chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Procalcitonin, SARS-CoV-2 test positive, Subarachnoid haemorrhage, Subdural haematoma, White blood cell count decreased
Clinical narrative: Patient is a 75 y/o male with hx of DMII, HTN, HLD who presented to the ED after a fall. Patient reports he has had some difficulty urinating recently and reports hematuria as well as dysuria recently. Today he reports he was in his usual state of health and he went to his bank today to transfer some money over. He recalls entering the bank and approaching the teller, and remembers nothing after that until awakening in the ED. Per ED physician, patient was noted to fall backward, striking the back of his head. There was no report of any seizure activity and no tongue bite; however, it was reported patient did lose control of bowels. Patient denies any history of seizure activity. He is currently alert and oriented x 3 but seems to be having some difficulty with comprehension. He otherwise denies complaints at this time.   In the ED, patient is noted to be borderline hypotensive with SBP 80s-100s and otherwise hemodynamically stable. Laboratory studies are significant for WBC 1, platelets 109, sodium 130, bicarbonate 19, BUN 17, creatinine 1.3, glucose 56, lactic 4.5, procalcitonin 6.6. COVID-19 is positive. ABG reveals pH 7.39, pCO2 30, pO2 90 on room air. CT Head reveals several hyperdense foci which are felt 2/2 hemorrhagic foci vs underlying tumor as well as questionable SAH vs SDH. MRI brain is recommended. CT Chest/Abdomen/Pelvis reveals no acute abnormality. Patient has been given an amp of D50 for hypoglycemia. Neurosurgery has been consulted from the ED and hospitalist service is asked for admission. Neurology was alerted of patient and is available for consult if needed pending results of MRI.  PT IS CURRENTLY INPATIENT.
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain lower, Computerised tomogram abdomen abnormal, Diverticulum, Large intestine perforation
Clinical narrative: A 26-year-old with a one-day history of lower abdominal pain, particularly a little bit toward the right side.  It is worse with walking and activity.  Never had anything like this before.  Because it was ongoing and nothing was alleviating, he presented to the emergency room, where he was evaluated with a CT scan.  It shows that he has a perforated sigmoid colon related to diverticular disease.  He has a normal appendix.  He is admitted to the General Surgery  for ongoing treatment of this situation. PT IS CURRENTLY AN INPATIENT.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood pressure increased, COVID-19, Exposure during pregnancy, Gestational diabetes, Laboratory test normal
Clinical narrative: The patient is a 33-year-old, gravida 1, with intrauterine pregnancy at 39 weeks and 1 day, who presented to clinic today to turn in a 24-hour urine, had mildly elevated blood pressures yesterday, which normalized on Labor and Delivery and preeclamptic labs were normal.  Today, initial blood pressure again is slightly elevated at 142/90, other diastolics 88.  In light of her already being 39 weeks as well as having gestational diabetes, although it has been well-controlled with diet.  I have discussed with the patient recommendation to go ahead and proceed with induction of labor.  Her pregnancy has otherwise been without significant complications.  Again, her gestational diabetes has been well controlled with diet.   She is COVID vaccinated and boosted, although she did test positive for COVID recently, but has been cleared.  She has had good prenatal care with me since the first trimester with good followup care.  PT IS CURRENTLY INPATIENT.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Labour induction, Primigravida, SARS-CoV-2 test positive, Urine analysis
Clinical narrative: The patient is a 33-year-old, gravida 1, with intrauterine pregnancy at 39 weeks and 1 day, who presented to clinic today to turn in a 24-hour urine, had mildly elevated blood pressures yesterday, which normalized on Labor and Delivery and preeclamptic labs were normal.  Today, initial blood pressure again is slightly elevated at 142/90, other diastolics 88.  In light of her already being 39 weeks as well as having gestational diabetes, although it has been well-controlled with diet.  I have discussed with the patient recommendation to go ahead and proceed with induction of labor.  Her pregnancy has otherwise been without significant complications.  Again, her gestational diabetes has been well controlled with diet.   She is COVID vaccinated and boosted, although she did test positive for COVID recently, but has been cleared.  She has had good prenatal care with me since the first trimester with good followup care.  PT IS CURRENTLY INPATIENT.
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Parosmia, Taste disorder
Clinical narrative: Taste and smell of Fruits vegetables, soaps, fragrance smells like ammonia or weird smell and taste
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, COVID-19, Decreased appetite, Flank pain, Imaging procedure abnormal
Clinical narrative: 54 year old female presented to the ER with complaints of right flank and right abdominal pain she states started becoming constant 3 days ago and has worsened since. Patient states she was COVID positive on the 10th and has not had fever for the last 6-7 days, completed quarantine after day 5. Patient states since the pain began in the right flank and right abdomen her appetite has declined significantly.  Imaging obtained in the ED is concerning for acute cholecystitis with cholelithiasis.  Surgery was therefore contacted.   PT IS CURRENTLY INPATIENT.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 54 year old female presented to the ER with complaints of right flank and right abdominal pain she states started becoming constant 3 days ago and has worsened since. Patient states she was COVID positive on the 10th and has not had fever for the last 6-7 days, completed quarantine after day 5. Patient states since the pain began in the right flank and right abdomen her appetite has declined significantly.  Imaging obtained in the ED is concerning for acute cholecystitis with cholelithiasis.  Surgery was therefore contacted.   PT IS CURRENTLY INPATIENT.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acidosis, Anion gap, Blood gases, Blood pH decreased, Condition aggravated
Clinical narrative: Patient is a 34 yo female with PMH of hypertension, diabetes type 2-- insulin dependent, mood disorder, and hypothyroidism. She lives with her sibling and his spouse, and says she was exposed to COVID this way and started having symptoms on January 15. Her main symptoms have been dry cough and difficulty breathing along with shortness of breath. In fact, it was these symptoms that prompted her to present to the ED today. She had been prescribed Azithromycin and Prednisone on 1/17/21. She denies vomiting, diarrhea, abdominal pain, difficulty or pain with urination, excessive urination, thirst, and she denies difficulty with her insulin and her blood sugars. Thus, she was surprised that after arriving to the ED she was diagnosed with DKA. She is saturating 100% on room air. She has not taken any of her medications today (including her antihypertensives), and her BP is higher than normal in the ED. She is acidotic on labs and still has an AGAP of 17 after having received 4 L of IV fluids, insulin, and the insulin drip for 2 hours. Her arterial blood gas had a pH of 7.19. She was vaccinated back in May 2021 but never received a "booster" vaccine.  PT IS CURRENTLY INPATIENT.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Diabetic ketoacidosis, Dyspnoea, Exposure to SARS-CoV-2, Hypertension
Clinical narrative: Patient is a 34 yo female with PMH of hypertension, diabetes type 2-- insulin dependent, mood disorder, and hypothyroidism. She lives with her sibling and his spouse, and says she was exposed to COVID this way and started having symptoms on January 15. Her main symptoms have been dry cough and difficulty breathing along with shortness of breath. In fact, it was these symptoms that prompted her to present to the ED today. She had been prescribed Azithromycin and Prednisone on 1/17/21. She denies vomiting, diarrhea, abdominal pain, difficulty or pain with urination, excessive urination, thirst, and she denies difficulty with her insulin and her blood sugars. Thus, she was surprised that after arriving to the ED she was diagnosed with DKA. She is saturating 100% on room air. She has not taken any of her medications today (including her antihypertensives), and her BP is higher than normal in the ED. She is acidotic on labs and still has an AGAP of 17 after having received 4 L of IV fluids, insulin, and the insulin drip for 2 hours. Her arterial blood gas had a pH of 7.19. She was vaccinated back in May 2021 but never received a "booster" vaccine.  PT IS CURRENTLY INPATIENT.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise
Clinical narrative: Patient is a 34 yo female with PMH of hypertension, diabetes type 2-- insulin dependent, mood disorder, and hypothyroidism. She lives with her sibling and his spouse, and says she was exposed to COVID this way and started having symptoms on January 15. Her main symptoms have been dry cough and difficulty breathing along with shortness of breath. In fact, it was these symptoms that prompted her to present to the ED today. She had been prescribed Azithromycin and Prednisone on 1/17/21. She denies vomiting, diarrhea, abdominal pain, difficulty or pain with urination, excessive urination, thirst, and she denies difficulty with her insulin and her blood sugars. Thus, she was surprised that after arriving to the ED she was diagnosed with DKA. She is saturating 100% on room air. She has not taken any of her medications today (including her antihypertensives), and her BP is higher than normal in the ED. She is acidotic on labs and still has an AGAP of 17 after having received 4 L of IV fluids, insulin, and the insulin drip for 2 hours. Her arterial blood gas had a pH of 7.19. She was vaccinated back in May 2021 but never received a "booster" vaccine.  PT IS CURRENTLY INPATIENT.
Age: 94.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood creatinine increased, Blood gases, Blood pH normal, Blood urea increased, COVID-19
Clinical narrative: The patient is a 95 y/o female with hx of DMII, HTN, hyponatremia (?SIADH as on salt tabs TID,) hypothyroidism who presented to the ED with cough and SOB. Patient is a poor historian. Patient reports she has had a cough and SOB for the past 2 days. She denies any chest pain. Per review of her chart which was sent, she tested positive for COVID on 1/12. It appears she was given a prescription for Augmentin on 1/4 for a 10 day course with diagnosis listed as pleural effusion. She was also started on Lasix 40 mg po qd on 1/12. She has no known diagnosis of CHF as far as I can tell. On 1/17 there is an order for oxygen at 2L. Discussed with patient's healthcare proxy via telephone who reports.  patient has been ill for about 10 days and did complete a course of antibiotics. She reports the patient was moved to the COVID ward 2 days ago at (Privacy) and she thinks this may be why she continues to say she has been ill for 2 days. She denies any history of dementia in the patient and reports she is normally quite sharp. Today the patient was transferred to our ED for worsening SOB and hypoxia with O2 sat of 77% on 3L. She was placed on 100% NRB by EMS en route with O2 sat reportedly 90%. Of note, patient has a diagnosis of dysphagia on records from (Privacy). I was initially told she has received COVID-19 vaccine x 2 + booster, but in her records I only find two doses of COVID-19 vaccine, in May and June 2021. In the ED, patient is noted to be hemodynamically stable. She has been placed on 12L O2 with O2 sat mid 90s. Laboratory studies are significant for BUN 33, creatinine 1.7 (unknown baseline, last Cr 1.6 in February, before that normal,) Pro-BNP 8574, troponin 147. ABG reveals pH 7.39, pCO2 52, pO2 103 on 15L NC. Patient was decreased to 10L with repeat pO2 of 66 and was then turned back up to 12L. CXR reveals chronic markings with predominantly right sided airspace disease and small right pleural effusion. Case was discussed with on-call Cardiology who did not feel Heparin infusion was necessary for elevated troponin. Hospitalist service is asked for admission.   Of note, HCP document from the (Privacy) is outdated. Most recent DPOA is scanned in under Advanced Directive/Living Will and names (Privacy) and (Privacy) as patient's healthcare proxies.  PT IS CURRENTLY INPATIENT.
Age: 94.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest X-ray abnormal, Cough, Dysphagia, Dyspnoea, Hypoxia
Clinical narrative: The patient is a 95 y/o female with hx of DMII, HTN, hyponatremia (?SIADH as on salt tabs TID,) hypothyroidism who presented to the ED with cough and SOB. Patient is a poor historian. Patient reports she has had a cough and SOB for the past 2 days. She denies any chest pain. Per review of her chart which was sent, she tested positive for COVID on 1/12. It appears she was given a prescription for Augmentin on 1/4 for a 10 day course with diagnosis listed as pleural effusion. She was also started on Lasix 40 mg po qd on 1/12. She has no known diagnosis of CHF as far as I can tell. On 1/17 there is an order for oxygen at 2L. Discussed with patient's healthcare proxy via telephone who reports.  patient has been ill for about 10 days and did complete a course of antibiotics. She reports the patient was moved to the COVID ward 2 days ago at (Privacy) and she thinks this may be why she continues to say she has been ill for 2 days. She denies any history of dementia in the patient and reports she is normally quite sharp. Today the patient was transferred to our ED for worsening SOB and hypoxia with O2 sat of 77% on 3L. She was placed on 100% NRB by EMS en route with O2 sat reportedly 90%. Of note, patient has a diagnosis of dysphagia on records from (Privacy). I was initially told she has received COVID-19 vaccine x 2 + booster, but in her records I only find two doses of COVID-19 vaccine, in May and June 2021. In the ED, patient is noted to be hemodynamically stable. She has been placed on 12L O2 with O2 sat mid 90s. Laboratory studies are significant for BUN 33, creatinine 1.7 (unknown baseline, last Cr 1.6 in February, before that normal,) Pro-BNP 8574, troponin 147. ABG reveals pH 7.39, pCO2 52, pO2 103 on 15L NC. Patient was decreased to 10L with repeat pO2 of 66 and was then turned back up to 12L. CXR reveals chronic markings with predominantly right sided airspace disease and small right pleural effusion. Case was discussed with on-call Cardiology who did not feel Heparin infusion was necessary for elevated troponin. Hospitalist service is asked for admission.   Of note, HCP document from the (Privacy) is outdated. Most recent DPOA is scanned in under Advanced Directive/Living Will and names (Privacy) and (Privacy) as patient's healthcare proxies.  PT IS CURRENTLY INPATIENT.
Age: 94.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lung disorder, Malaise, PCO2 increased, PO2 decreased, PO2 increased
Clinical narrative: The patient is a 95 y/o female with hx of DMII, HTN, hyponatremia (?SIADH as on salt tabs TID,) hypothyroidism who presented to the ED with cough and SOB. Patient is a poor historian. Patient reports she has had a cough and SOB for the past 2 days. She denies any chest pain. Per review of her chart which was sent, she tested positive for COVID on 1/12. It appears she was given a prescription for Augmentin on 1/4 for a 10 day course with diagnosis listed as pleural effusion. She was also started on Lasix 40 mg po qd on 1/12. She has no known diagnosis of CHF as far as I can tell. On 1/17 there is an order for oxygen at 2L. Discussed with patient's healthcare proxy via telephone who reports.  patient has been ill for about 10 days and did complete a course of antibiotics. She reports the patient was moved to the COVID ward 2 days ago at (Privacy) and she thinks this may be why she continues to say she has been ill for 2 days. She denies any history of dementia in the patient and reports she is normally quite sharp. Today the patient was transferred to our ED for worsening SOB and hypoxia with O2 sat of 77% on 3L. She was placed on 100% NRB by EMS en route with O2 sat reportedly 90%. Of note, patient has a diagnosis of dysphagia on records from (Privacy). I was initially told she has received COVID-19 vaccine x 2 + booster, but in her records I only find two doses of COVID-19 vaccine, in May and June 2021. In the ED, patient is noted to be hemodynamically stable. She has been placed on 12L O2 with O2 sat mid 90s. Laboratory studies are significant for BUN 33, creatinine 1.7 (unknown baseline, last Cr 1.6 in February, before that normal,) Pro-BNP 8574, troponin 147. ABG reveals pH 7.39, pCO2 52, pO2 103 on 15L NC. Patient was decreased to 10L with repeat pO2 of 66 and was then turned back up to 12L. CXR reveals chronic markings with predominantly right sided airspace disease and small right pleural effusion. Case was discussed with on-call Cardiology who did not feel Heparin infusion was necessary for elevated troponin. Hospitalist service is asked for admission.   Of note, HCP document from the (Privacy) is outdated. Most recent DPOA is scanned in under Advanced Directive/Living Will and names (Privacy) and (Privacy) as patient's healthcare proxies.  PT IS CURRENTLY INPATIENT.
Age: 94.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pleural effusion, Prohormone brain natriuretic peptide increased, SARS-CoV-2 test positive, Troponin increased
Clinical narrative: The patient is a 95 y/o female with hx of DMII, HTN, hyponatremia (?SIADH as on salt tabs TID,) hypothyroidism who presented to the ED with cough and SOB. Patient is a poor historian. Patient reports she has had a cough and SOB for the past 2 days. She denies any chest pain. Per review of her chart which was sent, she tested positive for COVID on 1/12. It appears she was given a prescription for Augmentin on 1/4 for a 10 day course with diagnosis listed as pleural effusion. She was also started on Lasix 40 mg po qd on 1/12. She has no known diagnosis of CHF as far as I can tell. On 1/17 there is an order for oxygen at 2L. Discussed with patient's healthcare proxy via telephone who reports.  patient has been ill for about 10 days and did complete a course of antibiotics. She reports the patient was moved to the COVID ward 2 days ago at (Privacy) and she thinks this may be why she continues to say she has been ill for 2 days. She denies any history of dementia in the patient and reports she is normally quite sharp. Today the patient was transferred to our ED for worsening SOB and hypoxia with O2 sat of 77% on 3L. She was placed on 100% NRB by EMS en route with O2 sat reportedly 90%. Of note, patient has a diagnosis of dysphagia on records from (Privacy). I was initially told she has received COVID-19 vaccine x 2 + booster, but in her records I only find two doses of COVID-19 vaccine, in May and June 2021. In the ED, patient is noted to be hemodynamically stable. She has been placed on 12L O2 with O2 sat mid 90s. Laboratory studies are significant for BUN 33, creatinine 1.7 (unknown baseline, last Cr 1.6 in February, before that normal,) Pro-BNP 8574, troponin 147. ABG reveals pH 7.39, pCO2 52, pO2 103 on 15L NC. Patient was decreased to 10L with repeat pO2 of 66 and was then turned back up to 12L. CXR reveals chronic markings with predominantly right sided airspace disease and small right pleural effusion. Case was discussed with on-call Cardiology who did not feel Heparin infusion was necessary for elevated troponin. Hospitalist service is asked for admission.   Of note, HCP document from the (Privacy) is outdated. Most recent DPOA is scanned in under Advanced Directive/Living Will and names (Privacy) and (Privacy) as patient's healthcare proxies.  PT IS CURRENTLY INPATIENT.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Malaise, SARS-CoV-2 test positive
Clinical narrative: Patient sent to ED from clinic due to worsening Covid-like symptoms.  Patient admitted as outpatient for observation.  Patient states he received the Pfizer two shot series , the second received in August, 2021, but is not able to supply exact dates.  Booster not completed.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, C-reactive protein increased, COVID-19, Chest X-ray normal
Clinical narrative: ? Tested positive for COVID on 11/29/21. Asymptomatic. Current University athlete (baseball) and had to test as part of the athletic program. ? Moderna Covid Booster given 1/2/22. No history of allergy, rash or hives in entire life. Significant fever of 103.5 after booster. ? Itchy arm on evening of 1/11/22 ? 1/12/22 5am ? Woke up with huge hives covering entire stomach, armpits, underarms, and right eye swollen shut and extreme itching. Took Benadryl and itching subsided. ? 1/12/22 6pm- Wrist and ankle joints started swelling and became very painful. Thumb joint swelled a few hours later. Had to hobble to walk and could not even open a water bottle. Again, I am a current college athlete so movement is not a problem. ? 1/12/22 11pm ? Went to University Medical Center ER. In addition to earlier symptoms, throat and chest started feeling tight. Bloodwork showed elevated WBC of 12.5 and C-Reactive Protein of 1.55. Gave Tordal and IV Steroid and joints started feeling better within 15-20 minutes. Tested positive for Covid (although positive on 11/29/21 also). Discharged from ER with thoughts that it was most likely caused by an allergy or a virus. ? 1/13/22 ? doctors reviewed my chart and decided that I was still positive from my November Covid test.  Since it is a month later they think it is MIS. ? 1/13/22 6pm ? Lips started swelling and it was hard to understand me talking. Actual skin on the center of my chest started swelling and it felt like someone was pushing on my chest when I took a breath. ? 1/13/22 11pm ? Went back to University Medical Center ER. The ER said that they don?t agree with the other doctor and it is not MIS. Gave me an oral steroid and a chest X-Ray which was clear. They said my lungs and breathing were fine and sent me home with a 6 day steroid pack. Also told me to take Zyrtec in the morning and Benadryl at night. ? As of today, 1/20/22, the joint pain and swelling is gone. However, I continue to have hives/red splotches pop up several times a day on my body. They are not small ? they cover large areas of my body (6 inch x 6 inch) and last 20-30 minutes before disappearing. They don?t hurt or itch but I notice them because my skin starts to feel hot. This is the 10th day they have been happening.  Heat or a hot shower or friction seems to definitely trigger them. If I run a fingernail over my skin (not hard), the skin that was touched becomes super bright red.  It is like my skin has become super sensitive and reactive to everything. ? I can?t say for sure that this was caused by the booster, but nothing else in my life had changed or was different. In my experience, NO doctor in either of my ER visits at University Medical Center was willing to even consider that my issue was triggered by my covid booster shot.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Gait disturbance, Joint swelling, Lip swelling, Peripheral swelling
Clinical narrative: ? Tested positive for COVID on 11/29/21. Asymptomatic. Current University athlete (baseball) and had to test as part of the athletic program. ? Moderna Covid Booster given 1/2/22. No history of allergy, rash or hives in entire life. Significant fever of 103.5 after booster. ? Itchy arm on evening of 1/11/22 ? 1/12/22 5am ? Woke up with huge hives covering entire stomach, armpits, underarms, and right eye swollen shut and extreme itching. Took Benadryl and itching subsided. ? 1/12/22 6pm- Wrist and ankle joints started swelling and became very painful. Thumb joint swelled a few hours later. Had to hobble to walk and could not even open a water bottle. Again, I am a current college athlete so movement is not a problem. ? 1/12/22 11pm ? Went to University Medical Center ER. In addition to earlier symptoms, throat and chest started feeling tight. Bloodwork showed elevated WBC of 12.5 and C-Reactive Protein of 1.55. Gave Tordal and IV Steroid and joints started feeling better within 15-20 minutes. Tested positive for Covid (although positive on 11/29/21 also). Discharged from ER with thoughts that it was most likely caused by an allergy or a virus. ? 1/13/22 ? doctors reviewed my chart and decided that I was still positive from my November Covid test.  Since it is a month later they think it is MIS. ? 1/13/22 6pm ? Lips started swelling and it was hard to understand me talking. Actual skin on the center of my chest started swelling and it felt like someone was pushing on my chest when I took a breath. ? 1/13/22 11pm ? Went back to University Medical Center ER. The ER said that they don?t agree with the other doctor and it is not MIS. Gave me an oral steroid and a chest X-Ray which was clear. They said my lungs and breathing were fine and sent me home with a 6 day steroid pack. Also told me to take Zyrtec in the morning and Benadryl at night. ? As of today, 1/20/22, the joint pain and swelling is gone. However, I continue to have hives/red splotches pop up several times a day on my body. They are not small ? they cover large areas of my body (6 inch x 6 inch) and last 20-30 minutes before disappearing. They don?t hurt or itch but I notice them because my skin starts to feel hot. This is the 10th day they have been happening.  Heat or a hot shower or friction seems to definitely trigger them. If I run a fingernail over my skin (not hard), the skin that was touched becomes super bright red.  It is like my skin has become super sensitive and reactive to everything. ? I can?t say for sure that this was caused by the booster, but nothing else in my life had changed or was different. In my experience, NO doctor in either of my ER visits at University Medical Center was willing to even consider that my issue was triggered by my covid booster shot.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Pyrexia, Rash macular, SARS-CoV-2 test positive, Sensitive skin
Clinical narrative: ? Tested positive for COVID on 11/29/21. Asymptomatic. Current University athlete (baseball) and had to test as part of the athletic program. ? Moderna Covid Booster given 1/2/22. No history of allergy, rash or hives in entire life. Significant fever of 103.5 after booster. ? Itchy arm on evening of 1/11/22 ? 1/12/22 5am ? Woke up with huge hives covering entire stomach, armpits, underarms, and right eye swollen shut and extreme itching. Took Benadryl and itching subsided. ? 1/12/22 6pm- Wrist and ankle joints started swelling and became very painful. Thumb joint swelled a few hours later. Had to hobble to walk and could not even open a water bottle. Again, I am a current college athlete so movement is not a problem. ? 1/12/22 11pm ? Went to University Medical Center ER. In addition to earlier symptoms, throat and chest started feeling tight. Bloodwork showed elevated WBC of 12.5 and C-Reactive Protein of 1.55. Gave Tordal and IV Steroid and joints started feeling better within 15-20 minutes. Tested positive for Covid (although positive on 11/29/21 also). Discharged from ER with thoughts that it was most likely caused by an allergy or a virus. ? 1/13/22 ? doctors reviewed my chart and decided that I was still positive from my November Covid test.  Since it is a month later they think it is MIS. ? 1/13/22 6pm ? Lips started swelling and it was hard to understand me talking. Actual skin on the center of my chest started swelling and it felt like someone was pushing on my chest when I took a breath. ? 1/13/22 11pm ? Went back to University Medical Center ER. The ER said that they don?t agree with the other doctor and it is not MIS. Gave me an oral steroid and a chest X-Ray which was clear. They said my lungs and breathing were fine and sent me home with a 6 day steroid pack. Also told me to take Zyrtec in the morning and Benadryl at night. ? As of today, 1/20/22, the joint pain and swelling is gone. However, I continue to have hives/red splotches pop up several times a day on my body. They are not small ? they cover large areas of my body (6 inch x 6 inch) and last 20-30 minutes before disappearing. They don?t hurt or itch but I notice them because my skin starts to feel hot. This is the 10th day they have been happening.  Heat or a hot shower or friction seems to definitely trigger them. If I run a fingernail over my skin (not hard), the skin that was touched becomes super bright red.  It is like my skin has become super sensitive and reactive to everything. ? I can?t say for sure that this was caused by the booster, but nothing else in my life had changed or was different. In my experience, NO doctor in either of my ER visits at University Medical Center was willing to even consider that my issue was triggered by my covid booster shot.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Skin swelling, Swelling of eyelid, Throat tightness, Urticaria, White blood cell count increased
Clinical narrative: ? Tested positive for COVID on 11/29/21. Asymptomatic. Current University athlete (baseball) and had to test as part of the athletic program. ? Moderna Covid Booster given 1/2/22. No history of allergy, rash or hives in entire life. Significant fever of 103.5 after booster. ? Itchy arm on evening of 1/11/22 ? 1/12/22 5am ? Woke up with huge hives covering entire stomach, armpits, underarms, and right eye swollen shut and extreme itching. Took Benadryl and itching subsided. ? 1/12/22 6pm- Wrist and ankle joints started swelling and became very painful. Thumb joint swelled a few hours later. Had to hobble to walk and could not even open a water bottle. Again, I am a current college athlete so movement is not a problem. ? 1/12/22 11pm ? Went to University Medical Center ER. In addition to earlier symptoms, throat and chest started feeling tight. Bloodwork showed elevated WBC of 12.5 and C-Reactive Protein of 1.55. Gave Tordal and IV Steroid and joints started feeling better within 15-20 minutes. Tested positive for Covid (although positive on 11/29/21 also). Discharged from ER with thoughts that it was most likely caused by an allergy or a virus. ? 1/13/22 ? doctors reviewed my chart and decided that I was still positive from my November Covid test.  Since it is a month later they think it is MIS. ? 1/13/22 6pm ? Lips started swelling and it was hard to understand me talking. Actual skin on the center of my chest started swelling and it felt like someone was pushing on my chest when I took a breath. ? 1/13/22 11pm ? Went back to University Medical Center ER. The ER said that they don?t agree with the other doctor and it is not MIS. Gave me an oral steroid and a chest X-Ray which was clear. They said my lungs and breathing were fine and sent me home with a 6 day steroid pack. Also told me to take Zyrtec in the morning and Benadryl at night. ? As of today, 1/20/22, the joint pain and swelling is gone. However, I continue to have hives/red splotches pop up several times a day on my body. They are not small ? they cover large areas of my body (6 inch x 6 inch) and last 20-30 minutes before disappearing. They don?t hurt or itch but I notice them because my skin starts to feel hot. This is the 10th day they have been happening.  Heat or a hot shower or friction seems to definitely trigger them. If I run a fingernail over my skin (not hard), the skin that was touched becomes super bright red.  It is like my skin has become super sensitive and reactive to everything. ? I can?t say for sure that this was caused by the booster, but nothing else in my life had changed or was different. In my experience, NO doctor in either of my ER visits at University Medical Center was willing to even consider that my issue was triggered by my covid booster shot.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Blood thyroid stimulating hormone increased, Condition aggravated, Hypothyroidism
Clinical narrative: Severe hypothyroidism with TSH of 68
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: I the Medical Assitant administered an ADULT pfizer to a 9 yr old child.  she recived a full dose of 0.3 FL3198 to the RD  no reaction
Age: 0.58
Sex: F
Vaccine: RV5
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt not having an adverse reaction at this time but the fact that the vaccine was Expired it's my understanding from talking with staff from the program help desk to file the VARES report as protocol and as a just in case something were to go wrong with this pt it's documented and acknowledged  that the expiration of the vaccine was noted and both the Provider and the Pt's mother have been informed. The provider advised to re administer in the 4 weeks as it is recommended so the pt can have more chances of being fully immunized, but the Mother declined to have the child receive the  valid vaccine and just move forward with out re administering it.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Patient has develop painful rash on both forearms and part of back
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccination on 01-13-2022 without complications; however, vaccine use-by-date was noted to be 01-09-2022. Patient did not report adverse events during 15 minute waiting period after vaccine was administered. A phone call will be made to patient and patient will be informed to come back for another dose if she wishes to receive.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pfizer booster was given 1.5 months early.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Bradykinesia, Gait disturbance, Gait inability, Myalgia, Synovial cyst
Clinical narrative: started with problems with extremely sore muscles, then issues with gait on day 3.5 then continued with gait getting worse and having to pull myself up the stairs ...by two days later could not walk at all for four hours. Subsided after bath needed a walker or cane for two days later. Gait is still slowed but not needing any item to lean on
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan, X-ray abnormal
Clinical narrative: started with problems with extremely sore muscles, then issues with gait on day 3.5 then continued with gait getting worse and having to pull myself up the stairs ...by two days later could not walk at all for four hours. Subsided after bath needed a walker or cane for two days later. Gait is still slowed but not needing any item to lean on
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Pt was vaccinated 3 days early.  No adverse reaction.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood test normal, Computerised tomogram normal, Condition aggravated, Gait inability
Clinical narrative: In Mar2021, I got up that morning and my back pain got worse until I could not walk and needed a wheelchair to go the ER.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Wheelchair user
Clinical narrative: In Mar2021, I got up that morning and my back pain got worse until I could not walk and needed a wheelchair to go the ER.
Age: 63.0
Sex: M
Vaccine: COVID19, VARZOS
Symptoms: Blood test, Muscle spasms, Musculoskeletal disorder, Renal pain, Urine analysis
Clinical narrative: It was muscle spasms and I have this little thing in my kidney and it hurt real bad and it was something new I never felt before. So I went to the clinic. They did a few things. The nurse I saw the next day explained it was more musculoskeletal issue. I felt better by the next day and it went away.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Choking, Dyskinesia, Electroencephalogram abnormal, Encephalopathy, Epilepsy
Clinical narrative: OFFICE NOTE FROM AUGUST 2021: 22 year old female with a history of infantile autism . Patient is present with her brother and daughter. The patient was diagnosed with autism at 3 years old. She was diagnosed because milestones were delayed, patient was not very social, she was delivered through C-section. No complications with birth. The patient graduated from high school and can read and write at a 2nd or 3rd grade level according to Family. She can dress, but needs help with bathing herself. Changes before seizure are denied. She was vaccinated on April 2nd. The mom heard a noise in the night described as a "choking" and jerking, tongue biting, urinary incontinence was seen. There has been no seizure-like activity since. She has not been put on any medication. The day of the seizure she had sleep difficulties and she was fatigued. Since there, there has been no change in behavior and is sleeping well. Patient did not go to the hospital but ambulance came and checked on her. No aura is reported. Seizure was not around menstrual cycle, no family history of seizure.  OFFICE NOTE FROM JANUARY 2022: Patient is a pleasant 23 year old female with history of seizure, here today for a follow up.         Brother reports patient is still getting seizures, had 3 in December and 1 last week. Mother reports it only happens at night, when she is sleeping. I. Mother is having to sleep with patient to monitor for seizures and is not getting much sleep.         Hydration is reportedly good. Other than seizures, patient sleeps well, though does have sleep study scheduled for next week
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Insomnia, Laboratory test normal, Magnetic resonance imaging head normal, Seizure
Clinical narrative: OFFICE NOTE FROM AUGUST 2021: 22 year old female with a history of infantile autism . Patient is present with her brother and daughter. The patient was diagnosed with autism at 3 years old. She was diagnosed because milestones were delayed, patient was not very social, she was delivered through C-section. No complications with birth. The patient graduated from high school and can read and write at a 2nd or 3rd grade level according to Family. She can dress, but needs help with bathing herself. Changes before seizure are denied. She was vaccinated on April 2nd. The mom heard a noise in the night described as a "choking" and jerking, tongue biting, urinary incontinence was seen. There has been no seizure-like activity since. She has not been put on any medication. The day of the seizure she had sleep difficulties and she was fatigued. Since there, there has been no change in behavior and is sleeping well. Patient did not go to the hospital but ambulance came and checked on her. No aura is reported. Seizure was not around menstrual cycle, no family history of seizure.  OFFICE NOTE FROM JANUARY 2022: Patient is a pleasant 23 year old female with history of seizure, here today for a follow up.         Brother reports patient is still getting seizures, had 3 in December and 1 last week. Mother reports it only happens at night, when she is sleeping. I. Mother is having to sleep with patient to monitor for seizures and is not getting much sleep.         Hydration is reportedly good. Other than seizures, patient sleeps well, though does have sleep study scheduled for next week
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Tongue biting, Urinary incontinence
Clinical narrative: OFFICE NOTE FROM AUGUST 2021: 22 year old female with a history of infantile autism . Patient is present with her brother and daughter. The patient was diagnosed with autism at 3 years old. She was diagnosed because milestones were delayed, patient was not very social, she was delivered through C-section. No complications with birth. The patient graduated from high school and can read and write at a 2nd or 3rd grade level according to Family. She can dress, but needs help with bathing herself. Changes before seizure are denied. She was vaccinated on April 2nd. The mom heard a noise in the night described as a "choking" and jerking, tongue biting, urinary incontinence was seen. There has been no seizure-like activity since. She has not been put on any medication. The day of the seizure she had sleep difficulties and she was fatigued. Since there, there has been no change in behavior and is sleeping well. Patient did not go to the hospital but ambulance came and checked on her. No aura is reported. Seizure was not around menstrual cycle, no family history of seizure.  OFFICE NOTE FROM JANUARY 2022: Patient is a pleasant 23 year old female with history of seizure, here today for a follow up.         Brother reports patient is still getting seizures, had 3 in December and 1 last week. Mother reports it only happens at night, when she is sleeping. I. Mother is having to sleep with patient to monitor for seizures and is not getting much sleep.         Hydration is reportedly good. Other than seizures, patient sleeps well, though does have sleep study scheduled for next week
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received 2nd dose of Pfizer 7 days early
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspepsia, Gastritis, Hypotension, Inflammation
Clinical narrative: Around 2 weeks after injection I began having inflammation, first in my prostate, then throughout my abdomen and diaphragm area. I started to have heart palpitations, and episodes of low blood pressure. I also began having tremors and difficulty digesting.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Palpitations, Prostatitis, Tremor
Clinical narrative: Around 2 weeks after injection I began having inflammation, first in my prostate, then throughout my abdomen and diaphragm area. I started to have heart palpitations, and episodes of low blood pressure. I also began having tremors and difficulty digesting.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune thyroiditis, Condition aggravated, Lethargy, Palpitations, Weight increased
Clinical narrative: About 2 weeks later started noticing different things in her body. Eventually started having heart palpitations, started gaining weight, thyroid issues began to worsen and she was lethargic.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Costochondritis, Dyspnoea, Electrocardiogram normal, Pain
Clinical narrative: Minor chest pain and difficulty taking deep breaths that began 2-3 weeks after Moderna vaccine. Had also been working out for a year and doctors felt it was likely costochondritis from working out. Pain & breathing difficulty comes and goes. Had normal EKG in June. Most likely costochondritis, but odd that it happened so soon after the vaccine and I had no problems for the previous year.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Client presented to the vaccine site for 2nd dose Pfizer vaccine on 1/20/2022. Client received 1st dose COVID Pfizer vaccine on 12/30/2021 and reported that she experienced "sharp chest pain" rated 9/10 3 days after receiving the vaccine. Client described the pain as "sharp and heavy" and explained that she continues to experience this intermittently, approximately 2-3 times per week lasting for 2 minutes at a time. Client reported to Lead RN that she had not followed up with her PCP. Client disclosed that she had an IUD inserted on 12/29/21. Client reported NKDA and no chronic health conditions. Lead RN submitted medical consult for guidance on administration of 2nd dose COVID Pfizer vaccine. Vaccine Operations Lead forwarded guidance from MD with approval for Pfizer 2nd dose and recommendation for "f/u with provider re other health issues". Lead RN advised the client to follow up with PCP regarding chest pain. At 1348 client received the 2nd dose Pfizer vaccine (lot #FJ6369) in the L deltoid. No adverse reaction was reported by client during her 15 minute observation. Client left vaccine site with a steady and symmetrical gait at 1405.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccination on 01-13-2022 without complications; however, vaccine use-by-date was noted to be 01-09-2022. Patient did not report adverse events during 15 minute waiting period after vaccine was administered. A phone call will be made to patient and patient will be informed to come back for another dose if she wishes to receive.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Nasal congestion, SARS-CoV-2 test positive
Clinical narrative: I got Covid-19 twice. I had stuffy nose and cough. First time the symptom lasted for about a week. The second time lasted for about 2 weeks. On 03/03/2021 and 01/07/2022 was tested positive for Covid-19.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, X-ray
Clinical narrative: arm pain
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Varicose vein
Clinical narrative: .Client previously received Janssen on 4/8/21. Client reports that one month after receiving Janssen client experienced pain in both calves. Client states she had pounding pain 2/10. And still comes and goes. Client denied having headache, chest pain or shortness of breath. And reports developing varicose veins after vaccine. RN submitted a medical consult via text message to clinical lead. Approval was received by MD for client to receive Pfizer booster. Client was vaccinated.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received vaccination on 01-13-2022 without complications; however, vaccine use-by-date was noted to be 01-09-2022. Patient did not report adverse events during 15 minute waiting period after vaccine was administered. A phone call will be made to patient and patient will be informed to come back for another dose if she wishes to receive.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Gait disturbance, Head discomfort, Laboratory test normal, Tooth loss
Clinical narrative: Severe vertigo one week after vaccine. Turned into an intense vibration in center of head that rattles my eyes so I cannot see clearly and my teeth (I have lost one molar tooth). I can no longer walk without losing my balance.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo, Visual impairment
Clinical narrative: Severe vertigo one week after vaccine. Turned into an intense vibration in center of head that rattles my eyes so I cannot see clearly and my teeth (I have lost one molar tooth). I can no longer walk without losing my balance.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Epistaxis
Clinical narrative: Patient experienced bloody mucous when blowing nose 3 days post vaccination for dose 1 and 2, with duration of 2-3 days.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyskinesia, Fear, Muscle disorder, Muscle tightness, Muscular weakness
Clinical narrative: After my vaccine, I noticed some neuromuscular differences in my body.  When I first wake up in the morning, and go to stretch in bed, it's like there's a "hitch" in my body between my intention to stretch and my body's response - kind of a like a little jerk when the muscles "catch".  Also, when I first wake up and put weight on my feet for the first time, there is a moment when my legs won't hold me, and then tense and pause before supporting my weight.  This had never happened before, and I noticed it after the vaccine.  Also, I have noticed a tremor in my hands.  I did not mention this to anyone initially, for two reasons:  first I was avoiding the truth that something had changed in my body - call it denial - it scared me.  Second, I am a busy professional, and after the initial moments of the day when I notice the reactions, I tend to forget about it and go on with the responsibilities of my life.  When I mentioned it to my health care provider, she asked if I had signed up with I got my vaccine to log any side effects (who knows?  I don't remember being offered that option) and noted that VAERS was only for life threatening side effects.  I don't know if these side effects would eventually become life threatening, but I did want to record them somewhere, as I am concerned that they could eventually affect my quality of life.