chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Menstruation irregular, Nausea, Somnolence
Clinical narrative: Headache, nausea, menstrual changes, drowsiness, fatigue x 2-3 weeks
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Acute kidney injury, Anticoagulant therapy, Blood creatinine increased, COVID-19
Clinical narrative: An 88-year-old female patient fully vaccinated and boosted (11/19/2021), found COVID-19 positive 1/18/2022 on admission to hospital. This patient admitted through the emergency room because of severe nausea and vomiting with abdominal pain, which was not easily identified. The patient was very dehydrated due to prerenal azotemia with metabolic acidosis. She was given fluid boluses, and maintained on IV fluids (ongoing). Ultrasound of the abdomen came back positive with severe cholelithiasis. Consultation was made for general surgery. She was taken to the OR for exploration. Patient found to have a large stone in her colon. Enterotomy made and the stone removed. Apparently, patient fell due to a dizzy spell. The patient denied any history of seizure. Positive for cough with difficulty breathing. D-dimer >10,000. Lovenox given for DVT prophylaxis.  IV antibiotics. The patient has acute renal failure. Cr 2.61. She is already on IV saline infusion. Patient discharged.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Cholelithiasis, Colon neoplasm, Computerised tomogram head normal, Cough
Clinical narrative: An 88-year-old female patient fully vaccinated and boosted (11/19/2021), found COVID-19 positive 1/18/2022 on admission to hospital. This patient admitted through the emergency room because of severe nausea and vomiting with abdominal pain, which was not easily identified. The patient was very dehydrated due to prerenal azotemia with metabolic acidosis. She was given fluid boluses, and maintained on IV fluids (ongoing). Ultrasound of the abdomen came back positive with severe cholelithiasis. Consultation was made for general surgery. She was taken to the OR for exploration. Patient found to have a large stone in her colon. Enterotomy made and the stone removed. Apparently, patient fell due to a dizzy spell. The patient denied any history of seizure. Positive for cough with difficulty breathing. D-dimer >10,000. Lovenox given for DVT prophylaxis.  IV antibiotics. The patient has acute renal failure. Cr 2.61. She is already on IV saline infusion. Patient discharged.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Dehydration, Dizziness, Dyspnoea, Fall, Fibrin D dimer
Clinical narrative: An 88-year-old female patient fully vaccinated and boosted (11/19/2021), found COVID-19 positive 1/18/2022 on admission to hospital. This patient admitted through the emergency room because of severe nausea and vomiting with abdominal pain, which was not easily identified. The patient was very dehydrated due to prerenal azotemia with metabolic acidosis. She was given fluid boluses, and maintained on IV fluids (ongoing). Ultrasound of the abdomen came back positive with severe cholelithiasis. Consultation was made for general surgery. She was taken to the OR for exploration. Patient found to have a large stone in her colon. Enterotomy made and the stone removed. Apparently, patient fell due to a dizzy spell. The patient denied any history of seizure. Positive for cough with difficulty breathing. D-dimer >10,000. Lovenox given for DVT prophylaxis.  IV antibiotics. The patient has acute renal failure. Cr 2.61. She is already on IV saline infusion. Patient discharged.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Intestinal operation, Metabolic acidosis, Nausea, SARS-CoV-2 test positive, Ultrasound abdomen abnormal
Clinical narrative: An 88-year-old female patient fully vaccinated and boosted (11/19/2021), found COVID-19 positive 1/18/2022 on admission to hospital. This patient admitted through the emergency room because of severe nausea and vomiting with abdominal pain, which was not easily identified. The patient was very dehydrated due to prerenal azotemia with metabolic acidosis. She was given fluid boluses, and maintained on IV fluids (ongoing). Ultrasound of the abdomen came back positive with severe cholelithiasis. Consultation was made for general surgery. She was taken to the OR for exploration. Patient found to have a large stone in her colon. Enterotomy made and the stone removed. Apparently, patient fell due to a dizzy spell. The patient denied any history of seizure. Positive for cough with difficulty breathing. D-dimer >10,000. Lovenox given for DVT prophylaxis.  IV antibiotics. The patient has acute renal failure. Cr 2.61. She is already on IV saline infusion. Patient discharged.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: An 88-year-old female patient fully vaccinated and boosted (11/19/2021), found COVID-19 positive 1/18/2022 on admission to hospital. This patient admitted through the emergency room because of severe nausea and vomiting with abdominal pain, which was not easily identified. The patient was very dehydrated due to prerenal azotemia with metabolic acidosis. She was given fluid boluses, and maintained on IV fluids (ongoing). Ultrasound of the abdomen came back positive with severe cholelithiasis. Consultation was made for general surgery. She was taken to the OR for exploration. Patient found to have a large stone in her colon. Enterotomy made and the stone removed. Apparently, patient fell due to a dizzy spell. The patient denied any history of seizure. Positive for cough with difficulty breathing. D-dimer >10,000. Lovenox given for DVT prophylaxis.  IV antibiotics. The patient has acute renal failure. Cr 2.61. She is already on IV saline infusion. Patient discharged.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: Onset of symptoms 11/29/21
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Dyspnoea, Headache, Immediate post-injection reaction
Clinical narrative: As soon as I got the shot, I experienced the following, I felt really dizzy and about to pass out, heart palpitations. Shortness of breath, Legs were tingling for 12 hours. Feverish, chills, body aches and a headache. I took Tylenol to suppress my symptoms and after 5 days my symptoms subsided and started feeling better.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Palpitations, Paraesthesia, Pyrexia
Clinical narrative: As soon as I got the shot, I experienced the following, I felt really dizzy and about to pass out, heart palpitations. Shortness of breath, Legs were tingling for 12 hours. Feverish, chills, body aches and a headache. I took Tylenol to suppress my symptoms and after 5 days my symptoms subsided and started feeling better.
Age: 19.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Delivery, Exposure during pregnancy
Clinical narrative: Pt tested on admission to OB for delivery.  No symptoms present.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: PCR (+) for SARS-COVID19 on 1/31/2022
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Autoimmune haemolytic anaemia, Dizziness, Fatigue, Malaise
Clinical narrative: Warm antibody autoimmune hemolytic anemia. Patient has a a history of PVCs on atenolol and intermittent dizziness she is noted since contracting Covid 1 year ago.  She had the Covid shot 3 days before this visit and she noted more lightheadedness fatigue and malaise.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: admit for COVID infection
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Menstrual disorder, Nausea, Somnolence
Clinical narrative: Headaches, nausea, menstrual changes, drowsiness, fatigue x 2-3 weeks
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: admit for COVID PNA
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Unknown
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Fall, Oropharyngeal pain, Painful respiration
Clinical narrative: Pt arrived due to a fall, but states has had a sore throat, dry cough, and pain with breathing.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: At 645 am the next morning I woke up to load ringing in my right ear and it won't go away
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Cardiac valve disease, Echocardiogram, Electrocardiogram, Extrasystoles
Clinical narrative: Adverse event description: I had to have a check up related to hand surgery and when I went to get my check up for that my blood pressure was elevated to almost 140. The nurse double checked it and confirmed it was accurate. After my surgery, we had a new blood pressure machine and I started taking my blood pressure every day. The machine reflected that I had a missed heart beat. I decided to go see the heart doctor to find out why. I had a complete heart work up. He found that I have a little bit of a floppy valve that I did not have before. I am going back for a check up regarding this.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Menstrual disorder, Nausea, Somnolence
Clinical narrative: Headaches, nausea, menstrual changes, drowsiness, fatigue
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Respiratory tract congestion
Clinical narrative: cough, congestion
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic obstructive pulmonary disease, Mitral valve incompetence
Clinical narrative: Severe mitral regurgitation and chronic obstructive pulmonary disease with (acute) exacerbation. ED visits and hospitalization within 6 weeks of receiving the COVID-19 vaccine.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Catheterisation cardiac abnormal, Chest pain, Echocardiogram abnormal, Electrocardiogram abnormal, Headache
Clinical narrative: severe headache and chest pain.  Diagnosed with Myocarditis
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Myocarditis
Clinical narrative: severe headache and chest pain.  Diagnosed with Myocarditis
Age: 81.0
Sex: F
Vaccine: UNK
Symptoms: COVID-19
Clinical narrative: Pt states that she is fully vaccinated for COVID-19. Unable to obtain manufacturer information or dates of vaccines at this time. Pt admitted to hospital with COVID-19 on 2/3/2022
Age: 83.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: admit covid pna
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Bronchial disorder, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Dyspnoea
Clinical narrative: Patient is fully vaccinated and boosted on 8/30/2021.  COVID + 1/12/2022 and admitted to hospital on 1/18/2022.  64-year-old male with history of bipolar affective disorder, diabetes, colorectal cancer, and end-stage renal disease requiring dialysis is brought to ED due to generalized fatigue.  Patient states that he "does not feel well" and admits to mild shortness of breath but denies any chest pain, abdominal pain, nausea, vomiting, constipation, diarrhea, dysphagia, dysarthria, diplopia, or ataxia. HG 7.4. 1 unit PRBC given. PLts 135. CXR: Pulmonary mass within the right lower lobe with associated mediastinal adenopathy concerning for neoplasm with metastatic disease. Occlusion of the right lower lobe segmental bronchus. Recommend appropriate oncologic follow-up. Pnuemonia due to COVID:  IV decadron, Breo inhaler, albuterol, IV remdesivir. Resume dialysis.  Discharged stable to skilled nursing facility.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Haemoglobin decreased, Lymphadenopathy mediastinal, Malaise, Packed red blood cell transfusion
Clinical narrative: Patient is fully vaccinated and boosted on 8/30/2021.  COVID + 1/12/2022 and admitted to hospital on 1/18/2022.  64-year-old male with history of bipolar affective disorder, diabetes, colorectal cancer, and end-stage renal disease requiring dialysis is brought to ED due to generalized fatigue.  Patient states that he "does not feel well" and admits to mild shortness of breath but denies any chest pain, abdominal pain, nausea, vomiting, constipation, diarrhea, dysphagia, dysarthria, diplopia, or ataxia. HG 7.4. 1 unit PRBC given. PLts 135. CXR: Pulmonary mass within the right lower lobe with associated mediastinal adenopathy concerning for neoplasm with metastatic disease. Occlusion of the right lower lobe segmental bronchus. Recommend appropriate oncologic follow-up. Pnuemonia due to COVID:  IV decadron, Breo inhaler, albuterol, IV remdesivir. Resume dialysis.  Discharged stable to skilled nursing facility.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count decreased, Pulmonary mass, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated and boosted on 8/30/2021.  COVID + 1/12/2022 and admitted to hospital on 1/18/2022.  64-year-old male with history of bipolar affective disorder, diabetes, colorectal cancer, and end-stage renal disease requiring dialysis is brought to ED due to generalized fatigue.  Patient states that he "does not feel well" and admits to mild shortness of breath but denies any chest pain, abdominal pain, nausea, vomiting, constipation, diarrhea, dysphagia, dysarthria, diplopia, or ataxia. HG 7.4. 1 unit PRBC given. PLts 135. CXR: Pulmonary mass within the right lower lobe with associated mediastinal adenopathy concerning for neoplasm with metastatic disease. Occlusion of the right lower lobe segmental bronchus. Recommend appropriate oncologic follow-up. Pnuemonia due to COVID:  IV decadron, Breo inhaler, albuterol, IV remdesivir. Resume dialysis.  Discharged stable to skilled nursing facility.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Flushing, Nausea
Clinical narrative: 5 minutes after my 2nd dose vaccination, I experienced the following: shortness of breath, flushed face, chills, nausea. Overall I experienced these symptoms for 3 days.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Ureterolithiasis
Clinical narrative: Right distal ureteral calculus. ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: General symptom
Clinical narrative: Onset of symptoms 12/29/21
Age: 20.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Blood test abnormal, Chest pain, Chills, Echocardiogram abnormal, Electrocardiogram abnormal
Clinical narrative: Pericarditis. Rushed to ER at 4 am with severe chest pain, chills, arm numb. Diagnosed with pericarditis following an ekg, echo, blood test. Prescribed colchisene and ibuprofen for 3 months. Immediately went to ER, got the diagnosis. Then a few days later got second opinion at where it was confirmed. I don?t know the specific type of flu vaccine he got, but he received it via injection at the same time he got his Pfizer booster.  Also, the lot number of Pfizer is unclear. It looks like FJ8787 or 37 or 57.
Age: 20.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Hypoaesthesia, Pericarditis
Clinical narrative: Pericarditis. Rushed to ER at 4 am with severe chest pain, chills, arm numb. Diagnosed with pericarditis following an ekg, echo, blood test. Prescribed colchisene and ibuprofen for 3 months. Immediately went to ER, got the diagnosis. Then a few days later got second opinion at where it was confirmed. I don?t know the specific type of flu vaccine he got, but he received it via injection at the same time he got his Pfizer booster.  Also, the lot number of Pfizer is unclear. It looks like FJ8787 or 37 or 57.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Admit for COVID-19.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Road traffic accident, SARS-CoV-2 test positive
Clinical narrative: Pt admitted to the hospital following an MVC.  Pt was initially negative on admission (1/19/2022).  Pt was positive on 2/2/2022 during testing for SNF placement.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Exposure during pregnancy, Headache, Induced labour
Clinical narrative: Got my 2nd dose on a Friday. Tuesday, I went to see my OB for a regular check up, my BP was 130s/90. Protein in urine and headaches. Wednesday, BP high 140s/90s. Friday, developed swelling in legs and hands. BP high 145/93. Dizziness. I had to be induced at 38 weeks due to  preeclampsia. Due date 10/01/2021. Born 9/20/2021. Healthy pregnancy up until vaccine was given. Blood pressure spiked, swelling.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Pre-eclampsia, Protein urine present
Clinical narrative: Got my 2nd dose on a Friday. Tuesday, I went to see my OB for a regular check up, my BP was 130s/90. Protein in urine and headaches. Wednesday, BP high 140s/90s. Friday, developed swelling in legs and hands. BP high 145/93. Dizziness. I had to be induced at 38 weeks due to  preeclampsia. Due date 10/01/2021. Born 9/20/2021. Healthy pregnancy up until vaccine was given. Blood pressure spiked, swelling.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral haemangioma, Chest pain, Costochondritis, Joint swelling, Laboratory test
Clinical narrative: CHEST PAIN, COSTOCHONDRITIS, VERTIGO,JOINT SWELLING EDEMA TO FINGERS,BRAIN HEMANGIOMA
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Oedema peripheral, Vertigo
Clinical narrative: CHEST PAIN, COSTOCHONDRITIS, VERTIGO,JOINT SWELLING EDEMA TO FINGERS,BRAIN HEMANGIOMA
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Polymerase chain reaction
Clinical narrative: Asymptomatic
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Injection site pain, Pain, X-ray limb
Clinical narrative: Ongoing shoulder pain at the injection site (L deltoid). Pain travelled up to the shoulder and has been ongoing for several months since the injection. Patient has x-rays done on the shoulder and has been seeing physical therapy for the pain. The pain is still not resolved despite current treatment plan and will further discuss with PCM.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19 pneumonia
Clinical narrative: admit covid pna
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Headache, Loss of personal independence in daily activities, Oropharyngeal pain, Pain
Clinical narrative: Received booster vaccine without symptoms and positive antibody serology test. Day 3 after vaccination had headache, fever (100 F), sore throat, body aches and inability to perform ADLs. Day 3 after vaccination + COVID antigen test, continuation of same symptoms. Day 4 after vaccination, + COVID PCR test, continuation of same symptoms. Day 5 - continuation of same symptoms. Day 6 and 7 (today) - no fever, however continuation of body aches, headache and new onset chest discomfort.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Received booster vaccine without symptoms and positive antibody serology test. Day 3 after vaccination had headache, fever (100 F), sore throat, body aches and inability to perform ADLs. Day 3 after vaccination + COVID antigen test, continuation of same symptoms. Day 4 after vaccination, + COVID PCR test, continuation of same symptoms. Day 5 - continuation of same symptoms. Day 6 and 7 (today) - no fever, however continuation of body aches, headache and new onset chest discomfort.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse event, Moderna was given to patient who is 17.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Epistaxis, Fatigue, Loss of consciousness
Clinical narrative: Soreness after four hours, chills after twelve hours, passed out after19 hours, nausea after nineteen hours, fatigue, nosebleed while throwing up, diarrhea during fainting
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pain, Syncope, Vomiting
Clinical narrative: Soreness after four hours, chills after twelve hours, passed out after19 hours, nausea after nineteen hours, fatigue, nosebleed while throwing up, diarrhea during fainting
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives, skin writing  No treatment, thought it might be reaction to antidepressant taken 4 days before adverse reaction, stopped the antidepressant on day of symptoms showing, still have symptoms approximately 2 weeks later. Scheduled a doctor visit that will happen in three days.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood iron normal, Blood thyroid stimulating hormone normal, Iron binding capacity total normal, Peripheral coldness, Thyroxine free normal
Clinical narrative: Icy, cold feet. This started gradually in November, shortly after vaccine. I'm a hiker and work out at the gym, never had this problem before. This is an every day occurrence and now have to use a hot pack on my feet through out the day for relief. I finally had to be checked by my Dr on 1/27/2022.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound Doppler normal
Clinical narrative: Icy, cold feet. This started gradually in November, shortly after vaccine. I'm a hiker and work out at the gym, never had this problem before. This is an every day occurrence and now have to use a hot pack on my feet through out the day for relief. I finally had to be checked by my Dr on 1/27/2022.
Age: 81.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Fall, Injury, SARS-CoV-2 test positive
Clinical narrative: Pt admitted to trauma after slipping on the ice and falling on his right side.  Pt tested negative for COVID on admission (1/25/2022) and positive on (2/1/2022) in preparation for admission to rehab.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Gave Pfizer adult instead of peds  but still drawn at 0.2 ml dose.
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Back pain, Blood creatinine increased, Blood potassium decreased, COVID-19, Chills
Clinical narrative: Patient is a 30 yof who presented with 1 day of cough and positive COVID-19 test.  She states that there was an outbreak at a location she visited and thinks this is where she was exposed. She states she wore her mask the entire time she was at the location. She was feeling in her usual state of health until yesterday when she developed a cough. She was tested for COVID-19 yesterday and the result was positive today. She notes that "stuff tasted bad yesterday" but thought it was due to her usual sinus issues/sinus infection. She also says that she felt "foggy" and very fatigued this morning when she woke up. She denies fevers, saying she never runs a fever even with Strep, but does endorse cold chills. She also complains of feeling "sore" diffusely, especially in her back. She denies shortness of breath, N/V, diarrhea.   Patient was on room air and with stable vital signs. She was admitted for observation overnight at request of transplant nephrology and her home mycophenolate and lasix were held. Patient remained stable and on room air. She did have a slight increase in creatinine, possibly due to dehydration vs acute illness. She was counseled to hold her lasix for two days. Her potassium was replete and she received IV fluid. She will be discharged with a pulse oximeter for home monitoring and will follow-up in clinic.  Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Cough, Exposure to SARS-CoV-2, Fatigue, Feeling abnormal, Pain
Clinical narrative: Patient is a 30 yof who presented with 1 day of cough and positive COVID-19 test.  She states that there was an outbreak at a location she visited and thinks this is where she was exposed. She states she wore her mask the entire time she was at the location. She was feeling in her usual state of health until yesterday when she developed a cough. She was tested for COVID-19 yesterday and the result was positive today. She notes that "stuff tasted bad yesterday" but thought it was due to her usual sinus issues/sinus infection. She also says that she felt "foggy" and very fatigued this morning when she woke up. She denies fevers, saying she never runs a fever even with Strep, but does endorse cold chills. She also complains of feeling "sore" diffusely, especially in her back. She denies shortness of breath, N/V, diarrhea.   Patient was on room air and with stable vital signs. She was admitted for observation overnight at request of transplant nephrology and her home mycophenolate and lasix were held. Patient remained stable and on room air. She did have a slight increase in creatinine, possibly due to dehydration vs acute illness. She was counseled to hold her lasix for two days. Her potassium was replete and she received IV fluid. She will be discharged with a pulse oximeter for home monitoring and will follow-up in clinic.  Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Taste disorder
Clinical narrative: Patient is a 30 yof who presented with 1 day of cough and positive COVID-19 test.  She states that there was an outbreak at a location she visited and thinks this is where she was exposed. She states she wore her mask the entire time she was at the location. She was feeling in her usual state of health until yesterday when she developed a cough. She was tested for COVID-19 yesterday and the result was positive today. She notes that "stuff tasted bad yesterday" but thought it was due to her usual sinus issues/sinus infection. She also says that she felt "foggy" and very fatigued this morning when she woke up. She denies fevers, saying she never runs a fever even with Strep, but does endorse cold chills. She also complains of feeling "sore" diffusely, especially in her back. She denies shortness of breath, N/V, diarrhea.   Patient was on room air and with stable vital signs. She was admitted for observation overnight at request of transplant nephrology and her home mycophenolate and lasix were held. Patient remained stable and on room air. She did have a slight increase in creatinine, possibly due to dehydration vs acute illness. She was counseled to hold her lasix for two days. Her potassium was replete and she received IV fluid. She will be discharged with a pulse oximeter for home monitoring and will follow-up in clinic.  Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: THERE WERE NO ADVERSE EFFECTS,  PATIENT RECEIVED AN EXTRA DOSE OF VACCINE, BECAUSE HE DID NOT REMEMBER GETTING A DOSE AT A VACCINATION SITE WHILE HOMELESS
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Acute myocardial infarction, Asthenia, COVID-19, COVID-19 pneumonia, Encephalopathy
Clinical narrative: Received Pfizer vaccines on  1/27, 2/17, 9/17/21 COVID-19 positive by PCR on  2/3/22 admitted to hospital on 2/3/22 with COVID pneumonia, NSTEMI Type II, encephalopathy, weakness underlying HTN, prostate cancer,  pulmonary HTN
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Received Pfizer vaccines on  1/27, 2/17, 9/17/21 COVID-19 positive by PCR on  2/3/22 admitted to hospital on 2/3/22 with COVID pneumonia, NSTEMI Type II, encephalopathy, weakness underlying HTN, prostate cancer,  pulmonary HTN
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Dehydration, Diarrhoea, SARS-CoV-2 test positive, Syncope
Clinical narrative: Received Pfizer vaccines on  1/27, 2/17, 9/17/21 COVID-19 positive by PCR on  2/3/22 admitted to hospital on 2/3/22 with COVID pneumonia, NSTEMI Type II, encephalopathy, weakness underlying HTN, prostate cancer,  pulmonary HTN
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Palpitations, Peripheral swelling
Clinical narrative: Pt seen in PCP office on 6/2/21 CC palpitations. Pt says since had her COVID vaccine 3 wks ago she's felt her heart pounding. She also experienced swelling in her hands and feet after the vaccine. EKG done and normal. Pt referred to cardiologist (of note has past hx of Afib).
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Bone pain, Pain in extremity, Pruritus, Urticaria
Clinical narrative: Developed hives after receiving the booster.  Intense itching and hives after hot showers, eating spicy food and when sleeping at night.  Moderately controlled with Xyzal and Benadryl. Never had an issues with hives until now. Also joint aches. Bones in the knees and hands aches since the booster .
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Fatigue, Gynaecological examination, Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Since receiving the second and third shots, i have experienced extreme changes in my menstrual cycle; severe cramping, extreme fatigue, bleeding lasting longer than 2 weeks (at times, lasting 32 days).
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Ultrasound scan vagina
Clinical narrative: Since receiving the second and third shots, i have experienced extreme changes in my menstrual cycle; severe cramping, extreme fatigue, bleeding lasting longer than 2 weeks (at times, lasting 32 days).
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Balance disorder, Cognitive disorder, Computerised tomogram, Computerised tomogram head
Clinical narrative: She died.  Gradual loss of memory, cognitive abilities and balance from a week or two after the last injection, culminating in hospitalization on Dec 05, 2021 with low blood pressures and B1 deficiencies, excessive sleep, inability to stand or walk, confusion, disorientation and difficulty eating/swallowing without aspiration.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Confusional state, Death, Disorientation, Dysphagia, Dysstasia
Clinical narrative: She died.  Gradual loss of memory, cognitive abilities and balance from a week or two after the last injection, culminating in hospitalization on Dec 05, 2021 with low blood pressures and B1 deficiencies, excessive sleep, inability to stand or walk, confusion, disorientation and difficulty eating/swallowing without aspiration.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Eating disorder, Electrocardiogram, Gait inability, Haematology test, Hypersomnia
Clinical narrative: She died.  Gradual loss of memory, cognitive abilities and balance from a week or two after the last injection, culminating in hospitalization on Dec 05, 2021 with low blood pressures and B1 deficiencies, excessive sleep, inability to stand or walk, confusion, disorientation and difficulty eating/swallowing without aspiration.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Immunology test, Laboratory test, Magnetic resonance imaging, Vitamin B1 deficiency
Clinical narrative: She died.  Gradual loss of memory, cognitive abilities and balance from a week or two after the last injection, culminating in hospitalization on Dec 05, 2021 with low blood pressures and B1 deficiencies, excessive sleep, inability to stand or walk, confusion, disorientation and difficulty eating/swallowing without aspiration.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Dizziness, Dyspnoea, Electrocardiogram normal, Nausea
Clinical narrative: Lightheaded, nauseous, short of breath, with abdominal pain shortly after waking on 2/4 around 0700. Symptoms largely resolved by the time of ED visit around 0900.
Age: 67.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Intestinal obstruction, Laboratory test, Umbilical hernia
Clinical narrative: Pt was transferred for general surgery eval due to a periumbilical hernia containing depressed loops of bowel.  It was believed he had a bowel obstruction.  Pt tested prior to OR.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Developed hives the following day after receiving vaccine
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: NO ADVERSE EFFECTS PATIENT DID NOT REMEMBER OR REPORT VACCINE RECEIVED WHILE HOMELESS, AND RECEIVED AN EXTRA BOOSTER WHILE HERE, TOTAL 3 VACCINE DOSES.  MD MADE AWARE
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Eye pain, Swelling of eyelid, Vision blurred
Clinical narrative: Patient received vaccination during the day on 2/2/2022. By nighttime, he had bilateral eye pain and blurred vision. The next morning, he had bilateral swelling to the eyelids.
Age: 7.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: Patient was given adult Pfizer with pediatric dose of 0.2ml
Age: 7.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Adverse reaction, Chest discomfort, Electrocardiogram normal, Headache, Incorrect dose administered
Clinical narrative: Patient was given adult Pfizer with pediatric dose of 0.2ml
Age: 7.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Nausea, Pyrexia, SARS-CoV-2 test negative
Clinical narrative: Patient was given adult Pfizer with pediatric dose of 0.2ml
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling
Clinical narrative: Patient states that at 4:30pm on 01/17/22 the lip of her mouth begun to swell and at 7:49 pm she arrived at the emergency room of Doctors where she was administered Solumedrol- and BENADRYL, patient was discharged.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, COVID-19, Fatigue, Inappropriate schedule of product administration, Malaise
Clinical narrative: Patient presented to the emergency department on 11/19/2021 complaining of increasing fatigue. Patient was COVID-19 positive and reported having symptoms for 3 days at presentation. Patient declined monoclonal antibodies at that time. Patient was discharged from the ED n 11/19/2021 to home. Patient presented to ED again on 11/24/2021 with abdominal pain and nausea. She did require supplemental oxygen at that time and was admitted for further management. Patient was discharged home on 11/28/2021 with home health care.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, SARS-CoV-2 test positive
Clinical narrative: Patient presented to the emergency department on 11/19/2021 complaining of increasing fatigue. Patient was COVID-19 positive and reported having symptoms for 3 days at presentation. Patient declined monoclonal antibodies at that time. Patient was discharged from the ED n 11/19/2021 to home. Patient presented to ED again on 11/24/2021 with abdominal pain and nausea. She did require supplemental oxygen at that time and was admitted for further management. Patient was discharged home on 11/28/2021 with home health care.
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Ageusia, Anosmia, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient presented to ED with worsening SOA and increased O2 requirements. States that she had a loss of taste and sense of smell starting early this week and was tested a couple days after her daughter tested positive for Covid and tested positive herself. States that she received casirivimab and imderimab infusions on 12/29. Patient states that this am her SOA and chest pain/tightness became worse, prompting her to come to the ED. Patient states that her family was going to initially get together for the holidays, however when her brother tested Covid positive, they cancelled all plans; then her daughter and husband became sick and she is now sick. Patient received both Covid vaccines and the booster. Hospital medicine consulted for admission.    Acute hypoxic respiratory failure sec to COVID 19 pneumonia 63yo F w/ CML s/p BMT c/b CGVH, previous hx of bilateral DVT ( completed treated ), HTN, neuropathy, GERD presenting with worsening respiratory failure due to COVID19 requiring oxygen.   -COVID positive on 12/31. -CT PE - negative for PE. Multifocal GGO.  procalcitonin elevated to 0.22 on admission and trended down to 0.09 without any treatment -12/30: started remdesivir and dexamethasone. Finished 5 days of remdesivir. Discharged with dexamethasone to finish until 1/9/22 dexa for total 10 days. Resume home prednisone 30 mg daily after that.  -required up to 5 L NC . Improved to 2 L NC at rest and on exertion.  -she was discharged with home oxygen 2 L NC at rest and exertion. Recommended to check oxygen twice a day.   Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest discomfort, Chest pain, Computerised tomogram thorax abnormal, Dyspnoea, Exposure to SARS-CoV-2
Clinical narrative: Patient presented to ED with worsening SOA and increased O2 requirements. States that she had a loss of taste and sense of smell starting early this week and was tested a couple days after her daughter tested positive for Covid and tested positive herself. States that she received casirivimab and imderimab infusions on 12/29. Patient states that this am her SOA and chest pain/tightness became worse, prompting her to come to the ED. Patient states that her family was going to initially get together for the holidays, however when her brother tested Covid positive, they cancelled all plans; then her daughter and husband became sick and she is now sick. Patient received both Covid vaccines and the booster. Hospital medicine consulted for admission.    Acute hypoxic respiratory failure sec to COVID 19 pneumonia 63yo F w/ CML s/p BMT c/b CGVH, previous hx of bilateral DVT ( completed treated ), HTN, neuropathy, GERD presenting with worsening respiratory failure due to COVID19 requiring oxygen.   -COVID positive on 12/31. -CT PE - negative for PE. Multifocal GGO.  procalcitonin elevated to 0.22 on admission and trended down to 0.09 without any treatment -12/30: started remdesivir and dexamethasone. Finished 5 days of remdesivir. Discharged with dexamethasone to finish until 1/9/22 dexa for total 10 days. Resume home prednisone 30 mg daily after that.  -required up to 5 L NC . Improved to 2 L NC at rest and on exertion.  -she was discharged with home oxygen 2 L NC at rest and exertion. Recommended to check oxygen twice a day.   Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 53.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lung opacity, Malaise, Procalcitonin, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Patient presented to ED with worsening SOA and increased O2 requirements. States that she had a loss of taste and sense of smell starting early this week and was tested a couple days after her daughter tested positive for Covid and tested positive herself. States that she received casirivimab and imderimab infusions on 12/29. Patient states that this am her SOA and chest pain/tightness became worse, prompting her to come to the ED. Patient states that her family was going to initially get together for the holidays, however when her brother tested Covid positive, they cancelled all plans; then her daughter and husband became sick and she is now sick. Patient received both Covid vaccines and the booster. Hospital medicine consulted for admission.    Acute hypoxic respiratory failure sec to COVID 19 pneumonia 63yo F w/ CML s/p BMT c/b CGVH, previous hx of bilateral DVT ( completed treated ), HTN, neuropathy, GERD presenting with worsening respiratory failure due to COVID19 requiring oxygen.   -COVID positive on 12/31. -CT PE - negative for PE. Multifocal GGO.  procalcitonin elevated to 0.22 on admission and trended down to 0.09 without any treatment -12/30: started remdesivir and dexamethasone. Finished 5 days of remdesivir. Discharged with dexamethasone to finish until 1/9/22 dexa for total 10 days. Resume home prednisone 30 mg daily after that.  -required up to 5 L NC . Improved to 2 L NC at rest and on exertion.  -she was discharged with home oxygen 2 L NC at rest and exertion. Recommended to check oxygen twice a day.   Discharge Disposition/Condition Disposition: Home with Home Health Condition: Stable (s/sx potential problems absent or manageable)
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: 17-hydroxyprogesterone, Abnormal uterine bleeding, Biopsy endometrium normal, Blood follicle stimulating hormone, Blood luteinising hormone
Clinical narrative: The day after my first injection I experienced abnormal uterine bleeding. I was over two weeks away from my usual period date. I had never experienced abnormal bleeding or irregular cycles in my life. My cycles were never overly painful. I never even needed OTC medications. My cycles had been 28-30 days since I was 13 years old. I had my second vaccine on 2/11/21 and again experienced very heavy bleeding the day after. My cycles then were coming anywhere between every 14-20 days. They progressively became very heavy and very painful. I called my OB in April 2021. They told me it could be age related. When I mentioned that it occurred the day after my Covid Vaccine (both vaccines) they told me it was unrelated. I called again in June as symptoms progressed/worsened and was told they were hearing from several other women about cycle irregularity from the vaccine but that it should normalize within a few months. My periods became heavier with shorter cycles, and by August I was also beginning to have mid-cycle heavy bleeding and constant pelvic pain. I was again told it should normalize. By October it taken a huge toll on my daily life. I was bleeding every 10ish days, heavy, and for several days. I had been missing work due to the amount of blood loss. My OB ordered full hormone levels. These were found to be normal so she then ordered a uterine ultrasound. The ultrasound showed some abnormal blood flow to my endometrium. Due to this, and in-office endometrial biopsy was performed. That came back normal. I am now faced with needing to have a hysteroscopy with D&C, potential ablation, or curative hysterectomy. I am being told I may have adenomyosis now (of which I had zero symptoms prior to vaccination) - which would require hysterectomy. My husband and I want more children but I am now being told that could be unsafe and/or not possible.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Blood prolactin normal, Blood testosterone free increased, Blood testosterone normal, Blood thyroid stimulating hormone normal, Dehydroepiandrosterone test
Clinical narrative: The day after my first injection I experienced abnormal uterine bleeding. I was over two weeks away from my usual period date. I had never experienced abnormal bleeding or irregular cycles in my life. My cycles were never overly painful. I never even needed OTC medications. My cycles had been 28-30 days since I was 13 years old. I had my second vaccine on 2/11/21 and again experienced very heavy bleeding the day after. My cycles then were coming anywhere between every 14-20 days. They progressively became very heavy and very painful. I called my OB in April 2021. They told me it could be age related. When I mentioned that it occurred the day after my Covid Vaccine (both vaccines) they told me it was unrelated. I called again in June as symptoms progressed/worsened and was told they were hearing from several other women about cycle irregularity from the vaccine but that it should normalize within a few months. My periods became heavier with shorter cycles, and by August I was also beginning to have mid-cycle heavy bleeding and constant pelvic pain. I was again told it should normalize. By October it taken a huge toll on my daily life. I was bleeding every 10ish days, heavy, and for several days. I had been missing work due to the amount of blood loss. My OB ordered full hormone levels. These were found to be normal so she then ordered a uterine ultrasound. The ultrasound showed some abnormal blood flow to my endometrium. Due to this, and in-office endometrial biopsy was performed. That came back normal. I am now faced with needing to have a hysteroscopy with D&C, potential ablation, or curative hysterectomy. I am being told I may have adenomyosis now (of which I had zero symptoms prior to vaccination) - which would require hysterectomy. My husband and I want more children but I am now being told that could be unsafe and/or not possible.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Endometrial disorder, Glycosylated haemoglobin normal, Heavy menstrual bleeding, Impaired work ability
Clinical narrative: The day after my first injection I experienced abnormal uterine bleeding. I was over two weeks away from my usual period date. I had never experienced abnormal bleeding or irregular cycles in my life. My cycles were never overly painful. I never even needed OTC medications. My cycles had been 28-30 days since I was 13 years old. I had my second vaccine on 2/11/21 and again experienced very heavy bleeding the day after. My cycles then were coming anywhere between every 14-20 days. They progressively became very heavy and very painful. I called my OB in April 2021. They told me it could be age related. When I mentioned that it occurred the day after my Covid Vaccine (both vaccines) they told me it was unrelated. I called again in June as symptoms progressed/worsened and was told they were hearing from several other women about cycle irregularity from the vaccine but that it should normalize within a few months. My periods became heavier with shorter cycles, and by August I was also beginning to have mid-cycle heavy bleeding and constant pelvic pain. I was again told it should normalize. By October it taken a huge toll on my daily life. I was bleeding every 10ish days, heavy, and for several days. I had been missing work due to the amount of blood loss. My OB ordered full hormone levels. These were found to be normal so she then ordered a uterine ultrasound. The ultrasound showed some abnormal blood flow to my endometrium. Due to this, and in-office endometrial biopsy was performed. That came back normal. I am now faced with needing to have a hysteroscopy with D&C, potential ablation, or curative hysterectomy. I am being told I may have adenomyosis now (of which I had zero symptoms prior to vaccination) - which would require hysterectomy. My husband and I want more children but I am now being told that could be unsafe and/or not possible.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Intermenstrual bleeding, Loss of personal independence in daily activities, Menstrual disorder, Oestradiol, Pelvic pain
Clinical narrative: The day after my first injection I experienced abnormal uterine bleeding. I was over two weeks away from my usual period date. I had never experienced abnormal bleeding or irregular cycles in my life. My cycles were never overly painful. I never even needed OTC medications. My cycles had been 28-30 days since I was 13 years old. I had my second vaccine on 2/11/21 and again experienced very heavy bleeding the day after. My cycles then were coming anywhere between every 14-20 days. They progressively became very heavy and very painful. I called my OB in April 2021. They told me it could be age related. When I mentioned that it occurred the day after my Covid Vaccine (both vaccines) they told me it was unrelated. I called again in June as symptoms progressed/worsened and was told they were hearing from several other women about cycle irregularity from the vaccine but that it should normalize within a few months. My periods became heavier with shorter cycles, and by August I was also beginning to have mid-cycle heavy bleeding and constant pelvic pain. I was again told it should normalize. By October it taken a huge toll on my daily life. I was bleeding every 10ish days, heavy, and for several days. I had been missing work due to the amount of blood loss. My OB ordered full hormone levels. These were found to be normal so she then ordered a uterine ultrasound. The ultrasound showed some abnormal blood flow to my endometrium. Due to this, and in-office endometrial biopsy was performed. That came back normal. I am now faced with needing to have a hysteroscopy with D&C, potential ablation, or curative hysterectomy. I am being told I may have adenomyosis now (of which I had zero symptoms prior to vaccination) - which would require hysterectomy. My husband and I want more children but I am now being told that could be unsafe and/or not possible.