chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Muscle tightness
Clinical narrative: Patient DOB 04/17/1961 received the Moderna booster lot #059H21A expires 01/27/2022 at 07:44am. The client completed her observation period without incident but returned to the vaccine table at 08:50 am with complaints of dizziness, feeling like she was "floating", and "tightness" in her left leg. The client said she was "folding laundry" when she started feeling "dizzy".  She said she looked up from the laundry and the dizziness got better. The client said she did not feel like she was going to pass out but still felt like she was "floating". She said the leg "tightness" started when she was doing laundry. The client reported a history of "feeling dizzy" after vaccination. The client denied any pertinent medical history and does not take any medications. The client was alert and oriented x 4, her breathing was regular and unlabored, and her skin color was appropriate for ethnicity. At 08:56am, RN checked the client's vital signs. BP 120/82, HR 76, RR 20, SpO2 97%, no complaints of pain. RN, gave the client a juice to drink.  At 09:00 vitals were retaken. BP 120/78, HR 72, RR 16, SpO2 97%, and no complaints of pain. The client said the "floating feeling? was going away. She reported that her left leg still felt tight. Vitals were taken again at 09:05 am, BP 118/75, HR 73, RR 20, SpO2 97%, and no complaints of pain. The client said the "dizziness" went away. RN educated the client to report history of dizziness next time she got a shot and to return if symptom came back. RN also talked to the client about following up with her primary care provider if the leg tightness did not resolve. The client felt she may have injured herself while doing laundry. The client stood up and her BP was rechecked. BP 120/84 in standing position. The client walked away with a steady gait and returned to the vaccination table at 10:30am and said she was still feeling fine, then departed again.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest discomfort, Electrocardiogram, X-ray
Clinical narrative: symptom: chest pressure. started in the ma. still went to work. employer got concerned and sent her to ER.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, Malaise, Pneumonia, Renal failure
Clinical narrative: This is an instance of COVID-19 breakthrough disease after which a death occurred.   The individual was vaccinated with the Pfizer product on 02/19/2021 and 03/12/2021.   They became symptomatic for COVID-19 disease on 08/11/2021 and tested positive via both antigen and PCR on the same day. They were admitted to the hospital on 08/16/2021 and experienced complications of pneumonia and renal failure. They remained hospitalized until their death on 08/19/2021.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: This is an instance of COVID-19 breakthrough disease after which a death occurred.   The individual was vaccinated with the Pfizer product on 02/19/2021 and 03/12/2021.   They became symptomatic for COVID-19 disease on 08/11/2021 and tested positive via both antigen and PCR on the same day. They were admitted to the hospital on 08/16/2021 and experienced complications of pneumonia and renal failure. They remained hospitalized until their death on 08/19/2021.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Erythema, Feeling hot, Grip strength decreased, Paraesthesia
Clinical narrative: I was playing video games when I noticed I couldn't grip my controller as normal with my left hand. After a few minutes, my face got red and hot. My left arm tingled and then my heart started beating like it never has in my life. I also had shortness of breath.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient received second pfizer vaccine on 10/05/2021 and received booster pfizer 01/14/2022 ( approximately 2 months early).   Patient called 01/18/2022 patient at this time does not report any adverse reactions. Patient has been advised to contact the clinic is experiencing any reaction and seek medical attention.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Anaphylactic reaction, Bradycardia, Dyspnoea, Echocardiogram, Ejection fraction decreased
Clinical narrative: 41 yo F with asthma, hypothyroidism, and epilepsy and history of anaphylactic reaction to Janssen Covid19 vaccine on 4/9/21 (lot # 043A21A) presented to Clinic on 1/14/22 for vaccination with Pfizer Covid19 vaccine.  Vaccination (lot # FL3198) was given in left deltoid at ~0800 1/14/22 and within 2 minutes patient was reporting difficulty breathing.  Face was erythematous.  Patient was holding her throat.  Emergency epinephrine given IM in left thigh at 0826 and patient was transported to ED via EMS.  Patient treated with famotidine, epinephrine SC and methylprednisolone and has required IV fluids and start of epinephrine drip for low BP.  Admitted to ICU due to shock, initially thought to be anaphylactic in setting of COVID vaccination.  Normal tryptase.  Patient had refractory hypotension and bradycardia, newly reduced EF on point of care concerning for dilated cardiomyopathy of uncertain etiology and acute HFrEF.s   Patient is still in ICU as of 1/18/22 with some hypotension.  Prior to admission, last documented HR and BP from 1/3/22 were 96/59 and HR 64.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Hypotension, Immediate post-injection reaction, Intensive care, Interchange of vaccine products
Clinical narrative: 41 yo F with asthma, hypothyroidism, and epilepsy and history of anaphylactic reaction to Janssen Covid19 vaccine on 4/9/21 (lot # 043A21A) presented to Clinic on 1/14/22 for vaccination with Pfizer Covid19 vaccine.  Vaccination (lot # FL3198) was given in left deltoid at ~0800 1/14/22 and within 2 minutes patient was reporting difficulty breathing.  Face was erythematous.  Patient was holding her throat.  Emergency epinephrine given IM in left thigh at 0826 and patient was transported to ED via EMS.  Patient treated with famotidine, epinephrine SC and methylprednisolone and has required IV fluids and start of epinephrine drip for low BP.  Admitted to ICU due to shock, initially thought to be anaphylactic in setting of COVID vaccination.  Normal tryptase.  Patient had refractory hypotension and bradycardia, newly reduced EF on point of care concerning for dilated cardiomyopathy of uncertain etiology and acute HFrEF.s   Patient is still in ICU as of 1/18/22 with some hypotension.  Prior to admission, last documented HR and BP from 1/3/22 were 96/59 and HR 64.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Shock, Tryptase
Clinical narrative: 41 yo F with asthma, hypothyroidism, and epilepsy and history of anaphylactic reaction to Janssen Covid19 vaccine on 4/9/21 (lot # 043A21A) presented to Clinic on 1/14/22 for vaccination with Pfizer Covid19 vaccine.  Vaccination (lot # FL3198) was given in left deltoid at ~0800 1/14/22 and within 2 minutes patient was reporting difficulty breathing.  Face was erythematous.  Patient was holding her throat.  Emergency epinephrine given IM in left thigh at 0826 and patient was transported to ED via EMS.  Patient treated with famotidine, epinephrine SC and methylprednisolone and has required IV fluids and start of epinephrine drip for low BP.  Admitted to ICU due to shock, initially thought to be anaphylactic in setting of COVID vaccination.  Normal tryptase.  Patient had refractory hypotension and bradycardia, newly reduced EF on point of care concerning for dilated cardiomyopathy of uncertain etiology and acute HFrEF.s   Patient is still in ICU as of 1/18/22 with some hypotension.  Prior to admission, last documented HR and BP from 1/3/22 were 96/59 and HR 64.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Blood bilirubin normal, Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal
Clinical narrative: Passed Out, Ambulance, Hospital (four days)
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urea normal, Haematocrit normal, Haemoglobin decreased, Loss of consciousness, Platelet count normal
Clinical narrative: Passed Out, Ambulance, Hospital (four days)
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: Passed Out, Ambulance, Hospital (four days)
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring, Disturbance in attention, Echocardiogram, Facial discomfort, Laboratory test
Clinical narrative: TIA on 8/14/21 approximately 6:00PM, Loss of motor function, difficulty word finding, left side facial deficits, inability to write or type.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Motor dysfunction, Transient ischaemic attack
Clinical narrative: TIA on 8/14/21 approximately 6:00PM, Loss of motor function, difficulty word finding, left side facial deficits, inability to write or type.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Pyrexia, Rash, Retching
Clinical narrative: Booster -Severe rash, fever 102.5, dry heaves, chills, fatigue    * 2nd shot caused severe Covid arm, fatigues, chills, fever, lump in neck
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: Booster -Severe rash, fever 102.5, dry heaves, chills, fatigue    * 2nd shot caused severe Covid arm, fatigues, chills, fever, lump in neck
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Development of mild tinnitus - occurs 1-2 times weekly and last for about 1 minute each occurrence. No treatment required, currently.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: A week after the 3rd dose, I got full body hives. They are still happening. I am only taking ZYRTEC to subdue the itchiness. I did see Dr. on December 30, 2021, she recommended higher dose of ZYRTEC and recommended PEPCID and she did prescribe Prednisone. Prednisone did not help. She has recommended to continue the higher dose of ZYRTEC 3-4 OTC 10mg so 30 mgs daily and continue taking PEPCID. I will schedule a follow-Up soon. I still have the hives.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Hospitalized  for COVID 19 IVF needed
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, COVID-19 pneumonia, Chest X-ray normal, Chest discomfort
Clinical narrative: Hospitalized 01/11/2022-still currently admitted; COVID-19 positive 01/10/2022; fully vaccinated plus booster  70-year-old man who was vaccinated induced that against COVID-19.  He reports he has not been feeling himself for past 2 weeks.  He reports that he has been having intermittent chest pressure, that comes and goes, it is not precipitated by activity.  He reports that this has been ongoing for the past few weeks.  He reports no chest pain currently.  Patient also reports that he has been having some shortness of breath, cough that is nonproductive of sputum for approximately 2 weeks as well. ASSESSMENT / PLAN:   Troponinemia 2/2 myocardial injury Recently elevated proBNP with DOE - Admit to GMF as inpatient, anticipate >2 midnight hospital stay. - Recently found to have elevated proBNP (11k), scheduled for outpatient TTE. - Trops 376 ? 345, EKG with non-specific ST-T wave changes. - CXR clear and maintaining appropriate SpO2 on baseline RA. - Cardiology contacted from ER ? no need for IV heparin, follow trops, will consult. - Obtain ECHO - Monitor volume status with daily weights and I/O?s.  Monitor telemetry. COVID-19 infection - Symptom onset > 2 weeks. + PCR on 1/10. - Comfortable and saturating normally on baseline RA. - CXR clear without e/o opacities or infiltrates. - Not a candidate for remdesivir or dexamethasone.  - Supportive care, encourage IS/pulm toilet. In regards to COVID-19, symptom onset does appear to be greater than 2 weeks.  He is vaccinated and boosted.  He is on room air.  Chest x-ray without evidence of pneumonia.  Agree he is not currently a candidate for remdesivir dexamethasone but would initiate dexamethasone if he were to develop hypoxemia. 01/14/2022 notes: Acute hypoxic respiratory failure; resolved COVID-19 pneumonia Continue Decadron 6 mg q.day Supplemental oxygen to maintain O2 sats greater than 90% Continue severe respiratory precautions 01/17/2022 notes: Acute hypoxic respiratory failure; resolved currently on room air COVID-19 pneumonia Continue Decadron 6 mg q.day Supplemental oxygen to maintain O2 sats greater than 90% Continue severe respiratory precautions  Dispo:  Transitioned to oral torsemide a nephrology; nephrology anticipating discharge from their perspective 1 2 days; cardiology recommending cardiac MRI tomorrow; still considering whether not to discharge patient on a Life Vest; likely patient will be hospitalized for at least 2-3 more days
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Dyspnoea exertional, Electrocardiogram ST-T change, Electrocardiogram abnormal, Feeling abnormal
Clinical narrative: Hospitalized 01/11/2022-still currently admitted; COVID-19 positive 01/10/2022; fully vaccinated plus booster  70-year-old man who was vaccinated induced that against COVID-19.  He reports he has not been feeling himself for past 2 weeks.  He reports that he has been having intermittent chest pressure, that comes and goes, it is not precipitated by activity.  He reports that this has been ongoing for the past few weeks.  He reports no chest pain currently.  Patient also reports that he has been having some shortness of breath, cough that is nonproductive of sputum for approximately 2 weeks as well. ASSESSMENT / PLAN:   Troponinemia 2/2 myocardial injury Recently elevated proBNP with DOE - Admit to GMF as inpatient, anticipate >2 midnight hospital stay. - Recently found to have elevated proBNP (11k), scheduled for outpatient TTE. - Trops 376 ? 345, EKG with non-specific ST-T wave changes. - CXR clear and maintaining appropriate SpO2 on baseline RA. - Cardiology contacted from ER ? no need for IV heparin, follow trops, will consult. - Obtain ECHO - Monitor volume status with daily weights and I/O?s.  Monitor telemetry. COVID-19 infection - Symptom onset > 2 weeks. + PCR on 1/10. - Comfortable and saturating normally on baseline RA. - CXR clear without e/o opacities or infiltrates. - Not a candidate for remdesivir or dexamethasone.  - Supportive care, encourage IS/pulm toilet. In regards to COVID-19, symptom onset does appear to be greater than 2 weeks.  He is vaccinated and boosted.  He is on room air.  Chest x-ray without evidence of pneumonia.  Agree he is not currently a candidate for remdesivir dexamethasone but would initiate dexamethasone if he were to develop hypoxemia. 01/14/2022 notes: Acute hypoxic respiratory failure; resolved COVID-19 pneumonia Continue Decadron 6 mg q.day Supplemental oxygen to maintain O2 sats greater than 90% Continue severe respiratory precautions 01/17/2022 notes: Acute hypoxic respiratory failure; resolved currently on room air COVID-19 pneumonia Continue Decadron 6 mg q.day Supplemental oxygen to maintain O2 sats greater than 90% Continue severe respiratory precautions  Dispo:  Transitioned to oral torsemide a nephrology; nephrology anticipating discharge from their perspective 1 2 days; cardiology recommending cardiac MRI tomorrow; still considering whether not to discharge patient on a Life Vest; likely patient will be hospitalized for at least 2-3 more days
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Magnetic resonance imaging heart, Myocardial injury, Productive cough, Prohormone brain natriuretic peptide increased, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 01/11/2022-still currently admitted; COVID-19 positive 01/10/2022; fully vaccinated plus booster  70-year-old man who was vaccinated induced that against COVID-19.  He reports he has not been feeling himself for past 2 weeks.  He reports that he has been having intermittent chest pressure, that comes and goes, it is not precipitated by activity.  He reports that this has been ongoing for the past few weeks.  He reports no chest pain currently.  Patient also reports that he has been having some shortness of breath, cough that is nonproductive of sputum for approximately 2 weeks as well. ASSESSMENT / PLAN:   Troponinemia 2/2 myocardial injury Recently elevated proBNP with DOE - Admit to GMF as inpatient, anticipate >2 midnight hospital stay. - Recently found to have elevated proBNP (11k), scheduled for outpatient TTE. - Trops 376 ? 345, EKG with non-specific ST-T wave changes. - CXR clear and maintaining appropriate SpO2 on baseline RA. - Cardiology contacted from ER ? no need for IV heparin, follow trops, will consult. - Obtain ECHO - Monitor volume status with daily weights and I/O?s.  Monitor telemetry. COVID-19 infection - Symptom onset > 2 weeks. + PCR on 1/10. - Comfortable and saturating normally on baseline RA. - CXR clear without e/o opacities or infiltrates. - Not a candidate for remdesivir or dexamethasone.  - Supportive care, encourage IS/pulm toilet. In regards to COVID-19, symptom onset does appear to be greater than 2 weeks.  He is vaccinated and boosted.  He is on room air.  Chest x-ray without evidence of pneumonia.  Agree he is not currently a candidate for remdesivir dexamethasone but would initiate dexamethasone if he were to develop hypoxemia. 01/14/2022 notes: Acute hypoxic respiratory failure; resolved COVID-19 pneumonia Continue Decadron 6 mg q.day Supplemental oxygen to maintain O2 sats greater than 90% Continue severe respiratory precautions 01/17/2022 notes: Acute hypoxic respiratory failure; resolved currently on room air COVID-19 pneumonia Continue Decadron 6 mg q.day Supplemental oxygen to maintain O2 sats greater than 90% Continue severe respiratory precautions  Dispo:  Transitioned to oral torsemide a nephrology; nephrology anticipating discharge from their perspective 1 2 days; cardiology recommending cardiac MRI tomorrow; still considering whether not to discharge patient on a Life Vest; likely patient will be hospitalized for at least 2-3 more days
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Supportive care
Clinical narrative: Hospitalized 01/11/2022-still currently admitted; COVID-19 positive 01/10/2022; fully vaccinated plus booster  70-year-old man who was vaccinated induced that against COVID-19.  He reports he has not been feeling himself for past 2 weeks.  He reports that he has been having intermittent chest pressure, that comes and goes, it is not precipitated by activity.  He reports that this has been ongoing for the past few weeks.  He reports no chest pain currently.  Patient also reports that he has been having some shortness of breath, cough that is nonproductive of sputum for approximately 2 weeks as well. ASSESSMENT / PLAN:   Troponinemia 2/2 myocardial injury Recently elevated proBNP with DOE - Admit to GMF as inpatient, anticipate >2 midnight hospital stay. - Recently found to have elevated proBNP (11k), scheduled for outpatient TTE. - Trops 376 ? 345, EKG with non-specific ST-T wave changes. - CXR clear and maintaining appropriate SpO2 on baseline RA. - Cardiology contacted from ER ? no need for IV heparin, follow trops, will consult. - Obtain ECHO - Monitor volume status with daily weights and I/O?s.  Monitor telemetry. COVID-19 infection - Symptom onset > 2 weeks. + PCR on 1/10. - Comfortable and saturating normally on baseline RA. - CXR clear without e/o opacities or infiltrates. - Not a candidate for remdesivir or dexamethasone.  - Supportive care, encourage IS/pulm toilet. In regards to COVID-19, symptom onset does appear to be greater than 2 weeks.  He is vaccinated and boosted.  He is on room air.  Chest x-ray without evidence of pneumonia.  Agree he is not currently a candidate for remdesivir dexamethasone but would initiate dexamethasone if he were to develop hypoxemia. 01/14/2022 notes: Acute hypoxic respiratory failure; resolved COVID-19 pneumonia Continue Decadron 6 mg q.day Supplemental oxygen to maintain O2 sats greater than 90% Continue severe respiratory precautions 01/17/2022 notes: Acute hypoxic respiratory failure; resolved currently on room air COVID-19 pneumonia Continue Decadron 6 mg q.day Supplemental oxygen to maintain O2 sats greater than 90% Continue severe respiratory precautions  Dispo:  Transitioned to oral torsemide a nephrology; nephrology anticipating discharge from their perspective 1 2 days; cardiology recommending cardiac MRI tomorrow; still considering whether not to discharge patient on a Life Vest; likely patient will be hospitalized for at least 2-3 more days
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea
Clinical narrative: menstrual like cramping outside of cycle
Age: 74.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Rectal cancer
Clinical narrative: Rectal cancer - hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Headache, Hyperhidrosis
Clinical narrative: chills, fever, sweats, headache, muscle aches, fatigue, and weakness
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia
Clinical narrative: chills, fever, sweats, headache, muscle aches, fatigue, and weakness
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Transient lingual papillitis
Clinical narrative: Lingual papillitis.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Death, Depressed level of consciousness
Clinical narrative: pt brought to ED via EMS; c/o increasing SOB, chills, cough, fatigue; positive for COVID; O2 sats 85% on RA; placed on Venturi @ 50%; pt more lethargic; BiPAP; received blood transfusion; pt improved after transfusion; more alert, less lethargic; placed on O2 via NC; pt slowly became less alert and more lethargic; pt was found cool and unresponsive by the doctor when came to visit; pt died in the hospital
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Fatigue, Lethargy, Peripheral coldness, Positive airway pressure therapy
Clinical narrative: pt brought to ED via EMS; c/o increasing SOB, chills, cough, fatigue; positive for COVID; O2 sats 85% on RA; placed on Venturi @ 50%; pt more lethargic; BiPAP; received blood transfusion; pt improved after transfusion; more alert, less lethargic; placed on O2 via NC; pt slowly became less alert and more lethargic; pt was found cool and unresponsive by the doctor when came to visit; pt died in the hospital
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Transfusion, Unresponsive to stimuli
Clinical narrative: pt brought to ED via EMS; c/o increasing SOB, chills, cough, fatigue; positive for COVID; O2 sats 85% on RA; placed on Venturi @ 50%; pt more lethargic; BiPAP; received blood transfusion; pt improved after transfusion; more alert, less lethargic; placed on O2 via NC; pt slowly became less alert and more lethargic; pt was found cool and unresponsive by the doctor when came to visit; pt died in the hospital
Age: 32.0
Sex: F
Vaccine: UNK
Symptoms: Cellulitis, Injection site swelling, Laboratory test abnormal, Pyrexia
Clinical narrative: Cellulitis, fever, swollen at injection area
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient given Booster of Pfizer approximately three months prematurely. Patient not due for Booster until 04/29/2022. Patient tolerated med pass well. No adverse reactions noted. No distress noted. Notified Parent (mother) of incident, and advised to continue to monitor patient post vaccination observation time of 15-30mins. Gave her signs and symptoms, change in behavior or level of consciousness to observe. Also advised contact Provider for further questions or concerns and ED precautions given. No further interventions needed at the time. Patient remained stable post-vaccination and through observation time of 30 min.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Miosis, Pallor
Clinical narrative: He had gotten out of bed in morning, used bathroom, walked down 15 stairs to kitchen area. Felt dizzy sensation in head. As his face went pale gray, he put palm of left hand on forehead and said, "Is my face turning white?" Felt faint. Was standing - father and I grabbed him and walked him to tall stool to sit. I propped him against me so he wouldn't fall off chair. Blank, distant stare in eyes, "life" out of eyes, whites of eyes big, pupils small, no blinking. Unresponsive for several seconds. I had him try to take small sip of water. Waited a few seconds. Another few sips. Dad brought him to kitchen table and sat him down. We prepared oatmeal, and he continued small sips of water. Color came back into face, and he ate oatmeal. Was fine after breakfast. Throughout day, no more syncope episodes. Just fatigue and some chills.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Staring, Syncope, Unresponsive to stimuli
Clinical narrative: He had gotten out of bed in morning, used bathroom, walked down 15 stairs to kitchen area. Felt dizzy sensation in head. As his face went pale gray, he put palm of left hand on forehead and said, "Is my face turning white?" Felt faint. Was standing - father and I grabbed him and walked him to tall stool to sit. I propped him against me so he wouldn't fall off chair. Blank, distant stare in eyes, "life" out of eyes, whites of eyes big, pupils small, no blinking. Unresponsive for several seconds. I had him try to take small sip of water. Waited a few seconds. Another few sips. Dad brought him to kitchen table and sat him down. We prepared oatmeal, and he continued small sips of water. Color came back into face, and he ate oatmeal. Was fine after breakfast. Throughout day, no more syncope episodes. Just fatigue and some chills.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Tenderness
Clinical narrative: Constant tenderness and achiness in back (left-side) below the ribs.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia, Respiratory disorder
Clinical narrative: Fever, upper respiratory problems, headache and body ache.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash on neck, upper chest, and chin
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood urine present, Glucose tolerance impaired, Laboratory test, Nodule
Clinical narrative: About 3 days after I received the vaccination I started to experience knots in the chest and breast area. I experienced body aching in my joints. The knots are on my right side of my body and they are still here. I also had blood in my urine this month on  01/14/2022 and I did get labs done on 01/18/2022 but no infection found. It feels like a UTI but not a UTI. I feel the sensation of having to go to the bathroom but does not have to go. I did as well have a culture done.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Urge incontinence
Clinical narrative: About 3 days after I received the vaccination I started to experience knots in the chest and breast area. I experienced body aching in my joints. The knots are on my right side of my body and they are still here. I also had blood in my urine this month on  01/14/2022 and I did get labs done on 01/18/2022 but no infection found. It feels like a UTI but not a UTI. I feel the sensation of having to go to the bathroom but does not have to go. I did as well have a culture done.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: After Moderna booster on 12/15/21 pt started to experience systemic hives, generalized. Are resolving with use of daily claritin.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blindness, Blood pressure abnormal, Chest discomfort, Computerised tomogram abnormal
Clinical narrative: Headache, the headache that I have come in for several months now is still unrelenting. It is very difficult to get myself to do things because it constantly there. It started after the covid vaccine, that night it was terrible and the next day. Then it has just stayed, mostly a low grade headache, with some days worse. It can be worse in the afternoon, evening or sometime upon waking in the morning.  But I am never free of it.  Swollen lymph nodes under my chin.  They would become painful and throb at times.   Having a pounding and fast heart beat. I can be sitting, standing, trying to go to sleep and it just goes. Hard to fall asleep with this jack hammer going.   Feeling hot and sweating 24/7, along with a tightness across the chest.  Isn't painful, just tight.  Some dizziness.  Had one episode of suddenly losing  my vision.  I felt very dizzy. It took a good several minutes to recover.   Pain going up the right side of my neck and check, from clavicle up to the eye. I have noticed more right side neck pain that comes and goes.   All the while, low energy and fatigue,  and my blood pressure has become abnormal.  I have had high blood pressure, up to 180/120, over the last 6 months.  Ischemic event in January 2022, had a ct scan and shows an injury in the left lobe.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Eye pain, Fatigue, Feeling hot, Fibrin D dimer increased
Clinical narrative: Headache, the headache that I have come in for several months now is still unrelenting. It is very difficult to get myself to do things because it constantly there. It started after the covid vaccine, that night it was terrible and the next day. Then it has just stayed, mostly a low grade headache, with some days worse. It can be worse in the afternoon, evening or sometime upon waking in the morning.  But I am never free of it.  Swollen lymph nodes under my chin.  They would become painful and throb at times.   Having a pounding and fast heart beat. I can be sitting, standing, trying to go to sleep and it just goes. Hard to fall asleep with this jack hammer going.   Feeling hot and sweating 24/7, along with a tightness across the chest.  Isn't painful, just tight.  Some dizziness.  Had one episode of suddenly losing  my vision.  I felt very dizzy. It took a good several minutes to recover.   Pain going up the right side of my neck and check, from clavicle up to the eye. I have noticed more right side neck pain that comes and goes.   All the while, low energy and fatigue,  and my blood pressure has become abnormal.  I have had high blood pressure, up to 180/120, over the last 6 months.  Ischemic event in January 2022, had a ct scan and shows an injury in the left lobe.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Hyperhidrosis, Hypertension, Insomnia
Clinical narrative: Headache, the headache that I have come in for several months now is still unrelenting. It is very difficult to get myself to do things because it constantly there. It started after the covid vaccine, that night it was terrible and the next day. Then it has just stayed, mostly a low grade headache, with some days worse. It can be worse in the afternoon, evening or sometime upon waking in the morning.  But I am never free of it.  Swollen lymph nodes under my chin.  They would become painful and throb at times.   Having a pounding and fast heart beat. I can be sitting, standing, trying to go to sleep and it just goes. Hard to fall asleep with this jack hammer going.   Feeling hot and sweating 24/7, along with a tightness across the chest.  Isn't painful, just tight.  Some dizziness.  Had one episode of suddenly losing  my vision.  I felt very dizzy. It took a good several minutes to recover.   Pain going up the right side of my neck and check, from clavicle up to the eye. I have noticed more right side neck pain that comes and goes.   All the while, low energy and fatigue,  and my blood pressure has become abnormal.  I have had high blood pressure, up to 180/120, over the last 6 months.  Ischemic event in January 2022, had a ct scan and shows an injury in the left lobe.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Ischaemia, Lymph node pain, Lymphadenopathy, Neck pain, Palpitations
Clinical narrative: Headache, the headache that I have come in for several months now is still unrelenting. It is very difficult to get myself to do things because it constantly there. It started after the covid vaccine, that night it was terrible and the next day. Then it has just stayed, mostly a low grade headache, with some days worse. It can be worse in the afternoon, evening or sometime upon waking in the morning.  But I am never free of it.  Swollen lymph nodes under my chin.  They would become painful and throb at times.   Having a pounding and fast heart beat. I can be sitting, standing, trying to go to sleep and it just goes. Hard to fall asleep with this jack hammer going.   Feeling hot and sweating 24/7, along with a tightness across the chest.  Isn't painful, just tight.  Some dizziness.  Had one episode of suddenly losing  my vision.  I felt very dizzy. It took a good several minutes to recover.   Pain going up the right side of my neck and check, from clavicle up to the eye. I have noticed more right side neck pain that comes and goes.   All the while, low energy and fatigue,  and my blood pressure has become abnormal.  I have had high blood pressure, up to 180/120, over the last 6 months.  Ischemic event in January 2022, had a ct scan and shows an injury in the left lobe.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Blood lactic acid, Chest X-ray abnormal, Condition aggravated, Cough, Death
Clinical narrative: On 1/5/2022, the day after receiving her second Moderna COVID19 vaccination, the patient developed acute onset fever, hypoxia and cough and was hospitalized for sepsis secondary to right lower lobe pneumonia, requiring vasopressors, IV antibiotics, and high flow nasal cannula in the ICU.  She died on 1/9/2022, 5 days after receiving the vaccination.  It is unknown whether her acute pneumonia was in any way related to the vaccination, but is being reported due to the timing immediately following receiving the vaccine.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Intensive care, Pneumonia, Procalcitonin, Pyrexia
Clinical narrative: On 1/5/2022, the day after receiving her second Moderna COVID19 vaccination, the patient developed acute onset fever, hypoxia and cough and was hospitalized for sepsis secondary to right lower lobe pneumonia, requiring vasopressors, IV antibiotics, and high flow nasal cannula in the ICU.  She died on 1/9/2022, 5 days after receiving the vaccination.  It is unknown whether her acute pneumonia was in any way related to the vaccination, but is being reported due to the timing immediately following receiving the vaccine.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis, White blood cell count increased
Clinical narrative: On 1/5/2022, the day after receiving her second Moderna COVID19 vaccination, the patient developed acute onset fever, hypoxia and cough and was hospitalized for sepsis secondary to right lower lobe pneumonia, requiring vasopressors, IV antibiotics, and high flow nasal cannula in the ICU.  She died on 1/9/2022, 5 days after receiving the vaccination.  It is unknown whether her acute pneumonia was in any way related to the vaccination, but is being reported due to the timing immediately following receiving the vaccine.
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Anticoagulant therapy, Blood lactic acid, COVID-19, COVID-19 pneumonia
Clinical narrative: Hospitalized 01/08/2022-still currently admitted; COVID-19 positive 01/08/2022; fully vaccinated plus booster  Pneumonia due to COVID-19 virus Assessment & Plan Will perform procalcitonin. If procalcitonin elevated, will give prophylactic antibiotic. Will give Decadron, vitamin- C, zinc, and Pepcid. Remdesivir considered however patient symptoms have been present for 13 days.  Lovenox prophylaxis.  Follow-up chest x-ray Monday morning.    1/9...  Continue bronchodilator, zinc, ascorbic acid and steroid Remdesivir was not started because patient has had symptoms for up to 2 weeks However this morning patient's oxygen has been weaned off to room In view of the fact that patient is not requiring oxygen today with continued to hold off on remdesivir   1/14 continue bronchodilators zinc aspirin dexamethasone.  Patient was not started on remdesivir as she had symptoms for 2 weeks.  Patient requiring 15 L of oxygen does feel that she is breathing some better today.  CTA yesterday showing bilateral diffuse COVID pneumonia no PE patient did have upper and lower extremity Dopplers no DVTs   1/15 patient continues with bronchodilators zinc dexamethasone.  Patient was not started on remdesivir as she had symptoms for 2 weeks.  Patient is requiring increased O2 Ms. On nasal cannula at 15 L and non-rebreather.  Repeat chest x-ray unchanged from the 13th where she had had a CT scan showing diffuse bilateral pulmonary infiltrates consistent with COVID pneumonitis.  Patient has a poor prognosis.  Patient's case was discussed with her daughter was unable to come in as she has COVID also.  Did address code status did not want CPR but still would like intubation.  Will check EKG troponin D-dimer CRP continue Lovenox at therapeutic doses.   1/16 patient continues with bronchodilators and dexamethasone.  Patient is on high-flow oxygen.  Repeat chest x-ray unchanged from the 13th where she had a CT scan showing diffuse bilateral pulmonary infiltrates consistent with COVID pneumonitis.  Patient does have poor prognosis.  Patient's case discussed yesterday with her daughter was unable to come in as she does have COVID.  Did address code status does not want CPR but still would like intubation.   1/18...  Chest x-ray on 01/16/2022 does not show any worsening of the pulmonary opacity Patient remains on high-flow oxygen 40 L Continue bronchodilators and steroids Procalcitonin is 0.8 lactic acid 1.0 and patient has remained afebrile with no leukocytosis Hence I do not think there is any superimposed bacterial infection
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest X-ray abnormal, Computerised tomogram thorax abnormal, Condition aggravated, Lung infiltration, Lung opacity
Clinical narrative: Hospitalized 01/08/2022-still currently admitted; COVID-19 positive 01/08/2022; fully vaccinated plus booster  Pneumonia due to COVID-19 virus Assessment & Plan Will perform procalcitonin. If procalcitonin elevated, will give prophylactic antibiotic. Will give Decadron, vitamin- C, zinc, and Pepcid. Remdesivir considered however patient symptoms have been present for 13 days.  Lovenox prophylaxis.  Follow-up chest x-ray Monday morning.    1/9...  Continue bronchodilator, zinc, ascorbic acid and steroid Remdesivir was not started because patient has had symptoms for up to 2 weeks However this morning patient's oxygen has been weaned off to room In view of the fact that patient is not requiring oxygen today with continued to hold off on remdesivir   1/14 continue bronchodilators zinc aspirin dexamethasone.  Patient was not started on remdesivir as she had symptoms for 2 weeks.  Patient requiring 15 L of oxygen does feel that she is breathing some better today.  CTA yesterday showing bilateral diffuse COVID pneumonia no PE patient did have upper and lower extremity Dopplers no DVTs   1/15 patient continues with bronchodilators zinc dexamethasone.  Patient was not started on remdesivir as she had symptoms for 2 weeks.  Patient is requiring increased O2 Ms. On nasal cannula at 15 L and non-rebreather.  Repeat chest x-ray unchanged from the 13th where she had had a CT scan showing diffuse bilateral pulmonary infiltrates consistent with COVID pneumonitis.  Patient has a poor prognosis.  Patient's case was discussed with her daughter was unable to come in as she has COVID also.  Did address code status did not want CPR but still would like intubation.  Will check EKG troponin D-dimer CRP continue Lovenox at therapeutic doses.   1/16 patient continues with bronchodilators and dexamethasone.  Patient is on high-flow oxygen.  Repeat chest x-ray unchanged from the 13th where she had a CT scan showing diffuse bilateral pulmonary infiltrates consistent with COVID pneumonitis.  Patient does have poor prognosis.  Patient's case discussed yesterday with her daughter was unable to come in as she does have COVID.  Did address code status does not want CPR but still would like intubation.   1/18...  Chest x-ray on 01/16/2022 does not show any worsening of the pulmonary opacity Patient remains on high-flow oxygen 40 L Continue bronchodilators and steroids Procalcitonin is 0.8 lactic acid 1.0 and patient has remained afebrile with no leukocytosis Hence I do not think there is any superimposed bacterial infection
Age: 93.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Procalcitonin, SARS-CoV-2 test positive, Ultrasound Doppler normal
Clinical narrative: Hospitalized 01/08/2022-still currently admitted; COVID-19 positive 01/08/2022; fully vaccinated plus booster  Pneumonia due to COVID-19 virus Assessment & Plan Will perform procalcitonin. If procalcitonin elevated, will give prophylactic antibiotic. Will give Decadron, vitamin- C, zinc, and Pepcid. Remdesivir considered however patient symptoms have been present for 13 days.  Lovenox prophylaxis.  Follow-up chest x-ray Monday morning.    1/9...  Continue bronchodilator, zinc, ascorbic acid and steroid Remdesivir was not started because patient has had symptoms for up to 2 weeks However this morning patient's oxygen has been weaned off to room In view of the fact that patient is not requiring oxygen today with continued to hold off on remdesivir   1/14 continue bronchodilators zinc aspirin dexamethasone.  Patient was not started on remdesivir as she had symptoms for 2 weeks.  Patient requiring 15 L of oxygen does feel that she is breathing some better today.  CTA yesterday showing bilateral diffuse COVID pneumonia no PE patient did have upper and lower extremity Dopplers no DVTs   1/15 patient continues with bronchodilators zinc dexamethasone.  Patient was not started on remdesivir as she had symptoms for 2 weeks.  Patient is requiring increased O2 Ms. On nasal cannula at 15 L and non-rebreather.  Repeat chest x-ray unchanged from the 13th where she had had a CT scan showing diffuse bilateral pulmonary infiltrates consistent with COVID pneumonitis.  Patient has a poor prognosis.  Patient's case was discussed with her daughter was unable to come in as she has COVID also.  Did address code status did not want CPR but still would like intubation.  Will check EKG troponin D-dimer CRP continue Lovenox at therapeutic doses.   1/16 patient continues with bronchodilators and dexamethasone.  Patient is on high-flow oxygen.  Repeat chest x-ray unchanged from the 13th where she had a CT scan showing diffuse bilateral pulmonary infiltrates consistent with COVID pneumonitis.  Patient does have poor prognosis.  Patient's case discussed yesterday with her daughter was unable to come in as she does have COVID.  Did address code status does not want CPR but still would like intubation.   1/18...  Chest x-ray on 01/16/2022 does not show any worsening of the pulmonary opacity Patient remains on high-flow oxygen 40 L Continue bronchodilators and steroids Procalcitonin is 0.8 lactic acid 1.0 and patient has remained afebrile with no leukocytosis Hence I do not think there is any superimposed bacterial infection
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Catheterisation cardiac, Echocardiogram, Electrocardiogram, Myocarditis
Clinical narrative: Myocarditis
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: Myocarditis
Age: 95.0
Sex: F
Vaccine: UNK
Symptoms: COVID-19, Chest X-ray abnormal, Lung opacity, SARS-CoV-2 test positive
Clinical narrative: Patient received the Pfizer vaccine on 3/13/21 and 4/03/21.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: Per ED physician note (1/13/2022): Signs and symptoms seem most consistent with likely COVID-pneumonia. Patient appeared to be an excellent candidate for home O2 therapy and ongoing dexamethasone. While the chest x-ray showed streaky opacities, this is consistent with her COVID-19 diagnosis and does not appear to be a clear indication for admission at this time.  Patient was observed for more than an hour on her home oxygen without increased work of breathing, change in her respiratory status or desaturation events. Unfortunately, monoclonal antibody therapy has not shown to be effective with Omicron and is no longer accessible for patient. We discussed the above findings as well as ongoing management of COVID-19 symptoms and home oxygen use.  There does not appear to be any other indication for admission at this time. Patient appeared safe for discharge. We reviewed strict return precautions and follow-up options. At this point, we will plan for discharge home.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: no adverse symptoms or outcomes notes and no treatment needed
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Pt hospitalized 12/24 for unrelated reason now positive for COVID on 1/17/2022 checked due to fever no other symptoms being treated with Remdesivir.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Condition aggravated, Dyspnoea exertional, Fatigue, Feeling abnormal
Clinical narrative: Per MD note, video visit 1-12-22  patient  wanted  to  be seen for  COVID  19 ,  tested  positive  on Friday  1-8-2022.   Started  with  headaches  last  Tuesday  with  fever,  headaches  , myalgia  , no  sore throat  ,  has  sinus  congestion  , has  DOE  , has  coughs  brings  up green  mucus.  no  changes  taste  or  smell  , no  diarrhea  , has  brain   fog  ,  has  fatigue  more  then before  . tried Tylenol ,  Advil cold  plus   checked  oxygen  is running  in the  80    uses oxygen  5  l gets  93% . patient  uses   oxygen  at  night  ususaly  , never  during the  daytime .Stated  that   without  oxygen  85%RA   and  HR  77 . 1) COVID-19 virus infection (ICD-10: U07.1) recommended to  go to  the  hospital   for  antiviral  therapy  . patient  declines  ,  understands  the  risk  . will  continue same  oxygen  ,  start  decadron  6  mg  po  daily  for  10  -14  days  - script  was sent to  pharmacy  continue same  neb  therapy  if  not  better  needs  to  go to  emergency room   .
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Myalgia, Oxygen therapy, Productive cough, Pyrexia
Clinical narrative: Per MD note, video visit 1-12-22  patient  wanted  to  be seen for  COVID  19 ,  tested  positive  on Friday  1-8-2022.   Started  with  headaches  last  Tuesday  with  fever,  headaches  , myalgia  , no  sore throat  ,  has  sinus  congestion  , has  DOE  , has  coughs  brings  up green  mucus.  no  changes  taste  or  smell  , no  diarrhea  , has  brain   fog  ,  has  fatigue  more  then before  . tried Tylenol ,  Advil cold  plus   checked  oxygen  is running  in the  80    uses oxygen  5  l gets  93% . patient  uses   oxygen  at  night  ususaly  , never  during the  daytime .Stated  that   without  oxygen  85%RA   and  HR  77 . 1) COVID-19 virus infection (ICD-10: U07.1) recommended to  go to  the  hospital   for  antiviral  therapy  . patient  declines  ,  understands  the  risk  . will  continue same  oxygen  ,  start  decadron  6  mg  po  daily  for  10  -14  days  - script  was sent to  pharmacy  continue same  neb  therapy  if  not  better  needs  to  go to  emergency room   .
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: Per MD note, video visit 1-12-22  patient  wanted  to  be seen for  COVID  19 ,  tested  positive  on Friday  1-8-2022.   Started  with  headaches  last  Tuesday  with  fever,  headaches  , myalgia  , no  sore throat  ,  has  sinus  congestion  , has  DOE  , has  coughs  brings  up green  mucus.  no  changes  taste  or  smell  , no  diarrhea  , has  brain   fog  ,  has  fatigue  more  then before  . tried Tylenol ,  Advil cold  plus   checked  oxygen  is running  in the  80    uses oxygen  5  l gets  93% . patient  uses   oxygen  at  night  ususaly  , never  during the  daytime .Stated  that   without  oxygen  85%RA   and  HR  77 . 1) COVID-19 virus infection (ICD-10: U07.1) recommended to  go to  the  hospital   for  antiviral  therapy  . patient  declines  ,  understands  the  risk  . will  continue same  oxygen  ,  start  decadron  6  mg  po  daily  for  10  -14  days  - script  was sent to  pharmacy  continue same  neb  therapy  if  not  better  needs  to  go to  emergency room   .