chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Blood creatinine increased, COVID-19, Central venous catheterisation, Computerised tomogram thorax normal
Clinical narrative: Provider summary "91 YO male with a PMHx of asthma, OSA, pulmonary hypertension, CKD stage 3, type 2 diabetes, obesity who presents with dyspnea on exertion and cold-like symptoms for a few days.   Patient is an incredibly poor historian and frequently falls asleep during exam.  He cannot tell me even why he came to the hospital.  He denies any current pain and denies any current trouble breathing.  Called patient's DPOA  and left voicemail.  Also discussed with daughter.  She told me that patient had been feeling sick for approximately a week.  He predominantly complained of myalgias and not trouble breathing.  ER notes that he complained of shortness of breath for the last few days.   Reportedly was vaccinated with 2 doses of the vaccine but did not obtain booster.   In the ED:  Initially required non-rebreather due to hypoxia PICC.  Quickly weaned to room air, but needs oxygen while sleeping due to known OSA.  Labs notable for COVID positive, AKI with a creatinine of 1.9.  CT pulmonary embolism negative for PE.   He was weaned fairly quickly off of BiPap support to nasal cannula. His mentation quickly improved as well. He was continued on dexamethasone and remdesevir while admitted. He was eventually weaned to room air but needed O2 with activity. He was seen by PT/OT recommended SNF v home with assist. He adamantly refuse SNF placement. His care was discussed wit his daughter and caregiver. They all agreed that he could come home. He was discharged in stable condition with strict return precautions. "
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Condition aggravated, Dyspnoea, Dyspnoea exertional, Hypoxia, Malaise
Clinical narrative: Provider summary "91 YO male with a PMHx of asthma, OSA, pulmonary hypertension, CKD stage 3, type 2 diabetes, obesity who presents with dyspnea on exertion and cold-like symptoms for a few days.   Patient is an incredibly poor historian and frequently falls asleep during exam.  He cannot tell me even why he came to the hospital.  He denies any current pain and denies any current trouble breathing.  Called patient's DPOA  and left voicemail.  Also discussed with daughter.  She told me that patient had been feeling sick for approximately a week.  He predominantly complained of myalgias and not trouble breathing.  ER notes that he complained of shortness of breath for the last few days.   Reportedly was vaccinated with 2 doses of the vaccine but did not obtain booster.   In the ED:  Initially required non-rebreather due to hypoxia PICC.  Quickly weaned to room air, but needs oxygen while sleeping due to known OSA.  Labs notable for COVID positive, AKI with a creatinine of 1.9.  CT pulmonary embolism negative for PE.   He was weaned fairly quickly off of BiPap support to nasal cannula. His mentation quickly improved as well. He was continued on dexamethasone and remdesevir while admitted. He was eventually weaned to room air but needed O2 with activity. He was seen by PT/OT recommended SNF v home with assist. He adamantly refuse SNF placement. His care was discussed wit his daughter and caregiver. They all agreed that he could come home. He was discharged in stable condition with strict return precautions. "
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mental status changes, Myalgia, Nasopharyngitis, Positive airway pressure therapy, SARS-CoV-2 test positive
Clinical narrative: Provider summary "91 YO male with a PMHx of asthma, OSA, pulmonary hypertension, CKD stage 3, type 2 diabetes, obesity who presents with dyspnea on exertion and cold-like symptoms for a few days.   Patient is an incredibly poor historian and frequently falls asleep during exam.  He cannot tell me even why he came to the hospital.  He denies any current pain and denies any current trouble breathing.  Called patient's DPOA  and left voicemail.  Also discussed with daughter.  She told me that patient had been feeling sick for approximately a week.  He predominantly complained of myalgias and not trouble breathing.  ER notes that he complained of shortness of breath for the last few days.   Reportedly was vaccinated with 2 doses of the vaccine but did not obtain booster.   In the ED:  Initially required non-rebreather due to hypoxia PICC.  Quickly weaned to room air, but needs oxygen while sleeping due to known OSA.  Labs notable for COVID positive, AKI with a creatinine of 1.9.  CT pulmonary embolism negative for PE.   He was weaned fairly quickly off of BiPap support to nasal cannula. His mentation quickly improved as well. He was continued on dexamethasone and remdesevir while admitted. He was eventually weaned to room air but needed O2 with activity. He was seen by PT/OT recommended SNF v home with assist. He adamantly refuse SNF placement. His care was discussed wit his daughter and caregiver. They all agreed that he could come home. He was discharged in stable condition with strict return precautions. "
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Sleep apnoea syndrome, Sleep disorder
Clinical narrative: Provider summary "91 YO male with a PMHx of asthma, OSA, pulmonary hypertension, CKD stage 3, type 2 diabetes, obesity who presents with dyspnea on exertion and cold-like symptoms for a few days.   Patient is an incredibly poor historian and frequently falls asleep during exam.  He cannot tell me even why he came to the hospital.  He denies any current pain and denies any current trouble breathing.  Called patient's DPOA  and left voicemail.  Also discussed with daughter.  She told me that patient had been feeling sick for approximately a week.  He predominantly complained of myalgias and not trouble breathing.  ER notes that he complained of shortness of breath for the last few days.   Reportedly was vaccinated with 2 doses of the vaccine but did not obtain booster.   In the ED:  Initially required non-rebreather due to hypoxia PICC.  Quickly weaned to room air, but needs oxygen while sleeping due to known OSA.  Labs notable for COVID positive, AKI with a creatinine of 1.9.  CT pulmonary embolism negative for PE.   He was weaned fairly quickly off of BiPap support to nasal cannula. His mentation quickly improved as well. He was continued on dexamethasone and remdesevir while admitted. He was eventually weaned to room air but needed O2 with activity. He was seen by PT/OT recommended SNF v home with assist. He adamantly refuse SNF placement. His care was discussed wit his daughter and caregiver. They all agreed that he could come home. He was discharged in stable condition with strict return precautions. "
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Gynaecological examination, Heavy menstrual bleeding, Menstruation irregular, Rash
Clinical narrative: I had a minor rash in middle of my arm on the fore arm are on the same side where the vaccine was received. I had severe abdominal pain and very heavy bleeding with my period. I made an appointment with my OBGYN, I had a pelvic exam done in the office. She ordered and ultra sound which I had done on 10/5/2021  and all results came back normal. I had my last period in August and after that one I didn't have another period until December. My menstrual cycle seems to be somewhat back to normal now. I use to have my period every 28 days and now it seems to be every 24-30 days.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan normal
Clinical narrative: I had a minor rash in middle of my arm on the fore arm are on the same side where the vaccine was received. I had severe abdominal pain and very heavy bleeding with my period. I made an appointment with my OBGYN, I had a pelvic exam done in the office. She ordered and ultra sound which I had done on 10/5/2021  and all results came back normal. I had my last period in August and after that one I didn't have another period until December. My menstrual cycle seems to be somewhat back to normal now. I use to have my period every 28 days and now it seems to be every 24-30 days.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Fibrin D dimer increased
Clinical narrative: Provider summary " 58-year-old female with a past medical history of asthma, sleep apnea, lupus, rheumatoid arthritis, type 2 diabetes, hypertension, hyperlipidemia, anxiety, and depression who presented to the emergency department today after her primary care provider send her for hypoxia after testing positive for COVID the same day. In the emergency department she was tachycardic, tachypneic, and hypoxic.  Her CBC and CMP were unremarkable. Her D-dimer was elevated at 580. Her chest x-ray showed ground-glass opacities and possible right pleural effusion, and a pulmonary CTA showed COVID pneumonia and mediastinal and hilar lymphadenopathy, but no pulmonary embolism. She was started on Decadron, remdesivir and Duo-nebs. She improved over the next few days and got 3 days of remdesivir. She was able to go off of oxygen on 12/10/21 and was discharged home in stable condition."
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count normal, Hilar lymphadenopathy, Hypoxia, Lung opacity, Lymphadenopathy mediastinal
Clinical narrative: Provider summary " 58-year-old female with a past medical history of asthma, sleep apnea, lupus, rheumatoid arthritis, type 2 diabetes, hypertension, hyperlipidemia, anxiety, and depression who presented to the emergency department today after her primary care provider send her for hypoxia after testing positive for COVID the same day. In the emergency department she was tachycardic, tachypneic, and hypoxic.  Her CBC and CMP were unremarkable. Her D-dimer was elevated at 580. Her chest x-ray showed ground-glass opacities and possible right pleural effusion, and a pulmonary CTA showed COVID pneumonia and mediastinal and hilar lymphadenopathy, but no pulmonary embolism. She was started on Decadron, remdesivir and Duo-nebs. She improved over the next few days and got 3 days of remdesivir. She was able to go off of oxygen on 12/10/21 and was discharged home in stable condition."
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Metabolic function test normal, SARS-CoV-2 test positive, Tachycardia, Tachypnoea
Clinical narrative: Provider summary " 58-year-old female with a past medical history of asthma, sleep apnea, lupus, rheumatoid arthritis, type 2 diabetes, hypertension, hyperlipidemia, anxiety, and depression who presented to the emergency department today after her primary care provider send her for hypoxia after testing positive for COVID the same day. In the emergency department she was tachycardic, tachypneic, and hypoxic.  Her CBC and CMP were unremarkable. Her D-dimer was elevated at 580. Her chest x-ray showed ground-glass opacities and possible right pleural effusion, and a pulmonary CTA showed COVID pneumonia and mediastinal and hilar lymphadenopathy, but no pulmonary embolism. She was started on Decadron, remdesivir and Duo-nebs. She improved over the next few days and got 3 days of remdesivir. She was able to go off of oxygen on 12/10/21 and was discharged home in stable condition."
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient got the expired Covid-19 vaccine (vaccine expired on 02/12/22). No ADEs is reported. Called Pfizer medical rep and she said there is new data that Covid-19 vaccine (purple cap) is stable in the fridge for 45 days. Advised patient to call doctor if the new data is acceptable. If not, revaccination is required.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: I started feeling like foggy vission. Use to read some things or use the phone without glasses but now have to use them more often.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Full blood count, Hypoaesthesia, Metabolic function test, Migraine
Clinical narrative: Complex migraine suspected - numb right hand, arm, face, followed by left sided migraine
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal
Clinical narrative: Started having fatigue and a little brain fog on date given, about 3/23/2021
Age: 17.0
Sex: F
Vaccine: MNQ
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient came to get menectra vaccine but was administered expired vaccine, after  it was realized that the vaccine was expired , the patient contacted and no adverse effects were reported.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bladder catheterisation, Bladder irrigation, COVID-19, SARS-CoV-2 test positive, Urine analysis abnormal
Clinical narrative: Provider summary "Urology was consulted and the patient had a Foley placed with bladder irrigation.  The patient will need to see Urology in close follow-up; nursing facility has been instructed to help arrange this appointment further transportation schedule.  Plavix is still on hold given risks of hematuria, this can be restarted as needed for PCP or nursing home staff.  Blood pressure well controlled, calcium channel blocker held, lisinopril restarted. The patient was found to be incidentally COVID positive, and has completed his quarantine.. The patient did have an abnormal urinalysis, but the sample was taken from an indwelling Foley catheter and thus likely highly contaminated.  He has finished a 3 day course of Zosyn.  After discussion with Infectious Disease and his urologist, all are in agreement that this does not require treatment, especially in the absence of fevers or other symptoms."
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: PATIENT WAS GIVEN AN EXPIRED DOSE PER POLICY. AFTER SPEAKING WITH PFIZER, THE DOSE HAD A 15 DAY GRACE PERIOD SO WAS STILL WITHIN THE TIME FRAME OF BEING GIVEN AND DOESN'T HAVE TO GET ANOTHER 1ST DOSE.   PATIENT WAS CALLED AND INFORMED BY DR ABOUT THE SITUATION THAT OCCURRED AND MADE SURE NO OTHER QUESTIONS WERE HAD BY THE PATIENT.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood creatinine increased, COVID-19, Gait disturbance, SARS-CoV-2 test positive
Clinical narrative: Provider summary "79 year old male with past medical history significant for progressive Parkinson's Disease (dx in 2004) with associated depression and cognitive impairment, hypertension, insomnia, bladder hyperactivity/urinary incontinence and BPH presented with progressive weakness and difficulty ambulating found to be positive for COVID 19.  He was also noted to have an elevated Creatinine to 1.3. Of note, patient required no treatment for his COVID 19 infection with no respiratory symptoms or hypoxia and was considered COVID recovered by time of discharge notwithstanding continued + test which can remain + for 90 days post infection."
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient got the expired Covid vaccine (vaccine expired on 02/12/22). No ADEs is reported. Called Pfizer medical rep and she said there is new data that Covid vaccine ( purple cap) is stable in the fridge for 45 days. Advised patient to call doctor if the new data is acceptable. if not, revaccination is required
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash, Skin warm, Swelling
Clinical narrative: I had a rash on the right arm. The arm got really hot to touch and it became very red below the elbow and up to the deltoid muscle. It look like I had the mumps. It stayed like that for 15-30 minutes. I did not take any medication, because I was not sure. After the 30 minutes it went away and it did not come back.
Age: 58.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: C-reactive protein normal, Pain, Red blood cell sedimentation rate normal
Clinical narrative: Pre-existing diagnosis fibromyalgia, chronic pain.  Increased body-wide pain of a different character after first shot, much more marked after COVID booster
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Dysstasia, Gait disturbance, Injection site erythema, Injection site swelling
Clinical narrative: Very large, red hot & swollen spot at injection site. Blisters below left knee, multiple sites on left hip, leg, foot, and ankle very sensitive to the touch. Also under left arm pit sensitive to touch (unable to wear bra). Thigh muscle sore, hard to stand for more than a few minutes. Walking is difficult, leg feels very heavy.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site warmth, Limb discomfort, Myalgia, Sensitive skin
Clinical narrative: Very large, red hot & swollen spot at injection site. Blisters below left knee, multiple sites on left hip, leg, foot, and ankle very sensitive to the touch. Also under left arm pit sensitive to touch (unable to wear bra). Thigh muscle sore, hard to stand for more than a few minutes. Walking is difficult, leg feels very heavy.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Limb discomfort, Mobility decreased, Neurological symptom, Pain in extremity, Sleep disorder
Clinical narrative: Approximately a few hours after my vaccination I felt the following symptoms: my left arm felt so heavy (I felt like having a stroke) It was a very excruciating, and about a week after it got worse and it would wake me up at night (This time I have limited motions) I took Advil to suppress the pain  - it did work temporarily then finally in August of 2021 - my husband convinced me to go to the doctor because my left hand was still in pain and the assessment was it could be from the shot or it could be arthritis and I was  advised to go to physical therapy  and it did help improve the situation.  As of this day 02/23/22 - I can still feel some manageable pain from my left arm.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: X-ray
Clinical narrative: Approximately a few hours after my vaccination I felt the following symptoms: my left arm felt so heavy (I felt like having a stroke) It was a very excruciating, and about a week after it got worse and it would wake me up at night (This time I have limited motions) I took Advil to suppress the pain  - it did work temporarily then finally in August of 2021 - my husband convinced me to go to the doctor because my left hand was still in pain and the assessment was it could be from the shot or it could be arthritis and I was  advised to go to physical therapy  and it did help improve the situation.  As of this day 02/23/22 - I can still feel some manageable pain from my left arm.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Balance disorder, Chest pain, Deafness unilateral, Dizziness
Clinical narrative: Severe vertigo, nausea, vomit, lightheadeness, brain fog, severe tinnitus, dizziness, chest pains, imbalance
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Ear, nose and throat examination abnormal, Feeling abnormal, Labyrinthitis, Magnetic resonance imaging normal, Nausea
Clinical narrative: Severe vertigo, nausea, vomit, lightheadeness, brain fog, severe tinnitus, dizziness, chest pains, imbalance
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus, Vertigo, Vomiting
Clinical narrative: Severe vertigo, nausea, vomit, lightheadeness, brain fog, severe tinnitus, dizziness, chest pains, imbalance
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram cerebral abnormal, Atrophy, COVID-19, Cerebral artery stenosis, Computerised tomogram head abnormal
Clinical narrative: Provider summary "92 year old male with PMHx significant for CKD 3, who presented to the ED on 11/19/21 for evaluation of right leg weakness. He reported last three days of intermittent neurologic changes starting with left arm numbness that resolved after a few hours and bilateral leg weakness. The CT of the brain did not show an acute infarct but showed chronic atrophy. His CTA head and neck showed 50% stenosis of the left MCA and 75% stenosis of the right PCA. His MRI did not show evidence of acute ischemic changes but showed chronic lacunar infarcts. In the emergency department he was found to be COVID positive despite being fully vaccinated. His condition improved throughout his hospital stay however on 11/20 had some difficulty swallowing but SLP evaluation was normal. He was accepted to an outpatient acute rehabilitation facility, however had to wait 10 days for placement due to being COVID positive. By 11/23 he had returned to baseline and was discharged home with PT and OT home care and was sent home with prescriptions for aspirin and Lipitor. Recommendations if this were to occur again would be to start Plavix."
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dysphagia, Hypoaesthesia, Lacunar infarction, Magnetic resonance imaging abnormal, Muscular weakness
Clinical narrative: Provider summary "92 year old male with PMHx significant for CKD 3, who presented to the ED on 11/19/21 for evaluation of right leg weakness. He reported last three days of intermittent neurologic changes starting with left arm numbness that resolved after a few hours and bilateral leg weakness. The CT of the brain did not show an acute infarct but showed chronic atrophy. His CTA head and neck showed 50% stenosis of the left MCA and 75% stenosis of the right PCA. His MRI did not show evidence of acute ischemic changes but showed chronic lacunar infarcts. In the emergency department he was found to be COVID positive despite being fully vaccinated. His condition improved throughout his hospital stay however on 11/20 had some difficulty swallowing but SLP evaluation was normal. He was accepted to an outpatient acute rehabilitation facility, however had to wait 10 days for placement due to being COVID positive. By 11/23 he had returned to baseline and was discharged home with PT and OT home care and was sent home with prescriptions for aspirin and Lipitor. Recommendations if this were to occur again would be to start Plavix."
Age: 91.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Neurological symptom, SARS-CoV-2 test positive
Clinical narrative: Provider summary "92 year old male with PMHx significant for CKD 3, who presented to the ED on 11/19/21 for evaluation of right leg weakness. He reported last three days of intermittent neurologic changes starting with left arm numbness that resolved after a few hours and bilateral leg weakness. The CT of the brain did not show an acute infarct but showed chronic atrophy. His CTA head and neck showed 50% stenosis of the left MCA and 75% stenosis of the right PCA. His MRI did not show evidence of acute ischemic changes but showed chronic lacunar infarcts. In the emergency department he was found to be COVID positive despite being fully vaccinated. His condition improved throughout his hospital stay however on 11/20 had some difficulty swallowing but SLP evaluation was normal. He was accepted to an outpatient acute rehabilitation facility, however had to wait 10 days for placement due to being COVID positive. By 11/23 he had returned to baseline and was discharged home with PT and OT home care and was sent home with prescriptions for aspirin and Lipitor. Recommendations if this were to occur again would be to start Plavix."
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Constipation, Decreased appetite, Disturbance in attention, Fatigue
Clinical narrative: Immense fatigue and brain fog (felt disorganized and unable to follow a familiar recipe), anxiety, loss of appetite, constipation, inability to fall asleep, sweating, unable to concentrate or to work around the house, fatigue after eating
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Hyperhidrosis, Insomnia, Loss of personal independence in daily activities
Clinical narrative: Immense fatigue and brain fog (felt disorganized and unable to follow a familiar recipe), anxiety, loss of appetite, constipation, inability to fall asleep, sweating, unable to concentrate or to work around the house, fatigue after eating
Age: 43.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Ageusia, Anosmia, Asthenia, COVID-19, Cough
Clinical narrative: Booster 10/31/2021 Moderna, breakthrough case of Covid-19. Started feeling unwell on 01/20/2022. Positive COVID-19 PCR on 01/21/2022. COVID acute sickness for about 10 days, feeling flu like symptoms, low energy, fever, loss of smell and taste, runny nose, sore throat and cough. While over the acute illness as of 02/23/2022, but still having symptoms. After a month later fatigue, bad headaches, and brain fog that impacted ability to work more than a couple of  hours per day.
Age: 43.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Fatigue, Feeling abnormal, Headache, Illness, Impaired work ability
Clinical narrative: Booster 10/31/2021 Moderna, breakthrough case of Covid-19. Started feeling unwell on 01/20/2022. Positive COVID-19 PCR on 01/21/2022. COVID acute sickness for about 10 days, feeling flu like symptoms, low energy, fever, loss of smell and taste, runny nose, sore throat and cough. While over the acute illness as of 02/23/2022, but still having symptoms. After a month later fatigue, bad headaches, and brain fog that impacted ability to work more than a couple of  hours per day.
Age: 43.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: Influenza like illness, Malaise, Oropharyngeal pain, Pyrexia, Rhinorrhoea
Clinical narrative: Booster 10/31/2021 Moderna, breakthrough case of Covid-19. Started feeling unwell on 01/20/2022. Positive COVID-19 PCR on 01/21/2022. COVID acute sickness for about 10 days, feeling flu like symptoms, low energy, fever, loss of smell and taste, runny nose, sore throat and cough. While over the acute illness as of 02/23/2022, but still having symptoms. After a month later fatigue, bad headaches, and brain fog that impacted ability to work more than a couple of  hours per day.
Age: 43.0
Sex: F
Vaccine: COVID19, FLUA4
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Booster 10/31/2021 Moderna, breakthrough case of Covid-19. Started feeling unwell on 01/20/2022. Positive COVID-19 PCR on 01/21/2022. COVID acute sickness for about 10 days, feeling flu like symptoms, low energy, fever, loss of smell and taste, runny nose, sore throat and cough. While over the acute illness as of 02/23/2022, but still having symptoms. After a month later fatigue, bad headaches, and brain fog that impacted ability to work more than a couple of  hours per day.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: PFIZER COVID VACCINE 2ND DOSE ADMINISTERED 11 DAYS EARLIER THAN SCHEDULED. VACCINATING NURSE WAS NOT AWARE OF FIRST DOSE GIVEN.  PATIENT WAS MONITORED AND NO ADVERSE SIDE EFFECTS  WERE NOTED.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Blood test, Cardiac valve disease, Cerebrovascular accident, Computerised tomogram
Clinical narrative: Pt. states that after receiving the 2nd dose of Moderna 05/05/2021, started experiencing symptoms 12/26/2021 of suffering a TIA Stroke. (Previous Stroke 04/22/2020) Medical Center admitted from 12/26/2021 (Heart valve "Branch Pocket" with Arrhythmia) discharged 02/22/2022. Pt. still experiencing symptoms.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Magnetic resonance imaging, Neurological symptom, Transient ischaemic attack
Clinical narrative: Pt. states that after receiving the 2nd dose of Moderna 05/05/2021, started experiencing symptoms 12/26/2021 of suffering a TIA Stroke. (Previous Stroke 04/22/2020) Medical Center admitted from 12/26/2021 (Heart valve "Branch Pocket" with Arrhythmia) discharged 02/22/2022. Pt. still experiencing symptoms.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Blood glucose increased, Blood test, COVID-19, Chest X-ray abnormal, Dyspnoea
Clinical narrative: When I got Covid it started off as a cold. Then I couldn't eat or take my medications which put my health at risk so I went to the ER. I also had trouble breathing. The doctor said I had pneumonia. I had a fever of 101 degrees. I stayed in the hospital for 4 days. I was sent home with oxygen because of the issues with my breathing. I was also given antibiotics. I still have a little problems breathing. Sometimes I will have an episode that lasts about 20 seconds when I have to grasp for air then my breathing goes back to normal. I still need to get my blood sugar under control as well because when that event happened it caused my numbers to be high. I have to see my doctor next week for that because my blood sugar haven't came down. My numbers have been bad during and ever since that event had happened.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Feeding disorder, Nasopharyngitis, Pneumonia, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: When I got Covid it started off as a cold. Then I couldn't eat or take my medications which put my health at risk so I went to the ER. I also had trouble breathing. The doctor said I had pneumonia. I had a fever of 101 degrees. I stayed in the hospital for 4 days. I was sent home with oxygen because of the issues with my breathing. I was also given antibiotics. I still have a little problems breathing. Sometimes I will have an episode that lasts about 20 seconds when I have to grasp for air then my breathing goes back to normal. I still need to get my blood sugar under control as well because when that event happened it caused my numbers to be high. I have to see my doctor next week for that because my blood sugar haven't came down. My numbers have been bad during and ever since that event had happened.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient got the expired Covid vaccine (vaccine expired on 02/12/22). No ADEs is reported. Called Pfizer medical rep and she said there is new data that Covid vaccine ( purple cap) is stable in the fridge for 45 days. Advised patient to call doctor if the new data is acceptable. if not, revaccination is required.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Laboratory test, Lymphadenopathy, Myalgia
Clinical narrative: Achy body, headache, chills, muscle pain, and swollen lymph nodes.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Achy body, headache, chills, muscle pain, and swollen lymph nodes.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Asthenia, Crying, Exaggerated startle response, Eye movement disorder, Feeling jittery
Clinical narrative: 2 month old perfectly healthy developing right on time and normal. Happy attentive baby, cooing and interacting very well before appointment. Received DtaP-Hib-Polio, Hep B, Prevnar 13 and Rotavirus at visit. Was fussy that day, no fever, slept a little more than normal. Next day seemed a little sleepy and projectile vomited, has never vomited before. 2 days after visit baby had what seemed to be a seizer..arms and legs tensed up on an off about 4 to 5 times in a 20 second episode. Baby cried hysterically after and during the episode seemed to be panicked and hyperventilating. After that baby has been jittery, seems to have regressed, no cooing or talking like before appointment, interaction and eye contact limited and not like before, has rapid eye movements, seems like her nervous system is firing off at random times, sleep patters much different. Looked pale for about 5 days after visit. Seems weaker then before. Also extremely sensitive to noises now and startles much easier than before appointment. Going to be seen by a neurologist in case a seizer did occur to prevent further episodes related to vaccines.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Hyperacusis, Hypersomnia, Hyperventilation, Irritability, Nervous system disorder
Clinical narrative: 2 month old perfectly healthy developing right on time and normal. Happy attentive baby, cooing and interacting very well before appointment. Received DtaP-Hib-Polio, Hep B, Prevnar 13 and Rotavirus at visit. Was fussy that day, no fever, slept a little more than normal. Next day seemed a little sleepy and projectile vomited, has never vomited before. 2 days after visit baby had what seemed to be a seizer..arms and legs tensed up on an off about 4 to 5 times in a 20 second episode. Baby cried hysterically after and during the episode seemed to be panicked and hyperventilating. After that baby has been jittery, seems to have regressed, no cooing or talking like before appointment, interaction and eye contact limited and not like before, has rapid eye movements, seems like her nervous system is firing off at random times, sleep patters much different. Looked pale for about 5 days after visit. Seems weaker then before. Also extremely sensitive to noises now and startles much easier than before appointment. Going to be seen by a neurologist in case a seizer did occur to prevent further episodes related to vaccines.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Pallor, Panic attack, Regressive behaviour, Seizure like phenomena, Sleep disorder
Clinical narrative: 2 month old perfectly healthy developing right on time and normal. Happy attentive baby, cooing and interacting very well before appointment. Received DtaP-Hib-Polio, Hep B, Prevnar 13 and Rotavirus at visit. Was fussy that day, no fever, slept a little more than normal. Next day seemed a little sleepy and projectile vomited, has never vomited before. 2 days after visit baby had what seemed to be a seizer..arms and legs tensed up on an off about 4 to 5 times in a 20 second episode. Baby cried hysterically after and during the episode seemed to be panicked and hyperventilating. After that baby has been jittery, seems to have regressed, no cooing or talking like before appointment, interaction and eye contact limited and not like before, has rapid eye movements, seems like her nervous system is firing off at random times, sleep patters much different. Looked pale for about 5 days after visit. Seems weaker then before. Also extremely sensitive to noises now and startles much easier than before appointment. Going to be seen by a neurologist in case a seizer did occur to prevent further episodes related to vaccines.
Age: 0.17
Sex: F
Vaccine: DTAPIPVHIB
Symptoms: Somnolence, Tension, Vomiting projectile
Clinical narrative: 2 month old perfectly healthy developing right on time and normal. Happy attentive baby, cooing and interacting very well before appointment. Received DtaP-Hib-Polio, Hep B, Prevnar 13 and Rotavirus at visit. Was fussy that day, no fever, slept a little more than normal. Next day seemed a little sleepy and projectile vomited, has never vomited before. 2 days after visit baby had what seemed to be a seizer..arms and legs tensed up on an off about 4 to 5 times in a 20 second episode. Baby cried hysterically after and during the episode seemed to be panicked and hyperventilating. After that baby has been jittery, seems to have regressed, no cooing or talking like before appointment, interaction and eye contact limited and not like before, has rapid eye movements, seems like her nervous system is firing off at random times, sleep patters much different. Looked pale for about 5 days after visit. Seems weaker then before. Also extremely sensitive to noises now and startles much easier than before appointment. Going to be seen by a neurologist in case a seizer did occur to prevent further episodes related to vaccines.
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Angiogram pulmonary abnormal, Blood creatinine normal, Blood glucose normal, Blood potassium decreased, Blood sodium normal
Clinical narrative: Provider summary: " 68 YO year old female with a history of lupus, rheumatoid arthritis, EDS, hypertension, hyperlipidemia, chronic pain, and anxiety/depression who presented to the ED on 11/25/2021 with worsening shortness of breath. She first noted some "cold" symptoms about 3 weeks ago following surgery on her right knee - chest tightness, cough, congestion, etc. Since that time, she noticed progressively worsening shortness of breath, wheezing, and extreme fatigue. In the ED, vitals were as follows: T - 100.2, HR - 89, BP - 132/89, RR - 20, SpO2 - 91% on RA. Initial labs were significant for WBC 5.7, Hgb 12.9, Plt 142, Na 138, K 3.3, Cr 0.6, and Glu 102. Liver enzymes were mildly elevated. ESR and CRP were both elevated. COVID and RVP were largely unremarkable. D-dimer was elevated, but subsequent CTA chest did not reveal any pulmonary emboli. With that said, the CT scan did demonstrate multiple focal, ground-glass opacities throughout both lungs suggestive of an infiltrate/pneumonia. Upon getting up to walk the patient desaturated into the 80s. She was administered a dose prednisone and Doxycycline before being admitted to the general medicine team for further evaluation and management. Her hospital course was significant for a CT chest which was done to evaluate for interstitial lung disease, this was negative. Patient also had another send out COVID test which ended up coming back positive. Antibiotics were stopped. Patient was not hypoxic on 11/28 and was stable for discharge. Will restart her arava on discharge"
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: C-reactive protein increased, Chest discomfort, Cough, Dyspnoea, Fatigue
Clinical narrative: Provider summary: " 68 YO year old female with a history of lupus, rheumatoid arthritis, EDS, hypertension, hyperlipidemia, chronic pain, and anxiety/depression who presented to the ED on 11/25/2021 with worsening shortness of breath. She first noted some "cold" symptoms about 3 weeks ago following surgery on her right knee - chest tightness, cough, congestion, etc. Since that time, she noticed progressively worsening shortness of breath, wheezing, and extreme fatigue. In the ED, vitals were as follows: T - 100.2, HR - 89, BP - 132/89, RR - 20, SpO2 - 91% on RA. Initial labs were significant for WBC 5.7, Hgb 12.9, Plt 142, Na 138, K 3.3, Cr 0.6, and Glu 102. Liver enzymes were mildly elevated. ESR and CRP were both elevated. COVID and RVP were largely unremarkable. D-dimer was elevated, but subsequent CTA chest did not reveal any pulmonary emboli. With that said, the CT scan did demonstrate multiple focal, ground-glass opacities throughout both lungs suggestive of an infiltrate/pneumonia. Upon getting up to walk the patient desaturated into the 80s. She was administered a dose prednisone and Doxycycline before being admitted to the general medicine team for further evaluation and management. Her hospital course was significant for a CT chest which was done to evaluate for interstitial lung disease, this was negative. Patient also had another send out COVID test which ended up coming back positive. Antibiotics were stopped. Patient was not hypoxic on 11/28 and was stable for discharge. Will restart her arava on discharge"
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fibrin D dimer increased, Haemoglobin normal, Hepatic enzyme increased, Knee operation, Lung opacity
Clinical narrative: Provider summary: " 68 YO year old female with a history of lupus, rheumatoid arthritis, EDS, hypertension, hyperlipidemia, chronic pain, and anxiety/depression who presented to the ED on 11/25/2021 with worsening shortness of breath. She first noted some "cold" symptoms about 3 weeks ago following surgery on her right knee - chest tightness, cough, congestion, etc. Since that time, she noticed progressively worsening shortness of breath, wheezing, and extreme fatigue. In the ED, vitals were as follows: T - 100.2, HR - 89, BP - 132/89, RR - 20, SpO2 - 91% on RA. Initial labs were significant for WBC 5.7, Hgb 12.9, Plt 142, Na 138, K 3.3, Cr 0.6, and Glu 102. Liver enzymes were mildly elevated. ESR and CRP were both elevated. COVID and RVP were largely unremarkable. D-dimer was elevated, but subsequent CTA chest did not reveal any pulmonary emboli. With that said, the CT scan did demonstrate multiple focal, ground-glass opacities throughout both lungs suggestive of an infiltrate/pneumonia. Upon getting up to walk the patient desaturated into the 80s. She was administered a dose prednisone and Doxycycline before being admitted to the general medicine team for further evaluation and management. Her hospital course was significant for a CT chest which was done to evaluate for interstitial lung disease, this was negative. Patient also had another send out COVID test which ended up coming back positive. Antibiotics were stopped. Patient was not hypoxic on 11/28 and was stable for discharge. Will restart her arava on discharge"
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Nasopharyngitis, Oxygen saturation decreased, Platelet count decreased, Red blood cell sedimentation rate increased, Respiratory tract congestion
Clinical narrative: Provider summary: " 68 YO year old female with a history of lupus, rheumatoid arthritis, EDS, hypertension, hyperlipidemia, chronic pain, and anxiety/depression who presented to the ED on 11/25/2021 with worsening shortness of breath. She first noted some "cold" symptoms about 3 weeks ago following surgery on her right knee - chest tightness, cough, congestion, etc. Since that time, she noticed progressively worsening shortness of breath, wheezing, and extreme fatigue. In the ED, vitals were as follows: T - 100.2, HR - 89, BP - 132/89, RR - 20, SpO2 - 91% on RA. Initial labs were significant for WBC 5.7, Hgb 12.9, Plt 142, Na 138, K 3.3, Cr 0.6, and Glu 102. Liver enzymes were mildly elevated. ESR and CRP were both elevated. COVID and RVP were largely unremarkable. D-dimer was elevated, but subsequent CTA chest did not reveal any pulmonary emboli. With that said, the CT scan did demonstrate multiple focal, ground-glass opacities throughout both lungs suggestive of an infiltrate/pneumonia. Upon getting up to walk the patient desaturated into the 80s. She was administered a dose prednisone and Doxycycline before being admitted to the general medicine team for further evaluation and management. Her hospital course was significant for a CT chest which was done to evaluate for interstitial lung disease, this was negative. Patient also had another send out COVID test which ended up coming back positive. Antibiotics were stopped. Patient was not hypoxic on 11/28 and was stable for discharge. Will restart her arava on discharge"
Age: 67.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Respiratory viral panel, SARS-CoV-2 test positive, Wheezing, White blood cell count normal
Clinical narrative: Provider summary: " 68 YO year old female with a history of lupus, rheumatoid arthritis, EDS, hypertension, hyperlipidemia, chronic pain, and anxiety/depression who presented to the ED on 11/25/2021 with worsening shortness of breath. She first noted some "cold" symptoms about 3 weeks ago following surgery on her right knee - chest tightness, cough, congestion, etc. Since that time, she noticed progressively worsening shortness of breath, wheezing, and extreme fatigue. In the ED, vitals were as follows: T - 100.2, HR - 89, BP - 132/89, RR - 20, SpO2 - 91% on RA. Initial labs were significant for WBC 5.7, Hgb 12.9, Plt 142, Na 138, K 3.3, Cr 0.6, and Glu 102. Liver enzymes were mildly elevated. ESR and CRP were both elevated. COVID and RVP were largely unremarkable. D-dimer was elevated, but subsequent CTA chest did not reveal any pulmonary emboli. With that said, the CT scan did demonstrate multiple focal, ground-glass opacities throughout both lungs suggestive of an infiltrate/pneumonia. Upon getting up to walk the patient desaturated into the 80s. She was administered a dose prednisone and Doxycycline before being admitted to the general medicine team for further evaluation and management. Her hospital course was significant for a CT chest which was done to evaluate for interstitial lung disease, this was negative. Patient also had another send out COVID test which ended up coming back positive. Antibiotics were stopped. Patient was not hypoxic on 11/28 and was stable for discharge. Will restart her arava on discharge"
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: We gave 1 shot of Moderna 3rd dose to a 16 year old. Moderna is only approved for 18 and above.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Clostridium test negative, Diarrhoea, Muscle spasms, Urine analysis normal
Clinical narrative: On March 6th I started to have severe cramping and subsequent diarrhea.  This continued through to March 7th.  I had to stay close to the bathroom in my bedroom during this period.  Prior to this on Dec 18th, 2020, I was diagnosed with C. Diff (clostridium difficile) - community acquired - no explanation as to source.  The first treatment with vancomycin failed and on Jan. 4, 2021, I was put on fidaxomicin (DIFICID).  This second treatment worked.  Thus, on March 7th, 2021 I was very afraid that I had a reoccurrence of C. Diff.  That is why I went to the Urgent Care on March 7th.  See below for tests.  It turned out I did NOT have C.Diff.  I was sent home with instructions to follow standard home care for diarrhea (BRAT diet, liquids).  And to consult my Primary Care physician if I did not improve.    By March 9th  or 10th, I was recovered.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Arthropathy, Bone pain, Grip strength decreased, Insomnia, Mobility decreased
Clinical narrative: She got her vaccine, and on the 2nd day her hand started hurting.  All 8 digits of her hand trigger finger, which she had surgery on before.  She could not touch anything, hold a coffee cup, pull her pants up or peel potatoes.  Then as it went on it went to her left shoulder and she couldn't lift her arm.  It hurt down from the bone in the top of her shoulder, down to about her elbow, and it's like muscle pain.  It then traveled across into her left shoulder blade and went across both of them.  She could not find a way to lay down and sleep.  It then went down the right arm, and down to the base of her back.  She is not able to lift her arm without the help of her other arm.  Her hands are sore, and it's been over 2 months and wonders if this is going to go away or is she left with this the rest of her life.  Some fingers still pop, and has to pop her fingers loose by popping it as it was triggering.  Some days she has a pretty good day and the other is hurts like crazy.    She said that she doesn't think that she would get another booster.     She went to her cardiologist and he said his wife had AE from the Moderna vaccination.   She then went to her diabetic doctor and the NP is in her 40s and said that she got her booster and she had similar complaints and said that she thought she was going to die the pain was so bad.  She went to her PCP and told her take Tylenol.    It bothers her more at night, and wakes her up in the middle of the night.  She has pain almost every day.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Pain in extremity, Sleep disorder, Tendon sheath incision
Clinical narrative: She got her vaccine, and on the 2nd day her hand started hurting.  All 8 digits of her hand trigger finger, which she had surgery on before.  She could not touch anything, hold a coffee cup, pull her pants up or peel potatoes.  Then as it went on it went to her left shoulder and she couldn't lift her arm.  It hurt down from the bone in the top of her shoulder, down to about her elbow, and it's like muscle pain.  It then traveled across into her left shoulder blade and went across both of them.  She could not find a way to lay down and sleep.  It then went down the right arm, and down to the base of her back.  She is not able to lift her arm without the help of her other arm.  Her hands are sore, and it's been over 2 months and wonders if this is going to go away or is she left with this the rest of her life.  Some fingers still pop, and has to pop her fingers loose by popping it as it was triggering.  Some days she has a pretty good day and the other is hurts like crazy.    She said that she doesn't think that she would get another booster.     She went to her cardiologist and he said his wife had AE from the Moderna vaccination.   She then went to her diabetic doctor and the NP is in her 40s and said that she got her booster and she had similar complaints and said that she thought she was going to die the pain was so bad.  She went to her PCP and told her take Tylenol.    It bothers her more at night, and wakes her up in the middle of the night.  She has pain almost every day.