chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Rash
Clinical narrative: Rash all over, redness, fever, chest pain and heaviness, fainting, severe itching, sore throat with blisters in mouth,  Migraine, and HBP.  Treatment: ER-IV  Solu-medrol X1, Pepcid x1,  Fiorcet x1, Toradol x1,  Caffeine pill by mouth.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest discomfort, Chest pain, Erythema, Hypertension, Migraine
Clinical narrative: Rash all over, redness, fever, chest pain and heaviness, fainting, severe itching, sore throat with blisters in mouth,  Migraine, and HBP.  Treatment: ER-IV  Solu-medrol X1, Pepcid x1,  Fiorcet x1, Toradol x1,  Caffeine pill by mouth.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Oral mucosal blistering, Oropharyngeal pain, Pruritus, Pyrexia, Rash
Clinical narrative: Rash all over, redness, fever, chest pain and heaviness, fainting, severe itching, sore throat with blisters in mouth,  Migraine, and HBP.  Treatment: ER-IV  Solu-medrol X1, Pepcid x1,  Fiorcet x1, Toradol x1,  Caffeine pill by mouth.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Syncope
Clinical narrative: Rash all over, redness, fever, chest pain and heaviness, fainting, severe itching, sore throat with blisters in mouth,  Migraine, and HBP.  Treatment: ER-IV  Solu-medrol X1, Pepcid x1,  Fiorcet x1, Toradol x1,  Caffeine pill by mouth.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anaphylactic reaction, Erythema, Lip swelling, Swelling face, Throat tightness
Clinical narrative: had swelling of cheeks, lips, cough , trouble swallowing about 30 minutes after vaccine administration
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: had swelling of cheeks, lips, cough , trouble swallowing about 30 minutes after vaccine administration
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Dysphagia, Laboratory test normal, Lip swelling, Swelling face
Clinical narrative: had swelling of cheeks, lips, cough , trouble swallowing about 30 minutes after vaccine administration
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anaphylactic reaction, Cough, Lip swelling, Rash, SARS-CoV-2 test
Clinical narrative: had swelling of cheeks, lips, cough , trouble swallowing about 30 minutes after vaccine administration
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Swollen tongue, Throat irritation, Urticaria, Wheezing
Clinical narrative: had swelling of cheeks, lips, cough , trouble swallowing about 30 minutes after vaccine administration
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Headache, Nausea
Clinical narrative: Pt reported "pain in chest like you just run" @ 1130 VS OxSat 98%, HR 82, BP 120/82.  Pt was monitored for 30 min.  Pt stated she felt better, pt was D/C
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain
Clinical narrative: Pt reported "pain in chest like you just run" @ 1130 VS OxSat 98%, HR 82, BP 120/82.  Pt was monitored for 30 min.  Pt stated she felt better, pt was D/C
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Syncope, Urinary incontinence
Clinical narrative: Patient received Janssen COVID 19 vaccine and within a few minutes became very lightheaded and dizzy. Patient sat down to try and relieve symptoms and after sitting a minute proceeded to feint. She regained consciousness within a few moments and was then disoriented for a short time. EMS arrived and evaluated her and since she was pregnant she agreed to go with them for further evaluation. We followed up with her the next day, she was feeling better having recovered fully and was told at hospital everything was fine medically with her health and her pregnancy.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Disorientation, Dizziness, Exposure during pregnancy, Loss of consciousness, Syncope
Clinical narrative: Patient received Janssen COVID 19 vaccine and within a few minutes became very lightheaded and dizzy. Patient sat down to try and relieve symptoms and after sitting a minute proceeded to feint. She regained consciousness within a few moments and was then disoriented for a short time. EMS arrived and evaluated her and since she was pregnant she agreed to go with them for further evaluation. We followed up with her the next day, she was feeling better having recovered fully and was told at hospital everything was fine medically with her health and her pregnancy.
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Incorrect dose administered
Clinical narrative: ADMINISTERED 1ML INSTEAD OF 0.5 ML; This spontaneous report received from a health care professional concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, and  expiry: UNKNOWN) 1 ml, administered at left deltoid on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 08-APR-2021, the subject experienced administered 1ml instead of 0.5 ml. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of administered 1ml instead of 0.5 ml was not reported. This report was non-serious.
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Extra dose administered
Clinical narrative: ADMINISTERED 1ML INSTEAD OF 0.5 ML; This spontaneous report received from a health care professional concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 202A21A, and  expiry: UNKNOWN) 1 ml, administered at left deltoid on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 08-APR-2021, the subject experienced administered 1ml instead of 0.5 ml. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of administered 1ml instead of 0.5 ml was not reported. This report was non-serious.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray, Electrocardiogram, Full blood count, Hypertension, Lipase
Clinical narrative: HTN crisis, dx as near syncope @ Hospital
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Metabolic function test, Nausea, Syncope, Troponin T
Clinical narrative: HTN crisis, dx as near syncope @ Hospital
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypertension, Syncope
Clinical narrative: HTN crisis, dx as near syncope @ Hospital
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abnormal behaviour, Intentional self-injury, Suicidal ideation
Clinical narrative: Systemic: Allergic: Itch Generalized-Mild, Systemic: Abdominal Pain-Mild, Systemic: Headache-Severe, Additional Details: After being vaccinated, patient experienced some ear pain likely associated with a migraine as well as some itching but not enough for antihistamines. Patient was monitored at for 30 min with no issues. When patient arrived home, he went to sleep. When he woke up, mother states patient was having feelings of wanting to hurt himself so he was taken to the ER. All reactions have subsided.
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Ear pain, Headache, Migraine, Pruritus
Clinical narrative: Systemic: Allergic: Itch Generalized-Mild, Systemic: Abdominal Pain-Mild, Systemic: Headache-Severe, Additional Details: After being vaccinated, patient experienced some ear pain likely associated with a migraine as well as some itching but not enough for antihistamines. Patient was monitored at for 30 min with no issues. When patient arrived home, he went to sleep. When he woke up, mother states patient was having feelings of wanting to hurt himself so he was taken to the ER. All reactions have subsided.
Age: 21.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Self-injurious ideation
Clinical narrative: Systemic: Allergic: Itch Generalized-Mild, Systemic: Abdominal Pain-Mild, Systemic: Headache-Severe, Additional Details: After being vaccinated, patient experienced some ear pain likely associated with a migraine as well as some itching but not enough for antihistamines. Patient was monitored at for 30 min with no issues. When patient arrived home, he went to sleep. When he woke up, mother states patient was having feelings of wanting to hurt himself so he was taken to the ER. All reactions have subsided.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Feeling hot, Palpitations
Clinical narrative: Few minutes after receiving the vaccine, I experienced a sudden heat rush in my face, right after that my heart started beating super fast and I got nauseous and light headed. I raised my hand so the medics could come and check on me. When they did my BP was 185/113 and I was not feeling well. It lasted about 2 minutes maybe and then my heart rate started going down. When they checked it it was 155.  I was super weak and had a headache all day after.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Dizziness, Flushing, Headache, Heart rate increased
Clinical narrative: Few minutes after receiving the vaccine, I experienced a sudden heat rush in my face, right after that my heart started beating super fast and I got nauseous and light headed. I raised my hand so the medics could come and check on me. When they did my BP was 185/113 and I was not feeling well. It lasted about 2 minutes maybe and then my heart rate started going down. When they checked it it was 155.  I was super weak and had a headache all day after.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Nausea
Clinical narrative: Few minutes after receiving the vaccine, I experienced a sudden heat rush in my face, right after that my heart started beating super fast and I got nauseous and light headed. I raised my hand so the medics could come and check on me. When they did my BP was 185/113 and I was not feeling well. It lasted about 2 minutes maybe and then my heart rate started going down. When they checked it it was 155.  I was super weak and had a headache all day after.
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Aphasia, Brain abscess, Brain operation, Cerebral mass effect, Computerised tomogram head abnormal
Clinical narrative: Patient is a 69yo w history of mitral valve and aortic valve replacement with recent admissions to outside hospitals transferred from Hospital on 3/25/21 for new onset L sided weakness and possible brain abscesses.    On chart review, she had second COVID vaccination on 3/6/21 and was lethargic afterwards. She was admitted to hospital 3/15 - 3/20 and had imaging showing multiple embolic strokes thought to be cardioembolic. She did have TEE on 3/19/21 w leaflet calcifications involving bioprosthetic aortic valve w/o vegetations or thrombosis. CTA neck negative. Blood culture was negative. No atrial fibrillation on telemetry. There was note of calcifications involving one of the areas concerning for possible embolic calcification from her valve. She complained of posterior head and neck pain treated conservatively. She was discharged on aspirin to home w her daughter. She does have a history of endocarditis in 2007 necessitating repair of MV and AV bioprosthetic valve.    She now presents to hospital on 3/24 w acute onset of confusion and fever to 101.5F. she had LP showing 52 RBC, 34 WBC (80% mono, 20% poly), gluc 57, protein 82. She was started on empiric antibiotics for possible meningoencephalitis. MRI showed multiple enhancing lesions in L cerebral hemisphere and L cerebellum; consetllation was noted to be concern for multiple infarcts and possible abscesses w larges at L temporal-parietal junction. She had eConsult noted and there was concern for possible meningitis or vasculitis and possible mass lesion w evolving stroke or abscess. She could not be transferred back to previous hospital so was transferred to different hospital yesterday. She had repeat MRI brain showing large parenchymal hemorrhage w fluid level in R frontal lobe w possible mass and vasogenic edema, multiple areas of restricted diffusion throughout the brain, L parietal lesion w hemorrhage with component of leptomeningeal enhancement. Neurosurgery was consulted and she underwent right sided craniotomy w large intracerebral hemorrhage w both liquid and solid clot concerning for AV malformation.  Tissue was not sent for culture. It does not appear that CSF from outside hospital was sent for culture.    On interview w daughter, her mom has been very functional up until recently. She had a history of endocarditis in 2007 due to infected teeth. She had surgery involving her aortic and mitral valve. Has been very up to date w dental visits. Not on any anticoagulation. She got her first dose of Moderna on 2/13/21 and second dose on 3/6/21. She slept for 14.5hrs afterwards. Started getting nausea and headache. Then declined w issues w balance and walking. She was taken to the hospital and admitted for further work up. She lives w her daughter. Has dogs at home. No history of TB and no travel to central valley. She did move back in August
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Death, Headache, Motor dysfunction, Movement disorder
Clinical narrative: Patient is a 69yo w history of mitral valve and aortic valve replacement with recent admissions to outside hospitals transferred from Hospital on 3/25/21 for new onset L sided weakness and possible brain abscesses.    On chart review, she had second COVID vaccination on 3/6/21 and was lethargic afterwards. She was admitted to hospital 3/15 - 3/20 and had imaging showing multiple embolic strokes thought to be cardioembolic. She did have TEE on 3/19/21 w leaflet calcifications involving bioprosthetic aortic valve w/o vegetations or thrombosis. CTA neck negative. Blood culture was negative. No atrial fibrillation on telemetry. There was note of calcifications involving one of the areas concerning for possible embolic calcification from her valve. She complained of posterior head and neck pain treated conservatively. She was discharged on aspirin to home w her daughter. She does have a history of endocarditis in 2007 necessitating repair of MV and AV bioprosthetic valve.    She now presents to hospital on 3/24 w acute onset of confusion and fever to 101.5F. she had LP showing 52 RBC, 34 WBC (80% mono, 20% poly), gluc 57, protein 82. She was started on empiric antibiotics for possible meningoencephalitis. MRI showed multiple enhancing lesions in L cerebral hemisphere and L cerebellum; consetllation was noted to be concern for multiple infarcts and possible abscesses w larges at L temporal-parietal junction. She had eConsult noted and there was concern for possible meningitis or vasculitis and possible mass lesion w evolving stroke or abscess. She could not be transferred back to previous hospital so was transferred to different hospital yesterday. She had repeat MRI brain showing large parenchymal hemorrhage w fluid level in R frontal lobe w possible mass and vasogenic edema, multiple areas of restricted diffusion throughout the brain, L parietal lesion w hemorrhage with component of leptomeningeal enhancement. Neurosurgery was consulted and she underwent right sided craniotomy w large intracerebral hemorrhage w both liquid and solid clot concerning for AV malformation.  Tissue was not sent for culture. It does not appear that CSF from outside hospital was sent for culture.    On interview w daughter, her mom has been very functional up until recently. She had a history of endocarditis in 2007 due to infected teeth. She had surgery involving her aortic and mitral valve. Has been very up to date w dental visits. Not on any anticoagulation. She got her first dose of Moderna on 2/13/21 and second dose on 3/6/21. She slept for 14.5hrs afterwards. Started getting nausea and headache. Then declined w issues w balance and walking. She was taken to the hospital and admitted for further work up. She lives w her daughter. Has dogs at home. No history of TB and no travel to central valley. She did move back in August
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram abnormal, Aortic valve calcification, Balance disorder, Blood culture negative, Blood glucose decreased
Clinical narrative: Patient is a 69yo w history of mitral valve and aortic valve replacement with recent admissions to outside hospitals transferred from Hospital on 3/25/21 for new onset L sided weakness and possible brain abscesses.    On chart review, she had second COVID vaccination on 3/6/21 and was lethargic afterwards. She was admitted to hospital 3/15 - 3/20 and had imaging showing multiple embolic strokes thought to be cardioembolic. She did have TEE on 3/19/21 w leaflet calcifications involving bioprosthetic aortic valve w/o vegetations or thrombosis. CTA neck negative. Blood culture was negative. No atrial fibrillation on telemetry. There was note of calcifications involving one of the areas concerning for possible embolic calcification from her valve. She complained of posterior head and neck pain treated conservatively. She was discharged on aspirin to home w her daughter. She does have a history of endocarditis in 2007 necessitating repair of MV and AV bioprosthetic valve.    She now presents to hospital on 3/24 w acute onset of confusion and fever to 101.5F. she had LP showing 52 RBC, 34 WBC (80% mono, 20% poly), gluc 57, protein 82. She was started on empiric antibiotics for possible meningoencephalitis. MRI showed multiple enhancing lesions in L cerebral hemisphere and L cerebellum; consetllation was noted to be concern for multiple infarcts and possible abscesses w larges at L temporal-parietal junction. She had eConsult noted and there was concern for possible meningitis or vasculitis and possible mass lesion w evolving stroke or abscess. She could not be transferred back to previous hospital so was transferred to different hospital yesterday. She had repeat MRI brain showing large parenchymal hemorrhage w fluid level in R frontal lobe w possible mass and vasogenic edema, multiple areas of restricted diffusion throughout the brain, L parietal lesion w hemorrhage with component of leptomeningeal enhancement. Neurosurgery was consulted and she underwent right sided craniotomy w large intracerebral hemorrhage w both liquid and solid clot concerning for AV malformation.  Tissue was not sent for culture. It does not appear that CSF from outside hospital was sent for culture.    On interview w daughter, her mom has been very functional up until recently. She had a history of endocarditis in 2007 due to infected teeth. She had surgery involving her aortic and mitral valve. Has been very up to date w dental visits. Not on any anticoagulation. She got her first dose of Moderna on 2/13/21 and second dose on 3/6/21. She slept for 14.5hrs afterwards. Started getting nausea and headache. Then declined w issues w balance and walking. She was taken to the hospital and admitted for further work up. She lives w her daughter. Has dogs at home. No history of TB and no travel to central valley. She did move back in August
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiac telemetry normal, Central nervous system lesion, Cerebral haemorrhage, Confusional state, Craniotomy
Clinical narrative: Patient is a 69yo w history of mitral valve and aortic valve replacement with recent admissions to outside hospitals transferred from Hospital on 3/25/21 for new onset L sided weakness and possible brain abscesses.    On chart review, she had second COVID vaccination on 3/6/21 and was lethargic afterwards. She was admitted to hospital 3/15 - 3/20 and had imaging showing multiple embolic strokes thought to be cardioembolic. She did have TEE on 3/19/21 w leaflet calcifications involving bioprosthetic aortic valve w/o vegetations or thrombosis. CTA neck negative. Blood culture was negative. No atrial fibrillation on telemetry. There was note of calcifications involving one of the areas concerning for possible embolic calcification from her valve. She complained of posterior head and neck pain treated conservatively. She was discharged on aspirin to home w her daughter. She does have a history of endocarditis in 2007 necessitating repair of MV and AV bioprosthetic valve.    She now presents to hospital on 3/24 w acute onset of confusion and fever to 101.5F. she had LP showing 52 RBC, 34 WBC (80% mono, 20% poly), gluc 57, protein 82. She was started on empiric antibiotics for possible meningoencephalitis. MRI showed multiple enhancing lesions in L cerebral hemisphere and L cerebellum; consetllation was noted to be concern for multiple infarcts and possible abscesses w larges at L temporal-parietal junction. She had eConsult noted and there was concern for possible meningitis or vasculitis and possible mass lesion w evolving stroke or abscess. She could not be transferred back to previous hospital so was transferred to different hospital yesterday. She had repeat MRI brain showing large parenchymal hemorrhage w fluid level in R frontal lobe w possible mass and vasogenic edema, multiple areas of restricted diffusion throughout the brain, L parietal lesion w hemorrhage with component of leptomeningeal enhancement. Neurosurgery was consulted and she underwent right sided craniotomy w large intracerebral hemorrhage w both liquid and solid clot concerning for AV malformation.  Tissue was not sent for culture. It does not appear that CSF from outside hospital was sent for culture.    On interview w daughter, her mom has been very functional up until recently. She had a history of endocarditis in 2007 due to infected teeth. She had surgery involving her aortic and mitral valve. Has been very up to date w dental visits. Not on any anticoagulation. She got her first dose of Moderna on 2/13/21 and second dose on 3/6/21. She slept for 14.5hrs afterwards. Started getting nausea and headache. Then declined w issues w balance and walking. She was taken to the hospital and admitted for further work up. She lives w her daughter. Has dogs at home. No history of TB and no travel to central valley. She did move back in August
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram, Embolic stroke, Gait disturbance, Headache, Hemiparesis
Clinical narrative: Patient is a 69yo w history of mitral valve and aortic valve replacement with recent admissions to outside hospitals transferred from Hospital on 3/25/21 for new onset L sided weakness and possible brain abscesses.    On chart review, she had second COVID vaccination on 3/6/21 and was lethargic afterwards. She was admitted to hospital 3/15 - 3/20 and had imaging showing multiple embolic strokes thought to be cardioembolic. She did have TEE on 3/19/21 w leaflet calcifications involving bioprosthetic aortic valve w/o vegetations or thrombosis. CTA neck negative. Blood culture was negative. No atrial fibrillation on telemetry. There was note of calcifications involving one of the areas concerning for possible embolic calcification from her valve. She complained of posterior head and neck pain treated conservatively. She was discharged on aspirin to home w her daughter. She does have a history of endocarditis in 2007 necessitating repair of MV and AV bioprosthetic valve.    She now presents to hospital on 3/24 w acute onset of confusion and fever to 101.5F. she had LP showing 52 RBC, 34 WBC (80% mono, 20% poly), gluc 57, protein 82. She was started on empiric antibiotics for possible meningoencephalitis. MRI showed multiple enhancing lesions in L cerebral hemisphere and L cerebellum; consetllation was noted to be concern for multiple infarcts and possible abscesses w larges at L temporal-parietal junction. She had eConsult noted and there was concern for possible meningitis or vasculitis and possible mass lesion w evolving stroke or abscess. She could not be transferred back to previous hospital so was transferred to different hospital yesterday. She had repeat MRI brain showing large parenchymal hemorrhage w fluid level in R frontal lobe w possible mass and vasogenic edema, multiple areas of restricted diffusion throughout the brain, L parietal lesion w hemorrhage with component of leptomeningeal enhancement. Neurosurgery was consulted and she underwent right sided craniotomy w large intracerebral hemorrhage w both liquid and solid clot concerning for AV malformation.  Tissue was not sent for culture. It does not appear that CSF from outside hospital was sent for culture.    On interview w daughter, her mom has been very functional up until recently. She had a history of endocarditis in 2007 due to infected teeth. She had surgery involving her aortic and mitral valve. Has been very up to date w dental visits. Not on any anticoagulation. She got her first dose of Moderna on 2/13/21 and second dose on 3/6/21. She slept for 14.5hrs afterwards. Started getting nausea and headache. Then declined w issues w balance and walking. She was taken to the hospital and admitted for further work up. She lives w her daughter. Has dogs at home. No history of TB and no travel to central valley. She did move back in August
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lethargy, Magnetic resonance imaging head abnormal, Mitral valve replacement, Nausea, Neck pain
Clinical narrative: Patient is a 69yo w history of mitral valve and aortic valve replacement with recent admissions to outside hospitals transferred from Hospital on 3/25/21 for new onset L sided weakness and possible brain abscesses.    On chart review, she had second COVID vaccination on 3/6/21 and was lethargic afterwards. She was admitted to hospital 3/15 - 3/20 and had imaging showing multiple embolic strokes thought to be cardioembolic. She did have TEE on 3/19/21 w leaflet calcifications involving bioprosthetic aortic valve w/o vegetations or thrombosis. CTA neck negative. Blood culture was negative. No atrial fibrillation on telemetry. There was note of calcifications involving one of the areas concerning for possible embolic calcification from her valve. She complained of posterior head and neck pain treated conservatively. She was discharged on aspirin to home w her daughter. She does have a history of endocarditis in 2007 necessitating repair of MV and AV bioprosthetic valve.    She now presents to hospital on 3/24 w acute onset of confusion and fever to 101.5F. she had LP showing 52 RBC, 34 WBC (80% mono, 20% poly), gluc 57, protein 82. She was started on empiric antibiotics for possible meningoencephalitis. MRI showed multiple enhancing lesions in L cerebral hemisphere and L cerebellum; consetllation was noted to be concern for multiple infarcts and possible abscesses w larges at L temporal-parietal junction. She had eConsult noted and there was concern for possible meningitis or vasculitis and possible mass lesion w evolving stroke or abscess. She could not be transferred back to previous hospital so was transferred to different hospital yesterday. She had repeat MRI brain showing large parenchymal hemorrhage w fluid level in R frontal lobe w possible mass and vasogenic edema, multiple areas of restricted diffusion throughout the brain, L parietal lesion w hemorrhage with component of leptomeningeal enhancement. Neurosurgery was consulted and she underwent right sided craniotomy w large intracerebral hemorrhage w both liquid and solid clot concerning for AV malformation.  Tissue was not sent for culture. It does not appear that CSF from outside hospital was sent for culture.    On interview w daughter, her mom has been very functional up until recently. She had a history of endocarditis in 2007 due to infected teeth. She had surgery involving her aortic and mitral valve. Has been very up to date w dental visits. Not on any anticoagulation. She got her first dose of Moderna on 2/13/21 and second dose on 3/6/21. She slept for 14.5hrs afterwards. Started getting nausea and headache. Then declined w issues w balance and walking. She was taken to the hospital and admitted for further work up. She lives w her daughter. Has dogs at home. No history of TB and no travel to central valley. She did move back in August
Age: 69.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Protein total normal, Pyrexia, Red blood cell count increased
Clinical narrative: Patient is a 69yo w history of mitral valve and aortic valve replacement with recent admissions to outside hospitals transferred from Hospital on 3/25/21 for new onset L sided weakness and possible brain abscesses.    On chart review, she had second COVID vaccination on 3/6/21 and was lethargic afterwards. She was admitted to hospital 3/15 - 3/20 and had imaging showing multiple embolic strokes thought to be cardioembolic. She did have TEE on 3/19/21 w leaflet calcifications involving bioprosthetic aortic valve w/o vegetations or thrombosis. CTA neck negative. Blood culture was negative. No atrial fibrillation on telemetry. There was note of calcifications involving one of the areas concerning for possible embolic calcification from her valve. She complained of posterior head and neck pain treated conservatively. She was discharged on aspirin to home w her daughter. She does have a history of endocarditis in 2007 necessitating repair of MV and AV bioprosthetic valve.    She now presents to hospital on 3/24 w acute onset of confusion and fever to 101.5F. she had LP showing 52 RBC, 34 WBC (80% mono, 20% poly), gluc 57, protein 82. She was started on empiric antibiotics for possible meningoencephalitis. MRI showed multiple enhancing lesions in L cerebral hemisphere and L cerebellum; consetllation was noted to be concern for multiple infarcts and possible abscesses w larges at L temporal-parietal junction. She had eConsult noted and there was concern for possible meningitis or vasculitis and possible mass lesion w evolving stroke or abscess. She could not be transferred back to previous hospital so was transferred to different hospital yesterday. She had repeat MRI brain showing large parenchymal hemorrhage w fluid level in R frontal lobe w possible mass and vasogenic edema, multiple areas of restricted diffusion throughout the brain, L parietal lesion w hemorrhage with component of leptomeningeal enhancement. Neurosurgery was consulted and she underwent right sided craniotomy w large intracerebral hemorrhage w both liquid and solid clot concerning for AV malformation.  Tissue was not sent for culture. It does not appear that CSF from outside hospital was sent for culture.    On interview w daughter, her mom has been very functional up until recently. She had a history of endocarditis in 2007 due to infected teeth. She had surgery involving her aortic and mitral valve. Has been very up to date w dental visits. Not on any anticoagulation. She got her first dose of Moderna on 2/13/21 and second dose on 3/6/21. She slept for 14.5hrs afterwards. Started getting nausea and headache. Then declined w issues w balance and walking. She was taken to the hospital and admitted for further work up. She lives w her daughter. Has dogs at home. No history of TB and no travel to central valley. She did move back in August
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood pressure increased, Blood test normal, Chest discomfort, Dizziness, Dyspnoea
Clinical narrative: Short of breath, cold tingle in fingers, CP
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling abnormal, Feeling cold, Headache, Muscle spasms, Nasal congestion
Clinical narrative: Short of breath, cold tingle in fingers, CP
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neck pain, Pain in extremity, Somnolence, Speech disorder
Clinical narrative: Short of breath, cold tingle in fingers, CP
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Paraesthesia, Peripheral coldness
Clinical narrative: Short of breath, cold tingle in fingers, CP
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Burning sensation, Drug hypersensitivity, Dry mouth, Dry throat, Dyspnoea
Clinical narrative: The patient is a 26 year old female who presents to the practice today for a transition into care.The patient is transitioning into care from an emergency room and a summary of care was reviewed. Note for "Transition into care": Patient went to ER 4/9/21 for facial swelling, numbness and feeling like she could not breath and was discharged 4/9/21. Patient states she had the covid vaccine Pfizer 4/9/21 and had reaction after about 40 minutes. Patient states the right side of face started to swell, numbness across her face (lips, tongue, throat) and she felt like she could not breath. Patient was given Benadryl, Pepcid and Decadron. Patient was prescribed for Benadryl and Prednisone. Patient states on 4/10/21 she had a reaction to Prednisone with beet red face, facial warmth, rash, and facial numbness again.  Patient states when getting the Hep A vaccine 3/17/21 she felt a wave of heat go over her body and her mouth and throat were super dry and the same thing happened when she got the Pfizer covid vaccine.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Erythema, Feeling hot, Hypoaesthesia oral, Paraesthesia oral, Pharyngeal hypoaesthesia
Clinical narrative: The patient is a 26 year old female who presents to the practice today for a transition into care.The patient is transitioning into care from an emergency room and a summary of care was reviewed. Note for "Transition into care": Patient went to ER 4/9/21 for facial swelling, numbness and feeling like she could not breath and was discharged 4/9/21. Patient states she had the covid vaccine Pfizer 4/9/21 and had reaction after about 40 minutes. Patient states the right side of face started to swell, numbness across her face (lips, tongue, throat) and she felt like she could not breath. Patient was given Benadryl, Pepcid and Decadron. Patient was prescribed for Benadryl and Prednisone. Patient states on 4/10/21 she had a reaction to Prednisone with beet red face, facial warmth, rash, and facial numbness again.  Patient states when getting the Hep A vaccine 3/17/21 she felt a wave of heat go over her body and her mouth and throat were super dry and the same thing happened when she got the Pfizer covid vaccine.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swelling face
Clinical narrative: The patient is a 26 year old female who presents to the practice today for a transition into care.The patient is transitioning into care from an emergency room and a summary of care was reviewed. Note for "Transition into care": Patient went to ER 4/9/21 for facial swelling, numbness and feeling like she could not breath and was discharged 4/9/21. Patient states she had the covid vaccine Pfizer 4/9/21 and had reaction after about 40 minutes. Patient states the right side of face started to swell, numbness across her face (lips, tongue, throat) and she felt like she could not breath. Patient was given Benadryl, Pepcid and Decadron. Patient was prescribed for Benadryl and Prednisone. Patient states on 4/10/21 she had a reaction to Prednisone with beet red face, facial warmth, rash, and facial numbness again.  Patient states when getting the Hep A vaccine 3/17/21 she felt a wave of heat go over her body and her mouth and throat were super dry and the same thing happened when she got the Pfizer covid vaccine.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dry mouth, Dry throat, Dyspnoea, Erythema, Feeling hot
Clinical narrative: The patient is a 26 year old female who presents to the practice today for a transition into care.The patient is transitioning into care from an emergency room and a summary of care was reviewed. Note for "Transition into care": Patient went to ER 4/9/21 for facial swelling, numbness and feeling like she could not breath and was discharged 4/9/21. Patient states she had the covid vaccine Pfizer 4/9/21 and had reaction after about 40 minutes. Patient states the right side of face started to swell, numbness across her face (lips, tongue, throat) and she felt like she could not breath. Patient was given Benadryl, Pepcid and Decadron. Patient was prescribed for Benadryl and Prednisone. Patient states on 4/10/21 she had a reaction to Prednisone with beet red face, facial warmth, rash, and facial numbness again.  Patient states when getting the Hep A vaccine 3/17/21 she felt a wave of heat go over her body and her mouth and throat were super dry and the same thing happened when she got the Pfizer covid vaccine.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Rash, Swelling face, Temperature intolerance
Clinical narrative: The patient is a 26 year old female who presents to the practice today for a transition into care.The patient is transitioning into care from an emergency room and a summary of care was reviewed. Note for "Transition into care": Patient went to ER 4/9/21 for facial swelling, numbness and feeling like she could not breath and was discharged 4/9/21. Patient states she had the covid vaccine Pfizer 4/9/21 and had reaction after about 40 minutes. Patient states the right side of face started to swell, numbness across her face (lips, tongue, throat) and she felt like she could not breath. Patient was given Benadryl, Pepcid and Decadron. Patient was prescribed for Benadryl and Prednisone. Patient states on 4/10/21 she had a reaction to Prednisone with beet red face, facial warmth, rash, and facial numbness again.  Patient states when getting the Hep A vaccine 3/17/21 she felt a wave of heat go over her body and her mouth and throat were super dry and the same thing happened when she got the Pfizer covid vaccine.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Fatigue, Flushing, Headache, Hyperhidrosis
Clinical narrative: 15 MINS AFTER SHOT I STARTED FEELING DIZZY, REALLY BAD HEADACHE, FATIGUE, AND ON AND OFF CHEST PAINS. HAD TO LAY DOWN. STARTED GETTING TREMORS, DIDN'T FEEL ANY BETTER AFTER ANOTHER 20 MINS AND THEN THE DOC CALLED THE AMBULANCE TO TAKE ME TO ER.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Vital signs measurement
Clinical narrative: 15 MINS AFTER SHOT I STARTED FEELING DIZZY, REALLY BAD HEADACHE, FATIGUE, AND ON AND OFF CHEST PAINS. HAD TO LAY DOWN. STARTED GETTING TREMORS, DIDN'T FEEL ANY BETTER AFTER ANOTHER 20 MINS AND THEN THE DOC CALLED THE AMBULANCE TO TAKE ME TO ER.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dizziness, Fatigue, Fibrin D dimer increased, Headache
Clinical narrative: 15 MINS AFTER SHOT I STARTED FEELING DIZZY, REALLY BAD HEADACHE, FATIGUE, AND ON AND OFF CHEST PAINS. HAD TO LAY DOWN. STARTED GETTING TREMORS, DIDN'T FEEL ANY BETTER AFTER ANOTHER 20 MINS AND THEN THE DOC CALLED THE AMBULANCE TO TAKE ME TO ER.
Age: 22.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tremor
Clinical narrative: 15 MINS AFTER SHOT I STARTED FEELING DIZZY, REALLY BAD HEADACHE, FATIGUE, AND ON AND OFF CHEST PAINS. HAD TO LAY DOWN. STARTED GETTING TREMORS, DIDN'T FEEL ANY BETTER AFTER ANOTHER 20 MINS AND THEN THE DOC CALLED THE AMBULANCE TO TAKE ME TO ER.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Erythema, Erythema of eyelid, Eyelid rash, Eyelids pruritus
Clinical narrative: Diffuse pruritis generalized with swelling of tongue.Throat feels burning and itching.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Feeling abnormal, Headache, Lymphadenopathy, Nausea
Clinical narrative: Diffuse pruritis generalized with swelling of tongue.Throat feels burning and itching.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neck pain, Pain in jaw, Peripheral swelling, Rash pruritic, Swelling
Clinical narrative: Diffuse pruritis generalized with swelling of tongue.Throat feels burning and itching.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swelling face, Tenderness, Throat tightness, Vision blurred, Vomiting
Clinical narrative: Diffuse pruritis generalized with swelling of tongue.Throat feels burning and itching.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swollen tongue, Throat irritation, Tongue pruritus
Clinical narrative: Diffuse pruritis generalized with swelling of tongue.Throat feels burning and itching.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Headache, Influenza like illness, Pyrexia, Rash
Clinical narrative: 4/9/2021 10:30 am - Received vaccination 6:30 pm - Body Aches 7:30 pm - Chills and Shaking 8:00 pm - Fever from 96.9 to 98.9 9:00 pm - Fever from 98.9 to 100.1 10:00 pm - Severe Headache 11:00 pm - Fever from 100.1 to 101.50 4/10/2021 1:00 am - Fever from 101.50 to 102 2:00 am - Pains in my kidneys Throughout day,  very lethargic and headache continued 8pm - Rash developed on neck and chest 4/11/2021 7:00 am - Rash moved further up my neck and pasty my shoulders 10:00 am - Called Pharmacy they recommend I go to Urgent Care or Hospital 12:00 pm - Checked in to Hospital and was treated for allergic reaction to immuzation
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Allergy to vaccine, Chills, Headache, Hypersensitivity, Lethargy
Clinical narrative: 4/9/2021 10:30 am - Received vaccination 6:30 pm - Body Aches 7:30 pm - Chills and Shaking 8:00 pm - Fever from 96.9 to 98.9 9:00 pm - Fever from 98.9 to 100.1 10:00 pm - Severe Headache 11:00 pm - Fever from 100.1 to 101.50 4/10/2021 1:00 am - Fever from 101.50 to 102 2:00 am - Pains in my kidneys Throughout day,  very lethargic and headache continued 8pm - Rash developed on neck and chest 4/11/2021 7:00 am - Rash moved further up my neck and pasty my shoulders 10:00 am - Called Pharmacy they recommend I go to Urgent Care or Hospital 12:00 pm - Checked in to Hospital and was treated for allergic reaction to immuzation
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pyrexia, Rash, Renal pain, Tremor
Clinical narrative: 4/9/2021 10:30 am - Received vaccination 6:30 pm - Body Aches 7:30 pm - Chills and Shaking 8:00 pm - Fever from 96.9 to 98.9 9:00 pm - Fever from 98.9 to 100.1 10:00 pm - Severe Headache 11:00 pm - Fever from 100.1 to 101.50 4/10/2021 1:00 am - Fever from 101.50 to 102 2:00 am - Pains in my kidneys Throughout day,  very lethargic and headache continued 8pm - Rash developed on neck and chest 4/11/2021 7:00 am - Rash moved further up my neck and pasty my shoulders 10:00 am - Called Pharmacy they recommend I go to Urgent Care or Hospital 12:00 pm - Checked in to Hospital and was treated for allergic reaction to immuzation
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Inflammation, Oral pruritus, Paraesthesia oral, Pruritus
Clinical narrative: Caller stated that she received her first vaccine on 04/10/2021 and a few minutes later she had tingling sensation to her tongue and lips and SOB. She took benadryl and it  went away. After hours later she experienced SOB, itchyness and redness all over her body. She took bedaryl again and this time she felt fullness and swelling in her body felt like she had gained 5 pounds. But has not had any symptoms since yesterday just tired.
Age: 64.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Erythema, Paraesthesia oral, Pruritus, Swelling
Clinical narrative: Caller stated that she received her first vaccine on 04/10/2021 and a few minutes later she had tingling sensation to her tongue and lips and SOB. She took benadryl and it  went away. After hours later she experienced SOB, itchyness and redness all over her body. She took bedaryl again and this time she felt fullness and swelling in her body felt like she had gained 5 pounds. But has not had any symptoms since yesterday just tired.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood pressure systolic increased, Cerebral mass effect, Confusional state, Dizziness, Endotracheal intubation
Clinical narrative: pt had a  massive stroke
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Gait disturbance, Headache, Intensive care, International normalised ratio increased, Subdural haematoma
Clinical narrative: pt had a  massive stroke
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unresponsive to stimuli
Clinical narrative: pt had a  massive stroke
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: pt had a  massive stroke
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Myalgia
Clinical narrative: Fever, chills, muscle aches, nausea, fatigue
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: Fever, chills, muscle aches, nausea, fatigue
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chills, Fatigue, Nausea, Pain, Pyrexia
Clinical narrative: Fever, chills, muscle aches, nausea, fatigue
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood glucose normal, Confusional state, Hyperhidrosis, Malaise, Pain in extremity
Clinical narrative: 33yr old patient with unknown PMH and allergies, presented to office for COVID-19 injection on 4/10. CMA administered JANSSEN COVID19 VACC (LOT # 207A21A, exp 6/23/21) IM to patient's right deltoid at 0841. Immediately following injection, patient's arm began to shake which continued past 5min. Patient endorsed seeing black spots, then nausea. Patient denied shortness of breath, difficulty swallowing, chest pain or other symptoms. Patient noted to be pale, diaphoretic, and fainted upon sitting down. Reporter observed patient shaking. Patient admitted to urgent care for further follow up. At 0904, BP 136/82, HR 79, 98% RA. At 0947, BP 93/61. Patient given NS 500mL bolus IV. At 1025, patient denied dizziness, weakne At 1025, patient denied dizziness, weakness, or nausea. Patient changed to sitting position with mild nausea. VS remained stable. At 1035, patient ambulating without issues. Patient discharged home in stable condition. Patient noted he had not eaten prior to injection. Urgent care provider indicated per physical exam consistent with vasovagal reaction to vaccine. POC = 142, given crackers and water x 2.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Syncope, Thinking abnormal, Tremor, Unresponsive to stimuli, Visual impairment
Clinical narrative: 33yr old patient with unknown PMH and allergies, presented to office for COVID-19 injection on 4/10. CMA administered JANSSEN COVID19 VACC (LOT # 207A21A, exp 6/23/21) IM to patient's right deltoid at 0841. Immediately following injection, patient's arm began to shake which continued past 5min. Patient endorsed seeing black spots, then nausea. Patient denied shortness of breath, difficulty swallowing, chest pain or other symptoms. Patient noted to be pale, diaphoretic, and fainted upon sitting down. Reporter observed patient shaking. Patient admitted to urgent care for further follow up. At 0904, BP 136/82, HR 79, 98% RA. At 0947, BP 93/61. Patient given NS 500mL bolus IV. At 1025, patient denied dizziness, weakne At 1025, patient denied dizziness, weakness, or nausea. Patient changed to sitting position with mild nausea. VS remained stable. At 1035, patient ambulating without issues. Patient discharged home in stable condition. Patient noted he had not eaten prior to injection. Urgent care provider indicated per physical exam consistent with vasovagal reaction to vaccine. POC = 142, given crackers and water x 2.
Age: 33.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Immediate post-injection reaction, Nausea, Pallor, Syncope
Clinical narrative: 33yr old patient with unknown PMH and allergies, presented to office for COVID-19 injection on 4/10. CMA administered JANSSEN COVID19 VACC (LOT # 207A21A, exp 6/23/21) IM to patient's right deltoid at 0841. Immediately following injection, patient's arm began to shake which continued past 5min. Patient endorsed seeing black spots, then nausea. Patient denied shortness of breath, difficulty swallowing, chest pain or other symptoms. Patient noted to be pale, diaphoretic, and fainted upon sitting down. Reporter observed patient shaking. Patient admitted to urgent care for further follow up. At 0904, BP 136/82, HR 79, 98% RA. At 0947, BP 93/61. Patient given NS 500mL bolus IV. At 1025, patient denied dizziness, weakne At 1025, patient denied dizziness, weakness, or nausea. Patient changed to sitting position with mild nausea. VS remained stable. At 1035, patient ambulating without issues. Patient discharged home in stable condition. Patient noted he had not eaten prior to injection. Urgent care provider indicated per physical exam consistent with vasovagal reaction to vaccine. POC = 142, given crackers and water x 2.