chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Oxygen saturation decreased, Pain, Pyrexia, SARS-CoV-2 antibody test negative
Clinical narrative: The patient for started to develop symptoms approximately 7 days prior to admission.  Symptoms started  on Tuesday, August 10, 2021 and she was admitted to the hospital on 8/17/2021.    The patient did not particularly perceive any shortness of breath., but she had been coughing frequently and overall felt very weak.  The patient received the first dose of the Covid vaccine on 8/7/2021 and notes the next day she developed fever, body aches.  She did visit the ED on 8/15/2021 and tested positive for Covid, but was discharged to home.  Upon  this admission, the patient was found to have COVID-19 pneumonia with some mild hypoxia.  The patient was requiring 2 L/min via nasal cannula to maintain sats greater than 88%.  The patient underwent CTA of the chest which was negative for any PE.  Throughout the hospitalization the patient required slightly increased oxygen needs.  The patient ultimately required a heated high flow nasal cannula at 8 L/min max.  This was ultimately weaned down to room air at the time of discharge.  The patient did have a home oxygen study that showed she required oxygen with any ambulation.  During the hospitalization, the patient was treated with remdesivir, dexamethasone, CCP the patient felt well on the day of discharge.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: The patient for started to develop symptoms approximately 7 days prior to admission.  Symptoms started  on Tuesday, August 10, 2021 and she was admitted to the hospital on 8/17/2021.    The patient did not particularly perceive any shortness of breath., but she had been coughing frequently and overall felt very weak.  The patient received the first dose of the Covid vaccine on 8/7/2021 and notes the next day she developed fever, body aches.  She did visit the ED on 8/15/2021 and tested positive for Covid, but was discharged to home.  Upon  this admission, the patient was found to have COVID-19 pneumonia with some mild hypoxia.  The patient was requiring 2 L/min via nasal cannula to maintain sats greater than 88%.  The patient underwent CTA of the chest which was negative for any PE.  Throughout the hospitalization the patient required slightly increased oxygen needs.  The patient ultimately required a heated high flow nasal cannula at 8 L/min max.  This was ultimately weaned down to room air at the time of discharge.  The patient did have a home oxygen study that showed she required oxygen with any ambulation.  During the hospitalization, the patient was treated with remdesivir, dexamethasone, CCP the patient felt well on the day of discharge.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose, Cerebral artery perforation, Cerebral infarction, Cerebral mass effect, Cerebral thrombosis
Clinical narrative: DEATH!  FINDING:  Posterior right scalp hematoma. Additional right frontal/periorbital scalp hematoma. Mild scattered mucosal thickening in the paranasal sinuses. Air-fluid level in the right maxillary sinus. Mastoids aerated. Motion artifact limits evaluation of the globes and orbits, within this limitation the appear unremarkable. Calvarium intact. Low-density change involving nearly the entire left frontal lobe, left basal ganglia, left insula, anterior left parietal lobe, and superior left temporal lobe. There is associated loss of gray-white differentiation and is consistent with an acute to subacute subacute infarct. Measurements are approximately 4.7 x 11.0 cm. Foci of hyperdensity noted centrally within the tissue measuring up to 1.4 x 1.5 cm likely represents small amount of hemorrhage/hemorrhagic conversion. This involves both the left ACA and left MCA territories. Question hyperdensity within the left MCA. There is mass effect with sulcal effacement, compression of the left frontal horn/left lateral ventricle, and 2.5 mm rightward midline shift.     IMPRESSION:  1.  Large acute to subacute infarct measuring up to 4.7 x 11.0 cm involving nearly the entire left frontal lobe, left basal ganglia, left insula, superior left temporal lobe, and anterior left parietal lobe. This involves both the left anterior cerebral artery and left middle cerebral artery territories.  2.  Foci of hyperdensity centrally within the infarcted tissue is consistent with hemorrhage/hemorrhagic conversion. Largest focus of hemorrhage measures up to 1.5 cm.  3.  Together these findings contribute to mass effect with sulcal effacement, compression left lateral ventricle, and 2.5 mm rightward midline shift.  4.  Question hyperdense left MCA, presents potentially representing vascular occlusion or intravascular thrombus. CTA or MRA could provide further characterization.  5.  Posterior right and right frontal/periorbital scalp hematomas.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral vascular occlusion, Cerebral ventricle collapse, Death, Differential white blood cell count, Full blood count
Clinical narrative: DEATH!  FINDING:  Posterior right scalp hematoma. Additional right frontal/periorbital scalp hematoma. Mild scattered mucosal thickening in the paranasal sinuses. Air-fluid level in the right maxillary sinus. Mastoids aerated. Motion artifact limits evaluation of the globes and orbits, within this limitation the appear unremarkable. Calvarium intact. Low-density change involving nearly the entire left frontal lobe, left basal ganglia, left insula, anterior left parietal lobe, and superior left temporal lobe. There is associated loss of gray-white differentiation and is consistent with an acute to subacute subacute infarct. Measurements are approximately 4.7 x 11.0 cm. Foci of hyperdensity noted centrally within the tissue measuring up to 1.4 x 1.5 cm likely represents small amount of hemorrhage/hemorrhagic conversion. This involves both the left ACA and left MCA territories. Question hyperdensity within the left MCA. There is mass effect with sulcal effacement, compression of the left frontal horn/left lateral ventricle, and 2.5 mm rightward midline shift.     IMPRESSION:  1.  Large acute to subacute infarct measuring up to 4.7 x 11.0 cm involving nearly the entire left frontal lobe, left basal ganglia, left insula, superior left temporal lobe, and anterior left parietal lobe. This involves both the left anterior cerebral artery and left middle cerebral artery territories.  2.  Foci of hyperdensity centrally within the infarcted tissue is consistent with hemorrhage/hemorrhagic conversion. Largest focus of hemorrhage measures up to 1.5 cm.  3.  Together these findings contribute to mass effect with sulcal effacement, compression left lateral ventricle, and 2.5 mm rightward midline shift.  4.  Question hyperdense left MCA, presents potentially representing vascular occlusion or intravascular thrombus. CTA or MRA could provide further characterization.  5.  Posterior right and right frontal/periorbital scalp hematomas.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Haematoma, Haemorrhagic transformation stroke, Mastoid disorder, Metabolic function test, Mucosal hypertrophy
Clinical narrative: DEATH!  FINDING:  Posterior right scalp hematoma. Additional right frontal/periorbital scalp hematoma. Mild scattered mucosal thickening in the paranasal sinuses. Air-fluid level in the right maxillary sinus. Mastoids aerated. Motion artifact limits evaluation of the globes and orbits, within this limitation the appear unremarkable. Calvarium intact. Low-density change involving nearly the entire left frontal lobe, left basal ganglia, left insula, anterior left parietal lobe, and superior left temporal lobe. There is associated loss of gray-white differentiation and is consistent with an acute to subacute subacute infarct. Measurements are approximately 4.7 x 11.0 cm. Foci of hyperdensity noted centrally within the tissue measuring up to 1.4 x 1.5 cm likely represents small amount of hemorrhage/hemorrhagic conversion. This involves both the left ACA and left MCA territories. Question hyperdensity within the left MCA. There is mass effect with sulcal effacement, compression of the left frontal horn/left lateral ventricle, and 2.5 mm rightward midline shift.     IMPRESSION:  1.  Large acute to subacute infarct measuring up to 4.7 x 11.0 cm involving nearly the entire left frontal lobe, left basal ganglia, left insula, superior left temporal lobe, and anterior left parietal lobe. This involves both the left anterior cerebral artery and left middle cerebral artery territories.  2.  Foci of hyperdensity centrally within the infarcted tissue is consistent with hemorrhage/hemorrhagic conversion. Largest focus of hemorrhage measures up to 1.5 cm.  3.  Together these findings contribute to mass effect with sulcal effacement, compression left lateral ventricle, and 2.5 mm rightward midline shift.  4.  Question hyperdense left MCA, presents potentially representing vascular occlusion or intravascular thrombus. CTA or MRA could provide further characterization.  5.  Posterior right and right frontal/periorbital scalp hematomas.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Periorbital haematoma, Sinusitis, Troponin I, White matter lesion
Clinical narrative: DEATH!  FINDING:  Posterior right scalp hematoma. Additional right frontal/periorbital scalp hematoma. Mild scattered mucosal thickening in the paranasal sinuses. Air-fluid level in the right maxillary sinus. Mastoids aerated. Motion artifact limits evaluation of the globes and orbits, within this limitation the appear unremarkable. Calvarium intact. Low-density change involving nearly the entire left frontal lobe, left basal ganglia, left insula, anterior left parietal lobe, and superior left temporal lobe. There is associated loss of gray-white differentiation and is consistent with an acute to subacute subacute infarct. Measurements are approximately 4.7 x 11.0 cm. Foci of hyperdensity noted centrally within the tissue measuring up to 1.4 x 1.5 cm likely represents small amount of hemorrhage/hemorrhagic conversion. This involves both the left ACA and left MCA territories. Question hyperdensity within the left MCA. There is mass effect with sulcal effacement, compression of the left frontal horn/left lateral ventricle, and 2.5 mm rightward midline shift.     IMPRESSION:  1.  Large acute to subacute infarct measuring up to 4.7 x 11.0 cm involving nearly the entire left frontal lobe, left basal ganglia, left insula, superior left temporal lobe, and anterior left parietal lobe. This involves both the left anterior cerebral artery and left middle cerebral artery territories.  2.  Foci of hyperdensity centrally within the infarcted tissue is consistent with hemorrhage/hemorrhagic conversion. Largest focus of hemorrhage measures up to 1.5 cm.  3.  Together these findings contribute to mass effect with sulcal effacement, compression left lateral ventricle, and 2.5 mm rightward midline shift.  4.  Question hyperdense left MCA, presents potentially representing vascular occlusion or intravascular thrombus. CTA or MRA could provide further characterization.  5.  Posterior right and right frontal/periorbital scalp hematomas.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pruritus, Headache, Swollen tongue, Tongue pruritus
Clinical narrative: Within 2 minutes of getting my first dose of the Pfizer vaccine, my tongue became itchy and swollen, and my eyes became itchy.  I did not have trouble breathing .  The symptoms lasted most of the day and were gone by the next morning.  I did not experience similar symptoms after the second dose but got a bad headache  within 12 hours after the second dose.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: Patient hospitalized 7 days after developing symptoms of COVID-19 - tested positive prior to admission.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cold sweat, Dizziness, Dysstasia, Fatigue
Clinical narrative: Very sudden feeling of dizziness, nausea, and weakness all at once, followed quickly by a numb feeling in both legs (barely able to stand) and feeling faint (seeing white spots and close to blacking out).  Profuse sweating and clammy skin accompanied this.  As these specific symptoms slowly subsided after about 15 minutes, a severe headache and extreme exhaustion set in.  After about 6-7 hours, I finally felt normal again.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hyperhidrosis, Hypoaesthesia, Nausea, Visual impairment
Clinical narrative: Very sudden feeling of dizziness, nausea, and weakness all at once, followed quickly by a numb feeling in both legs (barely able to stand) and feeling faint (seeing white spots and close to blacking out).  Profuse sweating and clammy skin accompanied this.  As these specific symptoms slowly subsided after about 15 minutes, a severe headache and extreme exhaustion set in.  After about 6-7 hours, I finally felt normal again.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Dysgeusia, Electrocardiogram, Feeling abnormal, Immediate post-injection reaction
Clinical narrative: Immediately after the injection I had a metal taste in my mouth however no other symptoms. I was told I may have a sore arm and have flu like symptoms the following day. I waited 15 minutes after the injection at the pharmacy to ensure I didn't have any life threatening effects which I did not. On my ride home, I started having a shooting acute pain in my right leg with pressure. The pain persisted for 20 minutes or so then subsided. Later that evening, I started having more shooting acute pains all over my body like the one I had in my leg and they would subside as well like the first instance. The next day I felt ok except for the metal taste in my mouth and the pains but felt ok enough to engage in physical activity (swimming). By that afternoon the pains increased in frequency coupled with migraines. That evening, I was awoken by my heart racing in addition to pains all over my body. The next day 8/26/21 I had a telemedicine appointment with my doctor's office. The pain and racing would subside so I did not feel it was appropriate for a ER visit. The office requested I have blood work done to confirm I did not have any blood clots. The results came back negative (everything was ok from the tests). The next few days the pain, racing heart and metal tastes continued but were slowly decreasing in frequency however I started feeling mentally foggy (difficulty recalling words/speaking). 8/31/21 I had a follow-up telemedicine appointment and was told I should have an in-office EKG done to confirm my heart was ok. 9/1/21 I went to my doctor's office and had the EKG done. My results were normal. My doctor advised me to reduce my activity level and ease back into my prior routine (running, swimming, biking, walking - daily) and I should report what happened to the CDC as I had an adverse event. Over the next few days the pains were decreasing in frequency, the metal taste went away and my heart was not racing as often. My last episode of my heart racing with a concurrent migraine was 9/14/21 and occurred only once that day. As of today, 9/17/21 I feel ok and plan on trying to workout again (at a moderate pace, though).
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Pain, Pain in extremity, Palpitations
Clinical narrative: Immediately after the injection I had a metal taste in my mouth however no other symptoms. I was told I may have a sore arm and have flu like symptoms the following day. I waited 15 minutes after the injection at the pharmacy to ensure I didn't have any life threatening effects which I did not. On my ride home, I started having a shooting acute pain in my right leg with pressure. The pain persisted for 20 minutes or so then subsided. Later that evening, I started having more shooting acute pains all over my body like the one I had in my leg and they would subside as well like the first instance. The next day I felt ok except for the metal taste in my mouth and the pains but felt ok enough to engage in physical activity (swimming). By that afternoon the pains increased in frequency coupled with migraines. That evening, I was awoken by my heart racing in addition to pains all over my body. The next day 8/26/21 I had a telemedicine appointment with my doctor's office. The pain and racing would subside so I did not feel it was appropriate for a ER visit. The office requested I have blood work done to confirm I did not have any blood clots. The results came back negative (everything was ok from the tests). The next few days the pain, racing heart and metal tastes continued but were slowly decreasing in frequency however I started feeling mentally foggy (difficulty recalling words/speaking). 8/31/21 I had a follow-up telemedicine appointment and was told I should have an in-office EKG done to confirm my heart was ok. 9/1/21 I went to my doctor's office and had the EKG done. My results were normal. My doctor advised me to reduce my activity level and ease back into my prior routine (running, swimming, biking, walking - daily) and I should report what happened to the CDC as I had an adverse event. Over the next few days the pains were decreasing in frequency, the metal taste went away and my heart was not racing as often. My last episode of my heart racing with a concurrent migraine was 9/14/21 and occurred only once that day. As of today, 9/17/21 I feel ok and plan on trying to workout again (at a moderate pace, though).
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram cerebral, Aphasia, Arteriogram carotid, Balance disorder, Disorientation
Clinical narrative: On Tuesday 9/14/21, She started complaining of weakness in the lower extremities progressed to difficulty ambulating and heavy feeling in the legs and poor balance. Around 4pm began to have numbness in the bilateral lower extremities, dizziness, headache on the right side of head, and nausea. Disorientated around 5pm with difficulty finding words. 5:30pm drove to valent of the hospital because could not find the ED and asked them to call the emergency room because I could not feel the gas pedal or brakes to drive home and my legs did not function.  Once triaged in the ED, struggled to go the bathroom ambulating, then to urinated it was difficult to start the urine stream and inability to empty the bladder. Once brought back to ED room around 7pm where MD evaluate for stroke. Findings were bilateral upper extremity weakness with tremors and LLE weakness was worse than RLE extremity with difficulty. She had to be ambulated with assistance to prevent falls because right was shaking and left leg drag on floor. Admitted to the hospital where a CTA was order and labs. admitted for full neuro work up and PT.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Extra dose administered, Gait disturbance, Headache, Hypoaesthesia
Clinical narrative: On Tuesday 9/14/21, She started complaining of weakness in the lower extremities progressed to difficulty ambulating and heavy feeling in the legs and poor balance. Around 4pm began to have numbness in the bilateral lower extremities, dizziness, headache on the right side of head, and nausea. Disorientated around 5pm with difficulty finding words. 5:30pm drove to valent of the hospital because could not find the ED and asked them to call the emergency room because I could not feel the gas pedal or brakes to drive home and my legs did not function.  Once triaged in the ED, struggled to go the bathroom ambulating, then to urinated it was difficult to start the urine stream and inability to empty the bladder. Once brought back to ED room around 7pm where MD evaluate for stroke. Findings were bilateral upper extremity weakness with tremors and LLE weakness was worse than RLE extremity with difficulty. She had to be ambulated with assistance to prevent falls because right was shaking and left leg drag on floor. Admitted to the hospital where a CTA was order and labs. admitted for full neuro work up and PT.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Limb discomfort, Magnetic resonance imaging head, Magnetic resonance imaging spinal, Muscular weakness, Nausea
Clinical narrative: On Tuesday 9/14/21, She started complaining of weakness in the lower extremities progressed to difficulty ambulating and heavy feeling in the legs and poor balance. Around 4pm began to have numbness in the bilateral lower extremities, dizziness, headache on the right side of head, and nausea. Disorientated around 5pm with difficulty finding words. 5:30pm drove to valent of the hospital because could not find the ED and asked them to call the emergency room because I could not feel the gas pedal or brakes to drive home and my legs did not function.  Once triaged in the ED, struggled to go the bathroom ambulating, then to urinated it was difficult to start the urine stream and inability to empty the bladder. Once brought back to ED room around 7pm where MD evaluate for stroke. Findings were bilateral upper extremity weakness with tremors and LLE weakness was worse than RLE extremity with difficulty. She had to be ambulated with assistance to prevent falls because right was shaking and left leg drag on floor. Admitted to the hospital where a CTA was order and labs. admitted for full neuro work up and PT.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tremor, Urinary hesitation, Urinary retention
Clinical narrative: On Tuesday 9/14/21, She started complaining of weakness in the lower extremities progressed to difficulty ambulating and heavy feeling in the legs and poor balance. Around 4pm began to have numbness in the bilateral lower extremities, dizziness, headache on the right side of head, and nausea. Disorientated around 5pm with difficulty finding words. 5:30pm drove to valent of the hospital because could not find the ED and asked them to call the emergency room because I could not feel the gas pedal or brakes to drive home and my legs did not function.  Once triaged in the ED, struggled to go the bathroom ambulating, then to urinated it was difficult to start the urine stream and inability to empty the bladder. Once brought back to ED room around 7pm where MD evaluate for stroke. Findings were bilateral upper extremity weakness with tremors and LLE weakness was worse than RLE extremity with difficulty. She had to be ambulated with assistance to prevent falls because right was shaking and left leg drag on floor. Admitted to the hospital where a CTA was order and labs. admitted for full neuro work up and PT.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Disorientation, Dizziness, Dysuria, Headache, Hypoaesthesia
Clinical narrative: On Tuesday 9/14/21, She started complaining of weakness in the lower extremities progressed to difficulty ambulating and heavy feeling in the legs and poor balance. Around 4pm began to have numbness in the bilateral lower extremities, dizziness, headache on the right side of head, and nausea. Disorientated around 5pm with difficulty finding words. 5:30pm drove to valent of the hospital because could not find the ED and asked them to call the emergency room because I could not feel the gas pedal or brakes to drive home and my legs did not function.  Once triaged in the ED, struggled to go the bathroom ambulating, then to urinated it was difficult to start the urine stream and inability to empty the bladder. Once brought back to ED room around 7pm where MD evaluate for stroke. Findings were bilateral upper extremity weakness with tremors and LLE weakness was worse than RLE extremity with difficulty. She had to be ambulated with assistance to prevent falls because right was shaking and left leg drag on floor. Admitted to the hospital where a CTA was order and labs. admitted for full neuro work up and PT.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Muscular weakness, Nausea, SARS-CoV-2 test
Clinical narrative: On Tuesday 9/14/21, She started complaining of weakness in the lower extremities progressed to difficulty ambulating and heavy feeling in the legs and poor balance. Around 4pm began to have numbness in the bilateral lower extremities, dizziness, headache on the right side of head, and nausea. Disorientated around 5pm with difficulty finding words. 5:30pm drove to valent of the hospital because could not find the ED and asked them to call the emergency room because I could not feel the gas pedal or brakes to drive home and my legs did not function.  Once triaged in the ED, struggled to go the bathroom ambulating, then to urinated it was difficult to start the urine stream and inability to empty the bladder. Once brought back to ED room around 7pm where MD evaluate for stroke. Findings were bilateral upper extremity weakness with tremors and LLE weakness was worse than RLE extremity with difficulty. She had to be ambulated with assistance to prevent falls because right was shaking and left leg drag on floor. Admitted to the hospital where a CTA was order and labs. admitted for full neuro work up and PT.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature decreased, Full blood count, Haematemesis, Lethargy, Metabolic function test
Clinical narrative: lethargy, vomiting dark coffee ground emesis with small clots appearing, low grade temps
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium decreased, COVID-19, Chest X-ray abnormal, Diarrhoea, Dyspnoea
Clinical narrative: Breakthrough COVID-19 case with symptom onset 8/22/2021:  Fever >100.4,  Subjective fever (felt feverish),  Muscle or body aches,  Shortness of breath or difficulty breathing,  Fatigue or tiredness,  Nausea or vomiting,  Diarrhea (>/=3 loose/looser stools in 24 hr period). Hospitalized 8/23/2021-8/25/2021. In the ED patient was noted tachycardia heart rate into 130s and on blood work potassium 3.3, WBC count 15.4 and COVID-19 reported positive.  Chest x-ray suggestive of Confluent right upper lobe opacity consistent with pneumonia. A mass cannot be excluded but is considered less likely.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Lung opacity, Mass, Myalgia, Nausea
Clinical narrative: Breakthrough COVID-19 case with symptom onset 8/22/2021:  Fever >100.4,  Subjective fever (felt feverish),  Muscle or body aches,  Shortness of breath or difficulty breathing,  Fatigue or tiredness,  Nausea or vomiting,  Diarrhea (>/=3 loose/looser stools in 24 hr period). Hospitalized 8/23/2021-8/25/2021. In the ED patient was noted tachycardia heart rate into 130s and on blood work potassium 3.3, WBC count 15.4 and COVID-19 reported positive.  Chest x-ray suggestive of Confluent right upper lobe opacity consistent with pneumonia. A mass cannot be excluded but is considered less likely.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pneumonia, Pyrexia, SARS-CoV-2 test positive, Tachycardia
Clinical narrative: Breakthrough COVID-19 case with symptom onset 8/22/2021:  Fever >100.4,  Subjective fever (felt feverish),  Muscle or body aches,  Shortness of breath or difficulty breathing,  Fatigue or tiredness,  Nausea or vomiting,  Diarrhea (>/=3 loose/looser stools in 24 hr period). Hospitalized 8/23/2021-8/25/2021. In the ED patient was noted tachycardia heart rate into 130s and on blood work potassium 3.3, WBC count 15.4 and COVID-19 reported positive.  Chest x-ray suggestive of Confluent right upper lobe opacity consistent with pneumonia. A mass cannot be excluded but is considered less likely.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection, Vomiting, White blood cell count increased
Clinical narrative: Breakthrough COVID-19 case with symptom onset 8/22/2021:  Fever >100.4,  Subjective fever (felt feverish),  Muscle or body aches,  Shortness of breath or difficulty breathing,  Fatigue or tiredness,  Nausea or vomiting,  Diarrhea (>/=3 loose/looser stools in 24 hr period). Hospitalized 8/23/2021-8/25/2021. In the ED patient was noted tachycardia heart rate into 130s and on blood work potassium 3.3, WBC count 15.4 and COVID-19 reported positive.  Chest x-ray suggestive of Confluent right upper lobe opacity consistent with pneumonia. A mass cannot be excluded but is considered less likely.
Age: 21.0
Sex: F
Vaccine: FLU4
Symptoms: Chills, Decreased appetite, Dehydration, Electrolyte substitution therapy, Fatigue
Clinical narrative: nausea & vomiting, fever with chills and night sweats, headache, sore throat, productive cough, stuffy nose, fatigue and loss of appetite. Severe dehydration from inability to keep anything down, including water. I went to the ER after 24hrs of vomiting up any intake, where I received 2L of NS, one dose of Zofran and one dose of Toradol.
Age: 21.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Nasal congestion, Nausea, Night sweats, Oropharyngeal pain
Clinical narrative: nausea & vomiting, fever with chills and night sweats, headache, sore throat, productive cough, stuffy nose, fatigue and loss of appetite. Severe dehydration from inability to keep anything down, including water. I went to the ER after 24hrs of vomiting up any intake, where I received 2L of NS, one dose of Zofran and one dose of Toradol.
Age: 21.0
Sex: F
Vaccine: FLU4
Symptoms: Productive cough, Pyrexia, Renal function test normal, SARS-CoV-2 test negative, Vomiting
Clinical narrative: nausea & vomiting, fever with chills and night sweats, headache, sore throat, productive cough, stuffy nose, fatigue and loss of appetite. Severe dehydration from inability to keep anything down, including water. I went to the ER after 24hrs of vomiting up any intake, where I received 2L of NS, one dose of Zofran and one dose of Toradol.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Chest X-ray, Chest discomfort, Electrocardiogram
Clinical narrative: After 2 days from injection I woke with moderate to severe pain began in arms, shoulders, and thighs, as well as a tightness in hands, feet, and chest.   The highest point of pain was specifically in the areas of the median cubital vein, having a consistent range of 5/10 to 7/10 pain, and this seems to radiate to shoulders and down to finger tips. Thigh area of pain was in the area of obturator nerve.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: After 2 days from injection I woke with moderate to severe pain began in arms, shoulders, and thighs, as well as a tightness in hands, feet, and chest.   The highest point of pain was specifically in the areas of the median cubital vein, having a consistent range of 5/10 to 7/10 pain, and this seems to radiate to shoulders and down to finger tips. Thigh area of pain was in the area of obturator nerve.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient developed breakthrough COVID-19 requiring hospitalization post-vaccination.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Heavy menstrual bleeding, Joint range of motion decreased, Menstruation irregular
Clinical narrative: 1. Have been getting my period every 1.5 weeks since my second dose. Very heavy bleeding and cramping. Has not gotten better.  2. Very bad lower back pain, knee pain, ankle pain, and feet pain and tingling since second dose. Limited range of motion in my legs and constant stiffness and pain. Interferes with daily life. Has not gotten better.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Musculoskeletal stiffness, Pain in extremity, Paraesthesia
Clinical narrative: 1. Have been getting my period every 1.5 weeks since my second dose. Very heavy bleeding and cramping. Has not gotten better.  2. Very bad lower back pain, knee pain, ankle pain, and feet pain and tingling since second dose. Limited range of motion in my legs and constant stiffness and pain. Interferes with daily life. Has not gotten better.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Culture throat negative, Oropharyngeal pain
Clinical narrative: Sore Throat and cough,  No fever
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Positive COVID Test
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: UNADVERTENTLY VACCINATED BEFORE 12YRS OF AGE.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: PUI had some pre-existing medical conditions and when tested at hospital he was admitted and given Covid-19 treatment for 5 days. Patient is fully vaccinated.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Asthma, Chest discomfort, Respiratory tract congestion, Throat tightness
Clinical narrative: Within the hour of getting the vaccine my throat and lungs began feeling constricted and congested. I feel like i am in a constant asthma attack that advair and albuterol will not help. It has been weeks since the first injection and it has not gotten any better, it hasn't gotten worse either. I have not sought medical attention due to the rise in cases, what i am feeling does seem severe enough to go in, but i feel is directly related.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Intermenstrual bleeding, Muscle spasms
Clinical narrative: Strong menstrual cycle. Hand cramps. Spotting blood after orgasms.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Tunnel vision, Vomiting
Clinical narrative: After ten minutes of monitoring after pfizer dose 1 vaccine patient developed nausea and vomiting. Then several minutes after N/V patient started to get dizzy and tunnel vision. Vitals obtained  by this RN and B/P was 158/98 and heart rate was 111. Pt alert and oriented and didn't eat breakfast this morning. Patient reports recent history of high blood pressure and anxiety. Pt continued ongoing s/s and per decision to call EMS.  Vitals obtained again before EMS arrival and B/P was 160/101 and heart rate 115. Pt remains alert and oriented during EMS arrival and departure. EMS and patient agreed to go to ER clinic for evaluation. Pt transported to EMS ambulance via wheelchair by EMS staff.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Off label use, Product administered to patient of inappropriate age
Clinical narrative: ADMINISTERED MODERNA VACCINE TO A 16 YEAR OLD. THIS SHOULD BE FILED UNDER OFF-LABEL USE PER CDC, IF SOMEONE  16 OR 17  YEARS OLD IS GIVEN MODERNA.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Eye haemorrhage, Visual impairment
Clinical narrative: Eye bleed in June, interference with vision, left eye , on-going issue at this time
Age: 27.0
Sex: F
Vaccine: FLU4
Symptoms: Limb discomfort, Paraesthesia
Clinical narrative: Pt with constant tingling and heaviness into the arm she received the injection 12-16 hours post injection and continued symptoms at time of appointment
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Catheterisation cardiac, Chest discomfort
Clinical narrative: Breakthrough COVID-19 case with symptom onset 8/24/2021:  Fever >100.4,  Muscle or body aches,  New loss of taste or smell,  Runny nose/Congestion,  Sore throat,  Cough (new onset or worsening of chronic cough),  Shortness of breath or difficulty breathing,  Chest pain,  Fatigue or tiredness,  Nausea or vomiting, Loss of appetite, extreme chest tightening. Hospitalization. Admitted for dehydration and lack of appetite. Went to hospital on 9/1 but not admitted until 9/2. They did a heart catherization because they thought he had blockages based on an EKG on 9/3.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Cough, Decreased appetite, Dehydration, Dyspnoea
Clinical narrative: Breakthrough COVID-19 case with symptom onset 8/24/2021:  Fever >100.4,  Muscle or body aches,  New loss of taste or smell,  Runny nose/Congestion,  Sore throat,  Cough (new onset or worsening of chronic cough),  Shortness of breath or difficulty breathing,  Chest pain,  Fatigue or tiredness,  Nausea or vomiting, Loss of appetite, extreme chest tightening. Hospitalization. Admitted for dehydration and lack of appetite. Went to hospital on 9/1 but not admitted until 9/2. They did a heart catherization because they thought he had blockages based on an EKG on 9/3.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Fatigue, Myalgia, Nausea, Oropharyngeal pain
Clinical narrative: Breakthrough COVID-19 case with symptom onset 8/24/2021:  Fever >100.4,  Muscle or body aches,  New loss of taste or smell,  Runny nose/Congestion,  Sore throat,  Cough (new onset or worsening of chronic cough),  Shortness of breath or difficulty breathing,  Chest pain,  Fatigue or tiredness,  Nausea or vomiting, Loss of appetite, extreme chest tightening. Hospitalization. Admitted for dehydration and lack of appetite. Went to hospital on 9/1 but not admitted until 9/2. They did a heart catherization because they thought he had blockages based on an EKG on 9/3.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID-19 case with symptom onset 8/24/2021:  Fever >100.4,  Muscle or body aches,  New loss of taste or smell,  Runny nose/Congestion,  Sore throat,  Cough (new onset or worsening of chronic cough),  Shortness of breath or difficulty breathing,  Chest pain,  Fatigue or tiredness,  Nausea or vomiting, Loss of appetite, extreme chest tightening. Hospitalization. Admitted for dehydration and lack of appetite. Went to hospital on 9/1 but not admitted until 9/2. They did a heart catherization because they thought he had blockages based on an EKG on 9/3.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection, Vomiting
Clinical narrative: Breakthrough COVID-19 case with symptom onset 8/24/2021:  Fever >100.4,  Muscle or body aches,  New loss of taste or smell,  Runny nose/Congestion,  Sore throat,  Cough (new onset or worsening of chronic cough),  Shortness of breath or difficulty breathing,  Chest pain,  Fatigue or tiredness,  Nausea or vomiting, Loss of appetite, extreme chest tightening. Hospitalization. Admitted for dehydration and lack of appetite. Went to hospital on 9/1 but not admitted until 9/2. They did a heart catherization because they thought he had blockages based on an EKG on 9/3.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Angina pectoris, Back pain, Chest pain, Electrocardiogram normal, Hypersensitivity
Clinical narrative: First, site of injection in my left arm started to twitch, muscle spasm. Then my heart started to have palpitations then it started to feel like it was on fire with pain intensifying through my body to my back. My tongue felt like it had pins and needles in it like when you eat pineapple. A few days later my fingers and toes went numb for a day then exactly two weeks later on 9/01/21 the injection site in my left arm became inflamed and blew up and was hot to the touch resembling an allergic reaction to a bee sting. To this day I still feel pain in my heart with radiating pain to my back. I went to the doctor the very next day and the nurse practitioner preformed an EKG which showed nothing. I was scheduled to get the second shot this past Wednesday but the pharmacist refused stating I needed clearance from a doctor to get the vaccine after the experience I had. The nurse practitioner felt it was just heart burn and prescribed me Nexium which I took for over a month now and has done nothing.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site inflammation, Injection site warmth, Muscle spasms, Muscle twitching
Clinical narrative: First, site of injection in my left arm started to twitch, muscle spasm. Then my heart started to have palpitations then it started to feel like it was on fire with pain intensifying through my body to my back. My tongue felt like it had pins and needles in it like when you eat pineapple. A few days later my fingers and toes went numb for a day then exactly two weeks later on 9/01/21 the injection site in my left arm became inflamed and blew up and was hot to the touch resembling an allergic reaction to a bee sting. To this day I still feel pain in my heart with radiating pain to my back. I went to the doctor the very next day and the nurse practitioner preformed an EKG which showed nothing. I was scheduled to get the second shot this past Wednesday but the pharmacist refused stating I needed clearance from a doctor to get the vaccine after the experience I had. The nurse practitioner felt it was just heart burn and prescribed me Nexium which I took for over a month now and has done nothing.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Paraesthesia
Clinical narrative: First, site of injection in my left arm started to twitch, muscle spasm. Then my heart started to have palpitations then it started to feel like it was on fire with pain intensifying through my body to my back. My tongue felt like it had pins and needles in it like when you eat pineapple. A few days later my fingers and toes went numb for a day then exactly two weeks later on 9/01/21 the injection site in my left arm became inflamed and blew up and was hot to the touch resembling an allergic reaction to a bee sting. To this day I still feel pain in my heart with radiating pain to my back. I went to the doctor the very next day and the nurse practitioner preformed an EKG which showed nothing. I was scheduled to get the second shot this past Wednesday but the pharmacist refused stating I needed clearance from a doctor to get the vaccine after the experience I had. The nurse practitioner felt it was just heart burn and prescribed me Nexium which I took for over a month now and has done nothing.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, Blister, Burning sensation, Herpes zoster
Clinical narrative: Shingles on the left side of the abdomen, burning at touch, blister around the bellybutton and side of the abdomen. Burning last for a entire month. Anti-Viral and steroids used as treatment. On June 17th lost sense of smell and taste.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Severe rash on the arms, back, upper chest, and feet
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Inadvertently vaccinated before 12 yrs of age.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Enlarged lymph node under left arm.
Age: 62.0
Sex: F
Vaccine: UNK
Symptoms: Decreased appetite, Fatigue, Headache
Clinical narrative: Bad headache all over my head including the back of my head, fatigue, loss of appetite
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Neck pain, Pain in extremity
Clinical narrative: Diarrhea for 3 days, intense arm pain all the way up to the neck for 1 week.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pain, Headache
Clinical narrative: Extreme eye pain, feels like an eye headache, sharp pain when moving eyes side to side or up and down.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Health Department (HD) received her shot record prior to her coming to our vaccine clinic as this is standard practice for our agency. On her record that was faxed to HD, it only had her Covid 19 vaccine on it, with a date  08-24-2021. She was at our agency for other vaccines, so we administered her 2nd dose of  Pfizer. After clinic this PHN was in contact with the nurse and there were other shot records that HD hadn't received prior to client's appointment. Client had her Covid 19 first dose on 08-03-2021. Client received 3 Pfizer vaccines- 08-03-2021, 08-24-2021 and 09-13-2021. The record stating she had her first dose of Pfizer wasn't given to HD prior to client coming to receive vaccines. No adverse reactions were noted after vaccine was administered on 09-13-2021.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Cellulitis
Clinical narrative: Cellulitis - bilateral lower extremities
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pfizer vaccine was diluted with Bacteriostatic NS 0.9% which is not recommended for use with Pfizer. CDC recommendations are to repeat affected dose. Pt was notified, all questions answered. Pt repeated dose on 9/15/21. No s/s reported by pt.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Joint range of motion decreased, Periarthritis
Clinical narrative: Frozen shoulder/limited range of motion without severe pain, not at all like the pain from a normal shot or even my first covid dose. Treated with ibuprofen about 730pm and got no relief.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Muscle spasms, Polymenorrhoea
Clinical narrative: Period that I was currently on stopped completely the same day as first shot. Severe breast pain and cramps followed for a few days.   Period d not return until a week later.   Second dose, same issue there off my cycle by a week with changes to flow and pain.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Breast swelling, Fluid retention
Clinical narrative: Excessive pre-menstrual breast swelling.  I typically have some minor water retention/swollen breasts before my period - but this was extremely excessive!  I haven't had swollen breasts like this except for when I was pregnant (which I wasn't).  I just wanted to report in the event other women experience the same.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: INADVERTENTLY VACCINATED BEFORE 12 YRS OF AGE.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, SARS-CoV-2 test negative
Clinical narrative: Lost of taste and smell
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site nodule, Injection site swelling, Injection site warmth, Pain in extremity
Clinical narrative: Woke up 9 days after my first vaccine and left arm was throbbing. I went to run it thinking I had slept funny and there was a knot and my arm was very hot starting about 1 inch below the injection site. There was also a new bump that looked like a mosquito bite at the injection site. It has been a little over 24 hours and my left arm is still very sore, red, and hot.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash, Rash papular
Clinical narrative: Skin rash developed on underside of forearm.  Very itchy red rasied bumps covering about 50% of the underside of the forearm.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Pt was given Pfizer Covid vaccine after receiving Moderna Covid vaccine
Age: 13.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bell's palsy, Facial paralysis, Hypoaesthesia
Clinical narrative: Unilateral Bell?s palsy. Onset was 9.12.21.  2nd dose of Pfizer vaccine was August 10th so she is about 4 weeks out CHIEF COMPLAINT:  NUMBNESS and FACIAL DROOP Assessment/Plan -  DIAGNOSIS at time of disposition:  1. Bell's palsy  MEDICAL DECISION MAKING Supervising Physician: Dr.  This is a 13-year-old previously healthy female presenting with 5 hours of complete left-sided facial droop without any other associated symptoms.  Patient is very well-appearing in no acute distress upon arrival with normal vital signs.  Patient has a GCS of 15, A&O x4.  Patient does have complete left-sided facial droop including the forehead making this most consistent with Bell's palsy and not a central neurologic process such as stroke.  Patient has no other neuro deficits on exam.  I did speak with Neurology who agreed with the diagnosis and advised on 1000 mg of Valtrex 3 times daily for a week and prednisone burst with taper over total of 10 days.  Patient was given 1st dose of both these medications here in the emergency department.  Patient will follow up with Neurology in 4-6 weeks.  Patient is also unable to fully close her left eye and therefore was given eye drops, eye gel for night and a eye patch which she was advised to wear while sleeping.  Dad was agreeable with this plan patient was discharged home in stable condition. Medications valACYclovir (VALTREX) tablet 1,000 mg (has no administration in time range) glycerin-hypromellose-PEG 400 (ARTIFICIAL TEARS) ophthalmic solution 1 drop (has no administration in time range) predniSONE (DELTASONE) tablet 50 mg (50 mg Oral Given 9/12/21 1536)
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Heart rate increased, Hyperhidrosis, Hypertension
Clinical narrative: High blood pressure, high resting heart rate over 120 bpm, fever, chills, excessive sweating, joint and body pain, swollen lymph nodes .