chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Malaise, Mobility decreased, Myalgia, Positive airway pressure therapy, Pyrexia
Clinical narrative: Case completed Covid vaccine primary series, then was hospitalized for Covid in AUgust 2021. He was hospitalized at the hospital for 4 days, then at the Medical Center for 20 days.  * Pneumonia due to COVID-19 virus Assessment & Plan Sent to the ER from urgent care 8/13. Progressively more ill, F, diarrhea, fatigue, myalgias, altered taste, cough, sob, and very poor appetite (limited oral intake 48 hours).  Fully vaccinated in Feb 2021- exposed by unvaccinated son and grandson on Aug 2 and has been ill since Aug 4, so he was treated with both dexamethasone + remdesivir.  8/13 with a fever of 101 but has since improved. CXR initially with patchy infiltrates but mild. CRP was 14 and improving daily. He continues to improve clinically as well and expresses desire to d/c home today. He is now ambulating independently in the room and doing squats. He is tolerating a diet, though still has no appetite or taste. Is aware he needs to eat and drink more. Continues on oxygen, was on 5L for the last 72 hours which hasn't changed. I suspect a large part of this is atelectasis as he was so immobile the first few days of his hosp stay. Fatigue and weakness have improved sig per patient report. RT did arrange for home oxygen.    Case was admitted to hospital severall days after being discharged from the other hospital. He was on BiPap x 5 days,  then O2 on nasal canula, and underwent repeat dexamethosone treatment, and was discharged to home after 20 days in (Privacy).
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 RNA, SARS-CoV-2 test positive, Taste disorder
Clinical narrative: Case completed Covid vaccine primary series, then was hospitalized for Covid in AUgust 2021. He was hospitalized at the hospital for 4 days, then at the Medical Center for 20 days.  * Pneumonia due to COVID-19 virus Assessment & Plan Sent to the ER from urgent care 8/13. Progressively more ill, F, diarrhea, fatigue, myalgias, altered taste, cough, sob, and very poor appetite (limited oral intake 48 hours).  Fully vaccinated in Feb 2021- exposed by unvaccinated son and grandson on Aug 2 and has been ill since Aug 4, so he was treated with both dexamethasone + remdesivir.  8/13 with a fever of 101 but has since improved. CXR initially with patchy infiltrates but mild. CRP was 14 and improving daily. He continues to improve clinically as well and expresses desire to d/c home today. He is now ambulating independently in the room and doing squats. He is tolerating a diet, though still has no appetite or taste. Is aware he needs to eat and drink more. Continues on oxygen, was on 5L for the last 72 hours which hasn't changed. I suspect a large part of this is atelectasis as he was so immobile the first few days of his hosp stay. Fatigue and weakness have improved sig per patient report. RT did arrange for home oxygen.    Case was admitted to hospital severall days after being discharged from the other hospital. He was on BiPap x 5 days,  then O2 on nasal canula, and underwent repeat dexamethosone treatment, and was discharged to home after 20 days in (Privacy).
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Finger repair operation, Hand fracture, Laboratory test
Clinical narrative: case went top hospital to fix broken finger and was tested at that time
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Angiogram, Atrial fibrillation, Dyspnoea, Echocardiogram, Electrocardiogram
Clinical narrative: For 2 day, I did not feel like myself.  In the end of Nov, I had SOB. I contact my son who is a doctor. He said that my afib heart. I was in two different hospital. I had Echo cardiogram, anagram, and a EKG. They try to shock my heart to get it back in rhyme. I am now seeing two different cardiologist about this. I also have to wear a life vest so it is monitoring my heart.
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal
Clinical narrative: For 2 day, I did not feel like myself.  In the end of Nov, I had SOB. I contact my son who is a doctor. He said that my afib heart. I was in two different hospital. I had Echo cardiogram, anagram, and a EKG. They try to shock my heart to get it back in rhyme. I am now seeing two different cardiologist about this. I also have to wear a life vest so it is monitoring my heart.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: ADMITTED TO HOSPITAL, PLACED ON HOSPICE
Age: 28.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID INFECTION
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Fall, Fatigue, Head injury
Clinical narrative: Pt presents to ED from home with complaints of fatigue, decreased PO intake, and falls. Pt fell prior to coming to ED and hit his head. Pt states he is not on blood thinners.  Pt denies fever, chills, nausea, vomiting, diarrhea, abdominal pain, dysuria, cough, congestion, sore throat, dyspnea, chest pain, heart palpitations, or travel.  Pt does report his wife and daughter were diagnosed with COVID a few weeks ago.  Pt hemodynamically stable and afebrile on room air.  Pt COVID19 was positive.  Constitutional: Positive for fatigue. Negative for chills, fever and unexpected weight change.   Treatment: dexamethasone, remdesivir   Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypophagia, SARS-CoV-2 test positive
Clinical narrative: Pt presents to ED from home with complaints of fatigue, decreased PO intake, and falls. Pt fell prior to coming to ED and hit his head. Pt states he is not on blood thinners.  Pt denies fever, chills, nausea, vomiting, diarrhea, abdominal pain, dysuria, cough, congestion, sore throat, dyspnea, chest pain, heart palpitations, or travel.  Pt does report his wife and daughter were diagnosed with COVID a few weeks ago.  Pt hemodynamically stable and afebrile on room air.  Pt COVID19 was positive.  Constitutional: Positive for fatigue. Negative for chills, fever and unexpected weight change.   Treatment: dexamethasone, remdesivir   Discharge Disposition/Condition Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Erythema, Headache
Clinical narrative: Redness in arm, headache, diarrhea
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient states she received the Moderna 2 shot series in June 2021.  Has not received a booster.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Child pulled arm away during administration resulting in some of the dose spraying on his arm
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine given was in fridge one day past use by date.
Age: 68.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Abdominal pain upper, Anal incontinence, Asthenia, Decreased appetite, Discomfort
Clinical narrative: On the day of my 3rd vaccine, I was also given the flu vaccine, Starting with headaches and I had a fever around 101, I had terrible stomach cramping, projectile vomiting, urinary inconsonance, fecal inconsonance, injection site irritation. I was extremely weak and had no appetite. I had to take homeopathic medicine for my stomach cramps, body aches. The Fever stopped after 3 days, and slowly day by day I started to feel the symptoms were going away. My lymph nodes under my ear and armpits were extremely hot and discomforting after the booster. These symptoms affected my sleep extremely. On the first and second vaccinations I had severe injection site sensitivity, body aches were constant and very painful. Stomach pain was generally there as well. Fatigue was severe as well, however no stomach cramping that was severe. Less extreme for the symptoms and my stomach was really bothering me as well. I was given new probiotics to help my stomach as well and no real fever. I would strongly recommend not getting a vaccination with a flu shot at the same time.
Age: 68.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Feeling hot, Headache, Injection site irritation, Pain, Pyrexia
Clinical narrative: On the day of my 3rd vaccine, I was also given the flu vaccine, Starting with headaches and I had a fever around 101, I had terrible stomach cramping, projectile vomiting, urinary inconsonance, fecal inconsonance, injection site irritation. I was extremely weak and had no appetite. I had to take homeopathic medicine for my stomach cramps, body aches. The Fever stopped after 3 days, and slowly day by day I started to feel the symptoms were going away. My lymph nodes under my ear and armpits were extremely hot and discomforting after the booster. These symptoms affected my sleep extremely. On the first and second vaccinations I had severe injection site sensitivity, body aches were constant and very painful. Stomach pain was generally there as well. Fatigue was severe as well, however no stomach cramping that was severe. Less extreme for the symptoms and my stomach was really bothering me as well. I was given new probiotics to help my stomach as well and no real fever. I would strongly recommend not getting a vaccination with a flu shot at the same time.
Age: 68.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Sleep disorder, Urinary incontinence, Vomiting projectile
Clinical narrative: On the day of my 3rd vaccine, I was also given the flu vaccine, Starting with headaches and I had a fever around 101, I had terrible stomach cramping, projectile vomiting, urinary inconsonance, fecal inconsonance, injection site irritation. I was extremely weak and had no appetite. I had to take homeopathic medicine for my stomach cramps, body aches. The Fever stopped after 3 days, and slowly day by day I started to feel the symptoms were going away. My lymph nodes under my ear and armpits were extremely hot and discomforting after the booster. These symptoms affected my sleep extremely. On the first and second vaccinations I had severe injection site sensitivity, body aches were constant and very painful. Stomach pain was generally there as well. Fatigue was severe as well, however no stomach cramping that was severe. Less extreme for the symptoms and my stomach was really bothering me as well. I was given new probiotics to help my stomach as well and no real fever. I would strongly recommend not getting a vaccination with a flu shot at the same time.
Age: 86.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Pain in extremity
Clinical narrative: patient states her arm still hurts, unable to lift above head.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Incorrect dose administered, Pain
Clinical narrative: Patient received 12 years and older dose of Pfizer COVID-19 vaccine as the first dose.  Mother stated patient had headache and body aches.
Age: 91.0
Sex: F
Vaccine: COVID19
Symptoms: Cough
Clinical narrative: coughing and went to hospital to get tested and was subsequently admitted
Age: 0.17
Sex: M
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Erythema, Skin swelling
Clinical narrative: Patient's thighs were both red and puffy, appeared like golf balls under his skin.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin warm, Urticaria
Clinical narrative: Approximately 11 days after my Moderna Booster shot I broke out in  Large patches of red hives that started at my neck line and quickly spread to my entire body. They were uncontrollably itching and felt hot to the touch, there were raised red hives all over my body.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Severe swelling in left armpit/lymph nodes. Tender to touch of lymph nodes, constant dull ache/pain. Pain more prominent when sleeping or when arm is down at side.
Age: 12.0
Sex: M
Vaccine: HPV9, MNQ
Symptoms: Expired product administered, No adverse event
Clinical narrative: Received a dose of HPV9 that had expired on 12/1/2021.  No adverse event noted/ treatment given.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy
Clinical narrative: My due date is Sept 25, 2021. I delivered my baby prematurely and my baby was diagnosed with subclinical hypothyroidism afterwards. My husband and I , we don't have any thyroid issues.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: BREAKTHROUGH COVID INFECTION
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: notified by phone call after the incident
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Alanine aminotransferase increased, Anion gap, Aspartate aminotransferase normal, Basophil count normal, Basophil percentage
Clinical narrative: Dizziness and nausea, GI tract issues, numbness and tingling over entire body
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Bilirubin urine, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal
Clinical narrative: Dizziness and nausea, GI tract issues, numbness and tingling over entire body
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood chloride normal, Blood creatinine normal, Blood glucose normal, Blood osmolarity normal, Blood potassium normal
Clinical narrative: Dizziness and nausea, GI tract issues, numbness and tingling over entire body
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood sodium normal, Blood urea increased, Blood urine absent, Carbon dioxide normal, Chromaturia
Clinical narrative: Dizziness and nausea, GI tract issues, numbness and tingling over entire body
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Differential white blood cell count abnormal, Dizziness, Eosinophil count normal, Eosinophil percentage, Full blood count abnormal
Clinical narrative: Dizziness and nausea, GI tract issues, numbness and tingling over entire body
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrointestinal disorder, Glucose urine absent, Haematocrit normal, Haemoglobin normal, Hypoaesthesia
Clinical narrative: Dizziness and nausea, GI tract issues, numbness and tingling over entire body
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte count, Lymphocyte percentage, Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume increased
Clinical narrative: Dizziness and nausea, GI tract issues, numbness and tingling over entire body
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test abnormal, Monocyte count, Monocyte percentage increased, Nausea, Neutrophil count
Clinical narrative: Dizziness and nausea, GI tract issues, numbness and tingling over entire body
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Neutrophil percentage decreased, Nitrite urine absent, Nucleated red cells, Paraesthesia, Platelet count normal
Clinical narrative: Dizziness and nausea, GI tract issues, numbness and tingling over entire body
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Protein total normal, Protein urine absent, Red blood cell count decreased, Red cell distribution width normal, Specific gravity urine normal
Clinical narrative: Dizziness and nausea, GI tract issues, numbness and tingling over entire body
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis, Urine ketone body absent, Urine leukocyte esterase, Urobilinogen urine, White blood cell count normal
Clinical narrative: Dizziness and nausea, GI tract issues, numbness and tingling over entire body
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: pH urine normal
Clinical narrative: Dizziness and nausea, GI tract issues, numbness and tingling over entire body
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Burning sensation, Dyspepsia, Fall, Hypoaesthesia, Muscle spasms
Clinical narrative: Immediate numbness and tingling down right arm.  Sustained numbness and tingling in right hand for 4 months.  Immediate neurological and muscular burning in legs.  Muscle seizure in things causing me to fall down multiple times (occurred 5 times over 3 month period).  Immediate heartburn from time of injection to present.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nervous system disorder, Paraesthesia
Clinical narrative: Immediate numbness and tingling down right arm.  Sustained numbness and tingling in right hand for 4 months.  Immediate neurological and muscular burning in legs.  Muscle seizure in things causing me to fall down multiple times (occurred 5 times over 3 month period).  Immediate heartburn from time of injection to present.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Muscular weakness
Clinical narrative: Generalized weakness lower ext. ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 12.0
Sex: F
Vaccine: HPV9
Symptoms: Expired product administered, No adverse event
Clinical narrative: Received a dose of HPV9 that had expired on 12/1/2021.  No adverse event noted/ treatment given.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Induration, Nodule, Swelling, Tenderness
Clinical narrative: Swelling under left arm. Started small, expanded. Hard knot.  Occasionally tender. Doctor has order an  usaxilla left underarm (ultrasound, echogram)
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Antiacetylcholine receptor antibody positive, Dizziness, Dysarthria, Dysphagia, Endotracheal intubation
Clinical narrative: Began in March 2021 with reflux.  April 2021 progressed to right eye drooping.  June 2021 dizziness, slurred speech, difficulty in chewing and swallowing, right arm weakness, fatigue, difficulty in hold head up when standing.  July symptoms progressed and was diagnosed with Myasthenia Gravis.  August went into Myasthenia Gravis Crisis and was admitted and intubated.  Given immunoglobulin and started in Prednisone and Mestinon.  Symptoms now well controlled with medication.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Eyelid ptosis, Fatigue, Gastrooesophageal reflux disease, Immunoglobulin therapy, Mastication disorder
Clinical narrative: Began in March 2021 with reflux.  April 2021 progressed to right eye drooping.  June 2021 dizziness, slurred speech, difficulty in chewing and swallowing, right arm weakness, fatigue, difficulty in hold head up when standing.  July symptoms progressed and was diagnosed with Myasthenia Gravis.  August went into Myasthenia Gravis Crisis and was admitted and intubated.  Given immunoglobulin and started in Prednisone and Mestinon.  Symptoms now well controlled with medication.
Age: 86.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Muscular weakness, Myasthenia gravis, Myasthenia gravis crisis
Clinical narrative: Began in March 2021 with reflux.  April 2021 progressed to right eye drooping.  June 2021 dizziness, slurred speech, difficulty in chewing and swallowing, right arm weakness, fatigue, difficulty in hold head up when standing.  July symptoms progressed and was diagnosed with Myasthenia Gravis.  August went into Myasthenia Gravis Crisis and was admitted and intubated.  Given immunoglobulin and started in Prednisone and Mestinon.  Symptoms now well controlled with medication.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Throat tightness
Clinical narrative: Pt given Moderna vaccine 040B21A and states that her throat felt tight. Pt tongue not swollen. Pt denies any difficulty swallowing or breathing. Pt monitored and states she is feeling better. Pt vitals as noted. Pt monitored with out treatment. Pt to return home with family to monitor her condition. She was instructed to call EMERGENCY if symptoms progressed or if she changed her mind 11:01 127/99 p74 r16 11:09 130/74 p 70 r 16 11:21 116/86 p 69 16 11:25 pt given 10ML of 25mg Benadryl PO elixir 11:29 138/82 p 74 r 16 11:41 112/73 p74 r 16
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood test normal, Joint range of motion decreased, Joint swelling, Pain in extremity
Clinical narrative: About five days after receiving my second COVID 19 shot, I started to experience painful swelling in both of my feet and ankles, but primarily my left side. Since the swelling started back in May, my left foot has never been able to go back to its normal size. I am in a state of constant swelling: I start the day a bit swollen and it gets progressively worse during the day. By the end of the day, it is gigantic and difficult to move since the ankle is so heavily swollen.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Ultrasound scan normal
Clinical narrative: About five days after receiving my second COVID 19 shot, I started to experience painful swelling in both of my feet and ankles, but primarily my left side. Since the swelling started back in May, my left foot has never been able to go back to its normal size. I am in a state of constant swelling: I start the day a bit swollen and it gets progressively worse during the day. By the end of the day, it is gigantic and difficult to move since the ankle is so heavily swollen.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: Severe vertigo. Had to go to the hospital. Lasted a month
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Oropharyngeal pain
Clinical narrative: 8th of January started developing a sore throat which increased leading to the 10th when I went to a urgent care where I was diagnosed with the Omicron variant of covid.  Suffered with with for 5 days.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Haemorrhage, Headache, Insomnia
Clinical narrative: Was having a hard time sleeping, kept tossing and turning.  Woke up at 2am with sore and swollen left arm.  Headache at top of my head and occiput, stiff neck.  Within 4 hrs after that, developed joint tenderness and stiffness throughout my whole body.  I also have been perimenopausal with no period in over 63 days and started bleeding again.  By the afternoon, all of these symptoms remained and I also developed lower back achiness.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Pain in extremity, Peripheral swelling, Sleep disorder
Clinical narrative: Was having a hard time sleeping, kept tossing and turning.  Woke up at 2am with sore and swollen left arm.  Headache at top of my head and occiput, stiff neck.  Within 4 hrs after that, developed joint tenderness and stiffness throughout my whole body.  I also have been perimenopausal with no period in over 63 days and started bleeding again.  By the afternoon, all of these symptoms remained and I also developed lower back achiness.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Asthenia, COVID-19, COVID-19 pneumonia
Clinical narrative: Patient vaccinated with Modera X2 last dose on 5/26/2021, who admitted to the hospital after a positive COVID test.   Provider summary below: "Patient has Chronic respiratory failure with hypoxia (Home oxygen @ 2 L/m) due to COPD (chronic obstructive pulmonary disease) but developed Acute on chronic respiratory failure with hypoxemia with Pneumonia due to COVID-19 virus.  He has now completed a course of steroids (>10 days) and has returned to his respiratory baseline but has Generalized weakness and work with therapies and he was recommended for subacute rehab but there were a number of barriers to placement so as the patient became stronger, he opted to be discharged home.  On admission also had Acute kidney injury superimposed on  Chronic kidney disease (CKD), stage III (moderate) now resolved and have been holding SPIRONOLACTONE, angiotensin receptor blocker, TORSEMIDE, TERAZOSIN as his blood pressure has been lower though has a history of HYPERTENSION, BENIGN ESSENTIAL. At discharge restated the angiotensin receptor blocker but discontinued the other diuretics and the TERAZOSIN.   "
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chronic kidney disease, Drug dependence, Hypotension, Oedema peripheral, Pulmonary embolism
Clinical narrative: Patient vaccinated with Modera X2 last dose on 5/26/2021, who admitted to the hospital after a positive COVID test.   Provider summary below: "Patient has Chronic respiratory failure with hypoxia (Home oxygen @ 2 L/m) due to COPD (chronic obstructive pulmonary disease) but developed Acute on chronic respiratory failure with hypoxemia with Pneumonia due to COVID-19 virus.  He has now completed a course of steroids (>10 days) and has returned to his respiratory baseline but has Generalized weakness and work with therapies and he was recommended for subacute rehab but there were a number of barriers to placement so as the patient became stronger, he opted to be discharged home.  On admission also had Acute kidney injury superimposed on  Chronic kidney disease (CKD), stage III (moderate) now resolved and have been holding SPIRONOLACTONE, angiotensin receptor blocker, TORSEMIDE, TERAZOSIN as his blood pressure has been lower though has a history of HYPERTENSION, BENIGN ESSENTIAL. At discharge restated the angiotensin receptor blocker but discontinued the other diuretics and the TERAZOSIN.   "
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated with Modera X2 last dose on 5/26/2021, who admitted to the hospital after a positive COVID test.   Provider summary below: "Patient has Chronic respiratory failure with hypoxia (Home oxygen @ 2 L/m) due to COPD (chronic obstructive pulmonary disease) but developed Acute on chronic respiratory failure with hypoxemia with Pneumonia due to COVID-19 virus.  He has now completed a course of steroids (>10 days) and has returned to his respiratory baseline but has Generalized weakness and work with therapies and he was recommended for subacute rehab but there were a number of barriers to placement so as the patient became stronger, he opted to be discharged home.  On admission also had Acute kidney injury superimposed on  Chronic kidney disease (CKD), stage III (moderate) now resolved and have been holding SPIRONOLACTONE, angiotensin receptor blocker, TORSEMIDE, TERAZOSIN as his blood pressure has been lower though has a history of HYPERTENSION, BENIGN ESSENTIAL. At discharge restated the angiotensin receptor blocker but discontinued the other diuretics and the TERAZOSIN.   "
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Hyperhidrosis, Palpitations, Tremor, Urine analysis
Clinical narrative: Two days after she got her vaccination. She stated her heart was racing and I noticed she had tremors. She was also very sweating. I did take her temperature and she was not running a fever. It gradually got worse over 3 days then I took her to the doctor. I thought it was a thyroid issue, but the doctor did blood work and it came back normal. Doctor stated they think it might be from the vaccination.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: administered one day expired moderna vaccine
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: The patient complains of a rash that developed on her face 4 days after her vaccination.  She has tried to determine the cause outside of the vaccine,  but has been unsuccessful. She has tried treating the rash with diphenhydramine with no effect. The patient tried a topical steroid that helped but did not resolve the rash. The patient  is going to visit her Dr to follow up and possibly get an oral steroid.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Eye swelling, Lip swelling, Rash
Clinical narrative: Sever rash all over body and swollen lips and eyes
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Dyspnoea, SARS-CoV-2 test positive
Clinical narrative: Tight chest, shortness of breathing
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Menstrual disorder, Pregnancy test
Clinical narrative: Starting in December, my menstrual cycle was late by 4 days(I'm always regular), 5 days late in January and 10 days late in February. I just went to the OBGYN yesterday and all my lab work was normal. So, they contributed my menstrual cycles being late to the COVID19 vaccine due to other women experiencing it as well.
Age: 0.5
Sex: F
Vaccine: DTAPIPVHIB, HEP, PNC13, RV5
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: Right thigh bump with mild redness. Left thigh bump.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Dermatitis, Erythema, Erythema nodosum
Clinical narrative: 02/25/2021 Vaccination. Didn't feel well for about 24 hours. 03/04/2021 Noticed pain in both shins, skin really red, hot to the touch and very very painful. Hurt to walk, excruciatingly painful. Low-grade fever; 99. Symptoms lasted for a couple of weeks. I saw Dr. and she diagnosed with Anthemia Nodosum, inflammation under the skin fat cells. She prescribed a weeks worth of prednisone and that helped take the swelling down. It took a few more weeks for the symptoms to go away. 03/12/2021 I did take a picture of my feet during this time.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Gait disturbance, Malaise, Medial tibial stress syndrome, Pain of skin, Pyrexia
Clinical narrative: 02/25/2021 Vaccination. Didn't feel well for about 24 hours. 03/04/2021 Noticed pain in both shins, skin really red, hot to the touch and very very painful. Hurt to walk, excruciatingly painful. Low-grade fever; 99. Symptoms lasted for a couple of weeks. I saw Dr. and she diagnosed with Anthemia Nodosum, inflammation under the skin fat cells. She prescribed a weeks worth of prednisone and that helped take the swelling down. It took a few more weeks for the symptoms to go away. 03/12/2021 I did take a picture of my feet during this time.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Skin warm, Swelling, Ultrasound scan normal
Clinical narrative: 02/25/2021 Vaccination. Didn't feel well for about 24 hours. 03/04/2021 Noticed pain in both shins, skin really red, hot to the touch and very very painful. Hurt to walk, excruciatingly painful. Low-grade fever; 99. Symptoms lasted for a couple of weeks. I saw Dr. and she diagnosed with Anthemia Nodosum, inflammation under the skin fat cells. She prescribed a weeks worth of prednisone and that helped take the swelling down. It took a few more weeks for the symptoms to go away. 03/12/2021 I did take a picture of my feet during this time.
Age: 85.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac failure congestive, Device related infection, Knee arthroplasty, Staphylococcal infection
Clinical narrative: Infection associated with internal left knee prosthesis, initial encounter - hospitalization. Congestive heart failure. and MRSA - ED visits. These visits were within 6 weeks of receiving the COVID vaccine.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Neck pain, Pain in extremity
Clinical narrative: PATIENT STATED THAT SHE HAD A SORE ARM, THEN NECK AND SHOULDER, EVENTUALLY TO HIPS AND KNEES. PATIENT IS CURRENTLY ONLY IT IS CURRENTLY HAVING KNEE PROBLEMS.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Body temperature, Discomfort, Fatigue, Fibromyalgia, Headache
Clinical narrative: The next day I woke up at 4:30AM I was freezing cold took a shower and was still freezing. Then I took my temperature (100.4 in mouth) and I had a stabbing /throbbing headache. I had every side effect that one could. I was very queasy but never vomited and it lasted all day. Other effects hard to stand up, extremely tired so I slept all day, very crazy body aches all the way to my fingers. Slept most of the day due to being so tired and uncomfortable. Around 8:30AM I took Tylenol, and it did help at all. I felt like I could eat but I didn't. I drank lots of water and Gatorade and one cup of hot tea. Throughout the day my head was still hurting through everything. The headache and the extreme exhaustion lasted the longest. Tylenol 250 milligrams 3x throughout the day, didn't help.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, Nausea, Pain
Clinical narrative: The next day I woke up at 4:30AM I was freezing cold took a shower and was still freezing. Then I took my temperature (100.4 in mouth) and I had a stabbing /throbbing headache. I had every side effect that one could. I was very queasy but never vomited and it lasted all day. Other effects hard to stand up, extremely tired so I slept all day, very crazy body aches all the way to my fingers. Slept most of the day due to being so tired and uncomfortable. Around 8:30AM I took Tylenol, and it did help at all. I felt like I could eat but I didn't. I drank lots of water and Gatorade and one cup of hot tea. Throughout the day my head was still hurting through everything. The headache and the extreme exhaustion lasted the longest. Tylenol 250 milligrams 3x throughout the day, didn't help.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Patient with dementia, moderate persistent asthma, GERD, CAD, mild aortic stenosis, chronic pain,  admitted 11/2/21 with chest pain. Known CAD with non-STEMI in 6/2021 at which time LHC showed mild atherosclerosis in the major epicardial coronary arteries as well as 100% stenosis of distal limb of a bifid rPDA likely the culprit lesion but too small and distal for  revascularization. He was medically treated with dual antiplatelet therapy. ED to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Eye pain, Gastrointestinal disorder, Headache, Pain
Clinical narrative: Covid vaccines given on:(Pfizer 2/18/21, 3//7/21, 9/22/21 and Moderna 2/15/22 Each vaccine has caused fever for 3-4 days, High of 104.6, body aches, eye pain, joint pain, headaches, extreme thirst, gastro bubbles.  I drank a lot of water, took tylenol, cool head compresses, showered when it was staying at 104.6,  From what I can tell, my reactions are much stronger and longer than other people. I assume it's because of my auto-immune disease.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Thirst
Clinical narrative: Covid vaccines given on:(Pfizer 2/18/21, 3//7/21, 9/22/21 and Moderna 2/15/22 Each vaccine has caused fever for 3-4 days, High of 104.6, body aches, eye pain, joint pain, headaches, extreme thirst, gastro bubbles.  I drank a lot of water, took tylenol, cool head compresses, showered when it was staying at 104.6,  From what I can tell, my reactions are much stronger and longer than other people. I assume it's because of my auto-immune disease.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, SARS-CoV-2 RNA, SARS-CoV-2 test positive
Clinical narrative: Case completed primary Covid vaccine series in February 2021, then was hospitalized for Covid in August 2021. Lab test positive for detection of COVID-19 virus Assessment & Plan She tested + on 8/7/2021 per report; so she would would be past the 20 days needed for quarantine. She was retested here yesterday and still +- the test was done because ER was not aware that she has already tested + earlier in the month. Possible that covid has contributed to her acute on chronic weakness. No other symptoms have developed. - Droplet precautions maintained.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Delivery, Exposure during pregnancy, Normal labour
Clinical narrative: Normal labor and delivery. Hospital admission within 6 weeks of receiving the COVID vaccine.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Dyspnoea, Intermenstrual bleeding
Clinical narrative: 4-5 days after vaccine I had shortness of breath and it felt like an elephant was sitting on my chest. Everytime I took a breath I couldn't get a breath in. It felt like I couldn't get but 20% of a breath in. I had that for maybe a day or two and then it went away. I also had spotting immediately after which isn't normal for me, and the morning after is when I started spotting and it wasn't my period.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Chest pain, Laboratory test normal
Clinical narrative: About 1 week after I got the vaccine I experienced chest pains.  Pressure in my chest. It took me a couple days to realize that this could be connected to the booster I had received. I contacted my primary care provider and was seen the next day. She couldn?t confirm nor deny that it was connected to the booster, but she did order labs. I took some ibuprofen after the chest pains didn?t stop. I felt relief as soon as the ibuprofen kicked in? immediately. The chest pains lasted about 1 week after onset.
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Blood creatinine abnormal, COVID-19, Chronic kidney disease, Condition aggravated
Clinical narrative: Patient vaccinated with Moderna X2 last does on 4/14/21, who admitted to the hospital with positive COVID test  "67 YO male with h/o extensive medical history who is presenting to the ED for evaluation of shortness of breath, non-productive cough and diarrhea for the pat 2-3 days. His wife was recently found to be COVID +. He is vaccinated, has not been able to get the booster vaccine just yet. He has bilateral LE amputations due to uncontrolled DM and previous wounds. He denies fevers, chills, nausea, vomiting, abdominal pain. He has recently been on antibiotics but unsure of which one. He has not had diarrhea in the ED. In the ED, he was found to be hypoxic at 85% requiring 2L NC. He completed 7 days of decadron therapy. Initiated on remdesevir but could not complete regimen due to GFR. Appeared to have an AKI in setting of CKD, possibly related to COVID. Home Torsemide, Diovan and Farxiga held. Nephrology followed during admission. Cr improving prior to discharge, he is to continue to hold these medications until repeat BMP this upcoming week. He wished to go home. He was discharged in stable condition with strict return precautions. Due to his chronic medical conditions he is likely at a high risk of re-admission.    He was to be discharged home on 11/21 but a family member called stating that no one would be at home to help take care of him as everyone is either ill or unavailable. I discussed this with patient and he is adamant on leaving the hospital and states "I can take care of myself at home". I advised he stay another evening but he wishes to go home today.  After further discussion he chose to stay.   Today (11/22), he is again adamant on going home. His family have arranged for 2 of his grandsons aged (25 and 30) to be at home and take care of him. "
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Diarrhoea, Dyspnoea, Glomerular filtration rate abnormal, Hypoxia
Clinical narrative: Patient vaccinated with Moderna X2 last does on 4/14/21, who admitted to the hospital with positive COVID test  "67 YO male with h/o extensive medical history who is presenting to the ED for evaluation of shortness of breath, non-productive cough and diarrhea for the pat 2-3 days. His wife was recently found to be COVID +. He is vaccinated, has not been able to get the booster vaccine just yet. He has bilateral LE amputations due to uncontrolled DM and previous wounds. He denies fevers, chills, nausea, vomiting, abdominal pain. He has recently been on antibiotics but unsure of which one. He has not had diarrhea in the ED. In the ED, he was found to be hypoxic at 85% requiring 2L NC. He completed 7 days of decadron therapy. Initiated on remdesevir but could not complete regimen due to GFR. Appeared to have an AKI in setting of CKD, possibly related to COVID. Home Torsemide, Diovan and Farxiga held. Nephrology followed during admission. Cr improving prior to discharge, he is to continue to hold these medications until repeat BMP this upcoming week. He wished to go home. He was discharged in stable condition with strict return precautions. Due to his chronic medical conditions he is likely at a high risk of re-admission.    He was to be discharged home on 11/21 but a family member called stating that no one would be at home to help take care of him as everyone is either ill or unavailable. I discussed this with patient and he is adamant on leaving the hospital and states "I can take care of myself at home". I advised he stay another evening but he wishes to go home today.  After further discussion he chose to stay.   Today (11/22), he is again adamant on going home. His family have arranged for 2 of his grandsons aged (25 and 30) to be at home and take care of him. "
Age: 66.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Metabolic function test, SARS-CoV-2 test positive
Clinical narrative: Patient vaccinated with Moderna X2 last does on 4/14/21, who admitted to the hospital with positive COVID test  "67 YO male with h/o extensive medical history who is presenting to the ED for evaluation of shortness of breath, non-productive cough and diarrhea for the pat 2-3 days. His wife was recently found to be COVID +. He is vaccinated, has not been able to get the booster vaccine just yet. He has bilateral LE amputations due to uncontrolled DM and previous wounds. He denies fevers, chills, nausea, vomiting, abdominal pain. He has recently been on antibiotics but unsure of which one. He has not had diarrhea in the ED. In the ED, he was found to be hypoxic at 85% requiring 2L NC. He completed 7 days of decadron therapy. Initiated on remdesevir but could not complete regimen due to GFR. Appeared to have an AKI in setting of CKD, possibly related to COVID. Home Torsemide, Diovan and Farxiga held. Nephrology followed during admission. Cr improving prior to discharge, he is to continue to hold these medications until repeat BMP this upcoming week. He wished to go home. He was discharged in stable condition with strict return precautions. Due to his chronic medical conditions he is likely at a high risk of re-admission.    He was to be discharged home on 11/21 but a family member called stating that no one would be at home to help take care of him as everyone is either ill or unavailable. I discussed this with patient and he is adamant on leaving the hospital and states "I can take care of myself at home". I advised he stay another evening but he wishes to go home today.  After further discussion he chose to stay.   Today (11/22), he is again adamant on going home. His family have arranged for 2 of his grandsons aged (25 and 30) to be at home and take care of him. "
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Confusional state, Dysphagia, Hemiparesis, Laboratory test normal
Clinical narrative: CHIEF COMPLAINT:   Pt sent from nursing home with sudden onset of right sided weakness and aphagia at 1300 today.  pt has dementia but at baseline is verbal and can answer most questions accuratly.  pt arrived with snoring respirations   HISTORY OF PRESENT ILLNESS:     90-year-old female with a history of prior CVA, atrial fibrillation, dementia presenting for evaluation of acute onset mental status change.  Patient is a resident of a nursing facility.  She has dementia at baseline but is reportedly ambulatory with fluent speech at baseline.  Today while at physical therapy, the patient had a acute onset of word finding difficulty and confusion.  Her last known well was 1 PM this afternoon.  She does have a history of prior stroke.  EMS was called to the scene where the patient was found with stable vital signs and a normal BGL was brought to the ED for evaluation.   On arrival here, the patient is significantly aphasic and unable to provide further history.   Further history was obtained from the patient's daughter who does report the patient has a history of prior CVA, she does not report any history of intracranial neoplasm, intracranial bleed, recent GI bleed, or major surgery.   Per chart review, patient does take aspirin and Plavix.
Age: 90.0
Sex: F
Vaccine: COVID19
Symptoms: Mental status changes, Snoring
Clinical narrative: CHIEF COMPLAINT:   Pt sent from nursing home with sudden onset of right sided weakness and aphagia at 1300 today.  pt has dementia but at baseline is verbal and can answer most questions accuratly.  pt arrived with snoring respirations   HISTORY OF PRESENT ILLNESS:     90-year-old female with a history of prior CVA, atrial fibrillation, dementia presenting for evaluation of acute onset mental status change.  Patient is a resident of a nursing facility.  She has dementia at baseline but is reportedly ambulatory with fluent speech at baseline.  Today while at physical therapy, the patient had a acute onset of word finding difficulty and confusion.  Her last known well was 1 PM this afternoon.  She does have a history of prior stroke.  EMS was called to the scene where the patient was found with stable vital signs and a normal BGL was brought to the ED for evaluation.   On arrival here, the patient is significantly aphasic and unable to provide further history.   Further history was obtained from the patient's daughter who does report the patient has a history of prior CVA, she does not report any history of intracranial neoplasm, intracranial bleed, recent GI bleed, or major surgery.   Per chart review, patient does take aspirin and Plavix.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Gastrointestinal pain, Oesophageal pain, Pruritus, Rash, Tracheal pain
Clinical narrative: Severe case of hives. I needed urgent care on Tuesday 2/8/22 and went back to see my family doctor on 2/10/22 because the hives where externally and internally leaving me with a constant pain in my trachea and esophagus. As today I need to follow up with a dermatologist and gastroenterologist due the constant skin rash/itching and the gastrointestinal pain.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Severe case of hives. I needed urgent care on Tuesday 2/8/22 and went back to see my family doctor on 2/10/22 because the hives where externally and internally leaving me with a constant pain in my trachea and esophagus. As today I need to follow up with a dermatologist and gastroenterologist due the constant skin rash/itching and the gastrointestinal pain.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Headache, Nausea, Pain in extremity
Clinical narrative: pt states that her left arm and chest were sore for a couple of days after getting her covid vax.  About 8 days later she developed severe headaches that make her nauseated.  These symptoms would come and go.  She still has these symptoms at this time and will contact her PCP.
Age: 56.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Erythema, Pruritus, Urticaria
Clinical narrative: Redness, itching, hives,  been treating with Zyrtec but they continue 10 days out.
Age: 56.0
Sex: F
Vaccine: VARZOS, VARZOS
Symptoms: Arthralgia, Fatigue, Pain in jaw, Urticaria, Vomiting
Clinical narrative: Redness, itching, hives,  been treating with Zyrtec but they continue 10 days out.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: vaccine given was in fridge one day after use by date
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Dyspnoea, Electrocardiogram, Heart rate increased
Clinical narrative: Resting heart rate of 147 at time of reaction (2/11/2022 11:30PM) lasting for 10 hours Supraventricular Tachycardia on EKG Rash on arms & shoulder Chest pain with arrhythmia Shortness of breath Dizziness Palpitations Alleviated with rest and vagal maneuvers
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Rash, Supraventricular tachycardia
Clinical narrative: Resting heart rate of 147 at time of reaction (2/11/2022 11:30PM) lasting for 10 hours Supraventricular Tachycardia on EKG Rash on arms & shoulder Chest pain with arrhythmia Shortness of breath Dizziness Palpitations Alleviated with rest and vagal maneuvers
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Client received Moderna dose 1 on 3/17/21 everything went well. Dose 2 on 4/14 client developed a rash all over body 24 hrs after vaccine. Client denies having SOB, no other symptoms, only itching. Client took Benadryl and subsided after 3 days. Client didn?t go to ER or informed her primary care provider. Client has allergy to shellfish (anaphylaxis). Client has no medical conditions. A medical consult was submitted by RN to Clinical Project Coordinator. Client received approval to receive Moderna Booster COVID vaccine by MD. Client received Moderna Booster Lot#084J21A.  Client reported no symptoms while waiting in observation area for 30 mins. Client left vaccination area in steady gait.