chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Peripheral swelling, Swelling, Urticaria, X-ray
Clinical narrative: My lumpy nodes swelled.  My left shoulder and neck was swollen.  I had hives on my back, stomach, and neck. It made me have a 25 days period.  I had swollen in my fingers and hands. I went to my doctor about this.  The swollen lasted for about 5 days or so.  They did blood test and x-ray of my feet and fingers. I also had a headache.  Now I am anemia because of the long period.  I also have auto immune disorder as well.
Age: 38.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Underdose
Clinical narrative: Patient inadvertently given Pfizer pediatric COVID-19 vaccine. Mistake caught and patient returned for full adult dose.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site swelling, Injection site warmth, Product administered at inappropriate site
Clinical narrative: It appears vaccine was administered in the wrong location, not in the deltoid, probably SQ. She has swelling, redness, warmth midway between the elbow and shoulder. I can see puncture site in the reddened area.
Age: 71.0
Sex: F
Vaccine: COVID19
Symptoms: Extra dose administered
Clinical narrative: Patient presented vaccination card that showed 2 Pfizer vaccines administered on 3/25/21 and 4/22/21. Confirmed with patient that she had only 2 vaccines done, with last vaccine over 6 months ago. Later I was told that patient had another vaccine done in Nov 2021. As a vaccinator at this clinic there was no access to check.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Axillary pain, Blood test, Breast swelling, Pain in extremity
Clinical narrative: My left arm was very sore after the first dose and although my armpit area did not swell, it became painful and did subside after a few days, but the pain has never fully gone away and becomes worse intermittently and for seemingly no reason. My purse strap sometimes makes it feel worse or when my boobs swell during my cycle.
Age: 33.0
Sex: M
Vaccine: COVID19
Symptoms: Eye movement disorder, Grunting, Loss of consciousness, Pallor, Skin discolouration
Clinical narrative: Patient passed out after receiving  vaccine. Patient woke up from episode.  Water was giving to patient. He passed out again. Turned pale and green. Eyes rolled back.  Grunted.  Patient woke up from episode. Ambulance/EMT came. Talked to patient. His O2 sat was 97. Patient felt better and left.
Age: 44.0
Sex: F
Vaccine: COVID19
Symptoms: Anger, Anxiety, Depression, Irritability
Clinical narrative: Irritability Anxiety Depression Anger  Also, three weeks after taking the 2nd dose, I fell into a deep depression.
Age: 14.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling hot, Nausea, Vomiting
Clinical narrative: Patient began feeling hot and nauseated within minutes of the vaccine.  Pharmacist placed ice packs on neck and chest and patient proceeded to vomit 8 minutes after vaccine administered.  Patient started to feel better and was fine within 15 minutes of vaccine.  Patient left  pharmacy with her mother about 20 minutes after vaccine stating she felt fine.
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Pruritus, Rash, Skin test, Urticaria
Clinical narrative: Acute generalized urticaria about 10 days after Moderna 0.25ml booster shot. No known history of allergy to food or medications prior to this event. The symptoms include intense itching followed by bumps and welts when rubbed or scratched on different areas of the body. Symptoms are still ongoing and managed with antihistamine and hydrocortisone. Allergist was consulted to rule out any underlying conditions (e.g. autoimmune).
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired on 1/2/22 but still given
Age: 22.0
Sex: F
Vaccine: HPV9
Symptoms: Joint range of motion decreased, Pain in extremity
Clinical narrative: Arm pain and limited range of motion
Age: 32.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chills, Cough, Respiratory tract congestion, SARS-CoV-2 test, SARS-CoV-2 test positive
Clinical narrative: cough, congestion, chills-started on 1/19/22
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Polymyalgia rheumatica
Clinical narrative: polymylactic rhumotosis,treated with Predisone for 8 months.  Methotrexate for 4 months
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Cardiac disorder, Electrocardiogram normal, Headache, Hypertension, Palpitations
Clinical narrative: Spoke to patient's mom, Patience, to provide a routine follow-up consultation for patient's Humira, but mom was very frustrated and began inquiring why a prescription would be given to her son that would cause him to have high blood pressure.  Mom noted that her son was perfectly normal before and never had any blood pressure issues, but now his blood pressure is very high, his heart is racing, and he has occasional headaches.  Patient began taking Humira 1/29/21 and did well on the first few doses, but later in May 2021, mom noticed that patient?s heart was racing when he came to her bed to give her a hug after school one day.  Mom checked his pulse the next day and again noted it was racing, so she checked his blood pressure, which was 175/80.  Mom continued to take multiple readings daily and continued to get high and similar readings.  Mom took patient to MD, who noted that EKG looked okay and referred her to take her son to a Cardiologist.  Mom is distraught wondering if there is another medication that GI doctor can give patient since he never had high blood pressure before and it?s ?not okay? for this to be happening to her son and does not understand what has caused him to now have high blood pressure and heart problems.  After further questioning about medical history, mom noted that patient received the COVID-19 vaccinations at school and began having the heart and high blood pressure symptoms about two weeks following the first dose.
Age: 15.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Pulse abnormal
Clinical narrative: Spoke to patient's mom, Patience, to provide a routine follow-up consultation for patient's Humira, but mom was very frustrated and began inquiring why a prescription would be given to her son that would cause him to have high blood pressure.  Mom noted that her son was perfectly normal before and never had any blood pressure issues, but now his blood pressure is very high, his heart is racing, and he has occasional headaches.  Patient began taking Humira 1/29/21 and did well on the first few doses, but later in May 2021, mom noticed that patient?s heart was racing when he came to her bed to give her a hug after school one day.  Mom checked his pulse the next day and again noted it was racing, so she checked his blood pressure, which was 175/80.  Mom continued to take multiple readings daily and continued to get high and similar readings.  Mom took patient to MD, who noted that EKG looked okay and referred her to take her son to a Cardiologist.  Mom is distraught wondering if there is another medication that GI doctor can give patient since he never had high blood pressure before and it?s ?not okay? for this to be happening to her son and does not understand what has caused him to now have high blood pressure and heart problems.  After further questioning about medical history, mom noted that patient received the COVID-19 vaccinations at school and began having the heart and high blood pressure symptoms about two weeks following the first dose.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Aphonia, Chest discomfort, Dyspnoea, Fatigue, Pharyngeal swelling
Clinical narrative: WITHIN 10 MINUTES Patient developed swelling of had , face and throat. and some chest tightness  She took 30 mg prednisone and benedryl an Pepcid.   the symptoms stabilized ove an hour observation but did not totally resolve.   She continued to have throat swelling and loss of voice till today.  Still having extreme fatigue and shortness of breath
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling face
Clinical narrative: WITHIN 10 MINUTES Patient developed swelling of had , face and throat. and some chest tightness  She took 30 mg prednisone and benedryl an Pepcid.   the symptoms stabilized ove an hour observation but did not totally resolve.   She continued to have throat swelling and loss of voice till today.  Still having extreme fatigue and shortness of breath
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Vaccine expired on 1/2/22 but still given
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Axillary pain, Breast mass, Gynaecomastia, Lymphadenopathy, Pyrexia
Clinical narrative: Presented with enlarged lymph nodes which began 3 days following vaccination with Pfizer booster. Patient also had swelling under left arm which was painful, along with a low grade fever after injection. Noted a more prominent right breast, with a lump in that breast.
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Tenderness
Clinical narrative: Presented with enlarged lymph nodes which began 3 days following vaccination with Pfizer booster. Patient also had swelling under left arm which was painful, along with a low grade fever after injection. Noted a more prominent right breast, with a lump in that breast.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Deep vein thrombosis, Pain in extremity, Ultrasound scan
Clinical narrative: 1/19/22 Developed calf pain. Diagnosed with DVT in left distal superficial femoral and popliteal vein on 1/20/22
Age: 48.0
Sex: M
Vaccine: COVID19
Symptoms: Extra dose administered, No adverse event
Clinical narrative: Patient was on the schedule for a follow up visit and a pfizer booster which was noted in the appointment comments. Patient completed the Vaccination screening form as well and COVID 19 Vaccination record to receive pfizer booster. Patient did not have vaccination record card and stated would like a new card. This nurse reviewed in EMR previous dosed of pfizer on the EMR vaccination record which stated las pfizer doses were 5/19/2021 and 6/9/2021. It appeared patient was due for booster. This nurse reviewed  Prevaccination Checklist for COVID 19 with patient the form stated patient had 2 dosed of pfizer no other COVID vaccine.  This nurse administered the pfizer 0.3ml dose. After patient left this nurse tried to put vaccine in system and it stated that the booster dose had been given. This nurse checked the medical record where in fact it did show patient was administered a moderna booster on 12/7/2021, but it was in separated from the pfizer dose in the EMR as it is two different types of COVID vaccines. This nurse missed it. If this nurse would have pulled the state vaccine record it would have been caught. This nurse did follow up with the patient the next day to explain that he received an extra booster dose as he recieved a booster on 12/7/2021, pt voiced understanding and stated that he felt fine and reported no adverse reaction.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Nausea, Pain
Clinical narrative: Head ache, high fever, nausea, fatigue, chills, whole body pain.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Head ache, high fever, nausea, fatigue, chills, whole body pain.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Blood test, Hypoaesthesia, Myalgia, Paraesthesia
Clinical narrative: Joint and muscle pains in all hands and feet, constant tingling and numbness in left hand.  All symptoms are worse after eating even small amounts of sugar.  On several occasions, I experienced extreme pain and numbness in my hands and feet, and a fever several hours after eating foods with moderate amount of sugar (half cup of Costco ice cream, for example). These symptoms began one week after receiving the booster shot and have become progressively worse over time, peaking approximately 2 weeks ago.  I am able to manage these symptoms with very limited, anti-inflammatory diet (no sugar, very limited carbs) and liberal use of NSAIDs.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Joint and muscle pains in all hands and feet, constant tingling and numbness in left hand.  All symptoms are worse after eating even small amounts of sugar.  On several occasions, I experienced extreme pain and numbness in my hands and feet, and a fever several hours after eating foods with moderate amount of sugar (half cup of Costco ice cream, for example). These symptoms began one week after receiving the booster shot and have become progressively worse over time, peaking approximately 2 weeks ago.  I am able to manage these symptoms with very limited, anti-inflammatory diet (no sugar, very limited carbs) and liberal use of NSAIDs.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Inappropriate schedule of product administration
Clinical narrative: Patient was given a booster of Pfizer 7 days too early according to guidance for approved vaccines.
Sex: U
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: hives
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Acute myocardial infarction, Blood creatine phosphokinase, Chest pain, Dyspnoea, Electrocardiogram abnormal
Clinical narrative: Chest pain. Per progress notes:   1/18/22: 18-year-old male brought back from the vertical process to T1 for concerning EKG suggestive of STEMI in the setting of recent receiving the January vaccine.  Patient describes chest pain with shortness of breath starting today - the chest pain is ongoing but the shortness of breath has significantly resolved.    STEMI code was called prior to my assessment of the patient and the interventions arrives shortly after I I did.  Further history and exam was truncated by STEMI protocol to not delay catheterization   Patient denies known cardiac history, lower extremity swelling or pain, past PE or DVT.  Denies history of uncontrolled hypertension or pain radiating through to the back  1/19/22: This morning's CPK shows that the patient has myocarditis in addition to pericarditis so he has myopericarditis presumably post a vaccination.  Have us discussed the case with Medical College this morning.  They recommend that is nonsteroidal be stopped in that he have a cardiac MRI to assess the burden of inflammation that he be started on high doses of steroid that is Solu-Medrol 500 mg IV 3 times a day his colchicine be continued.  We need to be mindful of LV function checking an echo in a couple of days.  We need to limit activity he is going to need to take it easy we have to keep a close eye on him to make sure he does not developed LV dysfunction.  I would think that at the earlier sign of LV dysfunction we would need to discuss transfer.  1/19/22: Acute myopericarditis presumably secondary to the coronavirus vaccine.  EF is preserved.  MRI confirms that the patient is myocarditis confirms that his EF is preserved shows relatively small amount of ventricular inflammation and does show a very small hemodynamically insignificant pericardial effusion.  I discussed the case as noted earlier with the heart advanced heart failure team.  We both agreed that nonsteroidals are not say for a good idea with myocarditis the colchicine makes sense for the pericarditis and they recommended very high dose steroid and that we keep an eye on his EF checking an echo in a couple of days.  Post discharge she will have to modulate his activity.  We will have to decide long-term how we will use steroids.  I will reach out to our new associate to lay out a long-term plan
Age: 18.0
Sex: M
Vaccine: COVID19
Symptoms: Magnetic resonance imaging abnormal, Myocarditis, Pericardial effusion
Clinical narrative: Chest pain. Per progress notes:   1/18/22: 18-year-old male brought back from the vertical process to T1 for concerning EKG suggestive of STEMI in the setting of recent receiving the January vaccine.  Patient describes chest pain with shortness of breath starting today - the chest pain is ongoing but the shortness of breath has significantly resolved.    STEMI code was called prior to my assessment of the patient and the interventions arrives shortly after I I did.  Further history and exam was truncated by STEMI protocol to not delay catheterization   Patient denies known cardiac history, lower extremity swelling or pain, past PE or DVT.  Denies history of uncontrolled hypertension or pain radiating through to the back  1/19/22: This morning's CPK shows that the patient has myocarditis in addition to pericarditis so he has myopericarditis presumably post a vaccination.  Have us discussed the case with Medical College this morning.  They recommend that is nonsteroidal be stopped in that he have a cardiac MRI to assess the burden of inflammation that he be started on high doses of steroid that is Solu-Medrol 500 mg IV 3 times a day his colchicine be continued.  We need to be mindful of LV function checking an echo in a couple of days.  We need to limit activity he is going to need to take it easy we have to keep a close eye on him to make sure he does not developed LV dysfunction.  I would think that at the earlier sign of LV dysfunction we would need to discuss transfer.  1/19/22: Acute myopericarditis presumably secondary to the coronavirus vaccine.  EF is preserved.  MRI confirms that the patient is myocarditis confirms that his EF is preserved shows relatively small amount of ventricular inflammation and does show a very small hemodynamically insignificant pericardial effusion.  I discussed the case as noted earlier with the heart advanced heart failure team.  We both agreed that nonsteroidals are not say for a good idea with myocarditis the colchicine makes sense for the pericarditis and they recommended very high dose steroid and that we keep an eye on his EF checking an echo in a couple of days.  Post discharge she will have to modulate his activity.  We will have to decide long-term how we will use steroids.  I will reach out to our new associate to lay out a long-term plan
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Herpes zoster, Rash pruritic
Clinical narrative: On Dec 23rd, I developed a rash. It was itchy and burn. I went to the doctor and he diagnosed me with the shingles. He gave me medicine for it. Now it has mostly gone away.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Pain, Pyrexia
Clinical narrative: 1.20.2022 Employee called the Vaccine Support line to report symptoms post COVID-19 vaccination. Vaccine Name - Pfizer Vaccine Date - 1.10.2022 / Location: Right Deltoid Booster Dose - Yes Date of Symptom Onset - 1.11.2022 Symptoms - Fever (100.8F), Aches, Malaise Last Day of Work and Shift - 1.11.2022 / Works 12-Hour shifts (x3/week). Employee stated she only missed one shift (1.11.22)  and returned to work on 1.14.22. Home Remedies - Advil, 200 mg, 2 tablets, taken once Tuesday, 1.11.22 and once Wednesday, 1.12.22 Any Improvement - Yes (Symptoms resolved by 1.13.22)
Age: 40.0
Sex: M
Vaccine: COVID19
Symptoms: Vertigo
Clinical narrative: vertigo lasting approximately 2 weeks
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Ear discomfort, Tinnitus
Clinical narrative: Pressure in left ear (affected ear of my Sudden Hearing Loss) and increased ringing in same ear
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Breast swelling, Diarrhoea, Eye pain, Eye swelling
Clinical narrative: Chronic, generalized urticaria with extreme itching x 1 month. Began 6 days after booster shot. Saw rheumatologist and dermatologist for treatment. Currently on Claritin, Pepcid, Zyrtec, Benadryl (PRN)? without resolve.   Additionally:  Extreme daily fatigue. Eye swelling, redness and pain? saw Ophthalmologist for exam.  Breast, nipple severe pain and swelling.   Low grade fever. Diarrhea and nausea daily.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Nausea, Nipple pain, Nipple swelling, Ocular hyperaemia
Clinical narrative: Chronic, generalized urticaria with extreme itching x 1 month. Began 6 days after booster shot. Saw rheumatologist and dermatologist for treatment. Currently on Claritin, Pepcid, Zyrtec, Benadryl (PRN)? without resolve.   Additionally:  Extreme daily fatigue. Eye swelling, redness and pain? saw Ophthalmologist for exam.  Breast, nipple severe pain and swelling.   Low grade fever. Diarrhea and nausea daily.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Pyrexia, Urticaria chronic
Clinical narrative: Chronic, generalized urticaria with extreme itching x 1 month. Began 6 days after booster shot. Saw rheumatologist and dermatologist for treatment. Currently on Claritin, Pepcid, Zyrtec, Benadryl (PRN)? without resolve.   Additionally:  Extreme daily fatigue. Eye swelling, redness and pain? saw Ophthalmologist for exam.  Breast, nipple severe pain and swelling.   Low grade fever. Diarrhea and nausea daily.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Breast pain, Fatigue, Lymphadenopathy, Pyrexia
Clinical narrative: Fever for several days. Swollen lymph nodes in the armpit where the booster was given. Breast hurts. Fatigue.
Age: 94.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Arthralgia, Compression fracture, Cough, Culture urine, Dysuria
Clinical narrative: cough, runny nose (painful urination), fell this morning getting out of bed. starting 1/18/2022
Age: 94.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Fall, Rhinorrhoea, Urine analysis, X-ray
Clinical narrative: cough, runny nose (painful urination), fell this morning getting out of bed. starting 1/18/2022
Age: 15.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Child is 15, accidentally gave Moderna half dose for booster vaccine verses Pfizer booster dose. Child tolerated well, have informed Parent of dosing of Moderns vs Pfizer.
Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Joint instability, Joint noise, Laboratory test
Clinical narrative: Tenderness at site immediately, and persists to this day.  Then shoulder joint pain developed in 9/21, with popping and feels unstable.  Neck popping then developed.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient given dose of Pfizer as booster shot when the dose was later found to be drawn up on 01/19/2021.  Dose was stored in refrigerator overnight still in vial. Patient called and alerted of above information.
Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Woke up with severe tinnitus
Age: 0.25
Sex: M
Vaccine: DTAPIPVHIB, PNC13, RV5
Symptoms: Intussusception, Surgery, Ultrasound abdomen abnormal
Clinical narrative: Intussusception requiring surgical correction at facility in another city due to patients age. (hospital)
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Malaise, SARS-CoV-2 test positive
Clinical narrative: positive test and symptoms
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Eye movement disorder, Loss of consciousness, Posture abnormal, Respiratory arrest
Clinical narrative: PATIENT SLUMPED DOWN AND LOST CONSCIOUSNESS. EYES ROLLED BACK AND SEEMINGLY WASNT BREATHING. CAME TO AFTER A FEW SECONDS. PATIENT EXPRESSED HAVING PREVIOUSLY RECEIVED ADVERSE REACTIONS TO VACCINES SEVERAL YEARS AGO. (MORE THAN 5). PARAMEDICS WERE CALLED AND PATIENT WAS RELEASED.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received Pfizer 0.3mL booster vaccination on 1/13/2022, at 17:19, in the left arm. It was discovered the beyond-use-date was 1/9/2022. Patient denied symptoms/concerns or reactions in clinic during the office visit. It is recommended the patient receive another dose since this one was beyond its use-by date.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Due to storm fridge temps went out of range by 4 degrees, was closed 1/17. Vaccines were administered to patient in the morning
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Electromyogram abnormal, Hypoaesthesia, Mononeuropathy, Muscular weakness
Clinical narrative: Left shoulder pain started 2-3 days after the vaccine in upper deltoid and biceps progressing to shooting pains down arm, arm weakness and numbness into lateral forearm and thumb.  Symptoms improved with gabapentin and Pamelor started by his PCP.  He was referred to my outpatient clinic for workup and treatment.  I performed an EMG on 1/19/2022 confirming a subacute brachial neuritis involving the musculocutaneous nerve (presentation consistent with Parsonage Turner Syndrome, a rare but known adverse reaction to vaccines).
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Neuralgic amyotrophy, Pain, Pain in extremity, Radiculitis brachial
Clinical narrative: Left shoulder pain started 2-3 days after the vaccine in upper deltoid and biceps progressing to shooting pains down arm, arm weakness and numbness into lateral forearm and thumb.  Symptoms improved with gabapentin and Pamelor started by his PCP.  He was referred to my outpatient clinic for workup and treatment.  I performed an EMG on 1/19/2022 confirming a subacute brachial neuritis involving the musculocutaneous nerve (presentation consistent with Parsonage Turner Syndrome, a rare but known adverse reaction to vaccines).
Age: 87.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Death, Respiratory failure, SARS-CoV-2 test positive
Clinical narrative: 7/25/21 positive COVID test; pt died at home per death certificate of respiratory failure and COVID 19
Age: 41.0
Sex: M
Vaccine: FLUX
Symptoms: Abdominal pain, Condition aggravated, Frequent bowel movements, Haematochezia
Clinical narrative: Approximately a week after I was administered influenza vaccine, I experienced frequent bowel movements, frequent bloody stools, frequent abdominal pains, etc.
Age: 72.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Skin exfoliation, Temperature intolerance
Clinical narrative: The skin on 5 fingers (including both thumbs) turned red starting at the fingertips and spread beyond 2 knuckles. About 4 days later the skin started peeling.  Same thing happened to both big toes. 17 days later, the peeling is almost finished on my fingers. Toes are still peeling. Fingers are now very sensitive to heat.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Dysmenorrhoea, Heavy menstrual bleeding, Menstruation irregular, Thrombosis
Clinical narrative: Irregular menstruation.  Have been menstruating every 3 weeks with increased bleeding/clots and menstrual pain.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Headache, Migraine, Ophthalmic migraine
Clinical narrative: 7/28/2021: Ocular migraine lasted approximately 30 minutes. 7/29/2021: Ocular migraine lasted approximately 60 minutes followed by a migraine headache, which I never experienced previously. 7/29/2021: Seen by eye doctor and advised it was not my eyes. It was recommended to see a neurologist if it happens again. 11/6/2021: Ocular migraine lasted approximately 15 minutes. 11/8/2021: Ocular migraine lasted approximately 15 minutes and I had a headache for the remainder of the day. 12/6/2021: Headache all day. 12/30/2021: Headache developed at 1:00 pm and lasted the remainder of the day. 01/11/2022: Ocular migraine  lasted approximately 2 hours.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Hypoaesthesia, Muscle spasms
Clinical narrative: Every night the symptoms are numbness, pain and cramps in the legs.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: About 2 hours after the dose administration, constant tinnitus started. It has not stopped since it began that day.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site rash, Rash, Skin warm
Clinical narrative: I noticed that my arm was warm, the following day I had a rash all over my arm. I went the same week and I had to go see my PCP, the rash was coming from the injection site so my doctor prescribed me antibiotics. She did not want to prescribe me steroids because she didn't want to risk mixing steroids with the vaccine.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event, Product administered to patient of inappropriate age, Wrong product administered
Clinical narrative: Child of 11 years old was accidentally given the adult (12+) formula of the Pfizer COVID vaccine instead of the pediatric dose.  No adverse reaction as of this time.  Wrong vaccine given.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Abnormal behaviour, Angiogram cerebral abnormal, Anticoagulant therapy, Aphasia, Basilar artery aneurysm
Clinical narrative: Patient is a 38-year-old female who presented to the emergency department of a local Hospital 01/18/2022 for evaluation of altered mental status.  She had been experiencing headaches for about 2 weeks that were getting progressively worse.  She was also having blurry vision and vomiting.  She was also having slow processing and delayed responses with word finding difficulties.  She was also having difficulty with memory and was "acting odd" according to her mother who accompanied her to her emergency department visit. Denied recent medication changes. She denied upper respiratory symptoms including fever or chills.    Imaging work-up was completed. Patient was admitted to a local Hospital 01/18/2022 for further evaluation of her symptoms.  She was initiated on heparin with concern of stroke.  She was also administered perflutren lipid microsphere. She was continued on her home medications of atorvastatin.  She also had orders for per requested needed acetaminophen, bisacodyl, and down sertraline, and sodium chloride 0.9% fluids.  Imaging results as noted below.  Patient symptoms resolved during her hospital stay.  She was transitioned from heparin to apixaban and discharged home with apixaban as a new medication.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Cerebral disorder, Coagulation test normal, Computerised tomogram head abnormal, Echocardiogram, Ejection fraction normal
Clinical narrative: Patient is a 38-year-old female who presented to the emergency department of a local Hospital 01/18/2022 for evaluation of altered mental status.  She had been experiencing headaches for about 2 weeks that were getting progressively worse.  She was also having blurry vision and vomiting.  She was also having slow processing and delayed responses with word finding difficulties.  She was also having difficulty with memory and was "acting odd" according to her mother who accompanied her to her emergency department visit. Denied recent medication changes. She denied upper respiratory symptoms including fever or chills.    Imaging work-up was completed. Patient was admitted to a local Hospital 01/18/2022 for further evaluation of her symptoms.  She was initiated on heparin with concern of stroke.  She was also administered perflutren lipid microsphere. She was continued on her home medications of atorvastatin.  She also had orders for per requested needed acetaminophen, bisacodyl, and down sertraline, and sodium chloride 0.9% fluids.  Imaging results as noted below.  Patient symptoms resolved during her hospital stay.  She was transitioned from heparin to apixaban and discharged home with apixaban as a new medication.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Imaging procedure abnormal, Intracranial mass, Laboratory test normal, Magnetic resonance imaging head abnormal
Clinical narrative: Patient is a 38-year-old female who presented to the emergency department of a local Hospital 01/18/2022 for evaluation of altered mental status.  She had been experiencing headaches for about 2 weeks that were getting progressively worse.  She was also having blurry vision and vomiting.  She was also having slow processing and delayed responses with word finding difficulties.  She was also having difficulty with memory and was "acting odd" according to her mother who accompanied her to her emergency department visit. Denied recent medication changes. She denied upper respiratory symptoms including fever or chills.    Imaging work-up was completed. Patient was admitted to a local Hospital 01/18/2022 for further evaluation of her symptoms.  She was initiated on heparin with concern of stroke.  She was also administered perflutren lipid microsphere. She was continued on her home medications of atorvastatin.  She also had orders for per requested needed acetaminophen, bisacodyl, and down sertraline, and sodium chloride 0.9% fluids.  Imaging results as noted below.  Patient symptoms resolved during her hospital stay.  She was transitioned from heparin to apixaban and discharged home with apixaban as a new medication.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Memory impairment, Mental status changes, Oedema, Scan with contrast abnormal, Sensory processing disorder
Clinical narrative: Patient is a 38-year-old female who presented to the emergency department of a local Hospital 01/18/2022 for evaluation of altered mental status.  She had been experiencing headaches for about 2 weeks that were getting progressively worse.  She was also having blurry vision and vomiting.  She was also having slow processing and delayed responses with word finding difficulties.  She was also having difficulty with memory and was "acting odd" according to her mother who accompanied her to her emergency department visit. Denied recent medication changes. She denied upper respiratory symptoms including fever or chills.    Imaging work-up was completed. Patient was admitted to a local Hospital 01/18/2022 for further evaluation of her symptoms.  She was initiated on heparin with concern of stroke.  She was also administered perflutren lipid microsphere. She was continued on her home medications of atorvastatin.  She also had orders for per requested needed acetaminophen, bisacodyl, and down sertraline, and sodium chloride 0.9% fluids.  Imaging results as noted below.  Patient symptoms resolved during her hospital stay.  She was transitioned from heparin to apixaban and discharged home with apixaban as a new medication.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Vision blurred, Vomiting
Clinical narrative: Patient is a 38-year-old female who presented to the emergency department of a local Hospital 01/18/2022 for evaluation of altered mental status.  She had been experiencing headaches for about 2 weeks that were getting progressively worse.  She was also having blurry vision and vomiting.  She was also having slow processing and delayed responses with word finding difficulties.  She was also having difficulty with memory and was "acting odd" according to her mother who accompanied her to her emergency department visit. Denied recent medication changes. She denied upper respiratory symptoms including fever or chills.    Imaging work-up was completed. Patient was admitted to a local Hospital 01/18/2022 for further evaluation of her symptoms.  She was initiated on heparin with concern of stroke.  She was also administered perflutren lipid microsphere. She was continued on her home medications of atorvastatin.  She also had orders for per requested needed acetaminophen, bisacodyl, and down sertraline, and sodium chloride 0.9% fluids.  Imaging results as noted below.  Patient symptoms resolved during her hospital stay.  She was transitioned from heparin to apixaban and discharged home with apixaban as a new medication.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza A virus test negative, Influenza B virus test, Nausea, Pyrexia, Respiratory syncytial virus test negative
Clinical narrative: 010522 VIRTUAL VISIT WITH PROVIDER: PARENT REPORTED PATIENT WITH A LOW GRADE FEVER, NAUSEA AND VOMITING. 010722 PCP IN-PERSON VISIT: PARENT REPORTED PATIENT CONTINUES TO COMPLAIN OF NAUSEA, NO FEVER OR VOMITING. 011222 VIRTUAL VISIT WITH PROVIDER: PREVIOUS SYMPTOMS NOTED TO BE RESOLVED
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test negative, Streptococcus test negative, Vomiting
Clinical narrative: 010522 VIRTUAL VISIT WITH PROVIDER: PARENT REPORTED PATIENT WITH A LOW GRADE FEVER, NAUSEA AND VOMITING. 010722 PCP IN-PERSON VISIT: PARENT REPORTED PATIENT CONTINUES TO COMPLAIN OF NAUSEA, NO FEVER OR VOMITING. 011222 VIRTUAL VISIT WITH PROVIDER: PREVIOUS SYMPTOMS NOTED TO BE RESOLVED
Age: 23.0
Sex: F
Vaccine: COVID19
Symptoms: Chromaturia, Fatigue, Liver disorder
Clinical narrative: LIVERissues, dark urine, fatigue
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Ageusia, Anosmia, Blood creatinine increased, Blood glucose normal, Blood potassium normal
Clinical narrative: Patient is a 52 y/o man with a PMHx of liver cirrhosis s/p transplant, CKD IV, and HTN. He presented to the ED today due to worsening renal function noted on routine labs. He was notified by clinic of worsening labs and was instructed to come to the ED. The labs were collected on 1/14 at a routine appt. He has labs every 2 months with his nephrologist, Dr. His Cr was 3.3 back in Nov 2021 and is now up to 5.0. He has a h/o cryptogenic cirrhosis s/p liver transplant back in 2019. He has had steadily worsening renal function since that time. He has had a preliminary meeting with transplant group at hospital to discuss possible kidney transplant. He is on tacrolimus and mycophenolate.   He reports mild cough, fever, loss of appetite, and loss of taste & smell about 2 weeks ago. He was not tested for COVID at that time because the line was very long. He had difficulty acquiring an at home test but finally had a friend give him one 2 days ago. He tested negative at home on 1/15. He reports ongoing fatigue, intermittent cough, and mild shortness of breath. He denies N/V. Reports mild diarrhea and decreased urine output. No significant abdominal pain.   In the ED his BP is stable, HR normal, afebrile. O2 sat 100% on RA. Labs with WBC 8.01, Hgb 12, Na 134, K 5.0, CO2 16, BUN 80.9, Cr. 5.0 , glucose 123. COVID positive. ED physician contacted nephrology & hospital admission recommended. Non-contrast CT of A/P recommended for further evaluation. Test pending at this time. CXR pending. Hospitalist service contacted for admission.    PT IS INPATIENT AT THIS TIME.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Blood sodium decreased, Blood urea increased, COVID-19, Carbon dioxide decreased, Cough
Clinical narrative: Patient is a 52 y/o man with a PMHx of liver cirrhosis s/p transplant, CKD IV, and HTN. He presented to the ED today due to worsening renal function noted on routine labs. He was notified by clinic of worsening labs and was instructed to come to the ED. The labs were collected on 1/14 at a routine appt. He has labs every 2 months with his nephrologist, Dr. His Cr was 3.3 back in Nov 2021 and is now up to 5.0. He has a h/o cryptogenic cirrhosis s/p liver transplant back in 2019. He has had steadily worsening renal function since that time. He has had a preliminary meeting with transplant group at hospital to discuss possible kidney transplant. He is on tacrolimus and mycophenolate.   He reports mild cough, fever, loss of appetite, and loss of taste & smell about 2 weeks ago. He was not tested for COVID at that time because the line was very long. He had difficulty acquiring an at home test but finally had a friend give him one 2 days ago. He tested negative at home on 1/15. He reports ongoing fatigue, intermittent cough, and mild shortness of breath. He denies N/V. Reports mild diarrhea and decreased urine output. No significant abdominal pain.   In the ED his BP is stable, HR normal, afebrile. O2 sat 100% on RA. Labs with WBC 8.01, Hgb 12, Na 134, K 5.0, CO2 16, BUN 80.9, Cr. 5.0 , glucose 123. COVID positive. ED physician contacted nephrology & hospital admission recommended. Non-contrast CT of A/P recommended for further evaluation. Test pending at this time. CXR pending. Hospitalist service contacted for admission.    PT IS INPATIENT AT THIS TIME.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Decreased appetite, Diarrhoea, Dyspnoea, Fatigue, Haemoglobin decreased
Clinical narrative: Patient is a 52 y/o man with a PMHx of liver cirrhosis s/p transplant, CKD IV, and HTN. He presented to the ED today due to worsening renal function noted on routine labs. He was notified by clinic of worsening labs and was instructed to come to the ED. The labs were collected on 1/14 at a routine appt. He has labs every 2 months with his nephrologist, Dr. His Cr was 3.3 back in Nov 2021 and is now up to 5.0. He has a h/o cryptogenic cirrhosis s/p liver transplant back in 2019. He has had steadily worsening renal function since that time. He has had a preliminary meeting with transplant group at hospital to discuss possible kidney transplant. He is on tacrolimus and mycophenolate.   He reports mild cough, fever, loss of appetite, and loss of taste & smell about 2 weeks ago. He was not tested for COVID at that time because the line was very long. He had difficulty acquiring an at home test but finally had a friend give him one 2 days ago. He tested negative at home on 1/15. He reports ongoing fatigue, intermittent cough, and mild shortness of breath. He denies N/V. Reports mild diarrhea and decreased urine output. No significant abdominal pain.   In the ED his BP is stable, HR normal, afebrile. O2 sat 100% on RA. Labs with WBC 8.01, Hgb 12, Na 134, K 5.0, CO2 16, BUN 80.9, Cr. 5.0 , glucose 123. COVID positive. ED physician contacted nephrology & hospital admission recommended. Non-contrast CT of A/P recommended for further evaluation. Test pending at this time. CXR pending. Hospitalist service contacted for admission.    PT IS INPATIENT AT THIS TIME.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: Laboratory test abnormal, Pyrexia, Renal impairment, SARS-CoV-2 test positive, Urine output decreased
Clinical narrative: Patient is a 52 y/o man with a PMHx of liver cirrhosis s/p transplant, CKD IV, and HTN. He presented to the ED today due to worsening renal function noted on routine labs. He was notified by clinic of worsening labs and was instructed to come to the ED. The labs were collected on 1/14 at a routine appt. He has labs every 2 months with his nephrologist, Dr. His Cr was 3.3 back in Nov 2021 and is now up to 5.0. He has a h/o cryptogenic cirrhosis s/p liver transplant back in 2019. He has had steadily worsening renal function since that time. He has had a preliminary meeting with transplant group at hospital to discuss possible kidney transplant. He is on tacrolimus and mycophenolate.   He reports mild cough, fever, loss of appetite, and loss of taste & smell about 2 weeks ago. He was not tested for COVID at that time because the line was very long. He had difficulty acquiring an at home test but finally had a friend give him one 2 days ago. He tested negative at home on 1/15. He reports ongoing fatigue, intermittent cough, and mild shortness of breath. He denies N/V. Reports mild diarrhea and decreased urine output. No significant abdominal pain.   In the ED his BP is stable, HR normal, afebrile. O2 sat 100% on RA. Labs with WBC 8.01, Hgb 12, Na 134, K 5.0, CO2 16, BUN 80.9, Cr. 5.0 , glucose 123. COVID positive. ED physician contacted nephrology & hospital admission recommended. Non-contrast CT of A/P recommended for further evaluation. Test pending at this time. CXR pending. Hospitalist service contacted for admission.    PT IS INPATIENT AT THIS TIME.
Age: 51.0
Sex: M
Vaccine: COVID19, COVID19, COVID19
Symptoms: White blood cell count normal
Clinical narrative: Patient is a 52 y/o man with a PMHx of liver cirrhosis s/p transplant, CKD IV, and HTN. He presented to the ED today due to worsening renal function noted on routine labs. He was notified by clinic of worsening labs and was instructed to come to the ED. The labs were collected on 1/14 at a routine appt. He has labs every 2 months with his nephrologist, Dr. His Cr was 3.3 back in Nov 2021 and is now up to 5.0. He has a h/o cryptogenic cirrhosis s/p liver transplant back in 2019. He has had steadily worsening renal function since that time. He has had a preliminary meeting with transplant group at hospital to discuss possible kidney transplant. He is on tacrolimus and mycophenolate.   He reports mild cough, fever, loss of appetite, and loss of taste & smell about 2 weeks ago. He was not tested for COVID at that time because the line was very long. He had difficulty acquiring an at home test but finally had a friend give him one 2 days ago. He tested negative at home on 1/15. He reports ongoing fatigue, intermittent cough, and mild shortness of breath. He denies N/V. Reports mild diarrhea and decreased urine output. No significant abdominal pain.   In the ED his BP is stable, HR normal, afebrile. O2 sat 100% on RA. Labs with WBC 8.01, Hgb 12, Na 134, K 5.0, CO2 16, BUN 80.9, Cr. 5.0 , glucose 123. COVID positive. ED physician contacted nephrology & hospital admission recommended. Non-contrast CT of A/P recommended for further evaluation. Test pending at this time. CXR pending. Hospitalist service contacted for admission.    PT IS INPATIENT AT THIS TIME.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Abdominal pain, Abdominal pain upper, COVID-19, Computerised tomogram abdomen abnormal, Cough
Clinical narrative: The patient is a 66-year-old woman, followed by Dr.  She presents with 1 day of abdominal pain.  She also was exposed to COVID, her husband has had COVID, she developed COVID symptoms on January 2, 2022, was diagnosed on January 3, 2022. Her symptoms were mainly what she called all the COVID symptoms including fever, myalgia, cough.  She says that her doctor called in some steroids for her, which she has finished.  Her symptoms would have been over 2 weeks ago.  She states that about 3 or 4 days ago, she had some right upper, right mid abdominal pain that lasted for a couple of hours and went away.  She was in her usual state of health until today when she developed some upper abdominal pain with nausea and vomiting. She had also noticed decreased ileostomy output.  She was evaluated in the ER and CT scan diagnosed her with a pancreatitis.  She has also tested positive for COVID. Most of her symptoms have resolved.  She has some mild cough, but has some chronic cough due to her COPD.   PT IS STILL INPATIENT AT THIS TIME.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Exposure to SARS-CoV-2, Gastrointestinal stoma complication, Malaise, Myalgia, Nausea
Clinical narrative: The patient is a 66-year-old woman, followed by Dr.  She presents with 1 day of abdominal pain.  She also was exposed to COVID, her husband has had COVID, she developed COVID symptoms on January 2, 2022, was diagnosed on January 3, 2022. Her symptoms were mainly what she called all the COVID symptoms including fever, myalgia, cough.  She says that her doctor called in some steroids for her, which she has finished.  Her symptoms would have been over 2 weeks ago.  She states that about 3 or 4 days ago, she had some right upper, right mid abdominal pain that lasted for a couple of hours and went away.  She was in her usual state of health until today when she developed some upper abdominal pain with nausea and vomiting. She had also noticed decreased ileostomy output.  She was evaluated in the ER and CT scan diagnosed her with a pancreatitis.  She has also tested positive for COVID. Most of her symptoms have resolved.  She has some mild cough, but has some chronic cough due to her COPD.   PT IS STILL INPATIENT AT THIS TIME.
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19, COVID19
Symptoms: Pancreatitis, Pyrexia, SARS-CoV-2 test positive, Vomiting
Clinical narrative: The patient is a 66-year-old woman, followed by Dr.  She presents with 1 day of abdominal pain.  She also was exposed to COVID, her husband has had COVID, she developed COVID symptoms on January 2, 2022, was diagnosed on January 3, 2022. Her symptoms were mainly what she called all the COVID symptoms including fever, myalgia, cough.  She says that her doctor called in some steroids for her, which she has finished.  Her symptoms would have been over 2 weeks ago.  She states that about 3 or 4 days ago, she had some right upper, right mid abdominal pain that lasted for a couple of hours and went away.  She was in her usual state of health until today when she developed some upper abdominal pain with nausea and vomiting. She had also noticed decreased ileostomy output.  She was evaluated in the ER and CT scan diagnosed her with a pancreatitis.  She has also tested positive for COVID. Most of her symptoms have resolved.  She has some mild cough, but has some chronic cough due to her COPD.   PT IS STILL INPATIENT AT THIS TIME.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received Pfizer dose #1 on 1-13-2022 without complications noted. However, vaccine was beyond the use-by date which was 01/09/2022.