chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 antibody test, SARS-CoV-2 test positive
Clinical narrative: PT RECIEVED PFIZER PRIME DOSE 01-08-2021 AND BOOSTER DOSE 01-29-2021. PCR/ANTIGEN AND IgG POSITIVE FOR COVID 19 DISEASE 08-11-2021
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Arm that the injection was given as well as the other arm are aching/sore as if vaccine was given in both arms.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Injection site pain
Clinical narrative: Still having slight pain on and off in my injection site of my left arm.  This has been continuing since I received my second dose.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Dyspnoea, Fall, Gait disturbance, Injection site mass, Injection site urticaria
Clinical narrative: Beginning near 8 pm (day of)?Fever of 101.6 (with Tylenol), dragging leg and falling over, hard lump with hives at injection site, labored breathing, severe pain in leg, moaning and restless sleep, extreme lethargy. 8 am following morning, hives still present, fever 100.3 (with Tylenol), limping, but no longer dragging foot/leg. Hives still present near injection.
Age: 4.0
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Lethargy, Moaning, Pain in extremity, Pyrexia, Restlessness
Clinical narrative: Beginning near 8 pm (day of)?Fever of 101.6 (with Tylenol), dragging leg and falling over, hard lump with hives at injection site, labored breathing, severe pain in leg, moaning and restless sleep, extreme lethargy. 8 am following morning, hives still present, fever 100.3 (with Tylenol), limping, but no longer dragging foot/leg. Hives still present near injection.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chest pain, Dizziness, Dysstasia, Loss of consciousness
Clinical narrative: After the 15 minute waiting period, I proceeded to walk to my car which was parked in the farthest corner of the large lot. Although I felt no reaction within the first 15 minutes, by the time I reached my car I could barely stand. I was passing out. Then I began to have severe chest pain. I was throwing up, shaking uncontrollably and felt faint and weak. I did not feel that I could make it back to the medical team on site safely as it was a long walk back. I also did not feel I could safely drive. At that time we were also avoiding the hospitals as they were inundated with Covid patients and considered not safe. I waited on the phone with my boyfriend for approximately 30 minutes while the symptoms seem to get worse then eventually slowed down. I told him if I pass out to call for an ambulance. After 30 minutes the symptoms began to subside although it took several weeks to resolve. I also was sick for the next several weeks with COVID like symptoms.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Tremor, Vomiting
Clinical narrative: After the 15 minute waiting period, I proceeded to walk to my car which was parked in the farthest corner of the large lot. Although I felt no reaction within the first 15 minutes, by the time I reached my car I could barely stand. I was passing out. Then I began to have severe chest pain. I was throwing up, shaking uncontrollably and felt faint and weak. I did not feel that I could make it back to the medical team on site safely as it was a long walk back. I also did not feel I could safely drive. At that time we were also avoiding the hospitals as they were inundated with Covid patients and considered not safe. I waited on the phone with my boyfriend for approximately 30 minutes while the symptoms seem to get worse then eventually slowed down. I told him if I pass out to call for an ambulance. After 30 minutes the symptoms began to subside although it took several weeks to resolve. I also was sick for the next several weeks with COVID like symptoms.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: The patient received Pfizer 5/19 and Moderna 8/4. The patient did not notify correctly she received Pfizer and not Moderna on her first dose.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, No adverse event
Clinical narrative: Patient had no symptoms, got tested for OP appointment
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Feeling jittery
Clinical narrative: Extremely bad diarrhea for past 4 days and hand are very jittery
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pt got second covid vaccine two days prior to the 21th day of first dose.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, C-reactive protein increased, Menstrual disorder, Nasal congestion
Clinical narrative: within 2 week time frame of getting my 2nd shot I began having sharp pain in my feet, back, hip, finger.  Ultimately it grew to severe pain in my jaw, neck, finger, hip and knee all on the left side of my body.  And, eventually in June my right index finger and right foot were swollen and painful as well. I've had multiple xrays and blood work ups in ER and then finally in my Dr. Office.  Final diagnosis from Dr. is Polymyalgia Rheumatica.  The only indicators that were abnormal were my very high C-reactive protein and SED rate.  *also note I had a respiratory virus not long after my second shot that lasted a few days and just involved a lot of nose blowing, nasal congestion  ** second and separate issue - I have barely had a period since my second shot
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain, Pain in extremity, Pain in jaw, Peripheral swelling, Polymyalgia rheumatica
Clinical narrative: within 2 week time frame of getting my 2nd shot I began having sharp pain in my feet, back, hip, finger.  Ultimately it grew to severe pain in my jaw, neck, finger, hip and knee all on the left side of my body.  And, eventually in June my right index finger and right foot were swollen and painful as well. I've had multiple xrays and blood work ups in ER and then finally in my Dr. Office.  Final diagnosis from Dr. is Polymyalgia Rheumatica.  The only indicators that were abnormal were my very high C-reactive protein and SED rate.  *also note I had a respiratory virus not long after my second shot that lasted a few days and just involved a lot of nose blowing, nasal congestion  ** second and separate issue - I have barely had a period since my second shot
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate increased, Respiratory tract infection, Sleep disorder, Urine analysis, X-ray
Clinical narrative: within 2 week time frame of getting my 2nd shot I began having sharp pain in my feet, back, hip, finger.  Ultimately it grew to severe pain in my jaw, neck, finger, hip and knee all on the left side of my body.  And, eventually in June my right index finger and right foot were swollen and painful as well. I've had multiple xrays and blood work ups in ER and then finally in my Dr. Office.  Final diagnosis from Dr. is Polymyalgia Rheumatica.  The only indicators that were abnormal were my very high C-reactive protein and SED rate.  *also note I had a respiratory virus not long after my second shot that lasted a few days and just involved a lot of nose blowing, nasal congestion  ** second and separate issue - I have barely had a period since my second shot
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: pt tested positive for COVID 19 post vaccination.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Dry skin, Dyshidrotic eczema, Erythema, Pruritus, Skin haemorrhage
Clinical narrative: dyshidrotic eczema- symptoms began in march.  Hands were red and itchy.  Skin became dry to the point of bleeding.   I first thought it was due to environmental, went back to work in the school at the start of March.  Symptoms continued after getting out of school for the summer(mid-June).  Went to the doctor late July.  Doctor said I had dyshidrotic eczema.   Never had skin issues until March 2021.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ischaemic stroke
Clinical narrative: I63.9 - Acute ischemic stroke (CMS/HCC)
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Delivery, Exposure during pregnancy, SARS-CoV-2 test positive
Clinical narrative: Admitted to L&D, delivered baby 8/11/2021.  Asymptomatic for COVID SxS
Age: 1.58
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Crying, Decreased appetite, Erythema, Induration, Peripheral swelling
Clinical narrative: Pt's mother reports that pt was brought to Hospital ED at 3AM and 12PM 8/11/21 - Pt w/ reaction R arm one day after vaccine administration - R arm red/purple swollen, firm, hot to touch, pt scratching at arm and crying out/pulling away when arm touched - Pt w/ fever and poor appetite - Pt brought to ED, given allergy medication, motrin, and abox Pt now with smaller area of redness and swelling, reduced warmth, mild congestion and nasal drainage Mother continuing to monitor pt, declined f/u appt, will cb tomorrow if continues or gets worse.
Age: 1.58
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Pyrexia, Respiratory tract congestion, Scratch, Sinus operation, Skin discolouration
Clinical narrative: Pt's mother reports that pt was brought to Hospital ED at 3AM and 12PM 8/11/21 - Pt w/ reaction R arm one day after vaccine administration - R arm red/purple swollen, firm, hot to touch, pt scratching at arm and crying out/pulling away when arm touched - Pt w/ fever and poor appetite - Pt brought to ED, given allergy medication, motrin, and abox Pt now with smaller area of redness and swelling, reduced warmth, mild congestion and nasal drainage Mother continuing to monitor pt, declined f/u appt, will cb tomorrow if continues or gets worse.
Age: 1.58
Sex: M
Vaccine: DTAPIPVHIB
Symptoms: Skin warm
Clinical narrative: Pt's mother reports that pt was brought to Hospital ED at 3AM and 12PM 8/11/21 - Pt w/ reaction R arm one day after vaccine administration - R arm red/purple swollen, firm, hot to touch, pt scratching at arm and crying out/pulling away when arm touched - Pt w/ fever and poor appetite - Pt brought to ED, given allergy medication, motrin, and abox Pt now with smaller area of redness and swelling, reduced warmth, mild congestion and nasal drainage Mother continuing to monitor pt, declined f/u appt, will cb tomorrow if continues or gets worse.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Muscular weakness, Pain in extremity
Clinical narrative: Pain and weakness in right leg. Weakness worsens with use up to the point where leg feels like jelly. Treatment with ice packs. Symptoms persist/ have not been resolved
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Pulsatile Tinnitus on and off from day 4-11 Severe Pulsatile Tinnitus day 12 to present
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Pt got second covid vaccine two days prior to the 21th day of first dose.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: This patient  who received a 3rd dose of Moderna on 8/4 . However, was fully vaccinated with Pfizer. This individual did list ?No? to the question of if this was their first vaccine dose when they registered on-site.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Dysstasia, Gait inability, Muscular weakness, Pain in extremity
Clinical narrative: Prior to her second dose of the COVID vaccine, although my daughter had neurological issues that caused her to use orthotics to assist in walking, she was able to stand, walk and navigate stairs relatively easily. Within 48 hours of her second dose of the Pfizer COVID vaccine, she reported pain and weakness in her legs and became no longer able to walk even with the assistance of the orthotics that previously had been helpful. It has been weeks and she still has not regained the ability to walk/stand in spite of physical therapy that she has received. It is possible that her undiagnosed neurological condition is Guillian Barr Syndrome, though her neurologist has not made a definitive diagnosis of this, her symptoms are consistent with that disease and it is possible that the vaccine's adverse effect is a result of that undiagnosed disorder.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Injected limb mobility decreased, Injection site swelling, Injection site warmth, Pain, Pain in extremity
Clinical narrative: Intensive pain & tingling in vaccinated arm.  8 hours later, can not move left arm without severe pain.  Swelling & heat at injection site.  Pain kept me awake most of the night.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Sleep disorder
Clinical narrative: Intensive pain & tingling in vaccinated arm.  8 hours later, can not move left arm without severe pain.  Swelling & heat at injection site.  Pain kept me awake most of the night.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Cerebrovascular accident
Clinical narrative: ON JUNE 10 , 2021  I DID HAVE A STROKE AND WAS TO THE HOSPITAL WITH THE AMBULANCE , I AM NOT SURE THAT IT WAS RELATED TO THE VACCINE WITH MODERNA .I WAS A HEALTHY PERSON EXCEPT HIGH BLOOD PRESSURE .
Age: 37.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: CLIENT CONTRACTED COVID DESPITE FULLY VACCINATED AS OF 1/24/21.  LAB POSITIVE PCR.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness unilateral, Tinnitus
Clinical narrative: Tinnitus in both ears and mid-range hearing loss in left ear.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Immediate post-injection reaction, Seizure like phenomena, Somnolence, Tonic clonic movements
Clinical narrative: Pt experienced seizure-like activity with clonic tonic movements of all extremities directly following the administration. Pt did not lose consciousness and was not incontinent during the event. Pt complained of felling fatigue - challenge to keep her eyes open. EMS arrived in 4 minutes and took patient to ER
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Heavy menstrual bleeding, Menstruation delayed, Ultrasound scan vagina
Clinical narrative: 2 months after my second vaccine shot - 17 days late period, which is unusual, maybe miscarriage, and after delay whole month heavier flows with big clots.
Age: 0.25
Sex: F
Vaccine: HIBV
Symptoms: Wrong product administered
Clinical narrative: Patient was given Pentacel and another HIB instead of a dose of hepatitis B vaccine.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Chills, Contusion, Fall, Fatigue
Clinical narrative: Circular rash at injection site, hot to the touch, swelling  The morning after receiving the second dose, I experienced all general side effects: swelling of lymph node in armpit of injected arm, fatigue, muscle/joint pain, chills, nausea vomiting, and vertigo severe enough to cause me to fall resulting in a bruise on right side lasting 2 weeks.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Injection site rash, Injection site swelling, Injection site warmth, Lymphadenopathy, Myalgia
Clinical narrative: Circular rash at injection site, hot to the touch, swelling  The morning after receiving the second dose, I experienced all general side effects: swelling of lymph node in armpit of injected arm, fatigue, muscle/joint pain, chills, nausea vomiting, and vertigo severe enough to cause me to fall resulting in a bruise on right side lasting 2 weeks.
Age: 56.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nausea, Vertigo, Vomiting
Clinical narrative: Circular rash at injection site, hot to the touch, swelling  The morning after receiving the second dose, I experienced all general side effects: swelling of lymph node in armpit of injected arm, fatigue, muscle/joint pain, chills, nausea vomiting, and vertigo severe enough to cause me to fall resulting in a bruise on right side lasting 2 weeks.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chills, Fatigue, Pain, Pyrexia
Clinical narrative: Fever, body aches,  chills, fatigue, chest tightness
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Fever, body aches,  chills, fatigue, chest tightness
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: I was looking through the vaccinated list and there was an individual who received a 3rd dose of Moderna on 7/31.  This individual did list ?No? to the question of if this was their first vaccine dose when they registered on-site.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, Blood chloride decreased, Blood creatinine normal, Blood folate
Clinical narrative: 81 Y female with PMHx of DM2, allergies, and asthma who presents with weakness, confusion, SOB and cough. Pt admitted for acute hypoxemic respiratory failure 2/2 COVID pneumonia  # Sepsis and acute hypoxemic respiratory failure both 2/2 COVID Pneumonia - Symptom onset on 8/2/21. COVID positive on 8/4/21. Low grad fever to 99.6 on 8/8/21. No clinical signs of bacterial pna. Will hold off on further abx. Patient received 2 doses of Pfizer vaccine in April and May 2021.  - Nasal Cannula at 3-4 Lpm. Goal SpO2 >92%. Consider ICU evaluation if requiring >40LPM and 60% FiO2 for SpO2 >/= 90% - Self-proning as tolerated for O2 req >3L - Decadron 6mg IV or PO qday for up to 10 days (8/8 - ) or until no longer hypoxic. - Remdesivir 200mg IV x1, followed by 100mg IV daily until clinical improvement or 5 days (8/9 - )  - Daily LFTs. Hold Remdesivir if ALT >10xULN or CrCl<30 - pepcid for GI prophylaxis while on steroids - trend inflammatory markers - Lovenox 40mg SQ daily and hold for Plt <25k, Fibrinogen <100, active bleeding - continue isolation in hospital per Regional/Local ID guidance.   # Normocytic Anemia: Hgb 10.8 on admission, 9.3 today (hgb was 12 back in 2016, no data since). Pt reports dark brown stool, not black or bloody. No blood in urine. Unclear cause of anemia at this time. - Iron labs - B12, folate - If hgb down trends will need to consider holding Lovenox.  Pt will be discharged in a day or 2 pending improvement in O2 requirements. So far pt has been in hospital 4 days and not yet discharged.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, Blood iron, Blood potassium normal, Blood sodium decreased, Blood urea normal
Clinical narrative: 81 Y female with PMHx of DM2, allergies, and asthma who presents with weakness, confusion, SOB and cough. Pt admitted for acute hypoxemic respiratory failure 2/2 COVID pneumonia  # Sepsis and acute hypoxemic respiratory failure both 2/2 COVID Pneumonia - Symptom onset on 8/2/21. COVID positive on 8/4/21. Low grad fever to 99.6 on 8/8/21. No clinical signs of bacterial pna. Will hold off on further abx. Patient received 2 doses of Pfizer vaccine in April and May 2021.  - Nasal Cannula at 3-4 Lpm. Goal SpO2 >92%. Consider ICU evaluation if requiring >40LPM and 60% FiO2 for SpO2 >/= 90% - Self-proning as tolerated for O2 req >3L - Decadron 6mg IV or PO qday for up to 10 days (8/8 - ) or until no longer hypoxic. - Remdesivir 200mg IV x1, followed by 100mg IV daily until clinical improvement or 5 days (8/9 - )  - Daily LFTs. Hold Remdesivir if ALT >10xULN or CrCl<30 - pepcid for GI prophylaxis while on steroids - trend inflammatory markers - Lovenox 40mg SQ daily and hold for Plt <25k, Fibrinogen <100, active bleeding - continue isolation in hospital per Regional/Local ID guidance.   # Normocytic Anemia: Hgb 10.8 on admission, 9.3 today (hgb was 12 back in 2016, no data since). Pt reports dark brown stool, not black or bloody. No blood in urine. Unclear cause of anemia at this time. - Iron labs - B12, folate - If hgb down trends will need to consider holding Lovenox.  Pt will be discharged in a day or 2 pending improvement in O2 requirements. So far pt has been in hospital 4 days and not yet discharged.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, COVID-19, COVID-19 pneumonia, Carbon dioxide normal, Confusional state
Clinical narrative: 81 Y female with PMHx of DM2, allergies, and asthma who presents with weakness, confusion, SOB and cough. Pt admitted for acute hypoxemic respiratory failure 2/2 COVID pneumonia  # Sepsis and acute hypoxemic respiratory failure both 2/2 COVID Pneumonia - Symptom onset on 8/2/21. COVID positive on 8/4/21. Low grad fever to 99.6 on 8/8/21. No clinical signs of bacterial pna. Will hold off on further abx. Patient received 2 doses of Pfizer vaccine in April and May 2021.  - Nasal Cannula at 3-4 Lpm. Goal SpO2 >92%. Consider ICU evaluation if requiring >40LPM and 60% FiO2 for SpO2 >/= 90% - Self-proning as tolerated for O2 req >3L - Decadron 6mg IV or PO qday for up to 10 days (8/8 - ) or until no longer hypoxic. - Remdesivir 200mg IV x1, followed by 100mg IV daily until clinical improvement or 5 days (8/9 - )  - Daily LFTs. Hold Remdesivir if ALT >10xULN or CrCl<30 - pepcid for GI prophylaxis while on steroids - trend inflammatory markers - Lovenox 40mg SQ daily and hold for Plt <25k, Fibrinogen <100, active bleeding - continue isolation in hospital per Regional/Local ID guidance.   # Normocytic Anemia: Hgb 10.8 on admission, 9.3 today (hgb was 12 back in 2016, no data since). Pt reports dark brown stool, not black or bloody. No blood in urine. Unclear cause of anemia at this time. - Iron labs - B12, folate - If hgb down trends will need to consider holding Lovenox.  Pt will be discharged in a day or 2 pending improvement in O2 requirements. So far pt has been in hospital 4 days and not yet discharged.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dyspnoea, Eosinophil count decreased, Full blood count, Haematocrit decreased
Clinical narrative: 81 Y female with PMHx of DM2, allergies, and asthma who presents with weakness, confusion, SOB and cough. Pt admitted for acute hypoxemic respiratory failure 2/2 COVID pneumonia  # Sepsis and acute hypoxemic respiratory failure both 2/2 COVID Pneumonia - Symptom onset on 8/2/21. COVID positive on 8/4/21. Low grad fever to 99.6 on 8/8/21. No clinical signs of bacterial pna. Will hold off on further abx. Patient received 2 doses of Pfizer vaccine in April and May 2021.  - Nasal Cannula at 3-4 Lpm. Goal SpO2 >92%. Consider ICU evaluation if requiring >40LPM and 60% FiO2 for SpO2 >/= 90% - Self-proning as tolerated for O2 req >3L - Decadron 6mg IV or PO qday for up to 10 days (8/8 - ) or until no longer hypoxic. - Remdesivir 200mg IV x1, followed by 100mg IV daily until clinical improvement or 5 days (8/9 - )  - Daily LFTs. Hold Remdesivir if ALT >10xULN or CrCl<30 - pepcid for GI prophylaxis while on steroids - trend inflammatory markers - Lovenox 40mg SQ daily and hold for Plt <25k, Fibrinogen <100, active bleeding - continue isolation in hospital per Regional/Local ID guidance.   # Normocytic Anemia: Hgb 10.8 on admission, 9.3 today (hgb was 12 back in 2016, no data since). Pt reports dark brown stool, not black or bloody. No blood in urine. Unclear cause of anemia at this time. - Iron labs - B12, folate - If hgb down trends will need to consider holding Lovenox.  Pt will be discharged in a day or 2 pending improvement in O2 requirements. So far pt has been in hospital 4 days and not yet discharged.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Haemorrhage, Inflammatory marker test, Liver function test, Lymphocyte count decreased
Clinical narrative: 81 Y female with PMHx of DM2, allergies, and asthma who presents with weakness, confusion, SOB and cough. Pt admitted for acute hypoxemic respiratory failure 2/2 COVID pneumonia  # Sepsis and acute hypoxemic respiratory failure both 2/2 COVID Pneumonia - Symptom onset on 8/2/21. COVID positive on 8/4/21. Low grad fever to 99.6 on 8/8/21. No clinical signs of bacterial pna. Will hold off on further abx. Patient received 2 doses of Pfizer vaccine in April and May 2021.  - Nasal Cannula at 3-4 Lpm. Goal SpO2 >92%. Consider ICU evaluation if requiring >40LPM and 60% FiO2 for SpO2 >/= 90% - Self-proning as tolerated for O2 req >3L - Decadron 6mg IV or PO qday for up to 10 days (8/8 - ) or until no longer hypoxic. - Remdesivir 200mg IV x1, followed by 100mg IV daily until clinical improvement or 5 days (8/9 - )  - Daily LFTs. Hold Remdesivir if ALT >10xULN or CrCl<30 - pepcid for GI prophylaxis while on steroids - trend inflammatory markers - Lovenox 40mg SQ daily and hold for Plt <25k, Fibrinogen <100, active bleeding - continue isolation in hospital per Regional/Local ID guidance.   # Normocytic Anemia: Hgb 10.8 on admission, 9.3 today (hgb was 12 back in 2016, no data since). Pt reports dark brown stool, not black or bloody. No blood in urine. Unclear cause of anemia at this time. - Iron labs - B12, folate - If hgb down trends will need to consider holding Lovenox.  Pt will be discharged in a day or 2 pending improvement in O2 requirements. So far pt has been in hospital 4 days and not yet discharged.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Mean cell volume normal, Monocyte count normal, Neutrophil count increased, Normocytic anaemia, Platelet count normal
Clinical narrative: 81 Y female with PMHx of DM2, allergies, and asthma who presents with weakness, confusion, SOB and cough. Pt admitted for acute hypoxemic respiratory failure 2/2 COVID pneumonia  # Sepsis and acute hypoxemic respiratory failure both 2/2 COVID Pneumonia - Symptom onset on 8/2/21. COVID positive on 8/4/21. Low grad fever to 99.6 on 8/8/21. No clinical signs of bacterial pna. Will hold off on further abx. Patient received 2 doses of Pfizer vaccine in April and May 2021.  - Nasal Cannula at 3-4 Lpm. Goal SpO2 >92%. Consider ICU evaluation if requiring >40LPM and 60% FiO2 for SpO2 >/= 90% - Self-proning as tolerated for O2 req >3L - Decadron 6mg IV or PO qday for up to 10 days (8/8 - ) or until no longer hypoxic. - Remdesivir 200mg IV x1, followed by 100mg IV daily until clinical improvement or 5 days (8/9 - )  - Daily LFTs. Hold Remdesivir if ALT >10xULN or CrCl<30 - pepcid for GI prophylaxis while on steroids - trend inflammatory markers - Lovenox 40mg SQ daily and hold for Plt <25k, Fibrinogen <100, active bleeding - continue isolation in hospital per Regional/Local ID guidance.   # Normocytic Anemia: Hgb 10.8 on admission, 9.3 today (hgb was 12 back in 2016, no data since). Pt reports dark brown stool, not black or bloody. No blood in urine. Unclear cause of anemia at this time. - Iron labs - B12, folate - If hgb down trends will need to consider holding Lovenox.  Pt will be discharged in a day or 2 pending improvement in O2 requirements. So far pt has been in hospital 4 days and not yet discharged.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Sepsis, Tachypnoea, Troponin normal, Vitamin B12
Clinical narrative: 81 Y female with PMHx of DM2, allergies, and asthma who presents with weakness, confusion, SOB and cough. Pt admitted for acute hypoxemic respiratory failure 2/2 COVID pneumonia  # Sepsis and acute hypoxemic respiratory failure both 2/2 COVID Pneumonia - Symptom onset on 8/2/21. COVID positive on 8/4/21. Low grad fever to 99.6 on 8/8/21. No clinical signs of bacterial pna. Will hold off on further abx. Patient received 2 doses of Pfizer vaccine in April and May 2021.  - Nasal Cannula at 3-4 Lpm. Goal SpO2 >92%. Consider ICU evaluation if requiring >40LPM and 60% FiO2 for SpO2 >/= 90% - Self-proning as tolerated for O2 req >3L - Decadron 6mg IV or PO qday for up to 10 days (8/8 - ) or until no longer hypoxic. - Remdesivir 200mg IV x1, followed by 100mg IV daily until clinical improvement or 5 days (8/9 - )  - Daily LFTs. Hold Remdesivir if ALT >10xULN or CrCl<30 - pepcid for GI prophylaxis while on steroids - trend inflammatory markers - Lovenox 40mg SQ daily and hold for Plt <25k, Fibrinogen <100, active bleeding - continue isolation in hospital per Regional/Local ID guidance.   # Normocytic Anemia: Hgb 10.8 on admission, 9.3 today (hgb was 12 back in 2016, no data since). Pt reports dark brown stool, not black or bloody. No blood in urine. Unclear cause of anemia at this time. - Iron labs - B12, folate - If hgb down trends will need to consider holding Lovenox.  Pt will be discharged in a day or 2 pending improvement in O2 requirements. So far pt has been in hospital 4 days and not yet discharged.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: 81 Y female with PMHx of DM2, allergies, and asthma who presents with weakness, confusion, SOB and cough. Pt admitted for acute hypoxemic respiratory failure 2/2 COVID pneumonia  # Sepsis and acute hypoxemic respiratory failure both 2/2 COVID Pneumonia - Symptom onset on 8/2/21. COVID positive on 8/4/21. Low grad fever to 99.6 on 8/8/21. No clinical signs of bacterial pna. Will hold off on further abx. Patient received 2 doses of Pfizer vaccine in April and May 2021.  - Nasal Cannula at 3-4 Lpm. Goal SpO2 >92%. Consider ICU evaluation if requiring >40LPM and 60% FiO2 for SpO2 >/= 90% - Self-proning as tolerated for O2 req >3L - Decadron 6mg IV or PO qday for up to 10 days (8/8 - ) or until no longer hypoxic. - Remdesivir 200mg IV x1, followed by 100mg IV daily until clinical improvement or 5 days (8/9 - )  - Daily LFTs. Hold Remdesivir if ALT >10xULN or CrCl<30 - pepcid for GI prophylaxis while on steroids - trend inflammatory markers - Lovenox 40mg SQ daily and hold for Plt <25k, Fibrinogen <100, active bleeding - continue isolation in hospital per Regional/Local ID guidance.   # Normocytic Anemia: Hgb 10.8 on admission, 9.3 today (hgb was 12 back in 2016, no data since). Pt reports dark brown stool, not black or bloody. No blood in urine. Unclear cause of anemia at this time. - Iron labs - B12, folate - If hgb down trends will need to consider holding Lovenox.  Pt will be discharged in a day or 2 pending improvement in O2 requirements. So far pt has been in hospital 4 days and not yet discharged.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Audiogram, Deafness unilateral, Sudden hearing loss
Clinical narrative: I have NEVER had any ear problems in my entire life, including no was problem and I woke up with Sudden Hearin Loss, only 35% ability to hear in right ear.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Influenza A virus test negative, Influenza B virus test, Respiratory syncytial virus test negative, SARS-CoV-2 test positive
Clinical narrative: 8.9.2021 Routine Covid19 no signs or symptoms of Covid.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: ON 8-5-2021 it was discovered that the patient received 1 entire undiluted vial of Pfizer COVID-19 vaccine.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Arthralgia, Asthenia, Blood pressure increased, Cardiac flutter
Clinical narrative: Within 7 days started with generally feeling unwell, swollen gland, escalated blood pressure, and joint pain.  By day 12, I started have "flutters" of my heart and feeling like my heart was jumping in my chest several times a day.  This made me highly anxious and feeling even more unwell.  I noticed shortness of breath and weakness.  I normally walk 2 miles each morning and was unable to walk without feeling dizzy.  On May 31st was a work and pressure in chest, dizziness, chest pain escalated and I was having difficulty thinking straight, and slurring my speech talking to my husband, so I went to the emergency room.  Diagnosed with TIA in ER.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac monitoring, Chest discomfort, Chest pain, Computerised tomogram abdomen abnormal, Computerised tomogram head abnormal
Clinical narrative: Within 7 days started with generally feeling unwell, swollen gland, escalated blood pressure, and joint pain.  By day 12, I started have "flutters" of my heart and feeling like my heart was jumping in my chest several times a day.  This made me highly anxious and feeling even more unwell.  I noticed shortness of breath and weakness.  I normally walk 2 miles each morning and was unable to walk without feeling dizzy.  On May 31st was a work and pressure in chest, dizziness, chest pain escalated and I was having difficulty thinking straight, and slurring my speech talking to my husband, so I went to the emergency room.  Diagnosed with TIA in ER.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysarthria, Dyspnoea, Electrocardiogram J wave abnormal, Gait disturbance
Clinical narrative: Within 7 days started with generally feeling unwell, swollen gland, escalated blood pressure, and joint pain.  By day 12, I started have "flutters" of my heart and feeling like my heart was jumping in my chest several times a day.  This made me highly anxious and feeling even more unwell.  I noticed shortness of breath and weakness.  I normally walk 2 miles each morning and was unable to walk without feeling dizzy.  On May 31st was a work and pressure in chest, dizziness, chest pain escalated and I was having difficulty thinking straight, and slurring my speech talking to my husband, so I went to the emergency room.  Diagnosed with TIA in ER.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Malaise, Mental impairment, Transient ischaemic attack, Ultrasound Doppler
Clinical narrative: Within 7 days started with generally feeling unwell, swollen gland, escalated blood pressure, and joint pain.  By day 12, I started have "flutters" of my heart and feeling like my heart was jumping in my chest several times a day.  This made me highly anxious and feeling even more unwell.  I noticed shortness of breath and weakness.  I normally walk 2 miles each morning and was unable to walk without feeling dizzy.  On May 31st was a work and pressure in chest, dizziness, chest pain escalated and I was having difficulty thinking straight, and slurring my speech talking to my husband, so I went to the emergency room.  Diagnosed with TIA in ER.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiac monitoring, Cardiac stress test, Cough, Dizziness
Clinical narrative: Began feeling heart palpitations, noted skipped pulse, sometimes experienced mild dizziness, and developed a dry cough within 2ish weeks of my second shot. Intense bouts would last for approximately 3 days and gradually get better, then repeat again.  As time has gone on, the intensity and duration has lessened, but is still occurring.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Echocardiogram, Electrocardiogram, Palpitations
Clinical narrative: Began feeling heart palpitations, noted skipped pulse, sometimes experienced mild dizziness, and developed a dry cough within 2ish weeks of my second shot. Intense bouts would last for approximately 3 days and gradually get better, then repeat again.  As time has gone on, the intensity and duration has lessened, but is still occurring.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Syncope
Clinical narrative: EMT reports that patient received the 1st dose of Pfizer 08/11/2021, Pt. fainted immediately after resulting transport for observation. Cognitive test preformed and showed normal cognitive ability. Pt. currently has recovered and discharged.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint swelling, Loss of personal independence in daily activities
Clinical narrative: Increased joint pain, swelling, unable to complete ADLs without assistance.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Malaise, Pyrexia, Respiratory tract congestion
Clinical narrative: Positive COVID-19 on 8/11/21 in fully vaccinated individual. Developed symptoms of fever, malaise, and congestion on day of test, approximately 5 days after exposure to an unvaccinated individual in her household who had tested positive for the virus.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Positive COVID-19 on 8/11/21 in fully vaccinated individual. Developed symptoms of fever, malaise, and congestion on day of test, approximately 5 days after exposure to an unvaccinated individual in her household who had tested positive for the virus.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Thyroid pain, Thyroiditis, Ultrasound thyroid abnormal
Clinical narrative: My Doc and I are not sure if it's realated to me getting COVID or the Vaccine but I got thyroditis at the beginning of April and it lasted 3 months.  Thought I would let you all know.  My doctor just had me keep up with the NSAIDs (Aleve) like I did with the pericarditis I had after COVID.  As of Mid July the thyroid pain has gone away.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Haemoptysis, Mechanical urticaria, Palpitations
Clinical narrative: After 3 days after the second dose my mom developed dermatographism (we went to her primary dr and a dermatologist) and about 10 days later on April 26th she developed symptoms as: shortness of breath, palpitations, chest pain. I neglected her symptoms thinking it was anxiety (she was going back to visit my sister in a couple of days). Her symptoms persisted and got even worse (she also started spitting blood) and went to see some doctors there and they gave her medication  and suggested it is a reaction to the vaccine (I have the doctors' findings and prescriptions of medication). I do have to mention my mom is a resident and she got the vaccine. I am writing because she does not speak English.  She is coming back  on August 19th, and I will take her to other doctors for further investigation, but I wanted to get this information to you soon.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination complication
Clinical narrative: After 3 days after the second dose my mom developed dermatographism (we went to her primary dr and a dermatologist) and about 10 days later on April 26th she developed symptoms as: shortness of breath, palpitations, chest pain. I neglected her symptoms thinking it was anxiety (she was going back to visit my sister in a couple of days). Her symptoms persisted and got even worse (she also started spitting blood) and went to see some doctors there and they gave her medication  and suggested it is a reaction to the vaccine (I have the doctors' findings and prescriptions of medication). I do have to mention my mom is a resident and she got the vaccine. I am writing because she does not speak English.  She is coming back  on August 19th, and I will take her to other doctors for further investigation, but I wanted to get this information to you soon.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Dizziness, Electrocardiogram, Vestibular disorder
Clinical narrative: A fib , new onset Lightheaded ness/vestibular symptoms
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products, No adverse event
Clinical narrative: Patient was given J&J on 8-10-21 and when Shots was pulled up to enter information it was discovered that she had already recived (2) doses of Moderna in Jan & Feb of this year. I asked her if the profile I showed her on shots was correct and she admitted that yes she had received the Moderna already. I called her on 8-11-21 to ask how she was feeling and she stated she was not having any side effects. She again apologized for not being forthcoming the previous day and admitted she was wrong for doing this.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Circumstance or information capable of leading to medication error, Extra dose administered
Clinical narrative: The client came to the clinic and requested her "first" Pfizer vaccine and stated she did not have a vaccine card. Her electronic record was looked up, but none was found. Her last name was entered incorrectly at check-in. The client added an "e" in the spelling of her last name. This was corroborated by 2 people at check-in. Upon entry into Immunization Registry, it was found that she was already fully vaccinated with Pfizer.
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Headache, Nasal congestion, Pain, Productive cough
Clinical narrative: productive cough, nasal congestion, SOB, headache, body aches,  fever, stridor. MEDS: Albuterol MDI, Flonase, Tylenol. Symptoms resolved after 3 weeks
Age: 50.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test, Stridor
Clinical narrative: productive cough, nasal congestion, SOB, headache, body aches,  fever, stridor. MEDS: Albuterol MDI, Flonase, Tylenol. Symptoms resolved after 3 weeks
Age: 84.0
Sex: F
Vaccine: UNK
Symptoms: Death, Myocardial infarction
Clinical narrative: Death, massive heart attack
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Heart rate increased
Clinical narrative: Patient received their vaccine around 10 am on 8/11/21, and they reported they went to lunch and felt fine, then a few hours later they got back to work and their heart rate was elevated and they felt dizzy. Upon a follow-up call, they reported their heart rate was still 120-130bpm despite resting and relaxing and taking Benadryl.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site reaction, Injection site warmth, Rash, Rash erythematous
Clinical narrative: Red patch/rash? raised skin in rectangular shape, approx 2? by 3?, injection site.  Itchy and hot to touch.  Went away after 1 week.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Rash papular
Clinical narrative: Red patch/rash? raised skin in rectangular shape, approx 2? by 3?, injection site.  Itchy and hot to touch.  Went away after 1 week.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral haemorrhage, Cerebral thrombosis, Cerebrovascular accident, Dizziness, Fatigue
Clinical narrative: After the shot, sick, tired, aches and pains for two - three days.   Day 3 - 5 Dizziness, blurred vision.  Day 5 went to the hospital, ER found sign of stroke.  Day 7 saw a neurologist, was told that a stroke occurred, but was not sure if it was new or old.  Day  12, massive Ischemic Stroke followed by multiple hemorrhages.  The Clot left a 10mm hole in the left side of the brain.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Illness, Ischaemic stroke, Pain, Vision blurred
Clinical narrative: After the shot, sick, tired, aches and pains for two - three days.   Day 3 - 5 Dizziness, blurred vision.  Day 5 went to the hospital, ER found sign of stroke.  Day 7 saw a neurologist, was told that a stroke occurred, but was not sure if it was new or old.  Day  12, massive Ischemic Stroke followed by multiple hemorrhages.  The Clot left a 10mm hole in the left side of the brain.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Discoloured vomit, Discomfort, Hyperhidrosis, Malaise, Nausea
Clinical narrative: Patient reported he has history of fainting after getting a ceftriaxone injection years ago. We talked through the possible scenarios and proceed with the vaccine with his partner next to him for support. Patient sat down after vaccine for 5 minutes and his partner came up to notify me that patient was not feeling well. I went to check on him and saw that he was still alert, conscious and able to have a conversation. However, he appeared pale, uncomfortable and sweating. I went to get him some paper towel and went I came back he said he felt nauseous and wanted to head toward the restroom. I urged him to stay seated and I went to get him a plastic bag. By the time I came back, he already started vomiting tan fluid on the floor. Patient vomit for lest than one minute and felt better. He stayed for observation for another 20 minutes and felt well and left.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Pallor
Clinical narrative: Patient reported he has history of fainting after getting a ceftriaxone injection years ago. We talked through the possible scenarios and proceed with the vaccine with his partner next to him for support. Patient sat down after vaccine for 5 minutes and his partner came up to notify me that patient was not feeling well. I went to check on him and saw that he was still alert, conscious and able to have a conversation. However, he appeared pale, uncomfortable and sweating. I went to get him some paper towel and went I came back he said he felt nauseous and wanted to head toward the restroom. I urged him to stay seated and I went to get him a plastic bag. By the time I came back, he already started vomiting tan fluid on the floor. Patient vomit for lest than one minute and felt better. He stayed for observation for another 20 minutes and felt well and left.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: PATIENT'S ARM AT THIS TIME IS VERY SWOLLEN AND HOT TO TOUCH. PATIENT STATES ALSO VERY PAINFUL.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Pt developed redness, swelling, and itchiness at the injection site 9 days post vaccination. Pt was advised to do ibuprofen/acetaminophen, cold compress, and Benadryl if needed. Also to go to urgent care/call doctor if symptoms spread. Today was day 1 of symptoms.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: My menstrual cycle started a few days after and wasn't supposed to start for a few weeks. It lasted almost 3 weeks instead of the usual 5 days and in the months since has nearly ceased completely being very light and and weeks late
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Chest pain, Computerised tomogram thorax, Dyspnoea, Fibrin D dimer
Clinical narrative: Had severe chest pain that cause difficulty breathing for a few minutes on 2/11/2021 at 9pm. Went to Clinic in the morning since still experiencing chest pain, but milder than the night before. Was prescribed Macrobid for abnormal urinalysis result and was instructed to stay away from meat, oil, caffeine, dairy and eggs. Went to Hospital on 2/14/2021 after experiencing recurrence of chest pain at around 8:30am. No treatment was given. Instructed to return if with another episode.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count normal, International normalised ratio normal, Lipids normal, Liver function test normal, Metabolic function test normal
Clinical narrative: Had severe chest pain that cause difficulty breathing for a few minutes on 2/11/2021 at 9pm. Went to Clinic in the morning since still experiencing chest pain, but milder than the night before. Was prescribed Macrobid for abnormal urinalysis result and was instructed to stay away from meat, oil, caffeine, dairy and eggs. Went to Hospital on 2/14/2021 after experiencing recurrence of chest pain at around 8:30am. No treatment was given. Instructed to return if with another episode.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Prothrombin time normal, Pulmonary vascular disorder, Troponin normal, Ultrasound abdomen abnormal, Urine analysis
Clinical narrative: Had severe chest pain that cause difficulty breathing for a few minutes on 2/11/2021 at 9pm. Went to Clinic in the morning since still experiencing chest pain, but milder than the night before. Was prescribed Macrobid for abnormal urinalysis result and was instructed to stay away from meat, oil, caffeine, dairy and eggs. Went to Hospital on 2/14/2021 after experiencing recurrence of chest pain at around 8:30am. No treatment was given. Instructed to return if with another episode.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Blood glucose normal, Dizziness, Hyperhidrosis, Loss of consciousness
Clinical narrative: Patient became sweaty and felt dizzy. Got patient water and they remained seated. While seated patient "passed out" for a few seconds. He never had swelling of face or tongue and did not have trouble breathing.  Pharmacist and store manager remained with patient until EMS took over. EMS put patient on stretcher and took him to hospital. Local police officers also responded after 911 call was made.