chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Asthma
Clinical narrative: Systemic: triggered onset of asthma attack-Medium, Additional Details: probably not related but possible trigger of asthma attack. pt states she had a asthma attack 2 days ago. she states she has been having increase attacks in the last couple of weeks.
Age: 28.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Hyperhidrosis, Paraesthesia
Clinical narrative: Patient reported tingling sensations all over body, heavy sweating, and *feeling like fainting* 5 minutes after injection during observation period.  One dose of epipen was administered and patient immediately started feeling better after 2 minutes
Age: 60.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site mass, Pain in extremity
Clinical narrative: Patient stated she had first Moderna vaccine on 5/10, and had sore arm the same day. She stated yesterday she developed a lump at the site, that was about 1/2 inch thick, and 1" long. She stated it does not hurt. She has not tried anything on it. RN suggested she may try cool compress. RN stated to let her provider know. She stated she has a routine appt on Friday with provider. RN suggested calling him/her a heads up before appt. She stated understanding.
Age: 80.0
Sex: F
Vaccine: COVID19
Symptoms: Hyperhidrosis, Pain in extremity, Pyrexia
Clinical narrative: Sweating , pain in legs fever
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Limb injury, Pain, Paraesthesia
Clinical narrative: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)
Age: 34.0
Sex: M
Vaccine: COVID19
Symptoms: Rash, Rash erythematous, Rash papular
Clinical narrative: Day after dose 2 pt developed generalized rash on body. Reported rash (red, raised bumps) on 19May21. Denies any breathing difficulties or swelling.  Pt took Benadryl with relief.  Currently rash only appears if he scratches his skin.
Age: 78.0
Sex: F
Vaccine: HPV9
Symptoms: Arthralgia, Gait inability, Musculoskeletal stiffness
Clinical narrative: Woke up one morning  extremely stiff with extreme pain in every joint in my body. Could barely walk. Was fine the day before. With aspirin and Tylenol I am beginning to move easier but still not as I was.
Age: 15.0
Sex: M
Vaccine: COVID19
Symptoms: Syncope
Clinical narrative: Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient received vaccine and passed out. Father reported after event that patient has passed out from needles and previous vaccines and did not notify the pharmacist prior to administration. Patient recovered quickly and remained in store for 20 minutes post event with no reported issues. Father denied need to call 911 and patient was responsive within 5-10 seconds.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pruritus, Peripheral swelling
Clinical narrative: Site: Itching at Injection Site-Mild, Additional Details: Patient's legs swollen the day after the vaccine.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Myalgia
Clinical narrative: Approximately 6 hrs after the injection, I began to experience the following symptoms: fatigue, joint and muscle pain, fever, chills, severe headache and nausea. Treated with ibuprofen. Symptoms subsided completely after 24 hrs.
Age: 45.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: Approximately 6 hrs after the injection, I began to experience the following symptoms: fatigue, joint and muscle pain, fever, chills, severe headache and nausea. Treated with ibuprofen. Symptoms subsided completely after 24 hrs.
Age: 12.0
Sex: F
Vaccine: COVID19
Symptoms: Dyspnoea, Pruritus
Clinical narrative: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Severe, Systemic: Allergic: Itch Generalized-Mild
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chest X-ray, Computerised tomogram head, Hemiplegia, Lung opacity, Total lung capacity decreased
Clinical narrative: acute onset left sided hemiplegia,  new opacification--may represent increasing pleural effusion, consolidation, and/or atelectasis, decreased lung volumes.
Age: 79.0
Sex: M
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient hospitalized within 6 weeks of receiving COVID vaccination.
Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Dyspnoea, Neck pain
Clinical narrative: Chills, achiness in neck and shoulders, Shortness of Breath
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Eye swelling, Injection site swelling, Mouth swelling, Swelling face
Clinical narrative: Site: Swelling at Injection Site-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Visual Changes/Disturbances-Medium
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Swollen tongue, Visual impairment
Clinical narrative: Site: Swelling at Injection Site-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Visual Changes/Disturbances-Medium
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia oral, Paraesthesia, Pharyngeal hypoaesthesia
Clinical narrative: PT c/o tingling/ numbness to mouth and throat. administration of Benadryl PO per standing orders. Pt remained on site 15 min w/o additional complaints. PMH - Pt received 1st dose Moderna on 3/18/2021
Age: 59.0
Sex: M
Vaccine: COVID19
Symptoms: Pain in extremity
Clinical narrative: I received my vaccine six weeks ago. My arm still hurts as if I got the vaccine yesterday.
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Dizziness, Fatigue, Myalgia, Nausea
Clinical narrative: Extreme fatigue,sever muscle and joint pain,nausea,vomiting (x1), dizziness ,fevers greater than 100.1 for 36 hours
Age: 34.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia, SARS-CoV-2 test, Vomiting
Clinical narrative: Extreme fatigue,sever muscle and joint pain,nausea,vomiting (x1), dizziness ,fevers greater than 100.1 for 36 hours
Age: 66.0
Sex: F
Vaccine: COVID19
Symptoms: Asymptomatic COVID-19, SARS-CoV-2 test negative, SARS-CoV-2 test positive
Clinical narrative: asymptomatic
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Eye irritation, Fatigue, Headache, Muscular weakness
Clinical narrative: Headache, fever, chills, body aches, extreme fatigue. Leg weakness, eyes burning
Age: 29.0
Sex: F
Vaccine: COVID19
Symptoms: Pain, Pyrexia
Clinical narrative: Headache, fever, chills, body aches, extreme fatigue. Leg weakness, eyes burning
Age: 27.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain
Clinical narrative: Muscle pain in arm of injection
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, SARS-CoV-2 test
Clinical narrative: COVID-19  Encounter for screening laboratory testing for COVID-19 virus  BMI 26.0-26.9,adult
Age: 21.0
Sex: M
Vaccine: COVID19
Symptoms: Seizure, Syncope
Clinical narrative: patient fainted and started convulsing - ambulance was called
Age: 69.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: COVID-19, Device dislocation, SARS-CoV-2 test positive
Clinical narrative: Presented to EC on 03/20 for "... presented for PEG tube being dislodged.  He has history of severe malnutrition, recurrent aspirations prompting PEG placement ... On presentation he had HR in 120's and was started on cardizem gtt.  He was found positive for COVID.  He did have 2 doses of the COVID vaccine - second dose avout 2-3 weeks prior to admission.:    Tests, all NAA / PCR: 07/25/2020 SARS-CoV-2 (COVID-19) NOT detected 09/01/2020 SARS-CoV-2 (COVID-19) NOT detected 12/31/2020 SARS-CoV-2 (COVID-19) detected 03/18/2021 SARS-CoV-2 (COVID-19) detected
Age: 28.0
Sex: U
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Muscle spasms, Nausea, Photophobia
Clinical narrative: History of seizures. Complained of dizziness, nausea, photosensitivity to light, spasm and anxiety. Provided water; symptoms resolved; no transport.
Age: 28.0
Sex: U
Vaccine: COVID19
Symptoms: Photosensitivity reaction
Clinical narrative: History of seizures. Complained of dizziness, nausea, photosensitivity to light, spasm and anxiety. Provided water; symptoms resolved; no transport.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Headache, Hypoacusis, Lymphadenopathy, Pain in extremity
Clinical narrative: She got her vaccine, about a day and a half her arm was sore and itchy.  Then later on it was red, splotchy kind of redness, but not at the point of the injection, just a couple of inches below towards the elbow.  This lasted for about a week.  The soreness went away but could see redness in the area, which took about 4 weeks for this to disappear completely.  She had a headache which lasted for a short period of time, and disappeared.  She also had a swollen lymph node along her waste that were sore about 2 days after the vaccine, which also disappeared and had it only for a day or two.   She started noticing a sound, thinking it was in her old house the 2nd week of April, but moved to a quieter neighborhood and still noticed it.  She was reading an article this morning in the paper and realized the sound that she was hearing was tinnitus.  She was only born with one ear and it sounds more like a beeping sound than a ringing, but it continues to bother her.  She does not notice it when she's out driving around from the other noises in the environment but when it's quiet due to the one ear she can hear it.  With only one ear she cannot determine the direction of where the sound is coming from, but does notice it during quietness.  She puts her ear up to the wall to determine where the sound is coming from and plugged her ear, and determine it was from the ear itself.     She is worried about it getting worse or not getting any better with only having the one ear.
Age: 77.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash macular, Tinnitus
Clinical narrative: She got her vaccine, about a day and a half her arm was sore and itchy.  Then later on it was red, splotchy kind of redness, but not at the point of the injection, just a couple of inches below towards the elbow.  This lasted for about a week.  The soreness went away but could see redness in the area, which took about 4 weeks for this to disappear completely.  She had a headache which lasted for a short period of time, and disappeared.  She also had a swollen lymph node along her waste that were sore about 2 days after the vaccine, which also disappeared and had it only for a day or two.   She started noticing a sound, thinking it was in her old house the 2nd week of April, but moved to a quieter neighborhood and still noticed it.  She was reading an article this morning in the paper and realized the sound that she was hearing was tinnitus.  She was only born with one ear and it sounds more like a beeping sound than a ringing, but it continues to bother her.  She does not notice it when she's out driving around from the other noises in the environment but when it's quiet due to the one ear she can hear it.  With only one ear she cannot determine the direction of where the sound is coming from, but does notice it during quietness.  She puts her ear up to the wall to determine where the sound is coming from and plugged her ear, and determine it was from the ear itself.     She is worried about it getting worse or not getting any better with only having the one ear.
Age: 55.0
Sex: F
Vaccine: COVID19
Symptoms: Anosmia, Headache, Nasal congestion, Oropharyngeal pain, Pain
Clinical narrative: symptom onset 5/14/2021 body aches, headache, sore throat, nasal congestion, lost smell
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Breast inflammation, Breast swelling, Dyspnoea, Injection site erythema, Injection site swelling
Clinical narrative: The same night of the injection, I experienced shortness of breath and I had to concentrate on my breathing in order to breath. That right short hurt. A day or two this continued. After the next few days I was fine. The following week, I noticed under my right breast and right arm, I had limited moving and a lot of swelling. That arm from the deltoid down also was red and swollen. I contacted my doctor a week after my vaccination. My doctor recommended not getting the second dose due to how it affected my breathing more so than anything. There is still some swelling under my right armpit where my lymph node is but it is not anywhere as bad as it was, and my doctor is not concerned.
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphadenopathy, Mammogram, Mobility decreased, Peripheral swelling
Clinical narrative: The same night of the injection, I experienced shortness of breath and I had to concentrate on my breathing in order to breath. That right short hurt. A day or two this continued. After the next few days I was fine. The following week, I noticed under my right breast and right arm, I had limited moving and a lot of swelling. That arm from the deltoid down also was red and swollen. I contacted my doctor a week after my vaccination. My doctor recommended not getting the second dose due to how it affected my breathing more so than anything. There is still some swelling under my right armpit where my lymph node is but it is not anywhere as bad as it was, and my doctor is not concerned.
Age: 88.0
Sex: M
Vaccine: COVID19
Symptoms: Cardiac arrest, Dyspnoea, Pulmonary pain, SARS-CoV-2 test negative
Clinical narrative: Difficulty to breath, pain in the lungs,  patient was rushed to the hospital and after addition, patient goes to cardiac arrest.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Decreased appetite, Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling
Clinical narrative: Within 24 hours of receiving the vaccine, she developed muscle aches, felt feverish, had nausea and loss of appetite.   These symptoms have subsided except that she still has some nausea and loss of appetite, but it is not as bothersome.     About 24 hours after she got the injection, at the injection site, she also developed swelling of her arm, induration at the injection site, redness, itching.  She is still having these symptoms.
Age: 49.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Nausea, Pyrexia
Clinical narrative: Within 24 hours of receiving the vaccine, she developed muscle aches, felt feverish, had nausea and loss of appetite.   These symptoms have subsided except that she still has some nausea and loss of appetite, but it is not as bothersome.     About 24 hours after she got the injection, at the injection site, she also developed swelling of her arm, induration at the injection site, redness, itching.  She is still having these symptoms.
Age: 51.0
Sex: M
Vaccine: COVID19
Symptoms: Dizziness, Syncope
Clinical narrative: Patient began feeling lightheaded and collapsed out of his chair. The patient did not recall falling from the chair but was conscious when attended to by the pharmacist. He had just started new medications (Lisinopril and Metformin) and had taken them in the morning prior to arriving for his vaccination. The patient did not eat anything in the morning prior to arriving for his vaccination. He was given water, a cold pack, and then orange juice. His symptoms improved and he was able to get up and walk under his own power.
Age: 78.0
Sex: F
Vaccine: COVID19
Symptoms: Atrophy
Clinical narrative: Atrophy in left leg and right arm.
Age: 19.0
Sex: F
Vaccine: COVID19
Symptoms: Pruritus, Rash
Clinical narrative: Rash Itchyness  On face, neck, arm, shoulder, chest, lower arm, back  (Upper and Lower)
Age: 48.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site pain, Injection site swelling, Joint swelling
Clinical narrative: elbow joint swelling and pain in same arm as injection beginning about 5 days post inoculation and lasting well through day 14 following vaccination.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: COVID-19, Cough, Exposure to SARS-CoV-2, Fatigue, Headache
Clinical narrative: LOW GRADE FEVER BAD HEADACHES CONGESTION/RUNNY NOSE NO APPETITE NEW ONSET COUGH ED
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia, Respiratory tract congestion, Rhinorrhoea, SARS-CoV-2 test positive
Clinical narrative: LOW GRADE FEVER BAD HEADACHES CONGESTION/RUNNY NOSE NO APPETITE NEW ONSET COUGH ED
Age: 55.0
Sex: M
Vaccine: COVID19
Symptoms: Acoustic stimulation tests, Tinnitus
Clinical narrative: The patient developed constant high pitched tinnitus in both ears between 12 and 24 hrs after receiving his 2nd covid19 vaccine (moderna).  This has persisted x 2 weeks thus far w/o improvement.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Back pain, Condition aggravated, Gastrointestinal pain, Headache, Injection site pain
Clinical narrative: Fever (99.80), Nausea, Headache, Low back pain, Intestinal cramping x 36 hours; left arm pain around site of injection x 5 days.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Nausea, Pyrexia
Clinical narrative: Fever (99.80), Nausea, Headache, Low back pain, Intestinal cramping x 36 hours; left arm pain around site of injection x 5 days.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Erythema, Rash, Swelling face
Clinical narrative: Swelling, red rash on face, especially cheeks, starting about 7 days after both the first and second vaccine doses. Red rash on left had at index finger knuckle.
Age: 38.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: Rash, pain, redness, and swelling at injection site.
Age: 42.0
Sex: U
Vaccine: COVID19
Symptoms: Dizziness, Dyspnoea
Clinical narrative: Patient complained of feeling dizzy , c/o difficulty breathing.  Nurse then intervened with ammonia.  Patient immediately said he was feeling better.
Age: 32.0
Sex: F
Vaccine: COVID19
Symptoms: Psychogenic seizure, Respiratory arrest, Staring, Tension, Tremor
Clinical narrative: My whole body tensed up and I began shaking and my arms and legs pulled up into the fetal position and I couldn't breathe all I could do was stare. It felt like a seizure.
Age: 61.0
Sex: F
Vaccine: COVID19
Symptoms: Immediate post-injection reaction, Loss of consciousness, Muscular weakness
Clinical narrative: This  was reported to this writer. The patient lost consciousness immediately after the injection. Laid on floor by daughter. There was no head trauma.  EMS was called and assumed care. Patient's legs were elevated. Laid on floor for 10 minutes. Conscious and able to answer questions from EMTs, with daughter interpreting. Patient was eventually assisted to a wheelchair and wheeled into the observation area. There was leg weakness with transfer.  While in the post vaccination observation area, patient was talking, drinking water.  Appeared stable. 15 minutes from EMT arrival, they left.  Patient able to stand and walk with stable gait 45 minutes following the incident.  Taken home by daughter.
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus - ringing in both ears. No prior condition before receiving the COVID shot.  I received the injection of the Pfizer COVID vaccine (dose #1) at 2:30pm on May 13, 2021 at  the Pharmacy . I had a normal day the remainder of the day (work, errands, taking care of my children, etc.) so either the tinnitus had not yet developed or, because of the external sounds, I didn't notice it. I first noticed it the next morning when I awoke but went about my day (with more external sounds masking it). Later that day, I was in a quiet location and noticed the noise again; I thought it might be an electrical motor humming or something (I was in a public place); it was not.  The sound is a high pitched 'white noise' sound, is continuous, has not improved and is most noticible when in quiet situations (reading, sleeping, working on the computer).   While the government machine convinced me to do my civic duty to receive the first injection, I will not return for the second injection.
Age: 70.0
Sex: F
Vaccine: COVID19
Symptoms: Unevaluable event
Clinical narrative: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. This occurred on 4/10/21 and on 5/12/21.
Age: 49.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Pyrexia
Clinical narrative: Fever; joint aches.
Age: 50.0
Sex: F
Vaccine: COVID19
Symptoms: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling
Clinical narrative: Red, raised, itchy rash around injection site.  Redness lasted 5 days.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Arthralgia, Chills, Fatigue, Headache, Pain
Clinical narrative: Fever, chills, headache, bodyaches, periodic zingers of pain in my knees, exhaustion. Basically resolved after 19 hours. Ongoing fatigue for another 10-12 days.
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Pyrexia
Clinical narrative: Fever, chills, headache, bodyaches, periodic zingers of pain in my knees, exhaustion. Basically resolved after 19 hours. Ongoing fatigue for another 10-12 days.
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Cardiogenic shock, Multiple organ dysfunction syndrome, Myocarditis
Clinical narrative: Severe myocarditis, cardiogenic shock, multiorgan system failure
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Acidosis, Antinuclear antibody, Aspiration, Blood lactate dehydrogenase increased, Blood pH decreased
Clinical narrative: Severe myocarditis, cardiogenic shock, multiorgan system failure
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Body temperature increased, C-reactive protein increased, Cardiac failure congestive, Cardiogenic shock, Catheterisation cardiac normal
Clinical narrative: Severe myocarditis, cardiogenic shock, multiorgan system failure
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Chest X-ray abnormal, Diarrhoea, Dyspnoea, Echocardiogram, Ejection fraction decreased
Clinical narrative: Severe myocarditis, cardiogenic shock, multiorgan system failure
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Endotracheal intubation, HIV test, Intensive care, Laboratory test abnormal, Lung infiltration
Clinical narrative: Severe myocarditis, cardiogenic shock, multiorgan system failure
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Malaise, Mechanical ventilation, Mitral valve incompetence, Myalgia, Oropharyngeal pain
Clinical narrative: Severe myocarditis, cardiogenic shock, multiorgan system failure
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pericardial effusion, Polyuria, Pregnancy test negative, Pulmonary oedema, Renal replacement therapy
Clinical narrative: Severe myocarditis, cardiogenic shock, multiorgan system failure
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Respiratory viral panel, Rheumatoid factor, SARS-CoV-2 test negative, Sinus congestion, Transaminases increased
Clinical narrative: Severe myocarditis, cardiogenic shock, multiorgan system failure
Age: 33.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Troponin, Viral myocarditis
Clinical narrative: Severe myocarditis, cardiogenic shock, multiorgan system failure
Age: 56.0
Sex: F
Vaccine: COVID19
Symptoms: Headache
Clinical narrative: headaches
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Atrial fibrillation, Blood culture negative, COVID-19, Chills
Clinical narrative: ED to Hosp-Admission Discharged  3/28/2021 - 3/30/2021 (2 days)    Last attending ? Treatment team Weakness Principal problem Discharge Summary DO (Physician) ? ? Internal Medicine           Discharge Summary   Hospitalist Medicine      Date: 3/30/2021 Admission Date: 3/28/2021 Length of Stay: 2 Days  Discharge Date: 3/30/2021     Admission Diagnosis     Hospital Problems          POA   * (Principal) Weakness Yes       Hypothyroidism Yes       Pure hypercholesterolemia Yes       Benign essential hypertension Yes       Atrial fibrillation  Yes       Acute cystitis without hematuria Yes       Generalized weakness Yes       COVID-19 virus infection Yes       Chronic respiratory failure with hypoxia  Yes            Home Under Care of a company unnamed   CODE STATUS: Full Code     Active Issues Requiring Follow-up     Finish course of antibiotics.  Participating remote monitoring.     Test Results Pending at Discharge     Pending Labs    Order Current Status   Blood culture Preliminary result   Blood culture Preliminary result         Hospital Course     HPI:  Patient is a 89 y.o. female with PMH listed who presents from home with her daughter complaining of about a week of increased weakness/fatigue and cough.  The fatigue is their primary concern, as this is so profound she will fall asleep on the toilet or even in the middle of getting dressed.  Appetite is decreased, but she denies N/V/D.  She feels "chilled", but no known fevers, no rigors/sweats.  Cough is occasionally productive of sputum, mostly clear but sometimes with small "chunks"; no hemoptysis.  No LE edema.  No HA or changes in taste/smell.  No known sick contacts, but patient has exposure to multiple daughters who help care for her, and she has been attending church recently.  Urine is dark/strong, but she denies dysuria.   Pt has received both doses of COVID-19 vaccine, second dose on 3/17/21.   Hospital Course:    Patient was admitted to medical floor for COVID-19 infection and urinary tract infection.  Patient had a very mild course of illness.  Decadron was started but patient did not require any remdesivir.  Patient has remained at her seen home oxygen requirement.  Patient was seen by PT and OT services for generalized weakness.  Blood cultures have been negative.  Patient is medically stable for discharge home today.  She will need another 2 days of antibiotics treatment for urinary tract infection.  Since her respiratory status has been very stable, we have chosen to discontinue the use of Decadron upon discharge to avoid any changes in mental status induced by steroids in an elderly patient.  Home health services and remote monitoring kit have been ordered at the time of discharge.   I have called patient's daughter  to provide update that patient is coming home today and answered her questions
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Chromaturia, Chronic respiratory failure, Cough, Cystitis, Decreased appetite
Clinical narrative: ED to Hosp-Admission Discharged  3/28/2021 - 3/30/2021 (2 days)    Last attending ? Treatment team Weakness Principal problem Discharge Summary DO (Physician) ? ? Internal Medicine           Discharge Summary   Hospitalist Medicine      Date: 3/30/2021 Admission Date: 3/28/2021 Length of Stay: 2 Days  Discharge Date: 3/30/2021     Admission Diagnosis     Hospital Problems          POA   * (Principal) Weakness Yes       Hypothyroidism Yes       Pure hypercholesterolemia Yes       Benign essential hypertension Yes       Atrial fibrillation  Yes       Acute cystitis without hematuria Yes       Generalized weakness Yes       COVID-19 virus infection Yes       Chronic respiratory failure with hypoxia  Yes            Home Under Care of a company unnamed   CODE STATUS: Full Code     Active Issues Requiring Follow-up     Finish course of antibiotics.  Participating remote monitoring.     Test Results Pending at Discharge     Pending Labs    Order Current Status   Blood culture Preliminary result   Blood culture Preliminary result         Hospital Course     HPI:  Patient is a 89 y.o. female with PMH listed who presents from home with her daughter complaining of about a week of increased weakness/fatigue and cough.  The fatigue is their primary concern, as this is so profound she will fall asleep on the toilet or even in the middle of getting dressed.  Appetite is decreased, but she denies N/V/D.  She feels "chilled", but no known fevers, no rigors/sweats.  Cough is occasionally productive of sputum, mostly clear but sometimes with small "chunks"; no hemoptysis.  No LE edema.  No HA or changes in taste/smell.  No known sick contacts, but patient has exposure to multiple daughters who help care for her, and she has been attending church recently.  Urine is dark/strong, but she denies dysuria.   Pt has received both doses of COVID-19 vaccine, second dose on 3/17/21.   Hospital Course:    Patient was admitted to medical floor for COVID-19 infection and urinary tract infection.  Patient had a very mild course of illness.  Decadron was started but patient did not require any remdesivir.  Patient has remained at her seen home oxygen requirement.  Patient was seen by PT and OT services for generalized weakness.  Blood cultures have been negative.  Patient is medically stable for discharge home today.  She will need another 2 days of antibiotics treatment for urinary tract infection.  Since her respiratory status has been very stable, we have chosen to discontinue the use of Decadron upon discharge to avoid any changes in mental status induced by steroids in an elderly patient.  Home health services and remote monitoring kit have been ordered at the time of discharge.   I have called patient's daughter  to provide update that patient is coming home today and answered her questions
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Essential hypertension, Fatigue, Hypothyroidism, Hypoxia, Influenza A virus test negative
Clinical narrative: ED to Hosp-Admission Discharged  3/28/2021 - 3/30/2021 (2 days)    Last attending ? Treatment team Weakness Principal problem Discharge Summary DO (Physician) ? ? Internal Medicine           Discharge Summary   Hospitalist Medicine      Date: 3/30/2021 Admission Date: 3/28/2021 Length of Stay: 2 Days  Discharge Date: 3/30/2021     Admission Diagnosis     Hospital Problems          POA   * (Principal) Weakness Yes       Hypothyroidism Yes       Pure hypercholesterolemia Yes       Benign essential hypertension Yes       Atrial fibrillation  Yes       Acute cystitis without hematuria Yes       Generalized weakness Yes       COVID-19 virus infection Yes       Chronic respiratory failure with hypoxia  Yes            Home Under Care of a company unnamed   CODE STATUS: Full Code     Active Issues Requiring Follow-up     Finish course of antibiotics.  Participating remote monitoring.     Test Results Pending at Discharge     Pending Labs    Order Current Status   Blood culture Preliminary result   Blood culture Preliminary result         Hospital Course     HPI:  Patient is a 89 y.o. female with PMH listed who presents from home with her daughter complaining of about a week of increased weakness/fatigue and cough.  The fatigue is their primary concern, as this is so profound she will fall asleep on the toilet or even in the middle of getting dressed.  Appetite is decreased, but she denies N/V/D.  She feels "chilled", but no known fevers, no rigors/sweats.  Cough is occasionally productive of sputum, mostly clear but sometimes with small "chunks"; no hemoptysis.  No LE edema.  No HA or changes in taste/smell.  No known sick contacts, but patient has exposure to multiple daughters who help care for her, and she has been attending church recently.  Urine is dark/strong, but she denies dysuria.   Pt has received both doses of COVID-19 vaccine, second dose on 3/17/21.   Hospital Course:    Patient was admitted to medical floor for COVID-19 infection and urinary tract infection.  Patient had a very mild course of illness.  Decadron was started but patient did not require any remdesivir.  Patient has remained at her seen home oxygen requirement.  Patient was seen by PT and OT services for generalized weakness.  Blood cultures have been negative.  Patient is medically stable for discharge home today.  She will need another 2 days of antibiotics treatment for urinary tract infection.  Since her respiratory status has been very stable, we have chosen to discontinue the use of Decadron upon discharge to avoid any changes in mental status induced by steroids in an elderly patient.  Home health services and remote monitoring kit have been ordered at the time of discharge.   I have called patient's daughter  to provide update that patient is coming home today and answered her questions
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Productive cough, SARS-CoV-2 test positive, Somnolence, Type IIa hyperlipidaemia
Clinical narrative: ED to Hosp-Admission Discharged  3/28/2021 - 3/30/2021 (2 days)    Last attending ? Treatment team Weakness Principal problem Discharge Summary DO (Physician) ? ? Internal Medicine           Discharge Summary   Hospitalist Medicine      Date: 3/30/2021 Admission Date: 3/28/2021 Length of Stay: 2 Days  Discharge Date: 3/30/2021     Admission Diagnosis     Hospital Problems          POA   * (Principal) Weakness Yes       Hypothyroidism Yes       Pure hypercholesterolemia Yes       Benign essential hypertension Yes       Atrial fibrillation  Yes       Acute cystitis without hematuria Yes       Generalized weakness Yes       COVID-19 virus infection Yes       Chronic respiratory failure with hypoxia  Yes            Home Under Care of a company unnamed   CODE STATUS: Full Code     Active Issues Requiring Follow-up     Finish course of antibiotics.  Participating remote monitoring.     Test Results Pending at Discharge     Pending Labs    Order Current Status   Blood culture Preliminary result   Blood culture Preliminary result         Hospital Course     HPI:  Patient is a 89 y.o. female with PMH listed who presents from home with her daughter complaining of about a week of increased weakness/fatigue and cough.  The fatigue is their primary concern, as this is so profound she will fall asleep on the toilet or even in the middle of getting dressed.  Appetite is decreased, but she denies N/V/D.  She feels "chilled", but no known fevers, no rigors/sweats.  Cough is occasionally productive of sputum, mostly clear but sometimes with small "chunks"; no hemoptysis.  No LE edema.  No HA or changes in taste/smell.  No known sick contacts, but patient has exposure to multiple daughters who help care for her, and she has been attending church recently.  Urine is dark/strong, but she denies dysuria.   Pt has received both doses of COVID-19 vaccine, second dose on 3/17/21.   Hospital Course:    Patient was admitted to medical floor for COVID-19 infection and urinary tract infection.  Patient had a very mild course of illness.  Decadron was started but patient did not require any remdesivir.  Patient has remained at her seen home oxygen requirement.  Patient was seen by PT and OT services for generalized weakness.  Blood cultures have been negative.  Patient is medically stable for discharge home today.  She will need another 2 days of antibiotics treatment for urinary tract infection.  Since her respiratory status has been very stable, we have chosen to discontinue the use of Decadron upon discharge to avoid any changes in mental status induced by steroids in an elderly patient.  Home health services and remote monitoring kit have been ordered at the time of discharge.   I have called patient's daughter  to provide update that patient is coming home today and answered her questions
Age: 88.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection, Urine odour abnormal
Clinical narrative: ED to Hosp-Admission Discharged  3/28/2021 - 3/30/2021 (2 days)    Last attending ? Treatment team Weakness Principal problem Discharge Summary DO (Physician) ? ? Internal Medicine           Discharge Summary   Hospitalist Medicine      Date: 3/30/2021 Admission Date: 3/28/2021 Length of Stay: 2 Days  Discharge Date: 3/30/2021     Admission Diagnosis     Hospital Problems          POA   * (Principal) Weakness Yes       Hypothyroidism Yes       Pure hypercholesterolemia Yes       Benign essential hypertension Yes       Atrial fibrillation  Yes       Acute cystitis without hematuria Yes       Generalized weakness Yes       COVID-19 virus infection Yes       Chronic respiratory failure with hypoxia  Yes            Home Under Care of a company unnamed   CODE STATUS: Full Code     Active Issues Requiring Follow-up     Finish course of antibiotics.  Participating remote monitoring.     Test Results Pending at Discharge     Pending Labs    Order Current Status   Blood culture Preliminary result   Blood culture Preliminary result         Hospital Course     HPI:  Patient is a 89 y.o. female with PMH listed who presents from home with her daughter complaining of about a week of increased weakness/fatigue and cough.  The fatigue is their primary concern, as this is so profound she will fall asleep on the toilet or even in the middle of getting dressed.  Appetite is decreased, but she denies N/V/D.  She feels "chilled", but no known fevers, no rigors/sweats.  Cough is occasionally productive of sputum, mostly clear but sometimes with small "chunks"; no hemoptysis.  No LE edema.  No HA or changes in taste/smell.  No known sick contacts, but patient has exposure to multiple daughters who help care for her, and she has been attending church recently.  Urine is dark/strong, but she denies dysuria.   Pt has received both doses of COVID-19 vaccine, second dose on 3/17/21.   Hospital Course:    Patient was admitted to medical floor for COVID-19 infection and urinary tract infection.  Patient had a very mild course of illness.  Decadron was started but patient did not require any remdesivir.  Patient has remained at her seen home oxygen requirement.  Patient was seen by PT and OT services for generalized weakness.  Blood cultures have been negative.  Patient is medically stable for discharge home today.  She will need another 2 days of antibiotics treatment for urinary tract infection.  Since her respiratory status has been very stable, we have chosen to discontinue the use of Decadron upon discharge to avoid any changes in mental status induced by steroids in an elderly patient.  Home health services and remote monitoring kit have been ordered at the time of discharge.   I have called patient's daughter  to provide update that patient is coming home today and answered her questions
Age: 56.0
Sex: M
Vaccine: COVID19
Symptoms: Tinnitus
Clinical narrative: Tinnitus volume increased dramatically, 2-4 times, hard to manage
Age: 72.0
Sex: M
Vaccine: COVID19
Symptoms: Blast cells present, Chronic myelomonocytic leukaemia, Condition aggravated, White blood cell count increased
Clinical narrative: Following vaccination on 05/18/21, WBC elevated with circulating peripheral blasts suspecting disease progression. Bone marrow biopsy has been requested.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: COVID-19, Diarrhoea, Dizziness, Dyspnoea, Nausea
Clinical narrative: Presented to emergency department on 5/12/21 with productive cough what onset a week and half prior to presentation. Also had complaints of diarrhea, nausea, dizziness, and shortness of breath when standing. Patient had cardiac stent placed approximately 5 weeks earlier. Was found to be COVID-19 positive and was admitted for further management.  He was admitted for 2 days.
Age: 60.0
Sex: M
Vaccine: COVID19
Symptoms: Productive cough, SARS-CoV-2 test positive
Clinical narrative: Presented to emergency department on 5/12/21 with productive cough what onset a week and half prior to presentation. Also had complaints of diarrhea, nausea, dizziness, and shortness of breath when standing. Patient had cardiac stent placed approximately 5 weeks earlier. Was found to be COVID-19 positive and was admitted for further management.  He was admitted for 2 days.
Age: 60.0
Sex: M
Vaccine: COVID19, COVID19
Symptoms: Expired product administered, Malaise
Clinical narrative: First vaccination was overnight expired.  I received another the next morning.  Got sick
Age: 40.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Fatigue, Headache, Rash, Urticaria
Clinical narrative: Several hours after vaccine, chills through out the night, headache, fatigue , lasted for two consecutive days.  Two weeks from vaccine rash, hives all over body.  Everyday I have hives.  No history of hives or allergies
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Arthralgia, Asthenia, Blood glucose normal, Fall, Feeling jittery
Clinical narrative: Pt became weak and began to fall. Nurse lowered to ground. Fire department and other agency assisted; Pt aroused and c/o feeling jittery. Blood sugar 105; Provided food from car which was cotton candy and peanut butter and crackers. Pt states feels much better but but knee and neck hurt. Small abrasions on lateral aspect of knee and 2 bruises over bony areas of knee. Area cleaned with alcohol and band aide applied. Neck has full ROM. No abrasions on head. Patient and wife instructed to go to PCP or ER  after they leave. Wife states they will go to PCP,  Pt released in stable condition.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Neck pain
Clinical narrative: Pt became weak and began to fall. Nurse lowered to ground. Fire department and other agency assisted; Pt aroused and c/o feeling jittery. Blood sugar 105; Provided food from car which was cotton candy and peanut butter and crackers. Pt states feels much better but but knee and neck hurt. Small abrasions on lateral aspect of knee and 2 bruises over bony areas of knee. Area cleaned with alcohol and band aide applied. Neck has full ROM. No abrasions on head. Patient and wife instructed to go to PCP or ER  after they leave. Wife states they will go to PCP,  Pt released in stable condition.
Age: 54.0
Sex: F
Vaccine: COVID19
Symptoms: Rash
Clinical narrative: Rash began 10 days after J/J vaccine
Age: 39.0
Sex: M
Vaccine: COVID19
Symptoms: Alveolar osteitis
Clinical narrative: I had wisdom tooth surgery on Saturday, 5/15 to remove the right upper wisdom tooth. On Tuesday, 5/18, the clot became loose and shortly thereafter fell out. Unusually, another one nearly immediately formed but was also nearly immediately loose. The dentist removed it and mentioned that he and especially his wife have been seeing a lot of this lately, and his first question was whether I'd had the vaccine.
Age: 21.0
Sex: F
Vaccine: COVID19
Symptoms: Anxiety, Dizziness, Unresponsive to stimuli
Clinical narrative: Pt anxious with first dose of vaccine. Pt rt Lightheadedness and dizziness while still in her 15min observation time. Pt transition onto a stryker with  initial vs as BP 115/64, HR 77, RR 20-24. Pt was emotional, 2nd vs at 1035 BP 12/, HR , RR 18-20. Pt was talking to staff and became unresponsive for 5sec. ER Rapid response call for assistance. 3rd vs 122/78, HR 80 Map 89. Pt transported to ED. From ED Note: Patient symptoms improved and discharged from ED with counseling and return parameters. Patient evaluated by behavorial health for anxiety with outpatient follow up referral.
Age: 50.0
Sex: M
Vaccine: COVID19
Symptoms: Fall, Musculoskeletal stiffness
Clinical narrative: Patient in observation area post vaccination - was sitting in chair and observed by EMS to stiffen and fall from chair to floor. Patient aroused quickly. Scalp wound on forehead - bleeding controlled and stopped quickly. Per EMS vital signs all within normal limits and blood glucose was 88. No known history of fainting or seizures. After discussion and assessment with EMS patient declined EMS transport.
Age: 39.0
Sex: F
Vaccine: COVID19
Symptoms: Palpitations
Clinical narrative: patient experienced palpitations after receiving vaccine
Age: 62.0
Sex: M
Vaccine: COVID19
Symptoms: Injection site pain, Injection site rash, Injection site swelling
Clinical narrative: Rash around the injection site. Tenderness and swelling.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Swollen tongue
Clinical narrative: Patient presented to the ED immediately after receiving COVID vaccination with swollen tongue and difficulty swallowing. Per doctor's note: she received intramuscular epinephrine, IV Pepcid, IV Solu-Medrol and IV fluids.  Monitored until 3 hours after exposure, no new or worsening signs or symptoms.
Age: 68.0
Sex: F
Vaccine: COVID19
Symptoms: Heart rate abnormal
Clinical narrative: At the moment I went to bed I felt a change in my heartbeat. I have never felt this before. But today I have not felt it again.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Chills, Gait disturbance, Joint swelling, Magnetic resonance imaging normal, Mobility decreased
Clinical narrative: I experienced usual side effects, fever and chills but the entire reason is that I have swelling and edema in both feet and ankles enough so to concern doctors.  I went to  clinic on 03-26-2021 for evaluation.  They put me on 3 day steroids. I went back to First med which they put me on a 6 day course of medication of steroids. I then went to my podiatrist, of my right ankle, I was scanned for blood clots but no blood clots were found. My exams only identify swelling and edema. I can only take NSAID'S. I have to get up wait a few hours to move. My ankle swelling and edema nerve decreases and my feet hurt so bad when I apply pressure. I had an MRI done as well and I am very upset that they cant find why I can not walk without pain and swelling. My doctors at this point do not what to do for me and I would like some answers.  To this day, I am still having  swelling and edema to both of my feet and ankles.
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Oedema peripheral, Pain in extremity, Peripheral swelling, Pyrexia, Scan normal
Clinical narrative: I experienced usual side effects, fever and chills but the entire reason is that I have swelling and edema in both feet and ankles enough so to concern doctors.  I went to  clinic on 03-26-2021 for evaluation.  They put me on 3 day steroids. I went back to First med which they put me on a 6 day course of medication of steroids. I then went to my podiatrist, of my right ankle, I was scanned for blood clots but no blood clots were found. My exams only identify swelling and edema. I can only take NSAID'S. I have to get up wait a few hours to move. My ankle swelling and edema nerve decreases and my feet hurt so bad when I apply pressure. I had an MRI done as well and I am very upset that they cant find why I can not walk without pain and swelling. My doctors at this point do not what to do for me and I would like some answers.  To this day, I am still having  swelling and edema to both of my feet and ankles.
Age: 12.0
Sex: M
Vaccine: MENB
Symptoms: Wrong product administered
Clinical narrative: Bexsero given instead of menveo
Age: 54.0
Sex: M
Vaccine: COVID19
Symptoms: Burning sensation, Chest discomfort, Herpes zoster
Clinical narrative: Shingles  I am a 54 year old male living in another country. I have developed shingles as diagnosed by my doctor on 17th May 2021. During night between 16th May and 17th May, I developed these shingles rashes.   I had first dose of Astrazeneca vaccine (called Covishield) on 14th April 2021. Nearly a month later I developed shingles. I am Type-2 diabetic for the last 20 years with excellent control and no organ damage so far. Still on 2500 mg metformin chloride per day and 10 mg Jardiance per day. I also have high cholesterol and high triglycerides since 15 years and I am on 10 mg Crestor a day. I also suffer from Hashimoto hypothyroidism (an auto immune condition) since 15 years and take about 70 mcg of levothyroxine a day. I am otherwise a fit person with regular exercise and a BMI of 20.5. I have been taking Vitamin C 500 mg for last 20 years, and regularly take Zinc and Vitamin D. Vitamin D level 60 ng/ml.  Looks like Covid vaccine induces shingles in people with auto immune disorder that was not thoroughly checked and studied due to urgent need of vaccine roll out. If stress reduces immunity and is the reason for eruption of shingles, I have been suffering stress from the last one year due to job loss and threat of job loss. But why Shingles erupted only after Covid vaccination? I should have suffered it earlier! It takes two weeks for covid vaccine to become active which could have caused body to fight it and thus lowering immunity. May be immunity is lowering more than necessary when compared to other vaccines. Advantage is taken by shingles virus due to this lowered immunity and causing shingles.  I have never suffered chickenpox during my entire life as I could have been vaccinated as a child for chickenpox. But I still got shingles now after Covid vaccination.   Four years ago, due to job requirements, I had to take multiple vaccinations such as rabies, etc. At the time I did not suffer shingles? But now only after Covid vaccination from Astrazeneca! Seems quick rollout of vaccine has created additional problems for certain groups of populations.  Luckily, I began treatment within 24 hrs with antiviral medication. My friend suffered from shingles 5 years ago. He complained about terrible shooting pain which is the case with shingles it seems. Surprisingly, so far I have not had any shooting pain, no itching, etc. A mild discomfort and a slight burning sensation on upper left chest, left back where shingles formed. But it shingles as confirmed by doctor. Covid vaccination is inducing new kind of shingles with less pain?