chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 86.0
Sex: M
Vaccine: COVID19
Symptoms: Dysphagia, Exposure to SARS-CoV-2, Gait inability, General physical health deterioration, SARS-CoV-2 test positive
Clinical narrative: pr brought to ED with increasing weakness and unable to walk; dementia; decrease in appetite; swallowing impaired; wife tested positive for COVID and is unable to care for him; pt tested positive for COVID; wife states he's been steadily declining over the past month; there has not been any SOB, and pt is breathing on RA and well hydrated; pt's condition worsened and he was made comfort care; pt passed away in the hospital
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Palpitations
Clinical narrative: Ever since the morning after the third shot I feel like my heart is racing and I cannot sleep well. I will make an appointment to see a doctor.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products, Wrong product administered
Clinical narrative: Patient requested to get Pfizer for booster since he got Pfizer for his first 2 doses.  Patient was given Janssen instead. He was given 0.3ml of Janssen. Patient was informed and wanted to get the Pfizer booster .
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Syncope. ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, Rash
Clinical narrative: Few hours after vaccination he started getting allergies (little bumps or rash) in his left arm and I called the doctor she said to let him take Allegra. The next day the rash expanded all over his body and I called the doctor and was advised to take him to the ER. He was prescribed with Siladryl, Prednisone, Benadryl and Hydrocortisone cream.  As of today it the rash disappeared on some part of his body but there are still remaining on his other side and his body temperature has been really warm for the past few days since he got his first dose.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient vomited at 12:30 a.m. (15 hours after receiving 1st dose of COVID vaccine). He vomited regularly until 4:30 a.m., for a total of 7 times (last 3 times didn't produce much vomit).
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: 0.2 ml of pediatric vaccine was administered with  no diluent.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Atelectasis, Blood bicarbonate increased, Blood potassium increased, COVID-19
Clinical narrative: This is a 84y.o. male with a PMHx of hypertension on Norvasc and dyslipidemia who presents to the ED from care facility via EMS for shortness of breath onset this morning.  He states he woke this morning and approximately 30 minutes later he began to experience productive cough with green sputum, followed by shortness of breath.  He called the nurse for assistance who applied supplemental oxygen and removed his mask with minimal improvement of symptoms, prompting the care facility to call EMS.  Patient reportedly presented on 15 L nonrebreather via EMS.  Patient and EMS reports he recently tested positive for Covid at this facility, however, upon review of chart no notes or prior admissions at this facility.  He denies any fevers, chills, chest pain, abdominal pain, nausea, vomiting, diarrhea, constipation.   In the ED: BP 152/78, HR 82, RR 23, SPO2 95% on 3LNC, T 98.7F.  Labs remarkable for K5.9, bicarbonate 33, troponin 0 0.09, hemoglobin 9.3, platelet 119.  CXR significant for near complete opacification of left hemithorax, small right pleural effusion and associated scattered reticular and groundglass of airspace disease.  CTA PE shows no evidence of PE; left upper lobe collapse with possible evidence of mucous plugging VS obstructive mass lesions; diffuse groundglass consolidation of left upper lobe and patchy groundglass consolidation of right upper and lower lobes; bilateral renal cysts.  Patient is started on IV Decadron.  He is admitted to internal medicine with consult to cardiology and pulmonology.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray abnormal, Dyspnoea, Haemoglobin decreased, Influenza A virus test negative, Influenza B virus test
Clinical narrative: This is a 84y.o. male with a PMHx of hypertension on Norvasc and dyslipidemia who presents to the ED from care facility via EMS for shortness of breath onset this morning.  He states he woke this morning and approximately 30 minutes later he began to experience productive cough with green sputum, followed by shortness of breath.  He called the nurse for assistance who applied supplemental oxygen and removed his mask with minimal improvement of symptoms, prompting the care facility to call EMS.  Patient reportedly presented on 15 L nonrebreather via EMS.  Patient and EMS reports he recently tested positive for Covid at this facility, however, upon review of chart no notes or prior admissions at this facility.  He denies any fevers, chills, chest pain, abdominal pain, nausea, vomiting, diarrhea, constipation.   In the ED: BP 152/78, HR 82, RR 23, SPO2 95% on 3LNC, T 98.7F.  Labs remarkable for K5.9, bicarbonate 33, troponin 0 0.09, hemoglobin 9.3, platelet 119.  CXR significant for near complete opacification of left hemithorax, small right pleural effusion and associated scattered reticular and groundglass of airspace disease.  CTA PE shows no evidence of PE; left upper lobe collapse with possible evidence of mucous plugging VS obstructive mass lesions; diffuse groundglass consolidation of left upper lobe and patchy groundglass consolidation of right upper and lower lobes; bilateral renal cysts.  Patient is started on IV Decadron.  He is admitted to internal medicine with consult to cardiology and pulmonology.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Lung consolidation, Lung opacity, Platelet count decreased, Pleural effusion, Productive cough
Clinical narrative: This is a 84y.o. male with a PMHx of hypertension on Norvasc and dyslipidemia who presents to the ED from care facility via EMS for shortness of breath onset this morning.  He states he woke this morning and approximately 30 minutes later he began to experience productive cough with green sputum, followed by shortness of breath.  He called the nurse for assistance who applied supplemental oxygen and removed his mask with minimal improvement of symptoms, prompting the care facility to call EMS.  Patient reportedly presented on 15 L nonrebreather via EMS.  Patient and EMS reports he recently tested positive for Covid at this facility, however, upon review of chart no notes or prior admissions at this facility.  He denies any fevers, chills, chest pain, abdominal pain, nausea, vomiting, diarrhea, constipation.   In the ED: BP 152/78, HR 82, RR 23, SPO2 95% on 3LNC, T 98.7F.  Labs remarkable for K5.9, bicarbonate 33, troponin 0 0.09, hemoglobin 9.3, platelet 119.  CXR significant for near complete opacification of left hemithorax, small right pleural effusion and associated scattered reticular and groundglass of airspace disease.  CTA PE shows no evidence of PE; left upper lobe collapse with possible evidence of mucous plugging VS obstructive mass lesions; diffuse groundglass consolidation of left upper lobe and patchy groundglass consolidation of right upper and lower lobes; bilateral renal cysts.  Patient is started on IV Decadron.  He is admitted to internal medicine with consult to cardiology and pulmonology.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Renal cyst, Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Sputum discoloured, Troponin
Clinical narrative: This is a 84y.o. male with a PMHx of hypertension on Norvasc and dyslipidemia who presents to the ED from care facility via EMS for shortness of breath onset this morning.  He states he woke this morning and approximately 30 minutes later he began to experience productive cough with green sputum, followed by shortness of breath.  He called the nurse for assistance who applied supplemental oxygen and removed his mask with minimal improvement of symptoms, prompting the care facility to call EMS.  Patient reportedly presented on 15 L nonrebreather via EMS.  Patient and EMS reports he recently tested positive for Covid at this facility, however, upon review of chart no notes or prior admissions at this facility.  He denies any fevers, chills, chest pain, abdominal pain, nausea, vomiting, diarrhea, constipation.   In the ED: BP 152/78, HR 82, RR 23, SPO2 95% on 3LNC, T 98.7F.  Labs remarkable for K5.9, bicarbonate 33, troponin 0 0.09, hemoglobin 9.3, platelet 119.  CXR significant for near complete opacification of left hemithorax, small right pleural effusion and associated scattered reticular and groundglass of airspace disease.  CTA PE shows no evidence of PE; left upper lobe collapse with possible evidence of mucous plugging VS obstructive mass lesions; diffuse groundglass consolidation of left upper lobe and patchy groundglass consolidation of right upper and lower lobes; bilateral renal cysts.  Patient is started on IV Decadron.  He is admitted to internal medicine with consult to cardiology and pulmonology.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Adrenal disorder, Arthralgia, Arthritis, Biopsy muscle, Biopsy skin
Clinical narrative: 4/28/2021-very sudden and rapid (within minutes) severe skin burning pain head to toe. Since that date, burning full body neuropathy has worsened. The last year has involved multiple specialists/testing and newly developed reactions/diagnoses. Continue to worsen despite testing/treatment attempts. Now struggle with malabsorption, mast cell activation syndrome, small fiber neuropathy, cardiac Vaso spasms, joint inflammation/pain, chronic fatigue.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood copper abnormal, Blood test, Blood zinc abnormal, Cardiac monitoring, Colonoscopy
Clinical narrative: 4/28/2021-very sudden and rapid (within minutes) severe skin burning pain head to toe. Since that date, burning full body neuropathy has worsened. The last year has involved multiple specialists/testing and newly developed reactions/diagnoses. Continue to worsen despite testing/treatment attempts. Now struggle with malabsorption, mast cell activation syndrome, small fiber neuropathy, cardiac Vaso spasms, joint inflammation/pain, chronic fatigue.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram, Computerised tomogram coronary artery, Copper deficiency, Echocardiogram, Electrocardiogram
Clinical narrative: 4/28/2021-very sudden and rapid (within minutes) severe skin burning pain head to toe. Since that date, burning full body neuropathy has worsened. The last year has involved multiple specialists/testing and newly developed reactions/diagnoses. Continue to worsen despite testing/treatment attempts. Now struggle with malabsorption, mast cell activation syndrome, small fiber neuropathy, cardiac Vaso spasms, joint inflammation/pain, chronic fatigue.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electromyogram, Endoscopy, Fatigue, Gene mutation identification test positive, Intrinsic factor antibody positive
Clinical narrative: 4/28/2021-very sudden and rapid (within minutes) severe skin burning pain head to toe. Since that date, burning full body neuropathy has worsened. The last year has involved multiple specialists/testing and newly developed reactions/diagnoses. Continue to worsen despite testing/treatment attempts. Now struggle with malabsorption, mast cell activation syndrome, small fiber neuropathy, cardiac Vaso spasms, joint inflammation/pain, chronic fatigue.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Lumbar puncture, Magnetic resonance imaging head, Magnetic resonance imaging spinal, Malabsorption
Clinical narrative: 4/28/2021-very sudden and rapid (within minutes) severe skin burning pain head to toe. Since that date, burning full body neuropathy has worsened. The last year has involved multiple specialists/testing and newly developed reactions/diagnoses. Continue to worsen despite testing/treatment attempts. Now struggle with malabsorption, mast cell activation syndrome, small fiber neuropathy, cardiac Vaso spasms, joint inflammation/pain, chronic fatigue.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mast cell activation syndrome, Methylenetetrahydrofolate reductase gene mutation, Neuropathy peripheral, Pain of skin, Pernicious anaemia
Clinical narrative: 4/28/2021-very sudden and rapid (within minutes) severe skin burning pain head to toe. Since that date, burning full body neuropathy has worsened. The last year has involved multiple specialists/testing and newly developed reactions/diagnoses. Continue to worsen despite testing/treatment attempts. Now struggle with malabsorption, mast cell activation syndrome, small fiber neuropathy, cardiac Vaso spasms, joint inflammation/pain, chronic fatigue.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Sjogren's syndrome, Skin burning sensation, Sleep study, Small fibre neuropathy, Vasospasm
Clinical narrative: 4/28/2021-very sudden and rapid (within minutes) severe skin burning pain head to toe. Since that date, burning full body neuropathy has worsened. The last year has involved multiple specialists/testing and newly developed reactions/diagnoses. Continue to worsen despite testing/treatment attempts. Now struggle with malabsorption, mast cell activation syndrome, small fiber neuropathy, cardiac Vaso spasms, joint inflammation/pain, chronic fatigue.
Age: 31.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vitamin B12 deficiency, Vitamin B6 abnormal, Zinc deficiency
Clinical narrative: 4/28/2021-very sudden and rapid (within minutes) severe skin burning pain head to toe. Since that date, burning full body neuropathy has worsened. The last year has involved multiple specialists/testing and newly developed reactions/diagnoses. Continue to worsen despite testing/treatment attempts. Now struggle with malabsorption, mast cell activation syndrome, small fiber neuropathy, cardiac Vaso spasms, joint inflammation/pain, chronic fatigue.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19
Clinical narrative: COVID-19 - acute hypoxemic respiratory failure. ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: swelling, warmth, redness and tenderness at injection site
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID-19 BREAKTHROUGH CASE.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna was given instead of Pfizer per request of mother, even though mom was told the Moderna  was not recommended for children under 18.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Headache, Nausea, Pain, Sleep disorder
Clinical narrative: Headache Waking at night Nausea Pain in armpit Body aches
Age: 78.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Major depression
Clinical narrative: Current severe episode of major depressive disorder without psychotic features without prior episode. Hospital Admission within 6 weeks of receiving the COVID vaccine.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Cough, Dyspnoea, Influenza A virus test negative
Clinical narrative: Patient presents with ? Chest Pain     onset this morning     Patient presents with complaints of chest pain with associated cough and shortness of breath. Cough insurance about started yesterday and she developed chest pain today. She would like to be tested for COVID-19. She received 1 dose of the Johnson & Johnson vaccine back in March. She denies being exposed to anybody that she knew had COVID-19. No fever. She does smoke cigarettes. No fever. No calf pain or swelling. She uses a cane to ambulate at baseline. No other acute issues, symptoms, complaints.         Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for congestion, ear discharge, ear pain and sore throat.   Eyes: Negative for discharge and redness.  Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Negative for abdominal pain, blood in stool, constipation, diarrhea and vomiting.  Genitourinary: Negative for dysuria and frequency.  Musculoskeletal: Negative for back pain, myalgias and neck pain.  Skin: Negative for rash.  Allergic/Immunologic: Negative for environmental allergies.  Neurological: Negative for syncope, weakness and headaches.  Hematological: Does not bruise/bleed easily.  All other systems reviewed and are negative.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: Patient presents with ? Chest Pain     onset this morning     Patient presents with complaints of chest pain with associated cough and shortness of breath. Cough insurance about started yesterday and she developed chest pain today. She would like to be tested for COVID-19. She received 1 dose of the Johnson & Johnson vaccine back in March. She denies being exposed to anybody that she knew had COVID-19. No fever. She does smoke cigarettes. No fever. No calf pain or swelling. She uses a cane to ambulate at baseline. No other acute issues, symptoms, complaints.         Review of Systems  Constitutional: Negative for chills and fever.  HENT: Negative for congestion, ear discharge, ear pain and sore throat.   Eyes: Negative for discharge and redness.  Respiratory: Positive for cough and shortness of breath. Negative for wheezing.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Negative for abdominal pain, blood in stool, constipation, diarrhea and vomiting.  Genitourinary: Negative for dysuria and frequency.  Musculoskeletal: Negative for back pain, myalgias and neck pain.  Skin: Negative for rash.  Allergic/Immunologic: Negative for environmental allergies.  Neurological: Negative for syncope, weakness and headaches.  Hematological: Does not bruise/bleed easily.  All other systems reviewed and are negative.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Admitted with shortness of breath.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Breast tenderness, Feeling of body temperature change, Headache, Hyperaesthesia
Clinical narrative: Woke up following morning with the listed symptoms that increased in severity throughout the day. Hot and cold but no fever (moderate), Body aches all over (severe), Body sensitive to touch (severe), Muscle and joint pain (severe), Breasts extremely sensitive to touch/pressure (severe), Very sore arm at injection site (moderate), Low grade headache. All the above were resolved by the following day, which would be 2 days after the booster vaccine was administered. Basically, 24 hour reaction that caused me to lay down under blankets for the entire day. Was unable to sleep due to body aches and muscle/joint pain
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Myalgia, Pain, Sleep disorder
Clinical narrative: Woke up following morning with the listed symptoms that increased in severity throughout the day. Hot and cold but no fever (moderate), Body aches all over (severe), Body sensitive to touch (severe), Muscle and joint pain (severe), Breasts extremely sensitive to touch/pressure (severe), Very sore arm at injection site (moderate), Low grade headache. All the above were resolved by the following day, which would be 2 days after the booster vaccine was administered. Basically, 24 hour reaction that caused me to lay down under blankets for the entire day. Was unable to sleep due to body aches and muscle/joint pain
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Autoscopy, Muscular weakness, Paraesthesia, Visual impairment
Clinical narrative: Patient received the booster on 2-2-2022 at 5pm. On 2-3-2022 she began feeling a tingling sensation throughout her fingers and then progressed to her entire body. She felt like she was having an "out of body experience." Vision was affected (the speed of visuospatial recognition  was accelerated, HR 147, b/p 147/90s. Weakness in legs bilaterally.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Euphoric mood
Clinical narrative: Pt said the vax made him high for 2-3 days
Age: 20.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient has not reported any event, not viable vaccine.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram abnormal, Blood pressure fluctuation, Blood thyroid stimulating hormone normal, Echocardiogram, Electrocardiogram
Clinical narrative: A week to 10 days after second dose, tension in the back of my head. Took blood pressure 19/12. Rushed to emergency.  ECG + ultrasound heart/Diagnosed with mild pericardial effusion. Beain MRA showed single focus flair/white matter.  Hypertensive episodes kept happening. Further exams done to rule  out pheochromocytoma  and paraganglioma .  Abdominal/pelvic MRI clear.  Urine 24h showed elevated metanephrine levels. Notmetanephrine normal range. TSH in blood work showed  5.2 to drop to 2.7 2 wreks later. Continued investigation, blood test done to check metanephrine levels, still waiting for results. Was put on BloPress plus 8/12, half a pill. Now BP fluctuates during the day and drops to 8/5; 9/6 in the evenings. My usual BP prior to vaccine has always been in the range of 11/7 whenever my virals were taken in a clinic visit.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypertension, Magnetic resonance imaging abdominal, Magnetic resonance imaging abdominal normal, Metanephrine urine, Pericardial effusion
Clinical narrative: A week to 10 days after second dose, tension in the back of my head. Took blood pressure 19/12. Rushed to emergency.  ECG + ultrasound heart/Diagnosed with mild pericardial effusion. Beain MRA showed single focus flair/white matter.  Hypertensive episodes kept happening. Further exams done to rule  out pheochromocytoma  and paraganglioma .  Abdominal/pelvic MRI clear.  Urine 24h showed elevated metanephrine levels. Notmetanephrine normal range. TSH in blood work showed  5.2 to drop to 2.7 2 wreks later. Continued investigation, blood test done to check metanephrine levels, still waiting for results. Was put on BloPress plus 8/12, half a pill. Now BP fluctuates during the day and drops to 8/5; 9/6 in the evenings. My usual BP prior to vaccine has always been in the range of 11/7 whenever my virals were taken in a clinic visit.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tension headache
Clinical narrative: A week to 10 days after second dose, tension in the back of my head. Took blood pressure 19/12. Rushed to emergency.  ECG + ultrasound heart/Diagnosed with mild pericardial effusion. Beain MRA showed single focus flair/white matter.  Hypertensive episodes kept happening. Further exams done to rule  out pheochromocytoma  and paraganglioma .  Abdominal/pelvic MRI clear.  Urine 24h showed elevated metanephrine levels. Notmetanephrine normal range. TSH in blood work showed  5.2 to drop to 2.7 2 wreks later. Continued investigation, blood test done to check metanephrine levels, still waiting for results. Was put on BloPress plus 8/12, half a pill. Now BP fluctuates during the day and drops to 8/5; 9/6 in the evenings. My usual BP prior to vaccine has always been in the range of 11/7 whenever my virals were taken in a clinic visit.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, COVID-19, Cough, Diabetes mellitus, Dysphonia
Clinical narrative: 34-year-old male with a PMH of GERD recently found to have COVID-19 on an outpatient test presents with right-sided back pain with inspiration and coughing, who was found to have new onset diabetes with hyperglycemia. Patient was complaining of a hoarse throat and generally not feeling well for about 1 week PTA. He took a COVID-19 test which was positive. About 4 hours PTA he developed sharp right sided back pain with inspiration prompting his visit to the ED. He does admit to polyuria and polydipsia the last several weeks.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperglycaemia, Malaise, Painful respiration, Polydipsia, Polyuria
Clinical narrative: 34-year-old male with a PMH of GERD recently found to have COVID-19 on an outpatient test presents with right-sided back pain with inspiration and coughing, who was found to have new onset diabetes with hyperglycemia. Patient was complaining of a hoarse throat and generally not feeling well for about 1 week PTA. He took a COVID-19 test which was positive. About 4 hours PTA he developed sharp right sided back pain with inspiration prompting his visit to the ED. He does admit to polyuria and polydipsia the last several weeks.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: 34-year-old male with a PMH of GERD recently found to have COVID-19 on an outpatient test presents with right-sided back pain with inspiration and coughing, who was found to have new onset diabetes with hyperglycemia. Patient was complaining of a hoarse throat and generally not feeling well for about 1 week PTA. He took a COVID-19 test which was positive. About 4 hours PTA he developed sharp right sided back pain with inspiration prompting his visit to the ED. He does admit to polyuria and polydipsia the last several weeks.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Rhinorrhoea
Clinical narrative: Dry cough; runny nose.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pfizer BioNTech pediatric-0.2 ml of pediatric vaccine was administered with  no diluent.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fatigue, Mass, Nodule, Pain in extremity
Clinical narrative: initially had tiredness, dizziness, achy arm, that improved by 2 days, but mom noticed a lump over left clavicle, 2 x 2 cm left supraclavicular node palpated, non -tender, no erythema, movable, no cervical or axillary adenopathy
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, UNK
Symptoms: Asthenia, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Computerised tomogram thorax abnormal
Clinical narrative: He presented to the emergency department with chief complaint of shortness of breath in setting of known COVID-19 infection. He reports last night he had oxygen levels in the 80s, he borrowed a family friend's oxygen (unclear if this does not sound like it was an oxygen tank but rather some type of device that concentrated it " from the air") and continued feel hypoxic so he came into the ER. He was hypoxic upon arrival, had a can of concentrated oxygen that he was using in route. He feels very dyspneic and is dyspneic with conversation. He denies chest pain. He denies any lower extremity swelling or edema or calf pain. He reports that his fevers have improved, cough is improved but dyspnea is worse.    Per chart review, patient reported developing myalgias, generalized weakness, cough, and fever on 1/27. He took a home COVID test the following day that resulted positive. He noted his family members were also sick, however, they were improving and he had worsened. He presented to ED on 2/1 due to feeling more short of breath. Labs showed elevated D-dimer. CT chest was performed showing mild evidence of inflammatory COVID pneumonia, no PE. Sats were 93% at worst. Patient was discharged in stable condition with dexamethasone x10 days. He represented to ED on 2/2 with worsened shortness of breath. A home oximeter read sats between 88-90% at rest and 82% with exertion. Patient had sats in mid to high 90s in the ED and did an ambulation trial without desaturation. He had a chest x-ray showing stable infiltrates. Patient was sent home with an albuterol inhaler and advised to continue taking dexamethasone and monitoring saturations. He out of the window for Paxlovid and did not get monoclonal ABX.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, UNK
Symptoms: Cough, Dyspnoea, Fibrin D dimer increased, Hypoxia, Lung infiltration
Clinical narrative: He presented to the emergency department with chief complaint of shortness of breath in setting of known COVID-19 infection. He reports last night he had oxygen levels in the 80s, he borrowed a family friend's oxygen (unclear if this does not sound like it was an oxygen tank but rather some type of device that concentrated it " from the air") and continued feel hypoxic so he came into the ER. He was hypoxic upon arrival, had a can of concentrated oxygen that he was using in route. He feels very dyspneic and is dyspneic with conversation. He denies chest pain. He denies any lower extremity swelling or edema or calf pain. He reports that his fevers have improved, cough is improved but dyspnea is worse.    Per chart review, patient reported developing myalgias, generalized weakness, cough, and fever on 1/27. He took a home COVID test the following day that resulted positive. He noted his family members were also sick, however, they were improving and he had worsened. He presented to ED on 2/1 due to feeling more short of breath. Labs showed elevated D-dimer. CT chest was performed showing mild evidence of inflammatory COVID pneumonia, no PE. Sats were 93% at worst. Patient was discharged in stable condition with dexamethasone x10 days. He represented to ED on 2/2 with worsened shortness of breath. A home oximeter read sats between 88-90% at rest and 82% with exertion. Patient had sats in mid to high 90s in the ED and did an ambulation trial without desaturation. He had a chest x-ray showing stable infiltrates. Patient was sent home with an albuterol inhaler and advised to continue taking dexamethasone and monitoring saturations. He out of the window for Paxlovid and did not get monoclonal ABX.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, UNK
Symptoms: Myalgia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: He presented to the emergency department with chief complaint of shortness of breath in setting of known COVID-19 infection. He reports last night he had oxygen levels in the 80s, he borrowed a family friend's oxygen (unclear if this does not sound like it was an oxygen tank but rather some type of device that concentrated it " from the air") and continued feel hypoxic so he came into the ER. He was hypoxic upon arrival, had a can of concentrated oxygen that he was using in route. He feels very dyspneic and is dyspneic with conversation. He denies chest pain. He denies any lower extremity swelling or edema or calf pain. He reports that his fevers have improved, cough is improved but dyspnea is worse.    Per chart review, patient reported developing myalgias, generalized weakness, cough, and fever on 1/27. He took a home COVID test the following day that resulted positive. He noted his family members were also sick, however, they were improving and he had worsened. He presented to ED on 2/1 due to feeling more short of breath. Labs showed elevated D-dimer. CT chest was performed showing mild evidence of inflammatory COVID pneumonia, no PE. Sats were 93% at worst. Patient was discharged in stable condition with dexamethasone x10 days. He represented to ED on 2/2 with worsened shortness of breath. A home oximeter read sats between 88-90% at rest and 82% with exertion. Patient had sats in mid to high 90s in the ED and did an ambulation trial without desaturation. He had a chest x-ray showing stable infiltrates. Patient was sent home with an albuterol inhaler and advised to continue taking dexamethasone and monitoring saturations. He out of the window for Paxlovid and did not get monoclonal ABX.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache
Clinical narrative: I received my Covid vaccine on 12/13/2021 at pharmacy. I felt very tired after and went home and slept. The next day when I woke up around noon, I had a severe headache. This headache continues nonstop since then. Before this, I have never had one headache. This vaccine has ruined my life.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Pt reported only experiencing generalized rash to back. No acute respiratory problem and/or complaints voiced during assessment. Advised to notify PCP immediately. Also advised the CDC/ADPH recommendation to take OTC Benadryl as directed to alleviate symptoms.
Age: 5.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: Pfizer-BioNTech pediatric-  0.2 ml of pediatric vaccine was administered with  no diluent.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria, Urticaria chronic
Clinical narrative: Developed hives 9 days s/p vaccine.  Continued hives now dx as Chronic Urticaria.  All other sources of reaction have been ruled out.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Depressed mood, Feeling abnormal, Skin burning sensation, Temperature intolerance
Clinical narrative: Pt said he felt creppy all summer long, couldnt tolerate heat, burning skin, pt said he felt "low"
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, SARS-CoV-2 test positive, Vomiting
Clinical narrative: 35 Y/O FEMALE PT  CAME TO ER WITH C/O ABD PAIN  X 1 DAY  LAST NIGHT SEVERAL VOMITING EPISODES
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Cardiac flutter, Discomfort, Dizziness, Dyspnoea
Clinical narrative: As soon as the injection began I felt a rush of tingling and almost blacked out/fainted. Felt like I had a gray static cloud wash over my eyes/vision. I couldn't really explain what I felt other than a woozy faint feeling like when you're about to faint and begin to lose control over your vision. Felt a little wobbly walking afterwards as well. Just sat and waited in the waiting area but nothing else presented itself immediately after.  About an hour later, I felt like my heart was racing and I kept trying to calm my breathing. It was a conscious effort to slow it down.  About two weeks later, I got my period two weeks early and it was very bright red and not typical bleeding. Very heavy bleeding that lasted approximately four days.  A year later and I still feel an uncomfortable heart fluttering feeling like my heart is pumping or working harder. I can describe the feeling as that post workout high where you're trying to catch your breath afterwards. Except this feeling happens to me when I'm not in active exercise.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Heavy menstrual bleeding, Immediate post-injection reaction, Menstrual disorder, Menstruation irregular
Clinical narrative: As soon as the injection began I felt a rush of tingling and almost blacked out/fainted. Felt like I had a gray static cloud wash over my eyes/vision. I couldn't really explain what I felt other than a woozy faint feeling like when you're about to faint and begin to lose control over your vision. Felt a little wobbly walking afterwards as well. Just sat and waited in the waiting area but nothing else presented itself immediately after.  About an hour later, I felt like my heart was racing and I kept trying to calm my breathing. It was a conscious effort to slow it down.  About two weeks later, I got my period two weeks early and it was very bright red and not typical bleeding. Very heavy bleeding that lasted approximately four days.  A year later and I still feel an uncomfortable heart fluttering feeling like my heart is pumping or working harder. I can describe the feeling as that post workout high where you're trying to catch your breath afterwards. Except this feeling happens to me when I'm not in active exercise.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Paraesthesia, Vision blurred
Clinical narrative: As soon as the injection began I felt a rush of tingling and almost blacked out/fainted. Felt like I had a gray static cloud wash over my eyes/vision. I couldn't really explain what I felt other than a woozy faint feeling like when you're about to faint and begin to lose control over your vision. Felt a little wobbly walking afterwards as well. Just sat and waited in the waiting area but nothing else presented itself immediately after.  About an hour later, I felt like my heart was racing and I kept trying to calm my breathing. It was a conscious effort to slow it down.  About two weeks later, I got my period two weeks early and it was very bright red and not typical bleeding. Very heavy bleeding that lasted approximately four days.  A year later and I still feel an uncomfortable heart fluttering feeling like my heart is pumping or working harder. I can describe the feeling as that post workout high where you're trying to catch your breath afterwards. Except this feeling happens to me when I'm not in active exercise.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: I tested positive for covid 19. I am now an inhaler and albuterol and Flonase. No symptoms to the vaccine. I am still having some light symptoms of covid but it is helping with the medicine I am taking today.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Chills, Dyspnoea, Influenza A virus test negative
Clinical narrative: ? Shortness of Breath     onset this morning, sob and dib. patient tested positive for covid approx 2 days . 90% on RA per ems. 02 applied     HPI Patient is a 83y.o. y.o. female who presents to the ED on 01/10/22 complaining of shortness of breath ongoing for the past 3-4 days with associated fever, chills, and productive cough. Pt states that she was dx with COVID about 2 weeks ago. Denies any nausea, vomiting, diarrhea, chest pain, new leg swelling, or urinary complaints. Does complain of some abdominal pain. States that she cannot lie flat due to her shortness of breath. Denies any recent falls or trauma. Pt has been vaccinated against COVID. PMHx: CHF, takes a water pill. There are no other complaints or modifying factors at this time.   Review of Systems CONSTITUTIONAL:  +fever, chills; no fatigue HEAD:  no headache or loss of consciousness. EYES:  no eye pain, redness or discharge. ENMT:  no ear pain, no throat pain; no rhinorrhea or congestion. CARDIAC:  No chest pain, no exercise intolerance, no tachycardia. RESPIRATORY: +cough, shortness of breath; no wheezing or trouble breathing. GI: +abdominal pain; no nausea, vomiting, or diarrhea. GU:  no dysuria, no increased frequency, no hesitancy MS:  no muscle aches, joint pain or injury. NEURO:  no dizziness, no change in vision, no seizure SKIN:  no rashes; no lacerations or abrasions, no bruising.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Productive cough, Pyrexia, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: ? Shortness of Breath     onset this morning, sob and dib. patient tested positive for covid approx 2 days . 90% on RA per ems. 02 applied     HPI Patient is a 83y.o. y.o. female who presents to the ED on 01/10/22 complaining of shortness of breath ongoing for the past 3-4 days with associated fever, chills, and productive cough. Pt states that she was dx with COVID about 2 weeks ago. Denies any nausea, vomiting, diarrhea, chest pain, new leg swelling, or urinary complaints. Does complain of some abdominal pain. States that she cannot lie flat due to her shortness of breath. Denies any recent falls or trauma. Pt has been vaccinated against COVID. PMHx: CHF, takes a water pill. There are no other complaints or modifying factors at this time.   Review of Systems CONSTITUTIONAL:  +fever, chills; no fatigue HEAD:  no headache or loss of consciousness. EYES:  no eye pain, redness or discharge. ENMT:  no ear pain, no throat pain; no rhinorrhea or congestion. CARDIAC:  No chest pain, no exercise intolerance, no tachycardia. RESPIRATORY: +cough, shortness of breath; no wheezing or trouble breathing. GI: +abdominal pain; no nausea, vomiting, or diarrhea. GU:  no dysuria, no increased frequency, no hesitancy MS:  no muscle aches, joint pain or injury. NEURO:  no dizziness, no change in vision, no seizure SKIN:  no rashes; no lacerations or abrasions, no bruising.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation error
Clinical narrative: 0.2 ml of pediatric vaccine was administered with  no diluent.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Dizziness, Headache, Loss of consciousness, Mydriasis
Clinical narrative: Within 2 minutes of receiving booster, began to feel nausea and light headed. she then passed out and proceeded to have seizure like activity. belle went stiff as a board with dilated pupils and contracted hands. she has no memory of the event which lasted approximately 30-45  seconds before regaining consciousness. she then had severe headache and ringing in her ears. 4 hours later, she had red burning blotches all over her face and body which were relieved with antihistamines.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Rash macular, Seizure like phenomena, Tinnitus
Clinical narrative: Within 2 minutes of receiving booster, began to feel nausea and light headed. she then passed out and proceeded to have seizure like activity. belle went stiff as a board with dilated pupils and contracted hands. she has no memory of the event which lasted approximately 30-45  seconds before regaining consciousness. she then had severe headache and ringing in her ears. 4 hours later, she had red burning blotches all over her face and body which were relieved with antihistamines.
Age: 49.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID infection.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation delayed, Pregnancy test negative
Clinical narrative: Delay in menstrual cycle by 3 months.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Mechanical urticaria, Pain, Rash, Rash papular
Clinical narrative: Approximately 2 weeks after my Moderna Covid-19 booster shot, I woke with rashes all over my body that were warm to the touch and incredibly itchy. Upon scratching to soothe the itchiness, I developed raised marks that became hot to the touch and would sting/ itch more than before. I believe the correct term for this is Dermatographia. As of 2/7/2022 it has not gone away and after doing research, this is something that has happened to others as well after the moderna booster shot.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Rash pruritic, Skin warm
Clinical narrative: Approximately 2 weeks after my Moderna Covid-19 booster shot, I woke with rashes all over my body that were warm to the touch and incredibly itchy. Upon scratching to soothe the itchiness, I developed raised marks that became hot to the touch and would sting/ itch more than before. I believe the correct term for this is Dermatographia. As of 2/7/2022 it has not gone away and after doing research, this is something that has happened to others as well after the moderna booster shot.
Age: 87.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Pt. contracted COVID virus.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Eye pruritus, Pruritus, Tinnitus
Clinical narrative: Itching over entire body; arms, back, bottom of feet and palm of the hands. Took Cetirizine. A week later eyes began to itch, ringing began in left ear.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Burning sensation, Inflammation, Magnetic resonance imaging, Vaginal haemorrhage
Clinical narrative: A few days after 2nd vaccine, all joints began really hurting and burning at times. Since had to have meniscus repair to a knee that got injured way to easily. Think due to chronic inflammation shot could have caused. Additionally: 2 months shy of year since 2nd dose, still have joint pain in shoulders, elbows  and knees.  Now i have unusual vaginal bleeding for no apparent reason so thought i should finally take the time to report.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Blood test, Chest X-ray, Chest discomfort, Chest pain
Clinical narrative: The booster shot initially caused a severe fever (much more robust than after the second shot which in itself caused a 3-day fever), very strong muscle aches, etc.Following the initial recovery I found that taking a deep satisfying breath is an new and still ongoing experience.  I wake up in the mornings with a sense that someone is sitting on my chest. On bad days I need to take a break in speaking after a few sentences. These side effects peaked in January (about 4-6 weeks after the shot), and are still ongoing to a lesser extent (speaking is easier, but chest pains and difficulty taking a satisfying breath is an issue). The quality of life is objectively impacted. I would like to note that there were no long-term chest pains after the initial 2-shot of Pfizer vaccines.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Dyspnoea, Myalgia, Pyrexia
Clinical narrative: The booster shot initially caused a severe fever (much more robust than after the second shot which in itself caused a 3-day fever), very strong muscle aches, etc.Following the initial recovery I found that taking a deep satisfying breath is an new and still ongoing experience.  I wake up in the mornings with a sense that someone is sitting on my chest. On bad days I need to take a break in speaking after a few sentences. These side effects peaked in January (about 4-6 weeks after the shot), and are still ongoing to a lesser extent (speaking is easier, but chest pains and difficulty taking a satisfying breath is an issue). The quality of life is objectively impacted. I would like to note that there were no long-term chest pains after the initial 2-shot of Pfizer vaccines.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: 15 year old received a 0.2ml 5-11 year pfizer dose as a booster instead of 12+ booster dose.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient has not reported any event, not viable vaccine.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Atelectasis, COVID-19, Cardioversion, Chest X-ray abnormal, Computerised tomogram head normal
Clinical narrative: Shortness of Breath      Pt arrived via local EMS for difficulty in breathing. EMS unable to obtain initial pulse ox on room air, placed NRB 15L en route.        HPI:   This is a 82y.o. female with significant past medical history of HTN, paroxysmal atrial fib, obesity, and recent COVID admission at a local Hospital that presented to the hospital with chief complaint of shortness of breath. Patient was reportedly diagnosed with COVID-19 infection on 1/2/22, at which time she completed steroid therapy. She was noticed yesterday by her daughter to have increased labored breathing and she phoned EMS.    In the ED, patient normotensive, afebrile, stable SPO2 on nasal cannula. CT head negative for acute process. CXR with bibasilar atelectasis. D-dimer > 10k. EKG with SVT S/P adenosine with cardioversion to NSR. She has been admitted for further evaluation and management with cardiology and nephrology consultations.    Patient seen and examined only by the attending physician. NP only responsible for chart review in an effort to limit exposure given the patient's COVID positive status.