chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Computerised tomogram head abnormal, Dysarthria, Fatigue, Fibrin D dimer increased
Clinical narrative: This is an 81-year-old male with a history of dementia also a history non traumatic SAH over the right cerebral convexity in 7/17 thought due to  amyloid angiopathy , stroke and TIA who is brought by his wife for evaluation of changes that she noted last night around 9:00.  She stated around 9 when she was getting ready for bed she thought his speech was a little bit thick but thought she had worn about since they were outside doing a lot of walking and had been to a picnic.  The morning of the admission he has been more tired his tongue has been thick his speech is been a little bit slurred and his gait was slow with a shuffling gait.  In the afternoon when visiting her son he recommended she bring him in immediately for evaluation.head CT showed small amount of bilateral subarachnoid hemorrhage Neurosurgery at Medical Center was consulted and no surgical intervention was recommended. He was transferred to Hospital for further evaluation treatment . repeat ct head was stable.  He was discharged on  5/20/2021 and his aspirin was stopped.   He also tested positive for covid 19 despite being fully vaccinated. ddimer was 1787- venous doppler was not done. he did not require oxygen. He was placed on quarantine on dc. Called wife on 5/22 and she reports he is complaining of fatigue but no cough or sob.  He also has a history of covid 19 on 12/20 and was hospitalized and discharged on 1/6/21 and tested negative on 1/7/21. during that admission he was treated with remdesivir and decadron. He did not require oxygen. His hospital stay was protracted due to deconditioning and confusion but he was ultimately discharged home .  the baby aspirin was added on dc. mri during that admission was normal with no acute abnl seen.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Gait disturbance, SARS-CoV-2 test positive, Speech disorder, Subarachnoid haemorrhage, Tongue disorder
Clinical narrative: This is an 81-year-old male with a history of dementia also a history non traumatic SAH over the right cerebral convexity in 7/17 thought due to  amyloid angiopathy , stroke and TIA who is brought by his wife for evaluation of changes that she noted last night around 9:00.  She stated around 9 when she was getting ready for bed she thought his speech was a little bit thick but thought she had worn about since they were outside doing a lot of walking and had been to a picnic.  The morning of the admission he has been more tired his tongue has been thick his speech is been a little bit slurred and his gait was slow with a shuffling gait.  In the afternoon when visiting her son he recommended she bring him in immediately for evaluation.head CT showed small amount of bilateral subarachnoid hemorrhage Neurosurgery at Medical Center was consulted and no surgical intervention was recommended. He was transferred to Hospital for further evaluation treatment . repeat ct head was stable.  He was discharged on  5/20/2021 and his aspirin was stopped.   He also tested positive for covid 19 despite being fully vaccinated. ddimer was 1787- venous doppler was not done. he did not require oxygen. He was placed on quarantine on dc. Called wife on 5/22 and she reports he is complaining of fatigue but no cough or sob.  He also has a history of covid 19 on 12/20 and was hospitalized and discharged on 1/6/21 and tested negative on 1/7/21. during that admission he was treated with remdesivir and decadron. He did not require oxygen. His hospital stay was protracted due to deconditioning and confusion but he was ultimately discharged home .  the baby aspirin was added on dc. mri during that admission was normal with no acute abnl seen.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Eye pain, Fatigue, Headache, Immediate post-injection reaction
Clinical narrative: Injection site immediately, pain and swelling. Starting the next day with onset of rapid symptoms including severe headache, extreme  full body muscle aches and chills that felt painful as if had the flu, no fever,  then the extreme tiredness hit where i had to lay down and sleep.  I had to have my mom come get my young son because i couldn't even stay awake.  muscle twitching in my calf muscles and my right thumb pad, post nasal drip started then stuffiness and that smell you smell when you are sick. So i slept hard for about 5 hours and when i got up i felt 80% better. The headache had been so bad when i opened my eyes it was very painful. My arm still is very tender and sore and swollen, but these symptoms were weirdly short lived. The most scary was the sleepiness that i couldn't control.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza like illness, Injection site pain, Injection site swelling, Muscle twitching, Myalgia
Clinical narrative: Injection site immediately, pain and swelling. Starting the next day with onset of rapid symptoms including severe headache, extreme  full body muscle aches and chills that felt painful as if had the flu, no fever,  then the extreme tiredness hit where i had to lay down and sleep.  I had to have my mom come get my young son because i couldn't even stay awake.  muscle twitching in my calf muscles and my right thumb pad, post nasal drip started then stuffiness and that smell you smell when you are sick. So i slept hard for about 5 hours and when i got up i felt 80% better. The headache had been so bad when i opened my eyes it was very painful. My arm still is very tender and sore and swollen, but these symptoms were weirdly short lived. The most scary was the sleepiness that i couldn't control.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal congestion, Somnolence, Upper-airway cough syndrome
Clinical narrative: Injection site immediately, pain and swelling. Starting the next day with onset of rapid symptoms including severe headache, extreme  full body muscle aches and chills that felt painful as if had the flu, no fever,  then the extreme tiredness hit where i had to lay down and sleep.  I had to have my mom come get my young son because i couldn't even stay awake.  muscle twitching in my calf muscles and my right thumb pad, post nasal drip started then stuffiness and that smell you smell when you are sick. So i slept hard for about 5 hours and when i got up i felt 80% better. The headache had been so bad when i opened my eyes it was very painful. My arm still is very tender and sore and swollen, but these symptoms were weirdly short lived. The most scary was the sleepiness that i couldn't control.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain in extremity
Clinical narrative: This was my 2nd dose. I had a sore arm, pounding headache and was very tired for 2 days.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Migraine, Pyrexia
Clinical narrative: Fever, joint pain, chills, fatigue, migraines, all ranging from moderate to severe
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebrovascular accident, Hypoaesthesia, Immediate post-injection reaction, Pyrexia, Transient ischaemic attack
Clinical narrative: RIGHT AFTER THE VACCINE, PATINET HAD VERY HIGH FEVER 102.6 F FOR 3 DAYS, THEN SHE GOT BETTER . BUT A WEEK LATER , SHE HAD A STROKE. IT HAPPENED IN THE MORNING, PATIENT SUDDENLY HAD NUMBNESS OF HER RIGH ARM. HUSBAND TOOK HER TO HOSPITAL AND SHE WAS DIAGNOSED WITH A STROKE. PHYSICIAN SAID IT WAS THE SECOND STROKE THAT SHE HAD A MINI STROKE BEFORE BUT SHE PROBABLY DIDN'T NOTICE IT. THEY COULD NOT IDENTITY CAUSE OF THE STROKE BUT RECOMENDED TO REPORT.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Arthralgia, Chills, Decreased appetite, Diarrhoea
Clinical narrative: Hot flashes 12:00 pm same day and went away after roughly 30 minutes. Then came dizziness 6:00 pm same day, tiredness, pain in area of kidneys, joint pain, body aches, fever, chills, upset stomach, but without nausea.  Symptoms lasted all of 05/22/2021 and dissipated throughout the night. As of 05/23/2021 arm of injection site is still painful and diarrhea has lasted all day with lack of appetite.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Hot flush, Injection site pain, Pain
Clinical narrative: Hot flashes 12:00 pm same day and went away after roughly 30 minutes. Then came dizziness 6:00 pm same day, tiredness, pain in area of kidneys, joint pain, body aches, fever, chills, upset stomach, but without nausea.  Symptoms lasted all of 05/22/2021 and dissipated throughout the night. As of 05/23/2021 arm of injection site is still painful and diarrhea has lasted all day with lack of appetite.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Hot flashes 12:00 pm same day and went away after roughly 30 minutes. Then came dizziness 6:00 pm same day, tiredness, pain in area of kidneys, joint pain, body aches, fever, chills, upset stomach, but without nausea.  Symptoms lasted all of 05/22/2021 and dissipated throughout the night. As of 05/23/2021 arm of injection site is still painful and diarrhea has lasted all day with lack of appetite.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Axillary mass, Fatigue, Myalgia, Pain
Clinical narrative: Fatigue Muscle pain , Swelling,  Tenderness  under left arm pit  Lump in lymph nodes Pain under right arm/breast area near lymph nodes Weakness **No Treatment ** Weekend - Health Clinic is closed!
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Fatigue Muscle pain , Swelling,  Tenderness  under left arm pit  Lump in lymph nodes Pain under right arm/breast area near lymph nodes Weakness **No Treatment ** Weekend - Health Clinic is closed!
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, Electrocardiogram abnormal, Pericardial effusion, Pericarditis
Clinical narrative: Suspect pericarditis, elevated CRP, very very slight pericardial effusion, classic story, few EKG findings
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site induration, Injection site pain, Injection site pruritus, Injection site rash
Clinical narrative: Injection site hard sore itchy rash
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Blister
Clinical narrative: patient developed blisters on his left shoulder upper arm and spread to left breast area 8 days after vaccine given. Blisters got bigger and fluid filled. Blisters burn and are painful. Patient advised to see a doctor for diagnosis ASAP.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Patient experienced tingling in her fingers and numbness of the vaccinated arm. Tingling stopped after 24 hours and numbness lasted for 2 days.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Pyrexia
Clinical narrative: Fever and severe dizziness. Blackout.
Age: 19.0
Sex: M
Vaccine: COVID19
Symptoms: Syringe issue, Underdose
Clinical narrative: Needle malfunctioned and vaccine leaked out of seam between needle and syringe instead of being administered intramuscularly.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Tinnitus
Clinical narrative: Losing hair and tinnitus since April 1st 2021
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Aspiration pleural cavity, Computerised tomogram thorax abnormal, Cough, Cytology abnormal, Dyspnoea
Clinical narrative: Pt was vaccinated on 4/12/21 and 5/12/21 and presented to the emergency department on 5/16 with complaint of worsening shortness of breath and cough.  According to the patient her shortness of breath started couple of weeks back just after her first covid vaccine  but it got worse in the last few days following her second vaccine. imaging revealed a large R pleural effusion. a thoracentesis was done. and she was sent home. she was tested and was covid neg . cytology was significant for reactive mesothelial cells and negative for any malignancy. CT chest showed Vague ground-glass opacities left lung base possibly representing pneumonitis or atelectasis.   Confluent right hilar lymphadenopathy and a large effusion was seen she was discharged home to follow up with her pcp on 5/17
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count normal, Hilar lymphadenopathy, Lung opacity, Metabolic function test normal, Pleural effusion
Clinical narrative: Pt was vaccinated on 4/12/21 and 5/12/21 and presented to the emergency department on 5/16 with complaint of worsening shortness of breath and cough.  According to the patient her shortness of breath started couple of weeks back just after her first covid vaccine  but it got worse in the last few days following her second vaccine. imaging revealed a large R pleural effusion. a thoracentesis was done. and she was sent home. she was tested and was covid neg . cytology was significant for reactive mesothelial cells and negative for any malignancy. CT chest showed Vague ground-glass opacities left lung base possibly representing pneumonitis or atelectasis.   Confluent right hilar lymphadenopathy and a large effusion was seen she was discharged home to follow up with her pcp on 5/17
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Pt was vaccinated on 4/12/21 and 5/12/21 and presented to the emergency department on 5/16 with complaint of worsening shortness of breath and cough.  According to the patient her shortness of breath started couple of weeks back just after her first covid vaccine  but it got worse in the last few days following her second vaccine. imaging revealed a large R pleural effusion. a thoracentesis was done. and she was sent home. she was tested and was covid neg . cytology was significant for reactive mesothelial cells and negative for any malignancy. CT chest showed Vague ground-glass opacities left lung base possibly representing pneumonitis or atelectasis.   Confluent right hilar lymphadenopathy and a large effusion was seen she was discharged home to follow up with her pcp on 5/17
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: gave vaccine early at 20 days
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Oral mucosal blistering, Tongue blistering
Clinical narrative: Broke out with blisters in mouth on tongue
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Biopsy skin, Blister, Oral mucosal blistering, Pain of skin, Pruritus
Clinical narrative: Broke out with blisters in mouth on tongue
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Skin burning sensation, Sleep disorder
Clinical narrative: Broke out with blisters in mouth on tongue
Age: 39.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Acquired epidermolysis bullosa, Biopsy, Blister, Mouth ulceration, Mucosal inflammation
Clinical narrative: Broke out with blisters in mouth on tongue
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram normal, Electrocardiogram normal, Heart rate increased
Clinical narrative: Rapid heart rate for four to five days following second vaccine dose. My resting heart was rate significantly higher than normal, and any activity, including standing up made my heart race faster, as high as my typical running heart rate.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Audiogram, Deafness unilateral, Magnetic resonance imaging normal
Clinical narrative: Sudden total hearing loss in left ear, treated by daily transtympanic steroid injections over a period of 3 weeks. Regained much of my hearing.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Deafness
Clinical narrative: Sudden total hearing loss in left ear, treated by daily transtympanic steroid injections over a period of 3 weeks. Regained much of my hearing.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Emotional disorder
Clinical narrative: -routine administration of vaccine, patient went to sit in observation area, experienced what may have been seizure lasting less than 5 seconds. she quickly recovered/responded to the sound of my voice. gave water and ice pack. observed for approximately 30 minutes. patient was emotionally upset. after calming down she felt she was ok to leave the facility.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Condition aggravated, Hypersensitivity, Urticaria
Clinical narrative: Since having my first shot, I have had chronic hives. I have to be on an antihistimine all of the time. I went and got allergy testing and am now highly allergic to several things that I was only mildly allergic to before. When not on antihistimnses, even brushing up against something causes hives.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Herpes zoster, Pain of skin, Rash
Clinical narrative: 2 days after, my skin on stomach felt tender but there was nothing there. On day four I had re bumps on left side of my stomach and back I was diagnosed with shingles  The next few days it worsened, and I was in agony for 11 days and nights.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site nodule, Injection site pruritus, Injection site swelling
Clinical narrative: About a week after vaccination I had a red itchy, swollen knot pop at the injection site.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash macular, Skin exfoliation
Clinical narrative: I got a quarter-sized scaly red patch on my upper left thigh. I?m not entirely sure when it first appeared, but I first noticed it around April 20th, 2021. A couple weeks later, on May 4th, 2021, I noticed small red spots spreading, concentrated in the middle of my chest & branching out. The spots continued to spread & blossom all over my trunk, neck, hairline, arms & upper thighs. It was eventually suggested by a family friend that it was Pityriasis Rosea, which fit all of my symptoms & matched the timeline to a T.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Broke out in shingles five days after second vaccine of Moderna.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest pain, Dyspepsia, Electrocardiogram
Clinical narrative: I had chest pain for about five days after receiving my second dose of the vaccine. It felt like intense and sporadic heartburn. I went to the ER on the third day of experiencing the pain, during which they performed an EKG and bloodwork in order to determine whether or not it was a heart issue. There were no significant results and the pain subsided two days later.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Myocarditis
Clinical narrative: NSTEMI and myocarditis
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Altered visual depth perception, Cognitive disorder, Computerised tomogram, Condition aggravated, Dizziness
Clinical narrative: stroke-like symptoms; left side extreme weakness; gran mal seizure with loss of cognitive function; gran mal seizure with cognitive awareness; loss of depth perception and dizziness.  Treatment: increase in lamotrogine from 200mg/150mg to 200mg/200mg
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Electrocardiogram, Electroencephalogram, Generalised tonic-clonic seizure, Hemiparesis
Clinical narrative: stroke-like symptoms; left side extreme weakness; gran mal seizure with loss of cognitive function; gran mal seizure with cognitive awareness; loss of depth perception and dizziness.  Treatment: increase in lamotrogine from 200mg/150mg to 200mg/200mg
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Neurological symptom
Clinical narrative: stroke-like symptoms; left side extreme weakness; gran mal seizure with loss of cognitive function; gran mal seizure with cognitive awareness; loss of depth perception and dizziness.  Treatment: increase in lamotrogine from 200mg/150mg to 200mg/200mg
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Muscle spasms
Clinical narrative: Heavy vaginal bleeding, cramps, vaginal blood clots
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Urticaria
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia
Clinical narrative: Patient came in for her 2nd Moderna vaccine shot. She had had a similar reaction after her first shot which was also reported to VAERS. She said her first shot reaction lasted until that evening but she was fine the next day and willing to get the 2nd shot. We administered the shot and asked her to wait for 30 mins for observation, because of her history. After 30 mins, we checked on her and she said her arm felt a little numb. We called our local EMS service and they came to check on her. They allowed her to go home after checking on her. I called and spoke to the patients mom/caregiver a couple of hours later. She said the patient was doing better and felt a little worn out. She also mentioned that the patient had a headache, for which I recommended some tylenol.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Albumin globulin ratio normal, Anion gap, Aspartate aminotransferase increased, Asthenia
Clinical narrative: Pt was admitted on 5/10/21 c/o of rigor.  Patient complains of fatigue, weakness, intermittent fevers up to 100.8 °F.  EMS found patient to be hypotensive up to 84/52 and tachycardic up to 120s per minute. He woke up the morning of admission and then began to have shaking rigors at 10 AM and felt profoundly fatigued, dizzy and lightheaded.  Patient does have a history of COPD which is non-O2 nonsteroid dependent and has some chronic shortness of breath.  He does use inhalers and nebulizers and also continues to smoke.  He also has a history of melanoma who follows with provider.  In the ER he was found to have hypotension and was given 2 L of IV fluids.  He also had a 3 g drop in his hemoglobin over the past 5 days and there was concern for a possible upper GI bleed.  Because of the hypotension and drop in hemoglobin he was admitted to the ICU.  He was started on Protonix IV.  Chest x-ray, CT of the chest CT of the abdomen and pelvis were unremarkable for any acute process.  He was admitted for unspecified shock which was initially thought possibly due to sepsis but this was ultimately ruled out.  He was treated with 5 days of vancomycin and Zosyn and then antibiotics were discontinued.  Patient's troponin was elevated with an elevated delta.  He was seen In consultation by cardiology who felt that no further cardiology work-up was needed the cause for the patient's hypotension was unclear but his home lisinopril was discontinued.  he did require albumin but not pressor support.  As he was more stable he was transferred out of the ICU to the medical floor.  He was started on midodrine.  His blood pressure has improved he has remained afebrile throughout his hospital course he has remained stable off antibiotics.  At this time he is medically stable for discharge to home and will continue on midodrine for new autonomic failure/dysfunction. the cause for his fevers/rigors was not found
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Atelectasis, Autonomic nervous system imbalance, Basophil count decreased, Basophil percentage decreased, Blood albumin decreased
Clinical narrative: Pt was admitted on 5/10/21 c/o of rigor.  Patient complains of fatigue, weakness, intermittent fevers up to 100.8 °F.  EMS found patient to be hypotensive up to 84/52 and tachycardic up to 120s per minute. He woke up the morning of admission and then began to have shaking rigors at 10 AM and felt profoundly fatigued, dizzy and lightheaded.  Patient does have a history of COPD which is non-O2 nonsteroid dependent and has some chronic shortness of breath.  He does use inhalers and nebulizers and also continues to smoke.  He also has a history of melanoma who follows with provider.  In the ER he was found to have hypotension and was given 2 L of IV fluids.  He also had a 3 g drop in his hemoglobin over the past 5 days and there was concern for a possible upper GI bleed.  Because of the hypotension and drop in hemoglobin he was admitted to the ICU.  He was started on Protonix IV.  Chest x-ray, CT of the chest CT of the abdomen and pelvis were unremarkable for any acute process.  He was admitted for unspecified shock which was initially thought possibly due to sepsis but this was ultimately ruled out.  He was treated with 5 days of vancomycin and Zosyn and then antibiotics were discontinued.  Patient's troponin was elevated with an elevated delta.  He was seen In consultation by cardiology who felt that no further cardiology work-up was needed the cause for the patient's hypotension was unclear but his home lisinopril was discontinued.  he did require albumin but not pressor support.  As he was more stable he was transferred out of the ICU to the medical floor.  He was started on midodrine.  His blood pressure has improved he has remained afebrile throughout his hospital course he has remained stable off antibiotics.  At this time he is medically stable for discharge to home and will continue on midodrine for new autonomic failure/dysfunction. the cause for his fevers/rigors was not found
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Blood alkaline phosphatase increased, Blood bilirubin normal, Blood calcium decreased, Blood chloride increased, Blood creatinine decreased
Clinical narrative: Pt was admitted on 5/10/21 c/o of rigor.  Patient complains of fatigue, weakness, intermittent fevers up to 100.8 °F.  EMS found patient to be hypotensive up to 84/52 and tachycardic up to 120s per minute. He woke up the morning of admission and then began to have shaking rigors at 10 AM and felt profoundly fatigued, dizzy and lightheaded.  Patient does have a history of COPD which is non-O2 nonsteroid dependent and has some chronic shortness of breath.  He does use inhalers and nebulizers and also continues to smoke.  He also has a history of melanoma who follows with provider.  In the ER he was found to have hypotension and was given 2 L of IV fluids.  He also had a 3 g drop in his hemoglobin over the past 5 days and there was concern for a possible upper GI bleed.  Because of the hypotension and drop in hemoglobin he was admitted to the ICU.  He was started on Protonix IV.  Chest x-ray, CT of the chest CT of the abdomen and pelvis were unremarkable for any acute process.  He was admitted for unspecified shock which was initially thought possibly due to sepsis but this was ultimately ruled out.  He was treated with 5 days of vancomycin and Zosyn and then antibiotics were discontinued.  Patient's troponin was elevated with an elevated delta.  He was seen In consultation by cardiology who felt that no further cardiology work-up was needed the cause for the patient's hypotension was unclear but his home lisinopril was discontinued.  he did require albumin but not pressor support.  As he was more stable he was transferred out of the ICU to the medical floor.  He was started on midodrine.  His blood pressure has improved he has remained afebrile throughout his hospital course he has remained stable off antibiotics.  At this time he is medically stable for discharge to home and will continue on midodrine for new autonomic failure/dysfunction. the cause for his fevers/rigors was not found
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose normal, Blood potassium decreased, Blood sodium normal, Blood urea normal, Carbon dioxide normal
Clinical narrative: Pt was admitted on 5/10/21 c/o of rigor.  Patient complains of fatigue, weakness, intermittent fevers up to 100.8 °F.  EMS found patient to be hypotensive up to 84/52 and tachycardic up to 120s per minute. He woke up the morning of admission and then began to have shaking rigors at 10 AM and felt profoundly fatigued, dizzy and lightheaded.  Patient does have a history of COPD which is non-O2 nonsteroid dependent and has some chronic shortness of breath.  He does use inhalers and nebulizers and also continues to smoke.  He also has a history of melanoma who follows with provider.  In the ER he was found to have hypotension and was given 2 L of IV fluids.  He also had a 3 g drop in his hemoglobin over the past 5 days and there was concern for a possible upper GI bleed.  Because of the hypotension and drop in hemoglobin he was admitted to the ICU.  He was started on Protonix IV.  Chest x-ray, CT of the chest CT of the abdomen and pelvis were unremarkable for any acute process.  He was admitted for unspecified shock which was initially thought possibly due to sepsis but this was ultimately ruled out.  He was treated with 5 days of vancomycin and Zosyn and then antibiotics were discontinued.  Patient's troponin was elevated with an elevated delta.  He was seen In consultation by cardiology who felt that no further cardiology work-up was needed the cause for the patient's hypotension was unclear but his home lisinopril was discontinued.  he did require albumin but not pressor support.  As he was more stable he was transferred out of the ICU to the medical floor.  He was started on midodrine.  His blood pressure has improved he has remained afebrile throughout his hospital course he has remained stable off antibiotics.  At this time he is medically stable for discharge to home and will continue on midodrine for new autonomic failure/dysfunction. the cause for his fevers/rigors was not found
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chills, Computerised tomogram abdomen normal, Computerised tomogram pelvis abnormal, Computerised tomogram thorax abnormal
Clinical narrative: Pt was admitted on 5/10/21 c/o of rigor.  Patient complains of fatigue, weakness, intermittent fevers up to 100.8 °F.  EMS found patient to be hypotensive up to 84/52 and tachycardic up to 120s per minute. He woke up the morning of admission and then began to have shaking rigors at 10 AM and felt profoundly fatigued, dizzy and lightheaded.  Patient does have a history of COPD which is non-O2 nonsteroid dependent and has some chronic shortness of breath.  He does use inhalers and nebulizers and also continues to smoke.  He also has a history of melanoma who follows with provider.  In the ER he was found to have hypotension and was given 2 L of IV fluids.  He also had a 3 g drop in his hemoglobin over the past 5 days and there was concern for a possible upper GI bleed.  Because of the hypotension and drop in hemoglobin he was admitted to the ICU.  He was started on Protonix IV.  Chest x-ray, CT of the chest CT of the abdomen and pelvis were unremarkable for any acute process.  He was admitted for unspecified shock which was initially thought possibly due to sepsis but this was ultimately ruled out.  He was treated with 5 days of vancomycin and Zosyn and then antibiotics were discontinued.  Patient's troponin was elevated with an elevated delta.  He was seen In consultation by cardiology who felt that no further cardiology work-up was needed the cause for the patient's hypotension was unclear but his home lisinopril was discontinued.  he did require albumin but not pressor support.  As he was more stable he was transferred out of the ICU to the medical floor.  He was started on midodrine.  His blood pressure has improved he has remained afebrile throughout his hospital course he has remained stable off antibiotics.  At this time he is medically stable for discharge to home and will continue on midodrine for new autonomic failure/dysfunction. the cause for his fevers/rigors was not found
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Differential white blood cell count, Dizziness, Echocardiogram abnormal, Ejection fraction decreased, Eosinophil count decreased
Clinical narrative: Pt was admitted on 5/10/21 c/o of rigor.  Patient complains of fatigue, weakness, intermittent fevers up to 100.8 °F.  EMS found patient to be hypotensive up to 84/52 and tachycardic up to 120s per minute. He woke up the morning of admission and then began to have shaking rigors at 10 AM and felt profoundly fatigued, dizzy and lightheaded.  Patient does have a history of COPD which is non-O2 nonsteroid dependent and has some chronic shortness of breath.  He does use inhalers and nebulizers and also continues to smoke.  He also has a history of melanoma who follows with provider.  In the ER he was found to have hypotension and was given 2 L of IV fluids.  He also had a 3 g drop in his hemoglobin over the past 5 days and there was concern for a possible upper GI bleed.  Because of the hypotension and drop in hemoglobin he was admitted to the ICU.  He was started on Protonix IV.  Chest x-ray, CT of the chest CT of the abdomen and pelvis were unremarkable for any acute process.  He was admitted for unspecified shock which was initially thought possibly due to sepsis but this was ultimately ruled out.  He was treated with 5 days of vancomycin and Zosyn and then antibiotics were discontinued.  Patient's troponin was elevated with an elevated delta.  He was seen In consultation by cardiology who felt that no further cardiology work-up was needed the cause for the patient's hypotension was unclear but his home lisinopril was discontinued.  he did require albumin but not pressor support.  As he was more stable he was transferred out of the ICU to the medical floor.  He was started on midodrine.  His blood pressure has improved he has remained afebrile throughout his hospital course he has remained stable off antibiotics.  At this time he is medically stable for discharge to home and will continue on midodrine for new autonomic failure/dysfunction. the cause for his fevers/rigors was not found
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Eosinophil percentage, Fatigue, Globulins decreased, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: Pt was admitted on 5/10/21 c/o of rigor.  Patient complains of fatigue, weakness, intermittent fevers up to 100.8 °F.  EMS found patient to be hypotensive up to 84/52 and tachycardic up to 120s per minute. He woke up the morning of admission and then began to have shaking rigors at 10 AM and felt profoundly fatigued, dizzy and lightheaded.  Patient does have a history of COPD which is non-O2 nonsteroid dependent and has some chronic shortness of breath.  He does use inhalers and nebulizers and also continues to smoke.  He also has a history of melanoma who follows with provider.  In the ER he was found to have hypotension and was given 2 L of IV fluids.  He also had a 3 g drop in his hemoglobin over the past 5 days and there was concern for a possible upper GI bleed.  Because of the hypotension and drop in hemoglobin he was admitted to the ICU.  He was started on Protonix IV.  Chest x-ray, CT of the chest CT of the abdomen and pelvis were unremarkable for any acute process.  He was admitted for unspecified shock which was initially thought possibly due to sepsis but this was ultimately ruled out.  He was treated with 5 days of vancomycin and Zosyn and then antibiotics were discontinued.  Patient's troponin was elevated with an elevated delta.  He was seen In consultation by cardiology who felt that no further cardiology work-up was needed the cause for the patient's hypotension was unclear but his home lisinopril was discontinued.  he did require albumin but not pressor support.  As he was more stable he was transferred out of the ICU to the medical floor.  He was started on midodrine.  His blood pressure has improved he has remained afebrile throughout his hospital course he has remained stable off antibiotics.  At this time he is medically stable for discharge to home and will continue on midodrine for new autonomic failure/dysfunction. the cause for his fevers/rigors was not found
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Hepatic steatosis, Hypotension, Intensive care, Lung infiltration, Lymphocyte count normal
Clinical narrative: Pt was admitted on 5/10/21 c/o of rigor.  Patient complains of fatigue, weakness, intermittent fevers up to 100.8 °F.  EMS found patient to be hypotensive up to 84/52 and tachycardic up to 120s per minute. He woke up the morning of admission and then began to have shaking rigors at 10 AM and felt profoundly fatigued, dizzy and lightheaded.  Patient does have a history of COPD which is non-O2 nonsteroid dependent and has some chronic shortness of breath.  He does use inhalers and nebulizers and also continues to smoke.  He also has a history of melanoma who follows with provider.  In the ER he was found to have hypotension and was given 2 L of IV fluids.  He also had a 3 g drop in his hemoglobin over the past 5 days and there was concern for a possible upper GI bleed.  Because of the hypotension and drop in hemoglobin he was admitted to the ICU.  He was started on Protonix IV.  Chest x-ray, CT of the chest CT of the abdomen and pelvis were unremarkable for any acute process.  He was admitted for unspecified shock which was initially thought possibly due to sepsis but this was ultimately ruled out.  He was treated with 5 days of vancomycin and Zosyn and then antibiotics were discontinued.  Patient's troponin was elevated with an elevated delta.  He was seen In consultation by cardiology who felt that no further cardiology work-up was needed the cause for the patient's hypotension was unclear but his home lisinopril was discontinued.  he did require albumin but not pressor support.  As he was more stable he was transferred out of the ICU to the medical floor.  He was started on midodrine.  His blood pressure has improved he has remained afebrile throughout his hospital course he has remained stable off antibiotics.  At this time he is medically stable for discharge to home and will continue on midodrine for new autonomic failure/dysfunction. the cause for his fevers/rigors was not found
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Monocyte count decreased, Monocyte percentage increased
Clinical narrative: Pt was admitted on 5/10/21 c/o of rigor.  Patient complains of fatigue, weakness, intermittent fevers up to 100.8 °F.  EMS found patient to be hypotensive up to 84/52 and tachycardic up to 120s per minute. He woke up the morning of admission and then began to have shaking rigors at 10 AM and felt profoundly fatigued, dizzy and lightheaded.  Patient does have a history of COPD which is non-O2 nonsteroid dependent and has some chronic shortness of breath.  He does use inhalers and nebulizers and also continues to smoke.  He also has a history of melanoma who follows with provider.  In the ER he was found to have hypotension and was given 2 L of IV fluids.  He also had a 3 g drop in his hemoglobin over the past 5 days and there was concern for a possible upper GI bleed.  Because of the hypotension and drop in hemoglobin he was admitted to the ICU.  He was started on Protonix IV.  Chest x-ray, CT of the chest CT of the abdomen and pelvis were unremarkable for any acute process.  He was admitted for unspecified shock which was initially thought possibly due to sepsis but this was ultimately ruled out.  He was treated with 5 days of vancomycin and Zosyn and then antibiotics were discontinued.  Patient's troponin was elevated with an elevated delta.  He was seen In consultation by cardiology who felt that no further cardiology work-up was needed the cause for the patient's hypotension was unclear but his home lisinopril was discontinued.  he did require albumin but not pressor support.  As he was more stable he was transferred out of the ICU to the medical floor.  He was started on midodrine.  His blood pressure has improved he has remained afebrile throughout his hospital course he has remained stable off antibiotics.  At this time he is medically stable for discharge to home and will continue on midodrine for new autonomic failure/dysfunction. the cause for his fevers/rigors was not found
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Neutrophil count normal, Neutrophil percentage decreased, Pancreatic pseudocyst, Platelet count normal, Pleural effusion
Clinical narrative: Pt was admitted on 5/10/21 c/o of rigor.  Patient complains of fatigue, weakness, intermittent fevers up to 100.8 °F.  EMS found patient to be hypotensive up to 84/52 and tachycardic up to 120s per minute. He woke up the morning of admission and then began to have shaking rigors at 10 AM and felt profoundly fatigued, dizzy and lightheaded.  Patient does have a history of COPD which is non-O2 nonsteroid dependent and has some chronic shortness of breath.  He does use inhalers and nebulizers and also continues to smoke.  He also has a history of melanoma who follows with provider.  In the ER he was found to have hypotension and was given 2 L of IV fluids.  He also had a 3 g drop in his hemoglobin over the past 5 days and there was concern for a possible upper GI bleed.  Because of the hypotension and drop in hemoglobin he was admitted to the ICU.  He was started on Protonix IV.  Chest x-ray, CT of the chest CT of the abdomen and pelvis were unremarkable for any acute process.  He was admitted for unspecified shock which was initially thought possibly due to sepsis but this was ultimately ruled out.  He was treated with 5 days of vancomycin and Zosyn and then antibiotics were discontinued.  Patient's troponin was elevated with an elevated delta.  He was seen In consultation by cardiology who felt that no further cardiology work-up was needed the cause for the patient's hypotension was unclear but his home lisinopril was discontinued.  he did require albumin but not pressor support.  As he was more stable he was transferred out of the ICU to the medical floor.  He was started on midodrine.  His blood pressure has improved he has remained afebrile throughout his hospital course he has remained stable off antibiotics.  At this time he is medically stable for discharge to home and will continue on midodrine for new autonomic failure/dysfunction. the cause for his fevers/rigors was not found
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Protein total decreased, Pyrexia, Red blood cell count decreased, Red cell distribution width increased, Shock
Clinical narrative: Pt was admitted on 5/10/21 c/o of rigor.  Patient complains of fatigue, weakness, intermittent fevers up to 100.8 °F.  EMS found patient to be hypotensive up to 84/52 and tachycardic up to 120s per minute. He woke up the morning of admission and then began to have shaking rigors at 10 AM and felt profoundly fatigued, dizzy and lightheaded.  Patient does have a history of COPD which is non-O2 nonsteroid dependent and has some chronic shortness of breath.  He does use inhalers and nebulizers and also continues to smoke.  He also has a history of melanoma who follows with provider.  In the ER he was found to have hypotension and was given 2 L of IV fluids.  He also had a 3 g drop in his hemoglobin over the past 5 days and there was concern for a possible upper GI bleed.  Because of the hypotension and drop in hemoglobin he was admitted to the ICU.  He was started on Protonix IV.  Chest x-ray, CT of the chest CT of the abdomen and pelvis were unremarkable for any acute process.  He was admitted for unspecified shock which was initially thought possibly due to sepsis but this was ultimately ruled out.  He was treated with 5 days of vancomycin and Zosyn and then antibiotics were discontinued.  Patient's troponin was elevated with an elevated delta.  He was seen In consultation by cardiology who felt that no further cardiology work-up was needed the cause for the patient's hypotension was unclear but his home lisinopril was discontinued.  he did require albumin but not pressor support.  As he was more stable he was transferred out of the ICU to the medical floor.  He was started on midodrine.  His blood pressure has improved he has remained afebrile throughout his hospital course he has remained stable off antibiotics.  At this time he is medically stable for discharge to home and will continue on midodrine for new autonomic failure/dysfunction. the cause for his fevers/rigors was not found
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Splenic varices, Splenomegaly, Tachycardia, Troponin increased, White blood cell count decreased
Clinical narrative: Pt was admitted on 5/10/21 c/o of rigor.  Patient complains of fatigue, weakness, intermittent fevers up to 100.8 °F.  EMS found patient to be hypotensive up to 84/52 and tachycardic up to 120s per minute. He woke up the morning of admission and then began to have shaking rigors at 10 AM and felt profoundly fatigued, dizzy and lightheaded.  Patient does have a history of COPD which is non-O2 nonsteroid dependent and has some chronic shortness of breath.  He does use inhalers and nebulizers and also continues to smoke.  He also has a history of melanoma who follows with provider.  In the ER he was found to have hypotension and was given 2 L of IV fluids.  He also had a 3 g drop in his hemoglobin over the past 5 days and there was concern for a possible upper GI bleed.  Because of the hypotension and drop in hemoglobin he was admitted to the ICU.  He was started on Protonix IV.  Chest x-ray, CT of the chest CT of the abdomen and pelvis were unremarkable for any acute process.  He was admitted for unspecified shock which was initially thought possibly due to sepsis but this was ultimately ruled out.  He was treated with 5 days of vancomycin and Zosyn and then antibiotics were discontinued.  Patient's troponin was elevated with an elevated delta.  He was seen In consultation by cardiology who felt that no further cardiology work-up was needed the cause for the patient's hypotension was unclear but his home lisinopril was discontinued.  he did require albumin but not pressor support.  As he was more stable he was transferred out of the ICU to the medical floor.  He was started on midodrine.  His blood pressure has improved he has remained afebrile throughout his hospital course he has remained stable off antibiotics.  At this time he is medically stable for discharge to home and will continue on midodrine for new autonomic failure/dysfunction. the cause for his fevers/rigors was not found
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site swelling
Clinical narrative: My left arm is swelling greatly around injunction site
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Heavy menstrual bleeding, Menstruation irregular, Muscle spasms
Clinical narrative: Fever 103 Shakes Complete body muscle cramps and aches even finger joints Tiredness  Extreme headache Nausea Since shot my periods have been very irregular! First heavy and twice a month then next month was only one day . Then had again in 20 days later.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia, Tremor
Clinical narrative: Fever 103 Shakes Complete body muscle cramps and aches even finger joints Tiredness  Extreme headache Nausea Since shot my periods have been very irregular! First heavy and twice a month then next month was only one day . Then had again in 20 days later.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Heart rate increased, Immediate post-injection reaction
Clinical narrative: I experienced chest pain, elevated heart rate an shortness of breath instantly upon receiving the second dose of the Pfizer vaccine. It did not get better until hours later, and I am experiencing these symptoms intermittently over a week later.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fall, Tooth fracture
Clinical narrative: Patient got dizzy the morning after second dose of Pfizer Vaccine while in the shower, fell and chipped her tooth, no further complications, no hospitalization, no loss of consciousness
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Herpes zoster, Pregnancy test negative
Clinical narrative: Shingles outbreak after a few days.  3 weeks late and no menstrual cycle.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Epistaxis
Clinical narrative: Bloody nose
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Retching, Vomiting
Clinical narrative: Pt.  received the Pfizer covid-19 vaccine at 4:30pm after about 5 minutes (16:35) he indicated to technician  that he was feeling dizzy. Pharmacy manager  was informed of the patient status. I then went to sit with to engage in conversation. After about 5 minutes (16:40)  did not respond to any questions. I instructed technician  to call 911. then began to heave and then vomited at (16:42). Post emesis he regained alertness and EMS arrived on the scene (16:45) an provided care for . He was in their care for about 20 minutes and began to feel better.  left the store at about 5:15 under his own power.