chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Angiogram cerebral normal, Arteriogram carotid normal, Blindness, Cerebral haemorrhage, Chills
Clinical narrative: History of Present Illness  Patient is a 24 year old female PMH of HTN-noncompliant with medications, stroke, migraine headaches who presents to the emergency department for the above complaints.  History is provided primarily by the patient's boyfriend, who is at her bedside.  He states that the patient commonly has migraines and had been complaining of a headache last night.  She woke up this morning and still had a headache and spent much of the resting day in bed.  Sometime this evening, the patient's boyfriend heard her getting out of bed and running into things.  He went to go check on her and he said she asked him why it was so dark in the room, however the lights were on.  He then asked her if she was able to see anything and she said no. He therefore summoned EMS and she was taken to our ED for further evaluation.  Patient is unsure of when exactly her visual loss started.  She denies striking her head at any point.  Immediately upon arrival, the patient underwent noncontrast head CT in this demonstrates acute left occipital hemorrhage measuring 1.6 by 1.6 cm with mild surrounding vasogenic edema.  There is also acute subdural hemorrhage along the left cerebral convexity and left tentorium.  CTA head and neck was also performed and this did not show any vascular abnormality or aneurysm.  Upon initial exam, the patient is alert and oriented.  She looks in the general direction of the examiner, however states that she is unable to see anything in either eye.  She has a flat affect, however there is no other focal neurologic deficit. During my exam, the patient had a short episode of unresponsiveness and jaw twitching, but returned back to her baseline within minutes and participated in the remainder of the interview.  Shortly after I left the room, she had a generalized tonic clonic seizure witnessed by myself as well as the emergency department staff.  Patient states that she might have had a fever this morning with some chills, however otherwise no recent illness shortness of breath, nausea, vomiting, diarrhea, chest pain, palpitations, abdominal pain, unilateral weakness, difficulty speaking.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Computerised tomogram head abnormal, Flat affect, Generalised tonic-clonic seizure, Headache, Muscle twitching
Clinical narrative: History of Present Illness  Patient is a 24 year old female PMH of HTN-noncompliant with medications, stroke, migraine headaches who presents to the emergency department for the above complaints.  History is provided primarily by the patient's boyfriend, who is at her bedside.  He states that the patient commonly has migraines and had been complaining of a headache last night.  She woke up this morning and still had a headache and spent much of the resting day in bed.  Sometime this evening, the patient's boyfriend heard her getting out of bed and running into things.  He went to go check on her and he said she asked him why it was so dark in the room, however the lights were on.  He then asked her if she was able to see anything and she said no. He therefore summoned EMS and she was taken to our ED for further evaluation.  Patient is unsure of when exactly her visual loss started.  She denies striking her head at any point.  Immediately upon arrival, the patient underwent noncontrast head CT in this demonstrates acute left occipital hemorrhage measuring 1.6 by 1.6 cm with mild surrounding vasogenic edema.  There is also acute subdural hemorrhage along the left cerebral convexity and left tentorium.  CTA head and neck was also performed and this did not show any vascular abnormality or aneurysm.  Upon initial exam, the patient is alert and oriented.  She looks in the general direction of the examiner, however states that she is unable to see anything in either eye.  She has a flat affect, however there is no other focal neurologic deficit. During my exam, the patient had a short episode of unresponsiveness and jaw twitching, but returned back to her baseline within minutes and participated in the remainder of the interview.  Shortly after I left the room, she had a generalized tonic clonic seizure witnessed by myself as well as the emergency department staff.  Patient states that she might have had a fever this morning with some chills, however otherwise no recent illness shortness of breath, nausea, vomiting, diarrhea, chest pain, palpitations, abdominal pain, unilateral weakness, difficulty speaking.
Age: 23.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Subdural haemorrhage, Unresponsive to stimuli, Vasogenic cerebral oedema
Clinical narrative: History of Present Illness  Patient is a 24 year old female PMH of HTN-noncompliant with medications, stroke, migraine headaches who presents to the emergency department for the above complaints.  History is provided primarily by the patient's boyfriend, who is at her bedside.  He states that the patient commonly has migraines and had been complaining of a headache last night.  She woke up this morning and still had a headache and spent much of the resting day in bed.  Sometime this evening, the patient's boyfriend heard her getting out of bed and running into things.  He went to go check on her and he said she asked him why it was so dark in the room, however the lights were on.  He then asked her if she was able to see anything and she said no. He therefore summoned EMS and she was taken to our ED for further evaluation.  Patient is unsure of when exactly her visual loss started.  She denies striking her head at any point.  Immediately upon arrival, the patient underwent noncontrast head CT in this demonstrates acute left occipital hemorrhage measuring 1.6 by 1.6 cm with mild surrounding vasogenic edema.  There is also acute subdural hemorrhage along the left cerebral convexity and left tentorium.  CTA head and neck was also performed and this did not show any vascular abnormality or aneurysm.  Upon initial exam, the patient is alert and oriented.  She looks in the general direction of the examiner, however states that she is unable to see anything in either eye.  She has a flat affect, however there is no other focal neurologic deficit. During my exam, the patient had a short episode of unresponsiveness and jaw twitching, but returned back to her baseline within minutes and participated in the remainder of the interview.  Shortly after I left the room, she had a generalized tonic clonic seizure witnessed by myself as well as the emergency department staff.  Patient states that she might have had a fever this morning with some chills, however otherwise no recent illness shortness of breath, nausea, vomiting, diarrhea, chest pain, palpitations, abdominal pain, unilateral weakness, difficulty speaking.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Anaemia, Asthenia, Biopsy bone marrow, COVID-19, Chemotherapy
Clinical narrative: Patient is a pleasant 78 year old gentleman with significant medical history of HTN and high cholesterol, who is known to Doctor for treatment of MDS, currently treating with Dacogen days 1-5 q28 days. He last received C7 on 1/31 thru 2/4. His last bone marrow biopsy from 9/28 after 3 months of treatment, showed stable MDS  disease with 5-10% circulating blasts. He also has a known history of PE and has been treated with multiple lines of therapy, most recently Lovenox. It has been on hold due to platelets >50k and history of bleeding. He requires transfusional support for his anemia secondary to MDS. Most recent transfusion was 2/4. He arrived to ER today via ambulance with complaints of lethargy, weakness, sob and fevers. He complaints of lightheaded with standing. He reports + COVID test on Monday 2/7. Upon arrival, he had a fever of 102.6. BP and HR were stable. O2 98% on 2 L. He does utilize supplemental oxygen at home and his oxygen need has not increased. His CBC showed anemia and thrombocytopenia. We will admit for IV antibiotics, transfusions, and close monitoring in his immunocompromised state with chemotherapy.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Dizziness, Dyspnoea, Full blood count abnormal, Immunodeficiency, Lethargy
Clinical narrative: Patient is a pleasant 78 year old gentleman with significant medical history of HTN and high cholesterol, who is known to Doctor for treatment of MDS, currently treating with Dacogen days 1-5 q28 days. He last received C7 on 1/31 thru 2/4. His last bone marrow biopsy from 9/28 after 3 months of treatment, showed stable MDS  disease with 5-10% circulating blasts. He also has a known history of PE and has been treated with multiple lines of therapy, most recently Lovenox. It has been on hold due to platelets >50k and history of bleeding. He requires transfusional support for his anemia secondary to MDS. Most recent transfusion was 2/4. He arrived to ER today via ambulance with complaints of lethargy, weakness, sob and fevers. He complaints of lightheaded with standing. He reports + COVID test on Monday 2/7. Upon arrival, he had a fever of 102.6. BP and HR were stable. O2 98% on 2 L. He does utilize supplemental oxygen at home and his oxygen need has not increased. His CBC showed anemia and thrombocytopenia. We will admit for IV antibiotics, transfusions, and close monitoring in his immunocompromised state with chemotherapy.
Age: 77.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Platelet count decreased, Pyrexia, SARS-CoV-2 test positive, Thrombocytopenia, Transfusion
Clinical narrative: Patient is a pleasant 78 year old gentleman with significant medical history of HTN and high cholesterol, who is known to Doctor for treatment of MDS, currently treating with Dacogen days 1-5 q28 days. He last received C7 on 1/31 thru 2/4. His last bone marrow biopsy from 9/28 after 3 months of treatment, showed stable MDS  disease with 5-10% circulating blasts. He also has a known history of PE and has been treated with multiple lines of therapy, most recently Lovenox. It has been on hold due to platelets >50k and history of bleeding. He requires transfusional support for his anemia secondary to MDS. Most recent transfusion was 2/4. He arrived to ER today via ambulance with complaints of lethargy, weakness, sob and fevers. He complaints of lightheaded with standing. He reports + COVID test on Monday 2/7. Upon arrival, he had a fever of 102.6. BP and HR were stable. O2 98% on 2 L. He does utilize supplemental oxygen at home and his oxygen need has not increased. His CBC showed anemia and thrombocytopenia. We will admit for IV antibiotics, transfusions, and close monitoring in his immunocompromised state with chemotherapy.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: Biopsy, COVID-19, Jaw disorder, Nasopharyngitis, Neoplasm
Clinical narrative: This is unknown as to whether this is related to the vaccine, but it should be considered/noted. Patient was vaccinated with Pfizer vaccine on 3/4 and 3/25. He tested positive for Covid-19 via PCR test on 8/21. Symptoms were very mild - cold-like. But after a few days, a growth developed on his lower jaw. It was determined via biopsy at MD that he had a plasmacytic neoplasm tumor. It was removed, and looked at by a number of people at both as well as the Clinic. They thought that this was indicative of either Amyloidosis or Multiple Myeloma, and a series of tests were completed. Upon completion of these tests, it was determined that there were no more cancerous cells, and this tumor was apparently a random isolated occurrence. sidenote: Patient's identical twin was unvaccinated, and contracted Covid-19, and while symptoms were much worse, he ultimately came out of it unscathed.
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive, Surgery
Clinical narrative: This is unknown as to whether this is related to the vaccine, but it should be considered/noted. Patient was vaccinated with Pfizer vaccine on 3/4 and 3/25. He tested positive for Covid-19 via PCR test on 8/21. Symptoms were very mild - cold-like. But after a few days, a growth developed on his lower jaw. It was determined via biopsy at MD that he had a plasmacytic neoplasm tumor. It was removed, and looked at by a number of people at both as well as the Clinic. They thought that this was indicative of either Amyloidosis or Multiple Myeloma, and a series of tests were completed. Upon completion of these tests, it was determined that there were no more cancerous cells, and this tumor was apparently a random isolated occurrence. sidenote: Patient's identical twin was unvaccinated, and contracted Covid-19, and while symptoms were much worse, he ultimately came out of it unscathed.
Age: 40.0
Sex: M
Vaccine: HPV9
Symptoms: Arthralgia, Joint range of motion decreased, Myalgia, Nodule
Clinical narrative: Patient sent a message to the practice on February 11, 2022. Reporting the following, " Two days later, I had decreased range of motion in my shoulder, a big knot right above the joint and continued muscle soreness and joint pain and I was only able to lift the arm approximately 45 degrees above horizontal above my head. I was able to schedule an appointment with my sports doctor, last week to assess. He put me on over the counter anti-inflammatory drugs for a week and gave me PT exercises to do each day which I have been doing. "
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Acute respiratory distress syndrome, Blood test, Chest X-ray, Chest pain, Computerised tomogram thorax
Clinical narrative: arrives to the emergency department in acute respiratory distress. endorses being sick with trouble breathing and chest pain 3 days after the vaccine booset
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Echocardiogram, Full blood count, Malaise
Clinical narrative: arrives to the emergency department in acute respiratory distress. endorses being sick with trouble breathing and chest pain 3 days after the vaccine booset
Age: 82.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Unevaluable event
Clinical narrative: HOSPITALIZATION
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Autonomic neuropathy, Blood test, Burning sensation, Erythema, Feeling hot
Clinical narrative: 7-10 days after the shot red toes.  Podiatrist thought cold or circulation.  Circulation ruled out with venous study, Doctor .  At the same time burning/hot feet and nerve pain in hands and feet.  Diagnosed by neurologist as "IDEOPATHIC PERIPHERAL NEUROPATHY".  Managed with Lyrica and Cymbalta. Following booster shot Moderna 032H21A on 1/14/2022 red toes and recurring symptom of hot feet.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging neck, Magnetic resonance imaging spinal, Nerve conduction studies, Neuralgia
Clinical narrative: 7-10 days after the shot red toes.  Podiatrist thought cold or circulation.  Circulation ruled out with venous study, Doctor .  At the same time burning/hot feet and nerve pain in hands and feet.  Diagnosed by neurologist as "IDEOPATHIC PERIPHERAL NEUROPATHY".  Managed with Lyrica and Cymbalta. Following booster shot Moderna 032H21A on 1/14/2022 red toes and recurring symptom of hot feet.
Age: 100.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: No adverse event
Clinical narrative: no symptoms
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Moderna is not approved for patient's age group
Age: 74.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: CSF test, Gait inability, Guillain-Barre syndrome, Immunoglobulin therapy, Magnetic resonance imaging spinal
Clinical narrative: Patient was diagnosed with COVID-19 pneumonia in November 2020. Close to 3 months after his COVID19 infection, he received his first dose of COVID-19 moderna vaccine. Shortly after that he started developing weakness in his lower limbs and a work-up for spinal stenosis was initiated by his neurologist. Before his second dose of moderna COVID-19 vaccine, he was already walking with a walker. After receiving the second dose of COVID-19 moderna vaccine, he was not able to walk at all.  He was hospitalized for Guillain-Barré versus acute inflammatory demyelinating polyneuropathy. He was managed with IVIG and he underwent extensive rehab.  Five months after his hospitalization, he recovered 50% of his baseline functional level. He required one year to fully recovered his motor function.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Motor dysfunction
Clinical narrative: Patient was diagnosed with COVID-19 pneumonia in November 2020. Close to 3 months after his COVID19 infection, he received his first dose of COVID-19 moderna vaccine. Shortly after that he started developing weakness in his lower limbs and a work-up for spinal stenosis was initiated by his neurologist. Before his second dose of moderna COVID-19 vaccine, he was already walking with a walker. After receiving the second dose of COVID-19 moderna vaccine, he was not able to walk at all.  He was hospitalized for Guillain-Barré versus acute inflammatory demyelinating polyneuropathy. He was managed with IVIG and he underwent extensive rehab.  Five months after his hospitalization, he recovered 50% of his baseline functional level. He required one year to fully recovered his motor function.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Blood test, Muscle atrophy, Weight decreased
Clinical narrative: wight, muscle lost
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia
Clinical narrative: Left sided body numbness
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pruritus, Rash, Sensitive skin, Urticaria
Clinical narrative: Onset of symptoms about 2 weeks after booster shot received. Symptoms include skin sensitivity. Very itchy, hives/rash will form wherever I itch my skin. hive/rash will persist for ~30 min before dissipating.  Feels like skin is writhing.
Age: 26.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Urticaria
Clinical narrative: Onset of symptoms about 2 weeks after booster shot received. Symptoms include skin sensitivity. Very itchy, hives/rash will form wherever I itch my skin. hive/rash will persist for ~30 min before dissipating.  Feels like skin is writhing.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 37.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Muscular weakness, Pain, Paraesthesia
Clinical narrative: A little background... in 2021 I received my first two doses of Moderna. A couple of weeks after vaccination I developed strange sensations and tingling throughout my body, severe fatigue and difficulty concentrating, increase in dropping things, a feeling of weakness in my arms. An MRI showed non specific lesions in my brain and a few lesions in my cervical spine. A nerve conduction study, blood work, and a lumbar puncture showed insignificant findings. The symptoms seemed to disappear around Oct 2021, with the exception of tingling in my upper left back and odd sensations in my right thigh, which I still have on occasion to this day. My doctor did not think the vaccine was the cause of my symptoms, so I decided to get a booster last week. It was Pfizer this time. The afternoon of my vaccine there was an increase of odd sensations in my right thigh. 5 days post vaccine I started getting small short lived tingles and pricks in my arms and legs, and tingling in my scalp, which I haven't had for several months. 6 days post vaccine I felt a sudden feeling of fatigue and arm weakness, which is what happened me to last year. Today is day 7 - no fatigue or weakness, but still occasional tingles throughout my body.
Age: 65.0
Sex: F
Vaccine: PNC20
Symptoms: Facial paralysis, Hemiplegia, Hypoaesthesia, Monoplegia, Pain
Clinical narrative: PAIN, NUMBNESS  AND PARTIAL PARALYSIS OF COMPLETE LEFT SIDE,  INCLUDING ARM, LEG, AND FACE.
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: Coronavirus test, Death
Clinical narrative: Deceased 2/5/2022
Age: 77.0
Sex: F
Vaccine: COVID19, COVID19, COVID19, COVID19
Symptoms: COVID-19, Coronavirus test positive, SARS-CoV-2 RNA
Clinical narrative: Deceased 2/5/2022
Age: 95.0
Sex: F
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Diagnosed with SHINGLES one week after a receiving Covid booster shot.  Son also received booster at same location and lot number.  Also, diagnosed with SHINGLES one week after booster.  Son had SHINGLES vaccination in 2019 at a health care facility.  Two doses.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use.
Age: 48.0
Sex: F
Vaccine: HEP
Symptoms: Acoustic stimulation tests abnormal, Anxiety, Deafness unilateral, Dizziness, Ear, nose and throat examination abnormal
Clinical narrative: 01/31/2022 severe tinitus at 11:30 sudden loss of hearing right ear, Lightheaded, dizzy.  02/01/2020 saw ENT specalist Hearing test done, 100% loss of hearing in right ear. Steriod injection done in right ear.  02/01/2022 midnight severe virtigo with vomiting and hypersensitivity to sounds, light, taste, anxiety 02/03/2022 went to Hospital by ambulance 02/04/2022 MRI done, results: neuritis of the 8th cranial nerve. 02/05/2022 left hosptal 02/08/2022 saw ENT specialist, hearing has not come back, virtigo remains, hypersensitivity, right eye pain, severe tinitus. ENT recomends Ophalmology: appointment date 02/16/2022  Nephrology  02/18/2022
Age: 48.0
Sex: F
Vaccine: HEP
Symptoms: Eye pain, Hyperacusis, Magnetic resonance imaging head abnormal, Neuritis cranial, Photophobia
Clinical narrative: 01/31/2022 severe tinitus at 11:30 sudden loss of hearing right ear, Lightheaded, dizzy.  02/01/2020 saw ENT specalist Hearing test done, 100% loss of hearing in right ear. Steriod injection done in right ear.  02/01/2022 midnight severe virtigo with vomiting and hypersensitivity to sounds, light, taste, anxiety 02/03/2022 went to Hospital by ambulance 02/04/2022 MRI done, results: neuritis of the 8th cranial nerve. 02/05/2022 left hosptal 02/08/2022 saw ENT specialist, hearing has not come back, virtigo remains, hypersensitivity, right eye pain, severe tinitus. ENT recomends Ophalmology: appointment date 02/16/2022  Nephrology  02/18/2022
Age: 48.0
Sex: F
Vaccine: HEP
Symptoms: Sudden hearing loss, Taste disorder, Tinnitus, VIIIth nerve injury, Vertigo
Clinical narrative: 01/31/2022 severe tinitus at 11:30 sudden loss of hearing right ear, Lightheaded, dizzy.  02/01/2020 saw ENT specalist Hearing test done, 100% loss of hearing in right ear. Steriod injection done in right ear.  02/01/2022 midnight severe virtigo with vomiting and hypersensitivity to sounds, light, taste, anxiety 02/03/2022 went to Hospital by ambulance 02/04/2022 MRI done, results: neuritis of the 8th cranial nerve. 02/05/2022 left hosptal 02/08/2022 saw ENT specialist, hearing has not come back, virtigo remains, hypersensitivity, right eye pain, severe tinitus. ENT recomends Ophalmology: appointment date 02/16/2022  Nephrology  02/18/2022
Age: 48.0
Sex: F
Vaccine: HEP
Symptoms: Vomiting
Clinical narrative: 01/31/2022 severe tinitus at 11:30 sudden loss of hearing right ear, Lightheaded, dizzy.  02/01/2020 saw ENT specalist Hearing test done, 100% loss of hearing in right ear. Steriod injection done in right ear.  02/01/2022 midnight severe virtigo with vomiting and hypersensitivity to sounds, light, taste, anxiety 02/03/2022 went to Hospital by ambulance 02/04/2022 MRI done, results: neuritis of the 8th cranial nerve. 02/05/2022 left hosptal 02/08/2022 saw ENT specialist, hearing has not come back, virtigo remains, hypersensitivity, right eye pain, severe tinitus. ENT recomends Ophalmology: appointment date 02/16/2022  Nephrology  02/18/2022
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Herpes zoster
Clinical narrative: Shingles. I'm only 43 and I got Shingles!
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: COVID-19 breakthrough case 2.5 months after booster.
Age: 31.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Sensitive skin, Urticaria
Clinical narrative: After 11 days post booster vaccine I started notice hives that were all over my body mostly noticed them around straps, bra lines, and my skin was really reactive to any abrasions and would cause hives to form at site. Itchiness around shirt collars, I took Benadryl  and Allegra for about 2 months and now I can get by with taking one Allegra once daily and occasionally Benadryl if I get itchy. My hives are not as severe as before however if I am late to taking the Allegra I will have a worse reaction to the abrasions and hives forming than if I take it regularly. Spoke with Doctor and stated that I should continue taking Allegra. This does not deter me from taking another booster shot with symptoms.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Complication associated with device, Death, Decreased appetite, Diarrhoea
Clinical narrative: Previously in outside hospital with acute peritonitis secondary to infected peritoneal catheter; was dc'd to SNF on prolonged antibiotics; c/o diarrhea x 4 wks - presents to hospital; COVID test positive; placed on O2 supplementation; poor appetite; treated with steroids; NRB with adequate O2 sats; pt experienced increase in SOB; treated with Bumex and antibiotics; hypoxic; requiring BiPAP; pt's condition declined; DNR/DNI; decrease in respiratory status; pt was made comfort measures and died in the hospital
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Hypoxia, Peritonitis, Positive airway pressure therapy, Respiratory disorder
Clinical narrative: Previously in outside hospital with acute peritonitis secondary to infected peritoneal catheter; was dc'd to SNF on prolonged antibiotics; c/o diarrhea x 4 wks - presents to hospital; COVID test positive; placed on O2 supplementation; poor appetite; treated with steroids; NRB with adequate O2 sats; pt experienced increase in SOB; treated with Bumex and antibiotics; hypoxic; requiring BiPAP; pt's condition declined; DNR/DNI; decrease in respiratory status; pt was made comfort measures and died in the hospital
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: Previously in outside hospital with acute peritonitis secondary to infected peritoneal catheter; was dc'd to SNF on prolonged antibiotics; c/o diarrhea x 4 wks - presents to hospital; COVID test positive; placed on O2 supplementation; poor appetite; treated with steroids; NRB with adequate O2 sats; pt experienced increase in SOB; treated with Bumex and antibiotics; hypoxic; requiring BiPAP; pt's condition declined; DNR/DNI; decrease in respiratory status; pt was made comfort measures and died in the hospital
Age: 75.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use
Age: 57.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abdominal pain, Alcohol use, COVID-19, Fatigue, Ocular icterus
Clinical narrative: Patient is a 48 y.o. woman with alcohol use disorder and cirrhosis with multiple hospitalization for complications due to the above, presenting today with vomiting and abdominal pain. She had abstained from alcohol for 10 days and then started to drink again two days ago. She states she noticed more yellowing of her eyes and developed vomiting and abdominal pain two days ago. She continued to drink alcohol but has not kept down any food. She denies fevers, chills, cough, SOB. She had COVID to weeks ago and felt very fatigued. She states she has continued to take all of her medications.  Tested positive upon admission.
Age: 47.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: SARS-CoV-2 test positive, Vomiting
Clinical narrative: Patient is a 48 y.o. woman with alcohol use disorder and cirrhosis with multiple hospitalization for complications due to the above, presenting today with vomiting and abdominal pain. She had abstained from alcohol for 10 days and then started to drink again two days ago. She states she noticed more yellowing of her eyes and developed vomiting and abdominal pain two days ago. She continued to drink alcohol but has not kept down any food. She denies fevers, chills, cough, SOB. She had COVID to weeks ago and felt very fatigued. She states she has continued to take all of her medications.  Tested positive upon admission.
Age: 63.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Cough, Dyspnoea, SARS-CoV-2 test positive, Wheezing
Clinical narrative: Pt present to ED c/o SOB. Hx COPD and pulmonary fibrosis. Wears 2L O2 prn. Several weeks of solid use with wheezing, cough and SOB. Took Zithromax and prednisone 40mg and Urgent care provided Rocephin and steroid shot with medrol, levaquin and mucinex. Admitted 1/13/21. Positive COVID-19 pcr on 1/19/21.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, COVID-19, Migraine, Oropharyngeal pain, Pain
Clinical narrative: I had a fever for about 12 hours that was staying around 102-103. I was extremely achy and had a migraine. Then I contracted Covid. I had lots of lower back achiness that as persistent for about 24 hours. I started developing a sore throat and runny nose. No more fevers. I did an at home Covid test and it came out positive.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: I had a fever for about 12 hours that was staying around 102-103. I was extremely achy and had a migraine. Then I contracted Covid. I had lots of lower back achiness that as persistent for about 24 hours. I started developing a sore throat and runny nose. No more fevers. I did an at home Covid test and it came out positive.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Modera. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Menstruation irregular
Clinical narrative: My menstrual cycle increased by an average of 4 days per cycle after being vaccinated.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Dyspnoea, Headache, Influenza like illness, Myalgia, Nausea
Clinical narrative: PATIENT STATES SHE DEVELOPED SWOLLEN FACE, MUSCLE ANCHES , LIKE THE FLU, HEADACH, NAUSEA AND SHORTNESS OF BREATH.  PATIENT STATED SHE TOOK OTC BENADRYL  AND DID NOT SEEK MEDICAL ATTENTION.  WHEN I LAST SPOKE WITH PATIENT SHE SAID SHE WAS DOING FINE NOW WITH NO LASTING EFFECTS.
Age: 66.0
Sex: F
Vaccine: VARZOS
Symptoms: Swelling face
Clinical narrative: PATIENT STATES SHE DEVELOPED SWOLLEN FACE, MUSCLE ANCHES , LIKE THE FLU, HEADACH, NAUSEA AND SHORTNESS OF BREATH.  PATIENT STATED SHE TOOK OTC BENADRYL  AND DID NOT SEEK MEDICAL ATTENTION.  WHEN I LAST SPOKE WITH PATIENT SHE SAID SHE WAS DOING FINE NOW WITH NO LASTING EFFECTS.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration, No adverse event
Clinical narrative: Moderna second dose was give 7 days too early.  Provider notified No adverse effects noted.
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Product storage error
Clinical narrative: No adverse affect reported from patient. Clinic held Moderna vaccine at lower temp than recommended by Moderna. Vaccine was held at -90 to -60 degrees Celsius. Moderna deemed vaccine viable for use
Age: 25.0
Sex: U
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Immediate post-injection reaction, Paraesthesia
Clinical narrative: numbness and tingling in hand in left hand that she says she felt start right away after the vaccine. It has been mild and she states the numbness is not debilitating.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event, Poor quality product administered
Clinical narrative: Patient does not call or refers any adverse problem. No viable vaccine.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acute kidney injury, Alanine aminotransferase normal, Albumin globulin ratio, Anion gap, Anticoagulation drug level above therapeutic
Clinical narrative: 1/25/22  82 yr/o female with a history of CHF, A. fib on Coumadin, acute respiratory failure, OSA, CABG, bladder cancer, aortic valve who presents to the ED with shortness of breath with fever and cough which has been productive for approximately 10 days.  Patient has noted some red streaking in her sputum.  Patient denies chest pain, palpitations, abdominal pain, dysuria, hematuria, bloody stools, nausea, vomiting, constipation, diarrhea, swelling in extremities, or other complaint. HENT:     Head: Normocephalic and atraumatic.     Nose: Nose normal.  Eyes:     General: No scleral icterus.       Right eye: No discharge.        Left eye: No discharge.     Pupils: Pupils are equal, round, and reactive to light.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Aortic dilatation, Aspartate aminotransferase normal, Bacterial test positive, Basophil count decreased, Basophil percentage decreased
Clinical narrative: 1/25/22  82 yr/o female with a history of CHF, A. fib on Coumadin, acute respiratory failure, OSA, CABG, bladder cancer, aortic valve who presents to the ED with shortness of breath with fever and cough which has been productive for approximately 10 days.  Patient has noted some red streaking in her sputum.  Patient denies chest pain, palpitations, abdominal pain, dysuria, hematuria, bloody stools, nausea, vomiting, constipation, diarrhea, swelling in extremities, or other complaint. HENT:     Head: Normocephalic and atraumatic.     Nose: Nose normal.  Eyes:     General: No scleral icterus.       Right eye: No discharge.        Left eye: No discharge.     Pupils: Pupils are equal, round, and reactive to light.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Bilirubin urine, Bladder catheterisation, Blood albumin normal, Blood alkaline phosphatase normal, Blood bilirubin normal
Clinical narrative: 1/25/22  82 yr/o female with a history of CHF, A. fib on Coumadin, acute respiratory failure, OSA, CABG, bladder cancer, aortic valve who presents to the ED with shortness of breath with fever and cough which has been productive for approximately 10 days.  Patient has noted some red streaking in her sputum.  Patient denies chest pain, palpitations, abdominal pain, dysuria, hematuria, bloody stools, nausea, vomiting, constipation, diarrhea, swelling in extremities, or other complaint. HENT:     Head: Normocephalic and atraumatic.     Nose: Nose normal.  Eyes:     General: No scleral icterus.       Right eye: No discharge.        Left eye: No discharge.     Pupils: Pupils are equal, round, and reactive to light.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood calcium normal, Blood chloride decreased, Blood creatinine increased, Blood glucose normal, Blood potassium normal
Clinical narrative: 1/25/22  82 yr/o female with a history of CHF, A. fib on Coumadin, acute respiratory failure, OSA, CABG, bladder cancer, aortic valve who presents to the ED with shortness of breath with fever and cough which has been productive for approximately 10 days.  Patient has noted some red streaking in her sputum.  Patient denies chest pain, palpitations, abdominal pain, dysuria, hematuria, bloody stools, nausea, vomiting, constipation, diarrhea, swelling in extremities, or other complaint. HENT:     Head: Normocephalic and atraumatic.     Nose: Nose normal.  Eyes:     General: No scleral icterus.       Right eye: No discharge.        Left eye: No discharge.     Pupils: Pupils are equal, round, and reactive to light.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood sodium normal, Blood urea increased, Blood urea nitrogen/creatinine ratio, Brain natriuretic peptide increased, COVID-19
Clinical narrative: 1/25/22  82 yr/o female with a history of CHF, A. fib on Coumadin, acute respiratory failure, OSA, CABG, bladder cancer, aortic valve who presents to the ED with shortness of breath with fever and cough which has been productive for approximately 10 days.  Patient has noted some red streaking in her sputum.  Patient denies chest pain, palpitations, abdominal pain, dysuria, hematuria, bloody stools, nausea, vomiting, constipation, diarrhea, swelling in extremities, or other complaint. HENT:     Head: Normocephalic and atraumatic.     Nose: Nose normal.  Eyes:     General: No scleral icterus.       Right eye: No discharge.        Left eye: No discharge.     Pupils: Pupils are equal, round, and reactive to light.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Carbon dioxide normal, Cardiomegaly, Chromaturia, Computerised tomogram thorax abnormal, Cough
Clinical narrative: 1/25/22  82 yr/o female with a history of CHF, A. fib on Coumadin, acute respiratory failure, OSA, CABG, bladder cancer, aortic valve who presents to the ED with shortness of breath with fever and cough which has been productive for approximately 10 days.  Patient has noted some red streaking in her sputum.  Patient denies chest pain, palpitations, abdominal pain, dysuria, hematuria, bloody stools, nausea, vomiting, constipation, diarrhea, swelling in extremities, or other complaint. HENT:     Head: Normocephalic and atraumatic.     Nose: Nose normal.  Eyes:     General: No scleral icterus.       Right eye: No discharge.        Left eye: No discharge.     Pupils: Pupils are equal, round, and reactive to light.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Differential white blood cell count abnormal, Dyspnoea, Eosinophil count normal, Eosinophil percentage, Full blood count abnormal
Clinical narrative: 1/25/22  82 yr/o female with a history of CHF, A. fib on Coumadin, acute respiratory failure, OSA, CABG, bladder cancer, aortic valve who presents to the ED with shortness of breath with fever and cough which has been productive for approximately 10 days.  Patient has noted some red streaking in her sputum.  Patient denies chest pain, palpitations, abdominal pain, dysuria, hematuria, bloody stools, nausea, vomiting, constipation, diarrhea, swelling in extremities, or other complaint. HENT:     Head: Normocephalic and atraumatic.     Nose: Nose normal.  Eyes:     General: No scleral icterus.       Right eye: No discharge.        Left eye: No discharge.     Pupils: Pupils are equal, round, and reactive to light.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Globulin, Glomerular filtration rate decreased, Glucose urine absent, Granulocyte percentage, Haematocrit decreased
Clinical narrative: 1/25/22  82 yr/o female with a history of CHF, A. fib on Coumadin, acute respiratory failure, OSA, CABG, bladder cancer, aortic valve who presents to the ED with shortness of breath with fever and cough which has been productive for approximately 10 days.  Patient has noted some red streaking in her sputum.  Patient denies chest pain, palpitations, abdominal pain, dysuria, hematuria, bloody stools, nausea, vomiting, constipation, diarrhea, swelling in extremities, or other complaint. HENT:     Head: Normocephalic and atraumatic.     Nose: Nose normal.  Eyes:     General: No scleral icterus.       Right eye: No discharge.        Left eye: No discharge.     Pupils: Pupils are equal, round, and reactive to light.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haemoglobin decreased, Haemoptysis, Hypophagia, Immature granulocyte count, Influenza A virus test
Clinical narrative: 1/25/22  82 yr/o female with a history of CHF, A. fib on Coumadin, acute respiratory failure, OSA, CABG, bladder cancer, aortic valve who presents to the ED with shortness of breath with fever and cough which has been productive for approximately 10 days.  Patient has noted some red streaking in her sputum.  Patient denies chest pain, palpitations, abdominal pain, dysuria, hematuria, bloody stools, nausea, vomiting, constipation, diarrhea, swelling in extremities, or other complaint. HENT:     Head: Normocephalic and atraumatic.     Nose: Nose normal.  Eyes:     General: No scleral icterus.       Right eye: No discharge.        Left eye: No discharge.     Pupils: Pupils are equal, round, and reactive to light.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Influenza B virus test, International normalised ratio increased, Lung infiltration, Lung opacity, Lymphocyte count normal
Clinical narrative: 1/25/22  82 yr/o female with a history of CHF, A. fib on Coumadin, acute respiratory failure, OSA, CABG, bladder cancer, aortic valve who presents to the ED with shortness of breath with fever and cough which has been productive for approximately 10 days.  Patient has noted some red streaking in her sputum.  Patient denies chest pain, palpitations, abdominal pain, dysuria, hematuria, bloody stools, nausea, vomiting, constipation, diarrhea, swelling in extremities, or other complaint. HENT:     Head: Normocephalic and atraumatic.     Nose: Nose normal.  Eyes:     General: No scleral icterus.       Right eye: No discharge.        Left eye: No discharge.     Pupils: Pupils are equal, round, and reactive to light.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Lymphocyte percentage, Mean cell haemoglobin concentration decreased, Mean cell haemoglobin normal, Mean cell volume normal, Mean platelet volume increased
Clinical narrative: 1/25/22  82 yr/o female with a history of CHF, A. fib on Coumadin, acute respiratory failure, OSA, CABG, bladder cancer, aortic valve who presents to the ED with shortness of breath with fever and cough which has been productive for approximately 10 days.  Patient has noted some red streaking in her sputum.  Patient denies chest pain, palpitations, abdominal pain, dysuria, hematuria, bloody stools, nausea, vomiting, constipation, diarrhea, swelling in extremities, or other complaint. HENT:     Head: Normocephalic and atraumatic.     Nose: Nose normal.  Eyes:     General: No scleral icterus.       Right eye: No discharge.        Left eye: No discharge.     Pupils: Pupils are equal, round, and reactive to light.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Metabolic function test abnormal, Monocyte count normal, Monocyte percentage, Neutrophil count normal, Neutrophil percentage
Clinical narrative: 1/25/22  82 yr/o female with a history of CHF, A. fib on Coumadin, acute respiratory failure, OSA, CABG, bladder cancer, aortic valve who presents to the ED with shortness of breath with fever and cough which has been productive for approximately 10 days.  Patient has noted some red streaking in her sputum.  Patient denies chest pain, palpitations, abdominal pain, dysuria, hematuria, bloody stools, nausea, vomiting, constipation, diarrhea, swelling in extremities, or other complaint. HENT:     Head: Normocephalic and atraumatic.     Nose: Nose normal.  Eyes:     General: No scleral icterus.       Right eye: No discharge.        Left eye: No discharge.     Pupils: Pupils are equal, round, and reactive to light.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nitrite urine absent, Platelet count decreased, Pleural effusion, Pneumonitis, Polyuria
Clinical narrative: 1/25/22  82 yr/o female with a history of CHF, A. fib on Coumadin, acute respiratory failure, OSA, CABG, bladder cancer, aortic valve who presents to the ED with shortness of breath with fever and cough which has been productive for approximately 10 days.  Patient has noted some red streaking in her sputum.  Patient denies chest pain, palpitations, abdominal pain, dysuria, hematuria, bloody stools, nausea, vomiting, constipation, diarrhea, swelling in extremities, or other complaint. HENT:     Head: Normocephalic and atraumatic.     Nose: Nose normal.  Eyes:     General: No scleral icterus.       Right eye: No discharge.        Left eye: No discharge.     Pupils: Pupils are equal, round, and reactive to light.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Productive cough, Protein total normal, Protein urine absent, Prothrombin time prolonged, Pulmonary artery dilatation
Clinical narrative: 1/25/22  82 yr/o female with a history of CHF, A. fib on Coumadin, acute respiratory failure, OSA, CABG, bladder cancer, aortic valve who presents to the ED with shortness of breath with fever and cough which has been productive for approximately 10 days.  Patient has noted some red streaking in her sputum.  Patient denies chest pain, palpitations, abdominal pain, dysuria, hematuria, bloody stools, nausea, vomiting, constipation, diarrhea, swelling in extremities, or other complaint. HENT:     Head: Normocephalic and atraumatic.     Nose: Nose normal.  Eyes:     General: No scleral icterus.       Right eye: No discharge.        Left eye: No discharge.     Pupils: Pupils are equal, round, and reactive to light.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Rales, Red blood cell count normal, Red blood cell nucleated morphology, Red blood cells urine negative
Clinical narrative: 1/25/22  82 yr/o female with a history of CHF, A. fib on Coumadin, acute respiratory failure, OSA, CABG, bladder cancer, aortic valve who presents to the ED with shortness of breath with fever and cough which has been productive for approximately 10 days.  Patient has noted some red streaking in her sputum.  Patient denies chest pain, palpitations, abdominal pain, dysuria, hematuria, bloody stools, nausea, vomiting, constipation, diarrhea, swelling in extremities, or other complaint. HENT:     Head: Normocephalic and atraumatic.     Nose: Nose normal.  Eyes:     General: No scleral icterus.       Right eye: No discharge.        Left eye: No discharge.     Pupils: Pupils are equal, round, and reactive to light.
Age: 81.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Red cell distribution width normal, Renal tubular necrosis, SARS-CoV-2 test positive, Specific gravity urine normal, Staphylococcal bacteraemia
Clinical narrative: 1/25/22  82 yr/o female with a history of CHF, A. fib on Coumadin, acute respiratory failure, OSA, CABG, bladder cancer, aortic valve who presents to the ED with shortness of breath with fever and cough which has been productive for approximately 10 days.  Patient has noted some red streaking in her sputum.  Patient denies chest pain, palpitations, abdominal pain, dysuria, hematuria, bloody stools, nausea, vomiting, constipation, diarrhea, swelling in extremities, or other complaint. HENT:     Head: Normocephalic and atraumatic.     Nose: Nose normal.  Eyes:     General: No scleral icterus.       Right eye: No discharge.        Left eye: No discharge.     Pupils: Pupils are equal, round, and reactive to light.