chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Loss of consciousness
Clinical narrative: Patient was in post vaccination monitoring area when she proceeded to pass out.  She was unconscious for less then a minute and stated she was fine when she regained consciousness.  She stated she has history of syncope with vaccine administration and stated she passed out from the pain of the injection and having a fear of needles.    She waited for several more minutes and left on her own accord.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Emotional disorder, Feeling abnormal, Panic attack
Clinical narrative: The week of 4/28, I was emotional, foggier. I eventually had a panic attack that was so bad I thought I was having a heart attack. While getting into the ambulance, I do not know if I was hallucinating but reality was very disconnected for me, I was put on Dextroamphetamine until around June. I went to facility on 5/5. I was transferred on 5/7 to a place. I stayed here until 5/15. I am not certain if the dates are accurate because I have still not remembered those days clearly.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Loss of personal independence in daily activities, Somnolence
Clinical narrative: Within a week or so after second injection I started to tire very easily.  I was used to walking my dog 2-3 miles per day prior to the vaccines.  After the vaccines I go a mile and am exhausted.  I feel like I need to sleep all the time.  I told my Doctor and she sent me to a sleep clinic, and they told I was getting enough sleep??  Since the vaccines I have had to force myself to do almost anything.
Age: 88.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cardiac arrest, Fall, SARS-CoV-2 test positive
Clinical narrative: 11/21/21 presented to ED by EMS for "cardiac arrest and fall". PMHx of "carotid stenosis, insulin dependent DM, HTN, legal blindness, seizure disorder"
Age: 10.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Headache, Tremor
Clinical narrative: Five minutes after vaccine administration, patient reported feeling dizzy. Provided apple juice and snack, quiet place to sit. BP 122/88, P 88. While seated reported shakiness, observable to bilateral limbs, diminished when patient engaged in conversation. Then reported onset of 5/10 pain from headache. Patient reports history of anxiety. Parents notified and picked up patient. Advised to follow up with patient's medical provider and to report any increase or change in SX immediately, utilize emergency services PRN. Parent verbalizes understanding. Patient able to rise to standing and ambulated without difficulty when exiting clinic.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Back pain, COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient came in with back pain that was worsening. Tested for C19 - POSITIVE; Discharged
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Discomfort, Dyspnoea, Headache, Hypoaesthesia
Clinical narrative: Alot of pressure headaches with numbness and heaviness on right side of face.  Pain in legs, shortness of breath followed by sudden cough.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: Alot of pressure headaches with numbness and heaviness on right side of face.  Pain in legs, shortness of breath followed by sudden cough.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Vaccine administered at half dose.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Cervical vertebral fracture, Fall
Clinical narrative: Hospitalized: fall with cervical fracture not covid related
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Computerised tomogram normal, Headache, Immediate post-injection reaction, Lymphadenopathy
Clinical narrative: Right after the vaccination I got headaches and then my arm had swollen lymph nodes. It was way worst and still is there. I contacted my doctor and they got a CAT scan done and everyday was normal. My blood work got back normal as well no explanation at all but the lymphs are still there.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Numbness and tingling in upper right arm.  Sought treatment at urgent care. Recommended treatment is NSAIDs and ice to reduce inflammation.  Also recommended to follow up with neurologist if symptoms persist for more than two weeks.
Age: 66.0
Sex: F
Vaccine: PNC13, VARZOS
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Pain in extremity
Clinical narrative: Right arm extremely sore several hours after vaccines, lasting for two days. On 12/07 noticed rash at injection site and on 12/08 redness at injection site with recurring soreness.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Tinnitus
Clinical narrative: Tinnitus started about 1 1/2 weeks after vaccination with initial dizziness. Tinnitus is increasing steadily. Suspecting vaccine adverse event since nothing else in my medical history or environment changed. Tinnitus is now pretty significant and increasing.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive family contact
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Disturbance in attention, Dysgeusia, Muscular weakness, Musculoskeletal discomfort, Psychomotor hyperactivity
Clinical narrative: 1. Approximately 10 minutes after injection, I had tooth sensitivity. This lasted for several hours. 2. Approximately 20 minutes after injection, I had a metallic taste in my mouth. This lasted until the next day. 3.  Approximately 30 minutes after injection, I had shoulder tightness. This lasted for several days. 4. Approximately 1 hour after injection, I had weakness in my legs. This lasted for several hours. 5. Approximately 1 hour after injection, I became hyperactive. I could not sit down and spent about 11 hours doing activities that I wouldn't normally do all in the same day, including cleaning the entire house, cleaning the garage, washing/sanding/painting the bed of a side-by-side ATV, attempting to go running, and weeding the flowerbeds (at 10pm since I still could not sit still). I had to take a sleep aid (Unisom) finally at 11pm (approx. 12 hours after getting the shot) to make myself go to bed. When I woke up the next morning (approx. 7am), I was still very restless. I did attempt to work (from home on a computer), but had a very difficult time concentrating or keeping focus, which made it difficult to work. By the next day (~48 hours after getting the 1st dose), I was feeling better.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Restlessness, Tooth disorder
Clinical narrative: 1. Approximately 10 minutes after injection, I had tooth sensitivity. This lasted for several hours. 2. Approximately 20 minutes after injection, I had a metallic taste in my mouth. This lasted until the next day. 3.  Approximately 30 minutes after injection, I had shoulder tightness. This lasted for several days. 4. Approximately 1 hour after injection, I had weakness in my legs. This lasted for several hours. 5. Approximately 1 hour after injection, I became hyperactive. I could not sit down and spent about 11 hours doing activities that I wouldn't normally do all in the same day, including cleaning the entire house, cleaning the garage, washing/sanding/painting the bed of a side-by-side ATV, attempting to go running, and weeding the flowerbeds (at 10pm since I still could not sit still). I had to take a sleep aid (Unisom) finally at 11pm (approx. 12 hours after getting the shot) to make myself go to bed. When I woke up the next morning (approx. 7am), I was still very restless. I did attempt to work (from home on a computer), but had a very difficult time concentrating or keeping focus, which made it difficult to work. By the next day (~48 hours after getting the 1st dose), I was feeling better.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache, Lethargy, Pain
Clinical narrative: Sever body aches And headaches . Dizziness.  Lethargic
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Vomiting
Clinical narrative: At around 5:15 pm during observation Pt. complained of nausea/vomiting.  Cool water bottle applied to forehead.  Emesis basin offered, no vomiting.  Pt. was observed for additional 15 min.  No further symptoms observed/reported.  Stated feeling better. Parents educated to continue to monitor and to call physician or 911 for lift threatening.  Voiced understanding.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute myocardial infarction, Anticoagulant therapy, Arrhythmia, Asthenia
Clinical narrative: Of note, the patient is not in state registry. Date taken from nursing flowsheet in medical records. This date may not be an estimate.  9/22/21: Pt received covid vaccine 1 week ago, since then has been c/o weakness, fatigue, loss of appetite, fell today NOBT. BGL 523 pt hasn't been taking metformin bc he ran out. hypotensive in route given 1L NS. a&ox3, clear speech. pt lethargic. Per patient's significant other, he had not taken his Metformin for 4-5 days because he complains that his medications make him sick and sleepy. She also mentions that patient has generalized fatigue and weakness with decreased p.o. intake since he stopped taking his medications.  10/15/21: Discharge summary: This is the care of 62 year old male who has a medical history of DM2 and HTN  presenting with generalized fatigue.  Patient was lethargic during interview and was mostly responding with "I'm tired". Patient was found to have hyperglycemia, AKI and leukocytosis. Patient was admitted to ICU with DKA and DKA protocol was started. Patient was also found to have bilateral pneumonia and was started on Abx. His AKI developed to ESRD and he was started on HD with midodrine for hypotension. Upon admission and during the course of his stay he was found to have NSTEMI, pulmonary edema, acute on chronic systolic CHF, and LLL pulmonary embolism. His ARF resolved and he was started on Eliquis. Patient was also seen by vascular surgery for lower extremity DVT and near occlusion of left common iliac, internal iliac and external iliac arteries, 50% narrowing of right common iliac artery, no indication of surgical intervention at this time. Patient was discharged to facility after HD chair was secured. Patient will follow up with PCP, cardiology and vascular surgery as outpatient. He maximized his benefit from his inpatient stay.   10/20/21: Patient was recently hospitalized for several weeks last month and was discharged only 5 days ago.  He was initially hospitalized for diabetic ketoacidosis, however patient then developed rhabdomyolysis with acute renal failure and NSTEMI.  He had multiple arrhythmias during a hospitalization including AFib with RVR and bradycardia with sinus pauses.  He did receive cardiac catheterization with Dr. on September 24th which revealed diffuse coronary artery disease.  He had PTCA of the circumflex with incomplete revascularization.  Leadless pacemaker was placed on September 30.  Patient was discharged on oral amiodarone and anticoagulation with Eliquis.  10/21/21: Cardiomegaly noted on chest CT. Prior imaging notes normal heart size. Admitted 10/20 for cardiac arrest.  12/1/2021: Pt expired. Major medical illness: shock.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood glucose increased, Bradycardia, Cardiac arrest, Cardiac failure acute
Clinical narrative: Of note, the patient is not in state registry. Date taken from nursing flowsheet in medical records. This date may not be an estimate.  9/22/21: Pt received covid vaccine 1 week ago, since then has been c/o weakness, fatigue, loss of appetite, fell today NOBT. BGL 523 pt hasn't been taking metformin bc he ran out. hypotensive in route given 1L NS. a&ox3, clear speech. pt lethargic. Per patient's significant other, he had not taken his Metformin for 4-5 days because he complains that his medications make him sick and sleepy. She also mentions that patient has generalized fatigue and weakness with decreased p.o. intake since he stopped taking his medications.  10/15/21: Discharge summary: This is the care of 62 year old male who has a medical history of DM2 and HTN  presenting with generalized fatigue.  Patient was lethargic during interview and was mostly responding with "I'm tired". Patient was found to have hyperglycemia, AKI and leukocytosis. Patient was admitted to ICU with DKA and DKA protocol was started. Patient was also found to have bilateral pneumonia and was started on Abx. His AKI developed to ESRD and he was started on HD with midodrine for hypotension. Upon admission and during the course of his stay he was found to have NSTEMI, pulmonary edema, acute on chronic systolic CHF, and LLL pulmonary embolism. His ARF resolved and he was started on Eliquis. Patient was also seen by vascular surgery for lower extremity DVT and near occlusion of left common iliac, internal iliac and external iliac arteries, 50% narrowing of right common iliac artery, no indication of surgical intervention at this time. Patient was discharged to facility after HD chair was secured. Patient will follow up with PCP, cardiology and vascular surgery as outpatient. He maximized his benefit from his inpatient stay.   10/20/21: Patient was recently hospitalized for several weeks last month and was discharged only 5 days ago.  He was initially hospitalized for diabetic ketoacidosis, however patient then developed rhabdomyolysis with acute renal failure and NSTEMI.  He had multiple arrhythmias during a hospitalization including AFib with RVR and bradycardia with sinus pauses.  He did receive cardiac catheterization with Dr. on September 24th which revealed diffuse coronary artery disease.  He had PTCA of the circumflex with incomplete revascularization.  Leadless pacemaker was placed on September 30.  Patient was discharged on oral amiodarone and anticoagulation with Eliquis.  10/21/21: Cardiomegaly noted on chest CT. Prior imaging notes normal heart size. Admitted 10/20 for cardiac arrest.  12/1/2021: Pt expired. Major medical illness: shock.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac pacemaker insertion, Cardiomegaly, Catheterisation cardiac abnormal, Computerised tomogram thorax abnormal, Coronary angioplasty
Clinical narrative: Of note, the patient is not in state registry. Date taken from nursing flowsheet in medical records. This date may not be an estimate.  9/22/21: Pt received covid vaccine 1 week ago, since then has been c/o weakness, fatigue, loss of appetite, fell today NOBT. BGL 523 pt hasn't been taking metformin bc he ran out. hypotensive in route given 1L NS. a&ox3, clear speech. pt lethargic. Per patient's significant other, he had not taken his Metformin for 4-5 days because he complains that his medications make him sick and sleepy. She also mentions that patient has generalized fatigue and weakness with decreased p.o. intake since he stopped taking his medications.  10/15/21: Discharge summary: This is the care of 62 year old male who has a medical history of DM2 and HTN  presenting with generalized fatigue.  Patient was lethargic during interview and was mostly responding with "I'm tired". Patient was found to have hyperglycemia, AKI and leukocytosis. Patient was admitted to ICU with DKA and DKA protocol was started. Patient was also found to have bilateral pneumonia and was started on Abx. His AKI developed to ESRD and he was started on HD with midodrine for hypotension. Upon admission and during the course of his stay he was found to have NSTEMI, pulmonary edema, acute on chronic systolic CHF, and LLL pulmonary embolism. His ARF resolved and he was started on Eliquis. Patient was also seen by vascular surgery for lower extremity DVT and near occlusion of left common iliac, internal iliac and external iliac arteries, 50% narrowing of right common iliac artery, no indication of surgical intervention at this time. Patient was discharged to facility after HD chair was secured. Patient will follow up with PCP, cardiology and vascular surgery as outpatient. He maximized his benefit from his inpatient stay.   10/20/21: Patient was recently hospitalized for several weeks last month and was discharged only 5 days ago.  He was initially hospitalized for diabetic ketoacidosis, however patient then developed rhabdomyolysis with acute renal failure and NSTEMI.  He had multiple arrhythmias during a hospitalization including AFib with RVR and bradycardia with sinus pauses.  He did receive cardiac catheterization with Dr. on September 24th which revealed diffuse coronary artery disease.  He had PTCA of the circumflex with incomplete revascularization.  Leadless pacemaker was placed on September 30.  Patient was discharged on oral amiodarone and anticoagulation with Eliquis.  10/21/21: Cardiomegaly noted on chest CT. Prior imaging notes normal heart size. Admitted 10/20 for cardiac arrest.  12/1/2021: Pt expired. Major medical illness: shock.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Coronary artery disease, Death, Decreased appetite, Deep vein thrombosis, Diabetic ketoacidosis
Clinical narrative: Of note, the patient is not in state registry. Date taken from nursing flowsheet in medical records. This date may not be an estimate.  9/22/21: Pt received covid vaccine 1 week ago, since then has been c/o weakness, fatigue, loss of appetite, fell today NOBT. BGL 523 pt hasn't been taking metformin bc he ran out. hypotensive in route given 1L NS. a&ox3, clear speech. pt lethargic. Per patient's significant other, he had not taken his Metformin for 4-5 days because he complains that his medications make him sick and sleepy. She also mentions that patient has generalized fatigue and weakness with decreased p.o. intake since he stopped taking his medications.  10/15/21: Discharge summary: This is the care of 62 year old male who has a medical history of DM2 and HTN  presenting with generalized fatigue.  Patient was lethargic during interview and was mostly responding with "I'm tired". Patient was found to have hyperglycemia, AKI and leukocytosis. Patient was admitted to ICU with DKA and DKA protocol was started. Patient was also found to have bilateral pneumonia and was started on Abx. His AKI developed to ESRD and he was started on HD with midodrine for hypotension. Upon admission and during the course of his stay he was found to have NSTEMI, pulmonary edema, acute on chronic systolic CHF, and LLL pulmonary embolism. His ARF resolved and he was started on Eliquis. Patient was also seen by vascular surgery for lower extremity DVT and near occlusion of left common iliac, internal iliac and external iliac arteries, 50% narrowing of right common iliac artery, no indication of surgical intervention at this time. Patient was discharged to facility after HD chair was secured. Patient will follow up with PCP, cardiology and vascular surgery as outpatient. He maximized his benefit from his inpatient stay.   10/20/21: Patient was recently hospitalized for several weeks last month and was discharged only 5 days ago.  He was initially hospitalized for diabetic ketoacidosis, however patient then developed rhabdomyolysis with acute renal failure and NSTEMI.  He had multiple arrhythmias during a hospitalization including AFib with RVR and bradycardia with sinus pauses.  He did receive cardiac catheterization with Dr. on September 24th which revealed diffuse coronary artery disease.  He had PTCA of the circumflex with incomplete revascularization.  Leadless pacemaker was placed on September 30.  Patient was discharged on oral amiodarone and anticoagulation with Eliquis.  10/21/21: Cardiomegaly noted on chest CT. Prior imaging notes normal heart size. Admitted 10/20 for cardiac arrest.  12/1/2021: Pt expired. Major medical illness: shock.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: End stage renal disease, Fall, Fatigue, Haemodialysis, Hyperglycaemia
Clinical narrative: Of note, the patient is not in state registry. Date taken from nursing flowsheet in medical records. This date may not be an estimate.  9/22/21: Pt received covid vaccine 1 week ago, since then has been c/o weakness, fatigue, loss of appetite, fell today NOBT. BGL 523 pt hasn't been taking metformin bc he ran out. hypotensive in route given 1L NS. a&ox3, clear speech. pt lethargic. Per patient's significant other, he had not taken his Metformin for 4-5 days because he complains that his medications make him sick and sleepy. She also mentions that patient has generalized fatigue and weakness with decreased p.o. intake since he stopped taking his medications.  10/15/21: Discharge summary: This is the care of 62 year old male who has a medical history of DM2 and HTN  presenting with generalized fatigue.  Patient was lethargic during interview and was mostly responding with "I'm tired". Patient was found to have hyperglycemia, AKI and leukocytosis. Patient was admitted to ICU with DKA and DKA protocol was started. Patient was also found to have bilateral pneumonia and was started on Abx. His AKI developed to ESRD and he was started on HD with midodrine for hypotension. Upon admission and during the course of his stay he was found to have NSTEMI, pulmonary edema, acute on chronic systolic CHF, and LLL pulmonary embolism. His ARF resolved and he was started on Eliquis. Patient was also seen by vascular surgery for lower extremity DVT and near occlusion of left common iliac, internal iliac and external iliac arteries, 50% narrowing of right common iliac artery, no indication of surgical intervention at this time. Patient was discharged to facility after HD chair was secured. Patient will follow up with PCP, cardiology and vascular surgery as outpatient. He maximized his benefit from his inpatient stay.   10/20/21: Patient was recently hospitalized for several weeks last month and was discharged only 5 days ago.  He was initially hospitalized for diabetic ketoacidosis, however patient then developed rhabdomyolysis with acute renal failure and NSTEMI.  He had multiple arrhythmias during a hospitalization including AFib with RVR and bradycardia with sinus pauses.  He did receive cardiac catheterization with Dr. on September 24th which revealed diffuse coronary artery disease.  He had PTCA of the circumflex with incomplete revascularization.  Leadless pacemaker was placed on September 30.  Patient was discharged on oral amiodarone and anticoagulation with Eliquis.  10/21/21: Cardiomegaly noted on chest CT. Prior imaging notes normal heart size. Admitted 10/20 for cardiac arrest.  12/1/2021: Pt expired. Major medical illness: shock.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Hypophagia, Hypotension, Iliac artery occlusion, Iliac artery stenosis, Intensive care
Clinical narrative: Of note, the patient is not in state registry. Date taken from nursing flowsheet in medical records. This date may not be an estimate.  9/22/21: Pt received covid vaccine 1 week ago, since then has been c/o weakness, fatigue, loss of appetite, fell today NOBT. BGL 523 pt hasn't been taking metformin bc he ran out. hypotensive in route given 1L NS. a&ox3, clear speech. pt lethargic. Per patient's significant other, he had not taken his Metformin for 4-5 days because he complains that his medications make him sick and sleepy. She also mentions that patient has generalized fatigue and weakness with decreased p.o. intake since he stopped taking his medications.  10/15/21: Discharge summary: This is the care of 62 year old male who has a medical history of DM2 and HTN  presenting with generalized fatigue.  Patient was lethargic during interview and was mostly responding with "I'm tired". Patient was found to have hyperglycemia, AKI and leukocytosis. Patient was admitted to ICU with DKA and DKA protocol was started. Patient was also found to have bilateral pneumonia and was started on Abx. His AKI developed to ESRD and he was started on HD with midodrine for hypotension. Upon admission and during the course of his stay he was found to have NSTEMI, pulmonary edema, acute on chronic systolic CHF, and LLL pulmonary embolism. His ARF resolved and he was started on Eliquis. Patient was also seen by vascular surgery for lower extremity DVT and near occlusion of left common iliac, internal iliac and external iliac arteries, 50% narrowing of right common iliac artery, no indication of surgical intervention at this time. Patient was discharged to facility after HD chair was secured. Patient will follow up with PCP, cardiology and vascular surgery as outpatient. He maximized his benefit from his inpatient stay.   10/20/21: Patient was recently hospitalized for several weeks last month and was discharged only 5 days ago.  He was initially hospitalized for diabetic ketoacidosis, however patient then developed rhabdomyolysis with acute renal failure and NSTEMI.  He had multiple arrhythmias during a hospitalization including AFib with RVR and bradycardia with sinus pauses.  He did receive cardiac catheterization with Dr. on September 24th which revealed diffuse coronary artery disease.  He had PTCA of the circumflex with incomplete revascularization.  Leadless pacemaker was placed on September 30.  Patient was discharged on oral amiodarone and anticoagulation with Eliquis.  10/21/21: Cardiomegaly noted on chest CT. Prior imaging notes normal heart size. Admitted 10/20 for cardiac arrest.  12/1/2021: Pt expired. Major medical illness: shock.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Left ventricular failure, Lethargy, Leukocytosis, Pneumonia, Pulmonary embolism
Clinical narrative: Of note, the patient is not in state registry. Date taken from nursing flowsheet in medical records. This date may not be an estimate.  9/22/21: Pt received covid vaccine 1 week ago, since then has been c/o weakness, fatigue, loss of appetite, fell today NOBT. BGL 523 pt hasn't been taking metformin bc he ran out. hypotensive in route given 1L NS. a&ox3, clear speech. pt lethargic. Per patient's significant other, he had not taken his Metformin for 4-5 days because he complains that his medications make him sick and sleepy. She also mentions that patient has generalized fatigue and weakness with decreased p.o. intake since he stopped taking his medications.  10/15/21: Discharge summary: This is the care of 62 year old male who has a medical history of DM2 and HTN  presenting with generalized fatigue.  Patient was lethargic during interview and was mostly responding with "I'm tired". Patient was found to have hyperglycemia, AKI and leukocytosis. Patient was admitted to ICU with DKA and DKA protocol was started. Patient was also found to have bilateral pneumonia and was started on Abx. His AKI developed to ESRD and he was started on HD with midodrine for hypotension. Upon admission and during the course of his stay he was found to have NSTEMI, pulmonary edema, acute on chronic systolic CHF, and LLL pulmonary embolism. His ARF resolved and he was started on Eliquis. Patient was also seen by vascular surgery for lower extremity DVT and near occlusion of left common iliac, internal iliac and external iliac arteries, 50% narrowing of right common iliac artery, no indication of surgical intervention at this time. Patient was discharged to facility after HD chair was secured. Patient will follow up with PCP, cardiology and vascular surgery as outpatient. He maximized his benefit from his inpatient stay.   10/20/21: Patient was recently hospitalized for several weeks last month and was discharged only 5 days ago.  He was initially hospitalized for diabetic ketoacidosis, however patient then developed rhabdomyolysis with acute renal failure and NSTEMI.  He had multiple arrhythmias during a hospitalization including AFib with RVR and bradycardia with sinus pauses.  He did receive cardiac catheterization with Dr. on September 24th which revealed diffuse coronary artery disease.  He had PTCA of the circumflex with incomplete revascularization.  Leadless pacemaker was placed on September 30.  Patient was discharged on oral amiodarone and anticoagulation with Eliquis.  10/21/21: Cardiomegaly noted on chest CT. Prior imaging notes normal heart size. Admitted 10/20 for cardiac arrest.  12/1/2021: Pt expired. Major medical illness: shock.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Pulmonary oedema, Rhabdomyolysis, Shock, Sinus arrest
Clinical narrative: Of note, the patient is not in state registry. Date taken from nursing flowsheet in medical records. This date may not be an estimate.  9/22/21: Pt received covid vaccine 1 week ago, since then has been c/o weakness, fatigue, loss of appetite, fell today NOBT. BGL 523 pt hasn't been taking metformin bc he ran out. hypotensive in route given 1L NS. a&ox3, clear speech. pt lethargic. Per patient's significant other, he had not taken his Metformin for 4-5 days because he complains that his medications make him sick and sleepy. She also mentions that patient has generalized fatigue and weakness with decreased p.o. intake since he stopped taking his medications.  10/15/21: Discharge summary: This is the care of 62 year old male who has a medical history of DM2 and HTN  presenting with generalized fatigue.  Patient was lethargic during interview and was mostly responding with "I'm tired". Patient was found to have hyperglycemia, AKI and leukocytosis. Patient was admitted to ICU with DKA and DKA protocol was started. Patient was also found to have bilateral pneumonia and was started on Abx. His AKI developed to ESRD and he was started on HD with midodrine for hypotension. Upon admission and during the course of his stay he was found to have NSTEMI, pulmonary edema, acute on chronic systolic CHF, and LLL pulmonary embolism. His ARF resolved and he was started on Eliquis. Patient was also seen by vascular surgery for lower extremity DVT and near occlusion of left common iliac, internal iliac and external iliac arteries, 50% narrowing of right common iliac artery, no indication of surgical intervention at this time. Patient was discharged to facility after HD chair was secured. Patient will follow up with PCP, cardiology and vascular surgery as outpatient. He maximized his benefit from his inpatient stay.   10/20/21: Patient was recently hospitalized for several weeks last month and was discharged only 5 days ago.  He was initially hospitalized for diabetic ketoacidosis, however patient then developed rhabdomyolysis with acute renal failure and NSTEMI.  He had multiple arrhythmias during a hospitalization including AFib with RVR and bradycardia with sinus pauses.  He did receive cardiac catheterization with Dr. on September 24th which revealed diffuse coronary artery disease.  He had PTCA of the circumflex with incomplete revascularization.  Leadless pacemaker was placed on September 30.  Patient was discharged on oral amiodarone and anticoagulation with Eliquis.  10/21/21: Cardiomegaly noted on chest CT. Prior imaging notes normal heart size. Admitted 10/20 for cardiac arrest.  12/1/2021: Pt expired. Major medical illness: shock.
Age: 38.0
Sex: F
Vaccine: UNK
Symptoms: Condition aggravated, Fatigue, Feeling abnormal, Headache, Injected limb mobility decreased
Clinical narrative: Please note above - I don't have my vaccine card on me at the moment, but can provide the lot numbers later if needed - feel free to contact me. It was a 3rd dose of the Pfizer vaccine. I did not receive any other vaccines on that date.  I received the shot on Tuesday evening.  The next morning after the shot, my upper arm at the shot site was very sore and I developed a large red welt. By the next day, the welt had swelled and spread to over 3 inches across. By that evening (Wednesday), my entire arm started to hurt, like I had overused the muscles. I figured it was just sore and went to bed. By Thursday morning, I was miserable. Never fully-sick, but I had a terrible headache, was nauseous and fatigued - I'd describe it as feeling like I was hit by a bus.   The WORST symptom was new this time - it never happed with the first or second shots. I had SEVERE swelling of the lymph nodes in my armpit (arm of the shot). It was so bad that it was causing nerve pain all the way down my arm, with zinging lightning pains and tingling in my fingers. It hurt to even touch the skin near my underarm, and just the weight of my arm at my side was hurting against it. I had trouble sleeping for days and could barely move my arm. This lasted an entire week, and seems to now have finally subsided (as of 12/8). I still have a huge welt/rash on my arm at the shot side, and the red tone of it is changing to more of a bruise. I had a similar (but smaller) reaction to the other shots, which left a welt and visible darkening of the skin for several months after the shots. So far, this one appears to be the same.   The lymph node swelling and pain were the most concerning. I've read that this is supposed to be a rare reaction, but of the two people I work with who told me they received the booster, one of them had the same reaction, so I'm doubting it's that rare. That was a very unpleasant experience and made my immunocompromised husband scared to get the booster. Thankfully he's getting his today - we will report if he has any reaction.
Age: 38.0
Sex: F
Vaccine: UNK
Symptoms: Injection site bruising, Injection site erythema, Injection site pain, Injection site reaction, Lymphadenopathy
Clinical narrative: Please note above - I don't have my vaccine card on me at the moment, but can provide the lot numbers later if needed - feel free to contact me. It was a 3rd dose of the Pfizer vaccine. I did not receive any other vaccines on that date.  I received the shot on Tuesday evening.  The next morning after the shot, my upper arm at the shot site was very sore and I developed a large red welt. By the next day, the welt had swelled and spread to over 3 inches across. By that evening (Wednesday), my entire arm started to hurt, like I had overused the muscles. I figured it was just sore and went to bed. By Thursday morning, I was miserable. Never fully-sick, but I had a terrible headache, was nauseous and fatigued - I'd describe it as feeling like I was hit by a bus.   The WORST symptom was new this time - it never happed with the first or second shots. I had SEVERE swelling of the lymph nodes in my armpit (arm of the shot). It was so bad that it was causing nerve pain all the way down my arm, with zinging lightning pains and tingling in my fingers. It hurt to even touch the skin near my underarm, and just the weight of my arm at my side was hurting against it. I had trouble sleeping for days and could barely move my arm. This lasted an entire week, and seems to now have finally subsided (as of 12/8). I still have a huge welt/rash on my arm at the shot side, and the red tone of it is changing to more of a bruise. I had a similar (but smaller) reaction to the other shots, which left a welt and visible darkening of the skin for several months after the shots. So far, this one appears to be the same.   The lymph node swelling and pain were the most concerning. I've read that this is supposed to be a rare reaction, but of the two people I work with who told me they received the booster, one of them had the same reaction, so I'm doubting it's that rare. That was a very unpleasant experience and made my immunocompromised husband scared to get the booster. Thankfully he's getting his today - we will report if he has any reaction.
Age: 38.0
Sex: F
Vaccine: UNK
Symptoms: Nausea, Neuralgia, Pain, Pain in extremity, Pain of skin
Clinical narrative: Please note above - I don't have my vaccine card on me at the moment, but can provide the lot numbers later if needed - feel free to contact me. It was a 3rd dose of the Pfizer vaccine. I did not receive any other vaccines on that date.  I received the shot on Tuesday evening.  The next morning after the shot, my upper arm at the shot site was very sore and I developed a large red welt. By the next day, the welt had swelled and spread to over 3 inches across. By that evening (Wednesday), my entire arm started to hurt, like I had overused the muscles. I figured it was just sore and went to bed. By Thursday morning, I was miserable. Never fully-sick, but I had a terrible headache, was nauseous and fatigued - I'd describe it as feeling like I was hit by a bus.   The WORST symptom was new this time - it never happed with the first or second shots. I had SEVERE swelling of the lymph nodes in my armpit (arm of the shot). It was so bad that it was causing nerve pain all the way down my arm, with zinging lightning pains and tingling in my fingers. It hurt to even touch the skin near my underarm, and just the weight of my arm at my side was hurting against it. I had trouble sleeping for days and could barely move my arm. This lasted an entire week, and seems to now have finally subsided (as of 12/8). I still have a huge welt/rash on my arm at the shot side, and the red tone of it is changing to more of a bruise. I had a similar (but smaller) reaction to the other shots, which left a welt and visible darkening of the skin for several months after the shots. So far, this one appears to be the same.   The lymph node swelling and pain were the most concerning. I've read that this is supposed to be a rare reaction, but of the two people I work with who told me they received the booster, one of them had the same reaction, so I'm doubting it's that rare. That was a very unpleasant experience and made my immunocompromised husband scared to get the booster. Thankfully he's getting his today - we will report if he has any reaction.
Age: 38.0
Sex: F
Vaccine: UNK
Symptoms: Paraesthesia, Skin discolouration, Sleep disorder, Urticaria
Clinical narrative: Please note above - I don't have my vaccine card on me at the moment, but can provide the lot numbers later if needed - feel free to contact me. It was a 3rd dose of the Pfizer vaccine. I did not receive any other vaccines on that date.  I received the shot on Tuesday evening.  The next morning after the shot, my upper arm at the shot site was very sore and I developed a large red welt. By the next day, the welt had swelled and spread to over 3 inches across. By that evening (Wednesday), my entire arm started to hurt, like I had overused the muscles. I figured it was just sore and went to bed. By Thursday morning, I was miserable. Never fully-sick, but I had a terrible headache, was nauseous and fatigued - I'd describe it as feeling like I was hit by a bus.   The WORST symptom was new this time - it never happed with the first or second shots. I had SEVERE swelling of the lymph nodes in my armpit (arm of the shot). It was so bad that it was causing nerve pain all the way down my arm, with zinging lightning pains and tingling in my fingers. It hurt to even touch the skin near my underarm, and just the weight of my arm at my side was hurting against it. I had trouble sleeping for days and could barely move my arm. This lasted an entire week, and seems to now have finally subsided (as of 12/8). I still have a huge welt/rash on my arm at the shot side, and the red tone of it is changing to more of a bruise. I had a similar (but smaller) reaction to the other shots, which left a welt and visible darkening of the skin for several months after the shots. So far, this one appears to be the same.   The lymph node swelling and pain were the most concerning. I've read that this is supposed to be a rare reaction, but of the two people I work with who told me they received the booster, one of them had the same reaction, so I'm doubting it's that rare. That was a very unpleasant experience and made my immunocompromised husband scared to get the booster. Thankfully he's getting his today - we will report if he has any reaction.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Chronic sinusitis, Tinnitus
Clinical narrative: chronic sinusitis, tinnitus
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: SOB covid +
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Pain in extremity
Clinical narrative: Client received 0.5 ml dose as booster dose instead of 0.25 ml dose of Moderna on Friday 11/19.  F/u  on 11/24 -Reports that she had a sore arm for a few days, but otherwise feels fine. No additional questions at this time.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Echocardiogram abnormal, Electrocardiogram ambulatory abnormal, Extrasystoles, Heart rate irregular
Clinical narrative: Tachycardia, palpitations.  Started 2 days after 2nd shot. ER visit 2 months after 2nd shot. Discharged to follow up with cardiologist. Heart echo done, mostly normal. Halter monitor worn for two weeks - confirmed palpitations, skipped beats, extra beats, tachycardia, SVTs.  As of 12/8/21 symptoms are ongoing.  No answers/resolution yet at cardiologist.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Supraventricular tachycardia, Tachycardia
Clinical narrative: Tachycardia, palpitations.  Started 2 days after 2nd shot. ER visit 2 months after 2nd shot. Discharged to follow up with cardiologist. Heart echo done, mostly normal. Halter monitor worn for two weeks - confirmed palpitations, skipped beats, extra beats, tachycardia, SVTs.  As of 12/8/21 symptoms are ongoing.  No answers/resolution yet at cardiologist.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: 12/5/21 approximately 4:00 PM patient came to the COVID outreach accompanied by his mother. Patient consent form was checked in and reviewed by employee). The consent form was given to RN who took the form along with the vaccine requested to the vaccinating nurse. Patient a 17-year-old was given a Pfizer COVID 19 booster dose IM in the left deltoid; (previous Pfizer doses were 1/18/2021 and 5/9/2021). Pfizer COVID 19 booster are designated for those 18-year-old and up. Client was monitored for 15 minutes without any adverse reactions or side effects. 12/8/21 9:33AM Attempt a follow up call to patient mother; no answer; left a voice mail message
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid positive work contact
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Vaccine administered at half dose.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test positive
Clinical narrative: Asymptomatic COVID positive
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein normal, Condition aggravated, Dizziness, Dysphagia, Dyspnoea
Clinical narrative: NUMBNESS AND PARESTHESIAS OF EXTREMITIES LASTING SEVERAL DAYS, SEVERE HEADACHES LASTING SEVERAL DAYS, TINNITUS, DIZZINESS LASTING SEVERAL DAYS.   WITHIN 1 HOUR, HAD SEVERE DIFFICULTY BREATHING/SWALLOWING WHIHC IMPRIVED AFTER USING IHLAED EPINEPHRINE AT HOME.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count normal, Headache, Hypoaesthesia, Metabolic function test, Paraesthesia
Clinical narrative: NUMBNESS AND PARESTHESIAS OF EXTREMITIES LASTING SEVERAL DAYS, SEVERE HEADACHES LASTING SEVERAL DAYS, TINNITUS, DIZZINESS LASTING SEVERAL DAYS.   WITHIN 1 HOUR, HAD SEVERE DIFFICULTY BREATHING/SWALLOWING WHIHC IMPRIVED AFTER USING IHLAED EPINEPHRINE AT HOME.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate, Tinnitus
Clinical narrative: NUMBNESS AND PARESTHESIAS OF EXTREMITIES LASTING SEVERAL DAYS, SEVERE HEADACHES LASTING SEVERAL DAYS, TINNITUS, DIZZINESS LASTING SEVERAL DAYS.   WITHIN 1 HOUR, HAD SEVERE DIFFICULTY BREATHING/SWALLOWING WHIHC IMPRIVED AFTER USING IHLAED EPINEPHRINE AT HOME.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered at inappropriate site, Tendon rupture, Vaccination site injury
Clinical narrative: The nurse incorrectly injected me. She injected my arm too low. She stabbed me through my arm rupturing my deltoid tendon.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Electrocardiogram, Palpitations, Panic attack
Clinical narrative: Racing Heart Rate, Elevated Blood Pressure.  Diagnosed as a severe Panic Attack. Now have palpatations each day. Doctor prescribed Metropolol and it has calmed the palpatations, but they are still present.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram thorax normal, Dizziness, Dyspnoea, Fatigue
Clinical narrative: Chills, Body Ache,Shaking Cold, Sweating, Fatigue, Difficulty Breathing . Changing clothes' due to excessive sweating, light headed, shortness of breath.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling cold, Hyperhidrosis, Pain, Tremor, X-ray
Clinical narrative: Chills, Body Ache,Shaking Cold, Sweating, Fatigue, Difficulty Breathing . Changing clothes' due to excessive sweating, light headed, shortness of breath.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Covid Positive contact unknown
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Vaccine administered at half dose.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Inflammation, Lymphadenopathy
Clinical narrative: Bell?s palsy in left side of face experienced within 24 hours of shot plus large, ?sack-like? inflammation under the armpit on same side (lymph nodes but atypical) .      Family Doctor visit confirmed and out on course of prednisone plus ordered bloodwork.
Age: 16.0
Sex: F
Vaccine: FLU4, HEPA, HPV9, IPV
Symptoms: Product storage error
Clinical narrative: Client received an inactivated polio vaccine from an opened multi-dose vial that had been subjected to temperature outside of safe storage. Temperature excursion greater than 46 deg. F occurred on 04/01/2019 for 27 minutes. Vaccinating nurse was unaware of the temperature excursion before administering vaccine on 04/02/2019.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, C-reactive protein increased, Crohn's disease, Diarrhoea, Fatigue
Clinical narrative: He started with Crohn's flare up causing symptoms with fatigue and diarrhea. We changed his diet it progressed by September he lost 9 lbs. and experienced abdominal pain. The doctor prescribed him Cipro and increased dosage of Humira. By the end of October it started to subside. This is not his first Crohn's flare he has experienced this in the past therefore this was not a total shock.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Inflammatory marker increased, Weight decreased
Clinical narrative: He started with Crohn's flare up causing symptoms with fatigue and diarrhea. We changed his diet it progressed by September he lost 9 lbs. and experienced abdominal pain. The doctor prescribed him Cipro and increased dosage of Humira. By the end of October it started to subside. This is not his first Crohn's flare he has experienced this in the past therefore this was not a total shock.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: admin pfizer booster to 17 year old. no immediate  adverse reaction known
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling, Injection site warmth
Clinical narrative: On Oct. 6, 2021 I could not sleep well. The injection site was red hot and swelling. I was in pain. It hurt like crazy. A Knot appeared on my left arm, it was four inches long. This on top of my arm. It was a long knot 5 inches long and 4 inches wide. It also relocated. It was feverish and long. I went to the clinic and they said it was COVID Arm. I went to the doctor and he said the injection looked as if they missed the muscle. My doctor told me not to get the second shot, until I came back home from vacation. There is still a small knot on top of my arm. I plan on getting my second shot, but I will get Moderna. My doctor said it was okay for me to switch. I put ice packs, took Tylenol for fever and laid in bed. It has gotten better.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Pyrexia, SARS-CoV-2 antibody test positive
Clinical narrative: On Oct. 6, 2021 I could not sleep well. The injection site was red hot and swelling. I was in pain. It hurt like crazy. A Knot appeared on my left arm, it was four inches long. This on top of my arm. It was a long knot 5 inches long and 4 inches wide. It also relocated. It was feverish and long. I went to the clinic and they said it was COVID Arm. I went to the doctor and he said the injection looked as if they missed the muscle. My doctor told me not to get the second shot, until I came back home from vacation. There is still a small knot on top of my arm. I plan on getting my second shot, but I will get Moderna. My doctor said it was okay for me to switch. I put ice packs, took Tylenol for fever and laid in bed. It has gotten better.