chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Electrolyte imbalance, Encephalopathy, Hepatic cirrhosis, Laboratory test abnormal, Malaise
Clinical narrative: Patient admitted to hospital as (inpatient) on (01/25/2022) due to alcohol dependence with withdrawal. Patient was tested for COVID-19 and was positive on (01/26/2022). 44 y.o. male with current COVID-19 infection, encephalopathy, alcohol use disorder with decompensated cirrhosis (MELD 22 on admission, MELD currently 28), who presented to the ED on 01/26/2022 with dizziness/malaise. On admission, reportedly also endorsed chills, poor appetite and cough. On initial workup, found to have significant lab abnormalities and felt to be undergoing acute alcohol withdrawal.  Over the course of the last several days, patient has has become increasingly tachycardic and encephalopathic with multiple MRTs called for seizures and SVT requiring multiple doses of adenosine.  Given his worsening clinical status, CT head obtained (no acute abnormalities) and abdominal duplex ultrasound obtained showing splenorenal varices and abnormal portal flow. Subsequent CT abdomen/pelvis obtained showing SMV thrombosis. During this time, patient has also increasing bilirubin, severe electrolyte abnormalities and a metabolic acidosis, although lactate has since normalized.  Given these findings and patient's challenging clinical course thus far, general surgery asked to evaluate.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Mesenteric vein thrombosis, Metabolic acidosis, SARS-CoV-2 test positive, Seizure, Splenorenal shunt
Clinical narrative: Patient admitted to hospital as (inpatient) on (01/25/2022) due to alcohol dependence with withdrawal. Patient was tested for COVID-19 and was positive on (01/26/2022). 44 y.o. male with current COVID-19 infection, encephalopathy, alcohol use disorder with decompensated cirrhosis (MELD 22 on admission, MELD currently 28), who presented to the ED on 01/26/2022 with dizziness/malaise. On admission, reportedly also endorsed chills, poor appetite and cough. On initial workup, found to have significant lab abnormalities and felt to be undergoing acute alcohol withdrawal.  Over the course of the last several days, patient has has become increasingly tachycardic and encephalopathic with multiple MRTs called for seizures and SVT requiring multiple doses of adenosine.  Given his worsening clinical status, CT head obtained (no acute abnormalities) and abdominal duplex ultrasound obtained showing splenorenal varices and abnormal portal flow. Subsequent CT abdomen/pelvis obtained showing SMV thrombosis. During this time, patient has also increasing bilirubin, severe electrolyte abnormalities and a metabolic acidosis, although lactate has since normalized.  Given these findings and patient's challenging clinical course thus far, general surgery asked to evaluate.
Age: 43.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Supraventricular tachycardia, Tachycardia, Ultrasound abdomen abnormal
Clinical narrative: Patient admitted to hospital as (inpatient) on (01/25/2022) due to alcohol dependence with withdrawal. Patient was tested for COVID-19 and was positive on (01/26/2022). 44 y.o. male with current COVID-19 infection, encephalopathy, alcohol use disorder with decompensated cirrhosis (MELD 22 on admission, MELD currently 28), who presented to the ED on 01/26/2022 with dizziness/malaise. On admission, reportedly also endorsed chills, poor appetite and cough. On initial workup, found to have significant lab abnormalities and felt to be undergoing acute alcohol withdrawal.  Over the course of the last several days, patient has has become increasingly tachycardic and encephalopathic with multiple MRTs called for seizures and SVT requiring multiple doses of adenosine.  Given his worsening clinical status, CT head obtained (no acute abnormalities) and abdominal duplex ultrasound obtained showing splenorenal varices and abnormal portal flow. Subsequent CT abdomen/pelvis obtained showing SMV thrombosis. During this time, patient has also increasing bilirubin, severe electrolyte abnormalities and a metabolic acidosis, although lactate has since normalized.  Given these findings and patient's challenging clinical course thus far, general surgery asked to evaluate.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Eye swelling, Fatigue, Illness, Oropharyngeal pain
Clinical narrative: 45 minutes after the shot, left eye swelled both the eye lid and under the eye. Benadryl was given and the swelling stayed, but did not get worse. Emergency doctor number was called. 12 hours after shot, fever of 102, tiredness, eye still swollen, cough, throat hurt, and overall achiness which lasted for 4 days. The eye swelling lasted for 39 hours. Tylenol and Benadryl were given over the course of illness as directed by doctors.
Age: 8.0
Sex: M
Vaccine: COVID19
Symptoms: Pain, Pyrexia, Swelling face, Swelling of eyelid
Clinical narrative: 45 minutes after the shot, left eye swelled both the eye lid and under the eye. Benadryl was given and the swelling stayed, but did not get worse. Emergency doctor number was called. 12 hours after shot, fever of 102, tiredness, eye still swollen, cough, throat hurt, and overall achiness which lasted for 4 days. The eye swelling lasted for 39 hours. Tylenol and Benadryl were given over the course of illness as directed by doctors.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Urticaria
Clinical narrative: Hives that started on my scalp and spread over the majority my torso and upper legs
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Abdominal pain, Anxiety, Chest X-ray, Chest pain, Depression
Clinical narrative: Day after vaccine started with mild sick symptoms. Recovered rather quickly. Since then, has had severe abdominal pain, chest pain, anxiety, depression, and migraines. Has been seen in the ER three times, has had to see family doctor multiple times. Was seen by cardiology, psychiatry, and gastroenterology. Has had multiple chest x-rays, EKGs, MRI, and is scheduled for endoscopy.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Electrocardiogram, Laboratory test, Magnetic resonance imaging, Malaise, Migraine
Clinical narrative: Day after vaccine started with mild sick symptoms. Recovered rather quickly. Since then, has had severe abdominal pain, chest pain, anxiety, depression, and migraines. Has been seen in the ER three times, has had to see family doctor multiple times. Was seen by cardiology, psychiatry, and gastroenterology. Has had multiple chest x-rays, EKGs, MRI, and is scheduled for endoscopy.
Age: 58.0
Sex: F
Vaccine: COVID19
Symptoms: Incorrect dose administered, No adverse event
Clinical narrative: Nurse administered .5 ml instead of .25ml. No adverse reaction noted
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Lethargy, Loss of personal independence in daily activities, Pain in extremity, Pyrexia
Clinical narrative: Fever, lethargy, no appetite, arm pain mom did witness child (at night) eye wide open, staring, and smacking lips. episode stopped after 15 seconds of initial witnessed time, this was observed once on 2/10/22.  missed x2 days of school treated with tylenol and motrin, frequent checks during sleep lasted for 48 hours.
Age: 5.0
Sex: F
Vaccine: COVID19
Symptoms: Staring, Tardive dyskinesia
Clinical narrative: Fever, lethargy, no appetite, arm pain mom did witness child (at night) eye wide open, staring, and smacking lips. episode stopped after 15 seconds of initial witnessed time, this was observed once on 2/10/22.  missed x2 days of school treated with tylenol and motrin, frequent checks during sleep lasted for 48 hours.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Blood bicarbonate normal, Blood chloride normal, Blood creatine phosphokinase normal, Blood creatinine normal, Blood glucose normal
Clinical narrative: /15/2022   Chief Complaint:  Shortness of breath, cough   Source of Information:  Patient   History of Present Illness:  This is a 81y.o. male Afib on Eliquis, HTN, HLD, diabetes mellitus, OSA on CPAP, BPH who presented to ED on 1/15/21 for shortness of breath and cough.  Patient reports he has been experiencing a cough associated with shortness of breath for several weeks, and it has progressively worsening.  He reports he starts coughing, and can not catch his breath, and becomes short of breath.  Patient reports experiences increased shortness of breath with laying flat, and has not been able to wear his CPAP machine the past few nights. Today prior to presentation, patient reports experiencing a coughing fit, and stating his whole body stiffened up, and extremities started shaking.  He reports he remembers the event.  Denies urinary incontinence or fecal incontinence associated with the episode.  He reports total compliance with all medications, and denies any missed doses.  He states he currently takes Lasix every other day.  Cough is nonproductive in nature.  He denies ever feeling like this before in the past. He also admits to intermittent right sided chest pain, that improved with nitroglycerin. Denies history of MI, PCI, or CVA. Denies fevers, chills, palpitations, abdominal pain, nausea, vomiting, constipation, diarrhea, dysyuria, hematuria.    He follows with doctor outpatient, who ordered a chest xray but what unable to get it due to his coughing, and came to the ED instead.  Upon my exam, patient sitting upright in bed, breathing on room air, unlabored, without accessory muscle use.   Upon presentation to the ED, patient afebrile 97.5, BP 115/70, HR 80, RR 20, SPO2 96%. COVID positive. CBC?WBC 4.6, Hb 13.5, platelets 139. Sodium 143, potassium 3.8, chloride 105, bicarbonate 27, BUN 16, creatinine 0.88, glucose 100. Magnesium 1.6. Lactic acid 2.6, 1.8.  EKG afib, rate 77 bpm. Troponin 0.01, 0.02.  BNP 264. CK 69. D-dimer 372.  CXR showed left basilar airspace consolidation. In the ED, patient started on azithromycin and rocephin.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Blood lactic acid, Blood magnesium normal, Blood potassium normal, Blood sodium normal, Blood urea normal
Clinical narrative: /15/2022   Chief Complaint:  Shortness of breath, cough   Source of Information:  Patient   History of Present Illness:  This is a 81y.o. male Afib on Eliquis, HTN, HLD, diabetes mellitus, OSA on CPAP, BPH who presented to ED on 1/15/21 for shortness of breath and cough.  Patient reports he has been experiencing a cough associated with shortness of breath for several weeks, and it has progressively worsening.  He reports he starts coughing, and can not catch his breath, and becomes short of breath.  Patient reports experiences increased shortness of breath with laying flat, and has not been able to wear his CPAP machine the past few nights. Today prior to presentation, patient reports experiencing a coughing fit, and stating his whole body stiffened up, and extremities started shaking.  He reports he remembers the event.  Denies urinary incontinence or fecal incontinence associated with the episode.  He reports total compliance with all medications, and denies any missed doses.  He states he currently takes Lasix every other day.  Cough is nonproductive in nature.  He denies ever feeling like this before in the past. He also admits to intermittent right sided chest pain, that improved with nitroglycerin. Denies history of MI, PCI, or CVA. Denies fevers, chills, palpitations, abdominal pain, nausea, vomiting, constipation, diarrhea, dysyuria, hematuria.    He follows with doctor outpatient, who ordered a chest xray but what unable to get it due to his coughing, and came to the ED instead.  Upon my exam, patient sitting upright in bed, breathing on room air, unlabored, without accessory muscle use.   Upon presentation to the ED, patient afebrile 97.5, BP 115/70, HR 80, RR 20, SPO2 96%. COVID positive. CBC?WBC 4.6, Hb 13.5, platelets 139. Sodium 143, potassium 3.8, chloride 105, bicarbonate 27, BUN 16, creatinine 0.88, glucose 100. Magnesium 1.6. Lactic acid 2.6, 1.8.  EKG afib, rate 77 bpm. Troponin 0.01, 0.02.  BNP 264. CK 69. D-dimer 372.  CXR showed left basilar airspace consolidation. In the ED, patient started on azithromycin and rocephin.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Brain natriuretic peptide increased, COVID-19, Chest X-ray abnormal, Chest pain, Cough
Clinical narrative: /15/2022   Chief Complaint:  Shortness of breath, cough   Source of Information:  Patient   History of Present Illness:  This is a 81y.o. male Afib on Eliquis, HTN, HLD, diabetes mellitus, OSA on CPAP, BPH who presented to ED on 1/15/21 for shortness of breath and cough.  Patient reports he has been experiencing a cough associated with shortness of breath for several weeks, and it has progressively worsening.  He reports he starts coughing, and can not catch his breath, and becomes short of breath.  Patient reports experiences increased shortness of breath with laying flat, and has not been able to wear his CPAP machine the past few nights. Today prior to presentation, patient reports experiencing a coughing fit, and stating his whole body stiffened up, and extremities started shaking.  He reports he remembers the event.  Denies urinary incontinence or fecal incontinence associated with the episode.  He reports total compliance with all medications, and denies any missed doses.  He states he currently takes Lasix every other day.  Cough is nonproductive in nature.  He denies ever feeling like this before in the past. He also admits to intermittent right sided chest pain, that improved with nitroglycerin. Denies history of MI, PCI, or CVA. Denies fevers, chills, palpitations, abdominal pain, nausea, vomiting, constipation, diarrhea, dysyuria, hematuria.    He follows with doctor outpatient, who ordered a chest xray but what unable to get it due to his coughing, and came to the ED instead.  Upon my exam, patient sitting upright in bed, breathing on room air, unlabored, without accessory muscle use.   Upon presentation to the ED, patient afebrile 97.5, BP 115/70, HR 80, RR 20, SPO2 96%. COVID positive. CBC?WBC 4.6, Hb 13.5, platelets 139. Sodium 143, potassium 3.8, chloride 105, bicarbonate 27, BUN 16, creatinine 0.88, glucose 100. Magnesium 1.6. Lactic acid 2.6, 1.8.  EKG afib, rate 77 bpm. Troponin 0.01, 0.02.  BNP 264. CK 69. D-dimer 372.  CXR showed left basilar airspace consolidation. In the ED, patient started on azithromycin and rocephin.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Dyspnoea, Dyspnoea at rest, Electrocardiogram abnormal, Fibrin D dimer, Full blood count
Clinical narrative: /15/2022   Chief Complaint:  Shortness of breath, cough   Source of Information:  Patient   History of Present Illness:  This is a 81y.o. male Afib on Eliquis, HTN, HLD, diabetes mellitus, OSA on CPAP, BPH who presented to ED on 1/15/21 for shortness of breath and cough.  Patient reports he has been experiencing a cough associated with shortness of breath for several weeks, and it has progressively worsening.  He reports he starts coughing, and can not catch his breath, and becomes short of breath.  Patient reports experiences increased shortness of breath with laying flat, and has not been able to wear his CPAP machine the past few nights. Today prior to presentation, patient reports experiencing a coughing fit, and stating his whole body stiffened up, and extremities started shaking.  He reports he remembers the event.  Denies urinary incontinence or fecal incontinence associated with the episode.  He reports total compliance with all medications, and denies any missed doses.  He states he currently takes Lasix every other day.  Cough is nonproductive in nature.  He denies ever feeling like this before in the past. He also admits to intermittent right sided chest pain, that improved with nitroglycerin. Denies history of MI, PCI, or CVA. Denies fevers, chills, palpitations, abdominal pain, nausea, vomiting, constipation, diarrhea, dysyuria, hematuria.    He follows with doctor outpatient, who ordered a chest xray but what unable to get it due to his coughing, and came to the ED instead.  Upon my exam, patient sitting upright in bed, breathing on room air, unlabored, without accessory muscle use.   Upon presentation to the ED, patient afebrile 97.5, BP 115/70, HR 80, RR 20, SPO2 96%. COVID positive. CBC?WBC 4.6, Hb 13.5, platelets 139. Sodium 143, potassium 3.8, chloride 105, bicarbonate 27, BUN 16, creatinine 0.88, glucose 100. Magnesium 1.6. Lactic acid 2.6, 1.8.  EKG afib, rate 77 bpm. Troponin 0.01, 0.02.  BNP 264. CK 69. D-dimer 372.  CXR showed left basilar airspace consolidation. In the ED, patient started on azithromycin and rocephin.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Haemoglobin decreased, Influenza A virus test negative, Influenza B virus test positive, Lung consolidation, Musculoskeletal stiffness
Clinical narrative: /15/2022   Chief Complaint:  Shortness of breath, cough   Source of Information:  Patient   History of Present Illness:  This is a 81y.o. male Afib on Eliquis, HTN, HLD, diabetes mellitus, OSA on CPAP, BPH who presented to ED on 1/15/21 for shortness of breath and cough.  Patient reports he has been experiencing a cough associated with shortness of breath for several weeks, and it has progressively worsening.  He reports he starts coughing, and can not catch his breath, and becomes short of breath.  Patient reports experiences increased shortness of breath with laying flat, and has not been able to wear his CPAP machine the past few nights. Today prior to presentation, patient reports experiencing a coughing fit, and stating his whole body stiffened up, and extremities started shaking.  He reports he remembers the event.  Denies urinary incontinence or fecal incontinence associated with the episode.  He reports total compliance with all medications, and denies any missed doses.  He states he currently takes Lasix every other day.  Cough is nonproductive in nature.  He denies ever feeling like this before in the past. He also admits to intermittent right sided chest pain, that improved with nitroglycerin. Denies history of MI, PCI, or CVA. Denies fevers, chills, palpitations, abdominal pain, nausea, vomiting, constipation, diarrhea, dysyuria, hematuria.    He follows with doctor outpatient, who ordered a chest xray but what unable to get it due to his coughing, and came to the ED instead.  Upon my exam, patient sitting upright in bed, breathing on room air, unlabored, without accessory muscle use.   Upon presentation to the ED, patient afebrile 97.5, BP 115/70, HR 80, RR 20, SPO2 96%. COVID positive. CBC?WBC 4.6, Hb 13.5, platelets 139. Sodium 143, potassium 3.8, chloride 105, bicarbonate 27, BUN 16, creatinine 0.88, glucose 100. Magnesium 1.6. Lactic acid 2.6, 1.8.  EKG afib, rate 77 bpm. Troponin 0.01, 0.02.  BNP 264. CK 69. D-dimer 372.  CXR showed left basilar airspace consolidation. In the ED, patient started on azithromycin and rocephin.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Platelet count decreased, Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Tremor, Troponin
Clinical narrative: /15/2022   Chief Complaint:  Shortness of breath, cough   Source of Information:  Patient   History of Present Illness:  This is a 81y.o. male Afib on Eliquis, HTN, HLD, diabetes mellitus, OSA on CPAP, BPH who presented to ED on 1/15/21 for shortness of breath and cough.  Patient reports he has been experiencing a cough associated with shortness of breath for several weeks, and it has progressively worsening.  He reports he starts coughing, and can not catch his breath, and becomes short of breath.  Patient reports experiences increased shortness of breath with laying flat, and has not been able to wear his CPAP machine the past few nights. Today prior to presentation, patient reports experiencing a coughing fit, and stating his whole body stiffened up, and extremities started shaking.  He reports he remembers the event.  Denies urinary incontinence or fecal incontinence associated with the episode.  He reports total compliance with all medications, and denies any missed doses.  He states he currently takes Lasix every other day.  Cough is nonproductive in nature.  He denies ever feeling like this before in the past. He also admits to intermittent right sided chest pain, that improved with nitroglycerin. Denies history of MI, PCI, or CVA. Denies fevers, chills, palpitations, abdominal pain, nausea, vomiting, constipation, diarrhea, dysyuria, hematuria.    He follows with doctor outpatient, who ordered a chest xray but what unable to get it due to his coughing, and came to the ED instead.  Upon my exam, patient sitting upright in bed, breathing on room air, unlabored, without accessory muscle use.   Upon presentation to the ED, patient afebrile 97.5, BP 115/70, HR 80, RR 20, SPO2 96%. COVID positive. CBC?WBC 4.6, Hb 13.5, platelets 139. Sodium 143, potassium 3.8, chloride 105, bicarbonate 27, BUN 16, creatinine 0.88, glucose 100. Magnesium 1.6. Lactic acid 2.6, 1.8.  EKG afib, rate 77 bpm. Troponin 0.01, 0.02.  BNP 264. CK 69. D-dimer 372.  CXR showed left basilar airspace consolidation. In the ED, patient started on azithromycin and rocephin.
Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: White blood cell count decreased
Clinical narrative: /15/2022   Chief Complaint:  Shortness of breath, cough   Source of Information:  Patient   History of Present Illness:  This is a 81y.o. male Afib on Eliquis, HTN, HLD, diabetes mellitus, OSA on CPAP, BPH who presented to ED on 1/15/21 for shortness of breath and cough.  Patient reports he has been experiencing a cough associated with shortness of breath for several weeks, and it has progressively worsening.  He reports he starts coughing, and can not catch his breath, and becomes short of breath.  Patient reports experiences increased shortness of breath with laying flat, and has not been able to wear his CPAP machine the past few nights. Today prior to presentation, patient reports experiencing a coughing fit, and stating his whole body stiffened up, and extremities started shaking.  He reports he remembers the event.  Denies urinary incontinence or fecal incontinence associated with the episode.  He reports total compliance with all medications, and denies any missed doses.  He states he currently takes Lasix every other day.  Cough is nonproductive in nature.  He denies ever feeling like this before in the past. He also admits to intermittent right sided chest pain, that improved with nitroglycerin. Denies history of MI, PCI, or CVA. Denies fevers, chills, palpitations, abdominal pain, nausea, vomiting, constipation, diarrhea, dysyuria, hematuria.    He follows with doctor outpatient, who ordered a chest xray but what unable to get it due to his coughing, and came to the ED instead.  Upon my exam, patient sitting upright in bed, breathing on room air, unlabored, without accessory muscle use.   Upon presentation to the ED, patient afebrile 97.5, BP 115/70, HR 80, RR 20, SPO2 96%. COVID positive. CBC?WBC 4.6, Hb 13.5, platelets 139. Sodium 143, potassium 3.8, chloride 105, bicarbonate 27, BUN 16, creatinine 0.88, glucose 100. Magnesium 1.6. Lactic acid 2.6, 1.8.  EKG afib, rate 77 bpm. Troponin 0.01, 0.02.  BNP 264. CK 69. D-dimer 372.  CXR showed left basilar airspace consolidation. In the ED, patient started on azithromycin and rocephin.
Age: 26.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Head injury, Loss of consciousness, Seizure
Clinical narrative: Patient loss consciousness and fell onto floor. During fall, patient hit his head on the ground and had a seizure. EMS was called and patient received medical attention.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Chest discomfort, Decreased appetite, Diarrhoea, Headache
Clinical narrative: Patient reports later in the evening after receiving second dose of Pfizer vaccine she developed severe left arm pain.  Reports she could barley move her left arm.  Team member states left arm pain has resolved. Patient reports she also developed migraine, diarrhea, vomiting, with decreased appetite.  Reports intermittent chest tightness, but denies chest pain, heart palpitations, or shortness of breath.  Reports she is tolerating some food and liquids by mouth such as veggies, fruits, and smoothies.  Patient states she recently tested positive for COVID on 1/7/22.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Migraine, Mobility decreased, Nausea, Pain in extremity, SARS-CoV-2 test positive
Clinical narrative: Patient reports later in the evening after receiving second dose of Pfizer vaccine she developed severe left arm pain.  Reports she could barley move her left arm.  Team member states left arm pain has resolved. Patient reports she also developed migraine, diarrhea, vomiting, with decreased appetite.  Reports intermittent chest tightness, but denies chest pain, heart palpitations, or shortness of breath.  Reports she is tolerating some food and liquids by mouth such as veggies, fruits, and smoothies.  Patient states she recently tested positive for COVID on 1/7/22.
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient reports later in the evening after receiving second dose of Pfizer vaccine she developed severe left arm pain.  Reports she could barley move her left arm.  Team member states left arm pain has resolved. Patient reports she also developed migraine, diarrhea, vomiting, with decreased appetite.  Reports intermittent chest tightness, but denies chest pain, heart palpitations, or shortness of breath.  Reports she is tolerating some food and liquids by mouth such as veggies, fruits, and smoothies.  Patient states she recently tested positive for COVID on 1/7/22.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Haematuria
Clinical narrative: Gross hematuria with both doses, each occurring within 1-2 days. No lab tests available to corroborate.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Hypoaesthesia, Malaise, Migraine
Clinical narrative: 1st event- he came home at about noon from school the day following his vaccination with a terrible headache and very pale and feeling nauseous. Once he got home he started vomiting and I gave him some Zofran. I had also stocked up on Gatorade and saltines just in case, but he was unable to eat or drink those. He threw up until 8-9PM until he fell asleep. Threw up about 30 times and had an absolute awful headache the entire time. When he woke up in the morning on 01/29/2022, he felt tired but fine. 2nd event- took place on 02/09/2022. The school called at about noon and said that he had a terrible headache and wasn't feeling well so I went and picked him up. When I got him home, it was the same thing, terrible headache, pale and feeling nauseous. He threw up pretty much nonstop until 5PM. He had some vision issues, numbness in his left hand. I called the doctor earlier in the day and asked if it would be okay to give him Zofran again and they said it should be okay. I also called hospital later and asked what I should be doing, and they said I should bring him in. At that point, his vision was okay but he was on the ground in pain because of the headache and I couldn't get him to stop vomiting even with the Zofran. So that's when I took him to hospital. Once we got there, they said he needed to go to the ER and quickly start an IV for fluids, head pain and nausea. We were there until 10PM administering that and he missed school the following day as well with a relatively mild headache and exhaustion.
Age: 13.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Pallor, Visual impairment, Vomiting
Clinical narrative: 1st event- he came home at about noon from school the day following his vaccination with a terrible headache and very pale and feeling nauseous. Once he got home he started vomiting and I gave him some Zofran. I had also stocked up on Gatorade and saltines just in case, but he was unable to eat or drink those. He threw up until 8-9PM until he fell asleep. Threw up about 30 times and had an absolute awful headache the entire time. When he woke up in the morning on 01/29/2022, he felt tired but fine. 2nd event- took place on 02/09/2022. The school called at about noon and said that he had a terrible headache and wasn't feeling well so I went and picked him up. When I got him home, it was the same thing, terrible headache, pale and feeling nauseous. He threw up pretty much nonstop until 5PM. He had some vision issues, numbness in his left hand. I called the doctor earlier in the day and asked if it would be okay to give him Zofran again and they said it should be okay. I also called hospital later and asked what I should be doing, and they said I should bring him in. At that point, his vision was okay but he was on the ground in pain because of the headache and I couldn't get him to stop vomiting even with the Zofran. So that's when I took him to hospital. Once we got there, they said he needed to go to the ER and quickly start an IV for fluids, head pain and nausea. We were there until 10PM administering that and he missed school the following day as well with a relatively mild headache and exhaustion.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Gingival blister, Gingival erythema, Gingival swelling, Mouth ulceration, Oral lichen planus
Clinical narrative: Shortly after my first shot, I began developing lesions and irritated spots in my mouth.  At first, my dentist thought this was just from eating something too hot or brushing too hard.  The irritations got worse (blisters, swelling, and erythema along the gumline) over time and by October, they thought I had periodontal disease.  Treatment for that yielded no improvement and in December, I was referred to an oral pathologist.  In January, I was finally diagnosed with oral lichen planus, an autoimmune condition affecting the tissues of my mouth.  I have been on a Dexamethasone mouth rinse for a little over a month with dramatic improvement.  Since the symptoms appeared shortly after my first shot but took awhile to diagnose, I thought it was relevent to report this as a possible adverse event from having the vaccine.
Age: 43.0
Sex: F
Vaccine: COVID19
Symptoms: Periodontal disease, Stomatitis
Clinical narrative: Shortly after my first shot, I began developing lesions and irritated spots in my mouth.  At first, my dentist thought this was just from eating something too hot or brushing too hard.  The irritations got worse (blisters, swelling, and erythema along the gumline) over time and by October, they thought I had periodontal disease.  Treatment for that yielded no improvement and in December, I was referred to an oral pathologist.  In January, I was finally diagnosed with oral lichen planus, an autoimmune condition affecting the tissues of my mouth.  I have been on a Dexamethasone mouth rinse for a little over a month with dramatic improvement.  Since the symptoms appeared shortly after my first shot but took awhile to diagnose, I thought it was relevent to report this as a possible adverse event from having the vaccine.
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Aphasia, Atrioventricular block second degree, COVID-19, Computerised tomogram head normal, Headache
Clinical narrative: This is a 68 y.o. female who presents to Hospital ER due to altered mental status.  The patient reports that she was speaking to a friend on the phone and she developed difficulty speaking for about 5 minutes.  Her speech difficulty spontaneously resolved.  She has been undergoing evaluation for headaches as an outpatient and has seen neurology previously.  She was scheduled to have an MRI performed in the coming week.  In the ER she had a CT of the brain with stroke protocol which was negative for acute process.  She has been admitted for further evaluation and treatment.  Cardiology has evaluated her for uncontrolled hypertension and 2-1 AV block.  She is taking Toprol-XL at home which is felt to be a contributing factor.  Cardiology has stopped her beta-blocker and she is being monitored.  A pacemaker will be needed if her second-degree heart block persists.   Additionally she is found to be positive for COVID-19.  She is vaccinated x2
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: Hypertension, Influenza A virus test negative, Influenza B virus test, Mental status changes, Respiratory syncytial virus test negative
Clinical narrative: This is a 68 y.o. female who presents to Hospital ER due to altered mental status.  The patient reports that she was speaking to a friend on the phone and she developed difficulty speaking for about 5 minutes.  Her speech difficulty spontaneously resolved.  She has been undergoing evaluation for headaches as an outpatient and has seen neurology previously.  She was scheduled to have an MRI performed in the coming week.  In the ER she had a CT of the brain with stroke protocol which was negative for acute process.  She has been admitted for further evaluation and treatment.  Cardiology has evaluated her for uncontrolled hypertension and 2-1 AV block.  She is taking Toprol-XL at home which is felt to be a contributing factor.  Cardiology has stopped her beta-blocker and she is being monitored.  A pacemaker will be needed if her second-degree heart block persists.   Additionally she is found to be positive for COVID-19.  She is vaccinated x2
Age: 67.0
Sex: F
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: This is a 68 y.o. female who presents to Hospital ER due to altered mental status.  The patient reports that she was speaking to a friend on the phone and she developed difficulty speaking for about 5 minutes.  Her speech difficulty spontaneously resolved.  She has been undergoing evaluation for headaches as an outpatient and has seen neurology previously.  She was scheduled to have an MRI performed in the coming week.  In the ER she had a CT of the brain with stroke protocol which was negative for acute process.  She has been admitted for further evaluation and treatment.  Cardiology has evaluated her for uncontrolled hypertension and 2-1 AV block.  She is taking Toprol-XL at home which is felt to be a contributing factor.  Cardiology has stopped her beta-blocker and she is being monitored.  A pacemaker will be needed if her second-degree heart block persists.   Additionally she is found to be positive for COVID-19.  She is vaccinated x2
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19 pneumonia, Dyspnoea
Clinical narrative: Patient came to ED with shortness of breath.  Patient admitted with Covid pneumonia and O2 sat in the 80s after Covid booster.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Flushing, Hyperhidrosis, Loss of consciousness
Clinical narrative: patient was given covid vaccine and 3 minutes after shot was given patient passed out in waiting room. patient came to and was diaphortic cool rag applied and fan applied and flushed. VS 02 sat 97% HR 82 BP 125/84 R 22 After 15minutes additional patient stated felt fine and was able to drive home denied dizzyness and was not going to pass out. patient has had passing out episodes after flu shot as well and forgot to tell us. patient was going to eat lunch now due to has not eaten yet.
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: up to date with covid vax- booster dose listed above, tested positive for covid on rapid antigen test 2/13/2022
Age: 30.0
Sex: M
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received Pfizer COVID-19 vaccine which was beyond the manufacturer recommended use time of 31 days at the refrigerated temperature. Organization has been in direct contact with the vaccine manufacturer regarding this issue. Pfizer has data to support the stability of the vaccine up to 45 days at refrigerated temperatures. The vaccine given was within this range which is supported by the above data. No known adverse outcomes.
Age: 26.0
Sex: F
Vaccine: DTAP, HPV9, PPV
Symptoms: Fatigue, Injection site erythema, Injection site induration, Injection site mass, Injection site swelling
Clinical narrative: pt states she had a raised lump on both arms at the injection site.  She also had fatigue.  A couple of days later she had developed a 2 3/4" red raised area around the lower injection site on the left arm.  Within the next couple of days she developed hives.  She was taking Benadryl for her symptoms.  She call health line and spoke with the nurse and she was prescribed Triamcinolone.  About 2 days after starting this medicine her symptoms improved.  She still had hives but they were no longer itchy.  The itching subsided after about 3 days and once the itching passed she was fully healed with the exemption of the hard lump at the lower injection site of the left arm.  The  texture of the lump feels weird like cooked chicken and is bouncy.  She reached out to her Doctor and was told this should get better within the next couple of weeks.
Age: 26.0
Sex: F
Vaccine: DTAP, HPV9, PPV
Symptoms: Pruritus, Urticaria
Clinical narrative: pt states she had a raised lump on both arms at the injection site.  She also had fatigue.  A couple of days later she had developed a 2 3/4" red raised area around the lower injection site on the left arm.  Within the next couple of days she developed hives.  She was taking Benadryl for her symptoms.  She call health line and spoke with the nurse and she was prescribed Triamcinolone.  About 2 days after starting this medicine her symptoms improved.  She still had hives but they were no longer itchy.  The itching subsided after about 3 days and once the itching passed she was fully healed with the exemption of the hard lump at the lower injection site of the left arm.  The  texture of the lump feels weird like cooked chicken and is bouncy.  She reached out to her Doctor and was told this should get better within the next couple of weeks.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Angiogram, Angiogram abnormal, Chest X-ray abnormal, Chronic obstructive pulmonary disease, Condition aggravated
Clinical narrative: Since her COVID-19 vaccination series, patient's chronic pulmonary health has worsened.   Specifically, she has developed repeated COPD exacerbations many times twice monthly, and multiple episodes of recurrent pneumonia.   Prior to her vaccination, I cannot find any record of COPD exacerbation or pneumonia in our clinic records or our local hospital, Porton of Medical Center, records. Pulmonary function has declined so much, that myself and her pulmonologist were worried she was developing lung cancer, but imaging including PET scan negative for this.
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Pneumonia, Pneumonitis, Positron emission tomogram normal, Pulmonary function test decreased
Clinical narrative: Since her COVID-19 vaccination series, patient's chronic pulmonary health has worsened.   Specifically, she has developed repeated COPD exacerbations many times twice monthly, and multiple episodes of recurrent pneumonia.   Prior to her vaccination, I cannot find any record of COPD exacerbation or pneumonia in our clinic records or our local hospital, Porton of Medical Center, records. Pulmonary function has declined so much, that myself and her pulmonologist were worried she was developing lung cancer, but imaging including PET scan negative for this.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Antinuclear antibody, Arthralgia, Blood immunoglobulin A, Blood immunoglobulin G, Blood immunoglobulin M
Clinical narrative: at the time of the second covid vaccine I did start having body aches, fever, joint aches and generally feeling unwell for about a week after.  Most things improved except the joint pain.  Sometimes it would be in my knee, or ankle and other times my shoulders or hands.  In May and June things progressively worsened.  I had lab work done and it was concerning so I was referred to a rheumatologist.  I was diagnosed with seropositive rheumatoid arthritis in August of 2021 and continue to have problems with joint pain and swelling.  My rheumatologist is trying to find a medication that will work for me.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Blood test, Blood thyroid stimulating hormone, Borrelia test, C-reactive protein, Full blood count
Clinical narrative: at the time of the second covid vaccine I did start having body aches, fever, joint aches and generally feeling unwell for about a week after.  Most things improved except the joint pain.  Sometimes it would be in my knee, or ankle and other times my shoulders or hands.  In May and June things progressively worsened.  I had lab work done and it was concerning so I was referred to a rheumatologist.  I was diagnosed with seropositive rheumatoid arthritis in August of 2021 and continue to have problems with joint pain and swelling.  My rheumatologist is trying to find a medication that will work for me.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Malaise, Metabolic function test, Pain, Pyrexia, Red blood cell sedimentation rate
Clinical narrative: at the time of the second covid vaccine I did start having body aches, fever, joint aches and generally feeling unwell for about a week after.  Most things improved except the joint pain.  Sometimes it would be in my knee, or ankle and other times my shoulders or hands.  In May and June things progressively worsened.  I had lab work done and it was concerning so I was referred to a rheumatologist.  I was diagnosed with seropositive rheumatoid arthritis in August of 2021 and continue to have problems with joint pain and swelling.  My rheumatologist is trying to find a medication that will work for me.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Rheumatoid arthritis, Rheumatoid factor, Swelling, X-ray
Clinical narrative: at the time of the second covid vaccine I did start having body aches, fever, joint aches and generally feeling unwell for about a week after.  Most things improved except the joint pain.  Sometimes it would be in my knee, or ankle and other times my shoulders or hands.  In May and June things progressively worsened.  I had lab work done and it was concerning so I was referred to a rheumatologist.  I was diagnosed with seropositive rheumatoid arthritis in August of 2021 and continue to have problems with joint pain and swelling.  My rheumatologist is trying to find a medication that will work for me.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Rash and itching on left arm and down the shoulder between the neck and shoulder.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram, Seizure
Clinical narrative: Pt received 2 Pfizer covd vaccines. 3/14/21 and 4/4/21.  Then received Moderna booster on 12/3/21.  Pt then had a seizure on 12/16/21 and was seen in ER. Pt had another seizure on 1/30/22.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Patient received Pfizer COVID-19 vaccine which was beyond the manufacturer recommended use time of 31 days at the refrigerated temperature. Organization has been in direct contact with the vaccine manufacturer regarding this issue. Pfizer has data to support the stability of the vaccine up to 45 days at refrigerated temperatures. The vaccine given was within this range which is supported by the above data. No known adverse outcomes.
Age: 32.0
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure decreased, Electrocardiogram normal, Pruritus, Urticaria
Clinical narrative: Started itching 10 days after booster shot. Had widespread Uticaria. Pretty severe for about 4 days. Ended up in ER. Blood pressure dropped to 85/55. Started Prednisone, pepcid and Zyrtec daily. Slowly has gotten better but still dealing with transitory Uticaria.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Headache, Pain, Paraesthesia, Peripheral coldness
Clinical narrative: Swelling on right side of body.  Multiple headaches. Nerve tingling. Cold feet Also got reactions form the Booster shot (IM, LA, Moderna) Swelling with booster, pain from shoulder down on the left side.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Swelling
Clinical narrative: Swelling on right side of body.  Multiple headaches. Nerve tingling. Cold feet Also got reactions form the Booster shot (IM, LA, Moderna) Swelling with booster, pain from shoulder down on the left side.
Age: 42.0
Sex: M
Vaccine: COVID19
Symptoms: No adverse event
Clinical narrative: Patient did not have any adverse events following the covid vaccine. The patient was instructed to wait the minimum of 15 minutes to ensure he did not have any symptoms. A follow up call was placed to the patient to see how he was doing, patient stated that he was ok.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Body temperature increased, COVID-19, Dyspnoea, Headache, Influenza A virus test negative
Clinical narrative: Patient is a 60-year-old male with a past medical history significant for multiple sclerosis with quadriparesis, diffuse alveolar hemorrhage status post tracheostomy and PEG placement, hypertension who presents to our facility today for shortness of breath. Per patient's wife, patient developed increasing secretions as well as a headache and an episode of emesis last night. She further had a temperature of 102°F this morning and tested positive for Covid at his ECF. Patient is vaccinated ×2 with Pfizer. Patient's wife states that patient's tracheostomy was capped 2 weeks ago and that patient has been doing well on room air until today. ROS limited as patient intermittently shakes his head in response to questions.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Influenza B virus test, Nucleic acid test, Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Secretion discharge
Clinical narrative: Patient is a 60-year-old male with a past medical history significant for multiple sclerosis with quadriparesis, diffuse alveolar hemorrhage status post tracheostomy and PEG placement, hypertension who presents to our facility today for shortness of breath. Per patient's wife, patient developed increasing secretions as well as a headache and an episode of emesis last night. She further had a temperature of 102°F this morning and tested positive for Covid at his ECF. Patient is vaccinated ×2 with Pfizer. Patient's wife states that patient's tracheostomy was capped 2 weeks ago and that patient has been doing well on room air until today. ROS limited as patient intermittently shakes his head in response to questions.
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting
Clinical narrative: Patient is a 60-year-old male with a past medical history significant for multiple sclerosis with quadriparesis, diffuse alveolar hemorrhage status post tracheostomy and PEG placement, hypertension who presents to our facility today for shortness of breath. Per patient's wife, patient developed increasing secretions as well as a headache and an episode of emesis last night. She further had a temperature of 102°F this morning and tested positive for Covid at his ECF. Patient is vaccinated ×2 with Pfizer. Patient's wife states that patient's tracheostomy was capped 2 weeks ago and that patient has been doing well on room air until today. ROS limited as patient intermittently shakes his head in response to questions.
Age: 41.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Eye haemorrhage, Fatigue, Mechanical urticaria, Urticaria
Clinical narrative: Hives all over body, including eyes, face, neck, torso, legs, arms, palms of hands and soles of feet. Still have them as of today but symptoms are somewhat managed by antihistamines, diet, etc. Dermographia now present at random as well. Also fatigue, a blood vessel in my right eye burst (healed now), and general low energy.
Age: 73.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test positive
Clinical narrative: Hospitalization with COVID-19 after being fully vaccinated.
Age: 79.0
Sex: F
Vaccine: COVID19
Symptoms: Activated partial thromboplastin time, Angiogram pulmonary, Anti-cyclic citrullinated peptide antibody, Antineutrophil cytoplasmic antibody, Arthralgia
Clinical narrative: Chills & Fever, sweating, widespread vascular and joint pain. Treated as if COVID, although two home tests, one outpatient test and one inpatient test were negative. Illness progressed Saturday evening through Wednesday night. Saw PCP Thursday morning, sent to ER and subsequently admitted to hospital. Treated for symptoms, 65 lab tests failed to identify the illness, closest match is Adult Onset Still Disease. Heart went into A-fib and will require medication going forward. Sent home to recover after 7 days in hospital.