chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Headache, Influenza like illness, Vestibular disorder
Clinical narrative: I had the usual flu like symptoms on day 2.  I took tylenol and they went away the next day.  On day 4, I woke up in the middle of the night dizzy while rolling over in bed.  From Day 5 - 20 (today), I have daily headache in the back of my head, positional dizzyness, and elevated blood pressure.  The room isn't spinning, I just feel unstable and dizzy when my head is down or with quick movements.  I normally have normal to low blood pressure.   I met with my internist on 9/13.   I went to a vestibular PT on 9/13 who said I don't have vertigo (didn't respond to Epley), but I have vestibular occular disfunction.  He gave me exercises for the dizziness that he said would make me worse before I get better.  I am not better yet.  I take motrin daily for the headache.  I monitor my BP twice a day.  My internist ordered D-Dimer and CBC blood tests.  All normal.  I am going to ECG today.   THIS IS A NIGHTMARE.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Pain, Pyrexia, Skin sensitisation
Clinical narrative: 104 fever Shaking uncontrollably Chills Body aches Skin sensitivity Diarrhea
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Injection site pain, Paraesthesia
Clinical narrative: Site: Pain at Injection Site-Medium, Additional Details: Pt has had pins and needles in left arm and pain in left shouder and back since getting vaccine on August !st. Finally went to Dr on September 13th.  Getting a bit better but still haa pins and needles on left arm and pain in back and shoulder when sleeping.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, Bell's palsy, Eyelid function disorder
Clinical narrative: Bell's Palsy on RIGHT side of face. Half her face can't smile, can hardly close eye, lost sense of taste on 1/2 her face.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Hypoxia, SARS-CoV-2 test positive, Tachypnoea
Clinical narrative: She completed the series of Pfizer vaccines on 2/23/21. She was the local skilled nurse facility, and tested positive covid. Per the report from the facility, she was transfered to ER due to dry cough, hypoxemia and tachypnea on 9/17/21. She was admitted on 9/17/21 for further evaluation. She is discharged on 9/21/21
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactic acid, COVID-19, Electrocardiogram, Full blood count, Lipase
Clinical narrative: Patient contracted COVID after being fully vaccinated
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Troponin
Clinical narrative: Patient contracted COVID after being fully vaccinated
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Injection site erythema, Injection site rash, Rash
Clinical narrative: Site: Redness at Injection Site-Mild, Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Additional Details: Mild rash developed at injection site immediately after administration, improved while pt was under observation. No shortness of breath, itchiness, or dizziness noted. Pt was provided Benadryl to take at home in case rash worstened or developed any SOB/chest tightness
Age: 8.0
Sex: M
Vaccine: FLU4
Symptoms: Erythema, Skin warm, Swelling
Clinical narrative: Noticed 24 hours after= Redness, swelling, hot. Day 2 redness grew a bit. Day 3- less red/hot. Day 4 much less red, not hot
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injected limb mobility decreased, Injection site pain, Neck pain
Clinical narrative: My left arm became very sore the day of the second injection. The soreness, over the next week began to spread into my shoulder joint and up the left side of my neck. These aches subsided, but the next week the pain spread to my left elbow and left bicep. About a week later, the pain I experience is in my left arm bicep. When I reach behind me with my left arm, over my head, or reach for something on the floor I experience a shooting pain in my left bicep, akin to hitting a "funny bone" on a hard surface. This pain continues to this day, now over 2 months after receiving the 2nd Moderna covid shot. I've easily lost about 40% of the use of my left arm, due to the excruciating pain I feel when I make instinctive movements with my left arm, (reaching into the back seat of the car, taking a dish off a high shelf, etc.)
Age: 75.0
Sex: F
Vaccine: FLUA4
Symptoms: Back pain, Blood test, Electrocardiogram, Loss of consciousness, Magnetic resonance imaging
Clinical narrative: 5 min. after vaccine felt really bad center back pain . Loss consciousness  and was transferred to ER by ambulance.
Age: 75.0
Sex: F
Vaccine: FLUA4
Symptoms: Ultrasound scan
Clinical narrative: 5 min. after vaccine felt really bad center back pain . Loss consciousness  and was transferred to ER by ambulance.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Pruritus, Rash
Clinical narrative: Site: Itching at Injection Site-Medium, Site: Redness at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash Generalized-Medium, Additional Details: Patient called on 9/21/21 regarding long term hives and itching after vaccine. Patient was advised to take a benadryl to help with hives and itching (she has not done so due to concer that it might affect the efficacy). patient cancelled appointment for second dose until resolution of symptoms
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Death, Depressed level of consciousness, Dyspnoea, Endotracheal intubation
Clinical narrative: On September 5 the patient started showing signs of a heavy chest cold.  She was sick for the next week with heavy cough, on and off fever, extreme fatigue, shortness of breath.  She kept insisting she just had a strong chest cold.  On September 12 I found her barely conscious, foaming at the mouth, with extreme labored breathing.  Emergency medical services took her to the ER.  She was in ICU intubated for one week, then died on September 19.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Foaming at mouth, Intensive care, Lower respiratory tract infection, Malaise
Clinical narrative: On September 5 the patient started showing signs of a heavy chest cold.  She was sick for the next week with heavy cough, on and off fever, extreme fatigue, shortness of breath.  She kept insisting she just had a strong chest cold.  On September 12 I found her barely conscious, foaming at the mouth, with extreme labored breathing.  Emergency medical services took her to the ER.  She was in ICU intubated for one week, then died on September 19.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: On September 5 the patient started showing signs of a heavy chest cold.  She was sick for the next week with heavy cough, on and off fever, extreme fatigue, shortness of breath.  She kept insisting she just had a strong chest cold.  On September 12 I found her barely conscious, foaming at the mouth, with extreme labored breathing.  Emergency medical services took her to the ER.  She was in ICU intubated for one week, then died on September 19.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Anticoagulant therapy, Breath sounds abnormal, COVID-19, COVID-19 pneumonia
Clinical narrative: Hospitalized (9.14.21);  COVID-19 positive (9.12.21);  fully vaccinated  Discharge Provider: DO Primary Care Provider: None Physician, MD Admission Date: 9/14/2021 Discharge Date: 9/20/2021 Diagnosis Date Noted POA ? Pneumonia due to COVID-19 virus 09/14/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: PT is a 73 y.o. male family medicine physician whom is relatively healthy with past medical history significant for HTN, HPL, and DM 2 that was admitted for COVID 19 PNA and associated acute hypoxic respiratory failure. He was fully vaccinated with 2 doses of Pfizer 19 COVID vaccination. He was started on supplemental O2, His therapies included  Decadron, Remdisivir, Lovenox, IS, Acapella, Mucinex, Proning   He was gradually weaned off supplemental oxygen and began feeling better   9/20/2021 Pt S+E. Alert, NAD, VSS on RA. Stable at discharge Rx for prednisone and Eliquis sent to his pharmacy Patient in agreement with instructions to pick up prescribed medications and take as directed.
Age: 73.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Dyspnoea, Pyrexia, SARS-CoV-2 test positive, Tachypnoea
Clinical narrative: Hospitalized (9.14.21);  COVID-19 positive (9.12.21);  fully vaccinated  Discharge Provider: DO Primary Care Provider: None Physician, MD Admission Date: 9/14/2021 Discharge Date: 9/20/2021 Diagnosis Date Noted POA ? Pneumonia due to COVID-19 virus 09/14/2021 DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1]   HOSPITAL COURSE: PT is a 73 y.o. male family medicine physician whom is relatively healthy with past medical history significant for HTN, HPL, and DM 2 that was admitted for COVID 19 PNA and associated acute hypoxic respiratory failure. He was fully vaccinated with 2 doses of Pfizer 19 COVID vaccination. He was started on supplemental O2, His therapies included  Decadron, Remdisivir, Lovenox, IS, Acapella, Mucinex, Proning   He was gradually weaned off supplemental oxygen and began feeling better   9/20/2021 Pt S+E. Alert, NAD, VSS on RA. Stable at discharge Rx for prednisone and Eliquis sent to his pharmacy Patient in agreement with instructions to pick up prescribed medications and take as directed.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19
Clinical narrative: Fully Vaccinated patient admitted for COVID-19.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Back pain, Condition aggravated
Clinical narrative: about 3 hours after vaccine was administered i noticed lower back pain, over the course of about 3 days the pain became so severe that i had to go to the ER. I have had back pain in this location before but never so severe nor has it lasted as long as this did. i also noticed a very sharp pain in my abdomen. after consulting with my PCM he said he did not know why, but to come back in 2 weeks.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient came in for second dose of Covid shot. Patient circled Pfizer and did not have his vaccination card with him so was given a sticker to take home and update his own card. Patient's first shot was Moderna not Pfizer. Notified vaccine coordinator of this and then explained to patient that he had received a different type then his first dose. I offered for him to talk with someone, he declined and was ok with this.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: About a week after the vaccine I broke out in a rash and welts and was very itchy.   This lasted about 8 or 9 days and went away on its own.
Age: 39.0
Sex: F
Vaccine: FLU4
Symptoms: Erythema, Paraesthesia, Skin warm, Swelling
Clinical narrative: tingly, red, swollen, hot face/ears/neck started 48 hours after, got worse on day 3, same on day 4, a little better day 5
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Erectile dysfunction, Headache
Clinical narrative: Increased severity of headaches and erectile dysfunction since receiving vaccination
Age: 71.0
Sex: F
Vaccine: FLU4, VARZOS
Symptoms: Dizziness, Feeling hot, Hyperhidrosis, Pallor, Skin discolouration
Clinical narrative: Patient received shingrix vaccine in her left arm first, she said her arm was already starting to feel sore as I was prepping for the flu shot to be injected into her right arm. Soon after getting the fluzone HD, patient tells me that she's dizzy and would like to stay seated. I noticed she was turning pale, so I gave her an extra chair to elevate her legs. I had my technician call 911 in the meantime. Patient was feeling hot and started to sweat, I gave her some water when she told me she "was coming back." she started to feel better but I noticed her fingers in the right hand were turning reddish-blue. That's when EMS came and took her blood pressure, her BP was 80/46 so they took her to the hospital immediately. Patient hadn't had anything to eat ever since she woke up in the morning
Age: 68.0
Sex: F
Vaccine: UNK
Symptoms: Death
Clinical narrative: Patient Death
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Oropharyngeal pain, Pyrexia
Clinical narrative: Cough, Fever, sore throat
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chest X-ray, Chest pain, Electrocardiogram, Headache
Clinical narrative: Severe muscle pain, skin sensitivity, nausea, severe headache, neck and lower back pain, chest pain, fever
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Neck pain, Pyrexia, Sensitive skin
Clinical narrative: Severe muscle pain, skin sensitivity, nausea, severe headache, neck and lower back pain, chest pain, fever
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: patient came into a mobile clinic organized at college  where he was asked by registration staff if he had received any other COVID-19 vaccine, client denied ever receiving any previous COVID vaccine. When Client preceded to RN for his vaccine RN also asked him if he had received any other COVID-19 vaccine, again patient denied ever receiving any other COVID vaccine prior to the dose being administered on the day of the mobile clinic at College. Client also marked no for ever receiving any other COVID-19 vaccine on his registration form. after gathering his information RN proceeded to administer Janssen vaccine to the patient. During the registry entry process he was found to have received a Pfizer vaccine (04/23/2021) prior to the Janssen vaccine given by Public Health according to registry. RN attempted to call Patient multiple times on 2 different occasions. When calling clients number on his registration form the person answering the phone would hang up on RN as soon as the RN identified himself.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Exercise tolerance decreased, Fall, Gait disturbance, Tinnitus
Clinical narrative: Tinnitus in both ears Instability - I have taken 2 hard falls since the vaccine and stumbled several time (particularly on the right side).  This is absoltuely ABNORMAL for me as I have nver struggled with instbility.  I am a runner, biker, water skier and stability is critical.  It has affected all three areas of my active hobbies.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Electrocardiogram normal, Extrasystoles, Feeling abnormal, Injected limb mobility decreased
Clinical narrative: 9/15 phone appt w/ PCP: " left arm- phizer, covid vaccine 2 weeks ago. 24 hours later, left arm pain and not able to use as well since. Starts at neck, getting worse. Is able to move arm.         Feels like heart skips a beat sometimes, with pain and SOB since then. Declines ER. Feels like a "guinea pig".         Vaccine required by pool hall, "if there's a fight, there's a fight. If there's blood, there's blood". Refusing getting vaccine #2.         Think he had delta variant for 3 weeks already 8/2021, declined testing at the time. " 9/16 Office visit FNP- "63 y.o. male c/o pain, n/v, and all covid symptoms, pt stated that he got the Covid Vaccine on 9/3/21 and has been experiencing severe L arm pain, loss of feeling in both hands, vomited for several hours on 9/11.        Pt states he received a dose of COVID vaccine and 3 weeks later received a 2nd dose. Pt states he became very ill after second dose. Voices no other concerns."...Received Toradol 30mg 0.5ml IM inj. Was prescribed  Albuterol Sulfate HFA Aerosol Solution, 108 (90 Base) MCG/ACT, 2 puff as needed, Inhalation, every 4-6 hrs as needed, 30 days, 1, Refills 3 Start Flovent HFA Aerosol, 110 MCG/ACT, 1 puff, Inhalation, Twice a day, 30 days, 1, Refills 2 Start predniSONE Tablet, 20 MG, 1 tablet, Orally, Once a day, 5 days, 5 Tablet.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Nausea, Pain, Pain in extremity, Sensory loss
Clinical narrative: 9/15 phone appt w/ PCP: " left arm- phizer, covid vaccine 2 weeks ago. 24 hours later, left arm pain and not able to use as well since. Starts at neck, getting worse. Is able to move arm.         Feels like heart skips a beat sometimes, with pain and SOB since then. Declines ER. Feels like a "guinea pig".         Vaccine required by pool hall, "if there's a fight, there's a fight. If there's blood, there's blood". Refusing getting vaccine #2.         Think he had delta variant for 3 weeks already 8/2021, declined testing at the time. " 9/16 Office visit FNP- "63 y.o. male c/o pain, n/v, and all covid symptoms, pt stated that he got the Covid Vaccine on 9/3/21 and has been experiencing severe L arm pain, loss of feeling in both hands, vomited for several hours on 9/11.        Pt states he received a dose of COVID vaccine and 3 weeks later received a 2nd dose. Pt states he became very ill after second dose. Voices no other concerns."...Received Toradol 30mg 0.5ml IM inj. Was prescribed  Albuterol Sulfate HFA Aerosol Solution, 108 (90 Base) MCG/ACT, 2 puff as needed, Inhalation, every 4-6 hrs as needed, 30 days, 1, Refills 3 Start Flovent HFA Aerosol, 110 MCG/ACT, 1 puff, Inhalation, Twice a day, 30 days, 1, Refills 2 Start predniSONE Tablet, 20 MG, 1 tablet, Orally, Once a day, 5 days, 5 Tablet.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: 9/15 phone appt w/ PCP: " left arm- phizer, covid vaccine 2 weeks ago. 24 hours later, left arm pain and not able to use as well since. Starts at neck, getting worse. Is able to move arm.         Feels like heart skips a beat sometimes, with pain and SOB since then. Declines ER. Feels like a "guinea pig".         Vaccine required by pool hall, "if there's a fight, there's a fight. If there's blood, there's blood". Refusing getting vaccine #2.         Think he had delta variant for 3 weeks already 8/2021, declined testing at the time. " 9/16 Office visit FNP- "63 y.o. male c/o pain, n/v, and all covid symptoms, pt stated that he got the Covid Vaccine on 9/3/21 and has been experiencing severe L arm pain, loss of feeling in both hands, vomited for several hours on 9/11.        Pt states he received a dose of COVID vaccine and 3 weeks later received a 2nd dose. Pt states he became very ill after second dose. Voices no other concerns."...Received Toradol 30mg 0.5ml IM inj. Was prescribed  Albuterol Sulfate HFA Aerosol Solution, 108 (90 Base) MCG/ACT, 2 puff as needed, Inhalation, every 4-6 hrs as needed, 30 days, 1, Refills 3 Start Flovent HFA Aerosol, 110 MCG/ACT, 1 puff, Inhalation, Twice a day, 30 days, 1, Refills 2 Start predniSONE Tablet, 20 MG, 1 tablet, Orally, Once a day, 5 days, 5 Tablet.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Decreased appetite, Dyspnoea
Clinical narrative: SOB no energy loss of appetite no cough
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrooesophageal reflux disease, Sensation of foreign body, Throat clearing, Throat irritation
Clinical narrative: Within a few minutes of receiving first dose of Moderna Covid vaccine, I started experiencing acid reflux and it felt as if something was stuck in my throat. I thought it would have subsided by now, but have been experiencing a burning in throat and I am having to clear my through all day long. My throat has not felt the same since receiving the vaccine. I did a simple search and found that there are  a lot of other people with the same experience and thought I should report my experience.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Impaired work ability, Mobility decreased, Pain in extremity, Somnolence
Clinical narrative: I had confirmed covid in april 2021. After my second shot yesterday, I have slept for about 16 hours, I can't raise my arm above my head because it's so sore, I've been coughing horrendously (which I didn't have a cough when I had covid). Slight fever at 100.2 on and off. Called into work today.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Thrombocytopenia
Clinical narrative: Severe thrombocytopenia one week after the first dose of the vaccine
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Peripheral swelling, Pyrexia
Clinical narrative: 103 fever lasting 2 days. Extreme muscle pain and leg swelling for about a week after receiving the vaccine.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Pain
Clinical narrative: Employee calling to report a reaction after receiving a COVID-19 vaccine.  Vaccine Name -  Pfizer Vaccine Date - ?  9/20/2021 Is this your first or second dose- 1st Date of symptom onset - ? 9/21/2021 Symptoms - ? headache, body aches, and tiredness Last day of work and shift - ? 9/20/2021 Home remedies- NA Any improvement- NA Recommendation- Advised employee to Take Tylenol and/or Ibuprofen if not allergic per pack instructions as needed for headache and body aches. Also advised employee to monitor symptoms and if they worsen, new symptoms develop, or they feel like they need to be seen by a provider to call us.  Employee voiced understanding Employee of information ? Yes  Employee voiced any concerns ? No  Employee?s questions answered to employee?s satisfaction -Yes
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Monoclonal antibody immunoconjugate therapy, SARS-CoV-2 test positive
Clinical narrative: I was travelling on an airplane and the person sitting next to me was congested, sneezing, and coughing. When I came back I got a Covid test and it came back positive on 08/08/2021. When I got the results I went to a clinic. On 08/10/2021 I was treated with a monoclonal antibody infusion. They prescribed Zpak, Albuterol inhaler, and Tessalon pearls.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Apathy, Asthenia, Back pain, Bed rest, Electromyogram
Clinical narrative: Foggy head/cloudy head. Really severe weakness in my legs. I generally felt really bad for about fourteen days - was mostly in bed. I didn't feel like doing anything. I maybe got a little energy back and I was able to drive. I didn't have a lot of stamina -and I'm like that to this very day. My left arm is very weak at times - tingly. I have to force myself to exercise every day. I ride my stationary bike for 10 minutes at a time and some days I walk for 10 minutes in my apartment. But some days I can't do it at all. Generalized weakness in especially in left arm and legs. This has been life changing for me. I walked 30 minutes every day before but after the vaccines, everything has changed me. Neurologist diagnosis now for Peripheral Neuropathy.  Wanted me to take Gabapentin for pain but I don't take it. If I do use anything I use Extra strength Tylenol. I started getting a rash between my breasts - right breast and right shoulder blade in my back. The pain shoots out from my spinal cord. I knew it was Shingles. I was vaccinated for that several years ago. I got the rash about three weeks ago. My doctor, PCP, put me on Anti-Viral - Acyclovir - I don't know if that helped me or not. I suffered with a lot of pain. It is a matter of it's running it's course. I still have pain from time to time. It was a really bad case - it kept me up at nights because of the pain. With the neuropathy, I had gone to ER - on June 3rd or June 6th - the doctor there had told me to go to a neurologist. I saw her within a couple of weeks after that.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Herpes zoster, Muscular weakness, Neuropathy peripheral, Paraesthesia
Clinical narrative: Foggy head/cloudy head. Really severe weakness in my legs. I generally felt really bad for about fourteen days - was mostly in bed. I didn't feel like doing anything. I maybe got a little energy back and I was able to drive. I didn't have a lot of stamina -and I'm like that to this very day. My left arm is very weak at times - tingly. I have to force myself to exercise every day. I ride my stationary bike for 10 minutes at a time and some days I walk for 10 minutes in my apartment. But some days I can't do it at all. Generalized weakness in especially in left arm and legs. This has been life changing for me. I walked 30 minutes every day before but after the vaccines, everything has changed me. Neurologist diagnosis now for Peripheral Neuropathy.  Wanted me to take Gabapentin for pain but I don't take it. If I do use anything I use Extra strength Tylenol. I started getting a rash between my breasts - right breast and right shoulder blade in my back. The pain shoots out from my spinal cord. I knew it was Shingles. I was vaccinated for that several years ago. I got the rash about three weeks ago. My doctor, PCP, put me on Anti-Viral - Acyclovir - I don't know if that helped me or not. I suffered with a lot of pain. It is a matter of it's running it's course. I still have pain from time to time. It was a really bad case - it kept me up at nights because of the pain. With the neuropathy, I had gone to ER - on June 3rd or June 6th - the doctor there had told me to go to a neurologist. I saw her within a couple of weeks after that.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Foggy head/cloudy head. Really severe weakness in my legs. I generally felt really bad for about fourteen days - was mostly in bed. I didn't feel like doing anything. I maybe got a little energy back and I was able to drive. I didn't have a lot of stamina -and I'm like that to this very day. My left arm is very weak at times - tingly. I have to force myself to exercise every day. I ride my stationary bike for 10 minutes at a time and some days I walk for 10 minutes in my apartment. But some days I can't do it at all. Generalized weakness in especially in left arm and legs. This has been life changing for me. I walked 30 minutes every day before but after the vaccines, everything has changed me. Neurologist diagnosis now for Peripheral Neuropathy.  Wanted me to take Gabapentin for pain but I don't take it. If I do use anything I use Extra strength Tylenol. I started getting a rash between my breasts - right breast and right shoulder blade in my back. The pain shoots out from my spinal cord. I knew it was Shingles. I was vaccinated for that several years ago. I got the rash about three weeks ago. My doctor, PCP, put me on Anti-Viral - Acyclovir - I don't know if that helped me or not. I suffered with a lot of pain. It is a matter of it's running it's course. I still have pain from time to time. It was a really bad case - it kept me up at nights because of the pain. With the neuropathy, I had gone to ER - on June 3rd or June 6th - the doctor there had told me to go to a neurologist. I saw her within a couple of weeks after that.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Bradykinesia, Dizziness, Feeling abnormal
Clinical narrative: I felt very dizzy on the 8th day after getting the vaccination and have been feeling dizzy for 10 days now.  It's not as bad as it was when it first started but I still don't feel like myself and feel like I have to move slower than I used to.  A couple of days ago I felt almost normal again but  dizziness returned the next day.  I have a doctor's appointment scheduled on 9/30/2021
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: Pfizer vaccine was diluted with .8cc of diluent instead of 1.8 cc dliuent. No signs or symptoms occurred during the 15 minute waiting period.
Age: 37.0
Sex: F
Vaccine: UNK
Symptoms: Swelling
Clinical narrative: You get swelled about an hr after vaccination, resolved few hrs later. Parenthesis right hand for two weeks after, especially on right pinky. Vaccination administered on right arm.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Confusional state, Disorientation, Dyspnoea, Dysstasia
Clinical narrative: Patient called through ED nurse line:  Patient calling for Acute COVID-19 Vaccine Symptoms started today around 7pm. Symptoms include:confusion, difficulty breathing, disorientation, weakness, vomiting Constant Moderate . Pertinent negatives include: Afebrile. Pt. Got booster for COVID. 3rd shot of moderna, Today at 11:30 am. Symptoms started at 7pm. Pt. Is throwing up. Hands are cold as ice and he fell alseep. Pt. Breathing is shallow. He is too weak to stand and confused. Pt. Wife very concerned, "this is not normal for him." Pt. Drove home after shot and everything went to "hell in handbasket," at 7 pm.   Pertinent Medical History: COPD  Went to ED:  (9.17.21):  HISTORY OF PRESENT ILLNESS: Patient reports having his 3rd COVID vaccine shot today.  Feeling febrile, achy, slower to respond, has not drink all day, nauseated.  Wife describes him as confused and slower to respond.  ED Disposition    ED Disposition   Discharge   Upon arrival he appears to not be feeling well and is hesitant to answer questions.  After Tylenol, Toradol, Zofran he appears to be feeling better, sitting up, moving around, and joking.  Discussed that he is not actually contagious even though he has these viral symptoms.  I do recommend he keep the fever down, and that should help with the confusion.   Advised to: You are having viral symptoms as a side effect of the COVID vaccine.  Continue overlapping Tylenol and ibuprofen to keep fever down and avoid further confusion.  May overlap Tylenol 1000 mg and ibuprofen 600 mg, taking the other medicine after 3 hours so each medicine is 6 hours from its last dose.  Drink plenty of fluids, even if not feeling like it.  May take Zofran for nausea.  Return for worsening confusion, weakness to an arm or leg, high fever that will not improve, or other problems.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Electrocardiogram QT interval, Electrocardiogram abnormal, Extra dose administered, Fluid intake reduced, Hypopnoea
Clinical narrative: Patient called through ED nurse line:  Patient calling for Acute COVID-19 Vaccine Symptoms started today around 7pm. Symptoms include:confusion, difficulty breathing, disorientation, weakness, vomiting Constant Moderate . Pertinent negatives include: Afebrile. Pt. Got booster for COVID. 3rd shot of moderna, Today at 11:30 am. Symptoms started at 7pm. Pt. Is throwing up. Hands are cold as ice and he fell alseep. Pt. Breathing is shallow. He is too weak to stand and confused. Pt. Wife very concerned, "this is not normal for him." Pt. Drove home after shot and everything went to "hell in handbasket," at 7 pm.   Pertinent Medical History: COPD  Went to ED:  (9.17.21):  HISTORY OF PRESENT ILLNESS: Patient reports having his 3rd COVID vaccine shot today.  Feeling febrile, achy, slower to respond, has not drink all day, nauseated.  Wife describes him as confused and slower to respond.  ED Disposition    ED Disposition   Discharge   Upon arrival he appears to not be feeling well and is hesitant to answer questions.  After Tylenol, Toradol, Zofran he appears to be feeling better, sitting up, moving around, and joking.  Discussed that he is not actually contagious even though he has these viral symptoms.  I do recommend he keep the fever down, and that should help with the confusion.   Advised to: You are having viral symptoms as a side effect of the COVID vaccine.  Continue overlapping Tylenol and ibuprofen to keep fever down and avoid further confusion.  May overlap Tylenol 1000 mg and ibuprofen 600 mg, taking the other medicine after 3 hours so each medicine is 6 hours from its last dose.  Drink plenty of fluids, even if not feeling like it.  May take Zofran for nausea.  Return for worsening confusion, weakness to an arm or leg, high fever that will not improve, or other problems.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Malaise, Nausea, Pain, Peripheral coldness, Pyrexia
Clinical narrative: Patient called through ED nurse line:  Patient calling for Acute COVID-19 Vaccine Symptoms started today around 7pm. Symptoms include:confusion, difficulty breathing, disorientation, weakness, vomiting Constant Moderate . Pertinent negatives include: Afebrile. Pt. Got booster for COVID. 3rd shot of moderna, Today at 11:30 am. Symptoms started at 7pm. Pt. Is throwing up. Hands are cold as ice and he fell alseep. Pt. Breathing is shallow. He is too weak to stand and confused. Pt. Wife very concerned, "this is not normal for him." Pt. Drove home after shot and everything went to "hell in handbasket," at 7 pm.   Pertinent Medical History: COPD  Went to ED:  (9.17.21):  HISTORY OF PRESENT ILLNESS: Patient reports having his 3rd COVID vaccine shot today.  Feeling febrile, achy, slower to respond, has not drink all day, nauseated.  Wife describes him as confused and slower to respond.  ED Disposition    ED Disposition   Discharge   Upon arrival he appears to not be feeling well and is hesitant to answer questions.  After Tylenol, Toradol, Zofran he appears to be feeling better, sitting up, moving around, and joking.  Discussed that he is not actually contagious even though he has these viral symptoms.  I do recommend he keep the fever down, and that should help with the confusion.   Advised to: You are having viral symptoms as a side effect of the COVID vaccine.  Continue overlapping Tylenol and ibuprofen to keep fever down and avoid further confusion.  May overlap Tylenol 1000 mg and ibuprofen 600 mg, taking the other medicine after 3 hours so each medicine is 6 hours from its last dose.  Drink plenty of fluids, even if not feeling like it.  May take Zofran for nausea.  Return for worsening confusion, weakness to an arm or leg, high fever that will not improve, or other problems.
Age: 75.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Sinus tachycardia, Slow response to stimuli, Vomiting, White blood cell count normal
Clinical narrative: Patient called through ED nurse line:  Patient calling for Acute COVID-19 Vaccine Symptoms started today around 7pm. Symptoms include:confusion, difficulty breathing, disorientation, weakness, vomiting Constant Moderate . Pertinent negatives include: Afebrile. Pt. Got booster for COVID. 3rd shot of moderna, Today at 11:30 am. Symptoms started at 7pm. Pt. Is throwing up. Hands are cold as ice and he fell alseep. Pt. Breathing is shallow. He is too weak to stand and confused. Pt. Wife very concerned, "this is not normal for him." Pt. Drove home after shot and everything went to "hell in handbasket," at 7 pm.   Pertinent Medical History: COPD  Went to ED:  (9.17.21):  HISTORY OF PRESENT ILLNESS: Patient reports having his 3rd COVID vaccine shot today.  Feeling febrile, achy, slower to respond, has not drink all day, nauseated.  Wife describes him as confused and slower to respond.  ED Disposition    ED Disposition   Discharge   Upon arrival he appears to not be feeling well and is hesitant to answer questions.  After Tylenol, Toradol, Zofran he appears to be feeling better, sitting up, moving around, and joking.  Discussed that he is not actually contagious even though he has these viral symptoms.  I do recommend he keep the fever down, and that should help with the confusion.   Advised to: You are having viral symptoms as a side effect of the COVID vaccine.  Continue overlapping Tylenol and ibuprofen to keep fever down and avoid further confusion.  May overlap Tylenol 1000 mg and ibuprofen 600 mg, taking the other medicine after 3 hours so each medicine is 6 hours from its last dose.  Drink plenty of fluids, even if not feeling like it.  May take Zofran for nausea.  Return for worsening confusion, weakness to an arm or leg, high fever that will not improve, or other problems.
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Dyspnoea, Palpitations, Tinnitus
Clinical narrative: TINNITUS-Ringing of the ear the day after the shot.  Ringing hasn't stopped since.  Also, a few days after the second shot, Evan started feeling Chest pain, Shortness of breath and  pounding heart.  Chest pain comes and goes
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Alanine aminotransferase increased, Albumin globulin ratio decreased, Anion gap, Aspartate aminotransferase increased
Clinical narrative: 72yo female hx GERD, CKD stage 3, alpha thalassemia trait, COPD, NIDDM2 presents with acute renal failure, hyperkalemia, AGAP metabolic acidosis, uncontrolled diabetes and hyperglycemia, and sepsis of unclear etiology.   Acute kidney injury on chronic kidney disease stage 4: 72-year-old female with history of chronic kidney disease, anemia, GERD, COPD diabetes who presented with elevated creatinine not feeling well and was found to have acute kidney injury.  During hospitalization patient required 2 sessions of hemodialysis.  Patient's temporary hemodialysis catheter has been removed as per recommendation of Nephrology.  Patient's creatinine is stable.  Patient is to follow-up with nephrologist as an outpatient.   Hypertension: It was uncontrolled, patient medication has been adjusted.  Patient is currently on amlodipine, Coreg, losartan as per recommendation of nephrologist.   Diabetes: Mostly uncontrolled, patient is currently on home medication, that will be resumed on discharge   Physical exam: Constitutional:  Patient is lying in bed, no distress Head/eyes: atraumatic, normocephalic ENT: moist mucous membranes Neck: non-tender Cardiovascular:  regular rate and rhythm, no murmur, no rub Respiratory: decreased breath sounds, clear to auscultation, mild crackles Abdomen: non-tender, normal bowel sounds, soft, no rebound Extremities:  No clubbing, no cyanosis, edema mild Skin: intact, normal turgor 1   Discharge condition: stable
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Basophil count decreased, Basophil percentage decreased, Blood albumin decreased, Blood alkaline phosphatase normal, Blood bilirubin decreased
Clinical narrative: 72yo female hx GERD, CKD stage 3, alpha thalassemia trait, COPD, NIDDM2 presents with acute renal failure, hyperkalemia, AGAP metabolic acidosis, uncontrolled diabetes and hyperglycemia, and sepsis of unclear etiology.   Acute kidney injury on chronic kidney disease stage 4: 72-year-old female with history of chronic kidney disease, anemia, GERD, COPD diabetes who presented with elevated creatinine not feeling well and was found to have acute kidney injury.  During hospitalization patient required 2 sessions of hemodialysis.  Patient's temporary hemodialysis catheter has been removed as per recommendation of Nephrology.  Patient's creatinine is stable.  Patient is to follow-up with nephrologist as an outpatient.   Hypertension: It was uncontrolled, patient medication has been adjusted.  Patient is currently on amlodipine, Coreg, losartan as per recommendation of nephrologist.   Diabetes: Mostly uncontrolled, patient is currently on home medication, that will be resumed on discharge   Physical exam: Constitutional:  Patient is lying in bed, no distress Head/eyes: atraumatic, normocephalic ENT: moist mucous membranes Neck: non-tender Cardiovascular:  regular rate and rhythm, no murmur, no rub Respiratory: decreased breath sounds, clear to auscultation, mild crackles Abdomen: non-tender, normal bowel sounds, soft, no rebound Extremities:  No clubbing, no cyanosis, edema mild Skin: intact, normal turgor 1   Discharge condition: stable
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood calcium normal, Blood chloride normal, Blood creatinine increased, Blood glucose increased, Blood lactic acid
Clinical narrative: 72yo female hx GERD, CKD stage 3, alpha thalassemia trait, COPD, NIDDM2 presents with acute renal failure, hyperkalemia, AGAP metabolic acidosis, uncontrolled diabetes and hyperglycemia, and sepsis of unclear etiology.   Acute kidney injury on chronic kidney disease stage 4: 72-year-old female with history of chronic kidney disease, anemia, GERD, COPD diabetes who presented with elevated creatinine not feeling well and was found to have acute kidney injury.  During hospitalization patient required 2 sessions of hemodialysis.  Patient's temporary hemodialysis catheter has been removed as per recommendation of Nephrology.  Patient's creatinine is stable.  Patient is to follow-up with nephrologist as an outpatient.   Hypertension: It was uncontrolled, patient medication has been adjusted.  Patient is currently on amlodipine, Coreg, losartan as per recommendation of nephrologist.   Diabetes: Mostly uncontrolled, patient is currently on home medication, that will be resumed on discharge   Physical exam: Constitutional:  Patient is lying in bed, no distress Head/eyes: atraumatic, normocephalic ENT: moist mucous membranes Neck: non-tender Cardiovascular:  regular rate and rhythm, no murmur, no rub Respiratory: decreased breath sounds, clear to auscultation, mild crackles Abdomen: non-tender, normal bowel sounds, soft, no rebound Extremities:  No clubbing, no cyanosis, edema mild Skin: intact, normal turgor 1   Discharge condition: stable
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood potassium increased, Blood sodium normal, Blood thyroid stimulating hormone decreased, Blood urea increased, Blood urea nitrogen/creatinine ratio increased
Clinical narrative: 72yo female hx GERD, CKD stage 3, alpha thalassemia trait, COPD, NIDDM2 presents with acute renal failure, hyperkalemia, AGAP metabolic acidosis, uncontrolled diabetes and hyperglycemia, and sepsis of unclear etiology.   Acute kidney injury on chronic kidney disease stage 4: 72-year-old female with history of chronic kidney disease, anemia, GERD, COPD diabetes who presented with elevated creatinine not feeling well and was found to have acute kidney injury.  During hospitalization patient required 2 sessions of hemodialysis.  Patient's temporary hemodialysis catheter has been removed as per recommendation of Nephrology.  Patient's creatinine is stable.  Patient is to follow-up with nephrologist as an outpatient.   Hypertension: It was uncontrolled, patient medication has been adjusted.  Patient is currently on amlodipine, Coreg, losartan as per recommendation of nephrologist.   Diabetes: Mostly uncontrolled, patient is currently on home medication, that will be resumed on discharge   Physical exam: Constitutional:  Patient is lying in bed, no distress Head/eyes: atraumatic, normocephalic ENT: moist mucous membranes Neck: non-tender Cardiovascular:  regular rate and rhythm, no murmur, no rub Respiratory: decreased breath sounds, clear to auscultation, mild crackles Abdomen: non-tender, normal bowel sounds, soft, no rebound Extremities:  No clubbing, no cyanosis, edema mild Skin: intact, normal turgor 1   Discharge condition: stable
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Breath sounds abnormal, Carbon dioxide decreased, Catheter removal, Condition aggravated, Crepitations
Clinical narrative: 72yo female hx GERD, CKD stage 3, alpha thalassemia trait, COPD, NIDDM2 presents with acute renal failure, hyperkalemia, AGAP metabolic acidosis, uncontrolled diabetes and hyperglycemia, and sepsis of unclear etiology.   Acute kidney injury on chronic kidney disease stage 4: 72-year-old female with history of chronic kidney disease, anemia, GERD, COPD diabetes who presented with elevated creatinine not feeling well and was found to have acute kidney injury.  During hospitalization patient required 2 sessions of hemodialysis.  Patient's temporary hemodialysis catheter has been removed as per recommendation of Nephrology.  Patient's creatinine is stable.  Patient is to follow-up with nephrologist as an outpatient.   Hypertension: It was uncontrolled, patient medication has been adjusted.  Patient is currently on amlodipine, Coreg, losartan as per recommendation of nephrologist.   Diabetes: Mostly uncontrolled, patient is currently on home medication, that will be resumed on discharge   Physical exam: Constitutional:  Patient is lying in bed, no distress Head/eyes: atraumatic, normocephalic ENT: moist mucous membranes Neck: non-tender Cardiovascular:  regular rate and rhythm, no murmur, no rub Respiratory: decreased breath sounds, clear to auscultation, mild crackles Abdomen: non-tender, normal bowel sounds, soft, no rebound Extremities:  No clubbing, no cyanosis, edema mild Skin: intact, normal turgor 1   Discharge condition: stable
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Eosinophil count, Eosinophil percentage decreased, Globulins increased, Glomerular filtration rate decreased, Haematocrit normal
Clinical narrative: 72yo female hx GERD, CKD stage 3, alpha thalassemia trait, COPD, NIDDM2 presents with acute renal failure, hyperkalemia, AGAP metabolic acidosis, uncontrolled diabetes and hyperglycemia, and sepsis of unclear etiology.   Acute kidney injury on chronic kidney disease stage 4: 72-year-old female with history of chronic kidney disease, anemia, GERD, COPD diabetes who presented with elevated creatinine not feeling well and was found to have acute kidney injury.  During hospitalization patient required 2 sessions of hemodialysis.  Patient's temporary hemodialysis catheter has been removed as per recommendation of Nephrology.  Patient's creatinine is stable.  Patient is to follow-up with nephrologist as an outpatient.   Hypertension: It was uncontrolled, patient medication has been adjusted.  Patient is currently on amlodipine, Coreg, losartan as per recommendation of nephrologist.   Diabetes: Mostly uncontrolled, patient is currently on home medication, that will be resumed on discharge   Physical exam: Constitutional:  Patient is lying in bed, no distress Head/eyes: atraumatic, normocephalic ENT: moist mucous membranes Neck: non-tender Cardiovascular:  regular rate and rhythm, no murmur, no rub Respiratory: decreased breath sounds, clear to auscultation, mild crackles Abdomen: non-tender, normal bowel sounds, soft, no rebound Extremities:  No clubbing, no cyanosis, edema mild Skin: intact, normal turgor 1   Discharge condition: stable
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haemodialysis, Haemoglobin decreased, Hypertension, Lipase normal, Lymphocyte count
Clinical narrative: 72yo female hx GERD, CKD stage 3, alpha thalassemia trait, COPD, NIDDM2 presents with acute renal failure, hyperkalemia, AGAP metabolic acidosis, uncontrolled diabetes and hyperglycemia, and sepsis of unclear etiology.   Acute kidney injury on chronic kidney disease stage 4: 72-year-old female with history of chronic kidney disease, anemia, GERD, COPD diabetes who presented with elevated creatinine not feeling well and was found to have acute kidney injury.  During hospitalization patient required 2 sessions of hemodialysis.  Patient's temporary hemodialysis catheter has been removed as per recommendation of Nephrology.  Patient's creatinine is stable.  Patient is to follow-up with nephrologist as an outpatient.   Hypertension: It was uncontrolled, patient medication has been adjusted.  Patient is currently on amlodipine, Coreg, losartan as per recommendation of nephrologist.   Diabetes: Mostly uncontrolled, patient is currently on home medication, that will be resumed on discharge   Physical exam: Constitutional:  Patient is lying in bed, no distress Head/eyes: atraumatic, normocephalic ENT: moist mucous membranes Neck: non-tender Cardiovascular:  regular rate and rhythm, no murmur, no rub Respiratory: decreased breath sounds, clear to auscultation, mild crackles Abdomen: non-tender, normal bowel sounds, soft, no rebound Extremities:  No clubbing, no cyanosis, edema mild Skin: intact, normal turgor 1   Discharge condition: stable