chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure decreased, Dizziness, Feeling abnormal, Hyperhidrosis, Immediate post-injection reaction
Clinical narrative: Client received the J& J Covid vaccine injection at the Health clinic and within 40-60 seconds had c/o "feeling funny" and felt like he was going to pass out. Client started to have a seizure-like activity, and loss consciousness two times. Ice packs and cooling clothes were applied to clients forehead and neck after client seizure-like activity stopped, feet elevated. Client was diaphoretic, gray, started twitching (which he said is normal when he gets nervous.) BP was low at 86/64. EMT called and client evaluated. Client refused transport to hospital. Client recovered from episode after an hour and left with his wife from the health department able to walk and communicate on his own.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Loss of consciousness, Muscle twitching, Pallor, Seizure like phenomena
Clinical narrative: Client received the J& J Covid vaccine injection at the Health clinic and within 40-60 seconds had c/o "feeling funny" and felt like he was going to pass out. Client started to have a seizure-like activity, and loss consciousness two times. Ice packs and cooling clothes were applied to clients forehead and neck after client seizure-like activity stopped, feet elevated. Client was diaphoretic, gray, started twitching (which he said is normal when he gets nervous.) BP was low at 86/64. EMT called and client evaluated. Client refused transport to hospital. Client recovered from episode after an hour and left with his wife from the health department able to walk and communicate on his own.
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: the 15 yr old female was vaccinated with the Janssen JJ vaccine- not age appropriate
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Vitamin D decreased
Clinical narrative: Vitamin D decreasing.  Extreme fatigue for 9 days
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Caesarean section, Exposure during pregnancy, Live birth
Clinical narrative: Patient hospitalized S/P cesarean section. She had an uncomplicated hospital course and a healthy 8# 5 oz baby boy.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Lower respiratory tract infection, Rash, SARS-CoV-2 test positive
Clinical narrative: Patient tested after exposure with multiple negative tests. Reports continued cough and some chest congestion along with a new rash on her chest.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Deep vein thrombosis, Limb mass, Skin warm, Ultrasound Doppler abnormal
Clinical narrative: I wake with a hot large lump in my inner right forearm. It looked like an egg and hot to the touch. I did not know what it was at first. I applied heat and ice. I am in the medical field, so I thought it was a blood clot. I went into urgent care. They did not have the equipment to do an ultrasound. So, they referred me to another HCF. Once they did the ultrasound image and the referred me to the ER. They did a deep vein study and another ultrasound. They were looking for a DVT and they found it.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Urine analysis, Vascular test abnormal
Clinical narrative: I wake with a hot large lump in my inner right forearm. It looked like an egg and hot to the touch. I did not know what it was at first. I applied heat and ice. I am in the medical field, so I thought it was a blood clot. I went into urgent care. They did not have the equipment to do an ultrasound. So, they referred me to another HCF. Once they did the ultrasound image and the referred me to the ER. They did a deep vein study and another ultrasound. They were looking for a DVT and they found it.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Biopsy skin, Rash, Rash pruritic, Skin test
Clinical narrative: A very itchy rash started on my right elbow on March 26, 2021, exactly two weeks after my 2nd Moderna shot.  Over the next 10 days the rash spread to the whole right arm, right thigh, then left arm, left thigh, then stomach, back and neck. The rash was extremely itchy and visible.
Age: 22.0
Sex: M
Vaccine: COVID19
Symptoms: Erythema, Mouth swelling, Pruritus, Swelling, Urticaria
Clinical narrative: Itchy red hives, sometimes all over body, mainly been arms and legs and during the evening. Recently, swelling has occurred near mouth. Pressure on body parts can result in large swelling (arm pushed on edge of table while using a electronic device). Been taking Benadryl to relieve symptoms.
Age: 41.0
Sex: M
Vaccine: COVID19
Symptoms: Product preparation issue
Clinical narrative: CDC recommends using single-use vials of normal saline to dilute to each vial of the Pfizer vaccine.  Staff member incorrectly used 100 ml bottles of normal saline to reconstitute multiple vials of vaccine each day.  Staff member used a new bottle per day, however, and used the correct amount of normal saline to dilute each vial (1.8 ml per vial). We have since corrected this error and also notified local health authorities.  Patient has not reported any adverse events to health clinic where error occurred.
Age: 1.83
Sex: F
Vaccine: DTAPIPV
Symptoms: Wrong product administered
Clinical narrative: Kinrix given instead of Infanrix
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pyrexia
Clinical narrative: Fever (101.8 degrees)  for 24 hours Ongoing chronic headaches that happen spontaneously over several days.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Electrocardiogram
Clinical narrative: Chest pain
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Nausea, Rash, Rash erythematous, Rash macular
Clinical narrative: Chest neck and face broke out in red blotchy rash. Hot to the touch. Inside of throat felt warm. Light headed. Nausea.  Throat tightness. Happened a few minutes after administration of vaccine.  Waiting in the waiting area for approximately one hour. Waited in vehicle longer. After 4 hours felt almost normal.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Skin warm, Throat irritation, Throat tightness
Clinical narrative: Chest neck and face broke out in red blotchy rash. Hot to the touch. Inside of throat felt warm. Light headed. Nausea.  Throat tightness. Happened a few minutes after administration of vaccine.  Waiting in the waiting area for approximately one hour. Waited in vehicle longer. After 4 hours felt almost normal.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Cardiac failure, Cardiomyopathy, Troponin increased
Clinical narrative: Patient presented to the ED with NSTEMI on 4/20/2021. Patient hospitalized on 4/27/2021 for heart failure, nonischemic cardiomopathy and elevated troponin due to type 2 myocardial infarction.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Decreased appetite, Diarrhoea, Malaise
Clinical narrative: Wife calling to report patient being sick for one week, not eating, has cough & diarrhea.  Reports to Emergency room and is admitted to hospital.
Age: 84.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Wife calling to report patient being sick for one week, not eating, has cough & diarrhea.  Reports to Emergency room and is admitted to hospital.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Anosmia, Fatigue, Headache, Immediate post-injection reaction
Clinical narrative: Immediate headache and fatigue that went away after 36 hours.   Complete loss of smell and most of taste that is still impacting me (I can only taste and smell fruits) which really stink(no pun intended). But seriously, what can we do to get it back.
Age: 14.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect product formulation administered
Clinical narrative: CDC recommends using single-use vials of normal saline to dilute to each vial of the Pfizer vaccine.  Staff member incorrectly used 100 ml bottles of normal saline to reconstitute multiple vials of vaccine each day.  Staff member used a new bottle per day, however, and used the correct amount of normal saline to dilute each vial (1.8 ml per vial). We have since corrected this error and also notified local health authorities.  Patient has not reported any adverse events to health clinic where error occurred.
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Extreme knee pain
Age: 63.0
Sex: M
Vaccine: VARZOS
Symptoms: Heart rate increased, Pain, Pyrexia
Clinical narrative: Fever 101.8, body aches, elevated heart rate 126 bpm. Symptoms cleared after 24 hours
Age: 34.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Computerised tomogram thorax, Dyspnoea, Laboratory test, Nausea
Clinical narrative: chest pain, shortness of breath, nausea
Age: 49.0
Sex: F
Vaccine: UNK
Symptoms: Rash
Clinical narrative: I have broken out into a Rash
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Incorrect route of product administration, Inflammation, Pain in extremity, Rotator cuff syndrome
Clinical narrative: A week later my left arm and shoulder was very sore. Doctor said it was inflammation in my rotator cup due to the vaccination being improperly administered. Currently in physical therapy for my injuries.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal discomfort, Balance disorder, Blood test, Computerised tomogram, Cough
Clinical narrative: On 6/24/2021 I woke up with gastral issues, which subsided late in the evening of 6/25/2021. On 6/26 went back to my normal  routine and worked out in the gym and 6/27 played basketball for 2 plus hours. I was fatigued on 6/28 and 6/29. On 6/30 still fatigued went to the gym and did a light cardio workout and developed a heat rash on buttock and upper thighs. I took a Benadryl which cured the heat rash.  on 7/1 in the evening I developed a dry cough that was pretty intense. At this time I noticed my eye sight was blurry at a distance. 7/2 the cough went away, Looking back I now notice I had balance issues on 7/2. On 7/3 eyesight was worse and I was seeing double.  I went and had an eye exam and the Dr. thought I may have a retinal issue in my left eye and suggested I go to the hospital which I did.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Diplopia, Fatigue, Lumbar puncture, Magnetic resonance imaging, Miliaria
Clinical narrative: On 6/24/2021 I woke up with gastral issues, which subsided late in the evening of 6/25/2021. On 6/26 went back to my normal  routine and worked out in the gym and 6/27 played basketball for 2 plus hours. I was fatigued on 6/28 and 6/29. On 6/30 still fatigued went to the gym and did a light cardio workout and developed a heat rash on buttock and upper thighs. I took a Benadryl which cured the heat rash.  on 7/1 in the evening I developed a dry cough that was pretty intense. At this time I noticed my eye sight was blurry at a distance. 7/2 the cough went away, Looking back I now notice I had balance issues on 7/2. On 7/3 eyesight was worse and I was seeing double.  I went and had an eye exam and the Dr. thought I may have a retinal issue in my left eye and suggested I go to the hospital which I did.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Scan with contrast, Vision blurred
Clinical narrative: On 6/24/2021 I woke up with gastral issues, which subsided late in the evening of 6/25/2021. On 6/26 went back to my normal  routine and worked out in the gym and 6/27 played basketball for 2 plus hours. I was fatigued on 6/28 and 6/29. On 6/30 still fatigued went to the gym and did a light cardio workout and developed a heat rash on buttock and upper thighs. I took a Benadryl which cured the heat rash.  on 7/1 in the evening I developed a dry cough that was pretty intense. At this time I noticed my eye sight was blurry at a distance. 7/2 the cough went away, Looking back I now notice I had balance issues on 7/2. On 7/3 eyesight was worse and I was seeing double.  I went and had an eye exam and the Dr. thought I may have a retinal issue in my left eye and suggested I go to the hospital which I did.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Allergy test positive, Anti-thyroid antibody positive, Autoimmune thyroiditis, Erythema, Flushing
Clinical narrative: On 02/05/2021, My hands started to itch around 12:00 pm. after I had my hair colored.  At night I got home and I noticed I had hives, and I had them everywhere: neck, arm, stomach, sides, and my hands were all red. I took pictures and sent them to Dr. The doctor's colleague specifically asked  if I had the vaccine.  She  said not to worry because other people where having rashes. It started off with the hives. It dissipated to my hands, lower arms and face, as though I was flushed.  It lasted about a week to week 1/2.  I had an appointment with my allergist and he took an allergy test, on 02/16/2021, to see if I was allergic to  hair dye and dogs.  When I got the rash,  the blood work stated I had Hashimotos Syndrome, on 02/11/2021. I did not have Hashimoto Syndrome prior to the vaccine. I always had symptoms, of thyroid symptoms, like I was always cold, chills, dry skin, my hair sometimes falls out easily. I was born with thyroglossal cleft cyst.  It  was dormant. My thyroid test results were always negative before the vaccine. After the vaccine I had antithyroid peroxidase ab test and the result were high. (57.9-positive).  The vaccine brought out Hashimotos Syndrome.  I don't think it gave me Hashimoto. After I received the 2nd shot I got the rash, and was diagnosed with the Hashimoto.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash, Urticaria
Clinical narrative: On 02/05/2021, My hands started to itch around 12:00 pm. after I had my hair colored.  At night I got home and I noticed I had hives, and I had them everywhere: neck, arm, stomach, sides, and my hands were all red. I took pictures and sent them to Dr. The doctor's colleague specifically asked  if I had the vaccine.  She  said not to worry because other people where having rashes. It started off with the hives. It dissipated to my hands, lower arms and face, as though I was flushed.  It lasted about a week to week 1/2.  I had an appointment with my allergist and he took an allergy test, on 02/16/2021, to see if I was allergic to  hair dye and dogs.  When I got the rash,  the blood work stated I had Hashimotos Syndrome, on 02/11/2021. I did not have Hashimoto Syndrome prior to the vaccine. I always had symptoms, of thyroid symptoms, like I was always cold, chills, dry skin, my hair sometimes falls out easily. I was born with thyroglossal cleft cyst.  It  was dormant. My thyroid test results were always negative before the vaccine. After the vaccine I had antithyroid peroxidase ab test and the result were high. (57.9-positive).  The vaccine brought out Hashimotos Syndrome.  I don't think it gave me Hashimoto. After I received the 2nd shot I got the rash, and was diagnosed with the Hashimoto.
Age: 73.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Spouse hospitalized with +Covid, patient requests testing
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Limb discomfort, Pain in extremity
Clinical narrative: Arm feels sore and uncomfortable several days after the vaccine
Age: 70.0
Sex: F
Vaccine: VARZOS
Symptoms: Medication error
Clinical narrative: The patient was to get a shingrix vaccine. A pfizer covid vaccine was picked up and inserted into the left deltoid. No vaccination from the pfizer syringe was injected, the needle was removed and the patient received the shingrix vaccine in the left deltoid. The pfizer vaccine was wasted, and the patient was asked to wait 15 minutes. The patient received both covid vaccinations at another facility early in 2021.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Catheterisation cardiac, Diarrhoea, Echocardiogram, Electrocardiogram
Clinical narrative: On February 7th at 11:00 at night I started throwing up and had a little diarrhea had stomach pain all through the night and at 6:00 the next morning February 8th I went to Paulding hospital where they said that I had a heart attack not sure if it was due to the covid shot that was given a couple weeks before since the hospital I have had different symptoms of numbness in the left two fingers and headaches and visual issues as well
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Hypoaesthesia, Laboratory test, Myocardial infarction, Visual impairment
Clinical narrative: On February 7th at 11:00 at night I started throwing up and had a little diarrhea had stomach pain all through the night and at 6:00 the next morning February 8th I went to Paulding hospital where they said that I had a heart attack not sure if it was due to the covid shot that was given a couple weeks before since the hospital I have had different symptoms of numbness in the left two fingers and headaches and visual issues as well
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: On February 7th at 11:00 at night I started throwing up and had a little diarrhea had stomach pain all through the night and at 6:00 the next morning February 8th I went to Paulding hospital where they said that I had a heart attack not sure if it was due to the covid shot that was given a couple weeks before since the hospital I have had different symptoms of numbness in the left two fingers and headaches and visual issues as well
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for chest pain within 6 weeks of receiving COVID vaccination.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: inappropriate duplication. Patient had no adverse effects. did not report previous vaccine at time of appointment. Discovered when entering info into system.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Injection site rash, Pain in extremity, Pyrexia, Swelling
Clinical narrative: upset stomach vomiting fever arm soreness swelling, rash at injection site
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: upset stomach vomiting fever arm soreness swelling, rash at injection site
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypotension, Oxygen saturation decreased, Pain
Clinical narrative: Low blood pressure, low oxygen, body aches, shortness of breath.
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Headache, Hypertension, Injection site pain
Clinical narrative: Patient indicated she had arm pain at the site of injection and a headache that started immediately after the vaccine.  She indicated she felt anxious.  Blood pressure was high this morning according to the patient because she knew she was going in for the vaccine.  Blood pressure was 180/90 right arm.  Patient indicated she had a small amount of fruit and water today.  She was given some juice and we had her wait the full 30 minutes.  Her blood pressure was back to her baseline of 150 /83 after sitting for the 30 minutes.  She still indicated she had a slight headache but it was somewhat better. She was discharged to home with her family member and indicated she would keep an eye on her pressure at home and let someone know if the headache got worse or changed.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoacusis, Parosmia, Tinnitus
Clinical narrative: Severe tinnitus began the next day in both ears, right ear louder than left. Examined at ENT 03/22/2021. No physical abnormalities noted. Mild higher pitch hearing deficit in right ear secondary to aging. Prescribed Fluticasone propionate nasal spay.  Also  experiencing sweet smell  intermittently.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray normal, Computerised tomogram head normal, Dysmenorrhoea, Electrocardiogram normal
Clinical narrative: Vaccinated on 05/22/21.  On 06/10 patient woke up with unusually painful menstruated cramps.  She proceeded to stand up and passed out hitting her head on wall.  She went to er required stitches.  Had full blood workout, ct scan , ekg, and chest X-ray. No abnormalities noted. Likely  she passed out due to the pain reaction.    Subsequent first day of. On July 27. Woke up with severe cramps and felt like passing out. Previous to first vaccination she had never had cramps this severe. Nor had never passed out her second vaccination was on June 16, 2021.
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Head injury, Loss of consciousness, Pain, Suture insertion
Clinical narrative: Vaccinated on 05/22/21.  On 06/10 patient woke up with unusually painful menstruated cramps.  She proceeded to stand up and passed out hitting her head on wall.  She went to er required stitches.  Had full blood workout, ct scan , ekg, and chest X-ray. No abnormalities noted. Likely  she passed out due to the pain reaction.    Subsequent first day of. On July 27. Woke up with severe cramps and felt like passing out. Previous to first vaccination she had never had cramps this severe. Nor had never passed out her second vaccination was on June 16, 2021.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Cough, Dyspnoea, Exposure to SARS-CoV-2, Fatigue
Clinical narrative: 77-year-old male, with a history of multiple medical problems including renal transplant, states he was exposed to a patient with COVID-19 5 days ago.  The day after he was exposed he began to feel somewhat ill with generalized malaise, runny nose, mild cough.  He has some mild associated shortness of breath.  He attributes some of this to exposure to smoke.  States he has no change in taste or smell.  He has had a few episodes of diarrhea over the weekend.  Denies nausea or vomiting.  No chest pain.  Temperature has been around 99 intermittently.  Has been taking Mucinex and Tylenol.  Denies abdominal pain or back pain.  Review of Systems  Constitutional: Positive for fatigue and fever. Negative for chills.  HENT: Positive for rhinorrhea.   Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Negative for chest pain.  Gastrointestinal: Positive for diarrhea. Negative for abdominal pain, nausea and vomiting.  Genitourinary: Negative for difficulty urinating.  Musculoskeletal: Negative for back pain and neck pain.  Neurological: Negative for dizziness.  Psychiatric/Behavioral: Negative for confusion.  All other systems reviewed and are negative.    MDM Number of Diagnoses or Management Options Close exposure to COVID-19 virus: new and requires workup Lower respiratory tract infection: new and requires workup Diagnosis management comments: 77 yo male, with symptoms of acute upper respiratory tract infection.  Overall description is viral in nature.  Was also exposed to Covid but is vaccinated and he has no change in taste or smell making this less likely.  Overall his exam is reassuring.  Will perform a chest x-ray to further evaluate, treat with Tylenol.   CXR shows questionable RLL infiltrate, by my interpretation, will treat with azithromycin.  Rapid COVID was invalid.  Will wait for PCR instead of re-swabbing.  Encouraged to follow-up with his primary care physician if symptoms or not gradually resolving.  Certainly return here if new or worsening symptoms develop.   1. Lower respiratory tract infection   2. Close exposure to COVID-19 virus   Disposition: Discharge to home
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lower respiratory tract infection, Malaise, Pyrexia, Rhinorrhoea, SARS-CoV-2 test
Clinical narrative: 77-year-old male, with a history of multiple medical problems including renal transplant, states he was exposed to a patient with COVID-19 5 days ago.  The day after he was exposed he began to feel somewhat ill with generalized malaise, runny nose, mild cough.  He has some mild associated shortness of breath.  He attributes some of this to exposure to smoke.  States he has no change in taste or smell.  He has had a few episodes of diarrhea over the weekend.  Denies nausea or vomiting.  No chest pain.  Temperature has been around 99 intermittently.  Has been taking Mucinex and Tylenol.  Denies abdominal pain or back pain.  Review of Systems  Constitutional: Positive for fatigue and fever. Negative for chills.  HENT: Positive for rhinorrhea.   Respiratory: Positive for cough and shortness of breath.   Cardiovascular: Negative for chest pain.  Gastrointestinal: Positive for diarrhea. Negative for abdominal pain, nausea and vomiting.  Genitourinary: Negative for difficulty urinating.  Musculoskeletal: Negative for back pain and neck pain.  Neurological: Negative for dizziness.  Psychiatric/Behavioral: Negative for confusion.  All other systems reviewed and are negative.    MDM Number of Diagnoses or Management Options Close exposure to COVID-19 virus: new and requires workup Lower respiratory tract infection: new and requires workup Diagnosis management comments: 77 yo male, with symptoms of acute upper respiratory tract infection.  Overall description is viral in nature.  Was also exposed to Covid but is vaccinated and he has no change in taste or smell making this less likely.  Overall his exam is reassuring.  Will perform a chest x-ray to further evaluate, treat with Tylenol.   CXR shows questionable RLL infiltrate, by my interpretation, will treat with azithromycin.  Rapid COVID was invalid.  Will wait for PCR instead of re-swabbing.  Encouraged to follow-up with his primary care physician if symptoms or not gradually resolving.  Certainly return here if new or worsening symptoms develop.   1. Lower respiratory tract infection   2. Close exposure to COVID-19 virus   Disposition: Discharge to home
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Anion gap, Band neutrophil percentage, Basophil percentage, Blood bicarbonate, Blood calcium increased
Clinical narrative: Prior to March 21, 2021 patient was able to walk on her own (although pace was slow), get in and out of bed or chairs, able to dress herself, use the toilet and shower and communicate verbally (although voice was not very loud.  She received the second Pfizer/BioNTech COVID-19 vaccine 2:30 PM on March 18, 2021; on March 21, 2021 she had gotten up at 4:00 AM and was walking through the kitchen when she found herself on her back on the floor and was unable to get up.  She required help in getting up and has not been able to walk on her own ever since.  She requires help in getting in and out of bed, in and out of chairs, cannot use toilet and shower on her own, is unable to dress herself and her voice has become a whis
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Blood chloride normal, Blood creatinine normal, Blood electrolytes, Blood gases, Blood glucose increased
Clinical narrative: Prior to March 21, 2021 patient was able to walk on her own (although pace was slow), get in and out of bed or chairs, able to dress herself, use the toilet and shower and communicate verbally (although voice was not very loud.  She received the second Pfizer/BioNTech COVID-19 vaccine 2:30 PM on March 18, 2021; on March 21, 2021 she had gotten up at 4:00 AM and was walking through the kitchen when she found herself on her back on the floor and was unable to get up.  She required help in getting up and has not been able to walk on her own ever since.  She requires help in getting in and out of bed, in and out of chairs, cannot use toilet and shower on her own, is unable to dress herself and her voice has become a whis
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Blood ketone body, Blood lactic acid normal, Blood magnesium, Blood osmolarity, Blood pH
Clinical narrative: Prior to March 21, 2021 patient was able to walk on her own (although pace was slow), get in and out of bed or chairs, able to dress herself, use the toilet and shower and communicate verbally (although voice was not very loud.  She received the second Pfizer/BioNTech COVID-19 vaccine 2:30 PM on March 18, 2021; on March 21, 2021 she had gotten up at 4:00 AM and was walking through the kitchen when she found herself on her back on the floor and was unable to get up.  She required help in getting up and has not been able to walk on her own ever since.  She requires help in getting in and out of bed, in and out of chairs, cannot use toilet and shower on her own, is unable to dress herself and her voice has become a whis
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Blood phosphorus normal, Blood potassium normal, Blood sodium normal, Blood urea increased, Calcium ionised normal
Clinical narrative: Prior to March 21, 2021 patient was able to walk on her own (although pace was slow), get in and out of bed or chairs, able to dress herself, use the toilet and shower and communicate verbally (although voice was not very loud.  She received the second Pfizer/BioNTech COVID-19 vaccine 2:30 PM on March 18, 2021; on March 21, 2021 she had gotten up at 4:00 AM and was walking through the kitchen when she found herself on her back on the floor and was unable to get up.  She required help in getting up and has not been able to walk on her own ever since.  She requires help in getting in and out of bed, in and out of chairs, cannot use toilet and shower on her own, is unable to dress herself and her voice has become a whis
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray normal, Computerised tomogram head normal, Dysphonia, Dysstasia, Electrocardiogram normal
Clinical narrative: Prior to March 21, 2021 patient was able to walk on her own (although pace was slow), get in and out of bed or chairs, able to dress herself, use the toilet and shower and communicate verbally (although voice was not very loud.  She received the second Pfizer/BioNTech COVID-19 vaccine 2:30 PM on March 18, 2021; on March 21, 2021 she had gotten up at 4:00 AM and was walking through the kitchen when she found herself on her back on the floor and was unable to get up.  She required help in getting up and has not been able to walk on her own ever since.  She requires help in getting in and out of bed, in and out of chairs, cannot use toilet and shower on her own, is unable to dress herself and her voice has become a whis
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Full blood count, Gait disturbance, Glomerular filtration rate, Glucose urine
Clinical narrative: Prior to March 21, 2021 patient was able to walk on her own (although pace was slow), get in and out of bed or chairs, able to dress herself, use the toilet and shower and communicate verbally (although voice was not very loud.  She received the second Pfizer/BioNTech COVID-19 vaccine 2:30 PM on March 18, 2021; on March 21, 2021 she had gotten up at 4:00 AM and was walking through the kitchen when she found herself on her back on the floor and was unable to get up.  She required help in getting up and has not been able to walk on her own ever since.  She requires help in getting in and out of bed, in and out of chairs, cannot use toilet and shower on her own, is unable to dress herself and her voice has become a whis
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Glycosylated haemoglobin normal, Haematocrit normal, Haemoglobin normal, Haemoglobin urine absent, Influenza A virus test negative
Clinical narrative: Prior to March 21, 2021 patient was able to walk on her own (although pace was slow), get in and out of bed or chairs, able to dress herself, use the toilet and shower and communicate verbally (although voice was not very loud.  She received the second Pfizer/BioNTech COVID-19 vaccine 2:30 PM on March 18, 2021; on March 21, 2021 she had gotten up at 4:00 AM and was walking through the kitchen when she found herself on her back on the floor and was unable to get up.  She required help in getting up and has not been able to walk on her own ever since.  She requires help in getting in and out of bed, in and out of chairs, cannot use toilet and shower on her own, is unable to dress herself and her voice has become a whis
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Loss of personal independence in daily activities, Lymphocyte percentage increased, Lymphoproliferative disorder, Mean cell volume normal
Clinical narrative: Prior to March 21, 2021 patient was able to walk on her own (although pace was slow), get in and out of bed or chairs, able to dress herself, use the toilet and shower and communicate verbally (although voice was not very loud.  She received the second Pfizer/BioNTech COVID-19 vaccine 2:30 PM on March 18, 2021; on March 21, 2021 she had gotten up at 4:00 AM and was walking through the kitchen when she found herself on her back on the floor and was unable to get up.  She required help in getting up and has not been able to walk on her own ever since.  She requires help in getting in and out of bed, in and out of chairs, cannot use toilet and shower on her own, is unable to dress herself and her voice has become a whis
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test, Microscopy, Mobility decreased, Monocyte percentage, Neutrophil count
Clinical narrative: Prior to March 21, 2021 patient was able to walk on her own (although pace was slow), get in and out of bed or chairs, able to dress herself, use the toilet and shower and communicate verbally (although voice was not very loud.  She received the second Pfizer/BioNTech COVID-19 vaccine 2:30 PM on March 18, 2021; on March 21, 2021 she had gotten up at 4:00 AM and was walking through the kitchen when she found herself on her back on the floor and was unable to get up.  She required help in getting up and has not been able to walk on her own ever since.  She requires help in getting in and out of bed, in and out of chairs, cannot use toilet and shower on her own, is unable to dress herself and her voice has become a whis
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Platelet count decreased, Protein urine present, Red blood cell count normal, Red blood cell sedimentation rate, Red cell distribution width normal
Clinical narrative: Prior to March 21, 2021 patient was able to walk on her own (although pace was slow), get in and out of bed or chairs, able to dress herself, use the toilet and shower and communicate verbally (although voice was not very loud.  She received the second Pfizer/BioNTech COVID-19 vaccine 2:30 PM on March 18, 2021; on March 21, 2021 she had gotten up at 4:00 AM and was walking through the kitchen when she found herself on her back on the floor and was unable to get up.  She required help in getting up and has not been able to walk on her own ever since.  She requires help in getting in and out of bed, in and out of chairs, cannot use toilet and shower on her own, is unable to dress herself and her voice has become a whis
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Smear test, Troponin T increased, Urine analysis, Urine ketone body present
Clinical narrative: Prior to March 21, 2021 patient was able to walk on her own (although pace was slow), get in and out of bed or chairs, able to dress herself, use the toilet and shower and communicate verbally (although voice was not very loud.  She received the second Pfizer/BioNTech COVID-19 vaccine 2:30 PM on March 18, 2021; on March 21, 2021 she had gotten up at 4:00 AM and was walking through the kitchen when she found herself on her back on the floor and was unable to get up.  She required help in getting up and has not been able to walk on her own ever since.  She requires help in getting in and out of bed, in and out of chairs, cannot use toilet and shower on her own, is unable to dress herself and her voice has become a whis
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Urine osmolarity normal, Venous oxygen saturation, White blood cell count increased, pH urine normal
Clinical narrative: Prior to March 21, 2021 patient was able to walk on her own (although pace was slow), get in and out of bed or chairs, able to dress herself, use the toilet and shower and communicate verbally (although voice was not very loud.  She received the second Pfizer/BioNTech COVID-19 vaccine 2:30 PM on March 18, 2021; on March 21, 2021 she had gotten up at 4:00 AM and was walking through the kitchen when she found herself on her back on the floor and was unable to get up.  She required help in getting up and has not been able to walk on her own ever since.  She requires help in getting in and out of bed, in and out of chairs, cannot use toilet and shower on her own, is unable to dress herself and her voice has become a whis
Age: 89.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: Patient had mild symptoms of COVID19 and came to the hospital to be tested. Patient tested positive for COVID on 07/19/2021 after receiving the COVID19 Moderna vaccination on 12/23/2020 and 01/20/2021. Patient was not hospitalized after testing positive.
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Headache, Hyperhidrosis, Nausea
Clinical narrative: Pfizer Vaccine given at 0904. Afterwards, patient complained of feeling nauseated, hot, and dizzy. Patient given water and an ice pack to back of neck. Sat in the recovery area until 0945, then released. Patient returned to the nurse at 1005 and complained of feeling hot, sweaty, and headache. Patient monitored until 1020, then advised to call PCP or go to ER if condition worsened.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, Dyspnoea, Electrocardiogram abnormal, Fatigue
Clinical narrative: I became very short of breath, about two weeks after receiving the vaccine. I didn't know if I was having a heart attack or if it was maybe lung disease. I felt tired too. I had a doctors appointment with Dr. and she informed me, after doing an EKG, that I had atrial fibrillation. I have been put on Eliquis, 5mg, twice daily for my A-fib. In August, I will be going in for an echocardiogram. In November, I will be seeing a cardiologist.
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests normal, Balance disorder, Blood cholesterol increased, Blood test abnormal, Dizziness
Clinical narrative: About two weeks after the shot I started noticing the following symptoms: Dizziness/lightheadedness, brain fog, loss of balance,  ears ringing, pressure behind the top  my nose,  neck pain/tightness running up to my head, nausea,
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Feeling abnormal, Head discomfort, Muscle tightness, Nausea, Neck pain
Clinical narrative: About two weeks after the shot I started noticing the following symptoms: Dizziness/lightheadedness, brain fog, loss of balance,  ears ringing, pressure behind the top  my nose,  neck pain/tightness running up to my head, nausea,
Age: 27.0
Sex: M
Vaccine: COVID19
Symptoms: Tension headache, Tinnitus
Clinical narrative: About two weeks after the shot I started noticing the following symptoms: Dizziness/lightheadedness, brain fog, loss of balance,  ears ringing, pressure behind the top  my nose,  neck pain/tightness running up to my head, nausea,
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Acute myocardial infarction
Clinical narrative: Patient presented to the ED and was subsequently hospitalized for NSTEMI within 6 weeks of receiving COVID vaccination.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Extra dose administered, Headache, Injection site pain, Malaise
Clinical narrative: Please see below, this is the note from MD: "36 yo M here due to not feeling well after 2nd COVID vaccine. Patient got the J&J vaccine in March. Patient did not get his card and was tired of being on quarantine at other facilities, so patient did not disclose that he was already vaccinated and then requested vaccination here. Received on 6/25 Pfizer #1, 7/16 was given 2nd COVID vaccine. About 2 nights ago woke up with NBNB vomiting x 3 times, headache, chills and body pain, injection site pain. Feels like "strep throat." Now is only congested, body pain, and throat pain. No other issues. Denies any medical history."
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Oropharyngeal pain, Pain, Respiratory tract congestion, Vomiting
Clinical narrative: Please see below, this is the note from MD: "36 yo M here due to not feeling well after 2nd COVID vaccine. Patient got the J&J vaccine in March. Patient did not get his card and was tired of being on quarantine at other facilities, so patient did not disclose that he was already vaccinated and then requested vaccination here. Received on 6/25 Pfizer #1, 7/16 was given 2nd COVID vaccine. About 2 nights ago woke up with NBNB vomiting x 3 times, headache, chills and body pain, injection site pain. Feels like "strep throat." Now is only congested, body pain, and throat pain. No other issues. Denies any medical history."
Age: 57.0
Sex: M
Vaccine: COVID19, HEP
Symptoms: Bell's palsy
Clinical narrative: Right Bells Palsy
Age: 13.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma, Condition aggravated
Clinical narrative: yesterday 7/26/2021 Patient experienced an asthma attack - she resorted to her emergency inhaler for immediate relief while she does have a medical history with asthma, she HAD NOT had any episodes in at least 5 years.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Disorientation, Dizziness, Headache, Nausea
Clinical narrative: Nauseous, vomiting, headaches every day, weakness, light headedness, disoriented. No Treatment, still feeling this way
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Nauseous, vomiting, headaches every day, weakness, light headedness, disoriented. No Treatment, still feeling this way
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Ageusia, Angiogram, Anosmia, Asthenia
Clinical narrative: Patient was exposed to COVID in her home via her daughter from out of state. 07/11 she began experiencing nausea, vomiting, and diarrhea, as well as loss of taste and smell. She presented to the ED with these symptoms and fatigue. She was diagnosed with COVID pneumonia and dehydration and admitted to the COVID Unit.   Problem list: -Severe Covid pneumonia with pulmonary infiltrates and new hypoxia. Symptom onset 7/11/2021 -Hypoxic respiratory failure secondary to above -mildly elevated troponin w/o chest pain -Nausea/vomiting/diarrhea, suspected to be secondary to coronavirus -Acute kidney insufficiency, suspect prerenal azotemia from volume depletion -History of hypertension, currently hypotensive -Weakness -new dx of DMII with steroid induced hyperglycemia     Plan: -Continue inpatient level of care in the Covid unit -Dexamethasone (7/18/2021-) and completed remdesivir (7/17/2021-7/21), supplementary oxygen, Mucinex, albuterol, proning, is at the spirometry. CRP elevated at 19, D-dimer elevated at 1200 will trend CRP but currently not severely hypoxic enough to qualify for Tocilizumab. Troponin downtrended. TTE with right sided heart dyfxn, likely at least partially chronic as CTA does not show any evidence of pulmonary embolus. Would recommend repeat transthoracic echocardiogram after recovery from acute illness and consideration of right heart catheterization if right ventricle dysfunction appears to be persistent. -Sliding scale of insulin started given her history of borderline diabetes with the expectation of hyperglycemia on dexamethasone. 7.5. Continue lantus, medium dose SSI -Resume amlodipine. Continue holding ACE inhibitor given acute kidney insufficiency -Renal function improving, appreciate assistance -PT/OT consulted and rec  -Acetaminophen and Zofran for symptomatic management
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: C-reactive protein increased, COVID-19 pneumonia, Chest X-ray, Dehydration, Diarrhoea
Clinical narrative: Patient was exposed to COVID in her home via her daughter from out of state. 07/11 she began experiencing nausea, vomiting, and diarrhea, as well as loss of taste and smell. She presented to the ED with these symptoms and fatigue. She was diagnosed with COVID pneumonia and dehydration and admitted to the COVID Unit.   Problem list: -Severe Covid pneumonia with pulmonary infiltrates and new hypoxia. Symptom onset 7/11/2021 -Hypoxic respiratory failure secondary to above -mildly elevated troponin w/o chest pain -Nausea/vomiting/diarrhea, suspected to be secondary to coronavirus -Acute kidney insufficiency, suspect prerenal azotemia from volume depletion -History of hypertension, currently hypotensive -Weakness -new dx of DMII with steroid induced hyperglycemia     Plan: -Continue inpatient level of care in the Covid unit -Dexamethasone (7/18/2021-) and completed remdesivir (7/17/2021-7/21), supplementary oxygen, Mucinex, albuterol, proning, is at the spirometry. CRP elevated at 19, D-dimer elevated at 1200 will trend CRP but currently not severely hypoxic enough to qualify for Tocilizumab. Troponin downtrended. TTE with right sided heart dyfxn, likely at least partially chronic as CTA does not show any evidence of pulmonary embolus. Would recommend repeat transthoracic echocardiogram after recovery from acute illness and consideration of right heart catheterization if right ventricle dysfunction appears to be persistent. -Sliding scale of insulin started given her history of borderline diabetes with the expectation of hyperglycemia on dexamethasone. 7.5. Continue lantus, medium dose SSI -Resume amlodipine. Continue holding ACE inhibitor given acute kidney insufficiency -Renal function improving, appreciate assistance -PT/OT consulted and rec  -Acetaminophen and Zofran for symptomatic management
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Echocardiogram, Exposure to SARS-CoV-2, Fatigue, Fibrin D dimer increased, Hyperglycaemia
Clinical narrative: Patient was exposed to COVID in her home via her daughter from out of state. 07/11 she began experiencing nausea, vomiting, and diarrhea, as well as loss of taste and smell. She presented to the ED with these symptoms and fatigue. She was diagnosed with COVID pneumonia and dehydration and admitted to the COVID Unit.   Problem list: -Severe Covid pneumonia with pulmonary infiltrates and new hypoxia. Symptom onset 7/11/2021 -Hypoxic respiratory failure secondary to above -mildly elevated troponin w/o chest pain -Nausea/vomiting/diarrhea, suspected to be secondary to coronavirus -Acute kidney insufficiency, suspect prerenal azotemia from volume depletion -History of hypertension, currently hypotensive -Weakness -new dx of DMII with steroid induced hyperglycemia     Plan: -Continue inpatient level of care in the Covid unit -Dexamethasone (7/18/2021-) and completed remdesivir (7/17/2021-7/21), supplementary oxygen, Mucinex, albuterol, proning, is at the spirometry. CRP elevated at 19, D-dimer elevated at 1200 will trend CRP but currently not severely hypoxic enough to qualify for Tocilizumab. Troponin downtrended. TTE with right sided heart dyfxn, likely at least partially chronic as CTA does not show any evidence of pulmonary embolus. Would recommend repeat transthoracic echocardiogram after recovery from acute illness and consideration of right heart catheterization if right ventricle dysfunction appears to be persistent. -Sliding scale of insulin started given her history of borderline diabetes with the expectation of hyperglycemia on dexamethasone. 7.5. Continue lantus, medium dose SSI -Resume amlodipine. Continue holding ACE inhibitor given acute kidney insufficiency -Renal function improving, appreciate assistance -PT/OT consulted and rec  -Acetaminophen and Zofran for symptomatic management