chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Pyrexia
Clinical narrative: About 10 mins after the injection, I started to feel a dull ache in my throat area (like in the glands around the throat, as well as in my chest area. I felt light headed. A couple of minutes later the ache worsened and nurses took me to check my vitals. O2 was 97% aprox. and my pressure was a bit elevated but not extreme. I had knowledge of a very mild reaction to the first dose, so I had Benadryl with me. I took 1 Benadryl and waited in the waiting room for another 20mins to be sure. I left after the 20mins with the same level of pain in my throat, lightheadedness was gone. That night I had a fever of 100.02F aprox, about a 5 (scale 1(no pain or discomfort) to 10 (dying, ER neded)) in scale of body aches, chills, vaccine area in arm was extremely (7) painful. My throat glands got swollen, visibly and to the touch, painful to swallow. I felt like I had a very bad (7 in scale) flu.  Pain and throat glands swollen for about 2 days after vax. Flu like aches one day and fever was only the night of the vax.  AFTER VAX INFO Since September 2021 I've been experiencing rare allergic reactions to foods and dry detergent. I'm seeking an allergist to asses.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Diarrhoea, Dissociation, Fatigue
Clinical narrative: Lot number is either 320308D or 3203080 I had vomiting, Diahrrea for 5 hrs. on January 10, 2022 Also weakness, headache, disconnected 101 fever for several days. I took 2 home tests that were negative. I had a telehealth visit with Dr.  office and I was told I had a presumptive positive based off my symptoms and it was treated as such. I was prescribed Tessalon Perles and Zofran. I did recover from Covid but still have fatigue. I do not feel 100% My joint pain has been worse than normal. Things have been harder to do.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Headache, Pyrexia, SARS-CoV-2 test negative, Vomiting
Clinical narrative: Lot number is either 320308D or 3203080 I had vomiting, Diahrrea for 5 hrs. on January 10, 2022 Also weakness, headache, disconnected 101 fever for several days. I took 2 home tests that were negative. I had a telehealth visit with Dr.  office and I was told I had a presumptive positive based off my symptoms and it was treated as such. I was prescribed Tessalon Perles and Zofran. I did recover from Covid but still have fatigue. I do not feel 100% My joint pain has been worse than normal. Things have been harder to do.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bladder catheterisation, COVID-19, Decreased appetite, Fall, Pyrexia
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 01/23/2021.  69 y/o with PMHx Afib, Alzheimer's, severe dementia, DM and recent fall presents to ED from SNF with c/o UTI and urinary retention.  Per staff at SNF, pt with decreased appetitie, low grade fevers, urinary retention requiring straight cath 3-4 times per day and now with UTI.  Pt sent for eval and treatment, possible TURP.  Started on IV abx.
Age: 68.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Urinary retention, Urinary tract infection, Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  1st vaccine received on 01/23/2021.  69 y/o with PMHx Afib, Alzheimer's, severe dementia, DM and recent fall presents to ED from SNF with c/o UTI and urinary retention.  Per staff at SNF, pt with decreased appetitie, low grade fevers, urinary retention requiring straight cath 3-4 times per day and now with UTI.  Pt sent for eval and treatment, possible TURP.  Started on IV abx.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Chest X-ray, Dyspnoea, Pulmonary embolism, Ultrasound Doppler
Clinical narrative: Pt developed a pulmonary embolism, symptoms developed late in the evening of 1/30/2022. She went to Urgent care on the morning of 2/1/2022 for acute shortness of breath. Oxygen saturation was 82-84%. She was taken by ambulance to the ER and admitted for 7 days. She was diagnosed with acute pulmonary embolism.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound pelvis
Clinical narrative: Pt developed a pulmonary embolism, symptoms developed late in the evening of 1/30/2022. She went to Urgent care on the morning of 2/1/2022 for acute shortness of breath. Oxygen saturation was 82-84%. She was taken by ambulance to the ER and admitted for 7 days. She was diagnosed with acute pulmonary embolism.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Albumin globulin ratio, Anaemia, Anion gap, Blood creatinine increased, Blood glucose normal
Clinical narrative: 1/21/22 61 yr/o female who presents with right sided pleuritic chest pain.  Symptoms have been present for the past 2 days.  The patient has history of asthma, acute on chronic respiratory failure, is on 3 L/min oxygen via nasal cannula at baseline.  States she has increased her oxygen use to 4 L/min when active but has maintained her baseline oxygen rate while at rest.  Reports productive cough since onset of symptoms..  No fevers or chills.  Patient has been compliant with her dialysis schedule.  Patient arrives via EMS.  Vital stable during transport per EMS.  Patient reports sharp pain in her right lower chest which is worse with deep breaths.  Reports associated dyspnea.  Denies any abdominal pain Review of Systems  Constitutional: Negative for chills and fever.  Respiratory: Positive for shortness of breath. Negative for cough.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Negative for abdominal pain, nausea and vomiting.  Skin: Negative for rash.  Neurological: Negative for dizziness and headaches.  All other systems reviewed and are negative.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood lactic acid, Blood magnesium normal, Blood phosphorus, Blood potassium decreased, Blood urea increased
Clinical narrative: 1/21/22 61 yr/o female who presents with right sided pleuritic chest pain.  Symptoms have been present for the past 2 days.  The patient has history of asthma, acute on chronic respiratory failure, is on 3 L/min oxygen via nasal cannula at baseline.  States she has increased her oxygen use to 4 L/min when active but has maintained her baseline oxygen rate while at rest.  Reports productive cough since onset of symptoms..  No fevers or chills.  Patient has been compliant with her dialysis schedule.  Patient arrives via EMS.  Vital stable during transport per EMS.  Patient reports sharp pain in her right lower chest which is worse with deep breaths.  Reports associated dyspnea.  Denies any abdominal pain Review of Systems  Constitutional: Negative for chills and fever.  Respiratory: Positive for shortness of breath. Negative for cough.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Negative for abdominal pain, nausea and vomiting.  Skin: Negative for rash.  Neurological: Negative for dizziness and headaches.  All other systems reviewed and are negative.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Brain natriuretic peptide increased, COVID-19, COVID-19 pneumonia, Cardiac flutter, Chest X-ray abnormal
Clinical narrative: 1/21/22 61 yr/o female who presents with right sided pleuritic chest pain.  Symptoms have been present for the past 2 days.  The patient has history of asthma, acute on chronic respiratory failure, is on 3 L/min oxygen via nasal cannula at baseline.  States she has increased her oxygen use to 4 L/min when active but has maintained her baseline oxygen rate while at rest.  Reports productive cough since onset of symptoms..  No fevers or chills.  Patient has been compliant with her dialysis schedule.  Patient arrives via EMS.  Vital stable during transport per EMS.  Patient reports sharp pain in her right lower chest which is worse with deep breaths.  Reports associated dyspnea.  Denies any abdominal pain Review of Systems  Constitutional: Negative for chills and fever.  Respiratory: Positive for shortness of breath. Negative for cough.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Negative for abdominal pain, nausea and vomiting.  Skin: Negative for rash.  Neurological: Negative for dizziness and headaches.  All other systems reviewed and are negative.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest pain, Differential white blood cell count abnormal, Dyspnoea, Full blood count abnormal, Glomerular filtration rate decreased
Clinical narrative: 1/21/22 61 yr/o female who presents with right sided pleuritic chest pain.  Symptoms have been present for the past 2 days.  The patient has history of asthma, acute on chronic respiratory failure, is on 3 L/min oxygen via nasal cannula at baseline.  States she has increased her oxygen use to 4 L/min when active but has maintained her baseline oxygen rate while at rest.  Reports productive cough since onset of symptoms..  No fevers or chills.  Patient has been compliant with her dialysis schedule.  Patient arrives via EMS.  Vital stable during transport per EMS.  Patient reports sharp pain in her right lower chest which is worse with deep breaths.  Reports associated dyspnea.  Denies any abdominal pain Review of Systems  Constitutional: Negative for chills and fever.  Respiratory: Positive for shortness of breath. Negative for cough.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Negative for abdominal pain, nausea and vomiting.  Skin: Negative for rash.  Neurological: Negative for dizziness and headaches.  All other systems reviewed and are negative.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Hypoglycaemia, Hypotension, Immature granulocyte count
Clinical narrative: 1/21/22 61 yr/o female who presents with right sided pleuritic chest pain.  Symptoms have been present for the past 2 days.  The patient has history of asthma, acute on chronic respiratory failure, is on 3 L/min oxygen via nasal cannula at baseline.  States she has increased her oxygen use to 4 L/min when active but has maintained her baseline oxygen rate while at rest.  Reports productive cough since onset of symptoms..  No fevers or chills.  Patient has been compliant with her dialysis schedule.  Patient arrives via EMS.  Vital stable during transport per EMS.  Patient reports sharp pain in her right lower chest which is worse with deep breaths.  Reports associated dyspnea.  Denies any abdominal pain Review of Systems  Constitutional: Negative for chills and fever.  Respiratory: Positive for shortness of breath. Negative for cough.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Negative for abdominal pain, nausea and vomiting.  Skin: Negative for rash.  Neurological: Negative for dizziness and headaches.  All other systems reviewed and are negative.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Incentive spirometry, Inflammatory marker test, Influenza A virus test, Influenza B virus test, Lung infiltration
Clinical narrative: 1/21/22 61 yr/o female who presents with right sided pleuritic chest pain.  Symptoms have been present for the past 2 days.  The patient has history of asthma, acute on chronic respiratory failure, is on 3 L/min oxygen via nasal cannula at baseline.  States she has increased her oxygen use to 4 L/min when active but has maintained her baseline oxygen rate while at rest.  Reports productive cough since onset of symptoms..  No fevers or chills.  Patient has been compliant with her dialysis schedule.  Patient arrives via EMS.  Vital stable during transport per EMS.  Patient reports sharp pain in her right lower chest which is worse with deep breaths.  Reports associated dyspnea.  Denies any abdominal pain Review of Systems  Constitutional: Negative for chills and fever.  Respiratory: Positive for shortness of breath. Negative for cough.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Negative for abdominal pain, nausea and vomiting.  Skin: Negative for rash.  Neurological: Negative for dizziness and headaches.  All other systems reviewed and are negative.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Lymphocyte count decreased, Lymphocyte percentage decreased, Mean cell haemoglobin concentration decreased, Metabolic function test abnormal, Neutrophil count increased
Clinical narrative: 1/21/22 61 yr/o female who presents with right sided pleuritic chest pain.  Symptoms have been present for the past 2 days.  The patient has history of asthma, acute on chronic respiratory failure, is on 3 L/min oxygen via nasal cannula at baseline.  States she has increased her oxygen use to 4 L/min when active but has maintained her baseline oxygen rate while at rest.  Reports productive cough since onset of symptoms..  No fevers or chills.  Patient has been compliant with her dialysis schedule.  Patient arrives via EMS.  Vital stable during transport per EMS.  Patient reports sharp pain in her right lower chest which is worse with deep breaths.  Reports associated dyspnea.  Denies any abdominal pain Review of Systems  Constitutional: Negative for chills and fever.  Respiratory: Positive for shortness of breath. Negative for cough.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Negative for abdominal pain, nausea and vomiting.  Skin: Negative for rash.  Neurological: Negative for dizziness and headaches.  All other systems reviewed and are negative.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Neutrophil percentage increased, Packed red blood cell transfusion, Painful respiration, Pleuritic pain, Procalcitonin
Clinical narrative: 1/21/22 61 yr/o female who presents with right sided pleuritic chest pain.  Symptoms have been present for the past 2 days.  The patient has history of asthma, acute on chronic respiratory failure, is on 3 L/min oxygen via nasal cannula at baseline.  States she has increased her oxygen use to 4 L/min when active but has maintained her baseline oxygen rate while at rest.  Reports productive cough since onset of symptoms..  No fevers or chills.  Patient has been compliant with her dialysis schedule.  Patient arrives via EMS.  Vital stable during transport per EMS.  Patient reports sharp pain in her right lower chest which is worse with deep breaths.  Reports associated dyspnea.  Denies any abdominal pain Review of Systems  Constitutional: Negative for chills and fever.  Respiratory: Positive for shortness of breath. Negative for cough.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Negative for abdominal pain, nausea and vomiting.  Skin: Negative for rash.  Neurological: Negative for dizziness and headaches.  All other systems reviewed and are negative.
Age: 60.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Productive cough, Red blood cell count decreased, SARS-CoV-2 test positive, Troponin normal, White blood cell count increased
Clinical narrative: 1/21/22 61 yr/o female who presents with right sided pleuritic chest pain.  Symptoms have been present for the past 2 days.  The patient has history of asthma, acute on chronic respiratory failure, is on 3 L/min oxygen via nasal cannula at baseline.  States she has increased her oxygen use to 4 L/min when active but has maintained her baseline oxygen rate while at rest.  Reports productive cough since onset of symptoms..  No fevers or chills.  Patient has been compliant with her dialysis schedule.  Patient arrives via EMS.  Vital stable during transport per EMS.  Patient reports sharp pain in her right lower chest which is worse with deep breaths.  Reports associated dyspnea.  Denies any abdominal pain Review of Systems  Constitutional: Negative for chills and fever.  Respiratory: Positive for shortness of breath. Negative for cough.   Cardiovascular: Positive for chest pain. Negative for leg swelling.  Gastrointestinal: Negative for abdominal pain, nausea and vomiting.  Skin: Negative for rash.  Neurological: Negative for dizziness and headaches.  All other systems reviewed and are negative.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Heavy menstrual bleeding, Ultrasound scan
Clinical narrative: Very menstrual bleeding for two months after the vaccine.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute respiratory failure, Anticoagulant therapy, Atrial fibrillation, Blood chloride decreased
Clinical narrative: Moderna COVID-19 Vaccine EUA: patient hospitalized with acute hypoxemic respiratory insufficiency, atrial fibrillation, acute kidney injury with metabolic acidosis, and a hypercoagulable state. Received remdesivir, anticoagulation, electrolytes, and steroids. Discharged to home medically stable.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Blood creatinine increased, Blood sodium decreased, Blood urea increased, COVID-19, Carbon dioxide decreased
Clinical narrative: Moderna COVID-19 Vaccine EUA: patient hospitalized with acute hypoxemic respiratory insufficiency, atrial fibrillation, acute kidney injury with metabolic acidosis, and a hypercoagulable state. Received remdesivir, anticoagulation, electrolytes, and steroids. Discharged to home medically stable.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer, Hypercoagulation, Metabolic acidosis, SARS-CoV-2 test positive
Clinical narrative: Moderna COVID-19 Vaccine EUA: patient hospitalized with acute hypoxemic respiratory insufficiency, atrial fibrillation, acute kidney injury with metabolic acidosis, and a hypercoagulable state. Received remdesivir, anticoagulation, electrolytes, and steroids. Discharged to home medically stable.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary normal, Blood electrolytes normal, Blood magnesium normal, Blood potassium decreased, Blood thyroid stimulating hormone normal
Clinical narrative: 1/7/22 Pt is a 31 year old female who tested positive for SARS-CoV-2 on 12/24. She returned to work on 1/7 after finishing isolation. She presented to the ED with lightheadedness, SOB and tachycardia. She works in a hospital and was reommended to present to the ED. Per D/C from the same day  Murmur and recent Covid-19 dx who presented to Observation 1/7/2022 with chief complaint of heart palpitations and shortness of breath. Labs and imaging on admit: K 3.3, Mg 1.8, Trop x2 and NT-pro BNP negatibe, WBC 11.17. EKG sinus tachycardia non-specific ST abnormalities. CXR non-acute. BLEVD and CTPA negative.    1. Palpitations with Dyspnea: patient recently with Covid-19 as discussed, returned to work today and reportedly became lightheaded, short of breath and palpitations with HR 160's on fitbit after climbing a flight of stairs. No current chest pain but patient is concerned about myocarditis. Trop x2 and NT-pro BNP negative.  EKG sinus tachycardia non-specific ST abnormalities. CXR non-acute. BLEVD and CTPA negative. Suspect in setting of dehydration and recent Covid, s/p 2L IVF bolus with improved rate 90's on tele in ED. OSV neg, repeat EKG with sinus tachycardia and TTE on 1/7/21 with EF: 69%, and essentially normal study CRP/TSH wnl. Tele.EP  Evaluated and recommended no further inpt work up and no need for meds currently especially in light of pregnancy. If persistent, can consider outpt holter monitoring.   Monitor.  2. Covid-19 Infection: Vaccinated and just got booster. Recent Dx 12/29/21. Patient endorsed congestion and stable on RA. CXR non-acute. BLEVD and CTPA negative. Currently on RA and out of isolation.  3. Hypokalemia: 3.3 on admit, Mg wnl. Monitor and replete PRN.   Improved 1/8/22. Will give small dose to get K>4, mag level wnl. 4. Leukocytosis: 11 on admit. No infectious symptoms. Suspect reactive. Trended.  5. Pregnancy: +test on 1/6/21 at home.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: C-reactive protein normal, COVID-19, Cardiac murmur, Chest X-ray normal, Dehydration
Clinical narrative: 1/7/22 Pt is a 31 year old female who tested positive for SARS-CoV-2 on 12/24. She returned to work on 1/7 after finishing isolation. She presented to the ED with lightheadedness, SOB and tachycardia. She works in a hospital and was reommended to present to the ED. Per D/C from the same day  Murmur and recent Covid-19 dx who presented to Observation 1/7/2022 with chief complaint of heart palpitations and shortness of breath. Labs and imaging on admit: K 3.3, Mg 1.8, Trop x2 and NT-pro BNP negatibe, WBC 11.17. EKG sinus tachycardia non-specific ST abnormalities. CXR non-acute. BLEVD and CTPA negative.    1. Palpitations with Dyspnea: patient recently with Covid-19 as discussed, returned to work today and reportedly became lightheaded, short of breath and palpitations with HR 160's on fitbit after climbing a flight of stairs. No current chest pain but patient is concerned about myocarditis. Trop x2 and NT-pro BNP negative.  EKG sinus tachycardia non-specific ST abnormalities. CXR non-acute. BLEVD and CTPA negative. Suspect in setting of dehydration and recent Covid, s/p 2L IVF bolus with improved rate 90's on tele in ED. OSV neg, repeat EKG with sinus tachycardia and TTE on 1/7/21 with EF: 69%, and essentially normal study CRP/TSH wnl. Tele.EP  Evaluated and recommended no further inpt work up and no need for meds currently especially in light of pregnancy. If persistent, can consider outpt holter monitoring.   Monitor.  2. Covid-19 Infection: Vaccinated and just got booster. Recent Dx 12/29/21. Patient endorsed congestion and stable on RA. CXR non-acute. BLEVD and CTPA negative. Currently on RA and out of isolation.  3. Hypokalemia: 3.3 on admit, Mg wnl. Monitor and replete PRN.   Improved 1/8/22. Will give small dose to get K>4, mag level wnl. 4. Leukocytosis: 11 on admit. No infectious symptoms. Suspect reactive. Trended.  5. Pregnancy: +test on 1/6/21 at home.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea, Echocardiogram normal, Ejection fraction normal, Electrocardiogram ST segment abnormal
Clinical narrative: 1/7/22 Pt is a 31 year old female who tested positive for SARS-CoV-2 on 12/24. She returned to work on 1/7 after finishing isolation. She presented to the ED with lightheadedness, SOB and tachycardia. She works in a hospital and was reommended to present to the ED. Per D/C from the same day  Murmur and recent Covid-19 dx who presented to Observation 1/7/2022 with chief complaint of heart palpitations and shortness of breath. Labs and imaging on admit: K 3.3, Mg 1.8, Trop x2 and NT-pro BNP negatibe, WBC 11.17. EKG sinus tachycardia non-specific ST abnormalities. CXR non-acute. BLEVD and CTPA negative.    1. Palpitations with Dyspnea: patient recently with Covid-19 as discussed, returned to work today and reportedly became lightheaded, short of breath and palpitations with HR 160's on fitbit after climbing a flight of stairs. No current chest pain but patient is concerned about myocarditis. Trop x2 and NT-pro BNP negative.  EKG sinus tachycardia non-specific ST abnormalities. CXR non-acute. BLEVD and CTPA negative. Suspect in setting of dehydration and recent Covid, s/p 2L IVF bolus with improved rate 90's on tele in ED. OSV neg, repeat EKG with sinus tachycardia and TTE on 1/7/21 with EF: 69%, and essentially normal study CRP/TSH wnl. Tele.EP  Evaluated and recommended no further inpt work up and no need for meds currently especially in light of pregnancy. If persistent, can consider outpt holter monitoring.   Monitor.  2. Covid-19 Infection: Vaccinated and just got booster. Recent Dx 12/29/21. Patient endorsed congestion and stable on RA. CXR non-acute. BLEVD and CTPA negative. Currently on RA and out of isolation.  3. Hypokalemia: 3.3 on admit, Mg wnl. Monitor and replete PRN.   Improved 1/8/22. Will give small dose to get K>4, mag level wnl. 4. Leukocytosis: 11 on admit. No infectious symptoms. Suspect reactive. Trended.  5. Pregnancy: +test on 1/6/21 at home.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Exposure during pregnancy, Haematocrit normal, Haemoglobin normal, Hypokalaemia, Laboratory test normal
Clinical narrative: 1/7/22 Pt is a 31 year old female who tested positive for SARS-CoV-2 on 12/24. She returned to work on 1/7 after finishing isolation. She presented to the ED with lightheadedness, SOB and tachycardia. She works in a hospital and was reommended to present to the ED. Per D/C from the same day  Murmur and recent Covid-19 dx who presented to Observation 1/7/2022 with chief complaint of heart palpitations and shortness of breath. Labs and imaging on admit: K 3.3, Mg 1.8, Trop x2 and NT-pro BNP negatibe, WBC 11.17. EKG sinus tachycardia non-specific ST abnormalities. CXR non-acute. BLEVD and CTPA negative.    1. Palpitations with Dyspnea: patient recently with Covid-19 as discussed, returned to work today and reportedly became lightheaded, short of breath and palpitations with HR 160's on fitbit after climbing a flight of stairs. No current chest pain but patient is concerned about myocarditis. Trop x2 and NT-pro BNP negative.  EKG sinus tachycardia non-specific ST abnormalities. CXR non-acute. BLEVD and CTPA negative. Suspect in setting of dehydration and recent Covid, s/p 2L IVF bolus with improved rate 90's on tele in ED. OSV neg, repeat EKG with sinus tachycardia and TTE on 1/7/21 with EF: 69%, and essentially normal study CRP/TSH wnl. Tele.EP  Evaluated and recommended no further inpt work up and no need for meds currently especially in light of pregnancy. If persistent, can consider outpt holter monitoring.   Monitor.  2. Covid-19 Infection: Vaccinated and just got booster. Recent Dx 12/29/21. Patient endorsed congestion and stable on RA. CXR non-acute. BLEVD and CTPA negative. Currently on RA and out of isolation.  3. Hypokalemia: 3.3 on admit, Mg wnl. Monitor and replete PRN.   Improved 1/8/22. Will give small dose to get K>4, mag level wnl. 4. Leukocytosis: 11 on admit. No infectious symptoms. Suspect reactive. Trended.  5. Pregnancy: +test on 1/6/21 at home.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Leukocytosis, N-terminal prohormone brain natriuretic peptide normal, Palpitations, Platelet count normal, Pregnancy test positive
Clinical narrative: 1/7/22 Pt is a 31 year old female who tested positive for SARS-CoV-2 on 12/24. She returned to work on 1/7 after finishing isolation. She presented to the ED with lightheadedness, SOB and tachycardia. She works in a hospital and was reommended to present to the ED. Per D/C from the same day  Murmur and recent Covid-19 dx who presented to Observation 1/7/2022 with chief complaint of heart palpitations and shortness of breath. Labs and imaging on admit: K 3.3, Mg 1.8, Trop x2 and NT-pro BNP negatibe, WBC 11.17. EKG sinus tachycardia non-specific ST abnormalities. CXR non-acute. BLEVD and CTPA negative.    1. Palpitations with Dyspnea: patient recently with Covid-19 as discussed, returned to work today and reportedly became lightheaded, short of breath and palpitations with HR 160's on fitbit after climbing a flight of stairs. No current chest pain but patient is concerned about myocarditis. Trop x2 and NT-pro BNP negative.  EKG sinus tachycardia non-specific ST abnormalities. CXR non-acute. BLEVD and CTPA negative. Suspect in setting of dehydration and recent Covid, s/p 2L IVF bolus with improved rate 90's on tele in ED. OSV neg, repeat EKG with sinus tachycardia and TTE on 1/7/21 with EF: 69%, and essentially normal study CRP/TSH wnl. Tele.EP  Evaluated and recommended no further inpt work up and no need for meds currently especially in light of pregnancy. If persistent, can consider outpt holter monitoring.   Monitor.  2. Covid-19 Infection: Vaccinated and just got booster. Recent Dx 12/29/21. Patient endorsed congestion and stable on RA. CXR non-acute. BLEVD and CTPA negative. Currently on RA and out of isolation.  3. Hypokalemia: 3.3 on admit, Mg wnl. Monitor and replete PRN.   Improved 1/8/22. Will give small dose to get K>4, mag level wnl. 4. Leukocytosis: 11 on admit. No infectious symptoms. Suspect reactive. Trended.  5. Pregnancy: +test on 1/6/21 at home.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Sinus tachycardia, Tachycardia, Troponin
Clinical narrative: 1/7/22 Pt is a 31 year old female who tested positive for SARS-CoV-2 on 12/24. She returned to work on 1/7 after finishing isolation. She presented to the ED with lightheadedness, SOB and tachycardia. She works in a hospital and was reommended to present to the ED. Per D/C from the same day  Murmur and recent Covid-19 dx who presented to Observation 1/7/2022 with chief complaint of heart palpitations and shortness of breath. Labs and imaging on admit: K 3.3, Mg 1.8, Trop x2 and NT-pro BNP negatibe, WBC 11.17. EKG sinus tachycardia non-specific ST abnormalities. CXR non-acute. BLEVD and CTPA negative.    1. Palpitations with Dyspnea: patient recently with Covid-19 as discussed, returned to work today and reportedly became lightheaded, short of breath and palpitations with HR 160's on fitbit after climbing a flight of stairs. No current chest pain but patient is concerned about myocarditis. Trop x2 and NT-pro BNP negative.  EKG sinus tachycardia non-specific ST abnormalities. CXR non-acute. BLEVD and CTPA negative. Suspect in setting of dehydration and recent Covid, s/p 2L IVF bolus with improved rate 90's on tele in ED. OSV neg, repeat EKG with sinus tachycardia and TTE on 1/7/21 with EF: 69%, and essentially normal study CRP/TSH wnl. Tele.EP  Evaluated and recommended no further inpt work up and no need for meds currently especially in light of pregnancy. If persistent, can consider outpt holter monitoring.   Monitor.  2. Covid-19 Infection: Vaccinated and just got booster. Recent Dx 12/29/21. Patient endorsed congestion and stable on RA. CXR non-acute. BLEVD and CTPA negative. Currently on RA and out of isolation.  3. Hypokalemia: 3.3 on admit, Mg wnl. Monitor and replete PRN.   Improved 1/8/22. Will give small dose to get K>4, mag level wnl. 4. Leukocytosis: 11 on admit. No infectious symptoms. Suspect reactive. Trended.  5. Pregnancy: +test on 1/6/21 at home.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound Doppler normal, White blood cell count increased
Clinical narrative: 1/7/22 Pt is a 31 year old female who tested positive for SARS-CoV-2 on 12/24. She returned to work on 1/7 after finishing isolation. She presented to the ED with lightheadedness, SOB and tachycardia. She works in a hospital and was reommended to present to the ED. Per D/C from the same day  Murmur and recent Covid-19 dx who presented to Observation 1/7/2022 with chief complaint of heart palpitations and shortness of breath. Labs and imaging on admit: K 3.3, Mg 1.8, Trop x2 and NT-pro BNP negatibe, WBC 11.17. EKG sinus tachycardia non-specific ST abnormalities. CXR non-acute. BLEVD and CTPA negative.    1. Palpitations with Dyspnea: patient recently with Covid-19 as discussed, returned to work today and reportedly became lightheaded, short of breath and palpitations with HR 160's on fitbit after climbing a flight of stairs. No current chest pain but patient is concerned about myocarditis. Trop x2 and NT-pro BNP negative.  EKG sinus tachycardia non-specific ST abnormalities. CXR non-acute. BLEVD and CTPA negative. Suspect in setting of dehydration and recent Covid, s/p 2L IVF bolus with improved rate 90's on tele in ED. OSV neg, repeat EKG with sinus tachycardia and TTE on 1/7/21 with EF: 69%, and essentially normal study CRP/TSH wnl. Tele.EP  Evaluated and recommended no further inpt work up and no need for meds currently especially in light of pregnancy. If persistent, can consider outpt holter monitoring.   Monitor.  2. Covid-19 Infection: Vaccinated and just got booster. Recent Dx 12/29/21. Patient endorsed congestion and stable on RA. CXR non-acute. BLEVD and CTPA negative. Currently on RA and out of isolation.  3. Hypokalemia: 3.3 on admit, Mg wnl. Monitor and replete PRN.   Improved 1/8/22. Will give small dose to get K>4, mag level wnl. 4. Leukocytosis: 11 on admit. No infectious symptoms. Suspect reactive. Trended.  5. Pregnancy: +test on 1/6/21 at home.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Aphasia, Chest X-ray normal, Cough, Dyspnoea, SARS-CoV-2 test negative
Clinical narrative: In the morning around 8:00 Chronic cough all day long. I could not sing. I slept ok but I couldn't breath properly, I took home remedies to feel better. It lasted 7 weeks. It cleared up at last week of January.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Eye irritation, Eye naevus, Giant papillary conjunctivitis
Clinical narrative: I didn't have any side effects locally after receiving the vaccine, but about a month later I started having irritation in my left eye. I went to the eye doctor and he diagnosed me with chronic giant papillary conjunctivitis. He told me to take Pataday Drops and to decrease wearing my contact lenses until my eye improved. I haven't been wearing my contacts because I have been still having irritation in my eye. I went to another specialist Dr.  She diagnosed it as iris nevus (D31.40) which is a benign neoplasm of the iris and ciliary body. I was informed to come back every six months to have my eye monitored.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Hypoaesthesia oral, Paraesthesia, Paraesthesia oral, Vertigo
Clinical narrative: Vertigo for the past week straight.  Randomly on and off tingling and numbness in lips and chin for the past week.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Chest X-ray, Electrocardiogram, Fatigue
Clinical narrative: I was having irregular heartbeat that lasted for several hrs. & I was feeling very weak & very tired so I went to ER & they ran test & told me to f/up with my PCP.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate irregular
Clinical narrative: I was having irregular heartbeat that lasted for several hrs. & I was feeling very weak & very tired so I went to ER & they ran test & told me to f/up with my PCP.
Age: 79.0
Sex: F
Vaccine: FLU4
Symptoms: Extra dose administered
Clinical narrative: this client is unhoused and came to us for a flu vaccine stating she had received all of her COVID shots as well as a pneumonia shot, but not this year's flu shot. After it was administered, our registrar was inputting data and noticed that this client was already in the system, having received her flu shot in October of 2021.
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: The patient was given the dose for a 5-11 year old,   not a 13 year old
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Inflammation, Purulent discharge
Clinical narrative: Mother had a Teladoc appt 1/26/22 with our office informing us that a few days after patient received first dose of Pfizer covid-19 vaccine patients  Right foot 5th toe and RT big toe had signs of inflammation and redness which later developed pus discharge.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Blood urine present, Dysuria, Urinary tract infection, Urine analysis abnormal
Clinical narrative: The month following my second dose of the covid vaccine I noticed that I stated to have a burning sensation when I was going to the bathroom. It would come and go. When it would come back it would get even worse. About two weeks later I started to pass blood and decided to go to my doctor and they escorted me to the emergency room. I was told I had a urinary track infection. They put me on antibiotics and it went away.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood thyroid stimulating hormone, Cardiac stress test, Dyspnoea, Electrocardiogram abnormal, Full blood count
Clinical narrative: A month after getting the shots I started experiencing heart palpitations, heart racing rapidly and shortness of breath around January 9 or 10th of 2022. The shortness of breath had been ongoing before due to lingering effects from covid that I got in January of 2021 but now the heart was racing and palpitating. Saw my family doctor January 11th. She discovered on the stethoscope pvc's were happening and sent me to a cardiologist immediately. Saw Dr. and had a heart monitor for a week, ectocardiogram and stress test. I have pvc's randomly due to the covid shots was the probable cause. I still have the problem currently at random times.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Glycosylated haemoglobin, Lipids, Low density lipoprotein, Palpitations, Thyroxine
Clinical narrative: A month after getting the shots I started experiencing heart palpitations, heart racing rapidly and shortness of breath around January 9 or 10th of 2022. The shortness of breath had been ongoing before due to lingering effects from covid that I got in January of 2021 but now the heart was racing and palpitating. Saw my family doctor January 11th. She discovered on the stethoscope pvc's were happening and sent me to a cardiologist immediately. Saw Dr. and had a heart monitor for a week, ectocardiogram and stress test. I have pvc's randomly due to the covid shots was the probable cause. I still have the problem currently at random times.
Age: 51.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Tri-iodothyronine, Ventricular extrasystoles
Clinical narrative: A month after getting the shots I started experiencing heart palpitations, heart racing rapidly and shortness of breath around January 9 or 10th of 2022. The shortness of breath had been ongoing before due to lingering effects from covid that I got in January of 2021 but now the heart was racing and palpitating. Saw my family doctor January 11th. She discovered on the stethoscope pvc's were happening and sent me to a cardiologist immediately. Saw Dr. and had a heart monitor for a week, ectocardiogram and stress test. I have pvc's randomly due to the covid shots was the probable cause. I still have the problem currently at random times.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Pharmacist working Monday 2/14 Noticed that the beyond use date for current batch of vaccines was 2/12/22. This vaccine should not have been used in the patient.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Angiogram pulmonary abnormal, Fibrin D dimer increased, Pulmonary embolism, Scan with contrast abnormal
Clinical narrative: Pt received second Pfizer vaccination in series. She developed a Pulmonary Embolus 3/5/21, and was hospitalized for this as well as Acute Hypoxic respiratory Failure. It was initially attributed to hormone therapy that she has been taking for 40 years, and never had any issues with this. However, she was removed from the Hormonal therapy after this episode. She got her 3rd Pfizer booster 11/17/2021, and developed another PE 02/04/2022. and was hospitalized again.
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Given .05ml instead of the dose of .25ml. Patient did not experience any adverse reaction after 15 minute wait time
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Have ringing in ears that started about 5 days after injection. Did not have previous problem with tinnitus.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cold sweat, Dizziness, Feeling abnormal, Feeling of body temperature change
Clinical narrative: almost 24 hrs later I felt Nauseous,  dizzy, and felt funny.  I was running a fever 04:30-5 cold /hot cold sweat terrible fever, real weak , out of it Didn't leave my bed for 2 days straight lasted about 4 days didn't feel normal again until about Tues/Wed
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Mobility decreased, Nausea, Pyrexia
Clinical narrative: almost 24 hrs later I felt Nauseous,  dizzy, and felt funny.  I was running a fever 04:30-5 cold /hot cold sweat terrible fever, real weak , out of it Didn't leave my bed for 2 days straight lasted about 4 days didn't feel normal again until about Tues/Wed
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Cough, Feeling abnormal, Hot flush
Clinical narrative: Pt. states that after receiving the 3rd dose of Moderna 11/04/2021, started experiencing symptoms 30minutes later of hip and lower back pain. Experiencing hip "popping and snapping", hot flashes, face flashing, brain fog, and dry cough. No noted Primary visit/communications.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Joint noise
Clinical narrative: Pt. states that after receiving the 3rd dose of Moderna 11/04/2021, started experiencing symptoms 30minutes later of hip and lower back pain. Experiencing hip "popping and snapping", hot flashes, face flashing, brain fog, and dry cough. No noted Primary visit/communications.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Anal incontinence, Balance disorder, Constipation, Fatigue, Gait inability
Clinical narrative: Immediately became constipated after vaccination, uncontrollable bowel movements, unable to walk, fatigue, heart palpitations, loss of balance.  11/28 - began to suffer from seizures.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Palpitations, Seizure
Clinical narrative: Immediately became constipated after vaccination, uncontrollable bowel movements, unable to walk, fatigue, heart palpitations, loss of balance.  11/28 - began to suffer from seizures.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Abdominal pain lower, Albumin globulin ratio, Bacterial test positive, Blood creatinine increased
Clinical narrative: 2/10/22  73-year-old female presents with abdominal pain which is lower for several days.  She is had cough, congestion with chills.  Her cough is been nonproductive and she has had increasing shortness of breath particular with cough and is experiencing chest pressure.  She denies any chest pain.  She denies any known fevers but has felt hot and cold.  She has had increasing trouble breathing.  She is had generalized myalgias aches pains as well.  She denies any constipation or diarrhea Review of Systems  Constitutional: Positive for chills, diaphoresis, fatigue and fever.  Respiratory: Positive for cough, chest tightness, shortness of breath and wheezing.   Review of Systems  Cardiovascular: Negative for chest pain. Review of Systems  Gastrointestinal: Positive for abdominal pain.  Allergic/Immunologic: Negative for immunocompromised state.  Neurological: Negative for dizziness.  All other systems reviewed and are negative.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood culture negative, Blood urea increased, COVID-19, Cardiomegaly, Chest X-ray abnormal
Clinical narrative: 2/10/22  73-year-old female presents with abdominal pain which is lower for several days.  She is had cough, congestion with chills.  Her cough is been nonproductive and she has had increasing shortness of breath particular with cough and is experiencing chest pressure.  She denies any chest pain.  She denies any known fevers but has felt hot and cold.  She has had increasing trouble breathing.  She is had generalized myalgias aches pains as well.  She denies any constipation or diarrhea Review of Systems  Constitutional: Positive for chills, diaphoresis, fatigue and fever.  Respiratory: Positive for cough, chest tightness, shortness of breath and wheezing.   Review of Systems  Cardiovascular: Negative for chest pain. Review of Systems  Gastrointestinal: Positive for abdominal pain.  Allergic/Immunologic: Negative for immunocompromised state.  Neurological: Negative for dizziness.  All other systems reviewed and are negative.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Chest discomfort, Chest pain, Chills, Computerised tomogram thorax abnormal, Cough
Clinical narrative: 2/10/22  73-year-old female presents with abdominal pain which is lower for several days.  She is had cough, congestion with chills.  Her cough is been nonproductive and she has had increasing shortness of breath particular with cough and is experiencing chest pressure.  She denies any chest pain.  She denies any known fevers but has felt hot and cold.  She has had increasing trouble breathing.  She is had generalized myalgias aches pains as well.  She denies any constipation or diarrhea Review of Systems  Constitutional: Positive for chills, diaphoresis, fatigue and fever.  Respiratory: Positive for cough, chest tightness, shortness of breath and wheezing.   Review of Systems  Cardiovascular: Negative for chest pain. Review of Systems  Gastrointestinal: Positive for abdominal pain.  Allergic/Immunologic: Negative for immunocompromised state.  Neurological: Negative for dizziness.  All other systems reviewed and are negative.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Differential white blood cell count abnormal, Dyspnoea, Fatigue, Feeling of body temperature change, Full blood count abnormal
Clinical narrative: 2/10/22  73-year-old female presents with abdominal pain which is lower for several days.  She is had cough, congestion with chills.  Her cough is been nonproductive and she has had increasing shortness of breath particular with cough and is experiencing chest pressure.  She denies any chest pain.  She denies any known fevers but has felt hot and cold.  She has had increasing trouble breathing.  She is had generalized myalgias aches pains as well.  She denies any constipation or diarrhea Review of Systems  Constitutional: Positive for chills, diaphoresis, fatigue and fever.  Respiratory: Positive for cough, chest tightness, shortness of breath and wheezing.   Review of Systems  Cardiovascular: Negative for chest pain. Review of Systems  Gastrointestinal: Positive for abdominal pain.  Allergic/Immunologic: Negative for immunocompromised state.  Neurological: Negative for dizziness.  All other systems reviewed and are negative.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Glomerular filtration rate decreased, Haematocrit increased, Hyperhidrosis, Laboratory test normal, Lung infiltration
Clinical narrative: 2/10/22  73-year-old female presents with abdominal pain which is lower for several days.  She is had cough, congestion with chills.  Her cough is been nonproductive and she has had increasing shortness of breath particular with cough and is experiencing chest pressure.  She denies any chest pain.  She denies any known fevers but has felt hot and cold.  She has had increasing trouble breathing.  She is had generalized myalgias aches pains as well.  She denies any constipation or diarrhea Review of Systems  Constitutional: Positive for chills, diaphoresis, fatigue and fever.  Respiratory: Positive for cough, chest tightness, shortness of breath and wheezing.   Review of Systems  Cardiovascular: Negative for chest pain. Review of Systems  Gastrointestinal: Positive for abdominal pain.  Allergic/Immunologic: Negative for immunocompromised state.  Neurological: Negative for dizziness.  All other systems reviewed and are negative.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Mean cell haemoglobin concentration decreased, Metabolic function test abnormal, Myalgia, Pain, Protein urine
Clinical narrative: 2/10/22  73-year-old female presents with abdominal pain which is lower for several days.  She is had cough, congestion with chills.  Her cough is been nonproductive and she has had increasing shortness of breath particular with cough and is experiencing chest pressure.  She denies any chest pain.  She denies any known fevers but has felt hot and cold.  She has had increasing trouble breathing.  She is had generalized myalgias aches pains as well.  She denies any constipation or diarrhea Review of Systems  Constitutional: Positive for chills, diaphoresis, fatigue and fever.  Respiratory: Positive for cough, chest tightness, shortness of breath and wheezing.   Review of Systems  Cardiovascular: Negative for chest pain. Review of Systems  Gastrointestinal: Positive for abdominal pain.  Allergic/Immunologic: Negative for immunocompromised state.  Neurological: Negative for dizziness.  All other systems reviewed and are negative.