chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient is impaired and while institutionalized earlier in the year was administered the J&J vaccine.  He later came to our facility and we administer both pfizer doses to this patient.  He requested the covid vaccine at initial injections and did not acknowledge that he had received another vaccine.  1st administered 8/13/2021 2nd dose administered 9/8/2021
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Bedridden, Dizziness, Feeling abnormal, Injection site bruising
Clinical narrative: bed ridden for 4 days, bruised at injection sight, fuzzy, dizzy, body aches, cramping, nausea, vaginal bleeding (this is the one I was worried and upset about), weak.  I am still dizzy 4 days later and weak.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Nausea, Pain, Vaginal haemorrhage
Clinical narrative: bed ridden for 4 days, bruised at injection sight, fuzzy, dizzy, body aches, cramping, nausea, vaginal bleeding (this is the one I was worried and upset about), weak.  I am still dizzy 4 days later and weak.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Patient contracted COVID after being fully vaccinated
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered
Clinical narrative: Patient was administered dose of COVID-19 Janssen vaccine. The lot number administered was expired, it expired on 9/19/21.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Asthma, Chills, Cough
Clinical narrative: pain, asthma, loss of smell and taste, chills, fatigue and cough
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pain
Clinical narrative: pain, asthma, loss of smell and taste, chills, fatigue and cough
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dizziness, Dyspnoea, Fatigue, Feeling abnormal
Clinical narrative: Severe Arm pain, fever (only up to 100), body aches, head ache, brain fog, dizzyness; shortness of breath; profuse sweating, fatigue; nite sweats; stomach pain  LASTED FOR 10 DAYS
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Night sweats, Pain, Pain in extremity
Clinical narrative: Severe Arm pain, fever (only up to 100), body aches, head ache, brain fog, dizzyness; shortness of breath; profuse sweating, fatigue; nite sweats; stomach pain  LASTED FOR 10 DAYS
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Severe Arm pain, fever (only up to 100), body aches, head ache, brain fog, dizzyness; shortness of breath; profuse sweating, fatigue; nite sweats; stomach pain  LASTED FOR 10 DAYS
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cellulitis, Fatigue, Influenza like illness, Injection site erythema, Injection site warmth
Clinical narrative: After 2nd Dose: Extreme typical flu-like symptoms, swelling in leg, redness and heat, size of golf ball, around injection site. Began to develop cellulitis, went to get checked by doctor at urgent care 4 days later, was started on antibiotics (folsamist trimethoprim) and an extra Norco to deal with pain. Symptoms began to subside soon after treatment, still having lingering exhaustion. Site of shot still has a small lump there.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Peripheral swelling
Clinical narrative: After 2nd Dose: Extreme typical flu-like symptoms, swelling in leg, redness and heat, size of golf ball, around injection site. Began to develop cellulitis, went to get checked by doctor at urgent care 4 days later, was started on antibiotics (folsamist trimethoprim) and an extra Norco to deal with pain. Symptoms began to subside soon after treatment, still having lingering exhaustion. Site of shot still has a small lump there.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chills, Cough, Dyspnoea, Exposure to SARS-CoV-2
Clinical narrative: HPI Had exposure from grand child was feverish but also was at a meeting a week ago with a lady who later turned positive  Over weekend fever, chills , fatigue and nasal congestion started  Received pfjzer vaccine 6 mo ago  Is having shortness of breath  Dry cough The following portions of the patient's history were reviewed and updated as appropriate: allergies, current medications, past family history, past medical history, past social history, past surgical history and problem list.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Nasal congestion, Occupational exposure to SARS-CoV-2, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: HPI Had exposure from grand child was feverish but also was at a meeting a week ago with a lady who later turned positive  Over weekend fever, chills , fatigue and nasal congestion started  Received pfjzer vaccine 6 mo ago  Is having shortness of breath  Dry cough The following portions of the patient's history were reviewed and updated as appropriate: allergies, current medications, past family history, past medical history, past social history, past surgical history and problem list.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Ear pain, Tinnitus
Clinical narrative: In the evening after my second vaccine dose, my ears began aching and tinnitus started. Over the next couple days the ear aches slowly away, but the tinnitus has persisted.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain upper, Angina pectoris, Anxiety, Blood test, Chest discomfort
Clinical narrative: Heating at injection site, acute body spasms in head, arm, stomache, dizziness, tightening pain in chest area, heart. Alerted Nurse and they directed me to a separate cubicle with bed to lay down.  Nurse asked about symptoms, took pulse.  After 10-15 minutes most symptoms discontinued except for chest discomfort. After chest/heart discomfort continued the following days, I contacted my PCP.  He administered electrocardiogram 08/30/2021. He prescribed blood pressure medicine, blood tests, allergist, ultrasound and other steps. The intermittent chest discomfort mild headaches continue today, creating sleep issues and anxiety.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Electrocardiogram, Head discomfort, Injection site warmth
Clinical narrative: Heating at injection site, acute body spasms in head, arm, stomache, dizziness, tightening pain in chest area, heart. Alerted Nurse and they directed me to a separate cubicle with bed to lay down.  Nurse asked about symptoms, took pulse.  After 10-15 minutes most symptoms discontinued except for chest discomfort. After chest/heart discomfort continued the following days, I contacted my PCP.  He administered electrocardiogram 08/30/2021. He prescribed blood pressure medicine, blood tests, allergist, ultrasound and other steps. The intermittent chest discomfort mild headaches continue today, creating sleep issues and anxiety.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle spasms, Sleep disorder, Ultrasound scan
Clinical narrative: Heating at injection site, acute body spasms in head, arm, stomache, dizziness, tightening pain in chest area, heart. Alerted Nurse and they directed me to a separate cubicle with bed to lay down.  Nurse asked about symptoms, took pulse.  After 10-15 minutes most symptoms discontinued except for chest discomfort. After chest/heart discomfort continued the following days, I contacted my PCP.  He administered electrocardiogram 08/30/2021. He prescribed blood pressure medicine, blood tests, allergist, ultrasound and other steps. The intermittent chest discomfort mild headaches continue today, creating sleep issues and anxiety.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Anosmia, Body temperature increased, COVID-19, Cough
Clinical narrative: Client was vaccinated for Covid with Pfizer vaccines on 3/11 and 4/3/2021.  On 9/15 developed Covid symptoms: nasal congestion, sneezing, cough, temp 102 x 1 day, loss of taste and smell.  Tested + with rapid test on 9/19/2021.  Reported as a case of breakthrough Covid in a fully vaccinated person.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nasal congestion, SARS-CoV-2 test positive, Sneezing
Clinical narrative: Client was vaccinated for Covid with Pfizer vaccines on 3/11 and 4/3/2021.  On 9/15 developed Covid symptoms: nasal congestion, sneezing, cough, temp 102 x 1 day, loss of taste and smell.  Tested + with rapid test on 9/19/2021.  Reported as a case of breakthrough Covid in a fully vaccinated person.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chest discomfort, Chest pain, Electrocardiogram ambulatory, Extrasystoles
Clinical narrative: 103 fever.  Joint pain/body aches. Nausea, headache - duration of all but body aches about 48 hours.   Joint pain/body aches lasted 4 days.  All of these symptoms started early morning on the 9th - about 9 hours after shot.  Rapid heart beat - chest pressure and intermittent pain - the feeling of my heart skipping a beat started around 10 AM on the 9th.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Nausea, Pain, Pyrexia
Clinical narrative: 103 fever.  Joint pain/body aches. Nausea, headache - duration of all but body aches about 48 hours.   Joint pain/body aches lasted 4 days.  All of these symptoms started early morning on the 9th - about 9 hours after shot.  Rapid heart beat - chest pressure and intermittent pain - the feeling of my heart skipping a beat started around 10 AM on the 9th.
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: Adverse reaction, Influenza virus test negative, Pain, Pain in extremity, Pyrexia
Clinical narrative: Left arm pain; Patient is status post Pneumococcal 23 vaccine which was given 9/13/2021 in the left deltoid.  Suspect side effect/adverse reaction to vaccination. Body aches R52; Fever in adult R50.9; Plan: Patient's vital signs are normal today however she did take Tylenol prior to coming in.  She will continue to monitor for fevers at home.  Suspect that she may have had an adverse reaction to the Pneumonia vaccine that was given on Monday.  I believe that the pain that patient is experiencing in the left arm is contributing to some of the other symptoms such as nausea and not feeling well in general.  There is no evidence of cellulitis or hematoma.  Patient takes Xarelto for anticoagulation.  She is experiencing less pain today compared to yesterday.  Recommend conservative management for now.  Patient was advised to continue ice as directed.  She will continue Tylenol as needed as directed for pain. Instructed her not to take very many ibuprofen due to the fact that she takes Xarelto for anticoagulation.  May use Biofreeze and/or heat/ice to the affected arm.  Continue to monitor for worsening symptoms.  Return if there are any concerns.  We discussed possibly adding in Gabapentin but patient would like to wait and see how things go since she takes Tikosyn which has many interactions with other medications.  I will have the nurse complete a VAERs form for possible vaccine reaction.  Patient strep, Covid and influenza screen today are negative.  Patient verbalized understand agrees with plan.
Age: 78.0
Sex: F
Vaccine: PPV
Symptoms: SARS-CoV-2 test negative, Streptococcus test negative
Clinical narrative: Left arm pain; Patient is status post Pneumococcal 23 vaccine which was given 9/13/2021 in the left deltoid.  Suspect side effect/adverse reaction to vaccination. Body aches R52; Fever in adult R50.9; Plan: Patient's vital signs are normal today however she did take Tylenol prior to coming in.  She will continue to monitor for fevers at home.  Suspect that she may have had an adverse reaction to the Pneumonia vaccine that was given on Monday.  I believe that the pain that patient is experiencing in the left arm is contributing to some of the other symptoms such as nausea and not feeling well in general.  There is no evidence of cellulitis or hematoma.  Patient takes Xarelto for anticoagulation.  She is experiencing less pain today compared to yesterday.  Recommend conservative management for now.  Patient was advised to continue ice as directed.  She will continue Tylenol as needed as directed for pain. Instructed her not to take very many ibuprofen due to the fact that she takes Xarelto for anticoagulation.  May use Biofreeze and/or heat/ice to the affected arm.  Continue to monitor for worsening symptoms.  Return if there are any concerns.  We discussed possibly adding in Gabapentin but patient would like to wait and see how things go since she takes Tikosyn which has many interactions with other medications.  I will have the nurse complete a VAERs form for possible vaccine reaction.  Patient strep, Covid and influenza screen today are negative.  Patient verbalized understand agrees with plan.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Presyncope
Clinical narrative: Vasovagal response 5 minutes after injection. Blood pressure below 80. Patient drank water and orange juice then reported feeling better and vitals improved to in-range levels.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Blood folate, Blood thyroid stimulating hormone, C-reactive protein, Dizziness, Full blood count
Clinical narrative: Sudden heaviness and instability in arms and legs, weird sensation in gums and roof of mouth, then sensation in head and starting to black out
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Gingival pain, Joint instability, Limb discomfort, Metabolic function test, Sensory disturbance
Clinical narrative: Sudden heaviness and instability in arms and legs, weird sensation in gums and roof of mouth, then sensation in head and starting to black out
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Serum ferritin, Stomatitis, Thyroid function test
Clinical narrative: Sudden heaviness and instability in arms and legs, weird sensation in gums and roof of mouth, then sensation in head and starting to black out
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Adenovirus test, Blood creatine phosphokinase MB, Body temperature increased, Bone pain, Bordetella test negative
Clinical narrative: 12-year-old female with past medical history significant for autism spectrum disorder, seizure disorder, ADHD on methylphenidate while in school who received first dose of Pfizer vaccine on 8/20/2021 and started on 8/24/2021 with chest pain.  Per mother she woke up on 8/24/2021 complaining of a mild retrosternal chest pain she otherwise felt well, mom thought it was muscular in origin so she gave Aleve and patient went to school.  On arrival from school pain was still there.  The following day the pain persisted but she still went to school when she arrived it was worse mom again gave Aleve and applied ice with some relief in the pain. On Thursday she still went to school but after she arrived the pain was worse so mom took her to ED. On arrival at outside hospital her temperature was 101.7 blood pressure 126/86 heart rate of 160 respiratory rate 22 and O2 sat 99% in room air Labs were significant for elevated troponin a mildly elevated proBNP, elevated D-dimer and an abnormal EKG with sinus tachycardia and minimal anterior T wave changes, chest x-ray was negative.  She received naproxen, Tylenol and normal saline bolus and she was transferred for further management.  In our ED she was afebrile continues to be tachycardic with heart rate between 101 120.  She was also tachypneic with respiratory rate between 20 and 32 O2 sat remained at 99 to 100% in room air.  Repeat troponin I of 1.17 (normal value up to 0.08), CK-MB at 8.1 and BNP of 100.  She was admitted and started on ibuprofen around-the-clock.  Since admission she has remained afebrile but continues to be tachycardic and tachypneic.  EKG on admission showed sinus tachycardia with anterolateral ST wave changes.  Echocardiogram showed no structural abnormalities, mild tricuspid regurgitation trivial to mild mitral regurgitation and normal biventricular systolic function.  No significant pericardial effusion.  Ejection fraction was 0.63.  Overnight she had worsening of the pain and required dose of IV Toradol.   8/29: Overnight, patient required one dose of IV Toradol last at 430pm when patient had peristent reproducible clavicular pain. Father mentioned that patient had prior L clavicular fracture, and patient tried to pick up older brother on day of admission. EKG obtained at time of persistent pain which showed sinus tachycardia. Remaining pain management tolerated with oral toradol and tylenol. XR of clavicle showed no evidence of fracture, and patient no evidence of COVID19 prior infection given IgG negative with RPP negative. Troponin and CKMB continue to improve with overall stable BNP (103).  Pain well controlled for over >12 hours will oral pain medications, so will discharge home with PO toradol and tylenol with follow up in 1 week. PCP updated on plan of care and will follow up with patient within a week. Instructed to hold methylphenidate.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, Brain natriuretic peptide normal, Chest X-ray normal, Chest pain, Chlamydia test negative
Clinical narrative: 12-year-old female with past medical history significant for autism spectrum disorder, seizure disorder, ADHD on methylphenidate while in school who received first dose of Pfizer vaccine on 8/20/2021 and started on 8/24/2021 with chest pain.  Per mother she woke up on 8/24/2021 complaining of a mild retrosternal chest pain she otherwise felt well, mom thought it was muscular in origin so she gave Aleve and patient went to school.  On arrival from school pain was still there.  The following day the pain persisted but she still went to school when she arrived it was worse mom again gave Aleve and applied ice with some relief in the pain. On Thursday she still went to school but after she arrived the pain was worse so mom took her to ED. On arrival at outside hospital her temperature was 101.7 blood pressure 126/86 heart rate of 160 respiratory rate 22 and O2 sat 99% in room air Labs were significant for elevated troponin a mildly elevated proBNP, elevated D-dimer and an abnormal EKG with sinus tachycardia and minimal anterior T wave changes, chest x-ray was negative.  She received naproxen, Tylenol and normal saline bolus and she was transferred for further management.  In our ED she was afebrile continues to be tachycardic with heart rate between 101 120.  She was also tachypneic with respiratory rate between 20 and 32 O2 sat remained at 99 to 100% in room air.  Repeat troponin I of 1.17 (normal value up to 0.08), CK-MB at 8.1 and BNP of 100.  She was admitted and started on ibuprofen around-the-clock.  Since admission she has remained afebrile but continues to be tachycardic and tachypneic.  EKG on admission showed sinus tachycardia with anterolateral ST wave changes.  Echocardiogram showed no structural abnormalities, mild tricuspid regurgitation trivial to mild mitral regurgitation and normal biventricular systolic function.  No significant pericardial effusion.  Ejection fraction was 0.63.  Overnight she had worsening of the pain and required dose of IV Toradol.   8/29: Overnight, patient required one dose of IV Toradol last at 430pm when patient had peristent reproducible clavicular pain. Father mentioned that patient had prior L clavicular fracture, and patient tried to pick up older brother on day of admission. EKG obtained at time of persistent pain which showed sinus tachycardia. Remaining pain management tolerated with oral toradol and tylenol. XR of clavicle showed no evidence of fracture, and patient no evidence of COVID19 prior infection given IgG negative with RPP negative. Troponin and CKMB continue to improve with overall stable BNP (103).  Pain well controlled for over >12 hours will oral pain medications, so will discharge home with PO toradol and tylenol with follow up in 1 week. PCP updated on plan of care and will follow up with patient within a week. Instructed to hold methylphenidate.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Coronavirus test negative, Culture, Echocardiogram abnormal, Ejection fraction normal, Electrocardiogram ST segment abnormal
Clinical narrative: 12-year-old female with past medical history significant for autism spectrum disorder, seizure disorder, ADHD on methylphenidate while in school who received first dose of Pfizer vaccine on 8/20/2021 and started on 8/24/2021 with chest pain.  Per mother she woke up on 8/24/2021 complaining of a mild retrosternal chest pain she otherwise felt well, mom thought it was muscular in origin so she gave Aleve and patient went to school.  On arrival from school pain was still there.  The following day the pain persisted but she still went to school when she arrived it was worse mom again gave Aleve and applied ice with some relief in the pain. On Thursday she still went to school but after she arrived the pain was worse so mom took her to ED. On arrival at outside hospital her temperature was 101.7 blood pressure 126/86 heart rate of 160 respiratory rate 22 and O2 sat 99% in room air Labs were significant for elevated troponin a mildly elevated proBNP, elevated D-dimer and an abnormal EKG with sinus tachycardia and minimal anterior T wave changes, chest x-ray was negative.  She received naproxen, Tylenol and normal saline bolus and she was transferred for further management.  In our ED she was afebrile continues to be tachycardic with heart rate between 101 120.  She was also tachypneic with respiratory rate between 20 and 32 O2 sat remained at 99 to 100% in room air.  Repeat troponin I of 1.17 (normal value up to 0.08), CK-MB at 8.1 and BNP of 100.  She was admitted and started on ibuprofen around-the-clock.  Since admission she has remained afebrile but continues to be tachycardic and tachypneic.  EKG on admission showed sinus tachycardia with anterolateral ST wave changes.  Echocardiogram showed no structural abnormalities, mild tricuspid regurgitation trivial to mild mitral regurgitation and normal biventricular systolic function.  No significant pericardial effusion.  Ejection fraction was 0.63.  Overnight she had worsening of the pain and required dose of IV Toradol.   8/29: Overnight, patient required one dose of IV Toradol last at 430pm when patient had peristent reproducible clavicular pain. Father mentioned that patient had prior L clavicular fracture, and patient tried to pick up older brother on day of admission. EKG obtained at time of persistent pain which showed sinus tachycardia. Remaining pain management tolerated with oral toradol and tylenol. XR of clavicle showed no evidence of fracture, and patient no evidence of COVID19 prior infection given IgG negative with RPP negative. Troponin and CKMB continue to improve with overall stable BNP (103).  Pain well controlled for over >12 hours will oral pain medications, so will discharge home with PO toradol and tylenol with follow up in 1 week. PCP updated on plan of care and will follow up with patient within a week. Instructed to hold methylphenidate.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram T wave abnormal, Enterovirus test negative, Fibrin D dimer increased, Human metapneumovirus test, Human rhinovirus test
Clinical narrative: 12-year-old female with past medical history significant for autism spectrum disorder, seizure disorder, ADHD on methylphenidate while in school who received first dose of Pfizer vaccine on 8/20/2021 and started on 8/24/2021 with chest pain.  Per mother she woke up on 8/24/2021 complaining of a mild retrosternal chest pain she otherwise felt well, mom thought it was muscular in origin so she gave Aleve and patient went to school.  On arrival from school pain was still there.  The following day the pain persisted but she still went to school when she arrived it was worse mom again gave Aleve and applied ice with some relief in the pain. On Thursday she still went to school but after she arrived the pain was worse so mom took her to ED. On arrival at outside hospital her temperature was 101.7 blood pressure 126/86 heart rate of 160 respiratory rate 22 and O2 sat 99% in room air Labs were significant for elevated troponin a mildly elevated proBNP, elevated D-dimer and an abnormal EKG with sinus tachycardia and minimal anterior T wave changes, chest x-ray was negative.  She received naproxen, Tylenol and normal saline bolus and she was transferred for further management.  In our ED she was afebrile continues to be tachycardic with heart rate between 101 120.  She was also tachypneic with respiratory rate between 20 and 32 O2 sat remained at 99 to 100% in room air.  Repeat troponin I of 1.17 (normal value up to 0.08), CK-MB at 8.1 and BNP of 100.  She was admitted and started on ibuprofen around-the-clock.  Since admission she has remained afebrile but continues to be tachycardic and tachypneic.  EKG on admission showed sinus tachycardia with anterolateral ST wave changes.  Echocardiogram showed no structural abnormalities, mild tricuspid regurgitation trivial to mild mitral regurgitation and normal biventricular systolic function.  No significant pericardial effusion.  Ejection fraction was 0.63.  Overnight she had worsening of the pain and required dose of IV Toradol.   8/29: Overnight, patient required one dose of IV Toradol last at 430pm when patient had peristent reproducible clavicular pain. Father mentioned that patient had prior L clavicular fracture, and patient tried to pick up older brother on day of admission. EKG obtained at time of persistent pain which showed sinus tachycardia. Remaining pain management tolerated with oral toradol and tylenol. XR of clavicle showed no evidence of fracture, and patient no evidence of COVID19 prior infection given IgG negative with RPP negative. Troponin and CKMB continue to improve with overall stable BNP (103).  Pain well controlled for over >12 hours will oral pain medications, so will discharge home with PO toradol and tylenol with follow up in 1 week. PCP updated on plan of care and will follow up with patient within a week. Instructed to hold methylphenidate.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Influenza virus test negative, Mitral valve incompetence, Mycoplasma test negative
Clinical narrative: 12-year-old female with past medical history significant for autism spectrum disorder, seizure disorder, ADHD on methylphenidate while in school who received first dose of Pfizer vaccine on 8/20/2021 and started on 8/24/2021 with chest pain.  Per mother she woke up on 8/24/2021 complaining of a mild retrosternal chest pain she otherwise felt well, mom thought it was muscular in origin so she gave Aleve and patient went to school.  On arrival from school pain was still there.  The following day the pain persisted but she still went to school when she arrived it was worse mom again gave Aleve and applied ice with some relief in the pain. On Thursday she still went to school but after she arrived the pain was worse so mom took her to ED. On arrival at outside hospital her temperature was 101.7 blood pressure 126/86 heart rate of 160 respiratory rate 22 and O2 sat 99% in room air Labs were significant for elevated troponin a mildly elevated proBNP, elevated D-dimer and an abnormal EKG with sinus tachycardia and minimal anterior T wave changes, chest x-ray was negative.  She received naproxen, Tylenol and normal saline bolus and she was transferred for further management.  In our ED she was afebrile continues to be tachycardic with heart rate between 101 120.  She was also tachypneic with respiratory rate between 20 and 32 O2 sat remained at 99 to 100% in room air.  Repeat troponin I of 1.17 (normal value up to 0.08), CK-MB at 8.1 and BNP of 100.  She was admitted and started on ibuprofen around-the-clock.  Since admission she has remained afebrile but continues to be tachycardic and tachypneic.  EKG on admission showed sinus tachycardia with anterolateral ST wave changes.  Echocardiogram showed no structural abnormalities, mild tricuspid regurgitation trivial to mild mitral regurgitation and normal biventricular systolic function.  No significant pericardial effusion.  Ejection fraction was 0.63.  Overnight she had worsening of the pain and required dose of IV Toradol.   8/29: Overnight, patient required one dose of IV Toradol last at 430pm when patient had peristent reproducible clavicular pain. Father mentioned that patient had prior L clavicular fracture, and patient tried to pick up older brother on day of admission. EKG obtained at time of persistent pain which showed sinus tachycardia. Remaining pain management tolerated with oral toradol and tylenol. XR of clavicle showed no evidence of fracture, and patient no evidence of COVID19 prior infection given IgG negative with RPP negative. Troponin and CKMB continue to improve with overall stable BNP (103).  Pain well controlled for over >12 hours will oral pain medications, so will discharge home with PO toradol and tylenol with follow up in 1 week. PCP updated on plan of care and will follow up with patient within a week. Instructed to hold methylphenidate.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Prohormone brain natriuretic peptide increased, Respiratory syncytial virus test negative, SARS-CoV-2 antibody test negative, SARS-CoV-2 test negative
Clinical narrative: 12-year-old female with past medical history significant for autism spectrum disorder, seizure disorder, ADHD on methylphenidate while in school who received first dose of Pfizer vaccine on 8/20/2021 and started on 8/24/2021 with chest pain.  Per mother she woke up on 8/24/2021 complaining of a mild retrosternal chest pain she otherwise felt well, mom thought it was muscular in origin so she gave Aleve and patient went to school.  On arrival from school pain was still there.  The following day the pain persisted but she still went to school when she arrived it was worse mom again gave Aleve and applied ice with some relief in the pain. On Thursday she still went to school but after she arrived the pain was worse so mom took her to ED. On arrival at outside hospital her temperature was 101.7 blood pressure 126/86 heart rate of 160 respiratory rate 22 and O2 sat 99% in room air Labs were significant for elevated troponin a mildly elevated proBNP, elevated D-dimer and an abnormal EKG with sinus tachycardia and minimal anterior T wave changes, chest x-ray was negative.  She received naproxen, Tylenol and normal saline bolus and she was transferred for further management.  In our ED she was afebrile continues to be tachycardic with heart rate between 101 120.  She was also tachypneic with respiratory rate between 20 and 32 O2 sat remained at 99 to 100% in room air.  Repeat troponin I of 1.17 (normal value up to 0.08), CK-MB at 8.1 and BNP of 100.  She was admitted and started on ibuprofen around-the-clock.  Since admission she has remained afebrile but continues to be tachycardic and tachypneic.  EKG on admission showed sinus tachycardia with anterolateral ST wave changes.  Echocardiogram showed no structural abnormalities, mild tricuspid regurgitation trivial to mild mitral regurgitation and normal biventricular systolic function.  No significant pericardial effusion.  Ejection fraction was 0.63.  Overnight she had worsening of the pain and required dose of IV Toradol.   8/29: Overnight, patient required one dose of IV Toradol last at 430pm when patient had peristent reproducible clavicular pain. Father mentioned that patient had prior L clavicular fracture, and patient tried to pick up older brother on day of admission. EKG obtained at time of persistent pain which showed sinus tachycardia. Remaining pain management tolerated with oral toradol and tylenol. XR of clavicle showed no evidence of fracture, and patient no evidence of COVID19 prior infection given IgG negative with RPP negative. Troponin and CKMB continue to improve with overall stable BNP (103).  Pain well controlled for over >12 hours will oral pain medications, so will discharge home with PO toradol and tylenol with follow up in 1 week. PCP updated on plan of care and will follow up with patient within a week. Instructed to hold methylphenidate.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus tachycardia, Tachypnoea, Tricuspid valve incompetence, Troponin I increased, Troponin increased
Clinical narrative: 12-year-old female with past medical history significant for autism spectrum disorder, seizure disorder, ADHD on methylphenidate while in school who received first dose of Pfizer vaccine on 8/20/2021 and started on 8/24/2021 with chest pain.  Per mother she woke up on 8/24/2021 complaining of a mild retrosternal chest pain she otherwise felt well, mom thought it was muscular in origin so she gave Aleve and patient went to school.  On arrival from school pain was still there.  The following day the pain persisted but she still went to school when she arrived it was worse mom again gave Aleve and applied ice with some relief in the pain. On Thursday she still went to school but after she arrived the pain was worse so mom took her to ED. On arrival at outside hospital her temperature was 101.7 blood pressure 126/86 heart rate of 160 respiratory rate 22 and O2 sat 99% in room air Labs were significant for elevated troponin a mildly elevated proBNP, elevated D-dimer and an abnormal EKG with sinus tachycardia and minimal anterior T wave changes, chest x-ray was negative.  She received naproxen, Tylenol and normal saline bolus and she was transferred for further management.  In our ED she was afebrile continues to be tachycardic with heart rate between 101 120.  She was also tachypneic with respiratory rate between 20 and 32 O2 sat remained at 99 to 100% in room air.  Repeat troponin I of 1.17 (normal value up to 0.08), CK-MB at 8.1 and BNP of 100.  She was admitted and started on ibuprofen around-the-clock.  Since admission she has remained afebrile but continues to be tachycardic and tachypneic.  EKG on admission showed sinus tachycardia with anterolateral ST wave changes.  Echocardiogram showed no structural abnormalities, mild tricuspid regurgitation trivial to mild mitral regurgitation and normal biventricular systolic function.  No significant pericardial effusion.  Ejection fraction was 0.63.  Overnight she had worsening of the pain and required dose of IV Toradol.   8/29: Overnight, patient required one dose of IV Toradol last at 430pm when patient had peristent reproducible clavicular pain. Father mentioned that patient had prior L clavicular fracture, and patient tried to pick up older brother on day of admission. EKG obtained at time of persistent pain which showed sinus tachycardia. Remaining pain management tolerated with oral toradol and tylenol. XR of clavicle showed no evidence of fracture, and patient no evidence of COVID19 prior infection given IgG negative with RPP negative. Troponin and CKMB continue to improve with overall stable BNP (103).  Pain well controlled for over >12 hours will oral pain medications, so will discharge home with PO toradol and tylenol with follow up in 1 week. PCP updated on plan of care and will follow up with patient within a week. Instructed to hold methylphenidate.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray normal
Clinical narrative: 12-year-old female with past medical history significant for autism spectrum disorder, seizure disorder, ADHD on methylphenidate while in school who received first dose of Pfizer vaccine on 8/20/2021 and started on 8/24/2021 with chest pain.  Per mother she woke up on 8/24/2021 complaining of a mild retrosternal chest pain she otherwise felt well, mom thought it was muscular in origin so she gave Aleve and patient went to school.  On arrival from school pain was still there.  The following day the pain persisted but she still went to school when she arrived it was worse mom again gave Aleve and applied ice with some relief in the pain. On Thursday she still went to school but after she arrived the pain was worse so mom took her to ED. On arrival at outside hospital her temperature was 101.7 blood pressure 126/86 heart rate of 160 respiratory rate 22 and O2 sat 99% in room air Labs were significant for elevated troponin a mildly elevated proBNP, elevated D-dimer and an abnormal EKG with sinus tachycardia and minimal anterior T wave changes, chest x-ray was negative.  She received naproxen, Tylenol and normal saline bolus and she was transferred for further management.  In our ED she was afebrile continues to be tachycardic with heart rate between 101 120.  She was also tachypneic with respiratory rate between 20 and 32 O2 sat remained at 99 to 100% in room air.  Repeat troponin I of 1.17 (normal value up to 0.08), CK-MB at 8.1 and BNP of 100.  She was admitted and started on ibuprofen around-the-clock.  Since admission she has remained afebrile but continues to be tachycardic and tachypneic.  EKG on admission showed sinus tachycardia with anterolateral ST wave changes.  Echocardiogram showed no structural abnormalities, mild tricuspid regurgitation trivial to mild mitral regurgitation and normal biventricular systolic function.  No significant pericardial effusion.  Ejection fraction was 0.63.  Overnight she had worsening of the pain and required dose of IV Toradol.   8/29: Overnight, patient required one dose of IV Toradol last at 430pm when patient had peristent reproducible clavicular pain. Father mentioned that patient had prior L clavicular fracture, and patient tried to pick up older brother on day of admission. EKG obtained at time of persistent pain which showed sinus tachycardia. Remaining pain management tolerated with oral toradol and tylenol. XR of clavicle showed no evidence of fracture, and patient no evidence of COVID19 prior infection given IgG negative with RPP negative. Troponin and CKMB continue to improve with overall stable BNP (103).  Pain well controlled for over >12 hours will oral pain medications, so will discharge home with PO toradol and tylenol with follow up in 1 week. PCP updated on plan of care and will follow up with patient within a week. Instructed to hold methylphenidate.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Ageusia, Anosmia, Chills, Dyspnoea
Clinical narrative: Full body itching and a rash spreading from the injection site up and down my arm within 10 minutes of the vaccine, difficulty breathing, large lump at injection site forming immediately. For 2 weeks following the injection, I was incredibly ill with fever, chills, upset stomach, headache, loss of taste and smell, body aches, and chest congestion. During that time, I was tested for Covid 4 times and each test was negative.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Illness, Immediate post-injection reaction, Injection site mass, Injection site rash
Clinical narrative: Full body itching and a rash spreading from the injection site up and down my arm within 10 minutes of the vaccine, difficulty breathing, large lump at injection site forming immediately. For 2 weeks following the injection, I was incredibly ill with fever, chills, upset stomach, headache, loss of taste and smell, body aches, and chest congestion. During that time, I was tested for Covid 4 times and each test was negative.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pruritus, Pyrexia, Rash, Respiratory tract congestion
Clinical narrative: Full body itching and a rash spreading from the injection site up and down my arm within 10 minutes of the vaccine, difficulty breathing, large lump at injection site forming immediately. For 2 weeks following the injection, I was incredibly ill with fever, chills, upset stomach, headache, loss of taste and smell, body aches, and chest congestion. During that time, I was tested for Covid 4 times and each test was negative.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Full body itching and a rash spreading from the injection site up and down my arm within 10 minutes of the vaccine, difficulty breathing, large lump at injection site forming immediately. For 2 weeks following the injection, I was incredibly ill with fever, chills, upset stomach, headache, loss of taste and smell, body aches, and chest congestion. During that time, I was tested for Covid 4 times and each test was negative.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash occurred 1.5 days after vaccine. The rash was all over my face, chest, under breasts, arm pit area. I was given steroids to help with getting rid of the rash.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Pain in extremity, Skin warm
Clinical narrative: -Arm soreness started a couple of hours after injection and lasted for about 1 week -warm to touch: started around 10 hours after injection and lasted about 24 hours total - small knot/lump around injection site: started about 12 hours after injection and lasted about 24 hours
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Psoriasis
Clinical narrative: medication-related plaque psoriasis
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Testicular swelling
Clinical narrative: Testicular swelling which lasted for approximately 4 days.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Injection site urticaria, Rash pruritic
Clinical narrative: Pt. states that after receiving the 1st dose of Moderna 08/25/2021, started experiencing symptoms 09/01/2021 of an itchy rash developing in and around the injection site. Entire left side of injection site covered in hives. No Primary visit noted. Still continuing to experience symptoms.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous
Clinical narrative: SEVERE RED RASH ON BOTH ARMS AND LEGS.  RASH LASTED THREE MONTHS.  NO ITCH OR OTHER EFFECTS JUST THE RASH
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, Dizziness, Hypotension, Presyncope, Pyrexia
Clinical narrative: Patient became hypotensive and bradycardic after dose of Janssen. Patient felt light-headed and feverish. Near-syncopal episode.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthma, Diarrhoea, Myalgia, Nausea
Clinical narrative: bad joint and muscle pain, diarrhea, nausea,  rash, asthma worsened
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: bad joint and muscle pain, diarrhea, nausea,  rash, asthma worsened
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Cough, Exposure to SARS-CoV-2, Fatigue, Headache
Clinical narrative: Chills, body ache, cough, headache, fatigue starting on 9/17/21.  6 year old daughter tested positive for COVID on 9/17/21
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Chills, body ache, cough, headache, fatigue starting on 9/17/21.  6 year old daughter tested positive for COVID on 9/17/21
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient received a single dose of Pfizer covid vaccine on 03/30/2021, the patient also received a single dose of Moderna on 01/23/2021. No adverse events were noted.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Chills, Cough
Clinical narrative: I had no AE to the vaccine, but early in the morning on 9/14 I developed a scratchy, dry cough which went to pressure on the eyes and a very bad headache. I developed chills and a fever. Lost of taste and smell and congestion. I also developed extreme fatigue and was extremely tired. The next day on 9/15 I tested positive for COVID-19. Still to date I am still having the headaches, the couch is still here, my taste and smell comes and goes and I am still a little fatigued, but no fever. 9/18 I got a regenerome infusion which did make a lot of the congestion and mucus loosen up and I began to feel a little better.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Infusion, Ocular discomfort, Pyrexia
Clinical narrative: I had no AE to the vaccine, but early in the morning on 9/14 I developed a scratchy, dry cough which went to pressure on the eyes and a very bad headache. I developed chills and a fever. Lost of taste and smell and congestion. I also developed extreme fatigue and was extremely tired. The next day on 9/15 I tested positive for COVID-19. Still to date I am still having the headaches, the couch is still here, my taste and smell comes and goes and I am still a little fatigued, but no fever. 9/18 I got a regenerome infusion which did make a lot of the congestion and mucus loosen up and I began to feel a little better.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: I had no AE to the vaccine, but early in the morning on 9/14 I developed a scratchy, dry cough which went to pressure on the eyes and a very bad headache. I developed chills and a fever. Lost of taste and smell and congestion. I also developed extreme fatigue and was extremely tired. The next day on 9/15 I tested positive for COVID-19. Still to date I am still having the headaches, the couch is still here, my taste and smell comes and goes and I am still a little fatigued, but no fever. 9/18 I got a regenerome infusion which did make a lot of the congestion and mucus loosen up and I began to feel a little better.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site rash, Rash pruritic
Clinical narrative: rash on left arm round about quarter inch and itchy plus pus come out from injection site
Age: 20.0
Sex: F
Vaccine: FLU4
Symptoms: Anal pruritus, Lip blister, Swelling, Urticaria
Clinical narrative: Mild swelling and blistering of upper lip, small bumps/hives on roof of mouth, pruritus of anal region. All symptoms started evening of the day vaccine was administered.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Catheterisation cardiac abnormal, Computerised tomogram thorax abnormal, Dyspnoea
Clinical narrative: positive covid-19 test on 9/20/21, with symptoms beginning at least by 9/19/21, possibly as early as 9/15. pt symptoms include extreme weakness, and fatigue. Patient has hx of ischemic cardiomyopathy, end stage renal disease, hyperkalemia, and anemia. Dialysis and diabetes. 1 week after cardiac catheterization and stenting developed shortness of breath, weakness and fatigue.. Lung  CT showed  R lung pneumonia on 9/19/21
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Pneumonia, SARS-CoV-2 test positive, Stent placement
Clinical narrative: positive covid-19 test on 9/20/21, with symptoms beginning at least by 9/19/21, possibly as early as 9/15. pt symptoms include extreme weakness, and fatigue. Patient has hx of ischemic cardiomyopathy, end stage renal disease, hyperkalemia, and anemia. Dialysis and diabetes. 1 week after cardiac catheterization and stenting developed shortness of breath, weakness and fatigue.. Lung  CT showed  R lung pneumonia on 9/19/21
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: tested positive for COVID 19 09/16/2021
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Feeling hot, Muscle spasms
Clinical narrative: 24 hours of chills, hot, difficult breathing, cramps in lower legs.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Injection site pain, Somnolence, Tremor
Clinical narrative: Pt was awakened by grandson at 4 AM, with uncontrolled shaking. Family members on her husband's side of the family have seizure disorders, and she states that was what it was like. Reports she was "groggy" through Saturday and Sunday, more so on Saturday. Other symptoms, were injection site soreness and fatigue for a few days.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Loss of consciousness, Seizure
Clinical narrative: Pt was awakened by grandson at 4 AM, with uncontrolled shaking. Family members on her husband's side of the family have seizure disorders, and she states that was what it was like. Reports she was "groggy" through Saturday and Sunday, more so on Saturday. Other symptoms, were injection site soreness and fatigue for a few days.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Computerised tomogram, Confusional state, Cough, Decreased appetite
Clinical narrative: I had a bad cough, but I could not cough anything up.  I was really tired. I had no aplite.  I was confused as well.  I had a fever. When I did cough up something it was black and gray. I was SOB. I went the ER.  They did test me for Covid-19, which came back positive. They did a chest X-ray, and CT scan.  I was in the hospital for 8 days and on the ventilator.  Since then, my cough is off, and I have a funny tasted.  I am tired a lot more. And now I have to do a breathing treatment.