chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate increased, Nausea, Tremor
Clinical narrative: Within 30 minutes of vaccine, severe chest pain, shakiness and nausea occurred.  Within an hour of vaccine got sick to the stomach and increased heartrate above 120 without lowering.  Later that evening chest pain worsened and had to be taken to the Emergency Room. Chest pain was a sharp stabbing and chest got tight.
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine given expired 10/24/2021-  monitoring- vitals stable, no complaints at 1400
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Condition aggravated, Flushing, Paraesthesia oral, Throat tightness
Clinical narrative: On Friday, December 17, 2021 client received her Pfizer Covid-19 vaccine booster (LOT #: FF8841) at 12:45 PM in her left deltoid. Client also received a Fluarix Quadravalent (LOT #: 7557A) vaccine in her right deltoid. During assessment questions, client stated she has a medical history of high blood pressure and diabetes type 2 and takes Lantus and Metformin. Client states she is also allergic to nuts and cigarette smoking. Client also mentioned after her first and second Pfizer Covid-19 vaccine, she experienced slight tingling on her tongue. She stated she went home and took Benadryl and the tingling sensation subsided. Client to be observed for 30 minutes after vaccination. At approximately 12:52 PM, while in Observation Area, client stated to EMT and PHN felt "7 out of 10" throat constriction, facial flushing and lips tingling. Client was brought to anti-gravity chair and vitals started. At 12:53 PM: BP: 162/80, HR 94, O2: 97%, RR: 16. At 12:57 PM, RN administered 50 mg/ml of Diphenhydramine in client's right arm and explained the fast-acting nature and drowsiness effect. At 12:59 PM, BP: 162/80, RR: 16. client stated constriction still a "7 out of 10" but is calm and speaking full and complete sentences. At 1:09 PM, BP: 164/100, HR: 95, O2 sat: 98% client stated she felt "5 out of 10" throat constriction, lips "slightly" tingly still. Client stated she spoke to her PCP about previous reactions to Covid-19 vaccine and stated her PCP still recommended to receive her booster dose and take Benadryl or Ibuprofen as needed. Client reported similar history and baseline of tingly lips for a "few hours" after vaccination. At 1:14 PM, BP: 166/98, HR: 98, O2 sat: 98%, RR: 16. Client feels "5 out of 10" throat constriction. At 1:22 PM BP: 164/102, HR:91, O2 sat: 98%, RR: 16. At 1:25 PM, client stated she still felt "5 out of 10" throat constriction but felt stable to leave. No further interventions needed. PHN educated patient on signs and symptoms of adverse reactions and when to go to the ED/call MD. Client left vaccination site with a steady gait at approximately 1:30 PM.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anosmia, Chest pain, Chills, Diarrhoea, Exposure to SARS-CoV-2
Clinical narrative: After 1st dose--headache for 7 days, diarrhea and muscle pain for 5 days.  Treated with Dayquil.  Fatigue lasted a month After 2nd dose--headache for 9 days, diarrhea and muscle pain for 5 days.  Again treated with Dayquil.  On the 4th day after vaccine I had chest pain--I administered aspirin and monitored myself for potential cardiac events. December 2021--I came down sick along with my friends.  My friends tested positive for COVID.  My symptoms included sinus congestion, upper respiratory congestion, fatigue, diarrhea, loss of smell.  On December 10, I went to Urgent care to be tested for COVID and the rapid test came back negative at that time (my friends just diagnosed on December 7).  Symptoms have continued since before Thanksgiving and I have been instructed to take Dayquil and Nyquil until symptoms clear; also given Prednisone (50mg for 5 days).  I have also added Vitamin C,D, and Zinc.  As of today (12/17/2021) I still have no smell and sinuses are still congested; headaches are also persisting and so is fatigue.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Headache, Malaise, Myalgia, Pain
Clinical narrative: After 1st dose--headache for 7 days, diarrhea and muscle pain for 5 days.  Treated with Dayquil.  Fatigue lasted a month After 2nd dose--headache for 9 days, diarrhea and muscle pain for 5 days.  Again treated with Dayquil.  On the 4th day after vaccine I had chest pain--I administered aspirin and monitored myself for potential cardiac events. December 2021--I came down sick along with my friends.  My friends tested positive for COVID.  My symptoms included sinus congestion, upper respiratory congestion, fatigue, diarrhea, loss of smell.  On December 10, I went to Urgent care to be tested for COVID and the rapid test came back negative at that time (my friends just diagnosed on December 7).  Symptoms have continued since before Thanksgiving and I have been instructed to take Dayquil and Nyquil until symptoms clear; also given Prednisone (50mg for 5 days).  I have also added Vitamin C,D, and Zinc.  As of today (12/17/2021) I still have no smell and sinuses are still congested; headaches are also persisting and so is fatigue.
Age: 41.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test negative, Sinus congestion, Upper respiratory tract congestion
Clinical narrative: After 1st dose--headache for 7 days, diarrhea and muscle pain for 5 days.  Treated with Dayquil.  Fatigue lasted a month After 2nd dose--headache for 9 days, diarrhea and muscle pain for 5 days.  Again treated with Dayquil.  On the 4th day after vaccine I had chest pain--I administered aspirin and monitored myself for potential cardiac events. December 2021--I came down sick along with my friends.  My friends tested positive for COVID.  My symptoms included sinus congestion, upper respiratory congestion, fatigue, diarrhea, loss of smell.  On December 10, I went to Urgent care to be tested for COVID and the rapid test came back negative at that time (my friends just diagnosed on December 7).  Symptoms have continued since before Thanksgiving and I have been instructed to take Dayquil and Nyquil until symptoms clear; also given Prednisone (50mg for 5 days).  I have also added Vitamin C,D, and Zinc.  As of today (12/17/2021) I still have no smell and sinuses are still congested; headaches are also persisting and so is fatigue.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: expired vaccine given to patient
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood pressure increased, Blood test normal, Condition aggravated, Fatigue
Clinical narrative: In my right arm on the 1st day, soreness and its not bad, tired and fatigued, the pain started in injection site on the right arm. moved to the shoulder and then to the neck and couldn't turn my neck to the right. I continued doing my exercises. Went to doctor two weeks later, she took my blood pressure, Lost weight through weight watches. It took several months about 4 months for it to go away.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Mobility decreased, Neck pain, Pain in extremity, Weight decreased
Clinical narrative: In my right arm on the 1st day, soreness and its not bad, tired and fatigued, the pain started in injection site on the right arm. moved to the shoulder and then to the neck and couldn't turn my neck to the right. I continued doing my exercises. Went to doctor two weeks later, she took my blood pressure, Lost weight through weight watches. It took several months about 4 months for it to go away.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Injection site pain, Pain, Tinnitus, Vertigo
Clinical narrative: Injection site pain, headache, body ache, vertigo, tinnitus.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: C-reactive protein normal, Chest X-ray normal, Chest pain, Dyspnoea, Echocardiogram normal
Clinical narrative: Pt came in complaining of new onset chest pain,  SOB and pain radiating  down his left arm and his left neck. Occured all day waxing and waning with no previous similar episodes. The pain was associated with mild diaphoresis.  By the next am it was slightly improved.  Similar episodes began to occur spontaneously through out the next few days resulting in an ED visit where an EKG was found to be normal.  He was reassured and sent home and then presented to my office with continued complaints.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram normal, Fibrin D dimer, Haematocrit normal, Haemoglobin normal, Hyperhidrosis
Clinical narrative: Pt came in complaining of new onset chest pain,  SOB and pain radiating  down his left arm and his left neck. Occured all day waxing and waning with no previous similar episodes. The pain was associated with mild diaphoresis.  By the next am it was slightly improved.  Similar episodes began to occur spontaneously through out the next few days resulting in an ED visit where an EKG was found to be normal.  He was reassured and sent home and then presented to my office with continued complaints.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: Metabolic function test, Platelet count normal, SARS-CoV-2 test negative, Troponin, Ultrasound chest
Clinical narrative: Pt came in complaining of new onset chest pain,  SOB and pain radiating  down his left arm and his left neck. Occured all day waxing and waning with no previous similar episodes. The pain was associated with mild diaphoresis.  By the next am it was slightly improved.  Similar episodes began to occur spontaneously through out the next few days resulting in an ED visit where an EKG was found to be normal.  He was reassured and sent home and then presented to my office with continued complaints.
Age: 29.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count normal
Clinical narrative: Pt came in complaining of new onset chest pain,  SOB and pain radiating  down his left arm and his left neck. Occured all day waxing and waning with no previous similar episodes. The pain was associated with mild diaphoresis.  By the next am it was slightly improved.  Similar episodes began to occur spontaneously through out the next few days resulting in an ED visit where an EKG was found to be normal.  He was reassured and sent home and then presented to my office with continued complaints.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia, Peripheral coldness, Poor peripheral circulation, Raynaud's phenomenon
Clinical narrative: Raynaud's syndrome - painful tingling in hands and feet, changes in color, poor circulation, cold. Consistently occurring over last two weeks
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Skin discolouration
Clinical narrative: Raynaud's syndrome - painful tingling in hands and feet, changes in color, poor circulation, cold. Consistently occurring over last two weeks
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: I had hives.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine given expired 10/24/2021-  monitoring- vitals stable, no complaints at 1400
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: On Dec 16th our team mistakenly administered an expired vaccine to this patient. The vaccine expired on 12/14. The patient experienced no complications at the time of vaccination, nor has had any issues since. Patient and health department were notified. Manufacturer contact and advised that patient does not need to repeat vaccination at this time
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Urticaria
Clinical narrative: Spontaneous raised, red hives the come and go on abdomen, back, face, head, legs, arms, buttocks, etc. Hives have been ongoing since booster vaccine and have not resolved. Hives worsen when scratched and scratch marks become swollen and raised. Can happen once per day or multiple times. Usually resolves within a couple hours and then sometimes returns.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Chills, Headache, Injection site pain, Nausea
Clinical narrative: Moderna COVID-19 Vaccine EUA Symptoms: Headache, fever of 102.7, chills, nausea, vomiting, shaking, stomach pains, tinder arm at injection site, all over body aches and pains.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Tremor, Vomiting
Clinical narrative: Moderna COVID-19 Vaccine EUA Symptoms: Headache, fever of 102.7, chills, nausea, vomiting, shaking, stomach pains, tinder arm at injection site, all over body aches and pains.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: Moderna vaccine given expired 10/24/2021-  monitoring- vitals stable, no complaints at 1400
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Feeling hot, Heart rate increased, Sensation of foreign body
Clinical narrative: Patient complained of feeling anxious, hot, knob in the throat, rapid heartbeat.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine given expired 10/24/2021-  monitoring- vitals stable, no complaints at 1400
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Vasovagal syncope.
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine given expired 10/24/2021. Monitoring vitals; stable; no complaints at 14:00.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site bruising, Injection site swelling, Injection site warmth
Clinical narrative: intense swelling and fever at injection site reaching 4? diameter. Once swelling and fever reduced, a deep bruise formed and is still fading as of 12/17/21
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine given expired 10/24/2021-  monitoring- vitals stable, no complaints at 1400
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: patient received adult dose of pfizer instead of pediatric dose for her second dose, patient is 8 years old and was in line with her 12 year old sibling
Age: 7.0
Sex: M
Vaccine: COVID19
Symptoms: Dry skin, Injection site reaction, Rash, Rash erythematous, Rash papular
Clinical narrative: Two days after injection, developed raised rough rash about 2 inches diameter around site, also had raised red rash looking like insect bites around both knees and ankles
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine given expired 10/24/2021. Monitoring vitals; stable; no complaints at 14:00.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Impaired driving ability, Vertigo
Clinical narrative: patient developed persistent vertigo, developed on the same day as the vaccination. made patient too dizzy to be able to drive. tried chiropractic treatment to correct possible otoliths without resolution. eventually resolved around 2 months following onset with meclizine
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pruritus, Skin burning sensation
Clinical narrative: Redness of skin, itchess, burning of skin
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine given expired 10/24/2021-  monitoring- vitals stable, no complaints at 1400.
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus
Clinical narrative: Patient informed staff he had itching after receiving each COVID-19 vaccine in his primary Moderna series. Patient received Moderna booster at 15:08, and complained of mild itching in both arms at 15:25. Vitals taken at 13:28, and he was examined for hives. No hives present on body. Vital signs at 13:28: BP 140/70, HR 70 and SpO2 99%. At 15:30, Benadryl 25mg administered PO. No shortness of breath, wheezing or trouble breathing evident.  At 15:40, vital signs repeated BP 138/85, R18, SpO2 99% and HR 65. Patient stated he felt better. Very mild itching present and no hives. Patient released at 15:43.
Age: 46.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Headache, Pain, Sinus pain
Clinical narrative: headache, sinus pain, shortness of breath, body aches. starting 12/15/21
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, Underdose
Clinical narrative: ADMINISTRATION ERROR  : Pt. was administered Pediatric dose 5- 11 age group 1/2 dose Previously 11/19/2021 1st dose 12-16
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine given expired 10/24/2021-  monitoring- vitals stable, no complaints at 1400
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Influenza like illness, Rash erythematous, Rash papular
Clinical narrative: Developed a large raised red rash about 1 week after vaccine dose 1, with fatigue and flu like symptoms. Rash lasted 2 weeks and fatigue lasted longer.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Loss of consciousness, Memory impairment
Clinical narrative: 24 hours after the injection I blacked out for several minutes. Felt very woozy the rest of the day. Some forgetfulness. Alright after 3 days.
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine given expired 10/24/2021-  monitoring- vitals stable, no complaints at 1400
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Dizziness, Headache, Neck pain, Vomiting
Clinical narrative: Five days after my COVID 19 Moderna boster vaccine, on  11/24, I began experiencing severe headache pain requiring an ER visit where I was administered fluids and a "migraine cocktail" medication in an IV. I have a history of neck and head pain from arthritis in my neck but this was so severe that I was dizzy, vomited, and my blood pressure was elevated.  This week, on 12/14 I experienced the same reaction, only the pain was much more severe and my normal medication  did not help. I again went to the ER where I was administered fluids and a  migraine cocktail of medications once again.  I have a history of arthritis and headache due to the arthritis in my neck but never such pain leaving me debilitated in such a way. I do not know if it is a coincidence or the booster exasperated my condition.
Age: 64.0
Sex: M
Vaccine: VARZOS
Symptoms: Exercise tolerance decreased, Fatigue, Injection site pain
Clinical narrative: Very sore arm at injection site.  Very tired and difficult to exercise.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Oedema peripheral
Clinical narrative: Swollen at injection site and red. Under the same arm in the axillary position was swollen the size of a baseball.  These symptoms lasted 8 days.
Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product preparation issue
Clinical narrative: Patient was administered full vial of vaccine without the vial being reconstituted. No adverse reaction at this time.  MD monitoring.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine given expired 10/24/2021-  monitoring- vitals stable, no complaints at 1400
Age: 47.0
Sex: F
Vaccine: VARCEL
Symptoms: Incorrect route of product administration, No adverse event
Clinical narrative: Injection was given via Intramuscular route and not SQ route as intended. No adverse event was reported
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient just turned 12
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: He received  0.25ml of Moderna as first dose
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Inflammation, Lip swelling, Swelling, Urticaria
Clinical narrative: I began developing hives all over my body and swelling on my lips and eyes. When it was especially bad I would feel it internally in my chest, like I had swallowed a pill that got stuck at the base of my throat. The hives and swelling were always worst in the morning and would migrate by the next day. It got worse when I did not sleep enough or drank alcohol, but still occurred even without these triggers. My reactions peaked May into June where my hives got so bad at points that I couldn't move my hands - as if my hands were just two giant hives. When I had bloodwork done my inflammation numbers were off the charts, but nothing else was abnormal. I began on a regimen of steroids (only 4 days) and antihistamines (consistently) that moderated but did not stop my reactions. By late July it was mostly under control, with hives showing up roughly once every 1-2 weeks. Since then the longest period I've gone without a flare up is 1 month. It seems to get worse around my menstrual cycle. I am now only taking the antihistamines as needed when I wake up with hives or swelling.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Moderna vaccine given expired 10/24/2021-  monitoring- vitals stable, no complaints at 1400
Age: 10.0
Sex: F
Vaccine: FLU4
Symptoms: No adverse event
Clinical narrative: no adverse reaction
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling
Clinical narrative: right upper arm where injection was became red, swollen.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient was administered full vial of vaccine without the vial being reconstituted. No adverse reaction at this time.  MD monitoring.
Age: 68.0
Sex: F
Vaccine: VARZOS
Symptoms: Influenza like illness, Oral herpes
Clinical narrative: Patient developed flu-like symptoms the day after vaccination. She also states that she broke out in fever blisters all over her mouth.
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: positive covid today
Age: 0.17
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC13, RV5
Symptoms: Body temperature increased, Catheter culture, Culture urine, Dehydration, Diarrhoea
Clinical narrative: blood & mucus diarrhea,  temp 101.8 R, fussiness, dehydration, weight loss, gastritis, gastroparesis
Age: 0.17
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC13, RV5
Symptoms: Diarrhoea haemorrhagic, Full blood count, Gastritis, Impaired gastric emptying, Infant irritability
Clinical narrative: blood & mucus diarrhea,  temp 101.8 R, fussiness, dehydration, weight loss, gastritis, gastroparesis
Age: 0.17
Sex: F
Vaccine: DTAP, HIBV, IPV, PNC13, RV5
Symptoms: Metabolic function test, Respiratory viral panel, Stool analysis, Ultrasound abdomen, Weight decreased
Clinical narrative: blood & mucus diarrhea,  temp 101.8 R, fussiness, dehydration, weight loss, gastritis, gastroparesis
Age: 6.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered
Clinical narrative: Patient was administered 0.2ML of the Adult concentration/vaccine
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test, Fatigue, Peripheral swelling, Pharyngeal swelling, Rash
Clinical narrative: persistent fatigue, body rash, severe swelling in hands, feet, throat, tongue
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Swollen tongue
Clinical narrative: persistent fatigue, body rash, severe swelling in hands, feet, throat, tongue
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, Blood test, Cardiac stress test, Echocardiogram, Electrocardiogram
Clinical narrative: I went into A-fib with RVR. I was at stroke level. I had to be given stomach injections to avoid a stroke. I was admitted into the hospital for 3 days and was given meds to take if symptoms came back.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast
Clinical narrative: I went into A-fib with RVR. I was at stroke level. I had to be given stomach injections to avoid a stroke. I was admitted into the hospital for 3 days and was given meds to take if symptoms came back.
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: Patient jerked away during administration, half dose came dribbling down patiets arm. We called Pfizer and spoke with vaccine department, they said to immediatley give a half dose to equal the full dose. So we vaccinated patient again with a 0.1 ml half dose.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Alanine aminotransferase increased, Blood bilirubin increased, Blood culture positive, C-reactive protein increased
Clinical narrative: 69 M with PMH sig for DM, Type II, aortic stenosis s/p bioprosthetic valve, COVID on 2/8/21 had COVID vaccination with sudden onset loss of appetite, nausea, diarrhea, loss of sense of taste, chills persisting for 1-2 weeks prior to evaluation.   Initial evaluation with elevated procalcitonin (9.904), CRP (9.1), ESR (77), ALT (45), Bili (1.3), WBC (12.8>11.5) neutrophil predominant (10.0).   CT chest/abdomen to r/o occult infection largely unremarkable.    Patient received medrol dose pack with worsening fever/chills/confusion after completion of steroid course.  Blood Culture positive for streptococcus gallolyticus bacteremia.  Patient was admitted to ICU,  received IV ABX then ceftriaxone for 14 days post discharge.   TTE/TEE negative for infective endocarditis.   Patient recovered with residual fatigue at last evaluation.    *17. Streptococcus gallolyticus subsp. gallolyticus Sgg (formerly known as S. bovis type I) is the main causative agent of septicemia and infective endocarditis (IE) in elderly and immunocompromised persons. It belongs to the few opportunistic bacteria, which have been strongly associated to colorectal cancer (CRC). A literature survey covering a period of 40 years (1970?2010) revealed that 65% of patients diagnosed with an invasive Sgg infection had a concomitant colorectal neoplasia. Sgg is associated mainly with early adenomas and may thus constitute an early marker for CRC screening.  Fecal occult blood positive 10/04/2019.  Recommend colonoscopy.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Computerised tomogram abdomen normal, Computerised tomogram thorax normal, Confusional state, Decreased appetite
Clinical narrative: 69 M with PMH sig for DM, Type II, aortic stenosis s/p bioprosthetic valve, COVID on 2/8/21 had COVID vaccination with sudden onset loss of appetite, nausea, diarrhea, loss of sense of taste, chills persisting for 1-2 weeks prior to evaluation.   Initial evaluation with elevated procalcitonin (9.904), CRP (9.1), ESR (77), ALT (45), Bili (1.3), WBC (12.8>11.5) neutrophil predominant (10.0).   CT chest/abdomen to r/o occult infection largely unremarkable.    Patient received medrol dose pack with worsening fever/chills/confusion after completion of steroid course.  Blood Culture positive for streptococcus gallolyticus bacteremia.  Patient was admitted to ICU,  received IV ABX then ceftriaxone for 14 days post discharge.   TTE/TEE negative for infective endocarditis.   Patient recovered with residual fatigue at last evaluation.    *17. Streptococcus gallolyticus subsp. gallolyticus Sgg (formerly known as S. bovis type I) is the main causative agent of septicemia and infective endocarditis (IE) in elderly and immunocompromised persons. It belongs to the few opportunistic bacteria, which have been strongly associated to colorectal cancer (CRC). A literature survey covering a period of 40 years (1970?2010) revealed that 65% of patients diagnosed with an invasive Sgg infection had a concomitant colorectal neoplasia. Sgg is associated mainly with early adenomas and may thus constitute an early marker for CRC screening.  Fecal occult blood positive 10/04/2019.  Recommend colonoscopy.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Diarrhoea, Echocardiogram, Fatigue, Intensive care, Nausea
Clinical narrative: 69 M with PMH sig for DM, Type II, aortic stenosis s/p bioprosthetic valve, COVID on 2/8/21 had COVID vaccination with sudden onset loss of appetite, nausea, diarrhea, loss of sense of taste, chills persisting for 1-2 weeks prior to evaluation.   Initial evaluation with elevated procalcitonin (9.904), CRP (9.1), ESR (77), ALT (45), Bili (1.3), WBC (12.8>11.5) neutrophil predominant (10.0).   CT chest/abdomen to r/o occult infection largely unremarkable.    Patient received medrol dose pack with worsening fever/chills/confusion after completion of steroid course.  Blood Culture positive for streptococcus gallolyticus bacteremia.  Patient was admitted to ICU,  received IV ABX then ceftriaxone for 14 days post discharge.   TTE/TEE negative for infective endocarditis.   Patient recovered with residual fatigue at last evaluation.    *17. Streptococcus gallolyticus subsp. gallolyticus Sgg (formerly known as S. bovis type I) is the main causative agent of septicemia and infective endocarditis (IE) in elderly and immunocompromised persons. It belongs to the few opportunistic bacteria, which have been strongly associated to colorectal cancer (CRC). A literature survey covering a period of 40 years (1970?2010) revealed that 65% of patients diagnosed with an invasive Sgg infection had a concomitant colorectal neoplasia. Sgg is associated mainly with early adenomas and may thus constitute an early marker for CRC screening.  Fecal occult blood positive 10/04/2019.  Recommend colonoscopy.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Neutrophil count increased, Procalcitonin increased, Pyrexia, Red blood cell sedimentation rate increased, Streptococcal bacteraemia
Clinical narrative: 69 M with PMH sig for DM, Type II, aortic stenosis s/p bioprosthetic valve, COVID on 2/8/21 had COVID vaccination with sudden onset loss of appetite, nausea, diarrhea, loss of sense of taste, chills persisting for 1-2 weeks prior to evaluation.   Initial evaluation with elevated procalcitonin (9.904), CRP (9.1), ESR (77), ALT (45), Bili (1.3), WBC (12.8>11.5) neutrophil predominant (10.0).   CT chest/abdomen to r/o occult infection largely unremarkable.    Patient received medrol dose pack with worsening fever/chills/confusion after completion of steroid course.  Blood Culture positive for streptococcus gallolyticus bacteremia.  Patient was admitted to ICU,  received IV ABX then ceftriaxone for 14 days post discharge.   TTE/TEE negative for infective endocarditis.   Patient recovered with residual fatigue at last evaluation.    *17. Streptococcus gallolyticus subsp. gallolyticus Sgg (formerly known as S. bovis type I) is the main causative agent of septicemia and infective endocarditis (IE) in elderly and immunocompromised persons. It belongs to the few opportunistic bacteria, which have been strongly associated to colorectal cancer (CRC). A literature survey covering a period of 40 years (1970?2010) revealed that 65% of patients diagnosed with an invasive Sgg infection had a concomitant colorectal neoplasia. Sgg is associated mainly with early adenomas and may thus constitute an early marker for CRC screening.  Fecal occult blood positive 10/04/2019.  Recommend colonoscopy.
Age: 69.0
Sex: M
Vaccine: COVID19
Symptoms: Streptococcus test positive, White blood cell count increased
Clinical narrative: 69 M with PMH sig for DM, Type II, aortic stenosis s/p bioprosthetic valve, COVID on 2/8/21 had COVID vaccination with sudden onset loss of appetite, nausea, diarrhea, loss of sense of taste, chills persisting for 1-2 weeks prior to evaluation.   Initial evaluation with elevated procalcitonin (9.904), CRP (9.1), ESR (77), ALT (45), Bili (1.3), WBC (12.8>11.5) neutrophil predominant (10.0).   CT chest/abdomen to r/o occult infection largely unremarkable.    Patient received medrol dose pack with worsening fever/chills/confusion after completion of steroid course.  Blood Culture positive for streptococcus gallolyticus bacteremia.  Patient was admitted to ICU,  received IV ABX then ceftriaxone for 14 days post discharge.   TTE/TEE negative for infective endocarditis.   Patient recovered with residual fatigue at last evaluation.    *17. Streptococcus gallolyticus subsp. gallolyticus Sgg (formerly known as S. bovis type I) is the main causative agent of septicemia and infective endocarditis (IE) in elderly and immunocompromised persons. It belongs to the few opportunistic bacteria, which have been strongly associated to colorectal cancer (CRC). A literature survey covering a period of 40 years (1970?2010) revealed that 65% of patients diagnosed with an invasive Sgg infection had a concomitant colorectal neoplasia. Sgg is associated mainly with early adenomas and may thus constitute an early marker for CRC screening.  Fecal occult blood positive 10/04/2019.  Recommend colonoscopy.
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Rcvd a 3rd vaccine after she already took the 2nd one.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram abnormal, Anticoagulant therapy, Coagulation test, Headache, Hypoaesthesia
Clinical narrative: Patient received x2 Pfizer Covid vaccines on 4/7/21 and 4/29/21 with out any adverse events.  She then received her 3rd shot (booster) on 12/10/21.  On 12/11/21, she developed a headache.  Over the course of the next several days, she started having intermittent numbness on the right side of her body on 12/15.  She presented to emergency department on 12/15 PM where she then had a seizure.  MR, MRA, MRV showed extensive thrombus of saggital sinus.  She was started on Keppra and heparin drip and was admitted to the ICU.  Lab testing was unremarkable, including platelets which were normal.  The patient also has a family history of VTE and was on birth control pills.  On 12/16, she had LUE and BLE weakness. Repeat MRI on 12/16 showed increased volume of cortical acute infarction so patient was taken to interventional radiology for superior sagittal sinus thrombectomy with resultant good flow through SSS. .  On 12/17, the patient reports headache is improved. BLE and LUE weakness improved after procedure.  Hypercoag labs sent.  Plan is to stop oral contraceptives permanently and patient is to be worked up for hypercoagulable state (some workup will need to be completed outpatient).  No evidence of ongoin seizures.  The patient will be treated with heparin drip and ultimately will be converted to warfarin for anticoagulation.  On day of this report (12/17/21), the patient remains hospitalized and is transferring from ICU to general medicine floor.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Infarction, Intensive care, Laboratory test normal, Magnetic resonance imaging abnormal, Muscular weakness
Clinical narrative: Patient received x2 Pfizer Covid vaccines on 4/7/21 and 4/29/21 with out any adverse events.  She then received her 3rd shot (booster) on 12/10/21.  On 12/11/21, she developed a headache.  Over the course of the next several days, she started having intermittent numbness on the right side of her body on 12/15.  She presented to emergency department on 12/15 PM where she then had a seizure.  MR, MRA, MRV showed extensive thrombus of saggital sinus.  She was started on Keppra and heparin drip and was admitted to the ICU.  Lab testing was unremarkable, including platelets which were normal.  The patient also has a family history of VTE and was on birth control pills.  On 12/16, she had LUE and BLE weakness. Repeat MRI on 12/16 showed increased volume of cortical acute infarction so patient was taken to interventional radiology for superior sagittal sinus thrombectomy with resultant good flow through SSS. .  On 12/17, the patient reports headache is improved. BLE and LUE weakness improved after procedure.  Hypercoag labs sent.  Plan is to stop oral contraceptives permanently and patient is to be worked up for hypercoagulable state (some workup will need to be completed outpatient).  No evidence of ongoin seizures.  The patient will be treated with heparin drip and ultimately will be converted to warfarin for anticoagulation.  On day of this report (12/17/21), the patient remains hospitalized and is transferring from ICU to general medicine floor.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count normal, Seizure, Superior sagittal sinus thrombosis, Thrombectomy, Venogram abnormal
Clinical narrative: Patient received x2 Pfizer Covid vaccines on 4/7/21 and 4/29/21 with out any adverse events.  She then received her 3rd shot (booster) on 12/10/21.  On 12/11/21, she developed a headache.  Over the course of the next several days, she started having intermittent numbness on the right side of her body on 12/15.  She presented to emergency department on 12/15 PM where she then had a seizure.  MR, MRA, MRV showed extensive thrombus of saggital sinus.  She was started on Keppra and heparin drip and was admitted to the ICU.  Lab testing was unremarkable, including platelets which were normal.  The patient also has a family history of VTE and was on birth control pills.  On 12/16, she had LUE and BLE weakness. Repeat MRI on 12/16 showed increased volume of cortical acute infarction so patient was taken to interventional radiology for superior sagittal sinus thrombectomy with resultant good flow through SSS. .  On 12/17, the patient reports headache is improved. BLE and LUE weakness improved after procedure.  Hypercoag labs sent.  Plan is to stop oral contraceptives permanently and patient is to be worked up for hypercoagulable state (some workup will need to be completed outpatient).  No evidence of ongoin seizures.  The patient will be treated with heparin drip and ultimately will be converted to warfarin for anticoagulation.  On day of this report (12/17/21), the patient remains hospitalized and is transferring from ICU to general medicine floor.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Wrong product administered
Clinical narrative: Patient came to pharmacy for flu vaccine  and  was given COVID vaccination by mistake  without her consent.  Approximately 2 weeks later patient states that she does not fill well . Patient does not mention any specific symptoms
Age: 17.0
Sex: M
Vaccine: COVID19, FLUR4
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Patient was 17 years old and Flublok is approved for >18.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain lower, Appendicectomy, Appendicitis, Blood glucose increased, Chills
Clinical narrative: Tiredness of morning on December 14. around 9PM severe (can't move) diffuse abdominal pain, fever, shivering, nausea and vomiting (2 times). At the ER  around 10PM: the same symptoms. Abdominal pain localized in the right lower quadrant. Fever up yp 100.9F.  Treatment included : IV saline 1L, IV antiemetic, antibiotic pre operation, tylenol per os (fever/pain).  Transferred to another hospital by an ambulance. Around 8AM had a laparoscopic appendectomy. Removed appendix showed signs of inflammations. Was discharged from the hospital at 11AM.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Inflammation, Laboratory test abnormal, Laparoscopic surgery, Mobility decreased
Clinical narrative: Tiredness of morning on December 14. around 9PM severe (can't move) diffuse abdominal pain, fever, shivering, nausea and vomiting (2 times). At the ER  around 10PM: the same symptoms. Abdominal pain localized in the right lower quadrant. Fever up yp 100.9F.  Treatment included : IV saline 1L, IV antiemetic, antibiotic pre operation, tylenol per os (fever/pain).  Transferred to another hospital by an ambulance. Around 8AM had a laparoscopic appendectomy. Removed appendix showed signs of inflammations. Was discharged from the hospital at 11AM.
Age: 10.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, SARS-CoV-2 test negative, Ultrasound scan abnormal, Vomiting
Clinical narrative: Tiredness of morning on December 14. around 9PM severe (can't move) diffuse abdominal pain, fever, shivering, nausea and vomiting (2 times). At the ER  around 10PM: the same symptoms. Abdominal pain localized in the right lower quadrant. Fever up yp 100.9F.  Treatment included : IV saline 1L, IV antiemetic, antibiotic pre operation, tylenol per os (fever/pain).  Transferred to another hospital by an ambulance. Around 8AM had a laparoscopic appendectomy. Removed appendix showed signs of inflammations. Was discharged from the hospital at 11AM.
Age: 55.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: I was asked about what additional vaccine I had w the booster. So I completed this because I had the flu vaccine the same day I had my 3rd COVID booster shot.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Headache
Clinical narrative: CLIENT BECAME DIZZY 10 MIN AFTER DOSE ADMINISTERED WITH FRONTAL HEADACHE.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Decreased appetite, Fatigue, Headache, Injected limb mobility decreased
Clinical narrative: As soon as needle pricked skin I felt severe itching at injection site (I developed a large red weal after my 1st injection in january). Within 10 min my shoulder was so swollen and sore I couldn't lift it. Went home and took water + emergency for the rest of the day. Nxt morning my entire left side neck and shoulder were in spasm and I had HA. On tues (5 days later) I got acupuncture to try and relax muscles. The next day (wed) I started experiencing fever and chills accompanied by HA and nausea plus lack of appetite. Ibuprofen helps but still tired and achy and feverish today (thurs) if I do not take ibuprofen
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Injection site swelling, Muscle spasms, Nausea, Pain
Clinical narrative: As soon as needle pricked skin I felt severe itching at injection site (I developed a large red weal after my 1st injection in january). Within 10 min my shoulder was so swollen and sore I couldn't lift it. Went home and took water + emergency for the rest of the day. Nxt morning my entire left side neck and shoulder were in spasm and I had HA. On tues (5 days later) I got acupuncture to try and relax muscles. The next day (wed) I started experiencing fever and chills accompanied by HA and nausea plus lack of appetite. Ibuprofen helps but still tired and achy and feverish today (thurs) if I do not take ibuprofen
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: As soon as needle pricked skin I felt severe itching at injection site (I developed a large red weal after my 1st injection in january). Within 10 min my shoulder was so swollen and sore I couldn't lift it. Went home and took water + emergency for the rest of the day. Nxt morning my entire left side neck and shoulder were in spasm and I had HA. On tues (5 days later) I got acupuncture to try and relax muscles. The next day (wed) I started experiencing fever and chills accompanied by HA and nausea plus lack of appetite. Ibuprofen helps but still tired and achy and feverish today (thurs) if I do not take ibuprofen
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Dysgeusia, Fatigue, Headache, Lymphadenopathy, Pain in extremity
Clinical narrative: metallic taste in mouth soon after the injection, discolored tongue; rx mouthwash prescribed; new symptoms include headache, fatigue, continued arm pain, swollen glands in armpit
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Tongue discolouration
Clinical narrative: metallic taste in mouth soon after the injection, discolored tongue; rx mouthwash prescribed; new symptoms include headache, fatigue, continued arm pain, swollen glands in armpit
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Paranasal sinus discomfort, Pharyngeal erythema, Respiratory symptom
Clinical narrative: 12/5/21 71 yr/o year old male presenting for URI symptoms that are worsening over days     Symptoms include congestion, sinus pressure, post nasal drip and non-productive cough. Denies fever, chills, wheezing, shortness of breath, anosmia and dysgeusia. Sick contacts: sick family member. SARS-CoV-2 immunity status: fully vaccinated. Patient reports history of: seasonal or environmental allergies. Patient has taken decongestants and cough suppressants for symptoms with partial effect. Appearance: He is well-developed. HENT:Head: Normocephalic and atraumatic.  Right Ear: External ear normal. Left Ear: External ear normal. Nose: Nose normal. No rhinorrhea.
Age: 70.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive, Upper-airway cough syndrome
Clinical narrative: 12/5/21 71 yr/o year old male presenting for URI symptoms that are worsening over days     Symptoms include congestion, sinus pressure, post nasal drip and non-productive cough. Denies fever, chills, wheezing, shortness of breath, anosmia and dysgeusia. Sick contacts: sick family member. SARS-CoV-2 immunity status: fully vaccinated. Patient reports history of: seasonal or environmental allergies. Patient has taken decongestants and cough suppressants for symptoms with partial effect. Appearance: He is well-developed. HENT:Head: Normocephalic and atraumatic.  Right Ear: External ear normal. Left Ear: External ear normal. Nose: Nose normal. No rhinorrhea.
Age: 19.0
Sex: M
Vaccine: UNK
Symptoms: Blood creatine phosphokinase increased, Chest pain, Electrocardiogram, Electrocardiogram ST segment elevation, Myocarditis
Clinical narrative: Myopericarditis - patient with chest pain.  Elevated troponin, elevated CK,  ECG with elevated ST segments.
Age: 19.0
Sex: M
Vaccine: UNK
Symptoms: Troponin increased
Clinical narrative: Myopericarditis - patient with chest pain.  Elevated troponin, elevated CK,  ECG with elevated ST segments.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Fatigue, Myalgia, Peripheral swelling
Clinical narrative: Fatigue, myalgias, cellulitis and swelling of left arm.
Age: 16.0
Sex: F
Vaccine: MNQ
Symptoms: No adverse event, Product preparation issue
Clinical narrative: Patient only received diluent that was supposed to be mixed with the Menveo vaccine. Patient came back later that afternoon and was given the Menveo vaccine. Patient experienced no adverse reactions after receiving vaccine.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Blood thyroid stimulating hormone increased, Fatigue, Feeling abnormal, Hypoaesthesia oral, Influenza like illness
Clinical narrative: Got a red raised rash at injection site. Rash got worse rapidly and then I started to feel like I was going to have an anaphylactic reaction (tingly numb lips, itchy mouth). I was treated in the ER. I was given IV benadryl and steroids, then released with a course of prednisone. As with the first dose I had serious fatigue and flu-like symptoms that lasted weeks. My rash resolved in about 2 weeks.   I also got 2 cold sores on my upper lip. I got a cold sore after the first dose, too. I don't get them often so this was concerning to have 2 in such a short time span.   Fatigue and brain fog continued to be a serious problem.   In May, I had a regularly scheduled appointment with my endocrinologist. My hypothyroidism, which is controlled with medication, was found to have suddenly gotten worse. My TSH which was 1.0 the last time it was checked (in 2020) had jumped to over 10. The only thing that I had done differently was get vaccinated. My dose of synthroid was increased to 200mcg. I had another appointment a month later and my tsh was back to normal but the brain fog and fatigue had continued. My doctor thought the sudden jump in tsh might be related to the vaccine since my thyroid condition is autoimmune.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site reaction, Oral herpes, Oral pruritus, Paraesthesia oral, Rash papular
Clinical narrative: Got a red raised rash at injection site. Rash got worse rapidly and then I started to feel like I was going to have an anaphylactic reaction (tingly numb lips, itchy mouth). I was treated in the ER. I was given IV benadryl and steroids, then released with a course of prednisone. As with the first dose I had serious fatigue and flu-like symptoms that lasted weeks. My rash resolved in about 2 weeks.   I also got 2 cold sores on my upper lip. I got a cold sore after the first dose, too. I don't get them often so this was concerning to have 2 in such a short time span.   Fatigue and brain fog continued to be a serious problem.   In May, I had a regularly scheduled appointment with my endocrinologist. My hypothyroidism, which is controlled with medication, was found to have suddenly gotten worse. My TSH which was 1.0 the last time it was checked (in 2020) had jumped to over 10. The only thing that I had done differently was get vaccinated. My dose of synthroid was increased to 200mcg. I had another appointment a month later and my tsh was back to normal but the brain fog and fatigue had continued. My doctor thought the sudden jump in tsh might be related to the vaccine since my thyroid condition is autoimmune.