chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Campylobacter test, Chest X-ray abnormal, Chest pain, Clostridium test, Condition aggravated
Clinical narrative: Patient is a 55 y.o. male with PMH significant for renal transplant, amyloidosis, hypertension, asthma and history of DVT who presented to the emergency department on 11/3/21 with chest pain.  He reports onset of symptoms last Tuesday with progressive cough and developed a fever on Thursday.  Has had poor orally intake but has tried to stay hydrated with water.  Has been having frequent diarrhea up to 6 times per day but only 2 episodes today.  Continues to intermittently feel feverish.  Denies any emesis.  He was seen by his PCP on 11/02 at which time he tested positive for COVID.   In the emergency department, VS remained stable on RA.  Labs notable for sodium 120, creatinine 2.49, eGFR 27. CXR showed airspace opacities within the right lung.  He was given monoclonal antibodies after which he began to feel more short of breath.  He was noted to be satting 88-90% and was placed on 2 L O2.  He was later able to be weaned back to room air.  Patient was admitted for ongoing management of hyponatremia.   Nephrology was consulted. GI symptoms essentially resolved by time of DC.  Na improved with fluids and was stable at 130 and Cr improved to 1.9 at time of DC.  Patient noted to have tremors and tacro trough level was high at 9 (goal 4-6) likely 2/2 COVID19 and diarrhea and so dose was temporarily decreased to 0.5/0.5 from 1/1 and patient reached out to his transplant team at time of DC and is arranging f/u trough level to be obtained (likely Monday).  He will f/u with PCP and need BMP rechecked in next 3-5 days.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Drug trough level, Dyspnoea, Escherichia test negative
Clinical narrative: Patient is a 55 y.o. male with PMH significant for renal transplant, amyloidosis, hypertension, asthma and history of DVT who presented to the emergency department on 11/3/21 with chest pain.  He reports onset of symptoms last Tuesday with progressive cough and developed a fever on Thursday.  Has had poor orally intake but has tried to stay hydrated with water.  Has been having frequent diarrhea up to 6 times per day but only 2 episodes today.  Continues to intermittently feel feverish.  Denies any emesis.  He was seen by his PCP on 11/02 at which time he tested positive for COVID.   In the emergency department, VS remained stable on RA.  Labs notable for sodium 120, creatinine 2.49, eGFR 27. CXR showed airspace opacities within the right lung.  He was given monoclonal antibodies after which he began to feel more short of breath.  He was noted to be satting 88-90% and was placed on 2 L O2.  He was later able to be weaned back to room air.  Patient was admitted for ongoing management of hyponatremia.   Nephrology was consulted. GI symptoms essentially resolved by time of DC.  Na improved with fluids and was stable at 130 and Cr improved to 1.9 at time of DC.  Patient noted to have tremors and tacro trough level was high at 9 (goal 4-6) likely 2/2 COVID19 and diarrhea and so dose was temporarily decreased to 0.5/0.5 from 1/1 and patient reached out to his transplant team at time of DC and is arranging f/u trough level to be obtained (likely Monday).  He will f/u with PCP and need BMP rechecked in next 3-5 days.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Gastrointestinal disorder, Glomerular filtration rate decreased, Hyponatraemia, Hypophagia, Lung opacity
Clinical narrative: Patient is a 55 y.o. male with PMH significant for renal transplant, amyloidosis, hypertension, asthma and history of DVT who presented to the emergency department on 11/3/21 with chest pain.  He reports onset of symptoms last Tuesday with progressive cough and developed a fever on Thursday.  Has had poor orally intake but has tried to stay hydrated with water.  Has been having frequent diarrhea up to 6 times per day but only 2 episodes today.  Continues to intermittently feel feverish.  Denies any emesis.  He was seen by his PCP on 11/02 at which time he tested positive for COVID.   In the emergency department, VS remained stable on RA.  Labs notable for sodium 120, creatinine 2.49, eGFR 27. CXR showed airspace opacities within the right lung.  He was given monoclonal antibodies after which he began to feel more short of breath.  He was noted to be satting 88-90% and was placed on 2 L O2.  He was later able to be weaned back to room air.  Patient was admitted for ongoing management of hyponatremia.   Nephrology was consulted. GI symptoms essentially resolved by time of DC.  Na improved with fluids and was stable at 130 and Cr improved to 1.9 at time of DC.  Patient noted to have tremors and tacro trough level was high at 9 (goal 4-6) likely 2/2 COVID19 and diarrhea and so dose was temporarily decreased to 0.5/0.5 from 1/1 and patient reached out to his transplant team at time of DC and is arranging f/u trough level to be obtained (likely Monday).  He will f/u with PCP and need BMP rechecked in next 3-5 days.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Multipathogen PCR test, Norovirus test, Pyrexia, Rotavirus test negative
Clinical narrative: Patient is a 55 y.o. male with PMH significant for renal transplant, amyloidosis, hypertension, asthma and history of DVT who presented to the emergency department on 11/3/21 with chest pain.  He reports onset of symptoms last Tuesday with progressive cough and developed a fever on Thursday.  Has had poor orally intake but has tried to stay hydrated with water.  Has been having frequent diarrhea up to 6 times per day but only 2 episodes today.  Continues to intermittently feel feverish.  Denies any emesis.  He was seen by his PCP on 11/02 at which time he tested positive for COVID.   In the emergency department, VS remained stable on RA.  Labs notable for sodium 120, creatinine 2.49, eGFR 27. CXR showed airspace opacities within the right lung.  He was given monoclonal antibodies after which he began to feel more short of breath.  He was noted to be satting 88-90% and was placed on 2 L O2.  He was later able to be weaned back to room air.  Patient was admitted for ongoing management of hyponatremia.   Nephrology was consulted. GI symptoms essentially resolved by time of DC.  Na improved with fluids and was stable at 130 and Cr improved to 1.9 at time of DC.  Patient noted to have tremors and tacro trough level was high at 9 (goal 4-6) likely 2/2 COVID19 and diarrhea and so dose was temporarily decreased to 0.5/0.5 from 1/1 and patient reached out to his transplant team at time of DC and is arranging f/u trough level to be obtained (likely Monday).  He will f/u with PCP and need BMP rechecked in next 3-5 days.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Salmonella test negative, Stool analysis, Tremor, Yersinia test negative
Clinical narrative: Patient is a 55 y.o. male with PMH significant for renal transplant, amyloidosis, hypertension, asthma and history of DVT who presented to the emergency department on 11/3/21 with chest pain.  He reports onset of symptoms last Tuesday with progressive cough and developed a fever on Thursday.  Has had poor orally intake but has tried to stay hydrated with water.  Has been having frequent diarrhea up to 6 times per day but only 2 episodes today.  Continues to intermittently feel feverish.  Denies any emesis.  He was seen by his PCP on 11/02 at which time he tested positive for COVID.   In the emergency department, VS remained stable on RA.  Labs notable for sodium 120, creatinine 2.49, eGFR 27. CXR showed airspace opacities within the right lung.  He was given monoclonal antibodies after which he began to feel more short of breath.  He was noted to be satting 88-90% and was placed on 2 L O2.  He was later able to be weaned back to room air.  Patient was admitted for ongoing management of hyponatremia.   Nephrology was consulted. GI symptoms essentially resolved by time of DC.  Na improved with fluids and was stable at 130 and Cr improved to 1.9 at time of DC.  Patient noted to have tremors and tacro trough level was high at 9 (goal 4-6) likely 2/2 COVID19 and diarrhea and so dose was temporarily decreased to 0.5/0.5 from 1/1 and patient reached out to his transplant team at time of DC and is arranging f/u trough level to be obtained (likely Monday).  He will f/u with PCP and need BMP rechecked in next 3-5 days.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Admitted to hospital; dexamethasone, remdesivir and supplemental oxygen started
Age: 10.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Eye swelling, Swelling face
Clinical narrative: Eye swelling - woke up this morning with eyes swollen shut, face puffy, improving after giving Benadryl and using cool compresses. No other symptoms.
Age: 96.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Error: Improper Storage (temperature)-
Age: 6.0
Sex: F
Vaccine: COVID19
Symptoms: Head discomfort, Headache, Vertigo
Clinical narrative: On November 14, 2021 at 3:45pm my daughter stated that she felt a strong amount of pressure in her head.  She described the pressure  and pain similar to a headache.  She stated a short time later that she felt like everything was spinning around her.  When given a dose of Tylenol she stated that it slowed it down but she still felt like she was spinning.  She went to bed on Sunday evening and woke up Monday morning November 15, 2021 stating that her symptoms were the same feeling a spinning motion and pressure in her head.  She again was given Tylenol which she stated again made the feeling slightly go away but still present.  When I contacted her Primary Care Physician she stated that it would be best to go to the local Emergency Room for a further evaluation.  At the Emergency room she was evaluated and a Neurological Physical Assessment was done by the ER doctors.  At this time she had no remarkable signs of any significant neurological deficits.  She was discharged and we were told to follow up if symptoms persisted.  As of 9:16am on November 16, 2021 she is still stating that she has the same head pressure and spinning feeling.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Bradycardia, Echocardiogram, Electrocardiogram ambulatory, Laboratory test, Loss of consciousness
Clinical narrative: I started experiencing symptomatic bradycardia. My heart rate has been in 40- 50 consistently I have been to ER twice because I have passed out. the electricity of my heart and chambers all looks fine. They can't figure out why all of sudden I developed bradycardia
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Chills, Cough, Dyspnoea
Clinical narrative: ED NOTES 11/15/21: He notes he has had intermittent fever for the past 5 days, along with nonproductive cough.  Was vaccinated with the J and J COVID-19 vaccination however this was in March.  Has not yet received his booster shot.  Today he notes some mild chest pain and mild shortness of breath, given his fever and cough and these new symptoms of chest pain shortness of breath is recommended he come in for further evaluation.  He notes some mild chills as well.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: ED NOTES 11/15/21: He notes he has had intermittent fever for the past 5 days, along with nonproductive cough.  Was vaccinated with the J and J COVID-19 vaccination however this was in March.  Has not yet received his booster shot.  Today he notes some mild chest pain and mild shortness of breath, given his fever and cough and these new symptoms of chest pain shortness of breath is recommended he come in for further evaluation.  He notes some mild chills as well.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash pruritic
Clinical narrative: received vaccine 11/13. afternoon of 11/14 rash begin to appear on upper legs. rash has now spread to entire body. rash is itchy in nature w/o fever or chills
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Atelectasis, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal, Cough
Clinical narrative: 93-year-old male with past medical history for hypertension, type 2 diabetes, hyperlipidemia coronary disease who presented emergency department 11/3 with 7 day course of cough, shortness of breath. Found to be hypoxic in the emergency department was placed on oxygen. COVID PCR returned positive. Chest x-ray showed airspace disease compatible with COVID pneumonia. Started on Decadron and admitted to Medicine Service for further assessment and management. Patient is vaccinated with Pfizer vaccine, received 2 doses. He was also started on remdesivir. Over the course of the next 2 days, patient was able to wean off oxygen to room air. During this time he was found to have severely high blood pressures, he was started on low-dose losartan which he will continue discharge. He appeared comfortable and was speaking full sentences easily. He was discharged home and will complete a 10 day course of steroids with Decadron. He has been advised to follow-up with primary care physician, particularly to monitor blood pressure as he has been started on low-dose losartan in the hospital. Patient is being discharged in stable and improved condition.
Age: 92.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Hypertension, Hypoxia, Lung disorder, SARS-CoV-2 test positive
Clinical narrative: 93-year-old male with past medical history for hypertension, type 2 diabetes, hyperlipidemia coronary disease who presented emergency department 11/3 with 7 day course of cough, shortness of breath. Found to be hypoxic in the emergency department was placed on oxygen. COVID PCR returned positive. Chest x-ray showed airspace disease compatible with COVID pneumonia. Started on Decadron and admitted to Medicine Service for further assessment and management. Patient is vaccinated with Pfizer vaccine, received 2 doses. He was also started on remdesivir. Over the course of the next 2 days, patient was able to wean off oxygen to room air. During this time he was found to have severely high blood pressures, he was started on low-dose losartan which he will continue discharge. He appeared comfortable and was speaking full sentences easily. He was discharged home and will complete a 10 day course of steroids with Decadron. He has been advised to follow-up with primary care physician, particularly to monitor blood pressure as he has been started on low-dose losartan in the hospital. Patient is being discharged in stable and improved condition.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Blister, Chills, Lip blister, Pyrexia
Clinical narrative: Chills, fever of 102.2, lasted 24 hours.  Outcome: blisters on face below nose, on upper and lower lips, and chin area only on the right side of face.  Blisters still healing as of this date, .
Age: 90.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: Breakthrough infection
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Malaise, Nausea, Sinus operation
Clinical narrative: After receiving the Moderna Booster on 10/26/2021, my throat became scratchy on 10/30/2021. Thereafter my sinuses began to drain, headache, nauseous, sneezing, fatigue  and a feeling of unwellness for a total of 9 days. During the 9 days I administered over the counter products. On 11/4/2021 I worked half a day and on 11/8/2021 I contacted my medical provider.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing, Throat irritation
Clinical narrative: After receiving the Moderna Booster on 10/26/2021, my throat became scratchy on 10/30/2021. Thereafter my sinuses began to drain, headache, nauseous, sneezing, fatigue  and a feeling of unwellness for a total of 9 days. During the 9 days I administered over the counter products. On 11/4/2021 I worked half a day and on 11/8/2021 I contacted my medical provider.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Lymph node pain, Lymphadenopathy
Clinical narrative: Painful, swollen lymph node at mid-clavicular line, just above the clavicle.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head abnormal, Idiopathic orbital inflammation, Vertigo, Vision blurred
Clinical narrative: Inflammatory Pseudotumor Oculi
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy, Disease recurrence, Physical examination
Clinical narrative: Recurrence of bell's palsy 3 days later (? if related or not)
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, Confusional state, Dysuria, Epigastric discomfort
Clinical narrative: CHIEF COMPLAINT:   Pt BIBA, pt has had trouble urinating for the last few days. Pts family states he has been a little more confused than usual lately and might possibly have UTI. Pt has hx of BPH. Pt denies any pain. EMS states he urinated on stretcher upon arrival.   HISTORY OF PRESENT ILLNESS:     87 years old male with past medical history of BPH, hypertension, hypothyroidism, diabetes mellitus insulin-dependent with long-term insulin use, chronic kidney disease stage IV, history of bradyarrhythmia status post pacemaker placement, coronary artery disease status post PCI, patient presents to the ER brought in by ambulance he was referred by his primary care physician after calling him, family reporting altered mental status slightly from baseline, and having trouble urinating.  Patient is alert and awake and oriented x2, is answering my questions appropriately slightly slow, he admits to pain in the lower chest and epigastric area mild discomfort, no radiation, comes and goes, currently present.  He denies diarrhea admits to constipation, admits to cough productive unknown color, patient is wheelchair bound, denies shortness of breath at this time, he is states that he has no control of his urine baseline
Age: 96.0
Sex: M
Vaccine: COVID19
Symptoms: Mental status changes, Productive cough, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: CHIEF COMPLAINT:   Pt BIBA, pt has had trouble urinating for the last few days. Pts family states he has been a little more confused than usual lately and might possibly have UTI. Pt has hx of BPH. Pt denies any pain. EMS states he urinated on stretcher upon arrival.   HISTORY OF PRESENT ILLNESS:     87 years old male with past medical history of BPH, hypertension, hypothyroidism, diabetes mellitus insulin-dependent with long-term insulin use, chronic kidney disease stage IV, history of bradyarrhythmia status post pacemaker placement, coronary artery disease status post PCI, patient presents to the ER brought in by ambulance he was referred by his primary care physician after calling him, family reporting altered mental status slightly from baseline, and having trouble urinating.  Patient is alert and awake and oriented x2, is answering my questions appropriately slightly slow, he admits to pain in the lower chest and epigastric area mild discomfort, no radiation, comes and goes, currently present.  He denies diarrhea admits to constipation, admits to cough productive unknown color, patient is wheelchair bound, denies shortness of breath at this time, he is states that he has no control of his urine baseline
Age: 70.0
Sex: F
Vaccine: FLUR4
Symptoms: Back pain, Mobility decreased, Muscular weakness, Pain
Clinical narrative: Arm is weak - difficult to lift hold above head - some pain radiating to mid upper back
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia, Arthralgia, Autoimmune disorder, Butterfly rash, Condition aggravated
Clinical narrative: Starting mid October I had autoimmune disease symptoms, starting with face butterfly rash, rash all over body that itched, was painful, hot and felt tight. My hair started falling out, severe headaches daily, extreme fatigue, painful joints, pain in feet, knees, hips, neck, reoccurring acid reflux, depression, congestion. I have started the aip diet. I did go to the emergency room twice last week of October. I have been off work due to event. The question can be raised, if a prior autoimmune issue was flared by the vaccine?
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Depression, Fatigue, Gastrooesophageal reflux disease, Headache, Impaired work ability
Clinical narrative: Starting mid October I had autoimmune disease symptoms, starting with face butterfly rash, rash all over body that itched, was painful, hot and felt tight. My hair started falling out, severe headaches daily, extreme fatigue, painful joints, pain in feet, knees, hips, neck, reoccurring acid reflux, depression, congestion. I have started the aip diet. I did go to the emergency room twice last week of October. I have been off work due to event. The question can be raised, if a prior autoimmune issue was flared by the vaccine?
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Laboratory test, Neck pain, Pain in extremity, Rash, Rash pruritic
Clinical narrative: Starting mid October I had autoimmune disease symptoms, starting with face butterfly rash, rash all over body that itched, was painful, hot and felt tight. My hair started falling out, severe headaches daily, extreme fatigue, painful joints, pain in feet, knees, hips, neck, reoccurring acid reflux, depression, congestion. I have started the aip diet. I did go to the emergency room twice last week of October. I have been off work due to event. The question can be raised, if a prior autoimmune issue was flared by the vaccine?
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, Scan, Skin tightness, Skin warm
Clinical narrative: Starting mid October I had autoimmune disease symptoms, starting with face butterfly rash, rash all over body that itched, was painful, hot and felt tight. My hair started falling out, severe headaches daily, extreme fatigue, painful joints, pain in feet, knees, hips, neck, reoccurring acid reflux, depression, congestion. I have started the aip diet. I did go to the emergency room twice last week of October. I have been off work due to event. The question can be raised, if a prior autoimmune issue was flared by the vaccine?
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling of body temperature change, Hypoaesthesia
Clinical narrative: PATIENT REPORTS 3 DAYS AFTER FIRST DOSE- WHOLE BODY NUMBNESS.  THE NUMBNESS IS NOW 2-4 TIMES DAILY, LASTING 3-5 MINUTES THEN A HOT/COLD SENSATION.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Impaired work ability, Vertigo
Clinical narrative: Patient describes severe vertigo, occurring the first day after vaccination and impeding work activities for several weeks. Patient visited physician at place of employment.  Patient states vertigo is less severe now (at second vaccine appointment), but is still present.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Headache, Injected limb mobility decreased, Lymph node pain
Clinical narrative: Started with sore muscles in the arm of injection several hours after the injection. The following day developed a fever, chills, headache, muscle aches, joint aches, and could not move the injected arm without significant discomfort. The injected arm had to be positioned in a specific way to reduce discomfort. Spells of throbbing pain in the injected arm.  On the third day the fever and headache subsided. The throbbing in the injected arm was more intermittent and I was able to use the arm a bit more freely, but still had significant discomfort when using the arm. I could not raise my arm straight up. I also developed swelling and tenderness in some of the lymph nodes in the arm pit opposite the injection arm. The discomfort and throbbing in the arm returned that evening. Again I was only able to sleep for about an hour at a time before waking in pain and needing more advil. became irritated and inflamed in addition to the. Could not sleep due to discomfort in the injected arm. The fourth day and night was pretty much the same as the previous day. I am on the fifth day now and my injected arm is feeling less discomfort. I have developed a rash on the wrist opposite the injected arm.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Myalgia, Pain, Pyrexia, Rash
Clinical narrative: Started with sore muscles in the arm of injection several hours after the injection. The following day developed a fever, chills, headache, muscle aches, joint aches, and could not move the injected arm without significant discomfort. The injected arm had to be positioned in a specific way to reduce discomfort. Spells of throbbing pain in the injected arm.  On the third day the fever and headache subsided. The throbbing in the injected arm was more intermittent and I was able to use the arm a bit more freely, but still had significant discomfort when using the arm. I could not raise my arm straight up. I also developed swelling and tenderness in some of the lymph nodes in the arm pit opposite the injection arm. The discomfort and throbbing in the arm returned that evening. Again I was only able to sleep for about an hour at a time before waking in pain and needing more advil. became irritated and inflamed in addition to the. Could not sleep due to discomfort in the injected arm. The fourth day and night was pretty much the same as the previous day. I am on the fifth day now and my injected arm is feeling less discomfort. I have developed a rash on the wrist opposite the injected arm.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Sleep disorder
Clinical narrative: Started with sore muscles in the arm of injection several hours after the injection. The following day developed a fever, chills, headache, muscle aches, joint aches, and could not move the injected arm without significant discomfort. The injected arm had to be positioned in a specific way to reduce discomfort. Spells of throbbing pain in the injected arm.  On the third day the fever and headache subsided. The throbbing in the injected arm was more intermittent and I was able to use the arm a bit more freely, but still had significant discomfort when using the arm. I could not raise my arm straight up. I also developed swelling and tenderness in some of the lymph nodes in the arm pit opposite the injection arm. The discomfort and throbbing in the arm returned that evening. Again I was only able to sleep for about an hour at a time before waking in pain and needing more advil. became irritated and inflamed in addition to the. Could not sleep due to discomfort in the injected arm. The fourth day and night was pretty much the same as the previous day. I am on the fifth day now and my injected arm is feeling less discomfort. I have developed a rash on the wrist opposite the injected arm.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Nausea
Clinical narrative: Patient states that he started getting queasy, nauseous, fatigue that evening.
Age: 13.0
Sex: M
Vaccine: FLU4
Symptoms: Injection site urticaria
Clinical narrative: A couple of hours after the patient received the injection, he developed hives around the injection site
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Chest discomfort, Echocardiogram abnormal, Headache, Heart rate increased
Clinical narrative: CHIEF COMPLAINT:   Pt tested Covid+ yesterday. Only complaints are N/V. Pt was told to come here by PCP for antibody infusion. Pts heart rate at triage bouncing between 140-180's. Pt is 96% RA.   HISTORY OF PRESENT ILLNESS:     72 year old male with PMH of Diabetes, CAD (MI 2018 s/p quaduple bypass), s/p AVR 2018, HFrEF 35-40 (as of echo 7/2021) s/p ICD placement 2019, HTN, HLD, PVD. Presents to Hospital 11/13/21 with positive COVID test yesterday. Patient began feeling ill Monday 11/8. He has been vomiting since then, last vomited yesterday 11/11. Unable to report color or contents of vomit as his vision is impaired. He is vaccinated against covid x2. He presented to the hospital anticipating antibody infusion, however was found to have elevated HR in 140s-180s on triage. Patient reports mild headache, mild chest tightness in addition to nausea/vomiting, but otherwise no symptoms. He denies body aches, fever, chills, sob, abdominal pain, palpitations.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Malaise, Nausea, SARS-CoV-2 test positive, Vaccine breakthrough infection, Visual impairment
Clinical narrative: CHIEF COMPLAINT:   Pt tested Covid+ yesterday. Only complaints are N/V. Pt was told to come here by PCP for antibody infusion. Pts heart rate at triage bouncing between 140-180's. Pt is 96% RA.   HISTORY OF PRESENT ILLNESS:     72 year old male with PMH of Diabetes, CAD (MI 2018 s/p quaduple bypass), s/p AVR 2018, HFrEF 35-40 (as of echo 7/2021) s/p ICD placement 2019, HTN, HLD, PVD. Presents to Hospital 11/13/21 with positive COVID test yesterday. Patient began feeling ill Monday 11/8. He has been vomiting since then, last vomited yesterday 11/11. Unable to report color or contents of vomit as his vision is impaired. He is vaccinated against covid x2. He presented to the hospital anticipating antibody infusion, however was found to have elevated HR in 140s-180s on triage. Patient reports mild headache, mild chest tightness in addition to nausea/vomiting, but otherwise no symptoms. He denies body aches, fever, chills, sob, abdominal pain, palpitations.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Vomiting
Clinical narrative: CHIEF COMPLAINT:   Pt tested Covid+ yesterday. Only complaints are N/V. Pt was told to come here by PCP for antibody infusion. Pts heart rate at triage bouncing between 140-180's. Pt is 96% RA.   HISTORY OF PRESENT ILLNESS:     72 year old male with PMH of Diabetes, CAD (MI 2018 s/p quaduple bypass), s/p AVR 2018, HFrEF 35-40 (as of echo 7/2021) s/p ICD placement 2019, HTN, HLD, PVD. Presents to Hospital 11/13/21 with positive COVID test yesterday. Patient began feeling ill Monday 11/8. He has been vomiting since then, last vomited yesterday 11/11. Unable to report color or contents of vomit as his vision is impaired. He is vaccinated against covid x2. He presented to the hospital anticipating antibody infusion, however was found to have elevated HR in 140s-180s on triage. Patient reports mild headache, mild chest tightness in addition to nausea/vomiting, but otherwise no symptoms. He denies body aches, fever, chills, sob, abdominal pain, palpitations.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Acute respiratory failure, Asthenia, Blood glucose increased, Blood lactic acid, Brain natriuretic peptide increased
Clinical narrative: CHIEF COMPLAINT:   Pt tested Covid+ yesterday. Only complaints are N/V. Pt was told to come here by PCP for antibody infusion. Pts heart rate at triage bouncing between 140-180's. Pt is 96% RA.   HISTORY OF PRESENT ILLNESS:     72 year old male with PMH of Diabetes, CAD (MI 2018 s/p quaduple bypass), s/p AVR 2018, HFrEF 35-40 (as of echo 7/2021) s/p ICD placement 2019, HTN, HLD, PVD. Presents to Hospital 11/13/21 with positive COVID test yesterday. Patient began feeling ill Monday 11/8. He has been vomiting since then, last vomited yesterday 11/11. Unable to report color or contents of vomit as his vision is impaired. He is vaccinated against covid x2. He presented to the hospital anticipating antibody infusion, however was found to have elevated HR in 140s-180s on triage. Patient reports mild headache, mild chest tightness in addition to nausea/vomiting, but otherwise no symptoms. He denies body aches, fever, chills, sob, abdominal pain, palpitations.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19 pneumonia, Cardiac failure congestive, Chest X-ray abnormal, Dyspnoea, Fatigue
Clinical narrative: CHIEF COMPLAINT:   Pt tested Covid+ yesterday. Only complaints are N/V. Pt was told to come here by PCP for antibody infusion. Pts heart rate at triage bouncing between 140-180's. Pt is 96% RA.   HISTORY OF PRESENT ILLNESS:     72 year old male with PMH of Diabetes, CAD (MI 2018 s/p quaduple bypass), s/p AVR 2018, HFrEF 35-40 (as of echo 7/2021) s/p ICD placement 2019, HTN, HLD, PVD. Presents to Hospital 11/13/21 with positive COVID test yesterday. Patient began feeling ill Monday 11/8. He has been vomiting since then, last vomited yesterday 11/11. Unable to report color or contents of vomit as his vision is impaired. He is vaccinated against covid x2. He presented to the hospital anticipating antibody infusion, however was found to have elevated HR in 140s-180s on triage. Patient reports mild headache, mild chest tightness in addition to nausea/vomiting, but otherwise no symptoms. He denies body aches, fever, chills, sob, abdominal pain, palpitations.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Hyperglycaemia, Pneumonia, Pneumonia bacterial, Productive cough, Pulmonary embolism
Clinical narrative: CHIEF COMPLAINT:   Pt tested Covid+ yesterday. Only complaints are N/V. Pt was told to come here by PCP for antibody infusion. Pts heart rate at triage bouncing between 140-180's. Pt is 96% RA.   HISTORY OF PRESENT ILLNESS:     72 year old male with PMH of Diabetes, CAD (MI 2018 s/p quaduple bypass), s/p AVR 2018, HFrEF 35-40 (as of echo 7/2021) s/p ICD placement 2019, HTN, HLD, PVD. Presents to Hospital 11/13/21 with positive COVID test yesterday. Patient began feeling ill Monday 11/8. He has been vomiting since then, last vomited yesterday 11/11. Unable to report color or contents of vomit as his vision is impaired. He is vaccinated against covid x2. He presented to the hospital anticipating antibody infusion, however was found to have elevated HR in 140s-180s on triage. Patient reports mild headache, mild chest tightness in addition to nausea/vomiting, but otherwise no symptoms. He denies body aches, fever, chills, sob, abdominal pain, palpitations.
Age: 72.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Sepsis, Sputum discoloured, Troponin
Clinical narrative: CHIEF COMPLAINT:   Pt tested Covid+ yesterday. Only complaints are N/V. Pt was told to come here by PCP for antibody infusion. Pts heart rate at triage bouncing between 140-180's. Pt is 96% RA.   HISTORY OF PRESENT ILLNESS:     72 year old male with PMH of Diabetes, CAD (MI 2018 s/p quaduple bypass), s/p AVR 2018, HFrEF 35-40 (as of echo 7/2021) s/p ICD placement 2019, HTN, HLD, PVD. Presents to Hospital 11/13/21 with positive COVID test yesterday. Patient began feeling ill Monday 11/8. He has been vomiting since then, last vomited yesterday 11/11. Unable to report color or contents of vomit as his vision is impaired. He is vaccinated against covid x2. He presented to the hospital anticipating antibody infusion, however was found to have elevated HR in 140s-180s on triage. Patient reports mild headache, mild chest tightness in addition to nausea/vomiting, but otherwise no symptoms. He denies body aches, fever, chills, sob, abdominal pain, palpitations.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Asthenia, Blood creatinine increased, Blood urea increased, Dehydration
Clinical narrative: Briefly, this is a 78-year-old male with a history of CAD, atrial fibrillation,  congestive heart failure, recent mesenteric artery rupture status post abdominal  surgery, who presents to the emergency department for evaluation of generalized  weakness and fatigue.  The patient notes that at home he had been taking his vital signs  and noted tachycardia and hypotension.  On arrival, patient is noted to be tachycardic with heart rate in the 130s and  hypotensive.    At this time, patient continues to receive IV fluids.  Screening work-up has  been performed which shows evidence of acute renal insufficiency and likely  dehydration.  Orthostatic vital signs were performed and are negative but were  performed after a first liter of IV fluids were administered and may be falsely  negative.  Patient is currently on his second liter of IV fluids and continues  to have tachycardia in the 120s.  Given evidence of dehydration and AKI in the  setting of persistent tachycardia despite 2 L of IV fluids I do believe the  patient requires admission to the hospital for continued IV fluid resuscitation  and management of generalized fatigue.  The patient is in agreement with plan  and admitted in stable condition.  Upon admittance to the medical floor, a rapid response was called for sustained SVT heart rate at 200 beats per minute.
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Hypotension, Supraventricular tachycardia, Tachycardia
Clinical narrative: Briefly, this is a 78-year-old male with a history of CAD, atrial fibrillation,  congestive heart failure, recent mesenteric artery rupture status post abdominal  surgery, who presents to the emergency department for evaluation of generalized  weakness and fatigue.  The patient notes that at home he had been taking his vital signs  and noted tachycardia and hypotension.  On arrival, patient is noted to be tachycardic with heart rate in the 130s and  hypotensive.    At this time, patient continues to receive IV fluids.  Screening work-up has  been performed which shows evidence of acute renal insufficiency and likely  dehydration.  Orthostatic vital signs were performed and are negative but were  performed after a first liter of IV fluids were administered and may be falsely  negative.  Patient is currently on his second liter of IV fluids and continues  to have tachycardia in the 120s.  Given evidence of dehydration and AKI in the  setting of persistent tachycardia despite 2 L of IV fluids I do believe the  patient requires admission to the hospital for continued IV fluid resuscitation  and management of generalized fatigue.  The patient is in agreement with plan  and admitted in stable condition.  Upon admittance to the medical floor, a rapid response was called for sustained SVT heart rate at 200 beats per minute.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth
Clinical narrative: Moderna COVID-19 Vaccine EUA:  Patient reported on 11/11/2021 that she developed a large, red hot area on left arm subsequent to vaccination.  Concern for vaccine administration site being too low.  Area of redness begins 12.0cm down from Humeral/Scapular joint, and measures 8.0cm long X 9,0cm wide.  it is swollen, red, and warm to the touch.  Employee states that it has been improving.  She first noticed it 11/14/2021 @ 0000.  Employee reported to the Nurse to look at arm.  It appears improved on 11/12/21 from initial presentation on 11/11/2021.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Chest discomfort, Electric shock sensation, Muscle spasms, Nausea, Paraesthesia
Clinical narrative: Nausea, vertigo, blurry vision, dizziness, tightness or fullness in middle of chest, zaps in brain, tremor or muscle spasms or fluttery feeling in my head.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Tremor, Vertigo, Vision blurred
Clinical narrative: Nausea, vertigo, blurry vision, dizziness, tightness or fullness in middle of chest, zaps in brain, tremor or muscle spasms or fluttery feeling in my head.
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea
Clinical narrative: trouble breathing
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Fatigue
Clinical narrative: Stomach aches & fatigue
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: For unknown reason (not documented in chart) patient received the first Moderna COVID-19 Vaccine dose on 7/2/21 and the second dose of Moderna COVID-19 Vaccine on 7/30/21. Patient also received a third booster dose on 11/10/21 which is 103 days after the second dose. The recommended waiting period between booster and second dose is 168 days (7 days/week x 4 weeks/month x 6 months). There were no adverse events associated with administration of the vaccine. Per CDC guidance, doses inadvertently administered earlier than the grace period should not be repeated.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Balance disorder, Body temperature increased, Dizziness, Feeling abnormal
Clinical narrative: At approximately 01:00 am Saturday morning, patient's spouse woke him because he was violently shaking in his sleep. He very quickly thereafter became dizzy, unstable, and began heavily vomiting. His temperature at 01:30 am was around 104.0 degrees Fahrenheit. It fluctuated significantly for the next hour while he continued to vomit. He made it to bed around 03:00 am and was able to fall asleep, though he was still dizzy, shaking, and nauseous. Between 03:00 and 05:00 am, his spouse took his temperature and it had spiked up to 106.0 degrees Fahrenheit. He did not wake up until 8:00 pm Saturday evening. Saturday night and Sunday he was off balance and very weak. Today, 11/15/21, he is only a little fuzzy headed.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Tremor, Vomiting
Clinical narrative: At approximately 01:00 am Saturday morning, patient's spouse woke him because he was violently shaking in his sleep. He very quickly thereafter became dizzy, unstable, and began heavily vomiting. His temperature at 01:30 am was around 104.0 degrees Fahrenheit. It fluctuated significantly for the next hour while he continued to vomit. He made it to bed around 03:00 am and was able to fall asleep, though he was still dizzy, shaking, and nauseous. Between 03:00 and 05:00 am, his spouse took his temperature and it had spiked up to 106.0 degrees Fahrenheit. He did not wake up until 8:00 pm Saturday evening. Saturday night and Sunday he was off balance and very weak. Today, 11/15/21, he is only a little fuzzy headed.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Chest discomfort, Chills, Dizziness, Dyspnoea
Clinical narrative: 11/6 Flu like symptoms. Fever body aches and chills.  11/8 A.M.- 1 hour into exercising felt light headed, heart racing, shortness of breath, chest tightness and left arm felt swollen/ engorged with blood. Rushed to the ER. Multiple EKG's were performed showing normal heart function.  Blood Work was performed twice showing no negative effects.   11/11 A.M. While performing low intensity weight lifting felt light headed, fatigued and shortness of breath. Not as intense as the symptoms experienced on 11/8.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Fatigue, Influenza like illness, Pain, Palpitations
Clinical narrative: 11/6 Flu like symptoms. Fever body aches and chills.  11/8 A.M.- 1 hour into exercising felt light headed, heart racing, shortness of breath, chest tightness and left arm felt swollen/ engorged with blood. Rushed to the ER. Multiple EKG's were performed showing normal heart function.  Blood Work was performed twice showing no negative effects.   11/11 A.M. While performing low intensity weight lifting felt light headed, fatigued and shortness of breath. Not as intense as the symptoms experienced on 11/8.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Peripheral swelling, Pyrexia
Clinical narrative: 11/6 Flu like symptoms. Fever body aches and chills.  11/8 A.M.- 1 hour into exercising felt light headed, heart racing, shortness of breath, chest tightness and left arm felt swollen/ engorged with blood. Rushed to the ER. Multiple EKG's were performed showing normal heart function.  Blood Work was performed twice showing no negative effects.   11/11 A.M. While performing low intensity weight lifting felt light headed, fatigued and shortness of breath. Not as intense as the symptoms experienced on 11/8.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Deep vein thrombosis
Clinical narrative: unprovoked DVT in right posterior tibial vein
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Gout
Clinical narrative: Gout flare up in right foot, big toe joint.  Took colchicine and mobic at 10 PM on the same day which helped.  Took a subsequent dose of the same in the morning.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: developed shingles on approx 2/12/21, about  2 weeks after 1st covid vaccine
Age: 57.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Headache, Oropharyngeal pain, Respiratory disorder
Clinical narrative: HA, sore throat, upper respiratory congestion. starting 11/13/21
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 11/15/21: FEVER, COUGH
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Patient given 12+ dosing of 0.3ml.  Should have been the 5-11 dosing of 0.2ml.  No adverse reactions noted after 15 minutes.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Confusional state, Dyspnoea, Dyspnoea exertional, Positive airway pressure therapy
Clinical narrative: CHIEF COMPLAINT:   Per EMS, pt family stated that she has increased confusion and has been SOB. Per EMS they found her laying in bed with o2 sat in 70s on RA. Pt speaking in full sentences on CPAP. Denies any SOB, CP/pressure/discomfort. States CP and SOB worse on movement
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: CHIEF COMPLAINT:   Per EMS, pt family stated that she has increased confusion and has been SOB. Per EMS they found her laying in bed with o2 sat in 70s on RA. Pt speaking in full sentences on CPAP. Denies any SOB, CP/pressure/discomfort. States CP and SOB worse on movement
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Ear discomfort, Erythema, Feeling abnormal, Impaired work ability
Clinical narrative: pt reports that three days after vaccine, she was riding in the car before work, ears started burning , then a red sunburn traveled all the way down her arms , chest, abdomen, thighs legs feet , pt reports a pins and needles sensation, with itching, and the itching was worse around the neck area. No Shortness of Breath, Pt felt lightheaded, and "cloudy in my head", which last several hours, so pt left work and went home , took a Benadryl, and laid down and slept from 1000am - 100 pm. At this time all of the redness was gone.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia, Pruritus
Clinical narrative: pt reports that three days after vaccine, she was riding in the car before work, ears started burning , then a red sunburn traveled all the way down her arms , chest, abdomen, thighs legs feet , pt reports a pins and needles sensation, with itching, and the itching was worse around the neck area. No Shortness of Breath, Pt felt lightheaded, and "cloudy in my head", which last several hours, so pt left work and went home , took a Benadryl, and laid down and slept from 1000am - 100 pm. At this time all of the redness was gone.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest pain, Dyspnoea, Headache, Malaise
Clinical narrative: This case meets criteria for vaccine breakthrough review. Tested positive at care facility, early November, unknown exact date as of this report.  SxS SOB, malaise, body aches, headaches, chest pain, vomiting.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, SARS-CoV-2 test positive, Vaccine breakthrough infection, Vomiting
Clinical narrative: This case meets criteria for vaccine breakthrough review. Tested positive at care facility, early November, unknown exact date as of this report.  SxS SOB, malaise, body aches, headaches, chest pain, vomiting.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, Interchange of vaccine products, Lymphadenopathy
Clinical narrative: Patient initially received Janssen but wanted moderna this time. He had no issues the first vaccine, but with the booster he did.  He described over the phone a large lump under his armpit and said he felt as if the shot was administered and got stuck right right there under his arm and never went anywhere. It sounded as is if him lymph nodes were swollen post vaccination, but he had no other symptoms.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, COVID-19, Hypokalaemia, Microcytic anaemia
Clinical narrative: Acute hypoxemic respiratory failure due to COVID-19; microcytic anemia; hypokalemia
Age: 62.0
Sex: F
Vaccine: FLU4
Symptoms: Pruritus, Rash, Skin warm, Urticaria
Clinical narrative: rash/hives on arms and upper chest - warm to touch - itching occurred within 10 minutes of receiving vaccine
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Nucleic acid test, SARS-CoV-2 test positive
Clinical narrative: covid positive 11/15/2021