chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Neck pain, Pain, Paraesthesia
Clinical narrative: Female client received the 2nd Pfizer vaccine (lot # 30145BA exp 10/30/2021) at 11:05AM, in her left arm. Client arrived in observation area at 11:09 to complete her 30-minute observation period. Client was offered water bottle and drank it during her 30-minute wait. At 11:40 AM, client reports to EMT stiff neck and headache that began two minutes ago. EMT advised client to stay in observation to be assessed. PHN arrives and offers client juice. At 11:42AM client states that additionally her jaw is ?numb and feels tight? and her left shoulder is ?tingling and radiating to the left side of her neck.?. Client denies dizziness, blurry vision, shortness of breath, and chest pain. Client?s skin is dry and appropriate for ethnicity, is alert and oriented, and is able to swallow. At 11:44AM vital signs were taken.  Client had a blood pressure of 150/90 on her left arm, oxygen saturation of 98%, and heart rate of 62bpm. Client states that she has a past medical history of anxiety and headache was up to an 8 out of 10. At 11:50 AM, client takes her routine inhaler. Client states that her headache is down to a 3 out of 10 and her shoulder is at 7 out of 10 on pain scale. At 11:53 AM vital signs are taken again, this time on the client?s right arm. Blood pressure is at 172/90, heart rate is regular at 60bpm, oxygen saturation is at 97%, and respirations are at 16. At 11:55AM client states her neck pain is at 5 out of 10, and that her jaw is ?feeling better? and that ?the feeling is dissipating.? Client past medical history includes allergy to sulfa and erythromycin, hypertension, asthma, and chronic obstructive pulmonary disease. During vaccination, client told vaccinator that after having sulfa and erythromycin by mouth, she had difficulty breathing and chest tightness but did not require epinephrine. The medical team was consulted at 12:00PM.  Per CDC and medical consult, no intervention is needed at this time. Client was educated on when to call 911 and was advised to follow up with her primary care provider in 24 hours. At 12:10 PM, client stood up and states she feels ?heavier,? and pain is continuing to decrease. Client states that pain is currently at 4 out of 10. Client declined transport to hospital via ambulance. At 12:25 PM, client reports pain is now at a 2 out of 10 and her shoulder is now ?like a deep ache but is not radiating anymore.? Client denies dizziness and has stable gait. Client leaves in stable condition.
Age: 74.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Death
Clinical narrative: Hospitalization and Death
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient was vaccinated on 2/3/21 and 2/24/21, so was fully vaccinated when testing positive for COVID-19 on 10/7/21.
Age: 12.0
Sex: M
Vaccine: MNQ
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: Meningococcal ACWY vaccine; severe rash and hives, itching for days.
Age: 55.0
Sex: F
Vaccine: DTAP
Symptoms: Headache
Clinical narrative: Bad headache
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dizziness, Myalgia, Pain
Clinical narrative: FEVER CHILLS BODY ACHE JOINT PAIN MUSCLE PAIN DIZZYNESS
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: FEVER CHILLS BODY ACHE JOINT PAIN MUSCLE PAIN DIZZYNESS
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Reviewed history with patients. Getting shot because of job. Worried since he had reacted to allergy shot in the past with anaphylaxis and Penicillin with a rash. Pre-shot, Two Benadryl tablets 25mg each given orally pre-vaccine. No Issues.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: breakthrough case
Age: 60.0
Sex: F
Vaccine: UNK
Symptoms: Dizziness, Headache, Limb discomfort, Pain, Pain in extremity
Clinical narrative: PT RECIVED VACCINE APPROXIMATELY AT 12:00. PT CAME BACK AT 14:10 WITH A SWOLLEN LEFT ARM PAIN 10/10 RADIATING DOWN TO FINGERS, HEADACHE 10/10, LIGHTHEADEDNESS, AND BAD TASTE IN MOUTH. PT STATES ARM FEELS VERY HEAVY.  PT GIVEN REST, WATER, ICE PACK, AND TYLENOL 1000 MG. OUTCOME NOT OBSERVED AT THIS TIME.
Age: 60.0
Sex: F
Vaccine: UNK
Symptoms: Peripheral swelling, Taste disorder
Clinical narrative: PT RECIVED VACCINE APPROXIMATELY AT 12:00. PT CAME BACK AT 14:10 WITH A SWOLLEN LEFT ARM PAIN 10/10 RADIATING DOWN TO FINGERS, HEADACHE 10/10, LIGHTHEADEDNESS, AND BAD TASTE IN MOUTH. PT STATES ARM FEELS VERY HEAVY.  PT GIVEN REST, WATER, ICE PACK, AND TYLENOL 1000 MG. OUTCOME NOT OBSERVED AT THIS TIME.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Nasal discomfort, Parosmia, Sleep disorder
Clinical narrative: Phantosmia-I continually smell coffee 24/7 sometimes at night so strong it prevents me from sleeping and at other times it burns my nose
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased
Clinical narrative: Increased heart rate on the next day of taking the vaccine. Usual heart rate 70-80 bmp at rest, but increased to 100-120 bmp on that day.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Myocarditis, Vomiting
Clinical narrative: Vomiting, shortness of breath, chest pain and myocarditis.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Myocarditis
Clinical narrative: Chest pain. Feels like symptoms of myocarditis.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache
Clinical narrative: Headache, fatigue
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: Recurrent  full body hives. Scalp, palms of hands and soles of feet with persistent itch.  Unrelieved after 2 days of Benadryl. Started prednisone taper yesterday  2nd dose taken today. Hives  and itching continues  intermittently.
Age: 48.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: breakthrough case of covid
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Chest X-ray, Condition aggravated, Cough, Dyspnoea
Clinical narrative: Severe asthma, severe cough , severe shortness of breath requiring oxygen for the first time.  Severe muscle spasm in rib cage and chest wall
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle spasms, Sleep study
Clinical narrative: Severe asthma, severe cough , severe shortness of breath requiring oxygen for the first time.  Severe muscle spasm in rib cage and chest wall
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia, Injection site pain, Muscle atrophy, Paraesthesia, Radiculitis brachial
Clinical narrative: Brachial Neuritis  I had Severe pain in my left shoulder.  Tingling and numbness from my shoulder to fingertips.  The severe pain lasted 2 weeks. The tingling and numbness and moderate pain lasted a month.... There is still tingling from time to time. my tricep, bicep and chest muscles began to atrophy within a week and are still atrophied. I have began to build back my strength gradually. I never visited my primary physician because I thought I had slept on it wrong. Started using a chiropractor but it did not relieve the symptoms.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Erythema, Pain in extremity, Ultrasound Doppler
Clinical narrative: 10/01/2021-began with calf pain, like I was having a clot, when stepping on the right leg. My right leg was very red on Tuesday the 5th. On 10/04/2021 I went to the hospital and I was admitted. I am receiving antibiotics by IV to treat cellulitis in my right leg.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests normal, Deafness, Middle ear effusion, Tinnitus
Clinical narrative: On 03/30/2021 prior to the vaccination, I had been on an airplane. I was having a hard time unplugging my ears.  On 04/01/2021 I had my 2nd dose of Pfizer. Around 04/03/2021, I notice my ears started ringing and it did not stop. It was continual ringing and it never stopped. I did not have any other reaction after the shot. I messaged my doctor and she told me to take over-the-counter decongestion.  Around the 05/01/2021, I saw Dr, she encouraged me to continue to take the decongestion, she said I had a little bit of fluid in my ear. The fluid went away after a while. It's been 6 months and the ringing has not gone away.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Lip pruritus, Paraesthesia, Pruritus, Rash macular
Clinical narrative: Patient states that her mother started noticing red, blotchy areas on the right side of her face. Patient states that her face, upper lip and bilateral upper extremities started itching, she also started having  a tingling sensation to her fingers and red, blotchy areas to her hands.  Patient started having symptoms 45min after immunization. Patient was given Benadryl 25mg, her symptoms improved and she went back home.
Age: 20.0
Sex: F
Vaccine: FLUX
Symptoms: Body temperature increased, Chills, Condition aggravated, Dizziness, Feeling cold
Clinical narrative: The same day I got the vaccine at 9 P. m I woke up from a nap with uncontrollable shivering and nausea. I decided to take a bath since I could not get warm no matter what I did. When I went to get out of the bath I was extremely dizzy. I took my temperature and it was 102.5. I woke up the next day covered in sweat and my temperature the next morning was 100.1. I felt better until I went to go shower and almost passed out in the shower. The vaccine for some reason really interfered with my POTS and I typically don't have reactions to vaccines at all. The whole morning my temperature was 99 then it finally normalized later in the day. I also had a headache both days and still do into the third day.
Age: 20.0
Sex: F
Vaccine: FLUX
Symptoms: Headache, Hyperhidrosis, Nausea, Postural orthostatic tachycardia syndrome, Presyncope
Clinical narrative: The same day I got the vaccine at 9 P. m I woke up from a nap with uncontrollable shivering and nausea. I decided to take a bath since I could not get warm no matter what I did. When I went to get out of the bath I was extremely dizzy. I took my temperature and it was 102.5. I woke up the next day covered in sweat and my temperature the next morning was 100.1. I felt better until I went to go shower and almost passed out in the shower. The vaccine for some reason really interfered with my POTS and I typically don't have reactions to vaccines at all. The whole morning my temperature was 99 then it finally normalized later in the day. I also had a headache both days and still do into the third day.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Chest X-ray normal, Chest pain, Dyspnoea, Dyspnoea exertional, Echocardiogram normal
Clinical narrative: Myopericarditis.  Symptoms included chest pain, shortness of breath, dyspnea on exertion starting 2 days after the 2nd dose of Moderna COVID-19 vaccine.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram abnormal, Myocarditis, Pericarditis, Troponin increased
Clinical narrative: Myopericarditis.  Symptoms included chest pain, shortness of breath, dyspnea on exertion starting 2 days after the 2nd dose of Moderna COVID-19 vaccine.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Acupuncture, Condition aggravated, Depression, Fatigue, Headache
Clinical narrative: Post vaccine depression- on hour after receiving the vaccine Excess vaginal bleeding- bled for 2 weeks. Got acupuncture on day 13  and bleeding subsided.  Excessive fatigue- Bed bound, body stiffness, called urgent care for further advise but received none.  Headaches- took epsom salt bath with no relief. Then took advil which relieved the pain.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Vaginal haemorrhage
Clinical narrative: Post vaccine depression- on hour after receiving the vaccine Excess vaginal bleeding- bled for 2 weeks. Got acupuncture on day 13  and bleeding subsided.  Excessive fatigue- Bed bound, body stiffness, called urgent care for further advise but received none.  Headaches- took epsom salt bath with no relief. Then took advil which relieved the pain.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Vision blurred
Clinical narrative: I experienced random blurred vision. I feel like I am no longer nearsighted but rather farsighted. It is harder to focus on things up close. I was told by my doctor to get my eyes checked. I am still experiencing this
Age: 90.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: Breakthrough symptomatic COVID-19 infection, positive PCR 10/7/21.
Age: 0.42
Sex: M
Vaccine: HPV9
Symptoms: Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Patient was accidentally given a dose of HPV vaccine instead of Prevnar13 vaccine due to similar packaging on vaccine vials. "Patient erroneously got an HPV/Gardasil vaccine instead of the Prevnar today.  Once the error was recognized, I called poison control.  Talk to the pharmacist there and of course there is no data in this age group with this particular vaccine.  We reviewed the type of vaccine. Protein subunit type - it's not a live attenuated vaccine, so should not be dangerous to him, other than inflammatory reaction.  soreness, fever, redness.  I called mom, and explained the error, conveyed sincere apologies, and recommend they watch him closely tonight, and come into the clinic tomorrow anytime for a quick recheck to see how he is doing.  She will do that. If any concerns during the night, can always come to ER if serious appearing reaction. Also gave mom phone number for poison control, in case they want to call and speak with someone there as well.  .................................................................... MD  October  4, 2021 5:40 PM"
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Vaccine positive rechallenge
Clinical narrative: developed upper back pain and numbness in left arm after 2 dose--after few days of 2 nd dose and resolved after 4-5 months . symptoms restarted again with in 2 hours of 3 rd dose
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Blood creatinine increased, Brain natriuretic peptide increased, C-reactive protein increased, Chest X-ray abnormal
Clinical narrative: Highly suspicious of MIS-A Initial Moderna dose received in early August,  became ill three days later and tested positive for COVID, hospitalized for four days, required oxygen made full recovery, received second dose of Moderna around 9/16 (exact date unknown) and ten days later became sick with fever, chills, body aches, nausea/vomiting, diarrhea, abdominal pain, presented to ER 9/30, received monoclonal antibody 10/1, returned to ER 10/2 with worsening of above symptoms, found to be hypotensive to 80s systolic, new AKI Cr 3.8. Remained with intermittent fevers as high as 39 through 10/4. Received IV dexamethasone then IVIG 10/4 and 10/5, anakinra started 10/6. TTE with borderline EF at 50% on 10/3. New O2 requirement 10/4 with associated dyspnea at rest and increased interstitial infiltrates on CXR c/w pulmonary edema. Improved with diuresis, satting 95% on room air on 10/7. Afebrile since 10/5 with resolution of n/v/abdominal pain and improving malaise/fatigue/body aches.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Dyspnoea, Echocardiogram, Ejection fraction
Clinical narrative: Highly suspicious of MIS-A Initial Moderna dose received in early August,  became ill three days later and tested positive for COVID, hospitalized for four days, required oxygen made full recovery, received second dose of Moderna around 9/16 (exact date unknown) and ten days later became sick with fever, chills, body aches, nausea/vomiting, diarrhea, abdominal pain, presented to ER 9/30, received monoclonal antibody 10/1, returned to ER 10/2 with worsening of above symptoms, found to be hypotensive to 80s systolic, new AKI Cr 3.8. Remained with intermittent fevers as high as 39 through 10/4. Received IV dexamethasone then IVIG 10/4 and 10/5, anakinra started 10/6. TTE with borderline EF at 50% on 10/3. New O2 requirement 10/4 with associated dyspnea at rest and increased interstitial infiltrates on CXR c/w pulmonary edema. Improved with diuresis, satting 95% on room air on 10/7. Afebrile since 10/5 with resolution of n/v/abdominal pain and improving malaise/fatigue/body aches.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Hypotension, Immunoglobulin therapy, Malaise, Multisystem inflammatory syndrome in adults
Clinical narrative: Highly suspicious of MIS-A Initial Moderna dose received in early August,  became ill three days later and tested positive for COVID, hospitalized for four days, required oxygen made full recovery, received second dose of Moderna around 9/16 (exact date unknown) and ten days later became sick with fever, chills, body aches, nausea/vomiting, diarrhea, abdominal pain, presented to ER 9/30, received monoclonal antibody 10/1, returned to ER 10/2 with worsening of above symptoms, found to be hypotensive to 80s systolic, new AKI Cr 3.8. Remained with intermittent fevers as high as 39 through 10/4. Received IV dexamethasone then IVIG 10/4 and 10/5, anakinra started 10/6. TTE with borderline EF at 50% on 10/3. New O2 requirement 10/4 with associated dyspnea at rest and increased interstitial infiltrates on CXR c/w pulmonary edema. Improved with diuresis, satting 95% on room air on 10/7. Afebrile since 10/5 with resolution of n/v/abdominal pain and improving malaise/fatigue/body aches.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pain, Polyuria, Pulmonary oedema, Pyrexia
Clinical narrative: Highly suspicious of MIS-A Initial Moderna dose received in early August,  became ill three days later and tested positive for COVID, hospitalized for four days, required oxygen made full recovery, received second dose of Moderna around 9/16 (exact date unknown) and ten days later became sick with fever, chills, body aches, nausea/vomiting, diarrhea, abdominal pain, presented to ER 9/30, received monoclonal antibody 10/1, returned to ER 10/2 with worsening of above symptoms, found to be hypotensive to 80s systolic, new AKI Cr 3.8. Remained with intermittent fevers as high as 39 through 10/4. Received IV dexamethasone then IVIG 10/4 and 10/5, anakinra started 10/6. TTE with borderline EF at 50% on 10/3. New O2 requirement 10/4 with associated dyspnea at rest and increased interstitial infiltrates on CXR c/w pulmonary edema. Improved with diuresis, satting 95% on room air on 10/7. Afebrile since 10/5 with resolution of n/v/abdominal pain and improving malaise/fatigue/body aches.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Red blood cell sedimentation rate increased, SARS-CoV-2 antibody test, SARS-CoV-2 test positive, Serum ferritin increased, Troponin
Clinical narrative: Highly suspicious of MIS-A Initial Moderna dose received in early August,  became ill three days later and tested positive for COVID, hospitalized for four days, required oxygen made full recovery, received second dose of Moderna around 9/16 (exact date unknown) and ten days later became sick with fever, chills, body aches, nausea/vomiting, diarrhea, abdominal pain, presented to ER 9/30, received monoclonal antibody 10/1, returned to ER 10/2 with worsening of above symptoms, found to be hypotensive to 80s systolic, new AKI Cr 3.8. Remained with intermittent fevers as high as 39 through 10/4. Received IV dexamethasone then IVIG 10/4 and 10/5, anakinra started 10/6. TTE with borderline EF at 50% on 10/3. New O2 requirement 10/4 with associated dyspnea at rest and increased interstitial infiltrates on CXR c/w pulmonary edema. Improved with diuresis, satting 95% on room air on 10/7. Afebrile since 10/5 with resolution of n/v/abdominal pain and improving malaise/fatigue/body aches.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Highly suspicious of MIS-A Initial Moderna dose received in early August,  became ill three days later and tested positive for COVID, hospitalized for four days, required oxygen made full recovery, received second dose of Moderna around 9/16 (exact date unknown) and ten days later became sick with fever, chills, body aches, nausea/vomiting, diarrhea, abdominal pain, presented to ER 9/30, received monoclonal antibody 10/1, returned to ER 10/2 with worsening of above symptoms, found to be hypotensive to 80s systolic, new AKI Cr 3.8. Remained with intermittent fevers as high as 39 through 10/4. Received IV dexamethasone then IVIG 10/4 and 10/5, anakinra started 10/6. TTE with borderline EF at 50% on 10/3. New O2 requirement 10/4 with associated dyspnea at rest and increased interstitial infiltrates on CXR c/w pulmonary edema. Improved with diuresis, satting 95% on room air on 10/7. Afebrile since 10/5 with resolution of n/v/abdominal pain and improving malaise/fatigue/body aches.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Fatigue, Injection site pain, Lymphadenopathy
Clinical narrative: Pain at the application site on the day 06/10/21. Left axillary lymph adenomegaly on 10/07/21. Left axillary pain on 10/07/21 without improvement with analgesic. Fatigue on 10/07/21 improved with analgesic.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Disturbance in attention, Dizziness, Dyspnoea, Hyperhidrosis
Clinical narrative: Feels anxious, sweating, shortness of breath, dizziness, unable to concentrate, and nausea.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Feels anxious, sweating, shortness of breath, dizziness, unable to concentrate, and nausea.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary normal, Asthenia, Blood culture, Blood lactic acid, Blood magnesium decreased
Clinical narrative: Hospitalized 09/29/2021; COVID-19 positive 09/29/2021; fully vaccinated  Assessment/Plan    DIAGNOSIS at time of disposition: 1. COVID-19  2. Acute cystitis without hematuria      New Prescriptions   No new medications prescribed this visit.     ED Disposition    ED Disposition   Hospitalized     MEDICAL DECISION MAKING Supervising Physician:  Upon arrival to the emergency department patient's vital signs are notable for hypotension.  Possible etiologies of their symptoms include sepsis, urinary tract infection, COVID-19.  Our workup in the emergency department includes urinalysis, COVID-19 test, complete blood count, CMP, magnesium, chest x-ray, lactic acid, blood cultures.  Workup was notable for urinalysis which demonstrates a urinary tract infection, positive COVID-19 test, increase lactic acid to 2.3, and a low magnesium level. Given these findings most likely etiology of their symptoms is combination of a urinary tract infection as well as COVID-19.  The patient was ambulated in the emergency department.  She was unable to walk.  She normally walks with a walker.  I spoke with her son who agrees that she should be admitted to the hospital given that her constellation of symptoms.  I spoke with the hospitalist who kindly agreed to accept the patient.  Patient will be admitted in guarded condition.  We did give her Tylenol, IV fluids, as well as magnesium in the emergency department Note from 10/6/2021: CHIEF COMPLAINT: Asthenia Assessment/Plan  ASSESSMENT / PLAN: Principal Problem:  Asthenia Active Problems:   COVID-19  Asthenia possibly secondary to COVID/UTI COVID-19 positive Pyuria/Urinary tract infection COVID-19 positive but chest x-ray negative  No hypoxia. Hold on remdesivir and Decadron E.coli in urine Cont rocephin for 3 days. PTOT consult Episode of syncope - ekg and trops are ok - CT angio thorax done, negative - CT head is negative - echo is normal Care management note on 10/5/2021: Plan/Reassessment: Plan Discharge Coordination/Progress: Initial Assessment done with son by phone; pt reported with Hullucinations; hx of Dementia. Pt will be out of covid isolation (day 11) by 10/11/21.  Will plan completion of 77/78 and continue to find accepting SAR.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray normal, Computerised tomogram head normal, Cystitis, Echocardiogram normal
Clinical narrative: Hospitalized 09/29/2021; COVID-19 positive 09/29/2021; fully vaccinated  Assessment/Plan    DIAGNOSIS at time of disposition: 1. COVID-19  2. Acute cystitis without hematuria      New Prescriptions   No new medications prescribed this visit.     ED Disposition    ED Disposition   Hospitalized     MEDICAL DECISION MAKING Supervising Physician:  Upon arrival to the emergency department patient's vital signs are notable for hypotension.  Possible etiologies of their symptoms include sepsis, urinary tract infection, COVID-19.  Our workup in the emergency department includes urinalysis, COVID-19 test, complete blood count, CMP, magnesium, chest x-ray, lactic acid, blood cultures.  Workup was notable for urinalysis which demonstrates a urinary tract infection, positive COVID-19 test, increase lactic acid to 2.3, and a low magnesium level. Given these findings most likely etiology of their symptoms is combination of a urinary tract infection as well as COVID-19.  The patient was ambulated in the emergency department.  She was unable to walk.  She normally walks with a walker.  I spoke with her son who agrees that she should be admitted to the hospital given that her constellation of symptoms.  I spoke with the hospitalist who kindly agreed to accept the patient.  Patient will be admitted in guarded condition.  We did give her Tylenol, IV fluids, as well as magnesium in the emergency department Note from 10/6/2021: CHIEF COMPLAINT: Asthenia Assessment/Plan  ASSESSMENT / PLAN: Principal Problem:  Asthenia Active Problems:   COVID-19  Asthenia possibly secondary to COVID/UTI COVID-19 positive Pyuria/Urinary tract infection COVID-19 positive but chest x-ray negative  No hypoxia. Hold on remdesivir and Decadron E.coli in urine Cont rocephin for 3 days. PTOT consult Episode of syncope - ekg and trops are ok - CT angio thorax done, negative - CT head is negative - echo is normal Care management note on 10/5/2021: Plan/Reassessment: Plan Discharge Coordination/Progress: Initial Assessment done with son by phone; pt reported with Hullucinations; hx of Dementia. Pt will be out of covid isolation (day 11) by 10/11/21.  Will plan completion of 77/78 and continue to find accepting SAR.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Escherichia infection, Full blood count, Gait inability, Hallucination
Clinical narrative: Hospitalized 09/29/2021; COVID-19 positive 09/29/2021; fully vaccinated  Assessment/Plan    DIAGNOSIS at time of disposition: 1. COVID-19  2. Acute cystitis without hematuria      New Prescriptions   No new medications prescribed this visit.     ED Disposition    ED Disposition   Hospitalized     MEDICAL DECISION MAKING Supervising Physician:  Upon arrival to the emergency department patient's vital signs are notable for hypotension.  Possible etiologies of their symptoms include sepsis, urinary tract infection, COVID-19.  Our workup in the emergency department includes urinalysis, COVID-19 test, complete blood count, CMP, magnesium, chest x-ray, lactic acid, blood cultures.  Workup was notable for urinalysis which demonstrates a urinary tract infection, positive COVID-19 test, increase lactic acid to 2.3, and a low magnesium level. Given these findings most likely etiology of their symptoms is combination of a urinary tract infection as well as COVID-19.  The patient was ambulated in the emergency department.  She was unable to walk.  She normally walks with a walker.  I spoke with her son who agrees that she should be admitted to the hospital given that her constellation of symptoms.  I spoke with the hospitalist who kindly agreed to accept the patient.  Patient will be admitted in guarded condition.  We did give her Tylenol, IV fluids, as well as magnesium in the emergency department Note from 10/6/2021: CHIEF COMPLAINT: Asthenia Assessment/Plan  ASSESSMENT / PLAN: Principal Problem:  Asthenia Active Problems:   COVID-19  Asthenia possibly secondary to COVID/UTI COVID-19 positive Pyuria/Urinary tract infection COVID-19 positive but chest x-ray negative  No hypoxia. Hold on remdesivir and Decadron E.coli in urine Cont rocephin for 3 days. PTOT consult Episode of syncope - ekg and trops are ok - CT angio thorax done, negative - CT head is negative - echo is normal Care management note on 10/5/2021: Plan/Reassessment: Plan Discharge Coordination/Progress: Initial Assessment done with son by phone; pt reported with Hullucinations; hx of Dementia. Pt will be out of covid isolation (day 11) by 10/11/21.  Will plan completion of 77/78 and continue to find accepting SAR.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Hypotension, Metabolic function test, Pyuria, SARS-CoV-2 test positive, Syncope
Clinical narrative: Hospitalized 09/29/2021; COVID-19 positive 09/29/2021; fully vaccinated  Assessment/Plan    DIAGNOSIS at time of disposition: 1. COVID-19  2. Acute cystitis without hematuria      New Prescriptions   No new medications prescribed this visit.     ED Disposition    ED Disposition   Hospitalized     MEDICAL DECISION MAKING Supervising Physician:  Upon arrival to the emergency department patient's vital signs are notable for hypotension.  Possible etiologies of their symptoms include sepsis, urinary tract infection, COVID-19.  Our workup in the emergency department includes urinalysis, COVID-19 test, complete blood count, CMP, magnesium, chest x-ray, lactic acid, blood cultures.  Workup was notable for urinalysis which demonstrates a urinary tract infection, positive COVID-19 test, increase lactic acid to 2.3, and a low magnesium level. Given these findings most likely etiology of their symptoms is combination of a urinary tract infection as well as COVID-19.  The patient was ambulated in the emergency department.  She was unable to walk.  She normally walks with a walker.  I spoke with her son who agrees that she should be admitted to the hospital given that her constellation of symptoms.  I spoke with the hospitalist who kindly agreed to accept the patient.  Patient will be admitted in guarded condition.  We did give her Tylenol, IV fluids, as well as magnesium in the emergency department Note from 10/6/2021: CHIEF COMPLAINT: Asthenia Assessment/Plan  ASSESSMENT / PLAN: Principal Problem:  Asthenia Active Problems:   COVID-19  Asthenia possibly secondary to COVID/UTI COVID-19 positive Pyuria/Urinary tract infection COVID-19 positive but chest x-ray negative  No hypoxia. Hold on remdesivir and Decadron E.coli in urine Cont rocephin for 3 days. PTOT consult Episode of syncope - ekg and trops are ok - CT angio thorax done, negative - CT head is negative - echo is normal Care management note on 10/5/2021: Plan/Reassessment: Plan Discharge Coordination/Progress: Initial Assessment done with son by phone; pt reported with Hullucinations; hx of Dementia. Pt will be out of covid isolation (day 11) by 10/11/21.  Will plan completion of 77/78 and continue to find accepting SAR.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Troponin normal, Urinary tract infection, Urine analysis abnormal, Walking aid user
Clinical narrative: Hospitalized 09/29/2021; COVID-19 positive 09/29/2021; fully vaccinated  Assessment/Plan    DIAGNOSIS at time of disposition: 1. COVID-19  2. Acute cystitis without hematuria      New Prescriptions   No new medications prescribed this visit.     ED Disposition    ED Disposition   Hospitalized     MEDICAL DECISION MAKING Supervising Physician:  Upon arrival to the emergency department patient's vital signs are notable for hypotension.  Possible etiologies of their symptoms include sepsis, urinary tract infection, COVID-19.  Our workup in the emergency department includes urinalysis, COVID-19 test, complete blood count, CMP, magnesium, chest x-ray, lactic acid, blood cultures.  Workup was notable for urinalysis which demonstrates a urinary tract infection, positive COVID-19 test, increase lactic acid to 2.3, and a low magnesium level. Given these findings most likely etiology of their symptoms is combination of a urinary tract infection as well as COVID-19.  The patient was ambulated in the emergency department.  She was unable to walk.  She normally walks with a walker.  I spoke with her son who agrees that she should be admitted to the hospital given that her constellation of symptoms.  I spoke with the hospitalist who kindly agreed to accept the patient.  Patient will be admitted in guarded condition.  We did give her Tylenol, IV fluids, as well as magnesium in the emergency department Note from 10/6/2021: CHIEF COMPLAINT: Asthenia Assessment/Plan  ASSESSMENT / PLAN: Principal Problem:  Asthenia Active Problems:   COVID-19  Asthenia possibly secondary to COVID/UTI COVID-19 positive Pyuria/Urinary tract infection COVID-19 positive but chest x-ray negative  No hypoxia. Hold on remdesivir and Decadron E.coli in urine Cont rocephin for 3 days. PTOT consult Episode of syncope - ekg and trops are ok - CT angio thorax done, negative - CT head is negative - echo is normal Care management note on 10/5/2021: Plan/Reassessment: Plan Discharge Coordination/Progress: Initial Assessment done with son by phone; pt reported with Hullucinations; hx of Dementia. Pt will be out of covid isolation (day 11) by 10/11/21.  Will plan completion of 77/78 and continue to find accepting SAR.
Age: 62.0
Sex: M
Vaccine: FLU4
Symptoms: Pain in extremity
Clinical narrative: sore arm next day
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Paraesthesia oral
Clinical narrative: "tingling tongue"
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Chest X-ray, Cough, Nasopharyngitis, Pyrexia
Clinical narrative: Approximately one week later I started to have some cold symptoms and a cough, by that Saturday I had spent the night a wake wheezing and coughing, I went to Patient First, my fever 102.1, They did a rapid covid test was negative, I had a chest x-ray, blood work and my white blood cells had indicated that I had a severe infection.  They an inhaler and a medicine some kind of Terle cough medicine. two days later I saw my primary and my lungs were clear by that time.  I'm feeling better today still taking my meds and inhaler.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Wheezing
Clinical narrative: Approximately one week later I started to have some cold symptoms and a cough, by that Saturday I had spent the night a wake wheezing and coughing, I went to Patient First, my fever 102.1, They did a rapid covid test was negative, I had a chest x-ray, blood work and my white blood cells had indicated that I had a severe infection.  They an inhaler and a medicine some kind of Terle cough medicine. two days later I saw my primary and my lungs were clear by that time.  I'm feeling better today still taking my meds and inhaler.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Patient stated that she suffers severe anaphylactic response to multiple antibiotics.  Food items as listed previously. Patient denies citrus sensitivity. Patient taken to EMS room at 12:25 PM. Lead RN notified. Benadryl 25 mg po given at 12:20 PM. Patient sat on cot with bottled water while injection of J&J vaccine administered at 12:30 without incident. Patient was closely monitored for adverse symptoms. Patient denies these symptoms at this time. 12:40 PM, patient is texting on phone without any problems breathing or otherwise.
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Back pain, Headache, Injection site pain, Lethargy, Myalgia
Clinical narrative: It was a 2nd shingles vaccination. My side effects were in line with the warning of possible side effects. I had all of them. Mild fever (101.5F) for 48hrs. night sweats and shaking for 2 nights. Headache for 48 hours. Muscle ache/tenderness at point of injection plus neck muscle ache, back ache, lethargy for 2 days.
Age: 56.0
Sex: M
Vaccine: VARZOS
Symptoms: Neck pain, Night sweats, Pyrexia, Tremor
Clinical narrative: It was a 2nd shingles vaccination. My side effects were in line with the warning of possible side effects. I had all of them. Mild fever (101.5F) for 48hrs. night sweats and shaking for 2 nights. Headache for 48 hours. Muscle ache/tenderness at point of injection plus neck muscle ache, back ache, lethargy for 2 days.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Herpes virus infection, Oral herpes, Pyrexia
Clinical narrative: Fever,  chills,  extreme fatigue for 24 hours after injection. Fatigue lasted weeks.  Several outbreaks of herpes (both types 1 AND 2) since vaccination. Highly highly unusual for me.  Haven't had any issues for years previous to getting the shot.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Colitis ulcerative, Colonoscopy abnormal, Constipation, Dehydration, Diarrhoea
Clinical narrative: On 3 APR 2021 I woke up with gas, mucus and constipation.  After my condition persisted and got worse, I consulted with Dr. by message and started taking Align on 30 APR 2021.  My condition continued to get worse and I had a colonoscopy on 1 JUN 2021 with Dr. It showed Ulcerative Colitis on 10% of one side and 25% on the other side of my colon.  I was hospitalized on 28 SEP with severe diarrhea and dehydration and had a 2nd colonoscopy on 1 OCT which showed the Ulcerative Colitis had spread to 100% of my colon.  I have started Entyvio infusions with the first dose on 22 SEP and the 2nd dose 6 OCT.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Flatulence, Infusion, Secretion discharge
Clinical narrative: On 3 APR 2021 I woke up with gas, mucus and constipation.  After my condition persisted and got worse, I consulted with Dr. by message and started taking Align on 30 APR 2021.  My condition continued to get worse and I had a colonoscopy on 1 JUN 2021 with Dr. It showed Ulcerative Colitis on 10% of one side and 25% on the other side of my colon.  I was hospitalized on 28 SEP with severe diarrhea and dehydration and had a 2nd colonoscopy on 1 OCT which showed the Ulcerative Colitis had spread to 100% of my colon.  I have started Entyvio infusions with the first dose on 22 SEP and the 2nd dose 6 OCT.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Full blood count normal, Metabolic function test, Paraesthesia oral, Urticaria
Clinical narrative: Migratory urticaria over most of body for period of about 10-14 days. No signs of anaphylaxis or systemic symptoms
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Abdominal pain upper, Abdominal tenderness, Anal fissure, Arthralgia
Clinical narrative: I had the usual redness and swelling on arm and a slight rash on some of my skin and if I scratched it I would get a weird reaction and my skin would look like mosquito bites or poison ivy and it got welts. About 3 days later I started feeling very ill and very tired and nauseous and sore. After 5-6 days maybe longer I was with headache and joint pain. 2-3 weeks after that my stomach started cramping and I had blood in stool and nausea and couldn't eat. It went away for a couple of days but came right back. My whole abdomen was very sore and tender. I went to a walk in clinic and they said it was just diarrhea and nothing to worry about and probably a tear in my bottom. I don't want to go and get a bunch of debt to see a doctor. If I get too stressed out I start getting really sore and have to lay down and not shift weight too quickly.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Diarrhoea, Erythema, Fatigue, Haematochezia
Clinical narrative: I had the usual redness and swelling on arm and a slight rash on some of my skin and if I scratched it I would get a weird reaction and my skin would look like mosquito bites or poison ivy and it got welts. About 3 days later I started feeling very ill and very tired and nauseous and sore. After 5-6 days maybe longer I was with headache and joint pain. 2-3 weeks after that my stomach started cramping and I had blood in stool and nausea and couldn't eat. It went away for a couple of days but came right back. My whole abdomen was very sore and tender. I went to a walk in clinic and they said it was just diarrhea and nothing to worry about and probably a tear in my bottom. I don't want to go and get a bunch of debt to see a doctor. If I get too stressed out I start getting really sore and have to lay down and not shift weight too quickly.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Malaise, Mobility decreased, Nausea, Pain
Clinical narrative: I had the usual redness and swelling on arm and a slight rash on some of my skin and if I scratched it I would get a weird reaction and my skin would look like mosquito bites or poison ivy and it got welts. About 3 days later I started feeling very ill and very tired and nauseous and sore. After 5-6 days maybe longer I was with headache and joint pain. 2-3 weeks after that my stomach started cramping and I had blood in stool and nausea and couldn't eat. It went away for a couple of days but came right back. My whole abdomen was very sore and tender. I went to a walk in clinic and they said it was just diarrhea and nothing to worry about and probably a tear in my bottom. I don't want to go and get a bunch of debt to see a doctor. If I get too stressed out I start getting really sore and have to lay down and not shift weight too quickly.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Peripheral swelling, Rash, Skin reaction, Stress, Urticaria
Clinical narrative: I had the usual redness and swelling on arm and a slight rash on some of my skin and if I scratched it I would get a weird reaction and my skin would look like mosquito bites or poison ivy and it got welts. About 3 days later I started feeling very ill and very tired and nauseous and sore. After 5-6 days maybe longer I was with headache and joint pain. 2-3 weeks after that my stomach started cramping and I had blood in stool and nausea and couldn't eat. It went away for a couple of days but came right back. My whole abdomen was very sore and tender. I went to a walk in clinic and they said it was just diarrhea and nothing to worry about and probably a tear in my bottom. I don't want to go and get a bunch of debt to see a doctor. If I get too stressed out I start getting really sore and have to lay down and not shift weight too quickly.
Age: 54.0
Sex: M
Vaccine: FLU4, PPV, TDAP
Symptoms: Wrong product administered
Clinical narrative: Patient was given a Tdap instead of a Hep B vaccine. Notified and consulted with doctor and clinic supervisor. No adverse effect to patient. No treatment needed. Notified patient.
Age: 4.0
Sex: M
Vaccine: MMRV
Symptoms: Emotional distress, No adverse event, Underdose
Clinical narrative: patient was upset receiving vaccines and  was  unable to be held still  medical assistant giving the vaccine was only able to get 0.2 ml administered , mom declined to have the rest administered as patient was very upset after receiving multiple vaccines, mom chose to come back another time for re-administration of the vaccine. Called stated, can re-administer the full dose again in 4 weeks.  no adverse reactions took place , no injury  this is just occurrence reporting
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: I took the 2nd dose of covin-19 pfizer on Sept 4, 2021. My menstrual period comes 2 weeks earlier than usual and lasts for 16 days. The blood volume is the same as the past, but spot lasts a longer time.
Age: 35.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Breakthrough case
Age: 16.0
Sex: M
Vaccine: FLU4
Symptoms: Seizure like phenomena
Clinical narrative: Patient had a reaction that looked like a seizure a few minutes after receiving a vaccination
Age: 4.0
Sex: M
Vaccine: MMR, VARZOS
Symptoms: Sinus congestion, Sleep apnoea syndrome, Snoring
Clinical narrative: Sinus completely clogged up for over one month immediately following vaccination. Patient couldn?t breath through nose during sleep. He has to open his mouth to sleep causing heavy snoring and sleep apnea.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Gaze palsy, Hyperhidrosis, Muscle contracture, Pallor
Clinical narrative: Patient received vaccine as part of on campus clinic. Shortly after he received the vaccine, he had seizure like activity. Upper extremity muscles contracted. Distant gaze. Did not lose consciousness. Resolved quickly - was A and O x3, and then had diaphoresis, pallor, and lightheadedness. These sx resolved quickly as well without treatment. Once patient seemed back to baseline patient taken to campus health center for evaluation.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure like phenomena
Clinical narrative: Patient received vaccine as part of on campus clinic. Shortly after he received the vaccine, he had seizure like activity. Upper extremity muscles contracted. Distant gaze. Did not lose consciousness. Resolved quickly - was A and O x3, and then had diaphoresis, pallor, and lightheadedness. These sx resolved quickly as well without treatment. Once patient seemed back to baseline patient taken to campus health center for evaluation.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Dizziness, Electrocardiogram, Electrocardiogram ambulatory, Heart rate increased
Clinical narrative: Rapid heart beat, a fib, and dizziness
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Breath sounds abnormal, COVID-19, Chest discomfort, Facial paralysis
Clinical narrative: Patient aged 62 y.o. with PMH of HTN who presents to the Emergency Department as a stroke alert for right facial droop and numbness of the right arm and leg numbness. He was seen immediatly on arrival.   Complains of pain in RUE, which is occasionally sharp and shooting up the shoulder on movement. Complained of chest tightness beginning this afternoon and has coughed up small 'pencil eraser' sized bits of colorless sputum a few times. Covid-19 positive test obtained today, patient describes that he has been treated for Covid-19 at Hospital, and was diagnosed initially about 3 weeks ago.   PULM: airways patent, mild chest tightness, mildly decreased breath sounds bl.   Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 62.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypoaesthesia, Pain, Pain in extremity, Productive cough, SARS-CoV-2 test positive
Clinical narrative: Patient aged 62 y.o. with PMH of HTN who presents to the Emergency Department as a stroke alert for right facial droop and numbness of the right arm and leg numbness. He was seen immediatly on arrival.   Complains of pain in RUE, which is occasionally sharp and shooting up the shoulder on movement. Complained of chest tightness beginning this afternoon and has coughed up small 'pencil eraser' sized bits of colorless sputum a few times. Covid-19 positive test obtained today, patient describes that he has been treated for Covid-19 at Hospital, and was diagnosed initially about 3 weeks ago.   PULM: airways patent, mild chest tightness, mildly decreased breath sounds bl.   Disposition: Home Condition: Stable (s/sx potential problems absent or manageable)
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Headache, Pain in extremity, Pyrexia
Clinical narrative: headache, fever, body chills, sore arm.  These symptoms lasted 24 hours
Age: 71.0
Sex: F
Vaccine: FLU4
Symptoms: Headache, Pain in extremity, Peripheral swelling
Clinical narrative: Severe headache (doesn't go away with Tylonol or Advil). Sore, swollen arm.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Arthralgia, Bedridden, Chills, Headache, Myalgia
Clinical narrative: 1st Vac HA within 10 minuet that continued fro 1 week, later in the evening mild temp with chills, sever aches/pain of muscles and joints spending 2.5 day in bed.  2nd Vac occurrence of the previous symptoms including spending 2.5 days in bed and this time mild closing of throat taking benydral 24 hours, vertigo, trigeminal neuralga, sever aches of muscles and joints. Returned to Dr because of symptoms ~ 2 weeks later because they did not subside At this time Dr feels the Vac triggered a Fibromylagia flareup.  It is now 7 week later symptoms have subsided somewhat but continued vertigo, trigeminal neuralga, constant HA, intermittent body aches/pains  requiring to take pain med 24/7.