chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Under age administration of Pfizer COVID-19 vaccine.  Recipient is under the age of 12.  Recipient's parents did sign consent form.  They will be notified that recipient should not return for second dose.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Pt states he had a rash that started about 2 hrs after receiving his 2nd Modena Covid vaccine. Pt states rash covered his entire body. Pt was prescribed Levocetirizine, Famotidine and Prednisone.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt tested positive for symptomatic COVID19 after being fully vaccinated
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood test, Colitis, Computerised tomogram abdomen, Diarrhoea
Clinical narrative: I ended up having loose stools a couple hours after receiving the vaccine. I left work early because of this symptom. The next day I felt nauseous, still had loose stools and abdominal pain. This continued over a week, but I did call my GI doctor and they performed a CT scan. The CT scan showed abdominal inflammation in my colon. They gave me Zofran and put me on a liquid diet. My stool sample came back with elevated inflammation markers. My CEB rates were elevated. I did have a f/u and they said that I had been in remission with my Crohn's. The reason my doctor told me about being in remission is because he felt that my symptoms were a reaction to the vaccine. I started to feel better after a week of receiving the Zofran and being on the liquid diet.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Impaired work ability, Inflammatory marker increased, Nausea
Clinical narrative: I ended up having loose stools a couple hours after receiving the vaccine. I left work early because of this symptom. The next day I felt nauseous, still had loose stools and abdominal pain. This continued over a week, but I did call my GI doctor and they performed a CT scan. The CT scan showed abdominal inflammation in my colon. They gave me Zofran and put me on a liquid diet. My stool sample came back with elevated inflammation markers. My CEB rates were elevated. I did have a f/u and they said that I had been in remission with my Crohn's. The reason my doctor told me about being in remission is because he felt that my symptoms were a reaction to the vaccine. I started to feel better after a week of receiving the Zofran and being on the liquid diet.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: SECOND DOSE WAS GIVEN 70 DAYS PAST FIRST DOSE
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth
Clinical narrative: Injection site swelling, red, warm, and itching lasting more than 3 days.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Asthma, Chest pain, Condition aggravated, Cough, Dyspnoea
Clinical narrative: Patient started to develop a cough on the second day of the vaccine around 6 pm. The cough was accompanied by shortness of breath, given his asthma we assumed this was some asthma related reaction to the vaccine. Nonetheless, that evening he started to complain about chest pain every time he laid back on his bed. This symptom is not common in previous asthma attacks. Sitting up alleviated the symptom, chest pain and shortness of breath lasted for 2 nights (Sunday and Monday evening), by Tuesday he felt better. We assumed this was an asthma episode, but recent reports of Myocarditis leads us to believe the had a mild myocarditis episode, given the chest pain while lying down.  He also had typical COVID vaccine symptoms such as low grade fever (100F), pain in the vaccination site, congestion, and itchy throat.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory tract congestion, Throat irritation, Vaccination site pain
Clinical narrative: Patient started to develop a cough on the second day of the vaccine around 6 pm. The cough was accompanied by shortness of breath, given his asthma we assumed this was some asthma related reaction to the vaccine. Nonetheless, that evening he started to complain about chest pain every time he laid back on his bed. This symptom is not common in previous asthma attacks. Sitting up alleviated the symptom, chest pain and shortness of breath lasted for 2 nights (Sunday and Monday evening), by Tuesday he felt better. We assumed this was an asthma episode, but recent reports of Myocarditis leads us to believe the had a mild myocarditis episode, given the chest pain while lying down.  He also had typical COVID vaccine symptoms such as low grade fever (100F), pain in the vaccination site, congestion, and itchy throat.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Vomiting
Clinical narrative: After receiving the second dose of the Pfizer vaccine, in the observation area the patient vomited and lost consciousness.  EMS treated the person at the scene and was transported to a medical facility.
Age: 40.0
Sex: F
Vaccine: UNK
Symptoms: Menstrual disorder, Pruritus, Rash
Clinical narrative: my period cycle has changed. I took the vaccine on May 6th 2021. The first day of my period was 04/21/21. I also noticed rash under my breasts and also on my face. I also noticed im very itchy.
Age: 84.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: No adverse events noted
Age: 0.33
Sex: M
Vaccine: DTAPHEPBIP, PNC13, RV1
Symptoms: Injection site erythema, Injection site induration, Ultrasound scan
Clinical narrative: Area of induration, erythema formed on right thigh, firm/ fluctuant, seemingly nontender, no fever; firm area began in right thigh, became red after approximately 7 weeks on surface; 6 month vaccines received 5/7/21 and same reaction at Pediarix site on left thigh
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash  from chest to knees starting several days after the vaccination.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Musculoskeletal discomfort, Myoclonus, Stress, Tinnitus
Clinical narrative: I have always had Tinnitus but it has greatly intensified since my second vaccine. Not medical attention required at this time.  I developed Hypnic Jerks at night prior to sleeping that last for up to an hour on some nights and can be quite strong in nature always stemming from my lower back. I went to the doctor in April and he told me it's just stress and to keep an eye on it. I have an appointment scheduled with a Chriropractor to see if they can help on 6/7.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling abnormal, Feeling cold, Feeling hot, Pain
Clinical narrative: 12/30/2021 with ion minutes of receiving vaccine I got hot and dizzy, they gave me a snack of sprite and crackers and monitored me longer than 15 minutes, as long as I did not stand up I was okay.  After an hour of monitoring they let me go because I did not feel hot of dizzy.  About 2 hour later, I got really cold and like a swimmer's head and when someone came in and checked me at my desk at work, they noticed hives on my neck chest and back above the shoulder blades and at that point I went down to the Emergency Room.  The ER gave me Pepcid and Benadryl.  The meds brought the symptoms down quite a bit but not all the way I cad to continue the meds for 2 days every 6 hours.  On 12/31/2021, my body hurt all over, it was not nothing like I have ever felt, it was like I was in a car accident, I do not recall running a fever at all, but the Benadryl kept me pretty knocked out and I slept a lot.  The ER doctor felt that the symptoms were related to the vaccine because it occurred within 4 hours.  I began to feel better on 1/1/2021, I did have hives but only a small amount so I did not take anything and let it run it's course.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: 12/30/2021 with ion minutes of receiving vaccine I got hot and dizzy, they gave me a snack of sprite and crackers and monitored me longer than 15 minutes, as long as I did not stand up I was okay.  After an hour of monitoring they let me go because I did not feel hot of dizzy.  About 2 hour later, I got really cold and like a swimmer's head and when someone came in and checked me at my desk at work, they noticed hives on my neck chest and back above the shoulder blades and at that point I went down to the Emergency Room.  The ER gave me Pepcid and Benadryl.  The meds brought the symptoms down quite a bit but not all the way I cad to continue the meds for 2 days every 6 hours.  On 12/31/2021, my body hurt all over, it was not nothing like I have ever felt, it was like I was in a car accident, I do not recall running a fever at all, but the Benadryl kept me pretty knocked out and I slept a lot.  The ER doctor felt that the symptoms were related to the vaccine because it occurred within 4 hours.  I began to feel better on 1/1/2021, I did have hives but only a small amount so I did not take anything and let it run it's course.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Urticaria
Clinical narrative: Hives 5/31/21.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory distress
Clinical narrative: Respiratory distress
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenopia, Feeling hot
Clinical narrative: after patient received shot she was sitting in waiting area and within 5 minutes started fanning herself. I went to check on her and she said she was hot and started to close her eyes. I helped her to lay down and had technician get her a wet rag. Once she said she was ok we moved her out of the main aisle and let her lay with cold compress until she was feeling ok and her mother came to make sure she was ok.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Angiogram normal, Aspartate aminotransferase normal, Blood albumin normal, Blood alkaline phosphatase normal
Clinical narrative: Received vaccine 5/22/21 - had some local arm swelling & pain which resolved that night. 5/23 had fever, chills, nausea, diarrhea x2 days with complete resolution. On 5/29, developed urticarial rash on legs & arms - no improvement with OTC Benadryl. No new foods/obvious exposure to other allergens other than family had tried a new scent of their brand of fabric softener. 5/31, developed nausea, vomiting, hand/feet swelling, & had a pre-syncopal episode. Presented to ER; tachycardic with symptomatic orthostatics though vitals otherwise normal. Received IV fluids, Pepcid, Decadron with improvement in HR/symptoms. Continued to be orthostatic with some extremity swelling so received IM Epinephrine - subsequent improvement in rash, nausea. Hospitalized for monitoring. Orthostatis/nausea resolved, vitals remained stable. Some intermittent itchiness/hives present that came & went still present at the time of discharge from hospital.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Blood bilirubin normal, Blood chloride increased, Blood creatinine normal, Blood glucose normal, Blood potassium normal
Clinical narrative: Received vaccine 5/22/21 - had some local arm swelling & pain which resolved that night. 5/23 had fever, chills, nausea, diarrhea x2 days with complete resolution. On 5/29, developed urticarial rash on legs & arms - no improvement with OTC Benadryl. No new foods/obvious exposure to other allergens other than family had tried a new scent of their brand of fabric softener. 5/31, developed nausea, vomiting, hand/feet swelling, & had a pre-syncopal episode. Presented to ER; tachycardic with symptomatic orthostatics though vitals otherwise normal. Received IV fluids, Pepcid, Decadron with improvement in HR/symptoms. Continued to be orthostatic with some extremity swelling so received IM Epinephrine - subsequent improvement in rash, nausea. Hospitalized for monitoring. Orthostatis/nausea resolved, vitals remained stable. Some intermittent itchiness/hives present that came & went still present at the time of discharge from hospital.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium normal, Blood urea decreased, C-reactive protein increased, Carbon dioxide decreased, Chills
Clinical narrative: Received vaccine 5/22/21 - had some local arm swelling & pain which resolved that night. 5/23 had fever, chills, nausea, diarrhea x2 days with complete resolution. On 5/29, developed urticarial rash on legs & arms - no improvement with OTC Benadryl. No new foods/obvious exposure to other allergens other than family had tried a new scent of their brand of fabric softener. 5/31, developed nausea, vomiting, hand/feet swelling, & had a pre-syncopal episode. Presented to ER; tachycardic with symptomatic orthostatics though vitals otherwise normal. Received IV fluids, Pepcid, Decadron with improvement in HR/symptoms. Continued to be orthostatic with some extremity swelling so received IM Epinephrine - subsequent improvement in rash, nausea. Hospitalized for monitoring. Orthostatis/nausea resolved, vitals remained stable. Some intermittent itchiness/hives present that came & went still present at the time of discharge from hospital.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Diarrhoea, Electrocardiogram normal, Eosinophil percentage decreased, Fibrin D dimer increased
Clinical narrative: Received vaccine 5/22/21 - had some local arm swelling & pain which resolved that night. 5/23 had fever, chills, nausea, diarrhea x2 days with complete resolution. On 5/29, developed urticarial rash on legs & arms - no improvement with OTC Benadryl. No new foods/obvious exposure to other allergens other than family had tried a new scent of their brand of fabric softener. 5/31, developed nausea, vomiting, hand/feet swelling, & had a pre-syncopal episode. Presented to ER; tachycardic with symptomatic orthostatics though vitals otherwise normal. Received IV fluids, Pepcid, Decadron with improvement in HR/symptoms. Continued to be orthostatic with some extremity swelling so received IM Epinephrine - subsequent improvement in rash, nausea. Hospitalized for monitoring. Orthostatis/nausea resolved, vitals remained stable. Some intermittent itchiness/hives present that came & went still present at the time of discharge from hospital.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count abnormal, Haematocrit normal, Haemoglobin normal, Lymphocyte percentage decreased, Metabolic function test normal
Clinical narrative: Received vaccine 5/22/21 - had some local arm swelling & pain which resolved that night. 5/23 had fever, chills, nausea, diarrhea x2 days with complete resolution. On 5/29, developed urticarial rash on legs & arms - no improvement with OTC Benadryl. No new foods/obvious exposure to other allergens other than family had tried a new scent of their brand of fabric softener. 5/31, developed nausea, vomiting, hand/feet swelling, & had a pre-syncopal episode. Presented to ER; tachycardic with symptomatic orthostatics though vitals otherwise normal. Received IV fluids, Pepcid, Decadron with improvement in HR/symptoms. Continued to be orthostatic with some extremity swelling so received IM Epinephrine - subsequent improvement in rash, nausea. Hospitalized for monitoring. Orthostatis/nausea resolved, vitals remained stable. Some intermittent itchiness/hives present that came & went still present at the time of discharge from hospital.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: N-terminal prohormone brain natriuretic peptide, Nausea, Neutrophil percentage increased, Pain in extremity, Peripheral swelling
Clinical narrative: Received vaccine 5/22/21 - had some local arm swelling & pain which resolved that night. 5/23 had fever, chills, nausea, diarrhea x2 days with complete resolution. On 5/29, developed urticarial rash on legs & arms - no improvement with OTC Benadryl. No new foods/obvious exposure to other allergens other than family had tried a new scent of their brand of fabric softener. 5/31, developed nausea, vomiting, hand/feet swelling, & had a pre-syncopal episode. Presented to ER; tachycardic with symptomatic orthostatics though vitals otherwise normal. Received IV fluids, Pepcid, Decadron with improvement in HR/symptoms. Continued to be orthostatic with some extremity swelling so received IM Epinephrine - subsequent improvement in rash, nausea. Hospitalized for monitoring. Orthostatis/nausea resolved, vitals remained stable. Some intermittent itchiness/hives present that came & went still present at the time of discharge from hospital.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count normal, Postural orthostatic tachycardia syndrome, Pregnancy test negative, Presyncope, Protein total normal
Clinical narrative: Received vaccine 5/22/21 - had some local arm swelling & pain which resolved that night. 5/23 had fever, chills, nausea, diarrhea x2 days with complete resolution. On 5/29, developed urticarial rash on legs & arms - no improvement with OTC Benadryl. No new foods/obvious exposure to other allergens other than family had tried a new scent of their brand of fabric softener. 5/31, developed nausea, vomiting, hand/feet swelling, & had a pre-syncopal episode. Presented to ER; tachycardic with symptomatic orthostatics though vitals otherwise normal. Received IV fluids, Pepcid, Decadron with improvement in HR/symptoms. Continued to be orthostatic with some extremity swelling so received IM Epinephrine - subsequent improvement in rash, nausea. Hospitalized for monitoring. Orthostatis/nausea resolved, vitals remained stable. Some intermittent itchiness/hives present that came & went still present at the time of discharge from hospital.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Pyrexia, Rash, Red blood cell sedimentation rate normal, SARS-CoV-2 test negative
Clinical narrative: Received vaccine 5/22/21 - had some local arm swelling & pain which resolved that night. 5/23 had fever, chills, nausea, diarrhea x2 days with complete resolution. On 5/29, developed urticarial rash on legs & arms - no improvement with OTC Benadryl. No new foods/obvious exposure to other allergens other than family had tried a new scent of their brand of fabric softener. 5/31, developed nausea, vomiting, hand/feet swelling, & had a pre-syncopal episode. Presented to ER; tachycardic with symptomatic orthostatics though vitals otherwise normal. Received IV fluids, Pepcid, Decadron with improvement in HR/symptoms. Continued to be orthostatic with some extremity swelling so received IM Epinephrine - subsequent improvement in rash, nausea. Hospitalized for monitoring. Orthostatis/nausea resolved, vitals remained stable. Some intermittent itchiness/hives present that came & went still present at the time of discharge from hospital.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling, Troponin, Urticaria, Vomiting, White blood cell count increased
Clinical narrative: Received vaccine 5/22/21 - had some local arm swelling & pain which resolved that night. 5/23 had fever, chills, nausea, diarrhea x2 days with complete resolution. On 5/29, developed urticarial rash on legs & arms - no improvement with OTC Benadryl. No new foods/obvious exposure to other allergens other than family had tried a new scent of their brand of fabric softener. 5/31, developed nausea, vomiting, hand/feet swelling, & had a pre-syncopal episode. Presented to ER; tachycardic with symptomatic orthostatics though vitals otherwise normal. Received IV fluids, Pepcid, Decadron with improvement in HR/symptoms. Continued to be orthostatic with some extremity swelling so received IM Epinephrine - subsequent improvement in rash, nausea. Hospitalized for monitoring. Orthostatis/nausea resolved, vitals remained stable. Some intermittent itchiness/hives present that came & went still present at the time of discharge from hospital.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: DOSE GIVEN 70 DAYS AFTER FIRST DOSE
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram normal, Anxiety, Blood ethanol increased, COVID-19, Coagulation test normal
Clinical narrative: Patient presents with ? SUICIDAL     pt intoxicated and tried to hang herself on the shower curtain rod. boyfriend called 911. pt states this was a suicide attempt        HPI:   This is a 41y.o. female with significant past medical history of polysubstance abuse that presented to the hospital with chief complaint of suicide attempt. The patient apparently tried to hang herself on the shower curtain rod after reportedly drinking 1 liter of Captain Morgan's rum. She was found on the ground by her boyfriend whom reports she was 'blue in the face." On examination she is resting in bed in no acute distress. She denies any fever, chills, chest pain/pressure, palpitations, shortness of breath, abdominal pain, nausea, vomiting, diarrhea, constipation, or urinary complaints. She denies any illicit drug use or ingestion of toxins.    In the ED, patient mildly hypertensive, afebrile, stable SPO2 99% on room air. CBC, BMP, coags, UA unremarkable. Ethanol level 410. UDS negative. COVID positive. CT head and CTA neck unremarkable for injury. Admitted for further evaluation and management with psychiatry consultation. Suicide precautions implemented in ED.    Pt seen and examined only by the attending physician. NP only responsible for chart review in an effort to limit exposure given the current pandemic and patient's COVID positive status.    ROS:   Constitutional:  Denies fatigue, fever or chills.  Eyes:  Denies change in visual acuity, diplopia or pain. HENT:  Denies nasal congestion, sore throat or tinnitus. Respiratory:  Denies cough,difficulty in breathing or shortness of breath.  Cardiovascular:  Denies chest pain, palpitations or edema.  GI:  Denies abdominal pain, nausea, vomiting, constipation or diarrhea.  GU:  Denies dysuria, urinary frequency or hematuria. Musculoskeletal:  Denies back pain, atrophy, spasticity or joint pain.  Hematologic:  Denies anemia, bleeding, or bruising. Integument:  Denies rash or lesions. Neurologic:  Denies headache, focal weakness, seizure or stroke. Endocrine:  Denies temperature intolerance, polyuria, or polydipsia.   Psychiatric:  Denies irritability, +depression +anxiety. +suicide attempt
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Cyanosis, Depression, Drug screen negative, Full blood count normal
Clinical narrative: Patient presents with ? SUICIDAL     pt intoxicated and tried to hang herself on the shower curtain rod. boyfriend called 911. pt states this was a suicide attempt        HPI:   This is a 41y.o. female with significant past medical history of polysubstance abuse that presented to the hospital with chief complaint of suicide attempt. The patient apparently tried to hang herself on the shower curtain rod after reportedly drinking 1 liter of Captain Morgan's rum. She was found on the ground by her boyfriend whom reports she was 'blue in the face." On examination she is resting in bed in no acute distress. She denies any fever, chills, chest pain/pressure, palpitations, shortness of breath, abdominal pain, nausea, vomiting, diarrhea, constipation, or urinary complaints. She denies any illicit drug use or ingestion of toxins.    In the ED, patient mildly hypertensive, afebrile, stable SPO2 99% on room air. CBC, BMP, coags, UA unremarkable. Ethanol level 410. UDS negative. COVID positive. CT head and CTA neck unremarkable for injury. Admitted for further evaluation and management with psychiatry consultation. Suicide precautions implemented in ED.    Pt seen and examined only by the attending physician. NP only responsible for chart review in an effort to limit exposure given the current pandemic and patient's COVID positive status.    ROS:   Constitutional:  Denies fatigue, fever or chills.  Eyes:  Denies change in visual acuity, diplopia or pain. HENT:  Denies nasal congestion, sore throat or tinnitus. Respiratory:  Denies cough,difficulty in breathing or shortness of breath.  Cardiovascular:  Denies chest pain, palpitations or edema.  GI:  Denies abdominal pain, nausea, vomiting, constipation or diarrhea.  GU:  Denies dysuria, urinary frequency or hematuria. Musculoskeletal:  Denies back pain, atrophy, spasticity or joint pain.  Hematologic:  Denies anemia, bleeding, or bruising. Integument:  Denies rash or lesions. Neurologic:  Denies headache, focal weakness, seizure or stroke. Endocrine:  Denies temperature intolerance, polyuria, or polydipsia.   Psychiatric:  Denies irritability, +depression +anxiety. +suicide attempt
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Metabolic function test normal, Poisoning, SARS-CoV-2 test positive, Suicide attempt
Clinical narrative: Patient presents with ? SUICIDAL     pt intoxicated and tried to hang herself on the shower curtain rod. boyfriend called 911. pt states this was a suicide attempt        HPI:   This is a 41y.o. female with significant past medical history of polysubstance abuse that presented to the hospital with chief complaint of suicide attempt. The patient apparently tried to hang herself on the shower curtain rod after reportedly drinking 1 liter of Captain Morgan's rum. She was found on the ground by her boyfriend whom reports she was 'blue in the face." On examination she is resting in bed in no acute distress. She denies any fever, chills, chest pain/pressure, palpitations, shortness of breath, abdominal pain, nausea, vomiting, diarrhea, constipation, or urinary complaints. She denies any illicit drug use or ingestion of toxins.    In the ED, patient mildly hypertensive, afebrile, stable SPO2 99% on room air. CBC, BMP, coags, UA unremarkable. Ethanol level 410. UDS negative. COVID positive. CT head and CTA neck unremarkable for injury. Admitted for further evaluation and management with psychiatry consultation. Suicide precautions implemented in ED.    Pt seen and examined only by the attending physician. NP only responsible for chart review in an effort to limit exposure given the current pandemic and patient's COVID positive status.    ROS:   Constitutional:  Denies fatigue, fever or chills.  Eyes:  Denies change in visual acuity, diplopia or pain. HENT:  Denies nasal congestion, sore throat or tinnitus. Respiratory:  Denies cough,difficulty in breathing or shortness of breath.  Cardiovascular:  Denies chest pain, palpitations or edema.  GI:  Denies abdominal pain, nausea, vomiting, constipation or diarrhea.  GU:  Denies dysuria, urinary frequency or hematuria. Musculoskeletal:  Denies back pain, atrophy, spasticity or joint pain.  Hematologic:  Denies anemia, bleeding, or bruising. Integument:  Denies rash or lesions. Neurologic:  Denies headache, focal weakness, seizure or stroke. Endocrine:  Denies temperature intolerance, polyuria, or polydipsia.   Psychiatric:  Denies irritability, +depression +anxiety. +suicide attempt
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis normal
Clinical narrative: Patient presents with ? SUICIDAL     pt intoxicated and tried to hang herself on the shower curtain rod. boyfriend called 911. pt states this was a suicide attempt        HPI:   This is a 41y.o. female with significant past medical history of polysubstance abuse that presented to the hospital with chief complaint of suicide attempt. The patient apparently tried to hang herself on the shower curtain rod after reportedly drinking 1 liter of Captain Morgan's rum. She was found on the ground by her boyfriend whom reports she was 'blue in the face." On examination she is resting in bed in no acute distress. She denies any fever, chills, chest pain/pressure, palpitations, shortness of breath, abdominal pain, nausea, vomiting, diarrhea, constipation, or urinary complaints. She denies any illicit drug use or ingestion of toxins.    In the ED, patient mildly hypertensive, afebrile, stable SPO2 99% on room air. CBC, BMP, coags, UA unremarkable. Ethanol level 410. UDS negative. COVID positive. CT head and CTA neck unremarkable for injury. Admitted for further evaluation and management with psychiatry consultation. Suicide precautions implemented in ED.    Pt seen and examined only by the attending physician. NP only responsible for chart review in an effort to limit exposure given the current pandemic and patient's COVID positive status.    ROS:   Constitutional:  Denies fatigue, fever or chills.  Eyes:  Denies change in visual acuity, diplopia or pain. HENT:  Denies nasal congestion, sore throat or tinnitus. Respiratory:  Denies cough,difficulty in breathing or shortness of breath.  Cardiovascular:  Denies chest pain, palpitations or edema.  GI:  Denies abdominal pain, nausea, vomiting, constipation or diarrhea.  GU:  Denies dysuria, urinary frequency or hematuria. Musculoskeletal:  Denies back pain, atrophy, spasticity or joint pain.  Hematologic:  Denies anemia, bleeding, or bruising. Integument:  Denies rash or lesions. Neurologic:  Denies headache, focal weakness, seizure or stroke. Endocrine:  Denies temperature intolerance, polyuria, or polydipsia.   Psychiatric:  Denies irritability, +depression +anxiety. +suicide attempt
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dyskinesia, Incoherent, Seizure, Staring
Clinical narrative: Patient has a history of seizures. Patient received 2nd dose of Moderna Covid 19 vaccination. They did ok with the first vaccine. Approximately 5 minutes after receiving the vaccine the patient had a blank stare, which the caregiver noted and informed staff that patient was having a seizure. Within 30 seconds the patient was jerking, had clenched fists, and was not coherent. The caregiver was able to keep the patient in the chair and keep her from hitting her head. After jerking motions stopped the caregiver was able to contact the person responsible for medical decisions for patient and mother decided that she need to be taken to the hospital. EMS arrived and took patient to the hospital within 15 minutes after seizure. Patient was alert and oriented when EMS arrived.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Ultrasound Doppler
Clinical narrative: deep venous thrombosis of left axillary vein in same arm as vaccine was administered
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient felt dizzy after getting their second dose of Pfizer vaccine. EMS treated the patient and extended their observation time.
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head, Death, Discoloured vomit, Laboratory test
Clinical narrative: Patients father said his son began throwing up 2 days after injection. They  took him to the ER and patient was given some medication to stop emesis. Two days later patient was still throwing up and the ER told him to give the medication a couple more days to work. The father said the throwing up was not constant and patient was able to eat and keep it down. The emesis was reported as dark brown mucous   with no food particles in it. Patient was reported to throw up everyday until his death on day 9.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram abnormal, Blood test abnormal, Chest pain, Dyspnoea, Electrocardiogram normal
Clinical narrative: So on April 19th I got the second Covid vaccine, I went to the urgent care on the following day at approx. 11:30 AM. They did an EKG they said it looked fine and they sent me on my way regardless of it hurting me real bad (my chest). When I woke up Sunday morning, there was a crushing pain in my chest. On the 25th I woke up, got dressed and went right over to the hospital. I was in so much pain I had to go back to the hospital. I was there from the 25th-29th, they said I needed to have an angiogram with a possible stint in my left artery. On the 28th they put that stint in and I left on the 29th of April in the afternoon at about 4pm. I still am not feeling right, my chest hurts not like it did then, but shortness of breath. I also have to take a blood thinner and a baby aspirin. I have new symptoms in both my arms, from my bicep to my triceps is very achy - it has never done that before. My arms are very stiff. I still have trouble taking deep breathes.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Pain in extremity, Protein total increased, Stent placement, X-ray
Clinical narrative: So on April 19th I got the second Covid vaccine, I went to the urgent care on the following day at approx. 11:30 AM. They did an EKG they said it looked fine and they sent me on my way regardless of it hurting me real bad (my chest). When I woke up Sunday morning, there was a crushing pain in my chest. On the 25th I woke up, got dressed and went right over to the hospital. I was in so much pain I had to go back to the hospital. I was there from the 25th-29th, they said I needed to have an angiogram with a possible stint in my left artery. On the 28th they put that stint in and I left on the 29th of April in the afternoon at about 4pm. I still am not feeling right, my chest hurts not like it did then, but shortness of breath. I also have to take a blood thinner and a baby aspirin. I have new symptoms in both my arms, from my bicep to my triceps is very achy - it has never done that before. My arms are very stiff. I still have trouble taking deep breathes.
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypertension, Rash, Urine analysis, White blood cell count increased
Clinical narrative: broke out in rash from head to toe, sores everywhere, high bp
Age: 49.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blister, Insomnia, Pain, Urticaria
Clinical narrative: broke out in rash from head to toe, sores everywhere, high bp
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Lightheadedness; EMS at bedside.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt tested positive, symptomatic, after being fully vaccinated.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Gastroenteritis, Myalgia
Clinical narrative: Patient presented to her doctor's office on 4/28/21 stating she had been having myalgias since her second vaccination. She presented to the ED on 5/4/21 with abdominal pain. She presented to the ED and was subsequently hospitalized on 5/11/21 with acute gastroenteritis. These visits are within 6 weeks of receiving COVID vaccination.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Nausea, Vomiting
Clinical narrative: nausea vomiting and abdominal pain   Hospital  5 days
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient felt faint and dizzy after receiving first dose of Pfizer vaccine.  EMS treated the patient and extended their observation time to 30 mins.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Hypoaesthesia, Neurological examination, Paraesthesia
Clinical narrative: Numbness/tingling in left arm and hand. No other symptoms. Baseline BP is elevated at home & BP elevated here, asymptomatic. Neurological exam benign. No fever, no swelling, respiratory exam benign. Stable s/s on exit from clinic
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Syncope
Clinical narrative: Tingling; Fainted. EMS at side.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia oral, Swelling
Clinical narrative: Tongue tingling, numbness, ?mild swelling - self-resolving.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Pt was unable to provide the information that he was previously vaccinated.  The patient is homeless as well and was being transferred to another facility.  The facility required the covid vaccine for placement.  The patient was able to sign his name to accept receipt of the vaccine.  Upon entering the vaccination into database it was determined he had already received the completed series.  The patient was monitored for adverse events after the injection and the following subsequent days.  No adverse event was reported by providers.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site erythema, Injection site swelling, Nausea
Clinical narrative: Severe  headache, body aches, extreme fatigue, fever, nausea, vomiting. Redness and swelling at the injection site.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pain
Clinical narrative: Severe  headache, body aches, extreme fatigue, fever, nausea, vomiting. Redness and swelling at the injection site.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Diarrhoea, Ear discomfort, Fatigue, Headache
Clinical narrative: A few  minutes after injection felt a burning sensation in face and ears.   Felt tired that evening with muscle aches and sore arm.  The next morning work up with intense body aches, headache, diarrhea and nausea.  Have had diarrhea, nausea and tired for now for  (4) four days.  Cannot eat without having diarrhea and a general unwell feeling.   I called my doctor who said that it?s unpleasant vaccine systemic side effects and to take Imodium AD and Tylenol. Go into the office if it does not resolve in a week.  This seriously has me reconsidering the second dose.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Myalgia, Nausea, Pain, Pain in extremity
Clinical narrative: A few  minutes after injection felt a burning sensation in face and ears.   Felt tired that evening with muscle aches and sore arm.  The next morning work up with intense body aches, headache, diarrhea and nausea.  Have had diarrhea, nausea and tired for now for  (4) four days.  Cannot eat without having diarrhea and a general unwell feeling.   I called my doctor who said that it?s unpleasant vaccine systemic side effects and to take Imodium AD and Tylenol. Go into the office if it does not resolve in a week.  This seriously has me reconsidering the second dose.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Dizziness, Dysphonia, Dyspnoea, Fatigue
Clinical narrative: fever, dizzy, headache, severe pain throughout body for 24 hours, screaming pain could feel vaccine going through entire body tiredness hoarseness, heavy breathing 6 weeks after vaccine
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fibrin D dimer, Headache, Injection site pain, Pain, Pyrexia
Clinical narrative: fever, dizzy, headache, severe pain throughout body for 24 hours, screaming pain could feel vaccine going through entire body tiredness hoarseness, heavy breathing 6 weeks after vaccine
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Urticaria started 2 days after vaccine, no history of urticaria, no other explanation for urticaria.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Dysgeusia, Fatigue, Heart rate increased
Clinical narrative: High fever, chills, body aches, fatigue, high resting heart rate, metallic taste in my mouth, dizziness.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Pain, Pyrexia
Clinical narrative: High fever, chills, body aches, fatigue, high resting heart rate, metallic taste in my mouth, dizziness.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: Itchy painful rash appeared on torso, buttock area and legs/arms. Appeared 4 days after second dose of vaccine.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain
Clinical narrative: Pt c/o chest pain and chest tightness
Age: 65.0
Sex: U
Vaccine: COVID19
Symptoms: Dizziness, Vertigo
Clinical narrative: Lightheadedness; Vertigo. EMS at bedside.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion
Clinical narrative: 100.3 fever, aches, chills, congestion, sore throat
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Back pain, Intervertebral disc disorder, Magnetic resonance imaging abnormal, Spinal osteoarthritis
Clinical narrative: right sided back pain--severe. MRI done 2 weeks after onset showed signficant lumbar spondylosis and chronic disk changes. patient wished that we report this because of the temporal relationship between vaccine and pain onset.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Pt tested positive, symptomatic, after being fully vaccinated.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pulmonary embolism
Clinical narrative: Patient was admitted to hospital 3 days after receiving vaccine, on 5/9/21.  She initially presented with a headache and was later diagnosed with an acute PE without acute cor pulmonale, unspecified pulomonary embolism.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Bilevel positive airway pressure, COVID-19, Chills, Dyspnoea, Fibrin D dimer increased
Clinical narrative: 5/29/2021 Breathing Problem      DIB, pulse ox 68% on RA     Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 72y.o. male with extensive pmh as mentioned below Hypertension D.m. Copd on home o2 chf  Cad  Sleep apnea  ckd and multiple other   presented to ed with cc of sudden onset of sob and chills which started night before the presentation and associated with body aches.paitent was requiring bi pap on arival and was hypoxic Patient receive both doses of covid vaccine. Work up in er shows elevated d- dimer aqnd cta was not done because of his elevated kidney functions. Patient was tested positive for covid and id and pulmonary were consulted. troponins were elevated and cardiology also was consulted. Recommendations form the consultants were noted
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoxia, Nucleic acid test, Pain, Polymerase chain reaction, Renal impairment
Clinical narrative: 5/29/2021 Breathing Problem      DIB, pulse ox 68% on RA     Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 72y.o. male with extensive pmh as mentioned below Hypertension D.m. Copd on home o2 chf  Cad  Sleep apnea  ckd and multiple other   presented to ed with cc of sudden onset of sob and chills which started night before the presentation and associated with body aches.paitent was requiring bi pap on arival and was hypoxic Patient receive both doses of covid vaccine. Work up in er shows elevated d- dimer aqnd cta was not done because of his elevated kidney functions. Patient was tested positive for covid and id and pulmonary were consulted. troponins were elevated and cardiology also was consulted. Recommendations form the consultants were noted
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Troponin increased
Clinical narrative: 5/29/2021 Breathing Problem      DIB, pulse ox 68% on RA     Source of Information:  Patient and Available medical record   History of Present Illness:  This is a 72y.o. male with extensive pmh as mentioned below Hypertension D.m. Copd on home o2 chf  Cad  Sleep apnea  ckd and multiple other   presented to ed with cc of sudden onset of sob and chills which started night before the presentation and associated with body aches.paitent was requiring bi pap on arival and was hypoxic Patient receive both doses of covid vaccine. Work up in er shows elevated d- dimer aqnd cta was not done because of his elevated kidney functions. Patient was tested positive for covid and id and pulmonary were consulted. troponins were elevated and cardiology also was consulted. Recommendations form the consultants were noted
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: INMATE INSISTED HE HAD NOT HAD THE COVID-19 VACCINE PREVIOUSLY.  WAS GIVEN A SECOND DOSE OF THE JANSSEN VACCINE.   INCIDENT  DISCOVERED 3 HOURS LATER.  INMATE WAS EXAMINED AND MONITORED.  TEMP 97.4, BP 130/80, PULSE 76, RR 20.   INMATE DENIES HEADACHE, CHILLS, BODY ACHES, UPSET STOMACH, AND FATIGUE.  INMATES STATES THAT "HE FEELS FINE."  HE HAD NO REACTION TO HIS FIRST VACCINE, JENSSEN, WHICH WAS GIVEN 3/25/21.  DEPUTIES ARE MONITORING HIM FOR SYMPTOMS.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Accident at home, Atrioventricular block first degree, Autism spectrum disorder, Blood creatine phosphokinase increased, Blood culture negative
Clinical narrative: Patient is a 50 year old female with history significant for autism, developmental disability, hypertension, seizures, frequent falls, Tourette syndrome, s/p CVA. She presented 3/31/2021, through the Emergency Department from home with following an unwitnessed fall. She was found by her mother this evening on the floor at the bottom of a flight of stairs. She was last seen by her mother sometime in the morning. Patient not capable of providing history as verbalizations are limited at baseline to occasional single word expressions of needs. Patient was noted in the ED to have multiple bruises to her head, arms and legs in various stages of healing. Patient lives with her mother who is also her legal guardian. Mother was poor historian in the ED and was unable to help determine how long patient was on the floor. Patient's mother verbalized to ED provider that she is not able to supervise the patient at all times due to her own medical needs. ED provider noted that upon leaving the ED the patient's mother stated to staff that they should put the patient out of her misery. County Crisis Center was contacted by ED staff and a referral was made to Adult Protective Services. Patient does not answer review of systems questions when asked.   Admit date: 3/30/2021  Discharge date:  4/5/2021    Primary diagnoses:  Principal Problem:   Severe sepsis, unknown origin, without end organ failure o Resolving, no fever o Vancomycin stopped.  o Wbc improving, fever resolved o Blood cultures still negative o After 4days of IV antibiotics she was transitioned to oral augmentin whenDcing flagyl.  o PCP to follow fever curve, white count...            CT chest abdomen and pelvis negative at admission             Blood cultures have remained negative Active Problems:   Benign essential HTN   Developmental disability   Residual autistic disorder    Fall o Most recent fall 03/30/2021, unwitnessed, possibly down unknown number of stairs o Followed by Neurology, for frequent falls, EEG on 01/18/2021 abnormal with focal epileptic seizures suspected, she has been started on Lamictal taper o Continue Lamictal as prior to admission    Rhabdomyolysis o Due to Unwitnessed fall and immobile on floor for unknown number of hours on 03/30/2021 o CPK trending down.            Kidney function has remained normal with ongoing IV infusion   Hyponatremia    Elevated troponin I level Cardiology, Dr. consulted from the ED, elevated troponin suspected to be secondary to rhabdomyolysis o Troponin 1.58 upon arrival, peaked at 1.88 and declining is subsequently o EKG demonstrates sinus tachycardia with 1st degree AV block and RBBB, rate 101, QTc 487 Echo was normal at 60% ejection fraction     Closed anterior dislocation of right glenohumeral joint was reduced in the emergency department which will explain the large bruise over her right shoulder  right shoulder active and passive range of motion intact   Hypomagnesemia