chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood chloride normal, Blood glucose normal, Blood lactic acid, Blood potassium decreased, Blood urea normal
Clinical narrative: BRIEF OVERVIEW: Primary Care Provider at Discharge: DO Admission Date: 5/5/2021 Discharge Date:5/6/2021    Active Hospital Problems   Diagnosis Date Noted POA ? Essential hypertension 05/06/2021 Yes ? Pulmonary embolism on right (HCC) 05/05/2021 Yes ? Right flank pain 05/05/2021 Yes ? Hypokalemia 05/05/2021 Yes ? Uncomplicated alcohol dependence (HCC) 05/05/2021 Yes   Resolved Hospital Problems No resolved problems to display.   CONSULTS: None    INPATIENT PROCEDURES: None   DETAILS OF HOSPITAL STAY:   PRESENTING PROBLEM: Patient is a 83 y.o. male with Hx of HTN who presents today with complaint of right sided flank pain, with radiations into the right side of his back and right side of his chest. The pain is worse with movement and deep inspiration. He denies palpitations and shortness of breath. He has no previous HX of VTE. He denies fever, chills, cough, nasal congestion, and sore throat. He denies abdominal pain, N/V, and changes in bowel movements. The patient is a limited historian. He is oriented x4 on admission, but states that he has had difficulty with his memory over the past 2-3 years. He lives alone in an apartment.   In the emergency department the patient's vital signs were stable.  Labs revealed a potassium of 3.3.  AST was 52 and ALT 61. White blood cell count was 11.13.  Troponin was negative and BNP was within normal limits.  Lactic acid was 1.5.  UA showed trace blood.  EKG showed normal sinus rhythm with PACs.  CTA the thorax abdomen and pelvis showed acute pulmonary emboli involving the segmental subsegmental arteries of the upper and lower lobes.  There is no evidence of heart strain. He was admitted for observation due to severe pain, and was given IV fentanyl.  Echocardiogram showed: The left ventricular ejection fraction is 67%. No regional wall motion abnormalities noted. The right ventricular size, thickness, and function are normal. The estimated right ventricular systolic pressure is 36 mmHg. The inferior vena cava was not visualized during the exam. There is no comparison study available.    He was started on Eliquis 10 mg bid for 7 days, than 5 mg bid for total of 3 months.  He should follow up with PCP in 1 week and should check CBC and BMP on 5/10/21. He should also follow up with pulmonologist in 2-3 months.  He had Pfizer COVID-19 vaccine on 2/18/21 and 3/18/21. There is remote possibility that this PE could be related to COVID-19 vaccine, so this was reported to Vaccine Adverse Event Reporting System (VAERS). He had mild hypokalemia due to HCTZ, and required K-dur supplement. HCTZ was switched to Maxzide 25/37.5 mg daily. Rechecked K was normal 3.9. BMP should be checked in 1 week. Also he is drinking little bit too much alcohol, 4 alcoholic drinks every night. He was instructed to cut alcohol drinking to </=2 alcoholic drink a day.  His daughter was updated over the phone.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood urine present, Brain natriuretic peptide normal, Chest pain, Condition aggravated, Echocardiogram normal
Clinical narrative: BRIEF OVERVIEW: Primary Care Provider at Discharge: DO Admission Date: 5/5/2021 Discharge Date:5/6/2021    Active Hospital Problems   Diagnosis Date Noted POA ? Essential hypertension 05/06/2021 Yes ? Pulmonary embolism on right (HCC) 05/05/2021 Yes ? Right flank pain 05/05/2021 Yes ? Hypokalemia 05/05/2021 Yes ? Uncomplicated alcohol dependence (HCC) 05/05/2021 Yes   Resolved Hospital Problems No resolved problems to display.   CONSULTS: None    INPATIENT PROCEDURES: None   DETAILS OF HOSPITAL STAY:   PRESENTING PROBLEM: Patient is a 83 y.o. male with Hx of HTN who presents today with complaint of right sided flank pain, with radiations into the right side of his back and right side of his chest. The pain is worse with movement and deep inspiration. He denies palpitations and shortness of breath. He has no previous HX of VTE. He denies fever, chills, cough, nasal congestion, and sore throat. He denies abdominal pain, N/V, and changes in bowel movements. The patient is a limited historian. He is oriented x4 on admission, but states that he has had difficulty with his memory over the past 2-3 years. He lives alone in an apartment.   In the emergency department the patient's vital signs were stable.  Labs revealed a potassium of 3.3.  AST was 52 and ALT 61. White blood cell count was 11.13.  Troponin was negative and BNP was within normal limits.  Lactic acid was 1.5.  UA showed trace blood.  EKG showed normal sinus rhythm with PACs.  CTA the thorax abdomen and pelvis showed acute pulmonary emboli involving the segmental subsegmental arteries of the upper and lower lobes.  There is no evidence of heart strain. He was admitted for observation due to severe pain, and was given IV fentanyl.  Echocardiogram showed: The left ventricular ejection fraction is 67%. No regional wall motion abnormalities noted. The right ventricular size, thickness, and function are normal. The estimated right ventricular systolic pressure is 36 mmHg. The inferior vena cava was not visualized during the exam. There is no comparison study available.    He was started on Eliquis 10 mg bid for 7 days, than 5 mg bid for total of 3 months.  He should follow up with PCP in 1 week and should check CBC and BMP on 5/10/21. He should also follow up with pulmonologist in 2-3 months.  He had Pfizer COVID-19 vaccine on 2/18/21 and 3/18/21. There is remote possibility that this PE could be related to COVID-19 vaccine, so this was reported to Vaccine Adverse Event Reporting System (VAERS). He had mild hypokalemia due to HCTZ, and required K-dur supplement. HCTZ was switched to Maxzide 25/37.5 mg daily. Rechecked K was normal 3.9. BMP should be checked in 1 week. Also he is drinking little bit too much alcohol, 4 alcoholic drinks every night. He was instructed to cut alcohol drinking to </=2 alcoholic drink a day.  His daughter was updated over the phone.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ejection fraction normal, Electrocardiogram abnormal, Flank pain, Haematocrit decreased, Haemoglobin decreased
Clinical narrative: BRIEF OVERVIEW: Primary Care Provider at Discharge: DO Admission Date: 5/5/2021 Discharge Date:5/6/2021    Active Hospital Problems   Diagnosis Date Noted POA ? Essential hypertension 05/06/2021 Yes ? Pulmonary embolism on right (HCC) 05/05/2021 Yes ? Right flank pain 05/05/2021 Yes ? Hypokalemia 05/05/2021 Yes ? Uncomplicated alcohol dependence (HCC) 05/05/2021 Yes   Resolved Hospital Problems No resolved problems to display.   CONSULTS: None    INPATIENT PROCEDURES: None   DETAILS OF HOSPITAL STAY:   PRESENTING PROBLEM: Patient is a 83 y.o. male with Hx of HTN who presents today with complaint of right sided flank pain, with radiations into the right side of his back and right side of his chest. The pain is worse with movement and deep inspiration. He denies palpitations and shortness of breath. He has no previous HX of VTE. He denies fever, chills, cough, nasal congestion, and sore throat. He denies abdominal pain, N/V, and changes in bowel movements. The patient is a limited historian. He is oriented x4 on admission, but states that he has had difficulty with his memory over the past 2-3 years. He lives alone in an apartment.   In the emergency department the patient's vital signs were stable.  Labs revealed a potassium of 3.3.  AST was 52 and ALT 61. White blood cell count was 11.13.  Troponin was negative and BNP was within normal limits.  Lactic acid was 1.5.  UA showed trace blood.  EKG showed normal sinus rhythm with PACs.  CTA the thorax abdomen and pelvis showed acute pulmonary emboli involving the segmental subsegmental arteries of the upper and lower lobes.  There is no evidence of heart strain. He was admitted for observation due to severe pain, and was given IV fentanyl.  Echocardiogram showed: The left ventricular ejection fraction is 67%. No regional wall motion abnormalities noted. The right ventricular size, thickness, and function are normal. The estimated right ventricular systolic pressure is 36 mmHg. The inferior vena cava was not visualized during the exam. There is no comparison study available.    He was started on Eliquis 10 mg bid for 7 days, than 5 mg bid for total of 3 months.  He should follow up with PCP in 1 week and should check CBC and BMP on 5/10/21. He should also follow up with pulmonologist in 2-3 months.  He had Pfizer COVID-19 vaccine on 2/18/21 and 3/18/21. There is remote possibility that this PE could be related to COVID-19 vaccine, so this was reported to Vaccine Adverse Event Reporting System (VAERS). He had mild hypokalemia due to HCTZ, and required K-dur supplement. HCTZ was switched to Maxzide 25/37.5 mg daily. Rechecked K was normal 3.9. BMP should be checked in 1 week. Also he is drinking little bit too much alcohol, 4 alcoholic drinks every night. He was instructed to cut alcohol drinking to </=2 alcoholic drink a day.  His daughter was updated over the phone.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mean cell volume increased, Neutrophil count, Pain, Platelet count normal, Pulmonary embolism
Clinical narrative: BRIEF OVERVIEW: Primary Care Provider at Discharge: DO Admission Date: 5/5/2021 Discharge Date:5/6/2021    Active Hospital Problems   Diagnosis Date Noted POA ? Essential hypertension 05/06/2021 Yes ? Pulmonary embolism on right (HCC) 05/05/2021 Yes ? Right flank pain 05/05/2021 Yes ? Hypokalemia 05/05/2021 Yes ? Uncomplicated alcohol dependence (HCC) 05/05/2021 Yes   Resolved Hospital Problems No resolved problems to display.   CONSULTS: None    INPATIENT PROCEDURES: None   DETAILS OF HOSPITAL STAY:   PRESENTING PROBLEM: Patient is a 83 y.o. male with Hx of HTN who presents today with complaint of right sided flank pain, with radiations into the right side of his back and right side of his chest. The pain is worse with movement and deep inspiration. He denies palpitations and shortness of breath. He has no previous HX of VTE. He denies fever, chills, cough, nasal congestion, and sore throat. He denies abdominal pain, N/V, and changes in bowel movements. The patient is a limited historian. He is oriented x4 on admission, but states that he has had difficulty with his memory over the past 2-3 years. He lives alone in an apartment.   In the emergency department the patient's vital signs were stable.  Labs revealed a potassium of 3.3.  AST was 52 and ALT 61. White blood cell count was 11.13.  Troponin was negative and BNP was within normal limits.  Lactic acid was 1.5.  UA showed trace blood.  EKG showed normal sinus rhythm with PACs.  CTA the thorax abdomen and pelvis showed acute pulmonary emboli involving the segmental subsegmental arteries of the upper and lower lobes.  There is no evidence of heart strain. He was admitted for observation due to severe pain, and was given IV fentanyl.  Echocardiogram showed: The left ventricular ejection fraction is 67%. No regional wall motion abnormalities noted. The right ventricular size, thickness, and function are normal. The estimated right ventricular systolic pressure is 36 mmHg. The inferior vena cava was not visualized during the exam. There is no comparison study available.    He was started on Eliquis 10 mg bid for 7 days, than 5 mg bid for total of 3 months.  He should follow up with PCP in 1 week and should check CBC and BMP on 5/10/21. He should also follow up with pulmonologist in 2-3 months.  He had Pfizer COVID-19 vaccine on 2/18/21 and 3/18/21. There is remote possibility that this PE could be related to COVID-19 vaccine, so this was reported to Vaccine Adverse Event Reporting System (VAERS). He had mild hypokalemia due to HCTZ, and required K-dur supplement. HCTZ was switched to Maxzide 25/37.5 mg daily. Rechecked K was normal 3.9. BMP should be checked in 1 week. Also he is drinking little bit too much alcohol, 4 alcoholic drinks every night. He was instructed to cut alcohol drinking to </=2 alcoholic drink a day.  His daughter was updated over the phone.
Age: 83.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Red blood cell count decreased, Supraventricular extrasystoles, Troponin normal, Urine analysis, White blood cell count increased
Clinical narrative: BRIEF OVERVIEW: Primary Care Provider at Discharge: DO Admission Date: 5/5/2021 Discharge Date:5/6/2021    Active Hospital Problems   Diagnosis Date Noted POA ? Essential hypertension 05/06/2021 Yes ? Pulmonary embolism on right (HCC) 05/05/2021 Yes ? Right flank pain 05/05/2021 Yes ? Hypokalemia 05/05/2021 Yes ? Uncomplicated alcohol dependence (HCC) 05/05/2021 Yes   Resolved Hospital Problems No resolved problems to display.   CONSULTS: None    INPATIENT PROCEDURES: None   DETAILS OF HOSPITAL STAY:   PRESENTING PROBLEM: Patient is a 83 y.o. male with Hx of HTN who presents today with complaint of right sided flank pain, with radiations into the right side of his back and right side of his chest. The pain is worse with movement and deep inspiration. He denies palpitations and shortness of breath. He has no previous HX of VTE. He denies fever, chills, cough, nasal congestion, and sore throat. He denies abdominal pain, N/V, and changes in bowel movements. The patient is a limited historian. He is oriented x4 on admission, but states that he has had difficulty with his memory over the past 2-3 years. He lives alone in an apartment.   In the emergency department the patient's vital signs were stable.  Labs revealed a potassium of 3.3.  AST was 52 and ALT 61. White blood cell count was 11.13.  Troponin was negative and BNP was within normal limits.  Lactic acid was 1.5.  UA showed trace blood.  EKG showed normal sinus rhythm with PACs.  CTA the thorax abdomen and pelvis showed acute pulmonary emboli involving the segmental subsegmental arteries of the upper and lower lobes.  There is no evidence of heart strain. He was admitted for observation due to severe pain, and was given IV fentanyl.  Echocardiogram showed: The left ventricular ejection fraction is 67%. No regional wall motion abnormalities noted. The right ventricular size, thickness, and function are normal. The estimated right ventricular systolic pressure is 36 mmHg. The inferior vena cava was not visualized during the exam. There is no comparison study available.    He was started on Eliquis 10 mg bid for 7 days, than 5 mg bid for total of 3 months.  He should follow up with PCP in 1 week and should check CBC and BMP on 5/10/21. He should also follow up with pulmonologist in 2-3 months.  He had Pfizer COVID-19 vaccine on 2/18/21 and 3/18/21. There is remote possibility that this PE could be related to COVID-19 vaccine, so this was reported to Vaccine Adverse Event Reporting System (VAERS). He had mild hypokalemia due to HCTZ, and required K-dur supplement. HCTZ was switched to Maxzide 25/37.5 mg daily. Rechecked K was normal 3.9. BMP should be checked in 1 week. Also he is drinking little bit too much alcohol, 4 alcoholic drinks every night. He was instructed to cut alcohol drinking to </=2 alcoholic drink a day.  His daughter was updated over the phone.
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: mixing error occurred, patient may have been given just diluent. Patient was revaccinated 5/4.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling
Clinical narrative: Patient contacted the pharmacy to report that she had been vaccinated in the morning ( 9:30 am) and was presenting lip swelling at that time  (7:03 pm). She said she had taken Benadryl and we recommend that she go to the hospital for evaluation as she had not improved at all. we have tried to contact the patient we have left a message but we have not received a call back
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus -  a noticeable, constant ringing in my left ear.  Noticed in mid-April, following second dose. No treatment at this time but will inform my PCP.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation
Clinical narrative: BURNING BEHIND KNEES AND IN ARMPITS
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Erythema, Hypoaesthesia, Peripheral swelling, SARS-CoV-2 test
Clinical narrative: I took the vaccine 3:30pm around 7pm - 8pm I started having chest lain and my body started getting numb so i took Benadryl and went to sleep, next day i got up with my body numb and sharp chest pain  on my chest left side. My left arm was red and swollen, the whole arm on the left where i took the vaccine. My tongue started getting swollen so i took Benadryl again. That night i went to sleep than i got up around 1:30am with burning sensation on my left side chest(heart) , i woke up twice with that. Next day i called my doctor than she told me to take 2 Tylenols and 1 Benadryl which i did than fet better all day. Today I didn't took anything in the morning but i felt chest pain on the left side and face was getting swollen than i took Benadryl and Tylenol
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face, Swollen tongue
Clinical narrative: I took the vaccine 3:30pm around 7pm - 8pm I started having chest lain and my body started getting numb so i took Benadryl and went to sleep, next day i got up with my body numb and sharp chest pain  on my chest left side. My left arm was red and swollen, the whole arm on the left where i took the vaccine. My tongue started getting swollen so i took Benadryl again. That night i went to sleep than i got up around 1:30am with burning sensation on my left side chest(heart) , i woke up twice with that. Next day i called my doctor than she told me to take 2 Tylenols and 1 Benadryl which i did than fet better all day. Today I didn't took anything in the morning but i felt chest pain on the left side and face was getting swollen than i took Benadryl and Tylenol
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Patient was diagnosed and tested Positive for Covid 19 despite receiving vaccine on 3/19/2021  SARS-COV-2, QUALITATIVE, NAA (COVID-19), KP LAB    Component 2 d ago Comments SP SOURCE NP/OP   CORONAVIR PAN 2019-NCOV, NAA, QL COVID DETECTED Abnormal   See comments Specimen Collected: 05/04/21 10:07 AM
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Change in seizure presentation, Electroencephalogram, Staring, Urinary system X-ray
Clinical narrative: 26 year old nonverbal with known refractory intractable epilepsy, spastic quadriparesis cerebral palsy, developmental delay, presented to ED with the concerns of seizures by the mom. Patient was recently seen in the urgent care for UTIs. Her current AED include: Clobazam 5 mg BID, Oxcarbazepine 600 mg BID and Lorazepam 1mg qhs. Patient is being followed by Dr. in the epilepsy clinic. Patient is being admitted to neurology service due to concern for new type of seizure witnessed at home characterized by smiling and staring. Similar events captured during the evening of 4/30 are without electrographic correlate. In the setting of bowel regimen that was held due to endoscopy and worsened bowel gas pattern seen on KUB at time of admission. these new events were initially have EEG correlated abundant bursts and runs of high amplitude 5-6 Hz theta with occasional bifrontal sharp waves; multiple pushbutton events (predominantly smiling and staring) without definitive epileptiform discharge or seizure. She was initially loaded with Keppra 600 mg (20mg/kg) in the ER, and after the concerns of the EEG we Loaded with lacosamide 60mg with scheduled lacosamide 30mg BID liquid and increased Clobazam to 10mg while continuing Oxcarbazepine 600 mg BID and home Lorazepam 1 mg qhs. on 5/2/2021 no more EEG concerns of dischrges. will be discharged home and cont to follow with Dr on 5/4/2021
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Colonoscopy normal, Rectal haemorrhage
Clinical narrative: Patient had vaccine on 4/6/2021 and on 4/8/2021 he went to the hospital for bright red blood from his rectum to the point of running down his leg. He was admitted to the hospital 4/8/2021 to 4/9/2021.
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Anticoagulant therapy, Deep vein thrombosis, Erythema, Heparin-induced thrombocytopenia test positive, Peripheral swelling
Clinical narrative: Patient received J&J covid vaccine on 4/7/2021.  Patient presented to the ED on 5/3  for right arm swelling with redness.  Patient was found to have proximal right upper extremity DVT extending to right subclavian vein along with bilateral PE in the ED.    The provider noted the patient had no risk factors other than receiving the vaccine, requested a hematology/oncology consult for evaluation hypercoagulable , patient started on bivalirudin while HIT work-up completed plan to transfer to oral anticoagulation upon discharge.
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pulmonary embolism, Subclavian vein thrombosis
Clinical narrative: Patient received J&J covid vaccine on 4/7/2021.  Patient presented to the ED on 5/3  for right arm swelling with redness.  Patient was found to have proximal right upper extremity DVT extending to right subclavian vein along with bilateral PE in the ED.    The provider noted the patient had no risk factors other than receiving the vaccine, requested a hematology/oncology consult for evaluation hypercoagulable , patient started on bivalirudin while HIT work-up completed plan to transfer to oral anticoagulation upon discharge.
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood test normal, Computerised tomogram thorax abnormal, Electrocardiogram normal, Peripheral swelling, Pulmonary thrombosis
Clinical narrative: Patient received J&J covid vaccine on 4/7/2021.  Patient presented to the ED on 5/3  for right arm swelling with redness.  Patient was found to have proximal right upper extremity DVT extending to right subclavian vein along with bilateral PE in the ED.    The provider noted the patient had no risk factors other than receiving the vaccine, requested a hematology/oncology consult for evaluation hypercoagulable , patient started on bivalirudin while HIT work-up completed plan to transfer to oral anticoagulation upon discharge.
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Thrombosis, Ultrasound Doppler abnormal
Clinical narrative: Patient received J&J covid vaccine on 4/7/2021.  Patient presented to the ED on 5/3  for right arm swelling with redness.  Patient was found to have proximal right upper extremity DVT extending to right subclavian vein along with bilateral PE in the ED.    The provider noted the patient had no risk factors other than receiving the vaccine, requested a hematology/oncology consult for evaluation hypercoagulable , patient started on bivalirudin while HIT work-up completed plan to transfer to oral anticoagulation upon discharge.
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Influenza like illness, Peripheral swelling, Pulmonary thrombosis, Skin discolouration, Thrombosis
Clinical narrative: Patient received J&J covid vaccine on 4/7/2021.  Patient presented to the ED on 5/3  for right arm swelling with redness.  Patient was found to have proximal right upper extremity DVT extending to right subclavian vein along with bilateral PE in the ED.    The provider noted the patient had no risk factors other than receiving the vaccine, requested a hematology/oncology consult for evaluation hypercoagulable , patient started on bivalirudin while HIT work-up completed plan to transfer to oral anticoagulation upon discharge.
Age: 67.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Diplopia, Dizziness, Eyelid disorder, Paralysis
Clinical narrative: awoke 4/26/2021 with double vision and slight dizziness; saw eye doctor 4/29 and was told I was experiencing palsy in my 3rd Cranial nerve; saw eye surgeon 5/4/2021 after my right eyelid went completely shut, he confirmed issues with 3rd Cranial nerve.  Now wearing eye patch on right eye to prevent double vision and I have follow up appointment on Tuesday, May 11.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Cognitive disorder, Computerised tomogram, Gait inability, Loss of personal independence in daily activities
Clinical narrative: Severe neurological and cognitive decline.  Patient is currently unable to walk unassisted and is between a walker and a wheelchair.  His cognitive function has also been affected to the point that some days he is unable to process how to even feed himself.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Magnetic resonance imaging, Neurological decompensation, Walking aid user, Wheelchair user
Clinical narrative: Severe neurological and cognitive decline.  Patient is currently unable to walk unassisted and is between a walker and a wheelchair.  His cognitive function has also been affected to the point that some days he is unable to process how to even feed himself.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood test, Cognitive disorder, Computerised tomogram, Gait disturbance, Magnetic resonance imaging
Clinical narrative: Severe neurological and cognitive decline.  Patient is currently unable to walk unassisted and is between a walker and a wheelchair.  His cognitive function has also been affected to the point that some days he is unable to process how to even feed himself.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Nervous system disorder, Neuralgia, Skin burning sensation
Clinical narrative: Severe neurological and cognitive decline.  Patient is currently unable to walk unassisted and is between a walker and a wheelchair.  His cognitive function has also been affected to the point that some days he is unable to process how to even feed himself.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Injection site rash
Clinical narrative: tenderness to injection site with a minor pink rash, benadryl 50mg given immediately then 50mg BID PRN x48 more hours, encouraged ice and Tylenol for comfort
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Fatigue, Headache
Clinical narrative: Fever or Chills  Cough  Fatigue  Muscle or body aches  Headache
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Pyrexia, SARS-CoV-2 RNA, SARS-CoV-2 test positive
Clinical narrative: Fever or Chills  Cough  Fatigue  Muscle or body aches  Headache
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Angioedema, C-reactive protein increased, C-reactive protein normal, Dysphonia, Lip swelling
Clinical narrative: 24 after injection onset right lip swelling, tongue swelling and cheek swelling. First time angioedema in life.  Required ER and Decadron, Benadryl ranitidine. Symptoms recurred 4/28/2021 requiring 2nd ER visit but no new intervention. Had 2 similar episodes between the ER visits.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Nasopharyngitis, Red blood cell sedimentation rate increased, Swelling face, Swollen tongue
Clinical narrative: 24 after injection onset right lip swelling, tongue swelling and cheek swelling. First time angioedema in life.  Required ER and Decadron, Benadryl ranitidine. Symptoms recurred 4/28/2021 requiring 2nd ER visit but no new intervention. Had 2 similar episodes between the ER visits.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary normal, Arthralgia, Cardiac monitoring, Carotid artery stenosis, Catheterisation cardiac normal
Clinical narrative: Emergency room transfer to telemetry; admited from 3/7 to 3/18/21 with centralized Chest Pain that radiated to her right neck and shoulder, shortness of breath associated with the pain, loose stools - took baby aspirin.  Cardiology consulted: heart catheritization was performed and negative; Dischareged to home with AmLODIpine, aspirin, storvastatin, famotidine, imdur; follow up with PCP and cardiologist
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest pain, Diarrhoea, Dyspnoea, Echocardiogram abnormal
Clinical narrative: Emergency room transfer to telemetry; admited from 3/7 to 3/18/21 with centralized Chest Pain that radiated to her right neck and shoulder, shortness of breath associated with the pain, loose stools - took baby aspirin.  Cardiology consulted: heart catheritization was performed and negative; Dischareged to home with AmLODIpine, aspirin, storvastatin, famotidine, imdur; follow up with PCP and cardiologist
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fibrin D dimer normal, Laboratory test, Myocarditis, Neck pain
Clinical narrative: Emergency room transfer to telemetry; admited from 3/7 to 3/18/21 with centralized Chest Pain that radiated to her right neck and shoulder, shortness of breath associated with the pain, loose stools - took baby aspirin.  Cardiology consulted: heart catheritization was performed and negative; Dischareged to home with AmLODIpine, aspirin, storvastatin, famotidine, imdur; follow up with PCP and cardiologist
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Systolic dysfunction, Troponin increased, Ultrasound Doppler abnormal
Clinical narrative: Emergency room transfer to telemetry; admited from 3/7 to 3/18/21 with centralized Chest Pain that radiated to her right neck and shoulder, shortness of breath associated with the pain, loose stools - took baby aspirin.  Cardiology consulted: heart catheritization was performed and negative; Dischareged to home with AmLODIpine, aspirin, storvastatin, famotidine, imdur; follow up with PCP and cardiologist
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Dyspnoea, Oxygen saturation decreased, Pyrexia
Clinical narrative: Patient is a 65 year old female with a PMH significant for asthma, htn, Metastatic/stage IV C( pT4a, pN0, pM1c) moderately-differentiated mucinous adenocarcinoma of the appendix (grade 2), KRAS mutation positive, BRAF negative, MMR protein intact, with abundant mucin, peritoneal carcinomatosis; cytoreductive surgery with debulking of peritoneal implants,  peritoneal stripping, cholecystectomy, hyperthermic intraperitoneal chemotherapy with mitomycin C on 9/27/19, followed by exploratory laparotomy with abdominal washout, primary repair of perforated small bowel 10/2/19, with disease progression, on palliative modified FOLFOX 6 since 8/31/2020 who presents for sob, cough x 2 wks getting progressively worse. States home oxygen sensor dropping to mid 80's and extememely sob. Had 2nd Covid vaccine early March. Sx began about 2wks ago with +ve covid testing, fevers, diarrhea. That has since improved.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Patient is a 65 year old female with a PMH significant for asthma, htn, Metastatic/stage IV C( pT4a, pN0, pM1c) moderately-differentiated mucinous adenocarcinoma of the appendix (grade 2), KRAS mutation positive, BRAF negative, MMR protein intact, with abundant mucin, peritoneal carcinomatosis; cytoreductive surgery with debulking of peritoneal implants,  peritoneal stripping, cholecystectomy, hyperthermic intraperitoneal chemotherapy with mitomycin C on 9/27/19, followed by exploratory laparotomy with abdominal washout, primary repair of perforated small bowel 10/2/19, with disease progression, on palliative modified FOLFOX 6 since 8/31/2020 who presents for sob, cough x 2 wks getting progressively worse. States home oxygen sensor dropping to mid 80's and extememely sob. Had 2nd Covid vaccine early March. Sx began about 2wks ago with +ve covid testing, fevers, diarrhea. That has since improved.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Visual impairment
Clinical narrative: Client complained of dizziness and visual changes @ 10:52 am. Client placed in supine with legs elevated. BP 114/78 Pulse 84. Client recover and placed in chair at 11:10 am. Tolerated. BP 109/87 pulse 97. Client able to ambulate independently out of vaccine clinic at 11:20 am.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count, Neutropenia
Clinical narrative: Patient received her second Pfizer COVID-19 vaccine on 4/6/21. She developed neutropenia that was found on 4/20/21 (neutrophils 0.8) and resolved by 4/27/21 (neutrophils 4.0). Her chemotherapy was held by 1 week due to neutropenia, but otherwise she did not have any negative effects from this. The timing of the neutropenia did not coincide with her chemotherapy. She received Halaven, 3/15/21, 3/22/21 and 4/6/21. She did not have any issues with neutropenia with her first two doses, nor has she had issues with neutropenia with the doses administered on 4/27/21 and 5/4/21.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Coordination abnormal, Hypoaesthesia, Muscular weakness, Pain in extremity
Clinical narrative: The morning after injection my left arm had the expected soreness but additional numbness, weakness, and poor coordination in my arm, hand, and fingers progressively moreso toward my pinky. It has been consistently the same for 17 days.
Age: 35.0
Sex: F
Vaccine: COVID19
Symptoms: Crying, Mobility decreased, Pain in extremity
Clinical narrative: Within 2 hours I couldn't move my arm and was crying out in pain for 12 hours. I contacted my doctor after 1 week due to the level pain and limited range of motion in my left arm. I can not raise my arm higher than a 45° in any direction. I was able to get in to see him on April 26th. He prescribed Diclofenac Sodium and Tramadol. He gave me an order to start physical therapy.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: mixing error occurred, patient may have been given just diluent. Patient was revaccinated 5/4.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in jaw, Toothache
Clinical narrative: I experienced extreme teeth and jaw bone pain for a couple days after the vaccination, until I started taking antibiotics. It might be unrealted.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Itchy head to toe rash that began the day after second dose. took oral benadryl & applied anti itch cream & symptoms lasted 8 days
Age: 1.92
Sex: F
Vaccine: HEP, IPV
Symptoms: Urticaria
Clinical narrative: per mother of patient she started to develop hives the morning after vaccines were administered
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Nausea, Pyrexia, Urticaria
Clinical narrative: High fever 103.5 for two days with headache and nausea.  Day 3 previous symptoms were gone but developed hives down left arm and both legs.  Utilized Benedryl gel for hives.  Utilized Tylenol for fever and headache.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Blood test, Chills, Headache, Herpes zoster
Clinical narrative: pt states he noticed he had a rash on the left side of his chest and stomach.  He started getting a pounding headache with mild fever, body aches and chills.  His headache was getting worse and no medicine he took helped with the pain.  On 5/1/2021 he went to Urgent Care on  in.  He was diagnosed w/ Shingles.  He had blood work that was negative.  He was prescribed Valtrex and Ibuprofen and told to FU w/ PCP.  He had a tele visit w/ his PCP on 5/6/21.  He was prescribed more Valtrex and Ibuprofen and ordered more blood work.  He still has a rash and still feels weak but is getting better.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Rash
Clinical narrative: pt states he noticed he had a rash on the left side of his chest and stomach.  He started getting a pounding headache with mild fever, body aches and chills.  His headache was getting worse and no medicine he took helped with the pain.  On 5/1/2021 he went to Urgent Care on  in.  He was diagnosed w/ Shingles.  He had blood work that was negative.  He was prescribed Valtrex and Ibuprofen and told to FU w/ PCP.  He had a tele visit w/ his PCP on 5/6/21.  He was prescribed more Valtrex and Ibuprofen and ordered more blood work.  He still has a rash and still feels weak but is getting better.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Erythema, Headache, Nausea, Pain
Clinical narrative: Fever, chills, headache, body aches, nausea, itching and re splotches on chest, face, arms, upper back. Took Benedryl and Aleve after onset of symptoms. Lasted 3 days, fine now.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Pyrexia, Vaccine positive rechallenge
Clinical narrative: Fever, chills, headache, body aches, nausea, itching and re splotches on chest, face, arms, upper back. Took Benedryl and Aleve after onset of symptoms. Lasted 3 days, fine now.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Erythema, Swelling
Clinical narrative: Moderna COVID-19 Vaccine EUA: during telehealth encounter nine days after vaccination patient reports a lump under the collarbone. The provider documented arm redness and a diagnosis of cellulitis and prescribed antibiotics.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Feeling of body temperature change, Headache, Malaise, Pain
Clinical narrative: Patient stated she received second Moderna vaccine on 4/28, and later that day started feeling sick. She stated she had chills, headache, sore arm, achy body, and was feeling hot and cold, but did not take her temperature. She stated then she thinks fever went away but on Sunday she took her temperature and it was 100 F, almost 101, but took Advil and it went down. She stated she still does not feel well today.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia
Clinical narrative: Patient stated she received second Moderna vaccine on 4/28, and later that day started feeling sick. She stated she had chills, headache, sore arm, achy body, and was feeling hot and cold, but did not take her temperature. She stated then she thinks fever went away but on Sunday she took her temperature and it was 100 F, almost 101, but took Advil and it went down. She stated she still does not feel well today.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Oropharyngeal pain
Clinical narrative: Patient with dizziness, hot arm, sore throat. He was administered Benadryl 25mg and IV fluids
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure increased, Nausea, Pharyngeal paraesthesia, Rash, Vomiting
Clinical narrative: Pt had "tingling" on his throat. Bilateral rash on arms. Elevated B/P 170's. Nausea and vomiting Pt was given 25mg Benadryl. Pts b/p lowered. Nausea and vomiting resolved.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: mixing error occurred, patient may have been given just diluent. Patient was revaccinated 5/4.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema
Clinical narrative: Redness around site of injection but no pain. Recommended some benadryl to help with the reaction at site of injection
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Progress Notes: Registered Nurse;     Pt reports rash covering both arms next day after first dose of Pfizer vaccine. Pt applied hydrocortizone cream and ice packs and rash cleared up in 24hrs. Pt in 30 min observation for her second COVID vaccine shot.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Electrocardiogram, Tachycardia
Clinical narrative: Two days after receiving my first dose of the vaccine I started having tachycardia. I have never had this before and it concerned me. Almost 3 weeks later and I?m still having tachycardia. I still have to get my 2nd dose of the vaccine but I am scared to now.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Acute respiratory failure, Sepsis, Shock
Clinical narrative: J96.01 - Acute respiratory failure with hypoxia  R57.9 - Shock  A41.9 - Sepsis, unspecified organism
Sex: U
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: VIAL WITH 4 DOSES POSSIBLY MIXED WRONG
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema
Clinical narrative: Redness of injection site
Age: 77.0
Sex: M
Vaccine: COVID19
Symptoms: Chorioretinitis, Toxoplasma serology negative, Treponema test negative
Clinical narrative: Recently referred to clinic on May 6 for a diagnosis of bilateral posterior uveitis made by retinal ophthalmology for which he is being treated with ocular steroids.  Original diagnosis of bilateral posterior uveitis was made by retinal ophthalmology around April 29.
Age: 38.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Myalgia, Pain
Clinical narrative: My symptoms are muscle soreness, knee, and joint pain and unable to bend knee forward or backward without experiencing pain.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Angiogram, Dyspnoea, Electrocardiogram, Fibrin D dimer increased
Clinical narrative: The day after the shot I began having severe abdominal pain, muscle and nerve pain, and shortness of breath. The abdominal, muscle, and nerve pain began at around 10:00am. The shortness of breath began around 2:00-3:00 in the afternoon and lasted for 30-45 mins (longer than the 20mins listed in the attending ER physician's report), at which point my wife called for an ambulance and I was taken to the emergency room of Hospital. I was prescribed diphenhydrAMINE injection 25 mg, droperidoL injection 1.25 mg, ketorolac injection 15 mg, and another pain killer by the paramedics that I do not see listed in the record.   Although not to the same degree, I have continued to have gastrointestinal cramping since the second vaccination. This is a worsening of a condition (IBS) that I had previously, but which had mostly been in remission since beginning Mirtazapine in Fall 2019 subsequent to a heart attack on 8/7/19. I am meeting with my primary physician, Droctor, on 5/10/21 and contacted, my gastroenterologist, on 5/5/21.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Full blood count abnormal, Myalgia, Neuralgia, SARS-CoV-2 test negative
Clinical narrative: The day after the shot I began having severe abdominal pain, muscle and nerve pain, and shortness of breath. The abdominal, muscle, and nerve pain began at around 10:00am. The shortness of breath began around 2:00-3:00 in the afternoon and lasted for 30-45 mins (longer than the 20mins listed in the attending ER physician's report), at which point my wife called for an ambulance and I was taken to the emergency room of Hospital. I was prescribed diphenhydrAMINE injection 25 mg, droperidoL injection 1.25 mg, ketorolac injection 15 mg, and another pain killer by the paramedics that I do not see listed in the record.   Although not to the same degree, I have continued to have gastrointestinal cramping since the second vaccination. This is a worsening of a condition (IBS) that I had previously, but which had mostly been in remission since beginning Mirtazapine in Fall 2019 subsequent to a heart attack on 8/7/19. I am meeting with my primary physician, Droctor, on 5/10/21 and contacted, my gastroenterologist, on 5/5/21.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Patient reported dizziness, her vital signs remained stable. She was closely monitored , her dizziness subsided, left vaccination site accompanied by friend in stable condition.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: On 05/05/2021 at  08:43 A Moderna vaccine was given to patient by another nurse. The Vaccine was open on 05/04/2021 at 2:20 pm. After giving the vaccine the nurse told this nurse she had given a vaccine that was on the vaccine cart and stated she did not know it was not a new vial because it was on the cart. The incident was reported to the Clinical Director and Moderna  Manufacture. The client was monitored for thirty minutes and she showed no reactions. Viability of the vaccine was not decided.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Father and Mother filled out paperwork at site as his age of 18. He was given the vaccine of Moderna (not currently approved for  less than 18) when putting information in state immunization program, clerk noted his age was populating 17.  Individual still on site waiting his 15 minutes and family was still on site. Asked again and they verified is birthdate but that he was 18 not 17.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, SARS-CoV-2 test
Clinical narrative: SOB
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal dreams, Nightmare, Sleep disorder
Clinical narrative: Nightmares, lucid dreaming, sleep disturbances
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood test, Chest X-ray normal, Computerised tomogram thorax, Dyspnoea
Clinical narrative: Heart palpitations, shortness of breath, lymph nodes swollen. I went to my PCP on 4/14 due to severe shortness of breath. I went to urgent care on 4/15 for severe shortness of breath. At the urgent care the did a chest X-ray and EKG and they were both fine. The doctor prescribed a 5 day course of prednisone to calm the inflammation down in my lungs. After two days of taking the prednisone the shortness of breath was worse.  On 4/19 I went to the Emergency Room because of the shortness of breath and pain in my back and sides. The doctor ordered a CT Scan of my chest and lungs and labs. The test showed no blood clots but the blood test that determines if you have a clot or that will lead a doctor to get a CT Scan was elevated. The doctor said I was basically ok because I did not have any blood clots. She said I was experiencing some type of respiratory issue. On 4/22/21 I saw an allergist to see if I had some type allergic reaction to the vaccine. My allergist said there was no way to test the components in the vaccine but he did test me for other things. On 4/26/21 I followed up with my PCP and he gave me Maloxicam and a pain medication to take if I needed it. I was in so much pain in my sides that I couldn?t put my arms down comfortably. I continued taking two Tylenol?s every 6 hours. On 4/30/21 I saw my pulmonologist to discuss my symptoms and he talked about the prednisone suppressing my immune system so the one shot that I did get won?t really cover me. He changed my inhaler earlier this year and he said he should have left it where it was because of the time of year and my allergies. My allergist put me back on symbicort and my pulmonologist agrees and he want to keep me on it until next year. I started to feel better on 5/1/2021/ . I did not get the second vaccine because I was afraid. I have never been so sick in my entire life and none of the doctors could really tell me what happened.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Flank pain, Lymphadenopathy, Movement disorder, Palpitations
Clinical narrative: Heart palpitations, shortness of breath, lymph nodes swollen. I went to my PCP on 4/14 due to severe shortness of breath. I went to urgent care on 4/15 for severe shortness of breath. At the urgent care the did a chest X-ray and EKG and they were both fine. The doctor prescribed a 5 day course of prednisone to calm the inflammation down in my lungs. After two days of taking the prednisone the shortness of breath was worse.  On 4/19 I went to the Emergency Room because of the shortness of breath and pain in my back and sides. The doctor ordered a CT Scan of my chest and lungs and labs. The test showed no blood clots but the blood test that determines if you have a clot or that will lead a doctor to get a CT Scan was elevated. The doctor said I was basically ok because I did not have any blood clots. She said I was experiencing some type of respiratory issue. On 4/22/21 I saw an allergist to see if I had some type allergic reaction to the vaccine. My allergist said there was no way to test the components in the vaccine but he did test me for other things. On 4/26/21 I followed up with my PCP and he gave me Maloxicam and a pain medication to take if I needed it. I was in so much pain in my sides that I couldn?t put my arms down comfortably. I continued taking two Tylenol?s every 6 hours. On 4/30/21 I saw my pulmonologist to discuss my symptoms and he talked about the prednisone suppressing my immune system so the one shot that I did get won?t really cover me. He changed my inhaler earlier this year and he said he should have left it where it was because of the time of year and my allergies. My allergist put me back on symbicort and my pulmonologist agrees and he want to keep me on it until next year. I started to feel better on 5/1/2021/ . I did not get the second vaccine because I was afraid. I have never been so sick in my entire life and none of the doctors could really tell me what happened.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: mixing error occurred, patient may have been given just diluent. Patient was revaccinated 5/5