chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Myalgia, Oxygen saturation decreased, SARS-CoV-2 test positive
Clinical narrative: A 71 y.o. male with a past medical history significant for oxygen dependent COPD, CHF, bronchiectasis, NSCLC, prostate cancer, hypothyroidism, TBI, and seizure disorder who presents to with worsening cough and known Covid infection. Mr. stated that he didn't feel well on 10/31 and was tested for Covid the following day, returning positive. On 11/2, he felt worse with myalgias, fatigue, poor appetite, and weakness. He was started on Dexamethasone for both the Covid infection +/- COPD exacerbation. Unfortunately, his cough has worsened over the last two days. He has appreciated episodes of hemoptysis. No fever, chills, or sweats. He doesn't
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Joint swelling, Vascular pain
Clinical narrative: Pt reports he felt pain, swelling to vein to posterior left knee on the night of his first Moderna vaccine. No fever, aches, chills, ulcerations. He did not treat with anything prior to arrival. He presents for evaluation the day after onset.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Feeling hot, Flushing, Hyperhidrosis, Pruritus
Clinical narrative: Moderna Covid-19 Vaccine Lot # 017C21A Expires: 12-19-21. First dose given at 13:15 hours 11/16/21. Patient began to feel overheated and progressed into feeling itchy on her arms and back, and complaints of dizziness. Patient was diaphoretic and flushed. No signs or symptoms of hives or rash. Patient denied breathing difficulties. History of allergic reaction to Penicillin antibiotic will hives and throat swelling presentation.  Vital signs within normal limits. BP=114/72, HR=73, RR=16 and SpO2=98. Benadryl 50 mg administered orally. After 15 minutes (at approximately 13:45 hours) patient reports improvement in symptoms i.e.  itching, dizziness, elevated temperature dissipated. Gave recommendation to patient to take Benedryl 50 mg at 19:30 hours and again in another 6 hours if needed for any symptom returning.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Arthritis, Gait disturbance, Groin pain, Pain in extremity
Clinical narrative: Arthritis magnified 200%.  Severe limp and excruciating pain in my left leg, him, groin and knee. I am unable to walk any distance  or perform any tasks which require walking , bending, squatting along with carrying anything more than 5 pounds.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Dizziness, Dyspnoea, Fatigue, Gait disturbance
Clinical narrative: The day after I had my vaccine, I had chest pain, shortness of breath, heart pounding, heart racing, dizziness, and was very fatigued. I struggled to walk across the room or sit up for extended periods of time.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations, Sitting disability
Clinical narrative: The day after I had my vaccine, I had chest pain, shortness of breath, heart pounding, heart racing, dizziness, and was very fatigued. I struggled to walk across the room or sit up for extended periods of time.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives on day 11 post vaccination, taking antihistamine; not yet resolved 54 hours later.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, Cardiac failure congestive, Dyspnoea, Dyspnoea exertional, Feeling abnormal
Clinical narrative: Woke up the morning after receiving my second shot of Pfizer vaccine with throbbing ache in the right side of the back of head near neck.  Pain increased over three days to the point of nausea.  I was also very short of breath unable to do normal tasks with running out of breath.  On July 3 2021,  after attempting to mow the lawn, I felt as though I was going to have a heart attack and could not breathe.  I went to the emergency room at Medical Center.  Tests revealed I had elevated  Brain natriuretic peptide  at 190 and elevated D-Dimer at 975.  I was diagnosed with fluid on my heart and lungs and my heart was enlarged.  The doctor on duty diagnosed it as congestive heart failure and I was admitted into the hospital.  I was in the hospital for three days while fluid was taken off via medication.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Fibrin D dimer increased, Headache, Loss of personal independence in daily activities, Nausea, Pain
Clinical narrative: Woke up the morning after receiving my second shot of Pfizer vaccine with throbbing ache in the right side of the back of head near neck.  Pain increased over three days to the point of nausea.  I was also very short of breath unable to do normal tasks with running out of breath.  On July 3 2021,  after attempting to mow the lawn, I felt as though I was going to have a heart attack and could not breathe.  I went to the emergency room at Medical Center.  Tests revealed I had elevated  Brain natriuretic peptide  at 190 and elevated D-Dimer at 975.  I was diagnosed with fluid on my heart and lungs and my heart was enlarged.  The doctor on duty diagnosed it as congestive heart failure and I was admitted into the hospital.  I was in the hospital for three days while fluid was taken off via medication.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Pericardial effusion, Pleural effusion, Troponin increased
Clinical narrative: Woke up the morning after receiving my second shot of Pfizer vaccine with throbbing ache in the right side of the back of head near neck.  Pain increased over three days to the point of nausea.  I was also very short of breath unable to do normal tasks with running out of breath.  On July 3 2021,  after attempting to mow the lawn, I felt as though I was going to have a heart attack and could not breathe.  I went to the emergency room at Medical Center.  Tests revealed I had elevated  Brain natriuretic peptide  at 190 and elevated D-Dimer at 975.  I was diagnosed with fluid on my heart and lungs and my heart was enlarged.  The doctor on duty diagnosed it as congestive heart failure and I was admitted into the hospital.  I was in the hospital for three days while fluid was taken off via medication.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The vaccine given had expired 10/29/2021.
Age: 23.0
Sex: M
Vaccine: COVID19, FLU4
Symptoms: Disorientation, Loss of consciousness, Pallor, Seizure, Tremor
Clinical narrative: patient passed out less than 5 minutes after receiving the moderna booster vaccine (0.25mL) and the influenza vaccine (flulaval quadrivalent). He had received the first two moderna shots in the past and had no issues. They were both administered in the left deltoid muscle. After I administered both vaccines a couple minutes later, the patient lost all color in face and began to seize (no history of seizures in the past). His arms began to shake, he made a loud moan, and starting moving his head around. Patient was sitting in a chair at the time and so I lowered him slowly and safely to the floor and laid him on his left side supporting his head. He lost consciousness for about 30 seconds (thats how long the seizure lasted) and afterwards regained consciousness. Was alert and able to answer questions correctly, but expressed that he didnt know what had occurred but that he felt disoriented. Two to three minutes went by and he began to seize again for the next 30 seconds. paramedics were called. no injury to the patient. trasnferred to the hospital to get checked out. documented accordingly in VAERS report and in patients chart. Patient should not receive another moderna vaccine or another flulaval vaccine in the future.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal behaviour, Balance disorder, Dyskinesia, Dystonia, Gait disturbance
Clinical narrative: Pt is hospitalized with altered mental status, erratic behavior, non-purposeful and involuntary movements, dystonia, fleeting thoughts, hallucinations, impulsivity, balance impairments, inability to follow commands. Family states that this is completely off baseline for patient prior to this originally beginning 6 months ago. Family states that pt was able to administer her diabetes medication with no issue, was able to walk with a normal gait, and had no confusion. Pt had heart surgery on 3/21/21 where it is documented that she walked with normal gait and was alert and oriented with no confusion noted and able to understand her procedures. It is then documented that she followed up during recovery on 4/9/21 and was still walking with normal gait, exercising appropriately for optimal recovery, etc. First covid vaccine was given on 4/6/21 and second dose was given on 5/4/21. She then followed up with cardiology on 5/14/21 where it was again documented that patient was at baseline with no issues. Then on 6/14/21, patient presented to ER with complaints of jerking movements in all of her extremities (and then presented back to er again on 6/16/21) for appr. 3 weeks at that point. Pt has been in and out of hospitals since then with no answers yet.
Age: 42.0
Sex: F
Vaccine: COVID19
Symptoms: Hallucination, Impulsive behaviour, Mental status changes, Tachyphrenia, Unresponsive to stimuli
Clinical narrative: Pt is hospitalized with altered mental status, erratic behavior, non-purposeful and involuntary movements, dystonia, fleeting thoughts, hallucinations, impulsivity, balance impairments, inability to follow commands. Family states that this is completely off baseline for patient prior to this originally beginning 6 months ago. Family states that pt was able to administer her diabetes medication with no issue, was able to walk with a normal gait, and had no confusion. Pt had heart surgery on 3/21/21 where it is documented that she walked with normal gait and was alert and oriented with no confusion noted and able to understand her procedures. It is then documented that she followed up during recovery on 4/9/21 and was still walking with normal gait, exercising appropriately for optimal recovery, etc. First covid vaccine was given on 4/6/21 and second dose was given on 5/4/21. She then followed up with cardiology on 5/14/21 where it was again documented that patient was at baseline with no issues. Then on 6/14/21, patient presented to ER with complaints of jerking movements in all of her extremities (and then presented back to er again on 6/16/21) for appr. 3 weeks at that point. Pt has been in and out of hospitals since then with no answers yet.
Age: 18.0
Sex: F
Vaccine: COVID19
Symptoms: Electroencephalogram, Laboratory test, Magnetic resonance imaging, Streptococcus test, Tic
Clinical narrative: Severe tics Arm and leg tics
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Day 10 after receiving booster shot I developed HIVES all over my body. I went to Urgent Care and received a steroid shot and Rx antihistamine. A few days later, hives were still there so went to my regular Dermatologist where we are still waiting for it to resolve on its own with antihistamines and prescription steroid cream. I am currently on Day 6 of the Hives.
Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: A booster of Moderna (0.25 mL) was administered on 11/13/21 at 15:08 HRS. The patient's vaccine card showed she had only had 2 doses and she was in the appropriate time frame past 6 months from second dose. When I entered her booster into state vaccine tracking system on 11/14/21,  I discovered she had received a booster on 11/3/21 at Clinic. I contacted her legal guardian immediately and informed him of the error. He contacted her assisted living facility.  On 11/14 the patient was not having any symptoms or adverse reactions to the extra dose.
Age: 94.0
Sex: F
Vaccine: COVID19
Symptoms: Interchange of vaccine products
Clinical narrative: Patient given Moderna additional dose with Pfizer series.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Breast pain, Injection site pain, Lymphadenopathy, Mobility decreased
Clinical narrative: The response began as moderate-level bicep and armpit pain in the arm in which I had the injection. Pain persisted despite consistent ice therapy and ibuprofen. I could not lift my arm normally (because of severe pain and stiffness) for about two weeks. After two weeks, I could move it more easily with mild pain, but lifting it above shoulder level triggered severe pain. Three weeks after the vaccine, severe itching in my armpits began. The pain spread into my breasts and became severe... the worst breast pain I've ever had in my 48 year old life, which includes painful breasts during menstruation. My primary care physician and gynecologist (who gave me a full breast exam) confirmed that my lymph nodes were swollen. 2 lymph nodes in my upper breasts/armpits remain slightly enlarged. My left bicep still hurts mildly when it's touched and lifted above shoulder level.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Musculoskeletal stiffness, Pain, Pain in extremity, Pruritus
Clinical narrative: The response began as moderate-level bicep and armpit pain in the arm in which I had the injection. Pain persisted despite consistent ice therapy and ibuprofen. I could not lift my arm normally (because of severe pain and stiffness) for about two weeks. After two weeks, I could move it more easily with mild pain, but lifting it above shoulder level triggered severe pain. Three weeks after the vaccine, severe itching in my armpits began. The pain spread into my breasts and became severe... the worst breast pain I've ever had in my 48 year old life, which includes painful breasts during menstruation. My primary care physician and gynecologist (who gave me a full breast exam) confirmed that my lymph nodes were swollen. 2 lymph nodes in my upper breasts/armpits remain slightly enlarged. My left bicep still hurts mildly when it's touched and lifted above shoulder level.
Age: 36.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered, Fatigue, Induration, Skin warm
Clinical narrative: After getting the booster I was a bit fatigue on Friday night, Saturday night I went to sleep at 10pm and woke up at 12noon. Around that same night and noticed my arm was hot, and hard.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary mass, Malaise, Swelling, Tenderness
Clinical narrative: I had a large lump/swelling under my left armpit towards the lower end/upper side.  When I cupped my hand on top if it, it filled up my hand (so, it was about the size of a lemon) and was very tender.  It lasted 4-5 days, then went away.   When I was feeling sick about a month ago, it swelled up again, but only to about half of that size.  That area is still tender sometimes.  I did not go into the dr because I had heard weird things could happen with the vaccine.
Age: 56.0
Sex: M
Vaccine: UNK, UNK
Symptoms: Cardiac monitoring, Dizziness, Fatigue, Gait inability, Heart rate irregular
Clinical narrative: May 6th 2021 and for several more days I was light headed and unable to walk.  irregular heart beat continued along with extreem exhaustion.
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The vaccine given had expired on 10/29/2021.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Cognitive disorder, Disturbance in attention
Clinical narrative: Patient has been having cognitive issues and went to see her PCP. Patient states concussion like symptoms and cannot concentrate.
Age: 36.0
Sex: M
Vaccine: COVID19
Symptoms: Contraindicated product administered
Clinical narrative: No adverse events known. Patient said he got BAM treatment for COVID-19 less than 90 days before their vaccination date. Staff did not notice and gave the vaccine.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test normal, Inflammatory marker test, Lymph node pain, Lymphadenopathy, Toothache
Clinical narrative: I had swollen lymph glands in my throat under my jaw, not in my armpit or under my ears. Just under the jaw and behind my throat. They were painful and the strangest part is that the pain would travel across my teeth. It was really strong painful feeling from my lymph nodes to my teeth. They were palpable to my doctor, and they were swollen. He had me get a throat soft tissue ultrasound and that was normal. No one was thinking that it was a vaccine reaction. It was two weeks since my vaccine and it was getting much worse. The feeling was getting really strong. He had me go to the dentist and they did a pano x-ray. And there was nothing there.  Gradually it got really bad at two weeks. That was at it?s strongest. There was also blood work done for inflammatory markers and there was nothing there either. After they told me I was fine, I just didn?t worry about it anymore and it eventually went away. It was very strange, and the lymph glands felt like they were the ones that connected to your teeth right under your jaw. It hurt a lot. The swollen lymph nodes may have pinched a nerve or something, but unsure.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Ultrasound thyroid normal, X-ray dental normal
Clinical narrative: I had swollen lymph glands in my throat under my jaw, not in my armpit or under my ears. Just under the jaw and behind my throat. They were painful and the strangest part is that the pain would travel across my teeth. It was really strong painful feeling from my lymph nodes to my teeth. They were palpable to my doctor, and they were swollen. He had me get a throat soft tissue ultrasound and that was normal. No one was thinking that it was a vaccine reaction. It was two weeks since my vaccine and it was getting much worse. The feeling was getting really strong. He had me go to the dentist and they did a pano x-ray. And there was nothing there.  Gradually it got really bad at two weeks. That was at it?s strongest. There was also blood work done for inflammatory markers and there was nothing there either. After they told me I was fine, I just didn?t worry about it anymore and it eventually went away. It was very strange, and the lymph glands felt like they were the ones that connected to your teeth right under your jaw. It hurt a lot. The swollen lymph nodes may have pinched a nerve or something, but unsure.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Eye pruritus, Hypersensitivity, Pruritus, SARS-CoV-2 test negative, Urticaria
Clinical narrative: Itchy eyes, scalp, and waste-band which developed over a few hours into generalized urticaria. Symptoms lasted overnight and continued to have generalized hypersensitivity across whole body (whenever scratched/rubbed urticaria would develop) for 3-4 days. Treated with antihistamines (zyrtec and benadryl) and NSAIDs (tylenol).
Age: 47.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Immune thrombocytopenia, Immunoglobulin therapy, Oral blood blister, Platelet count decreased
Clinical narrative: 2nd shot of Pfizer 10/18/21, on 11/3/21 I went to the ER with blood blisters in my mouth, after bloodwork, they determined my platelets were at zero and began IVIG and steroid treatment for a brand new ITP diagnosis.
Age: 76.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cough, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea
Clinical narrative: cough congestion, runny nose, cold symptoms starting 11/13/21
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Electromyogram, Muscular weakness, Nerve conduction studies, Sensory loss
Clinical narrative: legs weakness, sensory loss in legs
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Diarrhoea, Fatigue, Headache
Clinical narrative: Evening of second day following 3rd Injection only ( no reactions at all to 1st & 2nd dose): nausea/vomiting, diarrhea, 3 episodes over next 7 days; chills for 3 days, severe on 3rd day after injection;  insomnia for these 3 nights, severe ankle and foot pain 1 night,  same period of time;  starting 2nd day after injection also had fatigue, headache, body aches for 8 days totaled; generally I did not feel well until 11/7/2021, but never felt like a medical appt. would help me.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Insomnia, Malaise, Nausea, Pain, Pain in extremity
Clinical narrative: Evening of second day following 3rd Injection only ( no reactions at all to 1st & 2nd dose): nausea/vomiting, diarrhea, 3 episodes over next 7 days; chills for 3 days, severe on 3rd day after injection;  insomnia for these 3 nights, severe ankle and foot pain 1 night,  same period of time;  starting 2nd day after injection also had fatigue, headache, body aches for 8 days totaled; generally I did not feel well until 11/7/2021, but never felt like a medical appt. would help me.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Evening of second day following 3rd Injection only ( no reactions at all to 1st & 2nd dose): nausea/vomiting, diarrhea, 3 episodes over next 7 days; chills for 3 days, severe on 3rd day after injection;  insomnia for these 3 nights, severe ankle and foot pain 1 night,  same period of time;  starting 2nd day after injection also had fatigue, headache, body aches for 8 days totaled; generally I did not feel well until 11/7/2021, but never felt like a medical appt. would help me.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium decreased, Blood pressure increased, Blood test normal, Electrocardiogram normal, Magnetic resonance imaging head normal
Clinical narrative: I got the Moderna booster on September 13, 2021.  On September 14, my blood pressure shot up to 178/92.  I went to the emergency room and was given 2 clonidine.   From that date onward, my blood pressure has been very difficult to control.  I am taking large amounts of blood pressure medications, and more than one.
Age: 83.0
Sex: F
Vaccine: COVID19
Symptoms: Scan with contrast normal
Clinical narrative: I got the Moderna booster on September 13, 2021.  On September 14, my blood pressure shot up to 178/92.  I went to the emergency room and was given 2 clonidine.   From that date onward, my blood pressure has been very difficult to control.  I am taking large amounts of blood pressure medications, and more than one.
Age: 73.0
Sex: F
Vaccine: COVID19
Symptoms: Dizziness, Immunisation, Underdose
Clinical narrative: The pt came in for her first dose of moderna vaccine.  I accidentally gave her a booster dose (0.25ml).  I needed to give her the rest (another 0.25ml)  During that time she was a little light-headed and needed to rest for a while.  She did tell me that it was probably all in her head, but I kept checking in with her anyways.  I gave her the rest of her dose and everything was fine.  There were no rashes, hives, itching, SOB, or other issues.  Water was given and rest.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient received moderna additional dose after Pfizer series
Age: 80.0
Sex: F
Vaccine: FLU4
Symptoms: Contusion, Pain in extremity, Peripheral swelling, Skin warm
Clinical narrative: Patient arm was painful, hot, swolen. Bruising started the next day and has continued until today, 5 days after vaccination and covers approximately 5 inch area. The bruise is purple/black and unusual shape. The patient reports being on blood thinners but never had a reaction to vaccine in past
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood culture negative, Blood gases abnormal, COVID-19, COVID-19 pneumonia, Cough
Clinical narrative: ADMITTED 11072021: Chief Complaint Fever, cough, sob  History of Present Illness  53 year old female known with past medical history of NSCLC, COPD, DM2, HLD, IDA, & depression/anxiety, admitted through ED with complaints of fever of 103 at home, cough, sob. COVID+ , despite vaccinations. ABG with PO2 of 60.  She is followed for metastatic NSCLC. S/p Carbo/Alimta/Keytruda C2 on 10/26/21. We have been asked to admit and will consult hospitalist for COVID management.   DISCHARGED: 11082021: Hospital Course: COVID PNA, Fever, Hypoxia - COVID+ in ED 11/7.  - consulted hospitalist for assistance with management of COVID, received remdesivir with iv dex: Would complete 10 days Dexamethasone, Could consider Regeneron as outpatient soon after dc, but needs booster and would have to wait 90 days d/w HOG team, patient can discharge today, procalcitonin <0.25 serially no unlikely to need antimirobials.   - blood cultures/ UA negative.  - rocephin/doxy started in ED- D1 11/7. Discontinued at discharge.  - supplemental O2 prn, discharged on room air.  - duonebs, formoterol, budesonide, discharged to home and will continue on prior to admission inhalers.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Dyspnoea, Hypoxia, Non-small cell lung cancer metastatic, PO2 decreased, Procalcitonin
Clinical narrative: ADMITTED 11072021: Chief Complaint Fever, cough, sob  History of Present Illness  53 year old female known with past medical history of NSCLC, COPD, DM2, HLD, IDA, & depression/anxiety, admitted through ED with complaints of fever of 103 at home, cough, sob. COVID+ , despite vaccinations. ABG with PO2 of 60.  She is followed for metastatic NSCLC. S/p Carbo/Alimta/Keytruda C2 on 10/26/21. We have been asked to admit and will consult hospitalist for COVID management.   DISCHARGED: 11082021: Hospital Course: COVID PNA, Fever, Hypoxia - COVID+ in ED 11/7.  - consulted hospitalist for assistance with management of COVID, received remdesivir with iv dex: Would complete 10 days Dexamethasone, Could consider Regeneron as outpatient soon after dc, but needs booster and would have to wait 90 days d/w HOG team, patient can discharge today, procalcitonin <0.25 serially no unlikely to need antimirobials.   - blood cultures/ UA negative.  - rocephin/doxy started in ED- D1 11/7. Discontinued at discharge.  - supplemental O2 prn, discharged on room air.  - duonebs, formoterol, budesonide, discharged to home and will continue on prior to admission inhalers.
Age: 52.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, SARS-CoV-2 test positive, Urine analysis normal
Clinical narrative: ADMITTED 11072021: Chief Complaint Fever, cough, sob  History of Present Illness  53 year old female known with past medical history of NSCLC, COPD, DM2, HLD, IDA, & depression/anxiety, admitted through ED with complaints of fever of 103 at home, cough, sob. COVID+ , despite vaccinations. ABG with PO2 of 60.  She is followed for metastatic NSCLC. S/p Carbo/Alimta/Keytruda C2 on 10/26/21. We have been asked to admit and will consult hospitalist for COVID management.   DISCHARGED: 11082021: Hospital Course: COVID PNA, Fever, Hypoxia - COVID+ in ED 11/7.  - consulted hospitalist for assistance with management of COVID, received remdesivir with iv dex: Would complete 10 days Dexamethasone, Could consider Regeneron as outpatient soon after dc, but needs booster and would have to wait 90 days d/w HOG team, patient can discharge today, procalcitonin <0.25 serially no unlikely to need antimirobials.   - blood cultures/ UA negative.  - rocephin/doxy started in ED- D1 11/7. Discontinued at discharge.  - supplemental O2 prn, discharged on room air.  - duonebs, formoterol, budesonide, discharged to home and will continue on prior to admission inhalers.
Age: 45.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Patient tested positive for COVID-19 11/10/21.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram head, Seizure
Clinical narrative: New onset seizure 3 days after covid vaccine #1
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: No adverse reactions during 15 minute monitoring time period.  The patient's 2nd Moderna dose was administered 5/21/21 so his booster  could have been given no sooner than 11/21/21.  His Moderna "booster" dose was administered 11/16/21.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Deafness, Tinnitus
Clinical narrative: Ring in left ear, poor hearing
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was inadvertently given her Moderna COVID-19 booster dose of 0.25mL 25 days early. Second dose of primary series was 6/7/21 and booster was administered 11/12/21. Patient was vaccinated at an outreach clinic in low income housing and had lost her card. She believed she had gotten her second dose in April, but was incorrect.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Blood glucose increased, C-reactive protein increased, Cardiovascular disorder, Fibrin D dimer increased, Glucose tolerance impaired
Clinical narrative: Cardiovascular inflammation - elevated d-dimer and hsCRP. Patient is also now prediabetic according to HgA1c.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Glycosylated haemoglobin increased
Clinical narrative: Cardiovascular inflammation - elevated d-dimer and hsCRP. Patient is also now prediabetic according to HgA1c.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The vaccine given had expired 10/29/2021.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Muscular weakness
Clinical narrative: Weak below the knees - started with 1st dose and continued with 2nd dose
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram abdomen, Differential white blood cell count, Full blood count, HIV antibody, HIV antigen
Clinical narrative: Kidney stone, treated with Flowmax, extreme pain for six hours, but stone moved on it's own without additional medical intervention
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Hepatitis C antibody, Lipase, Liver function test, Metabolic function test, Nephrolithiasis
Clinical narrative: Kidney stone, treated with Flowmax, extreme pain for six hours, but stone moved on it's own without additional medical intervention
Age: 43.0
Sex: M
Vaccine: COVID19
Symptoms: Renal pain, Scan with contrast, Urine analysis
Clinical narrative: Kidney stone, treated with Flowmax, extreme pain for six hours, but stone moved on it's own without additional medical intervention
Age: 26.0
Sex: F
Vaccine: FLU4
Symptoms: Bursitis, Injection site pain, Injection site reaction
Clinical narrative: Patient developed right shoulder pain/bursitis for 2 months.
Age: 25.0
Sex: F
Vaccine: FLU4
Symptoms: Dizziness, Fall
Clinical narrative: Caregiver's description: : I went and got the flu shot at 2:35 pm. I went back to work. When I was cleaning 3021 I felt dizzy, fell. then there were nurses around me. Fell on my right side
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Chills, Dyspnoea, Fatigue, Headache, Malaise
Clinical narrative: Within 12 hours of the vaccine developed 102 fever, chills, headache, body ache, nausea, fatigue, and shortness of breath.  Lasted through the night.  Next two days fever of 101.4,  headache, fatigue, nausea continued.  After three days most symptoms ended with the exception of fatigue, general malaise, periods of mild headache.  Almost two weeks later and still dealing with general malaise, occasional headache and fatigue.
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pain, Pyrexia
Clinical narrative: Within 12 hours of the vaccine developed 102 fever, chills, headache, body ache, nausea, fatigue, and shortness of breath.  Lasted through the night.  Next two days fever of 101.4,  headache, fatigue, nausea continued.  After three days most symptoms ended with the exception of fatigue, general malaise, periods of mild headache.  Almost two weeks later and still dealing with general malaise, occasional headache and fatigue.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Hypersensitivity, Rash, Rash erythematous, Skin warm
Clinical narrative: Hot red rash from top of left arm down to elbow. Went to a local Urgent Care on 3/8/2021. Was seen by APRN, CNP who was not sure if it was a bacterial infection or an allergic reaction to the vaccination. She outlined the rash with a marker and prescribed an antibiotic with wait and see instructions. I should take Benadryl, but if rash grows outside of marker take antibiotic. The rash progressed down to my wrist and I started the antibiotic. On 3/11/2021 I saw another Dr. at a local HCF. He believed this was an allergic reaction, not cellulitis an said to restart with Benadryl. The rash lasted about one month and gradually went away.
Age: 47.0
Sex: M
Vaccine: COVID19
Symptoms: Condition aggravated, Muscular weakness
Clinical narrative: Patient started with muscular weakness below the knees with first vaccine and it got worse after second vaccine.
Age: 17.0
Sex: M
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Pt received the J&J vaccine at age 17 instead of the approved 18 years old.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: Cough
Clinical narrative: Persistent cough for more than six weeks
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: The vaccine given had expired 10/29/2021.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Basophil count normal, Basophil percentage, Eosinophil count normal, Eosinophil percentage, Fatigue
Clinical narrative: Abnormal WBC count and severe fatigue
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Haematocrit normal, Haemoglobin normal, Immature granulocyte count, Lymphocyte count, Lymphocyte percentage decreased
Clinical narrative: Abnormal WBC count and severe fatigue
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume normal, Monocyte count increased, Monocyte percentage increased
Clinical narrative: Abnormal WBC count and severe fatigue
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Neutrophil count, Neutrophil percentage increased, Platelet count normal, Red blood cell count normal, Red cell distribution width normal
Clinical narrative: Abnormal WBC count and severe fatigue
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count increased
Clinical narrative: Abnormal WBC count and severe fatigue
Age: 7.0
Sex: F
Vaccine: COVID19
Symptoms: Fall, Nervousness
Clinical narrative: arrived with her mom to get her pedi-Pfizer 5-11 dose of vaccine. RN administered the vaccine at 4:25 pm. She was nervous but held herself together. then went to give the girl a lollipop about 2 minutes later and she was sitting quietly with her mom. As soon as he returned to complete the paperwork fell off her chair to the floor and her mom then screamed for help. rushed to her side and provided support and aid. Consoled child and mom. Gave an ice pack and had her sit comfortably on the floor by their side. Mom said that this has never happened before. No fainting episodes  history of seizures.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cough, Ear pain, Headache, Nasal congestion, Pain
Clinical narrative: Body aches, fever-, sinus congestion, nasal congestion, cough, headache, and ear pain, starting on 11/13/21.
Age: 75.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Sinus congestion
Clinical narrative: Body aches, fever-, sinus congestion, nasal congestion, cough, headache, and ear pain, starting on 11/13/21.
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Headache, Pain, Pyrexia
Clinical narrative: Achey feeling Headache Low energy Low grade fever
Age: 33.0
Sex: F
Vaccine: FLU4
Symptoms: Arthralgia, Bursitis
Clinical narrative: Patient seen for left shoulder pain/bursitis x 2 months. Placed on pains meds (ibuprofen, Acetaminophen) and PT consult.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Blood test, Cardiac monitoring, Chest X-ray, Loss of consciousness
Clinical narrative: I don't think this is related to the vaccine, but I was asked by the CDC to fill this out. 26 days after getting my COVID-19 booster (Pfizer-BioNTech), I was out at the theater, at first feeling fine.  Then my stomach bothered me so I went to the lobby. In the lobby I fainted three times in the span of about 30 minutes.  The paramedics took me to the nearest ER, where my heart was monitored, bloodwork was done, and chest was x-rayed.  They did not find anything to explain the episode of multiple losses of consciousness.  I will be meeting with my primary care physician two days from now to follow up.  I do not have the doctor's name at the ER nor any of the records from the tests.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: I don't think this is related to the vaccine, but I was asked by the CDC to fill this out. 26 days after getting my COVID-19 booster (Pfizer-BioNTech), I was out at the theater, at first feeling fine.  Then my stomach bothered me so I went to the lobby. In the lobby I fainted three times in the span of about 30 minutes.  The paramedics took me to the nearest ER, where my heart was monitored, bloodwork was done, and chest was x-rayed.  They did not find anything to explain the episode of multiple losses of consciousness.  I will be meeting with my primary care physician two days from now to follow up.  I do not have the doctor's name at the ER nor any of the records from the tests.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abortion spontaneous, Angina pectoris, Bowel movement irregularity, Cardiac discomfort, Chest discomfort
Clinical narrative: Felt like I was having a heart attack and have had a tight chest ever since.  My bowel movements have completely changed.  I then suffered a miscarriage.
Age: 38.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest pain, Immediate post-injection reaction
Clinical narrative: Felt like I was having a heart attack and have had a tight chest ever since.  My bowel movements have completely changed.  I then suffered a miscarriage.
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Computerised tomogram, Lymphadenopathy
Clinical narrative: bilateral lymphadenopathy or 11 days and ongoing,
Age: 40.0
Sex: F
Vaccine: UNK
Symptoms: Electrocardiogram ambulatory, Palpitations
Clinical narrative: Heart palpitations which started later in the day after the vaccine and lasted with moderate to severe intensity/frequency (sometimes every few minutes) for 4-5 days, lessening over time. These palpitations are minimal but not completely resolved 8 days later upon submission of this form
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Eye disorder, Migraine, Muscle discomfort, Myalgia
Clinical narrative: My right arm swelled initially the next morning and then my muscles began locking up.  My left arm, shoulder, trapezoid, neck were all locked up and in pain for 4 days.  I suffered a sever migraine for 3 days.   I have noticed that since the shot I see "floatees" in my right eye and other issues with my eyes.
Age: 58.0
Sex: M
Vaccine: COVID19
Symptoms: Neck pain, Pain in extremity, Peripheral swelling, Vitreous floaters
Clinical narrative: My right arm swelled initially the next morning and then my muscles began locking up.  My left arm, shoulder, trapezoid, neck were all locked up and in pain for 4 days.  I suffered a sever migraine for 3 days.   I have noticed that since the shot I see "floatees" in my right eye and other issues with my eyes.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest, Cardioversion, Coronary arterial stent insertion
Clinical narrative: Cardiac arrest requiring defibrillation  had 2 stents put in
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Headache, Myalgia, Pyrexia, Somnolence
Clinical narrative: About 18 hour after the vaccination I noted muscle aches, fever as high as 101.1, headache, fatigue, drowsiness and this lasted  for 36 hours except fatigue which has been worse than normal.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Paraesthesia
Clinical narrative: Pt developed numbness/tingling in all of her toes on her L foot 3 days following vaccination. She was evaluated by 2 providers as symptoms persisted until 11/16/21
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Muscle twitching
Clinical narrative: TWITCH IN RIGHT EYE ALONG CHEEK BONE
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal pain, Blood test, Colitis ischaemic, Colitis ulcerative, Computerised tomogram
Clinical narrative: I developed a cute onset of abdominal pain on 10/31 at 2pm. I had immediate diarrhea and nausea that lasted 30 mins. Began having rectal bleeding and that persisted for several hours so I went to the ER. They checked me there and had a CT scan. Diagnosed with acute colitis. Bleeding for pretty slow at that point and they sent me home. Followed up with GI specialist he said that I had ischemic Colitis, got IV fluids at the ER and there was no other treatments. Self resolved.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Diarrhoea, Nausea, Rectal haemorrhage
Clinical narrative: I developed a cute onset of abdominal pain on 10/31 at 2pm. I had immediate diarrhea and nausea that lasted 30 mins. Began having rectal bleeding and that persisted for several hours so I went to the ER. They checked me there and had a CT scan. Diagnosed with acute colitis. Bleeding for pretty slow at that point and they sent me home. Followed up with GI specialist he said that I had ischemic Colitis, got IV fluids at the ER and there was no other treatments. Self resolved.
Age: 28.0
Sex: F
Vaccine: COVID19
Symptoms: Pharyngeal swelling, Pruritus
Clinical narrative: Patient reported itching at 30 minutes with dose 1 given on 10/25/21. Today itching started at 0430 where 50mg of Benadryl was given. the patient started complaining of throat swelling. The patient was brought down the hall to the attached urgent care where 2 doses of epi were given.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chills, Heart rate increased, Pain, Pyrexia
Clinical narrative: About 12 hours after the shot, I got chills and really bad body ache.  The next morning, I had a fast heart rate.  Then I got a fever of 100.5.  I went to the doctor.  They did a Covid-19 test, positive results.
Age: 26.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: About 12 hours after the shot, I got chills and really bad body ache.  The next morning, I had a fast heart rate.  Then I got a fever of 100.5.  I went to the doctor.  They did a Covid-19 test, positive results.
Age: 53.0
Sex: F
Vaccine: COVID19, PPV
Symptoms: Headache, Injection site bruising, Injection site pain, Injection site swelling, Pyrexia
Clinical narrative: Patient states after the second covid shot for pfizer she experienced bad reactions.  She had severe fevers, headaches, soreness and a large bruise in the arm where she got the shot.  Tenderness and even some swelling.  Patient states, she was very close to going to the ER.
Age: 81.0
Sex: M
Vaccine: COVID19
Symptoms: Weight decreased
Clinical narrative: weight loss
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Diarrhoea, Fatigue, Headache, Hyperhidrosis
Clinical narrative: Persistent diarrhea, nausea, fatigue, headache, chills, sweats onset with nausea immediately following vaccination. Diarrhea resolved the night of the vaccine (11/11/2021). Remainder of symptoms currently persisting.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea
Clinical narrative: Persistent diarrhea, nausea, fatigue, headache, chills, sweats onset with nausea immediately following vaccination. Diarrhea resolved the night of the vaccine (11/11/2021). Remainder of symptoms currently persisting.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Blood test normal, Chest pain, Colitis, Computerised tomogram abdomen normal
Clinical narrative: Had pain in left groin area for several days along with pain below shoulder blade on left side and pain was worst with back when I took in deep breaths.  I was concerned I might have had shignles. (I have had Shingles twice about 4 years ago and have had the vaccine Shingrix)  Went to doctors on 11/10.  Doctor felt it was colitis and ordered blood work and CATscan on lower area and put me on Amox-clav 875 Mg twice a day.  Lower pain in groin area started to subside with antibodic.  10/12 I called doctor's office on results of my test and all came back good.  But pain around shoulder blade was increasing  so I returned to doctor on 10/12.  Doctor listened to chest and all sounded good and suggest we could Xray or wait for weekend to see if it improved.  I decided to wait over the weekend.  Doctor suggested to take up to 3 ibuprofen for pain in chest.  Pain in groin was gone by this time.  Over weekend pain in chest continued.  Pain was in my old shingles area, left side, under shoulder blade, wrap around to in front in lower rib cage area. By Sunday afternoon chest pain started to subside.  No rash was ever present
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Groin pain, Musculoskeletal chest pain, Musculoskeletal pain, Painful respiration
Clinical narrative: Had pain in left groin area for several days along with pain below shoulder blade on left side and pain was worst with back when I took in deep breaths.  I was concerned I might have had shignles. (I have had Shingles twice about 4 years ago and have had the vaccine Shingrix)  Went to doctors on 11/10.  Doctor felt it was colitis and ordered blood work and CATscan on lower area and put me on Amox-clav 875 Mg twice a day.  Lower pain in groin area started to subside with antibodic.  10/12 I called doctor's office on results of my test and all came back good.  But pain around shoulder blade was increasing  so I returned to doctor on 10/12.  Doctor listened to chest and all sounded good and suggest we could Xray or wait for weekend to see if it improved.  I decided to wait over the weekend.  Doctor suggested to take up to 3 ibuprofen for pain in chest.  Pain in groin was gone by this time.  Over weekend pain in chest continued.  Pain was in my old shingles area, left side, under shoulder blade, wrap around to in front in lower rib cage area. By Sunday afternoon chest pain started to subside.  No rash was ever present
Age: 16.0
Sex: F
Vaccine: COVID19
Symptoms: Product administered to patient of inappropriate age
Clinical narrative: Vaccine was given to patient who was not eligible due to age.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Chills, Feeding disorder, Headache, Hyperhidrosis, Nausea
Clinical narrative: Total body aches, chills, headache, fever, nausea, vomitting, sweating.  The vomitting started around 5pm the day after the injection.  I threw up every hour for the next 5 hours (not able to eat or drink water without it coming back up).  Prior to that I was just nauseous but could drink and eat a little.  I had to use a suppository at 9pm and at midnight I was still nauseous.  Was able to sleep but next morning head and neck were killing me.
Age: 59.0
Sex: F
Vaccine: VARZOS
Symptoms: Neck pain, Pain, Pyrexia, Vomiting
Clinical narrative: Total body aches, chills, headache, fever, nausea, vomitting, sweating.  The vomitting started around 5pm the day after the injection.  I threw up every hour for the next 5 hours (not able to eat or drink water without it coming back up).  Prior to that I was just nauseous but could drink and eat a little.  I had to use a suppository at 9pm and at midnight I was still nauseous.  Was able to sleep but next morning head and neck were killing me.
Age: 11.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Aphonia, Cough, Dyspnoea, Fatigue, Oropharyngeal pain
Clinical narrative: Three days following vaccines fever began and then the next day she had a sore throat, and lost her voice. A week following vaccines she had difficulty breathing, increased respiration?s, little voice, and increased fatigue. Her cough sounded like a croup cough.  Physician was able to prescribe oral steroids. Two doses were taken, first dose was day 2 of symptoms and then Inhaled steroids and another dose of oral steroids 4 days after the symptoms began.  She started to improve after the second dose of steroids and the inhaled steroids.
Age: 11.0
Sex: F
Vaccine: COVID19, FLU4
Symptoms: Pyrexia
Clinical narrative: Three days following vaccines fever began and then the next day she had a sore throat, and lost her voice. A week following vaccines she had difficulty breathing, increased respiration?s, little voice, and increased fatigue. Her cough sounded like a croup cough.  Physician was able to prescribe oral steroids. Two doses were taken, first dose was day 2 of symptoms and then Inhaled steroids and another dose of oral steroids 4 days after the symptoms began.  She started to improve after the second dose of steroids and the inhaled steroids.
Age: 52.0
Sex: F
Vaccine: COVID19
Symptoms: Abdominal discomfort, Headache, Hyperhidrosis, Oropharyngeal pain, Peripheral swelling
Clinical narrative: Patient states her hand/arm was swollen as of 11/13/21. She used heat and ice, then on 11/15/21 there was decreased swelling. By 11/16/21, the day of reporting to the pharmacy, it was still a "little swollen". Patient also reported a sore, burning throat, upset stomach and vomiting, headache, and sweating.