chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain upper, Anaemia, Asymptomatic COVID-19, Chest pain
Clinical narrative: HPI:  Patient is a 61-year-old male with a history of essential hypertension, hyperlipidemia, OSA on CPAP and poorly controlled type 2 diabetes for which he is noncompliant with medications.  Patient states that over the past several days he has had vague epigastric and periumbilical pain which acutely worsened on Saturday.  The pain felt like hunger pain and he has been unable to eat since.  That was associated with generalized aches and pains, chills, subjective fever and decreased oral intake.  Interestingly enough patient is fully vaccinated against COVID-19.  His wife recently tested positive recently.  He presented to the emergency room  for the above complaints.  Other than tachycardia on presentation his vital signs were stable.  His symptoms and lab findings were consistent with DKA and he was started on an insulin drip and admitted to ICU at hospital.  DKA resolved quickly with treatment.  He is COVID PCR returned positive however he had minimal respiratory symptoms.  Hemoglobin on presentation was 10.4.   Admitted to the hospital patient was treated for DKA.  DKA resolved however patient hemoglobin dropped from 10.4 on admission to 6.1 the following morning.  He was transfused 2 units packed red blood cells however hemoglobin remained at 5.7 posttransfusion.  3 additional units were given and hemoglobin improved to 10 and has remained stable since.  EGD was done by GI showing a large necrotic mass in the duodenum.  No active bleeding identified during EGD.  Patient was subsequently transferred to another Hospital for further evaluation of necrotic mass in duodenum.  He will be evaluated by general surgery. DISCHARGE DIAGNOSES:   1.  Upper GI bleed secondary to duodenal ulcers 2.  Acute anemia secondary to GI bleed 3.  Hemorrhagic/hypovolemic shock from GI bleed  4 DKA on admission, resolved 5  COVID-19 positive, asymptomatic 6.  Leukocytosis, improved 7.  Atypical chest pain, resolved     HOSPITAL COURSE:   Patient 61 y.o. male, with a history of essential hypertension, hyperlipidemia, OSA on CPAP and poorly controlled type 2 diabetes, admitted with upper GI bleed, hemoglobin on admission was 6.1, s/p total 6 units of PRBCs transfusion.  Patient underwent EGD on 1/24/2022 with 3 nonbleeding duodenal ulcers.  Hemoglobin dropped from 9.5-7.7 with maroon stools, repeat EGD on 1/26 showed no mass lesion, no obvious malignancy.  Discontinued PTA aspirin which was placed for primary prevention of CV disease.  Patient has DKA on admission, resolved during hospital stay, resumed home regimen, adjust insulin outpatient as per blood sugars.  Patient is COVID-19 was positive, no symptoms.  Patient was stable at the time of discharge, hemoglobin was 8.3, no active bleeding noted.  Plan to discharge patient on PPI twice daily to home with outpatient PT, follow-up with GI as scheduled.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diabetic ketoacidosis, Duodenal ulcer, Faeces discoloured, Feeding disorder
Clinical narrative: HPI:  Patient is a 61-year-old male with a history of essential hypertension, hyperlipidemia, OSA on CPAP and poorly controlled type 2 diabetes for which he is noncompliant with medications.  Patient states that over the past several days he has had vague epigastric and periumbilical pain which acutely worsened on Saturday.  The pain felt like hunger pain and he has been unable to eat since.  That was associated with generalized aches and pains, chills, subjective fever and decreased oral intake.  Interestingly enough patient is fully vaccinated against COVID-19.  His wife recently tested positive recently.  He presented to the emergency room  for the above complaints.  Other than tachycardia on presentation his vital signs were stable.  His symptoms and lab findings were consistent with DKA and he was started on an insulin drip and admitted to ICU at hospital.  DKA resolved quickly with treatment.  He is COVID PCR returned positive however he had minimal respiratory symptoms.  Hemoglobin on presentation was 10.4.   Admitted to the hospital patient was treated for DKA.  DKA resolved however patient hemoglobin dropped from 10.4 on admission to 6.1 the following morning.  He was transfused 2 units packed red blood cells however hemoglobin remained at 5.7 posttransfusion.  3 additional units were given and hemoglobin improved to 10 and has remained stable since.  EGD was done by GI showing a large necrotic mass in the duodenum.  No active bleeding identified during EGD.  Patient was subsequently transferred to another Hospital for further evaluation of necrotic mass in duodenum.  He will be evaluated by general surgery. DISCHARGE DIAGNOSES:   1.  Upper GI bleed secondary to duodenal ulcers 2.  Acute anemia secondary to GI bleed 3.  Hemorrhagic/hypovolemic shock from GI bleed  4 DKA on admission, resolved 5  COVID-19 positive, asymptomatic 6.  Leukocytosis, improved 7.  Atypical chest pain, resolved     HOSPITAL COURSE:   Patient 61 y.o. male, with a history of essential hypertension, hyperlipidemia, OSA on CPAP and poorly controlled type 2 diabetes, admitted with upper GI bleed, hemoglobin on admission was 6.1, s/p total 6 units of PRBCs transfusion.  Patient underwent EGD on 1/24/2022 with 3 nonbleeding duodenal ulcers.  Hemoglobin dropped from 9.5-7.7 with maroon stools, repeat EGD on 1/26 showed no mass lesion, no obvious malignancy.  Discontinued PTA aspirin which was placed for primary prevention of CV disease.  Patient has DKA on admission, resolved during hospital stay, resumed home regimen, adjust insulin outpatient as per blood sugars.  Patient is COVID-19 was positive, no symptoms.  Patient was stable at the time of discharge, hemoglobin was 8.3, no active bleeding noted.  Plan to discharge patient on PPI twice daily to home with outpatient PT, follow-up with GI as scheduled.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Gastrointestinal necrosis, Haemoglobin decreased, Hypophagia, Hypovolaemic shock, Intensive care
Clinical narrative: HPI:  Patient is a 61-year-old male with a history of essential hypertension, hyperlipidemia, OSA on CPAP and poorly controlled type 2 diabetes for which he is noncompliant with medications.  Patient states that over the past several days he has had vague epigastric and periumbilical pain which acutely worsened on Saturday.  The pain felt like hunger pain and he has been unable to eat since.  That was associated with generalized aches and pains, chills, subjective fever and decreased oral intake.  Interestingly enough patient is fully vaccinated against COVID-19.  His wife recently tested positive recently.  He presented to the emergency room  for the above complaints.  Other than tachycardia on presentation his vital signs were stable.  His symptoms and lab findings were consistent with DKA and he was started on an insulin drip and admitted to ICU at hospital.  DKA resolved quickly with treatment.  He is COVID PCR returned positive however he had minimal respiratory symptoms.  Hemoglobin on presentation was 10.4.   Admitted to the hospital patient was treated for DKA.  DKA resolved however patient hemoglobin dropped from 10.4 on admission to 6.1 the following morning.  He was transfused 2 units packed red blood cells however hemoglobin remained at 5.7 posttransfusion.  3 additional units were given and hemoglobin improved to 10 and has remained stable since.  EGD was done by GI showing a large necrotic mass in the duodenum.  No active bleeding identified during EGD.  Patient was subsequently transferred to another Hospital for further evaluation of necrotic mass in duodenum.  He will be evaluated by general surgery. DISCHARGE DIAGNOSES:   1.  Upper GI bleed secondary to duodenal ulcers 2.  Acute anemia secondary to GI bleed 3.  Hemorrhagic/hypovolemic shock from GI bleed  4 DKA on admission, resolved 5  COVID-19 positive, asymptomatic 6.  Leukocytosis, improved 7.  Atypical chest pain, resolved     HOSPITAL COURSE:   Patient 61 y.o. male, with a history of essential hypertension, hyperlipidemia, OSA on CPAP and poorly controlled type 2 diabetes, admitted with upper GI bleed, hemoglobin on admission was 6.1, s/p total 6 units of PRBCs transfusion.  Patient underwent EGD on 1/24/2022 with 3 nonbleeding duodenal ulcers.  Hemoglobin dropped from 9.5-7.7 with maroon stools, repeat EGD on 1/26 showed no mass lesion, no obvious malignancy.  Discontinued PTA aspirin which was placed for primary prevention of CV disease.  Patient has DKA on admission, resolved during hospital stay, resumed home regimen, adjust insulin outpatient as per blood sugars.  Patient is COVID-19 was positive, no symptoms.  Patient was stable at the time of discharge, hemoglobin was 8.3, no active bleeding noted.  Plan to discharge patient on PPI twice daily to home with outpatient PT, follow-up with GI as scheduled.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Intestinal mass, Leukocytosis, Oesophagogastroduodenoscopy abnormal, Packed red blood cell transfusion, Pain
Clinical narrative: HPI:  Patient is a 61-year-old male with a history of essential hypertension, hyperlipidemia, OSA on CPAP and poorly controlled type 2 diabetes for which he is noncompliant with medications.  Patient states that over the past several days he has had vague epigastric and periumbilical pain which acutely worsened on Saturday.  The pain felt like hunger pain and he has been unable to eat since.  That was associated with generalized aches and pains, chills, subjective fever and decreased oral intake.  Interestingly enough patient is fully vaccinated against COVID-19.  His wife recently tested positive recently.  He presented to the emergency room  for the above complaints.  Other than tachycardia on presentation his vital signs were stable.  His symptoms and lab findings were consistent with DKA and he was started on an insulin drip and admitted to ICU at hospital.  DKA resolved quickly with treatment.  He is COVID PCR returned positive however he had minimal respiratory symptoms.  Hemoglobin on presentation was 10.4.   Admitted to the hospital patient was treated for DKA.  DKA resolved however patient hemoglobin dropped from 10.4 on admission to 6.1 the following morning.  He was transfused 2 units packed red blood cells however hemoglobin remained at 5.7 posttransfusion.  3 additional units were given and hemoglobin improved to 10 and has remained stable since.  EGD was done by GI showing a large necrotic mass in the duodenum.  No active bleeding identified during EGD.  Patient was subsequently transferred to another Hospital for further evaluation of necrotic mass in duodenum.  He will be evaluated by general surgery. DISCHARGE DIAGNOSES:   1.  Upper GI bleed secondary to duodenal ulcers 2.  Acute anemia secondary to GI bleed 3.  Hemorrhagic/hypovolemic shock from GI bleed  4 DKA on admission, resolved 5  COVID-19 positive, asymptomatic 6.  Leukocytosis, improved 7.  Atypical chest pain, resolved     HOSPITAL COURSE:   Patient 61 y.o. male, with a history of essential hypertension, hyperlipidemia, OSA on CPAP and poorly controlled type 2 diabetes, admitted with upper GI bleed, hemoglobin on admission was 6.1, s/p total 6 units of PRBCs transfusion.  Patient underwent EGD on 1/24/2022 with 3 nonbleeding duodenal ulcers.  Hemoglobin dropped from 9.5-7.7 with maroon stools, repeat EGD on 1/26 showed no mass lesion, no obvious malignancy.  Discontinued PTA aspirin which was placed for primary prevention of CV disease.  Patient has DKA on admission, resolved during hospital stay, resumed home regimen, adjust insulin outpatient as per blood sugars.  Patient is COVID-19 was positive, no symptoms.  Patient was stable at the time of discharge, hemoglobin was 8.3, no active bleeding noted.  Plan to discharge patient on PPI twice daily to home with outpatient PT, follow-up with GI as scheduled.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Respiratory symptom, SARS-CoV-2 test positive, Shock haemorrhagic, Tachycardia
Clinical narrative: HPI:  Patient is a 61-year-old male with a history of essential hypertension, hyperlipidemia, OSA on CPAP and poorly controlled type 2 diabetes for which he is noncompliant with medications.  Patient states that over the past several days he has had vague epigastric and periumbilical pain which acutely worsened on Saturday.  The pain felt like hunger pain and he has been unable to eat since.  That was associated with generalized aches and pains, chills, subjective fever and decreased oral intake.  Interestingly enough patient is fully vaccinated against COVID-19.  His wife recently tested positive recently.  He presented to the emergency room  for the above complaints.  Other than tachycardia on presentation his vital signs were stable.  His symptoms and lab findings were consistent with DKA and he was started on an insulin drip and admitted to ICU at hospital.  DKA resolved quickly with treatment.  He is COVID PCR returned positive however he had minimal respiratory symptoms.  Hemoglobin on presentation was 10.4.   Admitted to the hospital patient was treated for DKA.  DKA resolved however patient hemoglobin dropped from 10.4 on admission to 6.1 the following morning.  He was transfused 2 units packed red blood cells however hemoglobin remained at 5.7 posttransfusion.  3 additional units were given and hemoglobin improved to 10 and has remained stable since.  EGD was done by GI showing a large necrotic mass in the duodenum.  No active bleeding identified during EGD.  Patient was subsequently transferred to another Hospital for further evaluation of necrotic mass in duodenum.  He will be evaluated by general surgery. DISCHARGE DIAGNOSES:   1.  Upper GI bleed secondary to duodenal ulcers 2.  Acute anemia secondary to GI bleed 3.  Hemorrhagic/hypovolemic shock from GI bleed  4 DKA on admission, resolved 5  COVID-19 positive, asymptomatic 6.  Leukocytosis, improved 7.  Atypical chest pain, resolved     HOSPITAL COURSE:   Patient 61 y.o. male, with a history of essential hypertension, hyperlipidemia, OSA on CPAP and poorly controlled type 2 diabetes, admitted with upper GI bleed, hemoglobin on admission was 6.1, s/p total 6 units of PRBCs transfusion.  Patient underwent EGD on 1/24/2022 with 3 nonbleeding duodenal ulcers.  Hemoglobin dropped from 9.5-7.7 with maroon stools, repeat EGD on 1/26 showed no mass lesion, no obvious malignancy.  Discontinued PTA aspirin which was placed for primary prevention of CV disease.  Patient has DKA on admission, resolved during hospital stay, resumed home regimen, adjust insulin outpatient as per blood sugars.  Patient is COVID-19 was positive, no symptoms.  Patient was stable at the time of discharge, hemoglobin was 8.3, no active bleeding noted.  Plan to discharge patient on PPI twice daily to home with outpatient PT, follow-up with GI as scheduled.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Upper gastrointestinal haemorrhage
Clinical narrative: HPI:  Patient is a 61-year-old male with a history of essential hypertension, hyperlipidemia, OSA on CPAP and poorly controlled type 2 diabetes for which he is noncompliant with medications.  Patient states that over the past several days he has had vague epigastric and periumbilical pain which acutely worsened on Saturday.  The pain felt like hunger pain and he has been unable to eat since.  That was associated with generalized aches and pains, chills, subjective fever and decreased oral intake.  Interestingly enough patient is fully vaccinated against COVID-19.  His wife recently tested positive recently.  He presented to the emergency room  for the above complaints.  Other than tachycardia on presentation his vital signs were stable.  His symptoms and lab findings were consistent with DKA and he was started on an insulin drip and admitted to ICU at hospital.  DKA resolved quickly with treatment.  He is COVID PCR returned positive however he had minimal respiratory symptoms.  Hemoglobin on presentation was 10.4.   Admitted to the hospital patient was treated for DKA.  DKA resolved however patient hemoglobin dropped from 10.4 on admission to 6.1 the following morning.  He was transfused 2 units packed red blood cells however hemoglobin remained at 5.7 posttransfusion.  3 additional units were given and hemoglobin improved to 10 and has remained stable since.  EGD was done by GI showing a large necrotic mass in the duodenum.  No active bleeding identified during EGD.  Patient was subsequently transferred to another Hospital for further evaluation of necrotic mass in duodenum.  He will be evaluated by general surgery. DISCHARGE DIAGNOSES:   1.  Upper GI bleed secondary to duodenal ulcers 2.  Acute anemia secondary to GI bleed 3.  Hemorrhagic/hypovolemic shock from GI bleed  4 DKA on admission, resolved 5  COVID-19 positive, asymptomatic 6.  Leukocytosis, improved 7.  Atypical chest pain, resolved     HOSPITAL COURSE:   Patient 61 y.o. male, with a history of essential hypertension, hyperlipidemia, OSA on CPAP and poorly controlled type 2 diabetes, admitted with upper GI bleed, hemoglobin on admission was 6.1, s/p total 6 units of PRBCs transfusion.  Patient underwent EGD on 1/24/2022 with 3 nonbleeding duodenal ulcers.  Hemoglobin dropped from 9.5-7.7 with maroon stools, repeat EGD on 1/26 showed no mass lesion, no obvious malignancy.  Discontinued PTA aspirin which was placed for primary prevention of CV disease.  Patient has DKA on admission, resolved during hospital stay, resumed home regimen, adjust insulin outpatient as per blood sugars.  Patient is COVID-19 was positive, no symptoms.  Patient was stable at the time of discharge, hemoglobin was 8.3, no active bleeding noted.  Plan to discharge patient on PPI twice daily to home with outpatient PT, follow-up with GI as scheduled.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Blood test, Chest discomfort, Dyspnoea
Clinical narrative: Tecived Pfizer booster after inital treatment with Janssen vaccine on 4/3/2021. Upon recieving the Pfizer booster on 1/28 began experiencing adverse symptoms.Tightness in chest. Cramping in upper right chest and back/shoulder pain. Tires easily and finds self out of breath quickly.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Fatigue, Interchange of vaccine products, Magnetic resonance imaging, Muscle spasms
Clinical narrative: Tecived Pfizer booster after inital treatment with Janssen vaccine on 4/3/2021. Upon recieving the Pfizer booster on 1/28 began experiencing adverse symptoms.Tightness in chest. Cramping in upper right chest and back/shoulder pain. Tires easily and finds self out of breath quickly.
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative
Clinical narrative: Tecived Pfizer booster after inital treatment with Janssen vaccine on 4/3/2021. Upon recieving the Pfizer booster on 1/28 began experiencing adverse symptoms.Tightness in chest. Cramping in upper right chest and back/shoulder pain. Tires easily and finds self out of breath quickly.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Cardiac stress test, Catheterisation cardiac, Chest discomfort, Chest pain, Computerised tomogram thorax abnormal
Clinical narrative: Woke up on 10/12. Didn't feel well.  Increased to intense chest pain and shortness of breath. Went to local emergency room.  Was admitted for chest pain and mass found in chest on CT scan.  Mass is thymic cyst. Continue to have chest pain/pressure and shortness of breath till present.  Has decreased in intensity as time has gone on. Was out of work for 2 months.  Returned on restricted/limited duty. Treatment has included pain medication, rest, muscle relaxers, ibuprofen, steroids.  Have had mutiple tests with no cause found.  currently undergoing physical therapy.. Truly not sure if this is related to my vaccine and marked as no  on smartphone based tool check in.  Filled out form after phone call from CDC smartphone based tool received in 1/31/2022
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram, Impaired work ability, Magnetic resonance imaging, Malaise
Clinical narrative: Woke up on 10/12. Didn't feel well.  Increased to intense chest pain and shortness of breath. Went to local emergency room.  Was admitted for chest pain and mass found in chest on CT scan.  Mass is thymic cyst. Continue to have chest pain/pressure and shortness of breath till present.  Has decreased in intensity as time has gone on. Was out of work for 2 months.  Returned on restricted/limited duty. Treatment has included pain medication, rest, muscle relaxers, ibuprofen, steroids.  Have had mutiple tests with no cause found.  currently undergoing physical therapy.. Truly not sure if this is related to my vaccine and marked as no  on smartphone based tool check in.  Filled out form after phone call from CDC smartphone based tool received in 1/31/2022
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Mass, Oesophagogastroduodenoscopy, Pulmonary function test, Thymic cyst
Clinical narrative: Woke up on 10/12. Didn't feel well.  Increased to intense chest pain and shortness of breath. Went to local emergency room.  Was admitted for chest pain and mass found in chest on CT scan.  Mass is thymic cyst. Continue to have chest pain/pressure and shortness of breath till present.  Has decreased in intensity as time has gone on. Was out of work for 2 months.  Returned on restricted/limited duty. Treatment has included pain medication, rest, muscle relaxers, ibuprofen, steroids.  Have had mutiple tests with no cause found.  currently undergoing physical therapy.. Truly not sure if this is related to my vaccine and marked as no  on smartphone based tool check in.  Filled out form after phone call from CDC smartphone based tool received in 1/31/2022
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Magnetic resonance imaging, Paraesthesia, Ultrasound scan
Clinical narrative: NUMBNESS TINGLING FEELING FROM LEFT ARM TO CHEEK, AND JAN 24, STAYING ON BABY ASPIRIN.
Age: 92.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus node dysfunction
Clinical narrative: Sick sinus syndrome. ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: It started with itching all over even when when sleeping.  Then, developed hives and a rash on his hand. Then on day 6th, he had hives on the truck of his body and the itching was still continuing.  I went to his pediatrician and told me to give him Claritin for a month.  If he skips a dose of the medicine, the hives and itching will come back.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Chest discomfort, Dizziness, Electrocardiogram
Clinical narrative: Pins and needles in left arm, cramping in chest, dizzy, and nauseous.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Paraesthesia
Clinical narrative: Pins and needles in left arm, cramping in chest, dizzy, and nauseous.
Age: 63.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Productive cough
Clinical narrative: Symptom onset on 1/24/22 with productive cough, weakness, and decreased energy and strength.  Treatment includes Oxygen.
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Computerised tomogram thorax abnormal, Dyspnoea, Electrocardiogram, Heart rate irregular, Pain in extremity
Clinical narrative: Fourth day after booster Shortness of breath, pounding and racing heart, sore calf.   Irregular heartbeat.  Hospitalized
Age: 76.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Palpitations, Pulmonary thrombosis, Ultrasound scan
Clinical narrative: Fourth day after booster Shortness of breath, pounding and racing heart, sore calf.   Irregular heartbeat.  Hospitalized
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: COVID vaccine Lot 33025BD, removed by Agency from freezer 12-17-21 at 930am, administered to patient at Baseline Primary Care on 1-17-2022 after 930am. NO adv rx from pt
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Dose #1 was administered at the correct dose.  Dose #2 was administered at the incorrect dose (the vaccine for 5-11 yo was given to a 12 year old child).
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Eyelid function disorder, Facial paralysis, Herpes zoster oticus
Clinical narrative: DIAGNOSED WITH BELLS PALSY VS. RAMSAY HUNT SYNDROME. MY FACE IS PARALYZED ON THE RIGHT SIDE AND I CANNOT CLOSE MY RIGHT EYE.  NO KNOWN TREATMENT.
Age: 98.0
Sex: M
Vaccine: COVID19
Symptoms: Pleuritic pain
Clinical narrative: Pleuritic chest pain. ED visit to hospital admission. This visit was within 6 weeks of receiving the COVID vaccine.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Asthenia, Decreased appetite, Dyspnoea, Dyspnoea exertional, Fatigue
Clinical narrative: Pt has COPD and is on 3L NC with former tobacco dependence.  She has had increased shortness of breath with activity, fatigue, generalized weakness, and loss of appetite.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Cholecystitis acute, Cholecystostomy, SARS-CoV-2 test positive
Clinical narrative: Hospitalized 01/24/2022; COVID-19 positive 01/24/2022; fully vaccinated plus booster   Admission Date: 1/24/2022 Discharge Date: 1/28/2022 PRESENTING PROBLEM: Acute cholecystitis [K81.0] Cholecystitis, acute [K81.0] COVID-19 [U07.1]   HOSPITAL COURSE: Patient is an 82 year old female with a PMH of HTN and DM who presented to the ED on 1/25/2022 with acute cholecystitis. Of note, the patient tested positive for COVID-19 on 1/24/2022, which was managed conservatively while inpatient given her lack of supplemental oxygen requirements. Patient underwent cholecystostomy tube placement on 1/26/22, which was tolerated well. At the time of discharge, patient was tolerating po intake, voiding spontaneously and ambulating without difficulty. Discharge instructions were provided; all questions and concerns were addressed. Patient was discharged home in stable condition.
Age: 1.5
Sex: F
Vaccine: HEP
Symptoms: Epistaxis, Irritability, Pain in extremity, Screaming, Sleep disorder
Clinical narrative: Nose bleed. Disrupted sleep. Screaming. Fussing. Leg pain.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Hot flush
Clinical narrative: Hot Flashes, Fatigue
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Feeling abnormal, Feeling cold, Hypoaesthesia, Immediate post-injection reaction
Clinical narrative: I had a weird cool, numb, and weird sensation going through my arm and into my neck and lips right after receiving the vaccination. My neck and chest to my sternum was numb. It was aching all while I was in class that day and until I got home. The numbness spread through my arm and legs. I called my doctor who informed me to contact local Pharmacy. Pharmacy informed to take Benadryl in case I was having an allergic reaction to the vaccine and if persisted to go to urgent care. The Benadryl helped reduce the redness and soreness, but the numbness was still there. So I went to local Urgent Care on 01/27/2022, and the doctor who saw me didn't want to administer anything because he didn't want make it worse, I but emphasized I didn't want the problem to get worse and become a respiratory problem. So the doctor at urgent care prescribed me Solu-Medrol and to continue taking Benadryl. I'm still taking to both prescriptions until my doctor's appointment tomorrow, 02/01/2022.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Sensory disturbance
Clinical narrative: I had a weird cool, numb, and weird sensation going through my arm and into my neck and lips right after receiving the vaccination. My neck and chest to my sternum was numb. It was aching all while I was in class that day and until I got home. The numbness spread through my arm and legs. I called my doctor who informed me to contact local Pharmacy. Pharmacy informed to take Benadryl in case I was having an allergic reaction to the vaccine and if persisted to go to urgent care. The Benadryl helped reduce the redness and soreness, but the numbness was still there. So I went to local Urgent Care on 01/27/2022, and the doctor who saw me didn't want to administer anything because he didn't want make it worse, I but emphasized I didn't want the problem to get worse and become a respiratory problem. So the doctor at urgent care prescribed me Solu-Medrol and to continue taking Benadryl. I'm still taking to both prescriptions until my doctor's appointment tomorrow, 02/01/2022.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Immunisation, Product preparation issue
Clinical narrative: Patient received a dose that had been diluted with sodium chloride by mistake. The new vials do not need dilution. Pt returned for another 1st dose.
Age: 63.0
Sex: F
Vaccine: VARZOS
Symptoms: Burning sensation, Injection site erythema
Clinical narrative: Client reported burning sensation starting in arm vaccine given on 1/8/22. By 1/9/22 she developed some redness on her Lt deltoid. By 1/10/22 the redness increased and she presented to clinic to have it evaluated. RN observed erythematous area across upper lt deltoid measuring 120x150mm with lacy edges. Not warm to touch. No induration noted. Client did not apply any cold or take any medication to alleve symptoms.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Anaemia of pregnancy, Anticoagulant therapy, COVID-19, COVID-19 pneumonia, Chest X-ray abnormal
Clinical narrative: OB/GYN NOTE:    HOSPITAL DAY #3   Patient is a 29 year old female, G5 P0222, with IUP at 25.5 weeks gestation.  She was admitted with worsening shortness of breath.  She developed diarrhea 2 days prior to admisstion, followed by fever (up to 101.6), body aches and headaches.  Her COVID testing upon presentation was positive.  She was vaccinated in May and June with the Moderna vaccine, but she did not have the booster dose.  While hospitalized, she has needed O2 for maintaining her O2 Sats.  She has required Acetomenophen, Ibuprofen, and Vicodin.  She was started on Heparin.  She has also been started on Solu-medrol.   Due to the CXR showing "questionable minimal patchy opacities in the rigth mid to lower lung," she was started on Zithromax and Amoxicillin.   Her pregnancy has been complicated by the COVID pneumonia, anemia in pregnancy, Cholestasis of pregnancy and chronic hypertension.    Plan I have been discussing the patient's care with the RNs and Dr.  Due to her requiring supplemental O2, Solu-medrol, she needs a higher level of care.  The nurse supervisor has located an available bed at hospital.  I called hospital L&D and they are aware of patient and patient will be going to the ICU with perinatal services.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Cholestasis of pregnancy, Complication of pregnancy, Diarrhoea, Dyspnoea, Exposure during pregnancy
Clinical narrative: OB/GYN NOTE:    HOSPITAL DAY #3   Patient is a 29 year old female, G5 P0222, with IUP at 25.5 weeks gestation.  She was admitted with worsening shortness of breath.  She developed diarrhea 2 days prior to admisstion, followed by fever (up to 101.6), body aches and headaches.  Her COVID testing upon presentation was positive.  She was vaccinated in May and June with the Moderna vaccine, but she did not have the booster dose.  While hospitalized, she has needed O2 for maintaining her O2 Sats.  She has required Acetomenophen, Ibuprofen, and Vicodin.  She was started on Heparin.  She has also been started on Solu-medrol.   Due to the CXR showing "questionable minimal patchy opacities in the rigth mid to lower lung," she was started on Zithromax and Amoxicillin.   Her pregnancy has been complicated by the COVID pneumonia, anemia in pregnancy, Cholestasis of pregnancy and chronic hypertension.    Plan I have been discussing the patient's care with the RNs and Dr.  Due to her requiring supplemental O2, Solu-medrol, she needs a higher level of care.  The nurse supervisor has located an available bed at hospital.  I called hospital L&D and they are aware of patient and patient will be going to the ICU with perinatal services.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypertension, Pain, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: OB/GYN NOTE:    HOSPITAL DAY #3   Patient is a 29 year old female, G5 P0222, with IUP at 25.5 weeks gestation.  She was admitted with worsening shortness of breath.  She developed diarrhea 2 days prior to admisstion, followed by fever (up to 101.6), body aches and headaches.  Her COVID testing upon presentation was positive.  She was vaccinated in May and June with the Moderna vaccine, but she did not have the booster dose.  While hospitalized, she has needed O2 for maintaining her O2 Sats.  She has required Acetomenophen, Ibuprofen, and Vicodin.  She was started on Heparin.  She has also been started on Solu-medrol.   Due to the CXR showing "questionable minimal patchy opacities in the rigth mid to lower lung," she was started on Zithromax and Amoxicillin.   Her pregnancy has been complicated by the COVID pneumonia, anemia in pregnancy, Cholestasis of pregnancy and chronic hypertension.    Plan I have been discussing the patient's care with the RNs and Dr.  Due to her requiring supplemental O2, Solu-medrol, she needs a higher level of care.  The nurse supervisor has located an available bed at hospital.  I called hospital L&D and they are aware of patient and patient will be going to the ICU with perinatal services.
Age: 26.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Exposure during pregnancy, Laboratory test
Clinical narrative: Pt states she had a cough a couple of days ago, but no known exposure.  Pt was admitted to labor and delivery and tested there.
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urine present, Culture urine negative, Exposure during pregnancy, Haematuria, Vaginal haemorrhage
Clinical narrative: I'm not completely sure if it is related, but no one could figure out why this happened. I am 37 weeks 2 days pregnant as of today, and yesterday I was treated in labor and delivery  for spotting. When my urine was examined I had no bacteria, but I had a large amount of blood in it. So no infection but gross hematuria (51-100 hpf)
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Mobility decreased, Pain, Pain in extremity
Clinical narrative: Pain to left arm. Unable to lift left arm due to pain after receiving vaccine.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Angina pectoris, Blood test, Chest pain, Electrocardiogram, Heart rate increased
Clinical narrative: Chest pain, heartache, very fast heart beat
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: covid-19 illness
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Discomfort, Dizziness, Hypoaesthesia, Impaired driving ability, Impaired work ability
Clinical narrative: Experienced dizziness and blurry vision, was unable to operate vehicle to home post first dose. Same side effect of extreme dizziness occurred after second vaccination dose. Pharmacist on duty performed 30mins of monitoring post second dose.  Additionally, within two weeks post second dose- developed bilateral nerve pain along arms down to hands and numbness/tingling in fingers. To date I have unresolved neuropathic changes and loss of sensation in my fingers and hands. There have also been periodic small blood spots appearing in the fingertips or palm of hands measuring  1-3mm that resolve within a few hours. The nerve pain causes much discomfort during work or normal daily activities, such as during sleep. The loss of touch sensation makes small activities such as typing or picking up items difficult.  Often the pain comes acutely and sharply, equivalent to the feeling of sharp pins radiating down the arm and at finger points.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Loss of personal independence in daily activities, Nervous system disorder, Neuralgia, Pain, Pain in extremity
Clinical narrative: Experienced dizziness and blurry vision, was unable to operate vehicle to home post first dose. Same side effect of extreme dizziness occurred after second vaccination dose. Pharmacist on duty performed 30mins of monitoring post second dose.  Additionally, within two weeks post second dose- developed bilateral nerve pain along arms down to hands and numbness/tingling in fingers. To date I have unresolved neuropathic changes and loss of sensation in my fingers and hands. There have also been periodic small blood spots appearing in the fingertips or palm of hands measuring  1-3mm that resolve within a few hours. The nerve pain causes much discomfort during work or normal daily activities, such as during sleep. The loss of touch sensation makes small activities such as typing or picking up items difficult.  Often the pain comes acutely and sharply, equivalent to the feeling of sharp pins radiating down the arm and at finger points.
Age: 39.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia, Purpura, Sensory loss, Sleep disorder, Vision blurred
Clinical narrative: Experienced dizziness and blurry vision, was unable to operate vehicle to home post first dose. Same side effect of extreme dizziness occurred after second vaccination dose. Pharmacist on duty performed 30mins of monitoring post second dose.  Additionally, within two weeks post second dose- developed bilateral nerve pain along arms down to hands and numbness/tingling in fingers. To date I have unresolved neuropathic changes and loss of sensation in my fingers and hands. There have also been periodic small blood spots appearing in the fingertips or palm of hands measuring  1-3mm that resolve within a few hours. The nerve pain causes much discomfort during work or normal daily activities, such as during sleep. The loss of touch sensation makes small activities such as typing or picking up items difficult.  Often the pain comes acutely and sharply, equivalent to the feeling of sharp pins radiating down the arm and at finger points.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Employee tested every other day d/t spouse/child being positive for Covid. Today's test was positive, employee sent home to quarantine.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: I got shingles on Sept 18th. I went a walk-in clinic and they just looked at it. They said it was shingles.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Superficial vein thrombosis, Ultrasound scan
Clinical narrative: Superficial vein thrombosis greater than 5cm in left lower extremity.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dizziness, Gait disturbance, SARS-CoV-2 test positive
Clinical narrative: Patient came to ER for dizziness and unsteady gait. Patient was found to be COVID-19 positive.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: Covid-19 illness.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Breakthrough COVID 19 hospitalization in fully vaccinated patient with primary 2 dose series.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Death, Pulmonary embolism, SARS-CoV-2 test positive
Clinical narrative: Breakthrough COVID 19 hospitalization in fully vaccinated patient with primary 2 dose series.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Joint swelling, Peripheral swelling, Swelling, Swelling face
Clinical narrative: Face, neck, arm, elbow, back, and knees became swollen. Went to the dr. and referred her to a hematologist due to her white blood cells count was very high.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: Face, neck, arm, elbow, back, and knees became swollen. Went to the dr. and referred her to a hematologist due to her white blood cells count was very high.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Burning sensation, Chest discomfort, Chest pain, Chills
Clinical narrative: After 2nd vaccine, I became very ill with fever, chills for 2 days and it tapered off. I felt terrible. A week later I immediately had shortness of breath with extreme chest congestion. Walking 50 yards would take all of my energy. Recovered after 4 months. I saw multiple doctors. Urgent Clinic was the first provider I saw when the event started. I was having a lot of body aches during this time frame. I referred to it as a flare up as I would get 90% over this and then fall back into it again. The body aches were extreme and my chest felt like it was burning for an entire year. I still have the feeling as well. I was having burning in my kidneys so I went to a urologist. I have run so many test and the doctors still have been unable to determine why I am having these symptoms. The burning sensation in my kidneys did go away. The symptoms would feel like a UTI but eventually went away. I still have shortness of breath also. I been sick twice since the summer and it was pretty severe.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Feeling abnormal, Illness, Magnetic resonance imaging, Pain
Clinical narrative: After 2nd vaccine, I became very ill with fever, chills for 2 days and it tapered off. I felt terrible. A week later I immediately had shortness of breath with extreme chest congestion. Walking 50 yards would take all of my energy. Recovered after 4 months. I saw multiple doctors. Urgent Clinic was the first provider I saw when the event started. I was having a lot of body aches during this time frame. I referred to it as a flare up as I would get 90% over this and then fall back into it again. The body aches were extreme and my chest felt like it was burning for an entire year. I still have the feeling as well. I was having burning in my kidneys so I went to a urologist. I have run so many test and the doctors still have been unable to determine why I am having these symptoms. The burning sensation in my kidneys did go away. The symptoms would feel like a UTI but eventually went away. I still have shortness of breath also. I been sick twice since the summer and it was pretty severe.
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: After 2nd vaccine, I became very ill with fever, chills for 2 days and it tapered off. I felt terrible. A week later I immediately had shortness of breath with extreme chest congestion. Walking 50 yards would take all of my energy. Recovered after 4 months. I saw multiple doctors. Urgent Clinic was the first provider I saw when the event started. I was having a lot of body aches during this time frame. I referred to it as a flare up as I would get 90% over this and then fall back into it again. The body aches were extreme and my chest felt like it was burning for an entire year. I still have the feeling as well. I was having burning in my kidneys so I went to a urologist. I have run so many test and the doctors still have been unable to determine why I am having these symptoms. The burning sensation in my kidneys did go away. The symptoms would feel like a UTI but eventually went away. I still have shortness of breath also. I been sick twice since the summer and it was pretty severe.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Arrhythmia, Condition aggravated, Electrocardiogram normal, Electroencephalogram abnormal, Seizure
Clinical narrative: History of epilepsy associated with SCN1a mutation in childhood but reportedly no seizures in 10 years. Patient and family report changes within 24 hours that have been interpreted as probable seizures, recurrent for 4-5 months after vaccination. As of 1/31/2022 all has resolved.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Eye swelling, Joint swelling, Lip swelling, Peripheral swelling, Pharyngeal swelling
Clinical narrative: Moderna Covid-19 Vaccine EUA Patient reported swelling of lips, eyes, hands, throat and ankles along with some hives and itching.  These episodes would last 1-2 hours and persisted over the next 6 weeks.  They resolved somewhat when given prednisone and famotidine.  Patient reports some episodes are still ongoing but much less common than before
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Moderna Covid-19 Vaccine EUA Patient reported swelling of lips, eyes, hands, throat and ankles along with some hives and itching.  These episodes would last 1-2 hours and persisted over the next 6 weeks.  They resolved somewhat when given prednisone and famotidine.  Patient reports some episodes are still ongoing but much less common than before
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody negative, Arthralgia, Mobility decreased, Oedema peripheral, Pain in extremity
Clinical narrative: It started with transient joint pain, hands, knees, and feet. Developed severe pedal edema. Within 2 weeks, I went from being active and able to do most anything, to not being able to do anything. Was prescribed Advil and topical pain ointment. Did nothing. Sept. 7, prednisone was prescribed. It helped with inflammation, but when I came off, it came back faster and worse than ever. Saw rheumatologist on Nov. 1.  He said he'd never seen RA come on that fast. 8/23 ANA and RA negative. 10/1 RA 236.8.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Rheumatoid arthritis, Rheumatoid factor increased, Rheumatoid factor negative
Clinical narrative: It started with transient joint pain, hands, knees, and feet. Developed severe pedal edema. Within 2 weeks, I went from being active and able to do most anything, to not being able to do anything. Was prescribed Advil and topical pain ointment. Did nothing. Sept. 7, prednisone was prescribed. It helped with inflammation, but when I came off, it came back faster and worse than ever. Saw rheumatologist on Nov. 1.  He said he'd never seen RA come on that fast. 8/23 ANA and RA negative. 10/1 RA 236.8.
Age: 11.0
Sex: M
Vaccine: DTAP
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: I circled the wrong vaccine needed when coworker told me about it and administered DTAP instead of TDAP.  Immunization will be counted as adolescent booster, no need to give TDAP at the time.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: No s/s as of 1/31/22
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Chills, Condition aggravated, Fatigue, Full blood count
Clinical narrative: The evening after her vaccination, pt developed chills, possible fever but didn't check temperature.  The following morning she felt weak, achy, fatigued and vomited x 1.  Temp of 99 that day, continued to have chills.  Developed bulky left axillary lymphadenopathy on 1/9, "size of an ice cream scoop".  Injection site redness up to 4x6 inches which gradually improved.  Symptoms improved by 1/13/22 other than lymphadenopathy.  I saw her in clinic on 1/22 and she reported feeling nearly back to her baseline, still slightly more tired than usual and had had two nights of night sweats, but had ongoing bulky left axillary lymphadenopathy measuring  about 4cm x 7cm - firm, non-tender, mobile node.   Of note, the patient had a similar reaction after her second dose of Moderna  vaccine during her primary series, and her lymphadenopathy lasted 6 weeks that time.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Interchange of vaccine products, Lymphadenopathy, Night sweats, Pain
Clinical narrative: The evening after her vaccination, pt developed chills, possible fever but didn't check temperature.  The following morning she felt weak, achy, fatigued and vomited x 1.  Temp of 99 that day, continued to have chills.  Developed bulky left axillary lymphadenopathy on 1/9, "size of an ice cream scoop".  Injection site redness up to 4x6 inches which gradually improved.  Symptoms improved by 1/13/22 other than lymphadenopathy.  I saw her in clinic on 1/22 and she reported feeling nearly back to her baseline, still slightly more tired than usual and had had two nights of night sweats, but had ongoing bulky left axillary lymphadenopathy measuring  about 4cm x 7cm - firm, non-tender, mobile node.   Of note, the patient had a similar reaction after her second dose of Moderna  vaccine during her primary series, and her lymphadenopathy lasted 6 weeks that time.