chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Fear-related avoidance of activities, Feeling abnormal, Fibrin D dimer increased, Headache
Clinical narrative: About 6 hours into my second dose I developed a severe symptoms from the vaccine. Hot painful arm, Muscle pain, headache, nausea, dizziness, fever, chills etc. Despite being on round the clock Tylenol I was awoken at 2am to severe chills and fever. I got my mom who tried to help me get through it. I noticed since waking my heart felt very fast. My mom monitored me on my smart watch and pulse ox. My heart rate was up in the 120's for no reason while resting. I have anxiety but I was not anxious at the time and actually went to bed around 5am. My mom monitored me while sleeping. My heart did not go down all night and morning. It remained in the 120's. I got an appointment with a doctor to where I was told it was most likely my immune system (I did have low vitamin D) and that it could be from the fever despite my fever being broken already. She called it Tachycardia. She advised if it does not go down then to come in. Thankfully my heart rate went down close to the evening time. I did not however feel back to normal. I felt strange from the days after. A couple days later I was awoken to my heart at 180. It was extremely scary at that point I felt like something was wrong. I got every test done and even went to the emergency room. I lost numerous weight for no reason in about a month or so fairly fast. I was 128 and fell to 110. However all tests say I am healthy. Despite vitamin D being low. My Iron was borderline. D-Dimer was oddly high. And blood sugar would fall every now and then for strange reasons. My doctor left and I couldn't see her anymore so with that I took it as anxiety. I have been in treatment for anxiety ever since this incident. I am sure it is anxiety. However nothing can explain the high heart rate that never went down for hours when I did get the shot. My periods have never been the same either. They are heavy painful and never on time. I feel like I developed PMDD but again could be just anxiety. I was supposed to go back for tests and Etc. however I never did because I gave up at that point and just decided it was best to believe its anxiety and I have been going to therapy once a week for. I do want to be clear I had a lot of anxiety about the pandemic itself this has been extremely hard. Apart of me believes that maybe my body panic after getting my last dose and was almost like a relief. However It has been hard. I have been unable to leave the house when before the vaccine I was out of course with a mask but I was doing stuff. Now I get scared leaving. I don't like having my heart race like the way it did and its been hard. Did I experience an adverse reaction? I don't know. Maybe that first night. But I do know I haven't been able to get the booster because I am so petrified. I cant even leave my neighborhood.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Heavy menstrual bleeding, Immune system disorder, Laboratory test normal, Loss of personal independence in daily activities
Clinical narrative: About 6 hours into my second dose I developed a severe symptoms from the vaccine. Hot painful arm, Muscle pain, headache, nausea, dizziness, fever, chills etc. Despite being on round the clock Tylenol I was awoken at 2am to severe chills and fever. I got my mom who tried to help me get through it. I noticed since waking my heart felt very fast. My mom monitored me on my smart watch and pulse ox. My heart rate was up in the 120's for no reason while resting. I have anxiety but I was not anxious at the time and actually went to bed around 5am. My mom monitored me while sleeping. My heart did not go down all night and morning. It remained in the 120's. I got an appointment with a doctor to where I was told it was most likely my immune system (I did have low vitamin D) and that it could be from the fever despite my fever being broken already. She called it Tachycardia. She advised if it does not go down then to come in. Thankfully my heart rate went down close to the evening time. I did not however feel back to normal. I felt strange from the days after. A couple days later I was awoken to my heart at 180. It was extremely scary at that point I felt like something was wrong. I got every test done and even went to the emergency room. I lost numerous weight for no reason in about a month or so fairly fast. I was 128 and fell to 110. However all tests say I am healthy. Despite vitamin D being low. My Iron was borderline. D-Dimer was oddly high. And blood sugar would fall every now and then for strange reasons. My doctor left and I couldn't see her anymore so with that I took it as anxiety. I have been in treatment for anxiety ever since this incident. I am sure it is anxiety. However nothing can explain the high heart rate that never went down for hours when I did get the shot. My periods have never been the same either. They are heavy painful and never on time. I feel like I developed PMDD but again could be just anxiety. I was supposed to go back for tests and Etc. however I never did because I gave up at that point and just decided it was best to believe its anxiety and I have been going to therapy once a week for. I do want to be clear I had a lot of anxiety about the pandemic itself this has been extremely hard. Apart of me believes that maybe my body panic after getting my last dose and was almost like a relief. However It has been hard. I have been unable to leave the house when before the vaccine I was out of course with a mask but I was doing stuff. Now I get scared leaving. I don't like having my heart race like the way it did and its been hard. Did I experience an adverse reaction? I don't know. Maybe that first night. But I do know I haven't been able to get the booster because I am so petrified. I cant even leave my neighborhood.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular, Myalgia, Nausea, Pain in extremity, Palpitations
Clinical narrative: About 6 hours into my second dose I developed a severe symptoms from the vaccine. Hot painful arm, Muscle pain, headache, nausea, dizziness, fever, chills etc. Despite being on round the clock Tylenol I was awoken at 2am to severe chills and fever. I got my mom who tried to help me get through it. I noticed since waking my heart felt very fast. My mom monitored me on my smart watch and pulse ox. My heart rate was up in the 120's for no reason while resting. I have anxiety but I was not anxious at the time and actually went to bed around 5am. My mom monitored me while sleeping. My heart did not go down all night and morning. It remained in the 120's. I got an appointment with a doctor to where I was told it was most likely my immune system (I did have low vitamin D) and that it could be from the fever despite my fever being broken already. She called it Tachycardia. She advised if it does not go down then to come in. Thankfully my heart rate went down close to the evening time. I did not however feel back to normal. I felt strange from the days after. A couple days later I was awoken to my heart at 180. It was extremely scary at that point I felt like something was wrong. I got every test done and even went to the emergency room. I lost numerous weight for no reason in about a month or so fairly fast. I was 128 and fell to 110. However all tests say I am healthy. Despite vitamin D being low. My Iron was borderline. D-Dimer was oddly high. And blood sugar would fall every now and then for strange reasons. My doctor left and I couldn't see her anymore so with that I took it as anxiety. I have been in treatment for anxiety ever since this incident. I am sure it is anxiety. However nothing can explain the high heart rate that never went down for hours when I did get the shot. My periods have never been the same either. They are heavy painful and never on time. I feel like I developed PMDD but again could be just anxiety. I was supposed to go back for tests and Etc. however I never did because I gave up at that point and just decided it was best to believe its anxiety and I have been going to therapy once a week for. I do want to be clear I had a lot of anxiety about the pandemic itself this has been extremely hard. Apart of me believes that maybe my body panic after getting my last dose and was almost like a relief. However It has been hard. I have been unable to leave the house when before the vaccine I was out of course with a mask but I was doing stuff. Now I get scared leaving. I don't like having my heart race like the way it did and its been hard. Did I experience an adverse reaction? I don't know. Maybe that first night. But I do know I haven't been able to get the booster because I am so petrified. I cant even leave my neighborhood.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Skin warm, Sleep disorder, Tachycardia, Thyroid function test normal
Clinical narrative: About 6 hours into my second dose I developed a severe symptoms from the vaccine. Hot painful arm, Muscle pain, headache, nausea, dizziness, fever, chills etc. Despite being on round the clock Tylenol I was awoken at 2am to severe chills and fever. I got my mom who tried to help me get through it. I noticed since waking my heart felt very fast. My mom monitored me on my smart watch and pulse ox. My heart rate was up in the 120's for no reason while resting. I have anxiety but I was not anxious at the time and actually went to bed around 5am. My mom monitored me while sleeping. My heart did not go down all night and morning. It remained in the 120's. I got an appointment with a doctor to where I was told it was most likely my immune system (I did have low vitamin D) and that it could be from the fever despite my fever being broken already. She called it Tachycardia. She advised if it does not go down then to come in. Thankfully my heart rate went down close to the evening time. I did not however feel back to normal. I felt strange from the days after. A couple days later I was awoken to my heart at 180. It was extremely scary at that point I felt like something was wrong. I got every test done and even went to the emergency room. I lost numerous weight for no reason in about a month or so fairly fast. I was 128 and fell to 110. However all tests say I am healthy. Despite vitamin D being low. My Iron was borderline. D-Dimer was oddly high. And blood sugar would fall every now and then for strange reasons. My doctor left and I couldn't see her anymore so with that I took it as anxiety. I have been in treatment for anxiety ever since this incident. I am sure it is anxiety. However nothing can explain the high heart rate that never went down for hours when I did get the shot. My periods have never been the same either. They are heavy painful and never on time. I feel like I developed PMDD but again could be just anxiety. I was supposed to go back for tests and Etc. however I never did because I gave up at that point and just decided it was best to believe its anxiety and I have been going to therapy once a week for. I do want to be clear I had a lot of anxiety about the pandemic itself this has been extremely hard. Apart of me believes that maybe my body panic after getting my last dose and was almost like a relief. However It has been hard. I have been unable to leave the house when before the vaccine I was out of course with a mask but I was doing stuff. Now I get scared leaving. I don't like having my heart race like the way it did and its been hard. Did I experience an adverse reaction? I don't know. Maybe that first night. But I do know I haven't been able to get the booster because I am so petrified. I cant even leave my neighborhood.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Vitamin D decreased
Clinical narrative: About 6 hours into my second dose I developed a severe symptoms from the vaccine. Hot painful arm, Muscle pain, headache, nausea, dizziness, fever, chills etc. Despite being on round the clock Tylenol I was awoken at 2am to severe chills and fever. I got my mom who tried to help me get through it. I noticed since waking my heart felt very fast. My mom monitored me on my smart watch and pulse ox. My heart rate was up in the 120's for no reason while resting. I have anxiety but I was not anxious at the time and actually went to bed around 5am. My mom monitored me while sleeping. My heart did not go down all night and morning. It remained in the 120's. I got an appointment with a doctor to where I was told it was most likely my immune system (I did have low vitamin D) and that it could be from the fever despite my fever being broken already. She called it Tachycardia. She advised if it does not go down then to come in. Thankfully my heart rate went down close to the evening time. I did not however feel back to normal. I felt strange from the days after. A couple days later I was awoken to my heart at 180. It was extremely scary at that point I felt like something was wrong. I got every test done and even went to the emergency room. I lost numerous weight for no reason in about a month or so fairly fast. I was 128 and fell to 110. However all tests say I am healthy. Despite vitamin D being low. My Iron was borderline. D-Dimer was oddly high. And blood sugar would fall every now and then for strange reasons. My doctor left and I couldn't see her anymore so with that I took it as anxiety. I have been in treatment for anxiety ever since this incident. I am sure it is anxiety. However nothing can explain the high heart rate that never went down for hours when I did get the shot. My periods have never been the same either. They are heavy painful and never on time. I feel like I developed PMDD but again could be just anxiety. I was supposed to go back for tests and Etc. however I never did because I gave up at that point and just decided it was best to believe its anxiety and I have been going to therapy once a week for. I do want to be clear I had a lot of anxiety about the pandemic itself this has been extremely hard. Apart of me believes that maybe my body panic after getting my last dose and was almost like a relief. However It has been hard. I have been unable to leave the house when before the vaccine I was out of course with a mask but I was doing stuff. Now I get scared leaving. I don't like having my heart race like the way it did and its been hard. Did I experience an adverse reaction? I don't know. Maybe that first night. But I do know I haven't been able to get the booster because I am so petrified. I cant even leave my neighborhood.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Asthenia, Blood culture, COVID-19, COVID-19 pneumonia
Clinical narrative: Pfizer Dose 1 5/13/21 (ER8736) COVID Positive 1/1/22  1/1/22: Patient is a 84-year-old male history of chronic COPD not on home oxygen presents to ER with chief complaint of shortness of breath that is associated with cough and diarrhea for the past 1 week.  Patient denies any fevers or chills, reports to poor p.o. intake and generalized weakness.  Denies any recent travels,  reports to possible exposure to individuals with COVID-19.  In the emergency room patient was treated with supplemental oxygen, imaging study noted for bilateral pneumonia, blood cultures and stool studies were obtained, patient was treated with empiric Rocephin and azithromycin alongside with IV Solu-Medrol, unfortunately Facility currently does not have any rapid COVID-19 test available, therefore a COVID-19 PCR test was ordered for this patient.  Per ER provider report patient was vaccinated for COVID-19, however has not received his booster yet.  1/29/22: Patient is a 84-year-old male history of chronic COPD not on home oxygen presents to ER with chief complaint of shortness of breath. Patient admitted for acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Patient has been weaned to 3 L with rest. Hospital course complicated by acute left MCA CVA.  Patient was also does have a right ICA stenosis.  He will need further management outpatient.  Patient will be transferred to rehab.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Carotid artery stenosis, Cerebrovascular accident, Cough, Culture stool, Diarrhoea
Clinical narrative: Pfizer Dose 1 5/13/21 (ER8736) COVID Positive 1/1/22  1/1/22: Patient is a 84-year-old male history of chronic COPD not on home oxygen presents to ER with chief complaint of shortness of breath that is associated with cough and diarrhea for the past 1 week.  Patient denies any fevers or chills, reports to poor p.o. intake and generalized weakness.  Denies any recent travels,  reports to possible exposure to individuals with COVID-19.  In the emergency room patient was treated with supplemental oxygen, imaging study noted for bilateral pneumonia, blood cultures and stool studies were obtained, patient was treated with empiric Rocephin and azithromycin alongside with IV Solu-Medrol, unfortunately Facility currently does not have any rapid COVID-19 test available, therefore a COVID-19 PCR test was ordered for this patient.  Per ER provider report patient was vaccinated for COVID-19, however has not received his booster yet.  1/29/22: Patient is a 84-year-old male history of chronic COPD not on home oxygen presents to ER with chief complaint of shortness of breath. Patient admitted for acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Patient has been weaned to 3 L with rest. Hospital course complicated by acute left MCA CVA.  Patient was also does have a right ICA stenosis.  He will need further management outpatient.  Patient will be transferred to rehab.
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Hypophagia, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Pfizer Dose 1 5/13/21 (ER8736) COVID Positive 1/1/22  1/1/22: Patient is a 84-year-old male history of chronic COPD not on home oxygen presents to ER with chief complaint of shortness of breath that is associated with cough and diarrhea for the past 1 week.  Patient denies any fevers or chills, reports to poor p.o. intake and generalized weakness.  Denies any recent travels,  reports to possible exposure to individuals with COVID-19.  In the emergency room patient was treated with supplemental oxygen, imaging study noted for bilateral pneumonia, blood cultures and stool studies were obtained, patient was treated with empiric Rocephin and azithromycin alongside with IV Solu-Medrol, unfortunately Facility currently does not have any rapid COVID-19 test available, therefore a COVID-19 PCR test was ordered for this patient.  Per ER provider report patient was vaccinated for COVID-19, however has not received his booster yet.  1/29/22: Patient is a 84-year-old male history of chronic COPD not on home oxygen presents to ER with chief complaint of shortness of breath. Patient admitted for acute hypoxic respiratory failure secondary to COVID-19 pneumonia.  Patient has been weaned to 3 L with rest. Hospital course complicated by acute left MCA CVA.  Patient was also does have a right ICA stenosis.  He will need further management outpatient.  Patient will be transferred to rehab.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Lip swelling, Oropharyngeal pain, Rash
Clinical narrative: SHORT OF BREATHING  SWOLLEN LIP  RASH ON HAND SORE THROAT
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Rash
Clinical narrative: Pt presented back at pharmacy with widespread rash across upper body.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Dry throat, Hypertension, Malaise, Pain
Clinical narrative: On 3/31/2022, I received my second Pfizer booster for COVID-19. On 6/21/2022, I woke up with a very dry throat, body aches, and head congestion. My oxygen level was 97% or higher. I didn't have a fever or cough, though. That afternoon, I took an at-home COVID-19 test; the result was negative. On 6/22/2022, I still had the same symptoms and felt unwell. I took a second at-home test; this time, the result was positive. I called a clinic at a local pharmacy and got an appointment for 5 PM that day. I took a rapid test at the clinic, and I again got a positive result. The nurse advised me to go to the ER, because my blood pressure was high and so that I could get antiviral medication. The ER doctor prescribed me a 5-day course of molnupiravir. My blood pressure had decreased by 6/23/2022; my hypertension is a pre-existing condition that is unrelated to COVID-19. After I started taking molnupiravir on the evening of 6/22/2022, my congestion got slightly worse, but the dry throat went away. I developed a fever of 100.1 for only a couple of hours, and the only cough I had was a productive one that was related to the head congestion. I was told by both the clinic nurse and the ER doctor that my lungs were clear. Since I have had COVID-19, I have never had any oxygen levels below 96%. At the time of this writing, I feel for the first time like my congestion is almost gone. I have ceased to have any other symptoms.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Productive cough, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Sinus congestion
Clinical narrative: On 3/31/2022, I received my second Pfizer booster for COVID-19. On 6/21/2022, I woke up with a very dry throat, body aches, and head congestion. My oxygen level was 97% or higher. I didn't have a fever or cough, though. That afternoon, I took an at-home COVID-19 test; the result was negative. On 6/22/2022, I still had the same symptoms and felt unwell. I took a second at-home test; this time, the result was positive. I called a clinic at a local pharmacy and got an appointment for 5 PM that day. I took a rapid test at the clinic, and I again got a positive result. The nurse advised me to go to the ER, because my blood pressure was high and so that I could get antiviral medication. The ER doctor prescribed me a 5-day course of molnupiravir. My blood pressure had decreased by 6/23/2022; my hypertension is a pre-existing condition that is unrelated to COVID-19. After I started taking molnupiravir on the evening of 6/22/2022, my congestion got slightly worse, but the dry throat went away. I developed a fever of 100.1 for only a couple of hours, and the only cough I had was a productive one that was related to the head congestion. I was told by both the clinic nurse and the ER doctor that my lungs were clear. Since I have had COVID-19, I have never had any oxygen levels below 96%. At the time of this writing, I feel for the first time like my congestion is almost gone. I have ceased to have any other symptoms.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary abnormal, Asthenia, Blood test abnormal, Bronchiectasis, Bronchiolitis
Clinical narrative: Pfizer dose 1 3/20/21 (ER2613) Pfizer Dose 2 4/24/21 (EW0153) COVID Positive 1/14/22  1/13/22: A 67-year-old female with a past medical history of COPD not on home oxygen, type 2 DM with neuropathy, hyperlipidemia and history of aorto-femoral bypass surgery comes to ED complaining of cough and shortness of breath. Patient states that since last week she has been feeling weak with cough and shortness of breath.  Cough is productive with small amounts of mucoid sputum.  The last couple of days she is feeling more short of breath and also feels chills.  Two days ago she did give home COVID test and it was reported positive.  Patient lives alone, no sick contacts.  She states she took 2 doses of COVID-19 vaccine, but not booster.   In the ED, temp was 19.9 degree F, pulse ox 94% on room air, vital signs stable.  Blood work is significant for mild leukopenia and mild hyponatremia, mild lesion CRP and elevated D-dimer..  Chest x-ray negative for infiltrate. CT angio chest is done and is reported negative for pneumonia or infiltrate, positive for chronic bronchiectasis and bronchiolitis.  She was given IV dexamethasone 6 mg, IV ceftriaxone, IV Zithromax and the duo nebs in the ED. patient was placed on nasal cannula oxygen for comfort, no documented hypoxia.  COVID-19 PCR pending.  1/16/22:  67-year-old female with a history of COPD admitted for COVID-19 pneumonia and acute hypoxia.  Patient was managed with IV remdesivir, dexamethasone, antibiotics in addition to other supportive treatment on re-evaluation today she feels fine with complete resolution of hypoxia. She will be discharged on pre-admission medications.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein, COVID-19, COVID-19 pneumonia, Chest X-ray normal, Chills
Clinical narrative: Pfizer dose 1 3/20/21 (ER2613) Pfizer Dose 2 4/24/21 (EW0153) COVID Positive 1/14/22  1/13/22: A 67-year-old female with a past medical history of COPD not on home oxygen, type 2 DM with neuropathy, hyperlipidemia and history of aorto-femoral bypass surgery comes to ED complaining of cough and shortness of breath. Patient states that since last week she has been feeling weak with cough and shortness of breath.  Cough is productive with small amounts of mucoid sputum.  The last couple of days she is feeling more short of breath and also feels chills.  Two days ago she did give home COVID test and it was reported positive.  Patient lives alone, no sick contacts.  She states she took 2 doses of COVID-19 vaccine, but not booster.   In the ED, temp was 19.9 degree F, pulse ox 94% on room air, vital signs stable.  Blood work is significant for mild leukopenia and mild hyponatremia, mild lesion CRP and elevated D-dimer..  Chest x-ray negative for infiltrate. CT angio chest is done and is reported negative for pneumonia or infiltrate, positive for chronic bronchiectasis and bronchiolitis.  She was given IV dexamethasone 6 mg, IV ceftriaxone, IV Zithromax and the duo nebs in the ED. patient was placed on nasal cannula oxygen for comfort, no documented hypoxia.  COVID-19 PCR pending.  1/16/22:  67-year-old female with a history of COPD admitted for COVID-19 pneumonia and acute hypoxia.  Patient was managed with IV remdesivir, dexamethasone, antibiotics in addition to other supportive treatment on re-evaluation today she feels fine with complete resolution of hypoxia. She will be discharged on pre-admission medications.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Fibrin D dimer increased, Hyponatraemia, Hypoxia, Inappropriate schedule of product administration
Clinical narrative: Pfizer dose 1 3/20/21 (ER2613) Pfizer Dose 2 4/24/21 (EW0153) COVID Positive 1/14/22  1/13/22: A 67-year-old female with a past medical history of COPD not on home oxygen, type 2 DM with neuropathy, hyperlipidemia and history of aorto-femoral bypass surgery comes to ED complaining of cough and shortness of breath. Patient states that since last week she has been feeling weak with cough and shortness of breath.  Cough is productive with small amounts of mucoid sputum.  The last couple of days she is feeling more short of breath and also feels chills.  Two days ago she did give home COVID test and it was reported positive.  Patient lives alone, no sick contacts.  She states she took 2 doses of COVID-19 vaccine, but not booster.   In the ED, temp was 19.9 degree F, pulse ox 94% on room air, vital signs stable.  Blood work is significant for mild leukopenia and mild hyponatremia, mild lesion CRP and elevated D-dimer..  Chest x-ray negative for infiltrate. CT angio chest is done and is reported negative for pneumonia or infiltrate, positive for chronic bronchiectasis and bronchiolitis.  She was given IV dexamethasone 6 mg, IV ceftriaxone, IV Zithromax and the duo nebs in the ED. patient was placed on nasal cannula oxygen for comfort, no documented hypoxia.  COVID-19 PCR pending.  1/16/22:  67-year-old female with a history of COPD admitted for COVID-19 pneumonia and acute hypoxia.  Patient was managed with IV remdesivir, dexamethasone, antibiotics in addition to other supportive treatment on re-evaluation today she feels fine with complete resolution of hypoxia. She will be discharged on pre-admission medications.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Leukopenia, Productive cough, SARS-CoV-2 test positive
Clinical narrative: Pfizer dose 1 3/20/21 (ER2613) Pfizer Dose 2 4/24/21 (EW0153) COVID Positive 1/14/22  1/13/22: A 67-year-old female with a past medical history of COPD not on home oxygen, type 2 DM with neuropathy, hyperlipidemia and history of aorto-femoral bypass surgery comes to ED complaining of cough and shortness of breath. Patient states that since last week she has been feeling weak with cough and shortness of breath.  Cough is productive with small amounts of mucoid sputum.  The last couple of days she is feeling more short of breath and also feels chills.  Two days ago she did give home COVID test and it was reported positive.  Patient lives alone, no sick contacts.  She states she took 2 doses of COVID-19 vaccine, but not booster.   In the ED, temp was 19.9 degree F, pulse ox 94% on room air, vital signs stable.  Blood work is significant for mild leukopenia and mild hyponatremia, mild lesion CRP and elevated D-dimer..  Chest x-ray negative for infiltrate. CT angio chest is done and is reported negative for pneumonia or infiltrate, positive for chronic bronchiectasis and bronchiolitis.  She was given IV dexamethasone 6 mg, IV ceftriaxone, IV Zithromax and the duo nebs in the ED. patient was placed on nasal cannula oxygen for comfort, no documented hypoxia.  COVID-19 PCR pending.  1/16/22:  67-year-old female with a history of COPD admitted for COVID-19 pneumonia and acute hypoxia.  Patient was managed with IV remdesivir, dexamethasone, antibiotics in addition to other supportive treatment on re-evaluation today she feels fine with complete resolution of hypoxia. She will be discharged on pre-admission medications.
Age: 19.0
Sex: F
Vaccine: HEP
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: No adverse effects at this time  Engerix B given before age 20
Age: 0.33
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV1
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Rotarix was reconstituted with sterile diluent and administered orally to patient. Pentacel was not reconstituted and patient only received Dtap IPV portion of the vaccine intramuscularly. No adverse reaction reported by patient's guardian. Patient is being brought back in clinic to be revaccinated for both rotarix and pentacel per manufacturer recommendations.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Alcohol test negative, Back pain, Blood culture negative, Blood test abnormal, COVID-19
Clinical narrative: Pfizer Dose 1 4/22/21 (EN6201) Pfizer Dose 2 5/13/22 (ER9735) COVID Positive 1/16/22  1/15/22: A 44-year-old female with past medical history of schizoaffective disorder and borderline personality comes to ED complaining of low back pain.  Patient states pain started couple of days ago, low back pain, nonradiating. Patient is not a great historian, tox very less and only on repeated questioning, probably secondary to schizoaffective disorder.  Denies cough or shortness of breath.  Feels nauseous but no vomiting.  Denies abdominal pain on diarrhea or constipation.  Denies dysuria or hematuria or frequency of urination.   In the ED, her temperature was 101.3° F, pressures, responded to fluid bolus.  Blood work significant for hypokalemia and mild metabolic acidosis, no leukocytosis.  Alcohol level negative.  Drug screen negative.   CT abdomen pelvis done in the ED reported possible colitis involving hepatic flexure of the colon.  Patient is given IV ceftriaxone and metronidazole in the ED.  ED physician did not want to discharge the patient as he was not sure that the patient will be compliant taking antibiotics as outpatient.  1/19/22: Patient is a 44-year-old female with past medical history of schizoaffective disorder, borderline personality comes into the ED complaining of low back pain with started a couple of days prior to admission, along with fever mild metabolic acidosis and hypokalemia.  She was admitted to observe a shin service started on antibiotics, IV fluids and analgesics.  Imaging demonstrated no evidence for PE though some concerns for possible minimal infiltrate versus atelectasis, CT abdomen negative for acute etiology. Patient did test positive for COVID-19 and spiked fevers however she did not require supplemental oxygen.  For p.o. intake improved and pain was controlled she was tolerating this without any issues.  She also received antibiotics prophylactically it was transition to oral antibiotics, ascorbic acid, a Tessalon, zinc, to complete empiric course-- though suspect possible infiltrate and fevers related to COVID-19.  Blood cultures were collected and were negative for 48 hours patient was afebrile for more than 24 hours.  Blood pressures monitor on review seem to run baseline low/low normal patient otherwise asymptomatic. Patient had very flat affect sometimes refusing treatment, often irritable.  Behavioral Health was consulted, advised to continue her home medications of conveyed the and Remeron.  Discussed with Dr. Recommended patient be continued on this regimen on disposition and no ongoing reason for behavioral health admission, can follow up further as outpatient with establish providers.  All ED and RTC precautions were provided, COVID-19 quarantined precautions provided to patient.  She endorses understanding and agreement with plan as outlined. Follow-up with PCP within 7 days of discharge, follow-up with behavioral health provider as discussed.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen abnormal, Drug screen negative, Hypokalaemia, Irritability, Laboratory test abnormal
Clinical narrative: Pfizer Dose 1 4/22/21 (EN6201) Pfizer Dose 2 5/13/22 (ER9735) COVID Positive 1/16/22  1/15/22: A 44-year-old female with past medical history of schizoaffective disorder and borderline personality comes to ED complaining of low back pain.  Patient states pain started couple of days ago, low back pain, nonradiating. Patient is not a great historian, tox very less and only on repeated questioning, probably secondary to schizoaffective disorder.  Denies cough or shortness of breath.  Feels nauseous but no vomiting.  Denies abdominal pain on diarrhea or constipation.  Denies dysuria or hematuria or frequency of urination.   In the ED, her temperature was 101.3° F, pressures, responded to fluid bolus.  Blood work significant for hypokalemia and mild metabolic acidosis, no leukocytosis.  Alcohol level negative.  Drug screen negative.   CT abdomen pelvis done in the ED reported possible colitis involving hepatic flexure of the colon.  Patient is given IV ceftriaxone and metronidazole in the ED.  ED physician did not want to discharge the patient as he was not sure that the patient will be compliant taking antibiotics as outpatient.  1/19/22: Patient is a 44-year-old female with past medical history of schizoaffective disorder, borderline personality comes into the ED complaining of low back pain with started a couple of days prior to admission, along with fever mild metabolic acidosis and hypokalemia.  She was admitted to observe a shin service started on antibiotics, IV fluids and analgesics.  Imaging demonstrated no evidence for PE though some concerns for possible minimal infiltrate versus atelectasis, CT abdomen negative for acute etiology. Patient did test positive for COVID-19 and spiked fevers however she did not require supplemental oxygen.  For p.o. intake improved and pain was controlled she was tolerating this without any issues.  She also received antibiotics prophylactically it was transition to oral antibiotics, ascorbic acid, a Tessalon, zinc, to complete empiric course-- though suspect possible infiltrate and fevers related to COVID-19.  Blood cultures were collected and were negative for 48 hours patient was afebrile for more than 24 hours.  Blood pressures monitor on review seem to run baseline low/low normal patient otherwise asymptomatic. Patient had very flat affect sometimes refusing treatment, often irritable.  Behavioral Health was consulted, advised to continue her home medications of conveyed the and Remeron.  Discussed with Dr. Recommended patient be continued on this regimen on disposition and no ongoing reason for behavioral health admission, can follow up further as outpatient with establish providers.  All ED and RTC precautions were provided, COVID-19 quarantined precautions provided to patient.  She endorses understanding and agreement with plan as outlined. Follow-up with PCP within 7 days of discharge, follow-up with behavioral health provider as discussed.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic acidosis, Nausea, Pyrexia, Refusal of treatment by patient, SARS-CoV-2 test positive
Clinical narrative: Pfizer Dose 1 4/22/21 (EN6201) Pfizer Dose 2 5/13/22 (ER9735) COVID Positive 1/16/22  1/15/22: A 44-year-old female with past medical history of schizoaffective disorder and borderline personality comes to ED complaining of low back pain.  Patient states pain started couple of days ago, low back pain, nonradiating. Patient is not a great historian, tox very less and only on repeated questioning, probably secondary to schizoaffective disorder.  Denies cough or shortness of breath.  Feels nauseous but no vomiting.  Denies abdominal pain on diarrhea or constipation.  Denies dysuria or hematuria or frequency of urination.   In the ED, her temperature was 101.3° F, pressures, responded to fluid bolus.  Blood work significant for hypokalemia and mild metabolic acidosis, no leukocytosis.  Alcohol level negative.  Drug screen negative.   CT abdomen pelvis done in the ED reported possible colitis involving hepatic flexure of the colon.  Patient is given IV ceftriaxone and metronidazole in the ED.  ED physician did not want to discharge the patient as he was not sure that the patient will be compliant taking antibiotics as outpatient.  1/19/22: Patient is a 44-year-old female with past medical history of schizoaffective disorder, borderline personality comes into the ED complaining of low back pain with started a couple of days prior to admission, along with fever mild metabolic acidosis and hypokalemia.  She was admitted to observe a shin service started on antibiotics, IV fluids and analgesics.  Imaging demonstrated no evidence for PE though some concerns for possible minimal infiltrate versus atelectasis, CT abdomen negative for acute etiology. Patient did test positive for COVID-19 and spiked fevers however she did not require supplemental oxygen.  For p.o. intake improved and pain was controlled she was tolerating this without any issues.  She also received antibiotics prophylactically it was transition to oral antibiotics, ascorbic acid, a Tessalon, zinc, to complete empiric course-- though suspect possible infiltrate and fevers related to COVID-19.  Blood cultures were collected and were negative for 48 hours patient was afebrile for more than 24 hours.  Blood pressures monitor on review seem to run baseline low/low normal patient otherwise asymptomatic. Patient had very flat affect sometimes refusing treatment, often irritable.  Behavioral Health was consulted, advised to continue her home medications of conveyed the and Remeron.  Discussed with Dr. Recommended patient be continued on this regimen on disposition and no ongoing reason for behavioral health admission, can follow up further as outpatient with establish providers.  All ED and RTC precautions were provided, COVID-19 quarantined precautions provided to patient.  She endorses understanding and agreement with plan as outlined. Follow-up with PCP within 7 days of discharge, follow-up with behavioral health provider as discussed.
Age: 16.0
Sex: M
Vaccine: UNK
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient is a 16-year old male. He got the Janssen Covid Vaccine that is indicated for 18 year and older
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Ear discomfort, Ear infection, Ear pain
Clinical narrative: Last Saturday about noon my nose started running. The next day I developed a cough. I took ROBITUSSIN and TYLENOL.  I took that Sunday and Monday. On Tuesday I still had the cough and my head began to hurt around my eyes. I began to get stuffy. Then my ear stopped up and began popping. I went to the ER Tuesday evening. I was wheezing and my ear looked infection. I began to spit up phlegm that was white and then yellow. My ear continued to hurt. COVID-19 test at the ER was positive. As of today I still have symptoms, coughing. I was advised to take zinc and vitamin C.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Nasal congestion, Rhinorrhoea, SARS-CoV-2 test positive, Sputum discoloured
Clinical narrative: Last Saturday about noon my nose started running. The next day I developed a cough. I took ROBITUSSIN and TYLENOL.  I took that Sunday and Monday. On Tuesday I still had the cough and my head began to hurt around my eyes. I began to get stuffy. Then my ear stopped up and began popping. I went to the ER Tuesday evening. I was wheezing and my ear looked infection. I began to spit up phlegm that was white and then yellow. My ear continued to hurt. COVID-19 test at the ER was positive. As of today I still have symptoms, coughing. I was advised to take zinc and vitamin C.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Wheezing, X-ray
Clinical narrative: Last Saturday about noon my nose started running. The next day I developed a cough. I took ROBITUSSIN and TYLENOL.  I took that Sunday and Monday. On Tuesday I still had the cough and my head began to hurt around my eyes. I began to get stuffy. Then my ear stopped up and began popping. I went to the ER Tuesday evening. I was wheezing and my ear looked infection. I began to spit up phlegm that was white and then yellow. My ear continued to hurt. COVID-19 test at the ER was positive. As of today I still have symptoms, coughing. I was advised to take zinc and vitamin C.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain upper, Chest pain, Computerised tomogram, Costochondritis
Clinical narrative: On 4/26, I developed acute cramping abdominal pain, severe nausea, headache,  costochondritis, and intermittent L sided chest pain.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea exertional, Electrocardiogram, Fibrin D dimer increased, Headache, Lipase increased
Clinical narrative: On 4/26, I developed acute cramping abdominal pain, severe nausea, headache,  costochondritis, and intermittent L sided chest pain.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of personal independence in daily activities, Nausea, Pancreatitis acute, Troponin, Ultrasound abdomen abnormal
Clinical narrative: On 4/26, I developed acute cramping abdominal pain, severe nausea, headache,  costochondritis, and intermittent L sided chest pain.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB, PNC13, RV1
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Rotarix was reconstituted with sterile diluent and administered orally to patient. Pentacel was not reconstituted and patient only received HIB portion of the vaccine intramuscularly. No adverse reaction reported by patient's guardian. Patient is being brought back in clinic to be revaccinated for both rotarix and pentacel per manufacturer recommendations.
Age: 24.0
Sex: M
Vaccine: MMR
Symptoms: Discomfort, Injection site erythema, Injection site rash
Clinical narrative: 7/1/22 at (0800) Patient emailed today to report he had a reaction to his MMR vaccine given in clinic earlier this week. I left a message for him to call back to provide more information as to what symptoms he was having with his reaction? Directed patient to contact company to make an appointment to be assessed. Notified company via email to let them know patient may call to schedule a visit today.   7/1/22 at (1445) Patient stopped by clinic, asked if he received my emails and phone message. He reports he did not receive any messages today. His right Lateral upper arm appeared pink in color w/ an approximate 2.5-3 inch rash like area. He reports he went to a local urgent care yesterday on 6/30/22. He was directed to take ibuprofen for the discomfort, but no further treatment was ordered. He did not appear short of breath or in any distress. I asked the pt to please contact company as previously instructed this morning per messages as there is a provider available if need to be further assessed. He agreed to call and see them today.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Extra dose administered, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Three months after 4th dose, tested positive with a home COVID-19 test. His Dr. prescribed Paxlovid. Breakthrough case.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Rash, Urticaria
Clinical narrative: Broke out in hives on front of neck. Over several days hives spread to back of neck, upper arm, abdomen and butt.  Severe redness and itching. Initial treatment prescribed  6/27/22 Triamcinolone 0.1% cream, apply 3x day for 1-2 weeks.  Rash continued to spread so Dr called in Prednisone 10mg tablet tapering down for 12 days(?) beginning 6/29/22.  Also taking zyrtec during the day and benadryl tablets at night.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Discomfort, Swelling
Clinical narrative: Burrning, irritation, swelling side-effects happened after day of administration.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Headache, Oropharyngeal pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: I started feeling somewhat feverish on Wednesday evening very odd fever, on the following morning I experienced sore throat and headache so I took a home Covid test and it was positive and one hour later I took another home test and it was positive also.
Age: 3.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Gave 5-11 year old vaccine to a three year old
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient was given 5th Covid Pfizer vaccine (3rd booster).
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Headache, Myalgia, SARS-CoV-2 test positive
Clinical narrative: I started having fatigue, muscle aches and a slight headache. I had a PCR COVID-19 test that came back positive and had a telehealth visit with my Primary Care Physician. She suggested that I go and have the monoclonial antibodies since I had passed the threshold for getting Paxlovid. I went in on June 21, 2022 for the infusion of the antibodies as of today I am feeling pretty good.
Age: 1.67
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: She tested positive for COVID-19 on Thursday 6/30/22 but started showing symptoms on Tuesday 6/28/22
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Arthralgia, Balance disorder, Condition aggravated, Depressed mood
Clinical narrative: I was diagnosed with Lyme disease 10 years ago. About 3-4 days after receiving the vaccine I had sharp joint pain in my shoulders, wrists, and a stiff neck. I was unable to turn my head. I had swollen cervical lymph nodes. Both of my knees, hips, ankles and feet also had severe joint pain. I had a headache, and ocular migraines, and balance problems. My sense of smell was also heightened. I felt the sensation of bugs crawling on my skin, fatigued, and I felt depressed and anxious. I also had visual disturbances, and brain fog. I had experienced these symptoms before so I knew that it was my Lyme disease flaring up. I saw my primary care doctor a total of three times after having these symptoms. I was put on eleven different medications. I am still experiencing foggy brain, and sensation of bugs crawling on my skin.