chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Sinus tachycardia, Troponin increased, Ventricular extrasystoles
Clinical narrative: 72-year-old female with past medical history of hypertension, atrial fibrillation, end-stage renal disease on hemodialysis, GERD, coronary artery disease, type 2 diabetes mellitus, morbid obesity, hyperlipidemia, peripheral arterial disease, GERD, osteoarthritis, peptic ulcer disease, and heart failure with preserved ejection fraction with last EF 50-55% in echo from 04/2020 presented to the emergency department complaints of changes in mental status.  Supposedly, patient was at hemodialysis and finished the session after which, patient was found to have failure mental status.  Her blood sugar was checked and was noted to be 60.  Patient received 1 amp of D50.   Patient had also been complaining of recent fevers and chills along with poor oral intake therefore, sent to the emergency department for further evaluation.   Upon arrival to the emergency department, patient was found to have sepsis secondary to COVID-19 pneumonia.  Also noted to have hypertensive urgency, hypochloremia, metabolic alkalosis, hyperglycemia, lactic acidosis, and elevated troponin.  Chest x-ray consistent with bilateral perihilar vascular congestion.  EKG independently reviewed and consistent with sinus tachycardia with frequent PVCs.  Poor quality EKG overall.  While in the emergency department, patient's blood sugars dropped multiple times and required 1-2 amps of D50.  Does not take insulin at home.  7/23/2021 tested positive 8/3/2021 patient discharged.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Bell's palsy, Dyskinesia
Clinical narrative: Bell's Palsy, left sided facial involvement
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests abnormal, Computerised tomogram head, Deafness, Tinnitus
Clinical narrative: Noticed I lost my hearing. Once I realized I sought the care of the ENT in the beginning in May. I think I lost my hearing before that time. The ENT tested my hearing through audiology, and I had lost hearing in my right ear. I have symptoms of tinnitus. I have continued tinnitus. He put me on a 13-day course of prednisone. It was step down prednisone, it very high dose. After I did the prednisone, I went back in to have my hearing tested on May 27th. At that point I had not recover any of my hearing loss. At that point he prescribed, DE methohexitone injection. He gave me three of those injections over the course of 1 week. I had my hearing retested multiple times over the next several weeks and there was no recovery. It has not recovered, and it was classified as permanent hearing loss. I also had an MRI on June 16th and to rule out a tumor on the ear drum to make sure that was not the cause of my hearing loss. On the morning of August 3rd, I had more hearing loss on my left ear. The ENT did test again, and I had lost more hearing in the right ear along with the tinnitus. I received another high dose of prednisone and injection. I am receiving on going treatment.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Neuropathy peripheral, Paraesthesia, Sensitive skin
Clinical narrative: Neuropathy in bilateral feet, numbness/tingling/pibs&needles, cold sensitivity in bilateral hands/fingers
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Chest pain, Chills, Cough, Dyspnoea
Clinical narrative: She came to the hospital with a chief complaint of progressive worsening shortness of breath over the last 1 week.  Patient reports that she was exposed to COVID-19 from son-in-law at home.  She reports progressively worsening shortness of breath and some chest pain.   She denies any fevers but did have some chills.   Has chronic cough   8/10/2021 tested positive
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Exposure to SARS-CoV-2, SARS-CoV-2 test positive
Clinical narrative: She came to the hospital with a chief complaint of progressive worsening shortness of breath over the last 1 week.  Patient reports that she was exposed to COVID-19 from son-in-law at home.  She reports progressively worsening shortness of breath and some chest pain.   She denies any fevers but did have some chills.   Has chronic cough   8/10/2021 tested positive
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Blood gases, COVID-19, Chest X-ray abnormal, Culture urine, Dyspnoea
Clinical narrative: I walked into the ER room to note that patient's alarms are going off with him only saturating at 88% on 4-5 L nasal cannula and appears to be in respiratory distress.  I have increased his oxygen to sees 6 L until ABGs and completed.  He is diaphoretic.  CXR shows IMPRESSION: Bilateral consolidative airspace opacities consistent with multifocal pneumonia. This is an 81 year old male comes to the emergency department with a complain of shortness of breath and feeling very sick.  He has history of hyperlipidemia hypertension and nephrolithiasis.  Received 2 COVID-19 shots and states that he still got the COVID-19 virus.  I walked into the ER room to note that patient's alarms are going off with him only saturating at 88% on 4-5 L nasal cannula and appears to be in respiratory distress.  I have increased his oxygen to sees 6 L until ABGs and completed.  He is diaphoretic.  CXR shows IMPRESSION: Bilateral consolidative airspace opacities consistent with multifocal pneumonia.  I have spoken with the pharmacy to start patient on Remedesvir.  I have asked ABGs to be completed on this patient as soon as possible possible high-flow modality.  He does have mild leukocytosis of 13.87, positive neutrophilia, there is no transaminitis and he likely has a urinary tract infection where his urine culture still pending.  We will admit for further evaluation treatment.     7/23/2021 tested positive 7/29/2021: patient discharged.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hyperhidrosis, Leukocytosis, Lung opacity, Malaise, Neutrophil count
Clinical narrative: I walked into the ER room to note that patient's alarms are going off with him only saturating at 88% on 4-5 L nasal cannula and appears to be in respiratory distress.  I have increased his oxygen to sees 6 L until ABGs and completed.  He is diaphoretic.  CXR shows IMPRESSION: Bilateral consolidative airspace opacities consistent with multifocal pneumonia. This is an 81 year old male comes to the emergency department with a complain of shortness of breath and feeling very sick.  He has history of hyperlipidemia hypertension and nephrolithiasis.  Received 2 COVID-19 shots and states that he still got the COVID-19 virus.  I walked into the ER room to note that patient's alarms are going off with him only saturating at 88% on 4-5 L nasal cannula and appears to be in respiratory distress.  I have increased his oxygen to sees 6 L until ABGs and completed.  He is diaphoretic.  CXR shows IMPRESSION: Bilateral consolidative airspace opacities consistent with multifocal pneumonia.  I have spoken with the pharmacy to start patient on Remedesvir.  I have asked ABGs to be completed on this patient as soon as possible possible high-flow modality.  He does have mild leukocytosis of 13.87, positive neutrophilia, there is no transaminitis and he likely has a urinary tract infection where his urine culture still pending.  We will admit for further evaluation treatment.     7/23/2021 tested positive 7/29/2021: patient discharged.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Neutrophilia, Oxygen saturation decreased, Pneumonia, Respiratory distress, SARS-CoV-2 test positive
Clinical narrative: I walked into the ER room to note that patient's alarms are going off with him only saturating at 88% on 4-5 L nasal cannula and appears to be in respiratory distress.  I have increased his oxygen to sees 6 L until ABGs and completed.  He is diaphoretic.  CXR shows IMPRESSION: Bilateral consolidative airspace opacities consistent with multifocal pneumonia. This is an 81 year old male comes to the emergency department with a complain of shortness of breath and feeling very sick.  He has history of hyperlipidemia hypertension and nephrolithiasis.  Received 2 COVID-19 shots and states that he still got the COVID-19 virus.  I walked into the ER room to note that patient's alarms are going off with him only saturating at 88% on 4-5 L nasal cannula and appears to be in respiratory distress.  I have increased his oxygen to sees 6 L until ABGs and completed.  He is diaphoretic.  CXR shows IMPRESSION: Bilateral consolidative airspace opacities consistent with multifocal pneumonia.  I have spoken with the pharmacy to start patient on Remedesvir.  I have asked ABGs to be completed on this patient as soon as possible possible high-flow modality.  He does have mild leukocytosis of 13.87, positive neutrophilia, there is no transaminitis and he likely has a urinary tract infection where his urine culture still pending.  We will admit for further evaluation treatment.     7/23/2021 tested positive 7/29/2021: patient discharged.
Age: 80.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Urinary tract infection
Clinical narrative: I walked into the ER room to note that patient's alarms are going off with him only saturating at 88% on 4-5 L nasal cannula and appears to be in respiratory distress.  I have increased his oxygen to sees 6 L until ABGs and completed.  He is diaphoretic.  CXR shows IMPRESSION: Bilateral consolidative airspace opacities consistent with multifocal pneumonia. This is an 81 year old male comes to the emergency department with a complain of shortness of breath and feeling very sick.  He has history of hyperlipidemia hypertension and nephrolithiasis.  Received 2 COVID-19 shots and states that he still got the COVID-19 virus.  I walked into the ER room to note that patient's alarms are going off with him only saturating at 88% on 4-5 L nasal cannula and appears to be in respiratory distress.  I have increased his oxygen to sees 6 L until ABGs and completed.  He is diaphoretic.  CXR shows IMPRESSION: Bilateral consolidative airspace opacities consistent with multifocal pneumonia.  I have spoken with the pharmacy to start patient on Remedesvir.  I have asked ABGs to be completed on this patient as soon as possible possible high-flow modality.  He does have mild leukocytosis of 13.87, positive neutrophilia, there is no transaminitis and he likely has a urinary tract infection where his urine culture still pending.  We will admit for further evaluation treatment.     7/23/2021 tested positive 7/29/2021: patient discharged.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Cellulitis, Injection site erythema, Injection site induration, Injection site swelling, Injection site warmth
Clinical narrative: Patient reported that injection site area became hard, swollen, red, and warm. area was 3 and 1/2 inches in diameter. The patient reported that she went to urgent care and was told she had cellulitis. She was given an prescriptionfor bactrim ds.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, COVID-19, Chest X-ray abnormal, Fatigue, Myalgia
Clinical narrative: This is a 75-year-old male with past medical history of diabetes mellitus, hypertension, Congestive heart failure and thyroid disease.  The patient presented to the hospital with complaints generalized weakness, fever and congestion.  He states that he was tested positive for COVID 1 week ago and has been feeling fatigue.   He had the Johnson and Johson vaccine for COVID. The patient was seen in the ED on 08/07 and 08/08.  X-ray of the chest done on admission shows Worsening pneumonia.   On examination, patient complains of muscle pain and fatigue.  8/8/2021 tested positive
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: This is a 75-year-old male with past medical history of diabetes mellitus, hypertension, Congestive heart failure and thyroid disease.  The patient presented to the hospital with complaints generalized weakness, fever and congestion.  He states that he was tested positive for COVID 1 week ago and has been feeling fatigue.   He had the Johnson and Johson vaccine for COVID. The patient was seen in the ED on 08/07 and 08/08.  X-ray of the chest done on admission shows Worsening pneumonia.   On examination, patient complains of muscle pain and fatigue.  8/8/2021 tested positive
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chills, Dyspnoea, Productive cough, Pyrexia
Clinical narrative: 72-year-old male with past medical history of basal cell carcinoma, colon cancer, hyperlipidemia, hypertension, insomnia presents to the emergency department with shortness of breath.  Diagnosed with COVID-19 on August 8, 2021.  Has tolerated outpatient therapy until now.  Prompting emergency department visit.  Shortness of breath has improved in the emergency department.  Complaining of cough productive with clear sputum.  Admits to subjective fevers and chills.  Denies nausea vomiting or diarrhea.  8/11/2021 tested positive
Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: 72-year-old male with past medical history of basal cell carcinoma, colon cancer, hyperlipidemia, hypertension, insomnia presents to the emergency department with shortness of breath.  Diagnosed with COVID-19 on August 8, 2021.  Has tolerated outpatient therapy until now.  Prompting emergency department visit.  Shortness of breath has improved in the emergency department.  Complaining of cough productive with clear sputum.  Admits to subjective fevers and chills.  Denies nausea vomiting or diarrhea.  8/11/2021 tested positive
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Back pain, COVID-19, Chills, Cough
Clinical narrative: This is a 72-year-old female with past medical history of hyperlipidemia, coronary artery disease status post CABG x4, anxiety, depression, multiple sclerosis, immunocompromised.    She came to the hospital with a chief complaint of progressive worsening cough and shortness of breath over the last 10 days.  Initially tested positive about 4 days after starting to have symptoms.  Was prescribed azithromycin as an outpatient by her primary care physician.  Her son initially tested positive for COVID-19 after which the patient started having symptoms as well due to exposure.   The patient was having significant worsening of the shortness of breath over the weekend and had a very severe heada 8/11/2021 tested positive This is a 72-year-old female with past medical history of hyperlipidemia, coronary artery disease status post CABG x4, anxiety, depression, multiple sclerosis, immunocompromised.     She came to the hospital with a chief complaint of progressive worsening cough and shortness of breath over the last 10 days.  Initially tested positive about 4 days after starting to have symptoms.  Was prescribed azithromycin as an outpatient by her primary care physician.  Her son initially tested positive for COVID-19 after which the patient started having symptoms as well due to exposure.   The patient was having significant worsening of the shortness of breath over the weekend and had a very severe headache so she decided come to the hospital for further evaluation and treatment.  Patient was also having some cough, chest pain associated with cough, back pain, fevers, chills, nausea, vomiting, loss of taste.  Denies any abdominal pain, burning or painful urination or diarrhea.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Exposure to SARS-CoV-2, Headache, Nausea, Non-cardiac chest pain
Clinical narrative: This is a 72-year-old female with past medical history of hyperlipidemia, coronary artery disease status post CABG x4, anxiety, depression, multiple sclerosis, immunocompromised.    She came to the hospital with a chief complaint of progressive worsening cough and shortness of breath over the last 10 days.  Initially tested positive about 4 days after starting to have symptoms.  Was prescribed azithromycin as an outpatient by her primary care physician.  Her son initially tested positive for COVID-19 after which the patient started having symptoms as well due to exposure.   The patient was having significant worsening of the shortness of breath over the weekend and had a very severe heada 8/11/2021 tested positive This is a 72-year-old female with past medical history of hyperlipidemia, coronary artery disease status post CABG x4, anxiety, depression, multiple sclerosis, immunocompromised.     She came to the hospital with a chief complaint of progressive worsening cough and shortness of breath over the last 10 days.  Initially tested positive about 4 days after starting to have symptoms.  Was prescribed azithromycin as an outpatient by her primary care physician.  Her son initially tested positive for COVID-19 after which the patient started having symptoms as well due to exposure.   The patient was having significant worsening of the shortness of breath over the weekend and had a very severe headache so she decided come to the hospital for further evaluation and treatment.  Patient was also having some cough, chest pain associated with cough, back pain, fevers, chills, nausea, vomiting, loss of taste.  Denies any abdominal pain, burning or painful urination or diarrhea.
Age: 72.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: This is a 72-year-old female with past medical history of hyperlipidemia, coronary artery disease status post CABG x4, anxiety, depression, multiple sclerosis, immunocompromised.    She came to the hospital with a chief complaint of progressive worsening cough and shortness of breath over the last 10 days.  Initially tested positive about 4 days after starting to have symptoms.  Was prescribed azithromycin as an outpatient by her primary care physician.  Her son initially tested positive for COVID-19 after which the patient started having symptoms as well due to exposure.   The patient was having significant worsening of the shortness of breath over the weekend and had a very severe heada 8/11/2021 tested positive This is a 72-year-old female with past medical history of hyperlipidemia, coronary artery disease status post CABG x4, anxiety, depression, multiple sclerosis, immunocompromised.     She came to the hospital with a chief complaint of progressive worsening cough and shortness of breath over the last 10 days.  Initially tested positive about 4 days after starting to have symptoms.  Was prescribed azithromycin as an outpatient by her primary care physician.  Her son initially tested positive for COVID-19 after which the patient started having symptoms as well due to exposure.   The patient was having significant worsening of the shortness of breath over the weekend and had a very severe headache so she decided come to the hospital for further evaluation and treatment.  Patient was also having some cough, chest pain associated with cough, back pain, fevers, chills, nausea, vomiting, loss of taste.  Denies any abdominal pain, burning or painful urination or diarrhea.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Mammogram abnormal, Ultrasound breast abnormal
Clinical narrative: In mammogram taken 13 days after the 2nd dose, the images and ultrasound indicated swollen lymph nodes under my arm on the left side.   Quite alarming as I had been diagnosed with breast cancer the year before.   I had a followup ultrasound on April 27, 2021 and the lymph nodes had returned to normal.
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Lip swelling, Sleep disorder, Stress
Clinical narrative: Approximately 2-3 months after the shots, the shots were in my left arm my upper lip began to swell on a regular basis.  My upper left lip on the lip line and above the lip approximately 3 centimeters.  The first time was a feeling of numbness with swelling similar to a cold sore or fever blister.  The appearance of the swelling was similar to a bee sting area swelling.  This happened and continue to happen 4-6 times a month now.  I have never/not experienced this at any point in my life, this began after the vaccination shots.   Today 08/13/2021 was one of the worst swelling reactions I have experienced since the first occurrence.    I reported the events during the first month, 4/2021, via the vaccination text communication they sent out.    I reported the events, ongoing events, to my Doctors at Our Health also known as   The lip swelling happens randomly, but seems to trigger under stress, lack of sleep, but also it is just random.  The adverse events happen at least once a week, some are mild others are more severe and very noticeable outwardly appearing like a bee sting on the left side of my upper lip.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Amnesia, COVID-19, Chills, Condition aggravated, Epistaxis
Clinical narrative: This is a 78-year-old female with past medical history of hypertension, hyperlipidemia, type 2 diabetes mellitus insulin dependent, diabetic nephropathy, chronic kidney disease stage 3, myocardial infarction status post 3 stents,  permanent atrial fibrillation on chronic anticoagulation with Eliquis, history of multiple episodes of epistaxis, COPD/emphysema, history of CVA with residual deficit in the vision,  hypothyroidism, peripheral neuropathy, history of skin cancer status post excision, chronic sinusitis.    She came to the hospital with a chief complaint of an episode of syncope this morning.  Patient was here in the emergency room last night for epistaxis.  Patient underwent nasal  8/7/2021 tested positive  This is a 78-year-old female with past medical history of hypertension, hyperlipidemia, type 2 diabetes mellitus insulin dependent, diabetic nephropathy, chronic kidney disease stage 3, myocardial infarction status post 3 stents,  permanent atrial fibrillation on chronic anticoagulation with Eliquis, history of multiple episodes of epistaxis, COPD/emphysema, history of CVA with residual deficit in the vision,  hypothyroidism, peripheral neuropathy, history of skin cancer status post excision, chronic sinusitis.     She came to the hospital with a chief complaint of an episode of syncope this morning.  Patient was here in the emergency room last night for epistaxis.  Patient underwent nasal packing in the emergency room.  She has previous similar episodes of epistaxis.  Eliquis was advised to be held.   Patient was supposed to see her cardiologist Dr. for decision regarding resuming Eliquis.  This morning the patient woke up but she could not really sleep all night due to discomfort in the nasal cavity from the packing.  She felt that the packing was too tight.  She had some difficulty breathing due to tight packing in the nasal cavity.  The patient denied any fevers but did have some chills.  Denies any cough.  Currently the epistaxis is resolved.  Nasal packing is removed.  The patient denies any chest pain, shortness of breath, palpitations, abdominal pain, burning or painful urination, diarrhea.   She did have some nausea but denies any episodes of vomiting.    After the patient got up from the bed this morning she went to the bathroom but she collapsed on the floor, she hit her head, then she suddenly found herself in the bathroom but does not remember how she went there, the episode was unwitnessed.  She came to the hospital and had low blood pressure.   Nasal packing was removed.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Head injury, Hypotension, Nasal cavity packing, Nasal cavity packing removal, Nausea
Clinical narrative: This is a 78-year-old female with past medical history of hypertension, hyperlipidemia, type 2 diabetes mellitus insulin dependent, diabetic nephropathy, chronic kidney disease stage 3, myocardial infarction status post 3 stents,  permanent atrial fibrillation on chronic anticoagulation with Eliquis, history of multiple episodes of epistaxis, COPD/emphysema, history of CVA with residual deficit in the vision,  hypothyroidism, peripheral neuropathy, history of skin cancer status post excision, chronic sinusitis.    She came to the hospital with a chief complaint of an episode of syncope this morning.  Patient was here in the emergency room last night for epistaxis.  Patient underwent nasal  8/7/2021 tested positive  This is a 78-year-old female with past medical history of hypertension, hyperlipidemia, type 2 diabetes mellitus insulin dependent, diabetic nephropathy, chronic kidney disease stage 3, myocardial infarction status post 3 stents,  permanent atrial fibrillation on chronic anticoagulation with Eliquis, history of multiple episodes of epistaxis, COPD/emphysema, history of CVA with residual deficit in the vision,  hypothyroidism, peripheral neuropathy, history of skin cancer status post excision, chronic sinusitis.     She came to the hospital with a chief complaint of an episode of syncope this morning.  Patient was here in the emergency room last night for epistaxis.  Patient underwent nasal packing in the emergency room.  She has previous similar episodes of epistaxis.  Eliquis was advised to be held.   Patient was supposed to see her cardiologist Dr. for decision regarding resuming Eliquis.  This morning the patient woke up but she could not really sleep all night due to discomfort in the nasal cavity from the packing.  She felt that the packing was too tight.  She had some difficulty breathing due to tight packing in the nasal cavity.  The patient denied any fevers but did have some chills.  Denies any cough.  Currently the epistaxis is resolved.  Nasal packing is removed.  The patient denies any chest pain, shortness of breath, palpitations, abdominal pain, burning or painful urination, diarrhea.   She did have some nausea but denies any episodes of vomiting.    After the patient got up from the bed this morning she went to the bathroom but she collapsed on the floor, she hit her head, then she suddenly found herself in the bathroom but does not remember how she went there, the episode was unwitnessed.  She came to the hospital and had low blood pressure.   Nasal packing was removed.
Age: 78.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Syncope
Clinical narrative: This is a 78-year-old female with past medical history of hypertension, hyperlipidemia, type 2 diabetes mellitus insulin dependent, diabetic nephropathy, chronic kidney disease stage 3, myocardial infarction status post 3 stents,  permanent atrial fibrillation on chronic anticoagulation with Eliquis, history of multiple episodes of epistaxis, COPD/emphysema, history of CVA with residual deficit in the vision,  hypothyroidism, peripheral neuropathy, history of skin cancer status post excision, chronic sinusitis.    She came to the hospital with a chief complaint of an episode of syncope this morning.  Patient was here in the emergency room last night for epistaxis.  Patient underwent nasal  8/7/2021 tested positive  This is a 78-year-old female with past medical history of hypertension, hyperlipidemia, type 2 diabetes mellitus insulin dependent, diabetic nephropathy, chronic kidney disease stage 3, myocardial infarction status post 3 stents,  permanent atrial fibrillation on chronic anticoagulation with Eliquis, history of multiple episodes of epistaxis, COPD/emphysema, history of CVA with residual deficit in the vision,  hypothyroidism, peripheral neuropathy, history of skin cancer status post excision, chronic sinusitis.     She came to the hospital with a chief complaint of an episode of syncope this morning.  Patient was here in the emergency room last night for epistaxis.  Patient underwent nasal packing in the emergency room.  She has previous similar episodes of epistaxis.  Eliquis was advised to be held.   Patient was supposed to see her cardiologist Dr. for decision regarding resuming Eliquis.  This morning the patient woke up but she could not really sleep all night due to discomfort in the nasal cavity from the packing.  She felt that the packing was too tight.  She had some difficulty breathing due to tight packing in the nasal cavity.  The patient denied any fevers but did have some chills.  Denies any cough.  Currently the epistaxis is resolved.  Nasal packing is removed.  The patient denies any chest pain, shortness of breath, palpitations, abdominal pain, burning or painful urination, diarrhea.   She did have some nausea but denies any episodes of vomiting.    After the patient got up from the bed this morning she went to the bathroom but she collapsed on the floor, she hit her head, then she suddenly found herself in the bathroom but does not remember how she went there, the episode was unwitnessed.  She came to the hospital and had low blood pressure.   Nasal packing was removed.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Computed tomographic gastrography, Computerised tomogram head, Head injury, Loss of consciousness
Clinical narrative: I?ve had reactions two times to the Pfizer vaccine, both making my stomach area swell and severe pain.  The second time though, put me in the hospital this week.  The pain was severe, I passed out, hit my head and was taken by ambulance to the hospital.  The Pfizer vaccine seems to affect my pancreas, causing severe pancreatitis.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, Pancreatitis, Swelling
Clinical narrative: I?ve had reactions two times to the Pfizer vaccine, both making my stomach area swell and severe pain.  The second time though, put me in the hospital this week.  The pain was severe, I passed out, hit my head and was taken by ambulance to the hospital.  The Pfizer vaccine seems to affect my pancreas, causing severe pancreatitis.
Age: 58.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pancreatitis
Clinical narrative: I?ve had reactions two times to the Pfizer vaccine, both making my stomach area swell and severe pain.  The second time though, put me in the hospital this week.  The pain was severe, I passed out, hit my head and was taken by ambulance to the hospital.  The Pfizer vaccine seems to affect my pancreas, causing severe pancreatitis.
Age: 53.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives on legs, arms, hands, and face
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Dyspnoea, SARS-CoV-2 RNA, SARS-CoV-2 test, SARS-CoV-2 test negative
Clinical narrative: Patient reported to medical center on 8/4/2021 after complaints of shortness of breath for 3 days and increased cough for 2 days. Patient is fully vaccinated against COVID-19 and had a negative COVID-19 test as of 8/2/2021. The morning of 8/4/2021, the patient was extremely short of breath which was not improved with albuterol, and presented to the ER for treatment. The patient had an oxygen saturation of 84% on room air upon arrival.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Autopsy, Congestive cardiomyopathy, Death
Clinical narrative: There were no signs or symptoms. Patient received his last Covid19 vaccine on 5/13/21. He passed away on 06/15/2021. The diagnosis on the autopsy report shows that he died from Dilated Cardiomyopathy. There was no evidence of trauma and a clean toxicity report. He has no previous diagnosed health problems.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, Computerised tomogram thorax abnormal, Condition aggravated, Dizziness
Clinical narrative: Started with shortness of breath, increased heart rate, lightheadedness morning of May 2, called doctor Monday may, 36, went to Urgent Care.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Heart rate increased, Pulmonary embolism, Pulmonary thrombosis
Clinical narrative: Started with shortness of breath, increased heart rate, lightheadedness morning of May 2, called doctor Monday may, 36, went to Urgent Care.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Menstruation irregular
Clinical narrative: Patient states her cycles have been irregular, heavy,  and painful since March post COVID vaccine. Patient states she is having  bleeding every 4-5 days with at least 10 bleeding days per month and saturating  through overnight pads every 2-3 hours. Cycles prior were normal every 28-32 days with mild cramping.
Age: 64.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness
Clinical narrative: Dizziness.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Dizziness, Impaired work ability, Nasoendoscopy, Nausea
Clinical narrative: On June 3 I started feeling dizzy and nauseated at work.  I woke up on the morning of June 4 2021  experiencing extreme dizziness and nausea that lasted for 3-4 days.  On June 24th I woke up experiencing the same symptoms and couldn't go to work  as of today- 8/13/2021 I wake up with slight dizziness (although manageable) every morning and have to be very conscious of my head movements so as not to make myself more dizzy or nauseated
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Opticokinetic nystagmus tests
Clinical narrative: On June 3 I started feeling dizzy and nauseated at work.  I woke up on the morning of June 4 2021  experiencing extreme dizziness and nausea that lasted for 3-4 days.  On June 24th I woke up experiencing the same symptoms and couldn't go to work  as of today- 8/13/2021 I wake up with slight dizziness (although manageable) every morning and have to be very conscious of my head movements so as not to make myself more dizzy or nauseated
Age: 17.0
Sex: F
Vaccine: MENB
Symptoms: Hyperhidrosis, Nausea, Pain, Tenderness
Clinical narrative: 1 hour after receiving Bexsero became nauseated, sweaty, and achy all over.  Left deltoid wnl, other than tender to touch where immunization administered.
Age: 4.0
Sex: F
Vaccine: DTAP, DTAPIPVHIB, HEPA, IPV, MMR, PNC13
Symptoms: Extra dose administered, Wrong product administered
Clinical narrative: PATIENT ACCIDENTLY GIVEN PENTACEL INSTEAD OF ACTHIB - THEREFORE PATIENT RECEIVED AN EXTRA DTAP AND AN EXTRA IPV THAT DAY.  PARENT NOTIFIED VIA SPANISH TRANSLATION.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Chest pain, Full blood count normal, Headache, Impaired work ability
Clinical narrative: Headaches, nausea, slight chest pain, and backaches. Patient states that has affected her ability to work. Symptoms started two days after receiving her second dose of the Pfizer.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Headaches, nausea, slight chest pain, and backaches. Patient states that has affected her ability to work. Symptoms started two days after receiving her second dose of the Pfizer.
Age: 44.0
Sex: M
Vaccine: COVID19
Symptoms: Paraesthesia, Skin tightness
Clinical narrative: Hands tingling. Left side has a unique tightness
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Intensive care
Clinical narrative: ICU hospitalization for Covid 19 severe infection.
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Malaise, Nasopharyngitis, Oropharyngeal pain, Pain
Clinical narrative: began feeling ill on 8/9/21 with cold like symptoms, sore throat, body aches, fatigue
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anaemia, Azotaemia, Brain natriuretic peptide increased, COVID-19, Chest X-ray normal
Clinical narrative: 65-year-old male with past medical history of hypertension, hyperlipidemia, GERD, BPH, peripheral vascular disease, anxiety, diabetes mellitus on insulin, and end-stage renal disease on hemodialysis Tuesday/Thursday/Saturday presented to the emergency department complaints of worsening right testicular pain.  Patient reports that he was usual state of health until yesterday evening when he started having persistent nausea and vomiting and also had 1 episode of diarrhea.  Patient reports that he went to his primary care physician this morning and started having testicular pain therefore, requested that he come to the emergency department for further evaluation.           7/26/2021tested positive 8/7/2021 discharged Upon arrival to the emergency department, patient was found to have sepsis secondary to prostatitis and epididymo-orchitis.  Patient also noted to be incidentally positive for COVID-19.  CT abdomen consistent with severe prostatomegaly.  Reactive lymphadenopathy.  Ultrasound of the scrotum consistent with epididymo-orchitis. Chest x-ray was otherwise negative for any acute findings.  Patient was noted to have elevated troponin however, EKG independently reviewed and negative for any acute findings.  Also noted to have hypertensive urgency, leukocytosis, anemia, hyponatremia, hypochloremia, metabolic alkalosis, uremia, hyperglycemia, hyperproteinemia, elevated BNP, and elevated lipase.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram abdomen abnormal, Diarrhoea, Electrocardiogram normal, Hyperglycaemia, Hyperproteinaemia
Clinical narrative: 65-year-old male with past medical history of hypertension, hyperlipidemia, GERD, BPH, peripheral vascular disease, anxiety, diabetes mellitus on insulin, and end-stage renal disease on hemodialysis Tuesday/Thursday/Saturday presented to the emergency department complaints of worsening right testicular pain.  Patient reports that he was usual state of health until yesterday evening when he started having persistent nausea and vomiting and also had 1 episode of diarrhea.  Patient reports that he went to his primary care physician this morning and started having testicular pain therefore, requested that he come to the emergency department for further evaluation.           7/26/2021tested positive 8/7/2021 discharged Upon arrival to the emergency department, patient was found to have sepsis secondary to prostatitis and epididymo-orchitis.  Patient also noted to be incidentally positive for COVID-19.  CT abdomen consistent with severe prostatomegaly.  Reactive lymphadenopathy.  Ultrasound of the scrotum consistent with epididymo-orchitis. Chest x-ray was otherwise negative for any acute findings.  Patient was noted to have elevated troponin however, EKG independently reviewed and negative for any acute findings.  Also noted to have hypertensive urgency, leukocytosis, anemia, hyponatremia, hypochloremia, metabolic alkalosis, uremia, hyperglycemia, hyperproteinemia, elevated BNP, and elevated lipase.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Hypertensive urgency, Hypochloraemia, Hyponatraemia, Leukocytosis, Lipase increased
Clinical narrative: 65-year-old male with past medical history of hypertension, hyperlipidemia, GERD, BPH, peripheral vascular disease, anxiety, diabetes mellitus on insulin, and end-stage renal disease on hemodialysis Tuesday/Thursday/Saturday presented to the emergency department complaints of worsening right testicular pain.  Patient reports that he was usual state of health until yesterday evening when he started having persistent nausea and vomiting and also had 1 episode of diarrhea.  Patient reports that he went to his primary care physician this morning and started having testicular pain therefore, requested that he come to the emergency department for further evaluation.           7/26/2021tested positive 8/7/2021 discharged Upon arrival to the emergency department, patient was found to have sepsis secondary to prostatitis and epididymo-orchitis.  Patient also noted to be incidentally positive for COVID-19.  CT abdomen consistent with severe prostatomegaly.  Reactive lymphadenopathy.  Ultrasound of the scrotum consistent with epididymo-orchitis. Chest x-ray was otherwise negative for any acute findings.  Patient was noted to have elevated troponin however, EKG independently reviewed and negative for any acute findings.  Also noted to have hypertensive urgency, leukocytosis, anemia, hyponatremia, hypochloremia, metabolic alkalosis, uremia, hyperglycemia, hyperproteinemia, elevated BNP, and elevated lipase.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Lymphadenopathy, Metabolic acidosis, Nausea, Orchitis, Prostatitis
Clinical narrative: 65-year-old male with past medical history of hypertension, hyperlipidemia, GERD, BPH, peripheral vascular disease, anxiety, diabetes mellitus on insulin, and end-stage renal disease on hemodialysis Tuesday/Thursday/Saturday presented to the emergency department complaints of worsening right testicular pain.  Patient reports that he was usual state of health until yesterday evening when he started having persistent nausea and vomiting and also had 1 episode of diarrhea.  Patient reports that he went to his primary care physician this morning and started having testicular pain therefore, requested that he come to the emergency department for further evaluation.           7/26/2021tested positive 8/7/2021 discharged Upon arrival to the emergency department, patient was found to have sepsis secondary to prostatitis and epididymo-orchitis.  Patient also noted to be incidentally positive for COVID-19.  CT abdomen consistent with severe prostatomegaly.  Reactive lymphadenopathy.  Ultrasound of the scrotum consistent with epididymo-orchitis. Chest x-ray was otherwise negative for any acute findings.  Patient was noted to have elevated troponin however, EKG independently reviewed and negative for any acute findings.  Also noted to have hypertensive urgency, leukocytosis, anemia, hyponatremia, hypochloremia, metabolic alkalosis, uremia, hyperglycemia, hyperproteinemia, elevated BNP, and elevated lipase.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Prostatomegaly, SARS-CoV-2 test positive, Sepsis, Testicular pain, Troponin increased
Clinical narrative: 65-year-old male with past medical history of hypertension, hyperlipidemia, GERD, BPH, peripheral vascular disease, anxiety, diabetes mellitus on insulin, and end-stage renal disease on hemodialysis Tuesday/Thursday/Saturday presented to the emergency department complaints of worsening right testicular pain.  Patient reports that he was usual state of health until yesterday evening when he started having persistent nausea and vomiting and also had 1 episode of diarrhea.  Patient reports that he went to his primary care physician this morning and started having testicular pain therefore, requested that he come to the emergency department for further evaluation.           7/26/2021tested positive 8/7/2021 discharged Upon arrival to the emergency department, patient was found to have sepsis secondary to prostatitis and epididymo-orchitis.  Patient also noted to be incidentally positive for COVID-19.  CT abdomen consistent with severe prostatomegaly.  Reactive lymphadenopathy.  Ultrasound of the scrotum consistent with epididymo-orchitis. Chest x-ray was otherwise negative for any acute findings.  Patient was noted to have elevated troponin however, EKG independently reviewed and negative for any acute findings.  Also noted to have hypertensive urgency, leukocytosis, anemia, hyponatremia, hypochloremia, metabolic alkalosis, uremia, hyperglycemia, hyperproteinemia, elevated BNP, and elevated lipase.
Age: 65.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Ultrasound scan abnormal, Vomiting
Clinical narrative: 65-year-old male with past medical history of hypertension, hyperlipidemia, GERD, BPH, peripheral vascular disease, anxiety, diabetes mellitus on insulin, and end-stage renal disease on hemodialysis Tuesday/Thursday/Saturday presented to the emergency department complaints of worsening right testicular pain.  Patient reports that he was usual state of health until yesterday evening when he started having persistent nausea and vomiting and also had 1 episode of diarrhea.  Patient reports that he went to his primary care physician this morning and started having testicular pain therefore, requested that he come to the emergency department for further evaluation.           7/26/2021tested positive 8/7/2021 discharged Upon arrival to the emergency department, patient was found to have sepsis secondary to prostatitis and epididymo-orchitis.  Patient also noted to be incidentally positive for COVID-19.  CT abdomen consistent with severe prostatomegaly.  Reactive lymphadenopathy.  Ultrasound of the scrotum consistent with epididymo-orchitis. Chest x-ray was otherwise negative for any acute findings.  Patient was noted to have elevated troponin however, EKG independently reviewed and negative for any acute findings.  Also noted to have hypertensive urgency, leukocytosis, anemia, hyponatremia, hypochloremia, metabolic alkalosis, uremia, hyperglycemia, hyperproteinemia, elevated BNP, and elevated lipase.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased
Clinical narrative: My blood pressure was dangerously elevated, (<200/120), and could not be reduced by the usual oral medications.  It has been over a week and the condition persists.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Palpitations, Rash
Clinical narrative: Starting on 08/03/2021 (day three) rash down both arms and on chest. Heart palpitations with some chest pain lasting about three days.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, SARS-CoV-2 test positive
Clinical narrative: developed cough few days ago and came for covid testing
Age: 78.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Cough
Clinical narrative: PT TO ED WITH C.O CHEST PAIN X 4 DAYS, Reports cough. Pt on 3L NC, satting at 94%.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: Tested positive for Covid 19 on 8/10/21
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Arthritis, Autoimmune disorder, Blindness unilateral, Computerised tomogram, Lumbar puncture
Clinical narrative: LOST VISION IN RIGH EYE 10 DAYS HOSPILIZED  STERIOD TREATMENTS PLEXPHERIS (5 DAYS) ON STERIODS FOR ANOTHER 2 WEEKS  AFTER I CAME HOME STILL BLIND IN RIGHT EYE
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Magnetic resonance imaging, Systemic lupus erythematosus
Clinical narrative: LOST VISION IN RIGH EYE 10 DAYS HOSPILIZED  STERIOD TREATMENTS PLEXPHERIS (5 DAYS) ON STERIODS FOR ANOTHER 2 WEEKS  AFTER I CAME HOME STILL BLIND IN RIGHT EYE
Age: 17.0
Sex: M
Vaccine: HEPA, MENB, MNQ
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Hep A adult dose given instead of pediatric to 17 year old patient.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Headache, Rhinorrhoea
Clinical narrative: Tested positive for Covid 19.  Runny nose, cough, headache
Age: 57.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Pyrexia
Clinical narrative: Very bad headache and fever, 101.0 degrees.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19
Clinical narrative: got COVID twice
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Bell's palsy
Clinical narrative: Bells Palsy, right side of face
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia eye
Clinical narrative: My left eye became numb for two days
Age: 45.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Back pain, Hypoaesthesia, Pain in extremity, Paraesthesia
Clinical narrative: Sore shoulder/back, followed by numbness, paresthesia, and mild pain in left arm, from shoulder to fingertips. Symptoms are intermittent and seem to relate to position & posture but not in any consistent way. Soreness in shoulder sometimes returns, but main symptom now is the intermittent paresthesia. Consulted with primary care MD by video, he prescribed  cyclonenzaprine orally at bedtime to relax muscles, referred physical therapist but haven?t seen them yet.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Chest X-ray, Electrocardiogram abnormal, Headache, Palpitations
Clinical narrative: headaches every day for 2 weeks starting the day of the shot....palpitations every day starting 4 days after the shot. No treatment...saw dr who did blood work and ekg (he just told me blood work good...no comment on ekg which is abnormal)
Age: 23.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Rash
Clinical narrative: Headache and severe rash in both armpits.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Fatigue, Headache
Clinical narrative: SARS COV-19 Infection. Congestion, Loss of Taste, Loss of Smell, Headache, Fatigue.
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: SARS COV-19 Infection. Congestion, Loss of Taste, Loss of Smell, Headache, Fatigue.
Age: 67.0
Sex: M
Vaccine: UNK, UNK
Symptoms: Illness, Influenza like illness, Myocardial infarction, Pyrexia, Respiratory tract congestion
Clinical narrative: Patient was sick with flu like symptoms, fever and congestion, until April 5, 2021. He had a massive heart attack on 04/06/2021 died instanly.
Age: 67.0
Sex: M
Vaccine: UNK, UNK
Symptoms: Sudden death
Clinical narrative: Patient was sick with flu like symptoms, fever and congestion, until April 5, 2021. He had a massive heart attack on 04/06/2021 died instanly.