chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccination site pain
Clinical narrative: Office Visit  10/19/2021 Internal Medicine Acute bronchitis, unspecified organism +1 more  Dx   Progress Notes   Date of Service: 10/19/21 Diagnosis Plan 1. Acute bronchitis, unspecified organism  azithromycin (ZITHROMAX) 250 mg tablet 2. Suspected COVID-19 virus infection  COVID-19 PCR   COVID-19 PCR     Plan   Patient Instructions I am sorry that the body aches cough, weakness, and low-grade fever have been a problem over the past several days.  On examination today, I hear a fair amount of mucus in both lungs, so I would like to treat this like acute bronchitis.  Please start the course of a azithromycin.  Watch for diarrhea with this antibiotic. Patient is a 57 y.o. male who presents for ZONE PATIENT COLD, CONGESTION, MYALGIA.   3-4 days ago body aches.  Productive cough.  No appetite.  Litle weak, dizzy.   No loss of taste or smell.   Phone call to the office yesterday morning described arm soreness. 10/8/2021 he received the first Pfizer COVID-19 dose in his left deltoid. In the call, he described pain at the vaccination site and joints in the left arm.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Extra dose administered, Interchange of vaccine products
Clinical narrative: Patient received both doses of Pfizer, then a dose of Janssen, the the Pfizer booster. He claims it was per his doctor's recommendation.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Muscle spasms
Clinical narrative: chills, tired.  toes cramped up several days in a row after shot.  Very hard to get the cramp out of toe
Age: 49.0
Sex: M
Vaccine: TDAP
Symptoms: Expired product administered
Clinical narrative: Expired vaccine given.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Booster dose. Vaccine administered on 10/29/21. Vial expired 10/11/21. Vial was kept in freezer until 10/28/2021 and removed to fridge on 10/28/2021 for administration on 10/29/2021.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Pain in extremity, Pyrexia
Clinical narrative: Very sore arm, fever, chills, headache, fatigue.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Periarthritis, Shoulder injury related to vaccine administration
Clinical narrative: SIRVA -(shoulder injury related to vaccine administration) - frozen shoulder
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Chills, Diarrhoea, Dysgeusia, Feeling abnormal
Clinical narrative: severe headache, nauseous, chills, metal taste in mouth, entire body aches and pains, diarrhea, sore neck and upper back, swimmy head
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Nausea, Neck pain, Pain
Clinical narrative: severe headache, nauseous, chills, metal taste in mouth, entire body aches and pains, diarrhea, sore neck and upper back, swimmy head
Age: 37.0
Sex: F
Vaccine: FLU4
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Had a red raised area where the shot was given about the size of a golf ball. Very itchy, no warmth.  Called 11/1/2021 at 3pm to report this reaction. States area is already much better, no itching today.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Booster dose. Vaccine administered on 10/29/21. Vial expired 10/11/21. Vial was kept in freezer until 10/28/2021 and removed to fridge on 10/28/2021 for administration on 10/29/2021.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Joint range of motion decreased
Clinical narrative: arm and shoulder still sore with limited range of motion ten weeks after second dose.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: admitted with breakthrough COVID infection
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Adenovirus test, Angiogram pulmonary normal, Arteriosclerosis coronary artery, Asthenia
Clinical narrative: Last attending ? Treatment team Sepsis without acute organ dysfunction, due to unspecified organism   Principal problem Hospital Course         Patient was admitted to the hospital on 10/19 with generalized weakness, cough, chills, and persistent symptoms of UTI found to have COVID-19.  Imaging in the hospital showed no acute abnormalities of her abdomen and pelvis and she was given IV Rocephin and IV ampicillin to start.  Her outpatient Diflucan was discontinued as it was not thought to be contributing to her symptoms at the time.  Though she was vaccinated x2, she did show Covid positivity but did not require any treatment for this as she did not require any oxygen.  CTA of her chest was negative for PE.  Blood and urine cultures were negative throughout stay.  Hope was for patient to return to facility on oral antibiotics for her chronic UTI, and she was transitioned to p.o. Augmentin twice daily for 5 days.  Hope was to have her discharged on 10/21, but due to patient feeling weak and PT OT claiming that she was not yet ready to go back, she remained in the hospital for further rest and strengthening until 10/22, when patient was deemed stable for discharge back to facility with PT OT to follow there.  She and her husband were both informed that she would likely be in isolation for a few days without her normal level of nursing care, and both agreed that this was better than going to an assisted living or rehab.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Atelectasis, Blood culture negative, Bordetella test negative, COVID-19, Chest X-ray abnormal
Clinical narrative: Last attending ? Treatment team Sepsis without acute organ dysfunction, due to unspecified organism   Principal problem Hospital Course         Patient was admitted to the hospital on 10/19 with generalized weakness, cough, chills, and persistent symptoms of UTI found to have COVID-19.  Imaging in the hospital showed no acute abnormalities of her abdomen and pelvis and she was given IV Rocephin and IV ampicillin to start.  Her outpatient Diflucan was discontinued as it was not thought to be contributing to her symptoms at the time.  Though she was vaccinated x2, she did show Covid positivity but did not require any treatment for this as she did not require any oxygen.  CTA of her chest was negative for PE.  Blood and urine cultures were negative throughout stay.  Hope was for patient to return to facility on oral antibiotics for her chronic UTI, and she was transitioned to p.o. Augmentin twice daily for 5 days.  Hope was to have her discharged on 10/21, but due to patient feeling weak and PT OT claiming that she was not yet ready to go back, she remained in the hospital for further rest and strengthening until 10/22, when patient was deemed stable for discharge back to facility with PT OT to follow there.  She and her husband were both informed that she would likely be in isolation for a few days without her normal level of nursing care, and both agreed that this was better than going to an assisted living or rehab.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Chlamydia test negative, Computerised tomogram abdomen abnormal, Condition aggravated, Coronary artery disease
Clinical narrative: Last attending ? Treatment team Sepsis without acute organ dysfunction, due to unspecified organism   Principal problem Hospital Course         Patient was admitted to the hospital on 10/19 with generalized weakness, cough, chills, and persistent symptoms of UTI found to have COVID-19.  Imaging in the hospital showed no acute abnormalities of her abdomen and pelvis and she was given IV Rocephin and IV ampicillin to start.  Her outpatient Diflucan was discontinued as it was not thought to be contributing to her symptoms at the time.  Though she was vaccinated x2, she did show Covid positivity but did not require any treatment for this as she did not require any oxygen.  CTA of her chest was negative for PE.  Blood and urine cultures were negative throughout stay.  Hope was for patient to return to facility on oral antibiotics for her chronic UTI, and she was transitioned to p.o. Augmentin twice daily for 5 days.  Hope was to have her discharged on 10/21, but due to patient feeling weak and PT OT claiming that she was not yet ready to go back, she remained in the hospital for further rest and strengthening until 10/22, when patient was deemed stable for discharge back to facility with PT OT to follow there.  She and her husband were both informed that she would likely be in isolation for a few days without her normal level of nursing care, and both agreed that this was better than going to an assisted living or rehab.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Coronavirus test negative, Cough, Culture urine negative, Enterovirus test negative, Human metapneumovirus test
Clinical narrative: Last attending ? Treatment team Sepsis without acute organ dysfunction, due to unspecified organism   Principal problem Hospital Course         Patient was admitted to the hospital on 10/19 with generalized weakness, cough, chills, and persistent symptoms of UTI found to have COVID-19.  Imaging in the hospital showed no acute abnormalities of her abdomen and pelvis and she was given IV Rocephin and IV ampicillin to start.  Her outpatient Diflucan was discontinued as it was not thought to be contributing to her symptoms at the time.  Though she was vaccinated x2, she did show Covid positivity but did not require any treatment for this as she did not require any oxygen.  CTA of her chest was negative for PE.  Blood and urine cultures were negative throughout stay.  Hope was for patient to return to facility on oral antibiotics for her chronic UTI, and she was transitioned to p.o. Augmentin twice daily for 5 days.  Hope was to have her discharged on 10/21, but due to patient feeling weak and PT OT claiming that she was not yet ready to go back, she remained in the hospital for further rest and strengthening until 10/22, when patient was deemed stable for discharge back to facility with PT OT to follow there.  She and her husband were both informed that she would likely be in isolation for a few days without her normal level of nursing care, and both agreed that this was better than going to an assisted living or rehab.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Human rhinovirus test, Influenza A virus test negative, Influenza B virus test, Inspiratory capacity decreased, Micturition urgency
Clinical narrative: Last attending ? Treatment team Sepsis without acute organ dysfunction, due to unspecified organism   Principal problem Hospital Course         Patient was admitted to the hospital on 10/19 with generalized weakness, cough, chills, and persistent symptoms of UTI found to have COVID-19.  Imaging in the hospital showed no acute abnormalities of her abdomen and pelvis and she was given IV Rocephin and IV ampicillin to start.  Her outpatient Diflucan was discontinued as it was not thought to be contributing to her symptoms at the time.  Though she was vaccinated x2, she did show Covid positivity but did not require any treatment for this as she did not require any oxygen.  CTA of her chest was negative for PE.  Blood and urine cultures were negative throughout stay.  Hope was for patient to return to facility on oral antibiotics for her chronic UTI, and she was transitioned to p.o. Augmentin twice daily for 5 days.  Hope was to have her discharged on 10/21, but due to patient feeling weak and PT OT claiming that she was not yet ready to go back, she remained in the hospital for further rest and strengthening until 10/22, when patient was deemed stable for discharge back to facility with PT OT to follow there.  She and her husband were both informed that she would likely be in isolation for a few days without her normal level of nursing care, and both agreed that this was better than going to an assisted living or rehab.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Mycoplasma test negative, Nausea, Pollakiuria, Renal cyst, Respiratory syncytial virus test negative
Clinical narrative: Last attending ? Treatment team Sepsis without acute organ dysfunction, due to unspecified organism   Principal problem Hospital Course         Patient was admitted to the hospital on 10/19 with generalized weakness, cough, chills, and persistent symptoms of UTI found to have COVID-19.  Imaging in the hospital showed no acute abnormalities of her abdomen and pelvis and she was given IV Rocephin and IV ampicillin to start.  Her outpatient Diflucan was discontinued as it was not thought to be contributing to her symptoms at the time.  Though she was vaccinated x2, she did show Covid positivity but did not require any treatment for this as she did not require any oxygen.  CTA of her chest was negative for PE.  Blood and urine cultures were negative throughout stay.  Hope was for patient to return to facility on oral antibiotics for her chronic UTI, and she was transitioned to p.o. Augmentin twice daily for 5 days.  Hope was to have her discharged on 10/21, but due to patient feeling weak and PT OT claiming that she was not yet ready to go back, she remained in the hospital for further rest and strengthening until 10/22, when patient was deemed stable for discharge back to facility with PT OT to follow there.  She and her husband were both informed that she would likely be in isolation for a few days without her normal level of nursing care, and both agreed that this was better than going to an assisted living or rehab.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory viral panel, SARS-CoV-2 test positive, Scan with contrast abnormal, Scan with contrast normal, Sepsis
Clinical narrative: Last attending ? Treatment team Sepsis without acute organ dysfunction, due to unspecified organism   Principal problem Hospital Course         Patient was admitted to the hospital on 10/19 with generalized weakness, cough, chills, and persistent symptoms of UTI found to have COVID-19.  Imaging in the hospital showed no acute abnormalities of her abdomen and pelvis and she was given IV Rocephin and IV ampicillin to start.  Her outpatient Diflucan was discontinued as it was not thought to be contributing to her symptoms at the time.  Though she was vaccinated x2, she did show Covid positivity but did not require any treatment for this as she did not require any oxygen.  CTA of her chest was negative for PE.  Blood and urine cultures were negative throughout stay.  Hope was for patient to return to facility on oral antibiotics for her chronic UTI, and she was transitioned to p.o. Augmentin twice daily for 5 days.  Hope was to have her discharged on 10/21, but due to patient feeling weak and PT OT claiming that she was not yet ready to go back, she remained in the hospital for further rest and strengthening until 10/22, when patient was deemed stable for discharge back to facility with PT OT to follow there.  She and her husband were both informed that she would likely be in isolation for a few days without her normal level of nursing care, and both agreed that this was better than going to an assisted living or rehab.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Viral test negative, Vomiting
Clinical narrative: Last attending ? Treatment team Sepsis without acute organ dysfunction, due to unspecified organism   Principal problem Hospital Course         Patient was admitted to the hospital on 10/19 with generalized weakness, cough, chills, and persistent symptoms of UTI found to have COVID-19.  Imaging in the hospital showed no acute abnormalities of her abdomen and pelvis and she was given IV Rocephin and IV ampicillin to start.  Her outpatient Diflucan was discontinued as it was not thought to be contributing to her symptoms at the time.  Though she was vaccinated x2, she did show Covid positivity but did not require any treatment for this as she did not require any oxygen.  CTA of her chest was negative for PE.  Blood and urine cultures were negative throughout stay.  Hope was for patient to return to facility on oral antibiotics for her chronic UTI, and she was transitioned to p.o. Augmentin twice daily for 5 days.  Hope was to have her discharged on 10/21, but due to patient feeling weak and PT OT claiming that she was not yet ready to go back, she remained in the hospital for further rest and strengthening until 10/22, when patient was deemed stable for discharge back to facility with PT OT to follow there.  She and her husband were both informed that she would likely be in isolation for a few days without her normal level of nursing care, and both agreed that this was better than going to an assisted living or rehab.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site swelling, Injection site warmth, Maternal exposure during breast feeding
Clinical narrative: started having blurred vision that afternoon, severe nightmares for a few weeks after vaccination, and erythema, pain, hot and swelling at the injection site for a few days
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Nightmare, Vision blurred
Clinical narrative: started having blurred vision that afternoon, severe nightmares for a few weeks after vaccination, and erythema, pain, hot and swelling at the injection site for a few days
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Pt was given expired Moderna Booster 0.25 in right deltoid on 10/26/2021, this lot number expired on 10/8/2021. Patient was contacted by Health Pharmacist , no adverse effects of medication for noted by patient.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Maternal exposure before pregnancy
Clinical narrative: Booster dose. Vaccine administered on 11/1/2021. Vial expired 10/11/21. Vial was kept in freezer until 10/30/2021 and removed to fridge on 10/30/2021 for administration on 11/01/2021. Regarding potential for pregnancy, pt answered yes to this question: Are you pregnant or is there a chance you could become pregnant during the next month? Patient answered YES to this question. Given that this vaccine is still recommended during pregnancy, no additional information was gleaned.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Cardiovascular function test, Chest X-ray, Echocardiogram, Fatigue
Clinical narrative: Feeling ill, fevers, fatigue every couple of weeks since I have received my Pfizer vaccine. Last for 3 to 5 days in which I have missed a lot of work.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Influenza virus test, Malaise, Pulmonary function test, Pyrexia
Clinical narrative: Feeling ill, fevers, fatigue every couple of weeks since I have received my Pfizer vaccine. Last for 3 to 5 days in which I have missed a lot of work.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Streptococcus test
Clinical narrative: Feeling ill, fevers, fatigue every couple of weeks since I have received my Pfizer vaccine. Last for 3 to 5 days in which I have missed a lot of work.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: nurse administered Pfizer 0.3 ml undiluted vaccine dose, no symptoms after 30 minute observation time Attempted to contact mother on 10/27/2021 but no response to voicemail left but she did return call on 10/28/2021 and reports no complaints as of this time but would contact me with any symptoms. Mom reports to be a "nurse" and was advised of possible symptoms to observe/monitor for
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose normal, Dizziness
Clinical narrative: Once patient is done with observation and leaving starts to feel dizzy, patient was seated and vitals taken 70/40bp, 55 pulse, 18 respirations, 98 sat, dext 124. Patient is lying down and reevaluated every 10 minutes bp 100/20, pulse 60, resp18, sat 99. Alert, conscious and oriented 13:24 patient denies any symptoms and does not show any signs. Mother was oriented (patient's mother) for any symptoms.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Headache, Pain, Sleep disorder
Clinical narrative: Extreme body aches, chills and unbearable headache. Couldn?t sleep through the night due to the severe pain in my head. Still feeling pain 25 hours after shot.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Admitted to hospital with breakthrough covid infection
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Anxiety, Chest discomfort, Fatigue, Heart rate increased, Migraine
Clinical narrative: I woke up and my entire body was sore, my entire right arm is painful and my hands feel tingly. I?ve had a weird feeling in my chest, fast heartbeat, and anxiety since I woke up.  Migraine, sore neck, tiredness but I?m not able to fall asleep because of the anxiety, it?s like my body won?t relax.
Age: 27.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Neck pain, Pain, Pain in extremity, Paraesthesia, Restlessness
Clinical narrative: I woke up and my entire body was sore, my entire right arm is painful and my hands feel tingly. I?ve had a weird feeling in my chest, fast heartbeat, and anxiety since I woke up.  Migraine, sore neck, tiredness but I?m not able to fall asleep because of the anxiety, it?s like my body won?t relax.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Chest X-ray, Laboratory test, Nausea, Respiratory viral panel
Clinical narrative: persistent nausea vomiting abdominal pain.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Urine analysis, Viral test, Vomiting
Clinical narrative: persistent nausea vomiting abdominal pain.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Mass, Swelling
Clinical narrative: Mild swelling and bump forming on left collar bone. Which happens to be the same side as the injections site, which was the left deltoid. Patient reported event to pharmacy 11/01/2021 and was instructed to contact their PCP for follow-up.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Booster dose. Vaccine administered on 10/30/21. Vial expired 10/11/21. Vial was kept in freezer until 10/29/2021 and removed to fridge on 10/29/2021 for administration on 10/30/2021.
Age: 46.0
Sex: F
Vaccine: COVID19, FLUC4
Symptoms: Eye swelling
Clinical narrative: Pt. states that after receiving the 3rd Booster of Phizer 10/30/2021, started experiencing symptoms 11/01/2021 of swelling in the Left eye, and mild swelling in the right eye. Primary visit *Telehealth communications recommendation for Follow-Up with Emergency Room visit 11/01/2021 *treating with Steroids & Antihistamines. Pt. still experiencing symptoms.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Tinnitus, Vertigo
Clinical narrative: About three months after receiving the vaccine I had a flare up of Vertigo that lasted for a month. I also experienced ringing in my ears that still exists.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Booster dose. Vaccine administered on 10/29/21. Vial expired 10/11/21. Vial was kept in freezer until 10/28/2021 and removed to fridge on 10/28/2021 for administration on 10/29/2021.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Cough, Dyspnoea, Fatigue, Oropharyngeal pain
Clinical narrative: This case meets criteria for vaccine breakthrough review. SxS include sore throat, cough, SOB, body aches, fatigue, mild abdominal pain.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, Vaccine breakthrough infection
Clinical narrative: This case meets criteria for vaccine breakthrough review. SxS include sore throat, cough, SOB, body aches, fatigue, mild abdominal pain.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Loss of consciousness, Muscular weakness, Myalgia, Nausea
Clinical narrative: Extreme Lethergy, nausea, vomiting, muscle weakness and pain, passing out.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Extreme Lethergy, nausea, vomiting, muscle weakness and pain, passing out.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Booster dose. Vaccine administered on 10/30/21. Vial expired 10/11/21. Vial was kept in freezer until 10/29/2021 and removed to fridge on 10/29/2021 for administration on 10/30/2021.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID 19
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Appendicectomy, Appendicitis, Computerised tomogram abdomen abnormal
Clinical narrative: Had my appendix removed 12 days after 1st Moderna shot. I was advised just now by my physician that this could have been a side effect from the vaccine. I had not had any problems with my appendix nor any family history previous to this.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event, Product preparation issue
Clinical narrative: nurse administered Pfizer covid vaccine 0.3 ml undiluted no symptoms reported or observation after 30 minute observation/monitoring time mom  is aware of event and reports would continue to monitor and reports that she is a "nurse" and would continue to monitor;  I attempted to contact  on 10/27/2021 but no response however, she did return call on 10/28/2021 and reports that has not had any complaints as of this time but would continue to monitor
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Pain, Postmenopausal haemorrhage, Pyrexia
Clinical narrative: Three days after second shot I ran a fever of 99 to 100 and had body aches like the flu for two days.  On November 1st I started having really bad cramps and menstrual bleeding but I am in menopause and have not had a menstrual cycle in several years.  I will be goin to a local physician if bleeding does not stop.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Nausea, Pain, Pyrexia
Clinical narrative: Patient reported that she has severe body aches, chills, and fever. This is the booster and she stated that it was worse than the other... the next day she felt dizzy and nauseous.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, COVID-19, COVID-19 pneumonia, Failure to thrive
Clinical narrative: 76yo M w/ myelofibrosis s/p allotransplant 2014, hypothyroidism admitted for failure to thrive, with progressive weakness, weightloss and poor PO intake. Significant hyponatremia on labs. Tested COVID19 positive on admission.   #acute respiratory failure with hypoxia #COVID19 pneumonia -Patient requiring oxygen after saturation dropped to 87% while sleeping.  -supplemental oxygen as needed -dexamethasone  -remdesivir -strict intake/output; keep neutral or net-negative fluid balance -PRN rescue inhaler -incentive spirometry     Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hyponatraemia, Hypophagia, Laboratory test, Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: 76yo M w/ myelofibrosis s/p allotransplant 2014, hypothyroidism admitted for failure to thrive, with progressive weakness, weightloss and poor PO intake. Significant hyponatremia on labs. Tested COVID19 positive on admission.   #acute respiratory failure with hypoxia #COVID19 pneumonia -Patient requiring oxygen after saturation dropped to 87% while sleeping.  -supplemental oxygen as needed -dexamethasone  -remdesivir -strict intake/output; keep neutral or net-negative fluid balance -PRN rescue inhaler -incentive spirometry     Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Weight decreased
Clinical narrative: 76yo M w/ myelofibrosis s/p allotransplant 2014, hypothyroidism admitted for failure to thrive, with progressive weakness, weightloss and poor PO intake. Significant hyponatremia on labs. Tested COVID19 positive on admission.   #acute respiratory failure with hypoxia #COVID19 pneumonia -Patient requiring oxygen after saturation dropped to 87% while sleeping.  -supplemental oxygen as needed -dexamethasone  -remdesivir -strict intake/output; keep neutral or net-negative fluid balance -PRN rescue inhaler -incentive spirometry     Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Nasal congestion, Pain, Product storage error
Clinical narrative: Booster dose. Vaccine administered on 11/01/21. Vial expired 10/11/21. Vial was kept in freezer until 10/30/2021 and removed to fridge on 10/30/2021 for administration on 11/01/2021. pt reports chills, body aches, fatigue, stuffy nose.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea exertional, Electrocardiogram ST segment elevation, Fatigue, Laboratory test normal
Clinical narrative: chest pain fatigue dyspnea on exertion low grade fever
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: chest pain fatigue dyspnea on exertion low grade fever
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: COVID 19
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Chest X-ray abnormal, Chest pain, Computerised tomogram thorax abnormal, Electrocardiogram normal
Clinical narrative: The day after the second shot 09/21 headache as well as fatigue. On 10/11 in the afternoon I started feeling a pain on the left side of my chest, took Tums thinking Heartburn. Went to bed that night, pain was still there the next morning 10/12. Went to Emergency Dept at 8:56am to rule out heart attack. EKG normal, Troponin-I 5 ng/L , CBC showed D-Dimer 1.43 mg/L FEU. Chest X-Ray followed by CT w/ contrast showed "acute emboli within the left pulmonary artery, the left superior segmental artery, the superior lingular artery and the right posterior basal segmental artery. No evidence of right ventricular strain." Emergency Dept released me to follow up with Dr hematology, given Xarelto PE starter PK. 10/25 Venous Doppler lower extrem-bilat finding "the distal popliteal vein as well as the posterior tibial vein are occluded due to thrombus." Right leg normal as well as left common femoral and femoral vein.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Fibrin D dimer normal, Headache, Peripheral artery occlusion, Pulmonary artery thrombosis
Clinical narrative: The day after the second shot 09/21 headache as well as fatigue. On 10/11 in the afternoon I started feeling a pain on the left side of my chest, took Tums thinking Heartburn. Went to bed that night, pain was still there the next morning 10/12. Went to Emergency Dept at 8:56am to rule out heart attack. EKG normal, Troponin-I 5 ng/L , CBC showed D-Dimer 1.43 mg/L FEU. Chest X-Ray followed by CT w/ contrast showed "acute emboli within the left pulmonary artery, the left superior segmental artery, the superior lingular artery and the right posterior basal segmental artery. No evidence of right ventricular strain." Emergency Dept released me to follow up with Dr hematology, given Xarelto PE starter PK. 10/25 Venous Doppler lower extrem-bilat finding "the distal popliteal vein as well as the posterior tibial vein are occluded due to thrombus." Right leg normal as well as left common femoral and femoral vein.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary embolism, Troponin I increased, Ultrasound Doppler abnormal
Clinical narrative: The day after the second shot 09/21 headache as well as fatigue. On 10/11 in the afternoon I started feeling a pain on the left side of my chest, took Tums thinking Heartburn. Went to bed that night, pain was still there the next morning 10/12. Went to Emergency Dept at 8:56am to rule out heart attack. EKG normal, Troponin-I 5 ng/L , CBC showed D-Dimer 1.43 mg/L FEU. Chest X-Ray followed by CT w/ contrast showed "acute emboli within the left pulmonary artery, the left superior segmental artery, the superior lingular artery and the right posterior basal segmental artery. No evidence of right ventricular strain." Emergency Dept released me to follow up with Dr hematology, given Xarelto PE starter PK. 10/25 Venous Doppler lower extrem-bilat finding "the distal popliteal vein as well as the posterior tibial vein are occluded due to thrombus." Right leg normal as well as left common femoral and femoral vein.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: I had a flare up of Vertigo after the vaccine.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The patient listed above received her 2nd COVID vaccine and was given this dose from a vial that had been open for 23hours. Was contacted for guidance. Was asked to report and not to give another dose. This nurse recommend to the patient to receive their booster in 6 months.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac dysfunction, Computerised tomogram thorax abnormal, Dyspnoea, Pulmonary embolism
Clinical narrative: Patient was very short of breath was found to have pulmonary embolism that was effecting heart function. This occurred 18 days after the vaccination. He was admitted to the hospital for further care.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: ADMITTED TO HOSPITAL FOR COVID
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Basedow's disease, Condition aggravated, Diplopia, Eye oedema, Eyelid disorder
Clinical narrative: Patient developed eye symptoms (diplopia, left eyelid drooping, eye edema, redness) approximately 2 weeks after 2nd Pfizer COVID vaccine. She was seen by endocrinology and treated as Graves' eye disease. Of note, patient had a history of Graves disease in the past treated with radioactive iodine ablation. She was treated with medical therapy including high dose steroid infusions to try to treat medically, currently undergoing evaluation for possible surgical treatment of eye disease.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Ocular hyperaemia
Clinical narrative: Patient developed eye symptoms (diplopia, left eyelid drooping, eye edema, redness) approximately 2 weeks after 2nd Pfizer COVID vaccine. She was seen by endocrinology and treated as Graves' eye disease. Of note, patient had a history of Graves disease in the past treated with radioactive iodine ablation. She was treated with medical therapy including high dose steroid infusions to try to treat medically, currently undergoing evaluation for possible surgical treatment of eye disease.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Back pain, Blood test, Burning sensation, Chest pain
Clinical narrative: Started itching right away, 30 minutes after shot , felt weak ,dizzy  home early form work. That night I  started aching form my lower back down to my  legs., took 600mg ibuprofen, tylenol,  did not help took these meds  for days. Every night after that legs lower back ache , feet burn for at least a week. Chest pain over that weekend. Seen in clinic by one of our providers days after.   Went to local ER ,that weekend of 1st shot.2nd shot on Oct 21st ,heart has been racing ever since woke up one morning pule was 97, b/p has been running high ever since second shot, out of no where my heart will start racing and I start feeling jittery.  Leg pain again with 2nd shot , both legs.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Dizziness, Electrocardiogram, Feeling jittery, Heart rate increased
Clinical narrative: Started itching right away, 30 minutes after shot , felt weak ,dizzy  home early form work. That night I  started aching form my lower back down to my  legs., took 600mg ibuprofen, tylenol,  did not help took these meds  for days. Every night after that legs lower back ache , feet burn for at least a week. Chest pain over that weekend. Seen in clinic by one of our providers days after.   Went to local ER ,that weekend of 1st shot.2nd shot on Oct 21st ,heart has been racing ever since woke up one morning pule was 97, b/p has been running high ever since second shot, out of no where my heart will start racing and I start feeling jittery.  Leg pain again with 2nd shot , both legs.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Pain in extremity, Palpitations, Pruritus
Clinical narrative: Started itching right away, 30 minutes after shot , felt weak ,dizzy  home early form work. That night I  started aching form my lower back down to my  legs., took 600mg ibuprofen, tylenol,  did not help took these meds  for days. Every night after that legs lower back ache , feet burn for at least a week. Chest pain over that weekend. Seen in clinic by one of our providers days after.   Went to local ER ,that weekend of 1st shot.2nd shot on Oct 21st ,heart has been racing ever since woke up one morning pule was 97, b/p has been running high ever since second shot, out of no where my heart will start racing and I start feeling jittery.  Leg pain again with 2nd shot , both legs.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Atrial fibrillation, Condition aggravated, Dizziness, Heart rate irregular
Clinical narrative: Day after receiving booster of Moderna, after waking from a nap on couch, she was extremely dizzy. Patients husband took her to ER and her heart was going crazy in A. Fib.  She said her husband told her she had passed out before leaving the house.  They then put her in ICU to get heart rate under control.  She had virtually no oxygen blood level and her memory  was non-existent. She spent several days in ICU.  Patient was already scheduled for heart ablation on Nov. 5.  Still going through with procedure. Dr. put her on Amiodarone to control heart in mean time.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Intensive care, Loss of consciousness, Oxygen saturation decreased
Clinical narrative: Day after receiving booster of Moderna, after waking from a nap on couch, she was extremely dizzy. Patients husband took her to ER and her heart was going crazy in A. Fib.  She said her husband told her she had passed out before leaving the house.  They then put her in ICU to get heart rate under control.  She had virtually no oxygen blood level and her memory  was non-existent. She spent several days in ICU.  Patient was already scheduled for heart ablation on Nov. 5.  Still going through with procedure. Dr. put her on Amiodarone to control heart in mean time.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Injection site swelling, Lymphadenopathy
Clinical narrative: Headache, cold chills, fever, fatigue-Monday; headache,  swollen lymph nodes and injection site  on Tuesday morning.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Headache, cold chills, fever, fatigue-Monday; headache,  swollen lymph nodes and injection site  on Tuesday morning.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Computerised tomogram thorax, Cough, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Hospitalized 10.28.21 with worsening respiratory failure with dry cough and diffuse interstitial infiltrates on chest imaging. Treated with steroids may have COVID -19 MRNA (Pfizer) vaccine induced interstitial lung disease, significantly improved on steroids, discharged 11.1.21
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lung infiltration, Lung opacity, Procalcitonin normal, Respiratory failure, Respiratory syncytial virus test negative
Clinical narrative: Hospitalized 10.28.21 with worsening respiratory failure with dry cough and diffuse interstitial infiltrates on chest imaging. Treated with steroids may have COVID -19 MRNA (Pfizer) vaccine induced interstitial lung disease, significantly improved on steroids, discharged 11.1.21
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test negative, Staphylococcus test negative
Clinical narrative: Hospitalized 10.28.21 with worsening respiratory failure with dry cough and diffuse interstitial infiltrates on chest imaging. Treated with steroids may have COVID -19 MRNA (Pfizer) vaccine induced interstitial lung disease, significantly improved on steroids, discharged 11.1.21
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray, Computerised tomogram, Cough, Dyspnoea, Electrocardiogram
Clinical narrative: Hospitalized 10.28.21 with worsening respiratory failure with dry cough and diffuse interstitial infiltrates on chest imaging. Treated with steroids may have COVID -19 MRNA (Pfizer) vaccine induced interstitial lung disease, significantly improved on steroids, discharged 11.1.21
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Inflammation, Interstitial lung disease
Clinical narrative: Hospitalized 10.28.21 with worsening respiratory failure with dry cough and diffuse interstitial infiltrates on chest imaging. Treated with steroids may have COVID -19 MRNA (Pfizer) vaccine induced interstitial lung disease, significantly improved on steroids, discharged 11.1.21
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Booster dose. Vaccine administered on 10/29/21. Vial expired 10/11/21. Vial was kept in freezer until 10/28/2021 and removed to fridge on 10/28/2021 for administration on 10/29/2021.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: asymptomatic testing  from hospital for discharge to outpt. dialysis program
Age: 75.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Asthenia, Cardiac failure, Depression, Dyspnoea, Echocardiogram
Clinical narrative: Two week after 2nd dose, leg swelling, shortness of breathe, extreme fatigue, couldn't get of bed. Depression. Extreme weakness, low energy.  Diagnosed with heart failure and leaky valve. Hospitalized in August. Symptoms also occurred after Booster shot (10/2021).Heart palpatations, shortness of breath, fatigue. Perscribed forminacide. Received flu shot and booster at the same time. Grateful to report symptoms. Doctors are unhelpful and unsupportive.
Age: 75.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Electrocardiogram, Fatigue, Heart valve incompetence, Mobility decreased, Palpitations
Clinical narrative: Two week after 2nd dose, leg swelling, shortness of breathe, extreme fatigue, couldn't get of bed. Depression. Extreme weakness, low energy.  Diagnosed with heart failure and leaky valve. Hospitalized in August. Symptoms also occurred after Booster shot (10/2021).Heart palpatations, shortness of breath, fatigue. Perscribed forminacide. Received flu shot and booster at the same time. Grateful to report symptoms. Doctors are unhelpful and unsupportive.
Age: 75.0
Sex: F
Vaccine: COVID19, UNK
Symptoms: Peripheral swelling
Clinical narrative: Two week after 2nd dose, leg swelling, shortness of breathe, extreme fatigue, couldn't get of bed. Depression. Extreme weakness, low energy.  Diagnosed with heart failure and leaky valve. Hospitalized in August. Symptoms also occurred after Booster shot (10/2021).Heart palpatations, shortness of breath, fatigue. Perscribed forminacide. Received flu shot and booster at the same time. Grateful to report symptoms. Doctors are unhelpful and unsupportive.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Booster dose. Vaccine administered on 10/29/21. Vial expired 10/11/21. Vial was kept in freezer until 10/28/2021 and removed to fridge on 10/28/2021 for administration on 10/29/2021.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Anticoagulant therapy, Asthenia, COVID-19, Cardio-respiratory arrest
Clinical narrative: a 63 y.o. male has history of HFrEF due to ICM, mod-severe MR, CKD II-III, DMII, MI X2 with PCI and  LV thrombus on warfarin. He is currently listed for heart transplant.  Patient complaints of loss of appetite, generalized weakness, mild productive cough, and mild dyspnea since Saturday.  He denies fever, chills, sore throat, nausea, vomiting, abdominal pain, diarrhea, loss of taste or smell.  Patient denies any recent weight gain or weight loss.  He initially went to Emergency Room where he was tested positive for COVID 19.  He was given Tylenol then was transferred for higher level care.    Unknown contact information for provider who cared for the patient.   Review of Systems  Constitutional: Positive for appetite change and fatigue.  Respiratory: Positive for cough and shortness of breath.     Pt remained on warfarin, was started on remdesivir and steriods. Pt was diuresed for fluid overload and developed AKI, lasix were held. Pt had worsening oxygen requirements overnight and was re-started on diuresis. Pt coded and underwent about 1 hour of CPR and was pronounced at 11:28 am.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Decreased appetite, Dyspnoea, Fatigue, Hypervolaemia
Clinical narrative: a 63 y.o. male has history of HFrEF due to ICM, mod-severe MR, CKD II-III, DMII, MI X2 with PCI and  LV thrombus on warfarin. He is currently listed for heart transplant.  Patient complaints of loss of appetite, generalized weakness, mild productive cough, and mild dyspnea since Saturday.  He denies fever, chills, sore throat, nausea, vomiting, abdominal pain, diarrhea, loss of taste or smell.  Patient denies any recent weight gain or weight loss.  He initially went to Emergency Room where he was tested positive for COVID 19.  He was given Tylenol then was transferred for higher level care.    Unknown contact information for provider who cared for the patient.   Review of Systems  Constitutional: Positive for appetite change and fatigue.  Respiratory: Positive for cough and shortness of breath.     Pt remained on warfarin, was started on remdesivir and steriods. Pt was diuresed for fluid overload and developed AKI, lasix were held. Pt had worsening oxygen requirements overnight and was re-started on diuresis. Pt coded and underwent about 1 hour of CPR and was pronounced at 11:28 am.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Polyuria, Productive cough, Resuscitation, SARS-CoV-2 test positive
Clinical narrative: a 63 y.o. male has history of HFrEF due to ICM, mod-severe MR, CKD II-III, DMII, MI X2 with PCI and  LV thrombus on warfarin. He is currently listed for heart transplant.  Patient complaints of loss of appetite, generalized weakness, mild productive cough, and mild dyspnea since Saturday.  He denies fever, chills, sore throat, nausea, vomiting, abdominal pain, diarrhea, loss of taste or smell.  Patient denies any recent weight gain or weight loss.  He initially went to Emergency Room where he was tested positive for COVID 19.  He was given Tylenol then was transferred for higher level care.    Unknown contact information for provider who cared for the patient.   Review of Systems  Constitutional: Positive for appetite change and fatigue.  Respiratory: Positive for cough and shortness of breath.     Pt remained on warfarin, was started on remdesivir and steriods. Pt was diuresed for fluid overload and developed AKI, lasix were held. Pt had worsening oxygen requirements overnight and was re-started on diuresis. Pt coded and underwent about 1 hour of CPR and was pronounced at 11:28 am.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Lumbar puncture, Magnetic resonance imaging, Nausea, Ophthalmological examination
Clinical narrative: Vision Problems with black spots, seeing bright colors and Tracers, Vomiting nausea headaches
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Visual impairment, Vomiting
Clinical narrative: Vision Problems with black spots, seeing bright colors and Tracers, Vomiting nausea headaches
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain
Clinical narrative: Since injection transient high intensity head aches at the top of my head.  Fatigue, body ache.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Base excess, Basophil percentage decreased, Blood bicarbonate normal, Blood gases
Clinical narrative: shortness of breath.  Cough and chest twinge-like pain  Covid test came back positive.  Patient's chest x-ray showed no evidence of pneumonia.  Her troponin was elevated at 0.53 and repeat was elevated at 0.64 and she was started on heparin drip.  150 mg of amiodarone over 10 minutes.