chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Metabolic function test, Pollakiuria, Pulmonary vascular disorder, Pyrexia, Renal impairment
Clinical narrative: Hospitalized 9/18/2021; COVID-19 positive on 9/13/2021; fully vaccinated  Patient is a 91-year-old woman with past medical history of diastolic congestive heart failure, aortic stenosis, coronary artery disease, pulmonary hypertension, hypertension, chronic atrial fibrillation not on anticoagulation, history of TIA, seizures, type 2 diabetes and history of chronic hyponatremia due to fluid overload.  Presented to the emergency department as she was not feeling well and experiencing generalized weakness and shortness of breath.  She got tested positive for COVID on 09/13/2021.  In the emergency department patient was febrile at 38.6° F otherwise hemodynamically stable.  She was able to breathe comfortably on room air.  Her labs were consistent with sodium of 125 and urine analysis was positive for urinary tract infection.  Since patient was complaining of urinary frequency over the past few days she was started on IV Rocephin for possible cystitis.  In the absence of hypoxia she did not receive Decadron or remdesivir.  She received regeneron monoclonal antibody infusion while she was hospitalized here during this admission.  Repeat labs showed improvement in sodium levels at 1:30 a.m. however patient's kidney function was altered with some AKI with creatinine of 1.2 to and GFR of 41. She will need repeat BMP on Monday to reassess her kidney function and sodium levels.  Her AKI could be related to fluid overload from the monoclonal antibody infusion that she received.  PCP to follow patient's BMP.  She was evaluated at the time of discharge for the need of home oxygen and did not require any oxygen per Pulmonary Rehab. She was discharged home with home care services on 9/19/21.
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Urinary tract infection, Urine analysis abnormal
Clinical narrative: Hospitalized 9/18/2021; COVID-19 positive on 9/13/2021; fully vaccinated  Patient is a 91-year-old woman with past medical history of diastolic congestive heart failure, aortic stenosis, coronary artery disease, pulmonary hypertension, hypertension, chronic atrial fibrillation not on anticoagulation, history of TIA, seizures, type 2 diabetes and history of chronic hyponatremia due to fluid overload.  Presented to the emergency department as she was not feeling well and experiencing generalized weakness and shortness of breath.  She got tested positive for COVID on 09/13/2021.  In the emergency department patient was febrile at 38.6° F otherwise hemodynamically stable.  She was able to breathe comfortably on room air.  Her labs were consistent with sodium of 125 and urine analysis was positive for urinary tract infection.  Since patient was complaining of urinary frequency over the past few days she was started on IV Rocephin for possible cystitis.  In the absence of hypoxia she did not receive Decadron or remdesivir.  She received regeneron monoclonal antibody infusion while she was hospitalized here during this admission.  Repeat labs showed improvement in sodium levels at 1:30 a.m. however patient's kidney function was altered with some AKI with creatinine of 1.2 to and GFR of 41. She will need repeat BMP on Monday to reassess her kidney function and sodium levels.  Her AKI could be related to fluid overload from the monoclonal antibody infusion that she received.  PCP to follow patient's BMP.  She was evaluated at the time of discharge for the need of home oxygen and did not require any oxygen per Pulmonary Rehab. She was discharged home with home care services on 9/19/21.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Severe throat tightness that lasted for 12 hours before resolving. Follow up appointment scheduled with primary care physician to address before second dose.
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Prostatitis, Urinary tract discomfort
Clinical narrative: Prostatitis (sensitivity when urinating). No human sexual contact.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac function test, Dizziness, Dyspnoea, Hypertension, Laboratory test
Clinical narrative: Reports  on 9/11/21, one day after 2nd vaccination given, has been having SOB, Dizziness, dyspnea at times, sluggish, body ache.  HBP that had been controlled with medications prior to injections.   Today: 9/23/21, continues with same adverse events  BP 180/100            HR 110       O2 @ 96% on RA.   presents with SOB, Dizziness
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain, Sluggishness
Clinical narrative: Reports  on 9/11/21, one day after 2nd vaccination given, has been having SOB, Dizziness, dyspnea at times, sluggish, body ache.  HBP that had been controlled with medications prior to injections.   Today: 9/23/21, continues with same adverse events  BP 180/100            HR 110       O2 @ 96% on RA.   presents with SOB, Dizziness
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Coronary arterial stent insertion, Coronary artery occlusion, Myocardial infarction
Clinical narrative: Heart attack.  Blockage and then 2 stents
Age: 12.0
Sex: M
Vaccine: MENB, TDAP, VARCEL
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: patient received the trumenba dose too early. Patient did not have any adverse events related to the vaccine.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Ocular discomfort
Clinical narrative: Pressure behind left eye, tired, nauseous, headache, chills.
Age: 29.0
Sex: F
Vaccine: COVID19, TDAP
Symptoms: Abdominal pain upper, Appendicitis, Blood test, Computerised tomogram abdomen abnormal, Dyspepsia
Clinical narrative: 2 weeks after the first dose o started to get heartburn then the next day horrible stomach pain and cramps and couldn?t keep anything down just felt very nauseous. Went to the ER and after tests and labs was diagnosed with appendicitis
Age: 29.0
Sex: F
Vaccine: COVID19, TDAP
Symptoms: Nausea, Scan with contrast abnormal, Vomiting
Clinical narrative: 2 weeks after the first dose o started to get heartburn then the next day horrible stomach pain and cramps and couldn?t keep anything down just felt very nauseous. Went to the ER and after tests and labs was diagnosed with appendicitis
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dizziness, Fatigue, Loss of consciousness, Nasal congestion
Clinical narrative: Nausea, fatigue, congestion, cough, mucus, spitting up blood and mucus, fainted/dizziness/blacked out, respiratory infection.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Respiratory tract infection, SARS-CoV-2 test negative, Secretion discharge, Syncope
Clinical narrative: Nausea, fatigue, congestion, cough, mucus, spitting up blood and mucus, fainted/dizziness/blacked out, respiratory infection.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Fatigue, Head discomfort, Muscular weakness
Clinical narrative: Chills that last most of the night after the vaccination. Bad head that started in the middle of the night and lasted until mid day the next day. Feel very tired and slept most of next day and still feel weak and tired into the second day. Arm feels weak.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Somnolence
Clinical narrative: Chills that last most of the night after the vaccination. Bad head that started in the middle of the night and lasted until mid day the next day. Feel very tired and slept most of next day and still feel weak and tired into the second day. Arm feels weak.
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, Balance disorder, Blood test, Computerised tomogram, Dizziness
Clinical narrative: Extreme Dizziness, Vertigo, Syncope, Unsteadiness, Bouncy vision Nystagmus, Nausea, Shakiness Balance issues weakness
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram, Eye movement disorder, Nausea, Syncope, Tremor
Clinical narrative: Extreme Dizziness, Vertigo, Syncope, Unsteadiness, Bouncy vision Nystagmus, Nausea, Shakiness Balance issues weakness
Age: 40.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vertigo
Clinical narrative: Extreme Dizziness, Vertigo, Syncope, Unsteadiness, Bouncy vision Nystagmus, Nausea, Shakiness Balance issues weakness
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy, Mobility decreased, Pain, Pyrexia
Clinical narrative: two days ago received 2nd dose of pfizer. This evening noticed large lymph node of left axilla, tender, unable to move left arm due to size. Pain. Fevers.
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Pyrexia, Swelling
Clinical narrative: Fever, chills, swollen neck on same side shot was given
Age: 36.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Hyperhidrosis, Lymphadenopathy, Pain in extremity, Swelling
Clinical narrative: Fever, chills, swollen neck on same side shot was given
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, No adverse event
Clinical narrative: Patient is an Facility. The Health Department provides vaccines to those who request them. The patient filled out the screening form and reported he had not received any previous Covid vaccine. Patient was given the Janssen vaccine. When inputting into system it was noted this was the third dose. Patient had received his first and second dose of Moderna at a Family Practice. This writer called to confirm vaccines were given and was told consent forms were signed on both occasions. Facility notified of adverse event. The nurse who administered the vaccine stated that the patient filled out the screening form and answered he had not received any previous doses of the Covid vaccine. Patient to be monitored for any adverse side effects.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Injection site discolouration, Injection site swelling, Nausea, Pyrexia
Clinical narrative: Substantial swelling at injection site with mild discoloration. Fever >101F, mild nausea, and fatigue. Fever off and on still ongoing 48 hours later. Treated with Tylenol and Advil.
Age: 64.0
Sex: F
Vaccine: UNK
Symptoms: Paraesthesia
Clinical narrative: Tingling and vibration in left calf and foot.  This has been going on for 5 weeks so far.  Symptoms started 2 days after J&J Shot.
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Neck pain, Nodule, Oropharyngeal pain
Clinical narrative: Golf ball sized knit in shoulder sore collarbone neck pain throat pain all on left side (side where shot was given)
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bone pain, Feeling abnormal, Hypokinesia, Injection site mass, Neck pain
Clinical narrative: Golf ball sized knit in shoulder sore collarbone neck pain throat pain all on left side (side where shot was given)
Age: 50.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Oropharyngeal pain
Clinical narrative: Golf ball sized knit in shoulder sore collarbone neck pain throat pain all on left side (side where shot was given)
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Dyspnoea, Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Patient presented to emergency department on 9/7/2021 with cough and shortness of breath. She had tested positive for COVID-19 on 9/2/2021 at a different facility. She was admitted to a different hospital from 8/4 to 8/13 with pneumonia. She was admitted for further management. She was treated with remdesivir, dexamethasone and supplemental oxygen. She was discharged on 9/22/2021 to inpatient rehab facility.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Chest discomfort, Chest pain, Lymph node pain, Lymphadenopathy
Clinical narrative: On 20 Sep 2021, within 2 minutes of receiving the shot, I began experiencing tightness in chest/heart.  Though, I did not think it was so serious that I needed to report it. I left the pharmacy where I received the shot and went home.  The tightness in heart turned into a pain  as the night went on and has remained somewhat constant since.  I also experienced a burning sensation in the area of my heart the first night of the shot.  On 22 Sep, around 3:00 p.m, I realized the pain I was constantly feeling in my heart, was now also under my left arm in the armpit area.  It hurts to touch and is visibly swollen.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Injection site bruising, Injection site erythema, Injection site joint pain, Joint range of motion decreased
Clinical narrative: Initial affects of the shot (first 2 days): Cascading joint pain which started at the injection site. An elliptical bruise approximately 4 square inches in size formed around the injection site. Lone term: Intense pain in left shoulder, similar to a football injury from throwing a football all day with an injury. I am right handed and I have not thrown a football within the last few months. I was unable to light my arm up in a chicken wing motion without immense pain. No medication was taken for the pain. Motion was restricted/limited for for duration of pain (up to 2 weeks after shot). No sleeping position or other situation can be connected to the random intense pain. At the 2 week point: Bruise is indistinguishable but injection point is still able to be found due to the lingering light red dot. Shoulder mobility has been restored to normal range of motion and I am working on exercising the shoulder to strengthen the socket once again.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Pain
Clinical narrative: Initial affects of the shot (first 2 days): Cascading joint pain which started at the injection site. An elliptical bruise approximately 4 square inches in size formed around the injection site. Lone term: Intense pain in left shoulder, similar to a football injury from throwing a football all day with an injury. I am right handed and I have not thrown a football within the last few months. I was unable to light my arm up in a chicken wing motion without immense pain. No medication was taken for the pain. Motion was restricted/limited for for duration of pain (up to 2 weeks after shot). No sleeping position or other situation can be connected to the random intense pain. At the 2 week point: Bruise is indistinguishable but injection point is still able to be found due to the lingering light red dot. Shoulder mobility has been restored to normal range of motion and I am working on exercising the shoulder to strengthen the socket once again.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Neck pain, Pain in extremity
Clinical narrative: None before shot.  After shot extreme pain in right arm from neck down to fingers. Had Mri I had torn tendon for 4 years with no symptoms. First shit left arm no issues. Right arm extreme continual pain with no  improvement  to date.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Malaise, Menstruation irregular
Clinical narrative: Pt stated that she began her period soon after dose and has bleed continuously up to today.   Pt states that she is feeling  joint pain that is new onset.  Pt states an overall malaise.  Advised pt to seek medical care immediately regarding  adverse events from COVID-Pfizer vaccination.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: hospitalization (non-ICU)
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Rash pruritic, Seborrhoeic keratosis, Urticaria
Clinical narrative: Eruption of 2 seborrheic keratoses; hives-like rash with itiching and burning.  New one arising about once every other day; old sites remain visible
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Hypertension, Injection site pain, Injection site swelling
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Hypertension-Severe, Systemic: Unable to Sleep-Medium, Additional Details: pt complained of having chest pain,it has been for 10 days since the last dose.also he stated that he unable to sleep at night after the shot.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Insomnia
Clinical narrative: Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Hypertension-Severe, Systemic: Unable to Sleep-Medium, Additional Details: pt complained of having chest pain,it has been for 10 days since the last dose.also he stated that he unable to sleep at night after the shot.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Chest X-ray, Dyspnoea, Electrocardiogram
Clinical narrative: Been to  hospital for asthma like breathing on 09/21/2021. Uncontrolable shackes and alot of joint pain. Have missed couple days of work.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram ambulatory, Impaired work ability, Tremor
Clinical narrative: Been to  hospital for asthma like breathing on 09/21/2021. Uncontrolable shackes and alot of joint pain. Have missed couple days of work.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dysphagia, Dyspnoea, Injection site pain, Pyrexia
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Chills-Mild, Systemic: Fever-Mild, Additional Details: pt was advised to seek emergency medical assistance, pt took antihistamine that evening reported to use on 09/22/2021 10:27am
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Site: Pain at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Chills-Mild, Systemic: Fever-Mild, Additional Details: pt was advised to seek emergency medical assistance, pt took antihistamine that evening reported to use on 09/22/2021 10:27am
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Cold sweat, Dizziness, Hypoaesthesia, Nausea, Paraesthesia
Clinical narrative: Nausea, cold sweats, dizzy, tingling/almost numb hands and arms,  thighs and calves get swollen and tingly.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling
Clinical narrative: Nausea, cold sweats, dizzy, tingling/almost numb hands and arms,  thighs and calves get swollen and tingly.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Haemorrhage subcutaneous, Hyperhidrosis, Rash, Rash erythematous, Rash macular
Clinical narrative: Systemic: Flushed / Sweating-Severe, Additional Details: Patient reports red rashy, blotchy patches on arm, wrist, and hand. Says it looks like bleeding under the skin.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Error: Wrong Dose of Vaccine - Too High-
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding
Clinical narrative: Extremely heavy periods. Soaking through tampons, pads in an hour
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Dizziness, Fatigue, Headache
Clinical narrative: Felt dizzy and nauseous a little while after the vaccine. I had to go home early. I felt really tired and slept for 4 hours. Woke up with the chills, body aches, and a pounding headache. This lasted for over 24 hours. I still feel a bit weak and very tired.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Somnolence
Clinical narrative: Felt dizzy and nauseous a little while after the vaccine. I had to go home early. I felt really tired and slept for 4 hours. Woke up with the chills, body aches, and a pounding headache. This lasted for over 24 hours. I still feel a bit weak and very tired.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Biopsy skin, Chills, Dermatitis, Psoriasis
Clinical narrative: Fever, Chills for 24 hours  Months of Psoriasis / Dermatitis all over body including face, back, head, genetials, armpits Extreme hair loss
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, Chills for 24 hours  Months of Psoriasis / Dermatitis all over body including face, back, head, genetials, armpits Extreme hair loss
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Menstrual disorder
Clinical narrative: Altered menstrual cycle
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Dyspnoea, Hyperhidrosis, Hypoaesthesia
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Body Aches Generalized-Medium, Systemic: Pain in lower back and legs difficulty breathing at first but went away before I could administer epipen-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Joint Pain-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional Details: Pt stated she felt like she couldn't breath so I ran out to her and she said she felt like her face was numb. While getting the epipen, I told her to  take deep breaths. She said her breathing was fine so I did not administer Epinephrine, she then stated her lower back was hurting and her legs were hurting and she needed to stand up. I checked her vitals, temp was  97.3 and BP was 131/93 pulse 99. Pt followed up with MD and is ok per phone call
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pain in extremity
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Body Aches Generalized-Medium, Systemic: Pain in lower back and legs difficulty breathing at first but went away before I could administer epipen-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Joint Pain-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional Details: Pt stated she felt like she couldn't breath so I ran out to her and she said she felt like her face was numb. While getting the epipen, I told her to  take deep breaths. She said her breathing was fine so I did not administer Epinephrine, she then stated her lower back was hurting and her legs were hurting and she needed to stand up. I checked her vitals, temp was  97.3 and BP was 131/93 pulse 99. Pt followed up with MD and is ok per phone call
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiogram cerebral abnormal, Ataxia, Cerebral artery stenosis, Computerised tomogram, Dysarthria
Clinical narrative: 12/19/2020 I received COVID19 Pfizer-BioNTech EJ1685 and about 8 hours later became extremely dizzy but did not have true vertigo. I held on to furniture and crawled to bed. 6 hours later when I awoke the symptoms were completely gone.  09/20/2021 21 At 21 days  and 12 hours after receiving COVID19 Pfizer-BioNTech FF2588 inoculation, I awoke with numbness on my right side both upper and lower extremities and my face, had dysarthria, and right sided partial ataxia. This improved rapidly to the point that I could walk to the ambulance and could speak clearly within a manner of minutes. Complete resolution of the numbness took probably 4 hours with my lower extremity distally being the last area of resolution. The dysarthria was completely resolved by the time I arrived at the emergency room. which is less than 1 mile from my house.
Age: 71.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram normal, Hypoaesthesia, Magnetic resonance imaging head
Clinical narrative: 12/19/2020 I received COVID19 Pfizer-BioNTech EJ1685 and about 8 hours later became extremely dizzy but did not have true vertigo. I held on to furniture and crawled to bed. 6 hours later when I awoke the symptoms were completely gone.  09/20/2021 21 At 21 days  and 12 hours after receiving COVID19 Pfizer-BioNTech FF2588 inoculation, I awoke with numbness on my right side both upper and lower extremities and my face, had dysarthria, and right sided partial ataxia. This improved rapidly to the point that I could walk to the ambulance and could speak clearly within a manner of minutes. Complete resolution of the numbness took probably 4 hours with my lower extremity distally being the last area of resolution. The dysarthria was completely resolved by the time I arrived at the emergency room. which is less than 1 mile from my house.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood lactic acid decreased, COVID-19, Chest X-ray normal, Cough, Immunoglobulin therapy
Clinical narrative: Breakthrough COVID  70-year-old on IVIG every 6 weeks He started having fever, cough, congestion 2 days ago. He had a temperature of 100.2. His lactic acid was 2 and now is 1.2.  His white cell count is 63,000 with 87% neutrophils.  He is oxygenating at 99% on room air.  Chest x-ray shows no acute findings.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Neutrophil percentage increased, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID  70-year-old on IVIG every 6 weeks He started having fever, cough, congestion 2 days ago. He had a temperature of 100.2. His lactic acid was 2 and now is 1.2.  His white cell count is 63,000 with 87% neutrophils.  He is oxygenating at 99% on room air.  Chest x-ray shows no acute findings.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: White blood cell count increased
Clinical narrative: Breakthrough COVID  70-year-old on IVIG every 6 weeks He started having fever, cough, congestion 2 days ago. He had a temperature of 100.2. His lactic acid was 2 and now is 1.2.  His white cell count is 63,000 with 87% neutrophils.  He is oxygenating at 99% on room air.  Chest x-ray shows no acute findings.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Head discomfort, Nasal congestion, Respiratory tract congestion, Respiratory viral panel, Rhinorrhoea
Clinical narrative: 4-5 days after injection, I started experiencing congestion about dinner time (7pm). Approx 9 pm - full head congestion.  Took benadryl thinking it was some pollen that was affecting me. Went to bed and was awoke around 12-1 with mucus coming from nose. Was able to return to sleep after a couple of hours of nose running. After waking up, nasal congestion passes and during the day I am fine. This process has happened repeatedly now for over a month. Approx 3 weeks in, I went to Dr. That ran covid test, and other rhinovirus tests. All came back negative.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test, Secretion discharge
Clinical narrative: 4-5 days after injection, I started experiencing congestion about dinner time (7pm). Approx 9 pm - full head congestion.  Took benadryl thinking it was some pollen that was affecting me. Went to bed and was awoke around 12-1 with mucus coming from nose. Was able to return to sleep after a couple of hours of nose running. After waking up, nasal congestion passes and during the day I am fine. This process has happened repeatedly now for over a month. Approx 3 weeks in, I went to Dr. That ran covid test, and other rhinovirus tests. All came back negative.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Diarrhoea, Nausea, Ultrasound biliary tract
Clinical narrative: Upset stomach, diarrhea, nausea
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: I went to urgent care, the PA looked at it and at the time I didn't even know what it was. I thought maybe I was bit by something. I had bumps on both my hands. He prescribed Zyrtec and he said to go ahead and get the second shot, which I did and had no problem with it. I took Zyrtec and Prednisone prior to my second dose also. The rash type symptoms on my hands from the first dose lasted from about February 25 2021 to March 7 2021.
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acne, Pain, Pain in extremity, Peripheral swelling, Tenderness
Clinical narrative: The pointer finger knuckle on my right hand is very swollen and tender to the touch.  It hurts to do daily activities, including but not limited to holding a cup of water.  Additionally, my entire face broke out worse than I've ever had before.  I am still dealing with these adverse events.  My knuckle swelled up after the first dose then got even bigger and more tender after the second shot.
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood glucose normal, COVID-19, Cerebrovascular accident, Cheilitis, Chest pain
Clinical narrative: Hospitalized 9/1/2021; COVID-19 positive (9/16/2021); fully vaccinated  Patient is a 26 y.o. male who presented with fatigue, fever and chest pain. Patient has a history of HTN, OSA, and obesity. Patient had onset fever, body aches and fatigue night of 9/14/2021. Patient took tylenol and motrin with continued symptoms. Cough and congestion started on 9/16/21 with increasing shortness of breath. Notified of recent work exposure for COVID and was found to be positive on 9/16. Patient is fully vaccinated with moderna in early 2021, with sister who was also vaccinated ended up intubated with COVID 1 month prior. Patient also reported rash onset 9/17 after recent exposure to son who had HFMD. Rash is found on face, hands, feet, and truck with sores to inner lips and sore throat. Increased shortness of breath, chest pain and cough on night of 9/17, in which prompted him to seek further care. Patient denies abdominal pain, nausea, vomiting or urinary symptoms.  In the ED, patient was found to have unremarkable laboratory findings.  EKG showed sinus tachycardia with normal tropinins. CT thorax completed without evidence of PE. Although no acute findings, patient was admitted to hospitalist service for COVID due to continued tachypnea and tachycardia for continued monitoring and symptomatic treatment.    9/19/2021 at 0304 I patient with acute stroke findings. Last known normal established das 0247 when RN administered tylenol. BP 145/96, glucose 131. Patient with obvious left side hemiparises, no facial asymmetry, protecting airway, led visual field defect. NIH 14. STAT imaging ordered at 0311.    Nursing escorted patient down to CT.  Neurology  and recommended tPA if no bleed or other contraindication and transfer to neuro ICU barring large vessel occlusion. Radiology called backed, no bleed noted on CT head, normal perfusion  Study, CT angio with some findings felt 2/2 poor timing of contrast. tPA ordered and administered.   He is transferred in stable condition via ground to another facility on 9/19/21. Currently  hospitalized, Patient stable now, awaiting discharge to inpatient rehab.
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram thorax normal, Cough, Dyspnoea, Echocardiogram abnormal, Ejection fraction decreased
Clinical narrative: Hospitalized 9/1/2021; COVID-19 positive (9/16/2021); fully vaccinated  Patient is a 26 y.o. male who presented with fatigue, fever and chest pain. Patient has a history of HTN, OSA, and obesity. Patient had onset fever, body aches and fatigue night of 9/14/2021. Patient took tylenol and motrin with continued symptoms. Cough and congestion started on 9/16/21 with increasing shortness of breath. Notified of recent work exposure for COVID and was found to be positive on 9/16. Patient is fully vaccinated with moderna in early 2021, with sister who was also vaccinated ended up intubated with COVID 1 month prior. Patient also reported rash onset 9/17 after recent exposure to son who had HFMD. Rash is found on face, hands, feet, and truck with sores to inner lips and sore throat. Increased shortness of breath, chest pain and cough on night of 9/17, in which prompted him to seek further care. Patient denies abdominal pain, nausea, vomiting or urinary symptoms.  In the ED, patient was found to have unremarkable laboratory findings.  EKG showed sinus tachycardia with normal tropinins. CT thorax completed without evidence of PE. Although no acute findings, patient was admitted to hospitalist service for COVID due to continued tachypnea and tachycardia for continued monitoring and symptomatic treatment.    9/19/2021 at 0304 I patient with acute stroke findings. Last known normal established das 0247 when RN administered tylenol. BP 145/96, glucose 131. Patient with obvious left side hemiparises, no facial asymmetry, protecting airway, led visual field defect. NIH 14. STAT imaging ordered at 0311.    Nursing escorted patient down to CT.  Neurology  and recommended tPA if no bleed or other contraindication and transfer to neuro ICU barring large vessel occlusion. Radiology called backed, no bleed noted on CT head, normal perfusion  Study, CT angio with some findings felt 2/2 poor timing of contrast. tPA ordered and administered.   He is transferred in stable condition via ground to another facility on 9/19/21. Currently  hospitalized, Patient stable now, awaiting discharge to inpatient rehab.
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram abnormal, Electroencephalogram normal, Fatigue, Hemiparesis, Intensive care
Clinical narrative: Hospitalized 9/1/2021; COVID-19 positive (9/16/2021); fully vaccinated  Patient is a 26 y.o. male who presented with fatigue, fever and chest pain. Patient has a history of HTN, OSA, and obesity. Patient had onset fever, body aches and fatigue night of 9/14/2021. Patient took tylenol and motrin with continued symptoms. Cough and congestion started on 9/16/21 with increasing shortness of breath. Notified of recent work exposure for COVID and was found to be positive on 9/16. Patient is fully vaccinated with moderna in early 2021, with sister who was also vaccinated ended up intubated with COVID 1 month prior. Patient also reported rash onset 9/17 after recent exposure to son who had HFMD. Rash is found on face, hands, feet, and truck with sores to inner lips and sore throat. Increased shortness of breath, chest pain and cough on night of 9/17, in which prompted him to seek further care. Patient denies abdominal pain, nausea, vomiting or urinary symptoms.  In the ED, patient was found to have unremarkable laboratory findings.  EKG showed sinus tachycardia with normal tropinins. CT thorax completed without evidence of PE. Although no acute findings, patient was admitted to hospitalist service for COVID due to continued tachypnea and tachycardia for continued monitoring and symptomatic treatment.    9/19/2021 at 0304 I patient with acute stroke findings. Last known normal established das 0247 when RN administered tylenol. BP 145/96, glucose 131. Patient with obvious left side hemiparises, no facial asymmetry, protecting airway, led visual field defect. NIH 14. STAT imaging ordered at 0311.    Nursing escorted patient down to CT.  Neurology  and recommended tPA if no bleed or other contraindication and transfer to neuro ICU barring large vessel occlusion. Radiology called backed, no bleed noted on CT head, normal perfusion  Study, CT angio with some findings felt 2/2 poor timing of contrast. tPA ordered and administered.   He is transferred in stable condition via ground to another facility on 9/19/21. Currently  hospitalized, Patient stable now, awaiting discharge to inpatient rehab.
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Intervertebral disc degeneration, Laboratory test normal, Magnetic resonance imaging head normal, Magnetic resonance imaging spinal normal, Magnetic resonance imaging thoracic abnormal
Clinical narrative: Hospitalized 9/1/2021; COVID-19 positive (9/16/2021); fully vaccinated  Patient is a 26 y.o. male who presented with fatigue, fever and chest pain. Patient has a history of HTN, OSA, and obesity. Patient had onset fever, body aches and fatigue night of 9/14/2021. Patient took tylenol and motrin with continued symptoms. Cough and congestion started on 9/16/21 with increasing shortness of breath. Notified of recent work exposure for COVID and was found to be positive on 9/16. Patient is fully vaccinated with moderna in early 2021, with sister who was also vaccinated ended up intubated with COVID 1 month prior. Patient also reported rash onset 9/17 after recent exposure to son who had HFMD. Rash is found on face, hands, feet, and truck with sores to inner lips and sore throat. Increased shortness of breath, chest pain and cough on night of 9/17, in which prompted him to seek further care. Patient denies abdominal pain, nausea, vomiting or urinary symptoms.  In the ED, patient was found to have unremarkable laboratory findings.  EKG showed sinus tachycardia with normal tropinins. CT thorax completed without evidence of PE. Although no acute findings, patient was admitted to hospitalist service for COVID due to continued tachypnea and tachycardia for continued monitoring and symptomatic treatment.    9/19/2021 at 0304 I patient with acute stroke findings. Last known normal established das 0247 when RN administered tylenol. BP 145/96, glucose 131. Patient with obvious left side hemiparises, no facial asymmetry, protecting airway, led visual field defect. NIH 14. STAT imaging ordered at 0311.    Nursing escorted patient down to CT.  Neurology  and recommended tPA if no bleed or other contraindication and transfer to neuro ICU barring large vessel occlusion. Radiology called backed, no bleed noted on CT head, normal perfusion  Study, CT angio with some findings felt 2/2 poor timing of contrast. tPA ordered and administered.   He is transferred in stable condition via ground to another facility on 9/19/21. Currently  hospitalized, Patient stable now, awaiting discharge to inpatient rehab.
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Oropharyngeal pain, Pain, Pyrexia, Rash, Respiratory tract congestion
Clinical narrative: Hospitalized 9/1/2021; COVID-19 positive (9/16/2021); fully vaccinated  Patient is a 26 y.o. male who presented with fatigue, fever and chest pain. Patient has a history of HTN, OSA, and obesity. Patient had onset fever, body aches and fatigue night of 9/14/2021. Patient took tylenol and motrin with continued symptoms. Cough and congestion started on 9/16/21 with increasing shortness of breath. Notified of recent work exposure for COVID and was found to be positive on 9/16. Patient is fully vaccinated with moderna in early 2021, with sister who was also vaccinated ended up intubated with COVID 1 month prior. Patient also reported rash onset 9/17 after recent exposure to son who had HFMD. Rash is found on face, hands, feet, and truck with sores to inner lips and sore throat. Increased shortness of breath, chest pain and cough on night of 9/17, in which prompted him to seek further care. Patient denies abdominal pain, nausea, vomiting or urinary symptoms.  In the ED, patient was found to have unremarkable laboratory findings.  EKG showed sinus tachycardia with normal tropinins. CT thorax completed without evidence of PE. Although no acute findings, patient was admitted to hospitalist service for COVID due to continued tachypnea and tachycardia for continued monitoring and symptomatic treatment.    9/19/2021 at 0304 I patient with acute stroke findings. Last known normal established das 0247 when RN administered tylenol. BP 145/96, glucose 131. Patient with obvious left side hemiparises, no facial asymmetry, protecting airway, led visual field defect. NIH 14. STAT imaging ordered at 0311.    Nursing escorted patient down to CT.  Neurology  and recommended tPA if no bleed or other contraindication and transfer to neuro ICU barring large vessel occlusion. Radiology called backed, no bleed noted on CT head, normal perfusion  Study, CT angio with some findings felt 2/2 poor timing of contrast. tPA ordered and administered.   He is transferred in stable condition via ground to another facility on 9/19/21. Currently  hospitalized, Patient stable now, awaiting discharge to inpatient rehab.
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Sinus tachycardia, Spinal deformity, Spinal stenosis, Tachycardia, Tachypnoea
Clinical narrative: Hospitalized 9/1/2021; COVID-19 positive (9/16/2021); fully vaccinated  Patient is a 26 y.o. male who presented with fatigue, fever and chest pain. Patient has a history of HTN, OSA, and obesity. Patient had onset fever, body aches and fatigue night of 9/14/2021. Patient took tylenol and motrin with continued symptoms. Cough and congestion started on 9/16/21 with increasing shortness of breath. Notified of recent work exposure for COVID and was found to be positive on 9/16. Patient is fully vaccinated with moderna in early 2021, with sister who was also vaccinated ended up intubated with COVID 1 month prior. Patient also reported rash onset 9/17 after recent exposure to son who had HFMD. Rash is found on face, hands, feet, and truck with sores to inner lips and sore throat. Increased shortness of breath, chest pain and cough on night of 9/17, in which prompted him to seek further care. Patient denies abdominal pain, nausea, vomiting or urinary symptoms.  In the ED, patient was found to have unremarkable laboratory findings.  EKG showed sinus tachycardia with normal tropinins. CT thorax completed without evidence of PE. Although no acute findings, patient was admitted to hospitalist service for COVID due to continued tachypnea and tachycardia for continued monitoring and symptomatic treatment.    9/19/2021 at 0304 I patient with acute stroke findings. Last known normal established das 0247 when RN administered tylenol. BP 145/96, glucose 131. Patient with obvious left side hemiparises, no facial asymmetry, protecting airway, led visual field defect. NIH 14. STAT imaging ordered at 0311.    Nursing escorted patient down to CT.  Neurology  and recommended tPA if no bleed or other contraindication and transfer to neuro ICU barring large vessel occlusion. Radiology called backed, no bleed noted on CT head, normal perfusion  Study, CT angio with some findings felt 2/2 poor timing of contrast. tPA ordered and administered.   He is transferred in stable condition via ground to another facility on 9/19/21. Currently  hospitalized, Patient stable now, awaiting discharge to inpatient rehab.
Age: 25.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Visual field defect
Clinical narrative: Hospitalized 9/1/2021; COVID-19 positive (9/16/2021); fully vaccinated  Patient is a 26 y.o. male who presented with fatigue, fever and chest pain. Patient has a history of HTN, OSA, and obesity. Patient had onset fever, body aches and fatigue night of 9/14/2021. Patient took tylenol and motrin with continued symptoms. Cough and congestion started on 9/16/21 with increasing shortness of breath. Notified of recent work exposure for COVID and was found to be positive on 9/16. Patient is fully vaccinated with moderna in early 2021, with sister who was also vaccinated ended up intubated with COVID 1 month prior. Patient also reported rash onset 9/17 after recent exposure to son who had HFMD. Rash is found on face, hands, feet, and truck with sores to inner lips and sore throat. Increased shortness of breath, chest pain and cough on night of 9/17, in which prompted him to seek further care. Patient denies abdominal pain, nausea, vomiting or urinary symptoms.  In the ED, patient was found to have unremarkable laboratory findings.  EKG showed sinus tachycardia with normal tropinins. CT thorax completed without evidence of PE. Although no acute findings, patient was admitted to hospitalist service for COVID due to continued tachypnea and tachycardia for continued monitoring and symptomatic treatment.    9/19/2021 at 0304 I patient with acute stroke findings. Last known normal established das 0247 when RN administered tylenol. BP 145/96, glucose 131. Patient with obvious left side hemiparises, no facial asymmetry, protecting airway, led visual field defect. NIH 14. STAT imaging ordered at 0311.    Nursing escorted patient down to CT.  Neurology  and recommended tPA if no bleed or other contraindication and transfer to neuro ICU barring large vessel occlusion. Radiology called backed, no bleed noted on CT head, normal perfusion  Study, CT angio with some findings felt 2/2 poor timing of contrast. tPA ordered and administered.   He is transferred in stable condition via ground to another facility on 9/19/21. Currently  hospitalized, Patient stable now, awaiting discharge to inpatient rehab.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Dizziness, Fatigue, Flushing, Headache
Clinical narrative: 1 hr post injection, sweaty and chills, nausea  4 hours post injection, dizziness, extreme fatigue, nausea, chills, feverish(99.8-100), flushed 12 hours post injection, extreme fatigue, nausea, headache, feverish (99.8)   Medicated for nausea and fever, otc meds Tylenol, perscribed meds Zofran
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Nausea, Pyrexia
Clinical narrative: 1 hr post injection, sweaty and chills, nausea  4 hours post injection, dizziness, extreme fatigue, nausea, chills, feverish(99.8-100), flushed 12 hours post injection, extreme fatigue, nausea, headache, feverish (99.8)   Medicated for nausea and fever, otc meds Tylenol, perscribed meds Zofran
Age: 78.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: Hospitalization
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dysphagia, Dyspnoea, Fatigue, Headache
Clinical narrative: Site: Itching at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Headache-Mild, Additional Details: called 911 pt refused to be taken to hospital to be further treated gave pt benedryl due to sx of icthness and possible swelling. epipen was available but pt refused use (pt mentioned she had an epipen due to prior hx)
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Lethargy, Pruritus, Swelling, Throat tightness
Clinical narrative: Site: Itching at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Headache-Mild, Additional Details: called 911 pt refused to be taken to hospital to be further treated gave pt benedryl due to sx of icthness and possible swelling. epipen was available but pt refused use (pt mentioned she had an epipen due to prior hx)
Age: 19.0
Sex: F
Vaccine: UNK
Symptoms: Unevaluable event
Clinical narrative: Varivax
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Death, Heart rate increased, Vaccine positive rechallenge
Clinical narrative: Rapid hearth rate after 1st and 2nd vaccine. He died .
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Interchange of vaccine products
Clinical narrative: Client had received 1st dose of Covid-19 as Moderna, second dose given was Pfizer by mistake.  Client is pregnant at the time of vaccination.
Age: 62.0
Sex: F
Vaccine: TDAP
Symptoms: Pain in extremity, Peripheral swelling
Clinical narrative: Patient notified office today reporting discomfort to left arm since she received the vaccine.  "When I'm not doing anything it's a little sore, my arm feels bigger than normal.   If I have to move it for anything it hurts like crazy, feels like a horrible bruise from the whole top of my left arm down to my elbow at times."  Denies any redness or warmth to site.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Death, Pulmonary embolism
Clinical narrative: Patient died on 9/13/2021. Verbally to be reported from a Pulmonary Embolism.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Flushing, Headache, Influenza like illness
Clinical narrative: Arm soreness, fever, chills, headache, flu like symptoms, flushing, nausea , muscle soreness/fatigue, weakness
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle fatigue, Myalgia, Nausea, Pain in extremity, Pyrexia
Clinical narrative: Arm soreness, fever, chills, headache, flu like symptoms, flushing, nausea , muscle soreness/fatigue, weakness
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Asthenia, COVID-19, Decreased appetite, Diarrhoea, Dyspnoea
Clinical narrative: COVID Breakthrough.  admit 9/22/2021  77 y/o female.Breakthrough COVID  Pt states she has been generally weak over the last 3 days and having difficulty walking with cane. Per ED note, pt was brought in by daughter who states pt has been having and increase in AMS x1 day. Pt states she has also had a lack of appetite and that her daughter was trying to get her to eat and drink, which is why she brought her to the ER. Pt admits to some increase in SOB and diarrhea x2 over the past few days. Pt denies any CP, cough, fever, or N/V