went to school. He then told me he felt like that his head was moving. I bathed him and he got really cold and had high fever, highest 38 degrees. At 9pm I gave him Tylenol. At 5am, he started to hallucinate. He was telling his father "that  why his dad wanted to kill him". He was screaming that his dad was his friend. At that moment he started to vomit. At 09:30am, he vomited and gastric juices, yellow and liquid. I took him to the pediatric clinic 01/11/2022. Dr. is who saw him at the clinic. He was given pills for the vomiting and was sent home. At 1pm, he was given Tylenol for his hallucinations and he saw everything very big and that he could touch the ceiling. The next day, the vomit went away. His mood changes was that he was excited and talk super fast and then really slow and that his tongue got twisted. The participant states that his tongue was twisted, slurred speech. 01-13-2022,  I took him to Healthcare. My son has sensitivity to the light, photophobia. Before the vaccine he was fine. The Doctor revised him and gave him acetaminophen and continue observation. Up until yesterday, he felt he felt his head really big. I gave him Pedialyte, made him hot soup so he may feel better.  Today he has some lesions in his upper palate. I also spoke with Dr., healthcare. I paid his medical expenses because he does not have health insurance. I told the pediatrician doctor that I will not let my son get his second vaccine due to what he experienced and felt. They told me at the hospital that my sons symptoms are effects of the vaccine.  At this time, he is recuperating at this time and pray that there are no secondary lasting effects from his symptoms from the vaccine.  I am worried of hat effects my son will have in the future and if other exams can be done on my son. If anything changes in my son status, I will report again.
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Mood altered, Photophobia, Pyrexia, Vomiting
Clinical narrative: On Sunday 01/09/2022 at  11am my son got the first dose vaccine of Pfizer on his left shoulder. On 01/10/2022 he felt fatigued, and went to school. He then told me he felt like that his head was moving. I bathed him and he got really cold and had high fever, highest 38 degrees. At 9pm I gave him Tylenol. At 5am, he started to hallucinate. He was telling his father "that  why his dad wanted to kill him". He was screaming that his dad was his friend. At that moment he started to vomit. At 09:30am, he vomited and gastric juices, yellow and liquid. I took him to the pediatric clinic 01/11/2022. Dr. is who saw him at the clinic. He was given pills for the vomiting and was sent home. At 1pm, he was given Tylenol for his hallucinations and he saw everything very big and that he could touch the ceiling. The next day, the vomit went away. His mood changes was that he was excited and talk super fast and then really slow and that his tongue got twisted. The participant states that his tongue was twisted, slurred speech. 01-13-2022,  I took him to Healthcare. My son has sensitivity to the light, photophobia. Before the vaccine he was fine. The Doctor revised him and gave him acetaminophen and continue observation. Up until yesterday, he felt he felt his head really big. I gave him Pedialyte, made him hot soup so he may feel better.  Today he has some lesions in his upper palate. I also spoke with Dr., healthcare. I paid his medical expenses because he does not have health insurance. I told the pediatrician doctor that I will not let my son get his second vaccine due to what he experienced and felt. They told me at the hospital that my sons symptoms are effects of the vaccine.  At this time, he is recuperating at this time and pray that there are no secondary lasting effects from his symptoms from the vaccine.  I am worried of hat effects my son will have in the future and if other exams can be done on my son. If anything changes in my son status, I will report again.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, COVID-19 pneumonia, SARS-CoV-2 test positive
Clinical narrative: Received Pfizer vaccines on  3/17, 4/7/21 COVID-19 positive by PCR on  1/10/22 admitted to hospital 1/10-1/12/22 for pneumonia d/t COVID 19
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Antinuclear antibody, Blood thyroid stimulating hormone normal, Chest X-ray normal, Chest wall mass, Condition aggravated
Clinical narrative: Pt presented to emergency dept 3 days after vaccination with acute chest wall pain, acute coronary syndrome ruled out, pericarditis/myocarditis ruled out.  He had a very tender, nonerythematous firm chest wall mass at the right costochondral junction that has been present from 1/3 to date (1/14/22). Ultrasound showed no pericarditis in ED; chest xray was unremarkable. He simultaneously had a rash on his upper shoulders that when I saw him on 1/10  looked like pityriasis (pink-tan macules, ovoid, no scale, nontender, not itchy.   At one point this looked like another clinician like urticaria, but the flat macules that were present on my exam were not itchy and were persistent over days.   He has had no fever or chills, but has had, since the vaccine, episodic and relatively quickly resolving (over 1-2 days) swelling of the elbow, and the nasal bridge.  He does have a single palpable cervical lymph node.   -originally entertained possibility of Tietze's syndrome after case of pityriasis but with extremity joint involvement and nasal bridge swelling find this now less likely -ddx does include relapsing polychondritis but no vestibular/acoustic/otic or ophthalmic involvement; also quite rare.  Appreciate the work of our public health colleagues.