chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Blood creatine phosphokinase normal, C-reactive protein normal, Laboratory test normal, Pain
Clinical narrative: The morning after the injection I woke up to severe tenderness and pain in my left hand, mostly in the palm of my hand .  After approx 3 days it decreased to a more mild constant ache, slight tingling sensations that radiated towards my elbow, and occasional jolts of pain multiple times throughout the days.  Once I returned to my regular work week on 12/27/21, I also developed a similar aching pain in my left knee, ankle, and foot.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Paraesthesia, Tenderness, Vitamin B12 normal
Clinical narrative: The morning after the injection I woke up to severe tenderness and pain in my left hand, mostly in the palm of my hand .  After approx 3 days it decreased to a more mild constant ache, slight tingling sensations that radiated towards my elbow, and occasional jolts of pain multiple times throughout the days.  Once I returned to my regular work week on 12/27/21, I also developed a similar aching pain in my left knee, ankle, and foot.
Sex: U
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: ADULT CLIENT ON PEDIATRIC CONSENT. ACCORDING TO INFORMATION PREPRINTED ON CONSENT HE RECEIVED A PEDIATRIC LOT NUMBER AND DOSE
Age: 57.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Pain, Pyrexia, Rash, Swelling
Clinical narrative: COVID arm, rash swelling, pain, headache fever. Feeling of having the flu, but lasted only a week.
Age: 82.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID BREAKTHROUGH CASE.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Diarrhoea, Fatigue, Nausea
Clinical narrative: fever, chills,fatigue, diarrhea, nausea
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive
Clinical narrative: fever, chills,fatigue, diarrhea, nausea
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Chapped lips, Ear pain, Fatigue, Feeling abnormal, Lip pain
Clinical narrative: On 01/10/2022- she was feeling ill by 2:30 in the afternoon had a fever at about 6:30pm - 101.5. She had a  sore arm, fatigue, fever that day  and the next day.  01/11/2021, early in the evening before bed she felt her bottom lip on the left side was swelling up. It was swollen,  it was the size of a big grape tomato and painful and she was absolutely miserable.  The next morning it progressed to her left jaw line,  swollen gland on her left side and swollen lymph nodes on her left side and her pain was from the bottom of her neck on left side going from her lip to the left side and she was saying that her left ear hurt. She was all swollen . We started giving her Benadryl and the swelling would go down a little bit, after 5 hrs it would wear off and the swelling would continue. The doctor told us to keep her on Benadryl, and  ibuprofen.  By 4 in the afternoon, she was in a lot of pain. I was getting worried. The APRN told us to take her to the ER, that she need to be seen in the emergency Hospital.  01/12/2021- We took her to the ER. They gave her Benadryl and ibuprofen and we waited an 1 1/2 before she was seen . The doctor gave her one dose or oral steroids, dexamethasone.  Originally the APRN, thought it was possibly and allergy, This doctor felt it was an overly strong immune response. Her lip was so swollen, that it actually cracked. She was miserable. The steroids really worked, It helped the swelling go down.  She was a lot more comfortable on the way home and she did not have a fever.  On Thursday and Friday, she was completely exhausted. She was complaining about her lip hurting . She finally left the house on Saturday.  She felt fine to go back to school today, 01/18/2022. She did get considerably better after the steroid.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Lip swelling, Lymphadenopathy, Malaise, Neck pain, Pain
Clinical narrative: On 01/10/2022- she was feeling ill by 2:30 in the afternoon had a fever at about 6:30pm - 101.5. She had a  sore arm, fatigue, fever that day  and the next day.  01/11/2021, early in the evening before bed she felt her bottom lip on the left side was swelling up. It was swollen,  it was the size of a big grape tomato and painful and she was absolutely miserable.  The next morning it progressed to her left jaw line,  swollen gland on her left side and swollen lymph nodes on her left side and her pain was from the bottom of her neck on left side going from her lip to the left side and she was saying that her left ear hurt. She was all swollen . We started giving her Benadryl and the swelling would go down a little bit, after 5 hrs it would wear off and the swelling would continue. The doctor told us to keep her on Benadryl, and  ibuprofen.  By 4 in the afternoon, she was in a lot of pain. I was getting worried. The APRN told us to take her to the ER, that she need to be seen in the emergency Hospital.  01/12/2021- We took her to the ER. They gave her Benadryl and ibuprofen and we waited an 1 1/2 before she was seen . The doctor gave her one dose or oral steroids, dexamethasone.  Originally the APRN, thought it was possibly and allergy, This doctor felt it was an overly strong immune response. Her lip was so swollen, that it actually cracked. She was miserable. The steroids really worked, It helped the swelling go down.  She was a lot more comfortable on the way home and she did not have a fever.  On Thursday and Friday, she was completely exhausted. She was complaining about her lip hurting . She finally left the house on Saturday.  She felt fine to go back to school today, 01/18/2022. She did get considerably better after the steroid.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, SARS-CoV-2 test negative, Swelling
Clinical narrative: On 01/10/2022- she was feeling ill by 2:30 in the afternoon had a fever at about 6:30pm - 101.5. She had a  sore arm, fatigue, fever that day  and the next day.  01/11/2021, early in the evening before bed she felt her bottom lip on the left side was swelling up. It was swollen,  it was the size of a big grape tomato and painful and she was absolutely miserable.  The next morning it progressed to her left jaw line,  swollen gland on her left side and swollen lymph nodes on her left side and her pain was from the bottom of her neck on left side going from her lip to the left side and she was saying that her left ear hurt. She was all swollen . We started giving her Benadryl and the swelling would go down a little bit, after 5 hrs it would wear off and the swelling would continue. The doctor told us to keep her on Benadryl, and  ibuprofen.  By 4 in the afternoon, she was in a lot of pain. I was getting worried. The APRN told us to take her to the ER, that she need to be seen in the emergency Hospital.  01/12/2021- We took her to the ER. They gave her Benadryl and ibuprofen and we waited an 1 1/2 before she was seen . The doctor gave her one dose or oral steroids, dexamethasone.  Originally the APRN, thought it was possibly and allergy, This doctor felt it was an overly strong immune response. Her lip was so swollen, that it actually cracked. She was miserable. The steroids really worked, It helped the swelling go down.  She was a lot more comfortable on the way home and she did not have a fever.  On Thursday and Friday, she was completely exhausted. She was complaining about her lip hurting . She finally left the house on Saturday.  She felt fine to go back to school today, 01/18/2022. She did get considerably better after the steroid.
Age: 9.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient's father completed COVID-19 form and pre-vaccination checklist answering 'no' to all questions except number 2. Patient given the 2nd pediatric COVID-19 Pfizer vaccination; however it was discovered the patient tested positive for COVID-19 on 1/11/2022. No notification made to family at this time due to non-working phone number. Immediately notified the patient's father who was outside the facility with his girlfriend, 3 children and a medical director.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough case
Age: 11.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product preparation error
Clinical narrative: no adverse event. pediatric pfizer was given undiluted. dose given was 0.2ml
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram pulmonary normal, Back pain, COVID-19, Chest X-ray normal, Chills
Clinical narrative: Covid19 breakthrough.  Vaccinated on 03/13/2021.  38 y/o PMH sleep apnea presents to ED with c/o palpitations, low back pain, fever, chills, congestion and generalized frontal HA x1 day.  Room air sat 97%, CXR no acute process, CTA Chest no pulm emboli.  Pt started on oral steroids.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Palpitations, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: Covid19 breakthrough.  Vaccinated on 03/13/2021.  38 y/o PMH sleep apnea presents to ED with c/o palpitations, low back pain, fever, chills, congestion and generalized frontal HA x1 day.  Room air sat 97%, CXR no acute process, CTA Chest no pulm emboli.  Pt started on oral steroids.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccine breakthrough infection
Clinical narrative: Covid19 breakthrough.  Vaccinated on 03/13/2021.  38 y/o PMH sleep apnea presents to ED with c/o palpitations, low back pain, fever, chills, congestion and generalized frontal HA x1 day.  Room air sat 97%, CXR no acute process, CTA Chest no pulm emboli.  Pt started on oral steroids.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain upper, Biopsy endometrium, Blood follicle stimulating hormone, Blood test, Feeling cold
Clinical narrative: On 12/30/2021 3pm took covid 19 boost shot(Moderna) at facility, same night felt chill and headache, then left arm axillary and inguinal lymph notes swelling, stomach cramping, then next day noon had periods happen( post menopause for one year and half). prolong , heavy bleeding for 8 days. set appt to see my OB doctor. doctor suggusted to do the following percedure:  1. blood work for checking hormone level 2. ultrsound for abnormal finding 3. endometrial biopsy for further abnormal finding after ultrsound 4. office visit for check uterus size. uterus thicken than normal range per menopause patient.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heavy menstrual bleeding, Lymphadenopathy, Postmenopausal haemorrhage, Ultrasound uterus abnormal
Clinical narrative: On 12/30/2021 3pm took covid 19 boost shot(Moderna) at facility, same night felt chill and headache, then left arm axillary and inguinal lymph notes swelling, stomach cramping, then next day noon had periods happen( post menopause for one year and half). prolong , heavy bleeding for 8 days. set appt to see my OB doctor. doctor suggusted to do the following percedure:  1. blood work for checking hormone level 2. ultrsound for abnormal finding 3. endometrial biopsy for further abnormal finding after ultrsound 4. office visit for check uterus size. uterus thicken than normal range per menopause patient.
Age: 59.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Death
Clinical narrative: Death related to COVID 19
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Joint range of motion decreased, Muscle spasms, Neuropathy peripheral
Clinical narrative: Developed significant deltoid swelling, severe pain, muscle spasm, and limited range of motion x4 weeks.  Required prolonged steroid taper.  Developed axillary neuropathy following initial period of inflammation.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered after deadline of use.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Cough, Fatigue, Pyrexia
Clinical narrative: chills, fever, fatigue, cough
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: chills, fever, fatigue, cough
Age: 80.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: COVID-19, Vaccine breakthrough infection
Clinical narrative: Fully vaccinated and boosted on 12/10/21.  COVID infection breakthrough with inpatient hospital stay.
Age: 84.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: patient hospitalized
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, Blood potassium increased, Headache, Hypertension, Pain
Clinical narrative: January 28, 2021-blood pressure very high, 100.1 fever for 2 days after vaccination, headache, cardiologist gave more medication. March 1, 2021-loss of voice, high blood pressure, rash, sore arm, 100.1 fever for a week after vaccination, body aches.
Age: 76.0
Sex: F
Vaccine: COVID19
Symptoms: Pain in extremity, Pyrexia, Rash
Clinical narrative: January 28, 2021-blood pressure very high, 100.1 fever for 2 days after vaccination, headache, cardiologist gave more medication. March 1, 2021-loss of voice, high blood pressure, rash, sore arm, 100.1 fever for a week after vaccination, body aches.
Age: 9.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: Patient felt dizzy and fainted after receiving second dose of Pediatric Pfizer Vaccine.  She rested for about 15 minutes before she stopped feeling dizzy.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Lymphadenopathy, Mobility decreased
Clinical narrative: The day of my vaccination, my arm was sore by 3PM, and I had a pretty bad headache and felt fatigue by 9PM. My left arm was sore. By bedtime, it was achy and even more sore. I woke up in the morning with extreme body pains and aches, and felt very nauseous. I could barely get out of bed. My headache felt more painful and I treaded very slightly during the day, feeling sluggish. A day or two after, my lymph nodes started swelling and I still had pretty severe body aches and some chills after the shot. I contacted my PCP who informed me to rest, take some ibuprofen, stay hydrated and ice my arm to relieve my symptoms. By about a week later, the symptoms had eased away and I was feeling better.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pain, Pain in extremity, Sluggishness
Clinical narrative: The day of my vaccination, my arm was sore by 3PM, and I had a pretty bad headache and felt fatigue by 9PM. My left arm was sore. By bedtime, it was achy and even more sore. I woke up in the morning with extreme body pains and aches, and felt very nauseous. I could barely get out of bed. My headache felt more painful and I treaded very slightly during the day, feeling sluggish. A day or two after, my lymph nodes started swelling and I still had pretty severe body aches and some chills after the shot. I contacted my PCP who informed me to rest, take some ibuprofen, stay hydrated and ice my arm to relieve my symptoms. By about a week later, the symptoms had eased away and I was feeling better.
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Diarrhoea, Dyspnoea, Nasal congestion, Oropharyngeal pain
Clinical narrative: congestion, sore throat, cough, short of breath, diarrhea
Age: 75.0
Sex: M
Vaccine: COVID19
Symptoms: Respiratory tract congestion, SARS-CoV-2 test positive
Clinical narrative: congestion, sore throat, cough, short of breath, diarrhea
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Contusion, Fatigue, Feeling abnormal, Hypersomnia
Clinical narrative: Pt. had first Moderna vaccine on 03/02/2021 (Lot 011M20A) and second Moderna vaccine on 03/30/2021 (Lot 038A21A) at store. About 12-18 hours after first two vaccines, pt. felt fatigued, feverish, chills, pt. slept for about first 24 hours after vaccines, and then felt fully recovered after that 24 hours. After the booster on 11/05/2021, pt. felt same above listed symptoms but more intense. Pt. had the vaccine at 3pm, then around 5:30am woke up, felt nauseous, went into the bathroom, thought she was going to vomit so she stood up from the toilet, then the next thing she knew she woke up on the bathroom floor (pt. lost consciousness). Pt. had bruising throughout her body and a bruised tailbone which took about 2 months to completely heal. Pt. states unlike previous vaccines, resolution took longer than 24 hours, more like 48 hours and mental fogginess took longer to clear than that. Pt. had similar fatigue, fever, and chills after Shingles vaccines in 2020 but no LOC.
Age: 65.0
Sex: F
Vaccine: COVID19
Symptoms: Loss of consciousness, Nausea, Pyrexia
Clinical narrative: Pt. had first Moderna vaccine on 03/02/2021 (Lot 011M20A) and second Moderna vaccine on 03/30/2021 (Lot 038A21A) at store. About 12-18 hours after first two vaccines, pt. felt fatigued, feverish, chills, pt. slept for about first 24 hours after vaccines, and then felt fully recovered after that 24 hours. After the booster on 11/05/2021, pt. felt same above listed symptoms but more intense. Pt. had the vaccine at 3pm, then around 5:30am woke up, felt nauseous, went into the bathroom, thought she was going to vomit so she stood up from the toilet, then the next thing she knew she woke up on the bathroom floor (pt. lost consciousness). Pt. had bruising throughout her body and a bruised tailbone which took about 2 months to completely heal. Pt. states unlike previous vaccines, resolution took longer than 24 hours, more like 48 hours and mental fogginess took longer to clear than that. Pt. had similar fatigue, fever, and chills after Shingles vaccines in 2020 but no LOC.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administered dose after use date.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: given expired dose of vaccine  1/2
Sex: F
Vaccine: COVID19
Symptoms: Blood pressure increased, Headache, Photopsia
Clinical narrative: A week after my vaccine, I started getting headaches and flashes of light in my peripheral vision. My blood pressure also elevated so I went to see the doctor. The headache lasted for 3 days and the symptoms subsided with rest and OTC medication.
Age: 41.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Palpitations
Clinical narrative: Heart Palpitations; last about 5-15 minutes; occurs approximately 3-4x/ week
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Underdose
Clinical narrative: patient moved while receive vaccine and didnt get the entire dose.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Ageusia, COVID-19, Chest X-ray abnormal, Chills, Computerised tomogram abdomen abnormal
Clinical narrative: COVID Pfizer Vaccine Breakthrough Case  Pfizer Dose 1 1/8/2021 (EL1284) Pfizer Dose 2 1/30/2021 (EL1283) COVID Positive 9/6/21  9/5/21: Patient is a 56-year-old female who presents due to the above concerns, reports her symptoms have been ongoing for the last 10 days and not been getting better.  Patient was seen in the walk-in clinic yesterday; she was given a prescription for Zofran. Also has been having subjective fevers and chills and a dry cough as well.  The patient's fever was 102 as reported by her.  She has also been having a dry cough. Patient also reports some loss of appetite as well as a marginal loss of taste.  She is not vaccinated against COVID.  Initially patient refused a COVID test, but after further discussion with me in the emergency department, she is agreeable.  Patient is being admitted as she had become hypoxic in the emergency department.  CT abdomen/pelvis shows incidental bibasilar infiltrates in the lungs.  CT abdomen was otherwise unremarkable.  Chest x-ray was done which shows bibasilar infiltrates.  D-dimer was ordered and is currently pending, as well as a COVID screen.  9/10/21: Patient was admitted on September 5, 2021 for evaluation of COVID pneumonia.  Patient was treated with Levaquin, Decadron, remdesivir and required supplemental oxygenation throughout the hospital stay.  Patient had progressive subjective and objective improvement throughout the hospitalization.  Patient will require home oxygen supplementation.  Patient is to complete a course of Levaquin after discharge.  Patient was consult on Home Health however patient has refused.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Fibrin D dimer, Hypoxia, Lung infiltration
Clinical narrative: COVID Pfizer Vaccine Breakthrough Case  Pfizer Dose 1 1/8/2021 (EL1284) Pfizer Dose 2 1/30/2021 (EL1283) COVID Positive 9/6/21  9/5/21: Patient is a 56-year-old female who presents due to the above concerns, reports her symptoms have been ongoing for the last 10 days and not been getting better.  Patient was seen in the walk-in clinic yesterday; she was given a prescription for Zofran. Also has been having subjective fevers and chills and a dry cough as well.  The patient's fever was 102 as reported by her.  She has also been having a dry cough. Patient also reports some loss of appetite as well as a marginal loss of taste.  She is not vaccinated against COVID.  Initially patient refused a COVID test, but after further discussion with me in the emergency department, she is agreeable.  Patient is being admitted as she had become hypoxic in the emergency department.  CT abdomen/pelvis shows incidental bibasilar infiltrates in the lungs.  CT abdomen was otherwise unremarkable.  Chest x-ray was done which shows bibasilar infiltrates.  D-dimer was ordered and is currently pending, as well as a COVID screen.  9/10/21: Patient was admitted on September 5, 2021 for evaluation of COVID pneumonia.  Patient was treated with Levaquin, Decadron, remdesivir and required supplemental oxygenation throughout the hospital stay.  Patient had progressive subjective and objective improvement throughout the hospitalization.  Patient will require home oxygen supplementation.  Patient is to complete a course of Levaquin after discharge.  Patient was consult on Home Health however patient has refused.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Vaccine breakthrough infection
Clinical narrative: COVID Pfizer Vaccine Breakthrough Case  Pfizer Dose 1 1/8/2021 (EL1284) Pfizer Dose 2 1/30/2021 (EL1283) COVID Positive 9/6/21  9/5/21: Patient is a 56-year-old female who presents due to the above concerns, reports her symptoms have been ongoing for the last 10 days and not been getting better.  Patient was seen in the walk-in clinic yesterday; she was given a prescription for Zofran. Also has been having subjective fevers and chills and a dry cough as well.  The patient's fever was 102 as reported by her.  She has also been having a dry cough. Patient also reports some loss of appetite as well as a marginal loss of taste.  She is not vaccinated against COVID.  Initially patient refused a COVID test, but after further discussion with me in the emergency department, she is agreeable.  Patient is being admitted as she had become hypoxic in the emergency department.  CT abdomen/pelvis shows incidental bibasilar infiltrates in the lungs.  CT abdomen was otherwise unremarkable.  Chest x-ray was done which shows bibasilar infiltrates.  D-dimer was ordered and is currently pending, as well as a COVID screen.  9/10/21: Patient was admitted on September 5, 2021 for evaluation of COVID pneumonia.  Patient was treated with Levaquin, Decadron, remdesivir and required supplemental oxygenation throughout the hospital stay.  Patient had progressive subjective and objective improvement throughout the hospitalization.  Patient will require home oxygen supplementation.  Patient is to complete a course of Levaquin after discharge.  Patient was consult on Home Health however patient has refused.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Anticoagulant therapy, Atrial fibrillation, Blood creatinine normal, Blood potassium decreased, Brain natriuretic peptide increased
Clinical narrative: Patient is fully vaccinated.  ED visit on 12/7/2021.  COVID + test. 88-year-old female presents from nursing facility for cough. The patient denies any chest pain, shortness of breath, nausea, vomiting, diarrhea, fever or chills. She states that she has a nonproductive cough. Staff was concerned that she may have COVID. She states she is otherwise feeling well.BP 173/83  | Pulse 103  | Temp 98.5 °F (36.9 °C) (Oral)  | Resp 17  | Ht 149.9 cm (4' 11")  | Wt 54.9 kg (121 lb)  | SpO2 97%  | BMI 24.44 kg/m² Cx-ray negative for acute process. Patient is not hypoxic. She has no complaints. She will be discharged to the nursing facility. Patient/Guardian told to return to ED for any new, worsening, changing or persistent symptoms.  Patient returned to the hospital on 12/12/2021 and required hospitalization for 8 days.  Assessment:  atrial fibrillation with RVR.  COVID infection, elevated troponins, chronic diastolic heart failure, leukocytosis, COVID infection.  88-year-old female with past medical history of atrial fibrillation, CHF, hyperlipidemia, hypertension, and chronic urinary retention.  The patient was presented to the hospital because of tachycardia. Her heart rate is 126.  The patient seems to have shortness of breath right now.  Her laboratory data and diagnostic showed that potassium is 3, creatinine is 1.13.  BNP is 861.  Troponins are 0.18.  White blood cells elevated at 13. Chest x-ray showed patchy airspace opacities.  The patient was admitted because of atrial fibrillation and COVID-19 infection. Medications:  Eliquis, albuterol, cardizem. Discharged back to Nursing home stable.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest X-ray abnormal, Chronic left ventricular failure, Condition aggravated, Cough
Clinical narrative: Patient is fully vaccinated.  ED visit on 12/7/2021.  COVID + test. 88-year-old female presents from nursing facility for cough. The patient denies any chest pain, shortness of breath, nausea, vomiting, diarrhea, fever or chills. She states that she has a nonproductive cough. Staff was concerned that she may have COVID. She states she is otherwise feeling well.BP 173/83  | Pulse 103  | Temp 98.5 °F (36.9 °C) (Oral)  | Resp 17  | Ht 149.9 cm (4' 11")  | Wt 54.9 kg (121 lb)  | SpO2 97%  | BMI 24.44 kg/m² Cx-ray negative for acute process. Patient is not hypoxic. She has no complaints. She will be discharged to the nursing facility. Patient/Guardian told to return to ED for any new, worsening, changing or persistent symptoms.  Patient returned to the hospital on 12/12/2021 and required hospitalization for 8 days.  Assessment:  atrial fibrillation with RVR.  COVID infection, elevated troponins, chronic diastolic heart failure, leukocytosis, COVID infection.  88-year-old female with past medical history of atrial fibrillation, CHF, hyperlipidemia, hypertension, and chronic urinary retention.  The patient was presented to the hospital because of tachycardia. Her heart rate is 126.  The patient seems to have shortness of breath right now.  Her laboratory data and diagnostic showed that potassium is 3, creatinine is 1.13.  BNP is 861.  Troponins are 0.18.  White blood cells elevated at 13. Chest x-ray showed patchy airspace opacities.  The patient was admitted because of atrial fibrillation and COVID-19 infection. Medications:  Eliquis, albuterol, cardizem. Discharged back to Nursing home stable.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Laboratory test, Leukocytosis, Lung opacity, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated.  ED visit on 12/7/2021.  COVID + test. 88-year-old female presents from nursing facility for cough. The patient denies any chest pain, shortness of breath, nausea, vomiting, diarrhea, fever or chills. She states that she has a nonproductive cough. Staff was concerned that she may have COVID. She states she is otherwise feeling well.BP 173/83  | Pulse 103  | Temp 98.5 °F (36.9 °C) (Oral)  | Resp 17  | Ht 149.9 cm (4' 11")  | Wt 54.9 kg (121 lb)  | SpO2 97%  | BMI 24.44 kg/m² Cx-ray negative for acute process. Patient is not hypoxic. She has no complaints. She will be discharged to the nursing facility. Patient/Guardian told to return to ED for any new, worsening, changing or persistent symptoms.  Patient returned to the hospital on 12/12/2021 and required hospitalization for 8 days.  Assessment:  atrial fibrillation with RVR.  COVID infection, elevated troponins, chronic diastolic heart failure, leukocytosis, COVID infection.  88-year-old female with past medical history of atrial fibrillation, CHF, hyperlipidemia, hypertension, and chronic urinary retention.  The patient was presented to the hospital because of tachycardia. Her heart rate is 126.  The patient seems to have shortness of breath right now.  Her laboratory data and diagnostic showed that potassium is 3, creatinine is 1.13.  BNP is 861.  Troponins are 0.18.  White blood cells elevated at 13. Chest x-ray showed patchy airspace opacities.  The patient was admitted because of atrial fibrillation and COVID-19 infection. Medications:  Eliquis, albuterol, cardizem. Discharged back to Nursing home stable.
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Tachycardia, Troponin increased, White blood cell count increased
Clinical narrative: Patient is fully vaccinated.  ED visit on 12/7/2021.  COVID + test. 88-year-old female presents from nursing facility for cough. The patient denies any chest pain, shortness of breath, nausea, vomiting, diarrhea, fever or chills. She states that she has a nonproductive cough. Staff was concerned that she may have COVID. She states she is otherwise feeling well.BP 173/83  | Pulse 103  | Temp 98.5 °F (36.9 °C) (Oral)  | Resp 17  | Ht 149.9 cm (4' 11")  | Wt 54.9 kg (121 lb)  | SpO2 97%  | BMI 24.44 kg/m² Cx-ray negative for acute process. Patient is not hypoxic. She has no complaints. She will be discharged to the nursing facility. Patient/Guardian told to return to ED for any new, worsening, changing or persistent symptoms.  Patient returned to the hospital on 12/12/2021 and required hospitalization for 8 days.  Assessment:  atrial fibrillation with RVR.  COVID infection, elevated troponins, chronic diastolic heart failure, leukocytosis, COVID infection.  88-year-old female with past medical history of atrial fibrillation, CHF, hyperlipidemia, hypertension, and chronic urinary retention.  The patient was presented to the hospital because of tachycardia. Her heart rate is 126.  The patient seems to have shortness of breath right now.  Her laboratory data and diagnostic showed that potassium is 3, creatinine is 1.13.  BNP is 861.  Troponins are 0.18.  White blood cells elevated at 13. Chest x-ray showed patchy airspace opacities.  The patient was admitted because of atrial fibrillation and COVID-19 infection. Medications:  Eliquis, albuterol, cardizem. Discharged back to Nursing home stable.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Chest pain, Dyspnoea, Oxygen saturation decreased, Thrombosis
Clinical narrative: Chest pains, difficulty breathing, clots, low oxygen levels.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Deafness unilateral, Loss of consciousness, Magnetic resonance imaging head, Meniere's disease
Clinical narrative: I lost my hearing in my left ear and got tinnitus. I started having vertigo episodes. I blacked out and ended up in the hospital. Doctor put be on diuretic and nausea pills.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus, Vertigo
Clinical narrative: I lost my hearing in my left ear and got tinnitus. I started having vertigo episodes. I blacked out and ended up in the hospital. Doctor put be on diuretic and nausea pills.
Age: 53.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID BREAKTHROUGH CASE
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Pneumonia, Swelling, Swelling face
Clinical narrative: Patient experienced extreme swelling of the face, which led to patient receiving steroid treatment the day after the booster vaccine. The patient a few days later had pneumonia and continued swelling. Patient had difficulty breathing a week or two after receiving the vaccine as well.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain upper, Arthralgia, Chest X-ray, Chills, Cough
Clinical narrative: Patient experienced extreme swelling of the face, which led to patient receiving steroid treatment the day after the booster vaccine. The patient a few days later had pneumonia and continued swelling. Patient had difficulty breathing a week or two after receiving the vaccine as well.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dysgeusia, Dyspnoea, Fatigue, Headache, Joint swelling
Clinical narrative: Patient experienced extreme swelling of the face, which led to patient receiving steroid treatment the day after the booster vaccine. The patient a few days later had pneumonia and continued swelling. Patient had difficulty breathing a week or two after receiving the vaccine as well.
Age: 61.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pain, SARS-CoV-2 antibody test positive, Swelling face
Clinical narrative: Patient experienced extreme swelling of the face, which led to patient receiving steroid treatment the day after the booster vaccine. The patient a few days later had pneumonia and continued swelling. Patient had difficulty breathing a week or two after receiving the vaccine as well.
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Chest pain, SARS-CoV-2 test positive
Clinical narrative: Pt states that he received Johnson and johnson COVID vaccine last year. Never received a booster. Admitted with chest pain and possible MI. Tested possible for COVID upon admission
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal distension, Chills, Erythema, Fatigue, Headache
Clinical narrative: On day 2 I developed an immune response which included, headache, chills, fatigue, myalgias.  In addition to that the entire deltoid area was red, itchy, and swollen with intermittent pain that radiated to the wrist and lasted through the week.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pain, Pruritus
Clinical narrative: On day 2 I developed an immune response which included, headache, chills, fatigue, myalgias.  In addition to that the entire deltoid area was red, itchy, and swollen with intermittent pain that radiated to the wrist and lasted through the week.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: presented to hospital for aflutter evaluation and was noted to be C19+ on screen
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Heart rate increased, Injection site erythema, Injection site swelling, Pain
Clinical narrative: swelling,redness at injection site, pain,hives,headache,itching,increased heart rate
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Urticaria
Clinical narrative: swelling,redness at injection site, pain,hives,headache,itching,increased heart rate
Age: 31.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient came in today to receive the Pfizer booster. He was screened and immunized by one of our nurses. As we were entering the vaccination into the immunization registry, we discovered he received the second dose of Pfizer on 10/2/2021 (patient confirmed on the phone). The booster he received is approximately 2 months early. He did not report any adverse events after the 15-minute waiting period.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Ataxia, Blood test normal, Chest pain, Computerised tomogram head normal
Clinical narrative: Anxiety, Vertigo, Chest Pain, Ataxia, paresthesia.  Developed several hours after the shot 12/30/21 but did not seek care immediately.  Seen in my office on 01/03/22 and evaluated with appropriate blood and image testing.  Seen in follow up on 01/14/21.  Mild vertigo but otherwise resolved symptoms with normal tests results.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram normal, Fibrin D dimer increased, Full blood count normal, Glomerular filtration rate decreased, Laboratory test normal
Clinical narrative: Anxiety, Vertigo, Chest Pain, Ataxia, paresthesia.  Developed several hours after the shot 12/30/21 but did not seek care immediately.  Seen in my office on 01/03/22 and evaluated with appropriate blood and image testing.  Seen in follow up on 01/14/21.  Mild vertigo but otherwise resolved symptoms with normal tests results.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Metabolic function test normal, Paraesthesia, Vertigo
Clinical narrative: Anxiety, Vertigo, Chest Pain, Ataxia, paresthesia.  Developed several hours after the shot 12/30/21 but did not seek care immediately.  Seen in my office on 01/03/22 and evaluated with appropriate blood and image testing.  Seen in follow up on 01/14/21.  Mild vertigo but otherwise resolved symptoms with normal tests results.
Age: 17.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: The patient was administered the pfizer booster one month early. The patient received the second pfizer 9/27/21 and received the booster 1/14/22.  Patient called 1/18/2022 at 10:17 AM no signs and symptoms reported at this time. Patient was advised to  call clinic and seek medical attention if adverse reaction occurs.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Malaise, Pain, Pyrexia
Clinical narrative: About 16 hours after receiving the vaccine I developed a fever, chills and body aches.  I understand that this is normal, but ever since I received the first vaccine, I get these same symptoms about once a month.  It feels exactly the same way every time and it last for the same amount of time - about 24 hours.  I am fully vaccinated, including the booster, which made me the sickest out of all of them.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Alcohol abuse, Blood alcohol, Computerised tomogram, Facial bones fracture, Fall
Clinical narrative: Flu like symptoms. Daily drinker, fell down steps on day of presentation to ED. Found to have SAH, maxilla fx, zygomatic fx from trauma.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza like illness, Injury, Jaw fracture, Subarachnoid haemorrhage
Clinical narrative: Flu like symptoms. Daily drinker, fell down steps on day of presentation to ED. Found to have SAH, maxilla fx, zygomatic fx from trauma.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, No adverse event
Clinical narrative: Patient was given vaccine 6 hours and 10 minutes after dilution - no adverse events
Age: 24.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Pt came in today to receive their Pfizer booster. Pt was screened and immunized by one of our nurses. As we were entering the vaccination into the state registry, we saw that they received their second dose of Pfizer 12/9/2021 with a HCF (pt reported receiving it with us around November/December on the phone). This means they got their booster dose approximately 4 months early. Pt did not report any adverse events after their 15-minute waiting period.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cognitive disorder, Fatigue, Hypophagia, Hypoxia
Clinical narrative: CHIEF COMPLAINT:   Covid+ today, having nausea & PO intolerance 2/2 same. Pt drinking water, no solid PO intake since yesterday. Pt c/o fatigue.   HISTORY OF PRESENT ILLNESS:     Patient with known baseline cognitive changes resides in a group home is tested positive for COVID vaccinated against such.  Has some nausea and poor p.o. intake.  Patient reports feeling tired denies any vomiting diarrhea chest pain or shortness of breath.  She was found to be hypoxic upon arrival in the emergency department.  She is requesting a Dr. Pepper and a hamburger upon my interaction with her.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, SARS-CoV-2 test positive
Clinical narrative: CHIEF COMPLAINT:   Covid+ today, having nausea & PO intolerance 2/2 same. Pt drinking water, no solid PO intake since yesterday. Pt c/o fatigue.   HISTORY OF PRESENT ILLNESS:     Patient with known baseline cognitive changes resides in a group home is tested positive for COVID vaccinated against such.  Has some nausea and poor p.o. intake.  Patient reports feeling tired denies any vomiting diarrhea chest pain or shortness of breath.  She was found to be hypoxic upon arrival in the emergency department.  She is requesting a Dr. Pepper and a hamburger upon my interaction with her.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Cough, Death, Dyspnoea, General physical health deterioration
Clinical narrative: Patient is fully vaccinated.  COVID + on 12/3/2021.  Hospitalized from 12/7-12/19/2021. Presented with dyspnea.  SpO2 88% on RA. She initially presented to an urgent care facility on 12/3, admitting to cough and myalgias for seven days. fever of 100.8 initially on arrival.  Patient admitted with respiratory failure due to COVID pneumonia.  Multidisciplinary team consulted and placed on remdesivir/decadron and lovenox.  Patient continued to deteriorate and went into renal failure.  Continued to require high flow oxygen and was decided by family to enter into hospice care.  Patient passed away with comfort care.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Pyrexia, Renal failure, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: Patient is fully vaccinated.  COVID + on 12/3/2021.  Hospitalized from 12/7-12/19/2021. Presented with dyspnea.  SpO2 88% on RA. She initially presented to an urgent care facility on 12/3, admitting to cough and myalgias for seven days. fever of 100.8 initially on arrival.  Patient admitted with respiratory failure due to COVID pneumonia.  Multidisciplinary team consulted and placed on remdesivir/decadron and lovenox.  Patient continued to deteriorate and went into renal failure.  Continued to require high flow oxygen and was decided by family to enter into hospice care.  Patient passed away with comfort care.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Axillary pain, Chest pain, Pain in extremity
Clinical narrative: Severe pain from shoulder all the way down to fingers including arm pit and side from 6 days. On day 5 sever chest pain started. It was so horrible I thought I was having a heart attack. Pain got worse when I laid down flat. Continued for a day.
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: patient hospitalized
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Decreased appetite, Fatigue, SARS-CoV-2 test positive, Vaccine breakthrough infection
Clinical narrative: COVID breakthrough. Patient presented to the emergency department on 1/17/22 with fatigue and decreased appetite for a few days. Tested positive for COVID on 1/17/22.
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Meningism
Clinical narrative: severe headache with meningeal signs, lasted 4 days while treated with high dose prednisone, then subsided, still on tapering med dose
Age: 56.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient developed COVID and is now hospitalized on 11L high flow oxygen, dexamethasone, and remdesivir.
Age: 12.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Underdose
Clinical narrative: Child came into the clinic with guardian to have 2nd dose administered. Vaccine card was given to RN who then passed the card to the scribe and RN did not verify DOB.  Scribe then located patient in the adult clinic. Once verified that patient was in the system, RN gave pediatric dose but was not informed that patient was listed to received adult dose and not pediatric dose.  Patient stayed in the observation area for 15 min and no adverse reactions noted and left with guardian.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Cough, Decreased appetite, Dizziness, Dyspnoea
Clinical narrative: 1/3/22: very tired, dizzy, sore arm, no energy at all 1/4/22: vomited, could not go to work the entire week because of vertigo after standing 5 minutes, no appetite,  nausea, cough, sneezing, body aches which interfered with sleep yet too weak to get up, no ability to push myself to do anything which is really unusual.  This lasted through 1/9/22.  I went to work on 1/10/22 and had to go home at 1:30 and go to bed, then could not get up again to go to work on 1/11/22.  I returned to work on 1/12/22, was still dizzy when I stood, so sat all day and tried not to move much.  I was very weak and exhausted from walking. This has continued.  I have trouble breathing as well while doing any activity and actually pant for air.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Impaired work ability, Nausea, Pain, Pain in extremity
Clinical narrative: 1/3/22: very tired, dizzy, sore arm, no energy at all 1/4/22: vomited, could not go to work the entire week because of vertigo after standing 5 minutes, no appetite,  nausea, cough, sneezing, body aches which interfered with sleep yet too weak to get up, no ability to push myself to do anything which is really unusual.  This lasted through 1/9/22.  I went to work on 1/10/22 and had to go home at 1:30 and go to bed, then could not get up again to go to work on 1/11/22.  I returned to work on 1/12/22, was still dizzy when I stood, so sat all day and tried not to move much.  I was very weak and exhausted from walking. This has continued.  I have trouble breathing as well while doing any activity and actually pant for air.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Sleep disorder, Sneezing, Vertigo, Vomiting
Clinical narrative: 1/3/22: very tired, dizzy, sore arm, no energy at all 1/4/22: vomited, could not go to work the entire week because of vertigo after standing 5 minutes, no appetite,  nausea, cough, sneezing, body aches which interfered with sleep yet too weak to get up, no ability to push myself to do anything which is really unusual.  This lasted through 1/9/22.  I went to work on 1/10/22 and had to go home at 1:30 and go to bed, then could not get up again to go to work on 1/11/22.  I returned to work on 1/12/22, was still dizzy when I stood, so sat all day and tried not to move much.  I was very weak and exhausted from walking. This has continued.  I have trouble breathing as well while doing any activity and actually pant for air.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Vaccine given too early. First vaccine done 12/27/21 second on 1/18/22. no adverse reaction  noted
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Muscular weakness, Pain in extremity
Clinical narrative: 24 hours after patient experienced numbness, pain and weakness to bilateral hands and feet
Age: 14.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Brain natriuretic peptide normal, C-reactive protein increased, Chest pain, Echocardiogram normal, Electrocardiogram ST segment elevation
Clinical narrative: Patient received first Pfizer vaccine on 9/1/21 and second vaccine on 9/22/21. She presented on 1/3/22 with one week URI symptoms and one day of acute onset chest pain. Vitals were stable on admission. Mild ST elevation noted on all leads on EKG. Troponin was elevated (peak at 1.59ng/ml, normal <0.03) concerning for myopericarditis. Echo showed normal function and did not show any pericardial effusion. She was treated with high dose Ibuprofen with improvement in symptoms. Viral panel obtained was negative. Patient was discharged to home on  1/5/22 and was at baseline on discharge.
Age: 14.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Fatigue, Red blood cell sedimentation rate increased, Respiratory symptom, Respiratory viral panel, SARS-CoV-2 test negative
Clinical narrative: Patient received first Pfizer vaccine on 9/1/21 and second vaccine on 9/22/21. She presented on 1/3/22 with one week URI symptoms and one day of acute onset chest pain. Vitals were stable on admission. Mild ST elevation noted on all leads on EKG. Troponin was elevated (peak at 1.59ng/ml, normal <0.03) concerning for myopericarditis. Echo showed normal function and did not show any pericardial effusion. She was treated with high dose Ibuprofen with improvement in symptoms. Viral panel obtained was negative. Patient was discharged to home on  1/5/22 and was at baseline on discharge.