chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pain in extremity, SARS-CoV-2 test positive, Secretion discharge, Subcutaneous abscess, Swelling
Clinical narrative: HISTORY OF PRESENT ILLNESS Patient is a 47 y.o. male  with past medical history significant for morbid obesity, hypertension, type 2 diabetes, peripheral neuropathy, peripheral venous insufficiency, history of DVT and pulmonary embolism (5/2019) who presented with acute worsening of right great toe pain, swelling and tenderness. He states that he has had pain and mild swelling in his right great toe since he fractured it in 06/2021. On Monday 10/11 he noticed worsening pain and swelling and yesterday 10/12 he noticed redness on his great toe and foot. This morning 10/13 his great toe opened and began to have serosanguinous drainage which prompted him to present to the ED. He does states that he has had  pain and mild swelling in his right great toe since he fractured it in 06/2021. On Monday 10/11 he noticed worsening pain and swelling and yesterday 10/12 he noticed redness on his great toe and foot. This morning 10/13 his great toe opened and began to have serosanguinous drainage which prompted him to present to the ED. He does states that he has had chills and increased fatigue over the last few days. Notably, he was diagnosed with COVID 09/25/2021 and has had dyspnea on exertion, fatigue and dry cough since. He also endorses right sided chest wall pain that is reproducible with palpation. He denies SOB, abdominal pain, nausea, vomiting, or diarrhea. He does not use tobacco, alcohol (since starting Wellbutrin several months ago) or illicit substance.      In the Emergency Department, he was tachycardic and tachypneic. There were concerns regarding necrotizing fasciitis or osteomyelitis so he was started on vancomycin and zosyn for broad spectrum coverage.  Orthopedic surgery was consulted in the emergency department. They believe this is a subcutaneous abscess with surrounding cellulitis and made a small incision for abscess drainage.  At this time they do not recommend surgical debridement but recommend close follow up and IV antibiotics. He was subsequently transferred to the clinic for management of acute cellulitis.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Tachycardia, Tachypnoea, Tenderness, Wound
Clinical narrative: HISTORY OF PRESENT ILLNESS Patient is a 47 y.o. male  with past medical history significant for morbid obesity, hypertension, type 2 diabetes, peripheral neuropathy, peripheral venous insufficiency, history of DVT and pulmonary embolism (5/2019) who presented with acute worsening of right great toe pain, swelling and tenderness. He states that he has had pain and mild swelling in his right great toe since he fractured it in 06/2021. On Monday 10/11 he noticed worsening pain and swelling and yesterday 10/12 he noticed redness on his great toe and foot. This morning 10/13 his great toe opened and began to have serosanguinous drainage which prompted him to present to the ED. He does states that he has had  pain and mild swelling in his right great toe since he fractured it in 06/2021. On Monday 10/11 he noticed worsening pain and swelling and yesterday 10/12 he noticed redness on his great toe and foot. This morning 10/13 his great toe opened and began to have serosanguinous drainage which prompted him to present to the ED. He does states that he has had chills and increased fatigue over the last few days. Notably, he was diagnosed with COVID 09/25/2021 and has had dyspnea on exertion, fatigue and dry cough since. He also endorses right sided chest wall pain that is reproducible with palpation. He denies SOB, abdominal pain, nausea, vomiting, or diarrhea. He does not use tobacco, alcohol (since starting Wellbutrin several months ago) or illicit substance.      In the Emergency Department, he was tachycardic and tachypneic. There were concerns regarding necrotizing fasciitis or osteomyelitis so he was started on vancomycin and zosyn for broad spectrum coverage.  Orthopedic surgery was consulted in the emergency department. They believe this is a subcutaneous abscess with surrounding cellulitis and made a small incision for abscess drainage.  At this time they do not recommend surgical debridement but recommend close follow up and IV antibiotics. He was subsequently transferred to the clinic for management of acute cellulitis.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: fever, injection site pain, swelling- advised to take tylenol
Age: 21.0
Sex: F
Vaccine: FLU4
Symptoms: Lip dry, Lip pruritus, Lip swelling
Clinical narrative: Swelling and itchiness of upper and lower lip, hydroxyzine 1 tab taken and repeated 6 hrs later. Swelling subsided after 1 day and a half
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Fall, Hyperhidrosis, Loss of consciousness
Clinical narrative: The vaccine was administered to the patient. The patient was a few minutes into his 15 minute observation period. He grabbed the attention of the technician who was observing and said he was feeling faint. She called me over and the patient started going down from his chair. He fell onto the floor from the the chair (bracing himself onto the floor) and was on the floor about 3 seconds. He got off of the floor really fast and stood up and I assisted him back to the chair. He was a aware that he just passed out. We got him some water and a medical emergency was called. He said he felt a little better after the water but was sweating a lot. Patient said he does not eat in the morning and fast. He said me sitting there talking to him was very helpful for him. He said he has fainted in the past but never from a vaccine. He hasn't received a vaccine in over 10 years and was being mandated from his job. The emergency team evaluated him asked him did he wanted to be evaluated in the emergency room, patient declined. Patient was sweating a lot and the emergency team got him some juice and crackers for possible low blood sugar with fasting.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood test, Chest discomfort, Dizziness, Electrocardiogram
Clinical narrative: I had dizziness. nauseas, no pain but pressure on my upper chest. I called the ambulance and was sent to the ER. The doctor examined me and hooked me up to an echocardiogram that showed a  fast pulse and an irregular heart beat. The doctor said the upper chamber of my heart was not connecting electrically with the lower chamber. I did not have a heart attack, but they diagnosed me with atrial fibrillation. They increased my dosage of aspirin so now I am taking 162mg of aspirin. I have not seen a heart specialist yet only my general practitioner who said to make an appointment with a cardiologist.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Heart rate irregular, Nausea
Clinical narrative: I had dizziness. nauseas, no pain but pressure on my upper chest. I called the ambulance and was sent to the ER. The doctor examined me and hooked me up to an echocardiogram that showed a  fast pulse and an irregular heart beat. The doctor said the upper chamber of my heart was not connecting electrically with the lower chamber. I did not have a heart attack, but they diagnosed me with atrial fibrillation. They increased my dosage of aspirin so now I am taking 162mg of aspirin. I have not seen a heart specialist yet only my general practitioner who said to make an appointment with a cardiologist.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Extra dose administered, Pain, Pyrexia
Clinical narrative: Low grade fever, body aches, and generalized body weakness which started approximately 24 hours after getting the dose that lasted until the following day (duration of symptoms lasted about  24 hours ).  Symptoms resolved about 24 hours without treatment - just hydration, rest, and sleep.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Muscle spasms, Myalgia, Pain in extremity, Periarthritis
Clinical narrative: Left Arm and shoulder extreme pain and Frozen.  After several  hours went to  ER at Hospital. Gave me  Vicodin< with Anti Nauseous medicine, and 3 does of Prednisone 50 mg.  Had to have another person move my arm for a few days, until I could move on my own    I have had tight painful muscle issues from that left shoulder up to the back of my ear.  Then all my muscles have been painful and spasm till now.  Have been in PT for the past 4 months.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death, General physical health deterioration, Intensive care
Clinical narrative: Was admitted 9/28/2021 to 10/1/2021 received 3 doses of Remdesivir. Pt was readmitted 10/6/2021 where he progressively worsened, pt was in ICU. Pt then put into hospice care and passed away 10/12/2021 at 1949
Age: 34.0
Sex: F
Vaccine: FLU4
Symptoms: Exposure during pregnancy, Extra dose administered, Wrong product administered
Clinical narrative: Pt received two doses of the flu vaccine instead of one dose of the Pfizer Booster vaccine.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: It was discovered that this Pt received 3ml of the vaccine instead of the recommended 0.5 ml dose after an incident from 10/08/2021 where the same EMT administered the same dose to two other Pts.  Called Pt to notify of the event.  She denies having any local/systemic side-effects or any adverse reactions following vaccination.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Fatigue, Migraine, Myalgia, Nausea
Clinical narrative: Migraine, chills, nausea, muscle pain, fatigue (started morning after vaccine 17 Jul 2021 through morning of 18 July 2021)
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Injection site erythema, Injection site rash, Injection site warmth
Clinical narrative: The site of injection is red and looks like a rash. It feels hot and before I noticed the rash I had trouble breathing.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Lip swelling, Oral discomfort, Throat irritation
Clinical narrative: Patient reported lip swelling and burning with scratchy throat approximately 30-40 min after receiving vaccine. She states she did not seek immediate medical attention but took 2 Benadryl tablets. She states her symptoms resolved within 3-4 hours and did not have any further issues other than arm soreness where she got her shot. She later reported symptoms to her primary health provider during office visit but did not have anymore problems
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Diarrhoea, Ear infection, Ear pain
Clinical narrative: within 2 hours, incision sites from prior surgery began to itch, by morning they were red, swollen and open and infected.  in 12 hours had fever, chills, and diarrhea in 24 hours.  day 4 started having sore throat, sinus issues, exhaustion, ear ache, loss of appetite, felt like the flu, strep, momo, sinus and ear infection all at one time.  Lasted for 5 days and then fatigue lasted for 12 additional days.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Fatigue, Incision site pruritus, Incision site swelling, Influenza like illness
Clinical narrative: within 2 hours, incision sites from prior surgery began to itch, by morning they were red, swollen and open and infected.  in 12 hours had fever, chills, and diarrhea in 24 hours.  day 4 started having sore throat, sinus issues, exhaustion, ear ache, loss of appetite, felt like the flu, strep, momo, sinus and ear infection all at one time.  Lasted for 5 days and then fatigue lasted for 12 additional days.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Postoperative wound infection, Pyrexia, Sinus disorder, Sinusitis
Clinical narrative: within 2 hours, incision sites from prior surgery began to itch, by morning they were red, swollen and open and infected.  in 12 hours had fever, chills, and diarrhea in 24 hours.  day 4 started having sore throat, sinus issues, exhaustion, ear ache, loss of appetite, felt like the flu, strep, momo, sinus and ear infection all at one time.  Lasted for 5 days and then fatigue lasted for 12 additional days.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Asthenia, Back pain, Dyspnoea, Haemoptysis
Clinical narrative: On Sunday (7/18/21) I went in to get my first dose of the COVID vaccine. Everything was fine until the evening of Wednesday (7/21/21) when I started to feel a tightness in my right Mid back. I didn't think anything of it at the time as it just felt like muscle tightness. The next morning I woke up and could barely get out of bed from the pain. It felt like a knife was in my back. I was able to get up and move around, but it was pretty debilitating as I sat around all day. I figured I slept wrong or a possible rib was out of place. I started to develop shortness of breath and rapid heart rate throughout the day as well. The symptoms got worse throughout the next few days and over the weekend. I pushed through the pain as I naturally have a high pain tolerance being a bigger athletically built guy. On Monday (7/23/21) I started to feel a bit better and thought I was recovering. It wasn't until the next day the pain came roaring back and at that point I knew something was going on. On Wednesday (7/28/21) I coughed up some blood in the morning. I was honestly in shock a bit and figured it was blood in my morning flem as a 'Bloody booger' or something. On Friday (7/30/21) I coughed up a significantly more amount of blood and immediately knew I had to go see my Doctor. I made an appt immediately and went in that morning. After doing some initial tests, my Doctor sat me down and told me he thinks I have a blood clot in my right lung and need to go to the ER immediately to get diagnosed. After being emitted to the ER, all the tests and scans came back positive that a blood clot in my lung was correct. They told me I actually have multiple blood clots in both lungs. I was in utter shock as I have always been a healthy individual. After being in the ER for a couple nights they put me on Eliquis blood thinner right away and have been taking two doses/day ever since. I was released from the ER on Sunday afternoon (8/1/21).
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Heart rate increased, Laboratory test abnormal, Mobility decreased, Muscle tightness, Pulmonary thrombosis
Clinical narrative: On Sunday (7/18/21) I went in to get my first dose of the COVID vaccine. Everything was fine until the evening of Wednesday (7/21/21) when I started to feel a tightness in my right Mid back. I didn't think anything of it at the time as it just felt like muscle tightness. The next morning I woke up and could barely get out of bed from the pain. It felt like a knife was in my back. I was able to get up and move around, but it was pretty debilitating as I sat around all day. I figured I slept wrong or a possible rib was out of place. I started to develop shortness of breath and rapid heart rate throughout the day as well. The symptoms got worse throughout the next few days and over the weekend. I pushed through the pain as I naturally have a high pain tolerance being a bigger athletically built guy. On Monday (7/23/21) I started to feel a bit better and thought I was recovering. It wasn't until the next day the pain came roaring back and at that point I knew something was going on. On Wednesday (7/28/21) I coughed up some blood in the morning. I was honestly in shock a bit and figured it was blood in my morning flem as a 'Bloody booger' or something. On Friday (7/30/21) I coughed up a significantly more amount of blood and immediately knew I had to go see my Doctor. I made an appt immediately and went in that morning. After doing some initial tests, my Doctor sat me down and told me he thinks I have a blood clot in my right lung and need to go to the ER immediately to get diagnosed. After being emitted to the ER, all the tests and scans came back positive that a blood clot in my lung was correct. They told me I actually have multiple blood clots in both lungs. I was in utter shock as I have always been a healthy individual. After being in the ER for a couple nights they put me on Eliquis blood thinner right away and have been taking two doses/day ever since. I was released from the ER on Sunday afternoon (8/1/21).
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Scan abnormal, Thrombosis
Clinical narrative: On Sunday (7/18/21) I went in to get my first dose of the COVID vaccine. Everything was fine until the evening of Wednesday (7/21/21) when I started to feel a tightness in my right Mid back. I didn't think anything of it at the time as it just felt like muscle tightness. The next morning I woke up and could barely get out of bed from the pain. It felt like a knife was in my back. I was able to get up and move around, but it was pretty debilitating as I sat around all day. I figured I slept wrong or a possible rib was out of place. I started to develop shortness of breath and rapid heart rate throughout the day as well. The symptoms got worse throughout the next few days and over the weekend. I pushed through the pain as I naturally have a high pain tolerance being a bigger athletically built guy. On Monday (7/23/21) I started to feel a bit better and thought I was recovering. It wasn't until the next day the pain came roaring back and at that point I knew something was going on. On Wednesday (7/28/21) I coughed up some blood in the morning. I was honestly in shock a bit and figured it was blood in my morning flem as a 'Bloody booger' or something. On Friday (7/30/21) I coughed up a significantly more amount of blood and immediately knew I had to go see my Doctor. I made an appt immediately and went in that morning. After doing some initial tests, my Doctor sat me down and told me he thinks I have a blood clot in my right lung and need to go to the ER immediately to get diagnosed. After being emitted to the ER, all the tests and scans came back positive that a blood clot in my lung was correct. They told me I actually have multiple blood clots in both lungs. I was in utter shock as I have always been a healthy individual. After being in the ER for a couple nights they put me on Eliquis blood thinner right away and have been taking two doses/day ever since. I was released from the ER on Sunday afternoon (8/1/21).
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: BECAME SYMPTOMATIC AND TESTED COVID POSITIVE ON 8/30/21. DEVELOPED ACUTE HYPOXIC RESPIRATORY FAILURE. DIED 9/30/21
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache
Clinical narrative: Experienced extreme fatigue,  headache and mild chills approximately 7 hours post vaccination.  Symptoms lasted 24 hours. Took no medications.
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Cardiac monitoring, Cardiac stress test, Echocardiogram, Electrocardiogram
Clinical narrative: Sinus Tachycardia
Age: 44.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Electrocardiogram ambulatory, Sinus tachycardia, Tilt table test
Clinical narrative: Sinus Tachycardia
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Hyperhidrosis, Injection site pain, Parosmia, Pyrexia
Clinical narrative: I was sick the first 48 hours - fever, pain at injection site, sweats, etc. When this went away and since then, I have had a metallic taste in my mouth. All of the normal foods I eat are awful - bananas, chocolate, peanuts, chicken, steak, etc. My morning coffee smells awful. There are times when I walk outside & the outside just smells awful. This isn't normal and is directly correlated to the vaccine.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Taste disorder
Clinical narrative: I was sick the first 48 hours - fever, pain at injection site, sweats, etc. When this went away and since then, I have had a metallic taste in my mouth. All of the normal foods I eat are awful - bananas, chocolate, peanuts, chicken, steak, etc. My morning coffee smells awful. There are times when I walk outside & the outside just smells awful. This isn't normal and is directly correlated to the vaccine.
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Back pain, Dizziness, Electrocardiogram, Extra dose administered, Malaise
Clinical narrative: No problem at all with the 1st two covid vaccines, couldn't even tell that I'd received either shot.  Problem with the booster shot on 09/29/2021:   In the evening the day after the shot, I experienced dizziness, pain & malaise in my shoulders, ear,  jaw and chest area.  Next morning no symptoms for the 1st part of the day, in the afternoon while sitting in the sun at our local state park a severe painful attack lasted a few hours.  (Myocarditis?)   Back pain due to past surgeries intensified for 10 days.   Followed up w/ family Doctor on 10-13-21.   Normal EKG
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pain
Clinical narrative: No problem at all with the 1st two covid vaccines, couldn't even tell that I'd received either shot.  Problem with the booster shot on 09/29/2021:   In the evening the day after the shot, I experienced dizziness, pain & malaise in my shoulders, ear,  jaw and chest area.  Next morning no symptoms for the 1st part of the day, in the afternoon while sitting in the sun at our local state park a severe painful attack lasted a few hours.  (Myocarditis?)   Back pain due to past surgeries intensified for 10 days.   Followed up w/ family Doctor on 10-13-21.   Normal EKG
Age: 65.0
Sex: F
Vaccine: FLUA4, PPV
Symptoms: Chills, Hyperhidrosis, Induration, Nausea, Pyrexia
Clinical narrative: Patient got bad chills, felt feverish, was nauseous , was sweating profusely. All of this happened Friday night.  Also, about 3 inches down from where the shots were given, got a good size hard lump which was black and blue in like a horseshoe type shape.. didn't bruise where the vaccines were given until Sunday.
Age: 65.0
Sex: F
Vaccine: FLUA4, PPV
Symptoms: Swelling, Vaccination site bruising
Clinical narrative: Patient got bad chills, felt feverish, was nauseous , was sweating profusely. All of this happened Friday night.  Also, about 3 inches down from where the shots were given, got a good size hard lump which was black and blue in like a horseshoe type shape.. didn't bruise where the vaccines were given until Sunday.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain lower, COVID-19, Chest pain, Chills, Dyspnoea
Clinical narrative: CHIEF COMPLAINT/REASON FOR VISIT Chest Pain (started several days ago, pt states his doctor called him and told him to come in)     HISTORY OF PRESENT ILLNESS     an 86-year-old gentleman who is brought in by EMS from home.  He states 1 week ago he developed this productive cough.  He also noted right-sided chest pain that radiates into the right lower abdomen.  He had had chills.  He states he just was not feeling well.  Yesterday he went in for COVID testing and it came back positive.  Today the outpatient COVID team had contacted the patient about ongoing care.  At that time patient had reported that he was feeling worse.  He continued to have the right-sided chest pain that radiated into the abdomen and at times felt short of breath.  Based on the symptoms he was directed to come into the emergency department.  Patient states that he did not want to come in but because the provider recommended and he came in for evaluation.  On arrival he denies any shortness of breath currently.  He states that the shortness of breath comes and goes.  The right-sided chest pain that radiates into the abdomen is always there and minimally.  Denies any exacerbating or relieving factors.  He denies ever having this type of pain in the past.  He continues to have a productive cough.  Denies any new back pain.  No fevers.  Has noted the sore throat occasionally.    Patient has chronic heart failure.  He states that he is actually down 2 lb.  Has not noticed any unusual swelling.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Malaise, Oropharyngeal pain, Pain, Productive cough, SARS-CoV-2 test positive
Clinical narrative: CHIEF COMPLAINT/REASON FOR VISIT Chest Pain (started several days ago, pt states his doctor called him and told him to come in)     HISTORY OF PRESENT ILLNESS     an 86-year-old gentleman who is brought in by EMS from home.  He states 1 week ago he developed this productive cough.  He also noted right-sided chest pain that radiates into the right lower abdomen.  He had had chills.  He states he just was not feeling well.  Yesterday he went in for COVID testing and it came back positive.  Today the outpatient COVID team had contacted the patient about ongoing care.  At that time patient had reported that he was feeling worse.  He continued to have the right-sided chest pain that radiated into the abdomen and at times felt short of breath.  Based on the symptoms he was directed to come into the emergency department.  Patient states that he did not want to come in but because the provider recommended and he came in for evaluation.  On arrival he denies any shortness of breath currently.  He states that the shortness of breath comes and goes.  The right-sided chest pain that radiates into the abdomen is always there and minimally.  Denies any exacerbating or relieving factors.  He denies ever having this type of pain in the past.  He continues to have a productive cough.  Denies any new back pain.  No fevers.  Has noted the sore throat occasionally.    Patient has chronic heart failure.  He states that he is actually down 2 lb.  Has not noticed any unusual swelling.
Age: 85.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Weight decreased
Clinical narrative: CHIEF COMPLAINT/REASON FOR VISIT Chest Pain (started several days ago, pt states his doctor called him and told him to come in)     HISTORY OF PRESENT ILLNESS     an 86-year-old gentleman who is brought in by EMS from home.  He states 1 week ago he developed this productive cough.  He also noted right-sided chest pain that radiates into the right lower abdomen.  He had had chills.  He states he just was not feeling well.  Yesterday he went in for COVID testing and it came back positive.  Today the outpatient COVID team had contacted the patient about ongoing care.  At that time patient had reported that he was feeling worse.  He continued to have the right-sided chest pain that radiated into the abdomen and at times felt short of breath.  Based on the symptoms he was directed to come into the emergency department.  Patient states that he did not want to come in but because the provider recommended and he came in for evaluation.  On arrival he denies any shortness of breath currently.  He states that the shortness of breath comes and goes.  The right-sided chest pain that radiates into the abdomen is always there and minimally.  Denies any exacerbating or relieving factors.  He denies ever having this type of pain in the past.  He continues to have a productive cough.  Denies any new back pain.  No fevers.  Has noted the sore throat occasionally.    Patient has chronic heart failure.  He states that he is actually down 2 lb.  Has not noticed any unusual swelling.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death, SARS-CoV-2 test positive
Clinical narrative: Pt died after testing positive for COVID-19 on 9/2/2021
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Alopecia
Clinical narrative: Hair is falling out at root.  One week after vaccine hair loss was noticed, but a few weeks later hair loss is significant.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Condition aggravated, Migraine
Clinical narrative: Debilitating migraine attack after receiving COVID vaccine.  Roughly 12 hours after receiving vaccine.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood creatine, Blood urea normal, Headache, Hypertension
Clinical narrative: High blood pressure, headache, arthritic pain in neck, hands, knees and ankles for 10 days.  No fever, no liquid retention.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Neck pain, Pain in extremity, Renal function test normal
Clinical narrative: High blood pressure, headache, arthritic pain in neck, hands, knees and ankles for 10 days.  No fever, no liquid retention.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Atrial fibrillation, Atrial flutter, Blood test, Burning sensation
Clinical narrative: I got my first dose of the Moderna vaccine on 2/23/2021. On 3/3/2021, I began developing tingling in the fingers of both hands. It got worse over the next 2 days to the point that the fingers were both burning and tingling. I could only get relief by putting my hands on something really cold, such as a refrigerator shelf. Late on 3/6/2021, the burning and tingling began to improve, and they were almost gone by early 3/7/2021.  Later on 3/7/2021, I developed shortness of breath, weakness, and rapid heart rate. I sent a Kardia tracing to my PCP, who read it on 3/8/2021.  She detected ventricular tachycardia, atrial fibrillation, and atrial flutter, and she had me go to the ER immediately.  On 3/8/2021, I went to the ER. I underwent various blood tests, several EKGs, and various other tests. I was in intensive care for 3 days and was seen by various cardiologists. None of them understood why I developed atrial fibrillation, ventricular tachycardia, and atrial flutter all at the same time.   An ablation was performed to stop the atrial flutter. A pacemaker/ICD was also implanted to control the ventricular tachycardia and atrial fibrillation. I was released on 3/11/2021. I have had no recurring symptoms since then.  I received my second Moderna dose on 3/23/2021. The only side effect I experienced was tenderness at the injection site for a day.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac ablation, Dyspnoea, Electrocardiogram abnormal, Heart rate increased, Implantable defibrillator insertion
Clinical narrative: I got my first dose of the Moderna vaccine on 2/23/2021. On 3/3/2021, I began developing tingling in the fingers of both hands. It got worse over the next 2 days to the point that the fingers were both burning and tingling. I could only get relief by putting my hands on something really cold, such as a refrigerator shelf. Late on 3/6/2021, the burning and tingling began to improve, and they were almost gone by early 3/7/2021.  Later on 3/7/2021, I developed shortness of breath, weakness, and rapid heart rate. I sent a Kardia tracing to my PCP, who read it on 3/8/2021.  She detected ventricular tachycardia, atrial fibrillation, and atrial flutter, and she had me go to the ER immediately.  On 3/8/2021, I went to the ER. I underwent various blood tests, several EKGs, and various other tests. I was in intensive care for 3 days and was seen by various cardiologists. None of them understood why I developed atrial fibrillation, ventricular tachycardia, and atrial flutter all at the same time.   An ablation was performed to stop the atrial flutter. A pacemaker/ICD was also implanted to control the ventricular tachycardia and atrial fibrillation. I was released on 3/11/2021. I have had no recurring symptoms since then.  I received my second Moderna dose on 3/23/2021. The only side effect I experienced was tenderness at the injection site for a day.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Intensive care, Laboratory test, Paraesthesia, Ventricular tachycardia
Clinical narrative: I got my first dose of the Moderna vaccine on 2/23/2021. On 3/3/2021, I began developing tingling in the fingers of both hands. It got worse over the next 2 days to the point that the fingers were both burning and tingling. I could only get relief by putting my hands on something really cold, such as a refrigerator shelf. Late on 3/6/2021, the burning and tingling began to improve, and they were almost gone by early 3/7/2021.  Later on 3/7/2021, I developed shortness of breath, weakness, and rapid heart rate. I sent a Kardia tracing to my PCP, who read it on 3/8/2021.  She detected ventricular tachycardia, atrial fibrillation, and atrial flutter, and she had me go to the ER immediately.  On 3/8/2021, I went to the ER. I underwent various blood tests, several EKGs, and various other tests. I was in intensive care for 3 days and was seen by various cardiologists. None of them understood why I developed atrial fibrillation, ventricular tachycardia, and atrial flutter all at the same time.   An ablation was performed to stop the atrial flutter. A pacemaker/ICD was also implanted to control the ventricular tachycardia and atrial fibrillation. I was released on 3/11/2021. I have had no recurring symptoms since then.  I received my second Moderna dose on 3/23/2021. The only side effect I experienced was tenderness at the injection site for a day.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Hypoaesthesia
Clinical narrative: Suffering from chest pain, numbness to arm for 5 days, pt is currently still in patient.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Immunisation, Underdose
Clinical narrative: Pt received Janssen dose 0.05ml instead of 0.5ml.  Pt did get re-vaccinated with appropriate dose of Janseen 0,5ml on 9/8/2021.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Proctalgia, Pyrexia, Rectal abscess
Clinical narrative: Rectal pain and fever.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: PT felt light headed and felt as though he was going to pass out.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Arthralgia, Discomfort
Clinical narrative: Patient complains of achiness in the joints that causes a lot of discomfort. Patient states that it is not necessarily pain it is a lot of aches.  Patient has been using the TYLENOL and CBD for treating symptoms. Symptoms are still ongoing.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Patient received Janssen dose 0.05ml instead of the 0.5ml recommended dose.  The pt was re-vaccinated with the appropriate Janssen 0.5ml dose on 9/8/2021. No adverse events.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient received full dose of Moderna last Winter/early Spring, received a dose of Pfizer yesterday at the covid vaccine/flu clinic.  NO current symptoms
Age: 29.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mechanical urticaria
Clinical narrative: Positive Dermatographia following vaccination. Diagnosed by Dermatology
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 antibody test negative
Clinical narrative: On 10/12/2021 the PA-C from facility ordered a covid 19 antibodies blood test. The results came back the morning of 8/14/21.  It showed that I had zero antibodies.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Heavy menstrual bleeding, Injection site bruising, Menstrual disorder
Clinical narrative: 9/2 experienced stinging and pins and needle feeling in my lower face (chin and cheek area)  when touched. Experienced off and on for a few weeks.   Monthly period  started a week early 9/27. Bled heavily for a week. Was off of my period for a week and started again with heavy bleeding 10/11. Extremely heavy flow for the past few days, feeling feverish, with headache and tired.   I still have a slight bruise on my arm where the vaccine was administered a month and a half ago.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Paraesthesia, Pyrexia
Clinical narrative: 9/2 experienced stinging and pins and needle feeling in my lower face (chin and cheek area)  when touched. Experienced off and on for a few weeks.   Monthly period  started a week early 9/27. Bled heavily for a week. Was off of my period for a week and started again with heavy bleeding 10/11. Extremely heavy flow for the past few days, feeling feverish, with headache and tired.   I still have a slight bruise on my arm where the vaccine was administered a month and a half ago.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Back pain, Lymph node pain, Migraine, Pain in extremity
Clinical narrative: After receiving my first COVID shot I was ok,  aside from a really sore arm. The next morning 9/23 I wake up with sever migraines, which I never suffer from and low back pain.  Two days after my shot, 9/24 I was in the shower and while showering, I felt a huge lump under my left armpit, which was the same arm  I received the injection.  The lump was so big that I couldn?t even see my armpit to shave.  The lump was soft not hard, definitely round, was sore to the touch but not painful. The lump went away in about 1.5 weeks after my first shot.  I was going to call urgent care, but after going on line, I noticed  that some others had also experienced this and that it would go away within 2 weeks, which mine did.  If it didn?t, I would have taken the necessary steps to seek out a professionals opinion.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Muscle spasms
Clinical narrative: We had a 38 y/o female in the office this morning who received her booster dose of Pfizer. Pt has e[episodes where she goes into muscle spasms but they don?t typically last as long as they are this morning. Pt states that she is being seen by her PCP and is being evaluated for a Cervical Disconnect syndrome. She received the vaccine and within about 15 seconds she went into a spasm that started in her and moved into the neck and continued.  She would have the spasm ease up and then it would go back to it pulling her head back. This lasted about 20-30 minutes. 911 was called and they took her to the ER. Pts vitals were normal. She continued to talk and breath during the spasm. Dr. did come in and evaluate her and advised her to go to the ER.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Blood creatinine increased, Cough, Dehydration, Syncope
Clinical narrative: Had multiple syncope episodes, cough. Admitted for dehydration, acute kidney injusry. Pt was discharged 10/09/2021
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19 pneumonia, Death, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: BECAME SYMPTOMATIC. EXPERIENCED RESPIRATORY FAILURE AND COVID19 PNEUMONIA. DIED 9/17
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness
Clinical narrative: Flu like symptoms 24 hours after getting  the 2nd dose of the Pfizer COVID-19 vaccine
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Angiosarcoma, Biopsy, Death, Dizziness, Imaging procedure
Clinical narrative: Patient presented to medical clinic on 30AUG21 for evaluation of vertigo, photophobia, dizziness, vomiting. Patient was evaluated on 31AUG21 via Emergency Department, was later diagnosed with Angiosarcoma and passed away on 07OCT21.
Age: 31.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Laboratory test, Photophobia, Vertigo, Vomiting
Clinical narrative: Patient presented to medical clinic on 30AUG21 for evaluation of vertigo, photophobia, dizziness, vomiting. Patient was evaluated on 31AUG21 via Emergency Department, was later diagnosed with Angiosarcoma and passed away on 07OCT21.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased
Clinical narrative: Returned to the dr two days after receiving the first COVID vaccine dose and doctor found elevated blood pressure.  Blood pressure has always been normal and healthy, as I have always been thin and athletic an in excellent health,   and no history whatsoever of a single  high blood pressure regarding prior to being administered the COVID vaccine. Dr advised me to monitor my blood pressure at home so I purchased a monitoring machine.  Blood pressure  steadily rose over the next two weeks.  Went to ER on 8/14/21 and determined to have blood pressure spike of 220/136.  Admitted to hospital for treatment.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Joint stiffness, Loss of personal independence in daily activities, Pain
Clinical narrative: Around the beginning of May, I realized by the end of the day that anywhere there is a joint, I was having pain every day. It was pain that was everywhere. I would lay down. It was pain that was persisting, joints tight and painful, especially in my left hand, my whole hand, in all my joints in that hand and it is painful. It makes it hard to do things. I feel it in my right hand too, but not my whole hand. I get odd pain throughout my body: back or legs. But right now it's settled in my hand. It's there every day. There isn't a day that I haven't had it. It hasn't gone away. It's been ongoing. I use essential oils, frankincense, lavender and peppermint to get some relief. It gives me some bit of relief but it still comes back. I take an ibuprofen occasionally. Within the first week after the vaccination is when I first noticed the pain. At first I thought it was a fibromyalgia flare up but I haven't had one of those in years. It is interfering with how I do things. I have to plan on doing things the first part of the day because by night time it is harder just because of the pain.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Nurse used a syringe that had been drawn up  on October 8, 2021.  Syringe and dose were beyond use date. No adverse outcome identified.  Patient (guardian) notified of invalid dose and need to repeat.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Bacterial infection, Blood sodium decreased, COVID-19, COVID-19 pneumonia, Cardiac failure congestive
Clinical narrative: Hospitalized 10/12/2021; COVID-19 positive 10/12/2021; fully vaccinated 65 y.o. male who presents today with complaints of shortness of breath progressively worsening over the past 10 days. He was seen by his PCP and treated for COPD exacerbation but states that his symptoms continued to worsen. He endorses exposure to COVID 19 in both his son and daughter. He does report being vaccinated in 3/2021. He also complains of nonproductive cough. Initially, in the ED his oxygen sats were 70s on his home oxygen requirements of 2 L n/c requiring 6L n/c to improve oxygen sats greater than 90%. Patient denies fever/chills. He does endorse diarrhea yesterday morning. In the ED he was COVID 19 positive and procalcitonin was 0.35 indicating that a bacterial infection is likely. He was started on IV antibiotics and dexamethasone per the ED provider. His sodium level was low and IVF were given.  ASSESSMENT/PLAN: * COVID-19 pneumonia Assessment & Plan - symptom onset 10 days - positive test 10/12/2021 - vaccinated for COVID 19 3/2021 - procalcitonin 0.35 (likely bacterial infection); start rocephin and azithromycin - son & daughter +COVID - wears home oxygen at 2L n/c; required 6L n/c on presentation - out of window for remdesivir - dexamethasone 10mg daily - check ddimer - Pulmonary toiletry IS - Tessalon perles - Lovenox VTE prophylaxis Note from 10/14/2021: CHIEF COMPLAINT: COVID-19 virus infection follow up     Assessment/Plan    ASSESSMENT / PLAN: * COVID-19 pneumonia Assessment & Plan - symptom onset 10 days - positive test 10/12/2021 - vaccinated for COVID 19 3/2021 - procalcitonin 0.35 (likely bacterial infection); continue rocephin and azithromycin day #3 - son & daughter +COVID - wears home oxygen at 3L n/c; required 6L n/c on presentation - out of window for remdesivir - will change to solumedrol from dexamethasone in the setting of COPD exacerbation - Pulmonary toiletry IS - Tessalon perles - Lovenox VTE prophylaxis
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chronic obstructive pulmonary disease, Condition aggravated, Cough, Diarrhoea, Dyspnoea
Clinical narrative: Hospitalized 10/12/2021; COVID-19 positive 10/12/2021; fully vaccinated 65 y.o. male who presents today with complaints of shortness of breath progressively worsening over the past 10 days. He was seen by his PCP and treated for COPD exacerbation but states that his symptoms continued to worsen. He endorses exposure to COVID 19 in both his son and daughter. He does report being vaccinated in 3/2021. He also complains of nonproductive cough. Initially, in the ED his oxygen sats were 70s on his home oxygen requirements of 2 L n/c requiring 6L n/c to improve oxygen sats greater than 90%. Patient denies fever/chills. He does endorse diarrhea yesterday morning. In the ED he was COVID 19 positive and procalcitonin was 0.35 indicating that a bacterial infection is likely. He was started on IV antibiotics and dexamethasone per the ED provider. His sodium level was low and IVF were given.  ASSESSMENT/PLAN: * COVID-19 pneumonia Assessment & Plan - symptom onset 10 days - positive test 10/12/2021 - vaccinated for COVID 19 3/2021 - procalcitonin 0.35 (likely bacterial infection); start rocephin and azithromycin - son & daughter +COVID - wears home oxygen at 2L n/c; required 6L n/c on presentation - out of window for remdesivir - dexamethasone 10mg daily - check ddimer - Pulmonary toiletry IS - Tessalon perles - Lovenox VTE prophylaxis Note from 10/14/2021: CHIEF COMPLAINT: COVID-19 virus infection follow up     Assessment/Plan    ASSESSMENT / PLAN: * COVID-19 pneumonia Assessment & Plan - symptom onset 10 days - positive test 10/12/2021 - vaccinated for COVID 19 3/2021 - procalcitonin 0.35 (likely bacterial infection); continue rocephin and azithromycin day #3 - son & daughter +COVID - wears home oxygen at 3L n/c; required 6L n/c on presentation - out of window for remdesivir - will change to solumedrol from dexamethasone in the setting of COPD exacerbation - Pulmonary toiletry IS - Tessalon perles - Lovenox VTE prophylaxis
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Exposure to SARS-CoV-2, Pneumonia bacterial, Procalcitonin, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 10/12/2021; COVID-19 positive 10/12/2021; fully vaccinated 65 y.o. male who presents today with complaints of shortness of breath progressively worsening over the past 10 days. He was seen by his PCP and treated for COPD exacerbation but states that his symptoms continued to worsen. He endorses exposure to COVID 19 in both his son and daughter. He does report being vaccinated in 3/2021. He also complains of nonproductive cough. Initially, in the ED his oxygen sats were 70s on his home oxygen requirements of 2 L n/c requiring 6L n/c to improve oxygen sats greater than 90%. Patient denies fever/chills. He does endorse diarrhea yesterday morning. In the ED he was COVID 19 positive and procalcitonin was 0.35 indicating that a bacterial infection is likely. He was started on IV antibiotics and dexamethasone per the ED provider. His sodium level was low and IVF were given.  ASSESSMENT/PLAN: * COVID-19 pneumonia Assessment & Plan - symptom onset 10 days - positive test 10/12/2021 - vaccinated for COVID 19 3/2021 - procalcitonin 0.35 (likely bacterial infection); start rocephin and azithromycin - son & daughter +COVID - wears home oxygen at 2L n/c; required 6L n/c on presentation - out of window for remdesivir - dexamethasone 10mg daily - check ddimer - Pulmonary toiletry IS - Tessalon perles - Lovenox VTE prophylaxis Note from 10/14/2021: CHIEF COMPLAINT: COVID-19 virus infection follow up     Assessment/Plan    ASSESSMENT / PLAN: * COVID-19 pneumonia Assessment & Plan - symptom onset 10 days - positive test 10/12/2021 - vaccinated for COVID 19 3/2021 - procalcitonin 0.35 (likely bacterial infection); continue rocephin and azithromycin day #3 - son & daughter +COVID - wears home oxygen at 3L n/c; required 6L n/c on presentation - out of window for remdesivir - will change to solumedrol from dexamethasone in the setting of COPD exacerbation - Pulmonary toiletry IS - Tessalon perles - Lovenox VTE prophylaxis
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Infection, SARS-CoV-2 test
Clinical narrative: Breakthrough case.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Dizziness, Dysstasia, Headache
Clinical narrative: Prior to vaccination patient reported dizziness and headache to nurse that started approximately 20 minutes before her appointment.  Appointment was at 11:30. Heart Rate and oxygen in normal range. Blood pressure 144/90. Patient could not stand, headache and dizziness not subsiding. Patient taken by ambulance to nearest Emergency Department at approximately 1:25pm
Age: 35.0
Sex: F
Vaccine: UNK
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Lymphadenopathy
Clinical narrative: Day after shot my lymph node under my left arm became swollen. Injection site became swollen, red, and very hot to touch.