chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 63.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Toxic encephalopathy
Clinical narrative: Provider summary "This is a 64-year-old morbidly obese male a history of diabetes mellitus type 2. Patient awoke this morning around 7:00 a.m. disoriented and confused.  His roommate called EMS who arrived to find patient was hypoglycemic.  Patient was encouraged to eat and blood sugar improved.  Patient refused transport to the ER at that time.  Patient is significantly came over later that morning found his blood sugar to be 380. Patient gave himself 20 units of NovoLog.  Significant other checked on him later in the evening and noticed that he was quite lethargic and sleepy.  She encouraged him to go to the emergency department but he again resisted.  Later the patient called significant other back stating he was ready to go to the emergency department because he was ?overwhelmed and exhausted.?  Patient presented emergency department where he spent some time in the a waiting room as ER staff thought he had left before being seen.  Patient became very disoriented and lethargic.  He was found have a blood sugar of 19. Patient brought back to emergency department and his hypoglycemic event was managed.  During his stay in the ER he was became hypoxic with room air saturations in the 80s.  Oxygen saturation improved with supplemental oxygen.  Further testing showed him to be COVID positive.  Patient is still lethargic and oriented x2.  Hospitalist service has been asked to see for further evaluation and management of toxic metabolic encephalopathy due to hypoglycemia and hypoxia from COVID."   Admitted on 6/2.  Started on dexamethasone and IV antibiotics, oxygen supplementation. He did fair, sugars  stabilized, his condition improved, remains very weak.  At the time of discharge there is no confusion, no more dyspnea.  He requires 2 L of oxygen per home O2 evaluation.  He is doing spirometry.  He had issues with contraction alkalosis, his diuretics were held temporarily, contraction alkalosis improved.  His blood pressure is lower side.  He was noted to have chronic kidney disease, his creatinine remained stable throughout his hospital stay.  His ACE inhibitor was held temporarily. Blood pressure stabilized on discharge, he is being resumed on  the lower dose of ACE inhibitor.  Lasix is resumed on discharge, remains off Zaroxolyn.  Hydrochlorothiazide was discontinued permanently.  His sugars varied, his doses of insulin were adjusted.  He was noted to be persistently hypoglycemic,  he needs significantly less Lantus now been at home, doing well with 15 units every evening.  He is following a diabetic diet.   He is being discharged in stable condition, going home with visiting nurses, PT and OT, 2 L of oxygen, hospital bed was recommended as well in the setting of his acute on chronic respiratory failure  Due to covid and extreme debility."
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Chest pain, Hypoaesthesia, Palpitations, Paraesthesia
Clinical narrative: Pt states about 2 hours after vaccine was given, she developed numbness and tingling in her arm which lasted for about 2 days.  Later that same afternoon, she developed chest pain with a pounding sensation in her heart.  Denied tachycardia.  Chest pain seemed to come and go for a few weeks.  Last episode was end of last week.
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Abnormal loss of weight, Asthenia, COVID-19, Clostridium difficile colitis, Clostridium test positive
Clinical narrative: Provider Summary "These were her acute medical issues addressed:   1. Diarrhea/ loose stools x 2 weeks. Meal related. Due to C diff colitis. -- stool PCR +ve for C diff toxin (PCR and EIA). -- no associated AKI or significant electrolyte abnormalities. -- received IVF and PO Vancomycin started. -- tolerated PO feedings, felt stronger, stool more particulate at discharge. -- plan to treat 10 days with Vancomycin PO.   2. Generalized weakness due to #1. 3. Leukocytosis. Resolved at discharge.   4. COVID-19 positive. No resp complaints, no fever or hypoxia. 5. Vaccinated x 2 (2021) against COVID-19; not boosted.   6. DM2 with A1c 7.0. Not on any home meds.   7. HTN -- on Ace/HCTZ/CCB at home.   8. PVD with history of R Fem tib bypass graft -- on ASA and Statin. 9. AAA with repair in 2019 (Dr.).   -- stool frequency slowing and becoming more particulate. DC home today. Vanco to complete 10 days. She is agreeable to this discharge plan. PCP follow up 1-2 weeks. Continue self quarantine (for COVID x 3 more days at home)."
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Colitis microscopic, Diarrhoea, Glycosylated haemoglobin normal, Leukocytosis, Malnutrition
Clinical narrative: Provider Summary "These were her acute medical issues addressed:   1. Diarrhea/ loose stools x 2 weeks. Meal related. Due to C diff colitis. -- stool PCR +ve for C diff toxin (PCR and EIA). -- no associated AKI or significant electrolyte abnormalities. -- received IVF and PO Vancomycin started. -- tolerated PO feedings, felt stronger, stool more particulate at discharge. -- plan to treat 10 days with Vancomycin PO.   2. Generalized weakness due to #1. 3. Leukocytosis. Resolved at discharge.   4. COVID-19 positive. No resp complaints, no fever or hypoxia. 5. Vaccinated x 2 (2021) against COVID-19; not boosted.   6. DM2 with A1c 7.0. Not on any home meds.   7. HTN -- on Ace/HCTZ/CCB at home.   8. PVD with history of R Fem tib bypass graft -- on ASA and Statin. 9. AAA with repair in 2019 (Dr.).   -- stool frequency slowing and becoming more particulate. DC home today. Vanco to complete 10 days. She is agreeable to this discharge plan. PCP follow up 1-2 weeks. Continue self quarantine (for COVID x 3 more days at home)."
Age: 79.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Polymerase chain reaction, SARS-CoV-2 test positive
Clinical narrative: Provider Summary "These were her acute medical issues addressed:   1. Diarrhea/ loose stools x 2 weeks. Meal related. Due to C diff colitis. -- stool PCR +ve for C diff toxin (PCR and EIA). -- no associated AKI or significant electrolyte abnormalities. -- received IVF and PO Vancomycin started. -- tolerated PO feedings, felt stronger, stool more particulate at discharge. -- plan to treat 10 days with Vancomycin PO.   2. Generalized weakness due to #1. 3. Leukocytosis. Resolved at discharge.   4. COVID-19 positive. No resp complaints, no fever or hypoxia. 5. Vaccinated x 2 (2021) against COVID-19; not boosted.   6. DM2 with A1c 7.0. Not on any home meds.   7. HTN -- on Ace/HCTZ/CCB at home.   8. PVD with history of R Fem tib bypass graft -- on ASA and Statin. 9. AAA with repair in 2019 (Dr.).   -- stool frequency slowing and becoming more particulate. DC home today. Vanco to complete 10 days. She is agreeable to this discharge plan. PCP follow up 1-2 weeks. Continue self quarantine (for COVID x 3 more days at home)."
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered, Product administration error
Clinical narrative: Administration Error - vaccine administered beyond use date.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Exposure to SARS-CoV-2, Interchange of vaccine products, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: 05/18/2022 vaccination. 06/06/2022 were exposed to COVID. My partner was away and was exposed. When he arrived that night, he had a bit of a sniffle. 06/08/2022 found out he was exposed. 06/09/2022 I tested positive and contacted my Dr. It took a week for Dr. to contact me back. I was 'ok' they didn't contact me back as I wasn't feeling too poorly. I had some post-nasal gunk, sneezing. I had talked with a nurse and somehow the communication got dropped. 06/16/2022 Spoke to Dr. I thought I was 'fine'. I had gone to the hotel room to see my partner. Somehow I ended up having a relapse. 06/17/2022 I was still testing positive. I continued isolation. Sniffles, post nasal drip, sneezing. 06/21/2022 I tested COVID.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Sneezing, Upper-airway cough syndrome
Clinical narrative: 05/18/2022 vaccination. 06/06/2022 were exposed to COVID. My partner was away and was exposed. When he arrived that night, he had a bit of a sniffle. 06/08/2022 found out he was exposed. 06/09/2022 I tested positive and contacted my Dr. It took a week for Dr. to contact me back. I was 'ok' they didn't contact me back as I wasn't feeling too poorly. I had some post-nasal gunk, sneezing. I had talked with a nurse and somehow the communication got dropped. 06/16/2022 Spoke to Dr. I thought I was 'fine'. I had gone to the hotel room to see my partner. Somehow I ended up having a relapse. 06/17/2022 I was still testing positive. I continued isolation. Sniffles, post nasal drip, sneezing. 06/21/2022 I tested COVID.
Age: 47.0
Sex: F
Vaccine: COVID19
Symptoms: Expired product administered
Clinical narrative: Administration Error - vaccine given beyond use date.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Blood test, Chest pain, Dyspnoea, Electrocardiogram, Fatigue
Clinical narrative: Have been having trouble breathing and chest pain on and off since the vaccine.  Finally went to the ER almost a year later and that pain (heart attack type pain) it was diagnosed as inflammation of the heart and lungs.  Extreme fatigue when this happens.  I could say this has happened to me about 8 times through out this year.  I have four elementary and younger children and work from home .  It?s been a very difficult year with this happening.  Doctor at the ER rules out heart attack and told me to take it easy and take anti inflammatories for three days.
Age: 37.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pericarditis, Pneumonitis
Clinical narrative: Have been having trouble breathing and chest pain on and off since the vaccine.  Finally went to the ER almost a year later and that pain (heart attack type pain) it was diagnosed as inflammation of the heart and lungs.  Extreme fatigue when this happens.  I could say this has happened to me about 8 times through out this year.  I have four elementary and younger children and work from home .  It?s been a very difficult year with this happening.  Doctor at the ER rules out heart attack and told me to take it easy and take anti inflammatories for three days.
Age: 3.0
Sex: F
Vaccine: COVID19
Symptoms: Vaccination error
Clinical narrative: Vaccinator inserted needle into pt's arm. Mother did not have a good hold and pt moved. Needle came out before vaccinator was able to inject.  Pt was  then vaccinated with full dose.
Age: 65.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored in freezer >2 weeks
Age: 30.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Electric shock sensation, Hypoaesthesia, Laboratory test, Paraesthesia
Clinical narrative: roughly the middle of March started experiencing occasional numbness and tingling in hands and forearms. then in beginning of June started experiencing more frequent numbness and tingling, that turned into shock-type pains in my elbows, and pin-prick type feelings in my fingers. my hands and arms began feeling like they were asleep a good portion of the day as well. in the last week or so I have also started getting numbness in my feet as well, and that "fallen asleep" feeling.
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored in freezer >2 weeks
Age: 46.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored in freezer >2 weeks
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored in freezer > 2 weeks.
Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored in freezer >2 weeks
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Cough, Disturbance in attention, Feeling abnormal, Headache
Clinical narrative: Covid symptoms started on 04/14/2022 around noon; tested positive 04/16/22. I had stuffiness, drainage, allergy symptoms, and developed fever. I had a home test first and then a PCR at urgent care. As fever started, I had a sore throat, coughing, soreness and achiness everywhere and I felt like I was hit by a bus, and headache. Symptoms lasted for about a week, at least by that next Thursday, and they were pretty much gone. I did get the monoclonal antibodies treatment. I did have concentration issues for awhile that lasted about two months and I would forget things and lose my train of thought. It seems to have gone at this point.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Hypersensitivity, Memory impairment, Nasal congestion, Oropharyngeal pain, Pain
Clinical narrative: Covid symptoms started on 04/14/2022 around noon; tested positive 04/16/22. I had stuffiness, drainage, allergy symptoms, and developed fever. I had a home test first and then a PCR at urgent care. As fever started, I had a sore throat, coughing, soreness and achiness everywhere and I felt like I was hit by a bus, and headache. Symptoms lasted for about a week, at least by that next Thursday, and they were pretty much gone. I did get the monoclonal antibodies treatment. I did have concentration issues for awhile that lasted about two months and I would forget things and lose my train of thought. It seems to have gone at this point.
Age: 52.0
Sex: M
Vaccine: COVID19
Symptoms: Pyrexia, Rhinorrhoea, SARS-CoV-2 test positive, Thinking abnormal
Clinical narrative: Covid symptoms started on 04/14/2022 around noon; tested positive 04/16/22. I had stuffiness, drainage, allergy symptoms, and developed fever. I had a home test first and then a PCR at urgent care. As fever started, I had a sore throat, coughing, soreness and achiness everywhere and I felt like I was hit by a bus, and headache. Symptoms lasted for about a week, at least by that next Thursday, and they were pretty much gone. I did get the monoclonal antibodies treatment. I did have concentration issues for awhile that lasted about two months and I would forget things and lose my train of thought. It seems to have gone at this point.
Age: 25.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored in freezer > 2 weeks
Age: 14.0
Sex: M
Vaccine: UNK
Symptoms: Palpitations, Syncope
Clinical narrative: Heart Palpitations, fainting
Age: 55.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored in freezer >2 weeks.
Age: 65.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Chills, Cold sweat, Dizziness, Lethargy, Nausea
Clinical narrative: He got his vaccines, had some soreness in his arms, had one vaccine in both arms, had about a 2/10.  He felt light headed that evening.  By the next morning he had the light headedness, chills and an on and off fever that came and went.  Tuesday night he had cold sweats at night.  By Wednesday he had mild fever, nausea and just lethargy.  He noticed a rash forming on Wednesday, looked like hives, but not raised, just flat, but strange pigmentation.  The rash was all over his torso, buttocks and very lightly on his upper thigh under his pant line, red dots.  Then by Thursday morning it ran down his legs to about 2/3 towards his knee where his shorts end.  Then the dots started connecting, and became a heavy rash (no itching), just pigmentation changes.  It looked like it was painful, but did not feel anything.  He took Benadryl for the reaction twice a day, and today his rash seems to be gone, very faint redness.  It started lightening up Saturday evening, and has slowly weaned until now.  It left his torso and buttocks and stayed longest on his thighs.   The other symptoms were gone by Friday afternoon/morning.    He called his doctor and informed them of it, but by the time they got back to him the situation had been resolving.
Age: 65.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Pain in extremity, Pigmentation disorder, Pyrexia, Rash, Rash erythematous
Clinical narrative: He got his vaccines, had some soreness in his arms, had one vaccine in both arms, had about a 2/10.  He felt light headed that evening.  By the next morning he had the light headedness, chills and an on and off fever that came and went.  Tuesday night he had cold sweats at night.  By Wednesday he had mild fever, nausea and just lethargy.  He noticed a rash forming on Wednesday, looked like hives, but not raised, just flat, but strange pigmentation.  The rash was all over his torso, buttocks and very lightly on his upper thigh under his pant line, red dots.  Then by Thursday morning it ran down his legs to about 2/3 towards his knee where his shorts end.  Then the dots started connecting, and became a heavy rash (no itching), just pigmentation changes.  It looked like it was painful, but did not feel anything.  He took Benadryl for the reaction twice a day, and today his rash seems to be gone, very faint redness.  It started lightening up Saturday evening, and has slowly weaned until now.  It left his torso and buttocks and stayed longest on his thighs.   The other symptoms were gone by Friday afternoon/morning.    He called his doctor and informed them of it, but by the time they got back to him the situation had been resolving.
Age: 65.0
Sex: M
Vaccine: PPV, VARZOS
Symptoms: Urticaria
Clinical narrative: He got his vaccines, had some soreness in his arms, had one vaccine in both arms, had about a 2/10.  He felt light headed that evening.  By the next morning he had the light headedness, chills and an on and off fever that came and went.  Tuesday night he had cold sweats at night.  By Wednesday he had mild fever, nausea and just lethargy.  He noticed a rash forming on Wednesday, looked like hives, but not raised, just flat, but strange pigmentation.  The rash was all over his torso, buttocks and very lightly on his upper thigh under his pant line, red dots.  Then by Thursday morning it ran down his legs to about 2/3 towards his knee where his shorts end.  Then the dots started connecting, and became a heavy rash (no itching), just pigmentation changes.  It looked like it was painful, but did not feel anything.  He took Benadryl for the reaction twice a day, and today his rash seems to be gone, very faint redness.  It started lightening up Saturday evening, and has slowly weaned until now.  It left his torso and buttocks and stayed longest on his thighs.   The other symptoms were gone by Friday afternoon/morning.    He called his doctor and informed them of it, but by the time they got back to him the situation had been resolving.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Computerised tomogram head normal, Fall, Lymphadenopathy, Malaise, Neurological symptom
Clinical narrative: Patient experienced a fall approximatly 2 hours after the vaccine was administered. He appeared to have "stroke like" symptoms and complained of "not feeling well".
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Nodule, Pulmonary mass, Skin test, Ultrasound abdomen abnormal
Clinical narrative: Patient experienced a fall approximatly 2 hours after the vaccine was administered. He appeared to have "stroke like" symptoms and complained of "not feeling well".
Age: 37.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored in freezer >2 weeks
Age: 24.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored in freezer > 2 weeks
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Asthenia, Atelectasis, COVID-19, Cardiac arrest, Cardiac failure
Clinical narrative: Came to ER on 5/31/2022 with generalized weakness and shortness of breath. Placed on supplemental oxygen and admitted to medical floor. Tested positive for Covid with home test.  Admitted to inpatient hospice on 6/12/2022 and died on 6/14/2022.  Primary cause of death: Community-acquired pneumonia.   Secondary cause of death cardiac arrest.   Tertiary cause of death heart failure with reduced ejection fraction.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiomegaly, Chest X-ray abnormal, Death, Dyspnoea, Lung opacity
Clinical narrative: Came to ER on 5/31/2022 with generalized weakness and shortness of breath. Placed on supplemental oxygen and admitted to medical floor. Tested positive for Covid with home test.  Admitted to inpatient hospice on 6/12/2022 and died on 6/14/2022.  Primary cause of death: Community-acquired pneumonia.   Secondary cause of death cardiac arrest.   Tertiary cause of death heart failure with reduced ejection fraction.
Age: 89.0
Sex: M
Vaccine: COVID19
Symptoms: Pneumonia, SARS-CoV-2 test positive
Clinical narrative: Came to ER on 5/31/2022 with generalized weakness and shortness of breath. Placed on supplemental oxygen and admitted to medical floor. Tested positive for Covid with home test.  Admitted to inpatient hospice on 6/12/2022 and died on 6/14/2022.  Primary cause of death: Community-acquired pneumonia.   Secondary cause of death cardiac arrest.   Tertiary cause of death heart failure with reduced ejection fraction.
Age: 46.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored in freezer >2 weeks
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ageusia, Blepharospasm, Discomfort, Dysgeusia, Dyskinesia
Clinical narrative: Timeline: 3/17-3/19 ? ear pressure like in an airplane or driving up the mountain ? Muffled and couldn?t hear much 3/20 ? ear pain inside and behind ? Had little tiny bump behind ear ? Got headache because of ear pain 3/21 6 am ? ear pain ? Bump got bigger ? Headache from the pain ? Pressure in the jaw like I was clenching it because of the ear pain ? R Eye brow twitching ? R Eye lid twitching ? R lip twitching 2 pm  ? Whole Tongue tingling ? R Lip tingling ? R cheek tingling ? R chin tingling 4 pm ? R eye bugging me like I got something in it.  ? Water tasted off: bitter or salty or something ? Tingling in the mouth and tongue stropped ? Ear was bugging me: called dr for ear ache appointment and twitching face (app is Friday 3/25) 7pm ? water tasted metallic  ? Spaghetti nothing ? Ice cream bite nothing ? Brownie bite nothing ? ?Maybe I need sleep? 10 pm ? headed to bed ? But got up for baby till 12:30am 3/23 ? bed at 12:30 am had ear pain inside and behind ? Up 2,3:30,4:45 am for baby ? 3/3:30 am baby slept next to face so I just that my face was numb because of that  ? Bed till 6:30, got up to shower to see if t he pain in my ear would go awake and just wake myself up because I felt OFF. while in shower I tried washing face and I couldn?t move it and feel it on the right side. Tried opening mouth and it felt weird.  ? Husband found me curled up on the shower floor as I told him we needed to go in to the hospital  This all started ? pressure in the ear ? Pain in the ear ? Pressure in the jaw ? Tingling in tongue, lip, jaw ? Eye sensitivity  ? Taste weird ? Numbness and droop ? Slight weakness in Right arm ? R eye won?t close   March 23,2022  3/23 - hospital for ~6 hrs: they discharged me with a complicated migraine 3/23 - neurologist advised me to go to hospital 3/23 - waited at hospital for 8 hrs before going in and being admitted. Wasn?t looked at by a neurologist until 11 hrs later: ruled it :   Ramsey Hunt Syndrome Symptoms: ? right side of the face paralyzed ? Can?t shut my right eye ? Numbness/tingling/twitching r face ? Hard to eat or swollen - so eating smoothies ? Ringing LOUDLY in my ears ? Can?t think straight  ? Sensitive to light in the right eye  ? Ear pressure like in an airplane ? ?Shingles? IN MY ear not able to see it on the outside at all ? Ear is ringing ? Bump (quarter size) under skin behind ear ? Swelling on the full right side around ear, jaw, eye and face ? Can?t taste food ? Water taste metallic and gross - feels like a lot of pressure and ringing then like something pops and then a bit better for 10-20 minutes and then all over again
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Ear discomfort, Ear pain, Ear swelling, Facial paralysis, Feeding disorder
Clinical narrative: Timeline: 3/17-3/19 ? ear pressure like in an airplane or driving up the mountain ? Muffled and couldn?t hear much 3/20 ? ear pain inside and behind ? Had little tiny bump behind ear ? Got headache because of ear pain 3/21 6 am ? ear pain ? Bump got bigger ? Headache from the pain ? Pressure in the jaw like I was clenching it because of the ear pain ? R Eye brow twitching ? R Eye lid twitching ? R lip twitching 2 pm  ? Whole Tongue tingling ? R Lip tingling ? R cheek tingling ? R chin tingling 4 pm ? R eye bugging me like I got something in it.  ? Water tasted off: bitter or salty or something ? Tingling in the mouth and tongue stropped ? Ear was bugging me: called dr for ear ache appointment and twitching face (app is Friday 3/25) 7pm ? water tasted metallic  ? Spaghetti nothing ? Ice cream bite nothing ? Brownie bite nothing ? ?Maybe I need sleep? 10 pm ? headed to bed ? But got up for baby till 12:30am 3/23 ? bed at 12:30 am had ear pain inside and behind ? Up 2,3:30,4:45 am for baby ? 3/3:30 am baby slept next to face so I just that my face was numb because of that  ? Bed till 6:30, got up to shower to see if t he pain in my ear would go awake and just wake myself up because I felt OFF. while in shower I tried washing face and I couldn?t move it and feel it on the right side. Tried opening mouth and it felt weird.  ? Husband found me curled up on the shower floor as I told him we needed to go in to the hospital  This all started ? pressure in the ear ? Pain in the ear ? Pressure in the jaw ? Tingling in tongue, lip, jaw ? Eye sensitivity  ? Taste weird ? Numbness and droop ? Slight weakness in Right arm ? R eye won?t close   March 23,2022  3/23 - hospital for ~6 hrs: they discharged me with a complicated migraine 3/23 - neurologist advised me to go to hospital 3/23 - waited at hospital for 8 hrs before going in and being admitted. Wasn?t looked at by a neurologist until 11 hrs later: ruled it :   Ramsey Hunt Syndrome Symptoms: ? right side of the face paralyzed ? Can?t shut my right eye ? Numbness/tingling/twitching r face ? Hard to eat or swollen - so eating smoothies ? Ringing LOUDLY in my ears ? Can?t think straight  ? Sensitive to light in the right eye  ? Ear pressure like in an airplane ? ?Shingles? IN MY ear not able to see it on the outside at all ? Ear is ringing ? Bump (quarter size) under skin behind ear ? Swelling on the full right side around ear, jaw, eye and face ? Can?t taste food ? Water taste metallic and gross - feels like a lot of pressure and ringing then like something pops and then a bit better for 10-20 minutes and then all over again
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Feeling abnormal, Headache, Hemiparesis, Herpes zoster, Herpes zoster oticus
Clinical narrative: Timeline: 3/17-3/19 ? ear pressure like in an airplane or driving up the mountain ? Muffled and couldn?t hear much 3/20 ? ear pain inside and behind ? Had little tiny bump behind ear ? Got headache because of ear pain 3/21 6 am ? ear pain ? Bump got bigger ? Headache from the pain ? Pressure in the jaw like I was clenching it because of the ear pain ? R Eye brow twitching ? R Eye lid twitching ? R lip twitching 2 pm  ? Whole Tongue tingling ? R Lip tingling ? R cheek tingling ? R chin tingling 4 pm ? R eye bugging me like I got something in it.  ? Water tasted off: bitter or salty or something ? Tingling in the mouth and tongue stropped ? Ear was bugging me: called dr for ear ache appointment and twitching face (app is Friday 3/25) 7pm ? water tasted metallic  ? Spaghetti nothing ? Ice cream bite nothing ? Brownie bite nothing ? ?Maybe I need sleep? 10 pm ? headed to bed ? But got up for baby till 12:30am 3/23 ? bed at 12:30 am had ear pain inside and behind ? Up 2,3:30,4:45 am for baby ? 3/3:30 am baby slept next to face so I just that my face was numb because of that  ? Bed till 6:30, got up to shower to see if t he pain in my ear would go awake and just wake myself up because I felt OFF. while in shower I tried washing face and I couldn?t move it and feel it on the right side. Tried opening mouth and it felt weird.  ? Husband found me curled up on the shower floor as I told him we needed to go in to the hospital  This all started ? pressure in the ear ? Pain in the ear ? Pressure in the jaw ? Tingling in tongue, lip, jaw ? Eye sensitivity  ? Taste weird ? Numbness and droop ? Slight weakness in Right arm ? R eye won?t close   March 23,2022  3/23 - hospital for ~6 hrs: they discharged me with a complicated migraine 3/23 - neurologist advised me to go to hospital 3/23 - waited at hospital for 8 hrs before going in and being admitted. Wasn?t looked at by a neurologist until 11 hrs later: ruled it :   Ramsey Hunt Syndrome Symptoms: ? right side of the face paralyzed ? Can?t shut my right eye ? Numbness/tingling/twitching r face ? Hard to eat or swollen - so eating smoothies ? Ringing LOUDLY in my ears ? Can?t think straight  ? Sensitive to light in the right eye  ? Ear pressure like in an airplane ? ?Shingles? IN MY ear not able to see it on the outside at all ? Ear is ringing ? Bump (quarter size) under skin behind ear ? Swelling on the full right side around ear, jaw, eye and face ? Can?t taste food ? Water taste metallic and gross - feels like a lot of pressure and ringing then like something pops and then a bit better for 10-20 minutes and then all over again
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Hypoacusis, Hypoaesthesia, Lagophthalmos, Malaise, Mental impairment
Clinical narrative: Timeline: 3/17-3/19 ? ear pressure like in an airplane or driving up the mountain ? Muffled and couldn?t hear much 3/20 ? ear pain inside and behind ? Had little tiny bump behind ear ? Got headache because of ear pain 3/21 6 am ? ear pain ? Bump got bigger ? Headache from the pain ? Pressure in the jaw like I was clenching it because of the ear pain ? R Eye brow twitching ? R Eye lid twitching ? R lip twitching 2 pm  ? Whole Tongue tingling ? R Lip tingling ? R cheek tingling ? R chin tingling 4 pm ? R eye bugging me like I got something in it.  ? Water tasted off: bitter or salty or something ? Tingling in the mouth and tongue stropped ? Ear was bugging me: called dr for ear ache appointment and twitching face (app is Friday 3/25) 7pm ? water tasted metallic  ? Spaghetti nothing ? Ice cream bite nothing ? Brownie bite nothing ? ?Maybe I need sleep? 10 pm ? headed to bed ? But got up for baby till 12:30am 3/23 ? bed at 12:30 am had ear pain inside and behind ? Up 2,3:30,4:45 am for baby ? 3/3:30 am baby slept next to face so I just that my face was numb because of that  ? Bed till 6:30, got up to shower to see if t he pain in my ear would go awake and just wake myself up because I felt OFF. while in shower I tried washing face and I couldn?t move it and feel it on the right side. Tried opening mouth and it felt weird.  ? Husband found me curled up on the shower floor as I told him we needed to go in to the hospital  This all started ? pressure in the ear ? Pain in the ear ? Pressure in the jaw ? Tingling in tongue, lip, jaw ? Eye sensitivity  ? Taste weird ? Numbness and droop ? Slight weakness in Right arm ? R eye won?t close   March 23,2022  3/23 - hospital for ~6 hrs: they discharged me with a complicated migraine 3/23 - neurologist advised me to go to hospital 3/23 - waited at hospital for 8 hrs before going in and being admitted. Wasn?t looked at by a neurologist until 11 hrs later: ruled it :   Ramsey Hunt Syndrome Symptoms: ? right side of the face paralyzed ? Can?t shut my right eye ? Numbness/tingling/twitching r face ? Hard to eat or swollen - so eating smoothies ? Ringing LOUDLY in my ears ? Can?t think straight  ? Sensitive to light in the right eye  ? Ear pressure like in an airplane ? ?Shingles? IN MY ear not able to see it on the outside at all ? Ear is ringing ? Bump (quarter size) under skin behind ear ? Swelling on the full right side around ear, jaw, eye and face ? Can?t taste food ? Water taste metallic and gross - feels like a lot of pressure and ringing then like something pops and then a bit better for 10-20 minutes and then all over again
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Migraine, Muscle twitching, Muscular weakness, Neurological symptom, Ocular discomfort
Clinical narrative: Timeline: 3/17-3/19 ? ear pressure like in an airplane or driving up the mountain ? Muffled and couldn?t hear much 3/20 ? ear pain inside and behind ? Had little tiny bump behind ear ? Got headache because of ear pain 3/21 6 am ? ear pain ? Bump got bigger ? Headache from the pain ? Pressure in the jaw like I was clenching it because of the ear pain ? R Eye brow twitching ? R Eye lid twitching ? R lip twitching 2 pm  ? Whole Tongue tingling ? R Lip tingling ? R cheek tingling ? R chin tingling 4 pm ? R eye bugging me like I got something in it.  ? Water tasted off: bitter or salty or something ? Tingling in the mouth and tongue stropped ? Ear was bugging me: called dr for ear ache appointment and twitching face (app is Friday 3/25) 7pm ? water tasted metallic  ? Spaghetti nothing ? Ice cream bite nothing ? Brownie bite nothing ? ?Maybe I need sleep? 10 pm ? headed to bed ? But got up for baby till 12:30am 3/23 ? bed at 12:30 am had ear pain inside and behind ? Up 2,3:30,4:45 am for baby ? 3/3:30 am baby slept next to face so I just that my face was numb because of that  ? Bed till 6:30, got up to shower to see if t he pain in my ear would go awake and just wake myself up because I felt OFF. while in shower I tried washing face and I couldn?t move it and feel it on the right side. Tried opening mouth and it felt weird.  ? Husband found me curled up on the shower floor as I told him we needed to go in to the hospital  This all started ? pressure in the ear ? Pain in the ear ? Pressure in the jaw ? Tingling in tongue, lip, jaw ? Eye sensitivity  ? Taste weird ? Numbness and droop ? Slight weakness in Right arm ? R eye won?t close   March 23,2022  3/23 - hospital for ~6 hrs: they discharged me with a complicated migraine 3/23 - neurologist advised me to go to hospital 3/23 - waited at hospital for 8 hrs before going in and being admitted. Wasn?t looked at by a neurologist until 11 hrs later: ruled it :   Ramsey Hunt Syndrome Symptoms: ? right side of the face paralyzed ? Can?t shut my right eye ? Numbness/tingling/twitching r face ? Hard to eat or swollen - so eating smoothies ? Ringing LOUDLY in my ears ? Can?t think straight  ? Sensitive to light in the right eye  ? Ear pressure like in an airplane ? ?Shingles? IN MY ear not able to see it on the outside at all ? Ear is ringing ? Bump (quarter size) under skin behind ear ? Swelling on the full right side around ear, jaw, eye and face ? Can?t taste food ? Water taste metallic and gross - feels like a lot of pressure and ringing then like something pops and then a bit better for 10-20 minutes and then all over again
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Paraesthesia, Paraesthesia oral, Periorbital swelling, Photophobia, Swelling
Clinical narrative: Timeline: 3/17-3/19 ? ear pressure like in an airplane or driving up the mountain ? Muffled and couldn?t hear much 3/20 ? ear pain inside and behind ? Had little tiny bump behind ear ? Got headache because of ear pain 3/21 6 am ? ear pain ? Bump got bigger ? Headache from the pain ? Pressure in the jaw like I was clenching it because of the ear pain ? R Eye brow twitching ? R Eye lid twitching ? R lip twitching 2 pm  ? Whole Tongue tingling ? R Lip tingling ? R cheek tingling ? R chin tingling 4 pm ? R eye bugging me like I got something in it.  ? Water tasted off: bitter or salty or something ? Tingling in the mouth and tongue stropped ? Ear was bugging me: called dr for ear ache appointment and twitching face (app is Friday 3/25) 7pm ? water tasted metallic  ? Spaghetti nothing ? Ice cream bite nothing ? Brownie bite nothing ? ?Maybe I need sleep? 10 pm ? headed to bed ? But got up for baby till 12:30am 3/23 ? bed at 12:30 am had ear pain inside and behind ? Up 2,3:30,4:45 am for baby ? 3/3:30 am baby slept next to face so I just that my face was numb because of that  ? Bed till 6:30, got up to shower to see if t he pain in my ear would go awake and just wake myself up because I felt OFF. while in shower I tried washing face and I couldn?t move it and feel it on the right side. Tried opening mouth and it felt weird.  ? Husband found me curled up on the shower floor as I told him we needed to go in to the hospital  This all started ? pressure in the ear ? Pain in the ear ? Pressure in the jaw ? Tingling in tongue, lip, jaw ? Eye sensitivity  ? Taste weird ? Numbness and droop ? Slight weakness in Right arm ? R eye won?t close   March 23,2022  3/23 - hospital for ~6 hrs: they discharged me with a complicated migraine 3/23 - neurologist advised me to go to hospital 3/23 - waited at hospital for 8 hrs before going in and being admitted. Wasn?t looked at by a neurologist until 11 hrs later: ruled it :   Ramsey Hunt Syndrome Symptoms: ? right side of the face paralyzed ? Can?t shut my right eye ? Numbness/tingling/twitching r face ? Hard to eat or swollen - so eating smoothies ? Ringing LOUDLY in my ears ? Can?t think straight  ? Sensitive to light in the right eye  ? Ear pressure like in an airplane ? ?Shingles? IN MY ear not able to see it on the outside at all ? Ear is ringing ? Bump (quarter size) under skin behind ear ? Swelling on the full right side around ear, jaw, eye and face ? Can?t taste food ? Water taste metallic and gross - feels like a lot of pressure and ringing then like something pops and then a bit better for 10-20 minutes and then all over again
Age: 29.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Swelling face, Taste disorder, Tinnitus, Visual impairment
Clinical narrative: Timeline: 3/17-3/19 ? ear pressure like in an airplane or driving up the mountain ? Muffled and couldn?t hear much 3/20 ? ear pain inside and behind ? Had little tiny bump behind ear ? Got headache because of ear pain 3/21 6 am ? ear pain ? Bump got bigger ? Headache from the pain ? Pressure in the jaw like I was clenching it because of the ear pain ? R Eye brow twitching ? R Eye lid twitching ? R lip twitching 2 pm  ? Whole Tongue tingling ? R Lip tingling ? R cheek tingling ? R chin tingling 4 pm ? R eye bugging me like I got something in it.  ? Water tasted off: bitter or salty or something ? Tingling in the mouth and tongue stropped ? Ear was bugging me: called dr for ear ache appointment and twitching face (app is Friday 3/25) 7pm ? water tasted metallic  ? Spaghetti nothing ? Ice cream bite nothing ? Brownie bite nothing ? ?Maybe I need sleep? 10 pm ? headed to bed ? But got up for baby till 12:30am 3/23 ? bed at 12:30 am had ear pain inside and behind ? Up 2,3:30,4:45 am for baby ? 3/3:30 am baby slept next to face so I just that my face was numb because of that  ? Bed till 6:30, got up to shower to see if t he pain in my ear would go awake and just wake myself up because I felt OFF. while in shower I tried washing face and I couldn?t move it and feel it on the right side. Tried opening mouth and it felt weird.  ? Husband found me curled up on the shower floor as I told him we needed to go in to the hospital  This all started ? pressure in the ear ? Pain in the ear ? Pressure in the jaw ? Tingling in tongue, lip, jaw ? Eye sensitivity  ? Taste weird ? Numbness and droop ? Slight weakness in Right arm ? R eye won?t close   March 23,2022  3/23 - hospital for ~6 hrs: they discharged me with a complicated migraine 3/23 - neurologist advised me to go to hospital 3/23 - waited at hospital for 8 hrs before going in and being admitted. Wasn?t looked at by a neurologist until 11 hrs later: ruled it :   Ramsey Hunt Syndrome Symptoms: ? right side of the face paralyzed ? Can?t shut my right eye ? Numbness/tingling/twitching r face ? Hard to eat or swollen - so eating smoothies ? Ringing LOUDLY in my ears ? Can?t think straight  ? Sensitive to light in the right eye  ? Ear pressure like in an airplane ? ?Shingles? IN MY ear not able to see it on the outside at all ? Ear is ringing ? Bump (quarter size) under skin behind ear ? Swelling on the full right side around ear, jaw, eye and face ? Can?t taste food ? Water taste metallic and gross - feels like a lot of pressure and ringing then like something pops and then a bit better for 10-20 minutes and then all over again
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Pain in extremity, Peripheral swelling, Tenderness
Clinical narrative: Woke in the very early morning With a terrible pain on the top of my right foot. I didn?t look at it at the time. Took Advil and put some ice on it and it took a few hours to get better. I had no injury prior to that. In the morning it appeared red and swollen at my midfoot, more immediately. It was very tender around the proximal first metatarsal.
Age: 22.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored in freezer >2 weeks
Age: 8.0
Sex: F
Vaccine: COVID19
Symptoms: Feeling abnormal, Pallor, Syncope
Clinical narrative: About 5 minutes after the vaccine, patient reported to mom that she didn't feel good. Mom said her face went white, and then she fainted. Her head layed back on the chair, and when I went out to go help she was sliding down the chair, and I moved to lay her down on the floor. At this point she was conscious and asking what happed.  We gave her some water, and an icepack to cool her down. After about 15 minutes patients mom was going to take her to her pediatrician.
Age: 39.0
Sex: F
Vaccine: UNK
Symptoms: Arthralgia, Joint range of motion decreased
Clinical narrative: Since the vaccine I have severe shoulder pain and limited range of motion.  Over the counter pain medications does not help at all and the pain has not improved at all.
Age: 53.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia
Clinical narrative: Aching Joints.
Age: 11.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored in freezer > 2 weeks
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Dyspnoea, Inappropriate schedule of product administration, Pyrexia, SARS-CoV-2 test positive
Clinical narrative: Pfizer Dose 1 2/19/21 9EN6200) Pfizer Dose 2 3/13/21 (EN6204) Pfizer Does 3 1/26/22 (33030BD) COVID Positive 3/27/22  3/27/22: Patient has significant history of cognitive deficits multiple medical problems and tested positive for COVID in the ER.  Patient has an oxygen demand and is a good candidate at this time from the severe protocol. Patient is not short of breath and is not in any respiratory distress.  3/29/22: Patient was admitted with Covid 19. She had been found on the floor at her home by family, and had a low grade fever and complained of dyspnea at that time. She was admitted for IV Remdesivir treatment. Patient has not required oxygen at all since admission, she has no respiratory symptoms, has been afebrile, is eating well, and wants to be released today. She has been fully immunized against Covid prior to this illness, and her symptoms seem to have completely resolved at this point, so she will be discharged home.
Age: 70.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored in freezer >2 weeks.
Age: 20.0
Sex: F
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored in freezer > 2 weeks
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Amnesia, Blood test, Cognitive disorder, Fatigue, Feeling abnormal
Clinical narrative: I am not sure if it's from the vaccine. I got sick for days following each of my vaccines. Brain fog that has never gone away. But I also contracted covid twice. So I don't know if it's actually from the vaccine or from the virus it's self. I have severe cognitive issues. Short term memory loss, speech and memory problems. Muscle weakness and fatigue. It comes and goes in spurts. Some days are better than others.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Lumbar puncture, Magnetic resonance imaging, Malaise, Memory impairment, Muscular weakness
Clinical narrative: I am not sure if it's from the vaccine. I got sick for days following each of my vaccines. Brain fog that has never gone away. But I also contracted covid twice. So I don't know if it's actually from the vaccine or from the virus it's self. I have severe cognitive issues. Short term memory loss, speech and memory problems. Muscle weakness and fatigue. It comes and goes in spurts. Some days are better than others.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Speech disorder
Clinical narrative: I am not sure if it's from the vaccine. I got sick for days following each of my vaccines. Brain fog that has never gone away. But I also contracted covid twice. So I don't know if it's actually from the vaccine or from the virus it's self. I have severe cognitive issues. Short term memory loss, speech and memory problems. Muscle weakness and fatigue. It comes and goes in spurts. Some days are better than others.
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored in freezer > 2 weeks
Age: 72.0
Sex: F
Vaccine: PNC20
Symptoms: Injection site erythema, Injection site pruritus, Injection site swelling
Clinical narrative: Patient had redness, swelling, and itchiness on left deltoid the day after administration. As of 6/22/22, the arm is still red and a little itchy
Age: 44.0
Sex: U
Vaccine: COVID19
Symptoms: Product storage error
Clinical narrative: Stored in freezer > 2 weeks
Age: 1.25
Sex: M
Vaccine: DTAP, HIBV, VARCEL
Symptoms: Pyrexia, Rash
Clinical narrative: Fever that started Monday 06/20/22 and lasted until Tuesday 06/21/22 Rash that started Tuesday 06/21/22 and is current
Age: 3.0
Sex: F
Vaccine: DTAP, HEPA, HIBV, MMRV, PNC13
Symptoms: Extra dose administered, No adverse event
Clinical narrative: No adverse reaction, however the patient was given an additional dose that was not necessary.  It would appear that the patient has had 7 DTaP doses to date. And additional dose of IPV
Age: 76.0
Sex: M
Vaccine: COVID19
Symptoms: Acute kidney injury, Acute myocardial infarction, Acute respiratory failure, Anticoagulant therapy, Blood chloride decreased
Clinical narrative: Moderna Dose 1 4/27/21 (008C21A); Moderna Dose 2 5/25/21 (024C21A); COVID Positive 1/26/22; 1/26/22: Patient is a 76-year-old male with a past medical history significant for type 2 diabetes with diabetic neuropathy, coronary artery disease, hypertension, peripheral vascular disease, CKD, history of tracheostomy. The patient presents to the ED today via EMS with new onset confusion that began this afternoon. The patient's accompanying symptoms include shortness of breath, and cough.  He denies any chest pain, nausea, vomiting, diarrhea or abdominal pain. The patient tested positive for COVID-19 yesterday at the facility.  The patient was on 3 L oxygen via nasal cannula with O2 saturations at 75% prior to arrival to ED.  since arrival patient's O2 saturations have improved to 92% on 2 L oxygen via nasal cannula.  The patient is vaccinated against COVID-19 and has received is booster vaccination as well. The patient's symptoms began 2 days ago and have worsened rapidly according to the nursing home.  He has not been taking any medications for relief of his symptoms.  The patient denies any alcohol abuse, illicit drug abuse or tobacco use. Upon arrival to ED patient's temperature is 99.3°, heart rate 106, respirations 20, pulse ox 99% on 2 L oxygen via nasal cannula, blood pressure 123/100. Patient's laboratory findings are significant for sodium 132, chloride 95, glucose 184, BUN 63, creatinine 2.73, proBNP 21134, troponin 4.22, WBC 11.81, hemoglobin 11.2, hematocrit 37.6. The patient was started on a heparin drip in the ED and received 750 mg IV Levaquin and 1 L IV normal saline. The patient was seen and examined at the bedside in the ED.  The patient is not oriented x4 per his baseline; however, he is able to answer some questions appropriately. I did have a discussion with the patient and the patient's wife over the phone in regards to his code status.  The patient does have a DNR/DNI with comfort measures only. The patient's wife states that he does not want any procedures done at all as these are his wishes. The patient is being admitted to the hospital for management of COVID-19 pneumonia, NSTEMI, Rule out PE, and dehydration. 1/31/22: Patient is a 76-year-old male history of chronic hypoxic respiratory failure on home oxygen 3 L at baseline admitted to hospital for acute hypoxic respiratory failure due to COVID-19 pneumonia patient was treated with supplemental oxygen, antibiotics and Decadron, hospitalization was complicated by acute kidney injury on CKD and elevated troponin, as time progressed patient improved with medical treatment, patient was evaluated by Cardiology, recommended medical therapy.  Patient will be discharged.