chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Confusional state, Dyspnoea, Fall, Leukocytosis
Clinical narrative: Pt was admitted on 2/10/2022 for confusion, weakness, and multiple falls. patient's vital signs were stable with exception of tachypnea of 22 saturating 93% . Patient was noted to have generalized weakness, labs were obtained which revealed elevated creatinine at 1.6 (baseline 1.0), mild leukocytosis 11.39, troponins negative, head CT obtained revealed no acute process. Chest x-ray showed right lower lobe opacity, suggestive of pneumonia versus atelectasis. COVID-19 test positive. Patient did have an elevated procalcitonin at 0.95 and therefore admitted for further management of care.   Patient started on IV fluid hydration as well as ceftriaxone (completed 7days), azithromycin (completed 5 days) and remdesivir (completed 3d).    Patient continued to have mild shortness of breath above baseline, patient was started on Symbicort transitioned to Stiolto Respimat. He will be discharged on Spiriva.   At the time of discharge, the pt was afebrile, clinically stable without active complaints.  Warning signs for which to return to the hospital were discussed with patient who verbalized understanding and agreed with the plan of care.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Lung opacity, Pneumonia, Procalcitonin increased, SARS-CoV-2 test positive, Tachypnoea
Clinical narrative: Pt was admitted on 2/10/2022 for confusion, weakness, and multiple falls. patient's vital signs were stable with exception of tachypnea of 22 saturating 93% . Patient was noted to have generalized weakness, labs were obtained which revealed elevated creatinine at 1.6 (baseline 1.0), mild leukocytosis 11.39, troponins negative, head CT obtained revealed no acute process. Chest x-ray showed right lower lobe opacity, suggestive of pneumonia versus atelectasis. COVID-19 test positive. Patient did have an elevated procalcitonin at 0.95 and therefore admitted for further management of care.   Patient started on IV fluid hydration as well as ceftriaxone (completed 7days), azithromycin (completed 5 days) and remdesivir (completed 3d).    Patient continued to have mild shortness of breath above baseline, patient was started on Symbicort transitioned to Stiolto Respimat. He will be discharged on Spiriva.   At the time of discharge, the pt was afebrile, clinically stable without active complaints.  Warning signs for which to return to the hospital were discussed with patient who verbalized understanding and agreed with the plan of care.
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin normal, White blood cell count increased
Clinical narrative: Pt was admitted on 2/10/2022 for confusion, weakness, and multiple falls. patient's vital signs were stable with exception of tachypnea of 22 saturating 93% . Patient was noted to have generalized weakness, labs were obtained which revealed elevated creatinine at 1.6 (baseline 1.0), mild leukocytosis 11.39, troponins negative, head CT obtained revealed no acute process. Chest x-ray showed right lower lobe opacity, suggestive of pneumonia versus atelectasis. COVID-19 test positive. Patient did have an elevated procalcitonin at 0.95 and therefore admitted for further management of care.   Patient started on IV fluid hydration as well as ceftriaxone (completed 7days), azithromycin (completed 5 days) and remdesivir (completed 3d).    Patient continued to have mild shortness of breath above baseline, patient was started on Symbicort transitioned to Stiolto Respimat. He will be discharged on Spiriva.   At the time of discharge, the pt was afebrile, clinically stable without active complaints.  Warning signs for which to return to the hospital were discussed with patient who verbalized understanding and agreed with the plan of care.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Abnormal behaviour, COVID-19, Mental status changes, SARS-CoV-2 test positive
Clinical narrative: Patient is a 75 y male who presents with Other (AMS). Per EMS, the patient was sent to the ECC for evaluation after the staff reports that the patient is "not acting right" and is "not as bubbly as usual". According to EMS, the assisted living facility has no heat and is sending certain patients to the ECC, whom they deem are unfit to go to a hotel. There are no complaints voiced by the patient at this time. Pt found to be COVID positive, placed in isolation
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Heavy menstrual bleeding, Hormone level abnormal, Menstruation irregular, Planning to become pregnant
Clinical narrative: When I got the vaccine or the Booster my period and hormones completely   Irregular  . I was consistently having my period every 23 days prior and then all of a sudden I had two periods in a month.   Got the booster  Clearly wasn?t due for a period for a while since I bled so much got a the next week. I?m 40 years old and trying to have a baby this is completely making that a lot more difficult. I got Covid in December 2021 I also was not due for a period but four days after getting coved I got another period. When I first got vaxed  This wasn?t talked about but if I want to have a baby I am hesitant to take the booster now as it takes so long to regulate my period again. I?ve just now had  got back on a 28 day cycle last month. It is may 15.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Polymenorrhoea
Clinical narrative: When I got the vaccine or the Booster my period and hormones completely   Irregular  . I was consistently having my period every 23 days prior and then all of a sudden I had two periods in a month.   Got the booster  Clearly wasn?t due for a period for a while since I bled so much got a the next week. I?m 40 years old and trying to have a baby this is completely making that a lot more difficult. I got Covid in December 2021 I also was not due for a period but four days after getting coved I got another period. When I first got vaxed  This wasn?t talked about but if I want to have a baby I am hesitant to take the booster now as it takes so long to regulate my period again. I?ve just now had  got back on a 28 day cycle last month. It is may 15.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Pain, Pyrexia
Clinical narrative: Fever, body aches, chills
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Ageusia, Alanine aminotransferase increased, Anosmia
Clinical narrative: Pt is a 60 yo, with multiple comorbidities including newly diagnosed atrial fibrillation on Eliquis, history of diastolic congestive heart failure, history of coronary artery disease status post PCI to RCA following MRI 2016, hypertension, AML on chemotherapy, metastatic carcinoid tumor of abdomen, dyslipidemia, mood disorder, obstructive sleep apnea on CPAP, tobacco abuse, obesity, GERD, BPH presented to the ED complaints of shortness of breath According to patient he had COVID-19 symptoms for 5 days and was seen by his primary care physician and was found to be in atrial fibrillation with RVR and was sent to emergency room for further evaluation and treatment.  Patient states that he had some cough, nausea, myalgia and loss of smell and taste with some nasal congestion but denies any chest pain.  Patient denies any fever but has some chills.  History of congestive heart failure and atrial fibrillation he has been taking his Eliquis and Bumex daily.  Patient was scheduled for cardiac ablation yesterday but this was canceled secondary to positive COVID-19.  Patient states that he was vaccinated for COVID-19 and had booster.   Chest x-ray showed bilateral infiltrates compatible with COVID-19 pneumonia. His lab showed elevated white count at 17.9 hemoglobin 9.4 previously at 8 platelets 78 sodium 134 potassium 3.2 and was replaced glucose 155 creatinine 1.8 previously at 0.9 AST 146 ALT 81 BNP 682 and started on Bumex troponin was 18.9 lactic acid 2.4 magnesium 1.7 and was replaced LDH 702 CRP 19 procalcitonin 0.21 D-dimer was 12761.   Assessment and plan:  Acute respiratory failure with hypoxia secondary to COVID-19 virus pneumonia and diastolic congestive heart failure exacerbation.  Respiratory protocol, oxygen to keep pulse ox above 90%, Cardiology consult, contact and droplet precaution, steroids, antibiotics, bronchodilators, mucolytics, pulmonary toileting.   Acute kidney injury on admission secondary to dehydration, avoid nephrotoxin medications, hold lisinopril and diuretics   Sepsis most likely secondary to above, antibiotics, cultures pending, monitor vital signs, follow inflammatory markers.   PT OT recommended post acute but patient declined and wanted to go home.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Aspartate aminotransferase increased, Atrial fibrillation, Blood creatinine increased, Blood glucose normal, Blood lactate dehydrogenase increased
Clinical narrative: Pt is a 60 yo, with multiple comorbidities including newly diagnosed atrial fibrillation on Eliquis, history of diastolic congestive heart failure, history of coronary artery disease status post PCI to RCA following MRI 2016, hypertension, AML on chemotherapy, metastatic carcinoid tumor of abdomen, dyslipidemia, mood disorder, obstructive sleep apnea on CPAP, tobacco abuse, obesity, GERD, BPH presented to the ED complaints of shortness of breath According to patient he had COVID-19 symptoms for 5 days and was seen by his primary care physician and was found to be in atrial fibrillation with RVR and was sent to emergency room for further evaluation and treatment.  Patient states that he had some cough, nausea, myalgia and loss of smell and taste with some nasal congestion but denies any chest pain.  Patient denies any fever but has some chills.  History of congestive heart failure and atrial fibrillation he has been taking his Eliquis and Bumex daily.  Patient was scheduled for cardiac ablation yesterday but this was canceled secondary to positive COVID-19.  Patient states that he was vaccinated for COVID-19 and had booster.   Chest x-ray showed bilateral infiltrates compatible with COVID-19 pneumonia. His lab showed elevated white count at 17.9 hemoglobin 9.4 previously at 8 platelets 78 sodium 134 potassium 3.2 and was replaced glucose 155 creatinine 1.8 previously at 0.9 AST 146 ALT 81 BNP 682 and started on Bumex troponin was 18.9 lactic acid 2.4 magnesium 1.7 and was replaced LDH 702 CRP 19 procalcitonin 0.21 D-dimer was 12761.   Assessment and plan:  Acute respiratory failure with hypoxia secondary to COVID-19 virus pneumonia and diastolic congestive heart failure exacerbation.  Respiratory protocol, oxygen to keep pulse ox above 90%, Cardiology consult, contact and droplet precaution, steroids, antibiotics, bronchodilators, mucolytics, pulmonary toileting.   Acute kidney injury on admission secondary to dehydration, avoid nephrotoxin medications, hold lisinopril and diuretics   Sepsis most likely secondary to above, antibiotics, cultures pending, monitor vital signs, follow inflammatory markers.   PT OT recommended post acute but patient declined and wanted to go home.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactic acid, Blood magnesium normal, Blood potassium decreased, Blood sodium decreased, Brain natriuretic peptide increased
Clinical narrative: Pt is a 60 yo, with multiple comorbidities including newly diagnosed atrial fibrillation on Eliquis, history of diastolic congestive heart failure, history of coronary artery disease status post PCI to RCA following MRI 2016, hypertension, AML on chemotherapy, metastatic carcinoid tumor of abdomen, dyslipidemia, mood disorder, obstructive sleep apnea on CPAP, tobacco abuse, obesity, GERD, BPH presented to the ED complaints of shortness of breath According to patient he had COVID-19 symptoms for 5 days and was seen by his primary care physician and was found to be in atrial fibrillation with RVR and was sent to emergency room for further evaluation and treatment.  Patient states that he had some cough, nausea, myalgia and loss of smell and taste with some nasal congestion but denies any chest pain.  Patient denies any fever but has some chills.  History of congestive heart failure and atrial fibrillation he has been taking his Eliquis and Bumex daily.  Patient was scheduled for cardiac ablation yesterday but this was canceled secondary to positive COVID-19.  Patient states that he was vaccinated for COVID-19 and had booster.   Chest x-ray showed bilateral infiltrates compatible with COVID-19 pneumonia. His lab showed elevated white count at 17.9 hemoglobin 9.4 previously at 8 platelets 78 sodium 134 potassium 3.2 and was replaced glucose 155 creatinine 1.8 previously at 0.9 AST 146 ALT 81 BNP 682 and started on Bumex troponin was 18.9 lactic acid 2.4 magnesium 1.7 and was replaced LDH 702 CRP 19 procalcitonin 0.21 D-dimer was 12761.   Assessment and plan:  Acute respiratory failure with hypoxia secondary to COVID-19 virus pneumonia and diastolic congestive heart failure exacerbation.  Respiratory protocol, oxygen to keep pulse ox above 90%, Cardiology consult, contact and droplet precaution, steroids, antibiotics, bronchodilators, mucolytics, pulmonary toileting.   Acute kidney injury on admission secondary to dehydration, avoid nephrotoxin medications, hold lisinopril and diuretics   Sepsis most likely secondary to above, antibiotics, cultures pending, monitor vital signs, follow inflammatory markers.   PT OT recommended post acute but patient declined and wanted to go home.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein increased, COVID-19, COVID-19 pneumonia, Cardiac failure congestive, Chest X-ray abnormal
Clinical narrative: Pt is a 60 yo, with multiple comorbidities including newly diagnosed atrial fibrillation on Eliquis, history of diastolic congestive heart failure, history of coronary artery disease status post PCI to RCA following MRI 2016, hypertension, AML on chemotherapy, metastatic carcinoid tumor of abdomen, dyslipidemia, mood disorder, obstructive sleep apnea on CPAP, tobacco abuse, obesity, GERD, BPH presented to the ED complaints of shortness of breath According to patient he had COVID-19 symptoms for 5 days and was seen by his primary care physician and was found to be in atrial fibrillation with RVR and was sent to emergency room for further evaluation and treatment.  Patient states that he had some cough, nausea, myalgia and loss of smell and taste with some nasal congestion but denies any chest pain.  Patient denies any fever but has some chills.  History of congestive heart failure and atrial fibrillation he has been taking his Eliquis and Bumex daily.  Patient was scheduled for cardiac ablation yesterday but this was canceled secondary to positive COVID-19.  Patient states that he was vaccinated for COVID-19 and had booster.   Chest x-ray showed bilateral infiltrates compatible with COVID-19 pneumonia. His lab showed elevated white count at 17.9 hemoglobin 9.4 previously at 8 platelets 78 sodium 134 potassium 3.2 and was replaced glucose 155 creatinine 1.8 previously at 0.9 AST 146 ALT 81 BNP 682 and started on Bumex troponin was 18.9 lactic acid 2.4 magnesium 1.7 and was replaced LDH 702 CRP 19 procalcitonin 0.21 D-dimer was 12761.   Assessment and plan:  Acute respiratory failure with hypoxia secondary to COVID-19 virus pneumonia and diastolic congestive heart failure exacerbation.  Respiratory protocol, oxygen to keep pulse ox above 90%, Cardiology consult, contact and droplet precaution, steroids, antibiotics, bronchodilators, mucolytics, pulmonary toileting.   Acute kidney injury on admission secondary to dehydration, avoid nephrotoxin medications, hold lisinopril and diuretics   Sepsis most likely secondary to above, antibiotics, cultures pending, monitor vital signs, follow inflammatory markers.   PT OT recommended post acute but patient declined and wanted to go home.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Condition aggravated, Cough, Dehydration, Dyspnoea
Clinical narrative: Pt is a 60 yo, with multiple comorbidities including newly diagnosed atrial fibrillation on Eliquis, history of diastolic congestive heart failure, history of coronary artery disease status post PCI to RCA following MRI 2016, hypertension, AML on chemotherapy, metastatic carcinoid tumor of abdomen, dyslipidemia, mood disorder, obstructive sleep apnea on CPAP, tobacco abuse, obesity, GERD, BPH presented to the ED complaints of shortness of breath According to patient he had COVID-19 symptoms for 5 days and was seen by his primary care physician and was found to be in atrial fibrillation with RVR and was sent to emergency room for further evaluation and treatment.  Patient states that he had some cough, nausea, myalgia and loss of smell and taste with some nasal congestion but denies any chest pain.  Patient denies any fever but has some chills.  History of congestive heart failure and atrial fibrillation he has been taking his Eliquis and Bumex daily.  Patient was scheduled for cardiac ablation yesterday but this was canceled secondary to positive COVID-19.  Patient states that he was vaccinated for COVID-19 and had booster.   Chest x-ray showed bilateral infiltrates compatible with COVID-19 pneumonia. His lab showed elevated white count at 17.9 hemoglobin 9.4 previously at 8 platelets 78 sodium 134 potassium 3.2 and was replaced glucose 155 creatinine 1.8 previously at 0.9 AST 146 ALT 81 BNP 682 and started on Bumex troponin was 18.9 lactic acid 2.4 magnesium 1.7 and was replaced LDH 702 CRP 19 procalcitonin 0.21 D-dimer was 12761.   Assessment and plan:  Acute respiratory failure with hypoxia secondary to COVID-19 virus pneumonia and diastolic congestive heart failure exacerbation.  Respiratory protocol, oxygen to keep pulse ox above 90%, Cardiology consult, contact and droplet precaution, steroids, antibiotics, bronchodilators, mucolytics, pulmonary toileting.   Acute kidney injury on admission secondary to dehydration, avoid nephrotoxin medications, hold lisinopril and diuretics   Sepsis most likely secondary to above, antibiotics, cultures pending, monitor vital signs, follow inflammatory markers.   PT OT recommended post acute but patient declined and wanted to go home.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Haemoglobin decreased, Left ventricular failure, Lung infiltration, Malaise
Clinical narrative: Pt is a 60 yo, with multiple comorbidities including newly diagnosed atrial fibrillation on Eliquis, history of diastolic congestive heart failure, history of coronary artery disease status post PCI to RCA following MRI 2016, hypertension, AML on chemotherapy, metastatic carcinoid tumor of abdomen, dyslipidemia, mood disorder, obstructive sleep apnea on CPAP, tobacco abuse, obesity, GERD, BPH presented to the ED complaints of shortness of breath According to patient he had COVID-19 symptoms for 5 days and was seen by his primary care physician and was found to be in atrial fibrillation with RVR and was sent to emergency room for further evaluation and treatment.  Patient states that he had some cough, nausea, myalgia and loss of smell and taste with some nasal congestion but denies any chest pain.  Patient denies any fever but has some chills.  History of congestive heart failure and atrial fibrillation he has been taking his Eliquis and Bumex daily.  Patient was scheduled for cardiac ablation yesterday but this was canceled secondary to positive COVID-19.  Patient states that he was vaccinated for COVID-19 and had booster.   Chest x-ray showed bilateral infiltrates compatible with COVID-19 pneumonia. His lab showed elevated white count at 17.9 hemoglobin 9.4 previously at 8 platelets 78 sodium 134 potassium 3.2 and was replaced glucose 155 creatinine 1.8 previously at 0.9 AST 146 ALT 81 BNP 682 and started on Bumex troponin was 18.9 lactic acid 2.4 magnesium 1.7 and was replaced LDH 702 CRP 19 procalcitonin 0.21 D-dimer was 12761.   Assessment and plan:  Acute respiratory failure with hypoxia secondary to COVID-19 virus pneumonia and diastolic congestive heart failure exacerbation.  Respiratory protocol, oxygen to keep pulse ox above 90%, Cardiology consult, contact and droplet precaution, steroids, antibiotics, bronchodilators, mucolytics, pulmonary toileting.   Acute kidney injury on admission secondary to dehydration, avoid nephrotoxin medications, hold lisinopril and diuretics   Sepsis most likely secondary to above, antibiotics, cultures pending, monitor vital signs, follow inflammatory markers.   PT OT recommended post acute but patient declined and wanted to go home.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Nasal congestion, Nausea, Platelet count decreased, Procalcitonin
Clinical narrative: Pt is a 60 yo, with multiple comorbidities including newly diagnosed atrial fibrillation on Eliquis, history of diastolic congestive heart failure, history of coronary artery disease status post PCI to RCA following MRI 2016, hypertension, AML on chemotherapy, metastatic carcinoid tumor of abdomen, dyslipidemia, mood disorder, obstructive sleep apnea on CPAP, tobacco abuse, obesity, GERD, BPH presented to the ED complaints of shortness of breath According to patient he had COVID-19 symptoms for 5 days and was seen by his primary care physician and was found to be in atrial fibrillation with RVR and was sent to emergency room for further evaluation and treatment.  Patient states that he had some cough, nausea, myalgia and loss of smell and taste with some nasal congestion but denies any chest pain.  Patient denies any fever but has some chills.  History of congestive heart failure and atrial fibrillation he has been taking his Eliquis and Bumex daily.  Patient was scheduled for cardiac ablation yesterday but this was canceled secondary to positive COVID-19.  Patient states that he was vaccinated for COVID-19 and had booster.   Chest x-ray showed bilateral infiltrates compatible with COVID-19 pneumonia. His lab showed elevated white count at 17.9 hemoglobin 9.4 previously at 8 platelets 78 sodium 134 potassium 3.2 and was replaced glucose 155 creatinine 1.8 previously at 0.9 AST 146 ALT 81 BNP 682 and started on Bumex troponin was 18.9 lactic acid 2.4 magnesium 1.7 and was replaced LDH 702 CRP 19 procalcitonin 0.21 D-dimer was 12761.   Assessment and plan:  Acute respiratory failure with hypoxia secondary to COVID-19 virus pneumonia and diastolic congestive heart failure exacerbation.  Respiratory protocol, oxygen to keep pulse ox above 90%, Cardiology consult, contact and droplet precaution, steroids, antibiotics, bronchodilators, mucolytics, pulmonary toileting.   Acute kidney injury on admission secondary to dehydration, avoid nephrotoxin medications, hold lisinopril and diuretics   Sepsis most likely secondary to above, antibiotics, cultures pending, monitor vital signs, follow inflammatory markers.   PT OT recommended post acute but patient declined and wanted to go home.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Sepsis, Troponin increased, White blood cell count increased
Clinical narrative: Pt is a 60 yo, with multiple comorbidities including newly diagnosed atrial fibrillation on Eliquis, history of diastolic congestive heart failure, history of coronary artery disease status post PCI to RCA following MRI 2016, hypertension, AML on chemotherapy, metastatic carcinoid tumor of abdomen, dyslipidemia, mood disorder, obstructive sleep apnea on CPAP, tobacco abuse, obesity, GERD, BPH presented to the ED complaints of shortness of breath According to patient he had COVID-19 symptoms for 5 days and was seen by his primary care physician and was found to be in atrial fibrillation with RVR and was sent to emergency room for further evaluation and treatment.  Patient states that he had some cough, nausea, myalgia and loss of smell and taste with some nasal congestion but denies any chest pain.  Patient denies any fever but has some chills.  History of congestive heart failure and atrial fibrillation he has been taking his Eliquis and Bumex daily.  Patient was scheduled for cardiac ablation yesterday but this was canceled secondary to positive COVID-19.  Patient states that he was vaccinated for COVID-19 and had booster.   Chest x-ray showed bilateral infiltrates compatible with COVID-19 pneumonia. His lab showed elevated white count at 17.9 hemoglobin 9.4 previously at 8 platelets 78 sodium 134 potassium 3.2 and was replaced glucose 155 creatinine 1.8 previously at 0.9 AST 146 ALT 81 BNP 682 and started on Bumex troponin was 18.9 lactic acid 2.4 magnesium 1.7 and was replaced LDH 702 CRP 19 procalcitonin 0.21 D-dimer was 12761.   Assessment and plan:  Acute respiratory failure with hypoxia secondary to COVID-19 virus pneumonia and diastolic congestive heart failure exacerbation.  Respiratory protocol, oxygen to keep pulse ox above 90%, Cardiology consult, contact and droplet precaution, steroids, antibiotics, bronchodilators, mucolytics, pulmonary toileting.   Acute kidney injury on admission secondary to dehydration, avoid nephrotoxin medications, hold lisinopril and diuretics   Sepsis most likely secondary to above, antibiotics, cultures pending, monitor vital signs, follow inflammatory markers.   PT OT recommended post acute but patient declined and wanted to go home.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cardiac function test normal, Electrocardiogram normal, Fatigue, Feeling abnormal
Clinical narrative: About 18 hours after getting the vaccine I started to feel very tired and just ?off.? I wasn?t moving from the couch, but my heart rate became very elevated. My smart Watch began alerting me that my heart rate was extremely high for at-rest. My heart rate at rest averages around 64 (per my smart Watch for Sept/October), on 11/25/21 it averaged 98 bpm at rest. Looking through old data, around 4:30 I received an alert while sitting at dinner (no alcohol consumption) that my heart rate was 120 at rest  and that I should seek medical attention.  I did not, as I was with several relevancies who are home health care providers, who took my blood pressure (it was high, I believe around 140/90), temp (around 99.5), and hooked me up to a pulseox (I don?t recall this being abnormal. Perhaps around 98?). I was monitored overnight by a home health care provider and felt generally okay the next day.  I ended up getting Covid in mid-Jan. In Mid-Feb, I started feeling extremely nauseous and started once again getting alerts about my heart on my watch. I went to primary care, EKG was normal, but they sent me to ER out of fear of a pulmonary embolism.  It ended up being a bad UTI. But that was the only other time I?ve ever experienced tachycardia to my knowledge.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Hypertension, Mobility decreased, Nausea, Tachycardia
Clinical narrative: About 18 hours after getting the vaccine I started to feel very tired and just ?off.? I wasn?t moving from the couch, but my heart rate became very elevated. My smart Watch began alerting me that my heart rate was extremely high for at-rest. My heart rate at rest averages around 64 (per my smart Watch for Sept/October), on 11/25/21 it averaged 98 bpm at rest. Looking through old data, around 4:30 I received an alert while sitting at dinner (no alcohol consumption) that my heart rate was 120 at rest  and that I should seek medical attention.  I did not, as I was with several relevancies who are home health care providers, who took my blood pressure (it was high, I believe around 140/90), temp (around 99.5), and hooked me up to a pulseox (I don?t recall this being abnormal. Perhaps around 98?). I was monitored overnight by a home health care provider and felt generally okay the next day.  I ended up getting Covid in mid-Jan. In Mid-Feb, I started feeling extremely nauseous and started once again getting alerts about my heart on my watch. I went to primary care, EKG was normal, but they sent me to ER out of fear of a pulmonary embolism.  It ended up being a bad UTI. But that was the only other time I?ve ever experienced tachycardia to my knowledge.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection
Clinical narrative: About 18 hours after getting the vaccine I started to feel very tired and just ?off.? I wasn?t moving from the couch, but my heart rate became very elevated. My smart Watch began alerting me that my heart rate was extremely high for at-rest. My heart rate at rest averages around 64 (per my smart Watch for Sept/October), on 11/25/21 it averaged 98 bpm at rest. Looking through old data, around 4:30 I received an alert while sitting at dinner (no alcohol consumption) that my heart rate was 120 at rest  and that I should seek medical attention.  I did not, as I was with several relevancies who are home health care providers, who took my blood pressure (it was high, I believe around 140/90), temp (around 99.5), and hooked me up to a pulseox (I don?t recall this being abnormal. Perhaps around 98?). I was monitored overnight by a home health care provider and felt generally okay the next day.  I ended up getting Covid in mid-Jan. In Mid-Feb, I started feeling extremely nauseous and started once again getting alerts about my heart on my watch. I went to primary care, EKG was normal, but they sent me to ER out of fear of a pulmonary embolism.  It ended up being a bad UTI. But that was the only other time I?ve ever experienced tachycardia to my knowledge.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity, Pyrexia, Swelling
Clinical narrative: 101 degree fever, arm pain, visibility noticeable swelling above left collarbone with pain.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, Blood pressure increased, Caesarean section, Exposure during pregnancy, Headache
Clinical narrative: Patient was 37 weeks pregnant when she presented initially for monoclonal antibodies secondary to COVID-19 infection in pregnancy. Upon arrival, patient was noted to have elevated blood pressures 140s/90s. PreE panel was performed which showed P:C 0.3 on straight cath otherwise WNL. She has a mild headache otherwise is asymptomatic. Patient had planned a primary CS secondary to macrosomia at 39 weeks. Decision was made to proceed with cesarean section today secondary to gestational age of 37 weeks. All questions answered and agrees to proceed.  Estimated delivery date was 02/03/20. Birth weight was 8lb3oz
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Macrosomia
Clinical narrative: Patient was 37 weeks pregnant when she presented initially for monoclonal antibodies secondary to COVID-19 infection in pregnancy. Upon arrival, patient was noted to have elevated blood pressures 140s/90s. PreE panel was performed which showed P:C 0.3 on straight cath otherwise WNL. She has a mild headache otherwise is asymptomatic. Patient had planned a primary CS secondary to macrosomia at 39 weeks. Decision was made to proceed with cesarean section today secondary to gestational age of 37 weeks. All questions answered and agrees to proceed.  Estimated delivery date was 02/03/20. Birth weight was 8lb3oz
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: dose given below 18 y.o. indication
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: 5/11/22: hives, continuing to present  (5/15/22)
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Pain, SARS-CoV-2 test positive
Clinical narrative: Patient is a 95-year-old female presents the emergency department with whole body pain.  Patient claims that she has been feeling this way for about a week.  She was diagnosed with COVID-19 on 03/21/22  Patient denies shortness of breath admits to substernal chest pain especially with deep breathing.  Patient denies abdominal discomfort. She was subsequently discharged under stable conditions.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: I am currently having extreme itching ,swelling,redness and heat to touch where the injection wa given. Slight headache and tiredness on the day after injection. Currently headache
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site warmth
Clinical narrative: I am currently having extreme itching ,swelling,redness and heat to touch where the injection wa given. Slight headache and tiredness on the day after injection. Currently headache
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Carbon dioxide increased, Cardiac ablation, Cardiac flutter, Dyspnoea
Clinical narrative: NOTE: I had symptoms of SOB after 1st dose but always assumed it was COPD related. Extreme shortness of breath, A-Fib on occasion, with high heart rate and fluttering pounding. BPM is often noted in excess of 150, with many 173+ events recorded. When I learned I was experiencing  A Fib on occasion, I underwent a routine ablation procedure. During recovery, I "may have" developed pneumonia and C02 levels increased to 81%,. Intubation was considered a life-saving procedure. NOTE: This vent was after I had dose 1 and 2 but never thought it was heart-related due to my COPD. Also, I have had  general anesthesia on many w occasions and have never experienced any negative. side effects   Assuming my condition was COPD related, my emphasis was being treated by Dr. at Cancer, Hospital. On exam, my lungs were clear, my oxy sats were ok and my heart flutters were quick to recover. BP was within normal range upon exam.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Palpitations
Clinical narrative: NOTE: I had symptoms of SOB after 1st dose but always assumed it was COPD related. Extreme shortness of breath, A-Fib on occasion, with high heart rate and fluttering pounding. BPM is often noted in excess of 150, with many 173+ events recorded. When I learned I was experiencing  A Fib on occasion, I underwent a routine ablation procedure. During recovery, I "may have" developed pneumonia and C02 levels increased to 81%,. Intubation was considered a life-saving procedure. NOTE: This vent was after I had dose 1 and 2 but never thought it was heart-related due to my COPD. Also, I have had  general anesthesia on many w occasions and have never experienced any negative. side effects   Assuming my condition was COPD related, my emphasis was being treated by Dr. at Cancer, Hospital. On exam, my lungs were clear, my oxy sats were ok and my heart flutters were quick to recover. BP was within normal range upon exam.
Age: 80.0
Sex: F
Vaccine: UNK
Symptoms: Headache
Clinical narrative: Over 100 degree fever and headache
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: I received 4th Covid-19 shot (2nd booster) in my left arm; however now my right arm  injection site where I received the 3rd vaccine (on September 30) is hurting!
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Muscle twitching
Clinical narrative: Immediately after receiving my booster shot for COVID-19, my calves started twitching. The twitching does not seem to be muscle related, but I could be wrong. It seems to be a nerve system reaction and it's been 5 continuous days of nonstop calf twitching. This is not normal and it is very concerning. I have a follow up appointment scheduled with my doctor to address this concern  this coming week.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Peripheral swelling, Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: In October 2021 I noticed that my right leg was swollen. It may have been swollen before that and I didn't notice it. Doppler ultrasound detected a blood clot in the right leg. I've taken Xarelto for six months, but the clot is still there. I had never had a blood clot prior to the Janssen vaccine.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Nausea, Pain, Pyrexia, Vomiting
Clinical narrative: Aches chills fever nausea and vomiting
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Amenorrhoea, Dysmenorrhoea, Fatigue, Intermenstrual bleeding, Menopausal symptoms
Clinical narrative: Menstrual spotting after 9 months of no period (perimenopausal), severe cramping, severe fatigue
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Cough, Exposure to SARS-CoV-2, Headache, Impaired work ability, Influenza like illness
Clinical narrative: Flu like symptoms. Was exposed to Covid on Tuesday so thought that?s what I had. Got a negative test. Missed work on Thursday and should call out tonight because I?m still sick, but I have to go back to work. Still experiencing bad cough, body aches, sore throat and headache.
Age: 54.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Malaise, Oropharyngeal pain, Pain, SARS-CoV-2 test negative
Clinical narrative: Flu like symptoms. Was exposed to Covid on Tuesday so thought that?s what I had. Got a negative test. Missed work on Thursday and should call out tonight because I?m still sick, but I have to go back to work. Still experiencing bad cough, body aches, sore throat and headache.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Dermatitis contact, Fear, Hypersensitivity, Injection site discolouration, Injection site reaction
Clinical narrative: INDIVIDUAL STATED HAD A REACTION AT SITE OF INJECTION.  CONSULTED DERMATOLOGIST WHO DIAGNOSED IT AS AS AN ALLERGIC REACTION TO BANDAID WHICH PT. WAS NOT CONVINCED. EVENTUALLY INDUVIDIAL STATED THE  AREA AT THE SITE OF INJECTION NOW AS DARK SPOTS  IS INCREASING. PHARMACIST SUGGESTED TO APPLY HYDROCORTISONE AND REVISIT THE DERMATOLOGIST. DUE TO THE REACTION. INDIVIDUAL IS AFRAID OF GETTING THE 2ND DOSE.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Atrial fibrillation, Balance disorder, Computerised tomogram abnormal, Gait disturbance
Clinical narrative: That same day an intense pain in my large muscles (thighs, butt and upper arms). The pain would not allow me to sleep for the next six days immediately following the booster shot. My Dr. at day 6 prescribed something that allowed me to sleep. At that time at about day 7 I lost control of my baller. That event sent me to hospital where they gave me a CT scan and during this process A-fib was detected. I have never had a heart issue in my life. They kept me in the hosp[ital the following two nights. ........At this point I started to lose weight and soon had shed about 25 pounds. Weakness in walking and balance issue followed. A bit later I developed a pain in my lower rib cage.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Musculoskeletal chest pain, Musculoskeletal pain, Myalgia, Pain in extremity
Clinical narrative: That same day an intense pain in my large muscles (thighs, butt and upper arms). The pain would not allow me to sleep for the next six days immediately following the booster shot. My Dr. at day 6 prescribed something that allowed me to sleep. At that time at about day 7 I lost control of my baller. That event sent me to hospital where they gave me a CT scan and during this process A-fib was detected. I have never had a heart issue in my life. They kept me in the hosp[ital the following two nights. ........At this point I started to lose weight and soon had shed about 25 pounds. Weakness in walking and balance issue followed. A bit later I developed a pain in my lower rib cage.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Sleep disorder, Urinary incontinence, Weight decreased
Clinical narrative: That same day an intense pain in my large muscles (thighs, butt and upper arms). The pain would not allow me to sleep for the next six days immediately following the booster shot. My Dr. at day 6 prescribed something that allowed me to sleep. At that time at about day 7 I lost control of my baller. That event sent me to hospital where they gave me a CT scan and during this process A-fib was detected. I have never had a heart issue in my life. They kept me in the hosp[ital the following two nights. ........At this point I started to lose weight and soon had shed about 25 pounds. Weakness in walking and balance issue followed. A bit later I developed a pain in my lower rib cage.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Dry throat, Dysphagia
Clinical narrative: Patient was noticing a hard time swallowing 15 minutes after vaccination.  She thought her throat may have been dry. She did not notice any swelling in mouth or around mouth.  She took a sip of water and felt better.  I gave her one benadryl 25mg capsule and had her stay an additional 15 minutes.  At the end of the full 30 minutes she did not have an issues swallowing but did have a stomach ache.  She did not have any other symptoms and her mother thought it was nerves.  I instructed them if anything changed or if she had any additional symptoms to go to the ER and follow up with me as soon as possible.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Got COVID on4/22/2022
Age: 9.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vitiligo
Clinical narrative: My daughter is having Vitiligo and it is increasing from Feb 20th . We noticed in March and went to doctor . It is increasing  since then more. We see it from the pictures before and after..
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Atrial fibrillation, Chills, Echocardiogram abnormal, Headache
Clinical narrative: Twelve hours post vaccine extreme chills, nausea and headache.  Seven months post vaccine ER admission with atrial fibrillation and hypertension.  ER admission lasted for 15 hours with discharge on beta-blocker and Non-STEMI diagnosis.  Chills, nausea and palpitations persisted for 60 days after ER discharge.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Laboratory test, Nausea, Palpitations
Clinical narrative: Twelve hours post vaccine extreme chills, nausea and headache.  Seven months post vaccine ER admission with atrial fibrillation and hypertension.  ER admission lasted for 15 hours with discharge on beta-blocker and Non-STEMI diagnosis.  Chills, nausea and palpitations persisted for 60 days after ER discharge.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Deafness, Tinnitus
Clinical narrative: tinnitus and hearing loss. hearing loss. Treatment was high dose oral steroids for 2 weeks. Ringing in ears still persist today.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash
Clinical narrative: Skin rash around injection site
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Error: Dose in Series Given Too Early-
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Injection site pain, Pain
Clinical narrative: Site: Pain at Injection Site-Mild, Additional Details: Patient claims arm pit hurts when arm is in motion.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling, Injection site warmth
Clinical narrative: Spoke with patient 5/15/22. She got the 2nd Pfizer booster on 5/13/22. She woke up 5/14/22 with a lump that was tender to the touch at the injection site. She said she massaged the spot and it went away. She woke up 5/15/22 and the injection site was red/swollen/warm to the touch. She iced the area and then called the pharmacy to report reaction.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chiropractic, Condition aggravated, Formication, Joint stiffness, Mobility decreased
Clinical narrative: With the 1st vaccine (3/31/2021) about 15 minutes after I left and was driving home I felt like hundreds of ants were crawling up my back to my head and then all over my head. At the same time a single pitch of ringing in my left ear started and got louder and louder. I had not had tinnitus for years. I was driving in a silent car. This had never happened before. This loud ringing lasted for weeks.  With the 2nd vaccine on April 21, 2021 while I was still sitting in the Vaccine Clinic during the waiting period my wrists froze and I could not move them and then all of my other joints became stiff. I told this to the person in the clinic but she did nothing other then ask me if I was light headed or felt like I was going to faint - I told her I didn't feel light headed or that I was going to faint. She went away and said nothing more. After a while I left. This stiffness went away. Then 2 weeks later I started having terrible pain where I had partly torn my hamstring tendons and ruptured one in my other leg in August of 2019. I had done months of physical therapy January of 2020 had no pain and had been very active. There was no injury in April/May of 2021 that could explain the pain I was having. I started going back to PT and then a chiropractor. None of this helped. It was difficult because of covid to see doctors.
Age: 52.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, Tendonitis, Tinnitus
Clinical narrative: With the 1st vaccine (3/31/2021) about 15 minutes after I left and was driving home I felt like hundreds of ants were crawling up my back to my head and then all over my head. At the same time a single pitch of ringing in my left ear started and got louder and louder. I had not had tinnitus for years. I was driving in a silent car. This had never happened before. This loud ringing lasted for weeks.  With the 2nd vaccine on April 21, 2021 while I was still sitting in the Vaccine Clinic during the waiting period my wrists froze and I could not move them and then all of my other joints became stiff. I told this to the person in the clinic but she did nothing other then ask me if I was light headed or felt like I was going to faint - I told her I didn't feel light headed or that I was going to faint. She went away and said nothing more. After a while I left. This stiffness went away. Then 2 weeks later I started having terrible pain where I had partly torn my hamstring tendons and ruptured one in my other leg in August of 2019. I had done months of physical therapy January of 2020 had no pain and had been very active. There was no injury in April/May of 2021 that could explain the pain I was having. I started going back to PT and then a chiropractor. None of this helped. It was difficult because of covid to see doctors.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Dizziness, Immediate post-injection reaction, Nervousness
Clinical narrative: Patient reported dizziness and generalized weakness seconds after Pfizer covid 2nd booster. Denied SOB, chest pain, nausea, or blurred vision. Vitals were taken every 5 minutes until dizziness resolved. Patient is diabetic, did not eat breakfast, and was very nervous about vaccination. Symptoms started resolving 10 minutes aftter vaccination and fully resolved after 15 minutes. Patient left site unassisted 30 minutes after vaccination. Patient was given water to drink and graham crackers to eat.
Age: 51.0
Sex: F
Vaccine: TDAP
Symptoms: Injected limb mobility decreased, Pain
Clinical narrative: Decreased ROM, pain at rest and with movement, decreased abduction and raising of right arm for now 2+ weeks.  Current treatment: prednisone 40mg daily for 5 days and Tramadol 50-100mg at bedtime as needed prescription for 6 days
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Arthralgia, Fatigue, Headache, Myalgia
Clinical narrative: Fever 100.3, severe joint and muscle pain, severe headache, severe fatigue, mild nausea, mild abdominal pain
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: Fever 100.3, severe joint and muscle pain, severe headache, severe fatigue, mild nausea, mild abdominal pain
Age: 72.0
Sex: F
Vaccine: VARZOS
Symptoms: Injection site pain, Injection site swelling, Rash, Rash morbilliform
Clinical narrative: PATIENT HAD NO ISSUES THE DAY OF VACCINE ADMINISTRATION, 24 HOURS AFTER THE VACCINE THE PATIENT COMPLINS OF A RASH, PRESENT ON BOTH ARMS AS WELL AS INJECT SITE PAIN/SWELLING. PATIENT DESCRIBES IT AS A "MEASLES-LIKE" RASH THAT IS ELEVATED SLIGHTLY ABOVE THE SKIN. THE PATIENT DOES NOT COMPLAIN OF ANY ITCHING OR DIFFICULTY BREATHING. RECOMMENDED PATIENT TO CONTACT PCP.