chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 14.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Troponin increased, White blood cell count increased
Clinical narrative: Patient received first Pfizer vaccine on 9/1/21 and second vaccine on 9/22/21. She presented on 1/3/22 with one week URI symptoms and one day of acute onset chest pain. Vitals were stable on admission. Mild ST elevation noted on all leads on EKG. Troponin was elevated (peak at 1.59ng/ml, normal <0.03) concerning for myopericarditis. Echo showed normal function and did not show any pericardial effusion. She was treated with high dose Ibuprofen with improvement in symptoms. Viral panel obtained was negative. Patient was discharged to home on  1/5/22 and was at baseline on discharge.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Pallor
Clinical narrative: Patient presents tiredness, dizziness and paleness. A relative reports that he always presents these symptoms when a vaccine is administered and can even vomit. Family members are oriented on taking vitals to ensure better observation of the patient and they refuse to take them. The patient is observed in the observation room for 10 minutes, but after a while, the patient shows no improvement. The mother is oriented and explained that it would be best to place her on the stretcher and evaluate her. When the mother proceeds to lift her to place her on the stretcher, the father enters and indicates that he picks her up and takes her away. It is oriented on the importance of monitoring the patient and taking her vitals and that the minor cannot leave without completing the observation period so that she can proceed to leave safely and stable. The father refuses and leaves the center with the minor on his shoulder, expressing that it was enough to agree to immunize her because the school she attends was forcing him. The mother is oriented on the importance of observing the minor and she proceeds to try to convince the father, but he refuses again. The patient's mother writes a release to refusing treatment against the will of the minor's father and takes the minor away fighting in a hostile manner.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Back pain, Erythema, Neck pain, Urticaria
Clinical narrative: 1) On 12/11/2021 (One Day After the Vaccine): Pain under the armpit, left upper back pain, pain near collar bone.  I still have this pain, one month after taking the booster dose.  2) On 12/19/2021: Started getting hives and redness at different places of my body. This keeps coming and going. I am still having these hives.
Age: 66.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Headache, Night sweats, Pain in extremity
Clinical narrative: Sore arm, extreme fatigue, night sweats, headaches, dizziness
Age: 61.0
Sex: F
Vaccine: VARZOS
Symptoms: Enlarged uvula, Oropharyngeal pain, Tongue coated, Urticaria
Clinical narrative: Patient had hives in throat, that had pus the next morning very sore throat, with inflamed uvula tongue had a coating symptoms lasted about 4 days
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood glucose increased, COVID-19, Cough, Dyspnoea
Clinical narrative: CHIEF COMPLAINT:   Per EMS, "syncopal epidsode during bathroom x 1 minute. +LOC. +N/V. denies hitting head. denies bloodthinners. Blood glucose 542. +Covid Saturday."   HISTORY OF PRESENT ILLNESS:     This is a 53-year-old female with a history of atrial fibrillation not on anticoagulation, insulin-dependent type 2 diabetes presenting for a syncopal episode.  Patient reports that she tested positive for COVID-19 5 days ago.  Since then, she has experienced generalized weakness, nausea, several episodes of vomiting.  This evening when the patient was attempting to use the bathroom, she reportedly fainted.  Per EMS, the patient reports a loss of consciousness for approximately 1 minute, unclear if she hit her head on the ground.  On arrival here, the patient reports generalized weakness and shortness of breath.  Denying chest pain.  Reports cough no fever.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Nausea, SARS-CoV-2 test positive, Syncope, Vomiting
Clinical narrative: CHIEF COMPLAINT:   Per EMS, "syncopal epidsode during bathroom x 1 minute. +LOC. +N/V. denies hitting head. denies bloodthinners. Blood glucose 542. +Covid Saturday."   HISTORY OF PRESENT ILLNESS:     This is a 53-year-old female with a history of atrial fibrillation not on anticoagulation, insulin-dependent type 2 diabetes presenting for a syncopal episode.  Patient reports that she tested positive for COVID-19 5 days ago.  Since then, she has experienced generalized weakness, nausea, several episodes of vomiting.  This evening when the patient was attempting to use the bathroom, she reportedly fainted.  Per EMS, the patient reports a loss of consciousness for approximately 1 minute, unclear if she hit her head on the ground.  On arrival here, the patient reports generalized weakness and shortness of breath.  Denying chest pain.  Reports cough no fever.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test negative, Sinusitis
Clinical narrative: I started getting a funny feeling in my chest and a sore throat on Thursday, November 25th within about 12 to 18 hours of getting my COVID vaccination booster.  I thought it was related to the booster but after the other side effects went away, this feeling remained.  It seemed to be a cold that I had for about 2 and 1/2 weeks until it seemed to turn into a sinus infection. I waited one week to go see the doctor  at a local  oncall facility who said it was a sinus infection tested me for COVID,  and gave me an antibiotic.  I can't remember it's name right now.  A week later I went to a doctor at my regular doctor's office,  because the sinus infection wasn't clearing up.  That doctor gave me 7 days of doxycycline and by day four I was having vertigo.  On day 6, I called a local physical therapy place that works with vestibular issues and got a exam that day.  I have been going to PT since then 3 days a week.  I've gone seven times.  The issue seems to have started because of the strong antibiotic I was given and it also may stem from some issues within my neck that I already had. The cold seems to be lingering but it seems like the infection has cleared up. I was told that the vertigo is going to take at least four to six weeks to see some improvement because of the type of vertigo that it is.    I personally don't think that the vaccination had anything to do with the cold, sinus infection or vertigo but it was weird that the cold and the  COVID booster symptoms started on the same day.   I believe the vertigo was what I was referring to as the health incident in my vsafe check in because it made it so that I could not work for at least a week.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: I started getting a funny feeling in my chest and a sore throat on Thursday, November 25th within about 12 to 18 hours of getting my COVID vaccination booster.  I thought it was related to the booster but after the other side effects went away, this feeling remained.  It seemed to be a cold that I had for about 2 and 1/2 weeks until it seemed to turn into a sinus infection. I waited one week to go see the doctor  at a local  oncall facility who said it was a sinus infection tested me for COVID,  and gave me an antibiotic.  I can't remember it's name right now.  A week later I went to a doctor at my regular doctor's office,  because the sinus infection wasn't clearing up.  That doctor gave me 7 days of doxycycline and by day four I was having vertigo.  On day 6, I called a local physical therapy place that works with vestibular issues and got a exam that day.  I have been going to PT since then 3 days a week.  I've gone seven times.  The issue seems to have started because of the strong antibiotic I was given and it also may stem from some issues within my neck that I already had. The cold seems to be lingering but it seems like the infection has cleared up. I was told that the vertigo is going to take at least four to six weeks to see some improvement because of the type of vertigo that it is.    I personally don't think that the vaccination had anything to do with the cold, sinus infection or vertigo but it was weird that the cold and the  COVID booster symptoms started on the same day.   I believe the vertigo was what I was referring to as the health incident in my vsafe check in because it made it so that I could not work for at least a week.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Tenderness, Tinnitus
Clinical narrative: The day after I received my Moderna booster shot on 11/10/2021, I began to hear ringing or buzzing in my left ear on the same side I had my shot. I also had a swollen lymph node on my collarbone and it was tender. That improved, but I have had the ringing/buzzing in my left ear ever since the booster shot. I went to an ENT specialist. She looked in my ear and did not see anything wrong. She recommended a hearing test and or possible MRI. I am interested to understand if this will go away, or if I need a hearing test and MRI. Can I be reimbursed for this cost and the cost to visit the ENT doctor? I have not had this issue before.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Decreased appetite, Hypercalcaemia, Nausea, Pancytopenia
Clinical narrative: Admitted with ongoing nausea, anorexia, weight loss since october 2021. possible new diagnosis of multiple myeloma - workup pending. admitted to hospital with hypercalcemia and pancytopenia. found covid 19 positive test on admit, not having any covid symptoms, on room air
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Weight decreased
Clinical narrative: Admitted with ongoing nausea, anorexia, weight loss since october 2021. possible new diagnosis of multiple myeloma - workup pending. admitted to hospital with hypercalcemia and pancytopenia. found covid 19 positive test on admit, not having any covid symptoms, on room air
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood test, Cardiac ablation, Cardioversion, Condition aggravated
Clinical narrative: I use Kardia device with my cellular device which checks my heart's sinus rhythm. On 01/08 it was noted I had a Afib issue and this is the 3rd of 3 instances that my device alerted me to. The others in July and September and I talked to members of the cardiology dept. at the clinic. After the second in Sept. It was suggested a 2nd ablation treatment which was performed in Nov. This time the cardiology team suggested a Cardioversion. Scheduled for this Friday 01/21.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Urine analysis
Clinical narrative: I use Kardia device with my cellular device which checks my heart's sinus rhythm. On 01/08 it was noted I had a Afib issue and this is the 3rd of 3 instances that my device alerted me to. The others in July and September and I talked to members of the cardiology dept. at the clinic. After the second in Sept. It was suggested a 2nd ablation treatment which was performed in Nov. This time the cardiology team suggested a Cardioversion. Scheduled for this Friday 01/21.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Blood test, Computerised tomogram thorax abnormal, Dyspnoea, Inappropriate schedule of product administration, Pulmonary thrombosis
Clinical narrative: 01/30/21 First dose of vaccine received - Pfizer EL9265 02/27/21 Second dose of vaccine received - Pfizer EL9266 06/23/21 Left knee replacement revision surgery by Dr. at Facility.  06/28/21 Discharged from hospital to home for Soliris Infusion on 06/29/21. 06/30/21 Picked up and transported to Facility for care and physical rehabilitation until 07/09/21 07/08/21 Around 9PM I started having breathing problems. I called the nurse and told her of my problem and that I thought it might be due to my Myasthenia Gravis. I asked her to call 911.The nurse replied that she would go check. After some time, another nurse came in and I repeated my concern and my request. I asked the nurse if 911 have been called and she replied that she would go check. At that point I asked her to get the charge nurse and she left. After some time, the charge nurse came in and again I have to repeat everything and I asked if 911 had been called. He said he would check. At this point I stopped him from leaving and he turned and told me that I had my own cell phone in my hand and that I could call 911. I called 911 myself. Ambulance eventually arrived and I was transported to  Emergency. Eventually a CAT scan revealed that I had a substantial blood clot in my left lung that was blocking all the main breathing passage ways. They said I basically saved my own life by me calling 911 myself.  I have never had problems with blood clots and now, 4 months after receiving the Pfizer Covid vaccines I go through this.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abscess oral, COVID-19, Diarrhoea, Dyspnoea, Lethargy
Clinical narrative: CHIEF COMPLAINT:   Pt. arrives via EMS c/o AMS and mouth abscess x2 days. Pt. is able to answer questions appropriately at this time. Denies any pain. Informed me she came Covid possitive 2 days ago.   HISTORY OF PRESENT ILLNESS:     Patient is a 50-year-old female who presents to the emergency department with lethargy.  Patient states that she has a history of diabetes type 1.  She states that she is unsure when the last time that she took her insulin was.  She states that she has been having issues with pain in her mouth.  She has poor dentition and has new swelling and pain around her teeth.  She states that she is currently on an antibiotic but she is not sure the name of the antibiotic.  She states that she has not been feeling well over the past 2 days.  She also states that she was diagnosed with COVID 2 days ago.  She states that she is having some difficulty breathing.  She is nauseous, vomiting, having diarrhea.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Mental status changes, Mouth swelling, Nausea, Oral pain
Clinical narrative: CHIEF COMPLAINT:   Pt. arrives via EMS c/o AMS and mouth abscess x2 days. Pt. is able to answer questions appropriately at this time. Denies any pain. Informed me she came Covid possitive 2 days ago.   HISTORY OF PRESENT ILLNESS:     Patient is a 50-year-old female who presents to the emergency department with lethargy.  Patient states that she has a history of diabetes type 1.  She states that she is unsure when the last time that she took her insulin was.  She states that she has been having issues with pain in her mouth.  She has poor dentition and has new swelling and pain around her teeth.  She states that she is currently on an antibiotic but she is not sure the name of the antibiotic.  She states that she has not been feeling well over the past 2 days.  She also states that she was diagnosed with COVID 2 days ago.  She states that she is having some difficulty breathing.  She is nauseous, vomiting, having diarrhea.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: CHIEF COMPLAINT:   Pt. arrives via EMS c/o AMS and mouth abscess x2 days. Pt. is able to answer questions appropriately at this time. Denies any pain. Informed me she came Covid possitive 2 days ago.   HISTORY OF PRESENT ILLNESS:     Patient is a 50-year-old female who presents to the emergency department with lethargy.  Patient states that she has a history of diabetes type 1.  She states that she is unsure when the last time that she took her insulin was.  She states that she has been having issues with pain in her mouth.  She has poor dentition and has new swelling and pain around her teeth.  She states that she is currently on an antibiotic but she is not sure the name of the antibiotic.  She states that she has not been feeling well over the past 2 days.  She also states that she was diagnosed with COVID 2 days ago.  She states that she is having some difficulty breathing.  She is nauseous, vomiting, having diarrhea.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, General physical condition abnormal, Influenza A virus test, Influenza B virus test, Mental status changes
Clinical narrative: Altered mental status and generalized weakness. Chronically ill appearing, rhonchi at bases bilateral. From nursing home.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Rhonchi, SARS-CoV-2 test
Clinical narrative: Altered mental status and generalized weakness. Chronically ill appearing, rhonchi at bases bilateral. From nursing home.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Dyspnoea, Fatigue, Infarction
Clinical narrative: The patient developed shortness of breath, right-sided chest pain, fatigue and dizziness within three days after he received the third Pfizer COVID-19 vaccine. He was evaluated in our clinic and subsequently referred, whereupon he was diagnosed with a pulmonary embolism with infarction. The patient had no previous risk factors for pulmonary embolism.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: The patient developed shortness of breath, right-sided chest pain, fatigue and dizziness within three days after he received the third Pfizer COVID-19 vaccine. He was evaluated in our clinic and subsequently referred, whereupon he was diagnosed with a pulmonary embolism with infarction. The patient had no previous risk factors for pulmonary embolism.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient was hospitalized with COVID and is being treated with oxygen 2L nasal cannula and dexamethasone
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test abnormal, Chest X-ray, Chest discomfort, Chest pain, Electrocardiogram abnormal
Clinical narrative: 2 days after I received the 2nd shot I got very sick with body aches and fever.  4 days after the vaccine I woke up at 1:00 A.M. with chest pain.  This happened every night for 3 days and the pain got worse every night.  After the 3rd night I decided to go to the urgent care to have an EKG done.  They did and EKG and said I was having a Heart Attack and rushed me to the ER.  At the ER they ran blood tests and X-Ray of my heart.  The doctor came back and said that I had Pericarditis and gave me a 10 day prescription for Indomethacin.  The chest pains have gone away but I do have a slight pressure in my chest every few weeks.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Myocardial infarction, Pain, Pericarditis, Pyrexia
Clinical narrative: 2 days after I received the 2nd shot I got very sick with body aches and fever.  4 days after the vaccine I woke up at 1:00 A.M. with chest pain.  This happened every night for 3 days and the pain got worse every night.  After the 3rd night I decided to go to the urgent care to have an EKG done.  They did and EKG and said I was having a Heart Attack and rushed me to the ER.  At the ER they ran blood tests and X-Ray of my heart.  The doctor came back and said that I had Pericarditis and gave me a 10 day prescription for Indomethacin.  The chest pains have gone away but I do have a slight pressure in my chest every few weeks.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: 2 days after I received the 2nd shot I got very sick with body aches and fever.  4 days after the vaccine I woke up at 1:00 A.M. with chest pain.  This happened every night for 3 days and the pain got worse every night.  After the 3rd night I decided to go to the urgent care to have an EKG done.  They did and EKG and said I was having a Heart Attack and rushed me to the ER.  At the ER they ran blood tests and X-Ray of my heart.  The doctor came back and said that I had Pericarditis and gave me a 10 day prescription for Indomethacin.  The chest pains have gone away but I do have a slight pressure in my chest every few weeks.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Bladder catheterisation, COVID-19, Clostridium difficile colitis, Condition aggravated
Clinical narrative: Hospitalized 01/06/2022; COVID-19 positive 01/05/2022; fully vaccinated  Admission Date: 1/6/2022 Discharge Date: 01/11/2022  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Diarrhea for about 10 days. See H&P from 1/6/2022 for full details    HOSPITAL COURSE: Patient was admitted at the hospital for treatment of c. Difficile colitis. She received 5 days of oral vancomycin while inpatient and will be discharged with an additional 5 days. Her diarrhea resolved about 24 hours prior to discharge. She had a mild AKI on admission, her demadex was held, this was restarted and she remained euvolemic. She also had urinary retention on admission, a foley was placed. This was removed morning of discharge and patient was able to urinate without issue. Patient tested positive for COVID 19. She was out of the window for Remesivir and was never short of breath nor hypoxic so she did not receive steroids. She was evaluated by physical and occupational therapy and they recommended subacute rehab. Care management found her placement at a rehabilitation facility, she was discharged in stable condition via transportation service.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Diarrhoea, SARS-CoV-2 test positive, Urinary retention
Clinical narrative: Hospitalized 01/06/2022; COVID-19 positive 01/05/2022; fully vaccinated  Admission Date: 1/6/2022 Discharge Date: 01/11/2022  DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Diarrhea for about 10 days. See H&P from 1/6/2022 for full details    HOSPITAL COURSE: Patient was admitted at the hospital for treatment of c. Difficile colitis. She received 5 days of oral vancomycin while inpatient and will be discharged with an additional 5 days. Her diarrhea resolved about 24 hours prior to discharge. She had a mild AKI on admission, her demadex was held, this was restarted and she remained euvolemic. She also had urinary retention on admission, a foley was placed. This was removed morning of discharge and patient was able to urinate without issue. Patient tested positive for COVID 19. She was out of the window for Remesivir and was never short of breath nor hypoxic so she did not receive steroids. She was evaluated by physical and occupational therapy and they recommended subacute rehab. Care management found her placement at a rehabilitation facility, she was discharged in stable condition via transportation service.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated against and then tested positive for COVID19.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiomegaly, Computerised tomogram abnormal, Dizziness, Heart rate irregular
Clinical narrative: Within one week of having the 3rd dose of the vaccine I noticed I was having some irregukarity of my heart beat.  I could feel the rhthymn change in my chest and occassionally there would be some light headedness. This has continued since that vaccine.  As I had colon cancer 4 years ago, I have annual scans.  When the annual scan was done, this years scan noted a slightly enlarged heart, versus the scan that read a normal heart size one year ago.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Hypertension, Lip swelling
Clinical narrative: 18 hour after the shot, my lip suddenly swelled and my Blood pressure when up to 212/113.  It normally runs at 110/80 and was just checked at a doctors office last week. I was in the ER for 10 hours.  (waiting most of this time).  They got my BP do come down some, but it has been running 170/100 for the past week, which is way outside normal
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Patient received second dose 9/27/2021 and the booster on 01/14/2022 (Approximately one month early).  Patient was called on 01/18/2022 at 10:42 and reports no adverse reaction but was educated to call clinic and seek medical attention if adverse reaction does occur.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, COVID-19, COVID-19 pneumonia, Chest pain, Computerised tomogram thorax abnormal
Clinical narrative: Covid19 breakthrough. 1st vaccine received on 01/22/2021. 75 y/o PMH of DM, MI, COPD presents to ED via EMS with c/o cough, SOB, CP, Sore throat, and burning with urination x3 days. CT Chest-Covid PNA, Rm air sat 97%, afebrile.  Treated with steroids.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea, Dysuria, Oropharyngeal pain, SARS-CoV-2 test positive
Clinical narrative: Covid19 breakthrough. 1st vaccine received on 01/22/2021. 75 y/o PMH of DM, MI, COPD presents to ED via EMS with c/o cough, SOB, CP, Sore throat, and burning with urination x3 days. CT Chest-Covid PNA, Rm air sat 97%, afebrile.  Treated with steroids.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough. 1st vaccine received on 01/22/2021. 75 y/o PMH of DM, MI, COPD presents to ED via EMS with c/o cough, SOB, CP, Sore throat, and burning with urination x3 days. CT Chest-Covid PNA, Rm air sat 97%, afebrile.  Treated with steroids.
Age: 84.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Case passed away in hospital 01/17/2022.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Hypersensitivity, Myalgia, Oropharyngeal pain, Pruritus
Clinical narrative: On the morning on the 13th I woke with a rash and hives on various places on my body with serious itching. I occasionally felt chest tightness, sore throat and muscle pains in my upper body which came and went for a night. I went to a telehealth visit the next day. The dr. diagnosed me with an allergic reaction and prescribed me prednisone and hydroxyzine HCL.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Urticaria
Clinical narrative: On the morning on the 13th I woke with a rash and hives on various places on my body with serious itching. I occasionally felt chest tightness, sore throat and muscle pains in my upper body which came and went for a night. I went to a telehealth visit the next day. The dr. diagnosed me with an allergic reaction and prescribed me prednisone and hydroxyzine HCL.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Abdominal pain, Anxiety, Blood glucose normal, COVID-19
Clinical narrative: CHIEF COMPLAINT:   pt states he tested positive for COVID 2 days ago. states he is "throwing up and everything". states he cant keep anything down. "i cant give it to my wife and stuff". also feels SOB and has 10/10 abd pain.   HISTORY OF PRESENT ILLNESS:     Patient is a 66-year-old male who presents to the emergency department with shortness of breath, chest pain, abdominal discomfort.  Patient states that he had foot surgery about 2 weeks ago.  He states that he had tested positive for COVID at that time.  He states that he followed up few days ago and tested positive again for COVID.  He states that he had been doing well until about 4 days ago when he started experiencing nausea, vomiting, shortness of breath.  He states that he is feeling very anxious.  Patient has a history of diabetes.  He states that his blood sugar has been controlled in the 100s.  He has not had any diarrhea.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Foot operation, Nausea, SARS-CoV-2 test positive
Clinical narrative: CHIEF COMPLAINT:   pt states he tested positive for COVID 2 days ago. states he is "throwing up and everything". states he cant keep anything down. "i cant give it to my wife and stuff". also feels SOB and has 10/10 abd pain.   HISTORY OF PRESENT ILLNESS:     Patient is a 66-year-old male who presents to the emergency department with shortness of breath, chest pain, abdominal discomfort.  Patient states that he had foot surgery about 2 weeks ago.  He states that he had tested positive for COVID at that time.  He states that he followed up few days ago and tested positive again for COVID.  He states that he had been doing well until about 4 days ago when he started experiencing nausea, vomiting, shortness of breath.  He states that he is feeling very anxious.  Patient has a history of diabetes.  He states that his blood sugar has been controlled in the 100s.  He has not had any diarrhea.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: CHIEF COMPLAINT:   pt states he tested positive for COVID 2 days ago. states he is "throwing up and everything". states he cant keep anything down. "i cant give it to my wife and stuff". also feels SOB and has 10/10 abd pain.   HISTORY OF PRESENT ILLNESS:     Patient is a 66-year-old male who presents to the emergency department with shortness of breath, chest pain, abdominal discomfort.  Patient states that he had foot surgery about 2 weeks ago.  He states that he had tested positive for COVID at that time.  He states that he followed up few days ago and tested positive again for COVID.  He states that he had been doing well until about 4 days ago when he started experiencing nausea, vomiting, shortness of breath.  He states that he is feeling very anxious.  Patient has a history of diabetes.  He states that his blood sugar has been controlled in the 100s.  He has not had any diarrhea.
Age: 74.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated, boosted on 11/2/21.  COVID infection breakthrough with inpatient hospital stay.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Joint range of motion decreased, Loss of personal independence in daily activities, Mobility decreased, Musculoskeletal stiffness
Clinical narrative: Immediately after the shot, I had light swelling, warmth and soreness in my arm. But the pain never went away-- it worsened and I couldn't sleep on my left arm that night. I had a lot of pain in the arm to where I couldn't move and didn't have full range of motion. I couldn't shower or put my arm in my jacket and couldn't lift my arm above a certain height. I called an orthopedic doctor but couldn't be seen until end of November. I called my internist and informed them I couldn't see a doctor until November, so I informed to see a physical therapist for 4 weeks; the PT didn't help at all which helped me get into the orthopedic surgeon sooner than scheduled. The orthopedic surgeon diagnosed me with "frozen shoulder" syndrome after viewing x-rays and administered a cortisone injection as well suggested more physical therapy sessions. Up until this day, I'm still having stiffness and soreness in my arm.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Periarthritis, Peripheral swelling, Skin warm, Sleep disorder
Clinical narrative: Immediately after the shot, I had light swelling, warmth and soreness in my arm. But the pain never went away-- it worsened and I couldn't sleep on my left arm that night. I had a lot of pain in the arm to where I couldn't move and didn't have full range of motion. I couldn't shower or put my arm in my jacket and couldn't lift my arm above a certain height. I called an orthopedic doctor but couldn't be seen until end of November. I called my internist and informed them I couldn't see a doctor until November, so I informed to see a physical therapist for 4 weeks; the PT didn't help at all which helped me get into the orthopedic surgeon sooner than scheduled. The orthopedic surgeon diagnosed me with "frozen shoulder" syndrome after viewing x-rays and administered a cortisone injection as well suggested more physical therapy sessions. Up until this day, I'm still having stiffness and soreness in my arm.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray limb abnormal
Clinical narrative: Immediately after the shot, I had light swelling, warmth and soreness in my arm. But the pain never went away-- it worsened and I couldn't sleep on my left arm that night. I had a lot of pain in the arm to where I couldn't move and didn't have full range of motion. I couldn't shower or put my arm in my jacket and couldn't lift my arm above a certain height. I called an orthopedic doctor but couldn't be seen until end of November. I called my internist and informed them I couldn't see a doctor until November, so I informed to see a physical therapist for 4 weeks; the PT didn't help at all which helped me get into the orthopedic surgeon sooner than scheduled. The orthopedic surgeon diagnosed me with "frozen shoulder" syndrome after viewing x-rays and administered a cortisone injection as well suggested more physical therapy sessions. Up until this day, I'm still having stiffness and soreness in my arm.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Illness, Mass, Pain in extremity
Clinical narrative: Sick next day then arm got very sore and red and a big lump
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was ordered a booster dose for the Pfizer covid vaccine - dose was mixed by pharmacist in the office - after administration it was noted that the dose was mixed from a vial that expired on 01/15/2022 - dose was given on 01/18/2022 (three days after the listed expiration date).  Patient was monitored post vaccine administration - patient denies any reactions or symptoms - patient was made aware that the dose was 3 days expired - patient stated he was not concerned. Attending Physician and precepting physician were also made aware before the patient left - no further orders given. Manager of the office spoke with Pfizer who sent over paperwork to be completed as well.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Error: Wrong Vaccine Formulation  (ex. different manufact. initial and booster)-
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Computerised tomogram head normal, Computerised tomogram spine, Exposure to SARS-CoV-2
Clinical narrative: Corona Virus Concern      wife C19+. "I have a fever, and I have slipped and fallen twice."   HPI This is a 57-year-old male who presents for facility with concerns of fevers, myalgias. Patient also states that today, he was standing up when he fell onto his knees. No hitting head and no loss of consciousness. He is vaccinated for COVID however wife at home is currently sick with COVID. He takes aspirin daily. No other blood thinners. No other complaints.   Review of Systems CONSTITUTIONAL:  + fever, + chills, + fatigue HEAD:  no headache or loss of consciousness. EYES:  no eye pain, redness or discharge. ENMT:  no ear pain, no throat pain; no rhinorrhea or congestion. CARDIAC:  No chest pain, no exercise intolerance, no tachycardia. RESPIRATORY:  no cough, wheezing, shortness of breath or trouble breathing. GI:  no nausea, vomiting, diarrhea or abdominal pain. GU:  no dysuria, no increased frequency, no hesitancy MS:  no muscle aches, joint pain or injury. NEURO:  no dizziness, no change in vision, no seizure SKIN:  no rashes; no lacerations or abrasions, no bruising patient left AMA without having  CT scan
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Fatigue, Fibrin D dimer increased, Myalgia, Pyrexia
Clinical narrative: Corona Virus Concern      wife C19+. "I have a fever, and I have slipped and fallen twice."   HPI This is a 57-year-old male who presents for facility with concerns of fevers, myalgias. Patient also states that today, he was standing up when he fell onto his knees. No hitting head and no loss of consciousness. He is vaccinated for COVID however wife at home is currently sick with COVID. He takes aspirin daily. No other blood thinners. No other complaints.   Review of Systems CONSTITUTIONAL:  + fever, + chills, + fatigue HEAD:  no headache or loss of consciousness. EYES:  no eye pain, redness or discharge. ENMT:  no ear pain, no throat pain; no rhinorrhea or congestion. CARDIAC:  No chest pain, no exercise intolerance, no tachycardia. RESPIRATORY:  no cough, wheezing, shortness of breath or trouble breathing. GI:  no nausea, vomiting, diarrhea or abdominal pain. GU:  no dysuria, no increased frequency, no hesitancy MS:  no muscle aches, joint pain or injury. NEURO:  no dizziness, no change in vision, no seizure SKIN:  no rashes; no lacerations or abrasions, no bruising patient left AMA without having  CT scan
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Tachycardia
Clinical narrative: Corona Virus Concern      wife C19+. "I have a fever, and I have slipped and fallen twice."   HPI This is a 57-year-old male who presents for facility with concerns of fevers, myalgias. Patient also states that today, he was standing up when he fell onto his knees. No hitting head and no loss of consciousness. He is vaccinated for COVID however wife at home is currently sick with COVID. He takes aspirin daily. No other blood thinners. No other complaints.   Review of Systems CONSTITUTIONAL:  + fever, + chills, + fatigue HEAD:  no headache or loss of consciousness. EYES:  no eye pain, redness or discharge. ENMT:  no ear pain, no throat pain; no rhinorrhea or congestion. CARDIAC:  No chest pain, no exercise intolerance, no tachycardia. RESPIRATORY:  no cough, wheezing, shortness of breath or trouble breathing. GI:  no nausea, vomiting, diarrhea or abdominal pain. GU:  no dysuria, no increased frequency, no hesitancy MS:  no muscle aches, joint pain or injury. NEURO:  no dizziness, no change in vision, no seizure SKIN:  no rashes; no lacerations or abrasions, no bruising patient left AMA without having  CT scan
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Blood gases, Blood glucose increased, COVID-19, COVID-19 pneumonia
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 2/13/21 (EN9581) Pfizer Dose 2 3/10/21 (EN6205) COVID Positive 9/3/21  9/6/21: History is obtained from patient as well as by personal review of records.  The patient has history of acute kidney injury requiring dialysis superimposed on chronic renal disease , coronary artery disease with recent stent deployments,  recent prolonged hospitalization for unstable angina, COPD, aortic stenosis, aortic aneurysm, sleep apnea and other medical problems.  He had testing done for  SARS-CoV-2 last Friday.  His tested positive.  He was advised by his doctors to go to ED.  EMS staff found him to be hypoxic and started him on oxygen supplementation.  Blood gases showed arterial PO2 of 57. He feels better after hospitalization.  He denied chest pain.  Does report dyspnea on exertion. Reported nonproductive cough and chills going on for few days.  No history of travel.  No history of hemoptysis.  He had both doses of  SARS-CoV-2 vaccine.  9/11/21: The patient is a 79-year-old male from home.  He was admitted in hospital on 09/07/2021 and treated for hypoxia secondary to bilateral COVID pneumonia, acute COPD exacerbation and AKI on CKD 3B.  Patient was treated with IV antibiotics, and dexamethasone.  Symptoms improved and he was able to maintain his sats above 90% on room air.  He was noted with elevated blood glucose reading requiring insulin drip initiation. His blood glucose level improved and he was able to resume his home insulin dosage. Nephrology was consulted for acute kidney injury and patient had to receive hemodialysis a few times. Nephrology team cleared patient for discharge home and will resume his hemodialysis session the Clinic. Today the patient reports feeling much better and is requesting to go home. RN care coordination spoke to family members admit arrangement for visiting nurses services. Patient has stable vital signs and is being discharged in improved and stable condition. I answered all question and address all concerns.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Chronic kidney disease, Chronic obstructive pulmonary disease, Condition aggravated, Cough
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 2/13/21 (EN9581) Pfizer Dose 2 3/10/21 (EN6205) COVID Positive 9/3/21  9/6/21: History is obtained from patient as well as by personal review of records.  The patient has history of acute kidney injury requiring dialysis superimposed on chronic renal disease , coronary artery disease with recent stent deployments,  recent prolonged hospitalization for unstable angina, COPD, aortic stenosis, aortic aneurysm, sleep apnea and other medical problems.  He had testing done for  SARS-CoV-2 last Friday.  His tested positive.  He was advised by his doctors to go to ED.  EMS staff found him to be hypoxic and started him on oxygen supplementation.  Blood gases showed arterial PO2 of 57. He feels better after hospitalization.  He denied chest pain.  Does report dyspnea on exertion. Reported nonproductive cough and chills going on for few days.  No history of travel.  No history of hemoptysis.  He had both doses of  SARS-CoV-2 vaccine.  9/11/21: The patient is a 79-year-old male from home.  He was admitted in hospital on 09/07/2021 and treated for hypoxia secondary to bilateral COVID pneumonia, acute COPD exacerbation and AKI on CKD 3B.  Patient was treated with IV antibiotics, and dexamethasone.  Symptoms improved and he was able to maintain his sats above 90% on room air.  He was noted with elevated blood glucose reading requiring insulin drip initiation. His blood glucose level improved and he was able to resume his home insulin dosage. Nephrology was consulted for acute kidney injury and patient had to receive hemodialysis a few times. Nephrology team cleared patient for discharge home and will resume his hemodialysis session the Clinic. Today the patient reports feeling much better and is requesting to go home. RN care coordination spoke to family members admit arrangement for visiting nurses services. Patient has stable vital signs and is being discharged in improved and stable condition. I answered all question and address all concerns.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Haemodialysis, Hypoxia, Insulin therapy, PO2 decreased
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 2/13/21 (EN9581) Pfizer Dose 2 3/10/21 (EN6205) COVID Positive 9/3/21  9/6/21: History is obtained from patient as well as by personal review of records.  The patient has history of acute kidney injury requiring dialysis superimposed on chronic renal disease , coronary artery disease with recent stent deployments,  recent prolonged hospitalization for unstable angina, COPD, aortic stenosis, aortic aneurysm, sleep apnea and other medical problems.  He had testing done for  SARS-CoV-2 last Friday.  His tested positive.  He was advised by his doctors to go to ED.  EMS staff found him to be hypoxic and started him on oxygen supplementation.  Blood gases showed arterial PO2 of 57. He feels better after hospitalization.  He denied chest pain.  Does report dyspnea on exertion. Reported nonproductive cough and chills going on for few days.  No history of travel.  No history of hemoptysis.  He had both doses of  SARS-CoV-2 vaccine.  9/11/21: The patient is a 79-year-old male from home.  He was admitted in hospital on 09/07/2021 and treated for hypoxia secondary to bilateral COVID pneumonia, acute COPD exacerbation and AKI on CKD 3B.  Patient was treated with IV antibiotics, and dexamethasone.  Symptoms improved and he was able to maintain his sats above 90% on room air.  He was noted with elevated blood glucose reading requiring insulin drip initiation. His blood glucose level improved and he was able to resume his home insulin dosage. Nephrology was consulted for acute kidney injury and patient had to receive hemodialysis a few times. Nephrology team cleared patient for discharge home and will resume his hemodialysis session the Clinic. Today the patient reports feeling much better and is requesting to go home. RN care coordination spoke to family members admit arrangement for visiting nurses services. Patient has stable vital signs and is being discharged in improved and stable condition. I answered all question and address all concerns.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID Vaccine Breakthrough Case  Pfizer Dose 1 2/13/21 (EN9581) Pfizer Dose 2 3/10/21 (EN6205) COVID Positive 9/3/21  9/6/21: History is obtained from patient as well as by personal review of records.  The patient has history of acute kidney injury requiring dialysis superimposed on chronic renal disease , coronary artery disease with recent stent deployments,  recent prolonged hospitalization for unstable angina, COPD, aortic stenosis, aortic aneurysm, sleep apnea and other medical problems.  He had testing done for  SARS-CoV-2 last Friday.  His tested positive.  He was advised by his doctors to go to ED.  EMS staff found him to be hypoxic and started him on oxygen supplementation.  Blood gases showed arterial PO2 of 57. He feels better after hospitalization.  He denied chest pain.  Does report dyspnea on exertion. Reported nonproductive cough and chills going on for few days.  No history of travel.  No history of hemoptysis.  He had both doses of  SARS-CoV-2 vaccine.  9/11/21: The patient is a 79-year-old male from home.  He was admitted in hospital on 09/07/2021 and treated for hypoxia secondary to bilateral COVID pneumonia, acute COPD exacerbation and AKI on CKD 3B.  Patient was treated with IV antibiotics, and dexamethasone.  Symptoms improved and he was able to maintain his sats above 90% on room air.  He was noted with elevated blood glucose reading requiring insulin drip initiation. His blood glucose level improved and he was able to resume his home insulin dosage. Nephrology was consulted for acute kidney injury and patient had to receive hemodialysis a few times. Nephrology team cleared patient for discharge home and will resume his hemodialysis session the Clinic. Today the patient reports feeling much better and is requesting to go home. RN care coordination spoke to family members admit arrangement for visiting nurses services. Patient has stable vital signs and is being discharged in improved and stable condition. I answered all question and address all concerns.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time shortened, Blood creatinine increased, Blood gases abnormal, Blood lactic acid, Blood pH increased
Clinical narrative: Moderna vaccine 2/2/21 & 3/2/21. Booster 10/28/21.  Presented to ED 1/15 dehydrated, decreased oral intake. Admitted to ICU. Coded x2
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Blood potassium increased, Blood sodium decreased, Blood urea increased, Cardio-respiratory arrest, Dehydration
Clinical narrative: Moderna vaccine 2/2/21 & 3/2/21. Booster 10/28/21.  Presented to ED 1/15 dehydrated, decreased oral intake. Admitted to ICU. Coded x2
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Hypophagia, Intensive care, PCO2, PO2 increased
Clinical narrative: Moderna vaccine 2/2/21 & 3/2/21. Booster 10/28/21.  Presented to ED 1/15 dehydrated, decreased oral intake. Admitted to ICU. Coded x2
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Prothrombin time prolonged, White blood cell count increased
Clinical narrative: Moderna vaccine 2/2/21 & 3/2/21. Booster 10/28/21.  Presented to ED 1/15 dehydrated, decreased oral intake. Admitted to ICU. Coded x2
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: on 1/11/22, Patient was to receive 0.5ml, second dose of Moderna series, but was given 0.25ml, or booster dose. Error was noticed later in the day, and patient was contacted to see if he could return to receive the remainder, however patient lives 150 miles away and could not return that day. He did return on 1/13/22 to receive the remaining 0.25ml to complete his second dose.