chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Blood test normal, Brain fog, COVID-19, Confusional state
Clinical narrative: 12/1/2022 I started getting extremely watery eyes and nasal congestion with a low-grade fever. Then I began having severe body aches, joint pain, a rapid heartbeat that would get up to 170 BPM, and fatigue. I was severely tired. I tested positive with an at home COVID test.  I called the fire department twice in a 7-day period. The rapid heartbeat would last for about 10 minutes then would go down. They checked my oxygen level.  Both times my O2 was okay.  I went to the ER the second time the fire department came, and I was diagnosed with COVID.  I am still experiencing a rapid heartbeat, very confused foggy brain, shortness of breath like I am going to pass out and hot flashes with sweating. It will come on for about 10 minutes, then it will subside and come back in waves. This will last about 72 hours. It will be gone for a week or two, then comes back.
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Dizziness, Dyspnoea, Electrocardiogram normal, Fatigue, Heart rate increased
Clinical narrative: 12/1/2022 I started getting extremely watery eyes and nasal congestion with a low-grade fever. Then I began having severe body aches, joint pain, a rapid heartbeat that would get up to 170 BPM, and fatigue. I was severely tired. I tested positive with an at home COVID test.  I called the fire department twice in a 7-day period. The rapid heartbeat would last for about 10 minutes then would go down. They checked my oxygen level.  Both times my O2 was okay.  I went to the ER the second time the fire department came, and I was diagnosed with COVID.  I am still experiencing a rapid heartbeat, very confused foggy brain, shortness of breath like I am going to pass out and hot flashes with sweating. It will come on for about 10 minutes, then it will subside and come back in waves. This will last about 72 hours. It will be gone for a week or two, then comes back.
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Hot flush, Hyperhidrosis, Lacrimation increased, Nasal congestion, Pain
Clinical narrative: 12/1/2022 I started getting extremely watery eyes and nasal congestion with a low-grade fever. Then I began having severe body aches, joint pain, a rapid heartbeat that would get up to 170 BPM, and fatigue. I was severely tired. I tested positive with an at home COVID test.  I called the fire department twice in a 7-day period. The rapid heartbeat would last for about 10 minutes then would go down. They checked my oxygen level.  Both times my O2 was okay.  I went to the ER the second time the fire department came, and I was diagnosed with COVID.  I am still experiencing a rapid heartbeat, very confused foggy brain, shortness of breath like I am going to pass out and hot flashes with sweating. It will come on for about 10 minutes, then it will subside and come back in waves. This will last about 72 hours. It will be gone for a week or two, then comes back.
Age: 54.0
Sex: M
Vaccine: COVID19-2
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: 12/1/2022 I started getting extremely watery eyes and nasal congestion with a low-grade fever. Then I began having severe body aches, joint pain, a rapid heartbeat that would get up to 170 BPM, and fatigue. I was severely tired. I tested positive with an at home COVID test.  I called the fire department twice in a 7-day period. The rapid heartbeat would last for about 10 minutes then would go down. They checked my oxygen level.  Both times my O2 was okay.  I went to the ER the second time the fire department came, and I was diagnosed with COVID.  I am still experiencing a rapid heartbeat, very confused foggy brain, shortness of breath like I am going to pass out and hot flashes with sweating. It will come on for about 10 minutes, then it will subside and come back in waves. This will last about 72 hours. It will be gone for a week or two, then comes back.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Obstructive sleep apnoea syndrome
Clinical narrative: OBSTRUCTIVE SLEEP APNEA
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Fatigue, Headache, Malaise, No adverse event
Clinical narrative: I did not have an adverse reaction to the vaccine. I began not feeling well on 05/21/2022. I thought I was really tired after attending my college reunion. I tested positive for COVID-19 on 05/22/2023. I called a provider, and I was given a prescription for PAXLOVID. Due to an error in the dose instructions, it was delayed. By the time it was cleared up I was past the recommended start time. I have been taking over the counter medicine to help with my symptoms. As of today, I am tired and a slight headache.
Age: 57.0
Sex: F
Vaccine: COVID19-2
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I did not have an adverse reaction to the vaccine. I began not feeling well on 05/21/2022. I thought I was really tired after attending my college reunion. I tested positive for COVID-19 on 05/22/2023. I called a provider, and I was given a prescription for PAXLOVID. Due to an error in the dose instructions, it was delayed. By the time it was cleared up I was past the recommended start time. I have been taking over the counter medicine to help with my symptoms. As of today, I am tired and a slight headache.
Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Bronchitis, COVID-19, Hypotension
Clinical narrative: HYPOTENSION 10/25/2022 COVID-19 ACUTE BRONCHITIS
Age: 82.0
Sex: F
Vaccine: VARZOS
Symptoms: Incorrect route of product administration, No adverse event
Clinical narrative: Vaccine given subcutaneously. Patient contacted and reported no adverse reaction or side effects.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Hypotension, Polyneuropathy, Symptom recurrence
Clinical narrative: DRUG INDUCED POLYNEUROPATHY ACUTE DVT, UNSPECIFIED VEIN HYPOTENSION 2/25/2023 -- RECURRENCE OF SAME SYMPTOMS
Age: 59.0
Sex: F
Vaccine: HEPA
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: No adverse effects, patient was given wrong dosage. Patient received 0.5mL instead of 1mL.
Age: 30.0
Sex: M
Vaccine: HEP
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age
Clinical narrative: Patient received pediatric dosage (0.5mL) instead of adult dosage (1.0mL).  No signs or symptoms present.  Manufacturer was contacted for redosing recommendations.
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, B-cell lymphoma, Chronic left ventricular failure, Hypoxia, Organ failure
Clinical narrative: ACUTE RESPIRATORY FAILURE 1/28/2023 B-CELL LYMPHOMA UNSPECIFIED TYPE, UNSPECIFIED SITE HYPOXIA 1/15/2023 B-CELL LYMPHOMA UNSPECIFIED TYPE, UNSPECIFIED SITE ACUTE RESPIRATORY FAILURE 1/28/2023 DIASTOLIC HEART FAILURE, CHRONIC HYPOXIA 1/15/2023 DIASTOLIC HEART FAILURE, CHRONIC ACUTE RESPIRATORY FAILURE 1/28/2023 SEVERE SEPSIS W ACUTE ORGAN DYSFUNCTION HYPOXIA 1/15/2023 SEVERE SEPSIS W ACUTE ORGAN DYSFUNCTION
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: Sepsis
Clinical narrative: ACUTE RESPIRATORY FAILURE 1/28/2023 B-CELL LYMPHOMA UNSPECIFIED TYPE, UNSPECIFIED SITE HYPOXIA 1/15/2023 B-CELL LYMPHOMA UNSPECIFIED TYPE, UNSPECIFIED SITE ACUTE RESPIRATORY FAILURE 1/28/2023 DIASTOLIC HEART FAILURE, CHRONIC HYPOXIA 1/15/2023 DIASTOLIC HEART FAILURE, CHRONIC ACUTE RESPIRATORY FAILURE 1/28/2023 SEVERE SEPSIS W ACUTE ORGAN DYSFUNCTION HYPOXIA 1/15/2023 SEVERE SEPSIS W ACUTE ORGAN DYSFUNCTION
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Transient ischaemic attack
Clinical narrative: TRANSIENT CEREBRAL ISCHEMIA
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Hypotension
Clinical narrative: I95.9 HYPOTENSION 3/31/2022 ADVANCE DIRECTIVE DISCUSSED W PATIENT
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Central venous catheterisation, Device related infection, Device related sepsis, End stage renal disease, Haemodialysis complication
Clinical narrative: ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 11/30/2022 ESRD (END STAGE RENAL DISEASE) ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 11/30/2022 SEPTICEMIA DUE TO CENTRAL VENOUS CATHETER, INIT ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 11/30/2022 ANEMIA DUE TO CKD ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 11/30/2022 ESRD (END STAGE RENAL DISEASE) ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 11/30/2022 HEMODIALYSIS CATHETER INFECTION, INIT ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 11/30/2022 HYPOGLYCEMIA
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoglycaemia, Lacunar stroke, Nephrogenic anaemia
Clinical narrative: ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 11/30/2022 ESRD (END STAGE RENAL DISEASE) ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 11/30/2022 SEPTICEMIA DUE TO CENTRAL VENOUS CATHETER, INIT ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 11/30/2022 ANEMIA DUE TO CKD ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 11/30/2022 ESRD (END STAGE RENAL DISEASE) ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 11/30/2022 HEMODIALYSIS CATHETER INFECTION, INIT ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 11/30/2022 HYPOGLYCEMIA
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Incorrect route of product administration, Pain in extremity
Clinical narrative: The vaccine was given subcutaneously. Patient does not report any adverse effects except arm soreness.
Age: 13.0
Sex: F
Vaccine: MNQ, TDAP
Symptoms: Loss of consciousness, Syncope
Clinical narrative: Menveo administered in right deltoid at 1129. Boostrix administered in left deltoid at 1130. Patient immediately had vasovagal syncopal episode at 1130. Pulse +3.  Patient regained consciousness at 1131. Patient AOx4. 8 oz of water given to patient. Granola bar given to patient. Vitals 1137: O/2 98%, P 82, B/P 96/60 right brachial, RR 18. Patient care transferred to school nurse.  Follow-up call made @ 1030 05-26-2023 to patient mother. No complications noted.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Attention deficit hyperactivity disorder, Neuropathy peripheral
Clinical narrative: PERIPHERAL NEUROPATHY 4/1/2022 ADHD, PREDOMINANTLY INATTENTIVE PRESENTATION PERIPHERAL NEUROPATHY 4/1/2022 ADHD, PREDOMINANTLY INATTENTIVE PRESENTATION PERIPHERAL NEUROPATHY 4/1/2022 ADHD, PREDOMINANTLY INATTENTIVE PRESENTATION
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Burning sensation, COVID-19, Cold sweat, Condition aggravated, Dizziness
Clinical narrative: 4/24/23  I started getting congestion in my lungs, they started hurting. I had a fever that went up to 100, which my normal is 97.5.  It felt like my body was burning, I got clammy, dizziness, my sinuses were flaring up and hurting.  My fibromyalgia was exacerbated. The muscle aches were pretty intense. I took an at home COVID test on 4/25/23 and it was positive. I sent the results to my PA. I was prescribed Paxlovid and began taking it that day. Throughout that week, I had varying symptoms. I had one incident when I took a hot bath and passed out getting out of the bathtub. My oxygen dropped to 80 and my husband put me on the O2 which brought my level back up. I have been treated for dizziness since a concussion a few years ago.  I was doing better until COVID and now have a lot of dizziness preventing me from driving.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Fibromyalgia, Impaired driving ability, Loss of consciousness, Malaise, Myalgia
Clinical narrative: 4/24/23  I started getting congestion in my lungs, they started hurting. I had a fever that went up to 100, which my normal is 97.5.  It felt like my body was burning, I got clammy, dizziness, my sinuses were flaring up and hurting.  My fibromyalgia was exacerbated. The muscle aches were pretty intense. I took an at home COVID test on 4/25/23 and it was positive. I sent the results to my PA. I was prescribed Paxlovid and began taking it that day. Throughout that week, I had varying symptoms. I had one incident when I took a hot bath and passed out getting out of the bathtub. My oxygen dropped to 80 and my husband put me on the O2 which brought my level back up. I have been treated for dizziness since a concussion a few years ago.  I was doing better until COVID and now have a lot of dizziness preventing me from driving.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Oxygen saturation decreased, Pulmonary congestion, Pulmonary pain, SARS-CoV-2 test positive, Sinus disorder
Clinical narrative: 4/24/23  I started getting congestion in my lungs, they started hurting. I had a fever that went up to 100, which my normal is 97.5.  It felt like my body was burning, I got clammy, dizziness, my sinuses were flaring up and hurting.  My fibromyalgia was exacerbated. The muscle aches were pretty intense. I took an at home COVID test on 4/25/23 and it was positive. I sent the results to my PA. I was prescribed Paxlovid and began taking it that day. Throughout that week, I had varying symptoms. I had one incident when I took a hot bath and passed out getting out of the bathtub. My oxygen dropped to 80 and my husband put me on the O2 which brought my level back up. I have been treated for dizziness since a concussion a few years ago.  I was doing better until COVID and now have a lot of dizziness preventing me from driving.
Age: 66.0
Sex: F
Vaccine: COVID19-2
Symptoms: Sinus pain
Clinical narrative: 4/24/23  I started getting congestion in my lungs, they started hurting. I had a fever that went up to 100, which my normal is 97.5.  It felt like my body was burning, I got clammy, dizziness, my sinuses were flaring up and hurting.  My fibromyalgia was exacerbated. The muscle aches were pretty intense. I took an at home COVID test on 4/25/23 and it was positive. I sent the results to my PA. I was prescribed Paxlovid and began taking it that day. Throughout that week, I had varying symptoms. I had one incident when I took a hot bath and passed out getting out of the bathtub. My oxygen dropped to 80 and my husband put me on the O2 which brought my level back up. I have been treated for dizziness since a concussion a few years ago.  I was doing better until COVID and now have a lot of dizziness preventing me from driving.
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia, Diabetic eye disease, Pulmonary embolism, Type 2 diabetes mellitus
Clinical narrative: I26.99 ACUTE PULMONARY EMBOLISM 10/12/2022 ACUTE PULMONARY EMBOLISM I26.99 ACUTE PULMONARY EMBOLISM 10/12/2022 DM 2 W EYE MANIFESTATION I26.99 ACUTE PULMONARY EMBOLISM 10/12/2022 ANEMIA I26.99 ACUTE PULMONARY EMBOLISM 10/12/2022 DM 2 W EYE MANIFESTATION
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic respiratory failure, Gastrointestinal haemorrhage, Respiratory failure
Clinical narrative: CHRONIC HYPOXEMIC RESPIRATORY FAILURE 12/20/2022 GI HEMORRHAGE
Age: 57.0
Sex: F
Vaccine: VARZOS
Symptoms: Incorrect route of product administration, Pain in extremity
Clinical narrative: The vaccine was administered subcutaneously. The patient did not experience any adverse effects except for arm soreness.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Drug withdrawal maintenance therapy, Hypoxia
Clinical narrative: R09.02 HYPOXIA 2/13/2022 ABNL CHEST CT SCAN R09.02 HYPOXIA 2/13/2022 LONG TERM METHADONE THERAPY FOR DRUG MAINTENANCE THERAPY
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic respiratory failure
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE CHRONIC RESPIRATORY FAILURE
Age: 82.0
Sex: M
Vaccine: COVID19
Symptoms: Blister infected, Coagulopathy
Clinical narrative: D68.9 COAGULOPATHY, UNSPECIFIED TYPE 1/7/2023 LEFT FOOT BLISTER, W INFECTION, INIT
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pulmonary embolism
Clinical narrative: ACUTE PULMONARY EMBOLISM
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory failure, Cardiac failure acute, Chronic respiratory failure, Dyspnoea, Left ventricular failure
Clinical narrative: J96.11 CHRONIC HYPOXEMIC RESPIRATORY FAILURE 1/11/2023 COMBINED SYSTOLIC AND DIASTOLIC HEART FAILURE, ACUTE ON CHRONIC J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 1/18/2023 COMBINED SYSTOLIC AND DIASTOLIC HEART FAILURE, ACUTE ON CHRONIC J96.11 CHRONIC HYPOXEMIC RESPIRATORY FAILURE 1/11/2023 SHORTNESS OF BREATH J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 1/18/2023 SHORTNESS OF BREATH
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory failure
Clinical narrative: J96.11 CHRONIC HYPOXEMIC RESPIRATORY FAILURE 1/11/2023 COMBINED SYSTOLIC AND DIASTOLIC HEART FAILURE, ACUTE ON CHRONIC J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 1/18/2023 COMBINED SYSTOLIC AND DIASTOLIC HEART FAILURE, ACUTE ON CHRONIC J96.11 CHRONIC HYPOXEMIC RESPIRATORY FAILURE 1/11/2023 SHORTNESS OF BREATH J96.21 ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE 1/18/2023 SHORTNESS OF BREATH
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Chronic respiratory failure, Respiratory failure, Symptom recurrence
Clinical narrative: CHRONIC HYPOXEMIC RESPIRATORY FAILURE HYPOXIA 10/29/2021 &  4/8/2022  --  RECURRENCE OF SAME SYMPTOMS
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Chest pain, Coronary artery disease, Hypotension
Clinical narrative: HYPOTENSION 1/5/2023 CHEST PAIN ACUTE RESPIRATORY FAILURE 1/17/2023 CHEST PAIN HYPOTENSION 1/5/2023 CAD (CORONARY ARTERY DISEASE) WO ANGINA ACUTE RESPIRATORY FAILURE 1/17/2023 CAD (CORONARY ARTERY DISEASE) WO ANGINA HYPOTENSION 1/5/2023 CAD (CORONARY ARTERY DISEASE) WO ANGINA ACUTE RESPIRATORY FAILURE 1/17/2023 CAD (CORONARY ARTERY DISEASE) WO ANGINA
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Chronic respiratory failure, Respiratory failure
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE CHRONIC HYPERCAPNIC RESPIRATORY FAILURE
Age: 62.0
Sex: F
Vaccine: VARZOS
Symptoms: Back pain, Blood pressure increased, Urinary incontinence
Clinical narrative: patient reports loss of blader control for 3 days after administration, she reports lower back pain for 3 days after administration and increased blood pressure daily since administration , she also admits to stopping her blood pressure medication months before ( bp under control without meds )
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis
Clinical narrative: ACUTE DVT OF BILAT LEGS, UNSPECIFIED VEINS
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure
Clinical narrative: ACUTE HYPOXEMIC RESPIRATORY FAILURE
Age: 83.0
Sex: M
Vaccine: COVID19
Symptoms: Hypertension, Lacunar stroke, Organ failure, Prostatic specific antigen increased, Sepsis
Clinical narrative: I63.81 ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 7/25/2022 ELEVATED PSA I63.81 ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 7/25/2022 HTN (HYPERTENSION) I63.81 ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 7/25/2022 SEVERE SEPSIS W ACUTE ORGAN DYSFUNCTION I63.81 ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 7/25/2022 ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY I63.81 ACUTE LACUNAR STROKE, UNSPECIFIED TYPE AND ARTERY 7/25/2022 HTN (HYPERTENSION)
Age: 11.0
Sex: M
Vaccine: HPV9, MNQ
Symptoms: Injection site erythema, Injection site pain, Injection site warmth
Clinical narrative: 3" x 4" area on the right deltoid that has redness, swelling, warmth, and tenderness at the injection site. Advised mom that this is consistent with a local reaction and treatment includes cold compress and rest.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Bradycardia, Chronic kidney disease, Deafness bilateral, Glomerular filtration rate decreased, Hypoxia
Clinical narrative: HYPOXIA 1/19/2023 CKD STAGE 3A (GFR 45-59) HYPOXIA 1/19/2023 BILAT HEARING LOSS HYPOXIA 1/19/2023 BRADYCARDIA HYPOXIA 1/19/2023 BILAT HEARING LOSS HYPOXIA 1/19/2023 BILAT HEARING LOSS
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Hypersensitivity, Type 2 diabetes mellitus
Clinical narrative: Moderna vaccine was administered outside of clinic - reported by patient ? NO LOT NUMBER WERE SUPPLIED ------------------------------------------------------------------------------------------------------------------------ T78.40XA ALLERGIC REACTION, INIT 3/28/2022 DM 2 WO COMPLICATIONS
Age: 90.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram thorax abnormal, Dyspnoea exertional, Fatigue, Pulmonary embolism, Troponin normal
Clinical narrative: Patient was diagnosed with bilateral pulmonary embolism on 1/3/23, four days after receiving a covid-19 vaccine.  The patient submitted a concern to his healthcare provider that the two events may be related.   This is a 90 year old male with a history of CAD, HTN, and Afib.  The patient had been on apixaban from 11/24/2017 until 8/20/2021.  Through shared decision making, the decision was made to discontinue the apixaban given the high risk for patient falls, and the recent history of a hemothorax following fall while on apixaban.  The patient has been off of apixaban since 8/20/21.  The patient received prior Moderna monovalent doses on 2/19/2021 (Lot 012M20A), 3/19/2021 (Lot 031A21A), 11/5/2021 (Lot 051C21A), 4/26/2022 (033K21-2A) with no documented adverse effects.   On 1/3/23, the patient presented to the ED with a chief complaint of 'several days of dyspnea on exertion and fatigue.'  Vitals included temp=35.8, BP=128/95, HR=76, RR=18, SpO2=100%.  Troponins negative x 2.  A CT showed bilateral left and right pulmonary artery and downstream vessels.  The provider note stated that this appeared to be an unprovoked PE (aside from a recent 3-hour long car ride).
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Arthralgia, Chills, Erythema, Neck pain, Pain
Clinical narrative: Resident began experiencing T100.2, decreased to 98.8 after tylenol, chills, body aches, increasing pain in both shoulder/nek and warm/red face.
Age: 86.0
Sex: M
Vaccine: COVID19-2
Symptoms: Skin warm
Clinical narrative: Resident began experiencing T100.2, decreased to 98.8 after tylenol, chills, body aches, increasing pain in both shoulder/nek and warm/red face.
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Discomfort, Injection site pain, Injection site swelling
Clinical narrative: pain and slight swelling at injection site. Patient sought treatment at an emergency room as a result of discomfort continueing 1 week post vaccination received
Age: 17.0
Sex: F
Vaccine: HPV9, MENB, MNQ
Symptoms: Erythema, Induration, Local reaction, Skin swelling
Clinical narrative: 03/13/2023 administered 3 vaccinations. HPV and MCV4 in the right deltoid and Men B in left deltoid. Pt. c/o red, raised, hard to the touch, 4-5 cm diameter circle area. It was there approximately 2 months.  4-5 weeks after vaccination, pt. went to see her PCP regarding issue. FNP did not think it was an allergic reaction to vaccine but a local reaction.  No concerns regarding not finishing up series.  Pt. said the area resolved a few weeks after that.  When I saw pt. on 05/23/23, no knot or local reaction evident.  Administered the HPV in left deltoid and Men B in right deltoid. I called family on 05/26/23- no reaction thus far on either arm.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Fatigue, Nasal congestion, Oropharyngeal pain, Rhinorrhoea
Clinical narrative: I started with a mild sore throat progressed to a week of nasal congestion and an extremely runny nose. I went through about a case of Kleenex. I had at the beginning for two or three days, mild exhaustion.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: I started with a mild sore throat progressed to a week of nasal congestion and an extremely runny nose. I went through about a case of Kleenex. I had at the beginning for two or three days, mild exhaustion.
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Myocardial ischaemia
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE DEMAND ISCHEMIA
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoxia, Obstructive sleep apnoea syndrome
Clinical narrative: ADULT OBSTRUCTIVE SLEEP APNEA HYPOXIA
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Cardiogenic shock, Symptom recurrence
Clinical narrative: ACUTE NON ST ELEVATION MI CARDIOGENIC SHOCK 11/29/2022 &  12/21/2022 -- RECURRENCE OF SAME SYMPTOMS
Age: 72.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Blood test normal, Erythema, Feeling hot, Induration, Laboratory test abnormal
Clinical narrative: 10/8/22 towards the evening, my arm became very red, hard, hot and swollen, about a 3 inch radius around the point of the vaccine. I sprayed lidocaine on the spot to relieve the pain which did cool it down. In January, I broke out in hives, big red whelps all over my torso. At the end of February, I went to see a Dermatologist. He sent me to an Allergy and Asthma doctor. I was prescribed about five antihistamines to take daily. I still have these whelps.
Age: 72.0
Sex: F
Vaccine: COVID19-2, FLUX
Symptoms: Pain in extremity, Peripheral swelling, Seasonal allergy, Urticaria
Clinical narrative: 10/8/22 towards the evening, my arm became very red, hard, hot and swollen, about a 3 inch radius around the point of the vaccine. I sprayed lidocaine on the spot to relieve the pain which did cool it down. In January, I broke out in hives, big red whelps all over my torso. At the end of February, I went to see a Dermatologist. He sent me to an Allergy and Asthma doctor. I was prescribed about five antihistamines to take daily. I still have these whelps.
Age: 65.0
Sex: F
Vaccine: VARZOS
Symptoms: Erythema, Feeling hot, Immediate post-injection reaction, Pruritus, Rash
Clinical narrative: redness on arm immediately after vaccine (dime size) gotten larger the following day (quarter size) rash, hot and itchy
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Coagulopathy, Symptom recurrence
Clinical narrative: COAGULOPATHY, UNSPECIFIED TYPE 9/26/2022 -- RECURRENCE OF SAME SYMPTOMS
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Transient ischaemic attack
Clinical narrative: TRANSIENT CEREBRAL ISCHEMIA
Age: 33.0
Sex: F
Vaccine: HPV9
Symptoms: Blood test abnormal, Epistaxis, Gingival bleeding, Heavy menstrual bleeding, Platelet count decreased
Clinical narrative: First symptom- gum bleeding Second symptoms-  long menstrual 15 days 22 pads a day Third symptoms- nose bleed for 4 hours Bleeding underneath skin on chest and neck
Age: 33.0
Sex: F
Vaccine: HPV9
Symptoms: Skin haemorrhage
Clinical narrative: First symptom- gum bleeding Second symptoms-  long menstrual 15 days 22 pads a day Third symptoms- nose bleed for 4 hours Bleeding underneath skin on chest and neck
Age: 66.0
Sex: F
Vaccine: COVID19-2, PNC20
Symptoms: Expired product administered, No adverse event, Product storage error
Clinical narrative: Patient recieved vaccine 4 days after expiration date. Patient was here for the allotted time of 15 minutes after and had no reactions. Was not caught that vaccine was expired till entered into epic. Provider notified and Moderna was notified that did a Moderna medical inquiry to find the viability of the vaccine after date of expiration.
Age: 38.0
Sex: F
Vaccine: TDAP
Symptoms: Injection site erythema, Injection site pain, Injection site swelling
Clinical narrative: redness, swelling, pain at site of injection
Age: 69.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Fatigue, Pain
Clinical narrative: Tired and aching
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Benign prostatic hyperplasia, Cardiac failure congestive, Lower urinary tract symptoms, Mitral valve incompetence, Respiratory failure
Clinical narrative: J96.91 HYPOXEMIC RESPIRATORY FAILURE, UNSPECIFIED ACUITY 7/16/2022 BPH W LOWER URINARY TRACT SYMPTOMS J96.91 HYPOXEMIC RESPIRATORY FAILURE, UNSPECIFIED ACUITY 7/16/2022 MITRAL VALVE REGURGITATION J96.91 HYPOXEMIC RESPIRATORY FAILURE, UNSPECIFIED ACUITY 7/16/2022 CHF (CONGESTIVE HEART FAILURE), UNSPECIFIED
Age: 85.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Angina pectoris, Atrial fibrillation, Coronary artery disease, Shock
Clinical narrative: I20.8 STABLE ANGINA 12/15/2022 ATRIAL FIBRILLATION, UNSPECIFIED I21.3 ACUTE ST ELEVATION MI, UNSPECIFIED 12/24/2022 ATRIAL FIBRILLATION, UNSPECIFIED R57.9 SHOCK, UNSPECIFIED 12/24/2022 ATRIAL FIBRILLATION, UNSPECIFIED I20.8 STABLE ANGINA 12/15/2022 CAD (CORONARY ARTERY DISEASE) WO ANGINA I21.3 ACUTE ST ELEVATION MI, UNSPECIFIED 12/24/2022 CAD (CORONARY ARTERY DISEASE) WO ANGINA R57.9 SHOCK, UNSPECIFIED 12/24/2022 CAD (CORONARY ARTERY DISEASE) WO ANGINA I20.8 STABLE ANGINA 12/15/2022 CAD (CORONARY ARTERY DISEASE) WO ANGINA I21.3 ACUTE ST ELEVATION MI, UNSPECIFIED 12/24/2022 CAD (CORONARY ARTERY DISEASE) WO ANGINA R57.9 SHOCK, UNSPECIFIED 12/24/2022 CAD (CORONARY ARTERY DISEASE) WO ANGINA
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Deep vein thrombosis
Clinical narrative: PATIENT RECEIVED VACCINE FROM OUTSIDE SOURCE ACUTE DVT, UNSPECIFIED VEIN ACUTE DVT OF LEFT PERONEAL VEIN
Age: 18.0
Sex: F
Vaccine: COVID19-2
Symptoms: Antinuclear antibody positive, Cough, Dyspnoea, Headache, Hemiparesis
Clinical narrative: Woke up next day with shortness of breath along with regular vaccine side effects. Progressed to headaches the next week, then vertigo, then a  COVID-negative cough/cold a week later, then neurological long-COVID symptoms (numbness and tingling in one leg, unilateral weakness, buzzing, muscle fatigue and post-exertional malaise, vision changes, heart palpitations, mental health problems etc.). Ongoing for 7 months with little improvement.
Age: 18.0
Sex: F
Vaccine: COVID19-2
Symptoms: Hypoaesthesia, Immunisation reaction, Malaise, Mental disorder, Muscle fatigue
Clinical narrative: Woke up next day with shortness of breath along with regular vaccine side effects. Progressed to headaches the next week, then vertigo, then a  COVID-negative cough/cold a week later, then neurological long-COVID symptoms (numbness and tingling in one leg, unilateral weakness, buzzing, muscle fatigue and post-exertional malaise, vision changes, heart palpitations, mental health problems etc.). Ongoing for 7 months with little improvement.
Age: 18.0
Sex: F
Vaccine: COVID19-2
Symptoms: Nasopharyngitis, Neurological symptom, Palpitations, Paraesthesia, SARS-CoV-2 test negative
Clinical narrative: Woke up next day with shortness of breath along with regular vaccine side effects. Progressed to headaches the next week, then vertigo, then a  COVID-negative cough/cold a week later, then neurological long-COVID symptoms (numbness and tingling in one leg, unilateral weakness, buzzing, muscle fatigue and post-exertional malaise, vision changes, heart palpitations, mental health problems etc.). Ongoing for 7 months with little improvement.
Age: 18.0
Sex: F
Vaccine: COVID19-2
Symptoms: Tinnitus, Vertigo, Visual impairment
Clinical narrative: Woke up next day with shortness of breath along with regular vaccine side effects. Progressed to headaches the next week, then vertigo, then a  COVID-negative cough/cold a week later, then neurological long-COVID symptoms (numbness and tingling in one leg, unilateral weakness, buzzing, muscle fatigue and post-exertional malaise, vision changes, heart palpitations, mental health problems etc.). Ongoing for 7 months with little improvement.
Age: 68.0
Sex: F
Vaccine: COVID19-2
Symptoms: COVID-19, Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: I had a sore arm for about two days after receiving the vaccine. I tested positive for COVID-19 on 05/23/2023. I contacted my doctor via telehealth and got a prescription for PAXLOVID. I have all the side effects listed for PAXLOVID. I also have a tingling in my arm and a rash. I was advised to keep taking it unless I have worse symptoms.
Age: 56.0
Sex: F
Vaccine: COVID19-2
Symptoms: Gait disturbance, Loss of personal independence in daily activities, Motor dysfunction
Clinical narrative: On May 16, 2023, my wife was walking outside. She was limping, her helper was struggling to keep her upright, she has no control over her right hand or leg. She can no longer feed herself; she helps walking or she will fall. I called to get an appointment with her doctor, his office told me to take her into the emergency room. I will be taking her into the emergency room tomorrow.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Cardiogenic shock, Critical illness, Myocardial infarction, Polyneuropathy
Clinical narrative: ACUTE ST ELEVATION MI, INFERIOR WALL REVERSIBLE ISCHEMIC NEUROLOGIC DEFICIT SYNDROME CARDIOGENIC SHOCK CRITICAL ILLNESS POLYNEUROPATHY 9/25/2022,  9/27/2022,  10/7/2022 -- RECURRENCE OF SAME SYMPTOMS
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Reversible ischaemic neurological deficit, Symptom recurrence
Clinical narrative: ACUTE ST ELEVATION MI, INFERIOR WALL REVERSIBLE ISCHEMIC NEUROLOGIC DEFICIT SYNDROME CARDIOGENIC SHOCK CRITICAL ILLNESS POLYNEUROPATHY 9/25/2022,  9/27/2022,  10/7/2022 -- RECURRENCE OF SAME SYMPTOMS
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Blood test abnormal, Dyspnoea, Pain, Pancreatitis
Clinical narrative: I had pancreatitis. I had two days before going to the ER my abdomen blew up like I was a starved child. I was in so much pain I could not breathe well.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound scan abnormal
Clinical narrative: I had pancreatitis. I had two days before going to the ER my abdomen blew up like I was a starved child. I was in so much pain I could not breathe well.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Blister, Burning sensation, Dizziness, Ear pain, Facial pain
Clinical narrative: Woke up on 5/24/2023 at 7:00 a.m. with minor pain and almost a tingling on areas of right scalp and right side of face/ear. Then about 12:00 p.m. on 5/24/2023 experienced dizziness/vertigo, which passed after a couple minutes, then had fever of 100.4 F. around 2:00-3:00 p.m. Took 2 ibuprofen for fever. Felt very tired and lethargic. Slept off and on most of the afternoon. Took more ibuprofen and went to sleep at 9:00 p.m. Woke up about 7:00 a.m. on 5/25/2023 to blister patch size of a nickel on right side of chin and a large blister on scalp above right ear, and rim of right ear very sensitive.  the blisters burn/tingle and painful to touch. Also lymph nodes/glands in front of right ear and below right jaw obviously swollen and sore.  As of 5/26/2023 still have temperature of 100 degrees F.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Fatigue, Lethargy, Lymph node pain, Lymphadenopathy, Pain of skin
Clinical narrative: Woke up on 5/24/2023 at 7:00 a.m. with minor pain and almost a tingling on areas of right scalp and right side of face/ear. Then about 12:00 p.m. on 5/24/2023 experienced dizziness/vertigo, which passed after a couple minutes, then had fever of 100.4 F. around 2:00-3:00 p.m. Took 2 ibuprofen for fever. Felt very tired and lethargic. Slept off and on most of the afternoon. Took more ibuprofen and went to sleep at 9:00 p.m. Woke up about 7:00 a.m. on 5/25/2023 to blister patch size of a nickel on right side of chin and a large blister on scalp above right ear, and rim of right ear very sensitive.  the blisters burn/tingle and painful to touch. Also lymph nodes/glands in front of right ear and below right jaw obviously swollen and sore.  As of 5/26/2023 still have temperature of 100 degrees F.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Paraesthesia, Pyrexia, Sensitive skin, Vertigo
Clinical narrative: Woke up on 5/24/2023 at 7:00 a.m. with minor pain and almost a tingling on areas of right scalp and right side of face/ear. Then about 12:00 p.m. on 5/24/2023 experienced dizziness/vertigo, which passed after a couple minutes, then had fever of 100.4 F. around 2:00-3:00 p.m. Took 2 ibuprofen for fever. Felt very tired and lethargic. Slept off and on most of the afternoon. Took more ibuprofen and went to sleep at 9:00 p.m. Woke up about 7:00 a.m. on 5/25/2023 to blister patch size of a nickel on right side of chin and a large blister on scalp above right ear, and rim of right ear very sensitive.  the blisters burn/tingle and painful to touch. Also lymph nodes/glands in front of right ear and below right jaw obviously swollen and sore.  As of 5/26/2023 still have temperature of 100 degrees F.
Age: 53.0
Sex: M
Vaccine: TDAP
Symptoms: Headache, Tinnitus
Clinical narrative: Onset of tinnitus left ear next day followed by light headache off and on only on left side Onset about 5:30 pm, tinnitus remains constant in the left ear, high pitched
Age: 78.0
Sex: M
Vaccine: UNK
Symptoms: Dyspnoea, Immunisation reaction, Tremor, Wheezing
Clinical narrative: Pt' s wife called and reported that pt was having a reaction to the covid vaccine that he received at clinic this am. States that pt can not stop shaking. Reports that he had breakfast this morning and that he also had a snack. Endorses shortness of breath and wheezing. Denies itching of nose, throat, or mouth. Recommend that he immediately take a benadryl. Advised that he should take immediate action and call EMS. Patient's wife states that her son is going to take pt to office. Advised that they should pull over immediately if his condition should change.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Asthenia, Chest discomfort, Chills, Cough, Decreased appetite
Clinical narrative: She got her vaccine, felt OK.  A day or so later she felt soreness in her arm which she expected.  On 5/15/23 she felt like she was walking sideway and went to her chiropractor and sitting in the office before she saw him she started shaking uncontrollably from chills and could not get warm.  She was out of alignment from her head down to the base.  By the time she got home her fever was 99 and later that day went up to 101.  She still had chills in between and fever of 99 off and on.  Her normal temp is 96-97, so if she has 98-99 it's a fever for her.  She has had a little bit of congestion, but not a whole lot.  She coughs, and also has a pressure on her chest like somebody had a hand on her chest.  She also has no energy at all, mainly been lying down and if she gets up and loads the dishwasher she is exhausted and has to lie down.  If she has to find her phone, she is short of breath and notices that she is breathing through her mouth and not her nose.  Her rib has gone out twice, and has to go back to the chiropractor a couple of times, and he said that those areas somehow are related to her rib.  She has had to sleep in her recliner as she feels better there.  She can't say whether she is worse, but she is not any better for sure.    She has not gone to her doctor, but she did call and asked about it and they told her that they had not heard of any adverse symptoms to the vaccine.  She does not normally take anything for pain and she has been taking Ibuprofen and seems to be doing OK.  When it becomes bedtime the symptoms get worse and that is why she has been taking the Ibuprofen and does not stay awake after taking that.  She also has lost weight during this time.  She finds it hard to want anything to eat, but has been trying to do 2 meals a day.  Sometimes it gets to be 7:30 or 8:00 and would find something to eat like cottage cheese or fruit.  She does not feel like cooking, and her husband will go get something, and she has a sensitivity to gluten and she is watching her diet really close due to her diabetes, and she cannot have a whole lot of stuff.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Dyspnoea, Fatigue, Feeling cold, Gluten sensitivity, Mobility decreased
Clinical narrative: She got her vaccine, felt OK.  A day or so later she felt soreness in her arm which she expected.  On 5/15/23 she felt like she was walking sideway and went to her chiropractor and sitting in the office before she saw him she started shaking uncontrollably from chills and could not get warm.  She was out of alignment from her head down to the base.  By the time she got home her fever was 99 and later that day went up to 101.  She still had chills in between and fever of 99 off and on.  Her normal temp is 96-97, so if she has 98-99 it's a fever for her.  She has had a little bit of congestion, but not a whole lot.  She coughs, and also has a pressure on her chest like somebody had a hand on her chest.  She also has no energy at all, mainly been lying down and if she gets up and loads the dishwasher she is exhausted and has to lie down.  If she has to find her phone, she is short of breath and notices that she is breathing through her mouth and not her nose.  Her rib has gone out twice, and has to go back to the chiropractor a couple of times, and he said that those areas somehow are related to her rib.  She has had to sleep in her recliner as she feels better there.  She can't say whether she is worse, but she is not any better for sure.    She has not gone to her doctor, but she did call and asked about it and they told her that they had not heard of any adverse symptoms to the vaccine.  She does not normally take anything for pain and she has been taking Ibuprofen and seems to be doing OK.  When it becomes bedtime the symptoms get worse and that is why she has been taking the Ibuprofen and does not stay awake after taking that.  She also has lost weight during this time.  She finds it hard to want anything to eat, but has been trying to do 2 meals a day.  Sometimes it gets to be 7:30 or 8:00 and would find something to eat like cottage cheese or fruit.  She does not feel like cooking, and her husband will go get something, and she has a sensitivity to gluten and she is watching her diet really close due to her diabetes, and she cannot have a whole lot of stuff.
Age: 77.0
Sex: F
Vaccine: PPV
Symptoms: Pyrexia, Respiratory tract congestion, Sleep disorder, Tremor, Weight decreased
Clinical narrative: She got her vaccine, felt OK.  A day or so later she felt soreness in her arm which she expected.  On 5/15/23 she felt like she was walking sideway and went to her chiropractor and sitting in the office before she saw him she started shaking uncontrollably from chills and could not get warm.  She was out of alignment from her head down to the base.  By the time she got home her fever was 99 and later that day went up to 101.  She still had chills in between and fever of 99 off and on.  Her normal temp is 96-97, so if she has 98-99 it's a fever for her.  She has had a little bit of congestion, but not a whole lot.  She coughs, and also has a pressure on her chest like somebody had a hand on her chest.  She also has no energy at all, mainly been lying down and if she gets up and loads the dishwasher she is exhausted and has to lie down.  If she has to find her phone, she is short of breath and notices that she is breathing through her mouth and not her nose.  Her rib has gone out twice, and has to go back to the chiropractor a couple of times, and he said that those areas somehow are related to her rib.  She has had to sleep in her recliner as she feels better there.  She can't say whether she is worse, but she is not any better for sure.    She has not gone to her doctor, but she did call and asked about it and they told her that they had not heard of any adverse symptoms to the vaccine.  She does not normally take anything for pain and she has been taking Ibuprofen and seems to be doing OK.  When it becomes bedtime the symptoms get worse and that is why she has been taking the Ibuprofen and does not stay awake after taking that.  She also has lost weight during this time.  She finds it hard to want anything to eat, but has been trying to do 2 meals a day.  Sometimes it gets to be 7:30 or 8:00 and would find something to eat like cottage cheese or fruit.  She does not feel like cooking, and her husband will go get something, and she has a sensitivity to gluten and she is watching her diet really close due to her diabetes, and she cannot have a whole lot of stuff.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Chronic respiratory failure, Respiratory failure
Clinical narrative: ACUTE RESPIRATORY FAILURE ACUTE HYPOXEMIC RESPIRATORY FAILURE ACUTE HYPERCAPNIC RESPIRATORY FAILURE CHRONIC HYPOXEMIC RESPIRATORY FAILURE ACUTE ON CHRONIC HYPOXEMIC RESPIRATORY FAILURE ACUTE ON CHRONIC HYPERCAPNIC RESPIRATORY FAILURE RESPIRATORY FAILURE, UNSPECIFIED ACUITY
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Diarrhoea, Feeding disorder, Influenza like illness
Clinical narrative: 3/4/23 I was working out at the gym and had to go to the bathroom and had diarrhea. For the rest of the day, I could not eat anything. I started drinking Pedialyte. On 3/6/23 I woke up nauseous and vomited. The main symptoms for several days were nausea, occasional vomiting and diarrhea. On 3/7/23 I tested positive with an at home COVID test. On 3/8/23, I had a telehealth appointment and was prescribed PAXLOVID and began taking it that day. On 3/9/23 I began having a stuffy head, congestion and flu symptoms. I no longer had nausea, vomiting or diarrhea. I got a really bad sore throat and a cough. I was taking over the counter medications along with the PAXLOVID. On 3/11/23, I felt better. I still had a cough and a little bit of a sore throat. I felt progressively felt better every day throughout the next week. The cough lingered until the end of the month.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test positive, Vomiting
Clinical narrative: 3/4/23 I was working out at the gym and had to go to the bathroom and had diarrhea. For the rest of the day, I could not eat anything. I started drinking Pedialyte. On 3/6/23 I woke up nauseous and vomited. The main symptoms for several days were nausea, occasional vomiting and diarrhea. On 3/7/23 I tested positive with an at home COVID test. On 3/8/23, I had a telehealth appointment and was prescribed PAXLOVID and began taking it that day. On 3/9/23 I began having a stuffy head, congestion and flu symptoms. I no longer had nausea, vomiting or diarrhea. I got a really bad sore throat and a cough. I was taking over the counter medications along with the PAXLOVID. On 3/11/23, I felt better. I still had a cough and a little bit of a sore throat. I felt progressively felt better every day throughout the next week. The cough lingered until the end of the month.
Age: 25.0
Sex: F
Vaccine: FLUC4
Symptoms: Urticaria
Clinical narrative: Patient reports developing hives the night/early morning following vaccination.
Age: 55.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Patient expired 5/25/2023.
Age: 76.0
Sex: M
Vaccine: PNC20
Symptoms: Extra dose administered
Clinical narrative: PT received 1 dose 5/20/23.  Received another dose 5/26/23
Age: 68.0
Sex: F
Vaccine: COVID19, COVID19-2
Symptoms: Anticoagulant therapy, Aortic aneurysm, Aortic valve calcification, Atrial enlargement, Atrial pressure increased
Clinical narrative: Patient reports no history of heart problems or history of cardiac symptoms.  She said she has not been under any recent stress.  Patient typically walks 6 miles every day.  On 05/12,  she went out for her normal walk.  She said about 4 miles into the walk, she noticed that her chest was feeling tight, but she continued.  They finished the walk.  She went home.  She took a shower.  She started to have some low back pain.  She said she continued to have some chest tightness.  She said that she had a phone call with the nurse about her recent bladder surgery, and while they were having that conversation, she mentioned the chest tightness and was told to go right away to the hospital.  They went to a HCF.  She said on the way to the HCF, her left arm went numb.  She said when she got to the emergency room, the chest pain was very severe and felt like there was a knife in her chest.  It looks like her initial troponin was 0, and then went up to 1.13.  D-dimer was negative.  Chest x-ray was normal.  EKG showed ST depression in leads 3 and possibly AVF.  She was given aspirin.  A heparin drip was started.  She was taken to the cath lab.  She had no coronary disease.  She had a transthoracic echo that was consistent with Takotsubo with an EF of 38%.  She was started on atorvastatin 40 a day, indomethacin 25 mg 3 a day.  Her carvedilol was stopped, and she was switched to metoprolol 12.5 a day.  They decreased her losartan from 50 a day to 12.5 a day.