chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: CSF test, Magnetic resonance imaging neck, Myelitis transverse
Clinical narrative: Transverse myelitis
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Paralysis
Clinical narrative: Paralysis easy and redness of the left arm.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received vaccine too early.  2nd dose was given on 09/14/21.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Fatigue, Malaise
Clinical narrative: Member reports feeling ill the morning after (8/7/2021) the vaccine. Experienced fatigue, SOB, chills. Saw provider on 8/11/2021.
Age: 11.0
Sex: F
Vaccine: DTAP, MENB
Symptoms: Vaccination error
Clinical narrative: Mother advised of vaccine error; f/u in 1 mo. Any issues please F/U. Mother verbalized understanding. Will be monitoring .
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Cough
Clinical narrative: Dry cough. Lasted for about a week.
Age: 1.25
Sex: M
Vaccine: DTAPIPV
Symptoms: No adverse event, Product administered to patient of inappropriate age
Clinical narrative: Kinrix advised for use in patients 4 years of age and older. Provider ordered incorrectly for 15 month old patient.  Provider spoke with the parent and advised of error. No adverse reactions reported.  Spoke with manufacturer and verified Dtap dose valid and no repeat needed. Provider reviewed Kinrix literature and made a personalized 15 month reminder for himself.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood glucose increased, COVID-19, Chest X-ray normal, Confusional state, Cough
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 08/17/2021.  40 y/o PMH of Traumatic brain injury and Hashimoto's thyroiditis presents to ED after PCP recommends he be evaluated due to worsening Covid symptoms.  Pt had positive home test on 1/13/2021.  On 1/18/2022 arrived to ED with c/o fatigue, polyuria, polydipsia, intermittent vomiting, cough and increased confusion.  Covid PCR + however blood glucose 800's.  CXR no acute process and room air sat 99%.  Blood sugars treated.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Malaise, Polydipsia, Polyuria, SARS-CoV-2 test positive
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 08/17/2021.  40 y/o PMH of Traumatic brain injury and Hashimoto's thyroiditis presents to ED after PCP recommends he be evaluated due to worsening Covid symptoms.  Pt had positive home test on 1/13/2021.  On 1/18/2022 arrived to ED with c/o fatigue, polyuria, polydipsia, intermittent vomiting, cough and increased confusion.  Covid PCR + however blood glucose 800's.  CXR no acute process and room air sat 99%.  Blood sugars treated.
Age: 40.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection, Vomiting
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 08/17/2021.  40 y/o PMH of Traumatic brain injury and Hashimoto's thyroiditis presents to ED after PCP recommends he be evaluated due to worsening Covid symptoms.  Pt had positive home test on 1/13/2021.  On 1/18/2022 arrived to ED with c/o fatigue, polyuria, polydipsia, intermittent vomiting, cough and increased confusion.  Covid PCR + however blood glucose 800's.  CXR no acute process and room air sat 99%.  Blood sugars treated.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: injection site red, burning, hot to touch, growing area starting 1 day after immunization
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Eye swelling, Lip swelling, Pyrexia, Swelling face, Swelling of eyelid
Clinical narrative: After getting the first dose of the vaccine I started to get hives randomly. I got allergy testing which was positive for some things. I tested positive for an allergy to 14 different items. I had no history of allergies besides one reaction 7 years ago. Since getting the first two doses of the vaccine I was getting hives 2-3 times a week. The day after getting the third dose of my vaccine I got a fever of 101.5. I took Tylenol and went to bed. On the second day I woke up with severe swelling and hives around my eyes and on my face. It was much worse on the left side. The hives were all around my eyes and my eyes and eyelids were swollen. I also had Hives and swelling on my upper lip. I took some Benadryl the first two days and the hives and swelling reduced. I consulted my doctor and she told me to take Antihistamines for 30 days. I am taking Loratadine 10mg once daily. The antihistamine worked to keep the reaction under control.  It has only been two weeks.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: After getting the first dose of the vaccine I started to get hives randomly. I got allergy testing which was positive for some things. I tested positive for an allergy to 14 different items. I had no history of allergies besides one reaction 7 years ago. Since getting the first two doses of the vaccine I was getting hives 2-3 times a week. The day after getting the third dose of my vaccine I got a fever of 101.5. I took Tylenol and went to bed. On the second day I woke up with severe swelling and hives around my eyes and on my face. It was much worse on the left side. The hives were all around my eyes and my eyes and eyelids were swollen. I also had Hives and swelling on my upper lip. I took some Benadryl the first two days and the hives and swelling reduced. I consulted my doctor and she told me to take Antihistamines for 30 days. I am taking Loratadine 10mg once daily. The antihistamine worked to keep the reaction under control.  It has only been two weeks.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Rash
Clinical narrative: Had rash develop on both hands and were swelling. Advised member to go to ER due to all of her allergies.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Chest X-ray normal, Chills, Cough, Diarrhoea
Clinical narrative: Patient is fully vaccinated.  COVID + on 12/8/2021.  ED visit on 12/8/2021. Pt c/o abdominal pain, diarrhea, sob that is worse with exertion, bodyaches X5 days.60-year-old male with history of diabetes, hypertension, CVA, myocardial infarction presents to the ED complaining of COVID 19 symptoms. Patient states that he has been experiencing diffuse body aches, intermittent fevers, chills, and mild shortness of breath for the past 3-4 days.Patient denies any history of DVT/PE. Positi ve for cough too. BP 111/65  | Pulse 58  | Temp 97.9 °F (36.6 °C) (Oral)  | Resp 16  | Ht 182.9 cm (6')  | Wt 92.5 kg (204 lb)  | SpO2 94%  | BMI 27.67 kg/m² CXR: Chest appears as stated without evidence of a suspicious pleural or parenchymal abnormality.Imaging revealed gallbladder sludge without any evidence of acute cholecystitis. Treatment:  Toradol, potassium bicarbonate. His oxygen saturation has remained stable throughout his time on room air. Patient will be discharged at this time and has been advised to follow-up with his primary care physician and general surgery soon as possible. He was given strict return precautions. Discharged.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Dyspnoea exertional, Gallbladder disorder, Imaging procedure abnormal, Pain
Clinical narrative: Patient is fully vaccinated.  COVID + on 12/8/2021.  ED visit on 12/8/2021. Pt c/o abdominal pain, diarrhea, sob that is worse with exertion, bodyaches X5 days.60-year-old male with history of diabetes, hypertension, CVA, myocardial infarction presents to the ED complaining of COVID 19 symptoms. Patient states that he has been experiencing diffuse body aches, intermittent fevers, chills, and mild shortness of breath for the past 3-4 days.Patient denies any history of DVT/PE. Positi ve for cough too. BP 111/65  | Pulse 58  | Temp 97.9 °F (36.6 °C) (Oral)  | Resp 16  | Ht 182.9 cm (6')  | Wt 92.5 kg (204 lb)  | SpO2 94%  | BMI 27.67 kg/m² CXR: Chest appears as stated without evidence of a suspicious pleural or parenchymal abnormality.Imaging revealed gallbladder sludge without any evidence of acute cholecystitis. Treatment:  Toradol, potassium bicarbonate. His oxygen saturation has remained stable throughout his time on room air. Patient will be discharged at this time and has been advised to follow-up with his primary care physician and general surgery soon as possible. He was given strict return precautions. Discharged.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Patient is fully vaccinated.  COVID + on 12/8/2021.  ED visit on 12/8/2021. Pt c/o abdominal pain, diarrhea, sob that is worse with exertion, bodyaches X5 days.60-year-old male with history of diabetes, hypertension, CVA, myocardial infarction presents to the ED complaining of COVID 19 symptoms. Patient states that he has been experiencing diffuse body aches, intermittent fevers, chills, and mild shortness of breath for the past 3-4 days.Patient denies any history of DVT/PE. Positi ve for cough too. BP 111/65  | Pulse 58  | Temp 97.9 °F (36.6 °C) (Oral)  | Resp 16  | Ht 182.9 cm (6')  | Wt 92.5 kg (204 lb)  | SpO2 94%  | BMI 27.67 kg/m² CXR: Chest appears as stated without evidence of a suspicious pleural or parenchymal abnormality.Imaging revealed gallbladder sludge without any evidence of acute cholecystitis. Treatment:  Toradol, potassium bicarbonate. His oxygen saturation has remained stable throughout his time on room air. Patient will be discharged at this time and has been advised to follow-up with his primary care physician and general surgery soon as possible. He was given strict return precautions. Discharged.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Ankle brachial index abnormal, Aortic arteriosclerosis, Aortitis, Blood culture negative, Computerised tomogram abdomen abnormal
Clinical narrative: Patient developed leg claudication in early October after Moderna COVID-19 vaccination in late September. These symptoms persisted for 3 months and he was hospitalized in early January 2022 where he was found to have aortitis on imaging. He was seen by vascular surgery and infectious diseases. Blood cultures were negative, he improved with steroids. Workup for possible vasculitis vs recurrent malignancy is underway.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Intermittent claudication, Recurrent cancer, Retroperitoneal lymphadenopathy, Vasculitis
Clinical narrative: Patient developed leg claudication in early October after Moderna COVID-19 vaccination in late September. These symptoms persisted for 3 months and he was hospitalized in early January 2022 where he was found to have aortitis on imaging. He was seen by vascular surgery and infectious diseases. Blood cultures were negative, he improved with steroids. Workup for possible vasculitis vs recurrent malignancy is underway.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Blood creatinine increased, Brain natriuretic peptide increased, C-reactive protein increased, COVID-19
Clinical narrative: 79 y.o. male with past medical history of systolic and diastolic heart failure, chronic hypoxic respiratory failure on 2 L, AICD placement, type 2 diabetes, RA on hydroxychloroquine and coronary artery disease with most recent stenting 2012 who presents to the ED with worsening fatigue and shortness of breath. Of apparently was in his normal state of health until yesterday evening when he slept poorly. This morning he was more weak and his wife states that he took a 5 hour nap. After waking up he developed rigors but his temperature was only 98.9.  He was somewhat more short of breath as well. Therefore he was brought to ED. In the ED upon arrival vital signs were as follow: Heart rate 124, BP 147/76, respiratory rate 28, T 103.2° with saturations of 88% on his normal 2 L. These did improve to the mid 90s on 4 L. present labs include a BNP 15000 (12,000 last month), CRP 4.7, procalcitonin 0.17, creatinine 2.25 (roughly baseline), D-dimer 3121, WBC 13.1. He did have a positive COVID-19 PCR test. A chest x-ray showed bilateral pulmonary infiltrates right greater than left. He received dexamethasone and was subsequently admitted to the hospitalist team. When I arrived he is resting comfortably in bed with his wife at bedside. He feels that improved slightly. Otherwise he continues to feel fatigued. He denies vomiting, diarrhea, chest pain or worsening swelling. He does admit to having no appetite. He received the J&J vaccine and had COVID in Nov 2020.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Chills, Decreased appetite, Dyspnoea, Fatigue
Clinical narrative: 79 y.o. male with past medical history of systolic and diastolic heart failure, chronic hypoxic respiratory failure on 2 L, AICD placement, type 2 diabetes, RA on hydroxychloroquine and coronary artery disease with most recent stenting 2012 who presents to the ED with worsening fatigue and shortness of breath. Of apparently was in his normal state of health until yesterday evening when he slept poorly. This morning he was more weak and his wife states that he took a 5 hour nap. After waking up he developed rigors but his temperature was only 98.9.  He was somewhat more short of breath as well. Therefore he was brought to ED. In the ED upon arrival vital signs were as follow: Heart rate 124, BP 147/76, respiratory rate 28, T 103.2° with saturations of 88% on his normal 2 L. These did improve to the mid 90s on 4 L. present labs include a BNP 15000 (12,000 last month), CRP 4.7, procalcitonin 0.17, creatinine 2.25 (roughly baseline), D-dimer 3121, WBC 13.1. He did have a positive COVID-19 PCR test. A chest x-ray showed bilateral pulmonary infiltrates right greater than left. He received dexamethasone and was subsequently admitted to the hospitalist team. When I arrived he is resting comfortably in bed with his wife at bedside. He feels that improved slightly. Otherwise he continues to feel fatigued. He denies vomiting, diarrhea, chest pain or worsening swelling. He does admit to having no appetite. He received the J&J vaccine and had COVID in Nov 2020.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fibrin D dimer, Lung infiltration, Poor quality sleep, Procalcitonin, SARS-CoV-2 test positive
Clinical narrative: 79 y.o. male with past medical history of systolic and diastolic heart failure, chronic hypoxic respiratory failure on 2 L, AICD placement, type 2 diabetes, RA on hydroxychloroquine and coronary artery disease with most recent stenting 2012 who presents to the ED with worsening fatigue and shortness of breath. Of apparently was in his normal state of health until yesterday evening when he slept poorly. This morning he was more weak and his wife states that he took a 5 hour nap. After waking up he developed rigors but his temperature was only 98.9.  He was somewhat more short of breath as well. Therefore he was brought to ED. In the ED upon arrival vital signs were as follow: Heart rate 124, BP 147/76, respiratory rate 28, T 103.2° with saturations of 88% on his normal 2 L. These did improve to the mid 90s on 4 L. present labs include a BNP 15000 (12,000 last month), CRP 4.7, procalcitonin 0.17, creatinine 2.25 (roughly baseline), D-dimer 3121, WBC 13.1. He did have a positive COVID-19 PCR test. A chest x-ray showed bilateral pulmonary infiltrates right greater than left. He received dexamethasone and was subsequently admitted to the hospitalist team. When I arrived he is resting comfortably in bed with his wife at bedside. He feels that improved slightly. Otherwise he continues to feel fatigued. He denies vomiting, diarrhea, chest pain or worsening swelling. He does admit to having no appetite. He received the J&J vaccine and had COVID in Nov 2020.
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: White blood cell count increased
Clinical narrative: 79 y.o. male with past medical history of systolic and diastolic heart failure, chronic hypoxic respiratory failure on 2 L, AICD placement, type 2 diabetes, RA on hydroxychloroquine and coronary artery disease with most recent stenting 2012 who presents to the ED with worsening fatigue and shortness of breath. Of apparently was in his normal state of health until yesterday evening when he slept poorly. This morning he was more weak and his wife states that he took a 5 hour nap. After waking up he developed rigors but his temperature was only 98.9.  He was somewhat more short of breath as well. Therefore he was brought to ED. In the ED upon arrival vital signs were as follow: Heart rate 124, BP 147/76, respiratory rate 28, T 103.2° with saturations of 88% on his normal 2 L. These did improve to the mid 90s on 4 L. present labs include a BNP 15000 (12,000 last month), CRP 4.7, procalcitonin 0.17, creatinine 2.25 (roughly baseline), D-dimer 3121, WBC 13.1. He did have a positive COVID-19 PCR test. A chest x-ray showed bilateral pulmonary infiltrates right greater than left. He received dexamethasone and was subsequently admitted to the hospitalist team. When I arrived he is resting comfortably in bed with his wife at bedside. He feels that improved slightly. Otherwise he continues to feel fatigued. He denies vomiting, diarrhea, chest pain or worsening swelling. He does admit to having no appetite. He received the J&J vaccine and had COVID in Nov 2020.
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Ear pain, Eye pruritus, Headache, Migraine
Clinical narrative: headache, has migraines, fever-98.6-99.9, chills, ear pain, sinus congestion, nasal congestion, post nasal drainage, sneezing, itchy eyes. starting 1/18/2022
Age: 45.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nasal congestion, Pyrexia, Sinus congestion, Sneezing, Upper-airway cough syndrome
Clinical narrative: headache, has migraines, fever-98.6-99.9, chills, ear pain, sinus congestion, nasal congestion, post nasal drainage, sneezing, itchy eyes. starting 1/18/2022
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Balance disorder, Condition aggravated, Dizziness, Hypertension, Vertigo
Clinical narrative: Severe vertigo, dizziness, and high blood pressure spikes as high as 220/119 which  lasted for one day.   However, it took me 3 days to completely recover from the woozy feeling and regain  balance.  Blood pressure still high after 3 days 135/94, up from my  usual B.P.  with medication of about 126/84.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Body temperature increased, Chest pain, Fatigue, Neck pain
Clinical narrative: Temperature of 101.7, fatigue/whole body soreness. Next day it increased to general chest pain followed by pain directly at the heart, extending to the left arm through to the neck and jaw.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pain in jaw, Troponin
Clinical narrative: Temperature of 101.7, fatigue/whole body soreness. Next day it increased to general chest pain followed by pain directly at the heart, extending to the left arm through to the neck and jaw.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Oropharyngeal pain, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: I began feeling  a sore throat around 12/27/21.  I isolated myself.  On 1/7/22  I was feeling fewer symptoms and had a RNA test performed that tested positive for COVID-19.   I was retested using a rapid test on 1/13/22 and tested negative for COVID-19.  The only symptoms were the sore throat and congestion.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID-19.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Received 0.6ml instead of the ordered 0.3ml. No adverse reactions noted from the member
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Rash erythematous
Clinical narrative: RED RASH ON CHEST .
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Headache, Heavy menstrual bleeding, Nausea, Oropharyngeal pain
Clinical narrative: On Jan 10th I experienced major headaches and sore throat and then the following day I felt nauseated so I took a home covid test and tested positive.  The following day I took a covid test at the doctor and also game back positive.  It the days to follow I had fever, vomiting, headaches, body aches, covid made me bleed extra heavy on my period because my blood was having a hard time clotting.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: On Jan 10th I experienced major headaches and sore throat and then the following day I felt nauseated so I took a home covid test and tested positive.  The following day I took a covid test at the doctor and also game back positive.  It the days to follow I had fever, vomiting, headaches, body aches, covid made me bleed extra heavy on my period because my blood was having a hard time clotting.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Infection
Clinical narrative: Breakthrough COVID
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Facial discomfort, Hypersensitivity, Mechanical urticaria, Pruritus
Clinical narrative: Had an allergic reaction on December 13. My face broke out and I developed an itchiness on my hands, back, and neck. Soon after, I started having daily symptoms of dermatographia. I had a dermatology appointment in which the Dermatologist diagnosed the dermatographia.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: covid vaccine breakthrough
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood glucose increased, COVID-19, Diabetic ketoacidosis, Fatigue
Clinical narrative: Pt admitted 1/18.       Chief Complaint   Generalized weakness x 2 days   History of Present Illness        This is a very pleasant 42yo male with a recent history of new onset DM, diagnosed in  August 2021. Recently, the patient passed out in his work cafeteria and found to have a glucose 700 (1/12/22) and presented to the ER. Found to be in mild DKA and did not want to be admitted. Signed out against medical advice. COVID negative. Represents today with generalized weakness and fatigue. Polydipsia and polyuria. States he is "so thirsty." Found to be in DKA. Given 2L IVF and started on an insulin gtt. Also COVID positive. The patient is on room air and denies any current respiratory complaints. The patient is fully vaccinated.     Unknown covid vaccine date, manufacturer, and location given.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Polydipsia, Polyuria, SARS-CoV-2 test positive, Thirst
Clinical narrative: Pt admitted 1/18.       Chief Complaint   Generalized weakness x 2 days   History of Present Illness        This is a very pleasant 42yo male with a recent history of new onset DM, diagnosed in  August 2021. Recently, the patient passed out in his work cafeteria and found to have a glucose 700 (1/12/22) and presented to the ER. Found to be in mild DKA and did not want to be admitted. Signed out against medical advice. COVID negative. Represents today with generalized weakness and fatigue. Polydipsia and polyuria. States he is "so thirsty." Found to be in DKA. Given 2L IVF and started on an insulin gtt. Also COVID positive. The patient is on room air and denies any current respiratory complaints. The patient is fully vaccinated.     Unknown covid vaccine date, manufacturer, and location given.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Received 0.6ml instead of the ordered 0.3ml. No adverse reactions noted from the member
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Infection
Clinical narrative: Breakthrough COVID
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse events reported.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Death
Clinical narrative: Patient was fully vaccinated, no booster. Patient developed COVID19 on 11/30/2021, spent time in the hospital from 11/29/2021 to 12/23/2021, went to hospice on discharge from the hospital, and died on 12/31/2021. Patients death is being examined by the mortality review team to determine if it was COVID19 related.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pharyngeal swelling, Pyrexia, Urticaria
Clinical narrative: Experienced swelling in my throat and hives all over my body.  Body aches and fever up to 103 degrees.  I took 2 benadryl tabs at the time of my vaccine.  After the hives started, I took more benadryl, tylenol and albuterol inhaler.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Blood gases normal, Blood lactic acid increased, Blood potassium increased, C-reactive protein increased
Clinical narrative: Patient also tested positive for covid on 1-2-22.  Sounds as though her discharge on 01/08/2022 the patient initially did well.  In follow-up by telephone the patient was weak as of the 11th.  Not able to get up and out of the better chair without assistance.  Oxygen needs had remained stable as he was discharged on 2 L nasal cannula.  Sounds as though there were attempts made at home health as well as therapy.  Today in dialysis patient stated he was having falls at home.  Noted bruising on his left shoulder.  Also mention of confusion.  Following this was sent to the emergency department for further evaluation.  Noted to again be somewhat confused though interestingly aware of his confusion from time to time. Labs showed no hypercarbia on ABG, elevated CRP of 13 up from 2.0 on the 8th.  LFTs unremarkable.  Daily lytes with mildly elevated potassium.  Procalcitonin noted to be elevated at 1.73.  Lactate mildly elevated at 2.1.  INR slightly subtherapeutic at 1.9.  No leukocytosis.  Hemoglobin stable.  Head CT obtained due to altered mental status and without acute findings.  Chest x-ray obtained and showing likely pneumonia with discrete infiltrate.  thought to have secondary bacterial pneumonia.  Started on Zosyn and vancomycin for possible Hcap.  Admitted for further cares
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Computerised tomogram head normal, Confusional state, Contusion
Clinical narrative: Patient also tested positive for covid on 1-2-22.  Sounds as though her discharge on 01/08/2022 the patient initially did well.  In follow-up by telephone the patient was weak as of the 11th.  Not able to get up and out of the better chair without assistance.  Oxygen needs had remained stable as he was discharged on 2 L nasal cannula.  Sounds as though there were attempts made at home health as well as therapy.  Today in dialysis patient stated he was having falls at home.  Noted bruising on his left shoulder.  Also mention of confusion.  Following this was sent to the emergency department for further evaluation.  Noted to again be somewhat confused though interestingly aware of his confusion from time to time. Labs showed no hypercarbia on ABG, elevated CRP of 13 up from 2.0 on the 8th.  LFTs unremarkable.  Daily lytes with mildly elevated potassium.  Procalcitonin noted to be elevated at 1.73.  Lactate mildly elevated at 2.1.  INR slightly subtherapeutic at 1.9.  No leukocytosis.  Hemoglobin stable.  Head CT obtained due to altered mental status and without acute findings.  Chest x-ray obtained and showing likely pneumonia with discrete infiltrate.  thought to have secondary bacterial pneumonia.  Started on Zosyn and vancomycin for possible Hcap.  Admitted for further cares
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Dialysis, Fall, Hypercapnia, International normalised ratio increased, Laboratory test abnormal
Clinical narrative: Patient also tested positive for covid on 1-2-22.  Sounds as though her discharge on 01/08/2022 the patient initially did well.  In follow-up by telephone the patient was weak as of the 11th.  Not able to get up and out of the better chair without assistance.  Oxygen needs had remained stable as he was discharged on 2 L nasal cannula.  Sounds as though there were attempts made at home health as well as therapy.  Today in dialysis patient stated he was having falls at home.  Noted bruising on his left shoulder.  Also mention of confusion.  Following this was sent to the emergency department for further evaluation.  Noted to again be somewhat confused though interestingly aware of his confusion from time to time. Labs showed no hypercarbia on ABG, elevated CRP of 13 up from 2.0 on the 8th.  LFTs unremarkable.  Daily lytes with mildly elevated potassium.  Procalcitonin noted to be elevated at 1.73.  Lactate mildly elevated at 2.1.  INR slightly subtherapeutic at 1.9.  No leukocytosis.  Hemoglobin stable.  Head CT obtained due to altered mental status and without acute findings.  Chest x-ray obtained and showing likely pneumonia with discrete infiltrate.  thought to have secondary bacterial pneumonia.  Started on Zosyn and vancomycin for possible Hcap.  Admitted for further cares
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Liver function test normal, Lung infiltration, Mental status changes, Mobility decreased, Pneumonia
Clinical narrative: Patient also tested positive for covid on 1-2-22.  Sounds as though her discharge on 01/08/2022 the patient initially did well.  In follow-up by telephone the patient was weak as of the 11th.  Not able to get up and out of the better chair without assistance.  Oxygen needs had remained stable as he was discharged on 2 L nasal cannula.  Sounds as though there were attempts made at home health as well as therapy.  Today in dialysis patient stated he was having falls at home.  Noted bruising on his left shoulder.  Also mention of confusion.  Following this was sent to the emergency department for further evaluation.  Noted to again be somewhat confused though interestingly aware of his confusion from time to time. Labs showed no hypercarbia on ABG, elevated CRP of 13 up from 2.0 on the 8th.  LFTs unremarkable.  Daily lytes with mildly elevated potassium.  Procalcitonin noted to be elevated at 1.73.  Lactate mildly elevated at 2.1.  INR slightly subtherapeutic at 1.9.  No leukocytosis.  Hemoglobin stable.  Head CT obtained due to altered mental status and without acute findings.  Chest x-ray obtained and showing likely pneumonia with discrete infiltrate.  thought to have secondary bacterial pneumonia.  Started on Zosyn and vancomycin for possible Hcap.  Admitted for further cares
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pneumonia bacterial, Procalcitonin increased, SARS-CoV-2 test positive
Clinical narrative: Patient also tested positive for covid on 1-2-22.  Sounds as though her discharge on 01/08/2022 the patient initially did well.  In follow-up by telephone the patient was weak as of the 11th.  Not able to get up and out of the better chair without assistance.  Oxygen needs had remained stable as he was discharged on 2 L nasal cannula.  Sounds as though there were attempts made at home health as well as therapy.  Today in dialysis patient stated he was having falls at home.  Noted bruising on his left shoulder.  Also mention of confusion.  Following this was sent to the emergency department for further evaluation.  Noted to again be somewhat confused though interestingly aware of his confusion from time to time. Labs showed no hypercarbia on ABG, elevated CRP of 13 up from 2.0 on the 8th.  LFTs unremarkable.  Daily lytes with mildly elevated potassium.  Procalcitonin noted to be elevated at 1.73.  Lactate mildly elevated at 2.1.  INR slightly subtherapeutic at 1.9.  No leukocytosis.  Hemoglobin stable.  Head CT obtained due to altered mental status and without acute findings.  Chest x-ray obtained and showing likely pneumonia with discrete infiltrate.  thought to have secondary bacterial pneumonia.  Started on Zosyn and vancomycin for possible Hcap.  Admitted for further cares
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired on 1/2/2022 but still given.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Chest pain, Computerised tomogram, Laboratory test, Pelvic pain
Clinical narrative: The pain started on the upper chest cavity right below the ribs, on both sides. The pain was sharp and throbbing. After a couple of days of the initial start of the pain, it moved to purely the mid-abdomen on the right side. After the second dose of the Pfizer vaccine, the next day pain was more intense, centered on the center-right abdomen. Up to the current date (1/19), the pain has now been centered around the lower pelvis on the right side.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan
Clinical narrative: The pain started on the upper chest cavity right below the ribs, on both sides. The pain was sharp and throbbing. After a couple of days of the initial start of the pain, it moved to purely the mid-abdomen on the right side. After the second dose of the Pfizer vaccine, the next day pain was more intense, centered on the center-right abdomen. Up to the current date (1/19), the pain has now been centered around the lower pelvis on the right side.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Breast pain, Breast swelling, Oedema peripheral
Clinical narrative: Swelling and pain in left axilla into left breast.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Flushing, Palpitations, Pyrexia
Clinical narrative: Received vaccine, went to work next day and had fever 102.7. stayed home from work on 8/4/2021. Today 8/5/2021 feels heart racing and lightheaded while at work. Feels flushed.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Shoulder injury related to vaccine administration
Clinical narrative: Per patient, a few hours after immunization she had a sore arm. Over the next couple of weeks, the soreness intensified. Patient had an appointment with an orthopedist and was diagnosed with SIRVA. Patient received a shot for the pain and has been working with a physical therapist since last October (10/2021).
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Event occurred after 2nd dose. Patient was diagnosed with COVID Remdisivir, Tylenol Discharged home
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Headache, Immediate post-injection reaction, Nystagmus
Clinical narrative: 1622:  Pt reported feeling dizzy and ear ringing immediately after covid vaccine.  She also reported slight SOB which self resolved before she reported dizziness.  Pt was assisted to chair outside procedure room, as procedure room was occupied.  Pt was able to stand and ambulate without feeling feeling like she was going to pass out, she stated she felt like the room was spinning.   1624:  Pt was given juice and water, declined crackers.  Reported no change in dizziness.  BP 119/62 HR 98 SPo2 98%% RA.   1629:  Pt was transferred to gurney. Slow steady gait noted while she held on to my arm. 1635:  Dizziness slightly improved.  No facial swelling noted, no itching reported,  BS clear to auscultation bilaterally.  Noted nystagmus when pt sat up to allow me to listen to her lungs.  Pt reported slight headache.  Pt also reported that dizziness was the same and there was no improvement after all.   1640:  VS repeated.  BP 101/63 HR 71 1642:  I have contacted Dr, incident to provider for covid vaccine clinic, and reported pt's symptoms and VS.  She state to keep patient for futher monitoring and she would discuss with urgent care provider and call back with disposition.   1654:  Dr. returned call.  Per Dr. pt may be discharged home, she will place orders for dramamine and patient to follow up in urgent care or ER should her symptoms get worse.  Read back completed.  Pt's father has also arrived.  Parents given instructions.  Pt and her mother were instructed to keep paperwork (EUA) in a safe place and to refer to it if she developed any sxs of severe allergic reaction such as swelling of the tongue, throat, face, difficulty breathing, SOB, generalized rash, abdominal pain, vomiting, dizziness and / or palpitations. In which case she should seek immediate medical attention. Pt's parents and patient verbalized understanding.   1802:  Per pt's mother she would feel more comfortable taken patient to urgent care now.  Discharge vitals BP 97/55 HR 79 SpO2 98% RA.  No other needs or complaints verbalized. Discharge ambulatory with her parents.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus, Vertigo
Clinical narrative: 1622:  Pt reported feeling dizzy and ear ringing immediately after covid vaccine.  She also reported slight SOB which self resolved before she reported dizziness.  Pt was assisted to chair outside procedure room, as procedure room was occupied.  Pt was able to stand and ambulate without feeling feeling like she was going to pass out, she stated she felt like the room was spinning.   1624:  Pt was given juice and water, declined crackers.  Reported no change in dizziness.  BP 119/62 HR 98 SPo2 98%% RA.   1629:  Pt was transferred to gurney. Slow steady gait noted while she held on to my arm. 1635:  Dizziness slightly improved.  No facial swelling noted, no itching reported,  BS clear to auscultation bilaterally.  Noted nystagmus when pt sat up to allow me to listen to her lungs.  Pt reported slight headache.  Pt also reported that dizziness was the same and there was no improvement after all.   1640:  VS repeated.  BP 101/63 HR 71 1642:  I have contacted Dr, incident to provider for covid vaccine clinic, and reported pt's symptoms and VS.  She state to keep patient for futher monitoring and she would discuss with urgent care provider and call back with disposition.   1654:  Dr. returned call.  Per Dr. pt may be discharged home, she will place orders for dramamine and patient to follow up in urgent care or ER should her symptoms get worse.  Read back completed.  Pt's father has also arrived.  Parents given instructions.  Pt and her mother were instructed to keep paperwork (EUA) in a safe place and to refer to it if she developed any sxs of severe allergic reaction such as swelling of the tongue, throat, face, difficulty breathing, SOB, generalized rash, abdominal pain, vomiting, dizziness and / or palpitations. In which case she should seek immediate medical attention. Pt's parents and patient verbalized understanding.   1802:  Per pt's mother she would feel more comfortable taken patient to urgent care now.  Discharge vitals BP 97/55 HR 79 SpO2 98% RA.  No other needs or complaints verbalized. Discharge ambulatory with her parents.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Alanine aminotransferase normal, Angiogram pulmonary abnormal, Anticoagulant therapy, Aspartate aminotransferase normal
Clinical narrative: 78 y/o woman from home with BMI of 28, history of hypertension, T2DM ( a1c of 8.5 as of 12/12), HLP, CAD/MI s/p PCI/stent, and glaucoma, who presented on 12/11 with worsening shortness of breath admitted for acute exertional hypoxemic respiratory failure due to covid-19 pneumonia.    Hospital course:    COVID Pneumonia, Acute hypoxemic Respiratory failure: Symptom onset on 11/30, COVID positive on 12/7. Last fever unknown. CTA on admission no PE, could not rule out subsegmental PE, Ground glass and patchy consolidation bilateral upper, mid and lower lung regions, left greater than right. She completed 10 days of decadron on 12/19 and 5 days of remdesivir on 12/14. She was on RA at rest and hypoxic to 84% on RA which improved by the time she completed steroids. She is hypoxic to 87-88% with ambulation and only requires 1-2L. She was on lovenox 40 mg SQ daily got DVT PPx. She is being discharged on home O2 1-2L on ambulation to keep O2 above 92%.    Poorly controlled T2DM: now off decadron. Resume PTA metformin.    History of HTN/HLP: continue PTA asa and lovastatin. On reduced dose PTA blood pressure meds of MTP 50 mg bid ( 100 mg bid) amlodipine 5 mg daily ( 10 mg daily) and lisinopril 10 mg daily (PTA prinzide 40), please adjust as blood pressure increases.    History of glaucoma: continue PTA eye drops   Primary Procedures:      Secondary Procedures: CTA chest    Reason for Hospital Admission (Admitting Diagnosis):  Covid pneumonia and hypoxemic respiratory failure.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blood alkaline phosphatase normal, Blood bilirubin normal, Blood chloride normal, Blood creatine phosphokinase normal, Blood creatinine normal
Clinical narrative: 78 y/o woman from home with BMI of 28, history of hypertension, T2DM ( a1c of 8.5 as of 12/12), HLP, CAD/MI s/p PCI/stent, and glaucoma, who presented on 12/11 with worsening shortness of breath admitted for acute exertional hypoxemic respiratory failure due to covid-19 pneumonia.    Hospital course:    COVID Pneumonia, Acute hypoxemic Respiratory failure: Symptom onset on 11/30, COVID positive on 12/7. Last fever unknown. CTA on admission no PE, could not rule out subsegmental PE, Ground glass and patchy consolidation bilateral upper, mid and lower lung regions, left greater than right. She completed 10 days of decadron on 12/19 and 5 days of remdesivir on 12/14. She was on RA at rest and hypoxic to 84% on RA which improved by the time she completed steroids. She is hypoxic to 87-88% with ambulation and only requires 1-2L. She was on lovenox 40 mg SQ daily got DVT PPx. She is being discharged on home O2 1-2L on ambulation to keep O2 above 92%.    Poorly controlled T2DM: now off decadron. Resume PTA metformin.    History of HTN/HLP: continue PTA asa and lovastatin. On reduced dose PTA blood pressure meds of MTP 50 mg bid ( 100 mg bid) amlodipine 5 mg daily ( 10 mg daily) and lisinopril 10 mg daily (PTA prinzide 40), please adjust as blood pressure increases.    History of glaucoma: continue PTA eye drops   Primary Procedures:      Secondary Procedures: CTA chest    Reason for Hospital Admission (Admitting Diagnosis):  Covid pneumonia and hypoxemic respiratory failure.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blood gases, Blood glucose increased, Blood lactic acid, Blood potassium decreased, Blood sodium normal
Clinical narrative: 78 y/o woman from home with BMI of 28, history of hypertension, T2DM ( a1c of 8.5 as of 12/12), HLP, CAD/MI s/p PCI/stent, and glaucoma, who presented on 12/11 with worsening shortness of breath admitted for acute exertional hypoxemic respiratory failure due to covid-19 pneumonia.    Hospital course:    COVID Pneumonia, Acute hypoxemic Respiratory failure: Symptom onset on 11/30, COVID positive on 12/7. Last fever unknown. CTA on admission no PE, could not rule out subsegmental PE, Ground glass and patchy consolidation bilateral upper, mid and lower lung regions, left greater than right. She completed 10 days of decadron on 12/19 and 5 days of remdesivir on 12/14. She was on RA at rest and hypoxic to 84% on RA which improved by the time she completed steroids. She is hypoxic to 87-88% with ambulation and only requires 1-2L. She was on lovenox 40 mg SQ daily got DVT PPx. She is being discharged on home O2 1-2L on ambulation to keep O2 above 92%.    Poorly controlled T2DM: now off decadron. Resume PTA metformin.    History of HTN/HLP: continue PTA asa and lovastatin. On reduced dose PTA blood pressure meds of MTP 50 mg bid ( 100 mg bid) amlodipine 5 mg daily ( 10 mg daily) and lisinopril 10 mg daily (PTA prinzide 40), please adjust as blood pressure increases.    History of glaucoma: continue PTA eye drops   Primary Procedures:      Secondary Procedures: CTA chest    Reason for Hospital Admission (Admitting Diagnosis):  Covid pneumonia and hypoxemic respiratory failure.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urea increased, Brain natriuretic peptide increased, COVID-19, COVID-19 pneumonia, Carbon dioxide normal
Clinical narrative: 78 y/o woman from home with BMI of 28, history of hypertension, T2DM ( a1c of 8.5 as of 12/12), HLP, CAD/MI s/p PCI/stent, and glaucoma, who presented on 12/11 with worsening shortness of breath admitted for acute exertional hypoxemic respiratory failure due to covid-19 pneumonia.    Hospital course:    COVID Pneumonia, Acute hypoxemic Respiratory failure: Symptom onset on 11/30, COVID positive on 12/7. Last fever unknown. CTA on admission no PE, could not rule out subsegmental PE, Ground glass and patchy consolidation bilateral upper, mid and lower lung regions, left greater than right. She completed 10 days of decadron on 12/19 and 5 days of remdesivir on 12/14. She was on RA at rest and hypoxic to 84% on RA which improved by the time she completed steroids. She is hypoxic to 87-88% with ambulation and only requires 1-2L. She was on lovenox 40 mg SQ daily got DVT PPx. She is being discharged on home O2 1-2L on ambulation to keep O2 above 92%.    Poorly controlled T2DM: now off decadron. Resume PTA metformin.    History of HTN/HLP: continue PTA asa and lovastatin. On reduced dose PTA blood pressure meds of MTP 50 mg bid ( 100 mg bid) amlodipine 5 mg daily ( 10 mg daily) and lisinopril 10 mg daily (PTA prinzide 40), please adjust as blood pressure increases.    History of glaucoma: continue PTA eye drops   Primary Procedures:      Secondary Procedures: CTA chest    Reason for Hospital Admission (Admitting Diagnosis):  Covid pneumonia and hypoxemic respiratory failure.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Coagulation test, Dyspnoea, Dyspnoea exertional, Eosinophil percentage, Full blood count
Clinical narrative: 78 y/o woman from home with BMI of 28, history of hypertension, T2DM ( a1c of 8.5 as of 12/12), HLP, CAD/MI s/p PCI/stent, and glaucoma, who presented on 12/11 with worsening shortness of breath admitted for acute exertional hypoxemic respiratory failure due to covid-19 pneumonia.    Hospital course:    COVID Pneumonia, Acute hypoxemic Respiratory failure: Symptom onset on 11/30, COVID positive on 12/7. Last fever unknown. CTA on admission no PE, could not rule out subsegmental PE, Ground glass and patchy consolidation bilateral upper, mid and lower lung regions, left greater than right. She completed 10 days of decadron on 12/19 and 5 days of remdesivir on 12/14. She was on RA at rest and hypoxic to 84% on RA which improved by the time she completed steroids. She is hypoxic to 87-88% with ambulation and only requires 1-2L. She was on lovenox 40 mg SQ daily got DVT PPx. She is being discharged on home O2 1-2L on ambulation to keep O2 above 92%.    Poorly controlled T2DM: now off decadron. Resume PTA metformin.    History of HTN/HLP: continue PTA asa and lovastatin. On reduced dose PTA blood pressure meds of MTP 50 mg bid ( 100 mg bid) amlodipine 5 mg daily ( 10 mg daily) and lisinopril 10 mg daily (PTA prinzide 40), please adjust as blood pressure increases.    History of glaucoma: continue PTA eye drops   Primary Procedures:      Secondary Procedures: CTA chest    Reason for Hospital Admission (Admitting Diagnosis):  Covid pneumonia and hypoxemic respiratory failure.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Glycosylated haemoglobin increased, Haematocrit normal, Haemoglobin normal, International normalised ratio normal, Liver function test
Clinical narrative: 78 y/o woman from home with BMI of 28, history of hypertension, T2DM ( a1c of 8.5 as of 12/12), HLP, CAD/MI s/p PCI/stent, and glaucoma, who presented on 12/11 with worsening shortness of breath admitted for acute exertional hypoxemic respiratory failure due to covid-19 pneumonia.    Hospital course:    COVID Pneumonia, Acute hypoxemic Respiratory failure: Symptom onset on 11/30, COVID positive on 12/7. Last fever unknown. CTA on admission no PE, could not rule out subsegmental PE, Ground glass and patchy consolidation bilateral upper, mid and lower lung regions, left greater than right. She completed 10 days of decadron on 12/19 and 5 days of remdesivir on 12/14. She was on RA at rest and hypoxic to 84% on RA which improved by the time she completed steroids. She is hypoxic to 87-88% with ambulation and only requires 1-2L. She was on lovenox 40 mg SQ daily got DVT PPx. She is being discharged on home O2 1-2L on ambulation to keep O2 above 92%.    Poorly controlled T2DM: now off decadron. Resume PTA metformin.    History of HTN/HLP: continue PTA asa and lovastatin. On reduced dose PTA blood pressure meds of MTP 50 mg bid ( 100 mg bid) amlodipine 5 mg daily ( 10 mg daily) and lisinopril 10 mg daily (PTA prinzide 40), please adjust as blood pressure increases.    History of glaucoma: continue PTA eye drops   Primary Procedures:      Secondary Procedures: CTA chest    Reason for Hospital Admission (Admitting Diagnosis):  Covid pneumonia and hypoxemic respiratory failure.