chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Contusion, Corneal reflex decreased, Dizziness, Fatigue
Clinical narrative: for 2 1/2 half weeks after vax she had fever, nausea, dizzy, feeling weak, tried, rapid blinking, bruising and rash on injection arm  since she received vax her pulse rate and resting heart rate has gone up 25 points and hasnt gone down since she received vax
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Nausea, Pyrexia, Rash
Clinical narrative: for 2 1/2 half weeks after vax she had fever, nausea, dizzy, feeling weak, tried, rapid blinking, bruising and rash on injection arm  since she received vax her pulse rate and resting heart rate has gone up 25 points and hasnt gone down since she received vax
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Anger, Blood pressure fluctuation, Dizziness, Feeling abnormal
Clinical narrative: Starting within hours: -Extreme Fatigue, unable to stay awake more 30 minutes at a time, no more then a total of 3 -4 hours a day - lasted 15 days -Extreme Dizziness, unable to walk without holding on to something, constant for 6 days  -Headache, constant for 5-6 days -Extreme nausea, unable to function, constant for 7-8 days  Starting within days: -Extreme Fatigue, frequently unable to function - intermittently (more a problem then not), still continues at 7 1/2 weeks post injection -Extreme Dizziness, frequently unable to function - intermittently (more a problem then not), still continues at 7 1/2 weeks post injection -Headache, Intermittent, still continues at 7 1/2 weeks post injection -Extreme nausea, frequently unable to function - intermittently (more a problem then not), still continues at 7 1/2 weeks post injection Severe abdominal pain - constant, severity changes (between bad and severe) but constant,  still continues at 7 1/2 weeks post injection Vascular issues - tests resulted in diagnosis of PAD, post vaccine, still continues at 7 1/2 weeks post injection (not a problem prior to vaccine) Stroke Symptoms - Tested for Stoke, urgent care said symptoms  but did not diagnosis stroke, still continues at 7 1/2 weeks post injection Blood Pressure Irregularity - Blood Pressure spiking between ranges of approximately 190/110 and 116/72 (average  over several weeks 160/97) and pulse going from normal approximately 80 to in low 100's, still continues at 7 1/2 weeks post injection Muscle Pain - ongoing excessive muscle pain Overall feeling "off", still continues at 7 1/2 weeks post injection Shakiness - intermittent, still continues at 7 1/2 weeks post injection Angry - I'm not an angry person at all and the weeks following the vaccine, I have fought with being very angry   Other more minor changes that may or may not be related
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Headache, Hypersomnia, Loss of personal independence in daily activities, Myalgia
Clinical narrative: Starting within hours: -Extreme Fatigue, unable to stay awake more 30 minutes at a time, no more then a total of 3 -4 hours a day - lasted 15 days -Extreme Dizziness, unable to walk without holding on to something, constant for 6 days  -Headache, constant for 5-6 days -Extreme nausea, unable to function, constant for 7-8 days  Starting within days: -Extreme Fatigue, frequently unable to function - intermittently (more a problem then not), still continues at 7 1/2 weeks post injection -Extreme Dizziness, frequently unable to function - intermittently (more a problem then not), still continues at 7 1/2 weeks post injection -Headache, Intermittent, still continues at 7 1/2 weeks post injection -Extreme nausea, frequently unable to function - intermittently (more a problem then not), still continues at 7 1/2 weeks post injection Severe abdominal pain - constant, severity changes (between bad and severe) but constant,  still continues at 7 1/2 weeks post injection Vascular issues - tests resulted in diagnosis of PAD, post vaccine, still continues at 7 1/2 weeks post injection (not a problem prior to vaccine) Stroke Symptoms - Tested for Stoke, urgent care said symptoms  but did not diagnosis stroke, still continues at 7 1/2 weeks post injection Blood Pressure Irregularity - Blood Pressure spiking between ranges of approximately 190/110 and 116/72 (average  over several weeks 160/97) and pulse going from normal approximately 80 to in low 100's, still continues at 7 1/2 weeks post injection Muscle Pain - ongoing excessive muscle pain Overall feeling "off", still continues at 7 1/2 weeks post injection Shakiness - intermittent, still continues at 7 1/2 weeks post injection Angry - I'm not an angry person at all and the weeks following the vaccine, I have fought with being very angry   Other more minor changes that may or may not be related
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Peripheral arterial occlusive disease, Tremor
Clinical narrative: Starting within hours: -Extreme Fatigue, unable to stay awake more 30 minutes at a time, no more then a total of 3 -4 hours a day - lasted 15 days -Extreme Dizziness, unable to walk without holding on to something, constant for 6 days  -Headache, constant for 5-6 days -Extreme nausea, unable to function, constant for 7-8 days  Starting within days: -Extreme Fatigue, frequently unable to function - intermittently (more a problem then not), still continues at 7 1/2 weeks post injection -Extreme Dizziness, frequently unable to function - intermittently (more a problem then not), still continues at 7 1/2 weeks post injection -Headache, Intermittent, still continues at 7 1/2 weeks post injection -Extreme nausea, frequently unable to function - intermittently (more a problem then not), still continues at 7 1/2 weeks post injection Severe abdominal pain - constant, severity changes (between bad and severe) but constant,  still continues at 7 1/2 weeks post injection Vascular issues - tests resulted in diagnosis of PAD, post vaccine, still continues at 7 1/2 weeks post injection (not a problem prior to vaccine) Stroke Symptoms - Tested for Stoke, urgent care said symptoms  but did not diagnosis stroke, still continues at 7 1/2 weeks post injection Blood Pressure Irregularity - Blood Pressure spiking between ranges of approximately 190/110 and 116/72 (average  over several weeks 160/97) and pulse going from normal approximately 80 to in low 100's, still continues at 7 1/2 weeks post injection Muscle Pain - ongoing excessive muscle pain Overall feeling "off", still continues at 7 1/2 weeks post injection Shakiness - intermittent, still continues at 7 1/2 weeks post injection Angry - I'm not an angry person at all and the weeks following the vaccine, I have fought with being very angry   Other more minor changes that may or may not be related
Age: 50.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Chills, Discomfort, Headache, Illness, Injection site pain
Clinical narrative: headache, chills, severe muscle aches.  Muscle aches in legs so strong they woke me in the night. Very uncomfortable. Chills and general sickness (feeling feverish. but did not. register fever) for 48 hours.  Muscle pain and swelling in legs still  present  four days post  vaccine.   Injection site  also sore, but just for the. first. few days
Age: 50.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Myalgia, Peripheral swelling, Pyrexia, Sleep disorder
Clinical narrative: headache, chills, severe muscle aches.  Muscle aches in legs so strong they woke me in the night. Very uncomfortable. Chills and general sickness (feeling feverish. but did not. register fever) for 48 hours.  Muscle pain and swelling in legs still  present  four days post  vaccine.   Injection site  also sore, but just for the. first. few days
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Pain, Pain in extremity, Paraesthesia
Clinical narrative: Pt. complains of pain radiating down right forearm and tingling and numbness in fingers on right hand.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue, Rhinorrhoea
Clinical narrative: Pfizer  0.3 ml given undiluted-Client was observed for 10 minutes in the lobby and she did not have 15 minutes to wait with no adverse reaction. Called again later in the morning, unable to answer but left message. Established contact at 1410 and she is at work with no problem but a little runny nose. Stated ,the next  building  where she worked burned last night and the air has a smoky smell.
Age: 60.0
Sex: F
Vaccine: FLUC4
Symptoms: Device connection issue, Haemorrhage, Peripheral swelling, Skin swelling, Syringe issue
Clinical narrative: Drew up the vaccine, inserted needle in left delt, the barrel separated from the needed.  did not touch plunger, vaccine ran down her arm. there was bleeding (normal bleeding). it puffed almost immediately.  she still wanted flu vaccine and in the left arm so we proceeded with another syringe and dose of vaccine.  she called next day. said arm was swollen in area as big as baseball.  she sent picture. could not see swelling from photo. will call her Thursday pm to check on her arm.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: resident was administered 0.5ml of booster. No adverse reactions noted
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19 pneumonia, Death
Clinical narrative: death U07.1, J12.82 - Pneumonia due to COVID-19 virus J96.01 - Acute respiratory failure with hypoxia
Age: 72.0
Sex: F
Vaccine: COVID19, FLU4, PNC13
Symptoms: Wrong product administered
Clinical narrative: patient came in for a pneumonia vaccine our immunization selection tool recommended pneumovax 23 but patient got Prevnar 13
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray, Electrocardiogram, Full blood count, Immunodeficiency
Clinical narrative: Patient contracted COVID after being fully vaccinated. Patient has received first two COVID-19 Vaccines as well.  Pfizer Dose #1 2/9/2021: IM - Left Deltoid - EN5318 Pfizer Dose #2: 3/5/2021: IM - Left Deltoid - EN6199
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test
Clinical narrative: Patient contracted COVID after being fully vaccinated. Patient has received first two COVID-19 Vaccines as well.  Pfizer Dose #1 2/9/2021: IM - Left Deltoid - EN5318 Pfizer Dose #2: 3/5/2021: IM - Left Deltoid - EN6199
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy, Blood test, Dermatitis
Clinical narrative: left upper back dermatitis
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Decreased appetite, Dizziness, Extra dose administered
Clinical narrative: Sore arm at injection site, followed by a low grade headache.  Arm became swollen and hard and very sore; muscle pain in arm. Headache more intense, felt 'crappy' all over. Went to bed and within a couple of hours had chills to the point of shivering and used a heating pad to warm up. Stayed in bed all the next day on Wednesday (10/20) with muscle aches, fatigue, and total loss of appetite - ate one cup of clear chicken broth. Felt dizzy and nauseous, especially when out of bed. Headaches continued throughout the day.  Began to feel much better 24 hours after onset of side effects. Woke up the next day (Oct 21 - today) feeling just fine - like normal. Wow!
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Induration, Injection site pain
Clinical narrative: Sore arm at injection site, followed by a low grade headache.  Arm became swollen and hard and very sore; muscle pain in arm. Headache more intense, felt 'crappy' all over. Went to bed and within a couple of hours had chills to the point of shivering and used a heating pad to warm up. Stayed in bed all the next day on Wednesday (10/20) with muscle aches, fatigue, and total loss of appetite - ate one cup of clear chicken broth. Felt dizzy and nauseous, especially when out of bed. Headaches continued throughout the day.  Began to feel much better 24 hours after onset of side effects. Woke up the next day (Oct 21 - today) feeling just fine - like normal. Wow!
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Myalgia, Nausea, Pain in extremity, Peripheral swelling
Clinical narrative: Sore arm at injection site, followed by a low grade headache.  Arm became swollen and hard and very sore; muscle pain in arm. Headache more intense, felt 'crappy' all over. Went to bed and within a couple of hours had chills to the point of shivering and used a heating pad to warm up. Stayed in bed all the next day on Wednesday (10/20) with muscle aches, fatigue, and total loss of appetite - ate one cup of clear chicken broth. Felt dizzy and nauseous, especially when out of bed. Headaches continued throughout the day.  Began to feel much better 24 hours after onset of side effects. Woke up the next day (Oct 21 - today) feeling just fine - like normal. Wow!
Age: 3.0
Sex: F
Vaccine: FLU4
Symptoms: Wrong product administered
Clinical narrative: The Fluarix Quadrivalent vaccine was given to the patient and was not wanted by the parent. The patient has not had any adverse recations from the Fluarix and was seen a few hours later when parent came in to get a copy of the vaccine given. Dr saw the child and child was playing and running around. LPN worked up siblings one a 2wk visit and the patient in question for vaccines. Nurse in her words described what happened. I gathered charts the slip on outside of charts read 2wk/Flu shot. Proceeded to gather visit materials, prepared flu shot called patient back to triage room, informed mom sibling needed to be undressed for 2wk appt and asked mom if patient was here for vaccine only she said yes. I informed her we would go ahead and do vaccine.  I administered vaccine, continued to triage sibiling after finishing  we went to room  4 to finish questioner. Left room and Front Deck hands me the VIS forms for DaPT and HIB I go back in the room and ask mom is she also getting DaPT and HIB and she tells me yes I thought that's what she received. It is there I had realized I had given the wrong vaccine. I immediately let her know that I had given the Flu Shot  due to paperwork stating so. I apologized and continued visit. After leaving room I informed Dr of incorrect administration.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Axillary pain, Chest X-ray normal, Cough, Feeling hot
Clinical narrative: I have a cough. It started October 2, 2021. My left underarm hurt.  I also had a headache on the right side of my head. The left side of my head was very hot. I suspect I had a fever. I was so weak I could not get up. I also thought I was going to throw up. I went to the doctor on 10/12/2021 because my cough was getting worse. I felt like it was in my chest. I was prescribed albuterol 108 mcg/act, benzonatate 200 mg capsule, and prednisone 10 mg capsule. My doctor did not think it was covid. They just treated the cough. My cough is better but not gone.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Mobility decreased
Clinical narrative: I have a cough. It started October 2, 2021. My left underarm hurt.  I also had a headache on the right side of my head. The left side of my head was very hot. I suspect I had a fever. I was so weak I could not get up. I also thought I was going to throw up. I went to the doctor on 10/12/2021 because my cough was getting worse. I felt like it was in my chest. I was prescribed albuterol 108 mcg/act, benzonatate 200 mg capsule, and prednisone 10 mg capsule. My doctor did not think it was covid. They just treated the cough. My cough is better but not gone.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Migraine
Clinical narrative: Very bad migraine headaches since receiving the vaccine that have not stopped in the 6 months proceeding. No history of headaches previously.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Vaccination failure
Clinical narrative: I've been informed by my MS Neurological Specialist,  that I have essentially 0% COVID-19 vaccine efficacy due to my current MS treatment of Ocrevus infusions because Ocrevus is a monoclonal antibody that uses the same cells to fight MS as the vaccine uses to protect against COVID. Ocrevus effectively overrides & nullifies the mRNA vaccines.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Dermatitis allergic, Rash, Rash pruritic
Clinical narrative: I got a rash it started on leg and spread to my thigh, rib cage, hip and stomach. The rash was never in multiple places at a time, it would go away and appear somewhere else. I went to see my doctor and was told it was an inflammatory or allergen related rash. I went to see an allergy doctor and they did a blood test to test for any allergens, but it didn't show anything. I told the doctor it happened after the vaccine, but they did not connect the rash to the vaccine. They said it looks to be an allergy rash, but they don't know what I am allergic to. I was given a steroid cream to use as needed (Triamcinolone). It is a mild itch, so I don't have to use the cream that often.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Lymphadenopathy
Clinical narrative: I have some agitation in a nerve or muscle in my left armpit. The pain is very localized and not near the injection site. It feels like painful lump in my left armpit.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient hospitalized.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Chills, Electrocardiogram, Fatigue, Headache
Clinical narrative: April 21, 2021 headache, fatique, runny nose,  chills, have not been feeling since vaccination.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: April 21, 2021 headache, fatique, runny nose,  chills, have not been feeling since vaccination.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Disturbance in attention, Fatigue, Hypersomnia, Loss of personal independence in daily activities
Clinical narrative: April 21, 2021 headache, fatique, runny nose,  chills, have not been feeling since vaccination.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Pain, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: April 21, 2021 headache, fatique, runny nose,  chills, have not been feeling since vaccination.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Autopsy, Chest pain, Malaise, Myocardial infarction, Sudden death
Clinical narrative: Was not feeling well one month after vaccine. Had chest pains beginning in July of 2021. Did not go to doctor. Died suddenly on July 11th . It will be 6-9 months for autopsy results. Appeared to be sudden heart attack.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Headache, Injection site pain, Sleep disorder
Clinical narrative: I have had several severe headaches, i have felt lightheaded and like I would pass out.  for about the first 10 days, I had severe pain i the injection site when touched.  This was enough to wake me up if I rolled onto this arm while sleeping.  Overall, I have felt my brain is fuzzy since I had my injection.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Vaccine positive rechallenge
Clinical narrative: 2 wks after getting booster shot had 6 hrs of atrial fibrillation(am being monitored). The ONLY other time I had this was about 6 hrs. after my first vaccination ( that time it lasted about 2 hrs Both resolved spontaneously. No other symptoms
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: When administering the vaccine, I felt that I was pushing the plunger longer than usual, making  me wonder if I drew up a higher volume into the syringe than I was supposed to, but do not know for sure. The only volumes I draw up into syringes are 0.3ml (pfizer) 0.5ml (moderna) and 1.8ml (NS when reconstituting pfizer). As I was doing multiple vaccines around the same time, it is possible that I drew up 1.8mls of moderna. I do not know that this is the case, and the only information I have to go on is that the plunger felt fuller than normal during administration.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: resident was administered 0.5ml of booster. No adverse reactions noted
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood calcium decreased, COVID-19, Death, Electrolyte imbalance
Clinical narrative: pt sent to ED by PCP due to low Calcium & multiple electrolyte abnormalities; during hospital stay he complained of body aches and weakness; tested positive for COVID; began running fever; renal function declined; pt's condition worsened; DNR; comfort measures instituted; pt passed away in the hospital
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: General physical health deterioration, Pain, Pyrexia, Renal impairment, SARS-CoV-2 test positive
Clinical narrative: pt sent to ED by PCP due to low Calcium & multiple electrolyte abnormalities; during hospital stay he complained of body aches and weakness; tested positive for COVID; began running fever; renal function declined; pt's condition worsened; DNR; comfort measures instituted; pt passed away in the hospital
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Pt. received a Janssen vaccine on 9/11/2021. Received a second Janssen vaccine on 9/29/2021.
Age: 93.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Admitted to Hospital on Date of Adverse Event [recorded in VAERS] for treatment of Covid-19 Positive following completion of Covid Vaccine Series.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death, Laboratory test, Vaccine breakthrough infection
Clinical narrative: Had breakthrough infection and passed away.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster, Pain in extremity
Clinical narrative: In July I started getting a lot of arm pain. I went to the doctor and they diagnosed me with shingles. I had two follow up appointments.  I was prescribed Acyclovir.
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Arthralgia, Hypoaesthesia, Injection site pain, Joint range of motion decreased, Muscle spasms
Clinical narrative: There was minimal pain with the injection. The nurse injected into the upper left shoulder area from a standing position. By the end of the day, the pain in the shoulder and arm had escalated to a level 7 out of 10.  Within 24 hours I had a substantial loss of range of motion of the shoulder. Developed a fever from 99-100 F on and off for the next week. After approx. 14 days, the pain has now radiated to the left neck and throat, and the neck is painful to the touch and swollen.  Was seen by the Physician Asst. 7 days after injection for an exam to the area. P.A. noted the loss of range of motion and suggested exercises for the rotator cuff area to prevent capsular contracture and atrophy of muscle.   I have been doing those exercises 2 xs a day. Pain, numbness, and loss of range of motion are still present after 15 days.  Treatments I have been using include Tylenol/Advil, Epsom salt baths, icing, exercise and occasional Flexeral to help with the muscle spasms of the shoulder that are also ocurring.  I have had a small reduction of pain and a slight increase in range of motion, so hope to see better results as time passes. P.A. suggested this could take months to resolve and to follow up with her in another few weeks if the pain and ROM had not improved significantly, for possible future testing (i.e., MRI).
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Neck pain, Oropharyngeal pain, Pain, Pain in extremity, Pyrexia
Clinical narrative: There was minimal pain with the injection. The nurse injected into the upper left shoulder area from a standing position. By the end of the day, the pain in the shoulder and arm had escalated to a level 7 out of 10.  Within 24 hours I had a substantial loss of range of motion of the shoulder. Developed a fever from 99-100 F on and off for the next week. After approx. 14 days, the pain has now radiated to the left neck and throat, and the neck is painful to the touch and swollen.  Was seen by the Physician Asst. 7 days after injection for an exam to the area. P.A. noted the loss of range of motion and suggested exercises for the rotator cuff area to prevent capsular contracture and atrophy of muscle.   I have been doing those exercises 2 xs a day. Pain, numbness, and loss of range of motion are still present after 15 days.  Treatments I have been using include Tylenol/Advil, Epsom salt baths, icing, exercise and occasional Flexeral to help with the muscle spasms of the shoulder that are also ocurring.  I have had a small reduction of pain and a slight increase in range of motion, so hope to see better results as time passes. P.A. suggested this could take months to resolve and to follow up with her in another few weeks if the pain and ROM had not improved significantly, for possible future testing (i.e., MRI).
Age: 55.0
Sex: F
Vaccine: TDAP
Symptoms: Swelling, Tenderness
Clinical narrative: There was minimal pain with the injection. The nurse injected into the upper left shoulder area from a standing position. By the end of the day, the pain in the shoulder and arm had escalated to a level 7 out of 10.  Within 24 hours I had a substantial loss of range of motion of the shoulder. Developed a fever from 99-100 F on and off for the next week. After approx. 14 days, the pain has now radiated to the left neck and throat, and the neck is painful to the touch and swollen.  Was seen by the Physician Asst. 7 days after injection for an exam to the area. P.A. noted the loss of range of motion and suggested exercises for the rotator cuff area to prevent capsular contracture and atrophy of muscle.   I have been doing those exercises 2 xs a day. Pain, numbness, and loss of range of motion are still present after 15 days.  Treatments I have been using include Tylenol/Advil, Epsom salt baths, icing, exercise and occasional Flexeral to help with the muscle spasms of the shoulder that are also ocurring.  I have had a small reduction of pain and a slight increase in range of motion, so hope to see better results as time passes. P.A. suggested this could take months to resolve and to follow up with her in another few weeks if the pain and ROM had not improved significantly, for possible future testing (i.e., MRI).
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, Blood culture, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Hospital Course:  27 yo M with Bardet-Biedel syndrome manifesting with transitional AV canal defect s/p repair (followed by Hospital), blindness, developmental delay, multicystic dysplastic kidneys s/p DDKT 11/2/11 and living kidney transplant 1996 on azathioprine and prednisone c/b EBV negative CD20 negative PTLD (dx 10/2016 s/p rituximab in remission), hx of BK and CMV viremia, ?COPD on CPAP, CVID on IVIG every 3 weeks, ON of L hip s/p THR 2019, and DM presenting from OSH with COVID ARDS.    Patient lives in group home where several patients had COVID. Of note he is s/p 3 doses of Moderna. On 9/18/21, he was brought to the ER for SOB, headaches, myalgias and chills. He was found to be febrile, hypoxic and COVID positive. He was admitted for COVID pneumonia and developed progressively worsening respiratory status and was ultimately intubated 9/22. He was transferred 9/23 to Hospital (could not be transferred to location due to bed availability).    While at Hospital, he continued to have poor respiratory status despite max ventilator settings. He had a rapid response for subcutaneous emphysema, no acute surgical intervention was pursued. He was paralyzed and pronated to improve oxygenation. He also developed a lactic acidosis felt to be 2/2 hypoperfusion from hypotension and underlying sepsis. Per report 1/2 BCx with GPCs, not started on vanc due to hx of red man syndrome. S/p toci x1 9/23, 2 doses of dex 6mg (9/23 - ), 1 dose of remdesivir 100 mg 9/23. He was felt to be needed to transfer to a center with ECMO capabilities, thus was transferred to Hospital.    On arrival to the ICU, patient was intubated, sedated and paralyzed. He was satting initially on 78% with improvement subsequently to the 80s. He was subsequently proned.    HOSPITAL COURSE 9/24 - 9/27   #COVID ARDS The patient had severe COVID-19 infection and significant risk factors including immunosuppression for kidney transplant and CVID. Presented with hypoxemic respiratory failure, bilateral opacities on CXR with clear injury source and P:F ratio most recently of 56 c/f severe ARDS. Has been getting appropriate PCP ppx but potentially also has other overlying superinfection given immunosuppression, though he has no fever, leukocytosis. He arrived intubated. He was paralyzed, proning, and supported with lung protective ventilation. He was given diuretics, antibiotics and steroids. Evaluated for ECMO but determined not to be a candidate given his baseline lung disease. Infectious disease specialists were consulted and agreed with the management.    #Bardet-Biedel syndrome Patient with Bardet-Biedel syndrome with cardiac involvement manifesting as transitional AV canal defect with a primum atrial septal defect and cleft mitral valve as well as an LSVC to the coronary sinus.  He underwent surgery in 1994 for repair but was found to have residual subaortic stenosis and required a second surgery in 2007 to reassess subaortic membrane and accessory mitral valve attachment. Follows with Doctor from Hospital.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Endotracheal intubation, Headache, Hypoperfusion
Clinical narrative: Hospital Course:  27 yo M with Bardet-Biedel syndrome manifesting with transitional AV canal defect s/p repair (followed by Hospital), blindness, developmental delay, multicystic dysplastic kidneys s/p DDKT 11/2/11 and living kidney transplant 1996 on azathioprine and prednisone c/b EBV negative CD20 negative PTLD (dx 10/2016 s/p rituximab in remission), hx of BK and CMV viremia, ?COPD on CPAP, CVID on IVIG every 3 weeks, ON of L hip s/p THR 2019, and DM presenting from OSH with COVID ARDS.    Patient lives in group home where several patients had COVID. Of note he is s/p 3 doses of Moderna. On 9/18/21, he was brought to the ER for SOB, headaches, myalgias and chills. He was found to be febrile, hypoxic and COVID positive. He was admitted for COVID pneumonia and developed progressively worsening respiratory status and was ultimately intubated 9/22. He was transferred 9/23 to Hospital (could not be transferred to location due to bed availability).    While at Hospital, he continued to have poor respiratory status despite max ventilator settings. He had a rapid response for subcutaneous emphysema, no acute surgical intervention was pursued. He was paralyzed and pronated to improve oxygenation. He also developed a lactic acidosis felt to be 2/2 hypoperfusion from hypotension and underlying sepsis. Per report 1/2 BCx with GPCs, not started on vanc due to hx of red man syndrome. S/p toci x1 9/23, 2 doses of dex 6mg (9/23 - ), 1 dose of remdesivir 100 mg 9/23. He was felt to be needed to transfer to a center with ECMO capabilities, thus was transferred to Hospital.    On arrival to the ICU, patient was intubated, sedated and paralyzed. He was satting initially on 78% with improvement subsequently to the 80s. He was subsequently proned.    HOSPITAL COURSE 9/24 - 9/27   #COVID ARDS The patient had severe COVID-19 infection and significant risk factors including immunosuppression for kidney transplant and CVID. Presented with hypoxemic respiratory failure, bilateral opacities on CXR with clear injury source and P:F ratio most recently of 56 c/f severe ARDS. Has been getting appropriate PCP ppx but potentially also has other overlying superinfection given immunosuppression, though he has no fever, leukocytosis. He arrived intubated. He was paralyzed, proning, and supported with lung protective ventilation. He was given diuretics, antibiotics and steroids. Evaluated for ECMO but determined not to be a candidate given his baseline lung disease. Infectious disease specialists were consulted and agreed with the management.    #Bardet-Biedel syndrome Patient with Bardet-Biedel syndrome with cardiac involvement manifesting as transitional AV canal defect with a primum atrial septal defect and cleft mitral valve as well as an LSVC to the coronary sinus.  He underwent surgery in 1994 for repair but was found to have residual subaortic stenosis and required a second surgery in 2007 to reassess subaortic membrane and accessory mitral valve attachment. Follows with Doctor from Hospital.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension, Hypoxia, Intensive care, Lactic acidosis, Lung disorder
Clinical narrative: Hospital Course:  27 yo M with Bardet-Biedel syndrome manifesting with transitional AV canal defect s/p repair (followed by Hospital), blindness, developmental delay, multicystic dysplastic kidneys s/p DDKT 11/2/11 and living kidney transplant 1996 on azathioprine and prednisone c/b EBV negative CD20 negative PTLD (dx 10/2016 s/p rituximab in remission), hx of BK and CMV viremia, ?COPD on CPAP, CVID on IVIG every 3 weeks, ON of L hip s/p THR 2019, and DM presenting from OSH with COVID ARDS.    Patient lives in group home where several patients had COVID. Of note he is s/p 3 doses of Moderna. On 9/18/21, he was brought to the ER for SOB, headaches, myalgias and chills. He was found to be febrile, hypoxic and COVID positive. He was admitted for COVID pneumonia and developed progressively worsening respiratory status and was ultimately intubated 9/22. He was transferred 9/23 to Hospital (could not be transferred to location due to bed availability).    While at Hospital, he continued to have poor respiratory status despite max ventilator settings. He had a rapid response for subcutaneous emphysema, no acute surgical intervention was pursued. He was paralyzed and pronated to improve oxygenation. He also developed a lactic acidosis felt to be 2/2 hypoperfusion from hypotension and underlying sepsis. Per report 1/2 BCx with GPCs, not started on vanc due to hx of red man syndrome. S/p toci x1 9/23, 2 doses of dex 6mg (9/23 - ), 1 dose of remdesivir 100 mg 9/23. He was felt to be needed to transfer to a center with ECMO capabilities, thus was transferred to Hospital.    On arrival to the ICU, patient was intubated, sedated and paralyzed. He was satting initially on 78% with improvement subsequently to the 80s. He was subsequently proned.    HOSPITAL COURSE 9/24 - 9/27   #COVID ARDS The patient had severe COVID-19 infection and significant risk factors including immunosuppression for kidney transplant and CVID. Presented with hypoxemic respiratory failure, bilateral opacities on CXR with clear injury source and P:F ratio most recently of 56 c/f severe ARDS. Has been getting appropriate PCP ppx but potentially also has other overlying superinfection given immunosuppression, though he has no fever, leukocytosis. He arrived intubated. He was paralyzed, proning, and supported with lung protective ventilation. He was given diuretics, antibiotics and steroids. Evaluated for ECMO but determined not to be a candidate given his baseline lung disease. Infectious disease specialists were consulted and agreed with the management.    #Bardet-Biedel syndrome Patient with Bardet-Biedel syndrome with cardiac involvement manifesting as transitional AV canal defect with a primum atrial septal defect and cleft mitral valve as well as an LSVC to the coronary sinus.  He underwent surgery in 1994 for repair but was found to have residual subaortic stenosis and required a second surgery in 2007 to reassess subaortic membrane and accessory mitral valve attachment. Follows with Doctor from Hospital.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Mechanical ventilation, Myalgia, Oxygen saturation abnormal, Paralysis
Clinical narrative: Hospital Course:  27 yo M with Bardet-Biedel syndrome manifesting with transitional AV canal defect s/p repair (followed by Hospital), blindness, developmental delay, multicystic dysplastic kidneys s/p DDKT 11/2/11 and living kidney transplant 1996 on azathioprine and prednisone c/b EBV negative CD20 negative PTLD (dx 10/2016 s/p rituximab in remission), hx of BK and CMV viremia, ?COPD on CPAP, CVID on IVIG every 3 weeks, ON of L hip s/p THR 2019, and DM presenting from OSH with COVID ARDS.    Patient lives in group home where several patients had COVID. Of note he is s/p 3 doses of Moderna. On 9/18/21, he was brought to the ER for SOB, headaches, myalgias and chills. He was found to be febrile, hypoxic and COVID positive. He was admitted for COVID pneumonia and developed progressively worsening respiratory status and was ultimately intubated 9/22. He was transferred 9/23 to Hospital (could not be transferred to location due to bed availability).    While at Hospital, he continued to have poor respiratory status despite max ventilator settings. He had a rapid response for subcutaneous emphysema, no acute surgical intervention was pursued. He was paralyzed and pronated to improve oxygenation. He also developed a lactic acidosis felt to be 2/2 hypoperfusion from hypotension and underlying sepsis. Per report 1/2 BCx with GPCs, not started on vanc due to hx of red man syndrome. S/p toci x1 9/23, 2 doses of dex 6mg (9/23 - ), 1 dose of remdesivir 100 mg 9/23. He was felt to be needed to transfer to a center with ECMO capabilities, thus was transferred to Hospital.    On arrival to the ICU, patient was intubated, sedated and paralyzed. He was satting initially on 78% with improvement subsequently to the 80s. He was subsequently proned.    HOSPITAL COURSE 9/24 - 9/27   #COVID ARDS The patient had severe COVID-19 infection and significant risk factors including immunosuppression for kidney transplant and CVID. Presented with hypoxemic respiratory failure, bilateral opacities on CXR with clear injury source and P:F ratio most recently of 56 c/f severe ARDS. Has been getting appropriate PCP ppx but potentially also has other overlying superinfection given immunosuppression, though he has no fever, leukocytosis. He arrived intubated. He was paralyzed, proning, and supported with lung protective ventilation. He was given diuretics, antibiotics and steroids. Evaluated for ECMO but determined not to be a candidate given his baseline lung disease. Infectious disease specialists were consulted and agreed with the management.    #Bardet-Biedel syndrome Patient with Bardet-Biedel syndrome with cardiac involvement manifesting as transitional AV canal defect with a primum atrial septal defect and cleft mitral valve as well as an LSVC to the coronary sinus.  He underwent surgery in 1994 for repair but was found to have residual subaortic stenosis and required a second surgery in 2007 to reassess subaortic membrane and accessory mitral valve attachment. Follows with Doctor from Hospital.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumocystis jirovecii pneumonia, Pyrexia, Respiratory failure, SARS-CoV-2 test positive, Sepsis
Clinical narrative: Hospital Course:  27 yo M with Bardet-Biedel syndrome manifesting with transitional AV canal defect s/p repair (followed by Hospital), blindness, developmental delay, multicystic dysplastic kidneys s/p DDKT 11/2/11 and living kidney transplant 1996 on azathioprine and prednisone c/b EBV negative CD20 negative PTLD (dx 10/2016 s/p rituximab in remission), hx of BK and CMV viremia, ?COPD on CPAP, CVID on IVIG every 3 weeks, ON of L hip s/p THR 2019, and DM presenting from OSH with COVID ARDS.    Patient lives in group home where several patients had COVID. Of note he is s/p 3 doses of Moderna. On 9/18/21, he was brought to the ER for SOB, headaches, myalgias and chills. He was found to be febrile, hypoxic and COVID positive. He was admitted for COVID pneumonia and developed progressively worsening respiratory status and was ultimately intubated 9/22. He was transferred 9/23 to Hospital (could not be transferred to location due to bed availability).    While at Hospital, he continued to have poor respiratory status despite max ventilator settings. He had a rapid response for subcutaneous emphysema, no acute surgical intervention was pursued. He was paralyzed and pronated to improve oxygenation. He also developed a lactic acidosis felt to be 2/2 hypoperfusion from hypotension and underlying sepsis. Per report 1/2 BCx with GPCs, not started on vanc due to hx of red man syndrome. S/p toci x1 9/23, 2 doses of dex 6mg (9/23 - ), 1 dose of remdesivir 100 mg 9/23. He was felt to be needed to transfer to a center with ECMO capabilities, thus was transferred to Hospital.    On arrival to the ICU, patient was intubated, sedated and paralyzed. He was satting initially on 78% with improvement subsequently to the 80s. He was subsequently proned.    HOSPITAL COURSE 9/24 - 9/27   #COVID ARDS The patient had severe COVID-19 infection and significant risk factors including immunosuppression for kidney transplant and CVID. Presented with hypoxemic respiratory failure, bilateral opacities on CXR with clear injury source and P:F ratio most recently of 56 c/f severe ARDS. Has been getting appropriate PCP ppx but potentially also has other overlying superinfection given immunosuppression, though he has no fever, leukocytosis. He arrived intubated. He was paralyzed, proning, and supported with lung protective ventilation. He was given diuretics, antibiotics and steroids. Evaluated for ECMO but determined not to be a candidate given his baseline lung disease. Infectious disease specialists were consulted and agreed with the management.    #Bardet-Biedel syndrome Patient with Bardet-Biedel syndrome with cardiac involvement manifesting as transitional AV canal defect with a primum atrial septal defect and cleft mitral valve as well as an LSVC to the coronary sinus.  He underwent surgery in 1994 for repair but was found to have residual subaortic stenosis and required a second surgery in 2007 to reassess subaortic membrane and accessory mitral valve attachment. Follows with Doctor from Hospital.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Subcutaneous emphysema, Superinfection, Traumatic lung injury
Clinical narrative: Hospital Course:  27 yo M with Bardet-Biedel syndrome manifesting with transitional AV canal defect s/p repair (followed by Hospital), blindness, developmental delay, multicystic dysplastic kidneys s/p DDKT 11/2/11 and living kidney transplant 1996 on azathioprine and prednisone c/b EBV negative CD20 negative PTLD (dx 10/2016 s/p rituximab in remission), hx of BK and CMV viremia, ?COPD on CPAP, CVID on IVIG every 3 weeks, ON of L hip s/p THR 2019, and DM presenting from OSH with COVID ARDS.    Patient lives in group home where several patients had COVID. Of note he is s/p 3 doses of Moderna. On 9/18/21, he was brought to the ER for SOB, headaches, myalgias and chills. He was found to be febrile, hypoxic and COVID positive. He was admitted for COVID pneumonia and developed progressively worsening respiratory status and was ultimately intubated 9/22. He was transferred 9/23 to Hospital (could not be transferred to location due to bed availability).    While at Hospital, he continued to have poor respiratory status despite max ventilator settings. He had a rapid response for subcutaneous emphysema, no acute surgical intervention was pursued. He was paralyzed and pronated to improve oxygenation. He also developed a lactic acidosis felt to be 2/2 hypoperfusion from hypotension and underlying sepsis. Per report 1/2 BCx with GPCs, not started on vanc due to hx of red man syndrome. S/p toci x1 9/23, 2 doses of dex 6mg (9/23 - ), 1 dose of remdesivir 100 mg 9/23. He was felt to be needed to transfer to a center with ECMO capabilities, thus was transferred to Hospital.    On arrival to the ICU, patient was intubated, sedated and paralyzed. He was satting initially on 78% with improvement subsequently to the 80s. He was subsequently proned.    HOSPITAL COURSE 9/24 - 9/27   #COVID ARDS The patient had severe COVID-19 infection and significant risk factors including immunosuppression for kidney transplant and CVID. Presented with hypoxemic respiratory failure, bilateral opacities on CXR with clear injury source and P:F ratio most recently of 56 c/f severe ARDS. Has been getting appropriate PCP ppx but potentially also has other overlying superinfection given immunosuppression, though he has no fever, leukocytosis. He arrived intubated. He was paralyzed, proning, and supported with lung protective ventilation. He was given diuretics, antibiotics and steroids. Evaluated for ECMO but determined not to be a candidate given his baseline lung disease. Infectious disease specialists were consulted and agreed with the management.    #Bardet-Biedel syndrome Patient with Bardet-Biedel syndrome with cardiac involvement manifesting as transitional AV canal defect with a primum atrial septal defect and cleft mitral valve as well as an LSVC to the coronary sinus.  He underwent surgery in 1994 for repair but was found to have residual subaortic stenosis and required a second surgery in 2007 to reassess subaortic membrane and accessory mitral valve attachment. Follows with Doctor from Hospital.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Ear pain, Nausea, Neck pain, Oral pain, Pain
Clinical narrative: Fever, nausea, body aches, mouth sore, neck pain, ear pain. Doctor visit:10/21/21. Results: Upper Respiratory Infenction. Prescribed: amox-clav 875mg.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Upper respiratory tract infection
Clinical narrative: Fever, nausea, body aches, mouth sore, neck pain, ear pain. Doctor visit:10/21/21. Results: Upper Respiratory Infenction. Prescribed: amox-clav 875mg.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Blepharospasm, Blood test, Headache, Muscle twitching
Clinical narrative: Twitching in left check & left eye, headaches  Bells Palsy
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Patient contracted COVID-19 after being fully vaccinated. Runny nose and sore throat.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Incorrect dose administered, No adverse event
Clinical narrative: resident was administered 0.5ml of booster, No adverse reactions have been noted
Age: 12.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Dizziness, Loss of consciousness
Clinical narrative: Patient was given both vaccines and told to wait in waiting room.  The patient felt dizzy and light headed, and may have slightly passed out. The patient told the pharmacist she had skipped breakfast and may have low blood sugar.  The pharmacist gave her a bottle of water and a glucose tablet.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Computerised tomogram, Haematospermia, Ultrasound scan, X-ray
Clinical narrative: Shortly after receiving my second dose of Moderna I developed significant Hematospermia which has not gone away nor subsided. My doctors have taken X-rays, Cat Scan, ultrasounds, blood work and have checked my PSA several times, all testing appears normal. They can find no apparent cause for my Hemotospermia which I had never in the past had until after being vaccinated for COVID.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Headache, Laboratory test, Oropharyngeal pain, Pain in extremity
Clinical narrative: I had sore throat cough headache and soreness in the arm.  Slight fever.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: I had sore throat cough headache and soreness in the arm.  Slight fever.