chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Full blood count abnormal, Globulins increased, Glomerular filtration rate decreased, Glucose urine absent, Haematocrit normal
Clinical narrative: 2/24/22  66 yr/o female with hx DM, HTN, HLD, CKD, hypothyroidism, morbid obesity, bipolar disorder, and anxiety who presents with a headache that awoke her from sleep 3 or 4 hours ago, nausea, generalized weakness with heaviness and tingling in both of her arms.  She denies any vomiting.  She is unaware of any fever but states she felt very tired last night and went to bed early at 8 PM.  She was noted at triage to have a temperature of 100.2.  She denies any chest or abdominal pain. REVIEW OF SYSTEMS   Constitutional: Negative for fever.  Negative for chills.  HENT: Negative for sore throat. Eyes: Negative for pain Respiratory: Negative for cough. Negative for shortness of breath.  Cardiovascular: Negative for chest pain. Negative for palpitations.  Gastrointestinal: Positive for nausea. Negative for vomiting. Negative for abdominal pain.  Negative for diarrhea.  Genitourinary: Negative for difficulty urinating.  Skin:  Negative for rash.  Neurological: Positive for gen weakness.  Positive for headache.  Psychiatric/Behavioral: Negative for depression 2/25/22   presented to ER with reports of HA and body aches.  She also noted chest pain.  Please note she frequents are ER with a variety of somatic complaints which are often neurologic in description.  Recent evaluations have been reassuring.  She was noted to have low grade temp and admitted to cough in ER.  I was concerned for COVID on admission.  ER requested admission for "hypoxia".   I turned off O2 when I saw patient in ER and her sats have never been low.  She has acrylic nails on which may have been reason for her low O2 sat readings.  Her COVID test returned positive as expected.  Her daughter has been having similar symptoms and I told her in ER she should be tested as she likely has COVID in fact she probably gave COVID to patient.  I am told she was advised by nursing staff not to visit patient but she came anyway.   Patient has had no hypoxia nor increased WOB.  CTA negative for PE, only minimal GGO's which would by typical for COVID.   Given patient is not hypoxic and has no increased WOB, I think she can go home.  I advised daughter that if patient becomes SOA she should be evaluated.  No role for steroids at this juncture   I expressed my concerns to infection control that family members with COVID should not be allowed to visit hospital.  Discharge exam notable for: awake, chronically ill appearing, appears dazed as seen during prior encounters
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Haemoglobin normal, Headache, Hypoxia, Immature granulocyte count, International normalised ratio decreased
Clinical narrative: 2/24/22  66 yr/o female with hx DM, HTN, HLD, CKD, hypothyroidism, morbid obesity, bipolar disorder, and anxiety who presents with a headache that awoke her from sleep 3 or 4 hours ago, nausea, generalized weakness with heaviness and tingling in both of her arms.  She denies any vomiting.  She is unaware of any fever but states she felt very tired last night and went to bed early at 8 PM.  She was noted at triage to have a temperature of 100.2.  She denies any chest or abdominal pain. REVIEW OF SYSTEMS   Constitutional: Negative for fever.  Negative for chills.  HENT: Negative for sore throat. Eyes: Negative for pain Respiratory: Negative for cough. Negative for shortness of breath.  Cardiovascular: Negative for chest pain. Negative for palpitations.  Gastrointestinal: Positive for nausea. Negative for vomiting. Negative for abdominal pain.  Negative for diarrhea.  Genitourinary: Negative for difficulty urinating.  Skin:  Negative for rash.  Neurological: Positive for gen weakness.  Positive for headache.  Psychiatric/Behavioral: Negative for depression 2/25/22   presented to ER with reports of HA and body aches.  She also noted chest pain.  Please note she frequents are ER with a variety of somatic complaints which are often neurologic in description.  Recent evaluations have been reassuring.  She was noted to have low grade temp and admitted to cough in ER.  I was concerned for COVID on admission.  ER requested admission for "hypoxia".   I turned off O2 when I saw patient in ER and her sats have never been low.  She has acrylic nails on which may have been reason for her low O2 sat readings.  Her COVID test returned positive as expected.  Her daughter has been having similar symptoms and I told her in ER she should be tested as she likely has COVID in fact she probably gave COVID to patient.  I am told she was advised by nursing staff not to visit patient but she came anyway.   Patient has had no hypoxia nor increased WOB.  CTA negative for PE, only minimal GGO's which would by typical for COVID.   Given patient is not hypoxic and has no increased WOB, I think she can go home.  I advised daughter that if patient becomes SOA she should be evaluated.  No role for steroids at this juncture   I expressed my concerns to infection control that family members with COVID should not be allowed to visit hospital.  Discharge exam notable for: awake, chronically ill appearing, appears dazed as seen during prior encounters
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Limb discomfort, Lung disorder, Lung opacity, Lymphocyte count decreased, Lymphocyte percentage decreased
Clinical narrative: 2/24/22  66 yr/o female with hx DM, HTN, HLD, CKD, hypothyroidism, morbid obesity, bipolar disorder, and anxiety who presents with a headache that awoke her from sleep 3 or 4 hours ago, nausea, generalized weakness with heaviness and tingling in both of her arms.  She denies any vomiting.  She is unaware of any fever but states she felt very tired last night and went to bed early at 8 PM.  She was noted at triage to have a temperature of 100.2.  She denies any chest or abdominal pain. REVIEW OF SYSTEMS   Constitutional: Negative for fever.  Negative for chills.  HENT: Negative for sore throat. Eyes: Negative for pain Respiratory: Negative for cough. Negative for shortness of breath.  Cardiovascular: Negative for chest pain. Negative for palpitations.  Gastrointestinal: Positive for nausea. Negative for vomiting. Negative for abdominal pain.  Negative for diarrhea.  Genitourinary: Negative for difficulty urinating.  Skin:  Negative for rash.  Neurological: Positive for gen weakness.  Positive for headache.  Psychiatric/Behavioral: Negative for depression 2/25/22   presented to ER with reports of HA and body aches.  She also noted chest pain.  Please note she frequents are ER with a variety of somatic complaints which are often neurologic in description.  Recent evaluations have been reassuring.  She was noted to have low grade temp and admitted to cough in ER.  I was concerned for COVID on admission.  ER requested admission for "hypoxia".   I turned off O2 when I saw patient in ER and her sats have never been low.  She has acrylic nails on which may have been reason for her low O2 sat readings.  Her COVID test returned positive as expected.  Her daughter has been having similar symptoms and I told her in ER she should be tested as she likely has COVID in fact she probably gave COVID to patient.  I am told she was advised by nursing staff not to visit patient but she came anyway.   Patient has had no hypoxia nor increased WOB.  CTA negative for PE, only minimal GGO's which would by typical for COVID.   Given patient is not hypoxic and has no increased WOB, I think she can go home.  I advised daughter that if patient becomes SOA she should be evaluated.  No role for steroids at this juncture   I expressed my concerns to infection control that family members with COVID should not be allowed to visit hospital.  Discharge exam notable for: awake, chronically ill appearing, appears dazed as seen during prior encounters
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Mean cell haemoglobin concentration decreased, Mean cell haemoglobin decreased, Mean cell volume normal, Mean platelet volume normal, Metabolic function test abnormal
Clinical narrative: 2/24/22  66 yr/o female with hx DM, HTN, HLD, CKD, hypothyroidism, morbid obesity, bipolar disorder, and anxiety who presents with a headache that awoke her from sleep 3 or 4 hours ago, nausea, generalized weakness with heaviness and tingling in both of her arms.  She denies any vomiting.  She is unaware of any fever but states she felt very tired last night and went to bed early at 8 PM.  She was noted at triage to have a temperature of 100.2.  She denies any chest or abdominal pain. REVIEW OF SYSTEMS   Constitutional: Negative for fever.  Negative for chills.  HENT: Negative for sore throat. Eyes: Negative for pain Respiratory: Negative for cough. Negative for shortness of breath.  Cardiovascular: Negative for chest pain. Negative for palpitations.  Gastrointestinal: Positive for nausea. Negative for vomiting. Negative for abdominal pain.  Negative for diarrhea.  Genitourinary: Negative for difficulty urinating.  Skin:  Negative for rash.  Neurological: Positive for gen weakness.  Positive for headache.  Psychiatric/Behavioral: Negative for depression 2/25/22   presented to ER with reports of HA and body aches.  She also noted chest pain.  Please note she frequents are ER with a variety of somatic complaints which are often neurologic in description.  Recent evaluations have been reassuring.  She was noted to have low grade temp and admitted to cough in ER.  I was concerned for COVID on admission.  ER requested admission for "hypoxia".   I turned off O2 when I saw patient in ER and her sats have never been low.  She has acrylic nails on which may have been reason for her low O2 sat readings.  Her COVID test returned positive as expected.  Her daughter has been having similar symptoms and I told her in ER she should be tested as she likely has COVID in fact she probably gave COVID to patient.  I am told she was advised by nursing staff not to visit patient but she came anyway.   Patient has had no hypoxia nor increased WOB.  CTA negative for PE, only minimal GGO's which would by typical for COVID.   Given patient is not hypoxic and has no increased WOB, I think she can go home.  I advised daughter that if patient becomes SOA she should be evaluated.  No role for steroids at this juncture   I expressed my concerns to infection control that family members with COVID should not be allowed to visit hospital.  Discharge exam notable for: awake, chronically ill appearing, appears dazed as seen during prior encounters
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Monocyte count increased, Monocyte percentage increased, Nausea, Neutrophil count, Neutrophil percentage increased
Clinical narrative: 2/24/22  66 yr/o female with hx DM, HTN, HLD, CKD, hypothyroidism, morbid obesity, bipolar disorder, and anxiety who presents with a headache that awoke her from sleep 3 or 4 hours ago, nausea, generalized weakness with heaviness and tingling in both of her arms.  She denies any vomiting.  She is unaware of any fever but states she felt very tired last night and went to bed early at 8 PM.  She was noted at triage to have a temperature of 100.2.  She denies any chest or abdominal pain. REVIEW OF SYSTEMS   Constitutional: Negative for fever.  Negative for chills.  HENT: Negative for sore throat. Eyes: Negative for pain Respiratory: Negative for cough. Negative for shortness of breath.  Cardiovascular: Negative for chest pain. Negative for palpitations.  Gastrointestinal: Positive for nausea. Negative for vomiting. Negative for abdominal pain.  Negative for diarrhea.  Genitourinary: Negative for difficulty urinating.  Skin:  Negative for rash.  Neurological: Positive for gen weakness.  Positive for headache.  Psychiatric/Behavioral: Negative for depression 2/25/22   presented to ER with reports of HA and body aches.  She also noted chest pain.  Please note she frequents are ER with a variety of somatic complaints which are often neurologic in description.  Recent evaluations have been reassuring.  She was noted to have low grade temp and admitted to cough in ER.  I was concerned for COVID on admission.  ER requested admission for "hypoxia".   I turned off O2 when I saw patient in ER and her sats have never been low.  She has acrylic nails on which may have been reason for her low O2 sat readings.  Her COVID test returned positive as expected.  Her daughter has been having similar symptoms and I told her in ER she should be tested as she likely has COVID in fact she probably gave COVID to patient.  I am told she was advised by nursing staff not to visit patient but she came anyway.   Patient has had no hypoxia nor increased WOB.  CTA negative for PE, only minimal GGO's which would by typical for COVID.   Given patient is not hypoxic and has no increased WOB, I think she can go home.  I advised daughter that if patient becomes SOA she should be evaluated.  No role for steroids at this juncture   I expressed my concerns to infection control that family members with COVID should not be allowed to visit hospital.  Discharge exam notable for: awake, chronically ill appearing, appears dazed as seen during prior encounters
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Nitrite urine absent, Nucleated red cells, Pain, Pallor, Paraesthesia
Clinical narrative: 2/24/22  66 yr/o female with hx DM, HTN, HLD, CKD, hypothyroidism, morbid obesity, bipolar disorder, and anxiety who presents with a headache that awoke her from sleep 3 or 4 hours ago, nausea, generalized weakness with heaviness and tingling in both of her arms.  She denies any vomiting.  She is unaware of any fever but states she felt very tired last night and went to bed early at 8 PM.  She was noted at triage to have a temperature of 100.2.  She denies any chest or abdominal pain. REVIEW OF SYSTEMS   Constitutional: Negative for fever.  Negative for chills.  HENT: Negative for sore throat. Eyes: Negative for pain Respiratory: Negative for cough. Negative for shortness of breath.  Cardiovascular: Negative for chest pain. Negative for palpitations.  Gastrointestinal: Positive for nausea. Negative for vomiting. Negative for abdominal pain.  Negative for diarrhea.  Genitourinary: Negative for difficulty urinating.  Skin:  Negative for rash.  Neurological: Positive for gen weakness.  Positive for headache.  Psychiatric/Behavioral: Negative for depression 2/25/22   presented to ER with reports of HA and body aches.  She also noted chest pain.  Please note she frequents are ER with a variety of somatic complaints which are often neurologic in description.  Recent evaluations have been reassuring.  She was noted to have low grade temp and admitted to cough in ER.  I was concerned for COVID on admission.  ER requested admission for "hypoxia".   I turned off O2 when I saw patient in ER and her sats have never been low.  She has acrylic nails on which may have been reason for her low O2 sat readings.  Her COVID test returned positive as expected.  Her daughter has been having similar symptoms and I told her in ER she should be tested as she likely has COVID in fact she probably gave COVID to patient.  I am told she was advised by nursing staff not to visit patient but she came anyway.   Patient has had no hypoxia nor increased WOB.  CTA negative for PE, only minimal GGO's which would by typical for COVID.   Given patient is not hypoxic and has no increased WOB, I think she can go home.  I advised daughter that if patient becomes SOA she should be evaluated.  No role for steroids at this juncture   I expressed my concerns to infection control that family members with COVID should not be allowed to visit hospital.  Discharge exam notable for: awake, chronically ill appearing, appears dazed as seen during prior encounters
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Platelet count normal, Pneumonia, Protein total increased, Protein urine present, Prothrombin time normal
Clinical narrative: 2/24/22  66 yr/o female with hx DM, HTN, HLD, CKD, hypothyroidism, morbid obesity, bipolar disorder, and anxiety who presents with a headache that awoke her from sleep 3 or 4 hours ago, nausea, generalized weakness with heaviness and tingling in both of her arms.  She denies any vomiting.  She is unaware of any fever but states she felt very tired last night and went to bed early at 8 PM.  She was noted at triage to have a temperature of 100.2.  She denies any chest or abdominal pain. REVIEW OF SYSTEMS   Constitutional: Negative for fever.  Negative for chills.  HENT: Negative for sore throat. Eyes: Negative for pain Respiratory: Negative for cough. Negative for shortness of breath.  Cardiovascular: Negative for chest pain. Negative for palpitations.  Gastrointestinal: Positive for nausea. Negative for vomiting. Negative for abdominal pain.  Negative for diarrhea.  Genitourinary: Negative for difficulty urinating.  Skin:  Negative for rash.  Neurological: Positive for gen weakness.  Positive for headache.  Psychiatric/Behavioral: Negative for depression 2/25/22   presented to ER with reports of HA and body aches.  She also noted chest pain.  Please note she frequents are ER with a variety of somatic complaints which are often neurologic in description.  Recent evaluations have been reassuring.  She was noted to have low grade temp and admitted to cough in ER.  I was concerned for COVID on admission.  ER requested admission for "hypoxia".   I turned off O2 when I saw patient in ER and her sats have never been low.  She has acrylic nails on which may have been reason for her low O2 sat readings.  Her COVID test returned positive as expected.  Her daughter has been having similar symptoms and I told her in ER she should be tested as she likely has COVID in fact she probably gave COVID to patient.  I am told she was advised by nursing staff not to visit patient but she came anyway.   Patient has had no hypoxia nor increased WOB.  CTA negative for PE, only minimal GGO's which would by typical for COVID.   Given patient is not hypoxic and has no increased WOB, I think she can go home.  I advised daughter that if patient becomes SOA she should be evaluated.  No role for steroids at this juncture   I expressed my concerns to infection control that family members with COVID should not be allowed to visit hospital.  Discharge exam notable for: awake, chronically ill appearing, appears dazed as seen during prior encounters
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Pyrexia, Red blood cell count normal, Red blood cells urine positive, Red cell distribution width normal, SARS-CoV-2 test positive
Clinical narrative: 2/24/22  66 yr/o female with hx DM, HTN, HLD, CKD, hypothyroidism, morbid obesity, bipolar disorder, and anxiety who presents with a headache that awoke her from sleep 3 or 4 hours ago, nausea, generalized weakness with heaviness and tingling in both of her arms.  She denies any vomiting.  She is unaware of any fever but states she felt very tired last night and went to bed early at 8 PM.  She was noted at triage to have a temperature of 100.2.  She denies any chest or abdominal pain. REVIEW OF SYSTEMS   Constitutional: Negative for fever.  Negative for chills.  HENT: Negative for sore throat. Eyes: Negative for pain Respiratory: Negative for cough. Negative for shortness of breath.  Cardiovascular: Negative for chest pain. Negative for palpitations.  Gastrointestinal: Positive for nausea. Negative for vomiting. Negative for abdominal pain.  Negative for diarrhea.  Genitourinary: Negative for difficulty urinating.  Skin:  Negative for rash.  Neurological: Positive for gen weakness.  Positive for headache.  Psychiatric/Behavioral: Negative for depression 2/25/22   presented to ER with reports of HA and body aches.  She also noted chest pain.  Please note she frequents are ER with a variety of somatic complaints which are often neurologic in description.  Recent evaluations have been reassuring.  She was noted to have low grade temp and admitted to cough in ER.  I was concerned for COVID on admission.  ER requested admission for "hypoxia".   I turned off O2 when I saw patient in ER and her sats have never been low.  She has acrylic nails on which may have been reason for her low O2 sat readings.  Her COVID test returned positive as expected.  Her daughter has been having similar symptoms and I told her in ER she should be tested as she likely has COVID in fact she probably gave COVID to patient.  I am told she was advised by nursing staff not to visit patient but she came anyway.   Patient has had no hypoxia nor increased WOB.  CTA negative for PE, only minimal GGO's which would by typical for COVID.   Given patient is not hypoxic and has no increased WOB, I think she can go home.  I advised daughter that if patient becomes SOA she should be evaluated.  No role for steroids at this juncture   I expressed my concerns to infection control that family members with COVID should not be allowed to visit hospital.  Discharge exam notable for: awake, chronically ill appearing, appears dazed as seen during prior encounters
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Specific gravity urine normal, Toxicologic test, Troponin, Urinary occult blood negative, Urinary sediment present
Clinical narrative: 2/24/22  66 yr/o female with hx DM, HTN, HLD, CKD, hypothyroidism, morbid obesity, bipolar disorder, and anxiety who presents with a headache that awoke her from sleep 3 or 4 hours ago, nausea, generalized weakness with heaviness and tingling in both of her arms.  She denies any vomiting.  She is unaware of any fever but states she felt very tired last night and went to bed early at 8 PM.  She was noted at triage to have a temperature of 100.2.  She denies any chest or abdominal pain. REVIEW OF SYSTEMS   Constitutional: Negative for fever.  Negative for chills.  HENT: Negative for sore throat. Eyes: Negative for pain Respiratory: Negative for cough. Negative for shortness of breath.  Cardiovascular: Negative for chest pain. Negative for palpitations.  Gastrointestinal: Positive for nausea. Negative for vomiting. Negative for abdominal pain.  Negative for diarrhea.  Genitourinary: Negative for difficulty urinating.  Skin:  Negative for rash.  Neurological: Positive for gen weakness.  Positive for headache.  Psychiatric/Behavioral: Negative for depression 2/25/22   presented to ER with reports of HA and body aches.  She also noted chest pain.  Please note she frequents are ER with a variety of somatic complaints which are often neurologic in description.  Recent evaluations have been reassuring.  She was noted to have low grade temp and admitted to cough in ER.  I was concerned for COVID on admission.  ER requested admission for "hypoxia".   I turned off O2 when I saw patient in ER and her sats have never been low.  She has acrylic nails on which may have been reason for her low O2 sat readings.  Her COVID test returned positive as expected.  Her daughter has been having similar symptoms and I told her in ER she should be tested as she likely has COVID in fact she probably gave COVID to patient.  I am told she was advised by nursing staff not to visit patient but she came anyway.   Patient has had no hypoxia nor increased WOB.  CTA negative for PE, only minimal GGO's which would by typical for COVID.   Given patient is not hypoxic and has no increased WOB, I think she can go home.  I advised daughter that if patient becomes SOA she should be evaluated.  No role for steroids at this juncture   I expressed my concerns to infection control that family members with COVID should not be allowed to visit hospital.  Discharge exam notable for: awake, chronically ill appearing, appears dazed as seen during prior encounters
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: Urine analysis abnormal, Urine ketone body absent, Urine leukocyte esterase, Urobilinogen urine, White blood cell count normal
Clinical narrative: 2/24/22  66 yr/o female with hx DM, HTN, HLD, CKD, hypothyroidism, morbid obesity, bipolar disorder, and anxiety who presents with a headache that awoke her from sleep 3 or 4 hours ago, nausea, generalized weakness with heaviness and tingling in both of her arms.  She denies any vomiting.  She is unaware of any fever but states she felt very tired last night and went to bed early at 8 PM.  She was noted at triage to have a temperature of 100.2.  She denies any chest or abdominal pain. REVIEW OF SYSTEMS   Constitutional: Negative for fever.  Negative for chills.  HENT: Negative for sore throat. Eyes: Negative for pain Respiratory: Negative for cough. Negative for shortness of breath.  Cardiovascular: Negative for chest pain. Negative for palpitations.  Gastrointestinal: Positive for nausea. Negative for vomiting. Negative for abdominal pain.  Negative for diarrhea.  Genitourinary: Negative for difficulty urinating.  Skin:  Negative for rash.  Neurological: Positive for gen weakness.  Positive for headache.  Psychiatric/Behavioral: Negative for depression 2/25/22   presented to ER with reports of HA and body aches.  She also noted chest pain.  Please note she frequents are ER with a variety of somatic complaints which are often neurologic in description.  Recent evaluations have been reassuring.  She was noted to have low grade temp and admitted to cough in ER.  I was concerned for COVID on admission.  ER requested admission for "hypoxia".   I turned off O2 when I saw patient in ER and her sats have never been low.  She has acrylic nails on which may have been reason for her low O2 sat readings.  Her COVID test returned positive as expected.  Her daughter has been having similar symptoms and I told her in ER she should be tested as she likely has COVID in fact she probably gave COVID to patient.  I am told she was advised by nursing staff not to visit patient but she came anyway.   Patient has had no hypoxia nor increased WOB.  CTA negative for PE, only minimal GGO's which would by typical for COVID.   Given patient is not hypoxic and has no increased WOB, I think she can go home.  I advised daughter that if patient becomes SOA she should be evaluated.  No role for steroids at this juncture   I expressed my concerns to infection control that family members with COVID should not be allowed to visit hospital.  Discharge exam notable for: awake, chronically ill appearing, appears dazed as seen during prior encounters
Age: 65.0
Sex: F
Vaccine: COVID19, COVID19
Symptoms: White blood cells urine negative, pH urine normal
Clinical narrative: 2/24/22  66 yr/o female with hx DM, HTN, HLD, CKD, hypothyroidism, morbid obesity, bipolar disorder, and anxiety who presents with a headache that awoke her from sleep 3 or 4 hours ago, nausea, generalized weakness with heaviness and tingling in both of her arms.  She denies any vomiting.  She is unaware of any fever but states she felt very tired last night and went to bed early at 8 PM.  She was noted at triage to have a temperature of 100.2.  She denies any chest or abdominal pain. REVIEW OF SYSTEMS   Constitutional: Negative for fever.  Negative for chills.  HENT: Negative for sore throat. Eyes: Negative for pain Respiratory: Negative for cough. Negative for shortness of breath.  Cardiovascular: Negative for chest pain. Negative for palpitations.  Gastrointestinal: Positive for nausea. Negative for vomiting. Negative for abdominal pain.  Negative for diarrhea.  Genitourinary: Negative for difficulty urinating.  Skin:  Negative for rash.  Neurological: Positive for gen weakness.  Positive for headache.  Psychiatric/Behavioral: Negative for depression 2/25/22   presented to ER with reports of HA and body aches.  She also noted chest pain.  Please note she frequents are ER with a variety of somatic complaints which are often neurologic in description.  Recent evaluations have been reassuring.  She was noted to have low grade temp and admitted to cough in ER.  I was concerned for COVID on admission.  ER requested admission for "hypoxia".   I turned off O2 when I saw patient in ER and her sats have never been low.  She has acrylic nails on which may have been reason for her low O2 sat readings.  Her COVID test returned positive as expected.  Her daughter has been having similar symptoms and I told her in ER she should be tested as she likely has COVID in fact she probably gave COVID to patient.  I am told she was advised by nursing staff not to visit patient but she came anyway.   Patient has had no hypoxia nor increased WOB.  CTA negative for PE, only minimal GGO's which would by typical for COVID.   Given patient is not hypoxic and has no increased WOB, I think she can go home.  I advised daughter that if patient becomes SOA she should be evaluated.  No role for steroids at this juncture   I expressed my concerns to infection control that family members with COVID should not be allowed to visit hospital.  Discharge exam notable for: awake, chronically ill appearing, appears dazed as seen during prior encounters
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: Ageusia, Anosmia, COVID-19, Oropharyngeal pain, Respiratory tract congestion
Clinical narrative: He had lost his taste & smell he also had a sore throat & he was congested so we waited a couple of days & took him to the pharmacy & got a covid test & it was positive & we did a telemedicine visit.
Age: 16.0
Sex: M
Vaccine: COVID19
Symptoms: SARS-CoV-2 test positive
Clinical narrative: He had lost his taste & smell he also had a sore throat & he was congested so we waited a couple of days & took him to the pharmacy & got a covid test & it was positive & we did a telemedicine visit.
Age: 59.0
Sex: F
Vaccine: COVID19
Symptoms: Hypoaesthesia, Muscular weakness, Skin discolouration
Clinical narrative: numbness and weakness down her right arm; numbness and weakness down her right arm; her index finger turned blue; This is a spontaneous report received from a contactable reporter(s) (Other HCP) for a Pfizer sponsored program. The reporter is the patient.  A 59 year-old female patient received bnt162b2 (BNT162B2), administered in arm left, administration date 04Jun2021 14:00 (Lot number: EW0191) at the age of 59 years as dose 1, single and administered in arm left, administration date 26Jun2021 (Lot number: EW0217) as dose 2, single for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: MUSCULAR WEAKNESS (non-serious), HYPOAESTHESIA (non-serious) all with onset 04Jun2021, outcome "recovered" (05Jun2021) and all described as "numbness and weakness down her right arm"; SKIN DISCOLOURATION (non-serious) with onset 04Jun2021, outcome "recovered" (05Jun2021), described as "her index finger turned blue.  Additional information; Pfizer BioNTech Covid Vaccine is a Pfizer product unspecified manufacturer, RA number and Expiry Date of Pfizer BioNTech Covid Vaccine was Unknown.Other Products,Patient History and Investigation Assessment were Not Provided. Reporter stated after the first vaccine, she had numbness and weakness down her right arm and her index finger turned blue, but that was the first vaccine, and only lasted the same day of the vaccine, and next day it was gone. The patient was taking Pfizer BioNTech Covid Vaccine (Verbatim): Thought she may win the million dollars, that the governor of (with held) offered for people that get vaccine.    No follow-up attempts are possible. No further information is expected.
Age: 33.0
Sex: F
Vaccine: COVID19
Symptoms: Lactation puerperal increased, Off label use, Product use issue
Clinical narrative: baby is 2 months old and I'm breastfeeding; baby is 2 months old and I'm breastfeeding; experienced excessive breastmilk increase; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 33 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administration date 29Jun2021 14:00 (Batch/Lot number: unknown) at the age of 33 years as dose 2, single and (Batch/Lot number: unknown) as dose 1, single for covid-19 immunisation. The patient had no relevant medical history. Concomitant medication(s) included: PRENATAL VITAMINS [ASCORBIC ACID;BETACAROTENE;CALCIUM SULFATE;COLECALCIFEROL;CYANOCOBALAMIN;FERROUS FUMARATE;FOLIC ACID;NICOTINAMIDE;PYRIDOXINE HYDROCHLORIDE;RETINOL ACETATE;RIBOFLAVIN;THIAMINE MONONITRATE;TOCOPHERYL ACETATE;ZINC OXIDE].  The following information was reported: OFF LABEL USE (non-serious), PRODUCT USE ISSUE (non-serious) all with onset 30Jun2021 06:00, outcome "unknown" and all described as "baby is 2 months old and I'm breastfeeding"; LACTATION PUERPERAL INCREASED (non-serious) with onset 30Jun2021 06:00, outcome "unknown", described as "experienced excessive breastmilk increase". Therapeutic measures were not taken as a result of off label use, product use issue, lactation puerperal increased.  Additional information: No COVID-19 was prior vaccination. No COVID-19 tested post vaccination. No Known allergies.   Follow-up attempts have been completed and no further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021817541 Same patient/drug, different patients/events
Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Neck pain
Clinical narrative: Upper neck by base of skull severe pain. Like someone smacked me with hammer .; This is a spontaneous report received from contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 51 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm left, administration date 03Jul2021 10:00 (Lot number: EW0196) at the age of 51 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "Asthma" (unspecified if ongoing); "sinus infection" (unspecified if ongoing); "known allergies: Egg whites" (unspecified if ongoing), notes: known allergies: Egg whites. Concomitant medication(s) included: PREDNISONE; AMOXCLAV [AMOXICILLIN;CLAVULANIC ACID]; COMBIVENT; SYMBICORT. The following information was reported: NECK PAIN (non-serious) with onset 04Jul2021 04:00, outcome "not recovered", described as "Upper neck by base of skull severe pain. Like someone smacked me with hammer .". Therapeutic measures were not taken as a result of neck pain.  Additional information: The patient reported no other vaccine in four week. Patient did not reported any COVID prior vaccination and not reported COVID tested post vaccination.  No follow-up attempts are possible. No further information is expected.
Age: 69.0
Sex: F
Vaccine: COVID19
Symptoms: Fatigue, Overdose, Pain in extremity, Product preparation issue
Clinical narrative: Fatigue; Arm soreness; Caller is a pharmacist who is reporting administration of undiluted doses of the Pfizer-Biontech Covid19 vaccine to 4 total patients; Caller is a pharmacist who is reporting administration of undiluted doses of the Pfizer-Biontech Covid19 vaccine to 4 total patients; This is a spontaneous report from a Pfizer sponsored program. A contactable Pharmacist reporting same event under the same suspect product for 4 patients.   A female patient of 69-year-old age received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was EW0185, Expiration date: 31Aug2021), via intramuscular at deltoid right on 02Jul2021 at 09:00 AM (age at vaccination: 69 years) as dose 2, single for COVID-19 immunization. Medical history was not reported. Concomitant medication was not reported. It was unknown that any additional vaccines administered on same date of the Pfizer suspect. It was unknown that patient had adverse event following prior vaccinations or patient's medical history (including any illness at time of vaccination). She received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on unknown date for COVID-19 immunization. Pharmacist reported higher than the recommended dose of the Pfizer Covid 19 vaccine. The product was not diluted before being given and was given to 4 patients. It was unknown that adverse event required emergency room or physician office visit. On 02Jul2021 at 12:00 patient experienced fatigue and arm soreness. Patient was given dose (Full undiluted vial) of vaccine for 2nd dose. Patient was affected soon upon realization and monitored via phone calls throughout weekend. Therapeutic measures were taken as a result of fatigue, pain in extremity which resolved with rest, fluids+ Tylenol/Advil. The clinical outcome of events product preparation issue and overdose was unknown, and events fatigue and arm soreness was recovered in 2021.  Follow-up attempts are completed. No further information is expected.  Follow-Up (26Jul2021): Follow-up attempts are completed. No further information is expected.  Follow-up (09Aug2021): This is a follow up spontaneous report from a contactable pharmacist. This pharmacist reported for a patient in response to HCP which included that: Updated information included: route of administration of suspect drug added, events fatigue and arm soreness were added, narrative was updated.  Follow-Up (18Aug2021): Follow-up attempts are completed. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021830001 same reporter/drug/AE with different patient
Sex: F
Vaccine: COVID19
Symptoms: Anorectal discomfort
Clinical narrative: Experiencing burning in rectum; This is a spontaneous report received from a non-contactable reporter(s) (Consumer or other non HCP) for a Pfizer sponsored program. The reporter is the patient.  A female patient received bnt162b2 (BNT162B2) (Batch/Lot number: unknown) as dose number unknown, single for covid-19 immunisation. The patient's relevant medical history and concomitant medications were not reported. The following information was reported: ANORECTAL DISCOMFORT (non-serious), outcome "not recovered", described as "Experiencing burning in rectum".  Additional Information: The patient mentioned that she had the Pfizer Covid-19 vaccine 2 weeks ago and she wants to know about the side effects of the vaccine. She said that she was currently experiencing burning in rectum.  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.
Sex: M
Vaccine: COVID19
Symptoms: Blood pressure measurement, Discomfort, Headache
Clinical narrative: headache; I get a discomfort; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non-HCP). The reporter is the patient.  An adult male patient received bnt162b2 (BNT162B2), administered in arm right, administration date 04Apr2021 10:00 (Lot number: ER2613) as dose 2, single and administered in arm left, administration date 17Mar2021 09:15 (Lot number: En6207) as dose 1, single for covid-19 immunisation. Relevant medical history included: "Covid" (unspecified if ongoing), notes: if COVID prior vaccination: Yes. The patient's concomitant medications were not reported.  The following information was reported: HEADACHE (non-serious), outcome "recovered with sequelae", described as "headache"; DISCOMFORT (non-serious), outcome "recovered with sequelae", described as "I get a discomfort". Relevant laboratory tests and procedures are available in the appropriate section. Therapeutic measures were not taken as a result of headache, discomfort. No other vaccine in four weeks. No COVID tested post vaccination. No known allergies. Adverse event: So there are many reasons for a headache but I believe that every time I'm in contact with COVID-19 And my body senses it's presence it quickly fights it but a slight headache comes on. I have taken my blood pressure check see if I'm congested maybe your allergies but nothing. Only after being in large crowds like beach at work and not always strange theory of mine I'm no Dr. but the coincidences got me thinking I get a discomfort and I think it's when my body is fighting covid because I was exposed. No treatment for adverse events. Recovering with lasting effects.  Follow-Up (28Jul2021): Follow-up attempts are completed. No further information is expected.
Sex: F
Vaccine: COVID19
Symptoms: Oropharyngeal pain
Clinical narrative: sore throat/my throat is now currently hurting; This is a spontaneous report received from a non-contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 25 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm left (Batch/Lot number: unknown) as dose 1, single for covid-19 immunisation. Relevant medical history included: "Irritable bowel syndrome" (unspecified if ongoing), notes: other medical history: Irritable bowel syndrome; "can't eat spicy food" (unspecified if ongoing), notes: I can't eat spicy food. Concomitant medication(s) included: FLUOXETINE; BUPROPION; HYOSCYAMINE; OMEPRAZOLE.  The following information was reported: OROPHARYNGEAL PAIN (non-serious), outcome "not recovered", described as "sore throat/my throat is now currently hurting". Therapeutic measures were not taken as a result of oropharyngeal pain.  Additional information: Patient did not receive any other vaccine in four weeks. Other medications in two weeks were Fluoxetine, Bupropion, Hyoscyamine and Omeprazole. A week after the first vaccine patient had a sore throat. After 2 weeks, her throat was then currently hurting, which started yesterday. Ae resulted in None of the above. There was no covid prior vaccination. Patient did not test covid post vaccination.  No follow-up attempts are possible. No further information is expected.
Age: 25.0
Sex: F
Vaccine: COVID19
Symptoms: Headache, Oropharyngeal pain
Clinical narrative: The second vaccine, even after 2 weeks, I've had nasty headaches; my throat is now currently hurting,; This is a spontaneous report received from a non-contactable reporter(s) (Consumer or other non HCP). The reporter is the patient.  A 25 year-old female patient (not pregnant) received bnt162b2 (BNT162B2), administered in arm left (Batch/Lot number: unknown) at the age of 25 years as dose 2, single for covid-19 immunisation. Relevant medical history included: "I can't eat spicy food" (unspecified if ongoing), notes: Known allergies: I can't eat spicy food.; "Irritable bowel syndrome" (unspecified if ongoing), notes: other medical history: Irritable bowel syndrome. Concomitant medication(s) included: FLUOXETINE; BUPROPION; HYOSCYAMINE; OMEPRAZOLE. Vaccination history included: Bnt162b2 (DOSE 1, SINGLE), when the patient was 25 years old, for Covid-19 immunisation, reaction(s): "sore throat". The following information was reported: HEADACHE (non-serious), outcome "unknown", described as "The second vaccine, even after 2 weeks, I've had nasty headaches"; OROPHARYNGEAL PAIN (non-serious), outcome "unknown", described as "my throat is now currently hurting,". Therapeutic measures were taken as a result of headache. Therapeutic measures were not taken as a result of oropharyngeal pain.  No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected.
Age: 35.0
Sex: M
Vaccine: COVID19
Symptoms: Fatigue, Headache, Vision blurred
Clinical narrative: Slight lightheadedness; Blurry vision; Fatigue and weakness; Fatigue and weakness; Headache; Cold sweats; Dehydration; Sat down; This is a spontaneous report received from a contactable reporter(s) (Consumer or other non HCP) from medical information team for a Pfizer sponsored program. The reporter is the patient.  A 35 year-old male patient received bnt162b2 (BNT162B2), administered in arm right, administration date 30Jun2021 13:30 (Lot number: EW0177) at the age of 35 years as dose 1, single for covid-19 immunisation. Relevant medical history included: "Seasonal allergy" (ongoing), notes: Additional Information for Other Conditions: From: Caller states since he was 8 or 9 years old. Concomitant medication(s) included: ADVIL [IBUPROFEN] taken for seasonal allergy, start date: May2021 (ongoing); FLONASE [MOMETASONE FUROATE] taken for hypersensitivity (ongoing). The following information was reported: DIZZINESS (non-serious) with onset 30Jun2021 13:45, outcome "recovered" (30Jun2021), described as "Slight lightheadedness"; VISION BLURRED (non-serious) with onset 30Jun2021 13:45, outcome "recovered" (30Jun2021), described as "Blurry vision"; FATIGUE (non-serious), ASTHENIA (non-serious) all with onset 30Jun2021 13:45, outcome "recovered" (30Jun2021) and all described as "Fatigue and weakness"; HEADACHE (non-serious) with onset 30Jun2021 13:45, outcome "recovered" (01Jul2021), described as "Headache"; COLD SWEAT (non-serious) with onset 30Jun2021 13:45, outcome "recovered" (30Jun2021), described as "Cold sweats"; DEHYDRATION (non-serious) with onset 30Jun2021 13:45, outcome "recovered" (30Jun2021), described as "Dehydration"; FALL (non-serious) with onset 30Jun2021 13:45, outcome "recovered" (30Jun2021), described as "Sat down".  Additional information: Patient received first dose of Pfizer vaccine and started to experience side effects. Patient said he got lightheaded so he sat down then got blurry vision, along with feeling fatigue and weak. Patient said Pharmacy Tech gave him water because he felt dehydrated and had a headache. Patient wanted to know how he should treat the side effects and if he should get his second dose of the Pfizer vaccine. No Relevant Tests done. No Family Medical History Relevant to Events. No events following prior vaccinations. No additional Vaccines Administered on Same Date of the Pfizer Suspect. No History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available). Time the Vaccination and onset of events Was Given was between 1 and 2 PM. Patient stated he was hearing about the new Delta variant, and he wanted to get the vaccine to protect other people. Patient stated he felt really dehydrated after the vaccine, and drank 3 glasses of water. Patient stated he has not felt any effects after that time, and now feels fine. Patient declines to provide for report, as he states he does not have a primary care doctor.   No follow-up attempts are possible. No further information is expected.