chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Antinuclear antibody, Antinuclear antibody negative, Biopsy skin abnormal, Complement factor C3, Complement factor C4
Clinical narrative: Patient first developed painful mouth sores on lips, buccal mucus, and gingiva approximately 1 week after the second COVID vaccine.  Patient was initially treated for possible herpes without response to antiviral meds.  Was diagnosed with lichen planus by another provider.  Was placed on bentalin and mycostatin.  Labwork was completed.  Patient was then seen by me and underwent biopsy which was consistent with chronic lichen planus.  Patient is being maintained on bentalin and mycostatin with prn fucicort.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Lichen planus, Stomatitis
Clinical narrative: Patient first developed painful mouth sores on lips, buccal mucus, and gingiva approximately 1 week after the second COVID vaccine.  Patient was initially treated for possible herpes without response to antiviral meds.  Was diagnosed with lichen planus by another provider.  Was placed on bentalin and mycostatin.  Labwork was completed.  Patient was then seen by me and underwent biopsy which was consistent with chronic lichen planus.  Patient is being maintained on bentalin and mycostatin with prn fucicort.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Infection, SARS-CoV-2 test positive
Clinical narrative: Patient had a breakthrough case of Covid 19.  Positive covid test was 8/19/2021.  She received regencov the same day.  She had previously received her moderna covid vaccines on 2/25/21 & 3/26/21
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Extra dose administered, Malaise, Myocardial infarction, SARS-CoV-2 test negative
Clinical narrative: I am the epidemiologist reporting on behalf of 61-year-old female patient. The patient received an initial vaccine series with two doses of the Moderna vaccine on 1/15/21 and 2/12/21. They later received a third dose of the Moderna vaccine on 8/19/21. The individual reports to contact tracers that they began experiencing COVID-19 symptoms 8/20/21, the day after their third dose. On 8/23/21 (four days post third dose), this person experienced a heart attack and tested positive for COVID-19 via a rapid test the same day. They subsequently tested negative via a PCR test on 8/25/21. This is a probable vaccination breakthrough infection post Dose 3. I do not have further information regarding immunodeficiency status or underlying health conditions that may have contributed to the heart attack/positive test.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: I am the epidemiologist reporting on behalf of 61-year-old female patient. The patient received an initial vaccine series with two doses of the Moderna vaccine on 1/15/21 and 2/12/21. They later received a third dose of the Moderna vaccine on 8/19/21. The individual reports to contact tracers that they began experiencing COVID-19 symptoms 8/20/21, the day after their third dose. On 8/23/21 (four days post third dose), this person experienced a heart attack and tested positive for COVID-19 via a rapid test the same day. They subsequently tested negative via a PCR test on 8/25/21. This is a probable vaccination breakthrough infection post Dose 3. I do not have further information regarding immunodeficiency status or underlying health conditions that may have contributed to the heart attack/positive test.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalized due to COVID-19; Reported per Moderna COVID-19 Vaccine EUA
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal discomfort, Pharyngeal paraesthesia
Clinical narrative: The patient was given the vaccine at approximately 11:30.  States he was told to wait but went to get ice cream.  When he began to drink about 15 minutes after the vaccine he felt a tingling in his throat.  He returned to the Health Department at 11:55.  No c/o difficulty breathing states that his throat  just feels "tingly and weird".  02 sat was 98%.  Given diphenhydramine 50mg IM in right deltoid.  Patient waited in clinic for 15 minutes and states the feeling began to subside.  Call to patient the next day and he stated that he felt "completely normal after 30 minutes."
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Injection site pain, Lymphadenopathy, Night sweats
Clinical narrative: Soreness at injection site.  Fever, chills, night sweats. Lymph node under left arm swollen.  Underarm body odor worse than normal.  Fatigue.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Oedema peripheral, Pyrexia
Clinical narrative: Soreness at injection site.  Fever, chills, night sweats. Lymph node under left arm swollen.  Underarm body odor worse than normal.  Fatigue.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia
Clinical narrative: Patient said she lost sense  of taste and smell the following day and continued for week.  After that could only taste strong flavors and smell strong odors
Age: 43.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hyperacusis, Migraine, Photophobia
Clinical narrative: Ever since having the injection I have been having 2-3 Migraines a month. I have never had Headaches such as these.  Extremely sensitive to light, sound, and movement
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anaemia, Chills, Fatigue, Headache, Pyrexia
Clinical narrative: After strong immune response several hours after the second shot (fever/chills/headache), I continued to have extreme and ongoing fatigue for weeks following, despite adequate rest and sleep. I determined that I was anemic and started taking an Iron supplement, which resolved the extreme fatigue.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Dizziness, Headache, Nystagmus, Vertigo
Clinical narrative: Approximately nine and a half hours after receiving the vaccine, I started to feel dizzy. The next day, I experienced vertigo, general dizziness, headache. Over the next few days, I also had loss of appetite due to the dizziness. I reached out to my Primary Care Physician's office and was prescribed meclazine which only helped with the headache, but did nothing to help with the dizziness. The dizziness and vertigo lasted for about seven weeks. During that time, I went to my physician's office for an exam. The nurse practitioner who examined me informed me I had vertigo and witnessed an episode of nystagmus. I went for several sessions of physical therapy and eventually the vertigo resolved. Prior to receiving the vaccine, I never had any issues with dizziness or vertigo.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Fatigue, Irritability, Pyrexia
Clinical narrative: Fever of 103 degrees.  Fatigue, irritability, loss of appetite.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Pain
Clinical narrative: I experience joint pain and symptoms similar to arthritis. 36 hours after I got the vaccine, the symptoms dissipated. Now, months after the vaccine, the pain has started to come back.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram normal, Heavy menstrual bleeding, Impaired work ability, Injection site pain, Laboratory test normal
Clinical narrative: When I got the second dose, I had the pain in the site like normal. I got the shot on July 10, and after having finished my last period on July 6, I started another period on July 15 and that lasted until August 7 and it was the heaviest period I've ever had, going through one tampon an hour. And for the past month, i have had intense migraines that have made it next to impossible to function at work. I used to have mild migraines as a kid, but that was 10 years ago and I haven't had them since. I have been to the er for concerns about my symptoms and no one has been able to tell me what is wrong. My labs come back normal, thankfully my heart looks okay on and ekg. I have an gynecology appointment scheduled for next month to start investigating there.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Menstruation irregular, Migraine
Clinical narrative: When I got the second dose, I had the pain in the site like normal. I got the shot on July 10, and after having finished my last period on July 6, I started another period on July 15 and that lasted until August 7 and it was the heaviest period I've ever had, going through one tampon an hour. And for the past month, i have had intense migraines that have made it next to impossible to function at work. I used to have mild migraines as a kid, but that was 10 years ago and I haven't had them since. I have been to the er for concerns about my symptoms and no one has been able to tell me what is wrong. My labs come back normal, thankfully my heart looks okay on and ekg. I have an gynecology appointment scheduled for next month to start investigating there.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Bilevel positive airway pressure, Brain injury, COVID-19 pneumonia, Cerebral atrophy
Clinical narrative: Patient admitted to hospital on 8/9/2021 with shortness of breath.  He was diagnosed with acute hypoxic respiratory failure with COVID-19 pneumonia.  His symptoms started on 8/8/2021.  He was on 40% on room air and then required BiPAP to follow over 630% FiO2 with baseline home oxygen of 4 L at rest and 5 L with activity.  He was started on dexamethasone, IV antibiotics,  and fluids.  He had further worsening of respiratory status on the morning of 8/10/2021 and was transferred to ICU and was intubated.  He was placed on Levophed for hypotension and was continued on full ventilator support.  He also had infectious disease consultation with continued fever and cultures and was switched antibiotics along with addition of antifungal.  He continued to stay encephalopathic with CT head showed diffuse mild to moderate atrophic changes and prominent periventricular small vessel disease change.  With not further waking up on lightening of sedation patient had a neurology consultation had a EEG x2 and suggested concern for anoxic brain injury.  Patient's family including wife and son were discussed about overall prognosis and worsening neurologic status and they did not want him to continue full aggressive measures and switched him to comfort measures and had a vent withdrawal.  He passed away in the afternoon of 8/15/2021
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebral small vessel ischaemic disease, Computerised tomogram head abnormal, Culture positive, Death, Dyspnoea
Clinical narrative: Patient admitted to hospital on 8/9/2021 with shortness of breath.  He was diagnosed with acute hypoxic respiratory failure with COVID-19 pneumonia.  His symptoms started on 8/8/2021.  He was on 40% on room air and then required BiPAP to follow over 630% FiO2 with baseline home oxygen of 4 L at rest and 5 L with activity.  He was started on dexamethasone, IV antibiotics,  and fluids.  He had further worsening of respiratory status on the morning of 8/10/2021 and was transferred to ICU and was intubated.  He was placed on Levophed for hypotension and was continued on full ventilator support.  He also had infectious disease consultation with continued fever and cultures and was switched antibiotics along with addition of antifungal.  He continued to stay encephalopathic with CT head showed diffuse mild to moderate atrophic changes and prominent periventricular small vessel disease change.  With not further waking up on lightening of sedation patient had a neurology consultation had a EEG x2 and suggested concern for anoxic brain injury.  Patient's family including wife and son were discussed about overall prognosis and worsening neurologic status and they did not want him to continue full aggressive measures and switched him to comfort measures and had a vent withdrawal.  He passed away in the afternoon of 8/15/2021
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Electroencephalogram abnormal, Encephalopathy, Endotracheal intubation, Hypotension, Intensive care
Clinical narrative: Patient admitted to hospital on 8/9/2021 with shortness of breath.  He was diagnosed with acute hypoxic respiratory failure with COVID-19 pneumonia.  His symptoms started on 8/8/2021.  He was on 40% on room air and then required BiPAP to follow over 630% FiO2 with baseline home oxygen of 4 L at rest and 5 L with activity.  He was started on dexamethasone, IV antibiotics,  and fluids.  He had further worsening of respiratory status on the morning of 8/10/2021 and was transferred to ICU and was intubated.  He was placed on Levophed for hypotension and was continued on full ventilator support.  He also had infectious disease consultation with continued fever and cultures and was switched antibiotics along with addition of antifungal.  He continued to stay encephalopathic with CT head showed diffuse mild to moderate atrophic changes and prominent periventricular small vessel disease change.  With not further waking up on lightening of sedation patient had a neurology consultation had a EEG x2 and suggested concern for anoxic brain injury.  Patient's family including wife and son were discussed about overall prognosis and worsening neurologic status and they did not want him to continue full aggressive measures and switched him to comfort measures and had a vent withdrawal.  He passed away in the afternoon of 8/15/2021
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Mechanical ventilation, Pyrexia
Clinical narrative: Patient admitted to hospital on 8/9/2021 with shortness of breath.  He was diagnosed with acute hypoxic respiratory failure with COVID-19 pneumonia.  His symptoms started on 8/8/2021.  He was on 40% on room air and then required BiPAP to follow over 630% FiO2 with baseline home oxygen of 4 L at rest and 5 L with activity.  He was started on dexamethasone, IV antibiotics,  and fluids.  He had further worsening of respiratory status on the morning of 8/10/2021 and was transferred to ICU and was intubated.  He was placed on Levophed for hypotension and was continued on full ventilator support.  He also had infectious disease consultation with continued fever and cultures and was switched antibiotics along with addition of antifungal.  He continued to stay encephalopathic with CT head showed diffuse mild to moderate atrophic changes and prominent periventricular small vessel disease change.  With not further waking up on lightening of sedation patient had a neurology consultation had a EEG x2 and suggested concern for anoxic brain injury.  Patient's family including wife and son were discussed about overall prognosis and worsening neurologic status and they did not want him to continue full aggressive measures and switched him to comfort measures and had a vent withdrawal.  He passed away in the afternoon of 8/15/2021
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Hypoaesthesia oral, Paraesthesia oral
Clinical narrative: Patient reports having numbness and tingling on her lips 6-7 hours after vaccine. Also complains of having numbness in fingertips. Woke up a day later with complaints of HA. All other symptoms subsided
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Computerised tomogram head, Electrocardiogram normal, Herpes zoster, Hypoaesthesia
Clinical narrative: 2 episodes of Shingles outbreak since 1st injection and currently have another outbreak 08-28-21.  I was seen in a Clinic for treatment of shingles but after seeing provider they determined that the symptoms I was having was neurological.  Tingling and numbness from head to toe on left side and some blurred vison.  They were afraid I had a blood clot or stroke and was sent to ER.  EMS was called but I declined to ride due to clinic is across street from ER so my husband drove me to ER.  My CT scan without contrast was normal and EKG was normal and basic blood panel was normal.  Troponin level was normal.  They advised that an MRI brain was needed and asked to me to stay overnight but refused and advised would follow up with PCP.  I am in the process of following up with my PCP.  The ER physician treated me for Shingles with Acyclovir and prescription for Gabapentin was given for tingling and numbness.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Paraesthesia, Troponin normal, Vision blurred
Clinical narrative: 2 episodes of Shingles outbreak since 1st injection and currently have another outbreak 08-28-21.  I was seen in a Clinic for treatment of shingles but after seeing provider they determined that the symptoms I was having was neurological.  Tingling and numbness from head to toe on left side and some blurred vison.  They were afraid I had a blood clot or stroke and was sent to ER.  EMS was called but I declined to ride due to clinic is across street from ER so my husband drove me to ER.  My CT scan without contrast was normal and EKG was normal and basic blood panel was normal.  Troponin level was normal.  They advised that an MRI brain was needed and asked to me to stay overnight but refused and advised would follow up with PCP.  I am in the process of following up with my PCP.  The ER physician treated me for Shingles with Acyclovir and prescription for Gabapentin was given for tingling and numbness.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain in extremity, Pyrexia, Rash
Clinical narrative: Pt. states that after receiving the 2nd dose of Moderna 08/30/2021, started experiencing symptoms of Left arm pain, rash, headache, low grade fever, and fatigue. No Primary visit noted. Still continuing with current (self-care treating with Benadryl).
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization due to COVID-19 Reported per Janssen COVID-19 Vaccine EUA
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Chest pain, Electrocardiogram abnormal, Myocarditis
Clinical narrative: Chest pain that started the day after the injection. Went to the ER and was diagnosed with Myocarditis. Still having chest pain.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Depressed level of consciousness, Dizziness, Flushing, Lethargy
Clinical narrative: RN on duty at Mobile Vaccine Clinic.   Patient was vaccinated with J&J @0910, hx of anaphylaxis with pneumococcal vaccine. Patient was eating an orange in observation area. RN observed patient flushing with decreased awareness and pallor . Patient was able to respond to verbal assessment, stated that she felt like fainting. RN lowered patient to the floor and elevated her feet. Loss of consciousness for <10 seconds, Vitals assessed and were stable. Patient responds to questions. Reports chest tightness. 911 activated per employer. Tended to by site medical staff. Patient assessed by EMTs, responded to verbal stimuli and sternal rub. Patient remained lethargic with both pallor and facial flushing. Patient transferred to ER by ambulance
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Pallor
Clinical narrative: RN on duty at Mobile Vaccine Clinic.   Patient was vaccinated with J&J @0910, hx of anaphylaxis with pneumococcal vaccine. Patient was eating an orange in observation area. RN observed patient flushing with decreased awareness and pallor . Patient was able to respond to verbal assessment, stated that she felt like fainting. RN lowered patient to the floor and elevated her feet. Loss of consciousness for <10 seconds, Vitals assessed and were stable. Patient responds to questions. Reports chest tightness. 911 activated per employer. Tended to by site medical staff. Patient assessed by EMTs, responded to verbal stimuli and sternal rub. Patient remained lethargic with both pallor and facial flushing. Patient transferred to ER by ambulance
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Blood pressure increased, Blood test normal, Cardiac stress test abnormal, Computerised tomogram abdomen normal
Clinical narrative: I had my 2nd vaccine on May 26th. Two days later on May 27, after lunch, I felt as if I was having strong palpitations and I was breathless. This was close to my stomach so I thought it was in relation to food. The palpitations and the breathlessness continued all weekend. I went to the ER on Sunday evening. It was found that I was having Premature Ventricular Contractions (PVCs). I was told this was not life-threatening, just annoying. My blood work also showed a slightly elevated Lipase level. I decided to pursue this with my doctor. I had an abdominal ultra sound done, results were normal. My doctor also ordered a repeat of my blood work, this time everything was normal. By this time I was not able to eat more than about 500 cal during the day without feeling sick and bloated. I was not able to bend down to pick anything up as this would increase the breathlessness feelings I was having as does wearing a bra.  I went to a gastroenterologist who ordered a CT of my abdomen. He did not want to put me under because of the PVCs which are now happening all day and all night. It took two months for the insurance to approve the CT scan, results were normal. I saw my cardiologist and had a stress test. The test had to be stopped because my blood pressure was rising too high. Prior to this vaccine my blood pressure was under control. My cardiologist put me on an second blood pressure medication to help control my blood pressure and the PVCs. I am able to eat a little more than I have been however I still have difficulty with my stomach, feeling full all the time, feeling breathless, and PVCs, although not as intense as before.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspnoea, Electrocardiogram abnormal, Hypophagia, Lipase increased
Clinical narrative: I had my 2nd vaccine on May 26th. Two days later on May 27, after lunch, I felt as if I was having strong palpitations and I was breathless. This was close to my stomach so I thought it was in relation to food. The palpitations and the breathlessness continued all weekend. I went to the ER on Sunday evening. It was found that I was having Premature Ventricular Contractions (PVCs). I was told this was not life-threatening, just annoying. My blood work also showed a slightly elevated Lipase level. I decided to pursue this with my doctor. I had an abdominal ultra sound done, results were normal. My doctor also ordered a repeat of my blood work, this time everything was normal. By this time I was not able to eat more than about 500 cal during the day without feeling sick and bloated. I was not able to bend down to pick anything up as this would increase the breathlessness feelings I was having as does wearing a bra.  I went to a gastroenterologist who ordered a CT of my abdomen. He did not want to put me under because of the PVCs which are now happening all day and all night. It took two months for the insurance to approve the CT scan, results were normal. I saw my cardiologist and had a stress test. The test had to be stopped because my blood pressure was rising too high. Prior to this vaccine my blood pressure was under control. My cardiologist put me on an second blood pressure medication to help control my blood pressure and the PVCs. I am able to eat a little more than I have been however I still have difficulty with my stomach, feeling full all the time, feeling breathless, and PVCs, although not as intense as before.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Mobility decreased, Palpitations, Ultrasound abdomen normal, Ventricular extrasystoles
Clinical narrative: I had my 2nd vaccine on May 26th. Two days later on May 27, after lunch, I felt as if I was having strong palpitations and I was breathless. This was close to my stomach so I thought it was in relation to food. The palpitations and the breathlessness continued all weekend. I went to the ER on Sunday evening. It was found that I was having Premature Ventricular Contractions (PVCs). I was told this was not life-threatening, just annoying. My blood work also showed a slightly elevated Lipase level. I decided to pursue this with my doctor. I had an abdominal ultra sound done, results were normal. My doctor also ordered a repeat of my blood work, this time everything was normal. By this time I was not able to eat more than about 500 cal during the day without feeling sick and bloated. I was not able to bend down to pick anything up as this would increase the breathlessness feelings I was having as does wearing a bra.  I went to a gastroenterologist who ordered a CT of my abdomen. He did not want to put me under because of the PVCs which are now happening all day and all night. It took two months for the insurance to approve the CT scan, results were normal. I saw my cardiologist and had a stress test. The test had to be stopped because my blood pressure was rising too high. Prior to this vaccine my blood pressure was under control. My cardiologist put me on an second blood pressure medication to help control my blood pressure and the PVCs. I am able to eat a little more than I have been however I still have difficulty with my stomach, feeling full all the time, feeling breathless, and PVCs, although not as intense as before.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Polymerase chain reaction, SARS-CoV-2 test positive
Clinical narrative: Hospitalization due to COVID-19 Reported per Moderna COVID-19 Vaccine EUA
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Diagnosed and admitted to hospital with COVID 19.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Headache, Hypoaesthesia, Multiple sclerosis, Muscular weakness
Clinical narrative: Onset of  nausea, vomiting, headache  15 min after the shot.  Then  approximately 4 to 6 hours after shot had  right leg weakness, pain and shooting pain numbness.  She had fever of 101 day 2.  Through Day  5 continued with nausea and headache but  vomiting subsided.  The  pain, numbness  has improved also after  2 to 3 days of  medrol dose  pack of steroids through neurology.  Swelling under  arm to axilla  per patient by day  2 was  baseball size and now decreased  to <  golf  ball size.   Patient contacted neurology after shot and  she was treated for MS  flare.  She also reports  now  in retrospect after Dose  #1 of covid 19 vaccine had  headache, nausea, fever for  several days after shot and then on Day #14 had eye blurriness she treated with medrol dose pack and sxs  subsided.  But she reports ongoing  daily headache since her  intial covid 19 vaccine.  She has been followed by her neurologist for above.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, New daily persistent headache, Pain, Pain in extremity, Pyrexia
Clinical narrative: Onset of  nausea, vomiting, headache  15 min after the shot.  Then  approximately 4 to 6 hours after shot had  right leg weakness, pain and shooting pain numbness.  She had fever of 101 day 2.  Through Day  5 continued with nausea and headache but  vomiting subsided.  The  pain, numbness  has improved also after  2 to 3 days of  medrol dose  pack of steroids through neurology.  Swelling under  arm to axilla  per patient by day  2 was  baseball size and now decreased  to <  golf  ball size.   Patient contacted neurology after shot and  she was treated for MS  flare.  She also reports  now  in retrospect after Dose  #1 of covid 19 vaccine had  headache, nausea, fever for  several days after shot and then on Day #14 had eye blurriness she treated with medrol dose pack and sxs  subsided.  But she reports ongoing  daily headache since her  intial covid 19 vaccine.  She has been followed by her neurologist for above.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Vision blurred, Vomiting
Clinical narrative: Onset of  nausea, vomiting, headache  15 min after the shot.  Then  approximately 4 to 6 hours after shot had  right leg weakness, pain and shooting pain numbness.  She had fever of 101 day 2.  Through Day  5 continued with nausea and headache but  vomiting subsided.  The  pain, numbness  has improved also after  2 to 3 days of  medrol dose  pack of steroids through neurology.  Swelling under  arm to axilla  per patient by day  2 was  baseball size and now decreased  to <  golf  ball size.   Patient contacted neurology after shot and  she was treated for MS  flare.  She also reports  now  in retrospect after Dose  #1 of covid 19 vaccine had  headache, nausea, fever for  several days after shot and then on Day #14 had eye blurriness she treated with medrol dose pack and sxs  subsided.  But she reports ongoing  daily headache since her  intial covid 19 vaccine.  She has been followed by her neurologist for above.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram head normal, Facial paralysis, Full blood count, Metabolic function test, Muscle tightness
Clinical narrative: Noticed right side facial tightness isolated to smile on February 7, 2021.  Sought medical attention on February 8,2021 from Urgent Care but was referred to Medical Center scan to rule out stroke. Official diagnoses were facial droop and muscle twitching. Prescribed prednisone 10 mg, 4 tablets (40mg) by mouth x 5 days.  Symptoms improved after full course of steroids, full use of smile returned by February 20,2021.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscle twitching
Clinical narrative: Noticed right side facial tightness isolated to smile on February 7, 2021.  Sought medical attention on February 8,2021 from Urgent Care but was referred to Medical Center scan to rule out stroke. Official diagnoses were facial droop and muscle twitching. Prescribed prednisone 10 mg, 4 tablets (40mg) by mouth x 5 days.  Symptoms improved after full course of steroids, full use of smile returned by February 20,2021.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chills, Influenza like illness, Migraine, Pyrexia
Clinical narrative: Migraines, fever, chill, flu like symptoms.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Biopsy kidney, Blood test, Chest X-ray, Dialysis
Clinical narrative: 8-17-2021 went to ER; diagnosis was Vasculitis and Accute Kidney Failure.  Treatment received and discharged from hospital on 8-28-21.  Currently on dialysis for unknown time and follow up appointments to treatments
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Laboratory test, Vasculitis
Clinical narrative: 8-17-2021 went to ER; diagnosis was Vasculitis and Accute Kidney Failure.  Treatment received and discharged from hospital on 8-28-21.  Currently on dialysis for unknown time and follow up appointments to treatments
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, COVID-19, Chest pain, Condition aggravated, SARS-CoV-2 test positive
Clinical narrative: Patient presented to emergency department on 8/14/2021 with chest pain and diffuse back pain. He was found to be COVID-19 positive and admitted for further management. He was treated with dexamethasone, remdesivir and supplemental oxygen. Patient was discharged on 8/30/2021 with home oxygen.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Electroencephalogram abnormal, Seizure, Tic
Clinical narrative: My daughter started to experience seizures, body and vocal tics one month after the shot. She did not have these before the shot and no other medication/vitamins were changed.
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Blood cortisol, Blood test, Bronchial hyperreactivity, Computerised tomogram head, Computerised tomogram thorax
Clinical narrative: Dizziness, Palpitations, Shortness of Breath, Numbness and Tingling, Reduced Functional Aerobic Capacity, Fogginess and Confusion, Fatigue  Started bronchodilator inhaler for reactive airway disease (diagnosed 08/2021) Started Florinef for orthostatic hypotension (08/2021)  Started noticing fatigue and decreased physical activity around mid July. Was sent to the ER on 08/03/2021 due to oxygen levels dropping to low 90s on walking (evaluated at clinic) Symptoms progressively worsening over August. Was sent to ER on 08/27/2021. Admitted for 3 days
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Confusional state, Dizziness, Dyspnoea, Echocardiogram, Exercise tolerance decreased
Clinical narrative: Dizziness, Palpitations, Shortness of Breath, Numbness and Tingling, Reduced Functional Aerobic Capacity, Fogginess and Confusion, Fatigue  Started bronchodilator inhaler for reactive airway disease (diagnosed 08/2021) Started Florinef for orthostatic hypotension (08/2021)  Started noticing fatigue and decreased physical activity around mid July. Was sent to the ER on 08/03/2021 due to oxygen levels dropping to low 90s on walking (evaluated at clinic) Symptoms progressively worsening over August. Was sent to ER on 08/27/2021. Admitted for 3 days
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Fibrin D dimer, Full blood count, Hypoaesthesia
Clinical narrative: Dizziness, Palpitations, Shortness of Breath, Numbness and Tingling, Reduced Functional Aerobic Capacity, Fogginess and Confusion, Fatigue  Started bronchodilator inhaler for reactive airway disease (diagnosed 08/2021) Started Florinef for orthostatic hypotension (08/2021)  Started noticing fatigue and decreased physical activity around mid July. Was sent to the ER on 08/03/2021 due to oxygen levels dropping to low 90s on walking (evaluated at clinic) Symptoms progressively worsening over August. Was sent to ER on 08/27/2021. Admitted for 3 days
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Liver function test, Metabolic function test, Orthostatic hypotension, Oxygen saturation decreased, Palpitations
Clinical narrative: Dizziness, Palpitations, Shortness of Breath, Numbness and Tingling, Reduced Functional Aerobic Capacity, Fogginess and Confusion, Fatigue  Started bronchodilator inhaler for reactive airway disease (diagnosed 08/2021) Started Florinef for orthostatic hypotension (08/2021)  Started noticing fatigue and decreased physical activity around mid July. Was sent to the ER on 08/03/2021 due to oxygen levels dropping to low 90s on walking (evaluated at clinic) Symptoms progressively worsening over August. Was sent to ER on 08/27/2021. Admitted for 3 days
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Pulmonary function test, Stress echocardiogram, Troponin
Clinical narrative: Dizziness, Palpitations, Shortness of Breath, Numbness and Tingling, Reduced Functional Aerobic Capacity, Fogginess and Confusion, Fatigue  Started bronchodilator inhaler for reactive airway disease (diagnosed 08/2021) Started Florinef for orthostatic hypotension (08/2021)  Started noticing fatigue and decreased physical activity around mid July. Was sent to the ER on 08/03/2021 due to oxygen levels dropping to low 90s on walking (evaluated at clinic) Symptoms progressively worsening over August. Was sent to ER on 08/27/2021. Admitted for 3 days
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Influenza A virus test, Influenza B virus test, Influenza like illness
Clinical narrative: Pt received Pfizer vaccines in January and February of 2021. On 08/30/21 pt presented to the ED with complaints of body aches, flulike symptoms, fevers, cough, and nausea for two weeks. Pt tested positive for COVID-19 and required supplemental oxygen.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nausea, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Pt received Pfizer vaccines in January and February of 2021. On 08/30/21 pt presented to the ED with complaints of body aches, flulike symptoms, fevers, cough, and nausea for two weeks. Pt tested positive for COVID-19 and required supplemental oxygen.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Blood culture negative, Blood sodium decreased, COVID-19, Calculus urinary
Clinical narrative: Patient hospitalized;  Positive for COVID-19 (after being vaccinated)   BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: None Physician, MD None   Admission Date: 8/23/2021 Discharge Date: 8/27/2021    Active Hospital Problems   Diagnosis Date Noted POA ? MRSA UTI 08/27/2021 Yes ? Renal colic 08/24/2021 Yes ? UTI (urinary tract infection) 08/24/2021 Yes ? Ureterolithiasis 08/24/2021 Yes ? Renal colic on left side 08/24/2021 Yes Resolved Hospital Problems No resolved problems to display. DETAILS OF HOSPITAL STAY: 58-year-old man presenting to our institution with left-sided flank pain.  Reports that this pain felt similar to previous kidney stones he experienced in the past.  Pain was present for 4-5 days prior to admission, social with poor appetite, nausea and significant vomiting, likely secondary to pain.  No fevers or chills associated.  He presented to an outside emergency department, with urinalysis showing 2-5 red blood cells, CT showed obstructing 6 mm urolithiasis at the left ureteropelvic junction.  He was discharged home for supportive care.  Patient presented back, with worsening flank pain.  The emergency department his identified to have sodium of 128, urinalysis showed 73 WBCs.  Renal ultrasound showed mild left-sided hydronephrosis.  Patient also was identified to have COVID-19, the setting of vaccination, having received to Johnson Johnson vaccine in March 2021. Patient was admitted to the general medicine service.  He was seen in consultation with Urology.  He was felt inappropriate candidate for surgical intervention due to acute infection.  The patient underwent placement of a left ureteral stent on 08/25/2021.  Urology is planning an outpatient ESWL in 2-4 weeks.   Urine culture revealed MRSA.  This is unusual organism in the setting of a community acquired pyelonephritis.  Blood cultures were obtained x2 as Staph aureus bacteria can be associated with bloodstream infection, and culture results negative after 3 days.   Patient will discharge on oral Bactrim to continue while the stent is in place. In regards to his COVID-19 infection, patient developed some mild cough.  Chest x-ray was obtained which showed no evidence of an infiltrate.  Patient was treated with Regeron monoclonal antibody infusion on 08/24/2021.  Remained on DVT prophylaxis throughout the hospitalization. Patient has acute kidney injury which was present on admission, resolved with hydration.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Computerised tomogram abnormal, Condition aggravated, Cough, Culture urine positive
Clinical narrative: Patient hospitalized;  Positive for COVID-19 (after being vaccinated)   BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: None Physician, MD None   Admission Date: 8/23/2021 Discharge Date: 8/27/2021    Active Hospital Problems   Diagnosis Date Noted POA ? MRSA UTI 08/27/2021 Yes ? Renal colic 08/24/2021 Yes ? UTI (urinary tract infection) 08/24/2021 Yes ? Ureterolithiasis 08/24/2021 Yes ? Renal colic on left side 08/24/2021 Yes Resolved Hospital Problems No resolved problems to display. DETAILS OF HOSPITAL STAY: 58-year-old man presenting to our institution with left-sided flank pain.  Reports that this pain felt similar to previous kidney stones he experienced in the past.  Pain was present for 4-5 days prior to admission, social with poor appetite, nausea and significant vomiting, likely secondary to pain.  No fevers or chills associated.  He presented to an outside emergency department, with urinalysis showing 2-5 red blood cells, CT showed obstructing 6 mm urolithiasis at the left ureteropelvic junction.  He was discharged home for supportive care.  Patient presented back, with worsening flank pain.  The emergency department his identified to have sodium of 128, urinalysis showed 73 WBCs.  Renal ultrasound showed mild left-sided hydronephrosis.  Patient also was identified to have COVID-19, the setting of vaccination, having received to Johnson Johnson vaccine in March 2021. Patient was admitted to the general medicine service.  He was seen in consultation with Urology.  He was felt inappropriate candidate for surgical intervention due to acute infection.  The patient underwent placement of a left ureteral stent on 08/25/2021.  Urology is planning an outpatient ESWL in 2-4 weeks.   Urine culture revealed MRSA.  This is unusual organism in the setting of a community acquired pyelonephritis.  Blood cultures were obtained x2 as Staph aureus bacteria can be associated with bloodstream infection, and culture results negative after 3 days.   Patient will discharge on oral Bactrim to continue while the stent is in place. In regards to his COVID-19 infection, patient developed some mild cough.  Chest x-ray was obtained which showed no evidence of an infiltrate.  Patient was treated with Regeron monoclonal antibody infusion on 08/24/2021.  Remained on DVT prophylaxis throughout the hospitalization. Patient has acute kidney injury which was present on admission, resolved with hydration.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Decreased appetite, Flank pain, Hydronephrosis, Nausea, Pyelonephritis
Clinical narrative: Patient hospitalized;  Positive for COVID-19 (after being vaccinated)   BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: None Physician, MD None   Admission Date: 8/23/2021 Discharge Date: 8/27/2021    Active Hospital Problems   Diagnosis Date Noted POA ? MRSA UTI 08/27/2021 Yes ? Renal colic 08/24/2021 Yes ? UTI (urinary tract infection) 08/24/2021 Yes ? Ureterolithiasis 08/24/2021 Yes ? Renal colic on left side 08/24/2021 Yes Resolved Hospital Problems No resolved problems to display. DETAILS OF HOSPITAL STAY: 58-year-old man presenting to our institution with left-sided flank pain.  Reports that this pain felt similar to previous kidney stones he experienced in the past.  Pain was present for 4-5 days prior to admission, social with poor appetite, nausea and significant vomiting, likely secondary to pain.  No fevers or chills associated.  He presented to an outside emergency department, with urinalysis showing 2-5 red blood cells, CT showed obstructing 6 mm urolithiasis at the left ureteropelvic junction.  He was discharged home for supportive care.  Patient presented back, with worsening flank pain.  The emergency department his identified to have sodium of 128, urinalysis showed 73 WBCs.  Renal ultrasound showed mild left-sided hydronephrosis.  Patient also was identified to have COVID-19, the setting of vaccination, having received to Johnson Johnson vaccine in March 2021. Patient was admitted to the general medicine service.  He was seen in consultation with Urology.  He was felt inappropriate candidate for surgical intervention due to acute infection.  The patient underwent placement of a left ureteral stent on 08/25/2021.  Urology is planning an outpatient ESWL in 2-4 weeks.   Urine culture revealed MRSA.  This is unusual organism in the setting of a community acquired pyelonephritis.  Blood cultures were obtained x2 as Staph aureus bacteria can be associated with bloodstream infection, and culture results negative after 3 days.   Patient will discharge on oral Bactrim to continue while the stent is in place. In regards to his COVID-19 infection, patient developed some mild cough.  Chest x-ray was obtained which showed no evidence of an infiltrate.  Patient was treated with Regeron monoclonal antibody infusion on 08/24/2021.  Remained on DVT prophylaxis throughout the hospitalization. Patient has acute kidney injury which was present on admission, resolved with hydration.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cells urine positive, Renal colic, SARS-CoV-2 test positive, Staphylococcal infection, Ultrasound kidney abnormal
Clinical narrative: Patient hospitalized;  Positive for COVID-19 (after being vaccinated)   BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: None Physician, MD None   Admission Date: 8/23/2021 Discharge Date: 8/27/2021    Active Hospital Problems   Diagnosis Date Noted POA ? MRSA UTI 08/27/2021 Yes ? Renal colic 08/24/2021 Yes ? UTI (urinary tract infection) 08/24/2021 Yes ? Ureterolithiasis 08/24/2021 Yes ? Renal colic on left side 08/24/2021 Yes Resolved Hospital Problems No resolved problems to display. DETAILS OF HOSPITAL STAY: 58-year-old man presenting to our institution with left-sided flank pain.  Reports that this pain felt similar to previous kidney stones he experienced in the past.  Pain was present for 4-5 days prior to admission, social with poor appetite, nausea and significant vomiting, likely secondary to pain.  No fevers or chills associated.  He presented to an outside emergency department, with urinalysis showing 2-5 red blood cells, CT showed obstructing 6 mm urolithiasis at the left ureteropelvic junction.  He was discharged home for supportive care.  Patient presented back, with worsening flank pain.  The emergency department his identified to have sodium of 128, urinalysis showed 73 WBCs.  Renal ultrasound showed mild left-sided hydronephrosis.  Patient also was identified to have COVID-19, the setting of vaccination, having received to Johnson Johnson vaccine in March 2021. Patient was admitted to the general medicine service.  He was seen in consultation with Urology.  He was felt inappropriate candidate for surgical intervention due to acute infection.  The patient underwent placement of a left ureteral stent on 08/25/2021.  Urology is planning an outpatient ESWL in 2-4 weeks.   Urine culture revealed MRSA.  This is unusual organism in the setting of a community acquired pyelonephritis.  Blood cultures were obtained x2 as Staph aureus bacteria can be associated with bloodstream infection, and culture results negative after 3 days.   Patient will discharge on oral Bactrim to continue while the stent is in place. In regards to his COVID-19 infection, patient developed some mild cough.  Chest x-ray was obtained which showed no evidence of an infiltrate.  Patient was treated with Regeron monoclonal antibody infusion on 08/24/2021.  Remained on DVT prophylaxis throughout the hospitalization. Patient has acute kidney injury which was present on admission, resolved with hydration.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Ureteral stent insertion, Ureterolithiasis, Urinary tract infection, Urine analysis abnormal, Vomiting
Clinical narrative: Patient hospitalized;  Positive for COVID-19 (after being vaccinated)   BRIEF OVERVIEW: Discharge Provider: MD Primary Care Provider at Discharge: None Physician, MD None   Admission Date: 8/23/2021 Discharge Date: 8/27/2021    Active Hospital Problems   Diagnosis Date Noted POA ? MRSA UTI 08/27/2021 Yes ? Renal colic 08/24/2021 Yes ? UTI (urinary tract infection) 08/24/2021 Yes ? Ureterolithiasis 08/24/2021 Yes ? Renal colic on left side 08/24/2021 Yes Resolved Hospital Problems No resolved problems to display. DETAILS OF HOSPITAL STAY: 58-year-old man presenting to our institution with left-sided flank pain.  Reports that this pain felt similar to previous kidney stones he experienced in the past.  Pain was present for 4-5 days prior to admission, social with poor appetite, nausea and significant vomiting, likely secondary to pain.  No fevers or chills associated.  He presented to an outside emergency department, with urinalysis showing 2-5 red blood cells, CT showed obstructing 6 mm urolithiasis at the left ureteropelvic junction.  He was discharged home for supportive care.  Patient presented back, with worsening flank pain.  The emergency department his identified to have sodium of 128, urinalysis showed 73 WBCs.  Renal ultrasound showed mild left-sided hydronephrosis.  Patient also was identified to have COVID-19, the setting of vaccination, having received to Johnson Johnson vaccine in March 2021. Patient was admitted to the general medicine service.  He was seen in consultation with Urology.  He was felt inappropriate candidate for surgical intervention due to acute infection.  The patient underwent placement of a left ureteral stent on 08/25/2021.  Urology is planning an outpatient ESWL in 2-4 weeks.   Urine culture revealed MRSA.  This is unusual organism in the setting of a community acquired pyelonephritis.  Blood cultures were obtained x2 as Staph aureus bacteria can be associated with bloodstream infection, and culture results negative after 3 days.   Patient will discharge on oral Bactrim to continue while the stent is in place. In regards to his COVID-19 infection, patient developed some mild cough.  Chest x-ray was obtained which showed no evidence of an infiltrate.  Patient was treated with Regeron monoclonal antibody infusion on 08/24/2021.  Remained on DVT prophylaxis throughout the hospitalization. Patient has acute kidney injury which was present on admission, resolved with hydration.