chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory failure, Road traffic accident, SARS-CoV-2 test positive, Stent placement, Troponin increased
Clinical narrative: COVID BREAKTHROUGH  Pfizer Dose 1 2/10/21 (EN6201) Pfizer Dose 2 3/3/21 (EN6199) COVID Positive 8/22/21  8/22/21: Patient is a 75 year old male with past history of coronary disease status post CABG, ischemic cardiomyopathy status post AICD placement, diabetes mellitus, hypertension, and hyperlipidemia who was admitted after having multiple shocks from his AICD.  History is obtained from chart review as well as discussion with the patient and the ED provider.  Patient does have a history of a coronary artery bypass in 1990.  He has a history of multiple stents and appears his last stents were placed approximately 2 years ago at an outside hospital.  Last stents placed at this hospital were an 2016. He does still take aspirin and Plavix daily.  Patient states that he was driving yesterday morning when he rear-ended a vehicle at approximately 12:30 a.m..  He states that the airbags did deploy a and that he had significant pain on his chest from the seatbelt.  He denies losing consciousness prior to the episode.  He did not seek out medical treatment at that time and went home.  He went to sleep and then woke up to after being shocked by his defibrillator.  He thought he was shocked about 3 times however on interrogation he received a total of 10 shocks and a 5 minutes period.  His chest is quite sore and overall just feels weak from the defibrillator episodes.  Not having any current shortness of breath, fevers, chills, nausea, vomiting, abdominal pain.  Transferred to this hospital after being started on amiodarone infusion.  Troponin slightly elevated.  9/3/21: Patient was admitted and Cardiology was consulted given AICD firing for ventricular fibrillation.  Was recommended that he undergo an ischemic workup however he is COVID-19 test returned positive.  He was started on remdesivir as well as Decadron.  He did have some mild hypoxemia.  He was placed on a heparin infusion as well as amiodarone infusion.  He was switched to oral amiodarone and underwent coronary angiogram on 8/27.  He had a drug-eluting stent placed to the saphenous vein graft to the obtuse marginal branch.  Patient was going to be discharged the following day however did develop some hypoxemia.  Hypoxemia worsened and on 08/29 he under went a PA cardiac arrest.  He did have some ventricular fibrillation and ROSC was obtained.  He was transferred to the ICU.  Pulmonary was consulted and he underwent hypothermia protocol.  His neurologic status was quite poor however sedation was not able to be weaned given his significant hypoxemia related to COVID-19.  He was started on broad-spectrum antibiotics.  Family ultimately decided on comfort measures given his poor prognosis from a heart standpoint, respiratory failure, and suspected anoxic brain injury.  He was palliatively extubated and passed away at 1:02 p.m. on 09/03/2021.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection, Ventricular fibrillation
Clinical narrative: COVID BREAKTHROUGH  Pfizer Dose 1 2/10/21 (EN6201) Pfizer Dose 2 3/3/21 (EN6199) COVID Positive 8/22/21  8/22/21: Patient is a 75 year old male with past history of coronary disease status post CABG, ischemic cardiomyopathy status post AICD placement, diabetes mellitus, hypertension, and hyperlipidemia who was admitted after having multiple shocks from his AICD.  History is obtained from chart review as well as discussion with the patient and the ED provider.  Patient does have a history of a coronary artery bypass in 1990.  He has a history of multiple stents and appears his last stents were placed approximately 2 years ago at an outside hospital.  Last stents placed at this hospital were an 2016. He does still take aspirin and Plavix daily.  Patient states that he was driving yesterday morning when he rear-ended a vehicle at approximately 12:30 a.m..  He states that the airbags did deploy a and that he had significant pain on his chest from the seatbelt.  He denies losing consciousness prior to the episode.  He did not seek out medical treatment at that time and went home.  He went to sleep and then woke up to after being shocked by his defibrillator.  He thought he was shocked about 3 times however on interrogation he received a total of 10 shocks and a 5 minutes period.  His chest is quite sore and overall just feels weak from the defibrillator episodes.  Not having any current shortness of breath, fevers, chills, nausea, vomiting, abdominal pain.  Transferred to this hospital after being started on amiodarone infusion.  Troponin slightly elevated.  9/3/21: Patient was admitted and Cardiology was consulted given AICD firing for ventricular fibrillation.  Was recommended that he undergo an ischemic workup however he is COVID-19 test returned positive.  He was started on remdesivir as well as Decadron.  He did have some mild hypoxemia.  He was placed on a heparin infusion as well as amiodarone infusion.  He was switched to oral amiodarone and underwent coronary angiogram on 8/27.  He had a drug-eluting stent placed to the saphenous vein graft to the obtuse marginal branch.  Patient was going to be discharged the following day however did develop some hypoxemia.  Hypoxemia worsened and on 08/29 he under went a PA cardiac arrest.  He did have some ventricular fibrillation and ROSC was obtained.  He was transferred to the ICU.  Pulmonary was consulted and he underwent hypothermia protocol.  His neurologic status was quite poor however sedation was not able to be weaned given his significant hypoxemia related to COVID-19.  He was started on broad-spectrum antibiotics.  Family ultimately decided on comfort measures given his poor prognosis from a heart standpoint, respiratory failure, and suspected anoxic brain injury.  He was palliatively extubated and passed away at 1:02 p.m. on 09/03/2021.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Feeling abnormal, Laboratory test, Musculoskeletal stiffness, Myalgia
Clinical narrative: Stiffness in neck right side/ sore throat/ nausea/ fatigue/ muscle aches/ brain fog. Ongoing from night of booster vaccination to present. Physician advised diet high in nutrients including probiotics, fluids, rest.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal pain, SARS-CoV-2 test negative
Clinical narrative: Stiffness in neck right side/ sore throat/ nausea/ fatigue/ muscle aches/ brain fog. Ongoing from night of booster vaccination to present. Physician advised diet high in nutrients including probiotics, fluids, rest.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Abdominal pain upper, Back pain, Fatigue, Feeling abnormal
Clinical narrative: Sore, soreness, 24 hrs Body aches, 24hrs Back and neck pain, 24 hrs Fatigue, 20 hrs  Couldn?t sleep, 10 hrs  Loopy, 8 hrs  Nauseous, 6 hrs  Bloating, stomach ache 2 hours
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Nausea, Neck pain, Pain
Clinical narrative: Sore, soreness, 24 hrs Body aches, 24hrs Back and neck pain, 24 hrs Fatigue, 20 hrs  Couldn?t sleep, 10 hrs  Loopy, 8 hrs  Nauseous, 6 hrs  Bloating, stomach ache 2 hours
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache
Clinical narrative: Persistent recurring headaches mainly in the evening NSAIDs
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Blood gases abnormal, COVID-19, Chest X-ray abnormal, Cough, Dyspnoea
Clinical narrative: COVID Breakthrough  Pfizer Dose 1 1/30/21 (EL3302) Pfizer Dose 2 2/27/21 (EL9263) COVID Positive 8/20/21 Urgent Care Visit 8/20/21  8/28/21: History is obtained from patient as well as by personal review of records.  Patient is 81-year-old with known history of multiple medical problems.  Has coronary artery disease, portal hypertension, portal hypertension insulin-dependent diabetes mellitus, sleep apnea, stage 5 chronic kidney disease requiring peritoneal dialysis and other medical problems.   She has started having subjective fevers, cough, myalgias, sore throat is on 8/17/2021.  Her daughter who lives with patient had COVID-19.  She was evaluated on 8/20/2021 and tested positive for  SARS-CoV-2.  She presents to emergency department with worsening shortness of breath.  Worsening myalgias and subjective fever.  Blood gases showed arterial PO2 of 57 on room air.  She feels better after oxygen supplementation.  She is not a ideal candidate for remdesivir therapy in view of stage 5 chronic kidney disease.  Denied hematemesis, melena or hematochezia.   Chest x-ray showed bilateral pneumonia.  Will hold off on radiocontrast administration for now in view of chronic kidney disease.  8/31/21: Patient was admitted on August 29, 2021 for evaluation of COVID.  Initially patient was thought to be hypoxic and was placed on 1 L nasal cannula however no hypoxic readings were shown.  When the patient reached the floor the patient was placed off of oxygen.  Nephrology was consulted and resumed peritoneal dialysis.  Patient passed a walk test and determination for home O2.  Patient will be discharged with antibiotics and p.o. steroids
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure to SARS-CoV-2, Myalgia, Oropharyngeal pain, Peritoneal dialysis, Pneumonia
Clinical narrative: COVID Breakthrough  Pfizer Dose 1 1/30/21 (EL3302) Pfizer Dose 2 2/27/21 (EL9263) COVID Positive 8/20/21 Urgent Care Visit 8/20/21  8/28/21: History is obtained from patient as well as by personal review of records.  Patient is 81-year-old with known history of multiple medical problems.  Has coronary artery disease, portal hypertension, portal hypertension insulin-dependent diabetes mellitus, sleep apnea, stage 5 chronic kidney disease requiring peritoneal dialysis and other medical problems.   She has started having subjective fevers, cough, myalgias, sore throat is on 8/17/2021.  Her daughter who lives with patient had COVID-19.  She was evaluated on 8/20/2021 and tested positive for  SARS-CoV-2.  She presents to emergency department with worsening shortness of breath.  Worsening myalgias and subjective fever.  Blood gases showed arterial PO2 of 57 on room air.  She feels better after oxygen supplementation.  She is not a ideal candidate for remdesivir therapy in view of stage 5 chronic kidney disease.  Denied hematemesis, melena or hematochezia.   Chest x-ray showed bilateral pneumonia.  Will hold off on radiocontrast administration for now in view of chronic kidney disease.  8/31/21: Patient was admitted on August 29, 2021 for evaluation of COVID.  Initially patient was thought to be hypoxic and was placed on 1 L nasal cannula however no hypoxic readings were shown.  When the patient reached the floor the patient was placed off of oxygen.  Nephrology was consulted and resumed peritoneal dialysis.  Patient passed a walk test and determination for home O2.  Patient will be discharged with antibiotics and p.o. steroids
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Vaccine breakthrough infection, Walking distance test normal
Clinical narrative: COVID Breakthrough  Pfizer Dose 1 1/30/21 (EL3302) Pfizer Dose 2 2/27/21 (EL9263) COVID Positive 8/20/21 Urgent Care Visit 8/20/21  8/28/21: History is obtained from patient as well as by personal review of records.  Patient is 81-year-old with known history of multiple medical problems.  Has coronary artery disease, portal hypertension, portal hypertension insulin-dependent diabetes mellitus, sleep apnea, stage 5 chronic kidney disease requiring peritoneal dialysis and other medical problems.   She has started having subjective fevers, cough, myalgias, sore throat is on 8/17/2021.  Her daughter who lives with patient had COVID-19.  She was evaluated on 8/20/2021 and tested positive for  SARS-CoV-2.  She presents to emergency department with worsening shortness of breath.  Worsening myalgias and subjective fever.  Blood gases showed arterial PO2 of 57 on room air.  She feels better after oxygen supplementation.  She is not a ideal candidate for remdesivir therapy in view of stage 5 chronic kidney disease.  Denied hematemesis, melena or hematochezia.   Chest x-ray showed bilateral pneumonia.  Will hold off on radiocontrast administration for now in view of chronic kidney disease.  8/31/21: Patient was admitted on August 29, 2021 for evaluation of COVID.  Initially patient was thought to be hypoxic and was placed on 1 L nasal cannula however no hypoxic readings were shown.  When the patient reached the floor the patient was placed off of oxygen.  Nephrology was consulted and resumed peritoneal dialysis.  Patient passed a walk test and determination for home O2.  Patient will be discharged with antibiotics and p.o. steroids
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Angina pectoris, Blood test, Chest X-ray, Chest pain
Clinical narrative: Seizure like symptom 8 hours after shot, high fever, bp up to 196/126 woth no history of high BP, extreme fatigue, severe headache, stomach upset, chest/heart pain, full body pain.  All symptoms starting with in 12  hours of vacine.   Symptoms lasted 36-48hours
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram, Fatigue, Headache, Pain, Pyrexia
Clinical narrative: Seizure like symptom 8 hours after shot, high fever, bp up to 196/126 woth no history of high BP, extreme fatigue, severe headache, stomach upset, chest/heart pain, full body pain.  All symptoms starting with in 12  hours of vacine.   Symptoms lasted 36-48hours
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Seizure, Urine analysis
Clinical narrative: Seizure like symptom 8 hours after shot, high fever, bp up to 196/126 woth no history of high BP, extreme fatigue, severe headache, stomach upset, chest/heart pain, full body pain.  All symptoms starting with in 12  hours of vacine.   Symptoms lasted 36-48hours
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Joint fluid drainage, Peripheral swelling
Clinical narrative: Swelling in both legs and left arm noticeably increased over previous swelling.  Left hand is now draining lymph fluid when I get a cut.  Right leg drained lymph fluid for five days after bumping the leg.  No noticeable break in skin.  Neither had happened before additional swelling.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Extra dose administered, Pain, Pruritus, Pyrexia
Clinical narrative: Day after shot fever and sleepiness.  On 11/21/2021 broke out in hives- so painfully itchy. Thought I had a reaction to yard work and removing weeds; itching so bad and hives so red;  Hives change locations on my body.  Went to Dr and because I told them about yard work,  she thought it was from allergy to hollyhocks so she prescribed prednisone 20 mg 2 pills daily. Had reaction to that and stopped taking after 2 days.  Taking Zyrtec since then, still have hives if I don?t take Zyrtec. They change locations. I?ve never had hives from anything before and that is why I am thinking it?s from the Covid booster I received on 11/10/2021.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence, Urticaria
Clinical narrative: Day after shot fever and sleepiness.  On 11/21/2021 broke out in hives- so painfully itchy. Thought I had a reaction to yard work and removing weeds; itching so bad and hives so red;  Hives change locations on my body.  Went to Dr and because I told them about yard work,  she thought it was from allergy to hollyhocks so she prescribed prednisone 20 mg 2 pills daily. Had reaction to that and stopped taking after 2 days.  Taking Zyrtec since then, still have hives if I don?t take Zyrtec. They change locations. I?ve never had hives from anything before and that is why I am thinking it?s from the Covid booster I received on 11/10/2021.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Myalgia
Clinical narrative: Nausea, diarrhea, fever, chills, muscle aches, extreme fatigue, headache
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: Nausea, diarrhea, fever, chills, muscle aches, extreme fatigue, headache
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: After second shot (24 hours later), I experienced a major increase in the tinnitus I have had chronically for 15 years. On a scale of one to ten it went from a 2-3 to a 4-6.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Chest pain, Chills, Discomfort
Clinical narrative: Starting mid afternoon I had what seemed normal for possible side effects: an incredibly sore arm and a little bit of a headache. Both continued to worsen as the day went on. I had moderate swelling at the injection site. The pain spread from my arm across my chest to midline, and across my back to the spine & up my neck. At 8pm, almost all at once, everything escalated dramatically. I was experiencing severe chills causing me to shake so much I couldn't sleep but also couldn't safely hold my baby to breastfeed. I laid down under lots of warm blankets, but could not improve the situation. After about 45 minutes, I could not move without intense pain - not turn my head, not roll over - it was every part of me, hair follicles ached, my teeth, my joints. I had a headache so severe I couldn't sleep, joint pain and stiffness, swollen glands, blurred vision. At 3:45am I made a small amount of vomit (enough to catch in mouth). I was able to sleep on and off from 3:45am-5am. The shivers waned by 8am, but I was still very achey, swollen glands, sore arm, raging headache. By late afternoon on 12/1 nothing had improved further. I went to bed early, but struggled to sleep from aches, arm pain, glands in my neck causing discomfort, and a raging headache. It is now 4 days later and I continue to ache and have a meaningful headache.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site swelling, Joint stiffness, Lymphadenopathy, Neck pain
Clinical narrative: Starting mid afternoon I had what seemed normal for possible side effects: an incredibly sore arm and a little bit of a headache. Both continued to worsen as the day went on. I had moderate swelling at the injection site. The pain spread from my arm across my chest to midline, and across my back to the spine & up my neck. At 8pm, almost all at once, everything escalated dramatically. I was experiencing severe chills causing me to shake so much I couldn't sleep but also couldn't safely hold my baby to breastfeed. I laid down under lots of warm blankets, but could not improve the situation. After about 45 minutes, I could not move without intense pain - not turn my head, not roll over - it was every part of me, hair follicles ached, my teeth, my joints. I had a headache so severe I couldn't sleep, joint pain and stiffness, swollen glands, blurred vision. At 3:45am I made a small amount of vomit (enough to catch in mouth). I was able to sleep on and off from 3:45am-5am. The shivers waned by 8am, but I was still very achey, swollen glands, sore arm, raging headache. By late afternoon on 12/1 nothing had improved further. I went to bed early, but struggled to sleep from aches, arm pain, glands in my neck causing discomfort, and a raging headache. It is now 4 days later and I continue to ache and have a meaningful headache.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Sleep disorder, Tremor, Vision blurred
Clinical narrative: Starting mid afternoon I had what seemed normal for possible side effects: an incredibly sore arm and a little bit of a headache. Both continued to worsen as the day went on. I had moderate swelling at the injection site. The pain spread from my arm across my chest to midline, and across my back to the spine & up my neck. At 8pm, almost all at once, everything escalated dramatically. I was experiencing severe chills causing me to shake so much I couldn't sleep but also couldn't safely hold my baby to breastfeed. I laid down under lots of warm blankets, but could not improve the situation. After about 45 minutes, I could not move without intense pain - not turn my head, not roll over - it was every part of me, hair follicles ached, my teeth, my joints. I had a headache so severe I couldn't sleep, joint pain and stiffness, swollen glands, blurred vision. At 3:45am I made a small amount of vomit (enough to catch in mouth). I was able to sleep on and off from 3:45am-5am. The shivers waned by 8am, but I was still very achey, swollen glands, sore arm, raging headache. By late afternoon on 12/1 nothing had improved further. I went to bed early, but struggled to sleep from aches, arm pain, glands in my neck causing discomfort, and a raging headache. It is now 4 days later and I continue to ache and have a meaningful headache.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Starting mid afternoon I had what seemed normal for possible side effects: an incredibly sore arm and a little bit of a headache. Both continued to worsen as the day went on. I had moderate swelling at the injection site. The pain spread from my arm across my chest to midline, and across my back to the spine & up my neck. At 8pm, almost all at once, everything escalated dramatically. I was experiencing severe chills causing me to shake so much I couldn't sleep but also couldn't safely hold my baby to breastfeed. I laid down under lots of warm blankets, but could not improve the situation. After about 45 minutes, I could not move without intense pain - not turn my head, not roll over - it was every part of me, hair follicles ached, my teeth, my joints. I had a headache so severe I couldn't sleep, joint pain and stiffness, swollen glands, blurred vision. At 3:45am I made a small amount of vomit (enough to catch in mouth). I was able to sleep on and off from 3:45am-5am. The shivers waned by 8am, but I was still very achey, swollen glands, sore arm, raging headache. By late afternoon on 12/1 nothing had improved further. I went to bed early, but struggled to sleep from aches, arm pain, glands in my neck causing discomfort, and a raging headache. It is now 4 days later and I continue to ache and have a meaningful headache.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, Blood pressure fluctuation, Decreased appetite, Eye movement disorder
Clinical narrative: I did not experience any side effects / symptoms PRIOR to CV-19 vaccine.  I experienced numerous side effects (currently 789 pgs.) listed on:   April 11 first and only dose (BNT162b2) Lot No.: 1B002A.  Ref: TC21411-669998-3  My symptoms commencing 2 days POST vaccine: Fatigue, nauseated, weak, loss of appetite 2 days POST, 2 weeks. Blood pressure / pulse HIGH-LOW-HIGH-LOW etc...2 days POST, 1 week. Vestibular balance issues (like after 2 glasses of wine) EVERYDAY until mid Aug. then off & on until mid Oct. VERY SLOW HEAD AND OR EYE MOVEMENTS, otherwise increased sense of being off-balance. For 3 months, I eliminated morning coffee due to it's magnifying effect on my vestibular issues. Distorted motor skill movements i.e. arms / legs time lag coinciding with my vestibular issues.  Tremors which subsided after I ate & legs feeling heavy 3 months Aug. 01 hospital admission ITP. platelet count: 1,000, 4 units platelets 50 units IVIG Aug. 06 count: 105,000, current count: 196,000 NO medication.  Around 6 weeks prior I noticed micro signs. Just thought it was a sign of aging. Thank you.  Kind Regards, Patient
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Fine motor skill dysfunction, Immune thrombocytopenia, Immunoglobulin therapy, Movement disorder
Clinical narrative: I did not experience any side effects / symptoms PRIOR to CV-19 vaccine.  I experienced numerous side effects (currently 789 pgs.) listed on:   April 11 first and only dose (BNT162b2) Lot No.: 1B002A.  Ref: TC21411-669998-3  My symptoms commencing 2 days POST vaccine: Fatigue, nauseated, weak, loss of appetite 2 days POST, 2 weeks. Blood pressure / pulse HIGH-LOW-HIGH-LOW etc...2 days POST, 1 week. Vestibular balance issues (like after 2 glasses of wine) EVERYDAY until mid Aug. then off & on until mid Oct. VERY SLOW HEAD AND OR EYE MOVEMENTS, otherwise increased sense of being off-balance. For 3 months, I eliminated morning coffee due to it's magnifying effect on my vestibular issues. Distorted motor skill movements i.e. arms / legs time lag coinciding with my vestibular issues.  Tremors which subsided after I ate & legs feeling heavy 3 months Aug. 01 hospital admission ITP. platelet count: 1,000, 4 units platelets 50 units IVIG Aug. 06 count: 105,000, current count: 196,000 NO medication.  Around 6 weeks prior I noticed micro signs. Just thought it was a sign of aging. Thank you.  Kind Regards, Patient
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Platelet count decreased, Pulse abnormal, Tremor, Vestibular disorder
Clinical narrative: I did not experience any side effects / symptoms PRIOR to CV-19 vaccine.  I experienced numerous side effects (currently 789 pgs.) listed on:   April 11 first and only dose (BNT162b2) Lot No.: 1B002A.  Ref: TC21411-669998-3  My symptoms commencing 2 days POST vaccine: Fatigue, nauseated, weak, loss of appetite 2 days POST, 2 weeks. Blood pressure / pulse HIGH-LOW-HIGH-LOW etc...2 days POST, 1 week. Vestibular balance issues (like after 2 glasses of wine) EVERYDAY until mid Aug. then off & on until mid Oct. VERY SLOW HEAD AND OR EYE MOVEMENTS, otherwise increased sense of being off-balance. For 3 months, I eliminated morning coffee due to it's magnifying effect on my vestibular issues. Distorted motor skill movements i.e. arms / legs time lag coinciding with my vestibular issues.  Tremors which subsided after I ate & legs feeling heavy 3 months Aug. 01 hospital admission ITP. platelet count: 1,000, 4 units platelets 50 units IVIG Aug. 06 count: 105,000, current count: 196,000 NO medication.  Around 6 weeks prior I noticed micro signs. Just thought it was a sign of aging. Thank you.  Kind Regards, Patient
Age: 89.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chills, Pain in extremity, Pyrexia
Clinical narrative: Booster shot received on 11/29/21.  Early in the morning of 11/30 /21 had isolated sharp pain in shin of left leg.  Sometimes pain would briefly shoot down to toes.  Tylenol only helped a little.  The pain was so excruciating that had to go to the ER at 4:30pm because it was suggested to get checked for possible blood clot.  No blood clot found.  Went home and two of 500mg Tylenol, and Gabapentin (which patient was already taking for other nerve pain) to relieve the pain.   Next day, 12/01/21,  pain in shin was less but then had chills and possible fever in the morning.  On 12/02 had pain in shin again, but much less than on 11/30.  Felt alright on 12/03 and 12/04, but on 12/05 had chills and fever of 102.  Chills and fever subsided after taking Tylenol.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asymptomatic COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated with booster.  COVID breakthrough infection with inpatient hospital stay.  Asymptomatic
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Discomfort, Fatigue, Induration, Lymph node pain, Lymphadenopathy
Clinical narrative: Swelling, pain and hardness of the lymphatic nodes of the same arm of injection. Pain started happening about 4 hours after injection. Swelling area is about 1.5 inch diameter, no redness and was discovered by the patient (self) about 28 hours after injection. No compromise of movement, just pain and discomfort from the volume of the lymph. This issue did not happened with the previous doses, both of them Moderna as well. Patient as well felt tired  and had  sore muscles (post extenuating workout alike) in all her body the next day 18 hours after the injection. Patient took 500 mg of acetaminophen 19 hours after injection and haven't taken any more medication.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia
Clinical narrative: Swelling, pain and hardness of the lymphatic nodes of the same arm of injection. Pain started happening about 4 hours after injection. Swelling area is about 1.5 inch diameter, no redness and was discovered by the patient (self) about 28 hours after injection. No compromise of movement, just pain and discomfort from the volume of the lymph. This issue did not happened with the previous doses, both of them Moderna as well. Patient as well felt tired  and had  sore muscles (post extenuating workout alike) in all her body the next day 18 hours after the injection. Patient took 500 mg of acetaminophen 19 hours after injection and haven't taken any more medication.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactic acid, Body temperature increased, COVID-19, Chest X-ray abnormal, Chills
Clinical narrative: COVID Breakthrough  Pfizer Dose 1 3/3/21 (EN6204) Pfizer Dose 2 3/24/21 (EP6955) COVID Positive 8/29/21  8/29/21: Patient is a 79-year-old male with history of type 2 DM, hypertension and hypothyroidism is brought to ED by ambulance following episode of syncope.  Patient states that earlier in the evening he was sitting in the chair, and suddenly passed out and fell on the floor.  Is not sure if he hit his head, and he was told that he was unresponsive for about a minute.  Denies chest pain or shortness of breath or feeling dizzy or lightheaded or nausea or vomiting.  Complains of having chills since yesterday, has cough for the past 4 5 days with small amounts of sputum.  He is not sure about the color the sputum as he was swallowing the sputum.  Denies shortness of breath or chest pain.  Denies dysuria or hematuria.  No leg swelling or calf pain.  His grandson has some upper respiratory symptoms at home.  Patient is vaccinated against COVID-19,  Pfizer vaccine in May 2021.     In the ED, his temp was 100.3° F, was mildly tachycardic, CBC negative for leukocytosis.  Chest x-ray reported as bilateral infiltrates.  Lactic was 2.9.  Was given IV vancomycin and Zosyn and 1 L fluid bolus and repeat lactic acid was 1.6.  His pulse ox is 95% on room air.  COVID-19 rapid test is positive.  8/30/21: 79-year-old male with history of type 2 DM, hypertension and hypothyroidism is brought to ED by ambulance following episode of syncope.  Found to have orthostatic hypotension, most of his blood pressure medications were discontinued, was given IV fluids for hydration, his COVID-19 test came back positive with bilateral lung infiltrates however patient did not have any respiratory symptoms and did not have any complaints, did not have any fever, no cough or shortness of breath, no difficulty breathing, no sputum production, was saturating well on room air and ambulating hallways with no symptoms at all.  He was stable for discharge.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Fall, Full blood count normal, Loss of consciousness, Lung infiltration
Clinical narrative: COVID Breakthrough  Pfizer Dose 1 3/3/21 (EN6204) Pfizer Dose 2 3/24/21 (EP6955) COVID Positive 8/29/21  8/29/21: Patient is a 79-year-old male with history of type 2 DM, hypertension and hypothyroidism is brought to ED by ambulance following episode of syncope.  Patient states that earlier in the evening he was sitting in the chair, and suddenly passed out and fell on the floor.  Is not sure if he hit his head, and he was told that he was unresponsive for about a minute.  Denies chest pain or shortness of breath or feeling dizzy or lightheaded or nausea or vomiting.  Complains of having chills since yesterday, has cough for the past 4 5 days with small amounts of sputum.  He is not sure about the color the sputum as he was swallowing the sputum.  Denies shortness of breath or chest pain.  Denies dysuria or hematuria.  No leg swelling or calf pain.  His grandson has some upper respiratory symptoms at home.  Patient is vaccinated against COVID-19,  Pfizer vaccine in May 2021.     In the ED, his temp was 100.3° F, was mildly tachycardic, CBC negative for leukocytosis.  Chest x-ray reported as bilateral infiltrates.  Lactic was 2.9.  Was given IV vancomycin and Zosyn and 1 L fluid bolus and repeat lactic acid was 1.6.  His pulse ox is 95% on room air.  COVID-19 rapid test is positive.  8/30/21: 79-year-old male with history of type 2 DM, hypertension and hypothyroidism is brought to ED by ambulance following episode of syncope.  Found to have orthostatic hypotension, most of his blood pressure medications were discontinued, was given IV fluids for hydration, his COVID-19 test came back positive with bilateral lung infiltrates however patient did not have any respiratory symptoms and did not have any complaints, did not have any fever, no cough or shortness of breath, no difficulty breathing, no sputum production, was saturating well on room air and ambulating hallways with no symptoms at all.  He was stable for discharge.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Orthostatic hypotension, SARS-CoV-2 test positive, Sputum increased, Syncope, Tachycardia
Clinical narrative: COVID Breakthrough  Pfizer Dose 1 3/3/21 (EN6204) Pfizer Dose 2 3/24/21 (EP6955) COVID Positive 8/29/21  8/29/21: Patient is a 79-year-old male with history of type 2 DM, hypertension and hypothyroidism is brought to ED by ambulance following episode of syncope.  Patient states that earlier in the evening he was sitting in the chair, and suddenly passed out and fell on the floor.  Is not sure if he hit his head, and he was told that he was unresponsive for about a minute.  Denies chest pain or shortness of breath or feeling dizzy or lightheaded or nausea or vomiting.  Complains of having chills since yesterday, has cough for the past 4 5 days with small amounts of sputum.  He is not sure about the color the sputum as he was swallowing the sputum.  Denies shortness of breath or chest pain.  Denies dysuria or hematuria.  No leg swelling or calf pain.  His grandson has some upper respiratory symptoms at home.  Patient is vaccinated against COVID-19,  Pfizer vaccine in May 2021.     In the ED, his temp was 100.3° F, was mildly tachycardic, CBC negative for leukocytosis.  Chest x-ray reported as bilateral infiltrates.  Lactic was 2.9.  Was given IV vancomycin and Zosyn and 1 L fluid bolus and repeat lactic acid was 1.6.  His pulse ox is 95% on room air.  COVID-19 rapid test is positive.  8/30/21: 79-year-old male with history of type 2 DM, hypertension and hypothyroidism is brought to ED by ambulance following episode of syncope.  Found to have orthostatic hypotension, most of his blood pressure medications were discontinued, was given IV fluids for hydration, his COVID-19 test came back positive with bilateral lung infiltrates however patient did not have any respiratory symptoms and did not have any complaints, did not have any fever, no cough or shortness of breath, no difficulty breathing, no sputum production, was saturating well on room air and ambulating hallways with no symptoms at all.  He was stable for discharge.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Unresponsive to stimuli, Vaccine breakthrough infection
Clinical narrative: COVID Breakthrough  Pfizer Dose 1 3/3/21 (EN6204) Pfizer Dose 2 3/24/21 (EP6955) COVID Positive 8/29/21  8/29/21: Patient is a 79-year-old male with history of type 2 DM, hypertension and hypothyroidism is brought to ED by ambulance following episode of syncope.  Patient states that earlier in the evening he was sitting in the chair, and suddenly passed out and fell on the floor.  Is not sure if he hit his head, and he was told that he was unresponsive for about a minute.  Denies chest pain or shortness of breath or feeling dizzy or lightheaded or nausea or vomiting.  Complains of having chills since yesterday, has cough for the past 4 5 days with small amounts of sputum.  He is not sure about the color the sputum as he was swallowing the sputum.  Denies shortness of breath or chest pain.  Denies dysuria or hematuria.  No leg swelling or calf pain.  His grandson has some upper respiratory symptoms at home.  Patient is vaccinated against COVID-19,  Pfizer vaccine in May 2021.     In the ED, his temp was 100.3° F, was mildly tachycardic, CBC negative for leukocytosis.  Chest x-ray reported as bilateral infiltrates.  Lactic was 2.9.  Was given IV vancomycin and Zosyn and 1 L fluid bolus and repeat lactic acid was 1.6.  His pulse ox is 95% on room air.  COVID-19 rapid test is positive.  8/30/21: 79-year-old male with history of type 2 DM, hypertension and hypothyroidism is brought to ED by ambulance following episode of syncope.  Found to have orthostatic hypotension, most of his blood pressure medications were discontinued, was given IV fluids for hydration, his COVID-19 test came back positive with bilateral lung infiltrates however patient did not have any respiratory symptoms and did not have any complaints, did not have any fever, no cough or shortness of breath, no difficulty breathing, no sputum production, was saturating well on room air and ambulating hallways with no symptoms at all.  He was stable for discharge.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Aphthous ulcer, Dysphagia, Speech disorder
Clinical narrative: Large canker sore at the back of my tongue, which makes it hard to speak and hard to swallow
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site reaction, Urticaria
Clinical narrative: Small welt at injection site became large and red. The area has continued to get larger, is still red, but is flatter. It itches.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Supraclavicular lymphadenopathy on the injection site side of body.
Age: 69.0
Sex: F
Vaccine: VARZOS
Symptoms: Abdominal pain upper, Fatigue, Pyrexia
Clinical narrative: extreme fatigue, fever of 101 for 70 hours, stomach pains from 9:00 Thursday morning to around 7:00 Sunday morning
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Swollen lymph node and pain under right arm going on 3 days now.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Lymphadenopathy, Nausea, Pain
Clinical narrative: Right supraclavicular adenopathy and right axillary adenopathy continues. Contacted  PCP and Allergist and was told to take Benadryl and watch for 2 weeks. Also experienced  chills, body aches, nausea & diarrhea that have resolved.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Confusional state, Dehydration, Diarrhoea, Fibrin D dimer increased
Clinical narrative: Severe lethargy, confusion, dehydration 12/2-3. Low oxygen saturation of 78% on 12/4 and increased confusion along with nausea, vomiting, diarrhea. .
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Lethargy, Nausea, Oxygen saturation decreased, SARS-CoV-2 test positive, Vomiting
Clinical narrative: Severe lethargy, confusion, dehydration 12/2-3. Low oxygen saturation of 78% on 12/4 and increased confusion along with nausea, vomiting, diarrhea. .
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Testicular pain
Clinical narrative: About 24 hours after administration of second dose, had acute pain in testicles for approximately 18 hours. Was only observable side effect of second dose.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Extra dose administered, Headache
Clinical narrative: The following day after my booster I started this headache and just comes in waves. I suspected this would just subside but has not stopped. I went to go workout the day after my booster and started to have sharp pain over the left side of my chest. It subsides when I don?t exert myself. Every time I have tried to go back to working out I have gotten the sharp pain. I don?t have DIB it just hurts to breath.We are traveling so when I get back, I have made an apt with my doctor.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Joint stiffness, Malaise, Myalgia
Clinical narrative: Severe joint stiffness in hands upon waking, unable to close hands. I also felt very I?ll, with muscle aches and pain. Since this time I?ve continued to have significant arthritis in my hands upon waking in the morning throughout the month following the event.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Strong skin rash
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Two days of hives
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Pallor, Skin discolouration, Syncope
Clinical narrative: Patient started feeling weak after immunization, face lips started turning pale blue approximately 5-10mins after getting the pediatric Pfizer  vaccine.. she passed out like minutes 10-15mins after the shot  as patient was given an EpiPen. patient was laid on the grown with feet elevated, but regain consciousness  within a very short time.  Benadryl was also given to the patient after she  regained consciousness.  Emergency help arrive, and  did and assessment on patient after which parent took patient to the ER
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy
Clinical narrative: Swollen Lymph nose in left armpit